I nɔ tu te yet we dɛn dɔn du ɔpreshɔn ɔ trit yu kansa fɔ yu prɔstat gland? Ɔltin bin go fayn, ɛn afta sɔm tɛm yu kam na os, yu bigin fɔ notis sɔm chenj dɛn we yu de pis ? Sɔntɛm di urine dɔn slo smɔl, ɔ yu fil se yu fɔ strɛch smɔl fɔ pis ? If dis dɔn apin to yu, i kin bi bikɔs ɔf wan kɔndishɔn we dɛn kɔl Bladder Neck Contracture, we wi de tɔk bɔt tide. Nɔ wɔri, wi go tɔk bɔt dis insay simpul wɔd dɛn.
Fɔ tɔk am simpul wan, wetin na Bladder Neck Contracture?
Okay, fɔ ɔndastand dis, lɛ wi fɔs tek wan luk pan aw di urinary system na wi bɔdi de wok. Tink bɔt yu blad lɛk balyɔn we ful-ɔp wit wata. Dis na di bag we de gɛda ɛn kip yu urine . na di bכtכm pat pan dis blad, lεk di mכt fכ di balכn, wan ples de we i de kכnekt to wan sכmכl tכb. Wi kin kɔl dis di blad nɛk. we yu de pis , di urine de kכmכt tru dis nεk εn go insay di urethra.
naw, afta tin dεm lεk prכstat כpεrayshכn כ rεdyushכn tεrapi, ska tisu kin fכm na di blad nεk. Jɔs lɛk aw ska kin fɔm we wi gɛt wund na wi skin. dis ska tisu de mek di blad nεk sכmtεm sכmtεm sכmtεm sכmtεm כ kכntrakt. Na dat wi kin kɔl Bladder Neck Contracture .
Fɔ tɔk am simpul wan, dis na kɔndishɔn we di ska tisu de blok di rod fɔ mek di urine kɔmɔt na di blad afta dɛn dɔn ɔpreshɔn di prɔstat. Dis kin mek i nɔ izi fɔ pis ɛn if dɛn nɔ trit am, i kin afɛkt di blad ɛn di kidni.
Us kayn tritmɛnt kin mek yu gɛt dis sik?
Bɔku tɛm dis na wan sayd ɛfɛkt we di prɔstat tritmɛnt dɛn kin gɛt. Dis risk kin pasmak afta dɛn tritmɛnt ya:
- Prostatectomy: Dɛn kin du ɔpreshɔn fɔ pul di prɔstat gland.
- Radical Prostatectomy: Dɛn kin pul di prɔstat gland kɔmplit wan bikɔs ɔf kansa.
- Transurethral resection of the prostate (TURP): Na ɔpreshɔn we dɛn kin put wan divays tru di urethra fɔ pul sɔm pat dɛn na di prɔstat gland.
- Redyushɔn tɛrapi: Fɔ gi redyushɔn tritmɛnt.
Dis nɔto tin we rili kɔmɔn. Dɛn se lɛk wan pan ɛvri tɛn man dɛn we dɛn kin du ɔpreshɔn pan prɔstat go gɛt dis sik. Bɔt i impɔtant fɔ mek yu no bɔt dis.
Wetin na di sayn dɛm fɔ dis sik?
Bɔku tɛm, dɛn sayn ya kin bigin fɔ sho insay tri to siks mɔnt afta dɛn dɔn du di ɔpreshɔn pan di prɔstat. Fɔs, yu nɔ go notis dɛn, bɔt as tɛm de go, dɛn kin bɔku smɔl smɔl. Si if yu gɛt ɛni wan pan dɛn sayn ya.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| Urinary incontinence | Fɔ gɛt fɔ strɛch ɛn strɛch fɔ bigin fɔ pis. |
| We yu de pis we yu de pis (Dysuria) . | Bɔn ɔ pen we yu de pis. |
| Wik urine strim | Di spid ɛn di amount we yu de urine go dɔŋ . Wik strim. |
| Stɔp ɛn stat bak di urine strim | Nɔ de pis ɔltɛm, stɔp fɔ sɔm tɛm, dɔn bigin bak. |
| di blad nɔ de ɛmti kɔmplit wan (Urinary retention) . | Fɔ fil lɛk se urine stil de na di blad afta yu dɔn fɔ pis . |
| Urinary tract infection (UTI) we kin kam bɔku tɛm . | di blad nɔ de ɛmti ɔl, we de mek di risk fɔ mek baktri gro ɛn gɛt infɛkshɔn. |
| Ston dɛn we de na di blad | di minral sכlt dεm na di urine we de rεst na di blad de kכmכt εn fכm stכn. |
| Ovaflɔ inkontinɛns | Di urine we nɔ de kɔntrol bikɔs di blad ful-ɔp pasmak. |
Wetin mek dis de apin? Wetin na di rizin?
Pan ɔl we dɔktɔ dɛn nɔ kin gi 100% difinitiv rizin fɔ dis, tu men rizin dɛn de we dɛn kin tink se na di kɔz.
1. Kɔmplikɛshɔn afta di ɔpreshɔn: Afta dɛn dɔn pul di prɔstat gland, di dɔktɔ go kɔnɛkt yu blad nɛk bak to yu urethra (dɛn kɔl dis anastomosis). sכmtεm, sכm sכm blכd kכlכt (hεmatoma) kin fכm bitwin di stich dεm na di say we dis kכnεkshכn de. We dis apin, di stich dɛn kin pul, ɛn lɛf smɔl smɔl gap dɛn na di kɔnɛkshɔn. As di bɔdi de wɛl, dɛn gap ya kin ful-ɔp wit di skata tisu we wi bin dɔn tɔk bɔt. Dis ska tisu na in de blok di pasej.
2. Nɔ gɛt bɛtɛ blɔd: Sɔntɛnde, if di stich dɛn we dɛn kin yuz we dɛn de du di ɔpreshɔn tu tayt, di blɔd we de go na di say kin go dɔŋ. We di blɔd nɔ bɔku, di tisu nɔ kin wɛl, ɛn bifo dat, skata kin apin mɔ.
Di risk fɔ gɛt blad nɛk kɔntrakt afta dɛn dɔn ɔpreshɔn di prɔstat kin bɔku smɔl, mɔ fɔ pipul dɛn we gɛt ɔda mɛrɛsin we kin afɛkt di blɔd we de go na di bɔdi, lɛk dayabitis ɔ at sik.
Aw dɔktɔ kin no dis kɔrɛkt wan?
If yu gɛt di sayn dɛm we wi dɔn tɔk bɔt, di fɔs tin we yu fɔ du na fɔ go to yu dɔktɔ bak. Ɔ, i go bɛtɛ fɔ go to dɔktɔ we de mɛn yu uro. I go chɛk yu ɛn rɔn sɔm tɛst fɔ no if yu gɛt di sik.
| Tɛst | Wetin kin apin wit dis? |
|---|---|
| Sistoskɔpi we dɛn kin du | wan tכb we rili tכn wit kεmεra we dεn atak dεn de put tru di urethra fכ si di blכk we de na di blad nεk dεn wan dεm. We dɛn de du dis, dɛn kin gi wan mɛrɛsin we de mek pɔsin nɔ fil pen fɔ mek i nɔ fil pen. |
| Sistourethrogram we gɛt di sik | Dɛn kin put spɛshal wata (kɔntrast day) insay di blad ɛn tek ɛkstrem rayt pikchɔ dɛn. dis de mek dεn kin si di shep fכ di blad εn di εria dεm we de rawnd am εn εni prכblεm klia wan. |
| Voiding sistourethrogram (VCUG) we de mek yu nɔ gɛt wata. | Na di sem tɛst we wi dɔn tɔk bɔt, bɔt dis tɛm yu tek ɛkstrem rayt we yu de pis . Dis kin mek yu si εksakεt wetin de apin wit yu urine fכ fכlכ. |
| Yuroflɔ tɛst | Dɛn kin yuz spɛshal tin fɔ no aw di urine de kɔmɔt spid ɛn aw i de kɔmɔt. Dis kin tɛl yu klia wan if yu flɔ wik. |
| Post-void rεsidyual urine tεst (PVR tεst) . | Afta yu dɔn fɔ pis , dɛn kin du ɔltra saund skan fɔ si ɔmɔs urine lɛf na di blad. |
Wetin na di tritmɛnt dɛm fɔ dis?
Dis na sik we pɔsin kin mɛn. Dipen pan aw yu sik bad, yu dɔktɔ go pik di tritmɛnt we go fayn fɔ yu.
- Dilashɔn: Dis nɔto ɔpreshɔn. Na sɔntin we dɛn kin du na di dɔktɔ in ɔfis. tכn tכb dεm we de inkrεs sכmtεm dεn de put tru di urethra, we de mek di εria we de bכn sכmtεm big.
- Transurethral procedure: Dis na smɔl ɔpreshɔn we dɛn kin du ɔnda anestezi. Semweso lɛk sistoskɔpi, dɛn kin put wan tin we gɛt kamɛra ɛn yuz ilɛktrik kɔrɛnt fɔ kɔt ɛn pul di ska tisu we de mek di ska blok.
- Urinary reconstruction and diversion (big ɔpreshɔn): Dɛn nɔ kin du dis, ɛn na insay rili siriɔs kes dɛm nɔmɔ. insay dis prosidur, dεn kin pul pat כ כl di blad εn dεn kin mek כda we fכ urine kכmכt na di bכdi (lεk sכmכl opin na di bכdi).
Yu nɔ tink se dis tin we de apin jɔs de bɛtɛ?
Nɔ. Blada Nɛk Kɔntrakchɔ nɔ go wɛl fɔ insɛf .Bɔt if yu kɔndishɔn rili saful, we min se yu kin ɛmti yu blad ɔlsay ɛn nɔr damej pan yu kidni dɛm, yu dɔktɔ kin se yu fɔ du "wet ɛn si". Dat min se yu fɔ wet fɔ sɔm tɛm we yu nɔ gɛt tritmɛnt fɔ si if yu sik dɛn de bɛtɛ.
Ustɛm a fɔ go to dɔktɔ? Us tɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU)?
Dis na pat we rili impɔtant. Yu nid fɔ no gud gud wan wetin na dis.
Ustɛm fɔ go to yu dɔktɔ:
- Afta yu dɔn gɛt prɔstat tritmɛnt, if yu gɛt ɛni wan pan di sayn dɛm we wi bin dɔn tɔk bɔt.
- If dɛn dɔn ɔlrɛdi gɛt tritmɛnt fɔ Bladder Neck Contracture, bɔt di sayn dɛm kin kam bak ɔr kin wɔs .
Nɔ fɔgɛt, nɔ ignore ivin di smɔl smɔl sayn. Di kwik we yu go to dɔktɔ, na di mɔ i go izi fɔ mek yu trit am.
Ustɛm fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm:
If yu gɛt ɛni wan pan dɛn tin ya, go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm we yu nɔ tink bɔt ɛni ɔda tin.
- If yu nɔ ebul fɔ pis atɔl.
- If yu gɛt siriɔs pen na yu bɛlɛ ɔ yu groin eria .
- If yu swet pasmak .
Dis na imejensi, so nɔ delay atɔl.
Dis kin kam bak afta tritmɛnt?
Fɔ bɔrku pipul dɛm, de sik kin sɔlv ɔltogɛda afta dɛn dɔn trit am. כltu, sכmtεm di ska tisu kin fכm bak εn di blכk kin apin bak. Di risk fɔ mek i gɛt dis sik bak kin rili bɔku pan dɛn tin ya:
- If yu dɔn du redyushɔn tɛrapi.
- If yu dɔn gɛt ɔda ɔpreshɔn dɛn we gɛt fɔ du wit yu urethra.
- If kɔmplikeshɔn bin de di tɛm we dɛn bin de du di fɔs tritmɛnt.
If i apin bak, yu go nid fɔ gɛt tritmɛnt bak. Na dat mek i impɔtant fɔ no ɔltɛm bɔt di sayn dɛm.
Mɛsej we dɛn kin kɛr go na os
- di blad nεk kכntrakt na wan kכmplikεshכn we nכ kin apin bכt i kin bi afta dεn כpεrayshכn כ tritmεnt fכ di prכstat.
- Wik urine strim, urinary frequency, urinary retentionYu fɔ no bɔt di sayn dɛm lɛk pen as yu de du dis. Dɛn tin ya kin apin sɔm mɔnt afta dɛn dɔn trit am.
- Dis na sik we pɔsin kin mɛn. So if yu gɛt sɔm sayn dɛn, nɔ panik ɔ ignore dɛn, bɔt go to yu dɔktɔ wantɛm wantɛm.
- If yu nɔ ebul fɔ pis atɔl , na imejensi. Go na di ɔspitul imejensi rum (ETU) we de nia yu wantɛm wantɛm.
- Natin nɔr de wae yu kin du fɔ mek yu nɔr gɛt dis sik. Bɔt if yu no di sik kwik kwik wan ɛn go to tritmɛnt, dat kin ɛp fɔ mek big big prɔblɛm nɔ kam.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt