As wi de ol, mɔ afta wi dɔn ol 50-60 ia, wan kɔmɔn bɔt sɔm kayn wɛlbɔdi prɔblɛm we bɔku pan wi man dɛn kin gɛt na di nid fɔ pis bɔku tɛm. Nɔto na de nɔmɔ, bɔt na nɛt bak, wi fɔ grap tu ɔ tri tɛm we wi nɔ ivin slip fayn. Sɔntɛnde we wi go pis, i nɔ kin izi fɔ bigin, di flɔ kin slo, ɛn ivin afta wi dɔn, wi kin fil lɛk se mɔ de. Yu sabi dɛn sayn ya? Dɔn di men rizin fɔ dis kin bi bikɔs yu prɔstat gland ɔ `(Prostate)` gland dɔn big smɔl. dis dεn kכl am `(Benign Prostatic Hyperplasia)` כ `(BPH)` fכ sכt insay mεdikal sayns. So, insay dis atikul, wi de tɔk bɔt wan rili saksesful, mɔdan laser ɔpreshɔn we de naw fɔ dis anɔynt kɔndishɔn.
Fɔ tɔk am simpul wan, wetin na HoLEP?
di ful minin fכ HoLEP na `(Holmium Laser Enucleation of the Prostate)`. Pan ɔl we di nem kɔmplikt smɔl, wetin kin apin pan dis rili simpul. imajin se di prכstat gland de rawnd di tכb (`(Urethra)`) we di urine de kכmכt na yu blad. if na BPH, dis gland de gro sכmtεm εn i de blכk da urethra de. I tan lɛk se pɔsin de swɛt wata paip. Na da tɛm de i kin at fɔ mek di urine kɔmɔt.
So HoLEP na ɔpreshɔn we dɛn kin yuz ay-tek lɛsa bim fɔ pul di prɔstat tisu we pasmak we de blok di yuretra fayn fayn wan. di big tin fכ dis na dat na ``minimally invasive`` כpεrayshכn. dat min se dεn kin du dis כpεrayshכn bay we dεn de put wan dilik instrכmεnt tru di urethra, we dεn nכ mek big say na di bεlε. So, di strɛs pan di bɔdi nɔ kin bɔku, ɛn di tɛm fɔ wɛl kin rili fast.
Udat nid fɔ gɛt HoLEP ɔpreshɔn?
Nɔto ɔlman we gɛt prɔstat we dɔn big nid fɔ gɛt ɔpreshɔn. Bɔrku pipul kin ebul fɔ kɔntrol dɛn sik wit mɛrɛsin. Bɔt sɔm tɛm dɛn de, i bɛtɛ fɔ mek dɛn du ɔpreshɔn pan am. Na sɔm tin dɛn we yu dɔktɔ go tɛl yu fɔ du ɔpreshɔn:
- If yu sik nɔr dɔn kɔmɔt wit mɛrɛsin.
- If de sik de ambɔg bɔrku pan ɛvride layf.
- If yu gɛt urinary tract infection (UTI) bɔku tɛm.
- If blad ston dɛn de divɛlɔp.
- If di kidni dɛn afɛkt bikɔs dɛn nɔ de pis fayn.
Dis dɔŋ ya na sɔm pan di sayn dɛm wae kin kam wit BPH.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| I nɔ kin izi fɔ yu fɔ pis | I nɔ izi fɔ bigin fɔ pis. |
| Wik urine strim | di spid εn fכ fכlכ di urine strim de dכn, i de stכp εn lik. |
| Fɔ pis bɔku tɛm | Fɔ gɛt fɔ grap bɔku tɛm, mɔ na nɛt. |
| I nid fɔ pis kwik kwik wan | Wantɛm wantɛm nid fɔ pis ɛn pas smɔl urine bifo yu go na tɔylɛt. |
| Infεkshכn na di urinary tract | Bɔn ɔ pen we yu de pis. |
Wetin yu fɔ du bifo dɛn du yu ɔpreshɔn?
If yu disayd fɔ du HoLEP ɔpreshɔn, yu dɔktɔ go tek tɛm chɛk yu. Bɔku tɛm, dis go gɛt dɛn tin ya:
- Mɛdikal histri: Di dɔktɔ go aks yu bɔt ɔda sik dɛn we yu gɛt ɛn di mɛrɛsin dɛn we yu de tek.
- Fɔ chɛk di bɔdi: Dɛn kin du spɛshal ɛgzamin fɔ no di sayz fɔ di prɔstat gland.
- Lab test: Dɛn kin du blɔd tɛst fɔ chɛk di lɛvɛl we PSA (Prostate-Specific Antigen) de na di blɔd ɛn urine test (Urinalysis) fɔ chɛk fɔ urinary tract infection.
- Ɔda spɛshal tɛst dɛn: Sɔntɛnde, dɛn kin nid fɔ du dɛn tɛst ya bak.
| Tɛst | Fɔ tɔk am simpul wan, . |
|---|---|
| Test fɔ mek yu urine flɔ | Mekɔp di spid ɛn volyum we yu urine de rɔn. |
| Skan dɛn | wan ɔltra saund ɔ CT skan fɔ chɛk di sayz ɛn shep fɔ di prɔstat. |
| Sistoskɔpi we dɛn kin du | fכ put sכmכl kεmεra tru di urethra fכ egzamin insay di blad εn di prכstat. |
| Yurodaynamiks we de wok | Wan spɛshal tɛst fɔ no aw di blad de wok ɛn di prɛshɔn. |
Di tin we impɔtant pas ɔl na fɔ tɛl yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek, mɔ di wan dɛn we de mek yu blɔd tan. Dɛn kin aks yu fɔ stɔp fɔ tek dɛn sɔm dez bifo dɛn du di ɔpreshɔn. Yu nɔ fɔ it ɔ drink ɛnitin bak afta midulnɛt di de bifo di ɔpreshɔn.
Aw dɛn kin du di ɔpreshɔn stɛp bay stɛp
Dɛn kin du HoLEP ɔpreshɔn ɔnda jenɛral anestezi, we min se yu dɔn slip ɔl. Dis min se yu nɔ go fil ɛnitin. Fɔ sɔm pipul dɛn, dɛn kin du am wit wan spɛshal anestetik we de mek di bɔdi nɔmɔ we de dɔŋ di bɔdi nɔ gɛt bɛtɛ trɛnk.
Dis na di men tin dɛn we dɛn kin du fɔ du di ɔpreshɔn:
1. Anestezi: Afta yu dɔn slip ɔl, dɛn go put yu na di rayt say na di ɔpreshɔn rum.
2. Fɔ put di inschrumɛnt insay: Di dɔktɔ we de du di ɔpreshɔn kin put wan tin we dɛn kɔl rɛsɛktoskɔp, we gɛt kamɛra na di ɛnd, tru yu urethra. dis kamɛra de mek yu si di prɔstat gland klia wan na skrin.
3. Yuz laser: Neks, dɛn kin sɛn wan laser bim tru di divays. dis lεzεr dεn de yuz fכ kכt fayn fayn wan di εkstra tisu na di prכstat gland we de blכk di urethra εn separet am frכm di men gland. Dɛn kɔl dis `(Enucleation)`. Wan bɛnifit we di lɛsa gɛt na dat i kin sidɔm di blɔd vesel dɛn we de kɛr blɔd we i de kɔt di tisu. So, blɔd kin rili smɔl.
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5. 5. .Tisu egzamin: Dɛn kin sɛn di tisu sɛmpul dɛn we dɛn pul fɔ mek dɛn go tɛst dɛn na lɛbɔretri fɔ si if ɛnitin de we nɔ fayn, lɛk di kansa sɛl dɛn.
6. Kateshɔn: Fɔ dɔn, dɛn kin pul ɔl di ɔspitul inschrumɛnt dɛn ɛn put kateshɔn fɔ urinary fɔ ɛp fɔ mek di urine kɔmɔt fayn fayn wan.
Dis ɔpreshɔn kin tek lɛk wan to tri awa so, we kin difrɛn difrɛn wan bay di sayz we yu prɔstat gɛt.
Wetin fɔ ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Afta di ɔpreshɔn, yu go de na di rum usay dɛn de wɛl fɔ sɔm awa ɛn bɔku tɛm yu kin go na os di sem de ɔ di nɛks de. Yu go jɔs nid fɔ de na ɔspitul fɔ wan ɔ tu dez if ɛni blɔd de kɔmɔt.
Dɛn tin ya nɔmal afta dɛn dɔn du ɔpreshɔn:
- Kateshɔn: Dɛn go sɛn yu na os wit kateshɔn insay in ples. Bɔku tɛm, dɛn kin pul dis kateshɔn di nɛks de. If yu ebul fɔ pis fayn tu ɔ tri tɛm afta dɛn dɔn pul di kateshɔn, prɔblɛm nɔ de. If nɔto so, yu go nid fɔ put kateshɔn bak insay sɔm dez.
- Pen ɛn bɔn: I nɔmal fɔ fil sɔm pen ɛn bɔn we yu de pis na di fɔs tɛm. Di dɔktɔ go gi yu mɛrɛsin fɔ mek yu fil pen fɔ dis.
- Blɔd na di urine: I nɔmal fɔ gɛt smɔl blɔd na yu urine we miks wit pink ɔ layt rɛd fɔ sɔm wiks. Nɔ wɔri bɔt am. Dis kin difrɛn difrɛn wan bay aw yu de du ɛn aw bɔku wata yu de drink.
- Drink wata: Afta yu dɔn pul di urethral catheter, yu fɔ drink bɔku wata . Dis go ɛp di blɔd we de na yu urine fɔ go dɔŋ kwik kwik wan.
- Kɔntrol: I kin at smɔl fɔ kɔntrol yu urine fɔs. Yu kin lik sɔm drop dɛn we yu de laf, kɔf, ɔ es sɔntin we ebi. Dis go dɔn insay sɔm wiks. Yu dɔktɔ kin se yu fɔ du Kegel ɛksɛsayz fɔ ɛp wit dis.
- Di sayn dɛm: Di sayn dɛm lɛk fɔ pis ɔltɛm ɛn fɔ pis kwik kwik wan kin tek sɔm mɔnt fɔ mek i rili impɔtant, bikɔs di blad kin tek sɔm tɛm fɔ ajɔst to dis nyu tin.
Di bɛnifit dɛn, di bad tin dɛn we kin apin to am, ɛn di prɔblɛm dɛn we kin apin
Lɛk ɛni ɔpreshɔn, HoLEP gɛt bɛnifit dɛn ɛn bak smɔl risk ɛn sayd ɛfɛkt dɛn.
| Advantej ɛn disavantej fɔ HoLEP ɔpreshɔn | |
|---|---|
| Di bɛnifit dɛn we pɔsin kin gɛt | |
| No kot nɔ de. | Bikɔs no kɔt nɔ de na di skin, i kin wɛl kwik kwik wan. |
| I fayn fɔ ɛni saiz | I kin wok fayn ivin fɔ big prɔstat. |
| Dɛn kin ridyus di ɔspitul we dɛn kin go na ɔspitul. | Bɔku tɛm, na jɔs wan nɛt we yu de na ɔspitul kin du fɔ yu. |
| Blɔd nɔ kin bɔku | Laser teknɔlɔji de mek blɔd nɔ bɔku ɛn i nɔ kin izi fɔ mek dɛn gi pɔsin blɔd. |
| Low risk fɔ mek i kam bak | Bikɔs dɛn kin pul bɔku bɔku tisu, di chans fɔ mek dɛn gɛt ɔda ɔpreshɔn nɔ kin rili bɔku. |
| Sayd Ifɛkt & Risk dɛn | |
| Inflameshɔn/blɔd we de kɔmɔt fɔ sɔm tɛm | Bɔn we yu de pis ɛn blɔd we de na di urine go dɔn insay sɔm wiks. |
| Retrogrɛd Ɛjakuleshɔn | Dis na di sayd ɛfɛkt we dɛn kin gɛt mɔ. we yu de ejakul we yu de du mami ɛn dadi biznɛs, di sεmεn nɔ de kɔmɔt bכt insted i de go insay di blad. dis dεn kכl am bak "dray ejakulεshכn". I nɔ gɛt ɛni ɛfɛkt pan mami ɛn dadi biznɛs ɔ di erection. Bɔt if yu de op fɔ gɛt bɛlɛ, yu fɔ tɔk bɔt dis wit yu dɔktɔ bifo di ɔpreshɔn. |
| Infεkshכn dεm | Jɔs lɛk ɛni ɔpreshɔn, smɔl risk de fɔ mek pɔsin gɛt infekshɔn na di urinary tract. |
| Wik kɔntrol fɔ urinary | Fɔ bɔku pipul dɛn, dis na fɔ shɔt tɛm nɔmɔ ɛn i nɔ kin te fɔ lɔng tɛm. |
Aw lɔng i go tek fɔ mek i wɛl?
Rikɔvayshɔn afta HoLEP ɔpreshɔn kin rili kwik.
- Waka ɛn Drayv: Yu kin waka di sem de afta dɛn dɔn du di ɔpreshɔn. Yu kin bigin fɔ drayv bak insay sɔm dez.
- Fɔ go bak na wokples: If yu gɛt ɔfis wok, yu kin go bak na wokples insay wan ɔ tu wiks. If yu gɛt wok we de mek yu at pwɛl, yu go nid fɔ rɛst fɔ sɔm tɛm.
- Ɛksesaiz ɛn fɔ es di wet: Nɔ es di wet we pas 5 kg fɔ at le tu wiks. Nɔ du ɛksɛsayz we yu de du tranga wan lɛk fɔ rɔn fɔ at le tu wiks.
- Speshal wɔnin: I impɔtant fɔ avɔyd fɔ du tin dɛn lɛk fɔ rayd baysikul ɛn fɔ rayd motoka fɔ at le siks wiks .
Ustɛm yu nid fɔ tɔk to di dɔktɔ?
Pan ɔl we sɔm tin dɛn nɔmal afta dɛn dɔn du yu ɔpreshɔn, yu fɔ go to yu dɔktɔ wantɛm wantɛm if yu si ɛni wan pan dɛn tin ya:
- If yu gɛt big big blɔd na yu urine ɔ if yu urine tɔn dak rɛd kɔlɔ lɛk tomato sos .
- If di fiva pas 101°F (38°C).
- If yu gɛt siriɔs pen we yu nɔ go ebul fɔ kɔntrol ivin wit pen kil.
- If yu nɔ ebul fɔ pis .
Wetin na di difrɛns bitwin HoLEP ɛn TURP?
Yu go dɔn yɛri bak bɔt wan ɔpreshɔn we dɛn kɔl TURP (Transurethral Resection of the Prostate). Dis na ɔda ɔpreshɔn fɔ pul wan prɔstat we dɔn big. Di men difrɛns na di we aw dɛn kin pul di tisu. Insay TURP, insted ɔf lɛsa, dɛn kin kɔt sɔm pat dɛn pan di tisu bay we dɛn de yuz ilɛktrik waya.
Bɔku tɛm dɛn kin tek HoLEP ɔpreshɔn se i go bɛnifit pas TURP bikɔs i nɔ kin gɛt bɔku blɔd, i kin de na ɔspitul fɔ shɔt tɛm, ɛn i nɔ kin mek di prɔstat gro bak ɛn i nɔ nid fɔ gɛt ɔpreshɔn. Bɔt yu dɔktɔ go disayd us ɔpreshɔn we go fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- HoLEP na wan ɔpreshɔn we dɛn kin du wit lɛsa we rili gɛt sakrifays, we sef, ɛn we dɛn de du tide fɔ benign prostatic hyperplasia (BPH).
- Bikɔs dɛn kin du dis we dɛn nɔ kɔt big say, di tɛm we pɔsin kin wɛl kin rili kwik ɛn di prɔblɛm dɛn we kin apin nɔ kin bɔku.
- I nɔmal fɔ gɛt smɔl blɔd na yu urine ɛn bɔn fɔ sɔm wiks afta dɛn dɔn du di ɔpreshɔn. Dis nɔto natin we wi fɔ fred bɔt.
- Pan ɔl we di retrograde ejaculation na wan kɔmɔn sayd ɛfɛkt, i nɔ de afɛkt di satisfayshɔn pan mami ɛn dadi biznɛs.
- Tɔk opin wan wit yu dɔktɔ bifo ɛn afta di ɔpreshɔn bɔt ɛnitin we de mɔna yu ɔ dawt we yu gɛt.
- Fɔ fala di dɔktɔ in instrɔkshɔn dɛn jɔs fɔ mek yu wɛl kwik ɛn kɔmplit wan.
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