Yu kin fil bak se i nɔ izi fɔ yu we yu de pis ? Yu tink se di urethra kin fil smɔl? Ɔ i kin tan lɛk se di blad nɔ ɛmti ɔl ivin afta yu dɔn pis ? Dis nɔto gud sayn fɔ jɔs ignore. Tide wi de tɔk bɔt wan rili impɔtant tɔpik we bɔku pipul dɛn nɔ kin want fɔ tɔk bɔt. Dat na wan sik we dɛn kɔl Posterior Urethral Stenosis.
Fɔ tɔk am simpul wan, wetin na Posterior Urethral Stenosis (PUS)?
Dis kin tan lɛk sayɛns nem, bɔt fɔ tru, i rili simpul fɔ ɔndastand. Posterior Urethral Stenosis (PUS) , we sɔm pipul dɛn kin kɔl Urethral Stenosis ɔ Urethral Stricture , na wan sik we di pat pan di urethra (posterior urethra) we de nia di blad kin smɔl, ɔ fɔ tɔk mɔ, i kin blok.
Jɔs lɛk we sɔntin stɔp na wata paip, di wata we de flɔ sloslo, ɛn na dis kin apin we wi urine blok. Sɔntɛnde dis blɔk kin so bad dat i kin rili at fɔ pis , ɛn sɔntɛnde i kin ivin mek yu nɔ ebul fɔ pis atɔl.
Dis sik kin kam pan man dɛm pas uman dɛm. di rizin fכ dis na biכs di man urethra lכng pas di uman wan. pan tap we man in urethra de lכng lεk 8-9 inch, uman in wan lכng lεk 1.5 inch. so, di 1-2 inch sεkshכn na di man uretra, we de nia di blad, kin bכku fכ blok dis we. dis pat de inklud bak di pat we de pas tru di prכstat gland.
Aw dis sik kin kɔmɔn?
Posterior Urethral Stenosis na rili nɔto so kɔmɔn. Bɔrku tɛm, dis sik kin apun as sayd ɛfɛkt fɔ tritmɛnt fɔ ɔda sik na da eria de. rεli rεli, dis kכndyushכn kin de we dεn bכn am (dεn bכn am). I nɔ kin apin so ɔltɛm pan uman dɛn.
Yu gɛt dɛn sik ya bak?
Pɔsin wae gɛt dis sik kin sho wan ɔr mɔr pan de sayn dɛm wae de dɔŋ ya. Si if yu gɛt ɛni wan pan dɛn tin ya bak.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| I nɔ kin izi fɔ yu fɔ pis | Urinary retention, difficulty fɔ pis , ɛn filin se di blad nɔ dɔn ɛmti ɔl ivin afta yu urinate (dɛn kɔl dis urinary retention in medical terms). |
| Pen we yu de pis | Bɔn ɔ pen we yu de pis (dɛn kɔl dis dysuria ). |
| Infεkshכn na di urinary tract (UTI) . | Infεkshכn dεm na di urinary tract כltεm. |
| Prɔstat infɛkshɔn dɛn | Infεkshכn dεm na di prכstat gland. |
| Blɔd ɔ dak urine | Dak urine ɔ blɔd na di urine (dɛn kɔl dis Ɛmaturia) . |
| Di pen we de na di bɛlɛ we de dɔŋ | Pen we de kɔntinyu fɔ de na di bɛlɛ we de dɔŋ. |
Wetin mek dis de apin? Wetin na di men rizin dɛn?
As wi bin dɔn tɔk, dis sik nɔ kin rili de we dɛn bɔn am. Bɔt bɔku tɛm, i kin apin bikɔs ɔf aksidɛnt ɔ mɛrɛsin we dɛn du na da eria de.
Na sɔm pan di men rizin dɛn:
- Pelvic Fracture: Na siriɔs aksidɛnt we kin mek yu pelvik bon pwɛl ɛn wund yu urethra.
- Tritmɛnt fɔ prɔstat kansa: Dis kɔndishɔn kin apin leta bikɔs ɔf tritmɛnt fɔ prɔstat kansa lɛk redyushɔn tɛrapi, brakitɛrapi, ɛksternal bim rɛdyushɔn tɛrapi (EBRT), ɛn ɔspitul fɔ pul di prɔstat (prostatectomy).
- Ɔpreshɔn fɔ BPH:Dis kכndyushכn kin kכz bak bay כpεrayshכn lεk TURP (Transurethral Resection of the Prostate) fכ Benign Prostatic Hyperplasia (BPH).
Wetin kin apin if dɛn nɔ trit am?
Dis na di tin we impɔtant pas ɔl. If yu tink se "i go bɛtɛ fɔ insɛf" ivin we yu gɛt dɛn kayn sik ya, de tin kin wɔs. If dat apin, siriɔs prɔblɛm dɛn lɛk:
- Urinary tract infection (UTI) we kin kam bɔku tɛm.
- Di blad damej fɔ ɔltɛm.
- di urine de fכlכ bak frכm di blad tכwεd di kidni dεm (vesicoureteral reflux).
- Kidni dɛn we dɔn pwɛl.
Dis na di rizin we mek wi se if yu gɛt dɛn sik ya, nɔ west tɛm ɛn go to dɔktɔ. If yu nɔ pe atɛnshɔn to sɔntin we smɔl, yu kin dɔn gɛt big prɔblɛm leta.
Dɔktɔ, aw yu kin no dis?
We yu go to dɔktɔ, i go tek tɛm lisin fɔs to yu sayn dɛn. I go aks bak bɔt yu mɛdikal istri. Dɔn i go du wan ɛgzam pan in bɔdi. Fɔ no di rayt we aw yu sik, i kin du sɔm tɛst dɛn bak, lɛk:
- X-ray tɛst dɛn we dɛn kin du
- Ultrasound skan we dɛn kin yuz
- Sistoskopi (we dεn de egzamin di urethra we dεn de yuz sכm sכm tכb wit kεmεra) .
- Retrogrɛd yuretrɔgram
- Voiding sistourethrogram (VCUG) we de mek yu nɔ gɛt wata.
Yu tink se dɛn go ebul fɔ mɛn dis sik kpatakpata?
Yɛs, na fɔ tru. Tritmɛnt dɛn de fɔ dis. Nɔto sik we pɔsin kin mɛn wit mɛrɛsin. Bɔt dɛn kin mɛn am bay tu we dɛn. Yu dɔktɔ go disayd di tritmɛnt we go fayn fɔ yu bay di kayn tritmɛnt we yu gɛt, di kayn skata we yu gɛt, ɛn aw lɔng di ska dɔn blok.
1. Dilayshכn na di Yuretra
dis min se yu de yuz spεshal instrכmεnt dεm (lεk lכng, tכn stik) כ balכn fכ di pat we dεn blכk. Dis na tin we nɔ rili izi fɔ du. Bɔt, i nɔto sɔlv we go de sote go. Yu kin nid fɔ du dis tritmɛnt bɔku tɛm.
2. Ɔpreshɔn (Urethroplasty) .
Dis na di sɔlv we go wok fayn pas ɔl ɛn we go de sote go. Insay dis ɔpreshɔn, dɛn kin mek di pat we dɔn pwɛl ɛn we dɔn blok na di urethra ɔ dɛn kin transplant nyu pat. di sakses rεt fכ dis כpεrayshכn pas 80%.
Wetin kin apin afta dɛn dɔn trit am?
Afta di urethral dilation, yu go ɔltɛm bigin fɔ fil fayn insay wan wik. Afta dɛn dɔn du di ɔpreshɔn we dɛn kɔl urethroplasty, i kin tek tu to tri wiks fɔ mek i wɛl ɔl.
Di impɔtant tin na dat, dis sityueshɔn sɔntɛndeI kin kam bak ivin afta dɛn dɔn trit am. So, nɔ fɔgɛt fɔ go fɔ fala-ap apɔntinmɛnt lɛk aw yu dɔktɔ tɛl yu. Da we de, i go ebul fɔ wach yu sik ɛn no ɛni prɔblɛm kwik kwik wan.
We dɛn de fɔ avɔyd dis?
Nɔto ɔl di tin dɛn we kin mek pɔsin gɛt dis sik we wi bin dɔn tɔk bɔt, wi kin ebul fɔ stɔp. Fɔ ɛgzampul, i nɔ kin izi fɔ mek dis nɔ apin afta dɛn dɔn gɛt kansa. Bɔt yu kin ridyus dis prɔblɛm bay we yu nɔ wund di hip eria.
- Wear yu sit bɛlt ɛvri tɛm we yu de rayd motoka.
- If yu de ple spɔt dɛn we gɛt ay impak lɛk ɔki ɔ futbɔl , wɛr di rayt klos ɛn tin dɛn fɔ protɛkt yusɛf .
- It tin dɛn we gɛt bɔku kalsiɔm ɛn vaytamɛn D, we de mek yu bon dɛn strɔng.
- Ɛnjɔy ɛksɛsayz dɛn we de mek yu bon strɔng (espɛshali ɛksesaiz fɔ es yu wet).
- Stɔp fɔ smok ɛn drink pasmak . Dɛn tin ya kin afɛkt di density na yu bon dɛn.
- If nid de, aks yu dɔktɔ bɔt mɛrɛsin dɛn we de mek yu bon strɔng (bisphosphonates).
Ustɛm a fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU)?
Dis rili impɔtant. If yu gɛt ɛni wan pan dɛn sik ya, nɔ west tɛm ɛn go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm.
| Imejɛnsi - Go na ɔspitul wantɛm wantɛm! | |
|---|---|
| 🚨 we yu de du | If yu nɔ ebul fɔ pis ɔlsay . |
| 🚨 we yu de du | If di pen we yu de pis we yu de pis de go ɔp . |
| 🚨 we yu de du | If blɔd de na di urine . |
| 🚨 we yu de du | If yu gɛt sayn dɛn we de sho se yu gɛt di sik, lɛk fiva ɛn kol . |
Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?
We wi go si dɔktɔ, sɔntɛnde wi kin fɔgɛt wetin wi want fɔ aks. So, rayt dɛn kwɛstyɔn ya pan pepa.
- Wetin mek di dɔktɔ tink se a gɛt dis sik?
- Wetin na di rizin fɔ mi sik?
- Aw bad bad tin kin ambɔg mi urinary tract?
- Wetin na di bɛst tritmɛnt fɔ mi?
- Wetin na di bɛnifit ɛn bad tin dɛn we ɛni tritmɛnt gɛt?
- Aw a fɔ kia fɔ misɛf afta a dɔn gɛt tritmɛnt?
- Aw kwik a fɔ kam bak fɔ fala-ɔp?
- Yu tink se dis tin go apin to mi bak?
- Ɛnitin de we a go du fɔ mek dis nɔ apin igen?
- A nid fɔ go to spɛshal dɔktɔ (urologist) bɔt dis?
Mɛsej we dɛn kin kɛr go na os
- Posterior Urethral Stenosis (PUS) na we di urethra we de nia di blad de sכmtεm sכmtεm. I kin bɔku pan man dɛn pas uman dɛn.
- Di men sayn dɛm na wae i nɔr kin izi fɔ pis , i kin fil pen, i nɔ kin ebul fɔ pis, ɛn i kin gɛt infekshɔn na di urinary tract ɔltɛm.
- Bɔrku tɛm, dis kin apin bikɔs ɔf aksidɛnt ɔr ɔpreshɔn ɔ tritmɛnt we gɛt fɔ du wit di prɔstat gland bifo.
- Dis kin wɛl kpatakpata wit tritmɛnt. Ɔpreshɔn (Urethroplasty) na di tritmɛnt we kin wok fayn pas ɔl.
- If yu gɛt sɔm sayn dɛn, nɔ ignore dɛn. If yu du dat, i kin ivin pwɛl yu kidni dɛn. So, mek shɔ se yu go to dɔktɔ.
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