Yu kin gɛt di abit bak fɔ fil ɔltɛm se yu chɛst de bɔn ɛn yu trot de te? Dis sik kin wɔs if di it we yu de it gɛt spays smɔl, ɔ if yu ledɔm fɔ sɔm tɛm afta yu dɔn it na nɛt? Dis na di men sayn fɔ wan sik we bɔku pipul dɛn kin kɔl "gastritis", bɔt insay mɛrɛsin wi kin kɔl am Gastroesophageal Reflux Disease, ɔ GERD fɔ shɔt. Sɔntɛnde, ivin we pɔsin tek mɛrɛsin ɛn chenj in layf nɔ kin ridyus dis sik we de mek pɔsin vɛks. Na dɛn kayn tɛm ya, tide wi go tɔk bɔt wan spɛshal ɔpreshɔn we dɔktɔ dɛn kin se.
Fɔs, wetin na GERD?
Fɔ tɔk am simpul wan, GERD na wan sik we kin apin na wi dijestiv sistɛm. Wan tiub de we de kɛr di it we wi de it frɔm wi mɔt go na wi bɛlɛ (bɛlɛ), ɛn wi kin kɔl am di ɛsophagus . nכmal wan, wan valv de bitwin di εsophagus εn di bεlε fכ mek di strכng asid dεm na di bεlε we de εp fכ digεst it, nכ fכ fכlכ bak כp di εsophagus.
bכt insay GERD, dis valv nכ de wok fayn, so di bכdi asid εn di it we dεn digεst de fכlכ bak כp insay di εsophagus. I fayn if dis kin apin wan ɔ tu tɛm, bɔt we i kin apin ɔltɛm ɔ fɔ lɔng tɛm, wi kin kɔl am GERD. Dis asid na wae de mek yu fil tin lek wae yu de bɔn na yu chɛst ɛn yu trot de at.
So wetin na dis Nissen Fundoplication ɔpreshɔn?
Okay, naw mek wi tok abaut dis opareshon. Nissen Fundoplication na wan ɔpreshɔn we a bin dɔn tɔk bɔt fɔ kɔrɛkt di GERD kɔndishɔn. wetin dis de du na fכ mek di pat we de wok lεk valv usay di εsophagus εn di bεlε de mit, strכng.
Aw dɛn kin du am? Imajin se wi dɔktɔ tek di ɔp pat na di bɛlɛ (wi kɔl am di fundus) ɛn rap am rawnd di bɔt ɔf di ɛsophagus ɛn tayt am. I tan lɛk se wi tek wan klos ɛn rap am rawnd wan tiub ɛn tay wan knot. dis de tayt di pat we lεk valv we lכs, we de mek di bכdi asid nכ de kam bak כp. Dis na di men tin we kin apin wit dis ɔpreshɔn.
Tu we dɛn de fɔ du dis ɔpreshɔn.
Dɔktɔ dɛn kin du dis ɔpreshɔn tu men we dɛn. Yu dɔktɔ go disayd us we fɔ du am fayn fɔ yu bay aw yu sik.
| Di we aw dɛn kin du ɔpreshɔn | Tɔk bɔt |
|---|---|
| Laparoskopik we fɔ du tin | Dis na di we we dɛn kin yuz mɔ, we dɛn de yuz tide. Na ya, dɛn nɔ kin kɔt big say na di bɛlɛ. Bifo dat, dɛn kin du di ɔpreshɔn bay we dɛn kin kɔt 4 ɔ 5 rili smɔl smɔl say dɛn, put kamɛra (Laparoscope) tru wan pan di say dɛn we dɛn kɔt ɛn put rili smɔl ɔspitul inschrumɛnt dɛn tru di ɔda say dɛn. Dɛn kin si di pikchɔ dɛn we dɛn kin pul na di kamɛra na wan monita, we kin mek dɛn ebul fɔ du di ɔpreshɔn fayn fayn wan. |
| Opin di we aw fɔ du am | Dis na di tradishɔnal we aw dɛn kin du am. Na ya, dɛn kin kɔt di bɛlɛ we big smɔl, we kin mek di dɔktɔ si di ɔgan dɛn dairekt wan. Dɛn kin yuz dis we we ɔda prɔblɛm dɛn de, ɔ we di laparoskopik we nɔ pɔsibul. |
Udat want fɔ mek dɛn du dis ɔpreshɔn?
Nɔto ɔlman we gɛt GERD go nid dis ɔpreshɔn.
Fɔs, yu dɔktɔ go tray fɔ kɔntrol di sik tru mɛrɛsin ɛn chenj in layf (e.g., fɔ ridyus di it dɛn we gɛt spays ɛn ɔyl, ɛn tek lɔng tɛm fɔ blo fɔ it na nɛt bifo yu go slip).
Bɔt if yu sik nɔr bɛtɛ pan ɔl we dɛn dɔn du dɛn tin ya, ɔ if yu nɔr kin fil fayn fɔ tek mɛrɛsin fɔ lɔng tɛm ɔ yu de gɛt ɔda sayd ɛfɛkt frɔm di mɛrɛsin, yu dɔktɔ kin tɛl yu fɔ yuz Nissen Fundoplication. Dɛn kin du dis ɔpreshɔn pan pikin ɛn big pipul dɛn.
Wetin yu kin du bifo dɛn du yu ɔpreshɔn?
Afta yu dɔn disayd fɔ du ɔpreshɔn, yu dɔktɔ go tɛl yu fɔ du bɔku tɛst dɛn fɔ no di kayn we aw yu εsophagus ɛn yu bɛlɛ de kɔrɛkt wan.
- GI X-ray (Barium Swallow): Dɛn kin swɛla wan spɛshal wata we dɛn kɔl barium ɛn tek ɛkstrem rayt pikchɔ dɛn we i de travul dɔŋ di εsophagus. dis kin εp fכ no if εni blכk de na di εsophagus.
- Esophageal Manometry: Dɛn kin put smɔl tiub tru yu nos insay yu esophagus ɛn i kin mɛzhɔ di prɛshɔn we de na di mɔsul dɛn na yu esophagus we yu de swɛla sɔntin.
- כp εndoskopi: di "εndoskopi" tεst we wi כl no. Dɛn kin put wan tiub we gɛt kamɛra tru di mɔt ɛn chɛk di εsophagus, di bɛlɛ, ɛn di fɔs pat pan di smɔl intestin.
- pH Probe: na tεst we de mכsu aw mכch asid de na di εsophagus εn aw lכng i de de.
Sɔntɛnde dɛn tɛst ya kin no wan sik we dɛn kɔl hiatal hernia . dis na we di כp pat pan di bεlε de kכmכt insay di chεst kεviti. Dis kin mek bak di GERD simptom dɛn bɔku. Dɛn kin kɔrɛkt dis sik bak wit ɔpreshɔn.
Wetin kin apin afta di ɔpreshɔn?
We yu wek afta di ɔpreshɔn, yu de na di wɔd.
- Yu trot kin at smɔl fɔ di fɔs tu dez.
- If yu bin gɛt opin ɔpreshɔn, dɛn go put wan tiub (Nasogastric - NG tiub) tru yu nos fɔ pul ɛni wata we gɛda na yu bɛlɛ. Dɛn go pul am afta sɔm tɛm.
- Te yu ebul fɔ it ɛn drink bak, dɛn go gi yu wata tru wan IV layn.
- We yu pas gas ɔ yu gɛt bɔdi, i min se yu dijestiv sistɛm dɔn bigin fɔ wok nɔmal wan bak. Afta dat, yu kin bigin fɔ it smɔl smɔl.
Bɔku tɛm, if dɛn du yu ɔpreshɔn wit laparoscopic, yu kin go na os insay wan ɔ tu dez. If yu gɛt opin ɔpreshɔn, yu go gɛt fɔ de na ɔspitul fɔ sɔm dez.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Lɛk ɛni ɔda tin, dis wan gɛt bɛnifit ɛn smɔl risk dɛn.
Di men bɛnifit na di big rilif frɔm di GERD simptom dɛm. Di at we de bɔn ɔltɛm ɛn di we aw di bɔdi kin tɔn bak nɔ de igen. I de ɛp bak fɔ ridyus di risk fɔ gɛt ɛsophageal kansa (Barrett’s esophagus) bikɔs ɔf GERD fɔ lɔng tɛm. Ɛspɛshali if dɛn du di ɔpreshɔn wit laparoskopik, i nɔ go gɛt bɔku pen, i kin wɛl kwik kwik wan, ɛn i kin de na ɔspitul fɔ shɔt tɛm.
We i kam pan risk dɛn , di men tin na dat sɔntɛnde di rilif we dɛn kin gɛt frɔm dis ɔpreshɔn nɔ kin de sote go. Na smɔl pipul dɛn nɔmɔ go nid fɔ du di ɔpreshɔn bak insay sɔm ia. Dɔn bak, lɛk ɛni ɔpreshɔn, smɔl risk de fɔ mek pɔsin gɛt infɛkshɔn na di say we dɛn kɔt am.
Aw lɔng i kin tek fɔ mek i wɛl?
Afta yu go na os, yu dɔktɔ go mɔs tɛl yu fɔ it wata ɔ sɔft it fɔ di fɔs wan ɔ tu wiks. Fɔ ɛgzampul, sup, yogɔt, pɔrit, ɛn mash potato. Afta dat, yu kin chenj smɔl smɔl to it dɛn we yu kin it ɔltɛm.
Yu kin bigin fɔ du tin dɛn we yu nɔ bin de du bak insay sɔm dez afta dɛn dɔn du yu ɔpreshɔn. Bɔt i bɛtɛ fɔ lɛ yu nɔ es ebi ebi tin ɔ yu nɔ fɔ du ɛksasaiz fɔ at le tri wiks. Yu dɔktɔ go gi yu patikyula instrɔkshɔn bɔt dis.
Ustɛm yu want fɔ si di dɔktɔ bak?
If yu sik kam bak afta yu dɔn du di ɔpreshɔn, mek shɔ se yu go to yu dɔktɔ. I nɔmal bak fɔ gɛt sɔm swɛlin rawnd di ɔspitul wund. Bɔt if yu si ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.
- If di wund de blɔd
- If di swɛlin go bɔku pasmak
- If yu gɛt fiva
- If di skin we de rawnd di wund rɛd ɛn fil wam
- If pɔsin de vɔmit
Mɛsej we dɛn kin kɛr go na os
- Nissen Fundoplication na wan saksesful ɔpreshɔn fɔ siriɔs GERD (at bɔn/riflɔks) we dɛn nɔ kin ebul fɔ kɔntrol wit mɛrɛsin.
- dis כpεrayshכn de stכp di bεlε asid fכ kam bak כp insay di εsophagus.
- Bɔku tɛm, dɛn kin du dis ɔpreshɔn wit di ɛp we dɛn kin yuz kamɛra (laparoskopik), so di pen nɔ kin bɔku ɛn di pɔsin kin wɛl kwik kwik wan.
- Afta dɛn dɔn du di ɔpreshɔn, i rili impɔtant fɔ fala di tin dɛn we di dɔktɔ de it ɛn di tin dɛn we i tɛl yu fɔ du fɔ mek yu wɛl kwik kwik wan.
- If sayn ɔ simptom dɛm fɔ wund infɛkshɔn kam bak, go to yu dɔktɔ kwik kwik wan.
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