Sɔntɛnde, wi kin gɛt fɔ du big ɔpreshɔn pan wi intestinal, nɔto so? yu kin yeri se afta dis kayn opareshכn, dεn kin mek wan sכmכl opin, we dεn kכl `(stoma)`, na di sכfa fכ di bεlε skin. Na nɔmal tin fɔ fil smɔl fɔ fred ɛn fred we yu yɛri dis. Tide wi go tɔk bɔt sɔntin we kɔmplikt smɔl bak, bɔt we rili impɔtant. Dat min se wetin na `Mucous Fistula` ɛn wetin mek dɛn nid am.
Wetin na Mucous Fistula?
Fɔ tɔk am simpul wan, mucous fistula na smɔl opin we dɛn kin mek bay we dɛn du ɔpreshɔn fɔ kɔnɛkt wan pat pan yu bɔdi we dɛn dɔn pul fɔ sɔm tɛm to di skin na yu bɛlɛ.
Tink bɔt am, wi insay nɔto jɔs tyub. Dɛn kin mek wan tin we dɛn kɔl mucus ɔltɛm fɔ protɛkt dɛnsɛf ɛn ɛp tin dɛn fɔ muv izi wan. Naw, lɛ wi imajin se dɛn dɔn pul wan pat pan di insay bikɔs ɔf wan mɛrɛsin, ɔ dɛn dɔn separet am frɔm di ɔda pat dɛn na di bɔdi bikɔs i nid fɔ rɛst. Dɔn, da pat de we nɔ de wok na di insay de kɔntinyu fɔ mek da mכkus de.
So, if dɛn tin ya we de kɔmɔt na di bɔdi nɔ gɛt say fɔ go, dɛn kin gɛda na di intestinal ɛn mek pɔsin fil pen, nɔ fil fayn, ɛn gɛt infɛkshɔn. Wetin mכkus fistula de du na fכ mek wan we fכ dεn sekreshכn dεm de kכmכt na di bכdi izi εn sef wan.
Tipikli, yu go gɛt tu opin (stomas) we dɛn de du dis kayn ɔpreshɔn.
1. Di men stoma (Colostomy ɔ Ileostomy): na dis say di it ɛn stɔl we dɛn dɔn dayjɛst kin kɔmɔt. Dɛn kin tay wan bag pan dis.
2. Mucous fistula: Dis kin smɔl pas di ɔda wan. di mכkus sekreshכn dεm we wi bin mεnshכn de kכmכt frכm dis wan.
Wetin mek wi nid fɔ gɛt mucous fistula?
Dɛn kin du dis togɛda wit ɔda ɔpreshɔn dɛn we dɛn kin du na di bɔdi. I kin nid fɔ bi mɔ fɔ pipul dɛn we gɛt inflammatory bowel disease (IBD). Bɔku ɔda rizin dɛn de bak.
| Kɔndishɔn/Kɔz | Wan simpul ɛksplen |
|---|---|
| Crohn in sik ɛn Ulcerative colitis | Dis na sik dɛm wae kin mek di intestinal inflamɛns fɔ lɔng tɛm. Dɛn kin du dis ɔpreshɔn fɔ gi di pat pan di insay we dɔn pwɛl tɛm fɔ wɛl. |
| Kansa we de na di kɔlɔrɛkt | Dɛn kin yuz dis we fɔ sɔm tɛm te sɔm pat dɛn na di intestinal gɛt kɔnekshɔn bak afta dɛn dɔn pul wan kansa tɔŋ. |
| Divɛrtikulɔs | infεkshכn pan sכm sכm sכm sכm sכm sכm dεm we lεk sak we de gro kכmכt na di intestinal wכl dεm. |
| Intestinal obstruction ɔ aksidɛnt | Dɛn kin yuz dis we we wan pat pan di intestinal blɔk ɔ pwɛl we aksidɛnt apin te i wɛl. |
Wetin mek smɔl bebi dɛn nid dis?
Sɔntɛnde, ivin pikin dɛn we dɛn jɔs bɔn kin gɛt fɔ du dis ɔpreshɔn.
- di anus we nכ de pכt: dεn kin bכn sכm pikin dεm we nכ de opin na di an. Dis min se no we nɔ de fɔ mek stɔl pas. dεn kin mek wan tεmporari kכlostomi fכ alaw di stכl fכ pas εn dεn kin mek wan mכkus fistula fכ alaw mכkus fכ pas te di pikin strכng fכ mek dεn kכrekt כpεrayshכn.
- Intestinal atresias: Sɔm pikin dɛn kin gɛt blɔk ɔ diskɔnekshɔn na dɛn intestinal. If dɛn nɔ ebul fɔ ripɛnt dɛn tin ya wit wan ɔpreshɔn, dɛn kin nid fɔ mek dɛn mek wan tɛmporari mukɔs fistula.
Aw dis ɔpreshɔn ɛn di prɔses we gɛt fɔ du wit am de go?
Bɔku tɛm, na dɔktɔ we de du ɔpreshɔn pan di kɔlorektal we spɛshal fɔ ɔpreshɔn di big intestinal ɔ di smɔl intestinal kin du dis.
Bifo dɛn du di ɔpreshɔn
Yu dɔktɔ go ɛksplen to yu klia wan wetin yu nid fɔ du bifo dɛn du di ɔpreshɔn. Bɔku tɛm, na dɛn tin ya yu go nid fɔ du:
- Nɔ it ɔ drink ɛnitin fɔ sɔm awa bifo di ɔpreshɔn (fastin).
- Stɔp fɔ tek sɔm mɛrɛsin dɛn fɔ sɔm tɛm (espɛshali di wan dɛn we de mek blɔd nɔ klin) lɛk aw yu dɔktɔ tɛl yu.
- If yu de smok, i impɔtant fɔ lɛ yu lɛf fɔ smok fɔ lɛk sɔm wiks bifo yu du di ɔpreshɔn. Smok kin mek di risk fɔ gɛt prɔblɛm dɛn afta di ɔpreshɔn ɛn i kin mek di wund nɔ wɛl.
- Ɛmpti ɛn klin yu intestines kɔmplit wan bay we yu drink spɛshal drink (bowel prep) we yu dɔktɔ gi yu.
We dɛn de du di ɔpreshɔn
Dɛn kin du dis ɔpreshɔn ɔnda jenɛral anestezi. Dis min se yu nɔ go fil ɛnitin, yu go de slip. Di dɔktɔ we de du di ɔpreshɔn go du dɛn tin ya:
1. dεn kin mek wan insayshכn pan di skin fכ di bכdi fכ rich di pat we rilevεnt na di intestin.
2. di pat we sik na di intestinal כ di pat we nid fכ rεst de separet.
3. wan εnd pan di fכnshכnal pat pan di intestin de kכnekt to di men opin we dεn mek na di bכdi (stoma). Dɛn kɔl dis ileostomy ɔ colostomy.
4. dεn mek כda sכmכl opin εn kכnekt am to wan εnd pan di disabled pat pan di intestכn. Dis na di mukɔs fistula .
5. Dɔn dɛn kin siŋ di men say we dɛn kɔt.
6. Dɛn kin tay spɛshal bag dɛn (ostomy bag) pan ɔl tu di opin dɛn.
Bɛnifit, risk, ɛn tɛm fɔ wɛl
Lɛk ɛni ɔpreshɔn, dis wan gɛt bɛnifit ɛn prɔblɛm dɛn.
| Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
| mek di mכkus nכ kכmכt na di kכlon we nכ de wok fayn εn alaw am fכ kכmכt sef wan. | Infεkshכn כ injuri na di skin we de rawnd di opin. |
| Fɔ mek yu nɔ gɛt pen, nɔ fil fayn, ɛn infekshɔn we kin kam bikɔs yu gɛt bɔku bɔku wata. | di stoma kin kכmכt (retraction) כ kכmכt (prolaps) frכm di skin. |
| Gi di pat pan di intestin we dɔn pwɛl di rɛst we i nid fɔ wɛl. | Ɛnia rawnd di opin. |
| di bכdi כ mכkus de kכmכt na di rεktum (Diversion proctitis). |
Di tɛm fɔ mek pɔsin wɛl
Yu go de na di ɔspitul fɔ lɛk wan wik so afta di ɔpreshɔn. Insay dis tɛm, di wan dɛn we de wok na di nɔs go tich yu aw fɔ klin ɛn chenj yu stoma ɛn paus, ɛn aw fɔ kia fɔ di skin we de rawnd dɛn. Fɔs, di stoma dɛn kin luk big smɔl, dak, ɛn wet, bɔt as tɛm de go dɛn go smɔl ɛn flat.
insay di fכs stej dεm, di mכkus we pasmak de kכm כt na di mכkus fistula.I kin kɔmɔt na do. So yu get fo wear smol bag fo dat tu. Bɔt as tɛm de go, dis dischaj go go dɔŋ bɔku. Sɔntɛnde, i go go dɔŋ te dɛn kin kɔba am wit goz we dɛn kin yuz ɔltɛm.
Yu tink se dis go de sote go?
Wan pan de big tin wae de frayd fɔ bɔrku pipul na dat dis go bi wan sik wae go de fɔ ɔl dɛn layf. Di gud nyus na dat, bɔku tɛm, dis na fɔ shɔt tɛm nɔmɔ. dis dεn kin du fכ gi di pat pan di intestin we dεn afekt bכku εn chans fכ hεl. Dis we aw pɔsin kin wɛl kin tek sɔm wik, mɔnt, ɔ ivin sɔm ia. If yu dɔktɔ disayd fɔ du dat, dɛn kin ɔpreshɔn di pat pan di intestin bak ɛn alaw yu fɔ gɛt nɔmal bɔdi muvmɛnt.
Ustɛm fɔ kɔl dɔktɔ wantɛm wantɛm
Afta yu dɔn go na os, if yu gɛt ɛni wan pan dɛn sik ya, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm . Ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- If blɔd de na di stɔl.
- If yu de blɔd pasmak ɛn i nɔ kɔmɔn.
- If yu kin gɛt nɔys ɛn vɔmit bɔku tɛm.
- If yu gɛt sayn dɛn fɔ se yu gɛt di sik, lɛk fiva, kol, ɛn shek shek.
- If yu gɛt prɔblɛm fɔ pis ɔ fɔ pul dɔti (frɔm di men stoma).
Fɔ liv wit stoma kin tranga fɔs. Bɔt we yu dɔn lan aw fɔ kɔntrol am, yu go ebul fɔ liv nɔmal layf. Tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.
Mɛsej we dɛn kin kɛr go na os
- di mכkus fistula na wan prכtektiv opin we de alaw fכ pul di mכkus we di pat pan di intestin we nכ de wok fayn fכ pul na di bכdi afta dεn dכn כpεrayshכn di intestinal.
- dis kin bi we dεn kin du am wit כda big כpεrayshכn (colostomy כ ileostomy).
- Bɔku tɛm, dis na sɔlv fɔ sɔm tɛm . We di bɔdi dɔn wɛl, dɛn kin du ɔpreshɔn fɔ mek i nɔmal bak.
- I rili impɔtant fɔ tek kia ɔf yu stoma ɛn di skin we de rawnd am fayn fayn wan. Di ɔspitul go gi yu advays bɔt dis.
- If yu gɛt sɔm kayn tin dɛn we nɔ kɔmɔn lɛk we yu de blɔd bɔku, fiva, ɔ vɔmit , go to yu dɔktɔ wantɛm wantɛm.
- Tɔk to yu dɔktɔ bɔt ɛnitin we de mɔna yu ɔr kwɛstyɔn we yu gɛt bɔt dis. Dɛn go ebul fɔ ɛp yu.
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