Yu dɔn de fil pen na yu bɛlɛ ɛn yu nɔ de fil fayn fɔ sɔm dez? Yu dɔktɔ go dɔn tɛl yu se yu gɛt inflammatory bowel disease (IBD) lɛk Crohn’s disease. We yu gɛt dis sik fɔ lɔng tɛm, sɔm say dɛn insay yu intestinal kin bigin fɔ smɔl smɔl. I tan lɛk se wata paip de stɔp na di midul. so, wi kכl dis spεshal כpεrayshכn fכ mek dεn sכm sכm εria dεm ya big `Strictureplasty`. Tide, wi go tɔk bɔt ɔltin insay simpul wɔd dɛn.
Wetin rili na Strictureplasty?
Fɔ tɔk am simpul wan, strikt plasti na ɔpreshɔn we de mek wan say we smɔl ɔ we dɔn blok na yu intestin big (dɛn kɔl am strikt). Dis kin bi bikɔs ɔf di inflamɛns we nɔ de dɔn, we kin kam wit inflammatory bowel diseases (IBD) lɛk Crohn’s disease ɛn Ulcerative Colitis. dis inflameshn de mek di intestinal wכl dεm skata, we de mek dεn tik εn sכmtεm.
Dɛn kayn strikt ya kin apin mɔ na:
- di lכw pat pan di sכmכl intestinal (ileum) .
- fכ di valv we de kכnekt di sכmכl intestin εn di big intestin (di `ileocecal valv`).
כltu, dis kכndyushכn kin apin bak na di kכlon, rεktum, εn anus. di men gol fכ dis כpεraysh כn na fכ mek di pat we dεn sכmtεm na di intestכn big εn fכ mek di it muv di nכmal fכ muv, we dεn nכ de pul εni pat pan di intestכn.
Wetin mek yu nid fɔ du dis ɔpreshɔn?
we wan pat pan yu intestכn sכmtεm sכmtεm sכmtεm sכmtεm sכmtεm sכmtεm sכmtεm sכmtεm sכmtεm sכmtεm sכmtεm sכmtεm sכmtεm sכmtεm sכmtεm sכmtεm sכmtεm sכmtεm sכmtεm sכmtεm sכmtεm sכmtεm sכmtεm sכmtεm sכmtεm sכmtεm sכmtεm sכmtεm. Dis kin mek yu gɛt bɔku sayn dɛm wae nɔr kin fil fayn ɛn wae kin mek yu fil pen.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| Sivɛri bɛlɛ pen ɛn limp | dis pen kin apin biכs di intestin dεm kin kכntrakt as dεn de tray fכ pas it tru di blכk. |
| Bɛlɛ de blo ɛn flatulɛns | Di bɛlɛ kin swel bikɔs it ɛn briz nɔ kin ebul fɔ go dɔŋ fayn ɛn i kin stɔp na wan ples. |
| Nɔs ɛn vɔmit | If di blɔk bad bad wan, di it nɔ go ebul fɔ go dɔŋ ɛn i kin kam bak ɔp. |
| Banbɛlɛ | Difekshכn kin at biכs fכ di slo dijeshכn prכsεs. |
| I nɔ kin want fɔ it ɛn i nɔ kin gɛt bɔku bɔku bɔdi | Bikɔs ɔf pen ɛn diskɔmfɔt, di want fɔ it kin lɔs, ɛn di bɔdi nɔ kin ebul fɔ tek di tin dɛn we de insay di bɔdi fayn fayn wan. |
| Taya ɛn Anemia | Bɔku tɛm, ɔlsa kin kam na dɛn say dɛn ya we smɔl. Dɛn ɔlsa ya kin blɔd smɔl smɔl, ɛn dis kin mek pɔsin nɔ gɛt bɛtɛ blɔd as tɛm de go. Dis sik kin sɔlv afta dɛn dɔn du di ɔpreshɔn. |
di tin we imכtant pas ɔl: if dis sכmtεm we de sכmtεm de kכntinyu fכ inkrεs, di intestכn kin blכk kכmplit wan (intestinal obstruction). Dis na tin we rili denja ɛn ivin de mek pɔsin in layf de pan denja. So, if yu gɛt sɔm sayn dɛn, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm.
Udat dis ɔpreshɔn fit fɔ ɛn nɔ fayn fɔ?
Strictureplasty ɔpreshɔn nɔto fɔ ɔlman. Yu dɔktɔ go disayd fɔ du di bɛst tin bay di tin we de apin to yu.
| Di wan dɛn we fit fɔ mek dɛn du ɔpreshɔn | Kes dɛm we dɛn nɔ kin advays fɔ du ɔpreshɔn |
|---|---|
| If sɔm smɔl smɔl tin dɛn de na di say dɛn we de nia wan lɔng pat na di insay. | If sɔm smɔl smɔl tin dɛn de na wan shɔt pat na di intestin, yu fɔ klos togɛda. |
| If yu dɔn du yu bɔdi rɛsekshɔn bifo. | If injuri, inflamɛns, fistula, ɔ abnɔmal growth de na di say we smɔl. |
| If yu gɛt shɔt bɔdi sindrom. | di narrowing de nia wan say we dεn bin de du כpεrayshכn bifo (anastomosis). |
| If na smɔl smɔl tin nɔmɔ de, we nɔ gɛt inflamɛns ɔ injuri na di say we smɔl. | If yu gɛt bɔdi we gɛt pɔt. |
| If yu kin gɛt sɔm kayn sik wae de kam wit Crohn’s disease. | If yu de sɔfa wit siriɔs malnutrishɔn. |
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bikɔs dis na ɔpreshɔn we dɛn dɔn plan fɔ du, yu dɔktɔ go du bɔku tɛst dɛn bifo tɛm.
- Imej Test: Dɛn go du tɛst lɛk CT skan ɔ Magnetic Resonance Enterography (MRE) fɔ si ustɛm di smɔl smɔl tin dɛn we de na yu intestinal ɛn aw lɔng dɛn de.
- Blɔd Tɛst: Dɛn go du blɔd tɛst fɔ chɛk yu it. If yu nɔ de it fayn, dɛn kin gi yu nyutrishɔn sɔpɔtmɛnt tru wan vein (`IV`) fɔ sɔm dez bifo dɛn du di ɔpreshɔn. Dis go ɛp yu fɔ wɛl kwik kwik wan afta dɛn dɔn du di ɔpreshɔn.
- Stoma (Ostomy bag): Sɔntɛnde, afta dɛn dɔn ɔpreshɔn, dɛn kin nid fɔ mek wan opin (`stoma`) fɔ sɔm tɛm na di skin na di bɛlɛ fɔ mek di stɔl pas, ɛn dɛn kin nid fɔ tay bag (`ostomy bag`) pan am te di bɔdi wɛl. Nɔ wɔri bɔt dis. If dis nid fɔ du dat, yu dɔktɔ go ɛksplen to yu gud gud wan bifo dɛn du di ɔpreshɔn.
Aw dɛn kin du di ɔpreshɔn?
Strictureplasty na big ɔpreshɔn we dɛn kin du ɔnda jenɛral anestezi. Yu go nid fɔ de na di ɔspitul fɔ sɔm dez. Bifo di ɔpreshɔn bigin, dɛn go gi yu jenɛral anestezi, so yu nɔ go fil ɛni pen ɔ yu nɔ go mɛmba ɛnitin bɔt di ɔpreshɔn.
We dɛn de du di ɔpreshɔn, di dɔktɔ we de du di ɔpreshɔn kin kɔt wan say along di pat we dɔn smɔl na di insay ɛn siŋ am opin. Tink bɔt am lɛk se yu de kɔt wan tiub we dɔn blok lɔng wan, separet di tu ɛnd dɛn na di say we dɛn kɔt, ɛn stich dɛn togɛda. We di intestinal big, it kin muv tru am izi wan bak. If yu gɛt bɔku bɔku strikt, bɔku tɛm yu kin trit dɛn ɔl insay wan ɔpreshɔn.
difrεn tכp dεm de fכ Strictureplasty dipכnt pan di lεngth fכ di narrowing:
Heineke-Mikulicz Strikchɔplasti we dɛn mek
Dis na di we aw dɛn kin yuz mɔ. Dɛn kin du am fɔ narrowings we shɔt pas 10 sɛntimita (lɛk 4 inch).
Finney ɔ Jaboulay Strikchɔplasti
Dɛn kin yuz dɛn tin ya fɔ mek dɛn smɔl bitwin 10-20 sɛntimita (lɛk 8 inch) in lɔng. insay dis כpεrayshכn, dεn de fold di intestin insay wan ‘U’ shep.
Michelassi Strikchɔplasti we dɛn kin mek
Dis na spɛshal we fɔ strikt we lɔng pas 20 sɛntimita. insay dis we dεn de du dis, dεn de fol di pat we sכmtεm na di intestכn insay tu, dεn de bכn di tu sayd dεm togeda, dεn de mek wan lכng say, εn dεn de siw di tu tכgeda.
Aw lɔng i kin tek fɔ mek i wɛl afta dɛn dɔn du di ɔpreshɔn?
Dis na big ɔpreshɔn, so i go tek sɔm tɛm fɔ mek i wɛl. Yu kin nid fɔ de na ɔspitul fɔ lɛk wan wik so . If prɔblɛm dɛn de, yu go nid fɔ de de fɔ lɔng tɛm.
- Pen: Yu kin gɛt sɔm bɛlɛ pen insay di fɔs dez afta dɛn dɔn du di ɔpreshɔn. Di dɔktɔ go gi yu pen kil fɔ dis.
- Di tin dɛn we yu nɔ go ebul fɔ du: Yu nɔ go ebul fɔ du tin dɛn lɛk fɔ es wet ɔ fɔ drayv fɔ sɔm wiks.
- Wach fɔ infɛkshɔn: Yu fɔ rili tek tɛm fɔ mek yu gɛt infekshɔn afta dɛn dɔn du yu ɔpreshɔn. If yu gɛt sɔm sayn dɛn lɛk bad bad pen, fiva, rɛd ɔ swɛlin na di say we dɛn du di ɔpreshɔn, ɔ we yu nɔ kɔmɔn fɔ kɔmɔt na di wund, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm .
- Di it: Dipen pan yu kɔndishɔn, yu dɔktɔ ɔr nyutrishɔnist kin tɛl yu fɔ it spɛshal it (`GI soft diet`).
- IBD Tritmɛnt: Di impɔtant tin fɔ mɛmba na dat dis ɔpreshɔn de jɔs mek di smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. I nɔ de mɛn di IBD we de ɔnda am (lɛk Crohn in). So, yu go nid fɔ kɔntinyu fɔ tek ɔda mɛrɛsin fɔ yu sik.
Wetin na di difrɛns bitwin `Strictureplasty` ɛn `Bowel Resection`?
Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. Big difrɛns de bitwin dɛn tu ɔpreshɔn ya.
| Di kwaliti we pɔsin gɛt | Strictureplasty (we de mek i big) . | Risekshɔn na di bɔdi |
|---|---|---|
| Wetin fɔ du | Di pat we smɔl na di insay de big . | di pat we sכmtεm na di intestin de kכt kכmכt εn di rεst tu pat dεm de jכyn. |
| Men advantej | di כl lεngth fכ di intestin de kip, we de rεdכks di risk fכ `Short Bowel Syndrome` (nyutrishכn absכpshכn prכblεm) . | Di risk fɔ mek prɔblɛm apin bak na di sem ples kin ridyus smɔl. |
| Risk we go kam tumara bambay | Chans de fɔ mek dɛn nid fɔ du ɔpreshɔn bak tumara bambay. | Di chans nɔ de fɔ mek dɛn nid fɔ du ɔpreshɔn bak tumara bambay. |
Bɔku tɛm, dɔktɔ dɛn kin tray fɔ du strikt plasti fɔs, bikɔs fɔ kip di lɔng we di insay de rili impɔtant fɔ mek yu gɛt it.
Mɛsej we dɛn kin kɛr go na os
- Strictureplasty na ɔpreshɔn fɔ mek di say dɛn we dɔn smɔl na di intestin big bikɔs ɔf sik dɛn lɛk Crohn’s. I nɔ min fɔ kɔt sɔm pat dɛn na di insay.
- Dis ɔpreshɔn kin pul di sayn dɛm lɛk bɛlɛ pen ɛn blo, ɛn i kin ridyus di denja risk fɔ mek di intestin blok ɔl.
- Dis ɔpreshɔn nɔ fayn fɔ ɔlman. Yu dɔktɔ go disayd di tritmɛnt we go fayn fɔ yu bay di sik we yu gɛt.
- Dis na big ɔpreshɔn, so i kin tek tɛm fɔ mek i wɛl. Risk de lɛk fɔ gɛt infɛkshɔn ɛn fɔ blɔd.
- Dis ɔpreshɔn go jɔs mɛn di narrowing. Dɛn fɔ trit di sik we de ɔnda am (IBD).
- If yu gɛt ɛni kwɛstyɔn bɔt dis, nɔ fred fɔ tɔk to yu dɔktɔ ɛn mek ɔltin klia.
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