Sɔntɛnde, di tisu dɛn na sɔm pat dɛn na wi bɔdi kin tik ɛn stif. Imajin se yu finga so stif dat yu nɔ go ebul fɔ bɛn am, i tan lɛk se na rop de pul am. Ɔ man in penis kruk ɛn i kin mek i fil pen. Dɛn kayn tin ya nɔ kin rili fayn, nɔto so? Tide wi de tɔk bɔt wan spɛshal injɛkshɔn we dɛn kin gi fɔ trit dɛn kayn tin ya. Dɛn kɔl dis di Collagenase injection.
Fɔ tɔk am simpul wan, wetin na Kɔlajɛnɛs?
Kכlagen na wan kayn protin we de εp fכ gi trεnk εn shep to di tisu dεm na wi bכdi. I tan lɛk di waya dɛn we de na bildin. Bɔt sɔntɛnde, na sɔm say dɛn, dis kolagen kin gɛda tumɔs ɛn tik. Na da tɛm de di tisu dɛn, lɛk aw wi bin dɔn tɔk, kin stif, nɔ kin ebul fɔ elastik, ɛn prɔblɛm kin kam.
kolagenase na, fכ bi prεsis, wan vaksin we gεt wan εnzym we de brok dכn, sכlv, εn pul di kolagen tisu we pasmak. We dɛn injɛkt dis vaysin na di say we di sik afɛkt, di kolagen strɛch dɛn we dɔn at ɛn tik kin brok. Dɔn di stif ɛn tayt we di tisu gɛt de dɔŋ ɛn bigin fɔ kam bak to nɔmal.
Dɛn kin yuz dis vaysin mɔ fɔ trit tu sik dɛn:
1. Dupuytren in Kכntrakshכn: dis kin apin we di kolagen tisu dεm we de כnda di skin na di palm tik εn tayt lεk kכd, we de mek di finga dεm (bכku tεm di ring finga εn sכm finga) de bεnd insay εn stכf. Dis kin mek i nɔ pɔsibul fɔ mek di finga stret.
2. Peyronie in sik: dis na kכndyushכn we di kolagen tisu na di penis de tik (plak), we de mek di penis kכba. Dis kin mek pɔsin fil pen ɔ i nɔ kin izi fɔ du mami ɛn dadi biznɛs.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu du dis tritmɛnt
Bikɔs dis na spɛshal tritmɛnt, i rili impɔtant fɔ tɔk to yu dɔktɔ opin wan bɔt ɔltin. Bifo yu bigin fɔ trit yu, mek shɔ se yu tɛl dɛn if yu gɛt ɛni wan pan dɛn tin ya.
- If yu gɛt prɔblɛm we de mek yu blɔd .
- If yu dɔn ɛva gɛt alɛji fɔ dis mɛrɛsin we dɛn kɔl Collagenase ɔ ɛni ɔda mɛrɛsin, it, ɔ day.
- If yu gɛt bɛlɛ ɔ yu de op fɔ bɔn pikin .
- If yu na mama we de gi pikin in bɛlɛ .
Bay dis infɔmeshɔn, yu dɔktɔ go ebul fɔ disayd if dis tritmɛnt fayn fɔ yu ɔ nɔ rayt.
Aw dɛn kin gi dis vaysin?
Dis nɔto mɛrɛsin we yu kin kɛr go na os ɛn yuz am. Dis na injɛkshɔn fɔ tru we dɛn kin gi na ɔspitul ɔ klinik, we dɔktɔ we dɔn tren kin gi, dairekt insay di say we di sik afɛkt. So yu nɔ nid fɔ wɔri bɔt am.
Yu kin gɛt spɛshal liflet (MedGuide) wit mɔ infɔmeshɔn bɔt dis mɛrɛsin. If yu gɛt am, tek tɛm rid am ɛn ɔndastand am. Dɔn bak, if dɛn gi pikin dɛn dis tritmɛnt, dɛn kin nid fɔ kia fɔ dɛn spɛshal wan. Tɔk to yu dɔktɔ bɔt dis bak.
Wetin fɔ du if yu tek di mɛrɛsin pasmak?
Dis na mɛrɛsin we dɔktɔ de gi, so di chans fɔ mek dis apin nɔ bɔku. Bɔt if yu tink se sɔntin dɔn apin, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta wantɛm wantɛm na di Kolombo Nashɔnal Ospital , ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Tin dɛn we yu fɔ tek tɛm wit we yu de du tritmɛnt
Afta yu go na os afta yu dɔn gɛt di vaysin, i rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn kɔrɛkt wan. Dɛn instrɔkshɔn ya go difrɛn difrɛn wan bay di sik we dɛn de trit yu fɔ.
If yu de trit fɔ Dupuytren in kɔntrakt na yu an...
- Dɔktɔ in apɔntinmɛnt: Dɛn go aks yu fɔ kam bak fɔ si yu dɔktɔ 1 to 3 dez afta di injɛkshɔn. Nɔ mis dis apɔntinmɛnt. Da tɛm de, di dɔktɔ go strɛch yu an saful wan ɛn ɛp fɔ brok di tayt tisu.
- Nɔ yuz yu an: Te yu si di dɔktɔ, nɔ bɛn ɔ stret di finga dɛn na di an usay dɛn gi di injɛkshɔn. Dɔn bak, nɔ tɔch di finga usay dɛn gi di injɛkshɔn.
- Kip yu an ɔp: Kip yu an ɔp as yu ebul, mɔ bifo yu go slip. I bɛtɛ if yu ebul fɔ kip am ɔp, lɛk pilo.
- Ɛksesaiz ɛn Splint: Yu dɔktɔ kin gi yu sɔm spɛshal finga ɛksesaiz ɔ splint fɔ wɛr na nɛt. Fɔ fala dɛn instrɔkshɔn dɛn de jɔs.
- Tek tɛm: If di rɛd ɛn swɛlin na yu an bɔku, if yu fil se di finga we dɛn dɔn trit nɔ de fil fayn ɔ yu nɔ de fil fayn, ɔ if i nɔ izi fɔ yu fɔ bɛn yu finga afta di swel dɔn go dɔŋ, kɔl yu dɔktɔ wantɛm wantɛm.
If yu de trit yu fɔ Peyronie in sik (penis curvature)...
Pan ɔl we dis na tɔpik we rili impɔtant, fɔ fala dɛn instrɔkshɔn ya impɔtant fɔ mek di tritmɛnt go bifo.
- Nɔ du mami ɛn dadi biznɛs: Nɔ du mami ɛn dadi biznɛs ɔlsay bitwin di fɔs ɛn sɛkɔn doz fɔ di vaysin. Nɔ du mami ɛn dadi biznɛs fɔ 4 wik afta di sɛkɔn doz ɛn te di pen ɛn swel na di penis dɔn kpatakpata .
- Nɔ yuz divays: Nɔ yuz vaykum erection divays we de ɛp fɔ mek di penis wok insay dis tritmɛnt tɛm.
- Nɔ strɛs yu bɛlɛ mɔsul dɛm: Nɔ strɛs yu bɛlɛ mɔsul dɛm insay tɛm lɛk we yu de pul dɔti.
- Dɔktɔ in advays: Yu dɔktɔ go gi yu instrɔkshɔn bɔt aw fɔ du mɔdal aktiviti dɛn na os. Fɔ fala dɛn di rayt we.
We yu de trit di sik we dɛn kɔl Peyronie, if yu gɛt siriɔs pen ɔ swel na yu penis, yu gɛt bad bad brus, i nɔ izi fɔ pis, blɔd na di urine, ‘tuck’ ɔ ‘pop’ sawnd frɔm di penis, ɔ yu nɔ ebul fɔ erekt di penis wantɛm wantɛm, kɔl yu dɔktɔ ɔ go na di ETU we yu nɔ de te.
Wetin na di sayd ɛfɛkt dɛm we dis vaysin kin gɛt?
Lɛk ɛni mɛrɛsin, dis vaysin kin mek sɔm sayd ɛfɛkt dɛn. Sɔm pan dɛn siriɔs, sɔm kɔmɔn. Lɛ wi si wetin dɛn bi.
| Tayp fɔ di sayd ɛfɛkt | Sayn dɛn |
|---|---|
| Siriɔs sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Fɔ yɛri ‘Snap’ ɔ ‘Pop’ sawnd | Yu kin yɛri ɔ fil pɔp sawnd na di say we dɛn inj yu. Yu kin gɛt bad bad pen bak, yu kin fil lɛk yu de fil, yu kin swel, yu kin gɛt brus, ɔ yu kin at fɔ muv di say we yu de. (Dis kin bi sayn fɔ se di tisu dɛn dɔn brok.) |
| I kin fil pen bad bad wan | Bak pen bad bad wan, chɛst pen, ed pen, ɛn i nɔ kin izi fɔ blo afta di injɛkshɔn. |
| Infεkshכn dεm na di skin | Rɛd, swel, wam, ɔ pen na di say we dɛn injekt. |
| Diziz we pɔsin kin gɛtƆ i kin fil lɛk se i nɔ ebul fɔ du natin | Blɔr vishɔn ɔ filin fɔ blu yay. |
| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Injɛkshɔn sayt diskɔmfɔt | Pen, rɛd, ɔ swel smɔl na di say we dɛn injekt am. (Dis na wetin wi fɔ ɛkspɛkt) |
Ɔda mɛrɛsin dɛm wae kin intarakt wit dis vaysin
Ɔda mɛrɛsin dɛn we yu de tek kin afɛkt di we aw dis vaysin de wok. I impɔtant mɔ fɔ tɛl yu dɔktɔ if yu de tek ɛni wan pan dɛn mɛrɛsin ya.
- Aspirin ɛn ɔda mɛrɛsin dɛn we gɛt aspirin.
- Mεdisin dεm we de mek blכd kכlכt כ tכn di bכdi (e.g. warfarin, enoxaparin, dalteparin, apixaban, dabigatran, rivaroxaban).
Dis list nɔ kɔmplit. So, i impɔtant fɔ tɛl yu dɔktɔ bɔt ɛni mɛrɛsin, vaytamɛn, ɛbul mɛrɛsin, ɔ sɔpɔtmɛnt we yu de tek. I impɔtant bak fɔ tɛl yu dɔktɔ if yu de smok ɔ drink rɔm.
Mɛsej we dɛn kin kɛr go na os
- kolagenase na spεshal injεkshכn tritmεnt fכ kכndishכn dεm we di tisu tik, lεk Dupuytren's Contracture (finga stiffness) εn Peyronie's Disease (penis kכva).
- Na dɔktɔ kin gi dis vaysin ɔltɛm na ɔspitul ɔ klinik. Dɛn nɔ alaw am fɔ kɛr am go na os.
- Bifo yu trit yu, tɛl yu dɔktɔ klia wan bɔt ɔl yu mɛrɛsin, alɛji, ɛn ɔl ɔda mɛrɛsin dɛn we yu de tek.
- Afta yu dɔn gɛt di vaysin, fala di dɔktɔ in instrɔkshɔn dɛn strikt wan (ɛksɛsayz, rɛst, nɔ yuz) bɔt yu kɔndishɔn (an ɔ penis).
- If yu yɛri ‘tuck’ ɔ ‘pop’ sawnd frɔm di say we dɛn de trit yu, yu gɛt siriɔs pen, swel, ɔ alɛji, kɔl yu dɔktɔ wantɛm wantɛm ɔ go to di Imejɛnsi Dipatmɛnt (ETU) we de nia yu.
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