Yu dɔn ɛva gɛt dis apin to yu? Yu kin fil ful afta yu it, bɔt nɔto nɔmal filin fɔ ful-ɔp, i tan lɛk se di it dɔn stɔp na yu bɛlɛ. Ɔ yu kin vɔmit afta sɔm tɛm afta yu dɔn it. We tin dɛn lɛk dis kɔntinyu, i kin rili bi prɔblɛm na layf. So, dεn tin ya kin apin biכs fכ prכblεm wit di ‘get’ we de sεnd it frכm wi bεlε to di sכmכl intestכn. Na im wi go tok abaut tide, na opareshon to ripa dat ‘gate’.
Wetin na paylɔroplasti simpul wan?
Okay, mek wi ɔndastand dis rili simpul wan. Imajin se yu bɛlɛ na bag we de gɛda it. Na di bɔt ɔf dis bag, wan pat de we tan lɛk rop we de tay di mɔt. Na dat wi kin kɔl `(Pylorus)` na mɛrɛsin. Fɔ tɔk di kɔrɛkt tin, dis na strɔng valv we dɛn mek wit mɔsul dɛn. We wi de it it, i nid fɔ digest am fayn fayn wan na di bɛlɛ ɛn afta dat i fɔ sɛn am na di smɔl intestinal. da tεm de, dis valv we dεn kכl `(Pylorus)` de opin εn sεnd di it insay di sכmכl intestin, εn afta dat i de kכloz bak.
So, Pyloroplasty na ɔpreshɔn we dɛn kin du pan di `(Pylorus)`. If fɔ sɔm rizin dis valv nɔ opin fayn, if i blok, ɔ if i dɔn pwɛl bikɔs ɔf ɔda ɔpreshɔn, dɛn kin du dis ɔpreshɔn fɔ shep am bak, fɔ mek i big, ɛn fɔ mek di it pas izi wan. Fɔ tɔk am simpul wan, dis ɔpreshɔn de mek di get we dɔn blok na di bɛlɛ big.
Insay us kes dɛn dis ɔpreshɔn nid fɔ du?
Nɔto ɔlman nid dis ɔpreshɔn. If yu paylɔs nɔ de wok fayn ɛn di gastric ɛmti delay, dis ɔpreshɔn kin bi sɔlv. Lɛ wi luk di men tin dɛn we kin mek dis apin.
Ɔlsa na di bɛlɛ (Pɛptik Ɔlsa Disease) .
Sɔm pipul dɛn kin gɛt ɔlsa na dɛn bɛlɛ we kin rili bad. If dɛn kɔntinyu fɔ blɔd ɔ dɛn nɔ wɛl wit mɛrɛsin, sɔntɛnde dɔktɔ dɛn kin tɛl dɛn fɔ du ɔpreshɔn. Wan spɛshal kayn ɔpreshɔn na we dɛn kin du vagotomy. Dis min se yu fɔ kɔt wan nɛv we de ɛp di bɛlɛ fɔ mek asid. dis de ridyus di risk fכ כlsa, bכt as sayd ifekt, di nεv we de gi signal fכ di paylorus valv fכ opin εn kכloz dεn tu de inaktif.
Imajin, get de, ɛn rimot de fɔ opin ɛn lɔk am. `(Vagotomy)` ɔpreshɔn tan lɛk fɔ pul di bateri na da rimot de. So dɛn lɔk di get.
Da tɛm de, yu go mɔs nid fɔ gɛt paylɔroplasti ɔpreshɔn. Dis go opin di get we dɛn lɔk fɔ ɔltɛm. Dɔn, it kin pas insay di smɔl intestinal we nɔ gɛt ɛnitin fɔ ambɔg am.
Apat frɔm dat, sɔntɛnde ɔlsa kin inflam ɔ ska tisu kin fɔm ɛn blok di paylɔs. Insay dis kayn imejensi, dɛn kin du dis ɔpreshɔn bak.
Di mɔsul dɛn we de na di bɛlɛ nɔ de wok fayn (Gastroparesis) .
dis na we di mכsul dεm na di bεlε, inklud di paylorus, kin nכ de wok sכm pat. I tan lɛk se yu de les. afta dat di bεlε in mכtiliti de dכn, εn di digεsεshכn εn pasεshכn fכ it kin delay bכku. Dis kin mek yu nɔs ɛn vɔmit ɔltɛm. Sɔntɛm yu nɔ go ivin ebul fɔ it ɔ drink. If ɔda tritmɛnt dɛn nɔ wok, yu dɔktɔ kin tɛl yu fɔ du Payloroplasty ɔpreshɔn fɔ opin di paylɔs fɔ ɔltɛm.
Pyloric Stenosis na yɔŋ pikin dɛn
Dɛn kin si dis sik pan pikin dɛn we dɛn jɔs bɔn. I nɔ kin apin so ɔltɛm pan big pipul dɛn. wetin de apin ya na di mכsul wכl dεm na di pikin in ``Pylorus`` de tik, i de sכmtεm sכmtεm sכmtεm dεn de blכk di pasej fכ it. dis pikin dεm de vכmit lεk se dεn de shot dεm afta dεn dכn drink milk (projectile vomiting). Dis na sɔntin we mama ɛn papa dɛn kin rili fred. Bikɔs dɛn pikin ya nɔ kin ebul fɔ pas milk insay di bɛlɛ, dis ɔpreshɔn kin nid fɔ du am. Dis kin mek di ples we dɔn smɔl, big.
As wan sayd ɛfɛkt fɔ ɔda ɔpreshɔn dɛn
Sɔntɛnde, we dɛn de du ɔpreshɔn pan di εsophagus ɔ di bɛlɛ, di vagus nerve we de kɔntrol di pylorus kin pwɛl. If dɛn kayn tin ya apin, dɛn kin du paylɔroplasti as ɔda ɔpreshɔn.
Aw dɛn kin du paylɔroplasti ɔpreshɔn?
Dɛn kin du dis ɔpreshɔn tu men we dɛn. Wan na fɔ opin ɔpreshɔn , we min se dɛn kin kɔt big pat na di bɛlɛ. Di ɔda wan na laparoscopic surgery , we gɛt fɔ du wit fɔ mek sɔm smɔl smɔl say dɛn na di bɛlɛ ɛn put kamɛra ɛn dilik inschrumɛnt dɛn. Dis nɔr kin invayd ɛn i kin gɛt shɔt tɛm fɔ wɛl.
I nɔ mata us we dɛn yuz , dɛn kin du di ɔpreshɔn ɔnda jenɛral anestezi. Dis min se yu nɔ go fil ɛnitin, yu go de slip.
Difrɛn we dɛn de fɔ du dis ɔpreshɔn. Di dɔktɔ kin pik di we we fit pas ɔl dipen pan di tin we apin.
| Nem fɔ di we aw dɛn de du di ɔpreshɔn (Method Name) . | Wetin jɔs de apin? |
|---|---|
| Heineke-Mikulicz Paylɔroplasti we dɛn kin du | Dis na di we aw dɛn kin yuz mɔ. Di dɔktɔ we de du di ɔpreshɔn kin kɔt di paylɔs lɔng wan ɛn afta dat i kin siŋ am krɔs. Dis kin mek di pat we tan lɛk tiub big. |
| Payloromyotomi (Ramstedt Payloroplasti) we dɛn kin du. | Dɛn kin yuz dis we fɔ pikin dɛn we dɛn jɔs bɔn. na ya, na di mכsul layεr nכmכ na di Pylorus dεn kכt, nכto di dilik insay layn (mucosa). Dɔn, di layn we de insay kin bɔl kɔmɔt, ɛn dis kin mek di say we dɛn kin pas fɔ it big. |
| Paylɔrik Dilayshɔn | Dɛn kin du dis lɛk ɛndoskopi. Dɛn kin put kamɛra insay di mɔt, ɛn dɛn kin pas wan spɛshal tin we dɛn kin yuz fɔ mek di paylɔs big ɛn dɛn nɔ kin kɔt am. |
| Jaboulay/Finney Payloroplasti we dɛn kin du | Dɛn nɔ kin yuz dɛn tin ya bɔku tɛm. Dɛn kin yuz dɛn we ya if bɔku skata ɛn swɛlin de na di paylɔs. wetin dεn de du ya na fכ baypas di payכs εn mek nyu kכnεkshכn bitwin di bεlε εn di sכmכl intestin (gastroduodenostomy). |
Wetin fɔ ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Afta di ɔpreshɔn, dɛn go stich di say dɛn we yu kɔt. If dɛn bin du yu ɔpreshɔn wit laparoscopic, yu go ebul fɔ go na os di sem de. Bɔt if dɛn bin dɔn du ɔpreshɔn pan yu opin wan, yu go nid fɔ de na ɔspitul fɔ sɔm dez bikɔs di say dɛn we dɛn kɔt am big.
Dɛn nɔ go alaw yu fɔ it sɔlid it dɛn wantɛm wantɛm afta dɛn dɔn du di ɔpreshɔn. Fɔs dɛn go gi yu wata (saline) tru wan vein. Dɔn, smɔl smɔl yu go no bɔt wata, sup, dɔn sɔft it dɛn, ɛn las las it dɛn we yu kin it ɔltɛm. Dis ɔl go bi akɔdin to yu dɔktɔ in instrɔkshɔn.
Wetin na di risk ɛn prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin, bɔt di chans fɔ mek dɛn tin ya apin rili smɔl.
- Blɔd we de kɔmɔt
- Infεkshכn dεm
- Blɔd we de klɔt
- Damej to di ɔgan dɛn we de rawnd
- Lek frɔm di simpul wan dɛn
Apat frɔm dɛn kɔmɔn risk ya, sɔm kɔmplikɛshɔn dɛn de we spɛshal fɔ paylɔroplasti ɔpreshɔn. Mek wi bi aware of dem tu.
Di sik we dɛn kɔl Dumping Syndrome
Dis na di men sayd ɛfɛkt we dɛn kin si afta dis ɔpreshɔn. Bɔt bɔku tɛm na fɔ shɔt tɛm nɔmɔ. wetin de apin ya na dat di it we de insay di bεlε de ‘dכmp’ wan wan εn kwik kwik wan insay di sכmכl intestכn. Dat min se, i de fɔdɔm. Pan ɔl we di rizin we mek dɛn du di ɔpreshɔn na fɔ pas it, afta di ɔpreshɔn di it kin bigin fɔ pas kwik kwik wan.
De sayn dɛm fɔ dis kin kam insay tu pat.
- Di fɔs simptom dɛm (Early Dumping):Dɛn sayn ya kin apin afta yu dɔn it. Dɛn kin bi se yu bɛlɛ kin kramp, yu nɔ kin fil fayn, ɛn yu kin blo.
- Di sayn dɛm we pɔsin kin gɛt we i de dump let: Dɛn tin ya kin apin sɔm awa afta yu dɔn it. We di shuga we de na di blɔd go dɔŋ wantɛm wantɛm, i kin mek pɔsin wik, in ed kin tɔn, i kin mek i flash, ɛn i kin mek in at bit kwik kwik wan.
Dɛn sayn ya kin dɔn as tɛm de go. Insay dis tɛm, i impɔtant fɔ chenj di tin dɛn we yu de it. Yu dɔktɔ go advays yu bɔt aw fɔ it ɛn wetin fɔ it. If nid de, mɛrɛsin dɛn de fɔ kɔntrol dis.
Bayl riflɔks
Wi no se di `(Pylorus)` valv dɔn opin naw fɔ ɔltɛm. bikɔs ɔf dis, di tin dɛn we de insay di smɔl intestinal, mɔ di bayl, kin flɔ bak insay di bɛlɛ. Dis bayl nɔ kin rili fayn fɔ di wɔl dɛn na di bɛlɛ. if dis kכntinyu, inflameshn na di bεlε `(Gastritis)` kin apin.
Aw lɔng i kin tek fɔ mek i wɛl ɛn aw di ɔpreshɔn kin wok fayn?
Bɔrku pipul dɛn kin wɛl kwik kwik wan afta dis ɔpreshɔn, mɔ if dɛn du am wit laparoskopik. Yu kin go bak to yu nɔmal tin dɛn ɛn it insay sɔm wiks. If yu gɛt sɔmtin lɛk ``dumping syndrome,'' yu nid fɔ tek tɛm mɔ wit yu it. I go go insay sɔm mɔnt.
dis כpεraysh כn de rili ifektiv as sכlushכn fכ kכndishכn dεm lεk `Gastroparesis` εn `Pyloric stenosis`. I sakses rεt de hכy as 90%.
Wi dijestiv sistɛm tan lɛk mashin we de wok ɔltɛm. If blɔk de na wan pat pan am, di wan ol sistɛm go ambɔg. Wan prɔblɛm wit di `(Pylorus)` na lɛk dat. Payloroplasti na smɔl ɔpreshɔn we dɛn kin du na smɔl say, bɔt i kin gɛt big, fayn impak pan yu wɛlbɔdi. Na tru se ɔpreshɔn na big tin fɔ disayd. Bɔt if ɔda tritmɛnt dɛn nɔ ɛp yu, dis ɔpreshɔn kin bi di bɛst sɔlv fɔ yu prɔblɛm.
Mɛsej we dɛn kin kɛr go na os
- Payloroplasty na ɔpreshɔn we de mek di ‘get’ (pylorus) we de dɔŋ yu bɛlɛ big, we de mek it pas izi wan.
- I de trit di sik dɛm lɛk bɛlɛ ɔlsa, gastroparesis, ɛn Pyloric Stenosis, mɔ pan di pikin dɛm we dɛn jɔs bɔn.
- Dis ɔpreshɔn kin bi opin ɔ laparoskopik (tru wan smɔl say we dɛn kɔt). Di laparoscopic we fɔ du am izi ɛn i kin wɛl kwik kwik wan.
- Sɔm bad tin dɛn lɛk dɔmp sindrom kin apin afta dɛn dɔn du di ɔpreshɔn, bɔt bɔku tɛm dɛn kin apin fɔ shɔt tɛm nɔmɔ. Yu kin kɔntrol dɛn tin ya bay we yu chenj di tin dɛn we yu de it.
- Dɛn kin tek dis ɔpreshɔn as ɔpreshɔn we nɔ bad ɛn we kin mek pɔsin gɛt fayn fayn tin dɛn fɔ du.
- If yu gɛt ɛni wan pan di sayn dɛn we wi dɔn tɔk bɔt na dis atikul, duya go to yu dɔktɔ wantɛm wantɛm fɔ advays. Nɔ trit yusɛf.
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