Wetin na Indiana Pouch? Lɛ wi lan bɔt dis ɔpreshɔn

Sɔntɛm yu ɔ pɔsin we yu sabi dɔn gɛt fɔ ɔpreshɔn fɔ pul dɛn blad bikɔs ɔf wan mɛrɛsin. Dɔn, wan big kwɛstyɔn kin kam na wi maynd: aw fɔ pul di urine we kin gɛda na di bɔdi? Wel, wan modna solushon na di ‘Indiana Pouch’. Pan ɔl we dis na tɔpik we kɔmplikt smɔl, lɛ wi tɔk bɔt am simpul wan, di we we yu go ɔndastand.

Fɔ tɔk am simpul wan, wetin na dis Indiana Pouch?

Indiana paus na smɔl rizɔva we dɛn mek wit ɔpreshɔn insay yu bɔdi we dɛn kin yuz fɔ kip ɛn pul urine na yu bɔdi. Tink bɔt am lɛk yu blad, we tan lɛk smɔl kɔntena we de gɛda ɛn kip urine. we dεn pul yu blad fכ eni rizin (dεn kכl dis כpεrayshכn cystectomy), dεn nid fכ mek nyu ‘urine pouch’ insay in ples.

Dis Indiana pouch na yu yon bɔdi pat dɛn mek am. Dat min se dɛn mek am wit wan pat pan yu insay. di spɛshal tin bɔt dis na dat, nɔ lɛk sɔm ɔda ɔpreshɔn dɛn we dɛn kin du afta dɛn pul di blad, dɛn kin gɛda di urine ɛn kip am insay dis paus. Jɔs lɛk wetin kin apin wit blad.

afta dat, sכm tεm insay di de, yu kin put sכm sכm tכb (kateta) tru wan sכmכl opin na yu bכdi (wi kכl dis `stoma`) fכ drεn di urine we dεn kכlekt. We di urine dɔn go , yu kin pul di tiub.

Us kayn tin dɛn kin du dis ɔpreshɔn fɔ?

Bɔku men rizin dɛn de we mek dɛn kin pul di blad. I fayn fɔ yuz Indiana paus fɔ dɛn kayn tin ya:

• Blad kansa: Dis na di rizin we kin mek dɛn du ɔpreshɔn pan am.
• di blad mכsul dεm nכ de wok fayn: sכmtεm, bikoz fכ rεdyushכn tεrapi כ di nεv dεm we de pwεl na di bren εn spεnal kכd (nyurojenik blad), di blad mכsul dεm nכ kin kכntrakt fayn fayn wan εn di urine nכ kin kכmכt.
• Congenital bladder deformities (Bladder exstrophy): Sɔm pikin dɛn kin bɔn wit sɔm blad prɔblɛm dɛn we dɛn bɔn dɛn.
• Interstitial cystitis/bladder pain syndrome: Na wan sik we de kam wit pen we yu nɔ go ebul fɔ bia.
• We di blad dɔn pwɛl bikɔs ɔf ɔda siriɔs mɛrɛsin kɔndishɔn dɛn.

Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?

Bifo dis ɔpreshɔn, yu dɔktɔ go tɔk to yu fayn fayn wan. I go ɛksplen to yu di we aw dɛn de du di Indiana Pouch ɛn di ɔda tin dɛn we yu go ebul fɔ du. I go chɛk yu jenɛral wɛlbɔdi, blɔd prɛshɔn, ɛn ɔda tin dɛn.

Sɔm tin dɛn de we yu fɔ rili tɛl yu dɔktɔ dis tɛm:

• Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek. Dis inklud mɛrɛsin dɛn we dɛn kin gi pɔsin, mɛrɛsin dɛn we dɛn kin bay we dɛn nɔ kin bay, ɔda mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn animal dɛn, ɛn vaytamɛn dɛn. Sɔm mɛrɛsin dɛn (lɛk aspirin ɛn tin dɛn we de mek yu blɔd tan) kin mek yu blɔd bɔku we dɛn de du ɔpreshɔn. Nɔ stɔp fɔ tek ɛni mɛrɛsin we yu nɔ aks yu dɔktɔ fɔs.
• Tɛl wi bɔt ɛni alɛji we yu gɛt. Dat min ɛnitin frɔm alɛji to mɛrɛsin, sɔm it dɛn, to lɛtɛks, ɛn ɔda tin dɛn.
• Di dɔktɔ advays yu fɔ nɔ it ɔ drink ɛnitin afta midnayt di nɛt bifo di ɔpreshɔn. Yu fɔ fala dɛn instrɔkshɔn dɛn de di rayt we. If yu rili fɔ tek wan impɔtant mɛrɛsin, yu go ebul fɔ tek am wit jɔs wan sip wata. Aks yu dɔktɔ bɔt dat bak.

Aw dɛn kin du di ɔpreshɔn

Dis na big ɔpreshɔn we kin tek bitwin 6 ɛn 8 awa. I gɛt fɔ du wit wan dɔktɔ we de mɛn yu urolɔg, dɔktɔ we de anestez, ɛn pɔsin we de wok fɔ di nɔs.

1. Anestezi: Fɔs, di dɔktɔ we de mɛn yu go mek yu slip kɔmplit wan (`jɛnɔral anestesia`). So yu nɔ go fil ɛni pen we dɛn de du di ɔpreshɔn.

2. Fɔ pul di blad: Neks, di dɔktɔ we de du di ɔpreshɔn go pul yu wan ol blad. dis kin bi as `open surgery`, we involv fכ mek wan lכng insishכn na yu bכdi, כ as `laparoscopic כ robotic surgery`, we involv fכ mek jכs fכ sכm sכm sכm sכm.

3. Fɔ mek di Indiana Pouch: Afta yu dɔn pul di blad, di dɔktɔ go kɔt sɔm pat dɛn pan yu big intestinal ɛn smɔl intestin ɛn siŋ nyu blad (pouch) insay wan strɔkchɔ we tan lɛk bɔl.

4. kכnεkshכn: nεks, di tu tכb dεm we de kכri urine frכm di kidni dεm (`ureters`) de kכnekt to dis nyu paus. wan sכmכl opin (`stoma`) de mek na di bכdi, we de alaw am fכ kכmכt pan di skin. di pat dεm we dεn kכt na di intestin de kכnεkt bak, so yu dijestiv prכsεs nכ de ambɔg.

5. Fɔ sutura di say dɛn we dɛn kɔt: Fɔ dɔn, dɛn kin lɔk di say dɛn we dɛn kɔt we dɛn de du di ɔpreshɔn wit stich.

Afta dɛn dɔn du di ɔpreshɔn, dɛn go kɛr yu go na rum usay dɛn kin wɛl fɔ shɔt tɛm. We yu dɔn gɛt kɔnshɛns bak, dɛn go gi yu mɛrɛsin fɔ kɔntrol di pen. Yu go nid fɔ de na di ɔspitul fɔ sɔm dez. Insay dis tɛm, di wan dɛn we de wok na di nɔs dɛn go tich yu aw fɔ kia fɔ ɛn klin yu nyu Indiana paus.

Aw fɔ Kateteriz ɛn Irigate wan Indiana Pouch

Dis na di impɔtant tin we yu fɔ du ɛvride. Fɔs, i kin fil lɛk se i nɔ izi fɔ du am smɔl, bɔt afta sɔm dez we yu dɔn du am, i go rili nɔmal.

Wetin na di bɛnifit ɛn bad tin dɛn we dis we ya de du?

Lɛk ɛni mɛrɛsin, dis wan gɛt bɛnifit, bad tin, ɛn prɔblɛm dɛn.

Fɔ wɛl ɛn ustɛm fɔ go to dɔktɔ

I kin tek sɔm mɔnt fɔ mek i wɛl gud gud wan frɔm dis ɔpreshɔn. I go tek tɛm bak fɔ mek yu bɔdi ajɔst to di chenj dɛn we de apin. Bɔt yu mɛdikal tim go ɛp yu fɔ du dis. Yu fɔ ebul fɔ go bak na wokples ɔ skul ɛn du layt wok insay sɔm wiks.

Bɔt if yu gɛt dɛn sik ya, go to yu dɔktɔ wantɛm wantɛm:

• Sayn dɛm fɔ se yu gɛt di sik: fiva, kol, dak urine.
• If i at fɔ put di kateshɔn ɔ was di pɔch.
• If blɔd de na di urine (hematuria) .
• If yu gɛt siriɔs pen na yu bɛlɛ ɔ di say we de bitwin di rib ɛn hip.

Sɔm ɔda pɔynt dɛn

Wetin mek dɛn kɔl dis ‘Indiana’ paus?

Dis ɔspitul tɛknik bin fɔs mek insay di 1980s na wan grup we de du dɔktɔ dɛn na Indiana Yunivasiti na Amɛrika. Na dat mek i gɛt in nem.

Dis na di sem tin wit Niobladder?

Pan ɔl we dɛn fiba, dɛn nɔto di sem. Dɛn kin mek nioblad frɔm di sem pat dɛn na yu bɔdi. Bɔt i kɔnɛkt to yu urethra. So di urine kin kɔmɔt di sem we aw i bin de kɔmɔt bifo dɛn du di ɔpreshɔn. Bɔt wit Indiana paus, dɛn kin put kateta tru wan stoma na yu bɛlɛ fɔ mek yu urine kɔmɔt.

Yu layf go chenj bɔku afta dɛn dɔn ɔpreshɔn yu na Indiana Pouch. Yu go gɛt fɔ yus to nyu abit dɛn. Bɔt wit dɛn chenj ya, yu go gɛt di chans fɔ liv fayn layf ɛn bɛtɛ layf. Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.