We yu dɔktɔ tɛl yu ɔ pɔsin we yu no se yu nid fɔ put bag insay yu bɛlɛ fɔ mek yu stɔl kɔmɔt, i nɔmal fɔ mek yu fil shɔk ɛn fred smɔl. "Wetin na dis ɔpreshɔn?", "Dis na pɔrmanent?", "A nɔ go ebul fɔ liv nɔmal layf?" Yu go gɛt bɔku kwɛstyɔn dɛn na yu maynd. Nɔ wɔri. Lɛ wi tɔk bɔt dis ɔpreshɔn, we dɛn kɔl ‘Fecal Diversion’, insay wan rili simpul we we yu go ɔndastand.
Wetin na dis ‘Fecal Diversion’ ɔpreshɔn?
‘Fecal Diversion’, fכ sכmtεm, na di tεmporari כ pεrmanεnt chenj na di nεchכral path fכ stכl we de kכmכt na di bכdi (di rεktum) so dat i go kכmכt tru di skin na di bכdi. di atifishal opin we dεn mek dis we na di skin na di bכdi dεn kכl am stoma .
dis stoma dεn de mek am bay we dεn de yuz wan pat pan di intestinal.
- If yu mek stoma bay we yu kɔnɛkt yu smɔl intestinal to di skin, dɛn kin kɔl am ileostomy .
- If yu kɔlon kɔnɛkt to di skin, dɛn kin kɔl am colostomy .
Naw yu go de wɔnda wetin mek dɛn de du dis. Dɔktɔ dɛn kin se dɛn fɔ du dis ɔpreshɔn fɔ sɔm rizin dɛn:
- Riliv kɔmpleks infɛkshɔn ɔ prɔblɛm dɛn we gɛt fɔ du wit di rɛktum ɔ di an.
- As tritmɛnt fɔ kɔlon kansa .
- Di we aw pɔsin nɔ ebul fɔ kɔntrol insɛf .
Imajin, wi rεktum gεt wan mכsul we shep lεk ring (sphincter muscle) we de kכntro di pas we di stכl de pas. Na dat mek wi kin ol insay ɛn pas stɔl we wi want. Bɔt di stoma we dɛn mek nɔ gɛt da kayn mɔsul de we de kɔntrol am. Na dat mek wi nɔ kin ebul fɔ kɔntrol di we aw di stɔl de pas. na dat mek wi fכ wear spεshal bag ( ostomy collecting device) we kכnekt to di stoma fכ kכlekt di stכl we de kכmכt.
Dis stoma kin bi fɔ sɔm tɛm ɔ fɔ ɔltɛm . I dipen pan yu mɛrɛsin kɔndishɔn. Fɔ ɛgzampul, blɔd we de kɔmɔt na di intestinalafta dεn kכt wan sεkshכn pan di anus εn pul di rεst tu pat dεm bak, dεn de mek wan tεmporari stoma fכ gi rεst te di anastomosis hεl. We di eria dɔn wɛl, dɛn kin du ɔda ɔpreshɔn fɔ pul di stoma ɛn mek wan nɔmal say fɔ di stɔl. כltu, insay kes dεm we dεn kכl di anus εn di rεktum kכmplit wan, di stoma fכ de fכ כltεm.
Aw dɛn kin du dis ɔpreshɔn wit laparoskopi?
Laparoscopy, as wi ɔl no, na wan kayn "keyhole surgery ." insay dis, insted fכ mek big say, na fכ sכm sכm sכm ol dεm n כmכ dεn de mek na di bכdi.
Dɛn kin put laparoskɔp , we na wan tin tiub we gɛt kamɛra ɛn layt na di fɔs pat, insay di bɛlɛ tru wan pan di smɔl smɔl say dɛn we dɛn kɔt. Di pikchɔ dɛn we kɔmɔt na di kamɛra de sho na big skrin (monitɔ) na di ɔpreshɔn rum. Di dɔktɔ kin luk di skrin ɛn du di ɔpreshɔn bay we i de yuz spɛshal tin dɛn we dɛn kin put insay ɔda smɔl smɔl say dɛn we dɛn kɔt.
Di bɛnifit fɔ dis we na dat, dɛn nɔ kin kɔt big wan, so i nɔ kin gɛt bɔku pen, i kin wɛl kwik kwik wan, ɛn i nɔ kin gɛt bɔku dez na ɔspitul.
Aw dɛn kin mek wan stoma?
Tu men kayn stoma dɛn de. Di we aw dɛn mek dɛn difrɛn smɔl.
| Stoma tayp | Simpul we fɔ mek |
|---|---|
| Ɛnd Stoma | Dis min se yu fɔ briŋ di ɛnd pan di intestinal (smɔl ɔ big) dairekt to di skin na di bɛlɛ, tay am na di skin, ɛn siŋ am togɛda. di εnd pan di intestin de kכmכt lεk opin ya. |
| Lup Stoma we de na di wɔl | Bɔku tɛm dis na di we aw dɛn kin yuz fɔ mek wan tɛmporari stoma. insay dis, dεn kin bכn wan lכp fכ di intestinal na di sכfayz fכ di skin, εn dεn kin sכm sכm sכm pat kכros am. Dis kin mek wetin tan lɛk tu opin. Fɔ mek dis lɔp nɔ go muf bak insay di bɛlɛ, dɛn kin put wan smɔl plastic stik ɔnda am fɔ sɔm dez afta dɛn dɔn du di ɔpreshɔn. Dɔn dɛn kin pul am. |
Wetin kin apin afta dɛn dɔn du di ɔpreshɔn? Lɛ wi lan bɔt di tɛm we pɔsin kin wɛl
Afta dis kayn ɔpreshɔn, bɔku tɛm yu kin gɛt fɔ de na ɔspitul fɔ tu ɔ tri dez . We di ɔpreshɔn dɔn, dɛn go put wan bag oba yu stoma. I go tek wan ɔ tu dez fɔ mek yu dijestiv sistɛm bigin fɔ wok bak. Na da tɛm de nɔmɔ di stɔl go bigin fɔ kɔmɔt na di stoma.
We yu de na ɔspitul, wan nɔs we dɛn dɔn tren spɛshal wan fɔ kia fɔ yu stoma go sho yu aw fɔ chenj yu bag ɛn kip di skin we de rawnd yu stoma klin. Fɔs, dɛn go sho yu aw fɔ du dɛn tin ya, dɔn dɛn go tich yu aw fɔ du dɛn yusɛf. So we yu rich na os, yu go ebul fɔ du dɛn tin ya fɔ yusɛf.
Bikɔs dis na nyu tin, yu go fil bɔku chenj, pan yu bɔdi ɛn yu maynd. Sɔntɛnde, yu kin fil bad bad wan ɛn yu at kin fil bad. Dis na tin we rili nɔmal. Mɛmba se nɔto yu wangren de. Yu nɔs, yu dɔktɔ, ɛn yu famili de fɔ ɛp yu. Tɔk to dɛn ɛnitɛm we yu de fil bad.
I kin tranga fɔs, bɔt as tɛm de go yu go yus to dis nyu chenj. Bɔku bɔku pipul dɛn de ɔlsay na di wɔl we de wok nɔmal wan, we de tek pat pan di sosayti, ɛn we de liv gladi at. Na dat mek i rili impɔtant fɔ kɔntinyu fɔ strɔng.
Mɛsej we dɛn kin kɛr go na os
- ‘Fecal Diversion’ na ɔspitul we de briŋ di pasej fɔ stɔl to di say we di skin de na di bɛlɛ. Dɛn kɔl di opin we dɛn mek stoma .
- Bikɔs dɛn kin du dis ɔpreshɔn wit laparoskopik (kihol), i nɔ kin gɛt bɔku pen ɛn i kin wɛl kwik kwik wan.
- Bikɔs di stoma nɔ kin kɔntrol, dɛn fɔ wɛr spɛshal bag ( ostomy bag ) ɔltɛm fɔ gɛda di stɔl.
- Stoma kin bi fɔ sɔm tɛm ɔ fɔ ɔltɛm. I dipen pan yu mɛrɛsin kɔndishɔn. Aks yu dɔktɔ bɔt dis.
- Yu go gɛt chenj dɛn na yu bɔdi ɛn yu maynd afta dɛn dɔn du yu ɔpreshɔn. Dis na nɔmal tin. Nɔ ɛva shem fɔ aks fɔ ɛp ɛn tɔk to yu famili ɛn di wan dɛn we de wok fɔ yu.
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