Yu ɔ pɔsin we yu sabi kin dɔn fil smɔl fred ɛn fred we di dɔktɔ tɔk bɔt wan ɔpreshɔn we dɛn kɔl ‘Proctectomy’. Dat na rili nɔmal tin. Udat nɔ lɛk di aidia fɔ ɔpreshɔn, nɔto so? Bɔt if wi no dɛn tin ya klia wan ɛn kɔrɛkt wan, wi go ebul fɔ pul di fred we nɔ nid fɔ fred ɛn fes am wit kolat na wi maynd. So tide, lɛ wi tɔk bɔt dis Proctectomy ɔpreshɔn insay simpul wɔd dɛn.
Fɔ tɔk am simpul wan, wetin na Proctectomy?
Prɔktɛktɔmi na ɔpreshɔn we dɛn kin pul wan pat ɔ ɔl di pat pan yu rɛktum. Naw yu kin de wɔnda wetin na di rɛktum. Na di las pat pan yu big intestinal, we lɔng lɛk siks inch. Mɔ spesifik wan, na di pat we de jɔs ɔp di an, usay di stɔl de kɔmɔt. Sɔntɛnde, dipen pan di kɔndishɔn, dɛn kin gɛt fɔ pul di rɛkɛt bak we dɛn de du dis ɔpreshɔn.
Wetin mek yu nid fɔ du dis kayn ɔpreshɔn?
Bɔku men rizin dɛn de we mek dɛn kin du dis kayn big ɔpreshɔn. Dɔktɔ go jɔs tɛl yu fɔ du dis ɔpreshɔn pan tin dɛn we rili bad, we no ɔda tin nɔ de fɔ du.
- Kansa na di rεktal: Dis na di men εn kɔmɔn rizin fɔ mek dεn kכl proktεktכmi. Dis ɔpreshɔn nid fɔ pul di kansa sɛl dɛn ɛn stɔp dɛn fɔ mek dɛn nɔ skata.
- Inflammatory Bowel Disease (IBD): Yu go dɔn yɛri bɔt ɔlsa kɔlayt ɔ Crohn’s disease . We dɛn tin ya kin rili bad fɔ mek dɛn ebul fɔ kɔntrol am wit mɛrɛsin ɛn ɔda tritmɛnt dɛn, dɛn kin nid fɔ du ɔpreshɔn fɔ mek dɛn nɔ gɛt di pen ɛn dayarɛa we dɛn kin gɛt.
- Famili Adenomatous Polyposis (FAP): Dis na jεnεtik kכndyushכn. i de mek bכku sכm sכm sכm tin dεm we de gro (polyps) fכm na di kכlon εn rεktum. Dɛn growth ya gɛt ay chans fɔ bi kansa as tɛm de go. So dɛn kin se dɛn fɔ du dis ɔpreshɔn as step fɔ mek kansa nɔ kam.
Pan ɔl we dis ɔpreshɔn na big big ɔpreshɔn, di ɛp we i de gi fɔ sev yu frɔm sik lɛk kansa we de mek yu layf de pan denja, rili valyu.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Yu dɔktɔ go du yu kɔmplit ɛgzam bifo dɛn du yu ɔpreshɔn. I impɔtant fɔ ɔndastand yu ɔl yu wɛlbɔdi biznɛs bifo yu plan fɔ du yu ɔpreshɔn.
- Test: Blɔd tɛst, ECG tɛst, ɛn ɔda imej tɛst if nid de. If yu nɔ bin dɔn du kɔlon skɔpi bifo, yu go nid fɔ mek dɛn du dat bak.
- Bowel prep: Dis na tin we rili impɔtant.Bifo di ɔpreshɔn, di insay dɛn fɔ ɛmti ɛn klin. Fɔ dis, di dɔktɔ go gi yu wan mɛrɛsin we de mek yu nɔ gɛt bɛlɛ ( laxative ) ɔ yu go yuz ɛnima .
- Mɛrɛsin: If yu de tek ɛni mɛrɛsin, lɛk we de mek yu blɔd tan, dɛn go aks yu fɔ stɔp fɔ tek am sɔm dez bifo dɛn du yu ɔpreshɔn. Mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek.
- Smok: If yu na pɔsin we de smok, if yu lɛf fɔ smok ɔltogɛda sɔm wiks bifo dɛn du yu ɔpreshɔn, dat go ɛp yu bad bad wan.
Aw dɛn kin du di ɔpreshɔn ɛn di men kayn dɛn
Bifo di ɔpreshɔn bigin, wan dɔktɔ we de anestez go gi yu jenɛral anestezi. So yu go de slip ɔl di tɛm we dɛn de du di ɔpreshɔn ɛn yu nɔ go fil ɛni pen.
Di kayn proktɛktɔmi we yu go du kin dipen pan di kayn sik, usay di sik de, ɛn aw i big. Tri men kayn dɛn de.
| Tayp fɔ Ɔpreshɔn | Tɔk bɔt |
|---|---|
| Risekshɔn na di bɛlɛ (APR) . | insay dis, dεn kin pul yu כl rεktum, anus, εn di mכsul dεm we de rawnd am (sphincter muscles). Bikɔs dɛn kin pul di an, dɛn kin mek wan opin na di bɛlɛ in skin fɔ mek di stɔl pas. Dɛn kɔl dis ostomy . Dɛn kin tay wan paus na di domɔt we de opin. Stɔl kin gɛda na dis paus. Dis paus nid fɔ ɛmti bɔku tɛm insay di de. Dɛn kin du dis ɔpreshɔn if di kansa rili nia di an. |
| Lכw antεriכr rεsεkshכn (LAR) . | Dis min se yu fɔ tray fɔ kip di an ɛn di mɔsul dɛn as yu ebul. na di pat we sik nכmכ dεn de pul, εn di rεst hεlty pat pan di intestin de kכnεkt bak to di an ( anastomosis ). If dis wok fayn, yu nɔ nid fɔ gɛt ostomy bag. Yu kin pas stɔl nɔmal wan. |
| Robot-assisted rεktal rεsεkshכn | Dis na wan mכdan, minimally invasive mεtכd we dεn de yuz fכ du LAR כpεrayshכn. Di dɔktɔ we de du di ɔpreshɔn kin yuz rɔbɔt tɛknɔlɔji fɔ du di ɔpreshɔn wit bɔku prɛsishɔn ɛn prɛsishɔn. Di bɛnifit dɛn we dis kin gɛt na we i nɔ kin gɛt bɔku blɔd, i kin wɛl kwik kwik wan, ɛn i kin kɔrɛkt. |
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ sɔm dez, sɔntɛm wan wik, i go dipen pan yu kɔndishɔn.
- Aw fɔ mɛn yu pen: Yu go kɔntinyu fɔ gɛt mɛrɛsin fɔ kɔntrol di pen we yu de gɛt.
- Tiub dεm: dεn kin put kateshכn fכ drεn urine εn dεn kin put כda tyub dεm (drein) fכ pul wata we de kכlekt na di say we dεn de du di כpεrayshכn. Dɛn tin ya na fɔ shɔt tɛm nɔmɔ.
- Fɔ it: Sɔntɛm yu nɔ go ebul fɔ it fɔs. As yu dijestiv sistɛm de wɛl, dɛn go gi yu wata fɔs, dɔn smɔl smɔl dɛn go bigin fɔ it sɔft it.
- Fizik tritmɛnt: Pɔsin we de mɛn yu bɔdi kin ɛp yu fɔ gɛt trɛnk bak ɛn waka.
Bifo yu go na os, yu mɛdikal tim go ɛksplen aw fɔ kia fɔ yu wund, aw fɔ tek mɛrɛsin fɔ mek yu fil pen, us it fɔ it, ɛn ɛni instrɔkshɔn we yu nid fɔ fala.
Wetin na di prɔblɛm ɛn prɔblɛm dɛn we kin apin we dɛn du di ɔpreshɔn?
Lɛk ɛni big ɔpreshɔn, ɔpreshɔn we dɛn kin du fɔ pul di bɔdi kin gɛt sɔm prɔblɛm dɛn ɛn sɔm prɔblɛm dɛn, ɛn i impɔtant fɔ no bɔt dɛn.
| Tayp fɔ Kɔmplikɛshɔn | Tɔk bɔt |
|---|---|
| Kɔmplikɛshɔn dɛn we kin apin fɔ shɔt tɛm | |
| Sik we de prɛd | Infεkshכn kin apin na di say we dεn kכl am כ insay di bכdi. |
| Blɔd we de kɔmɔt | If yu blɔd pasmak we dɛn de du di ɔpreshɔn ɔ afta dɛn dɔn du di ɔpreshɔn, yu go nid fɔ tek blɔd. |
| Blɔd we de klɔt | Afta di ɔpreshɔn, blɔd kin klɔt na di leg dɛn bikɔs dɛn tinap mɔ ɛn mɔ. If dɛn travul go na di lɔng ( pulmonary embolism ), dɛn kin denja. |
| Lik na di kɔnɛkshɔn | If lik apin na di say we di intestinal rikonekt (anastomosis), dɛn go gɛt fɔ du ɔpreshɔn bak. |
| Kɔmplikɛshɔn dɛn we kin apin fɔ lɔng tɛm | |
| Di disfɔkshɔn pan mami ɛn dadi biznɛs | Di ɔpreshɔn kin pwɛl di nerv dɛn we de involv fɔ du mami ɛn dadi biznɛs, we kin mek man dɛn nɔ ebul fɔ tinap fayn ɔ anorgasmia pan ɔl tu di man ɛn uman. |
| Di chenj dɛn we de apin na di bɔdi we de muv | Yu kin gɛt tin dɛn we kin mek yu want fɔ go na di bafa bɔku tɛm, yu kin want fɔ go na di bafa wantɛm wantɛm, ɔ sɔntɛm i nɔ kin izi fɔ yu fɔ kɔntrol yu bɔdi. |
| Prɔblɛm dɛn we gɛt fɔ du wit ostomy | di kכndishכn dεm lεk di skin prכblεm, lik, כ hεnia kin apin arawnd di ostomy bag. |
Ustɛm yu nid fɔ tɔk to di dɔktɔ?
We yu rich na os, i impɔtant fɔ no sɔm sayn dɛn we de wɔn yu. If yu notis ɛni wan pan dɛn tin ya, kɔl yu dɔktɔ wantɛm wantɛm.
- If yu gɛt fiva we na 38 digri sɛlshiɔs (100.4 Fahrenheit) ɔ pas dat.
- If di pen de wɔs ɔr nɔr de pul am wit mɛrɛsin fɔ mɛn di pen.
- If di say we dɛn kɔt am rɛd, i swel, ɔ wata we tan lɛk pus de kɔmɔt.
- If blɔd de kɔmɔt pasmak.
- If i nɔ izi fɔ yu fɔ pis ɔ if yu urine nɔ de kɔmɔt atɔl.
- Nɔs ɛn vɔmit we de kɔntinyu fɔ de.
- I nɔ kin izi fɔ yu fɔ blo.
- if yu notis chenj na di wok we di ostomy bag de du (kכla, saiz).
Mɛsej we dɛn kin kɛr go na os
- Proctectomy na big ɔpreshɔn, bɔt na sɔntin we nid fɔ du we go sev yu layf frɔm sik lɛk kansa ɔ gi yu fridɔm frɔm siriɔs mɛrɛsin.
- I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn jɔs bifo yu du di ɔpreshɔn fɔ mek yu ebul fɔ du di wok fayn fayn wan.
- I kin tek tɛm fɔ mek i wɛl. Insay da tɛm de, peshɛnt, fala di advays dɛn we di dɔktɔ dɛn de gi, ɛn gɛt sɔpɔt frɔm yu famili.
- Na yu rayt fɔ tɔk to yu dɔktɔ opin wan bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.
- Wit di mɔdan ɔspitul tɛknɔlɔji, di tin dɛn we kin kɔmɔt frɔm dɛn ɔpreshɔn ya kin rili wok fayn. So, fes dis wit gud maynd.
👩🏽 ⚕️ Kwɛshɔn dɛn we dɛn kin aks bɔku tɛm (FAQ) frɔm di Dɔkta
💬 Wetin na proktektɔmi ɔpreshɔn?
di prכktεktomi na di כpכshכn we dεn de pul pat כ כl di rεktum, we na di las pat pan di big intestin.
💬 Wetin mek dɛn kin du proktɛktɔmi?
Bɔku men rizin dɛn de fɔ dis ɔpreshɔn, lɛk rɛkɛtal kansa, siriɔs inflammatory bowel disease (IBD) we dɛn nɔ kin ebul fɔ kɔntrol wit mɛrɛsin, ɛn jenɛtik kɔndishɔn lɛk Familial Adenomatous Polyposis (FAP), we dɛn kin yuz fɔ mek kansa nɔ kam.
💬 Dɛn kin du proktɛktɔmi ɔpreshɔn fɔ rɛktal kansa?
Yes, di men ɛn kɔmɔn rizin fɔ proktɛktɔmi na rɛktal kansa. Dis ɔpreshɔn rili impɔtant fɔ pul di kansa sɛl dɛn ɛn stɔp dɛn fɔ spre to ɔda pat dɛn na di bɔdi.
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