Yu bɛlɛ dɔn blok ɛn yu it nɔ de muv fayn? Ɔ yu dɔktɔ dɔn tɛl yu bɔt wan ɔpreshɔn we dɛn kɔl "gastrojejunostomy"? Na nɔmal tin fɔ mek yu fred smɔl we yu yɛri nem lɛk dis, ɛn fil bɔku wet na yu maynd bikɔs di wɔd dɛn kɔmplikt smɔl. Bɔt nɔ wɔri. Lɛ wi tɔk bɔt dis simpul wan, di we we yu go ɔndastand. I tan lɛk se yu de bil nyu baypas rod fɔ mek yu nɔ gɛt ebi ebi trafik na rod.
Wetin na Gastrojejunostomy?
Fɔ tɔk am simpul wan, gastrojejunostomy na ɔpreshɔn fɔ chenj di we aw it de travul. I min fɔ mek nyu kɔnekshɔn ɔ pasej bitwin yu bɛlɛ ɛn di jejunum, we na di midul pat pan yu smɔl intestinal.
Imajin, di it we wi de it de kɔmɔt na di bɛlɛ to di fɔs pat na di smɔl intestinal, we wi kɔl di duodenum . Bɔt if fɔ sɔm rizin blok de na dis duodenum, sik, ɔ blok na di paylɔs, di it nɔ go ebul fɔ go bifo. Na da tɛm de dɔktɔ dɛn kin mek dis baypas, dat na, nyu rod. insay dis, di it nכ de go na di duodenum, bכt i de go dairekt frכm di bεlε to di jejunum. Dɛn kɔl dis nyu kɔnekshɔn anastomosis insay mɛrɛsin.
sכmtεm, dεn kin yuz dis nem bak fכ sכm sכm tin we dεn kin put fכ it tyub insay di sכmכl intestin fכ sεnd it. Bɔt nɔto di big ɔpreshɔn we wi de tɔk bɔt, na ɔda tin.
Wetin mek yu nid fɔ du dis kayn ɔpreshɔn?
Bɔku men rizin dɛn de we mek dɛn du dis ɔpreshɔn. Sɔntɛnde dɛn kin du am as tritmɛnt fɔ wan mɛrɛsin, ɛn ɔda tɛm dɛn kin du am fɔ mek dɛn nɔ gɛt prɔblɛm we go apin tumara bambay.
| Kɔndishɔn | Fɔ tɔk am simpul wan... |
|---|---|
| Gastrik Ɔtlɛt Obstrɔkshɔn (GOO) . | di say we di it de kכmכt na di bεlε we de blok. Fɔd kin stɔp na di bɛlɛ instead fɔ rich na di insay. |
| Duodenal Obstrɔkshɔn | di fכs pat pan di sכmכl intestכn (duodenum), we de afta di bכdi blכk. |
| Bɛlɛ ɔ Duodenal Kansa | Wan kansa tumor we de blok di esophagus ɔ we nid fɔ ɔpreshɔn fɔ pul di tumor. |
| Pɛptik Ɔlsa Sik | Kɔmplikɛshɔn dɛn lɛk blɔd we de kɔmɔt ɛn skata bikɔs ɔf di ɔlsa na di bɛlɛ kin mek di dijestiv trakt nɔ de wok fayn. |
Kes dɛm fɔ ɔpreshɔn as prɛvɛntiv mɛsej
Sɔntɛnde, dɛn kin du dis ɔpreshɔn fɔ mek prɔblɛm nɔ kam bifo i bi prɔblɛm.
- If di duodenum dɔn wund bad bad wan (trauma): If di duodenum dɔn pwɛl, lɛk we aksidɛnt apin, ɛn di dɔktɔ fil se i denja fɔ pas it tru am te i wɛl, dɛn go mek nyu rod fɔ pas it te di wund wɛl.
- Pankrias kansa we yu nɔ go ebul fɔ pul: If pankrias kansa dɔn gro nia di duodenum ɛn dɛn nɔ ebul fɔ pul am, dɛn kin du dis ɔpreshɔn fɔ baypas am bifo i gro big fɔ blok di it paip.
Apat frɔm dat, dɛn kin yuz dis we bak as pat pan sɔm ɔpreshɔn dɛn we dɛn kin du fɔ lɛ pɔsin nɔ gɛt bɔku bɔku bɔdi . Wan ɛgzampul na di Roux-en-Y gastric bypass ɔpreshɔn. di gol na fכ ridyus di it we dεn kin tek na di bεlε εn di כmכnt כf di nyutriεnt dεm we dεn kin tek frכm di intestכn dεm.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Bifo yu go du ɔpreshɔn, i impɔtant fɔ rɛdi yusɛf fayn fayn wan. Ɛspɛshali if yu bɛlɛ bin blok, yu nɔ go ebul fɔ it fayn fɔ sɔm tɛm, yu go vɔmit, yu nɔ gɛt wata na yu bɔdi , ɛn yu nɔ go it fayn . So di mɛdikal tim go du ɔl wetin dɛn ebul fɔ mek yu gɛt di bɛst wɛlbɔdi.
| Tritmɛnt | Tɔk bɔt |
|---|---|
| IV Fluid dɛn we dɛn kin yuz | Fɔ gi salin . Dis kin ɛp fɔ mek di ilɛktrɔlayt dɛn we dɔn dɔn na di bɔdi balans bak. |
| IV Nutrishɔn we pɔsin kin gɛt | Fɔ gi di it we yu nid tru wan salin sɔlvushɔn we dɛn gi yu dairekt insay wan vein bikɔs yu nɔ ebul fɔ it. |
| Blɔd Transfyushɔn | If anemia de, gi blɔd. |
| Antibayɔtiks | Fɔ gi antibayɔtik bifo tɛm fɔ mek yu nɔ gɛt di sik afta dɛn dɔn du di ɔpreshɔn. |
| Gastrik Dikɔmpreshɔn | dεn de put wan nasogastric tכb tru di nos fכ pul εni tin we trכp na di bεlε εn ridyus di prεshכn. Dis nɔ bad bak fɔ anestezi. |
Wetin kin apin we dɛn de du di ɔpreshɔn?
Dis ɔpreshɔn kin tek lɛk tu to 4 awa so. We dis de du dis, di dɔktɔ go fala dɛn tin ya:
1. Dɛn go put yu ɔnda jenɛral anestezi . Dis min se yu go slip fayn te di ɔpreshɔn dɔn.
2. dεn de put wan tכb tru di nos fכ ridyus di prεshכn na di bεlε.
3. Du ɔpreshɔn na di bɛlɛ, i kin bi tru opin ɔpreshɔn ɔ laparoscopically , we min se na sɔm smɔl smɔl say dɛn nɔmɔ dɛn kin kɔt ɛn put kamɛra insay di bɛlɛ. Laparoskopik ɔpreshɔn kin gɛt shɔt tɛm fɔ wɛl ɛn smɔl smɔl skata dɛn kin gɛt.
4. Dɛn kin fɛn di rayt say we di prɔblɛm de na di dijestiv trakt.
5. dεn kin pik wan fayn ples frכm di jejunum, we na wan pat pan di sכmכl intestin, εn i kכnekt at le 5 sεntimita oba di εria we di bכdi prכblεm de.
6. dεn de chεk di nyu anastomosis we dεn mek fכ si if i de wok fayn εn if eni lik de.
7. If ɔltin fayn, dɛn kin sutura di say dɛn we dɛn kɔt ɛn dɔn di ɔpreshɔn.
Wetin kin apin afta di ɔpreshɔn ɛn wetin na di prɔblɛm dɛn we kin apin?
Yu go nid fɔ de na ɔspitul fɔ sɔm dez afta dɛn dɔn du di ɔpreshɔn. I go tek sɔm tɛm fɔ mek yu bɛlɛ ɛn yu intestinal bigin fɔ wok nɔmal wan bak. Yu kin fil nɔs fɔ di fɔs dez, ɛn yu bɔdi kin slo smɔl. Sɔm pipul dɛn go nid fɔ gɛt wan nos tiub fɔ sɔm dez.
Fɔs, dɛn go gi yu wata ɛn it tru salin, dɔn dɛn go put yu smɔl smɔl it dɛn we gɛt wata, ɛn afta dat dɛn go gi yu sɔft it bifo dɛn sɛn yu na os.
Lɛk ɔl di ɔpreshɔn dɛn, sɔm prɔblɛm dɛn de we kin apin. Tin dɛn lɛk fɔ blɔd, blɔd we de klɔt, ɛn fɔ pwɛl di ɔgan dɛn we de rawnd. Bɔt dɛn tin ya nɔ kin apin so ɔltɛm.
Bɔku risk ɛn lɔng tɛm sayd ɛfɛkt dɛn de bak we spɛshal fɔ dis ɔpreshɔn.
| Kɔmplikɛshɔn/Sayd Ɛfɛkt | Wetin kin apin wit dis? (Wetin kin apin?) |
|---|---|
| Kɔmplikɛshɔn dɛn we kin apin wantɛm wantɛm | |
| Anastomotik Lik we dɛn kin mek | Lik fɔ di nyu kɔnekshɔn we dɛn dɔn mek. Dis nɔ kin apin so ɔltɛm, bɔt i rili siriɔs. If infεkshכn de na di bכdi εn i spre to di bכdi, i kin mek i day. |
| Sayd Ifɛkt dɛn we kin apin fɔ lɔng tɛm | |
| Di sik we dɛn kɔl Dumping Syndrome | Di sayn dɛm lɛk nɔs, blo, ɛn bɛlɛ pen kin apin afta yu dɔn it bikɔs it kin pas wantɛm wantɛm frɔm di bɛlɛ ɛn go insay di smɔl intestin. Bɔku tɛm, dis go dɔn afta sɔm tɛm. |
| Ɔlsa we de na di Marginal | Bikɔs di asid dɛn na di bɛlɛ kin go dairekt insay di jejunum, di jejunum nɔ kin ebul fɔ bia wit dɛn asid dɛn de, ɛn dis kin mek yu gɛt ɔlsa. |
| Bayl Riflɔks | di bakfכlכ fכ di dijestiv jus dεm lεk bayl, frכm di intestines to di bεlε. Dis kin pwɛl di bɛlɛ wɔl dɛn. |
Aw lɔng i go tek fɔ wɛl ɛn ustɛm a fɔ kɔl di dɔktɔ ?
Bɔku tɛm, i kin tek lɛk siks wik so fɔ mek i wɛl ɔl. Bɔt dis kin difrɛn difrɛn wan bay di kayn ɔpreshɔn we yu bin gɛt (open ɔ laparoscopic) ɛn aw dɛn du di ɔpreshɔn. Yu mɛdikal tim go gi yu instrɔkshɔn bɔt aw fɔ kia fɔ yu wund afta yu dɔn go na os, aw fɔ kɔntrol di pen, ɛn ustɛm yu kin bigin fɔ du tin dɛn we yu kin du nɔmal tin bak.
I rili impɔtant: If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn go na os, tɛl yu dɔktɔ ɔ ɔspitul wantɛm wantɛm. Nɔ put dis ɔf.
- If yu fil se yu fil rɛd, pen, swel, ɔ wam na di say we yu wund (dɛn tin ya na sayn fɔ se yu gɛt di sik).
- Fiva (we pas 38 Sɛlshiɔs / 100 Fɛnayt).
- If i nɔ izi fɔ kɔntrol di pen.
- If i nɔ izi fɔ yu fɔ it, fɔ mek yu nɔ it bɛtɛ, ɔ if yu kɔntinyu fɔ vɔmit.
- If yu gɛt dayarɛa we nɔ de dɔn.
- If yu skin ɔ di wayt tin dɛn na yu yay tɔn yɔlɔ.
Dis ɔpreshɔn go mek big difrɛns na yu dijestiv sistɛm. E kin bi tin wae kin chenj yu layf fɔ yu wɛl bɔdi. So nɔ go tru dis waka yu wan. Tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu bifo ɛn afta di ɔpreshɔn. Dɛn de de ɔltɛm fɔ ɛp yu.
Mɛsej we dɛn kin kɛr go na os
- Gastrojejunostomy na ɔpreshɔn we de mek nyu say bitwin di bɛlɛ ɛn di smɔl intestin.
- Dɛn kin du dis mɔ as tritmɛnt fɔ tin dɛn lɛk we di dijestiv trakt nɔ de wok fayn, kansa, ɔ bad bad injury.
- I rili impɔtant fɔ mek yu gɛt gud wɛlbɔdi bifo yu du di ɔpreshɔn, ɛn i kin tek tɛm fɔ mek yu wɛl afta yu du di ɔpreshɔn.
- Afta yu dɔn du di ɔpreshɔn, yu go nid fɔ chenj di we aw yu de it ɛn di we aw yu de liv yu layf, ɛn i rili impɔtant fɔ fala wetin yu dɔktɔ tɛl yu fɔ du.
- If yu gɛt ɛni sayn we de wɔn yu lɛk sayn fɔ wund infɛkshɔn, fiva, pen we yu nɔ ebul fɔ kɔntrol, ɔ we i nɔ izi fɔ it, go to dɔktɔ wantɛm wantɛm.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 🥩 Wetin na it dɛn we gɛt ayrɔn? Wetin mek dɛn impɔtant fɔ dis ɔpreshɔn?
Fɔd lɛk rɛd mit, pis, spinach, ɛn lentil gɛt bɔku ayɛn. Bikɔs dɛn kin chenj di we aw dɛn de it di it we dɛn de du gastrojejunostomy, di bɔdi we de tek ayɔn kin ridyus. Na dat mek ayɛn na big tin bak we dɛn kin wɔri bɔt we dɛn de tɔk bɔt dis ɔpreshɔn.
💬 🩺 I pɔsibul fɔ mek yu gɛt anemia afta dis ɔpreshɔn (Gastrojejunostomy)?
Yɛs, i pɔsibul. dis na biכs di it de pas na di men say we di ayron de abzכp we dεn de du dis כpεrayshכn. So, apat frɔm we sɔm pipul dɛn de it tin dɛn we gɛt ayrɔn, dɛn nid bak fɔ tek tin dɛn we gɛt ayɔn lɛk aw dɛn dɔktɔ tɛl dɛn.
💬 🍋 Aw a fɔ it fɔ absɔb ayɛn fayn fayn wan?
We yu de it tin dɛn we gɛt ayɔn, ad sɔntin we gɛt vaytamɛn C, lɛk lɛmon ɔ ɔrɛnj. Dis go mek am izi fɔ yu bɔdi fɔ tek ayɛn, ivin afta dɛn dɔn du di ɔpreshɔn. Bɔt mɛmba se nɔ drink ti ɔ kɔfi afta yu dɔn it, bikɔs dɛn kin mek yu nɔ gɛt ayɔn.
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