Sɔntɛnde, wi kin gɛt fɔ gɛt wɛlbɔdi prɔblɛm dɛn we wi nɔ kin ivin imajin. Fɔ nɔ ebul fɔ pis nɔmal wan na wan pan dɛn. Tide wi de tɔk bɔt spɛshal ɔpreshɔn we dɛn kin du as sɔlv we dɛn nɔ kin ebul fɔ kɔntrol di blad fayn bikɔs ɔf sɔm mɛrɛsin dɛn. Nɔ fred fɔ yɛri dis. I rili impɔtant fɔ no bɔt dis.
Wetin na Mitrofanoff ɔpreshɔn?
Fɔ tɔk am simpul wan, dis na ɔpreshɔn. I min fɔ mek wan smɔl chanɛl we tan lɛk tiub frɔm yu blad to di say we yu bɛlɛ de. Tink bɔt am lɛk se yu de mek nyu say fɔ go insay yu blad. Di dɔktɔ dɛn we de du ɔpreshɔn kin yuz wan pat pan yu yon bɔdi we dɛn kɔl di apɛndiks fɔ mek dis chanɛl.
Dɔn, dɛn kin put wan spɛshal tiub, we dɛn kɔl kateta, insay dis smɔl say we opin na di bɛlɛ (we dɛn kɔl stoma ) fɔ ɛmti di blad. Dis kin izi ɛn nɔ kin mek bɔku pipul dɛn fil pen pas fɔ put kateshɔn tru di urethra.
Fɔ ɔndastand dis, lɛ wi fɔs luk aw wi urinary system de wok.
Di urinary system na wi bɔdi tan lɛk filta system.
- Fɔs, wi kidni dɛn kin filta di blɔd, separet di dɔti tin dɛn, ɛn mek urine.
- afta dat dis urine de travul dכn tu sכm sכm tכb dεm we dεn k כl ureters εn i de kכlekt insay di blad .
- Blad na ɔgan we dɛn mek wit mɔsul dɛn we de strɛch lɛk balɔ. Na we i ful-ɔp nɔmɔ wi kin fil se wi nid fɔ pis.
- We wi de pis, di urine de pas frɔm di blad to di ɔdasay na di bɔdi tru wan tiub we dɛn kɔl di urethra .
Bikɔs ɔf sɔm mɛdikal kɔndishɔn, dis prɔses nɔ kin apin fayn fayn wan. Na da tɛm de dɛn nid wan we lɛk Mitrofanoff.
So wetin na di apɛndiks?
di apεndiks na sכm sכm tכb we lεk fכ finga we de atak di fכs pat pan wi big intestin. I de na di rayt say we de dɔŋ na wi bɛlɛ.
Dɔktɔ dɛn stil nɔ dɔn fɛnɔt us ɔda wok i de du. Sɔm pipul dɛn se i de protɛkt di gud baktri dɛn we de na wi intestinal. Bɔt di tin we impɔtant pas ɔl na dat wi go ebul fɔ liv fayn layf ɛn nɔ gɛt ɛni prɔblɛm we wi nɔ gɛt apɛndiks. Yu go dɔn yɛri se we yu gɛt apɛndiks, yu fɔ pul am. Na so i bi.
Insay di Mitrofanoff prosidur, di dɔktɔ dɛn kin tek di apɛndiks ɛn yuz am fɔ mek nyu say fɔ mek di urine pas. If dɛn dɔn ɔlrɛdi pul pɔsin in apɛndiks, di dɔktɔ we de du di ɔpreshɔn kin yuz wan pat pan di smɔl intestin fɔ mek dis pasej insted.
Udat nid fɔ du dis ɔpreshɔn?
Dis ɔpreshɔn kin nid fɔ du to pikin ɛn big pipul dɛn. Lɛ wi brok dɔŋ di men tin dɛn we kin mek wi gɛt am.
| Situeshɔn dɛn we Mitrofanoff ɔpreshɔn kin nid fɔ du | |
|---|---|
| Fɔ Pikin dɛn | |
Sɔm tin dɛn we kin apin we pɔsin bɔn kin afɛkt di nervɔs sistɛm ɛn kin mek i nɔ ebul fɔ kɔntrol di blad. Dɛn kɔl dis nyurojɛnik blad . Ɔda kɔndishɔn dɛn de bak:
| |
| Fɔ Big Pipul dɛn | |
Big pipul dɛn kin nid dis ɔpreshɔn bak fɔ difrɛn rizin dɛn:
|
Aw dɛn kin du di ɔpreshɔn ɛn di tɛm we dɛn kin gɛt fɔ wɛl
Bifo dɛn du di ɔpreshɔn
Bifo yu du di ɔpreshɔn, yu nid fɔ ɛmti yu bɔdi ɔlsay fɔ mek yu nɔ gɛt di sik. Dis go mek yu fala di tin dɛn we yu dɔktɔ tɛl yu fɔ du. Dis min se yu fɔ fast ɛn du fɔ klin yu bɔdi.
We dɛn de du di ɔpreshɔn
Dɛn kin du dis ɔpreshɔn ɔnda jenɛral anestezi. Dis min se yu nɔ go fil ɛnitin, yu go de slip. Di dɔktɔ we de du di ɔpreshɔn go fala dɛn tin ya:
1. dεn kכt di bεlε skin (incision) εn di apεndiks de separet frכm di big intestin.
2. wan εnd pan di ileostomy tכb de kכnekt to di blad εn di כda εnd to wan sכmכl opin (stoma) we dεn mek na di bכdi.
3. di kכnekshכn to di blad dεn mek am lεk valv we de kכloz כtomatik we di blad fulכp. Dis kin mek di urine nɔ lik.
4. Afta di ɔpreshɔn, dɛn kin put wan tɛmporari tiub (suprapubic tube) fɔ mek di urine pas te di blad wɛl.
5. Fɔ dɔn, dɛn kin lɔk di say we dɛn de du di ɔpreshɔn wit stich dɛn we dɛn kin sɔlv.
Afta dɛn dɔn du di ɔpreshɔn
Yu go nid fɔ de na ɔspitul fɔ sɔm dez, sɔntɛm fɔ wan wik. We yu de wɛl, yu kin ɛkspɛkt dɛn tin ya:
- Na salin (IV fluid) nɔmɔ dɛn go gi fɔ sɔm dez.
- fכ di fכs 4-6 wik dεm, dεn de put wan kateshכn insay di nyu pasej we dεn kכl (Mitrofanoff tεnεl) fכ mek i nכ kכloz.
- Afta lɛk 6 wik, yu dɔktɔ go tich yu aw fɔ ɛmti yu blad fɔ yusɛf bay we yu de yuz kateshɔn.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis kin gɛt?
Di big bɛnifit fɔ dis ɔpreshɔn na dat i de mek yu ebul fɔ kɔntrol di urine lik ɛn ɛmti yu blad we ɔda pipul dɛn nɔ ɛp yu. Ivin smɔl pikin dɛn kin lan fɔ du dis fɔ dɛnsɛf.
Bɔt jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin mek pɔsin gɛt prɔblɛm.
- Ri-ɔpareshɔn nid fɔ du: As tɛm de go, di say we dɛn mek kin smɔl (stenosis) ɔ wik, ɛn dis kin mek dɛn nid fɔ du ɔda ɔpreshɔn fɔ mek i fayn.
- fכ mek mכkus: Ivin we dεn yuz di apεndiks bak, i de kכntinyu fכ mek mכkus. So, dis pasej fɔ klin bay we yu de wata am ɔltɛm wit sɔlvushɔn lɛk salin.
- Ɔda prɔblɛm dɛn: Blad ston, urinary tract infection (UTI), ɛn blɔd kin kam.
Nɔr frayd fɔ dɛn risk ya. Yu dɔktɔ go tɛl yu bɔt ɔl dis ɛn gi yu di advays we yu nid.
Ustɛm yu nid fɔ tɔk to di dɔktɔ?
If yu gɛt ɛni wan pan dɛn tin ya afta dɛn dɔn du yu ɔpreshɔn, tɛl yu dɔktɔ wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu .
- If yu nɔ ebul fɔ ɛmti yu blad ɔltogɛda.
- If blɔd de kɔmɔt pasmak, swel, ɔ brus.
- If nɔs ɛn vɔmit kɔntinyu.
- If bad bad pen de we pɔsin nɔ go ebul fɔ bia.
- Sayn dεm fכ infεkshכn, lεk fכ smεl dεm we de kכmכt frכm di stoma כ fiva.
Mɛsej we dɛn kin kɛr go na os
- Mitrofanoff na ɔpreshɔn we dɛn kin du we dɛn kin mek wan pasej frɔm di blad to di skin na di bɛlɛ, ɛn put kateta tru am fɔ mek di urine kɔmɔt.
- Dis kin nid mɔ fɔ di wan dɛn we dɔn lɔs kɔntrol pan dɛn urinary system bikɔs ɔf tin dɛn lɛk we dɛn bɔn am, we dɛn gɛt injury na dɛn spaynal kɔd, ɔ kansa.
- Afta dis ɔpreshɔn, bɔku pipul dɛn kin liv nɔmal, aktif layf. Ivin di tin dɛn we pɔsin kin du lɛk fɔ swim nɔ gɛt ɛnitin fɔ du wit am.
- I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn fayn fayn wan afta yu dɔn du di ɔpreshɔn ɛn atɛnd di fɔs apɔntinmɛnt dɛn di rayt tɛm. If yu gɛt ɛnitin we de mɔna yu, tɔk to yu dɔktɔ.
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