Lɛ wi lan bɔt ɔpreshɔn fɔ mek di blad big (Augmentation Cystoplasty) insay simpul wɔd dɛn.

Yu kin want fɔ pis ɔltɛm? Ɔ yu kin gɛt tɛm we yu nɔ kin ebul fɔ kɔntrol ivin smɔl urine, ɛn i kin lik pan yu klos? Fɔ sɔm pipul dɛn, dis kin bi big tin we kin ambɔg dɛn ɛvride layf. We di blad nɔ de wok fayn bikɔs ɔf sɔm mɛrɛsin, dis kin mek prɔblɛm dɛn lɛk dis. So, insay tɛm lɛk dis, wan sɔlv we dɔktɔ dɛn kin tɔk bɔt na fɔ ɔpreshɔn fɔ mek di blad big. Na dat wi de tok abaut tide.

Wetin na dis ɔpreshɔn fɔ mek di blad big (Augmentation Cystoplasty)?

Fɔ tɔk am simpul wan, yu blad na ɔgan we tan lɛk sak we kin ol yu urine fɔ sɔm tɛm. Dis ɔpreshɔn de mek yu blad big smɔl. Dat min se, i de mek i ebul fɔ du mɔ.

Imajin se di wata bɔtul we yu gɛt smɔl, so yu fɔ ful-ɔp am ɔltɛm. If wi tay ɔda pat pan da bɔtul de ɛn mek i big, wi go ebul fɔ put bɔku wata insay wan tɛm? Wɛl, na dat kin apin wit dis ɔpreshɔn.

Dɔktɔ dɛn kin yuz wan pat pan yu yon bɔdi fɔ dis prɔsidyu. Fɔ tɔk di kɔrɛkt tin, dɛn kin tek smɔl pat pan yu yon smɔl intestinal ɔ big intestinal ɛn tay am na yu blad fɔ mek i big. if dεn yuz di sכmכl intestכn, dεn kכl am ``ileocystoplasty'', εn if dεn yuz di big intestכn, dεn kכl am ``sigmoid כ ceco-cystoplasty''. Bɔt dis nɔ impɔtant so to yu. Di impɔtant tin na dat dis kin mek yu blad big ɛn i kin ol mɔ urine.

Wetin mek i nid fɔ du dis kayn ɔpreshɔn?

Nɔto ɔlman nid dis ɔpreshɔn. Bɔku tɛm dɛn kin advays am fɔ pipul dɛn we nɔ gɛt bɛtɛ blad wok bikɔs ɔf sɔm patikyula mɛrɛsin dɛn. Fɔ ɛgzampul:

• di spεnal kכd injuri: We di spεnal kכd dכn pwεl bikoz fכ aksidεnt, di nεv dεm we de kכntro di blad kin afekt.
• di sik dεm we dεn kin bכn pikin dεm: sכm pikin dεn kin bכn wit sכm prכblεm dεm wit dεn spayna כ nεv sεstem.
• כda mεdikal kכndyushכn dεm: Sik dεm lεk ``Multiple Sclerosis'' kin mek bak chenj dεm na di blad fכ wok.

Dɛn rizin ya kin mek difrɛn prɔblɛm dɛn wit di blad. Lɛ wi si wetin dɛn bi.

Bɔku tɛm, dɛn kin du dis ɔpreshɔn pan pipul dɛn we dɔn de yuz sɛlf-kateshɔn fɔ lɔng tɛm. dis na di we aw dεn de put wan tin tכb (kateta) tru di urethra fכ ɛmti di blad. If dis we ya nɔ sɔlv di prɔblɛm, yu dɔktɔ go tɛl yu bɔt dis ɔpreshɔn as di nɛks tin we yu fɔ du.

Wetin kin apin bifo dɛn du di ɔpreshɔn?

Bikɔs dis na big ɔpreshɔn, dɛn nɔ go ebul fɔ du am wan tɛm. Di dɔktɔ go chɛk yu gud gud wan fɔ si if yu fit fɔ dis. I go du sɔm tɛst dɛn lɛk dis.

• Fizik ɛgzam: Dɛn kin chɛk yu jenɛral wɛlbɔdi.
• Blɔd tɛst: Chɛk aw di kidni de wok ɛn if ɛni infekshɔn de.
• X-ray: Tek pikchɔ fɔ di urinary system.
• Sistoskopi: na tεst we dεn de put tכb wit sכmכl kεmεra tru di urethra fכ luk insay di blad.
• Yurodaynamik tɛst: na spɛshal tɛst we de mɛzhɔ aw di blad de wok ɛn di prɛshɔn we i de gi we i ful-ɔp ɛn ɛmti.

Wetin kin apin we dɛn de du di ɔpreshɔn?

Dɛn kin du di ɔpreshɔn ɔnda jenɛral anestezi (slip) so yu nɔ go fil natin. Di dɔktɔ we de du di ɔpreshɔn kin du dis ɔpreshɔn tu we dɛn: i kin du wan lɔng say we dɛn kɔt di bɛlɛ (ɔp ɔpreshɔn we dɛn kin kɔt), ɔ bay we dɛn kin kɔt sɔm smɔl smɔl tin dɛn we dɛn kin yuz rɔbɔt ɔpreshɔn.

Ɛniwe, di men tin dɛn we yu fɔ du na dɛn wan ya:

1. Fɔs, di dɔktɔ we de du di ɔpreshɔn kin kɔt di blad in ed .

2. Dɔn, dɛn kin kɔt wan pat we gɛt di sayz we dɛn dɔn prɛskrib ɛn separet am frɔm di smɔl intestinal ɔ big intestinal, lɛk aw dɛn bin dɔn disayd bifo tɛm.

3. di pat pan di intestin we separet de fol dכn di midul, we de fכm wan flat "patch".

4. fכ finish, dεn kin put dis pat pan di intestinal insay di blad we dεn bin opin bifo, εn dεn kin kכnεkt di tu εn sכm tכgeda .

Afta dis prosidur, di blad go big pas aw i bin de bifo. We yu wek afta di ɔpreshɔn, yu go si tu ɔ tri tiub dɛn we de kɔmɔt na yu bɛlɛ ɛn blad. Dɛn kin put dɛn tin ya fɔ mek di urine kɔmɔt ɛn fɔ mek dɛn was di blad te di nyu blad wɛl. Nɔ wɔri, dɛn tin ya na fɔ shɔt tɛm nɔmɔ.

Bɔku tɛm, dis ɔpreshɔn kin tek bitwin tu ɛn siks awa .

Wetin kin apin afta di ɔpreshɔn? Aw lɔng i kin tek fɔ mek i wɛl?

Di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn rili impɔtant bak. Yu nid fɔ gi yu layf to Gɔd insay dis tɛm.

Taym na di ɔspitul

Bɔku tɛm yu go gɛt fɔ de na ɔspitul fɔ lɛk fayv to sɛvin dez .

• Fɔ it ɛn drink: Dɛn nɔ go alaw yu fɔ it ɔ drink fɔ di fɔs dez. dis na biכs afta כpεrayshכn lεk dis, di bכdi dεm stכp fכ wok fכ sכm tεm εn "sluggish". Wi de kol dis ``ileus''. Dis na nɔmal tin. Yu kin nid bak fɔ put wan tiub tru yu nos fɔ mek di wata we de na yu bɛlɛ kɔmɔt. We yu bɔdi bigin fɔ wok bak, dɛn go gi yu tin dɛn we gɛt wata (lɛk sup) fɔs, dɔn dɛn go gi yu tin dɛn we yu kin it ɔltɛm.
• Tiub: We yu de na ɔspitul, yu go gɛt sɔm tiub dɛn na yu bɛlɛ. Dɛn kin put at le tu tiub dɛn fɔ pul di urine na yu blad. Di nɔs staf go tich yu aw fɔ kia fɔ dɛn tiub ya, mɔ aw fɔ rins ɔut di mכkus we de gɛda na yu blad (irigashɔn).

Fɔ kia fɔ lɔng tɛm afta yu dɔn go na os

• Mucus Irrigation: If dis mכkus bכku, i kin blok di urethra, mek yu urinary ston, εn mek yu gεt infεkshכn. So, yu go nid fɔ was di insay pat pan yu blad wit spɛshal sɔlv ɛvri mɔnin fɔ di res ɔf yu layf. Dɛn go tich yu aw fɔ du dis na ɔspitul.
• Tεst dεm: Lεk tri wik afta dεn כpεrayshכn, yu go gεt imej tεst fכ mek sכh se yu nyu blad nכ de lik urine. If ɔltin de wɛl, yu dɔktɔ go pul yu tiub dɛn.
• Self-Catheterization: Afta dɛn dɔn pul di tiub, yu go nid fɔ bigin fɔ sɛlf-catheterization yusɛf. Nɔ wɔri! Di mɛdikal tim go tich yu aw fɔ du dis te yu ebul fɔ du am fɔ yusɛf wit izi.

Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?

Lɛk ɛni ɔpreshɔn, dis wan gɛt bɛnifit dɛn ɛn sɔm prɔblɛm dɛn bak.

Wetin na di bɛnifit dɛn we wi kin gɛt?

If dis ɔpreshɔn go wok fayn, i go mek yu layf rili fil fayn.

• As di blad de big, di prɛshɔn we de insay de go dɔŋ .
• Dis kin stɔp ɔ ridyus di damej we di kidni dɛn kin gɛt .
• Bikɔs yu kin ol mɔ urine wan tɛm, yu nɔ go nid fɔ pis ɔltɛm .
• Bɔku tɛm, yu kin go we yu nɔ pis fɔ at le 4 awa .
• We yu ebul fɔ kɔntrol yu urine, dat kin mek yu gɛt bɔku kɔnfidɛns we yu de na pɔblik.

Risk ɛn kɔmplikeshɔn dɛn

Di mכkus we wi bin dכn tכk bכt kin mek big prכblεm if dεn nכ du am fayn. Apat frɔm dat, sɔm prɔblɛm dɛn de we kin apin we dɛn du di ɔpreshɔn insɛf.

Aw lɔng i go tek fɔ mek i wɛl ɔltogɛda?

Dis na tin we kin tek sɔm tɛm.

• Afta lɛk siks wiks , yu kin tink se bɔku pan yu go kam bak to yu nɔmal. Dat min se yu go fil lɛk 90% bɛtɛ.
• Bɔt i kin tek lɛk tri mɔnt so fɔ mek i wɛl bak to di sem lɛvul we i bin gɛt bifo di ɔpreshɔn.
• Insay dis tɛm, yu fɔ avɔyd ɛnitin we go mek yu bɛlɛ prɛshɔ, lɛk fɔ es wet, fɔ rɔn, fɔ ple spɔt, ɛn fɔ du mami ɛn dadi biznɛs .
• Yu kin go bak na wok ɔ skul afta lɛk siks wiks, i go dipen pan di kayn wok we yu de du ɛn aw yu go wɛl kwik kwik wan.

Us tɛm yu nid fɔ kɔl di dɔktɔ wantɛm wantɛm?

If yu gɛt ɛni wan pan dɛn sayn ya we de dɔŋ ya afta yu dɔn go bak na os, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.

• If blɔd de kɔmɔt pasmak rawnd di say we dɛn kɔt.
• If di fiva pas 100 digri F (38 C).
• If di say we di wund de rεd, swεla, i de fil pen, כ i de pul pus (sayn dεm fכ infεkshכn).
• If yu nɔ ebul fɔ put di urethral catheter ɔ i fil se i stɔp.

Yu dɔktɔ go kɔntinyu fɔ arenj fɔ mek yu go na klinik. Fɔs, i go aks yu fɔ kam insay fɔ chɛk di wund, kɔt di stich dɛn, ɛn pul di tiub dɛn. Afta dat, i go aks yu fɔ kam insay lɛk wan tɛm insay di ia fɔ chɛk aw yu kidni dɛn de, fɔ du blɔd tɛst, ɛn fɔ ridyus yu tyub prɛskrishɔn.

Dis ɔpreshɔn na tin we pɔsin kin disayd fɔ du we kin chenj in layf. So, tɔk klia wan ɛn tɔk tru to yu dɔktɔ bɔt ɔl di tin dɛn we de mɔna yu ɛn di tin dɛn we yu de fred. Dis go ɛp yu fɔ go na dis waka.