Imajin se bikɔs ɔf sɔm mɛrɛsin, sɔntɛm kansa, dɛn fɔ ɔpreshɔn yu ɔl blad. We dat apin, yu go lɛf fɔ de wɔnda se, ‘O mi Gɔd, aw a go pis naw?’ Na kwɛstyɔn we de mek pɔsin fred. Bɔt nɔ wɔri. Bɔku fayn fayn sɔlv dɛn de fɔ dat na di mɔdan mɛrɛsin tide. Tide, wi go tɔk bɔt wan pan dɛn kayn spɛshal sɔlv dɛn de. Dɛn kɔl am di ‘Indiana Pouch.’
Fɔ tɔk am simpul wan, wetin na dis Indiana Pouch?
Di Indiana Pouch na smɔl paus insay yu bɔdi we de kip ɛn rilis urine. In ɔda wɔd, na atifishal blad we de tek ples fɔ yu blad. Yu urinary bladder na smɔl ɔgan we de gɛda ɛn kip urine. We dɛn pul am fɔ ɛni rizin, di Indiana Pouch kin tek ova.
dis involv fכ כprayz fכ pul yu blad (a `cystectomy`) εn mek dis paus insay in ples. Di spɛshal tin bɔt dis we na dat i nɔ de lik urine ɔltɛm lɛk sɔm ɔda we dɛn fɔ pis. Jɔs lɛk yu ol blad, dis paus kin gɛda urine bak. we yu nid fכ du dat, yu kin put wan tiub (wan `kateta`) tru wan sכmכl opin (wan `stoma`) we dεn mek na yu bכdi fכ drεn di urine we dεn kכlekt. We di paus dɔn ɛmti, yu kin pul di tiub.
Bɔt wan tin we wi fɔ mɛmba na dat, nɔto fɔ ɔlman dis ɔpreshɔn. Yu mɛdikal tim go disayd if dis fayn fɔ yu bay bɔku tin dɛn, lɛk yu wɛlbɔdi biznɛs ɛn di kayn sik we yu gɛt.
Insay us kes dɛn dis ɔpreshɔn nid fɔ du?
Bɔku tɛm, dɔktɔ go se yu fɔ pul yu blad ɛn mek wan Indiana Pouch pan dɛn kayn tin ya:
- Blad kansa: Dɛn kin du dis ɔpreshɔn mɔ as tritmɛnt fɔ blad kansa.
- 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.
- dizכrd dεm we dεn bכn wit: Insay di rare kכndyushכn dεm we dεn kin bכn wit lεk `Bladder exstrophy`.
- Ɔda bad bad mɛrɛsin dɛn: Na tin dɛn we kin rili afɛkt di blad, lɛk intastitial sistayt, ɛn we nɔ kin ansa ɔda tritmɛnt dɛn.
Wetin dɛn mek dis pɔch wit?
Yu go de wɔnda wetin dɛn mek dis wit. Nɔ sɔprayz, dɛn mek dis paus yuz wan pat pan yu yon bɔdi. Dat min se na wan pat pan yu big intestinal.Dis na wetin mek dis urinary bag. כlso, di sכmכl opin (`stoma`) usay dεn de put di urethra de mek frכm wan pat pan yu sכmכl intestin .
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bifo dis ɔpreshɔn, yu go nid fɔ mit yu dɔktɔ bɔku tɛm. I go ɛksplen di we aw dɛn fɔ du am to yu ɛn di ɔda tin dɛn we yu go ebul fɔ du. I go chɛk yu jenɛral wɛlbɔdi, tɔk bɔt aw fɔ du am, ɛn ansa ɛni kwɛstyɔn we yu gɛt.
- Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek: Ilɛksɛf yu de tek mɛrɛsin we yu de tek ɔ yu de tek mɛrɛsin we yu de tek, yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek. Yu kin tɛl yu dɔktɔ bak bɔt ɛni ɛbul ɔ Ayurveda prɔdak we yu de tek. Tin dɛn lɛk aspirin, mɛrɛsin fɔ mek yu fil pen, ɛn tin dɛn we de mek yu blɔd tan, kin mek yu gɛt mɔ blɔd. Nɔ stɔp fɔ tek ɛni mɛrɛsin we yu nɔ aks yu dɔktɔ fɔs.
- Tɛl wi bɔt yu alɛji: Tɛl wi bɔt ɛni alɛji we yu gɛt. Dis inklud alɛji to mɛrɛsin, tin dɛn we de klin yu skin lɛk ayodin, lɛtɛks, ɛn it dɛn.
- Instrɔkshɔn bɔt it ɛn drink: Dɛn go tɛl yu fɔ nɔ it ɔ drink ɛnitin afta midnayt di nɛt bifo dɛn du di ɔpreshɔn. If yu nid fɔ tek ɛni mɛrɛsin, dɛn go tɛl yu fɔ tek am wit wan sip wata. I rili impɔtant fɔ fala dɛn instrɔkshɔn ya di rayt we.
Lɛ wi lan bɔt aw dɛn kin du di ɔpreshɔn.
Bikɔs dis na ɔpreshɔn we kɔmpleks smɔl, na wan tim we gɛt spɛshal pipul dɛn kin du am. Bɔku tɛm, dis tim kin gɛt dɔktɔ we de mɛn yu uro, dɔktɔ we de anestez, ɛn pɔsin we de wok fɔ nɔs.
Fɔs, di dɔktɔ we de mɛn yu go put yu ɔnda jenɛral anestezi. Dis min se dɛn go put yu na dip slip so dat yu nɔ go fil ɛni pen. Dɔn, di spɛshal pɔsin go pul yu 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 sכm sכm sכm sכm sכm.
Afta yu dɔn pul yu blad, yu dɔktɔ go tek sɔm pat pan yu bɔdi ɛn yuz dɛn fɔ mek wan nyu pɔch we tan lɛk bɔl fɔ urinary. afta dat, di tu ureters frכm yu kidni dεm go kכnekt to dis nyu pouch. Naw, di urine we de kɔmɔt na yu kidni dɛn go flɔ dairekt insay dis paus. Dɛn go kɔnɛkt bak bak di tu pat dɛn na yu bɔdi we dɛn bin kɔt. Dis go mek shɔ se yu dijestiv prɔses nɔ go ambɔg .
Dis ɔl ɔpreshɔn kin tek bitwin 6 ɛn 8 awa.
Aw fɔ yuz ɛn mentenɛns di Indiana Pouch?
Dis na di tin we impɔtant pas ɔl pan yu nyu layf. I kin strenj smɔl fɔs, bɔt afta sɔm tɛm yu go yus to am.
Di kɔrɛkt we fɔ kateshɔn urine frɔm pɔch
1. Fɔs, was yu an fayn fayn wan wit sop.
2. Rimov di plasta ɔ goz we de rawnd yu stoma (we de opin).
3. Waip ɛni mɔstɔ ɔ mucus we de rawnd di stoma wit klin pepa tawɛl.
4. Put gud lobricating jelly pan di kateshɔn we dɛn gi yu. Yu kin yuz wan kayn we yu dɔktɔ dɔn rɛkɔmɛnd ɔ sɔntin lɛk VaselineTM.
5. Naw, put di tiub sloslo insay di stoma. Sɔntɛnde, i kin fil lɛk se i tayt smɔl. If dis apin, tek dip briz, rilaks yu mɔsul dɛn smɔl, pul di tiub kɔmɔt smɔl, ɛn tray fɔ put am bak na difrɛn angle.
6. We dɛn dɔn put di tiub insay di paus, di urine go bigin fɔ kɔmɔt. Mek di urine gɛda na tɔylɛt ɔ kɔntena. Wet te di paus ɛmti ɔl.
7. We di urine stɔp fɔ flɔ, pul di tiub rili sloslo . If yu pul am tu kwik, sɔm urine kin kɔmɔt.
8. Trowe di tiub we yu dɔn yuz.
9. Klin rawnd di stoma ɛn put nyu goz ɔ bandej fɔ mek yu nɔ gɛt infekshɔn.
10. Wash yu an gud gud wan bak.
Bɔku pipul dɛn kin gɛt fɔ pis lɛk 6 tɛm insay di de. If yu drink bɔku wata lɛk wata, yu go gɛt fɔ pis bɔku tɛm. Yu kin ivin gɛt fɔ grap na nɛt fɔ pis.
Aw yu kin irigate di Indiana Pouch?
Bikɔs dɛn mek di stoma frɔm wan pat pan di intestinal, i kin mek mɔkus bay insɛf. We dis mכkus de bכku, i kin blok di tכb, mek infεkshכn, εn mek di kidni ston. So yu nid fɔ was di pɔch wit salin sɔlshɔn wan ɔ tu tɛm insay di de. Di ɔspitul go sho yu aw fɔ du dis.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis we fɔ du tin gɛt?
Lɛk ɛni ɔda mɛrɛsin, dis wan gɛt bɛnifit ɛn prɔblɛm dɛn.
| Bɛnifit dɛn | Risk ɛn Disadvantej dɛn |
|---|---|
| Di men bɛnifit na dat yu kin kɔntrol di tɛm we yu de pis . | A fɔ put wan tiub ɛvri sɔm awa fɔ mek a pul mi urine. A fɔ grap na nɛt. |
| Nɔ nid fɔ yuz urostomy bag na do na di bɔdi. | Di risk de fɔ mek yu gɛt urinary tract infection (UTI) we de go ɔp. |
| di stoma (we de opin) kin dכn dכn di wεst, na ples we yu nכ de si. So nɔbɔdi nɔ kin si am di tɛm lɛk we i de swim. | Risk de fɔ mek yu gɛt ston na yu kidni. |
| Yu kin gɛt gud kɔnfidɛns pan yusɛf bɔt aw yu bɔdi shep. | Mכkus kin kכl di tyub, so i nid fכ klin am כltεm. |
| Di stoma kin lik urine ɔ i kin smɔl. |
Fɔ wɛl ɛn ustɛm fɔ go to dɔktɔ
I kin tek sɔm mɔnt fɔ mek yu wɛl ɔl ɛn ajɔst to yu nyu layf afta dis ɔpreshɔn. Insay da tɛm de, yu mɛdikal tim go gi yu ɔl di sɔpɔt we yu nid. Afta sɔm wiks, yu go ebul fɔ go bak na wokples ɛn du layt wok.
| If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm! |
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Indiana Pouch ɛn Neobladder na di sem?
Nɔ, dɛn ɔl tu na tin dɛn we dɛn kin yuz fɔ chenj di blad, bɔt dɛn kin wok difrɛn we. Nioblada de atak yu urethra dairekt wan, so yu kin pis lɛk aw yu kin pis bifo yu du ɔpreshɔn. Bɔt wit di Indiana Pouch, yu fɔ pul urine tru wan tiub we dɛn put tru wan stoma na yu bɛlɛ.
Mɛsej we dɛn kin kɛr go na os
- di Indiana Pouch na atifishal blad we dεn mek fכ kip urine insay di bכdi afta dεn dכn pul di blad.
- we yu de yuz dis, yu fכ put wan tכb (kateta) tru wan opin (stoma) na di bכdi bכku tεm insay di de fכ pul di urine.
- Fɔ mek yu nɔ gɛt di sik, i impɔtant fɔ klin di paus fayn fayn wan ɛn fɔ wata di pɔch ɛvride.
- Pan ɔl we dis na big chenj na yu layf, dis we fɔ du tin go ɛp yu fɔ gɛt gud kwaliti layf we yu nɔ gɛt bag na do na yu bɔdi.
- If yu nɔ fil fayn, yu dawt, ɔ if yu notis ɛni wan pan di wɔnin sayn dɛn we wi dɔn tɔk bɔt, tɛl yu dɔktɔ wantɛm wantɛm .
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