Yu kin gɛt prɔblɛm bak fɔ pis afta dɛn dɔn du yu prɔstat ɔpreshɔn? Yu tink se na bikɔs ɔf di blad nɛk kɔntrakt?

Yu mɛmba se i nɔ bin izi fɔ yu fɔ pis afta yu dɔn ɔpreshɔn yu prɔstat ɔ yu dɔn gɛt kansa ? Sɔntɛm yu fil lɛk se yu urethra de smɔl, ɔ yu fil lɛk se urine stil lɛf na yu blad afta yu dɔn fɔ pis ? If yu dɔn gɛt ɛni wan pan dɛn tin ya, yu go dɔn gɛt wan sik we dɛn kɔl blada nɛk kɔntrakt, we dɔktɔ dɛn kin kɔl blada nɛk kɔntrakt . Dis kin tan lɛk nyu tin to yu smɔl, bɔt nɔ wɔri. Lɛ wi tɔk bɔt am simpul wan, insay Sinhala we yu go ɔndastand.

Wetin na blad nɛk kɔntrakt?

Fɔ tɔk am simpul wan, yu urinary bladder na smɔl ɔgan we tan lɛk sak na yu bɛlɛ we de gɛda urine (pee). I tan lɛk balyɔn, i kin bɔku we i ful-ɔp wit urine , ɛn i kin kɔntrakt bak we yu de pis . na di bכtכm pat pan dis blad, usay i de kכnekt to di urethra , na in wi k כl blad nεk . Dis tan lɛk get, usay urine bigin fɔ kɔmɔt.

Naw, sɔmtɛm afta dɛn dɔn trit di prɔstat, mɔ afta dɛn dɔn du di ɔpreshɔn, ska tisu kin fɔm na di say we di urethral opin. Da ska tisu de mek di urethra smɔl, ɔ kɔntrakt. I tan lɛk se sɔntin we stɔp na wata paip ɛn mek wata nɔ bɔku. We di say we di urethral opin smɔl, i kin mek i nɔ izi fɔ pis , ɛn i kin mek bak ɔda tin dɛn we kin afɛkt di blad ɛn di kidni dɛn.

Jɔs tink se, jɔs lɛk we dɛn blok rod, i nɔ kin izi fɔ mek motoka dɛn pas, bɔt we dɛn blok di blad, i nɔ kin izi fɔ mek di urine pas.

Us kayn tritmɛnt fɔ prɔstat kin mek dis sik?

Dis nɔ kin apin wit ɔl di prɔstat tritmɛnt dɛn. Bɔt, risk kin de fɔ mek di blad nɛk kɔntrakt afta dɛn tritmɛnt ya:

• Prostatectomy : Dis kin min fɔ pul ɔl ɔ pat pan di prɔstat gland.
• Radical prostatectomy : Dis na ɔpreshɔn bak we de pul di prɔstat gland kpatakpata, mɔ we pɔsin gɛt kansa.
• transurethral resection of the prostate (TURP ) : Insay dis prosidur, dɛn kin put wan inschrumɛnt tru di urethra fɔ kɔt ɛn pul di pat dɛn we dɔn big na di prɔstat gland.
• Redyushɔn tɛrapi: Rɛdyeshɔn tɛrapi we gɛt bɔku ɛnaji we de pwɛl di kansa sɛl dɛn .

Nɔto ɔlman go gɛt dis sik afta dɛn tritmɛnt ya, so mɛmba dat.

Yu tink se dis blad nɛk kɔntrakt kin wɛl?

Yɛs, i go mɔs bi se dɛn go mɛn am. If yu gɛt dɛn sik ya afta yu dɔn gɛt prɔstat tritmɛnt, go to dɔktɔ wantɛm wantɛm. Na in go disayd us tritmɛnt we fayn fɔ yu. No rizin nɔ de fɔ mek wi fred.

Aw dis sik kin kɔmɔn?

Dis na rili wan sik we nɔ kin apin so ɔltɛm . Masta sabi bukman dɛn se na wan pan ɛvri tɛn pipul dɛn nɔmɔ afta dɛn dɔn du ɔpreshɔn pan dɛn prɔstat, kin gɛt dis sik (Bladder Neck Contracture). So nɔ wɔri we yu nɔ nid fɔ wɔri.

Wetin na di sayn dɛm fɔ blad nɛk kɔntrakt?

Dɛn sayn ya nɔ kin kam wantɛm wantɛm, dɛn kin kam smɔl smɔl. Sɔntɛm yu nɔ go ivin notis dɛn fɔs.

• Fɔ push tranga wan we yu bigin fɔ pis . I nɔ jɔs de kɔmɔt , yu fɔ strɛch smɔl.
• Pen we yu de pis (dysuria). I kin tan lɛk se yu de bɔn ɔ yu de swɛt.
• Wik pee strim. Yu nɔ de pis bɔku tɛm lɛk aw yu bin de pis.
• Wan pee strim we de stat ɛn stɔp. di urine nכ de fכlכ kכntinyu, bכt i de fכlכ wan wan tεm.
• Di filin se di blad nɔ dɔn ɛmti ɔl ivin afta yu dɔn pis (urinary retention). I kin tan lɛk se urine stil lɛf.
• Frɛkuɛnt urinary tract infɛkshɔn ( UTIs ). Yurin kin de na di blad, we kin mek i izi fɔ mek di jem dɛn gro.
• Di fɔmɛshɔn fɔ blad ston dɛn.
• Di lik we di urine de lik we yu nɔ want , ɔ di nɔ ebul fɔ kɔntrol di urinate (overflow incontinence).

Bɔku tɛm, dɛn sayn ya kin bigin fɔ sho insay tri to siks mɔnt afta dɛn dɔn ɔpreshɔn di prɔstat. Fɔs, yu nɔ go notis bɔku pan di urinary tract infection. Bɔt smɔl smɔl dis kin bɔku, ɛn yu nɔ kin ivin ebul fɔ pis atɔl. So, if yu gɛt ɛni wan pan dɛn sik ya, i go fayn fɔ mek yu go to dɔktɔ kwik kwik wan.

Wetin mek dis blad nɛk kin blok? Wetin na di tin dɛn we kin mek i apin?

Dɔktɔ ɛn risach pipul dɛn stil nɔ ebul fɔ tɔk klia wan wetin mek dis (Bladder Neck Contracture) kin apin. Bɔt, dɛn tink se sɔm men rizin dɛn de.

Wan na wan prɔblɛm we kin apin afta dɛn dɔn du ɔpreshɔn fɔ pul di prɔstat gland . Yu blad nɛk de kɔnɛkt to di prɔstat gland. We dɛn de du di ɔpreshɔn, di dɔktɔ we de mɛn yu brɔda kin kɔnɛkt yu blad nɛk bak to di yuretra. Dɛn kɔl dis anastomosis . Naw, as yu de wɛl, wan blɔd klɔt (ɛmatoma) kin fɔm ɔnda ɔ bitwin di sutura dɛn. Dis blɔd we de klɔt kin mek di sutura dɛn pul ɔ ivin brok. Dɔn, gap dɛn kin de usay dɛn bin mek di kɔnekshɔn. Dɛn gap ya kin ful-ɔp wit ska tisu. na da ska tisu de de blok di pasej bitwin di blad ɛn di urethra.

Wan ɔda rizin kin bi bikɔs di anastomosis nɔ de gɛt inof blɔd saplai . If di stich dɛn tayt tumɔs, di blɔd vesel dɛn we de nia kin kɔnstrikt ɛn di blɔd kin go dɔŋ. Dis kin mek bak yu gɛt skata.

Udat dɛn kin afɛkt we blad nɛk kɔntrakt?

Dis sik kin apin to ɛnibɔdi we dɔn du ɔpreshɔn pan prɔstat.

Bɔt if yu gɛt ɔda mɛrɛsin we de afɛkt blɔd flɔ we yu gɛt prɔstat ɔpreshɔn – fɔ ɛgzampul , dayabitis ɔ at sik – yu kin gɛt dis blad nɛk prɔblɛm smɔl.

Aw dɛn kin no dis sik?

If yu gɛt sayn dɛm fɔ blad nɛk ɔbstrukshɔn, na di urolɔg nɔmɔ go ebul fɔ kɔnfɔm dis. I go chɛk yu ɛn ɔda fɔ mek dɛn du bɔku tɛst dɛn.

Us tɛst dɛn de du fɔ dis?

Di dɔktɔ kin du tɛst dɛn lɛk dɛn wan ya:

• Sistoskopi : Insay dis prosidur, di dכkta de put wan sכm sכm tכb (cystoscope) wit kεmεra εn layt we de atak tru yu urethra insay yu blad. Nɔ wɔri, dɛn go gi yu lokal anestesia so dat yu nɔ go fil ɛni pen. di blad kin fulכp bak wit stεril wata כ salin sכlushכn fכ si insay di blad klia wan.
• Cystourethrogram : Insay dis tɛst, di dɔktɔ de put wan smɔl plastic tiub we kin chenj (urinary catheter) tru yu urethra insay yu blad. Dɛn kin injɛkt wan spɛshal day (kɔntrast day) tru di tiub insay yu blad. Dɔn dɛn kin tek ɛkstrem rayt pikchɔ dɛn fɔ yu blad. Di day de mek di blad swel ɛn sho di insay klia wan.
• Voiding cystourethrogram (VCUG ) : Dis na di sem lεk di cystourethrogram we de oba. Bɔt, yu kin pis .Dɛn kin tek ɛkstrem rayt we dɛn de voyd.
• Yuroflɔ tɛst : Dis de tɛst aw yu blad de ɛmti fayn fayn wan we yu de pis . I de mɛzhɔ tin dɛn lɛk di spid ɛn di kayn urine we yu de pas.
• Post-void residual urine test (PVR test ) : Dis kin yuz ɔltra saund skan fɔ no ɔmɔs urine lɛf na di blad afta yu dɔn fɔ pis .

Dɛn tɛst ya kin mek di dɔktɔ ɔndastand gud gud wan aw yu blad dɔn blok ɛn wetin de mek yu blad.

Aw dɛn kin trit blad nɛk kɔntrakt?

Bɔku tritmɛnt dɛn de fɔ dis. Yu dɔktɔ go pik di bɛst tritmɛnt bay di sik we yu gɛt.

• Dilashɔn : Dis nɔto ɔpreshɔn. Na sɔntin we dɛn kin du na di dɔktɔ in ɔfis. I go put big big tiub dɛn smɔl smɔl insay yu urethra. Dis go mek di say we dɛn dɔn blok big smɔl smɔl. Dɔn, dɛn go put wan smɔl tiub (urinary catheter) fɔ pul di urine kɔmɔt na yu blad.
• Transurethral procedure : Dis na ɔpreshɔn we dɛn kin du ɔnda anestezi. Di dɔktɔ kin yuz rɛsɛktoskɔp, we na wan tin we fiba sistoskɔp, ɛn i kin yuz ilɛktrik kɔrɛnt fɔ pul di skata we dɔn stɔp na di yuretra.
• Urinary reconstruction and diversion : Dɛn kin jɔs du dis if di blad nɛk nɔ ebul fɔ waka bad bad wan. Sɔntɛnde, dɛn kin nid fɔ pul ɔl ɔ pat pan di blad. Dɔn dɛn kin mek wan nyu we fɔ mek di urine kɔmɔt na di bɔdi. כltu, dεn kin mek wan sכmכl opin (stoma) na di bכdi we dεn kin kכlekt di urine tru insay wan bag.

Yu dɔktɔ go tɛl yu mɔ bɔt dɛn tritmɛnt ya.

Bladder Neck Contracture de wɛl fɔ insɛf?

Nɔ, dis kɔndishɔn nɔ go go fɔ insɛf. Bɔt if yu kɔntrakt nɔ tu siriɔs, dat na, i nɔ tu , yu dɔktɔ kin tek “wet ɛn si” we. Dis min se yu ɛn di dɔktɔ go wach fɔ si if chenj de pan yu sik dɛn.

Dɛn kin jɔs tek yu blok as smɔl if i nɔ de kɔz ɛni damej pan yu kidni ɛn yu kin ɛmti yu blad ɔltogɛda witout ɛni prɔblɛm.

Aw lɔŋ i kin tek fɔ mek i wɛl afta dɛn dɔn ɔpreshɔn di blad nɛk?

Bɔrku pipul dɛn kin wɛl insay tu to tri wik afta dɛn dɔn du ɔpreshɔn fɔ trit wan blad nɛk we nɔ de ambɔg dɛn.I go tek lɛk 10 minit so fɔ mek i wɛl. Bɔt nɔto ɔlman kin wɛl di sem tɛm. Yu dɔktɔ go gi yu wan patikyula aidia bɔt dis.

Yu tink se dɛn kin mek di blad nɛk kɔntrakt?

Natin nɔr de fɔ rili du fɔ mek dis nɔr apin, bikɔs na wan kayn ska tisu wae nɔr kin apin afta dɛn dɔn trit yu prɔstat.

Wetin a fɔ ɛkspɛkt if a gɛt blad nɛk kɔntrakt?

Bɔku tɛm, di tritmɛnt fɔ dis sik kin kɔmɔt fayn. Bɔt sɔntɛnde, di ska tisu kin kam bak ɛn kɔntrakt kin apin . Ska tisu kin rili kam bak pan dɛn tin ya:

• If yu dɔn gɛt redyushɔn tɛrapi .
• If yu dɔn gɛt ɔda ɔpreshɔn ɔ prɔsidyu fɔ yu urethra.
• If ɛni prɔblɛm apin di tɛm we dɛn bin de trit di blad nɛk fɔs.

If di blɔk kam bak, yu kin nid fɔ gɛt ɔda tritmɛnt.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt ɛni sayn we de sho se yu blad tayt afta yu dɔn trit yu prɔstat, mek shɔ se yu go to dɔktɔ . Dɔn bak, if dɛn de trit yu fɔ dis, tɛl yu dɔktɔ if yu gɛt nyu sik ɔ if di sik we yu dɔn gɛt dɔn wɔs.

Ustɛm a fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

If ɛni wan pan dɛn tin ya apin, go na imejensi rum wantɛm wantɛm :

• If yu nɔ ebul fɔ pis atɔl.
• If yu gɛt siriɔs pen na yu bɛlɛ ɔ yu groin eria.
• If yu swet pasmak.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

I go fayn fɔ aks dɛn kwɛstyɔn ya we yu go si yu dɔktɔ:

• Aw a bin gɛt dis blad nɛk kɔntrakt?
• Us tritmɛnt opshɔn yu kin rɛkɔmɛnd fɔ mi?
• Aw lɔng i kin tek fɔ wɛl afta da tritmɛnt de?
• Mi blad tayt kin kam bak afta tritmɛnt?

Mɛmba se, blad nɛk we nɔ kin izi fɔ yu, na tin we nɔ kin apin so ɔltɛm we kin mek i nɔ izi fɔ pis . Fɔ bɔrku pipul, de sik kin go afta dɛn dɔn trit am. Bɔt i pɔsibul fɔ mek di sik kam bak ɛn nid fɔ gɛt ɔda tritmɛnt.

Mɛsej we dɛn kin kɛr go na os

If yu gɛt sɔm sayn dɛn lɛk fɔ mek yu nɔ ebul fɔ pis , yu yurethra wik , ɔ yu nɔ de ɛmti yu urine kɔmplit wan afta yu dɔn trit yu prɔstat, i kin bi bikɔs ɔf wan sik we dɛn kɔl Bladder Neck Contracture . Pan ɔl we dis nɔ kin apin so ɔltɛm, dɛn kin trit am .. Nɔ panik, go to urologist kwik kwik wan ɛn gɛt advays. I go ɛp yu fɔ disayd di bɛst tritmɛnt fɔ yu ɛn gi yu fridɔm. Nɔ ol ɛnitin bak, tɔk opin wan wit yu dɔktɔ. Gud wɛlbɔdi fɔ yu!