Yu gɛt kidni ston bak ɛn yu nɔ ebul fɔ bia wit di pen? Sɔntɛnde, di pen we dɛn ston ya kin gɛt we dɛn stɔp, nɔ kin ebul fɔ bia, nɔto so? So, yu dɔn yɛri bɔt wan tritmɛnt we de yuz shɔk wev we de na do na di bɔdi fɔ brok dɛn ston ya we dɛn nɔ gɛt ɔpreshɔn? Tide, lɛ wi tɔk bɔt dis tritmɛnt we dɛn kɔl ESWL, ɔ Extracorporeal Shock Wave Lithotripsy.
Fɔ tɔk am simpul wan, wetin na ESWL?
ESWL na wan tritmɛnt we rili kɔmɔn, we nɔto ɔpreshɔn. I de yuz ay-ɛnaji shɔk wev dɛm frɔm ɔdasay na di bɔdi fɔ brok ston dɛm na yu kidni ɔ yu ureter to smɔl smɔl. I tan lɛk se yu nak smɔl ston wit hama. Dɔn di ston dɛn we dɔn brok kin pas kɔmɔt na yu bɔdi izi wan insay yu urine, lɛk grens dɛn we gɛt san.
Kidni ston kin kam we sɔm tin dɛn lɛk kalsiɔm we de na wi urine de bɔku. pan ɔl we dɛn kin fɔs fɔm na di kidni dɛn, sɔntɛnde dɛn kin brok fri ɛn travul dɔŋ di ureters, we na di tiub dɛn we kin kɛr urine go na di blad. Bɔku tɛm, smɔl ston dɛn kin pas wit di urine. Bɔt sɔm ston dɛn kin big smɔl. Dɛn nɔ kin ebul fɔ kɔmɔt so izi, dɛn kin stɔp na di tiub dɛn. Na da tɛm de pen we pɔsin nɔ go ebul fɔ bia kin apin. ESWL tritmɛnt de wok bay we dɛn de brok di ston dɛn we dɔn stɔp ɛn mek we fɔ mek dɛn kɔmɔt.
Insay us kes dɛn ESWL tritmɛnt nid fɔ de?
Dɔktɔ dɛn kin tɛl yu fɔ trit ESWL pan dɛn kayn tin ya:
- If di ston dεm big: Ston dεm we kin bכku pas 5 milimita (we lεk di sayz fכ pensil iras) kin at fכ pas wit urine.
- If di urine nɔ de flɔ: If di ston lod ɛn di urine flɔ stɔp, di kidni kin pwɛl.
- If bad bad pen de: If i nɔ izi fɔ kɔntrol di pen.
Bifo yu dɔktɔ tɛl yu fɔ gi yu tritmɛnt, i go tink bɔt sɔm ɔda tin dɛn.
| Wetin fɔ tink bɔt | Wetin mek dat impɔtant? |
|---|---|
| Ston saiz | ESWL tritmɛnt kin wok fayn fɔ smɔl ston dɛn. Big ston dɛn kin nid ɔda tritmɛnt dɛn. |
| Usay di ston de | Dipen pan usay di ston de, dɛn kin no if di shɔk wev dɛn kin dayrɛkt ɔ nɔ kin dayrɛkt. |
| Yu ɔda wɛlbɔdi prɔblɛm ɛn mɛrɛsin dɛn | Dis tritmɛnt kin bi risky if yu gɛt sɔm mɛrɛsin ɔ yu de tek mɛrɛsin wae de mek yu blɔd nɔ klɔt (e.g., warfarin ). |
| Di kayn we aw yu bɔdi tan | If yu fat, di tritmɛnt nɔ go fayn bikɔs di shɔk wev dɛn gɛt lɔng distans fɔ travul to di ston. |
Aw yu kin pripia bifo yu gɛt tritmɛnt?
Yu dɔktɔ go ɛksplen to yu wetin yu nid fɔ du bifo dis tritmɛnt. Dɛn tin ya kin bi:
- Blɔd ɛn urine tɛst: Dɛn kin aks yu fɔ du bɔku tɛst fɔ chɛk aw di kidni de wok, blɔd kɔnt, ɛn urinary tract infection (UTIs).
- Infɔmeshɔn bɔt mɛrɛsin: Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek . If yu de tek mɛrɛsin fɔ mek yu blɔd tan , dɛn kin aks yu fɔ stɔp fɔ tek am sɔm dez bifo yu tritmɛnt. Nɔ ɛva stɔp fɔ tek ɛni mɛrɛsin if yu dɔktɔ nɔ advays yu.
- Fast: Dɛn go aks yu fɔ stɔp fɔ it ɛn drink fɔ sɔm awa bifo di tritmɛnt.
- Sɔmbɔdi fɔ drayv yu go na os: Bikɔs yu nɔ go ebul fɔ drayv afta yu dɔn trit yu, briŋ pɔsin fɔ drayv yu go na os.
Aw dɛn kin du dis tritmɛnt?
Bifo di tritmɛnt bigin, dɛn go gi yu wan mɛrɛsin we de mek yu nɔ fil fayn (`(Anesthesia)`) fɔ mek yu nɔ fil ɛni pen. Dɛn kin put yu na slip kpatakpata, ɔ dɛn kin mek yu fil lɛk se yu dɔn chak. Sɔntɛnde, na di say we de dɔŋ di wɛst nɔmɔ kin mek i nɔ gɛt bɛtɛ trɛnk.
Dis na wetin kin apin we dɛn de trit am:
1. Dɛn go mek yu ledɔm pan spɛshal bed wit kusɛn we ful-ɔp wit wata.
2. Dɔn, we dɛn yuz ɛkstrem rayt ɔ ɔltra saund skan, dɛn kin fɛn di rayt say we di ston de.
3. Dɛn kin ajɔst di mashin ɛn yu bɔdi so dat di shɔk wev dɛn go bang di ston kɔrɛkt wan.
4. Nεks, di ESWL mashin de sεnd hכy-εnεji shכk wev dεm tru di bכdi to di ston. If yu de kɔnshɛns, yu kin yɛri "tik-tɔk" sawnd frɔm di sayd.
5. Dis we ya, dɛn kin dayrɛkt bɔku bɔku shɔk wev dɛn ɛn dɛn kin krɔs di ston to smɔl smɔl.
Di ɔltin we dɛn kin du kin tek lɛk wan awa so , bɔt dis tɛm kin difrɛn difrɛn wan bay di sayz ɛn nɔmba fɔ yu ston dɛn, ɛn yu wɛlbɔdi.
Nɔ fred. Dis nɔto ɔpreshɔn we dɛn kin du fɔ kɔt di bɔdi. Ɛn di mɛdikal tim go du ɔl wetin yu nid fɔ mek shɔ se yu nɔ fil ɛni pen.
Wetin kin apin afta dɛn dɔn trit am?
ESWL na ɔutpeshɛnt tritmɛnt, bɔt yu go nid fɔ de na di rum fɔ wɛl fɔ sɔm awa afta di tritmɛnt.
Simptom dɛm lɛk dis kin apin fɔ sɔm dez afta dɛn dɔn trit am:
- Bɔdi pen: Yu kin fil sɔm brus ɛn pen na di say we dɛn dɔn trit.
- Blɔd we de na di urine: I nɔmal fɔ mek di urine tɔn pink.
- Pen we yu de pis: I nɔmal fɔ fil smɔl pen we di ston pat dɛn we dɛn dɔn krɔs pas.
Dɛn sayn ya kin dɔn insay sɔm dez.
Aw lɔng i kin tek fɔ mek di ston dɛn kɔmɔt?
Fɔ sɔm dez ɔ wik afta yu dɔn trit yu, yu kin pas ston pat dɛn na yu urine. Dɛn tin ya kin tan lɛk grens dɛn we dɛn mek wit san ɔ smɔl smɔl ston dɛn. Yu kin fil pen we dɛn smɔl smɔl pat dɛn ya pas. Yu dɔktɔ kin gi yu mɛrɛsin dɛn lɛk:
- `Tamsulosin`: Dis de rilaks di blad ɛn di urethra, we de ɛp di ston dɛn fɔ pas izi wan.
- `Ketorolac`: Dis na pen kil.
I rili impɔtant bak fɔ drink bɔku wata fɔ ɛp fɔ pul di ston dɛn kɔmɔt.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
If ɛni wan pan dɛn sayn ya apin, go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm ɔ tɛl yu dɔktɔ.
| Imejɛnsi Sayn dɛn! | |
|---|---|
| 🚨 we yu de du | Bɛlɛ ɔ bak pen we yu nɔ go ebul fɔ bia. |
| 🚨 we yu de du | Nɔs ɔ vɔmit we de kɔntinyu fɔ de. |
| 🚨 we yu de du | Fiva ɛn kol kol. |
| 🚨 we yu de du | If di pen de wɔs ivin afta yu tek mɛrɛsin fɔ mek yu fil pen. |
| 🚨 we yu de du | If blɔd klot de na di urine. |
Udat nɔ fit fɔ dis tritmɛnt?
ESWL tritmɛnt nɔ fayn fɔ sɔm pipul dɛn. Fɔ ɛgzampul:
- Uman dɛn we gɛt bɛlɛ
- Pipul dɛn we gɛt prɔblɛm wit blɔd
- Pipul dɛn we nɔ ebul fɔ stɔp fɔ tek mɛrɛsin we de mek dɛn blɔd tan
- Pipul dɛn we gɛt ay blɔd prɛshɔn we dɛn nɔ ebul fɔ kɔntrol
- Pipul dɛn we gɛt kidni infɛkshɔn ɔ kansa
- Pipul dɛn we fat pasmak
Yu dɔktɔ na di bɛst pɔsin fɔ disayd if dis tritmɛnt fayn fɔ yu, so duya tɛl am ɔl yu wɛlbɔdi infɔmeshɔn.
Mɛsej we dɛn kin kɛr go na os
- ESWL na sef tritmɛnt we de yuz shɔk wev frɔm ɔdasay na di bɔdi fɔ brok di kidni ston dɛn we dɛn nɔ gɛt ɔpreshɔn.
- Dis tritmɛnt nɔ fayn fɔ ɔlman. Yu dɔktɔ go tɛl yu fɔ du am bay di sayz we di ston gɛt, usay i de, ɛn aw yu gɛt wɛlbɔdi.
- Afta yu dɔn trit yu, yu kin fil pen we di ston dɛn pas na yu urine. I rili impɔtant fɔ drink bɔku wata.
- If yu gɛt sɔm sayn dɛn lɛk pen we yu nɔ go ebul fɔ bia, fiva, ɔ blɔd we de klɔt na yu urine, go na ɔspitul in ETU wantɛm wantɛm.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt