We yu de chenj yu nyu pikin in dayapɛt, yu dɔn notis ɛni chenj na in bɔdi? Yu go dɔn notis se di urethra nɔ de na di tip na di penis, bɔt i de dɔŋ smɔl. Nɔ wɔri bɔt dis. Dis na wan sik we kin apin to bɔy pikin dɛn . Tide wi go tɔk bɔt dis sik we dɛn kɔl ‘Hypospadias’ ɛn di ɔpreshɔn we kin kɔrɛkt am.
Wetin na Hypospadias?
Fɔ tɔk am simpul wan, hypospadias na wan sik we kin de we dɛn bɔn am. Nɔmal wan, di bɔy pikin in urethra, we na di tiub we di urine ɛn di swɛt de kɔmɔt, kin dɔn na di tip na di penis . dis opin we di urine de kכmכt na in dεn kכl am di meatus.
כltu, insay pikin we gεt haypospadia, dis urethral opin (`meatus`) de na difrεn ples. Dat na:
- dכn (`Subcoronal`) nia di tip (hed) fכ di penis.
- Na di midul pan di shaft na di penis (`Midshaft`).
- di ples we di penis εn di tεstikul dεm de mit (`Penoscrotal`).
sכm pikin dεm kin gεt dכn kכv bak na di penis we i tinap, we dεn kכl am ‘chordee’. So, dɔktɔ dɛn kin kɔrɛkt dis kɔva bak we dɛn de du hypospadias ɔpreshɔn.
Yu tink se dis ɔpreshɔn nid fɔ ɔlman?
Dis na kwɛstyɔn we bɔku mama ɛn papa dɛn gɛt. Nɔto ɔltɛm i nid fɔ du ɔpreshɔn. I dipen pan aw di pikin in sik tranga. Dis ɔpreshɔn gɛt tu men tin dɛn:
1. Bring di urethral opening to di tip of di penis so dat di pikin kin pis we i tinap stret witout eni difikulti.
2. Fɔ pripia di penis so dat i go ebul fɔ ejakul witout ɛni prɔblɛm we i de du mami ɛn dadi biznɛs insay di fyuchu.
If yu pikin gɛt rili mild hypospadias (fɔ ɛgzampul, if di urethra de rili nia di tip), i nɔ go nid fɔ du ɔpreshɔn. Dis na di bɛst tin fɔ mek yu ɛn yu dɔktɔ disayd togɛda.
Hypospadias na wan sik we kin rili kɔmɔn, i kin afɛkt lɛk 1 pan ɛvri 250-300 man pikin dɛm, so no rizin nɔ de fɔ mek wi wɔri bɔt am we nɔr nid fɔ de.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Bifo di ɔpreshɔn, yu ɛn yu pikinYu go nid fɔ go to dɔktɔ we de mɛn pikin dɛn we de mɛn yu uro . Di dɔktɔ go du dɛn tin ya:
- Fɔ chɛk di pikin in jenɛral wɛlbɔdi: Fɔ chɛk tin dɛn lɛk fiva, puls, ɛn blɔd prɛshɔn .
- Fɔ chɛk yu pikin: Dɛn go chɛk yu pikin in penis fɔ no usay di urethra de. Dɛn go aks yu bɔt di spid we di urine de rɔn, di say we di urine de flɔ, ɛn if ɛnitin de lik.
- Ɔda tɛst dɛn if nid de: Sɔntɛnde dɛn kin du tɛst lɛk sistoskɔpi fɔ chɛk if ɛnitin dɔn blok na di urinary tract.
Yu wok as mama ɛn papa
Sɔm impɔtant tin dɛn de we yu fɔ tɛl yu dɔktɔ dis tɛm:
- Tɛl yu pikin bɔt ɛni mɛrɛsin (we dɛn gi am ɔ we dɛn nɔ de tek) we i de tek.
- Tɛl yu pikin bɔt ɛni alɛji we i gɛt.
- If di sik siriɔs smɔl, di dɔktɔ kin tɛl yu fɔ injɛkshɔn wit tɛstostɛron ɔmon fɔ mek di penis big smɔl bifo dɛn du di ɔpreshɔn. Dis go ɛp fɔ mek di ɔpreshɔn go bifo.
Di tin we impɔtant pas ɔl: Yu nid fɔ de kwayɛt bifo dɛn du di ɔpreshɔn. Ilɛksɛf yu pikin nɔ ɔndastand di wɔd dɛn, i kin no aw yu fes de, aw yu de tɔk, ɛn aw yu de fred. Di mɔ yu de kol ɛn gɛt kɔnfidɛns, na di mɔ yu pikin nɔ go fred di ɔpreshɔn.
Aw dɛn kin du di ɔpreshɔn?
Na wan tim we sabi bɔt pikin dɛn kin du dis ɔpreshɔn. Bikɔs dɛn dɔn anestez di pikin ɔl (general anesthesia), i nɔ de fil ɛni pen.
Di dɔktɔ we de du di ɔpreshɔn kin tek wan smɔl pat pan di pikin in fɔs skin fɔs ɛn yuz am fɔ mek nyu urethra. afta dat dεn de bכn di urethra to di tכp fכ di penis tru dis nyu tכb.
Afta di ɔpreshɔn, dɛn go put kateta ɔ stent tru di nyu urethra we dɛn dɔn mek fɔ mek i nɔ blok te i wɛl. Dis go nid fɔ lɛf am fɔ wan to tu wiks. As di urine de fכlכ kכmכt tru dis tכb, di daypa go wet bכku tεm.
Fɔ dɔn, dɛn kin yuz stich dɛn we dɛn kin sɔlv di wund. Dis ɔpreshɔn kin tek lɛk 2-3 awa so.
Ɛni risk ɛn prɔblɛm dɛn de we kin apin afta dɛn dɔn du di ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, sɔm smɔl smɔl prɔblɛm dɛn de, bɔt dɛn tin ya nɔ kin apin so ɔltɛm.
| Di kayn risk we pɔsin kin gɛt | Simpul ɛksplen |
|---|---|
| Jɛnɛral ɔpreshɔn risk dɛn | Riakshɔn to anestezi, infɛkshɔn, blɔd pasmak, swel, brus. |
| Kɔmplikɛshɔn dɛn we kin apin we dɛn du ɔpreshɔn pan |
|
Di risk fɔ gɛt kɔmplikeshɔn dɛn rili smɔl. Di ɔpreshɔn gɛt bɔku bɔku sakrifays . Bɔku pikin dɛn kin liv fayn layf ɛn nɔ gɛt ɛni prɔblɛm.
Aw fɔ kia fɔ pikin na os?
Di pikin kin fil taya smɔl afta dɛn dɔn du di ɔpreshɔn. Dɛn nid fɔ tek tɛm kia fɔ di pikin fɔ di fɔs wik dɛn.
- Klin: Kip di say we de rawnd di wund klin as yu ebul fɔ mek yu nɔ gɛt di sik. Wash yu an fayn fayn wan wit sop ɛn wata afta yu dɔn chenj dayapɛt.
- We yu de chenj di dayapɛt: Di kateshɔn de mek yu urine lik bɔku tɛm. So, yu fɔ chenj yu dayapɛt bɔku tɛm pas aw yu kin chenj . Sɔntɛnde, di dɔktɔ go tɛl yu fɔ wɛr tu dayapɛt (wan fɔ di kateshɔn, ɛn di ɔda wan fɔ stɔl).
- Fɔ was: Nɔ put yu pikin insay tub we gɛt wata te yu dɔktɔ tɛl yu. Wap di bɔdi wit wet klos (Sponge bath).
- Di tin dɛn we yu nɔ fɔ du: If yu pikin dɔn ol fɔ rɔn ɛn ple, nɔ rayd baysikul, rɔn, ɛn jomp fɔ 2-3 wik.
If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.
If yu notis ɛni wan pan dɛn tin ya we yu de na os afta dɛn dɔn du yu ɔpreshɔn, kɔl yu dɔktɔ ɔ di ɔspitul wantɛm wantɛm .
| Simptom dɛm wae nid fɔ pe atɛnshɔn kwik kwik wan | |
|---|---|
| 🔴 we yu de yuz | Blɔd we de kɔmɔt pasmak frɔm di wund. |
| 🔴 we yu de yuz | Fɔ gɛt fiva we pas 100° Fahrenheit (38° Celsius). |
| 🔴 we yu de yuz | Sayn dɛm fɔ infekshɔn, lɛk fɔ swel, fɔ rɛd, ɔ fɔ pul pus kɔmɔt na di wund. |
| 🔴 we yu de yuz | Di pikin de kɔntinyu fɔ vɔmit. |
| 🔴 we yu de yuz | di kateshכn (tyub) kin kכmכt כ di urine kin lik frכm rawnd am. |
| 🔴 we yu de yuz | di pikin in dayapεr de dray (no urine lik) fכ sεvεra awa. |
כl di pikin dεm kin bכn kכmplit wan bay lεk 6 wik. di pikin kin fil sכm pen we i de pis fכ di fכs de dεm afta dεn dכn pul di kateshכn, bכt dis go dכn sכmtεm.
Mɛsej we dɛn kin kɛr go na os
- Hypospadias na wan kכmכn kכndyushכn pan bכy pikin dεm we de de we dεn bכn dεm. No nid fɔ fred dis.
- Dis ɔpreshɔn gɛt rili ay sakrifays ɛn i de alaw di pikin fɔ pis ɛn du mami ɛn dadi biznɛs nɔmal wan tumara bambay.
- If i nid fɔ du ɔpreshɔn ɔ i nɔ nid fɔ du am, i go dipen pan di pikin in kɔndishɔn. Tɔk opin wan wit yu dɔktɔ bɔt dis.
- I rili impɔtant fɔ kia fɔ yu pikin afta dɛn dɔn du di ɔpreshɔn. Fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan.
- If yu notis ɛni imejensi sayn, tɛl yu dɔktɔ wantɛm wantɛm.
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