Yu kin gɛt smɔl prɔblɛm bak fɔ pis? Yu tink se di urethra kin fil wik ɛn kɔnstrikt? Sɔntɛnde yu kin fil lɛk se yu nɔ ɛmti yu blad ɔl ivin afta yu dɔn pis? Dis kin bi bikɔs yu urethra dɔn blok. Dis kin bi mɔ if yu jɔs gɛt aksidɛnt, mɔ di wan we de afɛkt di say we yu de na di bɛlɛ, ɔ if yu dɔn gɛt tritmɛnt fɔ prɔstat kansa. So tide wi de tɔk bɔt wan spɛshal ɔpreshɔn we na gud sɔlv fɔ dis. Dat na di ɔpreshɔn we dɛn kin du we dɛn kɔl Posterior Urethral Reconstruction.
Fɔ tɔk am simpul wan, wetin na Posterior Urethral Reconstruction?
Fɔ ɔndastand dis, lɛ wi lan smɔl fɔs bɔt dɛn pat dɛn ya na wi bɔdi. yu no se di urethra na di tכb we de kכri urine εn sεmεn frכm wi blad kכmכt na di bכdi. Dis urethra gɛt sɔm pat dɛn bak.
di posterior Urethra de tכk bכt di bak pat pan di urethra, dat na di pat we de insay di bכdi. Fɔ tɔk di kɔrɛkt tin, wi de tɔk bɔt di smɔl pat na di uretra, we lɔng lɛk wan ɔ tu inch, we de kɔmɔt na di bɔt ɔf di blad, pas na di prɔstat gland, ɛn tru di mɔsul dɛn na di bɛlɛ.
So, Posterior Urethral Reconstruction na ɔpreshɔn fɔ mek di posita pat pan di urethra we dɔn pwɛl, blok ɔ smɔl fɔ sɔm rizin kam bak.
Insay us kes dɛn dis ɔpreshɔn nid fɔ du?
di men rizin fכ dis כpεrayshכn bכku tεm na we di urethra sכmtεm כ blok (Urethral Stricture) . Jɔs lɛk aw dɔti kin gɛda insay wata paip ɛn mek wata nɔ flɔ, we ska tisu fɔm insay di urethra ɛn smɔl, i kin at fɔ pas urine. Sɔntɛnde di urethra kin rili smɔl, ɔ i kin stɔp ɔl.
difrεn men rizin dεm de we mek di urethra kin blok dis we.
| Rizin | Diskripshɔn ɛn ɛgzampul dɛn |
|---|---|
| Siriɔs injuri dɛn lɛk fɔ brok di bɛlɛ | if yu wund bad bad wan na di bכdi εria (hip bon) i kin pwεl di urethra. Fɔ ɛgzampul:
|
| Prɔstat Kansa Tritmɛnt dɛn | Dis sik kin apin bak afta sɔm tritmɛnt fɔ prɔstat kansa. Dat na:
|
Us tɛst dɛn kin du bifo dɛn du di ɔpreshɔn?
Bifo dɔktɔ disayd fɔ du dis ɔpreshɔn, dɛn go du bɔku tɛst dɛn fɔ no ustɛm yu urethra dɔn blok ɛn aw i dɔn pwɛl.
- Retrograde Urethrogram: Dɛn kin injɛkt spɛshal wata insay di urethra ɛn tek ɛkstrem rayt pikchɔ dɛn.
- Voiding Cystourethrogram: Dɛn kin put wan tiub insay di blad, ful-ɔp am wit wata, ɛn tek ɛkstrem rayt we yu de pis.
- Sistoskopi: dεn de pas wan tכb we rili tכn wit kεmεra we dεn atak dכn di urethra fכ egzamin di insay.
- MRI Skan: Sɔntɛnde dɛn kin du MRI skan fɔ mek dɛn si dis eria klia wan.
Di tin we impɔtant pas ɔl na dat, afta aksidɛnt, dɔktɔ dɛn kin wet fɔs fɔ mek di injuri dɛn stebul. insay da tεm de, dεn kin put wan sכmכl tכb tru di bכdi in skin insay di blad fכ mek di urine kכmכt. Dɛn kɔl am suprapubic kateta .
Aw fɔ rɛdi fɔ ɔpreshɔn?
I impɔtant fɔ mek yu fala wetin di dɔktɔ tɛl yu fɔ mek yu sef bifo yu du di ɔpreshɔn.
| Wetin fɔ du | Wetin mek na so i bi? |
|---|---|
| Tɛl wi bɔt ɛni alɛji we yu gɛt. | Nɔ gɛt alɛji fɔ di mɛrɛsin dɛn we dɛn gi yu we dɛn de du ɔpreshɔn. |
| Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn Ayurveda mɛrɛsin dɛn). | Sɔm mɛrɛsin dɛn kin afɛkt di ɔpreshɔn. |
| If yu de tek mɛrɛsin we de mek yu blɔd tan, stɔp fɔ tek am fɔ sɔm tɛm lɛk aw yu dɔktɔ tɛl yu. | Stɔp fɔ blɔd we nɔ nid we yu de du ɔpreshɔn. |
| Stɔp fɔ it ɛn drink 8-12 awa bifo dɛn du di ɔpreshɔn. | If yu gɛt it na yu bɛlɛ we yu nɔ no natin, ɔ if yu vɔmit, i kin go insay yu briz. Dat na tin we denja. Na dat mek dɛn kɔl am so. |
Dɛn kin gi yu bak wan antibayɔtik stat di de bifo di ɔpreshɔn fɔ mek yu nɔ gɛt di sik.
Aw dɛn kin du di ɔpreshɔn?
Fɔs, di dɔktɔ we de mɛn yu go put yu ɔnda jenɛral anestezi . Dis min se yu go de insay dip slip. Yu nɔ go fil ɛni pen ɔ ɛnitin te di ɔpreshɔn dɔn.
Dɔn di dɔktɔ we de mɛn yu urolɔg kin bigin fɔ du di ɔpreshɔn. Anastomotic Urethroplasty na di mכst we dεn kin yus fכ blok afta aksidεnt.
Imajin, dis na wetin kin apin:
1. fכs, dεn kin mek sכm sכm pat na di εria bitwin yu skrotum εn yu anus (perineum).
2. Dɔn, dɛn kin kɔt di tisu we gɛt skata we dɔn stɔp na di urethra kpatakpata ɛn pul am.
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Imajin, sɔntɛnde we dɛn pul di pat we gɛt skata, di gap bitwin di tu pat dɛn we lɛf we gɛt wɛlbɔdi kin big smɔl. We dɛn kayn tin ya kin apin, dɔktɔ dɛn kin du sɔntin we rili strenj. Dɛn kin ‘bɔr’ smɔl tisu frɔm di insay pat pan yu yon chɛst ɔ lip (buccal mucosa) , ful-ɔp da gap de, ɛn bil di urethra bak.
Dis ɔpreshɔn kin tek bitwin tri ɛn siks awa .
Wetin kin apin afta di ɔpreshɔn?
We dɛn dɔn fɔ du di ɔpreshɔn, dɛn go stich di say we dɛn kɔt, klin am, ɛn bandej am. apat frכm dat, dεn go put wan Foley kateta tru yu penis insay yu blad fכ εp fכ drεn urine. dis na fכ εp fכ mek di urine fכ fכlכ fayn fayn wan te di urethra hεl. Nɔ wɔri, dis na fɔ shɔt tɛm nɔmɔ.
Dɛn kin put smɔl ɔspitul dreyn nia di wund fɔ ɛp am fɔ wɛl. Dɛn kin pul dis bifo yu kɔmɔt na ɔspitul.
As di tin dɛn we di mɛrɛsin we de mek pɔsin slip de du de go, smɔl smɔl yu go gɛt kɔnshɛns bak. Yu go fil lɛk se yu slo smɔl fɔs. Wae yu dɔn gɛt kɔnshɛns bak, dɛn go gi yu mɛrɛsin fɔ mek yu nɔ fil pen fɔ kɔntrol di pen.
We di dɔktɔ dɛn dɔn disayd se yu sik fayn, yu kin go na os. Bɔt yu go nid fɔ de na ɔspitul fɔ wan de ɔ so.
Dɛn go gi yu fɔl-ap apɔntinmɛnt wit di dɔktɔ fɔ di nɛks sɔm mɔnt. Da tɛm de, dɛn kin ripit tɛst dɛn lɛk ɛkstrem rayt ɛn sistoskɔpi fɔ si if di wund de wɛl fayn fayn wan.
di Foley kateshכn go de fכ 3-4 wik, εn yu urine go pas tru am. Afta dɛn dɔn pul am, yu fɔ ebul fɔ pis izi wan lɛk aw yu bin de pis bifo di blok.
Benefit, sakses ɛn risk
Lɛk ɛni ɔpreshɔn, dis wan gɛt bɛnifit dɛn ɛn sɔm smɔl smɔl prɔblɛm dɛn bak.
| Pat | Tɔk bɔt |
|---|---|
| Bɛnifit dɛn | Di diskɔmfɔt we yu kin gɛt we yu nɔ de pis nɔ de igen, ɛn yu kin pis we yu nɔ gɛt pen ɔ strɛs. Di frɛkuɛns we di urinary tract infection (UTI) kin gɛt kin ridyus. I rili fayn bak fɔ di kidni wɛlbɔdi, bikɔs di blad kin ɛmti fayn fayn wan. |
| Sakses Rɛt | Dis ɔpreshɔn kin rili wok fayn . stכdi dεm sho se כpεrayshכn afta di pεlvik injuri na 92% to 97% saksesful. Afta dɛn dɔn trit prɔstat kansa, di sakrifays rɛt na 70% to 85% . |
| Sayd Ifɛkt & Risk dɛn |
Di risk fɔ mek yu nɔ ebul fɔ pis smɔl, bɔt i kin bɔku smɔl afta yu dɔn gɛt kansa. Bɔrku tɛm, i kin kam wit di fɔs injury ɔr kansa tritmɛnt. Dis ɔpreshɔn nɔ go mɛn di sik, ɛn i kin nid fɔ gɛt difrɛn tritmɛnt. |
Di tɛm fɔ wɛl ɛn tin dɛn we yu fɔ no bɔt
Yu dedikeshɔn fɔ mek yu wɛl afta dɛn dɔn ɔpreshɔn yu bak rili impɔtant.
Pen
Bɔrku pipul kin fil sɔm kayn pen, bɔt dɛn kin kɔntrol am fayn fayn wan wit di mɛrɛsin wae dɔktɔ gi dɛn fɔ mɛn dɛn pen.
Tin dɛn
- Nɔ drayv ɛn sidɔm fɔ lɔng tɛm te dɛn pul di kateshɔn (3-4 wik).
- Fɔ waka ɛn fɔ klaym stej nɔto prɔblɛm.
- Nɔ es wet we ebi pas 9 kg (20 lbs).
- Nɔ rɔn, skwatin, ɛksesaiz fɔ ɛkstɛnd yu leg, ɛn spɔt dɛn we gɛt fɔ du wit fɔ rɔta di hip eria (lɛk gɔlf) fɔ wan ɔ tu mɔnt.
Fɔ du mami ɛn dadi biznɛs
Nɔ fɔ du mami ɛn dadi biznɛs ɔ fɔ ple wit yu bɔdi fɔ at le 8 wiks ɔltogɛda .
Bak to wok/skul
If yu de wok na ɔfis, yu kin bigin insay wan ɔ tu wiks. Bɔt if yu gɛt wok we de mek yu bɔdi sɔfa, yu go gɛt fɔ wet fɔ at le 6-8 wik.
Ɛni chans fɔ mit dɔktɔ
If yu gɛt ɛni wan pan dɛn tin ya afta yu dɔn go na os afta dɛn dɔn du yu ɔpreshɔn, kɔl yu dɔktɔ wantɛm wantɛm.
| Risk simptom dɛm - tɛl di dɔktɔ wantɛm wantɛm! | |
|---|---|
| - Nɔ ebul fɔ pis. | - Blɔd ɔ blɔd kin klɔt na di urine ivin wan wik afta dɛn du di ɔpreshɔn. |
| - Yurin we de kɔmɔt na di kateshɔn kin rili slo. | - Fluid we tan lɛk pus we de kɔmɔt na di wund. |
| - Sayn dɛm fɔ infekshɔn lɛk fiva, kol, ɛn ed we de at. | - Pen ɔ pen we nɔ de stɔp pan ɔl we yu de tek mɛrɛsin. |
| - Swel na di say we dɛn de du di ɔpreshɔn. | |
I at fɔ dil wit sɔntin lɛk aksidɛnt ɔ kansa. Na nɔmal tin fɔ fil bad bad wan we ɔda prɔblɛm lɛk urethral stricture kam. Bɔt di gud nyus na dat, Posterior Urethral Reconstruction na tritmɛnt we kin rili wok fayn. Wit dis ɔpreshɔn, yu kin pis witout ɛni prɔblɛm igen.
Mɛsej we dɛn kin kɛr go na os
- di posita Yuretra Rikonstrכkshכn na wan כpεrayshכn we rili saksesful fכ strikt dεm na di posita pat pan di urethra.
- Dis sik kin apin bɔrku tɛm afta siriɔs aksidɛnt ɔr tritmɛnt fɔ prɔstat kansa.
- Na nɔmal tin fɔ mek yu fil fred ɛn wɔri bɔt ɔpreshɔn, bɔt di men gol na fɔ mek yu layf bɛtɛ.
- Insay di tɛm we pɔsin de wɛl, i impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan fɔ mek i wɛl kwik kwik wan.
- If yu gɛt ɛni prɔblɛm fɔ pis ɔ ɔda sayn dɛn, nɔ ɛva delay fɔ tɔk to dɔktɔ bɔt am.
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