Wetin na di Mitrofanoff Prosidyu? Lɛ wi tɔk bɔt am simpul wan.

Sɔntɛnde, wi kin gɛt fɔ gɛt wɛlbɔdi prɔblɛm dɛn we wi nɔ kin ivin imajin. Ɛspɛshali we i kam pan blad prɔblɛm, i kin rili at fɔ mek yu nɔ ebul fɔ pis nɔmal wan. Fɔ liv wit dɛn kayn tin ya na big prɔblɛm fɔ pikin ɛn big pɔsin. Fɔ ɛp dɛn kayn pipul ya, tide wi de tɔk bɔt wan spɛshal ɔpreshɔn we dɛn kin du fɔ mek dɛn layf izi. Dɛn kɔl dis di Mitrofanoff Procedure. Pan ɔl we di nem strenj smɔl, di bɛnifit dɛn we dis kin gɛt rili valyu.

Fɔ tɔk am simpul wan, wetin na dis Mitrofanoff ɔpreshɔn?

Mitrofanoff ɔpreshɔn na ɔpreshɔn we de mek wan smɔl opin (we dɛn kɔl stoma ) na di bɛlɛ fɔ mek di urine kɔmɔt na di blad. Dis na rili spɛshal tin bikɔs dɔktɔ dɛn we de du ɔpreshɔn kin yuz wan pat pan yu yon bɔdi fɔ mek dis opin. Dat na yu apɛndiks .

Imajin, we yu de yuz yu skrotum, yu mek wan smɔl say we tan lɛk tiub frɔm yu blad to yu bɛlɛ. Dɔn, we yu nid fɔ pis, yu kin put kateta , we na wan tiub we kin chenj, tru dis opin (stoma) fɔ ɛmti yu blad.

Wan prɔfɛsɔ we nem Pɔl Mitrofanɔf bin bigin fɔ yuz dis we fɔ du tin insay 1976. Na dat mek i gɛt in nem. Dɛn kin kɔl am bak `apɛndikɔvɛsikɔstomi`.

Fɔs, lɛ wi ɔndastand smɔl bɔt dɛn pat ya na wi bɔdi.

Fɔ ɔndastand dis ɔpreshɔn gud gud wan, i fayn fɔ gɛt smɔl aidia bɔt aw wi bɔdi in urinary system ɛn ureter de wok.

• Blad: Dis na sak we gɛt mɔsul ɛn we tan lɛk balɔ. di urine we wi kidni dεm de mek frכm fכ filta bכdi de fכlכ tru tu sכm sכm tכb dεm (ureters) εn kכlekt insay dis blad. We i ful-ɔp, wi kin fil se wi nid fɔ pis. Dɔn, di urine de kɔmɔt na di bɔdi tru di urethra.
• Apɛndiks: Dis na pat pan wi dijestiv sistɛm. na sכm sכm tכb we de na di lכw rayt say na yu bεlε, we de atak di fכs pat pan yu big intestin. Dɔktɔ dɛn stil nɔ no us ɔda wok i gɛt. Bɔt wi kin liv fayn layf if wi nɔ gɛt am. Bɔku pipul dɛn kin gɛt ɔpreshɔn fɔ pul am we dɛn gɛt apɛndiks. So, no prɔblɛm nɔ de fɔ put am to ɔda yusful yus dɛn.

Imajin if yu nɔ gɛt apɛndiks, we min se dɛn bin pul am insay wan ɔpreshɔn we dɛn bin dɔn du bifo, wetin yu go du? Sɔlv de fɔ dat bak. If na so i bi, di dɔktɔ we de du di ɔpreshɔn go pul di apɛndiks na yu smɔl intestin.Dɛn tek wan smɔl pat ɛn mek dis rod. Dɛn kɔl am di Mɔnti ɔ Mɔnti-Yang we.

Wetin kin rili apin we dɛn de du ɔpreshɔn pan Mitrofanoff?

Dis de mek yu ebul fɔ ɛmti yu blad yusɛf bay we yu put kateshɔn tru wan ol na yu bɛlɛ (stoma). Dɛn kɔl dis sɛlf-kateshɔn .

Ɔl di de, na sɔm patikyula tɛm dɛn (bɔku tɛm ɛvri 3-4 awa), yu go nid fɔ du dɛn tin ya:

1. dεn de put wan fleksibul tכb (kateta) tru di opin (stoma) na di bכdi εn dεn de gayd am along di rod we dεn mek fכ go na di blad.

2. Dɛn kin ɛmti ɔl di urine na di tɔylɛt ɔ wan kɔntena we de nia di paip.

3. We di blad dɔn ɛmti ɔl, dɛn kin pul di kateshɔn. Dɔn di opin (stoma) kin lɔk ɔtomɛtik wan. No urine nɔ de lik frɔm de.

Dis we ya kin izi, i nɔ kin mek i fil pen, ɛn i kin izi fɔ bɔku pipul dɛn pas fɔ put kateshɔn tru di nɔmal urethra.

Udat nid fɔ du dis ɔpreshɔn?

Mitrofanoff ɔpreshɔn kin nid fɔ pikin ɛn big pipul dɛn. Wi go luk dɛn ɔl tu wan bay wan.

Wetin mek pikin nid fɔ gɛt Mitrofanoff ɔpreshɔn?

Dɛn kin bɔn sɔm pikin dɛn wit sɔm wikɛd tin dɛn na dɛn nervɔs sistɛm. Dis kin mek dɛn nɔ ebul fɔ kɔntrol dɛn blad mɔsul dɛn. Dɛn kɔl dis nyurojɛnik blad . Dɔn bak, pikin dɛn we dɛn bɔn wit di urinary system abnormalities kin nid dis ɔpreshɔn.

Di kɔmɔn rizin dɛn we kin mek pikin dɛn nid dis ɔpreshɔn na:

• Spina Bifida: Na wikɛd tin we de na di spayna we de de we dɛn bɔn am.
• di blad εkstrofi כ kloak εkstrofi: we di blad de kכmכt na do bikoz di bכdi wכl nכ kכmplit we dεn bכn am.
• Sεribra Palsi: Na kכndyushכn we de afekt di bכdi muvmεnt εn mכsul dεm kכntrכl bikoz di bren de damej.
• sakral ajenεsis: di kכnεkshכn absכns fכ di lכw pat pan di spayna.
• Spinal kɔd injuri.

Wetin mek big pɔsin nid fɔ gɛt Mitrofanoff ɔpreshɔn?

Big pipul dɛn nɔ kin ebul fɔ kɔntrol dɛn blad bak fɔ difrɛn rizin dɛn.

• Kansa: Kɔndishɔn lɛk blad kansa, prɔstat kansa, ɔ kɔlorektal kansa.
• Nɔ ebul fɔ kɔntrol di urine: I kin gɛt siriɔs urinary incontinence.
• Inflameshɔn na di blad (Cystitis).
• Nεv sistεm sik dεm: Nyurojεnik blad we de kכz fכ kכndyushכn lεk mכltipl sklεrosis כ Pakinsin sik.
• Spinal kɔd injuri, paralayz, ɔ spɛshal tɔŋ.
• Strok.

Wetin kin apin bifo, di tɛm we dɛn de du di ɔpreshɔn ɛn afta di ɔpreshɔn?

Na nɔmal tin fɔ fil fɔ fred smɔl we yu de tɔk bɔt big ɔpreshɔn lɛk dis. Bɔt if yu no gud gud wan aw dɛn tin ya kin apin, dat kin ɛp fɔ mek yu nɔ fred da tɛm de.

Bifo di prɔsidyu

Fɔ mek yu nɔ gɛt di sik we yu de du ɔpreshɔn, yu bɔdi fɔ ɛmti as yu ebul. Dis nid fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. Dɛn tin ya kin bi:

• Fɔ fast di de bifo dɛn du di ɔpreshɔn.
• Fɔ tek spɛshal drink fɔ klin di insay klin ɔl (bowel cleanse).

Di tɛm we dɛn de du di prɔsidyu

Dɛn kin du dis ɔpreshɔn ɔnda jenɛral anestezi . Dis min se yu nɔ go fil ɛnitin we dɛn de du di ɔpreshɔn, ɛn yu go slip ɔl.

Di dɔktɔ we de du di ɔpreshɔn kin fala dɛn tin ya:

1. Dɛn go mek wan say we dɛn kɔt na yu bɛlɛ.

2. di apεndiks de separet frכm di big intestin.

.

4. dεn de mek wan strכkchכ we lεk valv usay di ureter de kכnekt to di blad fכ mek di urine nכ fכ fכlכ bak. dis valv de tayt εn klos we di blad fulכp, we de mek di urine nכ de lik tru di pasej we dεn mek.

5. Fɔ ɛp yu fɔ pas urine te yu blad wɛl, dɛn kin put wan tɛmporari tiub (suprapubic tube) dairekt insay yu blad. Dis kin gɛda urine na bag we de na do na yu bɔdi.

6. sכmtεm, dεn kin put sכm sכm tכb dεm (ureteral stents) insay di tכb dεm we de kכri urine frכm di kidni dεm to di blad (ureters). Dis nɔ nid fɔ de fɔ ɔlman.

7. Fɔ dɔn, dɛn kin lɔk di men say we dɛn kɔt di ɔpreshɔn wit stich dɛn we dɛn kin sɔlv.

Afta di prosidur

Afta di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ lɛk wan wik so. Insay dis tɛm:

• Dɛn nɔ go alaw yu fɔ it fɔ sɔm dez. Bifo dat, dɛn go gi yu IV wata fɔ gi yu insay dɛn tɛm fɔ wɛl.
• Fɔ di fɔs ɔ tu dez, yu go gɛt fɔ ledɔm flat na bed. Yu go ebul fɔ rol ɔp ɛn muv yu leg dɛn, bɔt dɛn nɔ go alaw yu fɔ grap ɛn sidɔm.
• we yu go na os, dεn go put wan kateshכn εn wan tεmporari `suprapubic` tyub insay di nyu pasej we dεn dכn mek (Mitrofanoff tunnel) fכ mek i nכ kכlos. dis kateshכn go nid fכ lεf in ples fכ lεk 4 wik.
• if dεn put dεn `ureteral stents` dεm, dεn go nid fכ du כda sכmכl prosidכs fכ pul dεm insay lεk 6-8 wik.
• Di de we dɛn tich yu fɔ yuz kateshɔn fɔ yusɛf, di dɔktɔ go pul ɔl tu di tɛmporari tyub dɛn na di ɔfis. Dis nɔ nid fɔ du ɔda ɔpreshɔn.

Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?

Jɔs lɛk ɛni ɔda mɛrɛsin, bɛnifit dɛn de ɛn sɔm prɔblɛm dɛn bak.

Rikɔvayshɔn ɛn layf afta dɛn dɔn ɔpreshɔn am

Insay di fɔs wik afta dɛn dɔn du di ɔpreshɔn, yu kin gɛt:

• Smɔl smɔl blɔd na di urine (hematuria).
• di kכntrikshכn dεm we de mek di blad mכsul dεm de pen (blad spasms).

Yu dɔktɔ go gi yu mɛrɛsin fɔ mek yu fil pen ɛn fɔ mek yu mɔsul rilaks fɔ dɛn tin ya.

Afta lɛk 6 wik, yu go nid fɔ go to yu dɔktɔ fɔ lan aw fɔ put di kateshɔn yusɛf (sɛlf-kateshɔn).

Bɔt yu fɔ pe atɛnshɔn ɔltɛm to aw yu urinary system de wok. Yu fɔ mek dɛn du dɛn tɛst ya ɛvri ia:

• Blɔd tɛst fɔ chɛk di lɛvɛl we di ilɛktrɔlayt dɛn de na di blɔd ɛn di kidni we de wok.
• Sistoskopi (we de egzamin di insay pat pan di blad).
• Ultrasound skan fɔ di kidni ɛn blad.
• X-ray egzamin fɔ di kidni, blad, ɛn urethra.

Ustɛm fɔ go to dɔktɔ wantɛm wantɛm

If yu gɛt ɛni wan pan dɛn sik ya, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm :

• Nɔ ebul fɔ ɛmti di blad ɔltogɛda.
• Blɔd pasmak, swel, ɔ brus.
• Nɔs ɛn vɔmit.
• I kin fil pen bad bad wan.
• Sayn dɛm fɔ se yu gɛt infekshɔn, lɛk we yu gɛt wata we de smɛl fayn ɔ fiva.

Wetin na di difrɛns bitwin Mitrofanoff ɛn Urostomy?

Dɛn tu we ya na fɔ pas urine tru wan ol na di bɛlɛ. Bɔt we dɛn du urostomy , dɛn kin mek wan rod fɔ pas di blad ɛn pul di urine kɔmɔt na di kidni dɛn dairekt wan. Sɔm pipul dɛm wae gɛt urostomy kin gɛt fɔ wɛr bag fɔ kɔlekt urine ɔltɛm. Dis min se dɛn nɔ kin ebul fɔ kɔntrol di we aw dɛn de urine. Bɔt wit Mitrofanoff, yu gɛt mɔ fridɔm bikɔs yu kin jɔs ɛmti yu blad wit kateshɔn we yu nid fɔ du am.

Yu tink se dis ɔpreshɔn fɔ ɔltɛm?

Dis kin bi bak. Dat min se dɛn kin du ɔpreshɔn fɔ pul di tanɛl. Bɔt di apɛndiks nɔ kin kɔnɛkt bak to di insay, bikɔs i nɔto impɔtant ɔgan. Afta dɛn dɔn pul wan Mitrofanoff, yu kin nid fɔ pis nɔmal wan tru di urethra, ɔ yu kin nid fɔ put kateta tru am fɔ ɛmti yu blad, ɔ yu kin nid fɔ gɛt urostomy. Dis na sɔntin we yu fɔ tɔk to yu dɔktɔ.