Na nɔmal tin fɔ mek yu wɔri ɔ wɔri we dɔktɔ tɛl yu fɔ du ɔpreshɔn pan yu ɔ pɔsin we yu lɛk fɔ du ɔpreshɔn pan yu kidni. We wi tink bɔt di kidni dɛn na impɔtant pat dɛn, wi kin ɔndastand dɛn kayn tin dɛn ya we dɛn kin wɔri bɔt. Duya, mɛmba se yu mɛdikal tim ɔndastand aw yu de fil ɛn dɛn de ya fɔ sɔpɔt yu. Dɛn go ɛksplen di we aw dɛn fɔ du am, di tin dɛn we dɛn go tink se go apin, ɛn di we aw yu go wɛl ditayli fɔ mek yu maynd fil fayn.
Wetin na Ɛminfrɛktɔmi?
εminεfrεktכmi na כpεrayshכn usay dεn kin pul di pat pan di kidni we nכ de wok. Yu dɔktɔ nɔ go pul di wan ol ɔgan, bɔt i go jɔs pul di pat we nɔ de wok fayn igen.
Dis prosidur kin bi insay kes dɛm we gɛt Duplex Kidney . Sɔntɛm yu go de wɔnda wetin dat min.
Nɔmal wan, wi ɔl gɛt tu kidni. כltu, εvri kidni gεt wan ureter (di tכb we de kכri urine go na di blad). Bɔt sɔm pipul dɛn kin gɛt wan sik we dɛn bɔn wit usay wan kidni kin gɛt fɔ du wit tu ureter; dis na in dεn kכl Duplex Kidney .
Duya notis se nɔto ɔlman we gɛt Duplex Kidney kin gɛt prɔblɛm. Bɔrku pipul dɛn kin liv dɛn wan ol layf ɛn nɔr kin ivin no se dɛn gɛt dis sik. Bɔt sɔntɛnde, i kin mek pɔsin gɛt sɔm prɔblɛm dɛn we kin mek i nid fɔ go to dɔktɔ.
Us kɔmplikɛshɔn dɛn we Duplex Kidni kin mek?
Duplex Kidni kin mek yu gɛt tri praymar kɔmplikeshɔn dɛn. Lɛ wi luk wetin dɛn bi.
| Kɔndishɔn | Insay Simpul Tɛm dɛn... |
|---|---|
| Vesikouretεral Riflɔks (VUR) . | dis kin apin we di urine de fכlכ bak frכm di blad tכwεd di kidni dεm. As tɛm de go, dis kin mek di kidni pwɛl fɔ ɔltɛm. |
| Ektopik Yureta | dis kin apin we di ureter kכnekt to כda כgan we nכto di blad. Dis miskɔnekshɔn kin mek da ɔgan de we de rawnd am pwɛl. |
| Yureterosɛl we de na di bɔdi | di lכw εnd pan di ureter de swεla lεk balכn insay di blad, we de mek di nכmal urine fכ fכlכ. Dis kin mek prɛshɔn de bɔku, ɛn dis kin mek di kidni pwɛl. |
Pan ɔl we dɛn tin ya de, yu Nirogi Lanka spɛshal pɔsin go bigin bɔku tɛm bay we i de wach aw yu de go bifo. Bɔt if yu kin gɛt infekshɔn na yu urinary tract bɔku tɛm ɔ if di tin dɛn we wi bin dɔn tɔk bɔt dɔn mek wan pat pan yu kidni nɔ ebul fɔ wok igen , yu dɔktɔ kin tɛl yu fɔ pul di ɛminefrɛktɔmi.
Aw yu fɔ rɛdi fɔ ɔpreshɔn?
Bifo yu du yu ɔpreshɔn, yu urolɔg go ɛksplen di ɔpreshɔn ditayli ɛn gɛt yu kɔnsɛntmɛnt we yu no bɔt. Yu go du tɛst bak bifo dɛn du di ɔpreshɔn fɔ mek shɔ se yu gɛt wɛlbɔdi fɔ di prɔsidyu. Yu mɛdikal tim go tɔk mɔ bɔt:
- Yu ful mɛdikal istri .
- Ɔl di mɛrɛsin dɛn we yu de tek naw. Dis inklud prɛskrishɔn, mɛrɛsin dɛn we dɛn kin bay we dɛn nɔ de bay, ɛbul sɔpɔtmɛnt, ɛn vaytamɛn dɛn. Sɔm mɛrɛsin dɛn, mɔ di wan dɛn we de mek blɔd tan, dɛn fɔ stɔp bikɔs dɛn de mek di blɔd bɔku.
- Ɛni alɛji we dɛn no se yu gɛt.
Yu go gɛt klia instrɔkshɔn bɔt ustɛm fɔ stɔp sɔm patikyula mɛrɛsin dɛn ɛn ustɛm fɔ bigin fast (avɔyd fɔ it ɛn drink) bifo dɛn du yu ɔpreshɔn.
Aw dɛn kin du di ɔpreshɔn?
Tri men we dɛn de we dɛn kin du am: ɔpreshɔn we dɛn kin du opin wan, ɔpreshɔn we dɛn kin du wit laparoskopik, ɛn we dɛn kin yuz rɔbɔt fɔ du ɔpreshɔn.
| Di we aw dɛn kin du di ɔpreshɔn | Aproch ɛn Advantej dɛn |
|---|---|
| Opin Ɛminfrɛktɔmi | di sכjaman de mek wan insishכn we de lεk 12 inch along di sayd bitwin di rib dεm εn di hip, we de alaw fכ akses dairekt to di kidni fכ pul di pat we nכ de wok. |
| Laparoskɔpik Ɔpreshɔn | Bifo dɛn kɔt wan big say, dɛn kin mek sɔm smɔl smɔl pankchɔ dɛn. Dɛn kin put kamɛra (laparoskɔp) ɛn spɛshal inschrumɛnt dɛn fɔ mek dɛn pul am. Dis kin mek yu gɛt smɔl smɔl skata dɛn ɛn yu kin wɛl kwik kwik wan. |
| Rɔbɔt Ɔpreshɔn | I tan lɛk laparoskɔpi, bɔt yu dɔktɔ de kɔntrol di rɔbɔt an dɛn wit ay prɛsishɔn, we de alaw fɔ mek dɛn ebul fɔ du di wok kɔrɛkt wan we dɛn de du di ɔpreshɔn. |
Bifo di ɔpreshɔn bigin, di dɔktɔ we de anestez go gi yu jenɛral anestezi , ɛn mek shɔ se yu de slip ɛn nɔ fil pen. Dɛn go put wan urinary catheter (Foley catheter) bak fɔ mek di blad nɔ ɛmti. Di tin we dɛn kin du kin tek tu to tri awa .
Wetin kin apin afta dɛn dɔn du di ɔpreshɔn, ɛn ustɛm di pɔsin kin wɛl?
Dɛn go de wach yu na di rum fɔ wɛl te yu wek ɛn yu vital dɛn stebul. Dɛn go gi yu mɛrɛsin fɔ mɛn yu pen as nid de.
Di tɛm fɔ wɛl dipen pan di we aw dɛn de du di ɔpreshɔn:
- Fɔ fala laparoskopik ɔ rɔbɔt ɔpreshɔn , yu kin ɔltɛm go bak to nɔmal aktiviti dɛn insay 4-6 wik .
- fכlכ di opin כpεrayshכn , ful rεkכvεshכn kin tek 8-12 wik .
We yu de wɛl, yu dɔktɔ go ɛnkɔrej fɔ waka layt fɔ mek yu blɔd go bifo ɛn fɔ mek yu nɔ gɛt prɔblɛm dɛn lɛk blɔd we de klɔt ɔ nyumonia. Bɔt yu fɔ avɔyd fɔ es ɛnitin we ebi pas 4.5kg (we na lɛk wan galɔn wata wet) .
Di tin dɛn we yu fɔ tink bɔt fɔ it
Yɛs. Fɔ di fɔs 4 wik, aim fɔ drink 6-8 glas wata ɛvride ɛn pe atɛnshɔn pan it dɛn we izi fɔ digest, we saf. Dɛn kin advays yu fɔ avɔyd sɔm it dɛn te yu bɔdi kam bak to nɔmal.
| Fɔd dɛn we dɛn kin advays | Fɔd dɛn we yu fɔ avɔyd |
|---|---|
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Ustɛm fɔ Kɔntakt Yu Dɔktɔ Wantɛm wantɛm
If yu gɛt ɛni wan pan dɛn tin ya afta dɛn dɔn du yu ɔpreshɔn, duya kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt we de nia yu .
- I nɔ kin izi fɔ yu fɔ blo
- Blɔd we de kɔmɔt pasmak na di say we dɛn kɔt am
- Separeshɔn fɔ di wund ed dɛn
- Sayn dɛm fɔ infekshɔn: Dis inklud fɔ rɛd, swel, pepul/brawn/blak kɔlɔ we de chenj rawnd di sayt, fiva, ɔ dischaj wit bad bad smel.
- Pen we yu nɔ go ebul fɔ bia ɔ we de wɔs
- Pen na di leg dɛn
- Blɔd we de na yu urine
I nɔmal fɔ lɛ pɔsin wɔri bɔt ɔpreshɔn. Kwɛshɔn dɛn lɛk, "Di ɔpreshɔn go bi saksesful?" ɔ "Wetin fɔ du if mi sik dɛn wɔs?" na natura l tin dɛn. Tray fɔ pe atɛnshɔn pan di fayn tin we go apin: "Aw mi kwaliti layf go bɛtɛ afta dis?" ɔ "Dis go dɔn dɔn dɛn infɛkshɔn dɛn we de kam bak?" If yu chenj di we aw yu de si tin, dat kin ɛp yu fɔ fil fayn we yu de wɛl.
Ki Takeaways frɔm Nirogi Lanka
- εminεfrεktכmi na we dεn de pul di pat we nכ de wok na di kidni nכmכ, we de kip di pat we gεt hεlth.
- Dɛn kin du dis ɔpreshɔn mɔ fɔ adrɛs di kɔmplikeshɔn dɛn we kin kɔmɔt frɔm wan kɔndishɔn we dɛn bɔn wit we dɛn kɔl Duplex Kidney.
- Dipen pan yu patikyula kes, dɛn kin du ɔpreshɔn as opin, laparoskopik, ɔ rɔbɔt. Di tɛm we yu go gɛt fɔ wɛl go difrɛn bay di we aw dɛn yuz am.
- Fɔ fala di instrɔkshɔn dɛn we yu dɔktɔ gi yu afta yu dɔn ɔpreshɔn, mɔ we i kam pan aw yu de it ɛn di tin dɛn we yu nɔ fɔ es ebi ebi tin dɛn.
- Go to dɔktɔ kwik kwik wan if yu notis sayn dɛn we de wɔn yu lɛk we yu nɔ ebul fɔ blo fayn, we yu de blɔd bad bad wan, ɔ sayn dɛn we de sho se yu gɛt di sik.
- Ɔltɛm fil fri fɔ tɔk opin wan wit yu mɛdikal tim bɔt ɛni kwɛstyɔn ɔ wɔri we yu gɛt; wi de ya fɔ sɔpɔt yu fɔ wɛl.
Heminephrectomy, Kidni Ɔpreshɔn, Dupleks Kidni, Kidni Sik, Ɔpreshɔn Prɔsidyu, Vesicoureteral Rifluks, Ureterocele
