Yu de fred bak fɔ mek dɛn du big ɔpreshɔn fɔ pul di ston dɛn na yu kidni? Yu no se insted fo get big opareishon laik di wan dem weh e bi nid fo get big big insishon, yu fit komot di kidni ston dem nau yuz kamera we dem put tru smol smol ston? Na dat wi kin kɔl wan mɔdan tritmɛnt we dɛn kɔl ‘Nephroscopy.’ Tide, wi go tɔk bɔt dis ditayli ɛn rili simpul wan.
Wetin na Nɛfroskɔpi?
Fɔ tɔk am simpul wan, dis na tin we dɛn kin du fɔ chɛk insay yu kidni ɛn fɔ trit sɔm tin dɛn. I nɔ nid fɔ kɔt bɔku tin lɛk aw i bin de kɔt trade.
Dɛn kin du dis bay we dɛn de yuz wan spɛshal tin we tan lɛk tin we dɛn kɔl nɛfroskɔp. Na lɔng tiub, we tik smɔl pas pensil. Dɛn kin kɔt wan rili smɔl say na di skin na yu bak, ɛn dɛn kin put dis tiub insay di kidni. Insay dis tiub, layt, kamɛra (lɛk tɛliskɔp), ɛn irigashɔn sistem fɔ was di say we dɛn de du di ɔpreshɔn. Di dɔktɔ kin du di tritmɛnt bay we i de wach di pikchɔ dɛn frɔm dis kamɛra na big skrin.
Imajin se yu nid fɔ pul wan ston na yu kidni. Yu kin yuz ɔltra saund ɔ laser layt fɔ brok di ston tru dis nɛfroskɔp. Afta dɛn dɔn brok am, dɛn kin pul di pis dɛn kɔmɔt tru dis tiub. Di big bɛnifit fɔ dis na dat yu nɔ nid fɔ du big opin ɔpreshɔn lɛk aw yu bin de du trade. So yu kin wɛl kwik kwik wan.
Wetin na di yus dɛm fɔ Nɛfroskɔpi?
Dis tritmɛnt we dɛn kin yuz mɔ fɔ sɔm tin dɛn. Lɛ wi si wetin dɛn bi.
| Di chans fɔ gɛt tritmɛnt | Simpul ɛksplen |
|---|---|
| Kidni ston we dɛn kin pul (PCNL) . | dis mכt dεn kin yus fכ pul di kidni ston dεm, spεshal wan dεm we big (we pas 1 cm). di spεshal nem fכ dis na Pεrkyuta Nεfrolitotomi כ (PCNL) . |
| Fɔ pul di ston dɛn we dɔn brok | Dɛn kin yuz am bak fɔ pul di kidni ston pat dɛn we kin lɛf afta ɔda tritmɛnt dɛn. |
| Fɔ pul smɔl smɔl tumbu dɛn | Dɛn kin pul sɔm smɔl smɔl tɔŋ dɛn we nɔ gɛt kansa insay di kidni. |
| Fɔ pul di kidni sist dɛn | Dɛn kin yuz dis we bak fɔ trit sist, we na sak dɛn we ful-ɔp wit wata we kin mek na di kidni dɛn. |
| Tritmɛnt fɔ ɔbstrɔkshɔn (UPJ Obstrukshɔn) . | Trit di ureteropelvic junction (UPJ) obstruction , we na di blכk we de na di biginin fכ di tכb we de kכri urine frכm di kidni to di blad. |
| Fɔ pul ɔda tin dɛn | Dɛn kin yuz dis we bak fɔ pul sɔntin we dɛn bin dɔn put na do na di bɔdi, lɛk stent we dɛn bin dɔn put bifo. |
Aw a fɔ rɛdi fɔ dis ɔpreshɔn?
Bɔku tin dɛn de we yu fɔ rɛdi fɔ bifo yu du dis kayn tritmɛnt.
- Test: Dɛn go du wan urine test fɔ chɛk if infɛkshɔn de na yu urine. If infekshɔn de, yu go nid fɔ tek antibayɔtik.
- Infɔmeshɔn bɔt mɛrɛsin: If yu de tek tin dɛn we de mek yu blɔd tan lɛk aspirin ɔ warfarin (Coumadin®), yu fɔ rili tɛl yu dɔktɔ. I go advays yu fɔ stɔp fɔ tek dɛn mɛrɛsin ya lɛk wan wik bifo dɛn du di ɔpreshɔn.
- Fɔ it ɛn drink: Bɔku tɛm yu nɔ kin ebul fɔ it ɔ drink ɛnitin fɔ 8 awa bifo dɛn du yu ɔpreshɔn.
- Mɛdikal advays: Di tin we impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ bɔt ɔl dis ɛn fala in instrɔkshɔn dɛn gud gud wan.
Aw dɛn kin du di ɔpreshɔn?
Okay, naw lɛ wi si wetin na di step dɛm fɔ dis tritmɛnt.
Fɔs, yu dɔktɔ go tek tɛm luk ɛni skan we yu dɔn du (lɛk CT skan ɔ urogram) ɛn plan fɔ du yu ɔpreshɔn. Dɛn go gi yu jenɛral anestesia, so yu nɔ go fil ɛni pen, lɛk se yu de slip.
Dɔn dɛn go put yu na di ɔpreshɔn tebul wit yu bɛlɛ we de luk dɔŋ. Fɔs, dɛn go put wan smɔl tiub (kateta) tru yu urethra insay yu kidni. Dɛn go pas wan spɛshal day na di tiub ɛn dɛn go tek ɛkstrem rayt fɔ si di insay pat pan yu kidni klia wan.
Dɔn, lɛk aw dɛn bin dɔn plan, dɛn kin put nidul tru di skin na yu bak insay di kidni. Dɛn kin mek di say wayd smɔl, ɛn dɛn kin put wan tiub (sheath). Dɛn kin du dis tru wan smɔl say we dɛn kɔt lɛk wan dimɛ. naw, tru dis tכb, dεn kin pas di nεfrכskop εn כda כspitul instrכmεnt dεm dairekt insay di kidni.
Naw, di dɔktɔ de luk tru di kamɛra ɛn brok wan ston na in kidni, ɔ if na sɔntin we de ambɔg am, i kin pul am, ɛn pul di pis dɛn tru di nɛfroskɔp.
fכ finish, dεn kin put sכmtin we dεn kכl ureteral stent insay di tכb we de kכmכt frכm di kidni to di blad (ureter). Dis na wan ol plastic tyub we lɔng lɛk 10-12 inch. Dis kin ɛp fɔ mek di urine flɔ izi wan ɛn i kin ɛp di kidni fɔ wɛl kwik kwik wan. Bɔku tɛm, dɛn kin pul di stent we yu si yu dɔktɔ insay lɛk wan wik so.
Wetin na di tin dɛn we yu nid fɔ tek kia ɔf afta yu dɔn go na os?
Afta dɛn dɔn du di ɔpreshɔn, dɛn go kɛr yu go na wan rum usay dɛn de mɛn pipul dɛn we dɔn wɛl. We dɛn dɔn kɔnfyus se ɔltin fayn, bɔku tɛm yu go ebul fɔ go na os di nɛks de. Tek spɛshal kia fɔ dɛn tin ya afta yu dɔn go na os.
- If yu gɛt fiva, fil kol ɛn shek shek, ɔ yu gɛt bad bad pen we di mɛrɛsin we yu dɔktɔ dɔn tɛl yu nɔ go ebul fɔ kɔntrol, kɔl yu dɔktɔ wantɛm wantɛm.
- Na nɔmal tin fɔ gɛt smɔl blɔd na yu urine afta dɛn dɔn du yu ɔpreshɔn. Bɔt...
If yu gɛt bɔku blɔd na yu urine, ɔ if yu si big big blɔd, go na di ɔspitul imejensi rum (ETU) we de nia yu wantɛm wantɛm. Dis nɔto sɔntin we wi fɔ delay.
- If yu dɔktɔ nɔ advays yu fɔ du ɔda tin, nɔ es yu wet ɔ du ɛksɛsayz we yu go tranga fɔ tu to 4 wiks.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis tritmɛnt de gi?
Di big bɛnifit fɔ dis na dat na we we rili sef ɛn i nɔ nid fɔ du big ɔpreshɔn (tradishɔnal ɔpreshɔn). So, di tɛm fɔ wɛl kin shɔt ɛn di risk fɔ gɛt di sik kin smɔl bak.
Bɔt lɛk ɛni ɔpreshɔn, sɔm smɔl smɔl prɔblɛm dɛn kin de.
- Blɔd we de kɔmɔt we dɛn de du di ɔpreshɔn ɔ afta dɛn dɔn du di ɔpreshɔn (dɛn kin nid fɔ transfyushɔn blɔd dɛn kayn tɛm dɛn de).
- Fluid we de gɛda na di lɔng dɛn.
- Wan siriɔs infɛkshɔn lɛk sepsis.
- Infεkshכn na di urinary tract.
- Damej na di kidni ɔ di urinary tract.
Dɛn risk ya nɔ kin apin so ɔltɛm. Yu dɔktɔ go ɛksplen ɔl dis to yu gud gud wan bifo yu du di ɔpreshɔn, so natin nɔ de fɔ wɔri bɔt.
Mɛsej we dɛn kin kɛr go na os
- Nεfrכskopi na wan mכdan we dεn kin put kεmεra tru wan sכmכl kכt na di skin fכ si εn trit di insay pat pan di kidni.
- dis kin rili wok, spεshal fכ pul big kidni ston (PCNL mεtכd), sכm sכm sist dεm, εn tin dεm we de ambɔg.
- Di tɛm fɔ wɛl afta dis kin shɔt pas afta dɛn dɔn kɔt am big big bɔdi.
- If yu gɛt fiva, pen we yu nɔ ebul fɔ kɔntrol, ɔ yu gɛt bɔku blɔd afta yu dɔn ɔpreshɔn, yu fɔ go to dɔktɔ wantɛm wantɛm.
- If yu gɛt ɛni kwɛstyɔn bɔt dis, nɔ fred fɔ aks yu dɔktɔ.
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