Lɛ wi lan bɔt ɔpreshɔn fɔ bɛlɛ? Laparotomy ɔpreshɔn na simpul tin

Sɔntɛnde, dɔktɔ kin tɛl yu se, "Yu nid fɔ ɔpreshɔn yu bɛlɛ." Na nɔmal tin fɔ fil smɔl fɔ fred ɛn fred we yu yɛri dat. di mεdikal nem fכ dis kayn כpεrayshכn, we involv fכ opin di bכdi, na "laparotomy." So lɛ wi tɔk bɔt dis tide, lɛk se wi de tɔk to wi padi, di we we go mek ɔl yu wɔri go.

Fɔ tɔk am simpul wan, wetin na laparotomy?

Laparotomy na ɔpreshɔn we de mek yu bɛlɛ opin, we na di say we yu bɛlɛ ɔgan dɛn de. Tink bɔt am lɛk we yu opin di hud fɔ motoka fɔ chɛk di injin fɔ si wetin nɔ rayt. Dɔktɔ dɛn kin du dis fɔ chɛk di ɔgan dɛn we de insay yu bɛlɛ dairekt wan.

Dis kin apin tu men we dɛn:

1. As exploratory surgery: Sɔntɛnde, ivin skan nɔ kin ebul fɔ fɛn wetin mek yu bɛlɛ de pen ɔ blɔd de kɔmɔt insay yu bɛlɛ. We dɛn kayn tin ya apin, dɔktɔ dɛn kin du dis ɔpreshɔn fɔ no wetin rili de apin insay. Da tɛm de, dɛn kin tek wan smɔl pat pan di tisu (bayopsi) fɔ ɛgzamin.

2. As tritmɛnt ɔpreshɔn: Sɔntɛnde dɛn kin du dis ɔpreshɔn fɔ trit wan mɛrɛsin. Fɔ ɛgzampul, i kin nid fɔ pul wan apɛndiks we dɔn brok, pul wan tumbu we gɛt kansa, ɔ pul wan ol ɔgan.

Wetin na di difrɛns bitwin Laparotomy ɛn Laparoscopy?

Yu go mɔs dɔn yɛri bɔt "keyhole surgery." Na dat na laparoscopy. pan ɔl we dɛn kin yuz dɛn tu we ya fɔ luk insay di bɛlɛ, big difrɛns de bitwin dɛn tu. Lɛ wi ɔndastand dat klia wan.

Wetin mek wi nid fɔ du laparotomy?

Bɔku tɛm, dɔktɔ kin jɔs du big ɔpreshɔn lɛk dis we ɔda tin nɔ de fɔ du. Bɔku men rizin dɛn de:

• Bɛlɛ pen we yu nɔ ɛksplen: We skan nɔ ebul fɔ fɛn di tin we mek yu bɛlɛ de pen ɔltɛm ɔ yu de blo.
• Intra-abdominal bleeding: Stɔp intra-abdominal bleeding bikɔs ɔf aksidɛnt ɔ ɔda tin.
• Di stej dɛm we di kansa gɛt: Put wan tumbu we gɛt kansa, ɔ si aw fa di kansa dɔn skata na di bɛlɛ (Cancer Staging).
• Imejɛnsi: Fɔ ɛgzampul, we apɛndiks de kam fɔ bɔs, ɔ we ol de na di intestinal.
• Sizarian sekshכn (C-section): Sizarian sekshכn, we dεn kin du fכ plan כ imejensi dilivεri, na wan kayn laparotomy bak.
• Fɔ pul ɔgan dɛn:fכ pul wan כgan lεk di splin כ di uterus bikoz fכ mεdikal kכndyushכn.

Us ɔgan dɛn dɛn kin chɛk insay dis ɔpreshɔn?

We di dɔktɔ opin di bɛlɛ, dat kin mek i ebul fɔ chɛk bɔku men ɔgan dɛn. Sɔm pan dɛn tin ya na:

• Bɛlɛ
• Smɔl ɛn big intestin (Intestines) .
• Apɛndiks
• Spleen we de na di bɔdi
• Pankrias we de na di bɔdi
• Liva
• Galblad we de na di bɔdi
• Kidni, adrenal gland ɛn ureter
• Blada we de na di bɔdi
• di uman in riprodaktiv כgan dεm (uterus, fallopian tubes, ovaries) .

Wetin kin apin bifo dɛn du di ɔpreshɔn?

Bikɔs laparotomy na big ɔpreshɔn, sɔm tin dɛn de we yu kin du fɔ rɛdi fɔ am. Sɔm pan dɛn tin ya nɔ go pɔsibul we dɛn de du ɔpreshɔn pan am kwik kwik wan.

• Fɔ gri fɔ du dat: Di dɔktɔ go ɛksplen ɔltin to yu bɔt di ɔpreshɔn, di prɔblɛm dɛn we i go gɛt, ɛn ɔda tritmɛnt dɛn. Dɔn, dɛn go gɛt yu rayt fɔ gri fɔ du dat.
• Fɔ chɛk yu bɔdi: Dɛn kin du blɔd tɛst ɛn ɛkstrem rayt fɔ chɛk yu wɛlbɔdi. I rili impɔtant fɔ tɛl di dɔktɔ bɔt di mɛrɛsin dɛn we yu de tek ɛn ɛni ɔda sik we yu go gɛt.
• Bowel prep: Dɛn kin gi yu laxative ɔ enema fɔ klin yu bɔdi di de bifo di ɔpreshɔn. Yu go nid bak fɔ fast fɔ sɔm awa bifo dɛn du di ɔpreshɔn.
• Sterilizing: Bifo dɛn du di ɔpreshɔn, dɛn kin was di bɛlɛ eria fayn fayn wan wit antiseptik sop. Sɔntɛnde, dɛn kin pul di ia we de na di say bak.

Wetin kin apin we dɛn de du di ɔpreshɔn ɛn afta dɛn dɔn du di ɔpreshɔn?

Dɛn kin du di ɔpreshɔn ɔnda jenɛral anestezi, so yu nɔ go fil ɛni pen. Di dɔktɔ kin kɔt yu bɛlɛ we kin lɔng frɔm 3 to 12 inch. Afta dat, dɛn kin du di tɛst ɔ tritmɛnt dɛn we dɛn nid, ɛn dɛn kin stich di say we dɛn kɔt bak togɛda. Di ɔpreshɔn kin tek sɔm awa.

Afta di ɔpreshɔn, dɛn go kɛr yu go na wan rum we dɛn dɔn du di ɔpreshɔn. Dɛn go de wach yu at rit ɛn blɔd prɛshɔn te yu gɛt kɔnshɛns bak. Insay dis tɛm, yu kin gɛt sɔm tiub dɛn na yu bɔdi:

• Wan IV layn: Dɛn kin put dis insay wan vein ɛn gi mɛrɛsin we de mek pɔsin fil fayn, antibayɔtik, ɛn salin.
• Nasogastric tube: Rimov wata we de kɔmɔt na di bɛlɛ.
• Urinary catheter: Fɔ mek yu urine kɔmɔt.

Dɛn go gi yu mɛrɛsin fɔ mɛn yu pen fɔ kɔntrol di pen. Insay di fɔs de dɛn we yu de na di ɔspitul, dɛn go ɛp yu fɔ waka rawnd smɔl wit di ɛp we di nɔs dɛn go ɛp yu. Dis rili impɔtant fɔ mek yu nɔ gɛt blɔd klot ɛn fɔ mek yu nɔ gɛt infɛkshɔn na yu lɔng.

Wetin na di prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?

Lɛk ɛni big ɔpreshɔn, laparotomy kin gɛt sɔm prɔblɛm dɛn, bɔt nɔto ɔlman kin gɛt dɛn tin ya.

• We dɛn nɔ bin want fɔ pwɛl ɔda ɔgan dɛn we de nia de.
• Blɔd we de kɔmɔt pasmak bikɔs di blɔd vesel dɛn dɔn pwɛl.
• Infεkshכn na di say we dɛn kɔt ɛn dilay we i de wɛl.
• Pɔrmɛnt swɛla na sɔm eria dɛn we de rawnd di say we dɛn kɔt bikɔs ɔf di nerve damej.
• Ɛnia na di insishɔnal hεnia.
• sכm chans de fכ mek wan kכndyushכn lεk bowel obstrukshכn go apin insay di fכs tεm bikoz fכ di bכdi we de adheshon.

Aw lɔng i kin tek fɔ mek i wɛl?

Dis go difrɛn difrɛn wan bay yu jenɛral wɛlbɔdi ɛn aw dɛn du di ɔpreshɔn.

• I kin tek lɛk 6 wiks fɔ mek di say we dɛn kɔt am wɛl .
• Dɛn kin lɛf wan lɔng skata akɔdin to di bɛlɛ, bɔt smɔl smɔl i kin dɔn as tɛm de go.
• Dipen pan di kayn wok we yu de du, yu kin ebul fɔ go bak na wok afta 6 wik.
• I go tek sɔm mɔnt mɔ bifo yu ebul fɔ es wet ɔ du ɛksɛsayz we yu go ebul fɔ du.
• I kin tek lɛk tu ia so fɔ mek yu bɛlɛ mɔsul dɛn trɛnk kam bak to di lɛvɛl we dɛn bin de bifo dɛn du di ɔpreshɔn. We yu de du ɛksasaiz ɔltɛm, dat kin ɛp fɔ du dis.

Afta yu go na os, ustɛm yu nid fɔ tɔk to di dɔktɔ?

I rili impɔtant fɔ wach aw yu de wɛl afta yu dɔn go na os. If yu gɛt ɛni wan pan dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU).

Laparotomy nɔto sɔntin we yu fɔ fred, bɔku tɛm na sɔntin we yu fɔ du fɔ sev yu layf ɔ fɔ ɛp yu fɔ wɛl. Pan ɔl we di tɛm fɔ wɛl kin lɔng smɔl, if yu fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan, yu kin wɛl kwik kwik wan.