We yu yɛri di wɔd ‘bladder surgery’, yu kin fred smɔl. Dat na nɔmal tin. Bɔt, wae yu no gud gud wan wetin na in, wetin mek dɛn du am, ɛn aw i kin apin, yu frayd ɛn wɔri go ridyus bad bad wan. So, tide wi go tɔk bɔt dis klia wan ɛn simpul wan, lɛk se wi de tɔk to wi padi.
Fɔs, lɛ wi si, wetin na blad ɔpreshɔn?
Fɔ tɔk am simpul wan, di blad na ɔgan we tan lɛk sak na wi bɔdi we kin gɛda ɛn kip di urine ( urine ) fɔ sɔm tɛm we di kidni dɛn kin filta. Wi kin kɔl dis ɔpreshɔn blad ɔpreshɔn.
Di kayn ɔpreshɔn we yu nid go dipen pan di kɔndishɔn we de afɛkt yu blad, so di ɔpreshɔn kin difrɛn frɔm wan pɔsin to ɔda pɔsin.
Ustɛm i nid fɔ du ɔpreshɔn pan di blad?
Dɔktɔ dɛn kin se dɛn fɔ du dɛn ɔpreshɔn ya fɔ sɔm men rizin dɛn.
- Blad kansa: Dis na di men ɛn kɔmɔn rizin fɔ mek dɛn du ɔpreshɔn pan blad.
- Blad we dɔn fɔdɔm / Blad prolaps / Cystocele: Na sik we kin apin mɔ pan uman dɛn.
- Urinary incontinence: urine kin lik we yu nɔ want we yu de kɔf ɔ laf.
Wetin na di kayn ɔpreshɔn we dɛn kin du fɔ blad?
Bɔku kayn ɔpreshɔn dɛn de fɔ blad. Lɛ wi tek tɛm luk sɔm pan di wan dɛn we bɔku pipul dɛn kin gɛt. Di nem fɔ dɛn tin ya kɔmplikt smɔl, bɔt i izi fɔ ɔndastand wans yu no wetin dɛn gɛt fɔ du wit.
| Tayp fɔ Ɔpreshɔn | Fɔ tɔk am simpul wan, wetin kin apin wit dis? |
|---|---|
| Sistɛktɔmi we dɛn kin du | fכ pul pat pan di blad (pat) כ di כl blad (radikal) we yu gεt kεnsar. |
| TURBT (Transurethral Rεsεkshכn fכ di Blad Tכmכro) . | wan tin instrכmεnt we gεt kεmεra (cystoscope) dεn de pas tru di urethra fכ pul di kεnsar lכmp dεm na di blad. No say nɔ de we dɛn kɔt na do. |
| Urinary Rikɔnstrɔkshɔn ɛn Dayvɛnshɔn | we dεn pul di blad, dεn de mek nyu we fכ pas urine frכm di bכdi. |
| Retropubik Sɔspɛns we dɛn kin yuz | fכ riposishכn εn fכ fiks di blad εn di urethra we dεn prolaps bak to dεn kכrekt posishכn. |
Aw yu fɔ rɛdi bifo dɛn du yu ɔpreshɔn?
Yu dɔktɔ go mit wit yu bifo dɛn du di ɔpreshɔn. Insay dis tɛm, dɛn tin ya go apin:
- Tɔk bɔt yu kɔmplit wɛlbɔdi istri.
- Dɛn go du wan ɛgzam pan yu bɔdi fɔ si if yu gɛt wɛlbɔdi ɛn yu go ebul fɔ bia we dɛn du yu ɔpreshɔn.
- Dɛn kin mɛzhɔ tin dɛn lɛk tɛmpracha, puls, ɛn blɔd prɛshɔn.
- Dɛn kin du blɔd ɛn urine tɛst (urinalysis) fɔ chɛk fɔ si if pɔsin gɛt infɛkshɔn.
Dis rili impɔtant: Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (we dɔktɔ gi yu, ɔva-di-kɔnta, ɛbul, ɛn vaytamɛn sɔpɔtmɛnt). Dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn, mɔ aspirin, NSAID, ɛn antikɔagulant, we kin mek yu gɛt mɔ blɔd. Bɔt nɔ stɔp fɔ tek ɛni mɛrɛsin te yu dɔktɔ tɛl yu fɔ tek am.
Dɔn bak, tɛl wi bɔt ɛni alɛji we yu gɛt. Fɔ ɛgzampul,
- Alɛji to mɛrɛsin dɛn
- Alɛji to tin dɛn we de klin di skin (lɛk ayodin) .
- Alɛji fɔ lɛtɛks
- Alɛji fɔ it
If yu de smok, yu dɔktɔ kin advays yu bak fɔ lɛf fɔ smok, bikɔs fɔ smok kin mek yu wɛl afta dɛn dɔn du yu ɔpreshɔn.
Dɛn go gi yu spɛshal instrɔkshɔn bak bɔt wetin fɔ it ɛn drink bifo dɛn du di ɔpreshɔn. Dɛn kin aks yu fɔ it wata nɔmɔ (sup we nɔ gɛt asid, frut jus, jɛlɛ) fɔ 8-12 awa bifo dɛn du di ɔpreshɔn.
Wetin kin apin di de we dɛn du di ɔpreshɔn?
Dɛn kin du ɔpreshɔn pan blad insay tri men we dɛn.
1. Minimally Invasive / Rɔbɔt Ɔpreshɔn
Dis na di we aw pipul dɛn kin yuz mɔ tide. Di dɔktɔ we de du di ɔpreshɔn kin kɔt sɔm smɔl smɔl tin dɛn na yu bɛlɛ ɛn put wan tin we tan lɛk rɔbɔt tru dɛn fɔ du di ɔpreshɔn. Dis we fɔ du tin kin gɛt shɔt tɛm fɔ wɛl, i nɔ kin gɛt bɔku skata, ɛn i nɔ kin gɛt bɔku prɔblɛm dɛn.
2. Opin Ɔpreshɔn
Insay dis, di ɔspitul kin mek wan lɔng say na di bɛlɛ fɔ rich na di blad. Naw dɛn nɔ de yuz dis we bɔku tɛm.
3. Ɛndoskopik Ɔpreshɔn
Insay dis, dɛn nɔ kin kɔt ɛni ɔda say na do. Dɛn kin du di ɔpreshɔn bay we dɛn pas wan tin we gɛt kamɛra along di urethra. Di ɔpreshɔn we dɛn kɔl `(TURBT)` we wi bin tɔk bɔt ɔp na gud ɛgzampul fɔ dis.
A go kɔnshɛns we dɛn de du di ɔpreshɔn?
Nɔ, bifo dɛn du di ɔpreshɔn, wan dɔktɔ we de anestez go gi yu jenɛral anestezi. Dis min se yu go slip ɔl di tɛm we dɛn de du di ɔpreshɔn. Yu nɔ go fil ɛni pen.
Wetin yu go ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
We di ɔpreshɔn dɔn, di dɔktɔ dɛn go stich di say dɛn we yu kɔt ɛn bandej dɛn. We di anestezi dɔn west, smɔl smɔl yu go gɛt kɔnshɛns bak. Yu go fil lɛk se yu de slip smɔl fɔs. We yu wek gud gud wan, dɛn go gi yu mɛrɛsin fɔ kɔntrol di pen.
Dɛn tin ya kin apin bɔku tɛm afta dɛn dɔn du di ɔpreshɔn:
- Nid fɔ pis bɔku tɛm.
- Wantɛm wantɛm nid fɔ pis.
- Smɔl blɔd we miks na di urine (Hematuria).
Yu dɔktɔ go tɛl yu bɔt dɛn tin ya bifo tɛm.
Lɛ wi lan bɔt di tɛm we pɔsin kin wɛl.
Di tɛm we yu go tek fɔ mek yu wɛl ɔl go difrɛn difrɛn wan bay di ɔpreshɔn we yu bin du. Bɔku tɛm, i kin tek sɔm wiks. I kin tek wan ɔ tu mɔnt fɔ mek i gɛt ful trɛnk bak.
- Di tin dɛn we yu fɔ du: Nɔ du ɛksɛsayz ɔ es ɛnitin we ebi pas 4 kilogram (we na lɛk wan galɔn wata we i wet) fɔ sɔm wiks afta yu dɔn du di ɔpreshɔn.
- Fɔ it: Drink bɔku wata, ɔdasay yu go gɛt mɔ risk fɔ gɛt urinary tract infection (UTI). I fayn bak fɔ it tin dɛn we gɛt fayn fayn tin dɛn (frɛsh frut, vɛjitebul, nɛt, mit we nɔ gɛt bɛtɛ bɔdi) fɔ ɛp fɔ mek i wɛl.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
If yu gɛt ɛni wan pan dɛn tin ya afta dɛn dɔn du yu ɔpreshɔn, tɛl yu dɔktɔ wantɛm wantɛm ɔ go na ɔspitul.
| Sayn dɛn we de wɔn pipul dɛn | |
|---|---|
| 🔴 we yu de yuz | Big pen, mɔ we yu de pis (Dysuria). |
| 🔴 we yu de yuz | Nɔ ebul fɔ pis. |
| 🔴 we yu de yuz | Ebi ebi blɔd de kɔmɔt na di urine. |
| 🔴 we yu de yuz | Sayn dεm fכ infεkshכn (fiva, kol, rεd/pכpul dεn kכlכrayshכn rawnd di say we dεn sכk, pus drenaj). |
| 🔴 we yu de yuz | Blɔd we de kɔmɔt pasmak bikɔs dɛn kɔt am. |
Wetin fɔ du if dɛn pul di blad ɔltogɛda?
Dis na big prɔblɛm fɔ bɔku pipul dɛn. Yɛs, i pɔsibul fɔ liv we yu nɔ gɛt blad. If dɔktɔ pul yu blad kpatakpata, dɛn go mek nyu we fɔ mek yu bɔdi kip ɛn pul yu urine. Tri men we dɛn de fɔ du dis.
- Ileal Conduit: dis involv fכ tek wan sεkshכn pan di sכmכl intestin εn kכnekt am to di urinary tract frכm di kidni dεm na wan εnd εn wan sכmכl opin (stoma) na di bכdi na di כda εnd. afta dat dεn kin kכlekt di urine insay wan bag (ostomy bag) we dεn kin tay na di כdasay fכ di opin.
- Nioblad: bak, dεn de yuz wan pat pan di sכmכl intestin fכ mek nyu paus we lεk blad εn tay am na di sem ples we di ol blad de. Wit dis prosidur, yu kin pis nכmal wan tru di urethra.
- Continent Cutaneous Diversion: Dis involv bak fכ mek wan bag insay di bכdi fכ kכlekt urine. Bɔt dɛn kin ɛmti am bɔku tɛm insay di de yuz wan tin tiub (kateta) we yu kin put yusɛf tru wan opin (stoma) na di bɛlɛ.
Pan ɔl we i kin tan lɛk se dɛn we ya nɔ izi fɔ du, yu dɔktɔ go pik di we we go fayn fɔ yu ɛn ɛksplen am gud gud wan. Pan ɔl we i kin tek sɔm tɛm fɔ yus to dɛn we ya, bɔku pipul dɛn kin kɔntinyu fɔ du di tin dɛn we dɛn bin dɔn du bifo dɛn ɔpreshɔn (ɛksɛsayz, travul) lɛk aw dɛn kin du.
Mɛsej we dɛn kin kɛr go na os
- Blad ɔpreshɔn nɔto natin fɔ fred. Na wan kɔmɔn ɔpreshɔn we dɛn kin du fɔ trit difrɛn difrɛn tin dɛn.
- I rili impɔtant fɔ tɛl yu dɔktɔ ɛksaktɔli ɔltin bɔt yu wɛlbɔdi prɔblɛm ɛn di mɛrɛsin dɛn we yu de tek bifo dɛn du yu ɔpreshɔn.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn fayn fayn wan we yu de wɛl afta dɛn dɔn du di ɔpreshɔn. Nɔ es ebi ebi tin ɛn drink bɔku wata.
- Yu fɔ no bɔt sayn dɛn we de wɔn yu lɛk fiva, bad bad pen, ɛn we yu nɔ ebul fɔ pis. If ɛni wan pan dɛn tin ya apin, go to dɔktɔ wantɛm wantɛm.
- Ivin if dɛn pul yu blad ɔl, yu kin stil liv nɔmal layf. Difrɛn we dɛn de fɔ du dat, ɛn dɛn kin tek sɔm tɛm fɔ yus to.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Wetin na Lɔs pan Blad Kɔntrol / Inkɔntinɛns?
Dis nɔto sɔntin we kin apin we yu let fɔ go tɔylɛt! ‘Inkontinɛns’ na wan tin we nɔ kin rili fayn/we kin mek yu shem usay yu kin lɔs kɔntrol wantɛm wantɛm, we yu laf, kɔf, ɔ tink bɔt fɔ go na tɔylɛt, ɛn urine (ɛn sɔm tɛm dɛn de, yu kin gɛt fes) kin kɔmɔt na yu klos wantɛm wantɛm (Involuntary Leakage)! Bikɔs ɔf dis, bɔku pipul dɛn kin fred fɔ kɔmɔt na os ɛn liv 100% fa frɔm di sosayti.
💬 Wetin na di men tin we kin mek yu nɔ ebul fɔ kɔntrol yu blayda?
di men tin dεm we kin mek dis apin na: 1) Strεs Inkontinεns - Afta dεn bכn pikin (biכs fכ di mכsul dεm wik), uman dεn kin lכs urine we dεn de kכf. 2) Ovaaktiv Blad (Urge) - di blad de kכntrakt lεk krayzi bifo i ful (bikoz fכ dayabitis/nεv sik dεm). 3) Menopause na uman. 4) Prɔstat/BPH we dɔn big pan man dɛn. 5) Sivεr Urinary Tract Infεkshכn (UTI).
💬 Yu tink se dɛn kin mɛn pɔsin we nɔ ebul fɔ kɔntrol insɛf? Ustɛm a fɔ go na di imejensi rum wantɛm wantɛm?
Dis nɔto sik fɔ shem ɛn de na os, dɛn kin mɛn am 100% wit mɛrɛsin (Kegel exercises/medication/surgery)! Bɔt di big denja! If pɔsin we bin gɛt wɛlbɔdi, wit bak pen, ‘nɔ ebul fɔ kɔntrol aw i de pis ɔ we i de kɔmɔt na in bɔdi wantɛm wantɛm’, ɛn i lɔs in an ɛn fut dɛn, i go mɔs bi se na in spaynal kɔd brok (Cauda Equina Syndrome / fatal)! Yu nid fɔ go na ɔspitul wantɛm wantɛm ɛn sev yu tu leg dɛn fɔ lɛ dɛn nɔ wok (paralysis)!
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