Yu go dɔn si ɔ yɛri bɔt pipul dɛn we gɛt smɔl tin we tan lɛk pɔch we dɛn tay pan dɛn bɛlɛ. We yu si dis, bɔku pipul dɛn kin wɔnda se, "Wetin na dis?" Dis kin gɛt fɔ du wit sɔm kayn ɔpreshɔn we dɛn kin du na di intestinal. Tide wi go tɔk bɔt wan pan dɛn kayn ɔpreshɔn dɛn de. Na wan sik we dɛn kɔl Mucous Fistula. Di nem kin tan lɛk se i kɔmplikt smɔl, bɔt nɔ wɔri. Lɛ wi kip am simpul ɛn klia.
Fɔ tɔk am simpul wan, wetin na Mucous Fistula?
Imajin se dɛn nid fɔ ɔpreshɔn wan pat pan wi insay bikɔs ɔf sik ɔ pul am fɔ sɔm tɛm we i nɔ de wok fɔ mek i rɛst. Dɔn, di dɔktɔ we de du di ɔpreshɔn kin pul da pat de na di intestinal frɔm di kɔnekshɔn.
Naw tink bɔt am dis we. Wi intestines nɔto jɔs wan tiub. Dɛn kin mek tin dɛn we de kɔmɔt insay ɔltɛm. Wi kin kɔl dis mucus . Jɔs lɛk di saliva we de na wi mɔt, dis wata we tan lɛk mכkus de ɛp fɔ protɛkt di insay layn na di insay, i de mek i nɔ rɔb pan dɛnsɛf, ɛn i de mek di it we nɔ digest nɔ pwɛl.
So, we dɛn kɔt wan pat pan di intestinal, da pat de na di intestinal de kɔntinyu fɔ pul mכkus. If dɛn sekreshɔn ya nɔ gɛt say fɔ go, dɛn kin gɛda insay di intestin we dɛn dɔn kɔt ɛn mek siriɔs prɔblɛm lɛk pen ɛn infɛkshɔn.
Fɔ mek dɛn nɔ gɛt da prɔblɛm de, dɔktɔ dɛn kin mek wan mucous fistula .
Fɔ tɔk am simpul wan, i min fɔ kɔnɛkt di ɛnd pan di intestin we dɛn dɔn kɔt wit ɔpreshɔn to wan smɔl opin (stoma) we dɛn mek na di skin na di bɛlɛ. afta dat, insted fכ di mכkus we de kכmכt na di intestinal kכmכt tru di an, di nyu stoma we dεn mek de kכmכt na di bכdi. Dis kin akt lɛk ɛkstra dreyn.
Wetin mek pɔsin go nid fɔ du dis kayn ɔpreshɔn?
Bɔku tɛm, dɛn kin du dis ɔpreshɔn wit ɔda big ɔpreshɔn. Bɔrku tɛm, dis kin nid fɔ sɔm kayn intestinal kɔndishɔn dɛm. Lɛ wi tek wan luk pan wetin na dɛn tin dɛn de.
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Di sik dɛn we kin mek pɔsin in bɔdi wam (IBD) . | Dis kategori de mεntal inklud Crohn in sik εn כlsεraytiv kolεt.Ulcerative Colitis na wan sik wae de mek yu gɛt inflamɛns fɔ lɔng tɛm ɛn ɔlsa na di intestinal. |
| Kansa we de na di kɔlɔrɛkt | If pɔsin gɛt kansa na di kɔlon, i kin nid fɔ du dis ɔpreshɔn afta dɛn dɔn pul di pat we gɛt kansa na di kɔlon. |
| Divɛrtikulɔs | sכm sכm pכch dεm we de kכmכt na di wכl na di kכlon. Dɛn tin ya kin mek yu fil bad bad wan if dɛn gɛt di sik. |
| Injuri ɔ injuri na di insay | If aksidɛnt ɔ ɔda tin dɔn pwɛl di intestinal, dɛn kin du dis fɔ mek di say we dɔn pwɛl rɛst te i wɛl. |
| Bowel Obstrukshɔn | If di intestin blok ɔltogɛda fɔ sɔm rizin, dis ɔpreshɔn kin nid fɔ du am we dɛn de trit di blɔk. |
| Famili Adenomatous Polipɔsis we de mek pɔsin gɛt sik | dis na wan kכndyushכn we dεn kin gεt we dεn kin gεt bכku bכku sכm sכm sכm tin dεm (polyps) fכm na di kכlon, we kin tכn to kεnsar. |
Yu tink se smɔl bebi dɛnsɛf nid dis?
Yɛs, sɔntɛnde, pikin dɛn we dɛn jɔs bɔn kin gɛt dis ɔpreshɔn bak. Dis kin bi mɔ bikɔs ɔf tu prɔblɛm dɛn we dɛn bɔn pikin dɛn.
1. Imperforate anus: Dɛn kin bɔn sɔm pikin dɛn we nɔ gɛt anus. So, wan we fɔ pas stɔl nid fɔ mek fɔ dɛn. dεn kin mek wan tεmporari kכlostomi εn mכkus fistula fכ dis. we di pikin dɔn ol smɔl ɛn strɔng, dɛn kin yuz dis te dɛn ripɛnt di an wit kɔrɛkt ɔpreshɔn.
2. Intestinal atresias: sכm pikin dεn kin bכn wit pat pan dεn intestinal dεm we blכk כ diskonekt. If dɛn nɔ ebul fɔ fiks dis wit wan ɔpreshɔn, dɛn kin nid fɔ gɛt tɛmporari mukɔs fistula.
Aw dɛn kin du dis ɔpreshɔn?
As a bin dɔn tɔk bifo tɛm, dɛn nɔ kin mek wan mucous fistula fɔ insɛf. Bɔku tɛm dɛn kin du am wit ɔda ɔpreshɔn we dɛn kɔl colostomy ɔ ileostomy . Lɛ wi tek tɛm luk wetin na dɛn tu pipul dɛn de.
- End colostomy: Insay dis prosidur, di sajin de kɔnɛkt wan ɛnd pan yu big intestinal (colon) to wan opin (stoma) we dɛn mek na di skin na yu bɛlɛ. Stɔl de kɔmɔt na dis stoma.
- εnd ileostomy: Dis na di say we di εnd pan yu sכmכl intestin (ileum) de kכnekt to wan opin we dεn mek na di skin na yu bכdi. Stɔl de kɔmɔt na dis stoma.
So, we yu gɛt ɛnd kɔlostomi ɔ ɛnd ileostomi lɛk dis, yu gɛt tu stoma na yu bɛlɛ. wan na fכ di stכl kכmכt, εn di כda wan na mכkus fistula stoma we dεn mek fכ mek di mכkus we de kכmכt na di sεkshכn na di intestin we dεn bin dכn kכnεkt.
Stoma we de alaw di stɔl fɔ kɔmɔt kin big smɔl. Wan mukɔs fistula kin smɔl pas am.
We yu luk stoma, i kin luk pink ɛn wet, lɛk di insay pat na wi chɛst. Bikɔs i nɔ gɛt ɛni nerv, i nɔ kin fil pen we yu tɔch am.
Afta dɛn dɔn ɔpreshɔn, dɛn kin put wan ostomy pauch na di ɔdasay pan ɔl tu di stoma dɛn. fכs, mכkus fistula kin mek bכku sekreshכn dεm bak, so i nid sכmכl paus bak. Bɔt as tɛm de go, di tin dɛn we de kɔmɔt na di bɔdi kin go dɔŋ. Da tɛm de, i kin pɔsibul fɔ mek dɛn kɔba di pɔch wit goz instead fɔ kɔba pɔch.
Aw a fɔ rɛdi bifo dɛn du mi ɔpreshɔn?
Bikɔs dis na big ɔpreshɔn, yu nid fɔ pripia gud gud wan bifo tɛm. Yu dɔktɔ go ɛksplen dis to yu ditayli. Na dɛn tin ya dɛn go aks yu fɔ du:
- Fast: Yu go nid fɔ lɛf fɔ it ɛn drink fɔ sɔm awa bifo dɛn du di ɔpreshɔn.
- Fɔ Stɔp fɔ tek mɛrɛsin: Yu dɔktɔ go advays yu fɔ stɔp fɔ tek sɔm mɛrɛsin fɔ sɔm tɛm (espɛshali di wan dɛn we de mek yu blɔd tan) bifo yu du di ɔpreshɔn.
- Fɔ lɛf fɔ smok: Dis rili impɔtant. If yu na pɔsin we de smok, yu fɔ stɔp fɔ smok at le sɔm wiks bifo dɛn du yu ɔpreshɔn. Smok kin mek di risk fɔ gɛt prɔblɛm dɛn afta di ɔpreshɔn ɛn i kin mek di wund nɔ wɛl.
- Bowel cleansing: Di dɔktɔ go gi yu spɛshal likwid (bowel prep) fɔ drink fɔ klin yu intestines kɔmplit wan bifo yu du di ɔpreshɔn.
Yu tink se dis go de sote go? Yu tink se i go las sote go?
Dis na kwɛstyɔn we kin mek bɔku pipul dɛn fred we dɛn yɛri am. Bɔt di gud nyus na dat, bɔku tɛm, dis nɔto tin we go de sote go.
fכ bכku pipul dεm, dεn kin mek wan mכkus fistula εn di kכlostomi/ileostomy we de fכm fכ sכm tεm.di men gol ya na fכ gi di intestin dεm we inflamed εn damej sכm rεst εn tεm fכ hεl.
Dis we aw pɔsin kin wɛl kin tek sɔm wik, mɔnt, ɔ ivin wan ia. We yu bɔdi dɔn wɛl ɔl, yu dɔktɔ kin du ɔda ɔpreshɔn fɔ kɔnɛkt bak di pat dɛn na yu bɔdi we dɛn dɔn kɔt. Afta dat, yu go ebul fɔ gɛt nɔmal bɔdi muvmɛnt bak.
Wetin na di risk ɛn kɔmplikeshɔn dɛm wae dis kin gɛt?
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de ɛn sɔm prɔblɛm dɛn we kin apin, bɔt nɔto ɔlman go gɛt dɛn tin ya.
| Di Kɔmplikɛshɔn dɛn we kin apin | |
|---|---|
| Sik we de prɛd | Infεkshכn kin apin arawnd di כpεrayshכn wund כ stoma. |
| Ɛnia we dɛn kɔl Ɛnia | di bכdi mכsul dεm we de rawnd di stoma de wik, we de mek pat pan di intestכn kכmכt כnda di skin. |
| Prɔblɛm dɛn we gɛt fɔ du wit di stoma | di stoma kin sink insay dכn di skin lεvεl (rεtrakshכn), kכmכt tu fa (prolaps), כ sכm di opin (strikt). |
| Prɔblɛm dɛn we de na di skin | Di bag we tay pan di stoma ɔ di wata we de kɔmɔt pan am kin mek di skin gɛt wund, rɛd, ɔ it. |
| Divεrshכn Proktitis | biכs di stכl nכ de muv, inflameshn kin apin na di rεktum. Dis kin mek blɔd ɔ blɔd klɔt pas. |
| Tisu day (Nɛkrɔsis) . | na sכm tεm we di tisu dεm na di stoma kin day bikoz di bכdi de dכn. |
Us tɛm yu nid fɔ kɔl di dɔktɔ?
We yu rich na os afta dɛn dɔn du yu ɔpreshɔn, yu fɔ de wach fɔ sɔm sayn dɛn we de wɔn yu. If yu notis ɛni wan pan dɛn tin ya, yu fɔ kɔl yu dɔktɔ ɛn nɔ de te .
- If yu gɛt fiva ɔ yu fil kol (dɛn tin ya kin bi sayn fɔ se yu gɛt infekshɔn).
- If nɔs ɛn vɔmit kɔntinyu.
- If blɔd de kɔmɔt pasmak frɔm di stoma ɔ wit stɔl.
- If i nɔ izi fɔ yu fɔ pul dɔti ɔ fɔ pis.
- if di stoma chenj in kכla (fכ egzampl, if i tכn dak pepul כ blak).
Mɛsej we dɛn kin kɛr go na os
- di mכkus fistula na sef we fכ drεn di mכkus frכm di pat we dεn dכn kכnεkt na di intestinal afta dεn dכn כpεrayshכn di intestinal.
- Dis kin bi pan tin dɛm lɛk inflammatory bowel disease (IBD), kansa, ɔ intestinal trauma.
- Bɔku tɛm, dis kin apin fɔ shɔt tɛm nɔmɔ. We di bɔdi dɔn wɛl, dɛn kin ɔpreshɔn di pat dɛn na di bɔdi bak.
- If yu gɛt wan ɔ tu stoma na yu bɛlɛ, yu kin fil strenj smɔl fɔs, bɔt dɛn go tich yu aw fɔ kia fɔ dɛn fayn fayn wan na ɔspitul.
- If yu gɛt ɛni kwɛstyɔn, wɔri, ɔ dawt bɔt dis, nɔ ɛva fred fɔ tɔk to yu dɔktɔ opin wan. Dɛn kin rɛdi ɔltɛm fɔ ɛp yu.
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