Cɛ dɔw fɛ, koli bɛ se ka kɛ dimi ye kosɛbɛ ani ko a man di u ye. Sugunɛ bɛ woyo i n’a fɔ a sirilen don, a bɛ jigin ni ji ye... tuma dɔw la a yɛrɛ bɛ se ka datugu pewu. O kunba bɛ se ka kɛ sugunɛbaralabana balili ye, o kɔrɔ ye ko a bɛ dɔgɔya. Furakɛcogo siratigɛ la, an b’o wele ko ‘ Sugunɛbilenni ’. O la, bi an bɛ kuma opereli kɛrɛnkɛrɛnnen dɔ kan, dɔgɔtɔrɔw bɛ min fɔ ni furakɛli fɛɛrɛ wɛrɛw ma ɲɛ.
Perineal Urethrostomie ye mun ye?
N’an y’a fɔ cogo nɔgɔman na, Perineal Urethrostomy ye opereli ye min bɛ kɛ cɛw la. O ye da kura walima tɛmɛsira kura dabɔli ye sugunɛ ka tɛmɛ o fɛ. Nin da kura in bɛ kɛ fari yɔrɔ la min bɛ aw ka cɛya ni aw ka cɛya cɛ. An b’o yɔrɔ wele ko ‘perineum’.
Miiri k’a filɛ, a ka ca a la, sugunɛ min bɛ lajɛ an ka sugunɛ na, o bɛ jigin tubabukan dɔ fɛ min bɛ wele ko sugunɛbaralabana, ka bɔ cɛya kuncɛ la. Nka, ka a sababu kɛ banakisɛ dɔw ye, joginda dɔw , walima opereli tɛmɛnenw, o sugunɛbaralabana bɛ se ka ŋɛɲɛ, ka dɔgɔya, walima ka datugu. O waati de la sugunɛ bɔli bɛ datugu pewu walima a yɔrɔ dɔ. Nin opereli in bɛ sugunɛ bɔli sira kura dabɔ, min bɛ to senna, sugunɛbaralabana bɛ mɔgɔ minnu bolo fo u tɛ se ka sugunɛ tɛmɛ cɛya la.
Mun na aw ka kan ka nin opereli sugu kɛ?
A ka ca a la, opereli in bɛ jateminɛ ni sugunɛbaralabana furakɛli wɛrɛw ma ɲɛ. O kɔrɔ ye ko ni sugunɛbaralabana tɛ se ka bila yɔrɔ wɛrɛ la walasa sugunɛ ka bɔ cɛya kuncɛ fɛ. O opereli kɔfɛ, sugunɛ bɛ bɔ da kura dɔ fɛ ɲɛgɛnɛsira la, o la aw bɛna a ɲini ka sigi ka koli kɛ.
O fana bɛ se ka kɛ fɛɛrɛ ɲuman ye mɔgɔkɔrɔbaw bolo minnu t’a fɛ ka operelibaw kɛ ka u farikolo labɛn kokura. Nin opereli in bɛ jateminɛ nin ko ninnu na.
| Bana minnu bɛ se ka kɛ opereli ye | Ɲɛfɔli nɔgɔman dɔ |
|---|---|
| Sugunɛbilenni gɛlɛnw/min bɛ segin-ka-bɔ | Ko minnu na sugunɛbaralabana bɛ to ka datugu, wa a tɛ furakɛli wɛrɛw jaabi. |
| Cɛya kɔnɔ kansɛri min bɛ wele ko squamous cell carcinoma | K’a sababu kɛ kansɛri dɔw ye minnu bɛ sɔrɔ cɛya la. |
| Cɛya bɔli opereli fɛ (Pinectomy) . | Ni cɛya bɔra pewu kansɛri walima kun wɛrɛw kosɔn. |
| Sugunɛbilenni (Uréthrectomie). | Ni sugunɛbaralabana bɛɛ walima a yɔrɔ dɔ bɔra opereli fɛ. |
| Hypospadias (banakisɛfagalan minnu bɛ wele ko Hypospadias). | Nin ye bana ye min bɛ sɔrɔ bangekɔlɔsi fɛ, sugunɛbaralabana bɛ kɛ cɛya jukɔrɔla la sanni ka kɛ a kuncɛ la. |
| Sugunɛbilenni ma ɲɛ | Ni opereli tɛmɛnenw kɛra walasa ka sugunɛbaralabana dilan, olu ma ɲɛ. |
| Fournier ka gangrene (banakisɛfagalan). | Bana jugumanba kɔfɛ cɛya ni cɛya la. |
Jɔn ma bɛn nin opereli in ma?
Nka bɛɛ tɛ se ka nin opereli in kɛ. Tuma dɔw la, a bɛ se ka gɛlɛya dɔɔni. Ni nin fɛn ninnu dɔ bɛ aw la, aw ka kan ka kuma aw ka dɔgɔtɔrɔ fɛ o ko la ka ɲɛ:
- Ni aw fasalen don kosɛbɛ .
- ni aw ye opereli kɛ ka tɛmɛ kɔnɔbara basigilen yɔrɔ kan .
- Furakɛli min bɛ kɛ ni fiɲɛ ye ka ɲɛsin ɲɛgɛnɛsira kansɛri maNi aw ye a ta.
Ɲininkali minnu bɛ kɛ tuma caman na, olu dɔw bɛ se ka kɛ
Yala cɛya bɛ bɔ cɛya la opereli kɔfɛ wa?
O ye gɛlɛya ye min bɛ mɔgɔ caman kan. Ayi, opereli in kɔfɛ, cɛya tɛ bɔ cɛya la, nka a bɛ bɔ da kura dabɔlen na.
Yala o opereli in bɛna kɛ sababu ye ka sugunɛ kunbɛncogo tiɲɛ wa?
Siranyaba wɛrɛ ye ko i bɛna kɛ mɔgɔ ye min tɛ se ka i yɛrɛ minɛ. O tɛna kɛ. Farikolo minnu bɛ i ka sugunɛ kɔlɔsi kosɛbɛ o da in sanfɛ kosɛbɛ, olu bɛ i bolo. O la aw bɛ se ka aw ka sugunɛ kunbɛn.
Nin opereli in tɛna kɛ sababu ye ka a yɛrɛ minɛbaliya bila mɔgɔ la. Kana hami o ko la. Aw ka dɔgɔtɔrɔ bɛna o ɲɛfɔ aw ye ka ɲɛ.
Aw bɛ se ka opereli labɛn cogo di?
Sani opereli ka kɛ, dɔgɔtɔrɔ bɛna a ɲini aw fɛ aw ka sugunɛ kɛcogo dɔ di aw ma. A bɛna aw daminɛ banakisɛfagalanw tali la walasa ka banakisɛw bali. Aw bɛ se fana ka rezow ta walasa ka aw ka sugunɛbaralabana cogoya lajɛ.
Min nafa ka bon kosɛbɛ, o ye ka dɔgɔtɔrɔ ladɔnniya aw ka bana tɔw la ani aw bɛ fura minnu ta.
| Aw ye aw jija ka o kow fɔ aw ka dɔgɔtɔrɔ ye. | |
|---|---|
| Fɛn minnu bɛ don farikolo la | Fɛn minnu bɛ i n’a fɔ stendiw, kolotugudaw caman cili, dusukun tantannikɛlanw, dusukun tantannikɛlanw. |
| Banakisɛw | Ni aw ye bana dɔ sɔrɔ i n’a fɔ MRSA. |
| Joli fɛnɲɛnamafagalanw | Ni aw bɛ furaw ta i n’a fɔ warfarin, asipirini, kulopidogɛrɛli, rivaroxaban, walima dabigatran. |
Opereli bɛ kɛ cogo min na ani min bɛ kɛ o kɔfɛ
O bɛ kɛ dɔgɔtɔrɔso la, anestezi basigilen na . O kɔrɔ ye ko aw bɛ sunɔgɔ pewu opereli waati. O la, i tɛ foyi dusu sɔrɔ. A ka ca a la opereli bɛ kɛ lɛri kelen fo lɛri fila.
Opereli kɔfɛ, tubabufura dɔ bɛna don aw ka sugunɛ na walasa ka aw dɛmɛ ka sugunɛ tɛmɛ. An b' a wele ko Foley ka katetɛri . A ka ca a la, nin katetɛri in bɛna to a nɔ na dɔgɔkun fila fo dɔgɔkun saba ɲɔgɔn. O waati kɔnɔ, dimimadafura ni banakisɛfagalanw bɛna di aw ma walasa ka banakisɛw bali.
Sani aw ka bɔ dɔgɔtɔrɔso la, dɔgɔtɔrɔ ni dɔgɔtɔrɔso baarakɛlaw bɛna aw yɛrɛ ladoncogo ɲɛfɔ aw ye so kɔnɔ, aw ka catheter ladoncogo, aw ka fura tacogo, ani waati min na aw ka kan ka segin dɔgɔtɔrɔso la.
Kalo 8-12 ɲɔgɔn kɔfɛ, sɛgɛsɛgɛli dɔ bɛ kɛ min bɛ wele ko cystourethroscopy, o bɛ kɛ ni kamera ye walasa ka a dɔn ni sugunɛbaralabana kɛnɛyara walima ni a datugulen don tuguni.
Gɛlɛya jumɛnw bɛ se ka sɔrɔ o la?
Nin opereli in ɲɛtaa hakɛ ka ca kosɛbɛ (a fɔra ko "a ka ɲi kosɛbɛ"). Wa, gɛlɛyaw man ca kosɛbɛ. Nka, a nafa ka bon ka u janto u la ni ko dɔ kɛra.
Ni gɛlɛya dɔ bɛ a la, a taamasiɲɛw bɛ se ka kɛ: koli dɔgɔyali, sugunɛ tolen sugunɛ na koli kɔfɛ, walima sugunɛbaralabana. Gɛlɛya wɛrɛ minnu bɛ se ka sɔrɔ olu ye:
- Joli bɛ bɔ tigɛyɔrɔ la
- Funuli
- Farigan
- Sugunɛbilenni
- Stricture (sɔgɔsɔgɔninjɛ) seginni
- Dusukun ni jolisiraw gɛlɛyaw
Ni aw ye nin taamasiɲɛ ninnu dɔ ye, misali la, joli bɔli kojugu tigɛlen na walima fariganba, aw bɛ dɔgɔtɔrɔ ladɔnniya joona walima aw bɛ taa dɔgɔtɔrɔso la min ka surun aw la, o ka kɔrɔtɔko ɲɛmɔgɔso (ETU) .
Take-Home cikan
- Perineal Urethrostomy ye opereli ye min bɛ ɲɛ kosɛbɛ sugunɛbaralabana jugumanba la, furakɛli wɛrɛw ma ɲɛ yɔrɔ minnu na.
- Nin opereli in kɔfɛ, aw bɛna a ɲini ka sigi ka koli kɛ. Ani fana, cɛya bɛna bɔ da kura dabɔlen na.
- Nin opereli in tɛna kɛ sababu ye ka aw ka sugunɛ kunbɛncogo tiɲɛ (incontinence).
- Gɛlɛyaw farati ka dɔgɔn kosɛbɛ, nka ni taamasiɲɛ minnu tɛ deli ka kɛ aw la (joliba, sumaya), aw bɛ dɔgɔtɔrɔ ladɔnniya o yɔrɔnin bɛɛ.
- Ka tugu dɔgɔtɔrɔ ka laadilikanw kɔ (fura tali, ka taa dɔgɔtɔrɔsow la) opereli kɔfɛ, o nafa ka bon walasa ka kɛnɛya joona.
💬 Comments (0)
Ko foyi ma bila fɔlɔ. Aw ka kuma fɔlen fara a kan yan a siɲɛ fɔlɔ la.
Aw ka kuma fɔlen fara a kan