Yu kin aksidɛntli lik urine we yu kɔf? Lɛ wi tɔk bɔt dis atifishal urinary sphincter!

Imajin se yu de laf lawd wan wit yu padi dɛn, ɔ yu de kɔf smɔl bikɔs yu gɛt kol, ɛn yu aksidɛntli pis na yu klos. Dis na rili big prɔblɛm fɔ bɔku pipul dɛn, ɛn dɛn kin fred fɔ go na pɔblik. Wi kin kɔl dis kɔndishɔn ‘Stress Incontinence’ . Ɛspɛshali afta dɛn dɔn du ɔpreshɔn fɔ gɛt prɔstat kansa (prostatectomy), bɔku tɛm man dɛn kin gɛt dis prɔblɛm. So yu tink se no sɔlv nɔ de fɔ dis? Fɔ tru, i de. Tide wi de tɔk bɔt wan tɛknɔlɔjik advans sɔlvishɔn we kin rili yusful fɔ dɛn kayn pipul ya.

Wetin na dis Artificial Urinary Sfincter?

Fɔ tɔk am simpul wan, dis na smɔl mɛrɛsin we dɛn kin put insay wi bɔdi ɛn ɛp fɔ kɔntrol di we aw wi de urine. Dɛn kɔl dis AUS fɔ shɔt tɛm. Dɛn kin ɔpreshɔn am rawnd di urethra. I tan lɛk ɛksternal ɛlda we de atak fɔ du di wok we wi bɔdi in natura l urinary control muscle wik.

Fɔ ɔndastand dis, lɛ wi fɔs luk aw wi bɔdi de kɔntrol aw wi de pis. di tכb we de kכri urine frכm wi blad (di urethra) de rawnd tu mכsul dεm we de wok lεk ‘valv dεm’. Wi kin kɔl dɛn tin ya `urinary sphincters`.

• di intanεt Sfinkta: Dis na di say we di blad de kכnekt to di urethra.
• di εksternal Sfinkta: dis de insay di mכsul dεm we de na di bכdi.

nכmal wan, dεn mכsul dεm ya kin tayt εn blכk di urethra. Na dat mek wi nɔ de notis se urine de kɔmɔt. We wi nid fɔ pis, dɛn mɔsul dɛn ya kin rilaks akɔdin to wan sayn we de kɔmɔt na di bren, dɔn di urine kin kɔmɔt izi wan. Bɔt if dɛn mɔsul ya wik bikɔs ɔf ɔpreshɔn ɔ ɛni ɔda rizin, ivin if smɔl prɛshɔn de na di bɛlɛ (we yu de kɔf, laf), di urine kin bigin fɔ lik smɔl. Na da tɛm de dis atifishal urinary control (AUS) kin kam ɛp wi.

Aw dis divays (AUS) de wok?

Dis divays gɛt tri men pat dɛn. Dɛn kin put dɛn tri ya insay di bɔdi.

1. Urethral Cuff: Dis na di pat we impɔtant pas ɔl. i lεk wan sכmכl ‘breslet’ we dεn kin wɛr rawnd di urethra. Nɔmal wan, i kin ful-ɔp wit wata ɛn i kin swɛt di urethra jisnɔ. I tan lɛk band we dɛn tayt rawnd di an we wi de chɛk wi blɔd prɛshɔn. Dis kin mek di urine nɔ lik kɔmɔt.

2. Prεshכn Balכn: Dis na sכmכl balכn we dεn kin put na di lכw bכdi, כnda di mכsul dεm. dis na di say we dεn de stכr di wata we dεn nid fכ di ‘kכf' כnda prεshכn.

3. Pɔmp: .Dis na di pɔsin we de kɔntrol am. fכ man, dεn kin put dis sכmכl pכmp כnda di skin insay di skrotum, usay di tεstikul dεm de. fכ uman, dεn kin put am nia di labia majora. Dɛn put am di kayn we we i izi fɔ rich.

Naw lɛ wi si aw dis sistɛm de wok:

Imajin se yu nid fɔ pis rayt naw. Na dis na wetin yu nid fɔ du:

• di pכmp we de na yu skrotum dεn kin swεla di pכmp tu כ tri tεm wit yu an.
• Dɔn, sɔm pan di wata we de na di kɔf kin go insay di prɛshɔn gej .
• we dεn dכn pul di kכf, i de rilaks εn di urethra de opin. Dɔn yu kin pis nɔmal wan.
• Yu nɔ nid fɔ du ɛnitin. Afta sɔm minit, di wata we de insay di balyɔn go kam bak na di kɔf, tayt am, ɛn di urethra go lɔk ɔtomɛtik.

Wetin na di bɛnifit ɛn bad tin dɛn we dis we ya de du?

Jɔs lɛk ɛni ɔda mɛrɛsin, bɛnifit ɛn prɔblɛm dɛn de. I impɔtant fɔ tɔk bɔt dis wit yu dɔktɔ.

Wetin yu fɔ tek tɛm wit afta dɛn dɔn du di ɔpreshɔn?

Dis rili impɔtant. Dɛn nɔ go alaw yu fɔ yuz dis divays wantɛm wantɛm afta dɛn dɔn du di ɔpreshɔn.

• Fɔ gi tɛm fɔ mek i wɛl: Afta dɛn dɔn du di ɔpreshɔn, di wund dɛn we de insay di bɔdi nid fɔ wɛl. Na dat mek di dɔktɔ go kip dis divays ‘deactivated’ . Insay dis tɛm, yu nɔ kin ebul fɔ kɔntrol yu urinary.
• Fɔ mek di divays wok: Yu dɔktɔ go si yu bak afta 6-8 wik , ɛn if ɔl di wund dɛn dɔn wɛl, dɛn go ‘aktiv’ di divays ɛn tich yu aw fɔ yuz am.
• Fɔ avɔyd fɔ wok: Yu fɔ avɔyd fɔ es ebi ebi tin, fɔ wok tranga wan, ɛn fɔ du mami ɛn dadi biznɛs fɔ at le 4-6 wik afta dɛn dɔn du di ɔpreshɔn. I impɔtant fɔ rɛst insay dis tɛm.
• Klin: Fɔ kip di wund klin ɛn dray rili impɔtant fɔ mek yu nɔ gɛt infekshɔn. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.

Ustɛm a fɔ go to dɔktɔ?

Afta dɛn dɔn du di ɔpreshɔn, yu go nid fɔ go fɔ fala di tɛst ɔltɛm. Bɔt if yu gɛt ɛni wan pan dɛn sayn ya, kɔl yu dɔktɔ wantɛm wantɛm.

• If wata we tan lɛk pus de kɔmɔt na di wund dɛn, if di say dɛn rɛd, swel, ɛn i de fil pen bad bad wan.
• If di wund dɛn de blɔd.
• If yu nɔ ebul fɔ pis fɔ pas 6 awa .
• Fiva (we pas 101.5°F ɔ 38.6°C).
• If yu penis ɔ skrotum de kam tan lɛk mɔ.

If yu gɛt smɔl dawt bɔt ɛnitin lɛk dis, nɔ ɛva fred fɔ aks yu dɔktɔ.