Na nɔmal tin fɔ mek yu fred smɔl ɛn wɔri we dɔktɔ tɛl yu ɔ pɔsin we yu no se yu nid fɔ du ɔpreshɔn pan yu kidni. I nɔ sɔprayz, mɔ bikɔs di kidni dɛn na so impɔtant ɔgan na wi bɔdi. Bɔt yu dɔktɔ ɔndastand aw yu de fil. Na dat mek dɛn go ɛksplen to yu di ɔpreshɔn, di tin dɛn we dɛn tink se go apin, ɛn di tɛm we yu go wɛl.
Fɔ tɔk am simpul wan, wetin na Heminephrectomy?
Heminephrectomy (hemi-nephrec-to-me) na ɔpreshɔn we de pul di pat nɔmɔ na yu kidni we nɔ de wok fayn. Dɛn nɔ de pul di wan ol kidni, na jɔs di pat we nɔ de wok fayn.
Dɛn kin du dis ɔpreshɔn pan pipul dɛn we gɛt wan sik we dɛn kɔl Duplex Kidney . Naw yu go de wɔnda wetin na dat.
Imajin, wi ɔl gɛt tu kidni na wi bɔdi. nכmal wan, na wan ureter nכmכ de fכ kכri urine frכm wan kidni to di blad. Bɔt sɔm pipul dɛn kin bɔn wit tu ureters na wan kidni bikɔs ɔf wan kɔndishɔn we dɛn bɔn wit. Na dat mek wi de kɔl am ``Duplex Kidney``.
Bɔt nɔto ɔlman we gɛt ``Duplex Kidney'' go gɛt prɔblɛm. Sɔm pipul dɛn kin liv ɛn nɔr kin ivin no se dɛn gɛt dis sik. Bɔt sɔntɛnde, i kin mek sɔm prɔblɛm dɛn.
Us prɔblɛm kin apin bikɔs ɔf Duplex Kidney?
Tri men prɔblɛm dɛn de we kin apin bikɔs ɔf wan `Duplex Kidney`. Lɛ wi si wetin dɛn bi.
| Prɔblɛm (Kɔndishɔn) . | Fɔ tɔk am simpul wan... |
|---|---|
| Vesikouretεral Riflɔks (VUR) . | dis kin mek di urine na di blad fכ fכlכ bak כp insay di kidni dεm. Fɔ lɔng tɛm, dis kin pwɛl di kidni dɛm. |
| Ektopik Yureta | wetin de apin ya na dat di ekstra urethra nכ de kכnekt to di blad, bכt to כda כgan we de nia am. Dis kin mek da ɔgan de pwɛl bak. |
| Yureterosɛl we de na di bɔdi | di urethra, usay i de go insay di blad, de swel lεk balכn, we de mek di urine fכ fכlכ. Dis kin mek di prɛshɔn we de insay di kidni go ɔp ɛn mek i pwɛl. |
Ivin wit dɛn prɔblɛm ya, bɔku tɛm, yu dɔktɔ go jɔs de wach yu. Bɔt if yu kin gɛt infekshɔn na yu urinary tract bɔku tɛm , ɔ if pat pan yu kidni nɔ de wok igen bikɔs ɔf di rizin dɛn we wi dɔn tɔk bɔt, yu dɔktɔ kin tɛl yu fɔ pul di ɛminefrɛktɔmi.
Aw yu fɔ rɛdi bifo dɛn du yu ɔpreshɔn?
Bifo di ɔpreshɔn, yu dɔktɔ we de du di ɔpreshɔn (yurolɔjist) go ɛksplen to yu gud gud wan bɔt di ɔpreshɔn ɛn tek yu kɔnsɛntmɛnt. Apat frɔm dat, dɛn go du bɔku tɛst fɔ mek shɔ se yu gɛt wɛlbɔdi fɔ di ɔpreshɔn. Dɛn go mɔs aks yu bɔt dɛn tin ya:
- Yu kɔmplit wɛlbɔdi istri .
- Yu fɔ tɛl yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek. Dis inklud mɛrɛsin dɛn we dɛn kin gi pɔsin, mɛrɛsin dɛn we dɛn kin bay na kɔt, tin dɛn we dɛn kin yuz fɔ mɛn animal dɛn, ɛn ivin vaytamɛn dɛn. Sɔm mɛrɛsin dɛn lɛk tin dɛn we de mek pɔsin blɔd tan, kin mek i gɛt mɔ blɔd we dɛn de du di ɔpreshɔn.
- Bɔt ɛni alɛji we yu go gɛt.
Fɔ sɔm dez bifo di ɔpreshɔn, dɛn go advays yu bɔt us mɛrɛsin, if ɛni wan de, yu fɔ tek ɛn ustɛm fɔ stɔp fɔ tek dɛn. Dɛn go tɛl yu bak ustɛm yu fɔ stɔp fɔ it ɛn drink (fast) bifo dɛn du di ɔpreshɔn.
Aw dɛn kin du di ɔpreshɔn?
Dɛn kin du dis ɔpreshɔn tri men we dɛn: ɔpreshɔn we dɛn kin du na opin, ɔpreshɔn we dɛn kin du wit laparoskɔpik, ɛn ɔpreshɔn we dɛn kin yuz rɔbɔt.
| Di kayn ɔpreshɔn we dɛn kin du | Aw fɔ du am ɛn bɛnifit dɛn |
|---|---|
| Opin Ɛminfrɛktɔmi | Di dɔktɔ go mek 12 inch insay yu bɛlɛ, bitwin yu rib ɛn yu hip. Dis go mek di dɔktɔ si di kidni bɛtɛ. Yu kin pul di pat we nɔ de wok wit yu an. |
| Laparoskɔpik Ɔpreshɔn | Dis min se yu fɔ kɔt sɔm smɔl smɔl say dɛn na di bɛlɛ instead fɔ kɔt wan big say. Dɛn kin put wan tin inschrumɛnt we gɛt kamɛra (laparoskɔp) insay wan say we dɛn kɔt fɔ si di kidni. Dɛn kin put ɔspitul inschrumɛnt dɛn tru ɔda say dɛn we dɛn kɔt fɔ pul di pat we nɔ de wok fayn. Di bɛnifit we dis kin gɛt na dat di skata kin smɔl ɛn i kin wɛl kwik kwik wan. |
| Rɔbɔt Ɔpreshɔn | Dis tan lɛk ɔpreshɔn we dɛn kin du wit laparoscopic, bɔt na ya di dɔktɔ de kɔntrol di tin dɛn we dɛn kin yuz fɔ du di ɔpreshɔn bay we i de yuz rɔbɔt mashin in an dɛn. Dis kin mek dɛn ebul fɔ du ɔpreshɔn we rili dilik ɛn kɔrɛkt wan. |
Bifo di ɔpreshɔn bigin, di dɔktɔ we de mɛn yu go gi yu jenɛral anestezi (`Jɛnɛral Anestesia`). So yu nɔ go fil ɛni pen, yu go de slip. Dɔn dɛn go put wan Foley kateta fɔ ɛmti yu blad. Bɔku tɛm di ɔpreshɔn kin tek lɛk tu to tri awa so .
Wetin kin apin afta di ɔpreshɔn? Ɛn aw lɔng i kin tek fɔ mek i wɛl?
Afta dɛn dɔn du di ɔpreshɔn, dɛn go de wach yu na rum usay dɛn de wɛl te yu wek ɛn yu wɛlbɔdi stebul. Dɛn go gi yu mɛrɛsin fɔ kɔntrol yu pen.
Di tɛm fɔ wɛl go difrɛn difrɛn wan bay di kayn ɔpreshɔn we yu bin gɛt.
- Afta laparoskopik ɔ rɔbɔt ɔpreshɔn, yu kin ɔltɛm go bak to nɔmal aktiviti dɛn insay 4-6 wik .
- I kin tek lɛk 8-12 wiks fɔ ful-ɔp fɔ wɛl afta dɛn dɔn du am opin ɔpreshɔn .
Yu dɔktɔ go ɛnkɔrej yu fɔ waka smɔl we yu de wɛl. We yu waka fayn fɔ yu bɔdi ɛn i kin ɛp fɔ mek yu nɔ gɛt tin dɛn lɛk blɔd we de klɔt ɛn nyumonia. Bɔt yu nɔ fɔ es ɛnitin we ebi pas 10 pawn (we na lɛk wan galɔn wata).
Yu nid fɔ tek tɛm wit it ɛn drink?
Yɛs. Fɔ di fɔs 4 wik afta di ɔpreshɔn, dɛn go advays yu fɔ drink 6-8 glas wata wan de ɛn it sɔft it we izi fɔ digest. Dɛn go advays yu bak fɔ avɔyd sɔm it dɛn te yu bɔdi go bak to nɔmal.
| Gud tin dɛn fɔ it | Tin dɛn we wi fɔ avɔyd |
|---|---|
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If yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm!
If yu si ɛni wan pan di sayn dɛn we de dɔŋ ya afta dɛn dɔn du di ɔpreshɔn, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- I nɔ kin izi fɔ yu fɔ blo
- Blɔd we de kɔmɔt pasmak frɔm di say we dɛn sutura
- Skin separeshɔn tru stich
- Sayn dɛm fɔ se yu gɛt infekshɔn: Dis kin bi se yu gɛt rɛd kɔlɔ, pɔpul, brawn, ɔ blak kɔlɔ rawnd di wund, fiva, pus we de kɔmɔt na di wund, ɔ bad bad smel.
- Pen we yu nɔ go ebul fɔ bia de bɔku
- Leg de pen
- Blɔd we de na di urine
Na nɔmal tin fɔ fred fɔ mek dɛn du yu ɔpreshɔn. Na nɔmal tin fɔ gɛt kwɛstyɔn dɛn lɛk, "Wetin if di ɔpreshɔn nɔ go fayn?" ɔ "Wetin fɔ du if mi sik dɛn de wɔs?" Bɔt tink bak bɔt di gud tin dɛn we de apin. "Aw dis opareshon go mek mi laif izi?" ɔ "A go ebul fɔ pul di infɛkshɔn dɛn we a dɔn de gɛt?" We yu tink dis kayn we, dat kin ɛp yu fɔ fil fayn.
Mɛsej we dɛn kin kɛr go na os
- Heminephrectomy na ɔpreshɔn we dɛn kin pul di pat nɔmɔ na di kidni we nɔ de wok fayn. Dɛn nɔ kin pul di wan ol kidni.
- Bɔku tɛm dɛn kin du dis ɔpreshɔn fɔ prɔblɛm dɛn we kin kam wit wan sik we dɛn bɔn wit we dɛn kɔl Duplex Kidney.
- Dɛn kin du di ɔpreshɔn opin, laparoskopik, ɔ rɔbɔt. Di tɛm fɔ wɛl kin dipen pan di we aw dɛn kin du am.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan afta yu dɔn du di ɔpreshɔn, mɔ we i kam pan it ɛn aw fɔ es yu wet.
- If yu notis sayn dɛn we de wɔn yu lɛk fɔ blo, fɔ blɔd pasmak, ɔ fɔ sho se yu gɛt di sik, go to dɔktɔ wantɛm wantɛm.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we yu de fred.
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