Yu dɔn ɛva gɛt ston na yu kidni ɛn yu dɔn gɛt di bad bad pen we i de mek yu fil? Ɔ yu dɔn si yu fambul ɔ yu padi de sɔfa wit dis pen? Fɔ tru, na pen we rili at fɔ bia. So, tide de tritmεnt dεm we rili advans fכ pul ston dεm we de fכm na di urinary system. Wan pan dɛn kayn tritmɛnt ya we bɔku pipul dɛn kin tɔk bɔt, ɛn we kin rili wok fayn, na fɔ yuz lɛsa bim fɔ krɔs ɛn pul dɛn ston ya. Lɛ wi tɔk bɔt dis ditayli tide.
Fɔ tɔk am simpul wan, wetin na Laser Lithotripsy?
Laser Lithotripsy na wan mɛrɛsin we de yuz ay pawa laser fɔ brok ɛn pul ston dɛn na yu urinary tract. Dis kin min yu ɔl yu urinary tract, we inklud yu kidni dɛm, di tyub dɛm we de kɛr urine frɔm di kidni dɛm to di blad (ureters), di blad, ɛn di tyub we de kɛr urine frɔm di blad to di ɔdasay na di bɔdi (urethra) . Dis we aw dɛn kin du am kin pul ston dɛn ɛnisay na di rod.
Imajin se dɛn de sɛn lɛsa bim tru wan fayn fayn tiub, we nɔ big pas ia, to di rayt say we di ston de ɛn brok am. Bɔku tɛm, na dɔktɔ we de mɛn yu urolɔg kin du dis. I kin put wan tiub (skɔp) we rili fleksibul, we tan lɛk tin we gɛt kamɛra we dɛn tay insay, dɔŋ yu urethra, ɛn fɛn di ston. Dɔn i kin sɛn wan lɛsa fayv tru di tiub, shayn di lɛsa bim pan di ston, ɛn brok am to smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Fɔ dɔn, dɛn kin pul di ston wit wan rili smɔl tin we tan lɛk baskɛt.
Wan pan di big bɛnifit dɛn we dis we ya de du na dat i nɔ nid fɔ kɔt big say ɛnisay na di bɔdi. Ɔltin kin apin bay insɛf along di urinary tract.
sכmtεm, fכ pul di big big kidni ston dεm, dεn kin du כpεrayshכn we dεn kכl ``percutaneous nephrolithotomy`` tru wan sכmכl insishכn na di bak. Ivin da tɛm de, tɛm dɛn de we dɛn kin yuz dis lɛsa fɔ brok di ston wans dɛn dɔn put am insay.
Dis na big ɔpreshɔn?
Nɔ. Dɛn kin tek Laser Lithotripsy as sɔntin we nɔ kin tek bɔku pipul dɛn . So, wi nɔ de si am as big, siriɔs ɔpreshɔn.
Wetin na di difrɛns bitwin Laser Lithotripsy ɛn Shock Wave Lithotripsy?
Yu go mɔs dɔn yɛri bɔt dɛn tu we ya. Pan ɔl we di gol fɔ dɛn ɔl tu na fɔ krɔs rɔk dɛn, big difrɛns de pan aw dɛn kin du dɛn. Fɔ ɔndastand dis difrɛns, luk na di tebul we de dɔŋ ya.
| Di kwaliti we pɔsin gɛt | Laser Litɔtripsi we dɛn kin yuz | Shok Wɛv Litɔtripsi (ESWL) . |
|---|---|---|
| Aw i de wok | I kin go dip insay di bɔdi ɛn yuz lɛsa bim fɔ nak di ston dairekt wan ɛn krɔs am. | Frɔm ɔdasay na di bɔdi, dɛn kin sɛn shɔk wev dɛn we gɛt bɔku ɛnaji tru di skin ɛn brok di ston. |
| Go bifo | Rili ay. I kin wok fayn ivin fɔ big ston dɛn we at. | Saksesful, bɔt sakses kin bi less dipen pan di saiz, di say we di ston de, ɛn di had we i at. |
| Anestesia we dɛn kin yuz fɔ mɛn pipul dɛn | Bɔku tɛm, dɛn kin nid fɔ yuz jenɛral anestezi. | Bɔku tɛm, di mɛrɛsin dɛn we de mek pɔsin fil pen ɛn di tin dɛn we dɛn kin yuz fɔ mek pɔsin fil fayn, na in nɔmɔ go du fɔ am. |
| Denja | sכm risk de (e.g., injuri to di urethra) biכs dεn de put di divays dεm insay di bכdi. | Di risk fɔ mek di bɔdi pwɛl insay di bɔdi nɔ bɔku, bɔt i kin gɛt smɔl damej pan di tisu dɛn we de rawnd am. |
Fɔ tɔk am simpul wan, Laser Lithotripsy na di we we go wok pas ɔl fɔ mek ston dɛn we tu big, we at, ɔ we de na say we kɔmpleks smɔl fɔ mek shɔk wev brok dɛn.
Wetin kin apin bifo dɛn du di ɔpreshɔn ɛn we dɛn de du di ɔpreshɔn?
Fɔ pripia bifo dɛn gɛt tritmɛnt
Yu dɔktɔ go gi yu klia instrɔkshɔn bifo dis tritmɛnt. I rili impɔtant fɔ fala dɛn instrɔkshɔn ya kɔrɛkt wan fɔ mek yu nɔ gɛt bɔku prɔblɛm dɛn.
- Dɛn go aks yu fɔ nɔ it ɔ drink ɛnitin fɔ 8 awa bifo di ɔpreshɔn (fastin).
- Sɔm mɛrɛsin dɛn we yu kin tek, mɔ di wan dɛn we de mek yu blɔd tanDɛn go tɛl yu fɔ stɔp fɔ tek dɛn fɔ sɔm dez. Nɔ fɔgɛt fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, ivin di vaytamɛn dɛn.
- Afta di ɔpreshɔn, dɛn go aks yu fɔ briŋ pɔsin fɔ kɛr yu go na os bikɔs yu nɔ go ebul fɔ drayv bikɔs ɔf di anestezi.
Sɔntɛnde, if yu ureter smɔl, i kin at fɔ put di inschrumɛnt dɛn wantɛm wantɛm. insay dis kayn kes, di dכkta go fכs put wan tεmporari tyub (wan `ureteral stent`) fכ mek di tiub big, εn afta dat i go schedul wan de fכ laser tritmεnt tu to tri wik afta dat.
Wetin kin apin we dɛn de trit am
- Fɔs, dɛn go ful-ɔp yu anestez ɛn put yu na slip so dat yu nɔ go fil ɛni pen.
- Neks, di dɔktɔ kin put wan tint tiub (skɔp) wit wan kamɛra we dɛn tay tru di urethra.
- Tru da tiub de, dɛn kin sɛn di layz fayv nia di ston.
- Laser bim dɛn kin brok di ston to smɔl smɔl pat dɛn.
- Dɛn kin gɛda dɛn ston dɛn de insay wan fayn fayn baskɛt ɛn pul dɛn kɔmɔt.
- fכ finish, dεn de put wan tεmporari tכb (wan ureteral stent) fכ alaw di rεst ston patikyula dεm εn urine fכ fכlכ izi wan dכn di ureter. Di dɔktɔ kin pul dis na di klinik afta sɔm dez ɔ wik.
- Dɔn dɛn kin pul di skɔp we dɛn dɔn ɛnta.
Dis ɔl dis kin tek lɛk wan ɔ tu awa so .
Wetin kin apin afta dɛn dɔn trit am? Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin?
Afta di tritmɛnt, dɛn go kip yu na wan ɔbzhɔveshɔn wɔd fɔ sɔm tɛm, ɛn afta dat dɛn go alaw yu fɔ go na os afta yu dɔn wek ɔlsay frɔm di anestezi. Dɛn go gi yu mɛrɛsin fɔ mek yu fil pen, mɛrɛsin fɔ ɛnitin we nɔ fayn we di stent go mek yu nɔ fil fayn, ɛn dɛn go gi yu antibayɔtik fɔ sɔm dez fɔ mek yu nɔ gɛt di sik.
| Di bɛnifit dɛn we pɔsin kin gɛt | Sayd Ifɛkt & Risk dɛn |
|---|---|
| Fɔ gɛt wan rili ay sakrifays rɛt. | Pen ɛn diskɔmfɔt we yu de pis. |
| Ridyus risk fɔ ston chips (`steinstrasse`). | Smɔl smɔl blɔd na di urine (hematuria). |
| Di saiz, aw i at, ɛn di say we di ston de, nɔ kin afɛkt am bɛtɛ. | Nɔs ɛn taya we pɔsin kin gɛt we i de anestez. |
| Abiliti fɔ pul sɔm ston dɛn wan tɛm. | di komplikashכn dεm we nכ kin apin: di damej pan di uretra (ureter), urinary tract infεkshכn (UTI). |
| I kin bi ivin di wan dɛn we de tek mɛrɛsin we de mek dɛn blɔd tan ɔ uman dɛn we gɛt bɛlɛ. | Kɔmplikeshɔn dɛn we nɔ kin apin so ɔltɛm: Ston fragmɛnt dɛn kin stɔp na di urinary tract. |
Aw lɔng i kin tek fɔ mek i wɛl?
Bɔku pipul dɛn kin go bak to dɛn nɔmal tin dɛn afta lɛk wan wik so . Bɔt if yu gɛt stent, yu kin fil sɔm pen we yu de ɛksesaiz, es ebi ebi tin dɛn, ɔ pas sɔm blɔd na yu urine. Aks yu dɔktɔ bɔt dis.
Ustɛm yu fɔ go to dɔktɔ?
If yu gɛt ɛni sɔspɛktful sayn afta yu dɔn go na os frɔm tritmɛnt, kɔl yu dɔktɔ wantɛm wantɛm. Yu fɔ no mɔ bɔt dɛn tin ya:
- If yu gɛt ay fiva (we pas 101°F).
- If yu gɛt bɔn we yu de pis fɔ pas tu dez .
- If yu gɛt dak rɛd blɔd na yu urine, ɔ if yu dɔn de pas pink blɔd fɔ pas tu ɔ tri dez.
- If yu de fil pen we yu nɔ go ebul fɔ bia .
- If yu fil se yu dɔn stɔp ɛn yu nɔ ebul fɔ pis .
We dis kayn tin apin, kɔl di dɔktɔ we bin de trit yu wantɛm wantɛm. Ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
Mɛsej we dɛn kin kɛr go na os
- Laser Lithotripsy na wan we we rili wok, we de naw, ɛn we sef we dɛn kin yuz fɔ pul ston dɛn na di urinary system.
- Dis nɔto big ɔpreshɔn. Na smɔl ɔpreshɔn we dɛn kin du we dɛn nɔ kɔt ɛnitin na di bɔdi.
- I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn jɔs bifo ɛn afta di tritmɛnt.
- I impɔtant fɔ drink bɔku wata di tɛm we yu de wɛl afta yu dɔn trit yu.
- If yu gɛt ɛni prɔblɛm, yu nɔ fil fayn, ɔ yu gɛt dawt, nɔ fred fɔ aks yu dɔktɔ.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Wetin na Indigestion / Dyspepsia?
Dis na wetin bɔku pipul dɛn kin kɔl gas (Gastritis)! ‘Indigestion’ na di bɔn/inflameshɔn ɛn blo we yu nɔ go ebul fɔ bia we yu bɛlɛ asid de kam ɔp frɔm di ɔp pat na di bɛlɛ (ɔp di nɛvl) to di chɛst (Atbɔn / GERD) afta yu it ɔ we yu angri. Bɔt sɔmtɛm di pen we dis ‘gas’ kin fil kin 100% lɛk di pen we pɔsin kin gɛt we i gɛt at atak!
💬 Wetin na di men rizin fɔ mek yu bɛlɛ ɛn chɛst de pen/indigest, ivin we yu de it ɔltɛm?
di men tin dεm we kin mek dis apin na: 1) ‘Gastritis / Peptic Ulcer/GERD’ - bikoz fכ nכ it di tεm / asid rεfluks, di bεlε εn di εsophagus kin inflamed (dεn kin bi fכ H. pylori baktri dεm bak). 2) Junk fud, alkol / smok ɛn fɔ drink kɔfi pasmak. 3) Mental strɛs ɛn yus pasmak pan pen kil (Painkillers/NSAIDs - nɔto Panadol, bɔt ɔda wan dɛm).
💬 Wetin na di ‘fatal/emergency situations’ we yu fɔ rɔn go na di imejensi dipatmɛnt na ɔspitul wantɛm wantɛm (we yu gɛt indigestion) instead fɔ tek mɛrɛsin fɔ gas?
Bɔku pipul dɛn we tink se dɛn gɛt gas kin rili gɛt at atak! Di big big denja! If, wit di indigest, yu gɛt 1) ‘kol swet’ ɛn dak kɔmpleks, 2) bɔn na yu chɛst we ‘raydiet to di lɛft an ɔ jaw’, 3) yu de vɔmit blɔd ɛn di blɔd ‘blak lɛk tar (melena)’ wit yu stɔl, yu fɔ go na di ɔspitul in imejensi dipatmɛnt (fɔ gɛt ECG) we yu nɔ de te!
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