Dɔktɔ dɔn ɛva tɛl yu ɔ pɔsin we yu sabi se dɛn nid fɔ du ɔpreshɔn fɔ pul wan pat ɔ ɔl dɛn kɔlon? Di big big fred we kin kam na bɔku pipul dɛn maynd we dɛn yɛri dat na, "A go gɛt fɔ wɛr paus fɔ di res ɔf mi layf?" Na rili big lod. Bɔt yu no se nɔto ɔltɛm dis kin apin? Wan spɛshal ɔpreshɔn de we de mek yu ebul fɔ pul dɔti nɔmal wan we yu nɔ gɛt pɔch na do na di bɔdi. Na dat wi de kol di ‘Ileal Pouch’ opareshon. Tide, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.
So, wetin na dis Ileal Pouch?
Fɔ tɔk am simpul wan, ileal paus na spɛshal paus we dɔktɔ dɛn we de du ɔpreshɔn kin mek insay yu bɔdi fɔ gɛda ɛn kip di stɔl. i de kriyayt afta dεn כpεrayshכn we de pul yu kכlon εn rεktum kכmplit wan (`Total Proctocolectomy`).
Tink bɔt am, na wi kɔlon na in de kip wi stɔl ɛn pul am kɔmɔt na di bɔdi we di tɛm rich. So we dɛn pul am, sɔmbɔdi nid fɔ du da wok de. fכ fulכp da void de, di sכja dεm de yuz di εnd fכ yu yon sכmכl intestכn (di `ileum`) fכ mek dis sכmכl paus insay yu bכdi.
Di big advantej fɔ dis na dat yu nɔ nid ɛksternal paus. Yu kin kɔntrol yu bɔdi nɔmal wan ɛn pas stɔl tru yu an. Dis go mek yu gɛt bɔku kɔrej na yu layf.
Us kayn tin dɛn kin du dis ɔpreshɔn fɔ?
Insay sɔm mɛdikal kɔndishɔn dɛn we dɛn nɔ kin ebul fɔ kɔntrol wit mɛrɛsin, dɔktɔ dɛn kin se dɛn fɔ pul di kɔlon ɛn du dis ileal pouch ɔpreshɔn. Sɔm pan di men tin dɛn we kin apin to pɔsin na:
- Ulcerative Colitis: Dɛn kin du dis mɔs wae di mɛrɛsin nɔr de ɛp.
- Familial Adenomatous Polyposis (FAP): Dis na wan sik we pɔsin kin gɛt frɔm in mama ɛn papa.
- Kansa we de na di kɔlɔrɛkt
- Kansa we de na di rεktal
Yu tink se kayn ileal pouch de?
Yɛs, tri men kayn paus dɛn de we dɔktɔ dɛn we de du ɔpreshɔn kin mek frɔm yu smɔl intestinal. Yu mɛdikal tim go disayd uswan go fayn fɔ yu.
| Di kayn paus we dɛn kin yuz | Wan simpul ɛksplen |
|---|---|
| J-Pɔch we gɛt fɔ du wit am | Dis na di kayn we we dɛn kin yuz mɔ. I gɛt in nem bikɔs i shep lɛk di lɛta ‘J’. dis paus de kכnekt dairekt to di an, we de alaw yu fכ defecate nכmal wan. |
| S-Pɔch we dɛn kɔl | Dis na ‘S’ shep pouch bak. lεk di J-Pouch, i kכnekt to di anus. |
| K-Pouch (Kok Paus) . | Dis na wan kayn we we nɔ kin apin so ɔltɛm . I fayn fɔ pipul dɛn we nɔ ebul fɔ gɛt J ɔ S tayp. na ya, di paus de kכnekt to wan sכmכl opin (stoma) we dεn mek na di skin lεvεl na di bכdi. Yu kin ɛmti dis paus ɛnitɛm we yu nid am wit smɔl tiub. |
Udat dis ɔpreshɔn bɛtɛ fɔ, ɛn udat i nɔ fayn fɔ?
Dɔktɔ dɛn go tek tɛm chɛk yu wɛlbɔdi bifo dɛn du dis ɔpreshɔn. Nɔto ɔlman kin ebul fɔ du dis.
| Di wan dɛn we fit fɔ ɔpreshɔn ✅ | Di wan dɛn we nɔ kin se dɛn fɔ du ɔpreshɔn ❌ |
|---|---|
| Pipul dεm we dεn dijestiv sistεm de wok fayn fayn wan. | Pipul dɛn we gɛt wan sik we dɛn kɔl Crohn . |
| Pipul dεm we dεn anal sphincter mכsul dεm de wok fayn εn kin kכntrol dεn bכdi muvmεnt. | Pipul dɛn we gɛt fecal incontinence. |
| Di rizɔlt kin rili fayn fɔ pipul dɛn we ol bitwin 20 ɛn 50 ia (bɔt dɛn kin du am bak fɔ pipul dɛn we dɔn pas 50 ia if dɛn mit di kwalifayeshɔn). | Pipul dɛn we gɛt siriɔs fat (Klas III fat). |
| Pipul dɛn we gɛt gud ɔvalayn wɛlbɔdi. | Pipul wae gɛt low rεktal kansa. |
Wetin na di bɛnifit ɛn di sakrifays we dɛn kin gɛt we dɛn du di ɔpreshɔn?
Pan ɔl we dis na big ɔpreshɔn, di sakrifays rɛt rili ay. Di sakses ret na lɛk 95%. Fɔ bɔku pipul dɛn, dɛn kwaliti fɔ liv kin bɛtɛ pasmak as tɛm de go. Fɔ ɛgzampul, pɔsin we bin gɛt Ulcerative Colitis nɔ go nid fɔ go na di bafa ɔltɛm lɛk aw dɛn bin de go.
Di big tin we kin mek bɔku pipul dɛn fil fayn afta dis ɔpreshɔn na dat dɛn nɔ kin nid fɔ rɔsh go na di bafa lɛk aw dɛn bin de du bifo ɛn dɛn kin kɔntrol aw dɛn de muv dɛn bɔdi.
Afta dɛn dɔn du di ɔpreshɔn, bɔku tɛm yu kin gɛt bɔdi lɛk sɛvin tɛm insay di de. Sɔntɛm wan tɛm insay di nɛt. Bɔt di tin we impɔtant pas ɔl na dat yu go ebul fɔ kɔntrol am. No rɔsh nɔ de. Sɔm pipul kin gɛt smɔl siep na nɛt we dɛn kin slip fayn, bɔt bɔku pipul dɛn nɔ kin gɛt am.
Wetin na di risk ɛn prɔblɛm dɛn we kin apin?
Wi fɔ mɛmba bak se dis na ɔpreshɔn we rili gɛt prɔblɛm. Lɛk ɔltin, kɔmplikeshɔn kin apin.
Di prɔblɛm we kin apin pas ɔl na pouchitis , we na inflamɛns na di nyu paus we dɛn dɔn mek. Dis kɔndishɔn kin apin to 81% pan di pipul dɛm wae dɔn gɛt di ɔpreshɔn. Bɔt, tritmɛnt dɛn de fɔ dis.
Ɔda prɔblɛm dɛn we kin apin:
- Lik frɔm di bag afta ɔpreshɔn (we i de wɛl).
- Blɔd kin klɔt ɔ blɔd kin kɔmɔt bɔku.
- inflameshn ɔ narrowing usay di pouch de kɔnɛkt to di anus.
- Smɔl bɔdi we de ambɔg.
- Infεkshכn dεm na di skin we de rawnd di an (biכs fכ di bכdi we de muv bכku bכku wan).
na sכm tεm (bitwin 5%-10%), di bag we dεn mek kin fεl. If dis apin, dɛn kin nid fɔ mek am ɔ pul am ɛn put nyu wan. Yu dɔktɔ we de du ɔpreshɔn go ɛksplen ɔl dis to yu ditayli.
Us sayn dɛn a fɔ go to dɔktɔ fɔ kwik kwik wan?
Yu nid fɔ tek kia ɔf yu bɔdi gud gud wan afta dɛn dɔn du yu ɔpreshɔn. If yu gɛt ɛni wan pan dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU).
| Sayn dɛn we de wɔn pipul dɛn fɔ wach! | |
|---|---|
| 🔴 Siriɔs bɛlɛ pen ɔ blo we kin las pas tu to tri awa. | |
| 🔴 Blɔd we de kɔmɔt pasmak. | |
| 🔴 Siriɔs nɔs, vɔmit, ɔ dayarɛa. | |
| 🔴 Nɔ ebul fɔ pul dɔti. | |
| 🔴 Di stɔl we de lik pasmak. | |
| 🔴 If na K-Pouch, i kin chenj ɔ injuri na di stoma. | |
Aw lɔng i kin tek fɔ mek i wɛl afta dɛn dɔn du di ɔpreshɔn?
Bɔrku tɛm yu kin go bak to yu nɔrmal tin dɛm insay 4 to 8 wik. Bɔt i kin tek lɔng tɛm fɔ mek i wɛl ɔl. I rili impɔtant fɔ kɔntinyu fɔ atɛnd yu fɔlɔp apɔntinmɛnt dɛn lɛk aw yu dɔktɔ tɛl yu fɔ du. Dɛn go du wan tɛst we dɛn kɔl ``Pouchoscopy'' (we tan lɛk mini-colonoscopy) wan ɔ tu tɛm insay di ia fɔ chɛk di kɔndishɔn na yu paus.
Di Ileal Pouch de afɛkt di bɛlɛ?
Bɔku tɛm, dis ɔpreshɔn nɔ go ambɔg yu fɔ ebul fɔ gɛt bɛlɛ ɔ fɔ gɛt bɛlɛ we gɛt wɛlbɔdi. Bɔt yu dɔktɔ kin tɛl yu fɔ du sizarian fɔ mek di mɔsul dɛn we de na di rεktal nɔ pwɛl we i de bɔn pikin. Yu kin tɔk bɔt dis wit yu dɔktɔ bifo tɛm.
Mɛsej we dɛn kin kɛr go na os
- Ileal Pouch ɔpreshɔn na gud sɔlvishɔn fɔ liv witout pauch na do na di bɔdi afta ɔpreshɔn fɔ pul di kɔlon.
- Dis nɔto ɔpreshɔn we ɔlman kin du. Yu mɛdikal tim go disayd if i fayn fɔ yu.
- Pan ɔl we dis na big ɔpreshɔn we gɛt prɔblɛm dɛn, di sakrifays we dɛn kin du kin rili bɔku. Ɛn di kwaliti fɔ layf kin rili impɔtant.
- I rili impɔtant fɔ fala di mɛrɛsin instrɔkshɔn dɛn afta dɛn dɔn du di ɔpreshɔn ɛn go na klinik dɛn di rayt tɛm.
- If yu gɛt ɛni wɔnin sayn, nɔ ɛva ignore am. Si yu dɔktɔ wantɛm wantɛm.
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