Yu gɛt prɔblɛm bak wit gastritis we nɔ de wɛl fɔ lɔng tɛm, dat na, bɛlɛ ɔlsa (Peptic Ulcer Disease)? Ivin afta dɛn dɔn tek mɛrɛsin, sɔntɛnde dɛn ɔlsa ya kin kɔntinyu fɔ de ɛn nɔ wɛl. Insay dɛn kayn bad bad tin ya, tide wi go tɔk bɔt wan spɛshal ɔpreshɔn we dɔktɔ dɛn kin se. Dɛn kɔl dis Vagotomy. Sɔntɛm yu nɔ yɛri bɔt dis nem. Bɔt dis na wan we fɔ trit pɔsin we rili impɔtant. Lɛ wi si wetin i simpul.
Fɔ tɔk am simpul wan, wetin na Vagotomy?
Imajin se wan spɛshal ‘tɛlifon waya’ de we de kɛr infɔmeshɔn bitwin yu bren ɛn di dijestiv sistɛm na yu bɛlɛ. Insay mɛrɛsin, wi kin kɔl dis di Vagus Nerve. dis nεv na in de gi yu bεlε di signal fכ "sekret asid naw." we wi de it, na dis Vagus nεv de sεnd di mεsej frכm di bren fכ prodyuz di asid we wi nid fכ daygεst da it de.
Naw, sɔm pipul dɛn bɛlɛ kin mek tumɔs asid. Dis kin pwɛl di layn na di bɛlɛ ɛn mek ɔlsa we nɔ de wɛl . Vagotomy involv fכ kכt di pat pan di vagus nerve we de sεnd mεsej frכm di bren to di bεlε fכ mek asid. Jɔs lɛk aw fɔ kɔt tɛlifon waya de stɔp di mɛsej, we yu kɔt dis nɛv, i de ridyus di signal to di bɛlɛ fɔ mek asid. dis de εp fכ kכntrכl di bεlε asid prodakshכn, i de εp fכ hεl כlsa dεm εn stכp nyu wan dεm fכ fכm.
Dis nɔto sɔntin we dɛn kin du fɔ wan nɔmal gastritis kɔndishɔn. Na las tin fɔ mek yu gɛt siriɔs, kɔmplikɛt ɔlsa na yu bɛlɛ we yu nɔ go ebul fɔ mɛn wit mɛrɛsin.
Wetin na di men kayn ɔpreshɔn we dɛn kin du fɔ pul di vagotomy?
Di vagus nerve tan lɛk tik trɔnk we de stat ɛn branch. di vagotomy opareshכn kin sheb to tu men tכp dεm dipכnt pan usay dεn kכt dis nεv. Di tin dɛn we dɛn tu kin du kin difrɛn smɔl.
| Di kayn ɔpreshɔn we dɛn kin du | Simpul ɛksplen |
|---|---|
| Trunkal Vagotomi we dɛn kin du | Dis involv fɔ kɔt di men trɔnk na di vagus nerve. Dis tan lɛk we yu kɔt di men trɔnk na tik. Dis nɔ de afɛkt di bɛlɛ nɔmɔ, bɔt i de afɛkt bak di signal dɛn to di liva, gal blad, pankrias, ɛn intestinal. pan ɔl we dis de ridyus di asid bכku bכku wan, i kin afekt כda pat dεm na di dijestiv sistεm bak (sayd ifekt dεm). |
| Vagotomy we gɛt bɔku tin fɔ du | insay dis, dεn nכ de du natin to di men nεv trכnk. bifo dat, na כnli sכm sכm nεv branch dεm we de kכri signal to di sεl dεm we de prodyuz asid (parietal sεl dεm) na di bεlε dεn de sεlektivli kכt εn pul dεm. Dis tan lɛk we yu kɔt jɔs wan branch pan tik ɛn nɔ pwɛl di trɔnk. Dis kin mek yu nɔ gɛt bɔku sayd ɛfɛkt dɛn. Bɔt dis na ɔpreshɔn we nɔ kin izi fɔ di dɔktɔ we de du di ɔpreshɔn ɛn i nid fɔ gɛt mɔ skil. |
Dɔn ustɛm dɛn kin du dis ɔpreshɔn?
Bɔku tɛm, dɛn kin trit ɔlsa na di bɛlɛ wit mɛrɛsin. Bɔt sɔm kayn sik dɛn de we kin rili bad. Na da tɛm de yu fɔ tink bɔt fɔ du vagotomy ɔpreshɔn.
- Ɔlsa we de kɔmɔt na di bɛlɛ: If ɔlsa na di bɛlɛ kɔntinyu fɔ blɔd ɛn dɛn nɔ ebul fɔ kɔntrol am wit we dɛn lɛk ɛndoskopi, dɛn kin nid fɔ du ɔpreshɔn fɔ mek di ɔlsa fayn. Dɛn kin du vagotomy bak fɔ mek ɔlsa nɔ kam bak.
- Ɔlsa we gɛt pɔt: Dis na imejensi. If di ɔlsa dip fɔ mek ol na di wɔl, di bɛlɛ asid ɛn it kin lik insay di bɛlɛ, ɛn dis kin mek pɔsin gɛt siriɔs infɛkshɔn . If na so i bi, dɛn nid fɔ du ɔpreshɔn fɔ lɔk di ol kwik kwik wan. Dɛn kin du vagotomy bak. If na so i bi, dɛn go admit yu na di Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Gastric Outlet Obstruction: Ska tisu we de kכmכt frכm di injuri dεm we de fכ lכng tεm kin blכk di pasεj fכ it frכm di bεlε to di sכmכl intestin. Dis kin mek di it stɔp na di bɛlɛ ɛn mek yu vɔmit . Dɛn kin du vagotomy bak we dɛn de du ɔpreshɔn fɔ pul dis tin we de ambɔg am.
Ɔda ɔpreshɔn dɛn we dɛn bin de du wit vagotomy
Bɔku tɛm, vagotomy nɔto ɔpreshɔn we pɔsin kin du fɔ insɛf. Dɛn kin du am togɛda wit ɔda ɔpreshɔn dɛn fɔ kɔrɛkt di prɔblɛm dɛn we pɔsin kin gɛt we i wund.
1. Vagotomy wit Gastrectomy
Sɔntɛnde, i kin nid fɔ pul wan pat pan di bɛlɛ. Dɛn kɔl dis gastrectomy. Bɔku tɛm, dɛn kin pul di ɔda pat we de dɔŋ di bɛlɛ. Dis pat de mek wan ɔmon we dɛn kɔl gastrin. Dis ɔmon de ɛp bak fɔ mek asid. So we dɛn pul wan pat pan di bɛlɛ, dɛn kin du vagotomy bak fɔ mek i nɔ wund bak.
2. Vagotomi wit Payloroplasti
If wi du di Truncal Vagotomy ɔpreshɔn we wi bin dɔn tɔk bɔt, wi rili nid fɔ du dis payloroplasty ɔpreshɔn di sem tɛm. na di εnd pan di bεlε, wan pat de we lεk mכsul valv we dεn kכl di paylכrus. Dis tan lɛk get we de opin ɛn lɔk fɔ mek it pas insay di smɔl intestinal. we dεn kכt di men trכnk fכ di vagus nεv insay trunkal vagotomy, di signal dεm we de opin εn klos dis get de lכs. Dɔn di it kin stɔp na di bɛlɛ. Dɛn kin du paylɔroplasti ɔpreshɔn fɔ ajɔst da get de so dat i go opin ɔltɛm. Dɔn di it kin pas izi wan insay di smɔl intestinal.
Wetin kin apin bifo dɛn du di ɔpreshɔn ɛn we dɛn de du di ɔpreshɔn?
Bifo dɛn du di ɔpreshɔn, dɛn go gi yu di tritmɛnt we yu nid fɔ mek yu wɛlbɔdi kɔntinyu fɔ de fayn. Fɔ ɛgzampul, dɛn go gi yu salin if yu nɔ gɛt wata bikɔs yu de vɔmit, ɔ blɔd if yu dɔn lɔs blɔd bikɔs yu de blɔd. Dɛn go gi yu bak antibayɔtik fɔ mek yu nɔ gɛt di sik ɛn mɛrɛsin fɔ mek yu blɔd nɔ klɔt . Dɛn kin du di ɔpreshɔn ɔnda anestezi , we min se yu go slip ɔl.
Tu we dɛn de fɔ du di ɔpreshɔn:
- Open Surgery: Na di tradishɔnal we, dɛn kin du am tru wan big say we dɛn kɔt di bɛlɛ.
- Laparoscopic Surgery: Dɛn kin kɔl dis bak ‘keyhole surgery’. Na tin we dɛn kin du we dɛn kin kɔt jɔs sɔm smɔl smɔl tin dɛn na di bɛlɛ ɛn put kamɛra ɛn fayn fayn tin dɛn we dɛn kin yuz fɔ mek di bɔdi. Dis kin mek i nɔ kin tek lɔng tɛm fɔ wɛl ɛn i kin mek i gɛt smɔl smɔl skata dɛn.
Di dɔktɔ we de du di ɔpreshɔn go disayd us we we go fayn fɔ yu.
Wetin kin apin afta dɛn dɔn du di ɔpreshɔn? Di prɔblɛm dɛn we kin apin ɛn di bad tin dɛn we kin apin
Dipen pan di kayn ɔpreshɔn, yu kin nid fɔ de na ɔspitul fɔ sɔm dez. Dɛn go sɛn yu na os we yu ebul fɔ waka ɛn wok fɔ yusɛf bak. I kin tek sɔm wiks fɔ mek i wɛl ɔl. Yu go bigin wit likwid it ɛn smɔl smɔl yu go ajɔst to it ɔltɛm.
Lɛk ɛni ɔpreshɔn, dis wan gɛt sɔm prɔblɛm dɛn.
| Risk ɛn sayd ɛfɛkt dɛn | Tɔk bɔt |
|---|---|
| Risk dɛn we kin apin we dɛn de du ɔpreshɔn | Damej pan di ɔgan dɛm we de rawnd, di blɔd vesel dɛm, ɔ di nerv dɛm, infɛkshɔn, blɔd we de kɔmɔt pasmak, blɔd klɔt, ɛn ɔda tin dɛm. |
| Rɔnbɛlɛ | Dis na kɔmɔn sayd ɛfɛkt, mɔ afta dɛn dɔn du truncal vagotomy. dis kכndyushכn kin apin we di bayl de lik insay di intestin wan wan biכs fכ di nεv signal dεm to di gal blad we de dכn. Bɔku tɛm, dis kin apin fɔ shɔt tɛm. |
| Di sik we dɛn kɔl Dumping Syndrome | Dis kin apin bay we dɛn de du ɔpreshɔn we dɛn de du paylɔroplasti. As di it de muf kwik kwik wan frɔm di bɛlɛ to di intestinal, nɔs, bɛlɛ nɔ kin fil fayn, ɛn dayarɛa kin apin wantɛm wantɛm afta i dɔn it. Sɔntɛnde, afta sɔm awa, di shuga na yu blɔd kin go dɔŋ wantɛm wantɛm ɛn yu kin fil lɛk se yu nɔ gɛt bɛtɛ trɛnk. Yu kin kɔntrol dis bay we yu chenj di tin dɛn we yu de it. |
| Galston dɛn we de na di bɔdi | afta trunkal vagotomy, bayl kin kכmכt εn fכm stכn bikoz fכ di gal blad fכnshכn we dεn dכn dכn. |
Dɛn sayd ɛfɛkt ya nɔ kin apin to ɔlman. Ɛn yu dɔktɔ go gi yu mɛrɛsin ɛn advays fɔ mɛn bɔku pan dɛn. Di tin we impɔtant pas ɔl na dat, di men bɛnifit we dis ɔpreshɔn de gi na fɔ ebul fɔ wɛl ɔl di bɛlɛ ɔlsa dɛn we dɔn de fɔ lɔng tɛm ɛn we nɔ wɛl.
Mɛsej we dɛn kin kɛr go na os
- Vagotomy na spɛshal ɔpreshɔn we dɛn kin du fɔ siriɔs ɛn kɔmplikɛt bɛlɛ ɔlsa (Peptic Ulcers) we dɛn nɔ kin ebul fɔ mɛn wit mɛrɛsin.
- na ya, dεn kכt di rilevεnt pat pan di Vagus Nεv, we de kכri signal frכm di bren to di bεlε fכ mek asid, dεn kכt am εn pul am.
- Tu men kayn ɔpreshɔn de: Truncal Vagotomy ɛn Highly Selective Vagotomy.
- Bɔku tɛm dɛn kin du dis togɛda wit ɔda ɔpreshɔn, lɛk fɔ pul di bɛlɛ ɔ fɔ pul di bɔdi we dɛn kɔl payloroplasty.
- Sɔm bad tin dɛn lɛk dayarɛa ɛn dɔmp sindrom kin apin afta dɛn dɔn du di ɔpreshɔn, bɔt dɛn kin ebul fɔ kɔntrol bɔku pan dɛn.
- If dis ɔpreshɔn fayn fɔ yu, dɛn fɔ disayd afta dɛn dɔn chɛk yu mɛrɛsin gud gud wan ɛn we dɛn dɔn tɔk to yu spɛshal dɔktɔ we de du ɔpreshɔn.
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