Kidni ston na wɛlbɔdi prɔblɛm we bɔku pipul dɛn na wi kɔntri de gɛt. Sɔntɛnde, dɛn ston ya kin rili smɔl, so dɛn kin pul dɛn na di bɔdi we dɛn tek mɛrɛsin ɛn drink bɔku wata. Bɔt sɔntɛnde, dɛn ston ya kin big smɔl. We dɛn kin gɛt da big de, dɛn nɔ kin kɔmɔt fɔ dɛnsɛf, ɛn i nɔ kin izi bak fɔ pul dɛn wit ɔda simpul tritmɛnt dɛn. If na so i bi, tide wi go tɔk bɔt wan spɛshal ɔpreshɔn we dɔktɔ dɛn kin se. Dɛn kɔl dis ‘Percutaneous Nephrolithotomy’ ɔ PCNL fɔ shɔt.
Wetin na PCNL ɔpreshɔn? Lɛ wi ɔndastand am simpul wan
Pan ɔl we di nem kin tan lɛk se i kɔmplikt smɔl, di we aw dɛn kin du am rili simpul. "Percutaneous" min "tru di skin ." "Nephrolithotomy" min "fכ pul wan ston na wan kidni." So, fɔ tɔk am simpul wan, PCNL na ɔpreshɔn we dɛn kin kɔt wan rili smɔl say na di skin ɛn put wan inschrumɛnt tru am fɔ pul wan big ston na di kidni.
Dis na wan kayn ɔpreshɔn we dɛn kɔl "minimally invasive." Dat min se, insted fכ mek big insishכn na di bכdi lεk bifo, dεn kin du dis כpεrayshכn tru wan rili sכm sכm. I tan lɛk "kihol ɔpreshɔn."
Bɔt pan ɔl we dɛn kin du dis tru smɔl say we dɛn kɔt am, dɛn nɔ fɔ tek am as sɔntin we nɔ impɔtant. Dɛn kin tek PCNL as big ɔpreshɔn . Bɔt di bɛnifit na dat i nɔ gɛt bɔku prɔblɛm dɛn pas di ol we dɛn ɛn i kin wɛl kwik kwik wan.
Udat rili nid dis ɔpreshɔn?
Dɛn nɔ kin du dis ɔpreshɔn fɔ ɔlman we gɛt ston na in kidni. Bɔku tɛm, dɔktɔ go tɛl yu fɔ du dis ɔpreshɔn pan dɛn kayn tin ya:
- If yu kidni ston rili big (fɔ ɛgzampul, i big pas 2 sɛntimita).
- If dɛn nɔ ebul fɔ pul di ston wit ɔda tritmɛnt dɛn, lɛk shɔk wev lithotripsy ɔ laser ureteroscopy, .
- If di kidni ston de mek pɔsin pwɛl ɔ i de mek pɔsin fil bad bad wan.
di sakses rεt fכ dis כpεrayshכn de hכy lεk 75% to 98%. Dis min se dɛn kin dɔn am fayn fayn wan bɔku tɛm.
Aw dɛn kin du di ɔpreshɔn?
Na dɔktɔ we spɛshal pan sik dɛn ɛn ɔpreshɔn fɔ di urinary system de du dis ɔpreshɔn. Wi kin kɔl am Yurolɔjist . Lɛ wi luk aw dɛn kin du di ɔpreshɔn stɛp bay stɛp.
1. Anestezi: Fɔs, wan dɔktɔ we de anestez go put yu ɔnda jenɛral anestezi. Dis min se yu nɔ go fil ɛni pen ɛn yu go slip ɔl.
2. Kɔt: .Neks, di spɛshal dɔktɔ go mek wan rili smɔl say (lɛk 1 sɛntimita) na yu bak ɔ yu groin, usay yu kidni de.
3. insay di tכb: dεn de put wan tכb we de protεkt (sheath) tru di insayshכn insay di kidni.
4. Fɔ fɛn di ston: Dɔn, dɛn kin put wan rili smɔl inschrumɛnt we gɛt kamɛra (nephroscope) tru di tiub fɔ fɛn di ston insay di kidni.
5. Fɔ pul di ston: If di ston smɔl, dɛn kin pul am dairekt. If di ston big, dɛn kin yuz lɛsa bim ɔ spɛshal tin fɔ mek sawnd wev (lithotripter) brok am smɔl smɔl.
6. fכ εp fכ hεl: afta dεn dכn pul di ston, dεn kin put sכm sכm tכb (a `drainage tube`) כ ureteral stent insay fכ εp di urine fכ fכlכ fayn fayn wan εn di wund fכ hεl fast fast. Fɔ dɔn, dɛn kin lɔk di say we dɛn kɔt di skin wit stich.
Bɔku tɛm, dis wan ol tin kin tek lɛk tu to 4 awa so.
Tin dɛn we yu fɔ no bifo ɛn afta dɛn du di ɔpreshɔn
Yu nid fɔ pripia sɔm tɛm bifo ɛn afta dɛn du di ɔpreshɔn. Mek wi tek wan luk pan dat.
| Chans | Wetin yu nid fɔ du |
|---|---|
| Bifo dɛn du di ɔpreshɔn |
|
| Afta dɛn dɔn du di ɔpreshɔn |
Ɛni risk de fɔ dis ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Dɛn tin ya nɔ kin bɔku, bɔt 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 ɔ we blɔd de klɔt (hematoma).
- Sɔm kin pwɛl di kidni.
- Sivεr urinary tract infεkshכn (lεk sepsis).
- Na smɔl tɛm nɔmɔ, i nɔ pɔsibul fɔ pul di ston kpatakpata.
Nɔ wɔri bɔt dɛn prɔblɛm ya. Yu dɔktɔ go plan di ɔpreshɔn di we we go ebul fɔ manej ɔl dɛn tin ya.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
We yu rich na os afta dɛn dɔn du yu ɔpreshɔn, pe atɛnshɔn to yu bɔdi gud gud wan. If yu notis ɛnitin we nɔ kɔmɔn, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm. Yu fɔ no mɔ bɔt dɛn sayn ya:
- If di kɔt de blɔd bɔku bɔku wan.
- If yu de pas tik blɔd klot lɛk tomato sos wit yu urine.
- If di urine tɔn dak rɛd ɔ dak brawn.
- If yu gɛt fiva we pas 38 Sɛlshiɔs (100 Fɛnayt) .
- If yu fil kol ɛn yu de shek shek.
- If di pen de go wɔs.
If yu gɛt siriɔs sik lɛk dis, nɔ shek fɔ go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) .
Mɛsej we dɛn kin kɛr go na os
- PCNL na wan ɔpreshɔn we rili saksesful ɛn sef we dɛn kin yuz fɔ pul big big ston dɛn na di kidni.
- Pan ɔl we dis na big ɔpreshɔn, di say we dɛn kɔt am rili smɔl, so di tɛm fɔ mek i wɛl nɔ kin te.
- I impɔtant fɔ mek pɔsin wɛl kwik kwik wan fɔ fala di dɔktɔ in instrɔkshɔn dɛn bifo ɛn afta di ɔpreshɔn.
- If yu gɛt ɛni kwɛstyɔn bɔt di ɔpreshɔn, nɔ fred fɔ aks yu dɔktɔ.
- If ɛni ɔda kayn sayn we nɔ kɔmɔn apin we yu de wɛl, go to dɔktɔ wantɛm wantɛm.
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