Yu dɔktɔ dɔn tɛl yu ɔ sɔmbɔdi na yu famili se yu nid fɔ gɛt wan prɔsidyu we dɛn kɔl "Hartmann's Procedure"? Sɔntɛm yu bin de fred smɔl we yu yɛri da nem de. I rili kɔmɔn. Bɔt dis na ɔpreshɔn we rili impɔtant we dɛn kin du fɔ sev pipul dɛn layf. So tide, lɛ wi tɔk bɔt am simpul wan, insay wan we we go pul ɔl di kwɛstyɔn ɛn fred we yu go gɛt bɔt am.
Fɔ tɔk am simpul wan, wetin na Hartmann’s Procedure?
Tink bɔt wi dijestiv sistɛm lɛk wan lɔng tiub. Di ɛnd pan dis tiub na wetin wi kɔl di kɔlon. insay wan Hartmann prosidכs, dεn kin pul di sik εn damej εnd pan di kכlon (dεn kכl am sigmoid kכlon) εn sכmtεm pat pan di rεktum, usay dεn kin kip stכl.
Fɔ tɔk am simpul wan, dis na ɔpreshɔn we dɛn kin pul pat pan di big intestin (colectomy). Bɔt di spɛshal tin na dat afta dɛn dɔn pul wan pat, di tu pat dɛn we lɛf na di intestin nɔ kin kɔnɛkt bak wantɛm wantɛm.
Bifo dat, di dɔktɔ we de du di ɔpreshɔn kin du sɔntin lɛk dis:
1. di εnd fכ di intestכn we kכnekt to di rεktum dεn de siw am klos.
2. di hεlty pat pan yu kכlon we de kכmכt frכm di tכp de kכnekt to wan sכmכl opin (dεn kכl am stoma) we dεn mek na di skin na yu bכdi.
Dɔn, dɛn kin put wan bag we dɛn kɔl colostomy na do na dis opin. Dɔn yu stɔl go pas kɔmɔt na yu bɔdi ɛn go insay dis bag. Pan ɔl we dis kin tan lɛk big chenj, bɔku tɛm na fɔ shɔt tɛm nɔmɔ. Afta yu bɔdi dɔn wɛl, afta lɛk 6 to 12 mɔnt, dɛn kin du ɔda ɔpreshɔn fɔ pul di bag ɛn kɔnɛkt di tu pat dɛn na yu bɔdi bak.
Wetin mek i nid fɔ du dis kayn ɔpreshɔn?
Tu men rizin dɛn de fɔ mek dɛn du wan Hartmann prosidur. Wan na fɔ pul wan pat pan di insay. Di ɔda wan na fɔ put wan bag we dɛn kɔl colostomy. Lɛ wi luk di rizin dɛn fɔ ɛni wan pan dɛn tin ya.
Wetin mek dɛn kin kɔt wan pat pan di insay ɛn pul am?
Pɔsin kin nid fɔ pul pat pan in kɔlon fɔ dɛn rizin ya:
- Intestinal obstruction: If wan pat pan di intestinal blok ɔl bikɔs ɔf tumbu, kansa, ɔ ɔda tin, dɛn go gɛt fɔ pul da pat de.
- Intestinal Perforation: If infekshɔn ɔ aksidɛnt mek ol na di intestinal, we mek di stɔl lik insay di bɛlɛ, dat kin mek pɔsin in layf de pan denja. So, dɛn fɔ pul di pat we dɔn pwɛl wantɛm wantɛm.
- Infεkshכn כ sik we dεn nכ kin kכntro: fכ stכp fכ sכm infεkshכn (fכ egzampl, siriכs divεrtikulεt) כ sik dεm lεk kεnsar, dεn fכ pul di pat we sik kכmplit wan.
Wetin mek dɛn kin put bag we dɛn kɔl colostomy?
fכ pul wan pat pan di intestin εn kכnekt bak di rεst tu sεkshכn dεm na di sem כpεrayshכn dεn kכl am "primary anastomosis." Bɔt fɔ du dis, di pɔsin in kɔndishɔn fɔ rili fayn, ɛn nɔ fɔ gɛt ɛni risk fɔ gɛt di sik.
Bɔt bɔku tɛm dɛn kin du di Hartmann prosidur we i gɛt imejensi.Dat min se we di pɔsin gɛt siriɔs infɛkshɔn ɔ inflamɛns insay di bɛlɛ. Insay dis kayn prɔblɛm, if di tu pat dɛn na di intestinal kɔnɛkt togɛda, di stich dɛn nɔ kin wɛl, ɛn di stɔl kin lik bak, ɛn dis kin mek di tin wɔs.
So, wetin di dɔktɔ de du na fɔ fɔs adrɛs di prɔblɛm we de wantɛm wantɛm (pul di pat we gɛt di sik) ɛn gi di bɔdi tɛm fɔ wɛl. Na dat di colostomy bag de du. Dɔn, we ɔltin dɔn wɛl, di chans de fɔ mek dɛn du ɔda ɔpreshɔn fɔ mek i nɔmal bak di rayt tɛm.
Wetin na di men rizin dɛn we mek dɛn de du Hartmann ɔpreshɔn?
Bɔku mɛrɛsin dɛn de we kin mek dɛn nid fɔ du dis ɔpreshɔn bɔku tɛm.
| Mɛdikal kɔndishɔn | Simpul ɛksplen |
|---|---|
| Kɔmplikɛt Divɛrtikulayt | sכm sכm sak dεm we de na di wכl na di big intestin kin gεt infεkshכn εn bכs, we de spre di infεkshכn כlsay na di bכdi (peritonitis). Dis na wan sik we rili siriɔs. |
| Kansa we de na di kɔlɔrɛkt | Dɛn kin du dis ɔpreshɔn we i gɛt ɛnitin fɔ du wit am, lɛk we kansa gɛt kansa we mek in intestinal nɔ ebul fɔ waka, we gɛt pɔt, ɔ we blɔd de kɔmɔt pasmak. |
| Ɔda rizin dɛn | Insay kes dɛm lɛk we di intestinal ɔbstrukshɔn bikɔs ɔf skata frɔm di ɔpreshɔn we dɛn bin dɔn du bifo, di blɔd we nɔ de go na di intestinal, siriɔs aksidɛnt, ɔ stich frɔm ɔpreshɔn we dɛn bin dɔn du bifo we lik. |
Aw dɛn kin du di ɔpreshɔn?
Dɛn kin du Hartmann in ɔpreshɔn tu we dɛn.
1. Opin Ɔpreshɔn: Insay dis, dɛn kin du di ɔpreshɔn bay we dɛn mek wan say we big smɔl na di bɛlɛ ɛn opin di bɛlɛ.
2. Laparoskɔpik Ɔpreshɔn:Dɛn kin kɔl dis bak "keyhole surgery." Dɛn kin du di ɔpreshɔn tru sɔm smɔl smɔl say dɛn we dɛn kɔt di bɛlɛ, ɛn dɛn kin put kamɛra (laparoskɔp) ɛn spɛshal tin dɛn insay. Dis we ya de lɛf smɔl skata ɛn i kin gɛt shɔt tɛm fɔ wɛl.
Bɔt i go dipen pan aw yu sik bad, yu kin bigin wit laparoscopic aprɔch ɛn chenj to opin ɔpreshɔn we yu de du di ɔpreshɔn. Na yu dɔktɔ we de du ɔpreshɔn go disayd dis.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
- Dɛn go aks yu fɔ stɔp fɔ it ɛn drink 6-12 awa bifo di ɔpreshɔn.
- Dipen pan yu kɔndishɔn, dɛn kin gi yu spɛshal drink fɔ klin yu insay.
- We dɛn admit yu na ɔspitul, dɛn kin put IV kateta insay wan vein na yu an.
- Di dɔktɔ go ɛksplen to yu bifo tɛm bɔt di mɛrɛsin dɛn we de mek yu fil pen.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Dɛn go gi yu jenɛral anestesia, so yu nɔ go fil natin. Di ɔpreshɔn kin tek lɛk tu to 4 awa so. Di dɔktɔ we de du di ɔpreshɔn go pul di pat pan di insay we gɛt sik, mek wan kɔlostomi lɛk aw wi bin dɔn tɔk bɔt, ɛn siŋ di say dɛn we dɛn kɔt.
Wetin fɔ ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Afta dɛn dɔn du di ɔpreshɔn, dɛn go kɛr yu fɔs go na rum usay dɛn de mɛn pipul dɛn we dɔn wɛl. Wae yu kondishon don stebul, dem go transfa yu to wod.
- Ɔspitul: Bɔrku tɛm, yu go gɛt fɔ de na ɔspitul fɔ lɛk 7-10 dez.
- Fɔ it: Na likwid it nɔmɔ dɛn kin gi insay di fɔs tɛm. Smɔl smɔl, dɛn kin bigin fɔ it tin dɛn we dɛn kin it ɔltɛm.
- Pen: Dɛn kin gi pɔsin mɛrɛsin we de mek pɔsin fil pen insay in bɛlɛ fɔ di fɔs dez, dɔn dɛn kin chenj am to tablɛt.
- Di we aw di bɔdi de wok: I kin tek sɔm dez fɔ mek di bɔdi bigin fɔ wok bak afta dɛn dɔn du di ɔpreshɔn.
- Colostomy Bag: Wan spɛshal nɔs we dɛn tren (stoma nɔs) go sho yu aw fɔ yuz am, klin am, ɛn chenj am. Nɔ wɔri, i go tek sɔm tɛm fɔ mek yu yus to am.
Ustɛm a go ebul fɔ go na os?
- We tin dɛn lɛk yu at rit ɛn blɔd prɛshɔn kam bak to nɔmal.
- We yu ebul fɔ grap ɛn waka we nɔbɔdi nɔ ɛp yu.
- We di stɔl bigin fɔ lik insay di kɔlostomi bag.
- We dɛn kin kɔntrol di pen wit pils.
- We yu kin chenj di colostomy bag yusɛf.
Wetin na di prɔblɛm dɛn we kin apin ɛn di bad tin dɛn we kin apin to am?
Jɔs lɛk ɛni ɔpreshɔn, prɔblɛm dɛn de we kin apin, ɛn i impɔtant fɔ tɔk bɔt dɛn tin ya wit yu dɔktɔ.
- Di prɔblɛm dɛn we kin apin: wund infɛkshɔn, nyumonia, blɔd we de kɔmɔt insay, blɔd we kin klɔt, we kin mek ɛnia, ɛn ɔda tin dɛn.
- Di sayd ɛfɛkt dɛn we kin apin:
- Temporary intestinal dysfunction (Ileus): Afta di ɔpreshɔn, i kin delay fɔ mek di intestinal wok. Fɔ dɛn de dɛn de, dɛn kin gi dɛn it tru salin.
- dischaj na di rεktal: ivin if di stכl nכ de kכmכt, wan wan tεm wan wata we lεk mכkus kin kכmכt frכm di rεst pat na di rεktum.
- Di tin dɛn we kin apin to di we aw pɔsin de du mami ɛn dadi biznɛs: Na smɔl tɛm nɔmɔ, we di nɛv dɛn we de na di say we dɛn de du di ɔpreshɔn kin pwɛl, dat kin mek i chenj di we aw pɔsin de fil bɔt mami ɛn dadi biznɛs ɔ di we aw i de wok. If yu gɛt ɛnitin fɔ wɔri bɔt dis, tɔk to yu dɔktɔ opin wan.
Yu tink se dɛn kin pul di kɔlostomi bag bak? (Rivasal Ɔpreshɔn) .
Dis na di big prɔblɛm we bɔku pipul dɛn gɛt. Yɛs, bɔrku pipul kin gɛt dis bak to nɔrmal.
Bitwin 6 ɛn 12 mɔnt afta di Hartmann prɔsidyu, yu dɔktɔ go ri-evalyu yu wɛlbɔdi. If yu de wɛl ɛn yu nɔ gɛt ɔda siriɔs mɛrɛsin, dɛn kin du ɔda ɔpreshɔn fɔ pul di kɔlostomi bag ɛn kɔnɛkt di tu pat dɛn na yu insay bak.
Bɔt sɔm pipul dɛn nɔ kin ebul fɔ du dis sɛkɔn ɔpreshɔn. Fɔ ɛgzampul:
- If di kansa dɔn skata to ɔda pat dɛn na di bɔdi.
- If yu gɛt ɔda siriɔs sik lɛk at sik ɔr lɔng sik.
- If yu nɔ ebul fɔ pe fɔ ɔda ɔpreshɔn bikɔs yu dɔn ol ɔ yu fat pasmak.
Yu dɔktɔ we de du ɔpreshɔn na di bɛst pɔsin fɔ disayd fɔ du dis.
Mɛsej we dɛn kin kɛr go na os
- Wan Hartmann’s Procedure nɔto natin fɔ fred. Bɔku tɛm dɛn kin du am fɔ sev yu frɔm sɔntin we go mek yu layf de pan denja, lɛk kansa ɔr siriɔs infɛkshɔn.
- I kin tek sɔm tɛm fɔ yus fɔ liv wit bag we gɛt kɔlostomi, bɔt i kin ebul fɔ kɔntrol am. Di ɔspitul go gi yu di advays ɛn sɔpɔt we yu nid.
- De tin wae impɔtant pas ɔl na dat fɔ bɔrku pipul dis na tin wae kin apun fɔ sɔm tɛm. Chans de fɔ mek dɛn wɛl afta dɛn dɔn du dɛn ɔda ɔpreshɔn insay sɔm mɔnt.
- Na yu rayt fɔ tɔk to yu dɔktɔ opin wan bɔt ɛni kwɛstyɔn, fred, ɔ dawt we yu gɛt.
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