Sɔntɛnde, na nɔmal tin fɔ fil smɔl frayd ɛn fred we di dɔktɔ tɛl yu se dɛn nid fɔ pul wan pat pan yu insay bikɔs ɔf wan mɛrɛsin. "A go ebul fɔ liv nɔmal afta dɛn dɔn pul wan pat pan mi intestin?" "Fɔd nɔ go dayjɛst?" I go mɔs bi se yu gɛt bɔku kwɛstyɔn dɛn lɛk dɛn wan ya na yu maynd. Na dat mek, tide, wi go tɔk bɔt dis ‘smɔl bɔdi rɛsekshɔn’ ɔ `(Smɔl bɔdi rɛsekshɔn)` ɔpreshɔn insay simpul wɔd dɛn.
Fɔ tɔk am simpul wan, dis ɔpreshɔn gɛt fɔ du wit ɔpreshɔn fɔ pul wan pat pan yu smɔl intestin we dɔn pwɛl ɔ we gɛt sik. Wi smɔl intestinal na wan ɔgan we rili lɔng, we twist, ɛn we wɔndaful ɛn we kin lɔng bitwin 20 ɛn 30 fit. Na de di bɔdi de tek bɔku pan di tin dɛn we de insay di it we wi de it. So ivin if dɛn pul smɔl pat pan dis lɔng intestinal, bɔku tɛm wi bɔdi kin ebul fɔ adap to am ɛn mek di bɔdi wok fayn fayn wan.
Wetin mek i nid fɔ du dis kayn ɔpreshɔn?
Bɔku rizin dɛn de we mek dɛn kin pul wan pat pan di smɔl intestinal. Dɔktɔ dɛn kin se dɛn fɔ du dis ɔpreshɔn we dɛn nɔ dɔn kɔntrol di sik wit mɛrɛsin ɔ spɛshal it. Bɔt if dɛn gɛt tin dɛn we kin mek pɔsin in layf de pan denja lɛk fɔ mek dɛn nɔ ebul fɔ waka na in intestinal, i kin nid fɔ du ɔpreshɔn wantɛm wantɛm . Na sɔm pan di men rizin dɛn we mek dɛn du dis ɔpreshɔn.
| Rizin | Simpul Ɛksplen |
|---|---|
| Di tin dɛn we kin apin we nɔ kɔmɔn | di kכndishכn dεm lεk we nכ de gro na di sכmכl intestinal, lεk tכmכro, polip, כ sכm intestכn kεnsar. |
| Prɔblɛm dɛn frɔm we dɛn bɔn am | di kכndishכn dεm lεk di mεkεl in divεrtikul כ malrotashכn na di intestin, we de de frכm we dεn bכn am. |
| Infεkshכn dεm we kin de fכ lכng tεm | di kכndishכn dεm lεk Crohn in sik kin mek di wכl dεm na di intestכn tik εn sכmtεm (stricture). |
| Strangulated hernia we dɛn dɔn strɛch | We wan pat pan di intestinal kin trɔp insay wan hεnia, di blɔd kin kɔt fɔ go na da say de ɛn i kin mek di tisu dɛn day. |
| Intestinal ɔbstrukshɔn | sכm sכm bכdi we de brok na di kכndyushכn we di intestin de blok kכmplit fכ sכm rizin. Dis na sik we dɛn nid fɔ du ɔpreshɔn kwik kwik wan. |
| Aksidɛnt dɛn we kin apin | Damej na di intestin bikɔs ɔf aksidɛnt ɔ injuri, fɔ ɛgzampul, perforation. |
Wetin na di we dɛn fɔ du di ɔpreshɔn?
Dɛn kin du dis ɔpreshɔn pan tri men we dɛn. Di we aw yu go pik wan pan dɛn we ya, i go dipen pan yu kɔndishɔn ɛn wetin di dɔktɔ we de du di ɔpreshɔn tɛl yu fɔ du.
1. Laparoskopik ɔpreshɔn: Dis nɔ min fɔ mek big say na di bɛlɛ. Bifo dat, dɛn kin kɔt sɔm rili smɔl smɔl say dɛn ɛn put kamɛra ɛn ɔspitul inschrumɛnt dɛn tru dɛn. Di bɛnifit fɔ dis we na dat i kin wɛl kwik ɛn i nɔ kin mek i fil pen.
2. Rɔbɔt ɔpreshɔn: Dis tan lɛk laparoskopik ɔpreshɔn, bɔt na ya di dɔktɔ de kɔntrol di an dɛn na rɔbɔt mashin, ɛn i de du di ɔpreshɔn mɔ prɛsis ɛn izi .
3. Open surgery: Dis na di tradishonal we. na ya, dεn kin mek wan big say na di bכdi εn dεn kin akses di intestin dεm. Dɛn kin yuz dis we we di ɔda tu we dɛn nɔ fayn.
Wetin kin apin we dɛn de du di ɔpreshɔn?
I impɔtant fɔ mek yu gɛt sɔm aidia bɔt dis.
Fɔs, dɛn go ful-ɔp yu anestez, so yu nɔ go fil ɛnitin we dɛn de du di ɔpreshɔn.
Dɔn di dɔktɔ we de du di ɔpreshɔn kin kɔt am bay we i de yuz wan pan di we dɛn we wi bin dɔn tɔk bɔt fɔ rich di pat we dɔn pwɛl na di insay. Dɔn, dɛn kin ol di pat na ɔl tu di say dɛn wit spɛshal inschrumɛnt dɛn (klam) ɛn kɔt di pat we dɔn pwɛl ɛn pul am.
Di nɛks tin we yu fɔ du na di tin we impɔtant pas ɔl.
- Anastomosis we dɛn kin yuz: .bכku tεm, dεn kin jכyn di εnd dεm fכ di tu hεlty sεkshכn dεm na di intestin we de rεst afta dεn pul di sεkshכn tכgeda εn sכm bak togeda. Dɛn kin du dis bay we dɛn de yuz spɛshal stich ɔ step. Dɛn kɔl dis prɔses anastomosis.
- Ileostomy: Bɔt sɔntɛnde i nɔ kin pɔsibul fɔ kɔnɛkt di tu pat dɛn we lɛf na di intestin. Fɔ ɛgzampul, if di distans bitwin di tu pat dɛn tu big, ɔ if wan infekshɔn nɔ ebul fɔ kɔnɛkt bak wantɛm wantɛm, di dɔktɔ go du ɔda tin. insay dis kes, dεn kin mek wan opin (stoma) so dat di εnd pan di sכmכl intestin go kכmכt na di skin na di bכdi. di stכl de kכmכt tru dis opin εn i de kכlekt insay wan spεshal bag (ostomy bag) we de atak di skin. Dɛn kɔl dis ileostomy. Dis kin bi fɔ shɔt tɛm ɔ fɔ ɔltɛm.
Wetin kin apin afta di ɔpreshɔn? Aw lɔng i go tek fɔ mek i wɛl?
Yu go gɛt fɔ de na ɔspitul fɔ sɔm dez afta dɛn dɔn du di ɔpreshɔn.
- Fɔ it: Insay di fɔs tɛm, bikɔs di insay nid fɔ rɛst, dɛn nɔ kin gi it bay mɔt. bifo dat, dεn de gi nyutrishכn tru wan tכb (tכb fכ it). As di pikin de wɛl smɔl smɔl, dɛn kin bigin fɔ it wata ɛn sɔft it dɛn bay in mɔt, lɛk aw di dɔktɔ tɛl am.
- Wach: We yu de na ɔspitul, ɛn afta yu dɔn go na os, i rili impɔtant fɔ grap na bed ɛn waka rawnd smɔl fɔ mek blɔd nɔ klɔt .
- Tɛm fɔ wɛl: I kin tek sɔm mɔnt fɔ mek i wɛl, bɔt bɔrku pipul dɛn kin ebul fɔ go bak to di tin dɛn we dɛn kin du ɛvride insay sɔm wiks.
Wetin na di bad tin dɛn ɛn di bad tin dɛn we kin apin we dɛn du dis ɔpreshɔn?
Lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin, ɛn i impɔtant fɔ no bɔt dɛn.
| Risk / Sayd Ɛfɛkt | Tɔk bɔt |
|---|---|
| Anastomotik lik | Lik frɔm di sutures/staples. Dis na tin we rili denja ɛn we kin mek pɔsin in layf de pan denja. |
| Rɔnbɛlɛ | Daya kin kam fɔ sɔm wiks afta di ɔpreshɔn as di bɔdi de ajɔst to di nyu tin. |
| Inguinal hεnia we de na di bכdi | di pat dεm na di intestinal we dεn de push kכmכt tru di say we dεn sכk we dεn de du di כpεrayshכn. |
| Ɔda prɔblɛm dɛn we kin apin | Infεkshכn, blɔd we de kכlכt, blɔd we nɔ de rɔtin, ɛn we de pwɛl di ɔgan dεm we de nia yu lεk di liva ɔ di pankrias. |
If yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm!
We yu go na os afta dɛn dɔn du yu ɔpreshɔn, yu nid fɔ kia fɔ yu bɔdi gud gud wan. If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ ɔ go na ɔspitul wantɛm wantɛm .
- I nɔ kin izi fɔ yu fɔ pul dɔti ɔ nɔ fɔ muv yu bɔdi fɔ sɔm dez.
- Nɔs ɛn vɔmit te yu nɔ ebul fɔ kip it ɔ wata dɔŋ bay yu mɔt.
- Pus ɔ blɔd we de kɔmɔt frɔm di say we dɛn kɔt di ɔpreshɔn.
- Bɔrku pen wae nɔr kin stɔp ivin afta yu dɔn tek mɛrɛsin.
- Sayn dɛm fɔ infekshɔn, lɛk fiva, rɛd ɛn wam rawnd di say we dɛn kɔt.
Mɛmba se, if yu gɛt prɔblɛm wit dɛn sik ya, nɔ west tɛm ɛn go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- `Smɔl Bɔwel Risekshɔn` na di ɔspitul fɔ pul wan pat pan di smɔl intestin we sik ɔ we dɔn pwɛl. Nɔ fred dis.
- Bikɔs wi smɔl intestinal lɔng, bɔku tɛm di bɔdi kin wok fayn ilɛksɛf dɛn pul wan smɔl pat pan am.
- I kin tek sɔm tɛm fɔ mek i wɛl gud gud wan afta dɛn dɔn du am ɔpreshɔn. Insay da tɛm de, du wetin di dɔktɔ tɛl yu fɔ du gud gud wan.
- Yu fɔ no bɔt di sayn dɛm we kin de pan denja (fiva, bad bad pen, vɔmit, pus we de kɔmɔt frɔm di say we dɛn kɔt) afta dɛn dɔn du di ɔpreshɔn. If yu notis ɛni wan pan dɛn tin ya, go to dɔktɔ wantɛm wantɛm.
- If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ fred fɔ tɔk bɔt am wit yu dɔktɔ.
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