Yu ɔ pɔsin we yu sabi kin gɛt prɔblɛm fɔ pis, pen, ɔ yu kin pis sloslo? sכmtεm di kכz fכ dis na we di tכb we de kכri urine kכmכt na di penis (wi kכl dis di urethra) fכ sכm rizin. Insay dɛn kayn tin ya, if ɔda tritmɛnt dɛn nɔ wok fayn, dɛn kin du spɛshal ɔpreshɔn we dɔktɔ dɛn kin tɛl dɛn fɔ du. Dat ɔpreshɔn, we na ‘Perineal Urethrostomy’, na in wi go tɔk bɔt na dis atikul tide.
Fɔ tɔk am simpul wan, wetin na Perineal Urethrostomy?
Dis nem kin tan lɛk se i kɔmplikt smɔl, bɔt lɛ wi kip am simpul.
Perineal Urethrostomy na ɔpreshɔn we dɛn kin du pan man dɛn nɔmɔ. I min fɔ mek nyu say we go de sote go fɔ mek di urine pas. dis opin de mek na di εria we di skin de bitwin yu skrotum εn yu an. insay mεdikal tεm dεm, dεn kכl dis εria di ‘perineum’.
Imajin, nכmal wi urine de kכmכt na di blad tru wan tכb we de go tru di penis. Wi kin kɔl dis tiub di urethra. Bɔt bikɔs ɔf infekshɔn, aksidɛnt, ɔ ɔpreshɔn we dɛn bin dɔn du bifo tɛm, dis urethra kin gɛt skata ɛn smɔl. Wi kin kɔl dis kɔndishɔn Urethral Stricture . Dɔn di urine we de pas kin blok ɔl ɔ i kin rili at fɔ pas.
na di tεm dεm lεk dis we, biכs i at fכ pas urine tru di penis, dεn de mek nyu opin na di perineum εria fכ alaw urine fכ pas tru.
Udat nid fɔ du dis ɔpreshɔn?
Dis nɔto ɔpreshɔn fɔ ɔlman. Dɛn kin advays am mɔ as opshɔn fɔ di wan dɛn we nɔ ebul fɔ tek ɔda tritmɛnt fɔ di urethral stricture, lɛk ɔpreshɔn fɔ mek di urethra kam bak. Fɔ tɔk am simpul wan, dɛn kin tink bɔt dis ɔpreshɔn if di urethra dɔn pwɛl te i nɔ pɔsibul fɔ pas urine tru di tip na di penis.
Dɔn bak, dis kin bi fayn tin fɔ sɔm ol man dɛn, we nɔ kin want fɔ du big ɔpreshɔn fɔ mek dɛn ebul fɔ bil bak.
Lɛ wi luk di tebul we de dɔŋ fɔ si wetin na di men kes dɛm we dɛn kin tink bɔt dis ɔpreshɔn.
| Kɔndishɔn ɔ kɔz | Wan simpul ɛksplen |
|---|---|
| Komplex ɛn rikɔrɛnt urinary trakt ɔbstrɔkshɔn(Kɔmpleks ɛn/ɔ rikɔrɛnt Yuretra Strikchɔ) | di kes dεm we di urethra de stil blכk bכku tεm pan כl we dεn de trit am, εn di blכk na rili kכmpleks. |
| Squamous cell carcinoma na di penis | We di urethra dɔn pwɛl bikɔs ɔf di penile kansa. |
| Ɔpreshɔn fɔ pul di penis (Penectomy) . | We wan mɛdikal kɔndishɔn nid fɔ pul ɔl ɔ pat pan di penis. |
| Urethrectomy we dɛn kin pul | We dɛn gɛt fɔ pul ɔl ɔ pat pan di urethra. |
| Hypospadias we dɛn kɔl Hypospadias | dis na di kכndyushכn we dεn bכn wit we di urethral opin fכ di penis de na di כndasayd fכ di penis insted fכ de na di tכp. Dɛn kin tink bɔt dis pan kɔmplikɛt kes dɛn. |
| Failure of previous rikostrɔktiv prosidur dɛm | We ɔpreshɔn fɔ mek di urinary tract kam bak (e.g., Urethroplasty ) nɔ bin wok fayn. |
| Fournier in wan sik we dɛn kɔl gangrene | we bad bad infεkshכn na di penis εn tεstikul dεm nid fכ pul di tisu. |
Udat dɛn nɔ go fit fɔ du dis ɔpreshɔn?
Sɔntɛnde, dis ɔpreshɔn kin tranga smɔl. If yu gɛt ɛni wan pan dɛn tin ya, dis ɔpreshɔn nɔ go fayn fɔ yu. Yu fɔ tɔk bɔt dis wit yu dɔktɔ bifo yu disayd fɔ du di las tin.
- If yu fat pasmak:If pɔsin fat pasmak, dat kin mek i nɔ izi fɔ rich usay dɛn de du di ɔpreshɔn ɛn i kin mek di wund nɔ wɛl afta dɛn dɔn du di ɔpreshɔn.
- If yu bin dɔn du ɔpreshɔn pan di say we di perineum de: If yu bin dɔn du ɔpreshɔn na da eria de bifo, i kin at fɔ du ɔpreshɔn bak bikɔs ɔf di ska tisu.
- If yu dɔn gɛt redyushɔn tɛrapi fɔ prɔstat kansa: Radieshɔn tɛrapi kin dɔn pwɛl di tisu na da eria de, we kin ambɔg di we aw i de wɛl afta dɛn dɔn du di ɔpreshɔn.
Sɔm kɔmɔn kwɛstyɔn dɛn we yu kin gɛt
Na nɔmal tin fɔ mek bɔku kwɛstyɔn dɛn kam na yu maynd we yu de tɔk bɔt dis kayn ɔpreshɔn. Lɛ wi ansa sɔm pan dɛn.
Semen de kɔmɔt na di penis?
Nɔ, afta dis ɔpreshɔn, lɛk urine, di sεmεn (ejaculation) de kכmכt tru di nyu opin we dεn mek . I nɔ de kɔmɔt tru di penis.
Yu tink se dis ɔpreshɔn go mek pɔsin nɔ ebul fɔ pis?
Dis na big tin we bɔku pipul dɛn kin fred. Bɔt di ansa na "nɔ." di mכsul dεm we de εp yu fכ kכntrכl yu urine de fa fawe oba dis nyu opin we dεn mek. So, yu kin kɔntrol we yu want fɔ pis. Dis ɔpreshɔn nɔ go afɛkt da abiliti de.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bifo di ɔpreshɔn, di dɔktɔ go ɔda fɔ mek dɛn du sɔm tɛst fɔ yu.
- Dɛn kin tɛst wan urine sampul fɔ si if ɛni infekshɔn de.
- Dɛn kin gi antibayɔtik bifo dɛn du di ɔpreshɔn fɔ mek dɛn nɔ gɛt infɛkshɔn na di urinary tract.
- Bɔku tɛm dɛn kin du ɛkstrem rayt ɛgzam fɔ no di kayn we aw di urinary tract de.
Di tin we impɔtant pas ɔl: Tɔk klia wan ɛn tɔk tru to yu dɔktɔ bɔt yu wɛlbɔdi biznɛs. Mek shɔ se yu tɛl dɛn bɔt dɛn tin ya:
- If yu gɛt ɛni implant na yu bɔdi (e.g. stent, at valv, atifishal jɔyn, pesmɛka).
- If yu dɔn gɛt wan patikyula baktri infɛkshɔn lɛk MRSA.
- If yu de pan ay risk fɔ variant-CJD (wan rili rare nyurolɔjik kɔndishɔn).
- If yu de tek mɛrɛsin dɛn we de mek yu blɔd tan (e.g. warfarin, aspirin, clopidogrel, rivaroxaban, dabigatran). Dɛn kin nid fɔ stɔp dɛn tin ya fɔ sɔm tɛm bifo dɛn du di ɔpreshɔn.
Aw dɛn kin du di ɔpreshɔn?
Dɛn kin du dis ɔpreshɔn na ɔspitul, ɔnda jenɛral anestezi. Dis min se yu nɔ go fil ɛni pen, yu go de slip.
pan ɔl we difrɛn we dɛn de fɔ du dis ɔpreshɔn, di wan we dɛn kin yuz mɔ na di ‘Blandy tɛknik’. Na dis na wetin kin apin:
1. dεn kin mek wan insayshכn na di skin fכ di pεriniכm εria, dכn di skrotum, insay di shep fכ wan כpsayd dכwn ‘U’.
2. afta dat, di urethra de kכmכt tru di כndalayn tisu.
3. dεn de opin di urethra bay we dεn kכt lεk 3-4 sεntimita lεng wan.
4. afta dat, dεn kin kכnekt di ed dεm fכ di skin insishכn to di ed dεm fכ di urethra we dεn opin εn sכm tכgeda wit fayn fayn tכd dεm.
5. Dis na aw dεn de mek nyu, pεrmanεnt opin fכ di urine fכ kכmכt.
we di ɔpreshɔn dɔn, dɛn kin put wan tiub we dɛn kɔl ‘Foley catheter’ tru dis nyu opin fɔ mek di urine kɔmɔt na di blad.
Aw lɔng di ɔpreshɔn kin tek?
Bɔku tɛm i kin tek lɛk wan ɔ tu awa so .
Yu tink se dɛn go anestez mi?
Yɛs, dɛn go ful-ɔp yu anestez. Yu nɔ go fil ɛnitin we dɛn de du di ɔpreshɔn.
Wetin fɔ ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Bifo yu go na os frɔm ɔspitul, di mɛdikal tim go ɛksplen to yu dɛn tin ya:
- Aw fɔ kia fɔ di wund ɛn aw fɔ kia fɔ yusɛf we yu rich na os.
- Di de we yu nid fɔ kam bak fɔ mek dɛn pul di kateshɔn.
- Yu nid antibayɔtik ɛn mɛrɛsin fɔ mek yu fil pen.
- Fɔ fala di apɔntinmɛnt na di de dɛn we yu nid fɔ go to di dɔktɔ bak.
Ɛni prɔblɛm de we kin apin we dɛn du di ɔpreshɔn?
Di prɔblɛm dɛn we kin apin afta dis ɔpreshɔn nɔ kin apin so ɔltɛm . Bɔt jɔs lɛk ɛni ɔpreshɔn, sɔm smɔl smɔl prɔblɛm dɛn de we kin apin. If wan kɔmplikeshɔn apin, di sayn dɛm kin bi we di urine de go dɔŋ, di urine we de lɛf na di blad afta yu dɔn pis, ɔ di urinary tract infection.
| Sɔm prɔblɛm we kin apin | Ficha dɛn we yu fɔ luk fɔ |
|---|---|
| Blɔd we de kɔmɔt frɔm di say we dɛn kɔt am | Blɔd we de kɔmɔt pas aw i fɔ blɔd. |
| De swɛl | Abnɔmal swɛlin na di say we dɛn de du di ɔpreshɔn. |
| Sik we de prɛd | Fiva, pus we de kɔmɔt na di say we dɛn kɔt am, bad bad pen, ɛn rɛd. |
| Infεkshכn na di urinary tract (UTI) . | Urinary tract infection, yu kin pis ɔltɛm, yu kin gɛt fiva. |
| Rikɔrɛnt urinary trakt ɔbstrukshɔn | Afta sɔm tɛm, di frɛkuɛns we pɔsin kin pis kin go dɔŋ bak. Dis kin nid fɔ mek dɛn du ɔda ɔpreshɔn. |
| Prɔblɛm dɛn we de na di at ɛn di blɔd sistɛm | Wan risk we nɔ kin apin so ɔltɛm we kin apin wit ɛni ɔpreshɔn we dɛn kin du fɔ anestezi. |
Bɔt pen ɛn tɛm fɔ wɛl
Yu tink se dis kin mek pɔsin fil pen?
Na nɔmal tin fɔ gɛt sɔm pen afta dɛn dɔn du di ɔpreshɔn, bɔt dɛn kin ebul fɔ kɔntrol am. Yu dɔktɔ go gi yu mɛrɛsin fɔ mek yu fil pen.
Wetin kin apin we pɔsin de wɛl?
- di fכs kateshכn kin nid fכ lεf insay fכ lεk tu to tri wiks, sכmtεm i kin lכng pas dat.
- Insay dis tɛm, dɛn go gi yu antibayɔtik ɛn mɛrɛsin fɔ mek yu fil pen.
- Afta dɛn dɔn pul di kateshɔn, di dɔktɔ go briŋ yu na di klinik ɔltɛm fɔ mek dɛn chɛk yu.
- afta lεk 8-12 mכnt, dεn kin du tεst we dεn yuz kεmεra we dεn kכl Cystourethroscopy fכ si if di nyu urethra we dεn mek de wok fayn εn if di blכk dεm dכn kam bak.
Aw di tin dɛn we kin apin ɛn aw a fɔ kia fɔ misɛf?
di sakses rεt fכ dis כpεrayshכn rili hכy (dεn kכnsidr am "eksεlεnt"). Bɔku pan di sik pipul dɛn kin liv fayn layf afta dɛn dɔn du dis ɔpreshɔn.
Di big chenj we yu kin mek na di we aw yu de pis.
Afta dɛn dɔn du di ɔpreshɔn, yu go nid fɔ sidɔm fɔ pis. Yu go nid bak fɔ kip yu skrotum ɔp smɔl we yu de pis. Dis kin bi tin we nɔ kɔmɔn smɔl fɔs, bɔt yu go yus to am afta sɔm tɛm.
Ustɛm a fɔ go to di dɔktɔ jisnɔ?
If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ go to tritmɛnt.
- Blɔd we de kɔmɔt pasmak frɔm di say we dɛn kɔt am.
- Di swɛlin we nɔmal.
- Fiva ɔ sayn dɛm fɔ infekshɔn (pus dischaj, rɛd rɛd pasmak).
- Urinary tract inflammation ɔ ɔda sayn dɛm fɔ urinary tract infection.
- If yu fil se yu blad nɔ ɛmti afta yu dɔn pis.
- If di urine flɔ rit rili slo.
- If yu fil se yu de gɛt prɔblɛm fɔ pis bak.
If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ tɔk to yu dɔktɔ ɛn sɔlv am.
Mɛsej we dɛn kin kɛr go na os
- Perineal Urethrostomy na ɔspitul we de mek nyu opin fɔ urine fɔ pas fɔ man dɛn we gɛt siriɔs urethral obstruction.
- Afta dis ɔpreshɔn, yu go gɛt fɔ pis we yu sidɔm.
- Dis nɔ go afɛkt yu ebul fɔ kɔntrol yu urine (kɔntinɛns).
- Dis na ɔpreshɔn we gɛt rili ay sakrifays ɛn kɔmplikeshɔn dɛn nɔ kin bɔku.
- If yu gɛt ɛnitin we nɔ kɔmɔn afta dɛn dɔn du yu ɔpreshɔn, i rili impɔtant fɔ tɛl yu dɔktɔ wantɛm wantɛm.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt