Monday, December 12, 2016

::Laparoscopic Cholecystectomy::

It's been a while. 

So decided to share my experience for laparoscopic cholecystectomy surgery. In other word Gallblader removal surgery. 

Rasanya something yang I never thought of before jadi. Allah knows well. 

What happen?

Before this tak pernah sakit yang teruk mcm ni. Started ada gastric pun dlm setahun dua ni. Tp mild one. Last Tuesday - 6 Dec lepas keluar office start rasa ulu hati tak best. Biasanya gastric kan mcm tuh. Tp this time sakit dia sampai buat sesak nafas and sakit belakang. Makan gaviscon double action tak jalan. Muntah non stop. I think about 5 kali. At 12am pergi clinic and doc cakap gastric. Dia bagi ubat tahan muntah, gastric skali. Still sampai in the morning tak jalan jugak. So around 9 pergi clinic yg sama balik. Before that masa mandi muntah lagi. Tp this time keluar mcm minyak. So dah rasa pelik. Doc ckp gastic tp muntah mcm tuh dr hempedu. So dia jab dkt punggung untuk pain killer. Langsung tak lega. I told my dad. Dia cakap ntah2 ko ada batu dkt hempedu. Baik pergi hospital now. Dia suruh pergi government hospital. So pukul 12.30 sampai hospital government. In pain. Terbongkok2 cakap dgn kerani kat registration counter. Dia boleh cakap now waktu lunch kitorang amik case budak jaundice and demam sahaja. Cakap saya tengah sakit sangat. Nak jumpa doc and buat xray or apa2 yg boleh check. Dia kata datang balik kul 1.30 amik number and kul 2 br boleh register. Damn..

Then terus pergi klinik Kita kat Saujana Impian nak minta surat refer to KPJ. Tp Dr Haniza tak boleh bagi sbb dia takde history I dtg klinik smlm dgn pagi ni sbb sakit yg sama. Dia suspect Pancreatitis. Dia kata sebab I sakit belakang skali. Dia pesan, even Doc takde time ni pun, minta dekat nurse. Suruh dia call Doctor minta approval keluarkan refer letter sbb sakit awak worst. So i went back to previous clinic I went malam and pagi I sakit. Poliklinik Damai. As expected Doc takde. But I paksa diorang call Doc cakap I sakit sangat and mmg patut admit. So diorang call and dapat jugak referal letter. 

2.30pm, hubby bawak pg KPJ. So I asked from GL counter I nak jumpa doc yang manage gastric case. So they work on my GL and ask me to see Dr Ong. Dr Ong orang nya dlm late 40 or early 50. Sangat sporting and baik. Very considerate person. Dia ask start bila kena. Before this ada pernah sakit tak. Pernah ada gastric tak. Muntah ke tak. Makan apa masa hari kena attack. Sakit rasa bahagian mana. So dia ckp, mcm ada batu. Sebab awak kata sakit belakang and color muntah. So dia suruh baring and check. Dia tekan few parts bawah perut. For sure bila dia tekan dkt ulu hati tu sakit. Then bila tiba2 dia tekan sebelah kanan tepi ulu hati, terjerit cakap sakit. Dia kata, ini tempat yang cantik untuk batu tu ada. So dia terus hantar pergi ER (this time dah naik wheelchair) untuk buat ultrasound, amik blood test, untuk pg pain killer and pasang branula sbb dia kata nak tahan untuk admit. This time, pain killer works well for me. Kurang skit. But still rasa sakit and senak tu ada. 

So here you go around 3.30pm, Dr Bakri yang buat ultrasound for me. Doktor yang peramah and lawak. So dia scan terus bahagian ulu hati, terus dia cakap besar batu ni. The moment nampak ada batu, 2.3cm and he said gallblader bengkak , I was like in shock. Terkejut gila. Bila masa, apa benda, kenapa sekarang? In addition, doc mmg check everything, liver , buah pinggang, uterus etc. Tp uterus I dia kata berlipat skit. Dia ada tanya awak senang pregnant ke before this? So something to think later. Soon we got ultrasound result, Dr Ong want to see me again. So he read my ultrasound result and explain about it. This require operation. With my blood result shows sign of infection (WBC tinggi-13000). Mmg kene tahan. So he called Dr Sudirman, general surgeon. 

There you go my meeting with Dr Ahmad Sudirman. Maybe I last patient dia hari tu. Doc Sudirman mcm Dr Ong jugak. Baik, sporting. Dia akan on call mlm I dtg tuh. Dia mula2 ckp tak boleh amik surgery tu sbb on call Rabu mlm tuh. Tp dia ada option lain. So he explained about surgery yang dia nak buat. Tp dia akan cuba buat bengkak tu kecut dulu before run surgery. So here you go, admitted at KPJ Kajang for 5 days 4 nights. Admitted on Wednesday, surgery on Friday and discharge on Sunday.



How's the procedure?


How's big the stone? - 2.3cm


KPJ ada provide video masa diorang buat this procedure. Diorang burn dlm CD. I can see diorang potong hempedu tu mcmana and mcmana diorang keluarkan dr dlm badan ni. Tp mmg nampak susah sangat diorang nak keluar dr badan. That's why Doc Sudir cakap dia terpaksa potong besar skit tmpt dkt pusat tu. While resting at home, tu yang sempat cite pasal ni. I got 3 weeks MC leave from doctor. Can't move properly sbb tmpt incision dkt pusat tu mmg sakit lagi. My stomach still bloated, sbb masa procedure mmg doc akan masukkan gas untuk create ruang supaya senang dia nak work on it. Hopefully can fully recover dlm masa seminggu ni. Doc tak bagi angkat berat, jalan pun pergi balik toilet. post surgery ni, can't eat sebarangan. Lepas operate , cannot eat langsung until doc tengok. Around 3 something. Itupun, makan roti cicah air and air kosong. Tomorrow petang baru doc ckp try makan bubur. Tp bila makan bubur caused me nausea. So now, kerap jugak lah google or use pinterest cari meals or recipe untuk orang yang dah takde gallblader. Yang penting no makanan berlemak and berminyak. Suffer la ku lepas ni. But for my health,  I can do it. Tak sanggup nak hadap phase mcm ni lagi. Scary, sakit. 

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