Sɔntɛnde, wi kin gɛt fɔ fes tin dɛn we wi nɔ kin ivin imajin, nɔto so? Di dɔktɔ dɔn tɛl yu se yu nid fɔ put tyub insay yu kidni? Ɔ sɔmbɔdi na yu famili gɛt fɔ du dat? Na nɔmal tin fɔ fil smɔl fɔ fred ɛn wɔri we yu yɛri dis. Bɔt nɔ fred. Tide, wi go tɔk bɔt wetin na Nephrostomy Tube, wetin mek dɛn put am insay, ɛn aw fɔ liv nɔmal wit am insay simpul, ɔndastandin langwej.
Fɔ tɔk am simpul wan, wetin na dis Nephrostomy tiub?
Imajin if wan dreyn paip na wi os klos. Dɔn di wata go ful-ɔp na wan ples ɛn flɔ insay di rum, nɔto so? Na so i kin bi wit wi kidni.
nכmal wan, wi kidni dεm de mek urine, we de travul dכn di ureter dεm εn kכlekt insay di blad. We di blad ful-ɔp, wi kin fil se wi nid fɔ pis.
Bɔt if fɔ sɔm rizin di urine we de kɔmɔt na di kidni dɔŋ stɔp, dat min se if blɔk de sɔmsay, di urine kin bigin fɔ gɛda insay di kidni. Dis kin rili ambɔg di kidni.
Na da tɛm de dɔktɔ dɛn kin yuz dis Nephrostomy tube . Wetin kin apin na, dɛn kin mek ol na yu bak, ɛn dɛn kin put smɔl tiub dairekt insay yu kidni. Di ɔda ɛnd pan da tiub de kɔnɛkt to wan drenaj bag we de na do na yu bɔdi. So, di urine de go dairekt tru dis tכb, baypas di blכk, εn insay di bag. I tan lɛk se yu gi nyu baypas to wata paip we dɔn blok.
Bɔku tɛm, dis na sɔlv fɔ sɔm tɛm. Yu dɔktɔ go pul di tiub wans yu kidni prɔblɛm dɔn sɔlv. Bɔt sɔm pipul dɛn kin nid fɔ kip am insay fɔ smɔl tɛm.
Wetin mek wi nid fɔ put paip lɛk dis?
Bɔku rizin dɛn kin de we mek di urine kin stɔp fɔ kɔmɔt na di kidni dɛn. dis akumuleshכn fכ urine na di mεdikal dεm we dεn kכl am Hydronephrosis . Dis kin mek di kidni dɛn swel ɛn bigin fɔ pwɛl. So, i impɔtant fɔ mek di urine kɔmɔt kwik kwik wan.
Lɛ wi luk sɔm pan di men rizin dɛn we mek dɛn kin nid fɔ gɛt nɛfrɔstomi tyub.
| Rizin | Simpul Ɛksplen |
|---|---|
| Kidni ston dɛn | Kidni ston kin blok di urethra. Dis na di tin we kin mek pɔsin gɛt dis sik. |
| Infεkshכn dεm | Sɔm bad bad infekshɔn kin mek di kidni dɛn swel ɛn blok di urinary tract. |
| Tumɔs ɔ Kansa | Kansa na say dɛm lɛk di kidni, blad, ɛn prɔstat kin mek di urinary tract tayt ɛn blok. |
| Tisu we gɛt ska | Ska we yu gɛt frɔm ɔpreshɔn ɔ infekshɔn we yu bin dɔn du bifo tɛm kin mek di tiub blok. |
| Swel afta dɛn dɔn du di ɔpreshɔn | If yu swel fɔ sɔm tɛm afta yu dɔn ɔpreshɔn yu kidni, dat kin mek yu nɔ ebul fɔ urinary tract. |
| Di kɔndishɔn dɛn we dɛn bɔn wit | Sɔm pipul dɛn kin bɔn wit sɔm prɔblɛm dɛn na dɛn urinary system. |
Aw dɛn kin put dis tiub insay? Yu tink se na big ɔpreshɔn?
Nɔ, dis nɔto big ɔpreshɔn we dɛn kin du fɔ opin pɔsin. Dis na wan we we nɔ kin tek bɔku tɛm ɛn we kin tek lɛk wan awa so. Na wan Interventional Radiologist de du am.
Na dis na aw dis kin apin:
- Fɔ pripia: Dɛn go gi yu ɔspitul gɔn fɔ wɛr. Dɔn dɛn go aks yu fɔ ledɔm na tebul wit yu bak we yu de luk ɔp, dat min se yu de fes dɔŋ.
- Anestezi: Fɔ mek dis we aw yu de du tin nɔ go mek yu fil pen ɛn fɔ mek yu nɔ gɛt wanwɔd, dɛn go gi yu mɛrɛsin fɔ mek yu fil fayn . Apat frɔm dat, dɛn go injɛkt wan lokal anestetik na di say we dɛn go put di tiub. Fɔ yɔŋ pikin dɛn ɛn sɔm big pipul dɛn, dɛn kin du dis ɔnda jenɛral anestezi .
- Fɔ fɛn di say we dɛn de:Di dɔktɔ go yuz ɔltra saund ɔ ɛkstrem mashin fɔ fɛn di rayt say we yu kidni de.
- Fɔ put di tiub insay: Dɔn, fɔ tek tɛm, dɛn kin put wan smɔl nidul tru di skin insay di kidni. Dɛn kin pas wan waya tru di nidul, ɛn dɛn kin put di nɛfrɔstomi tiub insay di kidni along di waya. Sɔntɛnde dɛn kin gi spɛshal likwid (kɔntrast day) ɛn dɛn kin du fluoroscopy tɛst fɔ chɛk if di tiub de na in ples.
- Ɛnd: Afta dɛn dɔn put di tiub, dɛn kin tay am na di skin wit smɔl stich ɔ dresin fɔ mek i nɔ muf. di εnd we de na do na di tכb de kכnekt to di urine bag.
Afta dis, dɛn go wach yu fɔ sɔm awa ɛn if ɔltin de go fayn, dɛn go alaw yu fɔ go na os. Sɔm pipul dɛn kin de na ɔspitul fɔ wan de.
Aw yu kin tek kia ɔf dis paip na os?
Dis na di pat we impɔtant pas ɔl. If dɛn nɔ kia fɔ di tiub fayn, chans de fɔ mek i gɛt di sik. So yu nid fɔ rili tek tɛm we yu de klin. Yu dɔktɔ ɔ di wan dɛn we de wok na yu nɔs go ɛksplen dis to yu fayn fayn wan.
Chek di tiub ɔltɛm.
- Chek fɔ si if di tiub bɛn ɔ stɔp ɛnisay. If na so i bi, di urine nɔ go go insay di bag.
- Chek fɔ rɛd, swel, ɔ pus usay di tiub mit di skin.
- Chek fɔ si if chenj de na di kɔlɔ na di urine na di urine bag.
- Chek di dresin we de rawnd di tiub ɔltɛm fɔ si if i wet, dɔti, ɔ i lɔs . I fɔ klin ɛn dray ɔltɛm.
Fɔ ɛmti di urine bag
- Ɔltɛm kip di urine bag dɔŋ pas di kidni . Dis go mek di urine flɔ izi wan bikɔs ɔf di graviti.
- Ɛmpti di bag we i dɔn ful-ɔp lɛk af af . Nɔ wet te i ful-ɔp ɔltogɛda.
- If yu si ol ɔ lik na di bag, chenj am wit nyu wan wantɛm wantɛm.
Drɛs chenj ɛn klin
- di dresin we de rawnd di tiub fɔ chenj tu tɛm insay di wik . Dɛn fɔ chenj am bak wantɛm wantɛm afta yu dɔn was, if i wet, ɔ if i dɔti.
- Nɔ fɔgɛt fɔ was yu an fayn fayn wan wit sop bifo ɛn afta yu dɔn du dɛn tin ya.
- We di tiub de na in ples, nɔ was ɔ swim. Bɔt yu kin shaw afta 48 awa. Bɔt, yu fɔ chenj di we aw yu de drɛs afta yu dɔn was.
Ustɛm wi fɔ kɔl dɔktɔ wantɛm wantɛm?
I nɔmal fɔ gɛt sɔm pen ɛn smɔl pinkish urine kɔlɔ (lɛk ɔrɛnj jus) fɔ tu to tri dez afta dɛn dɔn put di tiub. Bɔt if yu gɛt ɛni wan pan dɛn sik ya, yu fɔ tɛl yu dɔktɔ ɛn nɔ de te . If nid de, go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
| Wonin sayn fɔ wach fɔ |
|---|
| If di urine dak rɛd (lɛk bitrut) ɛn i gɛt blɔd. |
| If wan yɔlɔ wata we tan lɛk pus kɔmɔt usay dɛn put di tiub. |
| If urine lik rawnd di tiub ɛn pan di skin. |
| If yu gɛt fiva (we pas 101°F ɔ 38.3°C) fɔ pas 24 awa. |
| If yu gɛt siriɔs pen we yu nɔ go ebul fɔ bia ivin afta yu dɔn tek mɛrɛsin fɔ mek yu fil pen. |
| If i tan lɛk se di urine dɔn stɔp fɔ gɛda na di urine bag. |
Fɔ liv wit tiub lɛk dis kin mek yu nɔ fil fayn smɔl ɛn i kin mek yu shem fɔs. Bɔt mɛmba se dis na sɔntin we yu kin du fɔ protɛkt yu kidni ɛn sev yu layf. So nɔ wɔri bɔt am. Aks fɔ ɛp frɔm yu famili, padi dɛn, ɛn di dɔktɔ dɛn. Nɔr frayd fɔ tɔk to yu dɔktɔ bɔt ɛni prɔblɛm ɔr diskɔmfɔt we yu gɛt.
Mɛsej we dɛn kin kɛr go na os
- Nephrostomy tube na impɔtant tin we de sev yu layf ɛn we de stɔp fɔ pwɛl yu kidni dɛn.
- Bɔku tɛm, dis na fɔ shɔt tɛm nɔmɔ. Yu dɔktɔ go pul am wans yu kidni prɔblɛm dɔn sɔlv.
- Fɔ mek yu nɔ gɛt di sik, i impɔtant fɔ mek di tiub ɛn di say we de rawnd am rili klin .
- Ɔltɛm kip di urine bag dɔŋ yu kidni. Ɛmpti di bag we i dɔn ful-ɔp af.
- If yu notis ɛni sayn we de wɔn yu lɛk we yu de blɔd brayt rɛd, fiva, yu de fil bad bad wan, ɔ yu urine de lik frɔm di tiub , tɛl dɔktɔ wantɛm wantɛm.
- Na nɔmal tin fɔ fil bad bɔt dis tin. Tɔk opin wan bɔt am wit di wan dɛn we yu lɛk ɛn di mɛdikal tim.
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