Fɔ sɔm man dɛn, fɔ pis kin rili pen ɛn nɔ kin fil fayn. di urine de fכlכ lεk se i stכp, drip bay drip... sכmtεm i kin ivin blכk kכmplit wan. di men rizin fכ dis kin bi we di urethra blok, dat na we i de sכmtεm sכmtεm. insay mεdikal tεm dεm, wi kin kכl dis ' Urethral Stricture '. So, tide wi de tɔk bɔt wan spɛshal ɔpreshɔn we dɔktɔ dɛn kin advays we ɔda tritmɛnt we dɛn kin yuz nɔ dɔn wok fayn.
Wetin na Pɛrinial Yurethrostomy?
Fɔ tɔk am simpul wan, Perineal Urethrostomy na ɔpreshɔn we dɛn kin du pan man dɛn. I min se dɛn fɔ mek nyu say we dɛn kin opin ɔ usay dɛn kin pas fɔ mek di urine pas. dis nyu opin de mek na di εria na di skin bitwin yu skrotum εn yu an. Wi kin kɔl da eria de di ‘perineum’.
imajin, nכmal wan, di urine we de kכlekt na wi blad de travul dכn wan tכb we dεn kכl di urethra εn kכmכt na di tכp pan di penis. Bɔt bikɔs ɔf sɔm infɛkshɔn, injuri , ɔ ɔpreshɔn we dɛn bin dɔn du bifo, dis yurethra kin gɛt skata, smɔl, ɔ blok. Na da tɛm de di flɔ we di urine de flɔ kin blok ɔl ɔ sɔm pat pan am. dis כpεrayshכn de mek nyu, pεrmanεnt rod fכ urine fכ kכmכt fכ di wan dεm we dεn urethra so blכk dat dεn nכ kin pas urine tru di penis.
Wetin mek yu nid fɔ du dis kayn ɔpreshɔn?
Bɔku tɛm dɛn kin tink bɔt dis ɔpreshɔn we ɔda tritmɛnt dɛn fɔ urethral stricture nɔ wok. dat min se we dεn nכ kin ebul fכ put di urethra bak so dat di urine go kכmכt tru di tip fכ di penis. Afta dis ɔpreshɔn, di urine de kɔmɔt tru wan nyu opin na di perineum, so yu go nid fɔ sidɔm we yu de pis.
Dis kin bi gud opshɔn bak fɔ ol pipul dɛm wae nɔr want fɔ du big big ɔpreshɔn fɔ mek dɛn gɛt bak. Dɛn kin tink bɔt dis ɔpreshɔn pan dɛn tin ya.
| Kɔndishɔn dɛn we kin mek dɛn nid fɔ du ɔpreshɔn | Wan simpul ɛksplen |
|---|---|
| Kompleks/rikɔrɛnt urethral strikt dɛn | Kes dεm we di urethra de stil blכk εn nכ de rεspכnd to כda tritmεnt dεm. |
| Squamous cell carcinoma na di penis | Bikɔs ɔf sɔm kansa dɛn we kin apin na di penis. |
| Ɔpreshɔn fɔ pul di penis (Penectomy) . | We dɛn pul di penis kpatakpata bikɔs ɔf kansa ɔ ɔda rizin. |
| Urethrectomy we dɛn kin pul | We dɛn du ɔpreshɔn 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 de na di כndasayd fכ di penis insted fכ di tכp. |
| Yurethroplasty we nɔ bin wok | We di ɔpreshɔn dɛn we dɛn bin dɔn du bifo fɔ mek di urethra fayn nɔ bin wok. |
| Fournier in wan sik we dɛn kɔl gangrene | Afta wan bad bad infεkshכn na di penis εn skrotum. |
Udat nɔ fit fɔ dis ɔpreshɔn?
Bɔt nɔto ɔlman kin gɛt dis ɔpreshɔn. Sɔntɛnde, i kin tranga smɔl. If yu gɛt ɛni wan pan dɛn tin ya, yu fɔ tɔk to yu dɔktɔ bɔt dis dip wan:
- If yu fat pasmak .
- If yu dɔn du ɔpreshɔn pan di say we yu de na di perineum bifo .
- Rayd tritmɛnt fɔ prɔstat kansaIf yu don tek am.
Sɔm kɔmɔn kwɛstyɔn dɛn we yu kin gɛt
di sεmεn de kכmכt na di penis afta dεn du di כpεrayshכn?
Dis na prɔblɛm we bɔku pipul dɛn gɛt. nכ, afta dis כpεrayshכn, sεmεn nכ de kכmכt na di penis, bכt na di nyu opin we dεn mek.
Yu tink se dis ɔpreshɔn go mek dɛn nɔ ebul fɔ kɔntrol di urinary?
Wan ɔda big tin we yu kin fred na dat yu nɔ go ebul fɔ kɔntrol yusɛf. Dat nɔ go apin. Yu gɛt di mɔsul dɛn we de kɔntrol yu urine fayn fayn wan ɔp dis opin. So yu kin kɔntrol yu urine.
Dis ɔpreshɔn nɔ go mek pɔsin nɔ ebul fɔ kɔntrol insɛf. Nɔ wɔri bɔt dat. Yu dɔktɔ go ɛksplen dis to yu mɔ.
Aw fɔ rɛdi fɔ ɔpreshɔn?
Bifo di ɔpreshɔn, yu dɔktɔ go aks yu fɔ gi yu urine sample. I go stat yu fɔ tek antibayɔtik fɔ mek yu nɔ gɛt di sik. Yu kin nid bak fɔ tek ɛkstrem rayt fɔ chɛk aw yu urethra de.
Di tin we impɔtant pas ɔl na fɔ tɛl yu dɔktɔ bɔt yu ɔda sik dɛn ɛn di mɛrɛsin dɛn we yu de tek.
| Mek shɔ se yu tɛl yu dɔktɔ bɔt dɛn tin ya. | |
|---|---|
| Tin dɛn we dɛn put insay di bɔdi | Tin dɛm lɛk stent, jɔyn riplesmɛnt, pesmɛka, at valv. |
| Infεkshכn dεm | If yu dɔn gɛt infɛkshɔn lɛk MRSA. |
| Di tin dɛn we de mek blɔd tan | If yu de tek mɛrɛsin lɛk warfarin, aspirin, klopidogrel, rivaroxaban, ɔ dabigatran. |
Aw dɛn kin du di ɔpreshɔn ɛn wetin kin apin afta dat
Dɛn kin du dis na ɔspitul, ɔnda jenɛral anestezi . Dis min se yu dɔn slip ɔl di tɛm we dɛn de du di ɔpreshɔn. So yu nɔ de fil ɛnitin. Bɔku tɛm, di ɔpreshɔn kin tek wan to tu awa.
Afta dɛn dɔn du di ɔpreshɔn, dɛn go put wan tiub na yu blad fɔ ɛp yu fɔ pas urine. Wi kin kɔl am Foley kateta . Dis kateshɔn go ɔltɛm de na in ples fɔ lɛk tu to tri wiks. Insay dis tɛm, dɛn go gi yu mɛrɛsin fɔ mɛn pen ɛn antibayɔtik fɔ mek yu nɔ gɛt di sik.
Bifo yu kɔmɔt na di ɔspitul, di dɔktɔ ɛn di wan dɛn we de wok na di nɔs go ɛksplen to yu aw fɔ kia fɔ yusɛf na os, aw fɔ kia fɔ yu kateshɔn, aw fɔ tek yu mɛrɛsin, ɛn ustɛm yu nid fɔ go bak na di klinik.
afta lεk 8-12 mכnt, dεn kin du wan tεst we dεn k כl cystourethroscopy, we dεn de yuz kεmεra fכ si if di urethra hεlty כ if i dכn blכk bak.
Wetin na di prɔblɛm dɛn we kin apin?
di sakses rεt fכ dis כpεrayshכn rili hכy (dεn ripot am as "eksεlεnt"). Ɛn kɔmplikeshɔn dɛn nɔ kin apin so ɔltɛm. Bɔt i impɔtant fɔ no bɔt dɛn if sɔntin apin.
If kɔmplikeshɔn de, di sayn dɛm kin bi: yu nɔ de pis bɛtɛ, yu urine we de lɛf na di blad afta yu dɔn pis, ɔ yu gɛt infekshɔn na yu urinary tract. Ɔda prɔblɛm dɛn we kin apin na:
- Blɔd we de kɔmɔt frɔm di say we dɛn kɔt am
- De swɛl
- Fiva
- Infεkshכn na di urinary tract
- Rikɔrɛshɔn fɔ di strikt
- Prɔblɛm dɛn we gɛt fɔ du wit di at ɛn di blɔd
If yu gɛt ɛni wan pan dɛn sayn ya, fɔ ɛgzampul, we yu de blɔd pasmak bikɔs yu kɔt yu ɔ yu gɛt ay fiva, tɛl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) .
Mɛsej we dɛn kin kɛr go na os
- Perineal Urethrostomy na wan ɔspitul we rili saksesful fɔ siriɔs urethral strictures usay ɔda tritmɛnt dɛn nɔ wok.
- Afta dis ɔpreshɔn, yu go nid fɔ sidɔm fɔ pis. כlso, di sεmεn go kכmכt na di nyu opin we dεn mek.
- Dis ɔpreshɔn nɔ go mek yu lɔs yu ebul fɔ kɔntrol yu urine (incontinence).
- Di risk fɔ gɛt prɔblɛm dɛn rili smɔl, bɔt if yu gɛt ɛni ɔda kayn sayn we nɔ kɔmɔn (we de blɔd bɔku, fiva), tɛl yu dɔktɔ wantɛm wantɛm.
- Fɔ fala di dɔktɔ in instrɔkshɔn (fɔ tek mɛrɛsin, fɔ go na klinik) afta dɛn dɔn du di ɔpreshɔn impɔtant fɔ mek yu wɛl kwik kwik wan.
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