Yu kin fil ful we yu de it? Ɔ yu kin vɔmit bɔku tɛm? Wan rizin fɔ dis kin bi prɔblɛm wit di mɔsul valv we de na di ɛnd pan yu bɛlɛ, ɔ fɔ se, di ples usay it de pas frɔm di bɛlɛ to di smɔl intestin. Wi kin kɔl dis valv di ‘pylorus’. If dis get nɔ opin fayn, it kin stɔp de. Payloroplasti na ɔpreshɔn we kin kam fɔ ɛp dɛn kayn tɛm dɛn de. Lɛ wi tɔk bɔt dis jɔs tide.
Fɔ tɔk am simpul wan, wetin na Payloroplasty?
Tink bɔt yu bɛlɛ lɛk bag. Di it we wi de it, dɛn kin kip am na dis bag, dɛn kin dayjɛst am, dɔn dɛn kin pas am na di smɔl intestinal. Na di ɛnd pan dis bɛlɛ bag, wan mɔsul ring de we de wok lɛk get. Dɛn kɔl am di paylɔs . Dis get de opin we nid de, we de mek di it we dɛn dɔn digest pas insay di smɔl intestinal, dɔn i kin lɔk.
So, if fɔ sɔm rizin dis opin ples blo, smɔl, ɔ nɔ opin fayn, it nɔ go ebul fɔ pas kɔmɔt na di bɛlɛ. Da tɛm de, wi kin kɔl dis opin we dɛn kɔl di paylɔs ɔspitul we dɛn kin yuz fɔ shep am bak ɛn mek i big. Sɔntɛnde, if dis pat dɔn pwɛl bikɔs ɔf ɔda ɔpreshɔn, dɛn kin du dis ɔpreshɔn bak fɔ mek i fayn.
Insay us kes dɛn i nid fɔ du ɔpreshɔn pan payɔroplasti?
If yu paylɔs nɔ de wok fayn, we min se di gastric ɛmti delay, dis ɔpreshɔn kin ɛp. Dɛn kin tink mɔ bɔt paylɔroplasti pan dɛn tin ya:
1. Ɔlsa na di bɛlɛ (Pɛptik Ɔlsa Disease) .
Sɔm bad bad bɛlɛ ɔlsa dɛn kin nid fɔ ɔpreshɔn. Fɔ ɛgzampul, if yu gɛt ɔlsa we de kɔntinyu fɔ blɔd ɔ we nɔ de wɛl wit mɛrɛsin, yu dɔktɔ kin tɛl yu fɔ du wan tin we dɛn kɔl vagotomy fɔ mek yu nɔ gɛt asid na yu bɛlɛ. Dis min se yu fɔ kɔt sɔm pan di nɛf dɛn we de go na di bɛlɛ.
Bɔt na smɔl tin de ya. pan ɔl we dis vagotomy ɔpreshɔn de ridyus di asid na di bɛlɛ, di nɛv dɛn we de sho se di paylɔs fɔ opin ɛn lɔk kin nɔ wok bak. Dɔn di get nɔ de opin. Na dat mek, if yu du vagotomy ɔpreshɔn, yu kin du payloroplasty ɔpreshɔn bak fɔ mek di get big smɔl fɔ ɔltɛm.
apat frכm dat, sכmtεm כlsa kin inflamesh כ ska tisu kin fכm, we kin blכk di pasej kכmplit wan tru di paylכrus. Insay dɛn kayn imejensi ya, dɛn nid fɔ du dis ɔpreshɔn bak.
2. Gastroparesis we de mek pɔsin gɛt sik
dis na we di bכdi mכsul dεm, inklud di paylorus, nכ de wok fayn. I tan lɛk se di bɛlɛ mɔsul dɛn dɔn paralayz sɔm pat pan am. Dis kin mek bɔku tɛm delay fɔ digest ɛn ɛmti di it frɔm di bɛlɛ. We dis kin tranga, i kin mek yu nɔs ɛn vɔmit ɔltɛm, ɛn dis kin mek yu nɔ ebul fɔ it. If ɔda tritmɛnt dɛn nɔ wok, yu dɔktɔ kin tɛl yu fɔ opin di paylɔs wit paylɔroplasti ɔpreshɔn.
3. Paylɔrik Stɛnɔsis
Dis sik kin mɔs si pan pikin dɛn we dɛn jɔs bɔn . insay dis kכndishכn, di wכl dεm na di pikin in payכs kin tik, i kin sכmtεm sכmtεm εn blכk di pasεj fכ it. Dis kin mek di pikin nɔ ebul fɔ pul di milk we i dɔn drink ɛn i kin vɔmit bɔku tɛm. Fɔ dɛn kayn pikin dɛn ya, dɛn fɔ du dis ɔpreshɔn if dɛn want fɔ mek it go insay dɛn bɔdi fayn fayn wan.
Aw dɛn kin du dis ɔpreshɔn ɛn wetin na di we aw dɛn kin du am?
Dɛn kin du dis ɔpreshɔn tu we dɛn. Wan pan dɛn na ɔpreshɔn we dɛn kin du fɔ opin di bɛlɛ, we kin min fɔ kɔt di bɛlɛ opin. Di ɔda wan na laparoskopik ɔpreshɔn, we gɛt fɔ du wit fɔ mek sɔm smɔl smɔl say dɛn na di bɛlɛ ɛn yuz kamɛra ɛn fayn fayn tin dɛn. Ilɛk aw i bi, dɛn go put yu ɔnda jenɛral anestezi, so yu nɔ go fil natin.
Bɔku men we dɛn de fɔ ɔpreshɔn pan payɔroplasti. Di dɔktɔ kin pik di we we go fayn fɔ di pɔsin bay di kayn we aw di pɔsin de.
| Di we aw dɛn kin du di ɔpreshɔn | Na jɔs diskripshɔn |
|---|---|
| Heineke-Mikulicz Paylɔroplasti we dɛn kin du | Dis na di we aw dɛn kin du am pas ɔl. Di dɔktɔ we de du di ɔpreshɔn kin kɔt di paylɔs lɔng wan ɛn afta dat i kin stich am togɛda krɔs wan. Dis kin mek di say we dɛn opin big ɛn mek di mɔsul rilaks. |
| Payloromyotomi (Ramstedt Payloroplasti) we dɛn kin du. | Dɛn kin yuz dis we mɔ fɔ pikin dɛn we dɛn jɔs bɔn. na ya, na di כta mכsul layεr dεm nכmכ na di payכs dεn kכt, we de lεf di dilik insay layn (mכkusa). Dis kin mek di layn we de insay de bulge go na do, ɛn dis kin mek di ples we de insay de bɔku. |
| Paylɔrik Dilayshɔn | Dis nɔto ɔpreshɔn we dɛn kin du. I tan lɛk ɛndoskopi , usay dɛn kin put wan tiub tru di mɔt, ɛn dɛn kin dilayt di paylɔs wit spɛshal inschrumɛnt. |
| Jaboulay/Finney Payloroplasti we dɛn kin du | Dɛn tin ya nɔto tin dɛn we pipul dɛn kin du fɔ du tin. Dɛn kin yuz dɛn if bad bad inflamɛns ɔ skata de na di paylɔs. dis involv fכ baypas di paylorus εn fכ mek nyu kכnεkshכn bitwin di bεlε εn di sכmכl intestin (gastroduodenostomy) . |
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, if dɛn bin du yu laparoskopik, yu kin ebul fɔ go na os di sem de. If dɛn bin du ɔpreshɔn pan yu opin, yu go nid fɔ de na di ɔspitul fɔ sɔm dez bikɔs di say we dɛn kɔt am big. Dɛn nɔ go gi yu sɔlid it fɔ di fɔs dez. Dɛn go gi yu nyutrishɔn tru wan tiub we dɛn put na yu nos ɔ tru salin we dɛn gi yu insay wan vein.
Wetin na di prɔblɛm dɛn we kin apin we pɔsin du ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin, bɔt di chans fɔ mek dɛn tin ya nɔ kin apin.
- Blɔd we de kɔmɔt
- Infεkshכn dεm
- Blɔd we de klɔt
- Damej to di ɔgan dɛn we de rawnd
Apat frɔm dɛn jenɛral risk ya, sɔm kɔmplikeshɔn dɛn de we spɛshal fɔ paylɔroplasti ɔpreshɔn.
1. Di sik we dɛn kɔl Dumping Syndrome
Dis na di sayd ɛfɛkt we kin apin pas ɔl afta dis ɔpreshɔn. I rili difrɛn frɔm di prɔblɛm we mek dɛn du yu di ɔpreshɔn. dat min se, di it we de kכmכt na di bεlε de muv kwik kwik wan insay di sכmכl intestin. Bɔku tɛm, dis kin apin fɔ shɔt tɛm.
Di sayn dɛm fɔ dump syndrome kin kam insay tu stej. Jɔs afta yu dɔn it, yu bɛlɛ kin kramp, yu kin gɛt nɔys, ɛn yu kin gɛt dayarɛa. Afta sɔm awa, yu blɔd shuga kin go dɔŋ wantɛm wantɛm, ɛn dis kin mek yu gɛt sɔm sayn dɛn lɛk fɔ wik, yu ed de tɔn, yu de swet, ɛn yu at de bit kwik kwik wan.
Pan ɔl we dis kin mɔna yu smɔl fɔs, yu kin kɔntrol am bay we yu chenj di it we yu de it ɛn if nid de, yu kin tek mɛrɛsin we yu dɔktɔ gi yu.
2. Bayl riflɔks
we dεn chenj di paylorik valv, i nכ de kכloz fayn, we de mek di tin dεm we de insay di sכmכl intestin, spεshal wan di bayl , fכ fכlכ bak insay di bεlε. Bayl na tin we de mek di bɛlɛ layn vɛks. If dis kɔntinyu, i kin mek pɔsin gɛt gastritis .
Rikavari prɔses ɛn sakrifays
Bɔku pipul dɛn, mɔ di wan dɛn we dɛn dɔn du laparoskopik ɔpreshɔn, kin wɛl kwik kwik wan. Dɛn kin go bak to dɛn nɔmal tin fɔ du ɛn it insay sɔm wiks. If yu gɛt sayn dɛm fɔ dump syndrome, yu fɔ tek tɛm wit yu it te dɛn go (i kin bi fɔ sɔm mɔnt).
Payloroplasty na wan tritmεnt we rili ifektiv fכ gastroparesis εn gastric obstruction, wit sakses rεt we de rich 90%.
As tɛm de go, we smɔl blɔk na di paylɔs kin ambɔg yu ɔl di dijestiv sistɛm. Tritmɛnt dɛn de we nɔto ɔspitul fɔ dis, bɔt if dɛn wan ya nɔ wok, ɔpreshɔn kin bi rili gud ɛn sef sɔlvishɔn.
Mɛsej we dɛn kin kɛr go na os
- Payloroplasty na ɔspitul we de mek di bɛlɛ opin (pylorus), we de mek di it pas izi wan insay di smɔl intestin we nɔ go stɔp.
- Dɛn kin du dis ɔpreshɔn mɔ pan kes dɛm we gɛt siriɔs ɔlsa na di bɛlɛ, gastroparesis, ɛn paylɔrik stenɔsis pan nyu bɔbɔ dɛm.
- Dis kin bi lɛk opin ɔpreshɔn ɔ laparoskopik (kihol) ɔpreshɔn. Yu dɔktɔ go disayd us we fɔ du am bɛtɛ fɔ yu.
- Di sayd ɛfɛkt we kin apin mɔ afta dɛn dɔn ɔpreshɔn na di dump syndrome, we na we it kin kɔmɔt na di bɛlɛ kwik kwik wan. Bɔt dis kin apin fɔ shɔt tɛm nɔmɔ ɛn yu kin kɔntrol am bay we yu chenj di tin dɛn we yu de it.
- Bifo ɛni ɔpreshɔn, i rili impɔtant fɔ tɔk to yu dɔktɔ bɔt ɔl di gud ɛn bad tin dɛn ɛn disayd fɔ du sɔntin.
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