Wi dijestiv sistɛm de wok wɔndaful tin dɛn fɔ digest ɛn absɔb di it we wi de it fayn fayn wan. Bɔt imajin, wetin go apin if sɔntin de we de ambɔg am sɔnsay na dis waka, lɛk rod we dɛn dɔn blok? Fɔd nɔ kin ebul fɔ go bifo. If na so i bi, dɛn kin kɔl spɛshal ɔpreshɔn Gastrojejunostomy, we dɛn kin yuz fɔ pas da prɔblɛm de ɛn mek nyu rod fɔ mek it pas. Sɔntɛm dɔktɔ dɔn tɛl yu bɔt dis, ɔ yu go dɔn yɛri bɔt am ɛn yu want fɔ no mɔ. Lɛ wi tɔk bɔt dis simpul wan, di we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Gastrojejunostomy ɔpreshɔn?
Gastrojejunostomy na ɔpreshɔn we de mek nyu kɔnekshɔn bitwin yu bɛlɛ ɛn di midul pat na yu smɔl intestin, we dɛn kɔl di jejunum. in כda wכd dεm, i de mek di it pas frכm di bεlε dεrekt insay di midul pat pan di sכmכl intestinal we dεn kכl di duodenum insted fכ go insay di duodenum. dis nyu kכnεkshכn dεn kכl am anastomosis insay mεdikal tεm dεm.
Imajin se yu de dig big ol na rod ɛn mek motoka dɛn nɔ ebul fɔ pas de. Dɔn wi kin kɔt nyu rod na di ɔda say na di ol ɛn sɛn di motoka dɛn pas, nɔto so? Na dat dis ɔpreshɔn de du.
Bɔt wan tin de we wi fɔ mɛmba. Wan ɔda tin de we sɔm pipul dɛn kin kɔl di sem tin. Dat na fidin tiub, na tiub we dɛn kin put insay di smɔl intestin fɔ fid pɔsin we i nɔ kin izi fɔ it. i de go bak tru di bεlε εn go insay di jεjunum, so dεn kכl am gastrojejunostomy tכb. Bɔt nɔto dat na di big ɔpreshɔn we wi de tɔk bɔt. Dat na wan seperet prosidur.
Wetin mek wi nid fɔ du dis kayn ɔpreshɔn?
Di men rizin fɔ dis ɔpreshɔn na bikɔs sɔntin de we de ambɔg di we aw di it nɔ de kɔmɔt na di bɛlɛ ɔ na di fɔs pat na di smɔl intestinal. Dis tin we de ambɔg di it de mek di it nɔ de go bifo. Bɔku pan dɛn kayn tin dɛn de de.
| Kɔndishɔn | Wan Simpul Ɛksplen |
|---|---|
| Gastrik Ɔtlɛt Obstrɔkshɔn (GOO) . | di pylorus, di opin we de na di bכtכm pat na di bכdi usay it de go insay di sכmכl intestin, de blok fכ sכm rizin. |
| Duodenal Obstrɔkshɔn | di obstrכkshכn nכ de na di bεlε, bכt na di fכs pat pan di sכmכl intestin we de fכlכ am (duodenum). |
| Bɛlɛ ɔ Duodenal Kansa | di εsophagus blok biכs fכ wan kansa tכmכro כ as pat pan כpεrayshכn fכ pul di tכmכro. |
| Pɛptik Ɔlsa Sik | Kɔmplikɛshɔn dɛn lɛk fɔ blɔd we de kɔmɔt frɔm wund dɛn we nɔ de wɛl, ɔ skata na di wund dɛn we kin blok di dijestiv trakt. |
Apat frɔm dat, sɔntɛnde dɛn kin du dis ɔpreshɔn bak fɔ mek dɛn nɔ gɛt prɔblɛm we go apin tumara bambay .
- Trauma to di smɔl intestinal: If di fɔs pat pan di smɔl intestinal dɔn pwɛl bad bad wan, lɛk we aksidɛnt apin, dɛn kin du dis baypas fɔ mek it nɔ pas insay am te i wɛl. if nכto dat, wan abnכmal ol (fistula) kin fכm tru di injuri, we de pwεl di כgan dεm we de nia lεk di pankrias.
- Pankrias Kansa: If pankrias kansa de nia di smɔl intestinal ɛn dɛn nɔ ebul fɔ pul am wit ɔpreshɔn, i kin gro ɛn blok di it paip tumara bambay. Bifo dat apin, dɔktɔ dɛn kin disayd fɔ du dis ɔpreshɔn fɔ tek tɛm.
Wetin kin apin bifo dɛn du di ɔpreshɔn? Aw di pripia de?
Di mɛdikal tim go tray fɔ mek yu gɛt wɛlbɔdi as dɛn ebul bifo dɛn du di ɔpreshɔn. Imajin, pɔsin we gɛt in ɛsophagus we dɔn blok nɔ ebul fɔ it ɛn i de vɔmit ɔltɛm. Dis kin mek yu nɔ gɛt wata na yu bɔdi ɛn yu nɔ kin it bɛtɛ tin fɔ it . So dɛn tin ya nid fɔ kɔrɛkt bifo dɛn du di ɔpreshɔn.
Yu mɛdikal tim kin du tin dɛn lɛk:
- Salin (IV fluid): Dɛn kin gi salin insay wan vein fɔ kɔrɛkt di wata we de kɔntinyu fɔ de ɛn di ilɛktrɔlayt imbalans.
- IV nyutrishɔn: Bikɔs yu nɔ kin ebul fɔ it wit yu mɔt, dɛn kin gi di it we yu nid dairekt insay wan vein.
- Blɔd transfyushɔn: If yu gɛt anemia, yu go nid fɔ tek blɔd.
- Antibayɔtik: Dɛn kin gi antibayɔtik bifo tɛm fɔ mek i nɔ gɛt di sik afta dɛn dɔn du di ɔpreshɔn.
- Gastrik dikɔmpreshɔn: .Dɛn kin put wan tiub tru di nos insay di bɛlɛ, ɛn dɛn kin pul sɔm pan di tin dɛn we de insay fɔ mek di prɛshɔn nɔ bɔku. Dis kin mek yu gɛt mɔ sef we yu de gi yu anestezi.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Pan ɔl we difrɛn we dɛn de fɔ du dis ɔpreshɔn, na dɛn tin ya kin apin.
1. Anesthesia: Fɔs, dɛn kin put yu kɔmplit wan (general anesthesia). Yu nɔ go fil ɛnitin.
2. Gastrik εmpti: dεn de put tכb tru di nos כ mכt fכ pul di tin dεm we de insay di bεlε εn ridyus di prεshכn.
3. Fɔ go insay di bɛlɛ: Di dɔktɔ we de du di ɔpreshɔn de go insay di bɛlɛ. Dɛn kin du dis tu we dɛn. Wan na fɔ opin ɔpreshɔn , we min fɔ kɔt smɔl pat na di bɛlɛ. Di ɔda wan na laparoskopik ɔpreshɔn, we gɛt fɔ du wit fɔ mek sɔm smɔl smɔl say dɛn na di bɛlɛ ɛn put kamɛra ɛn tin dɛn we tan lɛk tin dɛn. Dɛn kin kɔl dis bak "keyhole surgery."
4. Fɔ no usay di prɔblɛm de: Dɛn kin fɛn di rayt say we di tin we de ambɔg di bɛlɛ ɔ di smɔl intestin.
5. fכ pripia di sכmכl intestכn: dεn de mek wan lכp frכm di midul pat (jejunum) we de lεk 10 sεntimita frכm di εnd fכ di fכs pat pan di sכm intestכn (duodenum).
6. fכ mek nyu kכnεkshכn: di sכmכl intestכn sεkshכn we dεn mek de kכnekt to di bεlε at le 5 sεntimita oba di obstrukshכn. Dis na di nyu ‘bypass’ rod we wi bin dɔn tɔk bɔt.
7. Inspekshכn: dεn de chεk di nyu anastomosis we dεn mek bay we dεn de yuz difrεn mεtכd dεm fכ mek sכh se i kכnekt fayn fayn wan εn nכ lik.
8. Fɔ dɔn di ɔpreshɔn: If ɔltin fayn, dɛn go lɔk di say dɛn we dɛn kɔt/ol dɛn we dɛn mek ɛn dɛn go dɔn di ɔpreshɔn.
Bɔku tɛm, dis ɔpreshɔn kin tek lɛk tu to 4 awa so .
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, dɛn go put yu na ɔspitul. Sɔntɛm yu nɔ go ebul fɔ it nɔmal wan wantɛm wantɛm. Yu kin fil lɛk yu nɔs smɔl fɔ di fɔs dez. sכmtεm, afta di כpεrayshכn, yu intestכn dεm kin bi sכmtεm "lazy" (paralytic ileus). Dis min se dɛn wok kin slo smɔl.
Fɔs, dɛn kin gi yu salin ɛn it tru wan vein. Dɔn, yu kin bigin wit klia wata it , smɔl smɔl yu kin muf to sɔft it, dɔn yu kin bigin fɔ it tin dɛn we yu kin it ɔltɛm bifo yu go na os. I kin tek sɔm wiks fɔ mek sɔm pipul dɛn ajɔst to di nyu kɔnekshɔn na dɛn bɛlɛ. Insay dis tɛm, yu kin nid fɔ kɔntinyu fɔ gi yu tin fɔ it tru tiub ɔ insay yu bɛlɛ.
Wetin na di prɔblɛm ɛn prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Nɔto ɔlman go gɛt dɛn tin ya, bɔt i fayn fɔ no bɔt dɛn.
| Di kayn risk we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Risk dɛn we kɔmɔn fɔ ɛni ɔpreshɔn |
|
| Risk dɛn we spɛshal fɔ dis ɔpreshɔn | Anastomotic leak: Dis na tin we nɔ kin apin so ɔltɛm. di nyu kכnekshכn we dεn mek nכ de sial fayn, εn di tin dεm we de insay di bεlε כ intestinal de lik insay di bכdi. Dis kin mek pɔsin gɛt siriɔs infɛkshɔn. If di infekshɔn go insay di blɔd, i kin mek pɔsin in layf de pan denja (sepsis). |
Sayd ɛfɛkt dɛn we kin apin afta dɛn dɔn du di ɔpreshɔn
Ivin if di ɔpreshɔn nɔ wok fayn, sɔm sayd ɛfɛkt dɛn kin apin as tɛm de go. Bɔku pan dɛn tin ya, pɔsin kin ebul fɔ kɔntrol.
| Sayd Ifɛkt we i kin gɛt | Wetin kin apin to am? |
|---|---|
| Di sik we dɛn kɔl Dumping Syndrome | di it de "dump" wan wan εn kwik kwik wan frכm di bεlε insay di sכmכl intestכn. Dis kin mek yu gɛt sɔm sayn dɛm lɛk nɔs, blo, bɛlɛ kramp, ɛn swet afta yu dɔn it. Dis kin stɔp afta sɔm tɛm as di bɔdi de ajɔst to am. |
| Ɔlsa we de na di Marginal | nכmal wan, di bεlε asid dεm de na di bεlε εn di fכs pat pan di sכmכl intestin. Dɛn bil dɛn pat dɛn de fɔ bia wit dɛn. bכt biכs fכ dis baypas, di bεlε asid dεm de go dayrekt insay di midul pat pan di sכmכl intestin (jejunum). Da pat de nɔ kin ebul fɔ bia wit di asid dɛn. So, ɔlsa kin fɔm de. |
| Bayl Riflɔks | Nɔmal wan, tin dɛn we de ɛp fɔ digest, lɛk bayl, nɔ kin flɔ bak insay di bɛlɛ. Bɔt bikɔs ɔf dis nyu kɔnekshɔn, i pɔsibul fɔ mek dɛn tin dɛn de flɔ bak insay di bɛlɛ. Dis kin mek di bɛlɛ wɔl dɛn inflamɛns. |
Aw na di tɛm fɔ wɛl?
Bɔku tɛm, i kin tek lɛk siks wiks fɔ mek i wɛl ɔl, bɔt dis kin difrɛn difrɛn wan bay di kayn ɔpreshɔn we yu bin du (open ɔ laparoscopic) ɛn yu bɔdi.
Yu mɛdikal tim go gi yu instrɔkshɔn bɔt aw fɔ kia fɔ yu say dɛn we yu kɔt, aw fɔ kɔntrol di pen, ɛn ustɛm yu kin bigin fɔ du tin dɛn we yu kin du ɔltɛm afta yu dɔn go na os. Dɛn go gi yu de bak fɔ si yu bak sɔm wiks afta dɛn dɔn du yu ɔpreshɔn.
Yu kin nid fɔ fala spɛshal it fɔ sɔm mɔnt afta yu dɔn ɔpreshɔn, mɔ fɔ avɔyd it dɛn we gɛt bɔku shuga ɛn tek vaytamɛn sɔpɔtmɛnt.
If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.
If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn go bak na os, tɛl yu dɔktɔ ɔ di ɔspitul usay yu bin gɛt tritmɛnt wantɛm wantɛm .
- If yu fil rɛd, pen, swel, ɔ wam rawnd di say we dɛn kɔt (dɛn tin ya na sayn fɔ infekshɔn).
- If yu gɛt fiva we pas 100° Fahrenheit (38° Celsius).
- If i nɔ izi fɔ kɔntrol di pen.
- If i nɔ izi fɔ yu fɔ it ɔ fɔ kip it dɔŋ.
- If yu gɛt dayarɛa we nɔ de dɔn .
- If yu skin ɔ di wayt tin dɛn na yu yay tɔn yɔlɔ .
Mɛsej we dɛn kin kɛr go na os
- Gastrojejunostomy na ɔpreshɔn we de mek nyu ‘baypas’ rod frɔm di bɛlɛ to di εsophagus.
- Dɛn kin du dis mɔ as tritmɛnt fɔ kɔndishɔn dɛn lɛk we di dijestiv trakt nɔ de ambɔg, kansa, ɔ siriɔs ɔlsa na di bɛlɛ.
- Bifo dɛn du di ɔpreshɔn, dɛn go gi yu di tritmɛnt we yu nid fɔ mek yu gɛt di bɛst bɔdi.
- I kin tek tɛm fɔ mek yu wɛl, mɔ fɔ yus to chenj dɛn we yu de it.
- Sɔm sayd ɛfɛkt dɛn kin apin afta dɛn dɔn du di ɔpreshɔn, bɔt dɛn kin ebul fɔ kɔntrol bɔku pan dɛn.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. If yu gɛt ɛni risk sayn, go to dɔktɔ wantɛm wantɛm.
- Dis na big chenj na yu layf, so nɔr shem fɔ gɛt ɔl di ɛp ɛn advays wae yu nid frɔm yu mɛdikal tim wae yu de du dis joyn.
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