As man dɛn de ol, i kin at fɔ pis smɔl , nɔto so? di urethra kin wik, nid de fכ pis bכku tεm, כ i kin fil lεk se i nכ kin finish. Di men rizin fɔ dis na bikɔs di prɔstat gland big smɔl. Wi kin kɔl dis kɔndishɔn BPH ( Benign Prostatic Hyperplasia ). So tide wi de tɔk bɔt di laytst, mɔs sakrifays ɛn sef tritmɛnt fɔ dis.
Fɔ tɔk am simpul wan, wetin na HoLEP ɔpreshɔn?
HoLEP (dεn kin kכl am ‘ho-lep’) na spεshal lεzεr prosidכs we de trit di urinary obstrכkshכn dεm we kכz fכ wan big prכstat. Tink bɔt yu prɔstat lɛk rɔba band we de rawnd wata paip. As yu de ol, di gland de swel ɛn big, we de put prɛshɔn pan da wata paip de (yu urethra). Dis kin mek i nɔ izi fɔ pis.
HoLEP ɔpreshɔn involv fɔ put lɛsa bim along di urethra wit smɔl kamɛra, we nɔ gɛt ɛni insayshɔn, fɔ tek tɛm pul di ɛksɛs tisu na di prɔstat we de ambɔg di urine fɔ flɔ. Bikɔs no say nɔ de na di skin , di tɛm we pɔsin kin wɛl kin rili shɔt.
Wetin na di kɔmɔn sayn dɛm fɔ BPH?
Luk fɔ si if yu gɛt ɛni wan pan dɛn sik ya. If yu gɛt wan ɔ mɔ pan dɛn tin ya, i rili impɔtant fɔ tɔk to yu dɔktɔ.
| Di sayn we de sho se di sik de | Fɔ tɔk am simpul wan... |
|---|---|
| I nɔ kin izi fɔ yu fɔ pis | I kin tek sɔm tɛm fɔ bigin fɔ pis, ɛn yu fɔ pis. |
| Wik urine strim | Di urine de flɔ sloslo, ɛn di ed dɛn kin tan. |
| Stɔp ɛn stɔp.We yu de pis | We yu de pis, i kin stɔp wantɛm wantɛm ɛn afta dat i kin bigin bak. |
| Infεkshכn na di urinary tract | Yu kin fil bɔn ɔ pen we yu de pis. |
| Nid fɔ pis bɔku tɛm | Fɔ pis bɔku tɛm insay di de ɛn na nɛt. |
| Urinary incontinence | As di urine de ebi, i kin at fɔ ol am insay, ɛn i kin kɔmɔt smɔl bifo i go na tɔylɛt. |
Di impɔtant tin na dat, benign prostatic hyperplasia (BPH) nɔto kansa , bɔt if dɛn nɔ trit am, i kin mek i gɛt prɔblɛm dɛn lɛk urinary tract infection ɛn blad ston.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
If yu dɔktɔ disayd se yu fit fɔ gɛt HoLEP ɔpreshɔn, yu go nid fɔ du sɔm tɛst dɛn bifo dɛn du di ɔpreshɔn. Dɛn kin du dɛn tin ya fɔ no di sik we yu gɛt kɔrɛkt wan.
- Fɔ go to dɔktɔ: Di dɔktɔ go aks yu bɔt yu mɛdikal istri ɛn chɛk yu prɔstat.
- Blɔd ɛn urine tɛst: Apat frɔm di rutin blɔd tɛst , dɛn kin du PSA (Prostate-Specific Antigen) tɛst.
- Urinary flow tests: Test dεm we de mכsu di spid εn volyum fכ yu urine strim.
- Skan : We yu yuz ɔltra saund ɔ CT skan, i kin no di sayz fɔ di prɔstat gland kɔrɛkt wan.
- Sistoskopi: dεn de pas wan tin tכb we gεt sכmכl kεmεra tru di urethra fכ egzamin insay di prכstat εn blad.
- Urodynamics test: Na spɛshal tɛst we de chɛk aw yu blad de wok.
Dɛn go aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn we de mek yu blɔd tan (e.g., Aspirin, Clopidogrel) lɛk 10 dez bifo di ɔpreshɔn. Yu fɔ avɔyd bak fɔ it ɔ drink afta midnayt di nɛt bifo di ɔpreshɔn. Yu dɔktɔ go ɛksplen ɔl dis to yu klia wan.
Aw dɛn kin du HoLEP ɔpreshɔn?
Nɔ mek yu fred fɔ dis. Yu nɔ go fil ɛnitin. Dɛn kin du di wan ol ɔpreshɔn ɔnda jenɛral anestezi, we min se yu dɔn slip ɔl. Ɔ yu kin mek dɛn du am wit wan spɛshal anestetik we de mek yu nɔ gɛt bɛtɛ trɛnk jɔs di say we de dɔŋ yu wes.
1. afta dεn dכn anεsthεz yu, di dכkta go put wan tin instrכmεnt we dεn kכl `rεsεktכskop` dכn yu urethra. Dis gɛt kamɛra pan am so dat yu go si di prɔstat gland klia wan.
2. nεks, dεn de sεnd wan lεzεr bim tru di divays, we de kכt di εkstra tisu na di prכstat gland we de mek di urine fכ fכlכ fayn fayn wan. Na di sem tɛm, dɛn kin sial di blɔd vesel dɛn we kin kɛr blɔd bak wit dis lɛsa.
3. afta dat dεn kin pul di lεzεr, εn dεn kin put כda tin we dεn kכl `morcellator`, we de sכk כl di tisu pat dεm we dεn kכt εn pul dεm na di bכdi.
4. I rili impɔtant: Dɛn go sɛn di tisu we dɛn pul dis kayn we fɔ mek dɛn du tɛst na lɛbɔtri (bayopsi) fɔ si if ɛnitin de we nɔ nɔmal, lɛk di kansa sɛl dɛn.
5. Fɔ dɔn, dɛn kin pul ɔl di inschrumɛnt dɛn ɛn put wan urinary catheter.
Dis ɔpreshɔn kin tek bitwin 1 ɛn 3 awa.
Wetin kin apin afta di ɔpreshɔn? Aw di tɛm we pɔsin kin wɛl kin bi?
Bɔku tɛm, yu kin go na os di sem ivintɛm we dɛn du di ɔpreshɔn. Sɔntɛnde, yu kin gɛt fɔ de na ɔspitul fɔ wan de.
- Kateta: Dɛn kin pul di kateshɔn we dɛn put afta dɛn dɔn du di ɔpreshɔn di nɛks de. We dɛn dɔn pul di kateshɔn, yu kin go na os if yu ebul fɔ pis fayn fayn wan. I nɔmal fɔ mek yu gɛt sɔm bɔn, pen, ɛn pis ɔltɛm.
- Blɔd we de na yu urine: I nɔmal fɔ mek yu urine pink wit smɔl blɔd fɔ sɔm wiks . Nɔ wɔri bɔt am. Di mɔ wata we yu de drink, na di mɔ yu urine go klia.
- Kɔntrol: Fɔs, i kin at fɔ kɔntrol di urine. Dis min se smɔl smɔl urine kin lik we yu laf ɔ kɔf. as di dכkta se, fכ du `Kegel εksεsayz` (εksεsayz dεm we de tayt di mכsul dεm na di lכw bכdi) kin εp bכku. Dis sik go ɔlmost bɛtɛ insay sɔm wiks.
- Rɛst: Yu kin waka ɛn drayv di de afta dɛn du di ɔpreshɔn. Bɔt nɔ du tin dɛn we tranga lɛk fɔ es wet ɔ fɔ rɔn fɔ tu wiks . Nɔ rayd baysikul ɔ motoka fɔ siks wiks .
Benefit, sayd effekt, ɛn risk fɔ HoLEP ɔpreshɔn
We yu kɔmpia am wit ɔda ɔpreshɔn dɛn, HoLEP gɛt bɔku bɛnifit dɛn. Bɔt lɛk ɔl di ɔpreshɔn dɛn, sɔm smɔl smɔl prɔblɛm dɛn de ɛn sɔm bad bad tin dɛn we kin apin.
| Di bɛnifit dɛn we pɔsin kin gɛt | Sayd Ifɛkt & Risk dɛn |
|---|---|
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Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
If yu gɛt ɛni wan pan dɛn tin ya afta dɛn dɔn du yu ɔpreshɔn, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- If yu urine dak rɛd, lɛk tomato sos, ɛn i gɛt blɔd we de klɔt.
- Fiva (we pas 38 Sɛlshiɔs / 101 Fɛnayt).
- If yu gɛt siriɔs pen we nɔ de stɔp ivin afta yu dɔn tek mɛrɛsin.
- If yu nɔ ebul fɔ pis atɔl.
Mɛsej we dɛn kin kɛr go na os
- HoLEP na wan rili sef, mɔdan laser ɔpreshɔn fɔ urinary prɔblɛm dɛn we kin kam bikɔs ɔf wan big prɔstat (BPH).
- Bikɔs nɔ kɔt nɔ de na di skin, i kin wɛl kwik kwik wan.
- I nɔmal fɔ mek yu urine pink fɔ sɔm wiks afta dɛn dɔn du di ɔpreshɔn. Nɔ wɔri bɔt am ɛn drink bɔku wata.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu bifo dɛn du yu ɔpreshɔn.
- I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn ɛksaktɔli fɔ mek yu wɛl kwik kwik wan.
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