Yu kin gɛt at bɔn bak ɔltɛm? Yu kin fil lɛk se sɔntin dɔn stɔp na yu trot ɔ na yu chɛst? Yu fil se di it we yu de it de kam bak na yu trot? Bɔrku pipul kin kɔl dis "gastritis." Dɛn kɔl dis sik bay mɛrɛsin as Gastroesophageal Reflux Disease, ɔ (GERD) fɔ shɔt tɛm. Yu nɔ ebul fɔ pul dis prɔblɛm pan ɔl we yu de tek mɛrɛsin ɛn kɔntrol di tin dɛn we yu de it? Dɔn dis na sɔntin we go rili impɔtant to yu. Lɛ wi luk wan saksesful sɔlv fɔ dis, ɔpreshɔn.
Wetin na dis Nissen Fundoplication ɔpreshɔn?
Fɔ tɔk am simpul wan, dis na ɔpreshɔn we dɛn kin du fɔ trit siriɔs gastroesophageal reflux disease (GERD).
Tink bɔt am dis we. We wi de it, di it de go dɔŋ di εsophagus ɛn go insay di bɛlɛ. Bitwin di εsophagus εn di bεlε, wan valv de we dεn kכl sphincter we de wok lεk doa. We wi swɛla, dis valv de opin ɛn mek di it pas insay di bɛlɛ. Dɔn i kin lɔk tayt tayt wan. i de du dis fכ stכp di harsh asid dεm na di bεlε fכ kam bak כp insay di εsophagus.
Bɔt pan pɔsin we gɛt GERD, dis valv nɔ de wok fayn. I dɔn lɔs. So di asid we de na di bɛlɛ kin kam ɔp izi wan, dat na, insay di εsophagus. Na dat mek yu kin gɛt sayn dɛm lɛk at bɔn ɛn wan sɔl teys na yu trot.
Na dis na wetin de apin na wan Nissen Fundoplication. di sajin de tek di tכp pat pan di bεlε (di fundus) εn rap am rawnd di bכtכm pat pan di εsophagus. I tan lɛk se yu put band rawnd sɔntin we lɔs. Dis rap de mek di valv we dɔn lɔs strɔng bak. Dɔn di bɛlɛ asid de de na di bɛlɛ ɛn i nɔ de kam ɔp.
Dɔktɔ dɛn kin se dɛn fɔ du dis ɔpreshɔn we ɔda tritmɛnt dɛn lɛk mɛrɛsin nɔ ebul fɔ kɔntrol GERD.
Yu tink se difrɛn kayn ɔpreshɔn dɛn de we dɛn kin du?
Yɛs, sɔm men kayn ɔpreshɔn dɛn de, i kin dipen pan di bɔku bɔku bɛlɛ tisu we dɛn rap rawnd di εsophagus. Yu dɔktɔ we de du ɔpreshɔn go ɛksplen to yu us we fɔ du am fayn fɔ yu sityueshɔn.
| Di kayn ɔpreshɔn we dɛn kin du | Fɔ ɛksplen am simpul wan |
|---|---|
| Nissen 360 digri wrap | Dis na di kɔmplit we fɔ rap. di כp pat pan di bεlε de rap kכmplit wan (360 digri) rawnd di lכw pat pan di εsophagus. |
| Toupee 270 digri wrap | na ya, di כp pat pan di bεlε de rap rawnd di bak pat pan di εsophagus nכmכ (270 digri). I nɔ rap rawnd di wan ol say we de rawnd am. |
| Anterior pen 180-digri wrap | insay dis mכtכd, dεn kin rap wan pat pan di bεlε rawnd di fכnt pat pan di εsophagus bay haf (180 digri) εn kכnekt am to di dayafragm. |
Wetin a nid fɔ du bifo dɛn du di ɔpreshɔn?
Afta yu dɔn disayd fɔ du ɔpreshɔn, yu dɔktɔ go tɛl yu fɔ du bɔku tɛst dɛn. Dɛn kin du dɛn tin ya fɔ chɛk if yu εsophagus dɔn smɔl, aw i de wok, ɛn if yu gɛt wan sik we dɛn kɔl hiatal hernia . Hiatal hεnia na hεnia we pat pan di bεlε de push כp tru di dayafragm insay di chεst. Dis kin mek di GERD simptom dɛn wɔs. If yu gɛt dis sik, di dɔktɔ we de du di ɔpreshɔn go mek am bak di sem tɛm we dɛn du di ɔpreshɔn.
Dis na di tɛst dɛm we dɛn kin du:
- di כp εndoskopi: dεn de put wan tכb we gεt kεmεra we dεn tay tru di mכt fכ egzamin di insay pat pan di εsophagus εn di bεlε.
- Esophageal Manometry test: na tεst we de mכsu aw di mכsul dεm na di εsophagus de kכntrakt, dat na aw dεn de wok fayn fayn wan.
- pH Monitoring Test: Na test we de mכsu aw mכch asid de na yu εsophagus fכ lεk 24 awa.
- Gastrointestinal (GI) X-ray: dεn kin tek εks-ray imej fכ di εsophagus εn bεlε afta yu drink spεshal wata (barium). dεn de egzamin di shep εn di wok we di εsophagus εn bεlε de du.
Dɔn bak, dɛn go tɛl yu fɔ nɔ it ɔ drink ɛnitin afta midnayt di nɛt bifo di ɔpreshɔn. I rili impɔtant fɔ fala dɛn instrɔkshɔn ya di rayt we.
Aw dɛn kin du di ɔpreshɔn?
Dɛn kin du dis ɔpreshɔn tu men we dɛn. Dɛn go gi yu jenɛral anestezi, so yu nɔ go fil ɛnitin we dɛn de du di ɔpreshɔn, yu go de slip.
| Di we aw dɛn kin du ɔpreshɔn | Aw fɔ du am |
|---|---|
| Opin Ɔpreshɔn | Dɛn kin kɔt wan say na di bɛlɛ. tru dis, di sajin de rap di כp pat pan di bεlε rawnd di εsophagus. Dɔn dɛn kin lɔk di say we dɛn kɔt wit stich ɔ step. |
| Laparoskɔpik Ɔpreshɔn | Dɛn kin kɔl dis bak "keyhole surgery." Dɛn kin kɔt 4 to siks smɔl smɔl say dɛn na di bɛlɛ. Dɛn kin put laparoscope , we na wan tin tiub we gɛt kamɛra we dɛn tay, tru wan pan di say dɛn we dɛn kɔt. Dɛn kin si di pikchɔ dɛn we dɛn kin pul na di kamɛra na wan monita, ɛn dɛn kin put smɔl smɔl tin dɛn we dɛn kin yuz fɔ du ɔpreshɔn tru ɔda say dɛn we dɛn kɔt fɔ mek dɛn du di ɔpreshɔn. Dɔn dɛn kin lɔk di say dɛn we dɛn kɔt wit stich. Dis we ya kin bi mɔ bikɔs i nɔ kin lɛf skata, i nɔ kin mek pɔsin fil pen, ɛn i kin wɛl kwik kwik wan. |
Bɔku tɛm, dis ɔpreshɔn kin tek lɛk wan to tri awa so fɔ dɔn.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Bɛnifit dɛn
Di big bɛnifit fɔ dis ɔpreshɔn na dat i de gi rilif frɔm di bad bad GERD simptom dɛm we ɔda tritmɛnt dɛm nɔ bin ebul fɔ kɔntrol. I de ridyus bak di risk fɔ gɛt Barrett’s esophagus, we na wan sik we kin divɛlɔp as tɛm de go bikɔs ɔf GERD. Barrett in εsophagus na wan prεkansa kכndyushכn we kin mek yu gεt kansa na di εsophagus.
Risk dɛn (Kɔmplikeshɔn dɛn) .
Jɔs lɛk ɛni ɔpreshɔn, i kin izi fɔ mek pɔsin gɛt di sik. Bɔt di men tin we kin mek yu gɛt prɔblɛm na di pɔsibul fɔ mek di sik kam bak afta sɔm tɛm. Sɔm stɔdi dɔn sho se lɛk 10% pan di pipul dɛn we gɛt dis ɔpreshɔn kin nid fɔ gɛt ɔda ɔpreshɔn.
Wetin kin apin afta di ɔpreshɔn? Aw lɔng i kin tek fɔ mek i wɛl?
Afta di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ wan de ɔ sɔm dez.
- If dɛn bin dɔn ɔpreshɔn yu opin, dɛn kin put wan tɛmporari nasogastric tyub insay yu nos fɔ pul ɛni wata we gɛda na yu bɛlɛ.
- Dɛn go gi yu salin (IV fluid) fɔ mek yu bɔdi nɔ gɛt wata.
- yu go gi yu nyutrishכn tru salin te yu intestin dεm bigin fכ wok nכmal wan bak (i.e., te yu pas gas כ stכl).
Di Tɛm fɔ Rikɔva
I rili impɔtant fɔ rɛst fɔ di fɔs dez afta dɛn dɔn du di ɔpreshɔn. Afta dat, yu kin bigin fɔ du yu nɔmal tin dɛn bak smɔl smɔl. Bɔt if yu na pɔsin we de du bɔku ɛksesaiz, yu dɔktɔ go advays yu fɔ du smɔl ɛksesaiz nɔmɔ fɔ sɔm wiks.
Pikin we dɛn dɔn du dis ɔpreshɔn kin go bak na skul afta sɔm dez, bɔt i fɔ avɔyd fɔ rɔn, jomp, ɔ spɔt we gɛt tranga fɔ at le tri wiks.
Lɛ yu bɔdi kam dɔŋ
Yu kin gɛt sɔm trot we de at insay di fɔs dez afta dɛn dɔn du di ɔpreshɔn. So, yu go nid fɔ it wata ɛn sɔft it fɔ di fɔs 7-10 dez .
- Start wit likwid lɛk prɔtin shek ɛn smoothie.
- Dɔn yu kin go to it dɛn we nɔ gɛt wan bɔt lɛk yogɔt, skrambl eg, pasta, ɛn rays.
- I rili impɔtant fɔ de fa frɔm it dɛn we gɛt spays, ɔyl, ɛn we at fɔ dayjɛst insay dis tɛm.
If yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm.
If yu gɛt ɛni wan pan dɛn tin ya afta yu dɔn go na os afta dɛn dɔn du yu ɔpreshɔn, kɔl yu dɔktɔ wantɛm wantɛm.
- If di kɔt de blɔd pas aw dɛn bin de tink.
- If yu si sayn dɛm fɔ se yu gɛt di sik :
- If swɛlin pasmak de rawnd di say we dɛn kɔt am.
- If yu gɛt fiva.
- If rɛdnɛs de rawnd di say we dɛn kɔt am.
- If di skin we de rawnd di say we dɛn kɔt de fil wam we yu tɔch am.
- If yu fil se yu GERD simptom dɛm we bin de bifo yu ɔpreshɔn de kam bak .
If yu na pɔsin we dɔn tek mɛrɛsin, kɔntrol yu it, ɛn du ɔltin bɔt stil de sɔfa wit dis bɔn we de bɔn na in chɛst ɛn asid riflɔks prɔblɛm, Nissen Fundoplication ɔpreshɔn kin bi gud sɔlv fɔ yu. Dis kin mek yu layf rili fil fayn. Fɔ no mɔ bɔt dis, ɛn fɔ disayd if dis fayn fɔ yu, mek shɔ se yu tɔk to yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Nissen Fundoplication na ɔpreshɔn we dɛn kin du fɔ siriɔs GERD (acid reflux) we dɛn nɔ kin ebul fɔ kɔntrol wit mɛrɛsin.
- dis כpεrayshכn involv fכ strכng di lכs valv bitwin di bεlε εn εsophagus yuz wan pat pan di bεlε insεf.
- Dis ɔpreshɔn kin bi opin ɔ laparoskopik. Di laparoskopik we dɛn kin yuz na in kɔmɔn mɔ.
- Yu go nid fɔ yus to wata ɛn sɔft it fɔ lɛk di fɔs tu wiks afta dɛn dɔn du di ɔpreshɔn.
- Di bɛst we fɔ no if dis ɔpreshɔn fayn fɔ yu na fɔ tɔk bɔt am wit yu dɔktɔ.
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