We yu dɔktɔ tɛl yu se yu nid fɔ du ɔpreshɔn pan yu kɔlon, i nɔmal fɔ mek yu fil bɔku fred ɛn wɔri. We yu yɛri nem lɛk "proctocolectomy," i kin tan lɛk se i kɔmplikt mɔ. Bɔt nɔ wɔri. Dis na ɔpreshɔn wae de sev yu layf wae kin ɛp yu fɔ liv bɛtɛ layf bay wae de mek yu nɔr gɛt di sik wae yu gɛt naw. Wi go tɔk bɔt ɔltin simpul we we yu go ɔndastand.
Wetin rili na Proktocolectomy?
Fɔ tɔk am simpul wan, proctocolectomy na di ɔpreshɔn we dɛn de du fɔ pul yu kɔlon ɛn di las pat pan yu rɛktum.
Lɛ wi ɛksplen dis smɔl mɔ. di big intestin na wan pat pan wi dijestiv sistεm we lεk lכng tכb. I gɛt tri men pat dɛn:
1. Kɔlɔn: Dis na di pat we big pas ɔl. I de tek wata frɔm di dɔti tin dɛn we lɛf frɔm di it we wi de it ɛn tɔn dɛn to wan sɔlid we dɛn kɔl stɔl.
2. rεktum: dis na di sכt pat pan di rεktum we de fala di kכlon. Na de dɛn kin kip di stɔl fɔ sɔm tɛm bifo dɛn pul am.
3. Anus: Na di opin we di fes de kכmכt na di bכdi.
so, insay proktocolectomy, dεn kin pul di kכlon εn di rεktum כl tu, כ pat pan dεm. "Procto" min di rεktum. "Colectomy" min se dεn de pul di kכlon.
Wetin mek yu nid fɔ du dis kayn ɔpreshɔn?
Bɔku rizin dɛn de we mek dɛn kin du dis kayn big ɔpreshɔn. Di men rizin na bikɔs di sik we de na di intestinal de mek da pat de na di bɔdi nɔ de wok fayn ɔ di sik de mek pɔsin in layf de pan denja.
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Inflammatory Bowel Diseases we pɔsin kin gɛt | If di insay pat pan di intestin de kɔntinyu fɔ wund ɛn inflam bikɔs ɔf tin dɛn lɛk Ulcerative Colitis ɛn Crohn’s disease , i kin nid fɔ du ɔpreshɔn if dɛn nɔ ebul fɔ kɔntrol di kɔndishɔn wit mɛrɛsin. |
| Kolorektal kansa ɛn prɛkansa kɔndishɔn dɛn | fכ stכp di spred fכ di kכlon kεnsar sεl dεm כ insay kכndishכn dεm lεk Familial Adenomatous Polyposis (FAP) , we na wan kכndyushכn we dεn kin gεt we dεn kin kכl כndrεd polyp dεm we kin tכn kεnsar. |
| Ɔda rizin dɛn | Kɔmplikɛshɔn dɛn lɛk we di intestinal tisu day bikɔs di blɔd nɔ de wok fayn (ischemia), i kin gɛt siriɔs kɔnstipɛshɔn, i kin gɛt bad bad injury na di intestinal, ɔ divɛrtikulayt . |
Aw yu kin defecate afta dɛn dɔn du yu ɔpreshɔn?
Dis na di big kwɛstyɔn we bɔku pipul dɛn gɛt. we dεn pul di kכlon εn di rεktum, di nכmal rod fכ di stכl fכ pas kכmכt de lכs. Aw yu kin defecate afta dat? di ansa to dis dipכnt pan di kayn proktocolectomy we yu gεt. Yu dɔktɔ go disayd di we we go fayn fɔ yu bay aw yu de mɛn yu.
Bɔku men we dɛn de we dɛn kin du am:
1. Ileostomy we dɛn kin du
dis involv fכ kכnekt di las pat pan yu sכmכl intestכn we dεn kכl di ileum to wan sכmכl opin (stoma) we dεn mek na di skin na yu bכdi. afta dat dεn kin tay wan ostomy bag na di opin fכ kכlekt stכl. Dis kin bi fɔ ɔltɛm ɔ fɔ shɔt tɛm . Na fɔ shɔt tɛm nɔmɔ dɛn kin du am te yu bɔdi wɛl. Dɛn kin chenj dis leta wit ɔda ɔpreshɔn.
2. Ileoanal Pouch (krieshɔn fɔ wan intanɛnt paus) .
Dis na wan we we rili intrestin fɔ du. Dɛn kin kɔl am bak Restorative Proctocolectomy. dεn tek wan pat pan yu sכmכl intestכn (ileum) εn dεn mek wan sכmכl paus frכm am. Tink bɔt am lɛk nyu pat na yu bɔdi we kin ol yu stɔl fɔ sɔm tɛm, jɔs lɛk yu rɛktum. Dɔn, dɛn kin kɔnɛkt di pɔch bak to yu an. Afta dis prosidur, yu go ebul fɔ go na tɔylɛt ɛn defecate nɔmal wan afta sɔm tɛm. di we aw dεn kin du dis mכst na in dεn k כl J-pouch .
3. Sabtכtal Prכktכkכlektכmi (sεvεr wan pat) .
Insay dis, dɛn kin lɛf wan pat pan di big intestinal biɛn. if i posibul fכ du dat, di rεst pat pan di intestin kin kכnεkt bak to di an כ di rεst כf di rεktum (anastomosis). כltu, sכmtεm, i kin nid fכ mek wan opin na di bכdi fכ sכm tεm εn put wan stכl bag (colostomy) insay te di say we di kכnεkshכn de hεl.
Di tin we impɔtant pas ɔl na fɔ mek yu dɔktɔ tɔk to yu uswan pan dɛn we ya go fayn fɔ yu. So, tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.
Wetin kin apin bifo dɛn du di ɔpreshɔn, we dɛn de du di ɔpreshɔn, ɛn afta dɛn dɔn du di ɔpreshɔn
Bifo dɛn du di ɔpreshɔn
If nɔto imejensi ɔpreshɔn, yu go gɛt tɛm fɔ rɛdi.
- Sɔm wik bifo: Yu dɔktɔ go ɛksplen to yu di ɔpreshɔn, di bad tin dɛn we go apin to yu, ɛn di tin dɛn we yu go ebul fɔ du.
- Tu wik bifo: If yu de tek mɛrɛsin we de mek yu blɔd tan, dɛn go tɛl yu fɔ stɔp ɔ ridyus am. Dɛn go advays yu fɔ it tin dɛn we gɛt bɔku fayv ɛn drink bɔku wata.
- 24 awa bifo: Dɛn go gi yu wan bowel prep fɔ klin yu intestines kɔmplit wan. Dɛn go tɛl yu bak fɔ it wata nɔmɔ fɔ di de. Dɛn kin gi yu antibayɔtik bak fɔ mek yu nɔ gɛt di sik afta dɛn dɔn du yu ɔpreshɔn.
We dɛn de du di ɔpreshɔn
Dɛn go put yu fɔ slip ɔnda anestezi, so yu nɔ go fil natin. Dɛn kin du di ɔpreshɔn tu men we dɛn:
- Open Surgery: Na di tradishɔnal we, dɛn kin du am tru wan big say we dɛn kɔt di bɛlɛ.
- Laparoscopic Surgery: Dɛn kin kɔl am bak "keyhole" surgery, dɛn kin du dis bay we dɛn de mek sɔm smɔl smɔl say dɛn na di bɛlɛ ɛn put kamɛra ɛn dilik inschrumɛnt dɛn tru dɛn. Dis we aw dɛn kin du am kin mek pɔsin wɛl kwik kwik wan ɛn i nɔ kin gɛt bɔku pen.
Dɔn di dɔktɔ tek tɛm pul di pat pan di insay we gɛt sik ɛn du di tin dɛn we i nid (ileostomy, pouch, ɔ ri-connection) lɛk aw wi bin dɔn tɔk bɔt am.
Afta dɛn dɔn du di ɔpreshɔn
Yu go nid fɔ de na ɔspitul fɔ lɛk wan wik so. Insay dis tɛm, yu go chenj smɔl smɔl frɔm wata to sɔlid it. If yu gɛt ostomy (bag), spɛshal tren nɔs (WOCN - Wound Ostomy Continence Nurse) go tich yu aw fɔ yuz am ɛn kip yu skin klin.
Wetin na di prɔblɛm dɛn we kin apin?
Jɔs lɛk ɛni ɔpreshɔn, prɔblɛm dɛn de ɛn prɔblɛm dɛn de we kin apin, bɔt bɔku tɛm dɛn tin ya kin apin fɔ shɔt tɛm.
| Tayp ɔf kɔmplikeshɔn | Tɔk bɔt |
|---|---|
| Kɔmɔn prɔblɛm dɛn we kin apin we dɛn du ɔpreshɔn | Riakshɔn to anestezi, blɔd we de kɔmɔt insay, infɛkshɔn, intestinal ɔbstrukshɔn, ɛn ɔda tin dɛn. |
| Kɔmplikɛshɔn dɛn we gɛt fɔ du wit ostomy (bag) . | infεkshכn dεm na di skin we de rawnd di stoma, we de invayd כ kכmכt frכm di stoma.wan kכndyushכn we dεn kכl phantom rεktum kin apin bak. Dis na di filin fɔ gɛt fɔ defecate pan ɔl we dɛn pul di rɛktum. Dis go go dɔŋ as tɛm de go. |
| Kɔmplikɛshɔn dɛn we gɛt fɔ du wit di Ileoanal Pouch (intanɛnt paus) . | Pouchitis , anastomotic leak, ɛn we yu nɔ kin ebul fɔ kɔntrol yu fes kwik kwik wan. Bɔku pan dɛn tin ya kin izi fɔ mɛn. |
Wetin na di imejensi dɛm we yu nid fɔ go to dɔktɔ?
We yu go bak na os afta dɛn dɔn du yu ɔpreshɔn, if yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) .
- Blɔt, bɛlɛ pen, nɔs, ɛn kɔnstipɛshɔn (dɛn kin bi sayn fɔ se di intestinal nɔ de ambɔg).
- Siriɔs bɛlɛ pen, fiva, pus we de kɔmɔt na di say we dɛn kɔt (dɛn tin ya na sayn dɛn fɔ infɛkshɔn).
Nɔ fɔgɛt, if yu fil ɛnitin we nɔ kɔmɔn, nɔ ignore am. I bɛtɛ fɔ go to dɔktɔ fɔ advays.
Mɛsej we dɛn kin kɛr go na os
- Pan ɔl we proctocolectomy na big ɔpreshɔn, i kin mɛn sik dɛn we kin mek yu layf de pan denja ɛn mek yu liv fayn layf.
- Difrɛn we dɛn de fɔ pul dɔti afta dɛn dɔn du di ɔpreshɔn. Sɔm pipul dɛn gɛt fɔ liv wit ostomy bag, ɛn ɔda wan dɛn gɛt ɔda tin dɛn we dɛn kin du we kin mek dɛn ebul fɔ pul dɔti nɔmal wan. Yu dɔktɔ go disayd wetin bɛtɛ fɔ yu.
- I kin tek tɛm fɔ mek i wɛl. Yu kin go bak to nɔmal layf insay sɔm mɔnt. I rili impɔtant fɔ peshɛnt ɛn fala yu dɔktɔ in instrɔkshɔn dɛn insay dis tɛm.
- Fil fri fɔ tɔk to yu dɔktɔ ɔl di tin dɛn we yu de fred, di tin dɛn we yu de dawt, ɛn di kwɛstyɔn dɛn we yu gɛt. I go gi yu bɔku trɛnk fɔ tink.
- Pan ɔl we fɔ liv wit ostomy bag kin tranga fɔs, we yu dɔn yus to am, yu kin kɔntinyu fɔ wok nɔmal wan. Bɔku divays ɛn we dɛn de tide fɔ ɛp fɔ du dis.
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