Sɔntɛnde, wit di ej, mɔ fɔ wi mama ɛn grani, wan pan di prɔblɛm dɛn we kin kam wit am na we di ɔgan dɛn lɛk di uterus ɛn blad kin drɔp dɔŋ smɔl. Dis kin rili vɛks we yu de waka ɔ du wok. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis Pɛlvik Ɔgan Prolaps (POP). Tide, wi de tɔk bɔt wan ɔpreshɔn we go wok fayn ɛn we nɔ go izi fɔ mɛn dis sik. Dat na di ɔpreshɔn we dɛn kin du fɔ mek dɛn kɔl Colpocleisis.
Fɔ tɔk am simpul wan, wetin na Kɔlpɔklisis?
fכ כndastand dis, lε wi fכs tek wan luk pan di pεlvik כgan prolaps (POP). Tink bɔt am, di lכw pat pan wi bכdi (pεlvis) na di say we wi imכtant כgan dεm lεk di uterus, vagina, blad, εn rεktum de. dεn כgan dεm ya de ol in ples bay wan wεb fכ mכsul dεm εn tisu dεm we dεn kכl di pεlvik fכl. As wi de ol, ɛn afta wi dɔn bɔn bɔku pikin dɛn, dɛn mɔsul dɛn ya kin wik. Dɔn dɛn ɔgan dɛn de kin drɔp dɔŋ, ɛn sɔntɛnde dɛn kin ivin kɔmɔt na di vagina.
kolpokleisis na כpεrayshכn we dεn de bכn di כgan we prolaps bak insay di bכdi εn dεn stich di wכl dεm na di vagina tכgeda fכ mek i nכ kכmכt bak. Dis na tritmɛnt we rili fayn fɔ POP.
Tu kayn ɔpreshɔn de fɔ POP, nɔto so?
Yɛs, tu men kayn ɔpreshɔn dɛn de. Colpocleisis na wan pan dɛn tu tin ya. Lɛ wi si wetin difrɛns bitwin dɛn tu.
| Di kayn ɔpreshɔn we dɛn kin du | Simpul diskripshɔn |
|---|---|
| Rikostrɔktiv prosidyuz dɛn | dis involv fכ mek wan insayshכn na di bכdi כ vagina εn put di כgan we dכn dכn insay di εria we i bin de bifo. Dis ɔpreshɔn kin tek sɔm awa. |
| Obliterativ prosidyuz dɛn | Dis na Kɔlpɔklisis . Insay dis, dɛn nɔ kin kɔt di bɛlɛ. dεn kin put di כgan we dכn dכn insay, εn dεn kin kכloz di vagina. Dis na tin we kin apin kwik kwik wan (lɛk wan awa), ɛn i nɔ kin gɛt bɔku prɔblɛm dɛn. |
Ɛni kayn ɔpreshɔn de we dɛn kin du fɔ mek pɔsin gɛt kolpɔklɛsis?
Yɛs, tu men kayn dɛn de. Yu dɔktɔ go disayd us kayn we fayn fɔ yu.
- Total Colpocleisis: insay dis, di fכnt εn bak wכl dεm na di vagina dεn kin sכm tכgeda kכmplit wan. Di vagina de shɔt.
- Partial/Le Fort colpocleisis: dis kin involv bak fכ kכt di vagina. Bɔt dɛn kin lɛf tu smɔl say dɛn fɔ mek wata kɔmɔt na di uterus. Dis we ya de bεst fכ di wan dεm we dεn nכ pul dεn uterus.
Udat dis ɔpreshɔn fit fɔ?
Kɔlpɔklɛsis ɔpreshɔn nɔto fɔ ɔlman. I fayn mɔ fɔ di wan dɛn we gɛt sɔm rizin dɛn.
- Fɔ di wan dɛn we nɔ gɛt ɛni op igen fɔ du mami ɛn dadi biznɛs: Dis na pɔynt we rili impɔtant. Afta di ɔpreshɔn, di vagina kin tu shɔt fɔ mek pɔsin du mami ɛn dadi biznɛs. So, dɛn kin tink bɔt dis ɔpreshɔn fɔ uman dɛn we nɔ gɛt ɛni op igen fɔ gɛt mami ɛn dadi biznɛs. Dɛn fɔ ɔndastand dis gud gud wan bifo dɛn du di ɔpreshɔn.
- Fɔ di wan dɛn we nɔ kin ebul fɔ bia wit ɔda big big ɔpreshɔn: Dis na fayn tin fɔ ol pipul dɛn we gɛt ɔda wɛlbɔdi prɔblɛm lɛk at sik, dayabitis, ɔ we nɔ kin ebul fɔ bia wit anestezi fɔ lɔng tɛm. Dis na ɔpreshɔn we dɛn kin du kwik kwik wan ɛn we nɔ kin mek pɔsin strɛs.
- Fɔ di wan dɛn we dɛn ɔgan dɛn tu smɔl fɔ mek dɛn ebul fɔ kɔntrol dɛn wit ɔda tritmɛnt dɛn: Sɔntɛnde, ɛksesaiz we dɛn kin du na di bɛlɛ (Kegel ɛgzampul) ɔ we dɛn kin yuz vagina pessaries kin ɛp fɔ kɔntrol di sik. Bɔt if di ɔgan dɛn dɔn kɔmɔt ɔlsay na di vagina, ɔpreshɔn na di bɛst sɔlv.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Bifo yu du dis ɔpreshɔn, di dɔktɔ go tek tɛm chɛk yu wɛlbɔdi.
Di chɛk-ap fɔ wɛlbɔdi biznɛs
- Dɛn kin du bɔku blɔd tɛst dɛn.
- Dɛn go du EKG tɛst fɔ si if at prɔblɛm de.
- Yu kɔmplit mɛdikal istri go tɛl yu bɔt di mɛrɛsin dɛn we yu de tek.
- Aks if ɛni prɔblɛm de fɔ pas urine ɔ stɔl.
- Dɛn go aks yu bɔt yu simptom dɛm (yu fil lɛk se sɔntin de kɔmɔt na yu vagina, yu de fil pen, yu de blɔd, ɛn ɔda tin dɛm).
Impɔtant: If yu de smok , yu dɔktɔ go advays yu fɔ stɔp fɔ at le 4-6 wik bifo dɛn du di ɔpreshɔn, bikɔs fɔ smok kin rili delay di wund fɔ wɛl.
Besik tɛst dɛn we dɛn kin nid
Bikɔs dɛn nɔ kin ebul fɔ du di vagina ɛgzamin afta dɛn dɔn du di ɔpreshɔn we dɛn kɔl kolpocleisis, dɛn kin du skrinin fɔ chɛk fɔ ɛni risk factor lɛk sɛvikal kansa ɔ uterin kansa. Fɔ dis, .
- Pap smear we dɛn kin yuz
- we dεn egzamin wan sכm sכm tisu frכm di uterus (Endometrial biopsy) .
- Transvaginal ɔltra saund
Tεst dεm lεk: sכmtεm, if risk de fכ uterin kansa, di dכkta kin rεkכmand fכ kכl di hysterectomy wit dis כpεrayshכn.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Natin nɔ de fɔ wɔri bɔt. Dis ɔpreshɔn kin tek lɛk wan awa nɔmɔ .
1. Dɛn go gi yu wan jenɛral anestetik (analgesia) ɔ wan lokal anestetik (rijinol anestezi) so dat yu nɔ go fil ɛni pen.
2. Dɛn kin put kateshɔn fɔ mek di urine kɔmɔt we dɛn de du di ɔpreshɔn.
3. Dɛn kin wɛr spɛshal sɔks (kɔmpreshɔn stɔkin) fɔ mek blɔd nɔ klɔt na di leg dɛn.
4. di dכkta de pul di tכn mεmbran insay di vagina, stich di vagina wכl dεm tכgeda wit tכd dεm we kin sכlv.
afta dεn du di כpεrayshכn, di vagina opin de sכm εn di vagina de sכt, b כt nכ chenj nכ de na di εksternal we aw i de luk.
Wetin kin apin afta di ɔpreshɔn?
Yu kin ebul fɔ go na os di sem ivintɛm we dɛn du yu ɔpreshɔn, ɔ yu kin gɛt fɔ de na ɔspitul fɔ wan nɛt. Bring pɔsin fɔ drayv yu go na os. Di dɔktɔ go aks yu fɔ kam bak insay lɛk tu to 4 wiks.
Dis na di tin dɛm wae yu kin ɛkspɛkt wae yu de wɛl:
- Blɔd we de kɔmɔt na di vagina ɛn pen: Dis go stɔp insay wan wik. Yu kin tek mɛrɛsin wae yu dɔktɔ gi yu fɔ mɛn yu pen.
- Yɔlɔ dischaj: Nɔ wɔri bɔt dis. Dis na sɔntin we kin kɔmɔt we di trɛd we kin sɔlv we dɛn put insay de sɔlv. I go wɛl kɔmplit wan insay 6-8 wik.
- Urinary retention: I kin tranga smɔl fɔs, bɔt de sik go bɛtɛ smɔl smɔl.
- Kɔnstipɛshɔn: Yu dɔktɔ go advays yu fɔ yuz mɛrɛsin we go ɛp yu fɔ pas stɔl izi wan fɔ sɔm tɛm.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk dɛn we kin apin |
|---|---|
| Na wan rili ay sakses rεt de (90% - 100%). POP simptom dɛn kin dɔnawe wit am kpatakpata. | Di nɔmal risk dɛm fɔ ɛni ɔpreshɔn (blɔd klot, infɛkshɔn, blɔd) kin stil rili smɔl. |
| Di ɔpreshɔn kin tek shɔt tɛm ɛn i nɔ kin taya pan di bɔdi. | Sɔm pipul dɛn kin gɛt strɛs urinary incontinence (SUI) afta dɛn dɔn du dɛn ɔpreshɔn, usay dɛn kin lik smɔl urine we dɛn de laf ɔ kɔf. |
| Di risk fɔ mek POP kam bak rili smɔl. | Na yu ɔl wɛl bɔdi de sho di prɔblɛm we yu gɛt, pas di ej we yu ol. |
Di tin we impɔtant pas ɔl na dat, di ɔpreshɔn we dɛn kin du fɔ mek di kɔlpocleisis nɔ go ebul fɔ chenj. So, yu fɔ disayd afta yu dɔn tek tɛm ɔndastand ɔl di gud ɛn bad tin dɛn ɛn tɔk bɔt am wit yu dɔktɔ.
Aw lɔng i kin tek fɔ mek i wɛl?
I kin tek lɛk 6 wiks fɔ mek i wɛl ful wan.
- Fɔs tu wik: Yu go fil taya ɛn yu go fil pen. Gɛt bɔku rɛst.
- Afta sɔm wiks: Yu go ebul fɔ bigin du tin dɛn we yu kin du ɔltɛm lɛk fɔ waka ɛn drayv.
- Afta 6 wik: Yu kin bigin fɔ go wok.
Nɔ es wet ɔ du ɛksɛsayz we yu de du tranga wan insay dis tɛm. I go fayn fɔ mek yu kam wit ɛn kip di tin dɛn we yu nid na os bifo dɛn du di ɔpreshɔn.
Us kayn tin yu nid fɔ go to dɔktɔ wantɛm wantɛm?
If yu gɛt ɛni wan pan dɛn sayn ya we yu de wɛl, i kin bi sayn fɔ se yu gɛt infekshɔn ɔ ɔda prɔblɛm. So tɔk to yu dɔktɔ wantɛm wantɛm .
- Fiva
- Bɛlɛ pen bad bad wan
- I nɔ kin izi fɔ yu fɔ pis
- Wan wata we de kɔmɔt na di vagina we de smɛl fayn
- If di pen frɔm di wund de wɔs
- Blɔd we de kɔmɔt pasmak frɔm di wund ɔ blɔd we nɔ de stɔp
Colpocleisis na wan rili gud ɔpreshɔn we de briŋ big rilif ɛn mek layf izi fɔ bɔku pipul dɛn we de sɔfa wit POP. If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shem fɔ tɔk to yu dɔktɔ ɛn mek di disayd we go fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Colpocleisis na saksesful, kwik, ɛn lɔw kɔmplikeshɔn ɔpreshɔn fɔ pelvik ɔgan prolaps (POP).
- Dis kin fayn fɔ uman dɛn we nɔ want fɔ du mami ɛn dadi biznɛs igen ɛn we nɔ kin ebul fɔ bia wit big ɔpreshɔn.
- Afta dɛn du ɔpreshɔn, yu nɔ go ebul fɔ du mami ɛn dadi biznɛs wit yu vagina, ɛn yu nɔ go ebul fɔ du sɔm mɛrɛsin tɛst dɛn lɛk Pap smear. I impɔtant fɔ no dis bifo tɛm.
- Di tɛm we pɔsin kin wɛl kin tek lɛk 6 wik, ɛn i impɔtant fɔ rɛst fayn ɛn nɔ fɔ es ebi ebi tin dɛn insay dis tɛm.
- If yu gɛt sayn dɛn we de wɔn yu lɛk fiva, pen bad bad wan, ɔ blɔd we de kɔmɔt pasmak frɔm di wund, go to yu dɔktɔ wantɛm wantɛm.
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