As mama, yu fɔ rili bisin bɔt yu smɔl bɔbɔ. I kin kray we i de pis ? Ɔ i kin pis ɔlsay instead fɔ go stret? Sɔntɛm i kin pis rili slo ɛn kwik? Na nɔmal tin fɔ mek yu fil fred we yu si tin dɛn lɛk dis. di rizin fכ dis kin bi biכs in urethral meatus tu sכm. Tide, wi go tɔk bɔt dis sik ɛn di smɔl ɔpreshɔn we dɛn kɔl Meatoplasty.
Wetin na Mitɔplasti ɛn Mitɔtɔmi?
Fɔ tɔk am simpul wan, Meatoplasty na smɔl ɔpreshɔn fɔ mek di urethral meatus big, we na di opin we de na di tip na di penis usay urine de kɔmɔt. We dis opin kin smɔl, i kin at fɔ mek di pikin pis . So, dεn kin du dis כpεrayshכn fכ mek di opin big sכmtεm, fכ mek di pikin ebul fכ pis izi wan εn i nכ de fil pen.
Difrɛns de bitwin Meatoplasty ɛn Meatotomy?
Dɛn tu we ya rili fiba, bɔt smɔl difrɛns de.
- Mitɔplasti: Insay dis, di dɔktɔ kin kɔt smɔl pat na di tip na di penis, i kin mek di say we opin big, shep di tisu bak, ɛn sɔntɛm i kin put sɔm stich dɛn.
- Meatotomy: Dis na tin we simpul smɔl . I jɔs min fɔ mek di ol big. Bɔku tɛm, dɛn nɔ nid fɔ shep bak ɔ sutura di tisu.
Bɔt bɔku pipul dɛn kin yuz dɛn tu wɔd ya fɔ chenj, so yu nɔ nid fɔ tink tumɔs bɔt am.
Insay us kes dɛn dis ɔpreshɔn nid fɔ du?
Dɛn kin du dis ɔpreshɔn mɔ fɔ wan sik we dɛn kɔl Meatal Stenosis . Dat min se, lɛk aw wi bin dɔn tɔk, di opin we di urine de kɔmɔt kin smɔl ɛn blok. Dis kin bi wan sik we sɔm pikin dɛn bɔn wit. Bɔt bɔku tɛm, i kin apin leta na layf, bitwin 3 ɛn 7. Dis sik kin apin mɔ to bɔy pikin dɛn we dɛn sakɔmsayz.
If yu sɔspɛkt se yu bɔy pikin gɛt dis sik, kip yu yay fɔ dɛn sayn ya.
| Di sayn we de sho se di sik de | Fɔ ɛksplen am simpul wan |
|---|---|
| I nɔ izi fɔ kɔntrol di we aw yu de pis | We i de pis na tɔylɛt, i kin muf go bifo ɛn biɛn, ɛn i nɔ kin ebul fɔ aim di rayt we. |
| Urinary tract kin chenj | di urethra rili sכm, i de pas urine wit ay rεt, כ i de pas urine כp כ to di sayd insted fכ stret. |
| Sprɛy we yu de sprɛy | di urine nכ de go insay wan kכntinyu strim, bכt insted i de spεray כlsay lεk spεray wata. |
| Fɔ pis bɔku tɛm | Nid fɔ pis bɔku tɛm pas aw i kin pis. |
| Pen ɔ inflamɛns | Di pikin kin kɔmplen se i kin fil pen ɔ i kin bɔn we i de pis ɔ i kin kray we i de pis . |
Apat frɔm dat, sɔntɛnde, dɔktɔ dɛn kin se dɛn fɔ du dis ɔpreshɔn fɔ pikin dɛn we gɛt wan kayn prɔblɛm we nɔ kin apin we dɛn bɔn dɛn we dɛn kɔl hypospadias, we na wan sik we di say we di urethral opin kin smɔl smɔl pas di tip na di penis.
Wetin mek di urethra smɔl so?
di men rizin fכ dis na di fayn fayn wund dεm εn skata dεm we de fכm na di tכp pan di penis. Bɔku rizin dɛn kin de fɔ dis.
- Sakɔmsayz: Afta dɛn dɔn sakɔmsayz, di tip na di penis kin kɔmɔt na do, so if yu rɔb da pat de pan dayapɛt ɔ ɔndawea, i kin mek yu wund smɔl, skata, ɛn di say we opin kin smɔl.
- Fכ rכb di dayapεr: fכ rכb di pikin in penis fכ lכng tεm pan wet dayapεr kin bi bak wan kכz fכ dis.
- Yuz kateshɔn: If dɛn lɛf urinary catheter na in ples fɔ lɔng tɛm bikɔs ɔf wan mɛrɛsin, dis ol kin smɔl bak.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bifo di ɔpreshɔn, yu fɔ kɛr yu pikin go to dɔktɔ. Na de, di dɔktɔ go du dɛn tin ya.
- Fɔ chɛk di pikin in wɛlbɔdi:Dɛn kin chɛk di pikin in jenɛral wɛlbɔdi, in wet, ɛn ayt.
- fyzikal egzamin: dεn de egzamin di pikin in penis εn mכsu di wit we di urethral opin.
- Aks kwɛstyɔn dɛn: Dɛn go aks yu bɔt di we aw yu pikin de pis . Tin dɛm lɛk usay di urine de go, if i de drip, ɛn ɔda tin dɛm.
- Obshɔbishɔn: If i pɔsibul, wach di pikin we i de pis ɛn mɛzhɔ di spid we di urine de rɔn.
I impɔtant fɔ tɛl di dɔktɔ bɔt ɛni ɔda sik, blɔd prɔblɛm, alɛji, ɛn ɛni mɛrɛsin we yu pikin de tek. Sɔm mɛrɛsin dɛn we de mek pɔsin fil pen (NSAID) ɛn ɔda mɛrɛsin dɛn kin mek i gɛt mɔ blɔd we dɛn de du ɔpreshɔn.
Aw fɔ shep pikin in maynd?
Na nɔmal tin fɔ mek pikin fred we i de fes sɔntin lɛk dis. Bɔt i rili impɔtant fɔ mek yu nɔ gɛt wanwɔd. Na bikɔs yu pikin kin fil yu fred ɛn wɔri. Di dɔktɔ go ɛksplen to yu di ɔpreshɔn. Aks ɛn ansa ɛni kwɛstyɔn we yu gɛt. Bifo di ɔpreshɔn, gi yu pikin in tɔys we i lɛk, rid am wan stori buk we i lɛk. We yu nɔ gɛt wanwɔd, yu pikin go fil fri mɔ.
Aw dɛn kin du di ɔpreshɔn?
Dis na smɔl ɔpreshɔn we kin tek lɛs wan awa.
Fɔs, dɛn kin anestez di pikin. Dis min se di pikin de slip dip ɛn i nɔ de fil ɛni pen we dɛn de du di ɔpreshɔn.
Afta di pikin dɔn slip, di Pediatric Urologist go fala dɛn step ya:
1. Fɔs, yuz fayn tiub fɔ mɛzhɔ di sayz fɔ di ol.
2. afta dat, dכn dכn di ol, dεn kin mek wan sכmכl ‘V’-shep insishכn na di כndasay fכ di penis fכ mek di ol big.
3. Neks, dɛn kin yuz ɔspitul glu fɔ tay di tisu bak. If nid de, dɛn kin put sɔm stich dɛn, we kin sɔlv fɔ dɛnsɛf afta sɔm dez.
4. If nid de, dɛn kin put smɔl tiub (kateta) fɔ sɔm tɛm fɔ mek i izi fɔ pis .
Afta di ɔpreshɔn, dɛn go kɛr di pikin go na rum usay dɛn de mɛn am. Afta di pikin wek, if dɛn sik fayn, bɔku tɛm dɛn kin go na os di sem de.
Aw fɔ kia fɔ di pikin afta dɛn dɔn du di ɔpreshɔn?
Di fɔs wik afta dɛn dɔn du di ɔpreshɔn rili impɔtant. Yu pikin nid yu ɛp fɔ mek i wɛl kwik kwik wan.
| Wetin fɔ du | Diskripshɔn ɛn instrɔkshɔn dɛn |
|---|---|
| Kɔntrol di pen | Gi mɛrɛsin dɛn we de mek pɔsin fil pen lɛk Paracetamol ɔ Ibuprofen lɛk aw di dɔktɔ tɛl am. Nɔ ɛva gi Aspirin, bikɔs i kin mek yu blɔd bɔku. |
| We yu de yuz kɔsmɛtik | Jɛntri put wan antiseptik krim ɔ petrolium jeli (Vaseline) we yu dɔktɔ tɛl yu fɔ du na di say we dɛn de du di ɔpreshɔn at le tri tɛm insay di de. Dis go ɛp fɔ mek di wund nɔ dray ɛn ridyus di dayapɛt rɔsh. |
| Fɔ mek yu klin | Was yu pikin wit wata we wam. Bɔt nɔ rɔb di say we dɛn de du di ɔpreshɔn wit sop. Rinse jisnɔ wit wata ɛn pat dray wit klin klos. |
| Klos ɛn nɛpi | Drɛs di pikin wit klos we nɔ tay ɛn we nɔ de kɔnstrikt. If yu de yuz dayapɛt, chenj am ɔltɛm. If i pɔsibul, if yu nɔ gɛt dayapɛt fɔ sɔm awa insay di de, dat go ɛp di wund fɔ wɛl. |
| Aktiviti restrikshɔn | Kip yu pikin fa frɔm rough play fɔ wan wik. Fɔ rayd baysikul, swing, ɛn ple si-saw nɔ fayn dis tɛm. |
Ustɛm a nid fɔ si di dɔktɔ ɔ go na di ETU?
Ɔltɛm, wach aw yu pikin de wɛl afta dɛn dɔn du am ɔpreshɔn. If ɛni prɔblɛm de, du sɔntin wantɛm wantɛm.
Bɔrku tɛm, di dɔktɔ go kɛr yu go bak fɔ wan apɔntinmɛnt fɔ fala yu. Mek shɔ se yu kam wit yu pikin da tɛm de.
Bɔt if ɛni wan pan dɛn sayn ya de, kɛr di pikin go na di ɔspitul we de nia di Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm .
- If yu gɛt fiva we de 38 digri sɛlshiɔs (100 Fahrenheit) ɔ pas dat.
- If blɔd de kɔntinyu ɛn bɔku pasmak frɔm di say we dɛn du di ɔpreshɔn.
- If di pikin in pen de bɔku .
- If yu vɔmit pas tri tɛm insay di de.
- If i at fɔ pis , ɔ if di pikin in dayapɛt dɔn dray fɔ lɔng tɛm.
Mɛsej we dɛn kin kɛr go na os
- If yu bɔy pikin gɛt prɔblɛm fɔ pis , i kin bi wan sik we dɛn kɔl Meatal Stenosis. Dis na kɔmɔn sik ɛn dɛn kin trit am.
- `Meatoplasty` na simpul, sef, ɛn ayli ifɛktiv ɔpreshɔn fɔ dis. Nɔ fred am.
- Fɔ fala di dɔktɔ in instrɔkshɔn dɛn jɔs afta di ɔpreshɔn rili impɔtant fɔ mek di pikin wɛl kwik kwik wan.
- If yu notis ɛnitin we nɔ kɔmɔn we yu pikin de wɛl, go to dɔktɔ wantɛm wantɛm. Aks yu dɔktɔ ɛnitin we yu gɛt na yu maynd.
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