Sɔntɛm yu ɔ pɔsin we yu sabi dɔn tɛl yu se dɛn nid fɔ gɛt ɔpreshɔn we dɛn kɔl ‘proctocolectomy’. Na nɔmal tin fɔ fil smɔl fred ɛn fred we yu yɛri dis wɔd. Yu go mɔs gɛt bɔku kwɛstyɔn na yu ed, lɛk "Wetin na dis ɔpreshɔn? Wetin mek a nid dis? Aw mi layf go tan lɛk afta dis?" Nɔ wɔri. Lɛ wi tɔk bɔt ɔl dis insay wan rili simpul we, stɛp-by-stɛp, jɔs lɛk aw yu go tɔk to yu padi.
Fɔ tɔk am simpul wan, wetin na Proctocolectomy?
Proktocolectomy na ɔspitul we dɛn kin pul pat ɔ ɔl yu big intestinal (kɔlɔn) ɛn rɛktum.
Naw lɛ wi ɛksplen dis smɔl mɔ. Wi dijestiv sistεm gεt wan pat we dεn kכl di big intestכn. I gɛt tri pat dɛn: di kɔlon, di rεktum, ɛn di an. Tink bɔt am lɛk wan lɔng tiub.
- Kɔlɔn: Dis na di big pat pan dis tiub. Na ya di dɔti tin dɛn we kin lɛf afta wi dɔn dayjɛst di it we wi de it kin absɔb ɛn chenj to wan sɔlid we dɛn kɔl stɔl.
- rεktum: dis na di sכt pat pan di big intestin we de stכr fכ sכm tεm bifo i kכmכt na di bכdi.
- Anus: Dis na di opin we di fes de kכmכt na di bכdi.
insay proktocolectomy כpεrayshכn, "procto" de tכk bכt di rεktum εn "colectomy" de tכk bכt fכ pul di kכlon. So , proctocolectomy na ɔpreshɔn we de pul ɔl tu di kɔlon ɛn di rɛktum. Sɔntɛnde, if na di kɔlon nɔmɔ dɛn pul, dɛn kin kɔl am kɔlektɔmi. if na di rεktum nכmכ dεn kכl am, dεn kכl am prכktεktכmi. Yu ɔndastand di difrɛns?
Wetin mek yu nid fɔ du dis kayn ɔpreshɔn?
Dɔktɔ dɛn kin jɔs se dɛn fɔ du big ɔpreshɔn lɛk dis if siriɔs rizin de. Dɛn kin du dis ɔpreshɔn if wan kɔndishɔn na di kɔlon ɔ rɛktum nɔ de mek di kɔlon ɔ rɛktum nɔ wok fayn, ɔ if di sik de mek pɔsin in layf de pan denja.
Na sɔm pan di men rizin dɛn:
- Inflammatory Bowel Diseases (IBD): Dis na tin dɛm wae kin mek yu inflammation ɛn sos na di intestines fɔ lɔng tɛm. Ulcerative Colitis ɛn Crohn’s Disease na di men ɛgzampul. Sɔm pipul dɛn kin gɛt fɔ pul di pat dɛn we gɛt sik na dɛn intestinal we dɛn nɔ kin ebul fɔ kɔntrol dɛn wit mɛrɛsin.
- Kכlכrektal kεnsar εn di kכndishכn dεm we de bifo kansa: We di kεnsar sεl dεm de divεlכp na di kכlon כ rεktum, כ we di polyp dεm we gεt di potenshal fכ bi kεnsar de divεlכp (kכndishכn dεm lεk Familial Adenomatous Polyposis ), di bεst tritmεnt na fכ pul di say dεm we di sik kכmplit wan.
- Ɔda rizin dɛn:
- Ischemia kin apin we di blɔd we de flɔ to di intestinal nɔ de igen ɛn di tisu dɛn day.
- Kɔmplikɛt Divɛrtikulayt kɔndishɔn dɛn.
- Traumatik injuri to di intestin bikɔs ɔf wan siriɔs aksidɛnt.
- Siriɔs kɔnstipɛshɔn we nɔ go ebul fɔ mɛn wit mɛrɛsin.
Di tin we impɔtant pas ɔl na dat dɛn de du dis ɔpreshɔn fɔ sev yu layf ɛn gi yu bɛtɛ, kɔmfyut layf.
Aw yu kin pas stɔl afta dɛn dɔn ɔpreshɔn yu?
Dis na di big kwɛstyɔn we de na ɔlman in maynd. afta dεn dכn pul di kכlon εn di rεktum כl tu, di nכmal rod fכ di stכl fכ kכmכt nכ de igen. Aw yu kin defecate den?
di ansa to dis dipכnt pan di kayn proktocolectomy we yu de du. Yu dɔktɔ go no di kayn ɔpreshɔn we go fayn fɔ yu bay aw yu de fil ɛn di rizin we mek dɛn du di ɔpreshɔn. Lɛ wi tek wan luk pan di kayn dɛn.
Wetin na di kayn ɔpreshɔn dɛn we dɛn kin du fɔ pul di bɔdi we dɛn kɔl proktocolectomy?
Bɔku we dɛn de fɔ du dis ɔpreshɔn. Yu dɔktɔ go pik di we we go fayn fɔ yu.
| Di kayn ɔpreshɔn we dɛn kin du | Wan simpul ɛksplen bɔt wetin de apin |
|---|---|
| Proktocolectomy wit Ileostomy (wit ileostomi) . | insay dis prosidur, dεn kin pul di kכlon εn di rεktum kכmplit wan. afta dat, dεn kin kכmכt di las pat pan di sכmכl intestinal we dεn kכl di ileum , kכmכt tru di skin na di bכdi εn dεn kin mek wan opin (stoma). Di stɔl de kɔmɔt tru dis opin. Dɛn kin tay wan bag na di domɔt. Sɔm pipul dɛn kin gɛt fɔ wɛr dis fɔ ɔltɛm, ɛn ɔda wan dɛn kin wɛr fɔ sɔm tɛm nɔmɔ. |
| Restorativ Proktokolektomi wit Ileoanal Pauch (Ɔpreshɔn fɔ riples pɔsin) | insay dis prosidur, dεn kin pul di kכlon εn di rεktum bak, bכt dεn kin lεf di anכs na in ples. nεks, dεn de mek wan insay paus frכm di εnd pan di sכmכl intestin (ileum). Dis paus, lεk di כrijinal rεktum, de εp fכ ol stכl fכ sכm tεm. afta dat dis paus de kכnekt to di an (ileoanal anastomosis).Dis kin mek yu ebul fɔ pul dɔti nɔmal wan. Dɛn kin du dis insay wan ɔ tu ɔpreshɔn. |
| Sabtɔtal Prɔktokɔlektɔmi (we de pul wan pat) | Dis min se yu fɔ lɛf wan pat pan di kɔlon ɔ di rɛktum. fכ egzampl, wan Hartmann prosidכs de pul כnli di las pat pan di kכlon (sigmoid kכlon) εn di rεktum. if dεn du dis, di rεst hεlty pat dεm na di kכlon kin kכnεkt bak (anastomosis) , so yu kin gεt nכmal bכwel muvmεnt. Sɔntɛnde dɛn kin put tɛmporari colostomy (we de opin di kɔlon) te di wund wɛl. |
Wetin yu fɔ du bifo dɛn du yu ɔpreshɔn?
If nɔto imejensi ɔpreshɔn, yu go gɛt bɔku tɛm fɔ rɛdi.
- Fɔ sɔm wiks bifo dis tɛm: Tɔk to yu dɔktɔ bɔt di ɔpreshɔn, di kayn ɔpreshɔn, di prɔblɛm dɛn we i go gɛt, ɛn di bɛnifit dɛn we i go gɛt. Aks ɛni kwɛstyɔn we yu gɛt.
- Tu wik bifo: If yu de tek mɛrɛsin we de mek yu blɔd tan, yu dɔktɔ go advays yu fɔ stɔp ɔ ridyus am. Dɔn bak, tray fɔ mek yu bɔdi gɛt wɛlbɔdi bay we yu de it bɔku fayv ɛn drink bɔku wata insay dis tɛm.
- 24 awa bifo: Di de bifo di ɔpreshɔn, dɛn go gi yu wan bɔdi prɛp fɔ klin yu insay klin ɔl. Na da de de nɔmɔ dɛn go alaw yu fɔ drink klia wata lɛk wata ɛn sup. Dɛn kin gi yu antibayɔtik bak fɔ mek yu nɔ gɛt di sik afta dɛn dɔn du yu ɔpreshɔn.
Wetin kin apin we dɛn de du di ɔpreshɔn?
We yu go na ɔspitul, dɛn go put yu insay wan ɔspitul klos. Dɛn go put IV kateta insay yu vein ɛn dɛn go gi yu salin ɛn ɛni mɛrɛsin we yu nid. Dɔn dɛn go kɛr yu go na di ɔpreshɔn rum.
Di dɔktɔ we de mɛn yu go put yu ɔnda jenɛral anestezi. Yu nɔ go fil ɛnitin we dɛn de du di ɔpreshɔn. Yu go kɔnɛkt to mashin (ventilator) fɔ ɛp yu fɔ blo.
Opin Ɔpreshɔn? Laparoskɔpik Ɔpreshɔn?
Naw, dɛn kin du bɔku pan di ɔpreshɔn dɛn we dɛn kin du fɔ pul di bɔdi we dɛn kɔl proktocolectomy wit laparoskopik . Dis min se insted fɔ mek big say na di bɛlɛ, dɛn kin du di ɔpreshɔn tru sɔm smɔl ol dɛn, we dɛn kin put kamɛra ɛn rili smɔl ɔspitul inschrumɛnt dɛn insay. Dis we ya kin mek pɔsin wɛl kwik kwik wan, i nɔ kin fil pen, ɛn i kin mek i gɛt smɔl smɔl skata dɛn. Bɔt dis we fɔ du tin nɔ fayn fɔ ɔlman. Insay kɔmpleks ɔ imejensi kes dɛn, dɛn nid fɔ du tradishɔnal opin ɔpreshɔn.
We dɛn de du di ɔpreshɔn, di dɔktɔ we de du di ɔpreshɔn kin tek tɛm pul di kɔlon ɛn di rɛktum we gɛt di sik. afta dat, lεk aw wi bin dכn tכk bכt, dεn de mek wan ileostomy/colostomy כ di intestin dεm de kכnεkt bak (anastomosis).
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ lɛk wan wik so. Insay dis tɛm, dɛn go bigin fɔ it tin dɛn we gɛt wata smɔl smɔl ɛn afta dat dɛn go bigin fɔ it tin dɛn we gɛt sɔlid smɔl smɔl.
If yu gɛt ostomy (ileostomy/colostomy), wan Wound Ostomy Continence Nurse (WOCN) go ɛp yu. Dɛn go tich yu ɔl wetin yu nid fɔ no bɔt aw fɔ yuz di ostomy bag ɛn fɔ kip yu stoma (we de opin na yu bɛlɛ) klin. Ivin if na tɛmporari ostomy, i go tek sɔm mɔnt bifo yu kin tɔk bɔt di nɛks tin dɛn we yu fɔ du (fɔ pul am ɔ mek wan insay pɔch) wit yu dɔktɔ.
Wetin na di risk ɛn prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin, bɔt dɛn tin ya nɔ kin apin so ɔltɛm.
| Tayp ɔf kɔmplikeshɔn | Tin dɛn we pɔsin kin ebul fɔ du |
|---|---|
| Di prɔblɛm dɛn we kin apin we pɔsin du ɔpreshɔn | Riakshɔn we pɔsin kin gɛt we dɛn de anestez am, we di ɔgan dɛn we de rawnd am pwɛl, we i de blɔd pasmak, ɛn we gɛt infɛkshɔn. |
| Kɔmplikɛshɔn dɛn we kin apin we dɛn du ɔpreshɔn pan | - di intestinal obstruction: di ska tisu we de kכmכt frכm di כpεrayshכn kin mek di intestinal dεm blok. - Nεv dεm we dεn dכn pwεl: כpεrayshכn na di anal kin pwεl di nεv dεm we de involv fכ du mami εn dadi biznεs כ fכ pis. Bɔku tɛm, dɛn tin ya kin wɛl as tɛm de go. |
| Ostomy (Ileostomy/Colostomy) Prɔblɛm dɛn we gɛt fɔ du wit dis | - Skin alɛji: di skin we de rawnd di stoma kin rɛd ɛn sɔri we yu tɔch di stɔl. - chenj dεm na di stoma: di stoma kin sink insay frכm di skin lεvεl (rεtrakshכn) כ kכmכt tu mכch (prolaps). - Phantom Rectum: Ivin if dεn pul di rεktum, sכm pipul dεn kin stil fil di want fכ defecate. Dis go stɔp as tɛm de go. |
| Prɔblɛm dɛn we gɛt fɔ du wit di Intanɛt Pouch | - Pouchetis: Inflameshɔn na di insay pan di nyu paus we dɛn dɔn mek. Dɛn kin trit dis wit antibayɔtiks. - Anastomotic leak: Na lik na di sayt we di intestinal kכnεkshכn de. Dis na sik we nɔ kin apin so ɔltɛm bɔt we kin rili siriɔs. - tεmporari difεlεnt fכ kכntrכl di bכdi muvmεnt: Insay di fכs stej dεm, i kin at fכ kכntrכl di bכdi muvmεnt bikoz di anal mכsul dεm wik. Dis go bɛtɛ wit ɛksesaiz ɛn tɛm. |
Aw di afta-keya kin bi afta dɛn dɔn du di ɔpreshɔn?
I kin tek sɔm mɔnt fɔ mek i wɛl ɔl. Insay dis tɛm, i rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan.
- Fɔ kia fɔ di wund: Di dɔktɔ ɔ nɔs go tich yu aw fɔ klin di wund ɛn chenj di dresin.
- Ostomy care: Yu go lan aw fɔ ɛmti di ostomy bag bɔku tɛm insay di de ɛn kip di skin we de rawnd di stoma klin.
- Fɔ it: Afta yu dɔn kam bak na os frɔm ɔspitul, smɔl smɔl, yu kin put sɔlid it dɛn. Bifo yu it big it wan tɛm, it smɔl smɔl bɔku tɛm insay di de. Chew yu it fayn fayn wan.
- Hydration: Dis na tin we rili impɔtant. Bikɔs dɛn dɔn pul wan big pat pan yu kɔlon, yu bɔdi nɔ go tek bɔku wata. So i impɔtant fɔ drink bɔku wata ɛn wata ɔl di de.
Ustɛm fɔ go to dɔktɔ
Afta yu dɔn kam bak na os frɔm ɔpreshɔn, if yu gɛt ɛni wan pan dɛn sik ya , kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU).
- Di sayn dɛm wae de sho se yu intestinal nɔ de wok fayn na we yu gɛt kɔnstipɛshɔn, bɛlɛ de pen, yu de blo, ɛn yu de nɔs.
- Sayn dɛm fɔ wan sik we de kam pan pɔsin lɛk bad bad bɛlɛ pen, swel, pus we de kɔmɔt na di wund, ɛn fiva.
Proktocolectomy na big ɔpreshɔn. Bɔt i kin ɛp yu fɔ gɛt fridɔm frɔm wan sik we yu dɔn gɛt fɔ lɔng tɛm ɛn fɔ mek yu liv bɛtɛ layf. Wit tide teknɔlɔji, dɛn kin mek ostomy bag dɛn we pɔsin nɔ de si ɛn rili kɔmfyut. Tɔk to yu dɔktɔ bɔt di tin dɛn we yu go ebul fɔ du ɛn mek di disayd we go fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Proctocolectomy na ɔpreshɔn we de sev layf we dɛn kin pul di kɔlon ɛn di rɛktum. Bɔku tɛm dɛn kin du am fɔ siriɔs kɔndishɔn lɛk IBD ɛn kansa.
- Di we aw dɛn go pul di bɔdi afta dɛn dɔn du di ɔpreshɔn go difrɛn. opshכn dεm de lεk ileostomy (external pouch) כ intanal pouch (internal pouch).
- Tɔk opin wan wit yu dɔktɔ bɔt di kayn ɔpreshɔn we fayn fɔ yu ɛn gɛt ansa to ɔl yu kwɛstyɔn dɛn.
- I kin tek tɛm fɔ mek i wɛl afta dɛn dɔn du am ɔpreshɔn. Insay dis tɛm, fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan, mɔ we i kam pan it ɛn wata we yu de it.
- Pan ɔl we i kin tan lɛk se i nɔ izi fɔ liv wit ostomy fɔs, if yu tren ɛn sɔpɔt yu di rayt we, i kin bi pat pan nɔmal layf.
- If yu gɛt ɛnitin we nɔ kɔmɔn (big pen, fiva, nɔs) afta yu dɔn ɔpreshɔn, go to dɔktɔ wantɛm wantɛm.
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