Yu kin tink se sɔm pipul dɛn kin gɛt ɔlsa na dɛn bɛlɛ, dat na ɔlsa na dɛn bɛlɛ, ɛn ilɛk us mɛrɛsin dɛn tek ɔ aw dɛn kin kɔntrol aw dɛn de it, i nɔ go ɛva wɛl. Pipul dɛn de we kin gɛt dɛn kayn bad bad tin ya we kin mek dɛn kɔntinyu fɔ fil pen, blɔd kin kɔmɔt, ɛn sɔntɛnde dɛn kin ivin fɔdɔm na dɛn bɛlɛ. Fɔ dɛn kayn pipul ya, we ɔl di ɔda tritmɛnt dɛn nɔ wok, wi de tɔk tide bɔt wan spɛshal ɔpreshɔn we dɔktɔ dɛn kin se fɔ du. Dɛn kɔl am vagotomy.
Fɔ tɔk am simpul wan, wetin na vagotomy?
Tink bɔt dis we: di Vagus nerve tan lɛk wan men tɛlifon layn bitwin wi bren ɛn di dijestiv sistɛm, inklud di intestines. dis nεv na in de sεnd di signal to wi bεlε fכ "sekret asid naw." Pan ɔl we wi nid dis asid we wi de it, sɔntɛnde we dis asid de bɔku na in kin mek wi gɛt ɔlsa na di bɛlɛ.
Vagotomy na we dɛn kin kɔt di pat pan di tɛlifon layn bay wilful, we na di vagus nerve, we kin sɛn signal to di bɛlɛ fɔ mek asid, ɛn dis kin mek dɛn stɔp da signal de. dis de ridyus di prodakshכn fכ di bεlε asid bכku bכku wan. Dis na sɔm kayn radikal bɔt rili fayn tritmɛnt fɔ pipul dɛm wae gɛt di mɔs siriɔs peptik ɔlsa sik.
Wetin kin apin we dɛn kɔt di vagus nerve? - Tu men kayn dɛn de
Di vagus nerve tan lɛk tik. I gɛt wan men trɔnk, we difrɛn branch dɛn de kɔmɔt. Di ifɛkt we di ɔpreshɔn kin gɛt kin difrɛn difrɛn wan bay usay dɛn kɔt dis nɛv. Tu men kayn dɛn de.
| Di kayn ɔpreshɔn we dɛn kin du | Wetin kin apin ɛn di impak we i kin gɛt |
|---|---|
| Trunkal Vagotomi we dɛn kin du | dis involv fכ kכt di "mεn trכnk" fכ di vagus nεv. dis de mek di bεlε asid dכn, bכt i kin afekt bak di wok we כda כgan dεm we de gεt signal frכm dis nεv, lεk di liva, gal blad, pankrias, εn intestinal dεm. Dis kin mek yu gɛt prɔblɛm wit di we aw yu de digest. |
| Vagotomy we gɛt bɔku tin fɔ du | Dis na wan we we rili spɛshal. Na ya, dɛn nɔ kin kɔt di wan ol nɛv trɔnk. 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 pik εn kכt dεm. Dis nɔ kin afɛkt ɔda ɔgan dɛn. Bɔt dis na ɔpreshɔn we nɔ kin izi fɔ di dɔktɔ we de du di ɔpreshɔn ɛn i nid fɔ no mɔ bɔt di tɛknik. |
Us kes dɛn dɛn kin se dɛn fɔ du dis ɔpreshɔn?
Bɔku pan di bɛlɛ ɔlsa dɛn kin trit wit mɛrɛsin. Bɔt pan kɔmpleks ɛn siriɔs kes dɛm, lɛk dɛn wan ya, dɛn kin se dɛn fɔ du dis ɔpreshɔn fɔ mek di ɔlsa nɔ kam bak:
- Ɔlsa we de kɔmɔt na di blɔd: If dɛn nɔ ebul fɔ kɔntrol di blɔd wit ɔda we, dɛn kin nid fɔ du ɔpreshɔn fɔ mek di ɔlsa wɛl.
- Ɔlsa we gɛt pɔt: If di ɔlsa mek ol na di bɛlɛ wɔl, dɛn fɔ lɔk am wit ɔpreshɔn we dɛn nid fɔ du am kwik kwik wan. If nɔto dat, jem kin go insay di bɛlɛ ɛn mek pɔsin gɛt siriɔs infɛkshɔn. If na so i bi, dɛn fɔ kɛr yu go na di ETU (Imergency Treatment Unit) wantɛm wantɛm.
- Gastric Outlet Obstructions: Ska tisu we de kכmכt frכm di injuri we de fכ lכng tεm kin blכk di pasεj fכ it frכm di bεlε to di sכmכl intestin. If na so i bi, dɛn fɔ du ɔpreshɔn fɔ pul di ska tisu.
Di impɔtant tin na dat, dɛn nɔ kin du vagotomy in wan. Bɔku tɛm dɛn kin du am togɛda wit ɔda ɔpreshɔn fɔ kɔrɛkt wan pan di prɔblɛm dɛn we wi dɔn tɔk bɔt.
Ɔda ɔpreshɔn dɛn we dɛn kin du di sem tɛm we dɛn kin du vagotomy
1. Wit gastrectomy: Dis kin min fɔ pul wan pat pan di bɛlɛ. Dɛn kin du dis if siriɔs skata de ɔ if dɛn tink se di lɛsin dɛn kin bi kansa. we dεn pul di lכw pat pan di bεlε, di prodyushכn fכ gastrin, we na כmon we de εp fכ mek asid, de rεdכks bak. Bɔt bikɔs dat nɔmɔ nɔ go du, dɛn kin du vagotomy bak di sem tɛm fɔ mek di lɛsin dɛn nɔ kam bak.
2. Wit Pyloroplasty: If yu de du Truncal Vagotomy, we min se yu fɔ kɔt di men nerve trunk, yu go mɔs gɛt dis pyloroplasty ɔpreshɔn bak. biכs, we dεn kכt di vagus nerve, di signal we de tεl di pylorus fכ opin εn klos de lכs. Dɔn di it kin stɔp. Dɛn kin du paylɔroplasti ɔpreshɔn fɔ mek da get de opin, so dat di it go pas izi wan.
Wetin kin apin bifo dɛn du di ɔpreshɔn ɛn we dɛn de du di ɔpreshɔn?
Dipen pan yu kɔndishɔn, dɛn kin gi yu sɔm tritmɛnt dɛn bifo dɛn du yu ɔpreshɔn fɔ ɛp yu fɔ gɛt yu wɛlbɔdi bak. Fɔ ɛgzampul, dɛn kin gi yu IV wata if yu nɔ gɛt wata na yu bɔdi bikɔs yu vɔmit, ɔ dɛn kin gi yu blɔd if yu gɛt wund we de blɔd. Dɛn kin gi dɛn antibayɔtik bifo dɛn du di ɔpreshɔn. Dɛn kin du dis ɔpreshɔn ɔnda jenɛral anestezi.
Dɛn kin du di ɔpreshɔn as opin ɔpreshɔn , we na fɔ kɔt di bɛlɛ opin, ɔ laparoscopic surgery , we gɛt fɔ du wit kamɛra ɛn inschrumɛnt dɛn tru sɔm smɔl smɔl say dɛn we dɛn kɔt. Na yu dɔktɔ we de du ɔpreshɔn go disayd dis.
Wetin kin apin afta dɛn dɔn du di ɔpreshɔn? Benefit ɛn risk dɛn
Di men bɛnifit we dis ɔpreshɔn gɛt na dat, i kin lɛf smɔl fɔ lɛ i stɔp di bad bad wund dɛn we dɔn de sɔfa fɔ lɔng tɛm ɛn we nɔ dɔn wɛl wit mɛrɛsin.
Bɔt lɛk ɛni ɔpreshɔn, dis wan gɛt sɔm prɔblɛm dɛn ɛn sɔm bad bad tin dɛn we kin apin .
| Risk/sayd ɛfɛkt tayp | 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, infekshɔn, blɔd, blɔd klɔt. |
| Rɔnbɛlɛ | Dis na kכmכn kכndyushכn, spεshal wan afta trunkal vagotomy. I kin bi bikɔs di gal blad nɔ de wok fayn. Bɔku tɛm, na fɔ shɔt tɛm nɔmɔ. |
| Di sik we dɛn kɔl Dumping Syndrome | Dis na bikɔs ɔf paylɔroplasti ɔpreshɔn. Fɔd kin pas kwik kwik wan na di intestinal ɛn i nɔ kin de na di bɛlɛ, we kin mek yu nɔys, yu bɛlɛ nɔ kin fil fayn, ɛn yu kin gɛt dayarɛa. Yu kin kɔntrol dis bay we yu chenj di tin dɛn we yu de it. |
| Galston dɛn we de na di bɔdi | afta di trunkal vagotomy, di dכn we di gal blad de wok kin mek di bayl de kכmכt εn di fכmeshכn fכ ston dεm. |
Yu go nid fɔ de na ɔspitul fɔ sɔm dez afta dɛn dɔn du di ɔpreshɔn. I kin tek sɔm wiks bifo yu ebul fɔ it nɔmal wan. Yu go bigin wit likwid it dɛn ɛn smɔl smɔl yu go go to sɔlid it dɛn.
Mɛsej we dɛn kin kɛr go na os
- Vagotomy na ɔpreshɔn we dɛn kin du as las tin fɔ gɛt siriɔs bɛlɛ ɔlsa (pɛptik ɔlsa) we dɛn nɔ kin trit wit mɛrɛsin.
- di praymar gol na fכ ridyus di asid prodakshכn bay we i de kכt di nεv signal dεm we de prodyuz asid na di bεlε.
- Tu men kayn ɔpreshɔn de (dɛn kin kɔt am ɛn dɛn kin pik am bad bad wan), ɛn di sayd ɛfɛkt ɛn ifɛkt dɛn we dɛn kin gɛt kin difrɛn.
- Bɔku tɛm dɛn kin du dis togɛda wit ɔda ɔpreshɔn dɛn (gastrectomy, pyloroplasty) fɔ trit di kɔmplikeshɔn dɛn we di ɔlsa gɛt.
- If dɛn dɔn tɛl yu ɔ pɔsin we yu sabi fɔ du dis kayn ɔpreshɔn, mek shɔ se yu tɔk to yu dɔktɔ bɔt di bɛnifit dɛn, di prɔblɛm dɛn we i go gɛt, ɛn di bad tin dɛn we go apin to yu ɛn aks ɔl yu kwɛstyɔn dɛn.
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