Sɔntɛnde yu kin fil ebi ebi na yu an afta yu dɔn go na tɔylɛt, ɔ lɛk se sɔntin dɔn kɔmɔt? Pan ɔl we dis na tɔpik we kin mek pɔsin shem ɛn shem fɔ tɔk bɔt, fɔ tru, i kin rili bi wɛlbɔdi prɔblɛm we kin afɛkt bɔku pipul dɛn te to sɔm mak. Wi kin kɔl dis kɔndishɔn ‘Rɛktal Prolaps’. So, natin nɔ de fɔ fred ɔ shem. Lɛ wi tɔk bɔt am opin wan.
Wetin na Rɛktal Prolaps?
Fɔ tɔk am simpul wan, dis na we di las pat pan yu big intestinal, di pat we de kɔnɛkt to yu rεktum, de slip kכmכt tru yu an. Tink bɔt am lɛk di pat dɛn na tɛliskɔp we de slayv insay ɛn kɔmɔt. Dis kin apin as yu de ol, we yu gɛt bɛlɛ ɔ afta yu bɔn pikin, ɔ bikɔs ɔf aksidɛnt ɔ sik.
Dis nɔto mɛdikal imejensi. Bɔt if dɛn nɔ trit am, di sik kin wɔs as tɛm de go. So, i bεst fכ trit am wit כpεrayshכn (rεktopeksi).
Udat kin gɛt dis sik mɔ?
Dis nɔ kin rili kɔmɔn. I kin afɛkt smɔl pan di pipul dɛn, lɛk 0.5%, ɛn i kin afɛkt ɛnibɔdi we ol ɛni ej, bɔt i kin apin mɔ pan uman dɛn we dɔn pas 50 ia .
We big pipul dɛn gɛt dis sik, dɛn nɔ go ebul fɔ mɛn am if dɛn nɔ du am ɔpreshɔn. Bɔt we i kin apin to yɔŋ pikin dɛn, di tin kin difrɛn smɔl. pan pikin dεm, i kin bi fכ tin dεm lεk we dεn de kכnsipshכn we de kכntinyu, dayariya, כ parasayt infεkshכn. we dεn trit di כndalayn kכ z fayn fayn wan, di mכsul dεm we de ol di rεktum in ples kin strכng bak εn di kכndyushכn kin hεl. So pikin dɛn nɔ kin nid ɔpreshɔn fɔ dis .
Wetin na di kayn ɔpreshɔn (Rectopexy) we dɛn kin du?
Tu men kayn ɔpreshɔn de fɔ kɔrɛkt di rεktal prolaps. Yu dɔktɔ go pik di prɔsidyu we go fayn fɔ yu bay aw yu gɛt ɔl yu wɛlbɔdi ɛn aw yu rɛktal dɔn prolaps.
| Di we aw dɛn kin du di ɔpreshɔn | Tɔk bɔt |
|---|---|
| Di we aw dɛn kin du am na di bɛlɛ | Dɛn kin du am tru wan say we dɛn kɔt am na di bɛlɛ. Dis kin bi lɛk opin ɔpreshɔn ɔ laparoskopik (yuz tin tiub wit kamɛra). |
| Di we aw dɛn kin du di wok na di perineal | dεn kin du am tru sכm sכm say we dεn kin kɔt na di skin εria bitwin di an εn di jεnital (di pεriniכm). Dis kin fayn fɔ ol pipul ɔr pipul dɛm wae gɛt ɔda kayn mɛrɛsin. |
Di we aw dɛn kin du am na di bɛlɛ
Dɛn kin du dɛn ɔpreshɔn ya ɔltɛm ɔnda jenɛral anestezi .
- Open surgery (Abdominal rectopexy): Di dɔktɔ kin kɔt yu bɛlɛ, pul di pat we de kɔmɔt na di intestin bak, ɛn tay am na di bak wɔl na di bɛlɛ wit stich dɛn we go de sote go. Sɔntɛnde, dɛn kin yuz mɛsh.
- Laparoscopic rectopexy: Dɛn kin du dis ɔpreshɔn bay we dɛn kin mek jɔs sɔm smɔl smɔl say dɛn na di bɛlɛ ɛn put wan tin tiub wit kamɛra (laparoskop) ɛn inschrumɛnt dɛn tru dɛn.
- Robotic rectopexy: Dis tan lɛk laparoskopik ɔpreshɔn, bɔt di dɔktɔ de du di ɔpreshɔn wit di ɛp we rɔbɔt de ɛp am.
Sɔntɛnde, if yu gɛt siriɔs kɔnstipɛshɔn, dɛn kin du kɔlektɔmi (we dɛn kin pul pat pan di insay) di sem tɛm we dɛn du dis ɔpreshɔn.
Di we aw dɛn kin du di wok na di perineal
Dɛn kin du dɛn ɔpreshɔn ya ɔnda jenɛral anestezi ɔ wit epidural.
- Altemeier prosidur: insay dis prosidur, dεn kin pul di pat we de kכmכt na di intestin kכmכt na di an, kכt am kכmכt, εn pul am. Dɔn, dɛn kin stich di tu pat dɛn we lɛf na di insay.
- Di we aw Delorme de du am: Dɛn kin du dis fɔ smɔl smɔl tin dɛn we de kɔmɔt na do. na ya, na di layn nכmכ na di intestin dεm dεn de pul, dεn de fold di mכsul layεr, εn dεn de siw di layn bak insay di rεktum. dis tik we di intestin de tik de mek di intestכn nכ de kכmכt bikoz fכ di wכl.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin we pɔsin du ɔpreshɔn?
If big pɔsin gɛt dis sik, na ɔpreshɔn nɔmɔ go sɔlv am. If dɛn nɔ du di ɔpreshɔn, dɛn tin ya kin apin:
- Sivɛri kɔnstipɛshɔn
- Fekal inkɔntinɛns
- di pat pan di intestinal we dכn kכmכt de stכk, bכdi de fכlכ stכp εn da pat de day (Gangrene) .
- Rɛktal ɔlsa ɛn di anemia we kin kɔmɔt frɔm dat
Lɛk ɛni ɔpreshɔn, prɔblɛm dɛn de we kin apin. Fɔ ɛgzampul, blɔd de kɔmɔt, blɔd de klɔt, ɛn skata. Pan ɔl we di ɔpreshɔn na di bɛlɛ kin gɛt smɔl prɔblɛm, di risk fɔ mek i gɛt di bɛlɛ bak nɔ kin bɔku .
Sɔm patikyula prɔblɛm dɛn we kin apin afta dɛn dɔn du di ɔpreshɔn na:
- abnכmal fכmeshכn fכ tכb dεm we de rawnd di an (Anal fistulas) .
- Anastomotik lik
- Di bɔdi we de ambɔg di bɔdi
- Di disfɔkshɔn pan mami ɛn dadi biznɛs
- Kɔnstipɛshɔn kin bɔku mɔ ɛn mɔ
Aw lɔng i kin tek fɔ mek a wɛl ɛn wetin a fɔ du afta di ɔpreshɔn?
Afta dɛn dɔn du di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ sɔm dez ɔ wan wik. I kin tek sɔm wiks fɔ mek yu kam bak to yu nɔmal afta yu dɔn go na os. I kin ivin tek sɔm mɔnt fɔ mek yu bɔdi go bak lɛk aw i bin de.
We yu de wɛl, yu fɔ tek kia ɔf dɛn tin ya spɛshal wan:
- Nɔ mek yu nɔ gɛt bɛlɛ: It bɔku it dɛn we gɛt fayv (vɛjitebul, frut, ɛn ligɛm). Drink bɔku wata ɔl di de.
- Nɔ strɛs we yu de go tɔylɛt: Dis rili impɔtant. We yu strɛs, dat kin mek di prɔblɛm kam bak.
- Stul softeners: If yu dɔktɔ tɛl yu fɔ yuz am jɔs lɛk aw dɛn tɛl yu.
Ustɛm yu want fɔ si di dɔktɔ bak?
If yu gɛt dɛn sik ya afta dɛn dɔn du yu ɔpreshɔn, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm .
- If yu de blɔd pas aw i fɔ blɔd.
- If siriɔs kɔnstipɛshɔn apin bak.
- If yu notis sayn dɛm we de sho se di ans de kɔmɔt na do bak .
- If yu si sayn dɛn fɔ se yu gɛt di sik, lɛk fiva, rɛd, ɛn swel na di say we dɛn du di ɔpreshɔn .
Bɔku pipul dɛn kin delay fɔ go to tritmɛnt bikɔs dɛn kin shem ɛn shem fɔ tɔk bɔt dɛn tin ya. Bɔt mɛmba se dis nɔto sɔntin we go bɛtɛ if yu nɔ gɛt tritmɛnt. I go jɔs wɔs as tɛm de go. So, if yu gɛt dɛn sik ya, fɔ tɔk to dɔktɔ we yu nɔ de fred ɛn fɔ gɛt di tritmɛnt we yu nid, dat go ɛp fɔ mek yu layf bɛtɛ bad bad wan.
Mɛsej we dɛn kin kɛr go na os
- di rεktal prolaps na di protrushכn we di εnd pan di big intestin de kכmכt tru di an.
- di onli tritmεnt we kin wok fayn fכ dis pan big pipul dεm na כpεrayshכn (Rectopexy). Nɔ delay fɔ go fɛn tritmɛnt.
- Nɔ shem fɔ tɔk bɔt dis. I impɔtant fɔ tɔk opin wan wit dɔktɔ fɔ yu wɛlbɔdi.
- Bɔku kayn ɔpreshɔn dɛn de, ɛn yu dɔktɔ go disayd di we we go fayn fɔ yu sik.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn fayn fayn wan bifo ɛn afta di ɔpreshɔn fɔ mek yu wɛl kwik kwik wan.
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