Yu kin de sɔfa bɔrku bikɔs ɔf wan lɔng tɛm kɔndishɔn na yu intestin. Sɔntɛm, ivin wit mɛrɛsin, i nɔ kin izi fɔ kɔntrol di sik. If dis kayn tin apin, di dɔktɔ kin tɛl yu bɔt aw fɔ sɔlv di prɔblɛm fɔ mek yu du ɔpreshɔn fɔ pul di big intestinal we gɛt di sik ɛn mek wan spɛshal pɔch insay di bɔdi we go ebul fɔ gɛda dɔti. Na dat wi kin kɔl ileal pouch. Lɛ wi tɔk bɔt ɔltin insay simpul wɔd dɛn.
Fɔ tɔk am simpul wan, wetin na ileal pauch?
Imajin se dɛn du ɔpreshɔn fɔ pul yu ɔl big intestin (kɔlɔn) ɛn rɛktum bikɔs ɔf wan sik. dis כpεrayshכn dεn kכl am ``Tכtal Proctocolectomy''. So afta dɛn dɔn pul am, yu nid ples fɔ gɛda ɛn kip di dɔti tin dɛn (stɔl) we de fɔm afta yu dɔn dayjɛst it bifo dɛn kɔmɔt na di bɔdi.
Na da tɛm de di dɔktɔ dɛn we de du ɔpreshɔn kin yuz di ɛnd pan yu yon smɔl intestinal (di ileum) fɔ mek wan smɔl paus insay yu bɔdi. Dɛn kɔl dis ileal pauch .
Di big bɛnifit fɔ dis na dat yu nɔ nid fɔ wɛr ɛksternal paus/bag fɔ gɛda dɔti we de na do na yu bɛlɛ. Yu kin kɔntinyu fɔ kɔntrol yu bɔdi lɛk aw i nɔmal.
Us kayn mɛrɛsin dɛn nid fɔ du dis ɔpreshɔn?
Nɔto ɔlman kin gɛt dis ɔpreshɔn. Dɔktɔ dɛn kin tink bɔt dis opshɔn mɔ we dɛn nɔ kin ebul fɔ kɔntrol sɔm mɛrɛsin dɛn wit mɛrɛsin. Dis ɔpreshɔn we dɛn kɔl `(Ileal Pouch-Anal Anastomosis - IPAA)`, dɛn kin yuz am mɔ pan dɛn tin ya:
- Ulcerative Colitis: Dis na wan sik we de mek di big intestinal inflamɛns ɛn swel fɔ lɔng tɛm. Dis na di bɛst opshɔn we di mɛrɛsin nɔ de wok.
- Familial Adenomatous Polyposis (FAP): Dis na sik we pɔsin kin gɛt frɔm in mama ɛn papa we kin mek bɔku bɔku smɔl smɔl tin dɛn we de gro (polyps) na di kɔlon we kin mek i bi kansa.
- Kolorektal/Kɔlɔn Kansa: Insay sɔm kayn kansa.
- Kansa na di rεktal: fכ sכm kεnsar dεm we de apin na di כp pat na di rεktum, pas di lכw pat.
Ɔmɔs kayn paus ya de?
Yɛs, tri men kayn dɛn de insay paus dɛn ya we dɔktɔ dɛn we de du ɔpreshɔn kin mek.
| Tayp fɔ Pauch | Simpul diskripshɔn |
|---|---|
| J-pouch we de mek pɔsin | Dis na di kayn we we dɛn kin yuz mɔ . di paus de mek bay we dεn de fol di sכmכl intestכn insay di shep fכ di lεta 'J'. I kɔnɛkt dairekt to di an, so yu kin defecate nɔmal wan. |
| S-pouch we dɛn kin yuz | Dis na di shep fɔ di lɛta ‘S’. I rili fiba J-pauch. I kin kɔnɛkt bak to di anus. |
| Kok paus / K-pouch | Dis na wan kayn we we nɔ kin apin so ɔltɛm . Dɛn kin du am fɔ pipul dɛn we nɔ kin ebul fɔ gɛt di ɔda tu kayn. na ya, di paus de kכnekt to wan opin (stoma) we dεn mek pan di skin na di bכdi. |
So udat dis ɔpreshɔn fit fɔ ɛn udat nɔ fayn fɔ?
Fɔ mek dis ɔpreshɔn go bifo, sɔm pat dɛn na yu bɔdi nid fɔ de wok fayn. Dɔn bak, i nɔ kin fayn fɔ pipul dɛn we gɛt sɔm kayn mɛrɛsin.
| Gud Kandidet fɔ dis Ɔpreshɔn | Di wan dɛn we dɛn nɔ kin advays fɔ ɔpreshɔn (May Not Be Eligible) . |
|---|---|
| di wan dεm we di rεst pat dεm na di dijestiv sistεm de wok fayn fayn wan. | Pipul wae gɛt Crohn’s disease (as dis sik kin afɛkt di nyu pouch we dɛn dɔn mek bak). |
| Pipul dεm we gεt di anal sphincter mכsul dεm we de wok fayn εn di ebul fכ kכntrכl dεn bכdi muvmεnt. | Pipul dɛn we dɔn ɔlrɛdi gɛt fecal incontinence . |
| Pipul dεm wae nכ bin gεt damej pan di pεlvik nεv dεm. | Pipul dɛn we fat pasmak (Klas III fat) . |
| Di rizulyt kin rili fayn fɔ pipul dɛm wae ol bitwin 20 ɛn 50. Bɔt pipul dɛm wae gɛt wɛl bɔdi pas 50 ia kin du dis bak. | Pipul wae gɛt low rεktal kansa. |
Wetin fɔ ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Dis nɔto ɔpreshɔn we dɛn kin du wan tɛm nɔmɔ. Bɔku tɛm dɛn kin du am tu ɔ tri stej . Afta di ɔpreshɔn, yu go gɛt fɔ de na ɔspitul fɔ lɛk wan wik so.
Fɔs, dɛn go put wan tɛmporari paus na do na yu bɛlɛ we di nyu paus we dɛn dɔn mek de wɛl. Dis kin las frɔm tri to siks mɔnt. Dɔn, dɛn go du smɔl ɔpreshɔn fɔ pul am ɛn alaw di paus we de insay fɔ bigin fɔ wok. Insay dis tɛm, di mɛdikal tim go tek kia ɔf yu gud gud wan. Nɔ fred fɔ tɔk to dɛn if yu gɛt ɛni kwɛstyɔn.
Aw dis kin gɛt sakrifays? Ɛni risk dɛn de we kin apin?
Dis na ɔpreshɔn we kin rili wok fayn. Di sakses ret na lɛk 95% . As tɛm de go, yu kwaliti fɔ liv go bɛtɛ pasmak. Fɔ ɛgzampul, pɔsin we bin gɛt `(Ulcerative Colitis)` nɔ go gɛt di sɔdɛn want fɔ go na di bafa igen we dɛn bin de gɛt trade.
Na avrej, yu nid fɔ defecate lɛk sɛvin tɛm so insay di de. Bɔt di tin we impɔtant pas ɔl na fɔ ebul fɔ kɔntrol am ɛn nɔ nid fɔ rɔsh we nid de.
Bɔt lɛk ɔl di big big ɔpreshɔn dɛn, prɔblɛm dɛn de ɛn prɔblɛm dɛn de we kin apin.
- Pouchitis: Dis na di prɔblɛm we kin apin pas ɔl. Na inflamɛns ɔ infɛkshɔn na di nyu pɔch we dɛn dɔn mek.
- Ɔda prɔblɛm dɛn we kin apin:
- Lik frɔm di paus afta ɔpreshɔn.
- Smɔl bɔdi we de ambɔg.
- Blɔd kin klɔt ɔ blɔd kin kɔmɔt.
- di fכmeshכn fכ wan abnכmal kכnεkshכn (fistula) bitwin di paus εn כda כgan.
- Diskɔmfɔt na di skin we de rawnd di ans bikɔs ɔf di bɔdi we de muv bɔku tɛm.
Di risk fɔ dɛn kɔmplikeshɔn ya de bitwin 5% ɛn 10%. If dis apin, yu kin nid fɔ du ɔda ɔpreshɔn ɔ gɛt stoma we go de sote go. So, i impɔtant fɔ mek yu tɔk bɔt ɔl dis wit yu dɔktɔ.
Ustɛm yu fɔ go to dɔktɔ kwik kwik wan?
I rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm if yu gɛt ɛni nyu ɔ nɔmal sayn afta dɛn dɔn du yu ɔpreshɔn. If yu gɛt ɛni wan pan dɛn sayn ya, tɛl yu dɔktɔ wantɛm wantɛm.
| Simptom dɛm fɔ wach fɔ |
|---|
| Bɔl kin swel ɔ kramp we kin las pas tu to tri awa. |
| Blɔd we de kɔmɔt. |
| (If tɛmporari paus de) chenj ɔ injuri na di stoma. |
| I nɔ izi fɔ mek yu gɛt dɔti. |
| Lik we pasmak. |
| I kin fil pen bad bad wan. |
| Siriɔs nɔs, vɔmit, ɔ dayarɛa. |
Aw lɔng i go tek fɔ mek yu gɛt layf bak? Wetin wi go se bɔt it ɛn drink?
Bɔku tɛm yu kin go bak na wokples ɛn aktiviti dɛn insay 4 to et wiks . Afta yu dɔn wɛl, yu dɔktɔ go du pouchoscopy (smɔl kamɛra we de luk insay di paus) ɛvri ia ɔ tu ia fɔ mek shɔ se ɔltin fayn.
We i kam pan it , yu go nid fɔ mek sɔm chenj dɛn na yu it fɔ mek yu nyu dijestiv sistɛm akɔmod fɔs. I bɛtɛ fɔ go to pɔsin we sabi bɔt it fɔ advays. Bɔt bɔku pipul dɛn go ebul fɔ it ɛnitin we dɛn want as tɛm de go.
As fɔ bɛlɛ , dis ɔpreshɔn nɔ kin afɛkt yu ebul fɔ bɔn pikin. Bɔt fɔ mek di mɔsul dɛn na di rɛktum nɔ pwɛl we yu de bɔn pikin, yu dɔktɔ kin tɛl yu fɔ du sizarian sɛkshɔn .
Mɛsej we dɛn kin kɛr go na os
- Ileal Pouch ɔpreshɔn na fayn chans fɔ di wan dɛn we de sɔfa wit kɔlon kɔndishɔn fɔ liv nɔmal layf we nɔ gɛt paus na dɛn bɛlɛ.
- Dis na ɔpreshɔn we gɛt rili ay sakrifays rɛt (95%) ɛn i kin rili ɛp fɔ mek di kwaliti fɔ layf bɛtɛ.
- Bɔt dis na big ɔpreshɔn we nɔ kin gɛt prɔblɛm ɛn prɔblɛm dɛn. Di prɔblɛm we kin apin pas ɔl na wan sik we dɛn kɔl pouchitis.
- I kin tek sɔm tɛm fɔ mek yu wɛl afta dɛn dɔn du yu ɔpreshɔn, ɛn fɔ chɛk yu dɔktɔ ɔltɛm na impɔtant tin fɔ mek yu gɛt wɛlbɔdi fɔ lɔng tɛm.
- If yu gɛt ɛni kwɛstyɔn bɔt dis, nɔ fred fɔ aks yu dɔktɔ.
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