We yu dɔktɔ tɛl yu se yu nid fɔ gɛt abdominoperineal resection, ɔ APR, yu kin de fil bɔku fred ɛn wɔri. Yu kin gɛt bɔku kwɛstyɔn dɛn na yu maynd, lɛk "Us kayn ɔpreshɔn dis?", "I go at bɔku?", "Aw mi layf go tan lɛk afta di ɔpreshɔn?" I rili nɔmal. So tide, lɛ wi tɔk bɔt wetin na dis APR ɔpreshɔn, aw fɔ pripia fɔ am, ɛn wetin kin apin afta di ɔpreshɔn. If yu no dɛn tin ya klia wan, dat go ɛp fɔ mek yu nɔ fred bad bad wan.
Wetin rili na Abdominoperineal Resection (APR) ɔpreshɔn?
Fɔ tɔk am simpul wan, dis min se dɛn fɔ ɔpreshɔn yu an, yu rɛkɛt, ɛn di ɔda pat we de dɔŋ na yu big intestinal (sigmoid colon) . di men rizin fכ dis כpεrayshכn na fכ kεnsar dεm we de divεlכp rili lכw na di rεktum, we de rili nia di an.
Bɔrku tɛm, yu kin dɔn gɛt sɔm raund dɛm fɔ redyushɔn ɛn/ɔ kemotɛrapi fɔ kɔntrol di kansa bifo dis ɔpreshɔn. Afta di tritmɛnt dɛn dɔn mek di kansa sɛl dɛn smɔl, di dɔktɔ we de du di ɔpreshɔn go pul di wan ol eria wit dis ɔpreshɔn.
Aw a fɔ rɛdi fɔ di ɔpreshɔn?
Yu dɔktɔ go tek tɛm gayd yu fɔ rɛdi fɔ dis. I go aks yu bɔt yu kɔmplit mɛdikal istri. Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni mɛrɛsin, vaytamɛn, ɔ sɔpɔtmɛnt we yu de tek naw.
Dɔn bak, if yu gɛt slip apnea , yu fɔ tɛl wi bɔt am. If yu yuz CPAP mashin fɔ am, kam wit am na ɔspitul di de we dɛn du di ɔpreshɔn.
I rili impɔtant fɔ lɛ yu stɔp fɔ smok ɛn drink rɔm kpatakpata sɔm wiks bifo yu du di ɔpreshɔn. Dɛn abit ya kin mek wund nɔ wɛl ɛn i kin mek yu gɛt siriɔs prɔblɛm dɛn, lɛk fɔ gɛt prɔblɛm wit yu lɔng. Bi ɔnɛs wit yu dɔktɔ bɔt dis ɛn nɔ shem fɔ aks fɔ ɛp fɔ lɛf dɛn abit ya if nid de.
Aw dɛn kin du di ɔpreshɔn?
Dɛn kin du dis ɔpreshɔn na ɔspitul, ɔnda jenɛral anestezi. Dis min se yu nɔ go fil ɛnitin we dɛn de du di ɔpreshɔn, ɛn yu go slip ɔl. Dɛn kin du di ɔpreshɔn insay sɔm men tin dɛn.
1. Fɔ pripia di intestin fɔ pul am
Fɔs, di ɔspitul kin mek sɔm smɔl smɔl say dɛn tru di bɛlɛ (laparoscopy), i kin no ɛn kɔt di men blɔd vesel dɛn we de gi blɔd to di pat dɛn na di kɔlon we dɛn fɔ pul. afta dat, di lכw pat pan di kכlon (sigmoid kכlon) εn di rεktum de fri frכm di tisu we de rawnd am. nεks, dεn de separet di sεkshכn we dεn fכ pul frכm di rεst hεlty pat na di kכlon.
2. Fɔ pul di anus
Neks, di sajin kin mek ɔda say na di perineal rijyɔn ɛn pul di anus. Dis kin pul di wan ol an, di rεktum, εn di kכlon. Dɔn dɛn kin siŋ di skin we de oba di an.
3. Fɔ mek wan Kolostomi
Naw yu kin de wɔnda, "Aw di stɔl go pas afta dɛn dɔn pul di an ɛn di rɛktum?" Na dat mek dɛn kin mek wan kɔlostomi we go de sote go.
Fɔ tɔk am simpul wan, dis min se yu fɔ briŋ wan pat we gɛt wɛlbɔdi na di ɔp pat na yu kɔlon to di say we yu bɛlɛ de ɛn mek nyu say we opin we go opin na do. dis nyu opin dεn kכl am ‘stoma’ . i kin bi pink opin we de bitwin 1 εn 1 1⁄2 inch in saiz.
Naw yu bɔdi in dɔti, dat na, fes ɛn briz, de kɔmɔt na dis stoma. Yu fɔ wɛr spɛshal bag (ostomy pouch) oba dis. Dis bag de gɛda di dɔti. Bikɔs yu nɔ gɛt anus, yu nɔ gɛt di pawa igen fɔ kɔntrol di we aw di fes de pas. So, yu fɔ wɛr dis bag ɔltɛm.
Aw na di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn?
Afta di ɔpreshɔn, yu go gɛt fɔ de na di ɔspitul fɔ sɔm dez. Dɛn go put wan ostomy bag oba yu stoma jɔs afta di ɔpreshɔn. Bɔt i go tek sɔm dez fɔ mek yu dijestiv sistɛm wok bak. So dɛn go gi yu wata fɔ drink fɔs. As yu bɔdi bigin fɔ wok, smɔl smɔl yu go lan sɔlid it dɛn.
We yu de na ɔspitul, di dɔktɔ ɛn nɔs dɛn go tich yu aw fɔ kia fɔ yu bɛlɛ, aw fɔ chenj yu bag, ɛn aw fɔ kip yu skin klin. So natin nɔ de fɔ wɔri bɔt we yu go na os. Di tin we impɔtant pas ɔl na fɔ fala dɛn instrɔkshɔn dɛn di rayt we.
Wetin na di bɛnifit dɛn we pɔsin kin gɛt we i du dis ɔpreshɔn wit laparoskopi?
Bɔku bɛnifit dɛn de fɔ du dis ɔpreshɔn tru wan kihol ɔ laparoskopik we pas tradishɔnal opin ɔpreshɔn.
- Di say dɛn we dɛn kɔt tu smɔl: Bifo dɛn kɔt wan big say, na sɔm smɔl smɔl say dɛn nɔmɔ dɛn kin yuz.
- Ridyus pen: Di pen we pɔsin kin fil afta dɛn du di ɔpreshɔn kin rili smɔl.
- Di blɔd we de kɔmɔt na di bɔdi nɔ bɔku: Na smɔl blɔd de kɔmɔt na di bɔdi we dɛn de du di ɔpreshɔn.
- Ridyus risk fɔ kɔmplikeshɔn dɛn:Di chans fɔ gɛt tin dɛn lɛk wund infɛkshɔn nɔ bɔku.
- Fɔ wɛl kwik kwik wan: Di tɛm we yu de na ɔspitul kin shɔt, ɛn yu kin go bak to nɔmal layf kwik kwik wan.
Wetin na di prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Lɛk ɛni ɔpreshɔn, sɔm smɔl smɔl prɔblɛm dɛn de, bɔt dɛn nɔ kin si dɛn tin ya bɔku tɛm.
- di pεrinial hεnia kin apin usay dεn pul di skin bak afta dεn dכn pul di an. If nid de, dɛn kin kɔrɛkt dis wit ɔda ɔpreshɔn.
- Blɔd we de kɔmɔt pasmak.
- Prɔblɛm dɛn we gɛt fɔ du wit di say we dɛn kɔt (wund dɛn we de fester, we nɔ de wɛl).
- we di wund hεl, wan sכmכl ol de lεf na di skin (perineal sinus).
If sɔntin lɛk dis apin, dɔktɔ dɛn kin manej am wit tritmɛnt dɛn lɛk fɔ gi antibayɔtik ɔ if nid de, fɔ du smɔl ɔpreshɔn, i go dipen pan aw i siriɔs.
Bɔku tɛm, i kin tek tri to siks wiks fɔ mek i wɛl gud gud wan frɔm dis ɔpreshɔn. Bɔt dis tɛm kin difrɛn difrɛn tin lɛk yu ɔl yu wɛl bɔdi. Aks yu dɔktɔ ustɛm yu go ebul fɔ go bak na wokples.
| If dɛn sayn ya apin, kɔl yu dɔktɔ wantɛm wantɛm. | |
|---|---|
| Di sayn we de sho se di sik de | Tɔk bɔt |
| Siriɔs pen na yu bɛlɛ | Pen we pas aw i kin fil, we pɔsin nɔ kin ebul fɔ bia. |
| Nɔs ɛn vɔmit | Nɔs ɛn vɔmit we de kɔntinyu fɔ de. |
| Chenj dɛn we de apin na di rod dɛn we dɛn de kɔt | Rɛd, swel, pen pasmak, ɔ pus we de kɔmɔt na di say dɛn we dɛn kɔt. |
| No west nɔ de go insay di ostomy bag | Nɔ west ɔ briz nɔ fɔ kɔmɔt na di ostomy bag fɔ tri dez. |
| Fiva | Fiva pas 100.5° F (38° C). |
| I nɔ kin izi fɔ yu fɔ pis | I nɔ izi ɔ i kin fil pen we yu de pis. |
Na nɔmal tin fɔ mek yu fil wɔri ɛn wɔri se yu go gɛt fɔ du dis kayn big ɔpreshɔn. So, tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. Dɔn bak, if yu kin jɔyn sɔpɔt grup wit pipul dɛn we dɛn dɔn du dɛn kayn ɔpreshɔn ya ɛn we de wɛl naw, yu go gɛt bɔku trɛnk ɛn maynd frɔm dɛn ɛkspiriɛns.
Mɛsej we dɛn kin kɛr go na os
- APR ɔpreshɔn na ɔpreshɔn we dɛn kin pul di an, di rɛktum, ɛn wan pat pan di kɔlon. Dɛn kin du am mɔ fɔ kansa na di lכw rεktum.
- Afta dis ɔpreshɔn, dɛn kin mek wan say we de opin ɔltɛm na di bɛlɛ we dɛn kɔl stoma fɔ mek di stɔl go pas.
- Laparoskɔpik ɔpreshɔn nɔ kin mek i fil pen, i kin gɛt smɔl smɔl say dɛn we dɛn kin kɔt, ɛn i kin wɛl kwik kwik wan.
- I rili impɔtant fɔ fala wetin di dɔktɔ tɛl yu fɔ du (espɛshali fɔ smok, fɔ lɛf fɔ drink rɔm, ɛn fɔ it tin dɛn) jɔs bifo ɛn afta yu du di ɔpreshɔn.
- Nɔ fred ɛni ɔda kayn sayn we kin apin afta yu du di ɔpreshɔn, ɛn tɛl yu dɔktɔ wantɛm wantɛm.
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