Sɔntɛnde, bikɔs ɔf kansa ɔ ɔda siriɔs mɛrɛsin, dɛn kin gɛt fɔ pul in wan ol blad. Bɔku pipul dɛn kin fred se, "Aw a go pis naw?" Bɔt nɔ fred, wit di advansmɛnt fɔ mɛdikal sayɛns, gud sɔlv de fɔ dis. Dat min se we yu yuz wan pat pan yu yon intestinal, dεn de mek wan brand nyu blad insay di bכdi. Tide, wi de tɔk bɔt dis wɔndaful ɔpreshɔn, we dɛn kɔl Neobladder ɔpreshɔn.
Wetin na ‘Neobladder’ ɔpreshɔn simpul wan?
Fɔ tɔk am simpul wan, dis na ɔpreshɔn fɔ mek nyu blad fɔ tek ples fɔ yu blad we sik ɛn we nɔ de wok fayn. Insay dis, dɔktɔ dɛn kin pul yu ɔrijinal blad fɔs tru ɔpreshɔn. Dɛn kɔl dis sik we dɛn kɔl sistectomy . afta dat, dεn de tek sכm sכm pat pan yu yon sכmכl intest כn εn yuz am fכ mek nyu blad (neobladder) we shep lεk bכl.
Dɛn kin put dis nyu blad na di sem ples we yu ol blad de. na dat mek sכmtεm dεn kin kכl am ‘כtכtopik’ niכblad. 'Orthotopic' min "na di sem ples." dis na wetin wi kכl nioblad rεkכnstrכkshכn, we de mek nyu sistεm fכ stכr εn kכl urine.
Bɔt dis ɔpreshɔn nɔto fɔ ɔlman. Dɔktɔ dɛn go disayd if yu fit fɔ dis bay sɔm tin dɛn lɛk aw yu kidni ɛn liva wɛl ɛn if yu gɛt blad kansa.
Insay us kes dɛn dis ɔpreshɔn nid fɔ du?
Dɔktɔ kin tɛl yu fɔ du dis ɔpreshɔn fɔ difrɛn tin dɛn we kin afɛkt di wɛlbɔdi ɔ di we aw yu blad de wok. Lɛ wi tek wan luk pan wetin dɛn bi.
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Blada kansa | Di men rizin we mek dɛn pul di blad. |
| di blad mכsul dεm we wik (Decompensated bladder) . | di blad mכsul dεm nכ de kכntrakt as nid de fכ ɛmti di blad. Dis kכndyushכn kin apin afta rεdyushכn tεrapi כ bikoz fכ sik dεm na di nεv sεstem. |
| Nyurojɛnik blad | di blad kכntrכl we de lכs bikoz fכ sik dεm na di bren כ di spεnal kכd. |
| Intastitial Sistayt/Blada Pen Sindrom (IC/BPS) . | Wan sik we de mek pɔsin fil pen we nɔ de dɔn na di blad. |
| Trauma to di blad | Blad damej bikɔs ɔf siriɔs aksidɛnt. |
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bifo di ɔpreshɔn, yu go mit wit wan dɔktɔ we de mɛn yu uro. I go ɛksplen di gud ɛn bad tin dɛn we di ɔpreshɔn gɛt, ɛn ɔda tin dɛn we yu go ebul fɔ du, ɛn i go rivyu yu mɛdikal istri ɛn du wan ɛgzam fɔ yu bɔdi fɔ no if yu gɛt wɛlbɔdi.
Apat frɔm dat, dɛn go aks yu bɔt dɛn tin ya:
- Di mɛrɛsin dɛn we yu de tek: Yu fɔ tɛl yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek (ɔl tu di mɛrɛsin dɛn we yu de tek ɛn we yu de tek yu na di kɔwnta). Sɔm tin dɛn we de mek pɔsin fil pen (NSAID) ɛn tin dɛn we de mek pɔsin blɔd tan (anticoagulants) kin mek i gɛt mɔ blɔd we dɛn de du ɔpreshɔn. Bɔt mɛmba se, nɔ stɔp fɔ tek ɛni mɛrɛsin we yu nɔ aks yu dɔktɔ fɔs.
- Yu Alɛji: Mek shɔ se yu tɛl wi bɔt ɛni alɛji we yu gɛt fɔ mɛrɛsin, tin dɛn we de klin yu skin (lɛk ayodin), lɛtɛks, ɔ it.
- Fɔ it ɛn drink: Dɛn go advays yu fɔ nɔ it ɔ drink ɛnitin afta midnayt di nɛt bifo di ɔpreshɔn. If yu gɛt ɛni impɔtant mɛrɛsin, yu kin tek am wit wan sip wata.
Aw dɛn kin du di ɔpreshɔn stɛp bay stɛp
Dis na big ɔpreshɔn we kin tek lɛk tu to siks awa so. Lɛ wi tek wan step-by-step luk pan wetin kin apin durin dis.
| Step dɛn we yu fɔ du | Wetin de apin? |
|---|---|
| 1. Dɛn kin gi pɔsin anestezi | Dɛn go put yu na slip (jenɛral anestezi), so yu nɔ go fil ɛni pen. |
| 2. Fɔ pul di blad | Dɛn go pul yu ol blad tru wan big say we dɛn kɔt na yu bɛlɛ (ɔp ɔpreshɔn) ɔ sɔm smɔl smɔl say dɛn we dɛn kɔt (rɔbɔt ɔpreshɔn). |
| 3. Fɔ mek di Niobladder | Dɛn kin pul wan pat pan yu smɔl intestinal ɛn shep am lɛk bɔl. Dis na yu nyu blad. |
| 4. Fɔ kɔnɛkt bak | di nyu blad dεn de put am na di sem ples we di ol wan de, εn di tכb dεm we de kכmכt na di kidni dεm (ureters) εn di tכb we de kכri urine (urethra) de kכnekt to am. |
| 5. Klos di say dɛn we dɛn kɔt ɛn put di tiub dɛn | Dɛn go lɔk di say dɛn we dɛn kɔt wit stich ɔ ɔspitul step. Dɛn go put wan urinary catheter na yu urethra fɔ mek yu urine kɔmɔt te i wɛl. |
Wetin kin apin afta di ɔpreshɔn? Aw lɔng i go tek fɔ mek i wɛl?
Afta di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ sɔm dez. Yu go fil taya smɔl afta yu dɔn gɛt kɔnshɛns bak. Na di ɔspitul, di mɛdikal tim go gi yu mɛrɛsin fɔ kɔntrol yu pen ɛn wach yu wɛlbɔdi.
We yu de wɛl, dɛn go tich yu bɔt:
- Pεlvik fכl εksεsayz (Kegel εksεsayz): Dis rili impɔtant. Dɛn ɛgzampul ya kin mek di mɔsul dɛn we de kɔntrol yu blad strɔng. So, dis kin ɛp bɔku fɔ mek yu nɔ ebul fɔ urinary incontinence.
- Self-catheterization: Nɔto ɔlman nid am, bɔt lɛk 15% pan pipul dɛn go nid fɔ yuz dis we fɔ ɛmti dɛn blad kɔmplit wan fɔs. Nɔ wɔri, wi go sho yu di rayt we aw fɔ du am.
I kin tek sɔm mɔnt fɔ mek i wɛl ɔl. I kin tek tɛm fɔ yus to yu nyu blad, lan aw fɔ ɛmti am, ɛn mek yu mɔsul dɛn strɔng. Yu dɔktɔ ɛn di wan dɛn we de wok na yu nɔs go ɛp yu fɔ du ɔl dis.
Wetin na di bɛnifit ɛn bad tin dɛn we Niobladder gɛt?
Di big bɛnifit fɔ dis ɔpreshɔn na dat yu kin pis nɔmal wan tru yu urethra, we yu nɔ nid fɔ yuz urostomy bag. Dis kin mek bɔku pipul dɛn gɛt bɛtɛ layf ɛn dɛn kin gɛt kɔnfidɛns pan dɛnsɛf.
Bɔt lɛk ɔltin, sɔm risk ɛn bad tin dɛn de we dis kin apin.
- Fɔ kɔntrol yu blad: I kin at fɔ kɔntrol yu blad fɔs, mɔ na nɛt. Bɔt as tɛm de go, mɔ wit Kegel ɛksɛsayz, lɛk 90% pan pipul dɛn go gɛt gud kɔntrol insay di de.
- mכkus na di urine: Bikɔs di nyu blad de mek frɔm wan pat pan di intestinal, i de mek wan tin we tan lɛk mכkus. So, fɔ mek yu nɔ gɛt di sik, sɔntɛnde i kin nid fɔ put kateshɔn ɛn wata di blad.
- Ɔda tin dɛn we kin apin: Blɔd, blɔd kin klɔt, baktriyal infɛkshɔn, urinary tract infection (UTI), urinary retention, etc. Na smɔl tɛm nɔmɔ, ilɛktrɔlayt imbalans kin apin.
I pɔsibul fɔ liv nɔmal layf wit neobladder?
Yɛs, fɔ tru! Bɔrku pipul dɛm wae gɛt neobladder kin kɔntinyu fɔ du dɛn nɔmal aktiviti ɛn wok.
Fɔs, yu go nid fɔ pis lɛk ɛvri tu awa so. Bɔt as tɛm de go, as yu nyu blad de strɛch ɛn strɔng, yu go ebul fɔ ol yu urine fɔ lɛk 4-6 awa. Insay sɔm wiks, yu go ebul fɔ du layt wok ɛn go wok. No spɛshal tin nɔ de we de stɔp yu fɔ it, ɛn yu kin travul we yu nɔ gɛt ɛnitin fɔ stɔp yu.
Di tɛm dɛn we yu want fɔ go to dɔktɔ
If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm. If di sik bad bad wan, go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- Sayn dɛm fɔ infekshɔn lɛk fiva, kol, ɛn urine we gɛt klawd.
- I at fɔ put di kateshɔn in wan.
- Blɔd we de na di urine (hematuria) .
- Bɔrku pen na di bɛlɛ ɔ bitwin di rib ɛn hip.
Mɛsej we dɛn kin kɛr go na os
- Nioblad ɔpreshɔn na di bɛst we fɔ liv nɔmal layf we yu nɔ gɛt bag na do na di bɔdi afta yu dɔn pul di blad.
- Dɛn kin mek dis nyu blad bay we dɛn de yuz pat pan yu yon smɔl intestinal.
- I go tek sɔm mɔnt fɔ mek i wɛl. Insay dis tɛm, i rili impɔtant fɔ peshɛnt ɛn fala di dɔktɔ in instrɔkshɔn, mɔ di ɛksesaiz we Kegel de du.
- Pan ɔl we sɔm prɔblɛm kin de fɔ kɔntrol di urinary fɔs, as tɛm de go, bɔku pipul dɛn kin ebul fɔ liv nɔmal, aktif layf.
- If yu gɛt ɛni kwɛstyɔn ɔ dawt, nɔ fred fɔ tɔk opin wan wit yu dɔktɔ bɔt am.
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