Sɔntɛnde, wi nɔ kin ebul fɔ fɛn di tin we kin mek wi gɛt prɔblɛm wit wi bɛlɛ ivin afta wi dɔn du sɔm tɛst dɛn. Dat dɔn apin to yu? We dɛn nɔ ebul fɔ no di tin we kin mek pɔsin fil lɛk we i de fil bad bad wan na in bɛlɛ ɔ we i nɔ ebul fɔ ɛksplen, di dɔktɔ dɛn kin kɔt di bɔdi na di bɛlɛ ɛn chɛk di ɔgan dɛn we de insay. Na dat wi kin kɔl dis diagnostik ɔpreshɔn, we na ‘Exploratory Laparotomy’ . Fɔ tɔk am simpul wan, na ɔpreshɔn we de opin di bɛlɛ ɛn luk fɔ di sik.
Wetin na Ɛksplɔrɔtɔri Laparotomi? Us kes dɛn dɛn kin du am?
‘exploratory laparotomy’ na big ɔpreshɔn we dɔktɔ dɛn kin du fɔ no di prɔblɛm dɛn we de na di bɛlɛ, dat na di bɛlɛ. Bɔku tɛm, dɛn kin se dɛn fɔ du dis ɔpreshɔn we ɔda tɛst dɛn lɛk skan , nɔ ebul fɔ no di prɔblɛm.
Bɔku men rizin dɛn de we mek dɔktɔ disayd fɔ du dis kayn ɔpreshɔn:
- Injury na yu bɛlɛ : Imajin, if yu gɛt bad bad injury na yu bɛlɛ, lɛk we yu gɛt motoka aksidɛnt. Dɛn kin du dis ɔpreshɔn fɔ si if ɛni ɔgan we de insay di bɔdi dɔn pwɛl ɔ blɔd de kɔmɔt.
- Blɔd we nɔ ɛksplen: Blɔd we de kɔmɔt insay di bɛlɛ, bɔt usay ɔ wetin mek dɛn nɔ de si am.
- Big pen we yu nɔ go ebul fɔ bia: If yu nɔ ebul fɔ fɛn di tin we de mek yu bɛlɛ pen bad bad wan pan ɛni ɔda we.
- If pɔsin de tink se di kansa dɔn skata: Fɛn ɔda tin dɛn if di kansa dɔn skata to ɔda pat dɛn na di bɛlɛ.
Wetin dɔktɔ dɛn kin du we dɛn de du ɔpreshɔn?
We dɛn de du dis, di dɔktɔ kin kɔt di bɛlɛ in skin ɛn tek tɛm luk di ɔgan dɛn we de insay di bɛlɛ. Na de, dɛn kin luk fɔ wetin mek di pen ɔ blɔd de kɔmɔt. di men כgan dεm we dεn de egzamin dis we na:
- Liva
- Kidni dɛn
- Bɛlɛ
- Spleen we de na di bɔdi
- Pankrias we de na di bɔdi
- Smɔl ɛn big intestin (Intestines) .
- di כgan dεm we uman dεn kin bכn pikin na di uterus, di fallopian tubes , εn di ovary .
- Apɛndiks
- Blɔd vesel ɛn Limf no dɛm
We dɛn de du di ɔpreshɔn, di dɔktɔ kin tek wan smɔl tisu frɔm wan say we i tink se prɔblɛm de ɛn sɛn am na di lɛb fɔ mek dɛn tɛst am. Wi kin kɔl dis ‘bayɔpsi’ .
Sɔntɛnde, we dɛn dɔn no wetin mek di prɔblɛm de, dɔktɔ dɛn kin trit am we dɛn de du di ɔpreshɔn. Fɔ ɛgzampul, if ol de na di intestinal, dɛn kin sidɔm pan am ɔ stɔp di blɔd.
| Sɔm pan di sik dɛm wae dɛn kin no wit dis ɔpreshɔn na: | |
|---|---|
| Kansa | Kansa kכndishכn dεm na di bכdi כgan dεm. |
| Endometriosis we de mek pɔsin gɛt sik | di tisu dεm we fכ de insay di uterus de gro na do. |
| Sik we de prɛd | Fɔ ɛgzampul, di sik we dɛn kɔl apɛndiks. |
| Tisu we gɛt ska | Ska dɛn we de insay di bɛlɛ frɔm di ɔpreshɔn dɛn we dɛn bin dɔn du trade. |
| Galston dɛn we de na di bɔdi | Prɔblɛm dɛn we di gal ston kin kam wit. |
| Pɔrfɔreshɔn na di intestines | Wan ol we de na di intestinal. |
| di bεlε we de na di εktopik | bεlε we de apin na do na di uterus, bכku tεm na di fallopian tube. |
Aw wi fɔ rɛdi bifo dɛn du di ɔpreshɔn?
Sɔntɛnde, dɛn kin du dis ɔpreshɔn we tin nɔ izi fɔ du, lɛk afta aksidɛnt apin. We dɛn kayn tin ya kin apin, tɛm nɔ kin de fɔ rɛdi. Bɔt if di dɔktɔ dɔn gi yu wan de bifo tɛm ɛn i de plan fɔ du di ɔpreshɔn, sɔm tin dɛn de we yu kin du fɔ rɛdi.
- Stɔp fɔ smok: If yu de smok, i rili impɔtant fɔ lɛ yu stɔp fɔ smok sɔm wiks bifo yu du di ɔpreshɔn. Dis go mek yu wɛl kwik kwik wan.
- Kɔntrol ɔda sik dɛn: If yu gɛt ɔda sik dɛn lɛk dayabitis ɔ ay blɔd prɛshɔn, yu nid fɔ kɔntrol dɛn fayn fayn wan bifo dɛn du di ɔpreshɔn.
- Tɛl yu dɔktɔ bɔt di mɛrɛsin dɛn we yu de tek: Yu fɔ tɛl yu dɔktɔ bɔt ɛvri mɛrɛsin we yu de tek, ilɛksɛf na dɔktɔ gi yu, mɛrɛsin dɛn we yu nɔ de bay, vaytamɛn dɛn, ɔ ivin Ayurveda mɛrɛsin dɛn.
- Bi ɔnɛs bɔt rɔm: If yu gɛt abit fɔ drink, tɛl yu dɔktɔ bɔt am ɔnɛs wan.
- Tɛl yu dɔktɔ bɔt yu bɛlɛ: If i pɔsibul fɔ mek yu gɛt bɛlɛ, mek shɔ se yu tɛl yu dɔktɔ .
Di de bifo di ɔpreshɔn, yu fɔ fala di rayt tɛm we yu dɔktɔ tɛl yu fɔ stɔp fɔ it ɛn drink. Bɔrku tɛm, dɛn kin tɛl yu fɔ stɔp fɔ it ɛn drink 6-8 awa bifo dɛn du di ɔpreshɔn.
Aw na di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn?
i kin tek bitwin 4 εn 6 wik fכ fulכp fכ rεkכva afta dεn du εksplכratory laparotomy.
Fɔ wɛl na di ɔspitul
Yu nɔ go ebul fɔ it ɔ drink nɔmal fɔ sɔm dez afta dɛn dɔn du di ɔpreshɔn. Dis na bikɔs i kin tek sɔm tɛm fɔ mek yu bɔdi kam bak to nɔmal. Yu go nid fɔ de na ɔspitul te yu ebul fɔ it ɛn drink fɔ yusɛf.
- Dɛn go gi yu mɛrɛsin fɔ kɔntrol pen ɛn fɔ mek yu nɔ gɛt di sik.
- Dɛn kin put wan tiub fɔ mek di wata kɔmɔt na di wata. Wi kin kɔl am ‘kateta’ .
- dεn kin put sכm sכm tכb (drein) fכ pul di wata we pasmak frכm di say we dεn sכk.
Bɔrku tɛm, yu fɔ de na ɔspitul fɔ lɛk 7 dez afta dis ɔpreshɔn.
Fɔ wɛl na os
We yu dɔktɔ dɔn disayd se yu kin go na os, yu fɔ fala ɔl di tin dɛn we dɛn tɛl yu fɔ du. Tek ɔl di mɛrɛsin dɛn we yu dɔn tɛl yu fɔ tek di rayt tɛm. Yu dɔktɔ kin tɛl yu bak fɔ it tin dɛn we gɛt bɔku fayv fɔ ɛp fɔ mek yu bɔdi nɔ muv fayn fayn wan. Nɔ es pas 5 paund (2.3 kg) fɔ 6 wik.
| If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm. | |
|---|---|
| If yu gɛt fiva ɛn/ɔ kol | |
| If pen, rɛd, swel, ɔ pus de na di say we dɛn kɔt am | |
| If yu gɛt siriɔs pen we nɔ de stɔp ivin afta yu dɔn tek mɛrɛsin | |
| If di bɛlɛ dɔn swel | |
| If yu gɛt dayarɛa fɔ pas tu dez | |
| If blɔd de na di stɔl | |
| If i nɔ izi fɔ yu fɔ pis ɔ yu gɛt pen we yu de pis | |
| If yu gɛt pen na yu chɛst ɔ yu gɛt kɔf | |
| If yu gɛt nausea ɔ yu de vɔmit | |
| If yu gɛt diziz, yu de fɔdɔm, ɔ yu leg de swel/pen | |
Wetin na di prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Exploratory Laparotomy na wan big ɔpreshɔn. Lɛk ɛni big ɔpreshɔn, i gɛt sɔm prɔblɛm dɛn.
Jɛnɛral risk dɛn:
- Blɔd we de kɔmɔt
- Infεkshכn dεm
- Riakshɔn we yu nɔ bin de ɛkspɛkt we yu gɛt anestezi (mɛdisin we de mek yu nɔ fil fayn) .
- Dilay we wund de wɛl
Risk dɛn we spɛshal fɔ dis ɔpreshɔn:
- Sɔntɛnde, ivin afta dɛn dɔn du ɔpreshɔn , dɛn nɔ kin ebul fɔ no wetin mek di sik . If na so i bi, dɛn go nid fɔ du ɔda tɛst dɛn.
- Smɔl chans de fɔ mek di insay ɔ ɔda pat dɛn na di bɛlɛ pwɛl.
- Ɛnia kin fɔm na di say we dɛn kɔt am.
Wetin na ‘Laparoscopy’ insted of Laparotomy?
Dis na we bak fɔ luk fɔ prɔblɛm dɛn na di bɛlɛ. Bɔt i simpul pas Laparotomy fa fawe. Dɛn kɔl dis ‘Exploratory Laparoscopy’ .
Wetin kin apin pan dis na dat, insted fɔ mek big say na di bɛlɛ, di dɔktɔ kin kɔt wan ɔ mɔ rili smɔl smɔl say dɛn.Dɛn kin put wan smɔl tiub we gɛt kamɛra we dɛn tay pan am insay di bɛlɛ. Dɛn kin si di pikchɔ dɛn we de na di kamɛra pan monita fɔ chɛk di ɔgan dɛn we de insay di bɛlɛ. Dɛn kin kɔl dis bak ‘kihol ɔpreshɔn’.
Laparoscopy difrɛn frɔm laparotomy pan dɛn we ya:
- Bɔku tɛm, dis na ɔpreshɔn we kin mek yu go na os di sem de we yu nɔ nid fɔ de na ɔspitul.
- I kin tek shɔt tɛm, lɛk tu wiks, fɔ mek i wɛl.
- Di skata rili smɔl.
Bɔt nɔto ɔlman kin du laparoskɔpi. Yu dɔktɔ go disayd us ɔpreshɔn we go fayn fɔ yu sik.
Mɛsej we dɛn kin kɛr go na os
- Exploratory Laparotomy na big ɔpreshɔn we dɛn kin du fɔ no wetin mek prɔblɛm de na di bɛlɛ. Dis na big ɔpreshɔn.
- I rili impɔtant fɔ tek tɛm fala wetin yu dɔktɔ tɛl yu fɔ du, bifo yu du di ɔpreshɔn ɛn afta yu du di ɔpreshɔn.
- We yu de wɛl, de wach fɔ wɔnin sayn dɛm lɛk fiva, pen we yu nɔ go ebul fɔ bia, ɛn swel rawnd di say we dɛn kɔt. If yu gɛt ɛni wan pan dɛn tin ya, tɛl yu dɔktɔ wantɛm wantɛm.
- Wan ɔpreshɔn de bak we dɛn kɔl Laparoscopy as ɔda we fɔ du dis ɔpreshɔn. Tɔk to yu dɔktɔ bɔt di we aw yu de du tin we go fayn fɔ yu.
Exploratory Laparotomy, Abdominal Surgery, Abdominal Surgery, Laparoskopi, Abdominal Pen, Pɔstɔparetiv Rikɔvayshɔn, Ɔpreshɔn
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