Sɔntɛm afta dɛn dɔn ɔpreshɔn yu fɔ rizin lɛk prɔstat kansa, yu kin lik sɔm urine bak we yu nɔ no? If dis kin apin we yu laf, kɔf, ɔ es sɔntin we ebi, a ɔndastand aw i kin anɔynt yu. Wi kin kɔl dis kɔndishɔn urinary incontinence. Bɔt nɔ wɔri, i kin apin to bɔku pipul dɛn. Di bɛst tin na dat, tritmɛnt dɛn de we rili fayn fɔ dis. Tide wi de tɔk bɔt wan pan dɛn kayn ɔpreshɔn ya we rili fayn ɛn we simpul. Dat na di ‘Male Sling’ ɔpreshɔn.
Fɔ tɔk am simpul wan, wetin na Male Sling ɔpreshɔn?
Dis na rili simpul, smɔl ɔpreshɔn. Fɔ tɔk di kɔrɛkt tin, i de gi smɔl sɔpɔt to yu urethra. Imajin se di dɔktɔ tek wan saf, sintetik mɛsh-layk ɔspitul tep ɛn tek tɛm rap am rawnd wan pat pan yu urethra.
dis bεlt de es di urethra εn blad nεk sכmtεm, we de gi sכpכt. dis de εp fכ kכntrכl di urine fכ fכlכ we di prεshכn pan di blad de inkrεs (lεk we yu de kכf כ laf). Dis kin ɛp yu sfinktɔ mɔsul dɛn fɔ kɔntrol aw yu de pis.
Afta dis ɔpreshɔn, yu go ebul fɔ pis nɔmal wan, bɔt di urine lik we yu nɔ want go stɔp bɔku pan am.
Udat dɛn kin se dɛn fɔ du dis ɔpreshɔn fɔ?
Bɔku tɛm, dɔktɔ dɛn kin se dis tritmɛnt fɔ man dɛn we gɛt prɔblɛm wit dɛn urinary control afta dɛn dɔn pul dɛn radikal prɔstat.
Dis na sɔlv we rili fayn, mɔ if yu gɛt smɔl to mɔdaret inkɔntinɛns. Dat min se yu kin yuz wan to tri pad fɔ wan de, so yu kin tɔk to yu dɔktɔ bɔt dis ɔpreshɔn.
Us tɛst dɛn kin du bifo dɛn du di ɔpreshɔn?
Bifo yu du dis ɔpreshɔn, yu dɔktɔ go du bɔku tɛst dɛn fɔ no yu wɛlbɔdi kɔrɛkt wan. Dis go ɛp fɔ no aw di ɔpreshɔn fayn fɔ yu ɛn aw i go wok fayn.
| Nem fɔ di tɛst | Wetin yu de op fɔ frɔm am? |
|---|---|
| Yurodaynamik tɛst | Dɛn kin mɛzhɔ tin dɛn lɛk aw di mɔsul ɛn nɛf dɛn na yu blad ɛn yu urethra de wok, di blad prɛshɔn, ɛn di spid we di urine de kɔmɔt. |
| 24 awa pad tɛst | I de mɛzhɔ ɛksaktɔli ɔmɔs urine yu pas insay wan de ɛn ɔmɔs pad yu nid. |
| Sistoskɔpi we dɛn kin du | Dɛn kin yuz wan tin tiub (ɛndoskɔp) we gɛt kamɛra we dɛn tay, dɛn kin chɛk di insay pat pan yu urethra ɛn blad. |
| ECG tɛst we dɛn kin du | Dɛn go mek shɔ se yu at de wok fayn ɛn i go ebul fɔ bia wit ɔpreshɔn. |
| Blɔd tɛst dɛn | wi de chεk fכ kכndishכn dεm lεk prכblεm fכ blכd kכlכt (e.g. hεmofilia), biכs dεn kin mek blɔd bכku we dεn de du di כpεrayshכn. |
| Urinalysis we dɛn kin du | Chek fɔ ɔda mɛrɛsin dɛn we kin afɛkt di ɔpreshɔn, lɛk urinary tract infection (UTIs), dayabitis, ɛn kidni sik. |
Aw fɔ rɛdi fɔ ɔpreshɔn?
Yu dɔktɔ go gi yu klia instrɔkshɔn bɔt dis. Kin,
- Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek: Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk vaytamɛn ɛn ɛbul sɔpɔtmɛnt. Sɔm mɛrɛsin dɛn lɛk di wan dɛn we de mek blɔd tan lɛk tu wiks bifo dɛn du di ɔpreshɔn.
- Fɔ it ɛn drink: Dɛn go tɛl yu fɔ drink wata nɔmɔ frɔm di nɛt bifo dɛn du di ɔpreshɔn. Dɛn go tɛl yu bak se yu nɔ fɔ it ɔ drink ɛnitin frɔm di mɔnin we dɛn du di ɔpreshɔn. I rili impɔtant fɔ fala dɛn instrɔkshɔn ya di rayt we.
Aw dɛn kin du di ɔpreshɔn?
Dis na ɔpreshɔn we kin tek lɛk wan awa so. Wan dɔktɔ we de mɛn yu go gi yu jenɛral anestezi, so yu nɔ go fil ɛni pen. Yu go de slip.
Afta yu dɔn slip, di dɔktɔ we de mɛn yu uro go:
1. dεn kin mek wan rili sכmכl insay di εria bitwin yu skrotum εn yu anus (perineum).
2. Go tru am ɛn slow slow ɛkspos di urethra.
3. afta dat, dεn de put di spεshal sling we wi bin dכn tכk bכt rawnd di urethra, jכs insay wan we we de gi sכpכt to di urinary kכntrכl mכsul.
Dis band de ol di urethra jisnɔ na in nyu pozishɔn. Dis kin ɛp fɔ kɔntrol di we aw di urine de flɔ. Dɔn dɛn kin stich di say we dɛn kɔt ɛn kɔba am wit klin bandej.
Wetin kin apin afta di ɔpreshɔn?
Yu go fil smɔl smɔl afta yu dɔn gɛt kɔnshɛns bak. Dɛn go kɛr yu go na rum fɔ wɛl, usay dɛn go de wach yu ɛn gi yu mɛrɛsin fɔ kɔntrol di pen.
Bɔku tɛm, dis na tin we dɛn kin du na ɔtpeshɛnt . Dis min se yu kin go na os di sem de. Bɔt sɔntɛnde, yu kin nid fɔ de na ɔspitul fɔ wan nɛt. Na yu dɔktɔ kin disayd dis.
Afta dɛn dɔn du di ɔpreshɔn, i kin at fɔ pis fɔs bikɔs i kin swel. So, yu go gɛt urinary catheter we dɛn put insay fɔ sɔm dez. We di swɛlin dɔn go dɔŋ, yu go ebul fɔ pis nɔmal wan.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Lɛk ɛni ɔpreshɔn, dis wan gɛt bɛnifit ɛn i gɛt smɔl smɔl prɔblɛm dɛn.
Di men bɛnifit dɛn we yu kin gɛt:
- Wan rili saksesful sɔlv fɔ di prɔblɛm we de wit urinary incontinence. (Sakses rεt de klos to 80%)
- Bikɔs dɛn kin yuz wan rili smɔl say we dɛn kɔt di ɔpreshɔn , di tɛm fɔ mek i wɛl nɔ kin shɔt.
- Di skata rili smɔl.
- Dis sling de insay di bɔdi ɔlsay. I nɔ de si am frɔm do.
- Dis kin las fɔ lɔng tɛm, lɛk 10-15 ia.
Sɔm sayd ɛfɛkt dɛn we kin apin (dɛn tin ya nɔ kin apin so ɔltɛm):
- Urinary retention: Dis na di prɔblɛm we kin apin fɔ sɔm tɛm. Yu kin nid fɔ yuz kateshɔn fɔ sɔm wiks.
- Blɔd ɔ infɛkshɔn.
- As tεm de go, di sling kin west go insay di urethra (erosion).
- Rikɔrɛshɔn fɔ lɔs di urinary kɔntrol.
- Infεkshכn na di urinary tract (UTI).
- Di sayn dɛm lɛk fɔ pis ɔltɛm (urinary frequency) ɔ fɔ gɛt fɔ grap na nɛt fɔ pis (nocturia).
Di impɔtant tin na dat dɛn risk ya rili smɔl. Yu dɔktɔ go tɔk bɔt ɔl dis wit yu ɛn ɛp yu fɔ disayd fɔ du di bɛst tin fɔ yu.
Di tɛm fɔ wɛl ɛn ustɛm fɔ go to dɔktɔ
Bɔku tɛm, yu go bigin fɔ fil fayn insay wan wik. I kin tek sɔm wiks fɔ mek i wɛl ɔl.
- Fɔ go bak na wokples: If yu gɛt ɔfis wok, yu kin go bak na wokples insay sɔm dez. Bɔt if yu gɛt wok we nɔ izi fɔ yu lɛk fɔ es wet, yu go nid fɔ rɛst fɔ sɔm wiks.
- Mami ɛn dadi biznɛs: Aks yu dɔktɔ bɔt dis ɛn fala in advays.
We yu fɔ go to dɔktɔ wantɛm wantɛm:
- If yu nɔ ebul fɔ pis atɔl .
- If blɔd de na di urine (hematuria) .
- If yu gɛt sayn dɛm fɔ infekshɔn lɛk fiva, kol, ɔr tɛstikul we swel.
Ɛni we aw i bi, go to yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU).
Mɛsej we dɛn kin kɛr go na os
- Male Sling ɔpreshɔn na wan tritmɛnt we rili fayn fɔ mek man dɛn nɔ ebul fɔ urinary, mɔ afta dɛn dɔn du ɔpreshɔn pan dɛn prɔstat.
- Dis na simpul ɔpreshɔn we nɔ gɛt bɔku prɔblɛm we dɛn kin du tru wan rili smɔl say we dɛn kɔt am.
- Di sakses rεt afta dεn כpεrayshכn rili hכy. Ɛn i kin las fɔ lɔng tɛm.
- If yu gɛt dis prɔblɛm, nɔ shem ɔ pwɛl at, bɔt tɔk to dɔktɔ we de mɛn yu uro. I go advays yu bɔt di tritmɛnt we fit yu pas ɔl.
- If yu gɛt prɔblɛm fɔ pis, yu de blɔd pasmak, ɔ yu gɛt sayn dɛn fɔ se yu gɛt di sik afta yu dɔn ɔpreshɔn, go to dɔktɔ wantɛm wantɛm.
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