Sɔntɛnde, sɔm pan wi bɛlɛ sik nɔ kin jɔs go wit mɛrɛsin, nɔto so? Dɛn kayn tɛm dɛn de, dɔktɔ dɛn kin se dɛn nid fɔ pul wan pat pan di bɔdi we gɛt sik. Na rili nɔmal tin fɔ fil smɔl frayd ɛn fred we yu yɛri dis. I rizinɔs fɔ tink se, "O, wetin go apin to mi if dɛn pul wan pat pan mi insay?" So tide, lɛ wi tɔk bɔt dis smɔl intestin ɔpreshɔn, we dɛn kɔl mɛrɛsin ‘Smɔl Bɔwel Risekshɔn’, klia wan ɛn simpul wan.
Wetin na Smɔl Bɔwel Risekshɔn?
Fɔ tɔk am simpul wan, dis min se yu fɔ ɔpreshɔn fɔ pul wan pat pan yu smɔl intestin we dɔn pwɛl, we gɛt sik, ɔ we nɔ de wok fayn. Sɔm ɔpreshɔn dɛn kin jɔs pul wan rili smɔl pat, bɔt sɔntɛnde dɛn kin pul wan big pat.
Naw yu kin de tink se, "Aw a go liv if dɛn pul wan pat pan mi insay?" Tink bɔt am dis we, wi smɔl intestinal na ɔgan we kin lɔng lɛk 20-30 fit . I tan lɛk wan lɔng tiub we de kɔyl insay di bɛlɛ. Di men wok we i de du na fɔ tek di tin dɛn we wi bɔdi nid frɔm di it we wi de it. so, fכ pul sכm pat pan dis kayn lכng intestכn nכ kin gεt big impak pan in fכnshכn. Wi bɔdi kin yus to am.
Udat nid fɔ du dis ɔpreshɔn? Fɔ us kayn sik dɛn?
Dɛn kin du dis ɔpreshɔn pan pipul dɛn we gɛt siriɔs sik na dɛn bɛlɛ. Dɔktɔ dɛn kin se dɛn fɔ du dis ɔpreshɔn nɔmɔ we dɛn nɔ ebul fɔ mɛn di sik wit mɛrɛsin nɔmɔ. Lɛ wi tek wan luk pan wetin na dɛn kɔndishɔn dɛn de.
| Kɔndishɔn | Fɔ tɔk am simpul wan... |
|---|---|
| Di tin dɛn we de gro we nɔmal | Tin dεm lεk kεnsar, tכmכro dεm we nכ gεt kansa, כ polyp dεm we de divεlכp na di sכmכl intestכn. |
| Dizayd dɛn we dɛn kin bɔn wit GI | Sɔm tin dɛn we kin apin we dɛn bɔn am, lɛk di divɛrtikul we de na Mɛkɛl ɔ we i nɔ de rɔn fayn . |
| Kronik inflammatory GI ishu dɛm | Narrowing (stricture) of di intestine bikɔs ɔf sik dɛm lɛk Crohn’s disease . |
| Inkrɛse abdominal hεnia | Ɛnia kin mek wan pat na di intestinal trɔp, ɛn dis kin mek di blɔd nɔ de flɔ ɛn day. |
| Nekrɔtizing ɛntɛrokolayt | wan siriכs kכndyushכn we di intestinal tisu dεm de day, we kכmכn pan pikin dεm we dεn bכn bifo tεm. |
| Smɔl bɔdi we de ambɔg | wan komplit blok na di intestin frכm insay. i kin bi bak we wan pat pan di intestin de muv insay כda pat (intussusception) . |
| Shɔk | di damej we di intestin de du bikɔs ɔf aksidɛnt, fɔ ɛgzampul, we di intestin de pwεl. |
Di impɔtant tin na dat dɛn kin du dis ɔpreshɔn we dɛn nɔ kin ebul fɔ kɔntrol di sik wit ɔda tritmɛnt, lɛk mɛrɛsin ɔ spɛshal it. Bɔt if ɛnitin apin we nɔ izi fɔ yu, lɛk we yu bɔdi nɔ ebul fɔ waka, we kin mek yu layf de pan denja, yu kin nid fɔ du ɔpreshɔn wantɛm wantɛm .
Wetin na di ɔpreshɔn we dɛn kin du?
Dɔktɔ dɛn kin yuz tri men we dɛn fɔ du dis ɔpreshɔn. Dɛn go pik di we we go fayn fɔ yu bay aw yu sik.
| Di we aw dɛn kin du di ɔpreshɔn | Wetin de apin na ya? (Wetin kin apin na ya?) |
|---|---|
| Laparoskɔpik ɔpreshɔn | as wi de tok, "camera-assisted surgery" involv fכ mek כnli fכ rili sכm sכm sכm insεshכn dεm na di bεlε. Dɛn kin put kamɛra tru wan pan di say dɛn we dɛn kɔt, si am na monita, ɛn dɛn kin put tin dɛn we tan lɛk tin dɛn we dɛn kin kɔt fɔ mek dɛn du di ɔpreshɔn. Ska nɔ kin bɔku ɛn i kin wɛl kwik kwik wan. |
| Robot ɔpreshɔn we dɛn kin du | Dis tan lɛk di we aw dɛn kin yuz laparoskopik, bɔt di dɔktɔ kin yuz rɔbɔt tɛknɔlɔji fɔ kɔntrol di tin dɛn we dɛn de yuz fɔ mek di tin dɛn. Dis kin mek di dɔktɔ we de du di ɔpreshɔn ebul fɔ du di ɔpreshɔn fayn fayn wan ɛn izi wan na say dɛn we at fɔ rich. |
| Opin ɔpreshɔn we dɛn kin du | Dis na di tradishɔnal we aw dɛn kin du am. wan big say we dεn kin kɔt na di midul pan di bεlε fכ rich di intestinal. Dɛn kin yuz dis we fɔ du tin we di tu we dɛn we wi dɔn tɔk bɔt nɔ pɔsibul. |
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
If nɔto imejensi ɔpreshɔn, yu go gɛt sɔm dez fɔ rɛdi fɔ di ɔpreshɔn.
- Test: Dɛn kin du blɔd tɛst, urine test, ɛn skan fɔ si if yu go ebul fɔ bia wit ɔpreshɔn.
- Fɔ stɔp fɔ tek mɛrɛsin: If yu de tek tin dɛn we de mek yu blɔd tan (lɛk aspirin) ɔ sɔm tin dɛn we de mek yu nɔ fil pen, yu go nid fɔ stɔp fɔ tek am fɔ sɔm dez, lɛk aw yu dɔktɔ tɛl yu.
- Fɔ klin di kɔlon: Dɛn nid fɔ klin di kɔlon kɔmplit wan bifo dɛn du di ɔpreshɔn. Dɛn go aks yu fɔ it tin dɛn we gɛt bɔku fayv ɛn drink bɔku wata fɔ sɔm dez bifo dɛn du di ɔpreshɔn. Dɛn go aks yu fɔ limited yu it fɔ likwid as yu de kam nia fɔ ɔpreshɔn. Sɔntɛnde, dɛn kin gi yu laxative ɔ enema fɔ ɛp yu bɔdi fɔ muv. Dɛn kin du ɔl dis fɔ mek di ɔpreshɔn sef.
Wetin kin apin we dɛn de du di ɔpreshɔn ɛn afta dɛn dɔn du di ɔpreshɔn?
We dɛn de du di ɔpreshɔn, dɛn go gi yu jenɛral anestezi, so yu nɔ go fil natin, yu go de na dip slip. Di dɔktɔ go kɔt am akɔdin to di we aw i dɔn pik ɛn i go rich di pat we dɔn pwɛl na di insay. Dɔn, i go yuz spɛshal inschrumɛnt dɛn fɔ ol di pat na di tu say dɛn ɛn kɔt am.
Dɔn di impɔtant pat de kam. Naw yu gɛt tu wɛlbɔdi ɛnd dɛn na di insay, nɔto so? Wetin yu go du nɛks go sho yu tumara bambay. Tu men tin dɛn de we yu go ebul fɔ du na ya.
1. Fɔ kɔnɛkt bak di tu pat dɛn na di insay (Anastomosis) .
Dis na di tin we dɛn kin du mɔ. lεk we dεn kin tay bak wan paip we brok, dεn kin kכnekt di tu εnd dεm na di hεlty intestכn bak togeda bay we dεn de yuz sutura כ step dεm . We dis dɔn wok fayn, yu dijestiv sistɛm go bigin fɔ wok nɔmal wan bak.
2. Ileostomy we dɛn kin du
sכmtεm, di rεst hεlty pat dεm na di intestכn kin nכ lכng fכ kכnekt. Ɔ, bikɔs ɔf infekshɔn, i kin tu risky fɔ kɔnɛkt dɛn ɔl wan tɛm. If na so i bi, di dɔktɔ go briŋ di ɛnd pan di smɔl intestinal kɔmɔt tru wan smɔl opin (stoma) we dɛn mek na di skin na di bɛlɛ. Dɔn, dɛn kin tay wan spɛshal bag to da opin de. Di stɔl kin gɛda insay da bag de. Sɔntɛnde dis kin bi fɔ shɔt tɛm . Leta, dɛn kin kɔnɛkt di intestin bak frɔm insay wit ɔda ɔpreshɔn. Sɔntɛnde, dɛn kin gɛt fɔ kip am dis we fɔ ɔltɛm .
Di prɔblɛm dɛn we kin apin ɛn di bad tin dɛn we kin apin we dɛn du ɔpreshɔn
Lɛk ɛni ɔpreshɔn, dis wan gɛt sɔm prɔblɛm dɛn.
- Anastomotic leak: Dis na di kɔmplikeshɔn we siriɔs pas ɔl. i kin apin we di intestinal dεm kכnεkt, dat na usay dεn bin de put di stich כ step dεm. If dis apin, stɔl kin go insay di bɛlɛ ɛn mek pɔsin gɛt siriɔs infɛkshɔn. Dis na imejensi we kin mek pɔsin in layf de pan denja .
- Chronic anemia: Anemia kin apin fɔ lɔng tɛm.
- Di ɔgan dɛn we de rawnd am: We dɛn de du ɔpreshɔn, di ɔgan dɛn we de rawnd am lɛk di liva ɛn di pankrias kin pwɛl.
- Daya: Na nɔmal tin fɔ gɛt dayarɛa fɔ sɔm wiks afta dɛn dɔn du di ɔpreshɔn. I kin tek tɛm fɔ mek di nɛf ɛn mɔsul dɛn na di intestinal ajɔst to dis chenj.
- Ɛnia: Ɛnia kin kam sɔm tɛm afta dɛn dɔn ɔpreshɔn am.
- strikt: di εria we di intestכn kכnekt kin sכmtεm sכmtεm εn mek di obstrכkshכn kam bak.
Aw na di tɛm fɔ wɛl?
Afta dɛn dɔn du di ɔpreshɔn, yu go nid fɔ de na di ɔspitul fɔ sɔm dez. Insay di fɔs tɛm, dɛn nɔ go gi yu it bay mɔt fɔ gi yu insay rɛst. Dɛn go gi yu nyutrishɔn tru wan tiub (enteral nutrition). As yu de wɛl, dɛn go gi yu wata, dɔn dɛn go gi yu sup, ɛn afta dat dɛn go gi yu sɔft it dɛn.
I impɔtant fɔ rɛst fɔ sɔm wiks afta yu dɔn go na os. Bɔt, i nɔ fayn fɔ de na bed. I impɔtant fɔ waka rawnd smɔl fɔ mek blɔd nɔ klɔt . I kin tek sɔm mɔnt fɔ mek i wɛl, bɔt bɔku pipul dɛn kin go bak to dɛn nɔmal tin dɛn we dɛn kin du insay sɔm wiks.
If na so i bi, kɔl yu dɔktɔ wantɛm wantɛm!
I rili impɔtant fɔ wach yu wɛlbɔdi afta yu dɔn go na os. If yu gɛt ɛni wan pan di sayn dɛn we de dɔŋ ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
| Sayn dɛn we de wɔn pipul dɛn fɔ wach fɔ |
|---|
| - I nɔ kin izi fɔ pul yu bɔdi ɔ nɔ gɛt bɔdi fɔ sɔm dez. |
| - Nɔs ɛn vɔmit we de kɔntinyu te yu nɔ ebul fɔ kip it ɔ wata dɔŋ. |
| - Pus ɔ blɔd we de kɔmɔt frɔm di say we dɛn kɔt di ɔspitul. |
| - Di pen nɔ bin stɔp ivin afta a tek di pen kil we di dɔktɔ gi mi. |
| - Sayn dεm fכ infεkshכn lεk fiva, kol, di skin we de rεd arawnd di say we dεn sכk, εn fכ fil fכ wam. |
Mɛsej we dɛn kin kɛr go na os
- Smɔl bɔdi we dɛn kin pul na di bɔdi na we dɛn kin du ɔpreshɔn fɔ pul wan pat pan di intestin we sik ɔ we dɔn pwɛl.
- Dɛn kin du dis pan siriɔs kɔndishɔn lɛk kansa, Kron sik, ɛn intestinal ɔbstrukshɔn, we ɔda tritmɛnt dɛn nɔ wok.
- Tri we dɛn de: ɔpreshɔn we dɛn kin du wit laparoskɔpik, we dɛn kin yuz rɔbɔt, ɛn we dɛn kin du opin ɔpreshɔn. Yu dɔktɔ go disayd us we fɔ du am bɛtɛ fɔ yu.
- I kin tek tɛm fɔ mek i wɛl afta dɛn dɔn du di ɔpreshɔn. I rili impɔtant fɔ fala wetin di dɔktɔ tɛl yu fɔ du.
- Bikɔs wi smɔl intestinal rili lɔng, ivin if dɛn pul wan pat pan am, di bɔdi kin ajɔst to am ɛn wok fayn fayn wan. So nɔ fred we yu nɔ nid fɔ fred. If yu gɛt ɛni kwɛstyɔn, tɔk to yu dɔktɔ opin wan.
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