Yu ɔ pɔsin we yu sabi ɛn lɛk fɔ dɔn fil smɔl fred ɛn ebi ebi lod pan yu at we di dɔktɔ tɛl yu bɔt dis kayn ɔpreshɔn, nɔto so? Na nɔmal tin fɔ fred we yu yɛri big nem lɛk "Laparoscopic Abdominoperineal Resection." Bɔt nɔ fred. Tide, wi go tɔk bɔt us kayn ɔpreshɔn dis, wetin mek dɛn kin du am, ɛn wetin kin apin afta di ɔpreshɔn insay wan rili simpul we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na dis ɔpreshɔn?
Dis na ɔpreshɔn we dɔktɔ we de du ɔpreshɔn kin du. yu an, rεktum, εn di lכw pat pan yu big intestכn (sigmoid colon) dεn kכmכt. Dɛn kin du dis ɔpreshɔn tru sɔm smɔl smɔl ol dɛn na yu bɛlɛ, pas fɔ pas tru wan big say we dɛn kɔt am. dis mεtכd dεn kכl am laparoskopi כ "kihol כpεrayshכn."
Dɛn kin se dɛn fɔ du dis ɔpreshɔn if di kansa de dip dip wan na di rεktum ɔ nia di an. Dis ɔpreshɔn nid fɔ du mɔ if di kansa de rili nia di sfinktɔ mɔsul dɛn we de kɔntrol di we aw di stɔl de pas, bikɔs dis ɔpreshɔn nid fɔ pul di kansa sɛl dɛn kpatakpata wit dɛn mɔsul dɛn de.
Di tin we impɔtant pas ɔl na fɔ pul di kansa kɔmɔt na di bɔdi kpatakpata. Dis ɔpreshɔn de du dat.
Insay dis ɔpreshɔn, dɛn kin mek nyu opin fɔ mek dɔti (fes) kɔmɔt na yu bɔdi. Dɛn kɔl dis wan stoma . Dis stoma de na di skin na yu bɛlɛ. na tru dis di big intestin de kכnεkt. Dɔktɔ dɛn kin kɔl dis prɔsidyu bak "colostomy."
Wetin na stoma? A fɔ fred am?
Atɔl. Stoma na impɔtant pat pan yu ɔpreshɔn we go sev yu layf. Tink bɔt am dis we, jɔs lɛk wi an, dis na nyu we fɔ mek dɔti kɔmɔt.
Bɔt wan tin de we difrɛn. di stoma nכ gεt di sphincter mכsul dεm we de kכntro di pas we di stכl de pas, lεk di wan dεm na wi anus. So, wi nɔ kin ebul fɔ kɔntrol di we aw di stɔl de pas we wi want. Fɔ dis rizin, wi nid fɔ wɛr spɛshal bag (pauch) fɔ gɛda di dɔti we de kɔmɔt.
I kin fil smɔl strenj fɔ yus to dis fɔs. Bɔt as tɛm de go, i go bi nɔmal tin na yu layf. Fɔ ɛp yu wit dat, nɔs wokman dɛn de we dɔn gɛt spɛshal trenin pan dis. Dɛn go tich yu ɔltin.
Aw dɛn kin du di ɔpreshɔn stɛp bay stɛp
Na nɔmal tin fɔ mek yu fil fred we yu de tink bɔt dis kayn big ɔpreshɔn. Bɔt we yu dɔn ɔndastand aw dɛn kin du am, yu nɔ go fred bad bad wan.
| Stej fɔ di Ɔpreshɔn | Wetin De Apin |
|---|---|
| 1. Dɛn kin gi pɔsin anestezi | Fɔs, dɛn go ful-ɔp yu anestez. Dis min se yu nɔ go fil ɛnitin te di ɔpreshɔn dɔn, ɛn yu go slip kpatakpata. |
| 2. Fɔ stat fɔ du laparoskɔpi | We yu de slip, di dɔktɔ we de du di ɔpreshɔn kin kɔt smɔl (lɛk 1/2 inch) nia yu bɛlɛ ɛn put wan smɔl tin we tan lɛk kamɛra (laparoskɔp) tru am. Dis kamɛra de mek yu ebul fɔ si insay yu bɛlɛ. Dɔn, dɛn kin mek lɛk 4 ɔ 5 smɔl ol dɛn na yu bɛlɛ fɔ put di tin dɛn we yu nid fɔ du di ɔpreshɔn. |
| 3. Fɔ pripia fɔ pul di bɔdi | di men blɔd vesel dɛn we de gi blɔd to di pat na di kɔlon we dɛn fɔ pul, dɛn kin kɔt ɛn lɔk dɛn. afta dat, di pat pan di kכlon we dεn fכ pul (sigmoid kכlon) de kכmכt frכm di tisu we de rawnd am εn i de separet frכm di big intestin we de rεst. di rεktum de fri bak frכm di tisu we de rawnd am di sem we. |
| 4. Fɔ pul di anus | Afta di bɔdi pat dɛn dɔn fri, ɔda mɛmba na di ɔspitul tim go du ɔpreshɔn na di say we de bitwin yu leg dɛn (perineal region) ɛn pul di an, rɛktum, ɛn di pat pan di kɔlon we afɛkt kpatakpata. |
| 5. Stoma Krieshɔn | Afta we di dɔktɔ dɔn pul di tisu we gɛt kansa, i kin mek wan stoma tru wan smɔl ol we dɛn bin dɔn mek trade. Dɛn kin mek dis na di lɛft say na di bɛlɛ. di rεst εnd pan di kכlon de kכmכt tru di ol, kכnεkt am to di skin, εn siw am shut. |
| 6. Fɔ dɔn di ɔpreshɔn | fכ finish, dεn kin was di bכdi (insay di bεlε) fayn fayn wan, εn dεn kin put sכm sכm drenaj t כb fכ drεn εni wata we dεn nכ want we kin kכlכm insay. Dis kin ɛp di wund fɔ wɛl kwik kwik wan. Dɔn, dɛn kin siŋ di ɔda say dɛn we dɛn kɔt na di bɛlɛ. |
Wetin fɔ ɛkspɛkt we yu de wɛl?
Afta di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ sɔm dez, bɔku tɛm na lɛk wan wik. Insay dis tɛm, di dɔktɔ dɛn ɛn di wan dɛn we de wok na di nɔs dɛn go kia fɔ yu gud gud wan.
Wetin kin apin na di ɔspitul?
We yu wek afta dɛn dɔn ɔpreshɔn yu, dɛn go tay wan paus na yu stoma fɔ gɛda dɔti. I go tek sɔm dez fɔ mek yu dijestiv sistɛm, ɔ intestinal, bigin fɔ wok bak. We i dɔn du dat, dɛn go gi yu wata fɔ drink fɔs . As yu de wɛl smɔl smɔl, yu kin go fɔ it sɔlid it dɛn ɔltɛm .
Lan fɔ kia fɔ yu stoma
Dis na di pat we impɔtant pas ɔl. We yu de na ɔspitul, nɔs we dɛn dɔn tren spɛshal wan fɔ kia fɔ stoma (Enterostomal Therapist ɔ ET nɔs) go ɛp yu.
- Dɛn go sho yu aw fɔ chenj yu stoma bag.
- I de tich yu aw fɔ kip di skin we de rawnd di stoma klin ɛn wɛl.
- We yu go na os, yu go praktis aw fɔ du dɛn tin ya fɔ yusɛf.
Fɔ liv wit pɔrmɛnt kɔlostomi na big chenj. Gi yusɛf sɔm tɛm fɔ yus to am. Nɔ wɔri bɔt ɛnitin. Yu ET nɔs na di bɛst pɔsin fɔ aks ɛni kwɛstyɔn we yu gɛt ɛn gɛt ɛp frɔm.
If yu gɛt ɛni wɔri ɔ kwɛstyɔn ɛni tɛm, nɔ fred fɔ tɔk to yu dɔktɔ ɔ ET nɔs . Dɛn de de fɔ ɛp yu.
Mɛsej we dɛn kin kɛr go na os
- Dis ɔpreshɔn (Laparoscopic Abdominoperineal Resection) na big ɔpreshɔn we kin sev layf fɔ kansa na di rεktal.
- biכs dεn kin du dis bay we dεn de yuz di "keyhole" mεtכd (Laparoscopy), nכ big insishכn dεm de, so di tεm we di rεkכvεshכn de kכmכt kwik kwik wan.
- Afta yu dɔn ɔpreshɔn, yu go nid fɔ yuz wan say we opin fɔ ɔltɛm na yu bɛlɛ (stoma) fɔ mek di dɔti kɔmɔt ɛn bag (pauch) fɔ gɛda dɔti.
- Pan ɔl we fɔ lan aw fɔ manej stoma kin tranga fɔs, i kin izi fɔ du am wit di ɛp we spɛshal trenin nɔs dɛn de ɛp am.
- Dis na big chenj, pan bɔdi ɛn maynd. So tɔk opin ɛn ɔnɛs to yu dɔktɔ dɛn, nɔs dɛn, ɛn yu fambul dɛn we de de fɔ sɔpɔt yu. Nɔto yu wan de.
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