Kidni ston na prɔblɛm we bɔku pipul dɛn gɛt, ɛn sɔntɛnde i kin mek dɛn fil pen we dɛn nɔ kin ebul fɔ bia. Bɔku tɛm, smɔl smɔl ston dɛn kin pas na di urine afta yu dɔn drink bɔku wata ɛn tek di mɛrɛsin we di dɔktɔ gi yu. Bɔt sɔm ston dɛn rili big. Tide wi go tɔk bɔt wan spɛshal ɛn rili saksesful ɔpreshɔn we dɔktɔ dɛn kin advays we dɛn nɔ kin ebul fɔ pul dɛn wit ɔda we dɛn.
Fɔ tɔk am simpul wan, wetin na PCNL?
Di ful nem fɔ PCNL na Percutaneous Nephrolithotomy . Pan ɔl we di nem kin tan lɛk se i kɔmplikt smɔl, di minin rili simpul.
- "Percutaneous" min "tru di skin."
- "Nephrolithotomy" min "di ɔspitul fɔ pul wan ston frɔm wan kidni."
Fɔ tɔk am simpul wan, PCNL na we dɛn kin kɔt wan rili smɔl say na yu bak ɛn pul wan big ston na di kidni. Dɛn kin yuz am mɔ fɔ pul big ston dɛn we dɛn nɔ dɔn trit fayn wit ɔda tritmɛnt dɛn, lɛk mɛrɛsin, shɔk wev lithotripsy, ɔ ɔda tin dɛn we dɛn kin du.
PCNL na big ɔpreshɔn?
Yɛs, dɛn kin tek PCNL as big ɔpreshɔn. Bɔt nɔ wɔri. I nɔ tan lɛk tradishɔnal opin ɔpreshɔn. Di ɔpreshɔn we dɛn kin du na opin, dɛn kin kɔt am big, we min se i kin tek lɔng tɛm fɔ mek i wɛl ɛn i kin mek i fil pen mɔ.
Bɔt PCNL na "minimally invasive" ɔpreshɔn. Dat min se bikɔs dɛn kin du am tru wan rili smɔl say we dɛn kɔt am, i nɔ kin ambɔg yu bɔdi, i nɔ kin gɛt bɔku prɔblɛm dɛn, ɛn yu kin wɛl kwik kwik wan. Bɔt bikɔs na big ɔpreshɔn, na wan tim we gɛt spɛshal dɔktɔ dɛn na ɔspitul kin du am.
Udat rili nid dis ɔpreshɔn?
Bɔrku tɛm, kidni ston kin pas wit urine. If nɔto dat, di dɔktɔ go rifer yu to ɔda simpul tritmɛnt dɛn. Dɛn kin du PCNL ɔpreshɔn pan dɛn kayn tin ya:
- If di kidni ston rili big: Dis we ya kin bεst fכ pul ston dεm we big pas 2 sεntimita.
- If ɔda tritmɛnt dɛn nɔ wok: If dɛn nɔ ebul fɔ pul di ston wit tritmɛnt dɛn lɛk shɔk wev lithotripsy ɔ laser ureteroscopy, we involv fɔ pas kamɛra dɔŋ di urethra ɛn pul di ston wit laser.
- If di ston de na kɔmpleks say: If di ston de na say we at fɔ pul insay di kidni.
Yu urologist go bi di bɛst pɔsin fɔ disayd if yu nid dis ɔpreshɔn. I go rivyu yu CT skan ɛn ɔda tɛst dɛn ɛn tɛl yu bɔt di tritmɛnt we go fayn fɔ yu.
Lɛ wi lan stɛp bay stɛp aw dɛn kin du di ɔpreshɔn.
I go rili fayn fɔ mek yu no gud gud wan bɔt dis kayn ɔpreshɔn bifo yu du am. Lɛ wi tek wan luk pan aw dis prɔses de wok.
1. Wetin a fɔ du bifo dɛn du di ɔpreshɔn?
Yu go nid fɔ go to dɔktɔ sɔm dez bifo di ɔpreshɔn. De:
- Dɛn kin chɛk yu wɛlbɔdi biznɛs: dɛn kin mɛzhɔ tin dɛn lɛk blɔd prɛshɔn ɛn at rit.
- Yu fɔ no bɔt yu mɛrɛsin dɛn: Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk vaytamɛn ɛn ɛbul mɛrɛsin dɛn. If yu de tek mɛrɛsin we de mek yu blɔd tan (e.g., aspirin) , yu kin nid fɔ stɔp fɔ tek am bifo dɛn du yu ɔpreshɔn. Bɔt nɔ ɛva stɔp fɔ tek ɛni mɛrɛsin we yu nɔ aks yu dɔktɔ fɔs.
- Tɛl wi bɔt yu alɛji: Mek shɔ se yu tɛl wi if yu gɛt ɛni alɛji to ɛni mɛrɛsin, it, ɔ ɛnitin lɛk plasta.
- Fastin: Dɛn go advays yu fɔ nɔ it ɔ drink ɛnitin afta midnayt di nɛt bifo di ɔpreshɔn. If yu fɔ tek ɛni impɔtant mɛrɛsin, yu kin tek am wit jɔs wan sip wata.
- Test: Dɛn kin aks yu fɔ du `CT (computed tomography) scan`, `Ultrasound scan`, ɔ `X-ray` fɔ si di rayt say ɛn di sayz we di kidni ston de.
2. Wetin kin apin we dɛn de du di ɔpreshɔn?
Na wan tim we gɛt spɛshal dɔktɔ dɛn, wan dɔktɔ we de anestez, ɛn wan nɔs wokman dɛn kin du di ɔpreshɔn.
- Anestezi: Fɔs, dɛn go put yu ɔnda jenɛral anestesia. So yu nɔ go fil ɛni pen we dɛn de du di ɔpreshɔn, ɛn yu go slip kpatakpata.
- Pozishɔn: Bɔku tɛm dɛn kin du di ɔpreshɔn wit yu we yu de ledɔm na yu bɛlɛ (prone position) na di bed. dis de mek i izi fכ go na di kidni frכm di bak.
- Smɔl say we yu kɔt: Di spɛshal pɔsin go mek smɔl say we yu kɔt, lɛk 1 sɛntimita, na yu bak, usay yu kidni de.
- di instrכmεnt insεshכn: tru di insayshכn, dεn de put wan prכtektiv tכb (sheath) insay di kidni. Dɔn, dɛn kin put wan smɔl kamɛra (nɛfroskɔp) insay di tiub ɛn dɛn kin si di ston we de insay di kidni pan skrin.
- Fɔ pul ston: If di ston smɔl, dɛn kin pul am wit di sem inschrumɛnt. If di ston big, dɛn kin yuz lɛsa bim ɔ spɛshal vaybrɛshɔn divays ``lithotripter`` fɔ brok di ston insay smɔl smɔl pat dɛn ɛn pul dɛn pat dɛn de.
- di tכb insay di bכdi: afta dεn dכn pul di ston kכmplit wan, dεn kin put sכm sכm tכb (drenaj tכb) כ wan ureteral stent insay di blad fכ alaw di urine εn blכd fכ kכmכt na di kidni. Dis kin ɛp di wund fɔ wɛl.
- Suturing: Fɔ dɔn, dɛn kin lɔk di smɔl say we dɛn kɔt di bak wit stich.
Dis ɔl di prɔses kin ɔltɛmI kin tek lɛk tu to 4 awa so.
3. Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn dɔn, di dɔktɔ we de anestez go stɔp fɔ gi di anestezi. Smɔl smɔl yu go gɛt kɔnshɛns bak insay sɔm minit.
- Rum fɔ wɛl: Dɛn go kɛr yu fɔs go na di rum fɔ wɛl, usay dɛn go de wach yu wɛlbɔdi gud gud wan.
- Pen Manejmɛnt: Yu kin fil sɔm pen afta yu dɔn gɛt kɔnshɛns bak. Di nɔs staf go gi yu pen kil fɔ ɛp wit dis.
- Yu go de na ɔspitul: Bɔku tɛm yu go gɛt fɔ de na ɔspitul fɔ lɛk wan de so. Insay da tɛm de, dɔktɔ dɛn go de wach aw yu de wɛl.
- Blɔd we de na di urine: I nɔmal fɔ mek yu gɛt smɔl blɔd na yu urine fɔ wan ɔ tu wik afta yu dɔn du di ɔpreshɔn. Nɔ wɔri bɔt am.
Wetin na di bɛnifit ɛn risk dɛn we PCNL ɔpreshɔn gɛt?
Lɛk ɔl di mɛrɛsin dɛn, dis wan gɛt bɛnifit ɛn smɔl smɔl prɔblɛm dɛn.
Di bɛnifit dɛn we yu kin gɛt:
- di abiliti fכ kכlכsכl kכmplit wan fכ pul big kidni stכn dεm we dεn nכ kin pul wit כda mεtכd dεm.
- Dis na ɔpreshɔn we gɛt rili ay sakrifays rɛt bitwin 75% - 98%.
- Di say we dɛn kɔt am smɔl pas we dɛn de du ɔpreshɔn we dɛn opin, so di wund kin wɛl kwik kwik wan.
- Na smɔl tɛm de fɔ spɛn na ɔspitul.
Risk dɛn we kin apin:
Pan ɔl we dɛn tin ya nɔ kin apin so ɔltɛm, i impɔtant fɔ no bɔt dɛn.
- Risk dɛn we gɛt fɔ du wit anestezi.
- Infekshɔn na di say we dɛn de du di ɔpreshɔn.
- Blɔd we de kɔmɔt pasmak.
- Blɔd klɔt fɔmɛshɔn `(hɛmatoma)`.
- Sɔm kin pwɛl di kidni.
- Sɔntɛnde, i nɔ pɔsibul fɔ pul di wan ol ston.
- Sivεr urinary tract infεkshכn (Sepsis).
Yu dɔktɔ go ɛksplen to yu mɔ bɔt dɛn prɔblɛm ya. Mɛmba se dɛn tin ya kin apin we nɔ kin apin so ɔltɛm.
Aw lɔng i go tek fɔ mek i wɛl? Us tin dɛn fɔ tek tɛm wit na os?
Bɔrku tɛm, i kin tek lɛk tu to 4 wiks fɔ mek i wɛl ɔl. I rili impɔtant fɔ mek yu bɔdi rɛst insay dis tɛm.
- Nɔ es di wet: Nɔ es ɛnitin we ebi pas di wet fɔ wan lita milk (we na lɛk 4 kg) fɔ tu wiks .
- Ɛksesaiz: Nɔ de fa frɔm ɛksesaiz we yu de tray tranga wan fɔ sɔm tɛm.
- Fɔ go bak na wokples: If yu gɛt ɔfis wok, yu kin go bak na wokples insay lɛk wan wik so. Bɔt if yu wok nid fɔ tray tranga wan, i go fayn fɔ lɛ yu tek at le tu wiks fɔ lɛf fɔ wok.
Nid fɔ si di dɔktɔ jisnɔ!
If yu gɛt ɛni ɔda sayn we nɔ kɔmɔn afta dɛn dɔn du yu ɔpreshɔn, nɔ ignore am. If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
| Ficha fɔ pe atɛnshɔn to | Diskripshɔn ɛn wetin fɔ du |
|---|---|
| Ebi ebi blɔd we de kɔmɔt | If di say we dɛn du di ɔpreshɔn de blɔd ɔltɛm ɔ di bɛnd dɔn sok ɔl wit blɔd. |
| Tik blɔd ɔ blɔd we de klɔt na di urine | If di urine dak rɛd pas pink ɔ if blɔd klot de we tan lɛk tomato sos. |
| Fiva ɛn kol kol | If yu bɔdi tɛmpracha na 38 Sɛlshiɔs ɔ pas dat ɛn yu fil se yu de shek shek, dis kin bi sayn fɔ se yu gɛt di sik. |
| Pen we pɔsin nɔ go ebul fɔ bia | If yu gɛt pen we de bɔku we yu nɔ go ebul fɔ kɔntrol ivin wit mɛrɛsin fɔ mɛn yu pen. |
Mek shɔ se yu go to yu dɔktɔ bak 4 to siks wik afta dɛn dɔn du di ɔpreshɔn fɔ mek dɛn chɛk yu.
Mɛsej we dɛn kin kɛr go na os
- PCNL na ɔpreshɔn we rili saksesful ɛn sef we de pul big big ston dɛn na di kidni we ɔda tritmɛnt dɛn nɔ go ebul fɔ pul.
- Pan ɔl we dis na big ɔpreshɔn, dɛn kin du am tru smɔl say we dɛn kɔt, so yu kin wɛl kwik kwik wan.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan bifo yu du di ɔpreshɔn. Tɛl am bɔt ɔl di mɛrɛsin dɛn we yu de tek.
- Rɛst rili impɔtant afta dɛn dɔn du di ɔpreshɔn. Nɔ es ebi ebi tin dɛn ɛn nɔ fɔ du tin dɛn we go mek yu taya fɔ sɔm tɛm.
- If yu gɛt ɛni ɔda tin we nɔ kɔmɔn lɛk fiva, bɔku blɔd, ɔ pen we yu nɔ go ebul fɔ bia, go to dɔktɔ wantɛm wantɛm.
- If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ tɔk to yu dɔktɔ. I go gi klia ansa to ɔl di tin dɛn we de mɔna yu.
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