Imajin se yu dɔn brok yu bɛlɛ bon bikɔs ɔf aksidɛnt, sɔntɛm na baysikul fɔdɔm. Ɔ dɛn dɔn trit yu fɔ prɔstat kansa. Insay dɛn kayn tin ya, sɔntɛnde di urethra na man kin pwɛl ɔ i kin smɔl. We i nɔ kin izi fɔ pis, dɛn nɔ kin ebul fɔ ɛksplen di pen ɛn diskɔmfɔt we kin apin we i blok. Tide wi de tɔk bɔt wan rili impɔtant ɛn spɛshal ɔpreshɔn we dɛn nid fɔ du dɛn kayn tɛm dɛn de.
Fɔ tɔk am simpul wan, wetin na Posterior Urethral Reconstruction?
Okay, lɛ wi bigin bay we wi ɛksplen dis simpul wan. di urine we de kכlekt insay yu blad de kכmכt na yu penis tru wan tכb we dεn kכl di urethra. I tan lɛk paip we de kɔmɔt na wata tank.
Dis urethra gɛt pat dɛn bak. di sכt pat, we lכng lεk wan to tu inch, we de kכnekt to di blad εn pas tru di prכstat gland, dεn kכl am di ‘Posterior Urethra’. Dis na di biginin fɔ di urethra.
di posita Yuretra Rikonstruksh כn na כpεrayshכn we de mek di posita urethra in intagriti kam bak afta i dכn damej, sכmtεm, כ sכmtεm (urethral stricture). Dis min se dɛn kin mek di pat we dɔn pwɛl ɛn di urine kin kɔmɔt bak ɛn nɔ ambɔg am.
Wetin mek dɛn nid fɔ du dis ɔpreshɔn?
Tu men rizin dɛn de we mek dɛn du dis ɔpreshɔn.
1. Aksidɛnt injuri: Ɛspɛshali big aksidɛnt we kin brok di bɔdi we de na di bɔdi. Insay wi kɔntri, dɛn kayn bad bad tin ya kin apin bikɔs pɔsin kin gɛt motoka aksidɛnt, i kin fɔdɔm frɔm ay ay ples, ɛn i kin wund we i krɔs. Insay dɛn kayn aksidɛnt ya, dis pat pan di urethra kin brok, brus, ɛn gɛt skata. As tɛm de go, dɛn skata ya kin mek di urethra smɔl ɛn mek i nɔ pɔsibul fɔ pis.
2. Tritmɛnt fɔ Prɔstat Kansa: Afta dɛn dɔn du ɔpreshɔn fɔ pul di prɔstat gland (radical prostatectomy) ɔ redyushɔn tɛrapi, di urethra kin smɔl bikɔs ɔf di skata we gɛt fɔ du wit am.
We di urethra smɔl dis we, di urine kin slo, di urine kin lik aut smɔl smɔl, ɔ ivin blok ɔl. Dis na sik wae de mek yu fil pen pasmak ɛn denja.
Aw di dɔktɔ go disayd if yu nid fɔ du dis ɔpreshɔn?
If yu gɛt dɛn sik ya, di fɔs tin we yu dɔktɔ go du na fɔ du sɔm tɛst fɔ no if yu gɛt di rayt sik. Fɔ du dis, dɛn kin du wan ɔ mɔ pan dɛn tɛst ya:
- Retrograde Urethrogram: Dis de yuz spɛshal likwid (kɔntrast day) ɛn ɛkstrem rayt fɔ no usay ɛn aw lɔng di blɔk de na di urethra.Fɔ tek kia ɔf am ɛksaktɔli.
- Voiding Cystourethrogram: Dis de yuz kכntrast day bak fכ luk aw di urine de fכlכ kכmכt na di blad. Dis kin ɛp fɔ no aw di tin dɔn blok.
- sistoskopi: insay dis, dεn de pas wan tכn tכb (skop) we gεt kεmεra dכn di urethra fכ wach dεn insay di urethra εn blad dεm dεn wan dεm.
- MRI (Magnetic Resonance Imaging) Scan: Insay sɔm spɛshal kes dɛn, dɛn kin du MRI skan if dɛn nid mɔ dip infɔmeshɔn.
Di tin we impɔtant pas ɔl na dat, if na aksidɛnt mek dis sik, di dɔktɔ dɛn go wet te di ɔda siriɔs injury dɛn na yu bɔdi dɔn wɛl. insay da tεm de, dεn kin put wan tכb frכm di bכdi dairekt insay di blad fכ mek di urine kכmכt. Wi kin kɔl am Suprapubic Catheter .
Aw yu fɔ rɛdi bifo dɛn du yu ɔpreshɔn?
Bifo yu du di ɔpreshɔn, yu nid fɔ rɛdi bak. Fɔ fala dɛn step ya ɛksaktɔli rili impɔtant fɔ mek di ɔpreshɔn go bifo.
| Wetin fɔ rɛdi fɔ | Wetin fɔ du |
|---|---|
| Di tin dɛn we de mek blɔd tan | If yu de tek dɛn kayn mɛrɛsin ya, yu fɔ tɔk to yu mɛdikal tim ɛn stɔp fɔ tek dɛn fɔ sɔm dez bifo dɛn du di ɔpreshɔn, lɛk aw dɛn advays. |
| Fɔ it ɛn drink bifo dɛn du di ɔpreshɔn | Nɔ it ɔ drink ɛnitin afta midulnɛt di de we dɛn du di ɔpreshɔn. |
| Mɔnin mɛrɛsin dɛn | Di dɔktɔ kin jɔs alaw yu fɔ tek di mɛrɛsin we i dɔn gri fɔ tek na mɔnin wit wan sip wata. |
| Antibayɔtiks | Fɔ mek di dɔktɔ nɔ gɛt di sik, i kin gi am antibayɔtik fɔ bigin wan de bifo di ɔpreshɔn. |
Aw di ɔpreshɔn kin rili apin?
Dɛn kin du dis ɔpreshɔn ɔnda jenɛral anestezi, we min se yu nɔ go fil natin, yu go de slip.
Di we aw dɔktɔ dɛn kin yuz bɔku tɛm na in dɛn kɔl Anastomotic Urethroplasty . Dis na rili simpul we fɔ du tin.
Dɛn kin kɔt di pat we wund, we gɛt skata, ɔ we smɔl na di urethra ɛn pul am, ɛn dɛn kin siŋ di tu ɛnd dɛn we gɛt wɛlbɔdi bak togɛda. I tan lɛk se yu pul wan paip we dɔn brok ɛn kɔnɛkt bak di tu gud pat dɛn we lɛf.
Bɔt, imajin se afta yu dɔn pul di ska tisu, di gap bitwin di tu ɛnd dɛn we lɛf we gɛt wɛlbɔdi kin tu big smɔl, we kin mek i nɔ izi fɔ siŋ dɛn togɛda. Wetin yu go du if dat apin?
If na so i bi, di dɔktɔ we de du di ɔpreshɔn kin tek wan smɔl pat pan yu bɔdi ɛn yuz am fɔ ful-ɔp di say we nɔ de. Bɔku tɛm, dis na di tisu we de insay yu chɛst (buccal mucosa) . Fɔ tek smɔl pat frɔm insay yu mɔt nɔ kin rili pen. I tan lɛk se yu kin fil pen smɔl we yu kɔt yu chɛst. Dɔn bak, wund dɛn we de insay yu mɔt kin wɛl kwik kwik wan, bɔku tɛm insay wan wik.
Wetin kin apin afta di ɔpreshɔn ɛn wetin na di prɔblɛm dɛn we kin apin?
Afta di ɔpreshɔn, dɛn go de wach yu na di ɔspitul fɔ lɛk 24 awa so. sכm sכft kateshכ n go put tru yu penis insay yu blad te di stich dεm hεl, we go tek lεk 3-4 wik. Dis nɔ kin fayn smɔl, bɔt i impɔtant fɔ mek di ripɛnt wɛl fayn fayn wan. Afta 3-4 wik, dɛn go tek ɛkstrem rayt fɔ chɛk if di ripɛnt dɔn wɛl, ɛn dɛn go pul di kateshɔn.
Lɛk ɛni ɔpreshɔn, dis wan gɛt sɔm smɔl smɔl prɔblɛm dɛn.
- Blɔd we de kɔmɔt
- Infεkshכn dεm
- Strikchɔ we de kam bak
Urinary incontinence na risk ɛn i nɔ kin apin so ɔltɛm if dɛn du ɔpreshɔn. Bɔt di risk kin go ɔp smɔl if dɛn du ɔpreshɔn afta dɛn dɔn trit kansa.
Wan ɔda impɔtant tin na di erectile dysfunction (ED) . Sɔm man dɛn kin dɔn gɛt dis sik bifo dis ɔpreshɔn, afta dɛn dɔn brok dɛn bɛlɛ ɔ dɛn dɔn gɛt kansa. Dis ɔpreshɔn nɔ go mɛn ED. I kin nid fɔ gɛt ɔda tritmɛnt dɛn leta. Tɔk to yu dɔktɔ bɔt dis opin wan.
Ɔpreshɔn sakses ɛn rikavari
Dis na di bɛst nyus. Dis ɔpreshɔn na bin rili ay sakrifays rɛt.Na ɔpreshɔn we kin rili fayn, mɔ we dɔktɔ we gɛt ɛkspiriɛns du ɔpreshɔn.
- di sakses rεt fכ כpεrayshכn fכ injuri dεm we dεn gεt pan aksidεnt de bitwin 92% - 97% .
- di sakses rεt fכ כpεrayshכn afta kεnsar tritmεnt de bitwin 70% - 85% .
Bak to nɔmal layf...
- Drayv: Yu kin bigin fɔ drayv if yu nɔ de yuz mɛrɛsin fɔ mek yu fil pen ɛn afta dɛn dɔn pul di kateshɔn tyub.
- Fɔ go bak na wok: Bɔrku pipul kin kam bak na woke afta dɛn dɔn pul di kateshɔn, bɔt na layt duty wok nɔmɔ dɛn kin se fɔ 6-8 wik .
- Ɛksesaiz: Fɔ waka fayn afta yu dɔn ɔpreshɔn, bɔt nɔ fɔ du tin dɛn we tranga lɛk fɔ es wet ɔ fɔ ple gɔlf fɔ 6-8 wiks .
- Sɛkshɔnal aktiviti: Yu kin bigin fɔ du mami ɛn dadi biznɛs bak 8 wik afta di ɔpreshɔn.
Mɛsej we dɛn kin kɛr go na os
- Posterior Urethral Reconstruction na spɛshal ɔpreshɔn we dɛn kin du fɔ man dɛn we dɛn urethra smɔl bikɔs dɛn gɛt injury na dɛn bɛlɛ ɔ dɛn trit dɛn prɔstat kansa.
- di gol fכ dis כpεrayshכn na fכ mek di sεkshכn we dεn pwεl na di urethra εn fכ mek di urine fכ fכlכ nכmal bak.
- Dis na ɔpreshɔn we kin gɛt bɔku bɔku sakrifays, so nid nɔ de fɔ fred.
- I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn fayn fayn wan bifo ɛn afta di ɔpreshɔn, mɔ we i kam pan di kateshɔn ɛn di tin dɛn we yu nɔ fɔ du.
- Nɔ ɛva shem fɔ tɔk opin wan ɛn ɔnɛs wan wit yu dɔktɔ bɔt ɛni prɔblɛm we yu go gɛt, lɛk we yu nɔ de ebul fɔ pis ɔ we yu nɔ de du mami ɛn dadi biznɛs. Fɔ gɛt di rayt infɔmeshɔn ɛn sɔpɔt na impɔtant pat pan di hiling prɔses.
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