Ɔpreshɔn fɔ di bɛlɛ? Lɛ wi tɔk bɔt laparotomy.

yu ɔ pɔsin we yu sabi dɔn ɛva tɛl yu fɔ "kɔt opin bɛlɛ" fɔ bɛlɛ prɔblɛm? Ɔ yu dɔn ɛva yɛri se dɛn nid fɔ du big ɔpreshɔn fɔ fɛn prɔblɛm insay di bɛlɛ afta aksidɛnt, ɔ fɔ stɔp blɔd? insay mεdikal, dεn kכl dis כpεrayshכn we dεn kin du insay dεn kayn kes dεm ya, fכ opin di bכdi εn egzamin di כgan dεm, "laparotomy." Dis na smɔl big ɔpreshɔn, so bɔku pipul dɛn kin fred am. So, lɛ wi tɔk bɔt am simpul wan ɛn klia wan tide.

Wetin rili na laparotomy?

Fɔ tɔk am simpul wan, laparotomy na ɔpreshɔn we dɔktɔ de opin yu bɛlɛ (di ol ples insay yu bɛlɛ) fɔ chɛk ɔ trit di ɔgan dɛn we de insay.

Wi kin du dis tu men we dɛn:

1. Fɔ no di sik (Exploratory Laparotomy): Sɔntɛnde, ivin if prɔblɛm de lɛk bɛlɛ pen ɔ blɔd we de kɔmɔt insay, dɛn nɔ kin ebul fɔ no di tin we mek i gɛt am ivin wit skan. If na so i bi, di dɔktɔ we de du di ɔpreshɔn kin du dis ɔpreshɔn fɔ rili si ɛn ɔndastand wetin de apin insay di bɛlɛ. da tεm de, if nid de, dεn kin tek wan pat pan di tisu εn sεnd fכ egzamin (`Biopsy`).

2. Therapeutic Laparotomy: Sɔntɛnde, dɛn kin du ɔpreshɔn pan am afta dɛn dɔn no di prɔblɛm. Fɔ ɛgzampul, dɛn kin du dis ɔpreshɔn fɔ pul wan tumbu we gɛt kansa, fɔ mek di intestinal we dɔn pwɛl, ɔ fɔ pul wan apɛndiks we dɔn inflam.

Wetin na di difrɛns bitwin Laparotomy ɛn Laparoscopy?

Pan ɔl we dɛn ɔl tu na ɔpreshɔn fɔ bɛlɛ, big difrɛns de bitwin dɛn tu. Bɔku pipul dɛn kin kɔnfyus dɛn tu nem ya. Lɛ wi si wetin na di difrɛns.

Insay us kes dɛn i nid fɔ du laparotomy?

Sɔntɛm patikyula rizin dɛn de we mek dɔktɔ we de du ɔpreshɔn kin pik fɔ du laparotomy pas fɔ du laparoscopy. Dis we fɔ du tin kin wok mɔ, mɔ we tin apin we i nid fɔ du sɔntin kwik kwik wan.

Sɔm tin dɛn we kin mek i nid fɔ du laparotomy:

• Fɔ chɛk fɔ si if di ɔgan dɛn we de insay di bɔdi dɔn pwɛl afta yu gɛt bad bad injuri na yu bɛlɛ.
• Peritonitis (infεkshכn na di bכdi).
• Bɛlɛ ɔ intestinal pɔrfɔreshɔn ɔ blɔd we nɔ ebul fɔ kɔntrol .
• Fɔ pul di abses we bin dɔn inflam bad bad wan ɛn we bin de kam fɔ bɔs.
• Fɔ pul di splin we i bɔs pan aksidɛnt.
• Fɔ pul big ovarian sist ɔ endometrioma .
• Fכ chεk εn trit di kכndishכn εn di spred fכ εndometriosis .
• Big big ɔpreshɔn dɛn lɛk di Whipple prosidur fɔ pankrias kansa.
• Ovarian kansa ɔ Hodgkin limfomaFɔ no aw fa kansa, lɛk Hodgkin lymphoma, dɔn skata na di bɔdi (Cancer staging).
• Plan ɔ imejensi sizarian sɛkshɔn (`C-sekshɔn`).

Wetin kin apin bifo dɛn du di ɔpreshɔn?

Bikɔs dis na big ɔpreshɔn, bɔku tin dɛn de we yu fɔ rɛdi fɔ bifo tɛm.

1. Kɔnsɛnt we dɛn no bɔt

Yu dɔktɔ go ɛksplen to yu klia wan di ɔpreshɔn, di prɔblɛm dɛn ɛn bɛnifit dɛn we i go gɛt, ɛn ɔda tritmɛnt dɛn. Dɛn go ɔndastand ɔl dis ɛn gɛt yu rayt fɔ gri fɔ du dat. If ɛnitin apin we nɔ izi fɔ am, dɛn go disayd wit di nɛks fambul if di pɔsin nɔ no natin.

2. Fyzikal Asɛsmɛnt

Di dɔktɔ go aks yu bɔt yu wɛlbɔdi, di mɛrɛsin dɛn we yu de tek, ɛn ɛni ɔpreshɔn we yu dɔn du bifo. I go du sɔm bɛsik tɛst dɛn bak, lɛk blɔd tɛst ɛn ɛkstrem rayt, fɔ si if yu fit fɔ du jenɛral anestezi.

3. Fɔ pripia fɔ di bɔdi

Dipen pan di kayn ɔpreshɔn, yu kin nid fɔ ɛmti yu bɔdi kpatakpata bifo yu du di ɔpreshɔn. Dɛn kin gi yu wan fɔmula we de mek yu bɔdi nɔ gɛt wata ɔ wan ɛnima. Dɛn kin aks yu bak fɔ fast ɔ drink wata nɔmɔ di de bifo dɛn du di ɔpreshɔn.

4. Fɔ mek pɔsin nɔ gɛt stɛrilayz

Bifo dɛn du di ɔpreshɔn, dɛn kin aks yu fɔ shawa wit sop we gɛt antisɛptik. Ɔ, di wan dɛn we de wok na di ɔspitul go klin yu bɛlɛ. Dɛn kin sheb ɛni ia bak we de na di eria.

Wetin kin apin afta di ɔpreshɔn?

Afta di ɔpreshɔn, dɛn go kɛr yu go na wan rum we dɛn dɔn du di ɔpreshɔn, usay dɛn go de wach yu at rit ɛn blɔd prɛshɔn te yu gɛt kɔnshɛns bak. Dɔn dɛn go transfa yu na wan wɔd ɛn yu go gɛt fɔ de na di ɔspitul fɔ sɔm dez.

• Painkillers: Dɛn kin gi pen kil fɔ kɔntrol di pen we de na di wund.
• Tiub: di IV layn dεm εn di urinary catheter dεm we dεn put we dεn de du di כpεrayshכn kin de fכ sכm dez, i dipכnt pan di nid.
• Wach: Ivin if pen de, dɛn kin ɛnkɔrej yu fɔ grap ɛn waka sloslo wit di ɛp we di wan dɛn we de wok de gi yu. Dis rili impɔtant fɔ mek yu nɔ gɛt blɔd klot ɛn fɔ mek yu nɔ gɛt infɛkshɔn na yu lɔng.
• Ɛksesaiz fɔ blo: Dɛn kin tich ɛksesaiz fɔ brith dip dip wan.
• Fɔ it: Fɔs, dɛn kin gi dɛn tin dɛn we gɛt wata, dɔn dɛn kin put it ɔltɛm smɔl smɔl. Sɔntɛnde i kin tek sɔm dez fɔ mek di bɔdi kam bak to in nɔmal. Dɛn kɔl dis `Paralytic ileus` .

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

Lɛk ɛni big ɔpreshɔn, laparotomy gɛt sɔm prɔblɛm dɛn.

• We dɛn nɔ bin want fɔ pwɛl ɔda ɔgan dɛn we de nia de.
• Blɔd we de kɔmɔt pasmak frɔm di blɔd vesel dɛn we dɔn wund.
• Wund infεkshכn εn dilay we i de hεl.
• Pɔrmɛnt swɛla na sɔm eria dɛn we de rawnd di say we dɛn kɔt bikɔs ɔf di nerve damej.
• Ɛnia (hɛnia) kin apin insay kɔnekshɔn wit di say we dɛn kɔt am.
• ska tisu (abdominal adhesions) de fכm na di bכdi, we de mek di intestinal obstrכkshכn insay di fכs tεm.

Aw lɔng i kin tek fɔ mek i wɛl?

Dis dipen pan yu ɔl yu wɛlbɔdi ɛn di kɔmplisiti fɔ di ɔpreshɔn.

• Di wund we de wɛl: I kin tek lɛk 6 wiks fɔ mek di wund wɛl ɔltogɛda.
• Ska: Dɛn kin lɛf wan lɔng ska akɔdin to di bɛlɛ. Bɔt dis go dɔn smɔl smɔl as tɛm de go (insay 3-6 ia).
• Fɔ go bak na wokples: Dipen pan di kayn wok we yu de du, yu kin ebul fɔ go bak na wokples afta di injury dɔn wɛl. Bɔt i bɛtɛ lɛ yu nɔ du ɛnitin we ebi, lɛk fɔ es wet fɔ sɔm mɔnt.
• Ɛksesaiz: I kin tek tu ia fɔ mek di trɛnk na yu bɛlɛ mɔsul dɛn kam bak to nɔmal. So, dɛn fɔ bigin fɔ du ɛksɛsayz sloslo ɛn ɔnda dɔktɔ in sɔpɔtishɔn .

Afta yu dɔn go na os, if yu gɛt ɛni wan pan dɛn sik ya, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm .