Sugunɛbilenni opereli? An ka Posterior Urethral Reconstruction (Sugunɛ kɔfɛla labɛncogo kura) dɔn ni kuma nɔgɔmanw ye

Koli gɛlɛya dɔɔni fana bɛ aw la wa? Yala sugunɛbaralabana bɛ kɛ i n’a fɔ a barika ka dɔgɔn ani a bɛ gɛlɛya wa? Yala aw bɛ a ye tuma dɔw la ko aw ma aw ka sugunɛ lankolonya pewu hali koli kɔfɛ wa? O bɛ se ka kɛ sababu ye ka aw ka sugunɛbaralabana datugu. O bɛ kɛ kɛrɛnkɛrɛnnenya la ni kasaara dɔ kɛra aw la kɔsa in na, kɛrɛnkɛrɛnnenya la min bɛ basibɔn yɔrɔ minɛ, walima ni aw furakɛra ka kansɛri sɔrɔ ɲɛgɛnɛsira la. O la bi an bɛ kuma opereli kɛrɛnkɛrɛnnen dɔ kan min ye fura ɲuman ye nin ko in na. O ye Posterior Urethral Reconstruction opereli ye.

N’an y’a fɔ cogo nɔgɔman na, Posterior Urethral Reconstruction ye mun ye?

Walasa k’o faamu, an ka fɔlɔ ka dɔɔni dɔn an farikolo yɔrɔ ninnu kan. Aw b’a dɔn ko sugunɛbaralabana ye tubabufura ye min bɛ sugunɛ ni cɛya bɔ an ka sugunɛ na ka bɔ farikolo la. Nin sugunɛbara in fana yɔrɔ caman bɛ yen.

Sugunɛ kɔfɛla bɛ tali kɛ sugunɛbara kɔkanna na, o kɔrɔ ye ko yɔrɔ min bɛ farikolo kɔnɔ. Walasa ka tiɲɛ fɔ, an bɛ kuma sugunɛbara yɔrɔ fitinin de kan, a janya bɛ se santimɛtɛrɛ kelen walima santimɛtɛrɛ fila ma, min bɛ bɔ sugunɛbara duguma, ka tɛmɛ ɲɛgɛnɛsira fɛ, ka tɛmɛ basibɔn fasaw fɛ.

O la, Posterior Urethral Reconstruction ye opereli ye min bɛ kɛ ka sugunɛ kɔfɛyɔrɔ lasegin a cogo kɔrɔ la, min tiɲɛna, min datugulen don, walima min dɔgɔyara kun dɔw la.

O opereli in ka kan ka kɛ cogo jumɛnw na?

A ka ca a la nin opereli in kunba ye sugunɛbaralabana dɔgɔyali ye walima a datuguli ye (Urethral Stricture) . I n’a fɔ nɔgɔ bɛ caya jibolisira kɔnɔ cogo min na ka dɔ bɔ ji bolicogo la, ni kirinni kɛra sugunɛbara kɔnɔ ka a dɔgɔya, sugunɛ bɔli bɛ gɛlɛya. Tuma dɔw la, sugunɛbaralabana bɛ se ka dɔgɔya kosɛbɛ, walima a bɛ se ka jɔ pewu.

Kunba caman bɛ yen minnu b’a to sugunɛbaralabana bɛ datugu o cogo la.

Sɛgɛsɛgɛli jumɛnw bɛ kɛ sani opereli ka kɛ?

Sani dɔgɔtɔrɔ ka a latigɛ ka nin opereli in kɛ, u bɛna sɛgɛsɛgɛli caman kɛ walasa ka a dɔn tigitigi aw ka sugunɛbaralabana datugulen don cogo min na ani a tiɲɛni hakɛ.

• Retrograde Urethrogramme : Ji kɛrɛnkɛrɛnnen dɔ bɛ pikiri kɛ sugunɛbara la ka sɔrɔ ka X-ray ja ta.
• Voiding Cystourethrogramme : Aw bɛ tubabufura don sugunɛ na, ka a fa ji la, ka sɔrɔ ka X-ray ta ka aw to koli la.
• Sistoskɔpi : Tubabu finmanba dɔ bɛ tɛmɛ ni kamera sirilen ye a la ka jigin sugunɛbara la walasa ka a kɔnɔna sɛgɛsɛgɛ.
• MRI Scan: Tuma dɔw la, MRI scan bɛ se ka kɛ walasa ka nin yɔrɔ in ja jɛlen sɔrɔ.

Aw bɛ se ka opereli labɛn cogo di?

A nafa ka bon aw ka dɔgɔtɔrɔ ka laadilikanw labato aw ka lakana kama sani opereli ka kɛ.

Aw bɛ se ka banakisɛfagalan dɔ fana di aw ma k’a daminɛ tile kelen ka kɔn opereli ɲɛ walasa ka banakisɛw bali.

Opereli bɛ kɛ cogo di?

Fɔlɔ, anestezikɛla bɛna i bila anesteziba la . O kɔrɔ ye ko aw bɛna sunɔgɔba de la. Aw tɛna dimi walima fɛn si ye fo opereli ka ban.

O kɔfɛ, sugunɛbaralabana bɛ opereli daminɛ. Anastomotique Urethroplasty ye fɛɛrɛ ye min bɛ kɛ ka caya ka ɲɛsin fɛnw datuguli ma kasaara kɔfɛ.

Miiri k’a filɛ, nin ye ko ye min bɛ kɛ:

1. Fɔlɔ, tigɛ fitini dɔ bɛ kɛ aw ka cɛya ni kɔnɔbara cɛ (perineum).

2. O kɔ, sɔgɔsɔgɔninjɛ min sirilen bɛ sugunɛbara la, o bɛ tigɛ pewu ka bɔ a la.

3. A laban na, sugunɛbara kɛnɛman tɔ kun fila bɛ fara ɲɔgɔn kan tuguni, ka u siri ɲɔgɔn na ni nɔgɔya ye kosɛbɛ.

Miiri k’a filɛ, tuma dɔw la ni yɔrɔ min bɛ joginni na, o bɔra, yɔrɔ kɛnɛman fila tɔw cɛ danfara bɛ se ka bonya dɔɔni. O ko suguw la, dɔgɔtɔrɔw bɛ fɛn kabakoma dɔ kɛ. U bɛ ‘juru ta’ farikolo yɔrɔ fitinin dɔ la ka bɔ i yɛrɛ ɲɛda walima i dawolo kɔnɔ (buccal mucosa) , k’o yɔrɔ fa, ka sugunɛbaralabana jɔ kokura.

a ka ca a la o opereli bɛ se ka kɛ lɛri saba ni lɛri wɔɔrɔ cɛ .

Mun bɛ kɛ opereli kɔfɛ?

Ni opereli banna, tigɛyɔrɔ bɛna siri, ka a saniya, ka bandi siri. Ka fara o kan, Foley catheter bɛna don aw cɛya fɛ ka don aw ka sugunɛ na walasa ka sugunɛ bɔli dɛmɛ. O ye ka dɛmɛ don ka sugunɛ kɛ ka ɲɛ fo sugunɛbaralabana ka kɛnɛya. Aw kana aw hakili ɲagami, nin ye waati dɔɔnin dɔrɔn de ye.

Opereli jibɔyɔrɔ fitinin dɔ bɛ se ka bila joginda kɛrɛfɛ walasa k’a dɛmɛ ka kɛnɛya. A ka ca a la, o bɛ bɔ sani aw ka bɔ dɔgɔtɔrɔso la.

Ni sunɔgɔ furaw nɔ bɛ ban, aw bɛna aw hakili sɔrɔ dɔɔni dɔɔni. I bɛna a ye ko i bɛ sɛgɛn dɔɔni a daminɛ na. Ni aw hakili seginna, aw bɛna dimimadafura di aw ma walasa ka dimi kunbɛn.

Ni dɔgɔtɔrɔw y’a latigɛ ko aw ka bana ka ɲi, aw bɛ se ka taa so. Nka, a bɛ se ka kɛ ko aw ka kan ka to dɔgɔtɔrɔso la tile kelen walima tile fila ɲɔgɔn.

Aw bɛna tugu-tugu-ɲɔgɔn kɔ lajɛw kɛ dɔgɔtɔrɔ fɛ kalo damadɔ nataw kɔnɔ. O waati la, sɛgɛsɛgɛliw i n’a fɔ X-ray ani cystoscopy bɛ se ka segin ka kɛ walasa ka a dɔn ni joginda bɛ kɛnɛya ka ɲɛ.

Nafaw, ɲɛtaa ani faratiw

I n’a fɔ opereli tɔw bɛɛ, nin opereli in nafa ka bon ka fara farati misɛnnin dɔw kan.

Kɛnɛya waati ani fɛn minnu ka kan ka kɔlɔsi

Aw ka cɛsiri ka kɛnɛya opereli kɔfɛ, o fana nafa ka bon kosɛbɛ.

Dimi

Mɔgɔ caman bɛ se ka dimi dɔɔni sɔrɔ, nka a bɛ se ka kunbɛn ka ɲɛ ni dimimadafura ye min sɛbɛnna dɔgɔtɔrɔ fɛ.

Baaraw

• Aw bɛ aw yɛrɛ tanga bolifɛn bolicogo ma ani ka sigi waati jan kɔnɔ fo ka se ka katetɛri bɔ (dɔgɔkun 3-4).
• Taama ni ɛrɛzɛnsunw jiginni tɛ gɛlɛya ye.
• Aw kana girinya minnu girinya ka tɛmɛ kilogaramu 9 kan (20 lbs) kɔrɔta.
• Aw bɛ aw yɛrɛ tanga boli ma, ka aw biri, ka senw janya degeliw kɛ, ani farikoloɲɛnajɛ minnu bɛ kɛ ni aw kɔkili yɔrɔ wulilen ye (i n’a fɔ gɔlf) kalo kelen walima kalo fila kɔnɔ.

Cɛnimusoko kɛcogo

aw bɛ aw yɛrɛ tanga cɛnimusoya walima cɛnimusoya ma pewu fo dɔgɔkun 8 ni kɔ .

Segin baara/lakɔli la

N’i ​​bɛ baara kɛ biro dɔ kɔnɔ, i bɛ se k’a daminɛ dɔgɔkun kelen walima dɔgɔkun fila kɔnɔ. Nka ni baara dɔ bɛ aw bolo min bɛ farikolo gɛlɛya, aw bɛna dɔgɔkun 6-8 makɔnɔ a dɔgɔyalenba la.

Fɛɛrɛ o cogoya bɛ se ka kɛ ka dɔgɔtɔrɔ dɔ kunbɛn

Ni aw ye nin taamasiɲɛ ninnu dɔ ye aw taalen kɔ so opereli kɔfɛ, aw bɛ dɔgɔtɔrɔ wele joona.

A ka gɛlɛn kosɛbɛ ka fɛn dɔ kunbɛn i n’a fɔ kasaara walima kansɛri. A bɛnnen don ka jɔrɔ kosɛbɛ ni gɛlɛya wɛrɛ nana i n’a fɔ sugunɛbaralabana. Nka kibaru duman ye ko Posterior Urethral Reconstruction ye furakɛli ye min bɛ ɲɛ kosɛbɛ. Ni nin opereli in kɛra, aw bɛ se ka koli kɛ k’a sɔrɔ gɛlɛya foyi ma sɔrɔ tuguni.