We yu yɛri se dɛn go ɔpreshɔn di wan ol blad, ɔlman kin fred smɔl, nɔto so? "Aw a go pis den?", "A kin liv witout blad?" I go mɔs bi se bɔku kwɛstyɔn dɛn kin kam na yu maynd. Bɔt nɔ wɔri. Dis nɔ de mek pɔsin fred lɛk aw yu tink. Bikɔs mɛdikal sayɛns dɔn go bifo, sɔlv dɛn de fɔ ɔl dɛn tin ya. Lɛ wi tɔk bɔt ɔltin simpul wan, stɛp bay stɛp.
Wetin na sistɛktɔmi?
Fɔ tɔk am simpul wan, fɔ pul yu blad na ɔspitul we dɛn kin du fɔ pul yu blad. yu blad na wan ɔgan we kin chenj lɛk sak we kin ol lɛk tu kɔp (lɛk 500 mililita) urine. Bɔku tɛm dɛn kin du dis ɔpreshɔn as tritmɛnt fɔ blad kansa. Bɔt i kin bi sɔlv bak fɔ ɔda blad kɔndishɔn dɛn.
Di big kweshon we yu kin aks naw na, "Yu kin liv witout blad?"
Di ansa na, yɛs, yu kin ebul! Afta yu ɔpreshɔn dɔn pul yu blad, i go mek nyu rod fɔ mek yu urine kɔmɔt na yu bɔdi. Dɛn kɔl dis ‘Urinary Diversion’. Bɔku tɛm dɛn kin mek dis nyu rod frɔm smɔl pat pan yu yon smɔl intestinal ɔ big intestinal. I go tek sɔm tɛm fɔ mek yu yus to dis nyu we fɔ liv afta dɛn dɔn du yu ɔpreshɔn. Bɔt afta sɔm tɛm, yu bɔdi kin ajɔst to am, ɛn bɔku pipul dɛn kin go bak to dɛn nɔmal layf.
Udat nid fɔ du dis ɔpreshɔn?
Bɔku men rizin dɛn de fɔ mek dɛn pul di sik we dɛn kɔl sistectomy. Dɛn kin du dis ɔpreshɔn fɔ di wan dɛn we gɛt kansa ɛn bak fɔ ɔda tin dɛn we nɔ gɛt kansa.
| Sɔntɛm rizin dɛn fɔ mek dɛn du ɔpreshɔn fɔ pul di sik we dɛn kɔl sistectomy | |
|---|---|
| Di Kɔndishɔn dɛn we kin mek pɔsin gɛt kansa | |
| Kansa we dɔn skata to di mɔsul layt na di blad | If di kansa dɔn spre dip insay di blad wɔl. |
| Kansa wae dɔn fel ɔda tritmɛnt dɛm | If di tritmɛnt fɔ supɛrfishal blad kansa nɔ wok fayn. |
| Kansa we kin kam bak | If di risk fɔ mek kansa kam bak bɔku. |
| Damej frɔm redyushɔn tɛrapi | Kɔmplikɛshɔn dɛn lɛk we blɔd de kɔmɔt na di urine bikɔs ɔf di tritmɛnt we dɛn de gi di raytin. |
| Kɔndishɔn dɛn we nɔ fayn/we nɔ gɛt kansa | |
| Sik dɛn we kin mek pɔsin fil pen na di blad | Fɔ ɛgzampul, tin dɛn lɛk Interstitial Cystitis . |
| Prɔblɛm dɛn we de na di nervɔs sistɛm | di lכs fכ di urinary kכntrכl bikoz fכ di damej pan di nεv sεstem ( Neurogenic Bladder ). |
| Inflameshɔn we nɔ de dɔn | Blɔd we kin kɔmɔt ɔltɛm ɛn inflamɛns ( Hemorrhagic Cystitis ). |
| Ɔda rizin dɛn | Infekshɔn bɔku tɛm, endometriosis , blad fistula , ɔ prɔblɛm dɛn we dɛn bɔn wit. |
Wetin na di kayn ɔpreshɔn we dɛn kin du fɔ pul di sik we dɛn kɔl sistectomy?
Dipen pan yu kɔndishɔn, dɛn kin pul pat ɔ ɔl yu blad. Tri men kayn ɔpreshɔn dɛn de.
Patɛl Sistɛktɔmi (we dɛn pul wan pat pan di blad) .
Dis min se dɛn fɔ pul di pat nɔmɔ we gɛt di sik na di blad. Dɛn kin yuz di pat we lɛf fɔ gɛda urine. Bɔt afta di ɔpreshɔn, di blad go smɔl pas aw i bin de bifo. Dis nɔto ɔpreshɔn we dɛn kin du pasmak.
Simpul Sistɛktɔmi (dɛn kin pul di blad nɔmɔ) .
Dis ɔpreshɔn de jɔs pul di blad, nɔto di ɔda ɔgan dɛn we de rawnd am. Bɔku tɛm dɛn kin du dis ɔpreshɔn fɔ sik dɛn we nɔ gɛt kansa.
Radical Cystectomy (dɛn kin pul di blad ɛn di ɔgan dɛn we de rawnd am) .
Dis na di kayn ɔpreshɔn we dɛn kin du mɔ, mɔ fɔ kansa. I involv fɔ pul di blad wit ɔda ɔgan ɛn tisu dɛn we de rawnd am. dis kin mek di sεns nεv dεm we de rכn nia di blad de pwεl, we kin afekt di sεks fכnshכn.
- If dɛn du dis ɔpreshɔn pan man , di dɔktɔ kin pul sɔm pat dɛn lɛk blad, pat pan di urethra, prɔstat gland, seminal vesicle, ɛn vas diferens.
- If uman du dis ɔpreshɔn, dɛn kin nid fɔ pul in blad, in urethra, pat pan in vagina, in uterus, in sɛviks, ɛn in ovaries. Bɔt di dɔktɔ dɛn kin tray fɔ sev di vagina, di uterus, ɛn di ovaria ɛnitɛm we i pɔsibul. I impɔtant fɔ tɔk to yu dɔktɔ bɔt wetin bɛtɛ fɔ yu sityueshɔn.
Aw dɛn kin du di ɔpreshɔn ɛn nyu we dɛn fɔ pis
Sistɛktɔmi na big ɔpreshɔn we kin tek lɛk 3-6 awa. Dɛn kin du am as opin ɔpreshɔn ɔ as minimal invasive ɔ rɔbɔt ɔpreshɔn.
Afta di ɔpreshɔn, dɛn kin mek nyu rod (urinary diversion) fɔ mek di urine kɔmɔt na di bɔdi. Bɔku men we dɛn de fɔ du dis:
- Ileal Conduit: Dis na di we aw dɛn kin yuz mɔ. insay dis prosidכs, dεn de tek wan pat pan di sכmכl intestin, shep am to tכb, εn di ureters frכm di kidni dεm de kכnεkt to am. afta dat dεn kin atak di כda εnd pan di tכb to wan sכmכl opin (stoma) we dεn mek na di bכdi in skin. di urine de kכmכt na di opin εn i de kכlekt insay wan spεshal bag (urostomy bag) we dεn tay pan am.
- di kכntinεnt Kutan Dayvεshכn: Na ya, dεn de mek wan paus insay di bכdi frכm wan sεkshכn na di intestin we de kכlekt urine. dis paus de kכnekt bak to wan opin (stoma) na di skin. Bɔt, urine nɔ kin kɔmɔt fɔ insɛf. Ɛvri 4-6 awa, yu fɔ put kateshɔn ɛn ɛmti di paus yusɛf.
- Nioblad (we de mek nyu blad): If yu urethra de fayn, yu kin mek nyu blad frɔm wan pat pan di intestin ɛn transplant am na di sem ples usay di ol blad bin de. Dɔn dɛn kin kɔnɛkt am to di urethra. Dɔn yu kin pis nɔmal wan. Bɔt sɔntɛnde yu kin nid fɔ yuz kateshɔn fɔ mek yu urine kɔmɔt kpatakpata.
Fɔ wɛl ɛn fɔ kia fɔ am afta dɛn dɔn ɔpreshɔn am
Yu go nid fɔ de na ɔspitul fɔ lɛk 5-7 dez afta di ɔpreshɔn. I kin tek sɔm wik ɔ mɔnt fɔ mek i wɛl ɔl. Sɔm tin dɛn de we yu fɔ no bɔt insay dis tɛm.
- Drink bɔku wata: Mek yu bɔdi gɛt wata. I fayn bak fɔ tek drink lɛk ORS wit wata.
- Tek layt waka: We yu waka smɔl ɛvride afta yu dɔn ɔpreshɔn, i fayn fɔ mek yu blɔd go ɔlsay ɛn i kin ɛp yu fɔ wɛl kwik kwik wan.
- Kip yu bɔdi wok: Afta yu dɔn ɔpreshɔn, yu bɔdi nɔ kin wok smɔl (ileus). Di bɛst tin fɔ du fɔ dis na fɔ drink wata ɛn waka rawnd.
- Yuz pilo we yu de kɔf: If yu ɔspitul wund de at we yu de kɔf ɔ sniz, put pilo oba yu bɛlɛ jisnɔ. Dis go ɛp fɔ ridyus di pen.
- Slip fayn: I impɔtant fɔ rɛst fɔ mek yu wɛl kwik kwik wan.
- Gɛt saykilɔjik sɔpɔt: Fɔ tɔk to pɔrsin wae dɔn go tru dis kayn ɔpreshɔn kin bi big tin fɔ gi yu trɛnk. Aks yu dɔktɔ fɔ advays bɔt dis.
Risk fɔ ɔpreshɔn ɛn ustɛm fɔ go to dɔktɔ
Lɛk ɛni big ɔpreshɔn, we dɛn kin pul di sik we dɛn kɔl sistectomy kin gɛt sɔm prɔblɛm dɛn. Dɛn tin ya na fɔ blɔd, fɔ gɛt infɛkshɔn, ɛn fɔ pwɛl di ɔgan dɛn we de rawnd am. Sɔm prɔblɛm dɛn de bak we kin apin, lɛk urinary tract infection (UTIs), kɔnstipɛshɔn ɔ dayarɛa, prɔblɛm fɔ tek tin dɛn lɛk vaytamɛn B12, ɛn chenj na di we aw pɔsin de du mami ɛn dadi biznɛs.
| Ustɛm fɔ go to dɔktɔ | |
|---|---|
| If yu gɛt dɛn sik ya, tɔk to yu dɔktɔ. | |
| |
| If yu gɛt dɛn sik ya, go na ɔspitul (ETU) wantɛm wantɛm. | |
|
Mɛsej we dɛn kin kɛr go na os
- Sistɛktɔmi na big ɔpreshɔn fɔ pul di blad. Dɛn kin du am mɔ fɔ blad kansa.
- I pɔsibul fɔ liv we yu nɔ gɛt blad. Di dɔktɔ we de du di ɔpreshɔn kin mek nyu rod fɔ mek di urine pas.
- Pan ɔl we i kin tek sɔm tɛm fɔ mek i wɛl gud gud wan afta dɛn dɔn du di ɔpreshɔn, bɔku pipul dɛn kin ebul fɔ go bak to dɛn nɔmal layf.
- Jɔs lɛk ɛni ɔpreshɔn, prɔblɛm dɛn de we kin apin, ɛn ɔda tritmɛnt dɛn kin de.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. Na da tɛm de nɔmɔ yu go ebul fɔ disayd fɔ du di bɛst.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt