di bεlε na wan pan di imכtant כgan dεm na wi bכdi we de kip di it we yu de it εn bigin fכ digεst am. Bɔt sɔntɛnde, mɔ if siriɔs sik lɛk gastric kansa apin, dis bɛlɛ insɛf kin ambɔg wi bɔdi. Na da tɛm de dɔktɔ dɛn kin disayd fɔ ɔpreshɔn fɔ pul wan pat ɔ ɔl di bɛlɛ. Dis na wetin wi kin kɔl `(Gastrectomy)`. Pan ɔl we dis na big ɔpreshɔn, yu no se yu go ebul fɔ liv fayn if yu nɔ gɛt bɛlɛ? Lɛ wi tɔk bɔt dis ditayli.
Wetin rili na ɔpreshɔn we dɛn kin du fɔ pul di bɛlɛ?
Fɔ tɔk am simpul wan, fɔ pul di bɛlɛ na ɔpreshɔn we dɛn kin du fɔ pul wan pat pan yu bɛlɛ ɔ ɔl di bɔdi. di bεlε de kip di it we wi de it fכ sכm tεm, dεn de sεnd am to di sכmכl intestin usay i kin digεst εn abzכp am.
Tu men kayn ɔpreshɔn de we dɛn kin du:
- Total Gastrectomy: Dis min se yu fɔ pul yu wan ol bɛlɛ.
- Patɛl Gastrectomy: Insay dis, na wan pat pan di bɛlɛ nɔmɔ dɛn kin pul. Dɛn ɔpreshɔn ya gɛt difrɛn nem dɛn dipen pan di mɔni we dɛn pul. fכ egzampl, insay ``Subtotal Gastrectomy``, dεn kin pul lεk 80% pan di bεlε. כlso, ``Gastric Sleeve`` כpεrayshכn, we dεn kin du as tritmεnt fכ fat, na bak wan kayn pat pan gεstraktכmi.
Wetin mek yu kin du dis kayn ɔpreshɔn?
Bɔku tɛm dɛn kin du dis ɔpreshɔn as tritmɛnt fɔ bɛlɛ kansa. I kin ɛp fɔ mɛn di kansa ɔr fɔ stɔp am fɔ skata. Dɛn kin yuse am bak fɔ kɔntrol di sayn dɛm lɛk pen ɛn blɔd we dɛn nɔ ebul fɔ mɛn di kansa.
Dɛn kin yuz gastrectomy fɔ sɔm ɔda tin dɛn apat frɔm kansa. Bɔku tɛm, dɛn kin du am as las tin we di mɛrɛsin ɛn chenj dɛn we dɛn dɔn chenj dɛn layf nɔ ɛp.
| Mɛdikal kɔndishɔn | Tɔk bɔt |
|---|---|
| Tumɔs dɛn we nɔ gɛt bɛtɛ wɛlbɔdi | Fɔ pul di tumbu dɛn we de mek pɔsin gɛt di sik ɔ we leta kin bi kansa. |
| Gastritis we gɛt sik | If yu gɛt siriɔs bɛlɛ inflamɛns ɔ ɔlsa we yu nɔ go ebul fɔ kɔntrol wit mɛrɛsin. |
| Pɛptik Ɔlsa Sik | If yu gɛt wund we de pwɛl di bɛlɛ wɔl ɛn nɔ wɛl. |
| Fat | As ɔpreshɔn fɔ lɔs yu wet (Bariatric Surgery) fɔ kɔntrol di lɛvɛl dɛn we nɔ fayn fɔ fat. |
| Injury na di bɛlɛ | If aksidɛnt dɔn mek di bɛlɛ damej we nɔ go ɛva chenj. |
| Risk fɔ gɛt kansa we dɛn kin gɛt frɔm dɛn mama ɛn papa | dis כpεrayshכn dεn kin du bak fכ mek dεn nכ gεt di hכy risk fכ gεt bεlε kεnsar if dεn gεt mכtεshכn na di CDH1 jin. |
Aw fɔ pripia bifo dɛn du di ɔpreshɔn?
Bikɔs dis na big ɔpreshɔn, i rili impɔtant fɔ rɛdi gud gud wan fɔ am.
- Tɔk to yu dɔktɔ: Tɛl yu dɔktɔ bɔt yu kɔmplit mɛdikal istri, ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn Ayurveda mɛrɛsin dɛn we yu de tek. Nɔ fɔgɛt fɔ tɛl dɛn bɔt ɛni alɛji we yu go gɛt.
- Bi wɛl bɔdi: I impɔtant fɔ gɛt gud wɛlbɔdi as yu ebul bifo yu du di ɔpreshɔn. Ajɔst di it we yu de it ɛn di we aw yu de du ɛksɛsayz akɔdin to wetin yu dɔktɔ tɛl yu fɔ du.
- Nɔ smok: If yu na pɔsin we de smok, yu fɔ stɔp fɔ smok kpatakpata sɔm wiks bifo di ɔpreshɔn. Dis go rili ɛp fɔ mek di ɔpreshɔn go bifo.
- Adjɔst yu mɛrɛsin dɛn: Yu go nid fɔ stɔp fɔ tek mɛrɛsin fɔ sɔm tɛm lɛk tin dɛn we de mek yu blɔd tan , tin dɛn we de mek yu nɔ fil pen (NSAID), aspirin, ɛn wɔfarin. Yu dɔktɔ go tɛl yu ustɛm fɔ stɔp ɛn us wan dɛn fɔ kɔntinyu fɔ tek.
- Fast: Yu nɔ go ebul fɔ it ɔ drink ɛnitin fɔ sɔm awa bifo dɛn du yu ɔpreshɔn. Fɔ fala di instrɔkshɔn dɛn fayn fayn wan.
- Pɔsin fɔ ɛp na os: Yu go nid pɔsin fɔ drayv yu go na os frɔm ɔspitul. Dɔn bak, i kin izi fɔ gɛt pɔsin fɔ ɛp yu fɔ du wok na os we yu de wɛl.
Wetin kin apin we dɛn de du di ɔpreshɔn?
We dɛn de du di ɔpreshɔn, yu go gɛt ful anestezi, we min se yu nɔ go fil ɛni pen ɔ yu nɔ go no natin.
1. Anestezi: Na mɛrɛsin we dɛn gi yu na yu vein go mek yu slip te di ɔpreshɔn dɔn.
2. Kateshכn: dεn kin put kateshכn fכ kכlekt urine. כlso, dεn de put wan tכb (`Nasogastric tube`) tru di nos εn insay di bεlε fכ pul di tin dεm we de insay di bεlε. Leta, dɛn kin gi mɛrɛsin ɛn it tru dis tiub.
3. Gastric bypass: di sajin de pul pat ɔ ɔl di bɛlɛ ɔ tru wan big say we dɛn kɔt (Open Surgery) ɔ tru sɔm smɔl smɔl say dɛn we i de yuz kamɛra (Laparoscopy). If yu gɛt kansa, dɛn kin pul di limf no dɛm we de rawnd am bak fɔ chɛk if di kansa dɔn skata.
4. Rikonstrukshכn fכ di dijestiv trakt: Dis na di nεks imכtant step. Di dɔktɔ we de du di ɔpreshɔn go mek yu dijestiv trakt bak. If dɛn pul wan pat pan di bɛlɛ, di smɔl intestinal go kɔnɛkt to di pat we lɛf. If dɛn pul di wan ol bɛlɛ, di smɔl intestin go kɔnɛkt dairekt to di εsophagus.
5. Suturing: Fɔ dɔn, dɛn kin lɔk di say dɛn we dɛn kɔt wit stich.
Dis ɔpreshɔn kin tek lɛk 5 awa, i kin dipen pan di kayn ɔpreshɔn we yu dɔn du.
Wetin kin apin afta di ɔpreshɔn ɛn aw lɔng i go tek fɔ mek i wɛl?
Afta di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ lɛk wan ɔ tu wiks so. Insay dis tɛm, di wan dɛn we de wok na di mɛrɛsin go tek kia ɔf yu gud gud wan.
- Fɔ it: Fɔs, dɛn go gi yu tin fɔ it tru wan vein ɔ wan tiub we dɛn put na yu bɛlɛ. As yu wund dɛn de wɛl, yu kin bigin fɔ tek wata we yu de it wit yu mɔt. Dɔn, smɔl smɔl dɛn go introduks yu to sɔft it dɛn lɛk pɔrit, ɛn afta dat yu go it layt it ɔltɛm.
- Kɔntrol di pen: Dɛn kin gi mɛrɛsin fɔ kɔntrol di pen.
- Tɛm fɔ wɛl: Dis na waka we go tek sɔm mɔnt . I kin tek lɛk tu mɔnt so fɔ mek di wund dɛn wɛl. I kin tek 3-6 mɔnt ɔ ivin lɔng fɔ mek di bɔdi gɛt trɛnk bak ɛn ajɔst to nyu it . Gi yu bɔdi di tɛm we i nid fɔ wɛl, ɛn peshɛnt.
Wetin na di risk ɛn prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, tin dɛn kin apin we kin mek pɔsin gɛt infɛkshɔn, alɛji we pɔsin kin gɛt we i de anestez, ɛn we blɔd kin klɔt. Apat frɔm dat, sɔm prɔblɛm dɛn kin de we kin apin we dɛn du dis ɔpreshɔn.
| Kɔmplikɛshɔn | Simpul ɛksplen |
|---|---|
| Anastomotik Lik we dɛn kin mek | Fɔd de lik frɔm nyu say dɛn we dɛn dɔn kɔnɛkt (sim). |
| Di sik we dɛn kɔl Dumping Syndrome | Fɔd kin muf tumɔs kwik kwik wan insay di smɔl intestinal bifo i dayjɛst fayn fayn wan. Dis kin mek yu blo, yu nɔs, yu bɛlɛ kin pen, ɛn yu kin gɛt dayarɛa. |
| Malnutrishɔn | Di bɔdi nɔ kin ebul fɔ tek di tin dɛn we i nid fayn fayn wan, we kin mek i gɛt tin dɛn lɛk we i nɔ gɛt blɔd. |
| Bayl Riflɔks | di bayl we de mek na di liva de fכlכ bak insay di bכdi כ di εsophagus. |
| Intanɛt Ɛnia | di pat dεm na di sכmכl intestכn we de kכmכt frכm כda pat na di bכdi. Dis kin bi wan sik wae nid fɔ gɛt tritmɛnt kwik kwik wan. |
If yu gɛt ɛni prɔblɛm lɛk dis, mek yu dɔktɔ no wantɛm wantɛm.
Yu kin liv nɔmal layf afta dɛn dɔn pul yu bɛlɛ?
Yɛs, yu go mɔs ebul fɔ du am! Yu kin liv wɛlbɔdi, nɔmal layf. Bɔt, yu go gɛt fɔ yus to "nyu nɔmal" we i kam pan yu it abit.
- It smɔl ɛn bɔku tɛm: Insted fɔ it 3 big it dɛn insay wan de, it lɛk 6 smɔl smɔl it dɛn.
- Chenj yu it: Fɔs, i nɔ kin izi fɔ it it dɛn we gɛt bɔku fayv (sirial, bred) ɛn tin dɛn we dɛn mek wit milk. Ekspiriɛns fɔ no wetin go wok fɔ yu.
- Vitamin ɛn supamakit: If yu nɔ gɛt bɛlɛ, i nɔ kin izi fɔ mek di bɔdi tek sɔm tin dɛn, mɔ di vaytamɛn B12. Tek di vaytamɛn ɛn sɔpɔtmɛnt dɛn we yu nid lɛk aw yu dɔktɔ tɛl yu.
- Rɛst ɛn ɛksesaiz:Gɛt bɔku rɛst. Dɔn bak, du layt ɛksesaiz lɛk fɔ waka ɛn nɔ strɛs yu bɔdi. Dis kin ɛp fɔ mek yu nɔ gɛt prɔblɛm dɛn lɛk we blɔd de klɔt.
Ustɛm a fɔ go to di dɔktɔ?
Mek shɔ se yu atɛnd yu klinik apɔntinmɛnt dɛn afta yu dɔn ɔpreshɔn. Apat frɔm dat, if yu gɛt ɛni wan pan dɛn sik ya ɔ dɛn de wɔs, tɛl yu dɔktɔ wantɛm wantɛm.
- Nɔs ɛn vɔmit
- Rɔnbɛlɛ
- Bɛlɛ de pen ɔ blo
- Rɛd, swel, wam, ɔ pus na di say we dɛn du di ɔpreshɔn wund
- Fiva
Mɛsej we dɛn kin kɛr go na os
- Pan ɔl we gastrectomy na big ɔpreshɔn, na rili impɔtant tritmɛnt fɔ sev layf frɔm sik dɛn lɛk kansa.
- I rili impɔtant fɔ peshɛnt bikɔs i kin tek sɔm mɔnt fɔ mek i wɛl ful wan.
- Afta dɛn dɔn du di ɔpreshɔn, yu go nid fɔ chenj di we aw yu de it fɔ ɔltɛm. Yuz fɔ it smɔl smɔl it dɛn ɔltɛm.
- Ɔltɛm fala yu dɔktɔ in advays bɔt aw fɔ it, vaytamɛn, ɛn ɛksesaiz.
- We yu dɔn yus to dɛn chenj ya, yu go ebul fɔ liv fayn layf.
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