Sɔntɛm dɔktɔ dɔn tɛl yu ɔ sɔmbɔdi na yu famili se yu go nid fɔ du ɔpreshɔn fɔ pul yu blad, ilɛksɛf na bikɔs ɔf blad kansa ɔ ɔda sik we go de fɔ lɔng tɛm. I nɔmal fɔ fil bɔku bɔku fred ɛn wɔri we yu yɛri di wɔd ‘Cystectomy’. Bɔt tide, lɛ wi no mɔ bɔt dis. Wetin na dis ɔpreshɔn? Wetin mek dɛn kin du am? Wetin kin apin afta dat? Lɛ wi tɔk bɔt ɔl dis rili simpul wan.
Us kayn ɔpreshɔn na fɔ pul di sik we dɛn kɔl sistectomy?
Fɔ tɔk am simpul wan, fɔ
pul di sik we dɛn kɔl cystectomy na ɔpreshɔn fɔ pul wan pat pan yu blad ɔ ɔl di blad. as yu no, di blad na כgan we shep lεk bכl we de kכlekt εn stכr di urine (pi) we wi kidni dεm de mek. Dɛn kin du dis ɔpreshɔn as tritmɛnt fɔ blad kansa. Bɔt sɔntɛnde, dɔktɔ dɛn kin disayd fɔ du dis ɔpreshɔn fɔ ɔda tin dɛn we nɔ gɛt kansa (benign) bak. Dis nɔto smɔl ɔpreshɔn, bɔt
na big ɔpreshɔn . Na bikɔs i de pul wan impɔtant pat na wi bɔdi, we na di blad.
Yu tink se i pɔsibul fɔ liv we yu nɔ gɛt blad?
Yɛs, yu kin ebul. Yu kin sɔprayz fɔ yɛri dis, bɔt i pɔsibul fɔ liv yu layf we yu nɔ gɛt blad. Bɔt afta dat yu go gɛt fɔ fɛn nyu we fɔ pul di urine we wi kidni dɛn de mek. If di dɔktɔ pul di wan ol blad, i go tek sɔm tɛm fɔ mek yu yus to di nyu sistɛm. Bɔt nɔ wɔri, yu go ebul fɔ du bɔku pan di tin dɛn we yu bin de du bifo dɛn du di ɔpreshɔn, ivin afta di ɔpreshɔn.
Wetin yu fɔ no bifo yu du ɔpreshɔn pan yu sistɛktɔmi?
Bifo di ɔpreshɔn, yu dɔktɔ go chɛk yu ɛn chɛk yu jenɛral wɛlbɔdi. I go ɛksplen to yu bak us kayn ɔpreshɔn i go du. Bɔku kayn ɔpreshɔn dɛn de we dɛn kin du.
- Partial Cystectomy : Dis min se yu fɔ pul di pat nɔmɔ we gɛt sik na yu blad. If dɛn du dis bikɔs ɔf kansa, dɛn kin pul di limf no dɛm we de rawnd am bak ɛn chɛk fɔ si if di kansa dɔn skata. Dɔn dɛn kin stich di ɔda pat pan yu blad bak togɛda fɔ mek i wok fayn bak.
- Simpul Sistɛktɔmi (dɛn kin pul di blad nɔmɔ): Dis kin min se dɛn kin pul di blad nɔmɔ ɛn nɔ pwɛl di ɔgan dɛn we de rawnd am. Dɛn kin du dis fɔ sik dɛn we nɔ gɛt kansa . fכ egzampl, prכblεm dεm fכ urinary we kכz fכ di nεv dεm we dεn dכn pwεl ( neurogenic bladder ), rεdyushכnKכndishכn dεm lεk rεdyush כn sistayt εn urinary fistula we dεn kכz fכ tritmεnt.
- Radical Cystectomy (we dεn pul di blad εn di כgan dεm we de rawnd): insay dis, dεn kin pul di blad kכmplit wan, εn di limf no dεm we de rawnd am.
- pan man, dεn kin kכt di vas diferens, εn dεn kin pul di prכstat εn di sεminal vεsikul dεm.
- pan uman dεm, dεn kin pul di uterus, di fallopian tכb, ovaria, εn sεviks bכku tεm. Sɔntɛnde, dɛn kin pul pat pan di vagina wɔl bak.
I impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (we dɛn gi yu, we yu nɔ de bay, ɛn ivin di tin dɛn we yu de yuz fɔ mɛn yu bɔdi) bifo dɛn du yu ɔpreshɔn. Sɔm mɛrɛsin dɛn, mɔ di wan dɛn we de mek yu blɔd tan, kin mek yu gɛt mɔ blɔd we dɛn de du ɔpreshɔn. So nɔ stɔp fɔ tek ɛni mɛrɛsin if yu dɔktɔ nɔ advays yu.
Aw dɛn kin du di ɔpreshɔn?
Na wan tim we gɛt dɔktɔ dɛn we wan dɔktɔ we de mɛn yu urɔlɔji de lid de du dis ɔpreshɔn. Dɛn go gi yu jenɛral anestesia, so yu nɔ go fil ɛni pen ɛn yu go de slip. tu men we dεn de fכ du di כpεrayshכn: 1.
Open Cystectomy: Insay dis, dεn kin mek 6-7 inch insay bitwin di nεvεl εn di pεriniכm, we di dכkta de du di כpεrayshכn tru. 2.
Minimally Invasive Cystectomy: Dɛn kin du dis wit laparoskopik ɔ rɔbɔt. dis involv fכ mek 5-6 rili sכm sכm insεshכn dεm na di bכdi, tru we dεn de insay kεmεra εn dilik instrכmεnt dεm. Di bɛnifit fɔ dis na dat, skata nɔ kin bɔku ɛn di tɛm we i kin wɛl kin shɔt.
Aw fɔ mek nyu we fɔ pis
afta dεn dכn pul di כl blad, dεn fכ mek nyu rod fכ urine kכmכt na di bכdi. Dɛn kɔl dis ‘rikɔnstrɔktiv ɔpreshɔn.’ Tri men we dɛn de fɔ du dis.
| Rikɔnstrɔkshɔn Mɛtɔd | Wetin kin jɔs apin |
|---|
| Ileal Kɔndɔkt | dεn tek sכm sכm pat pan di sכmכl intestin εn dεn kכnekt di ureter dεm to wan εnd. di כda εnd de atak di skin na di bכdi, i de opin insay wan ol we dεn kכl stoma. dεn kin put wan ostomy bag oba di stoma fכ kכlekt urine. |
| Kɔntinɛnt Kutan Dayvɔshɔn | di pat dεm na di sכm εn big intestinal dεn de yuz fכ mek wan sכmכl bag (rεsכva) insay di bכdi we de kכlekt urine. dis kin kכnekt bak to di skin na di bכdi bay wan stoma. Bɔt no bag nɔ de we de na do. Bɔku tɛm insay di de, dɛn kin put smɔl tiub (kateta) fɔ ɛmti dis bag. |
| Nioblada we de na di bɔdi | dεn tek wan lכng pat pan sכm intestinal εn yuz am fכ mek nyu blad (Neobladder). Dis kin kɔnɛkt dairekt to yu urethra. So yu kin pis nɔmal wan. Bɔt yu fɔ kɔntrakt yu bɛlɛ mɔsul dɛn fɔ pas urine. Sɔm pipul dɛn nid fɔ yuz kateshɔn fɔ ɛmti am ɔl. |
Yu dɔktɔ go tɔk to yu ɛn disayd us we fɔ du am bɛtɛ fɔ yu.
Wetin fɔ ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Afta di ɔpreshɔn, dɛn go transfa yu to di wɔd. Dɛn go bandej di say dɛn we dɛn kɔt. Dɛn go gi yu mɛrɛsin fɔ mek yu fil pen. Di lɔng tɛm we yu go de na ɔspitul go difrɛn difrɛn wan bay di kayn ɔpreshɔn we dɛn bin du yu. Fɔ smɔl insishɔn, yu go de na ɔspitul fɔ wan ɔ tu dez, ɛn fɔ opin ɔpreshɔn, yu go de na ɔspitul fɔ lɛk wan wik so. Insay dis tɛm, di wan dɛn we de wok na di nɔs dɛn go kia fɔ yu gud gud wan. If yu gɛt ostomy bag, dɛn go tich yu aw fɔ yuz am, ɛmti am, ɛn chenj am. I kin tek
sɔm wik to sɔm mɔnt fɔ mek i wɛl.
Wetin na di prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Lɛk ɛni big ɔpreshɔn, dis wan gɛt sɔm prɔblɛm dɛn.
- Blɔd we de kɔmɔt
- Blɔd we de klɔt
- Infεkshכn dεm
- Prɔblɛm dɛn we de na di intestinal (kɔnstipashɔn, dayarɛa) .
- Urinary obstruction bikɔs ɔf di ska tisu
- Damej to ɔda ɔgan dɛn
- Fluid akyumyuleshכn na di say dεm we dεn insishכn (seroma) .
Sɔm man dɛn kin gɛt prɔblɛm wit di erection. uman kin gɛt prɔblɛm wit mami ɛn dadi biznɛs if dɛn pul wan pat pan di vagina. Nɔ fred fɔ tɔk to yu dɔktɔ bɔt dɛn prɔblɛm ya we gɛt fɔ du wit mami ɛn dadi biznɛs.
Ustɛm yu 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 di ɔspitul we de nia yu in
Imejɛnsi Dipatmɛnt (ETU) .
Sayn dɛn we de wɔn pipul dɛn we yu fɔ luk fɔ
| Sayn dɛn we de sho se pɔsin gɛt di sik | Fiva, kol, urine we dak ɔ we gɛt klawd. |
| Prɔblɛm dɛn na di say dɛn we dɛn kɔt am | Blɔd we de kɔmɔt pasmak, swel, pen, ɔ we di pus de kɔmɔt mɔ ɛn mɔ. |
| Stoma prɔblɛm dɛn | Di stoma na blak, brawn, ɔ dak pepul. |
| Ɔda siriɔs sayn dɛn | Nɔs ɛn vɔmit we de kɔntinyu, pen we yu nɔ go ebul fɔ bia, we yu nɔ ebul fɔ pis ɔ we i nɔ izi fɔ pis. |
Mɛsej we dɛn kin kɛr go na os
- Sistɛktɔmi na big ɔpreshɔn we de sev layf we dɛn kin du fɔ sik dɛn lɛk blad kansa.
- I pɔsibul fɔ liv we yu nɔ gɛt blad. difrεn we dεn de fכ mek di bכdi kכnstrכkt bak fכ εp di bכdi fכ rilis urine. Tɔk to yu dɔktɔ bɔt di bɛst tin fɔ yu.
- I kin tek tɛm fɔ ajɔst to di chenj dɛn we de apin na yu bɔdi afta dɛn dɔn du di ɔpreshɔn. Dis na nɔmal tin. Nɔ shek fɔ gɛt di sɔpɔt we yu nid pan aw yu de fil ɛn yu bɔdi.
- We yu de wɛl, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm if ɛni sayn we de wɔn yu.
- If yu de trit yu fayn fayn wan ɛn yu de tink gud wan, yu go ebul fɔ liv fayn layf ivin afta dɛn dɔn du yu ɔpreshɔn.
Sistektomi, pul blad, blad kansa, urostomy, ostomy bag, nioblad, ɔpreshɔn, urology, urine
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