Sɔntɛnde yu kin wɔnda aw di tin dɛn we de na wi bɔdi kin wok fayn fayn wan we wi nɔ kin ivin no. Bɔt imajin wetin go apin if di fayn tiub we de mek urine frɔm di kidni dɛn, we de go dɔŋ to di blad, blok sɔmsay? Dat na di kayn blok we kin mek di kidni pen ɛn swel bɔku tɛm. Wan tritmɛnt fɔ dis na ɔpreshɔn we dɛn kɔl ‘Pyeloplasty’. Nɔ wɔri, wi go tɔk bɔt ɔltin simpul ɛn klia wan.
Fɔ tɔk am simpul wan, wetin na Pyeloplasty?
Fɔ ɔndastand dis, lɛ wi fɔs luk aw wi urinary system de wok. Na di tu kidni dɛn we de na wi bɔdi de mek urine. di urine we dεn prodyuz dis we de kכlekt insay wan pat we lεk fכn insay di kidni. Wi kin kɔl dis `(Rɛnal Pɛlvis)`. afta dat, dis urine de go dכn wan tכn tכb εn kכlekt insay di blad. Dis tiub dεn kכl am `(Ureter)`.
naw imajin se blכk כ obstrכkshכn de na di pכynt we di kidni in fכnel (`Renal Pelvis`) εn di tכb we de stat frכm am (`Ureter`) kכnekt, dat na, na di `(Ureteropelvic Junction - UPJ)`. Wetin kin apin da tɛm de? di urine nכ kin go dכn εn i kin bigin fכ fulכp insay di kidni. Jɔs lɛk we wata paip kin stɔp na di midul, di wata kin ful-ɔp bak. dis kin mek di kidni swel , we dכkta dεn kכl `(Hydronephrosis)`. Dɔn bak , yu kin gɛt pen na yu bak, yu kin gɛt infekshɔn na yu urinary tract bɔku tɛm, ɛn as tɛm de go, di kidni kin ivin pwɛl .
Pyeloplasty na di ɔspitul we dɛn kin pul di tiub we dɔn blok, we dɔn smɔl ɛn ri-alayn am so dat di urine go ebul fɔ flɔ fayn fayn wan.
Udat rili nid dis ɔpreshɔn?
dis kכndyushכn we dεn kכl ``UPJ'' obstrכkshכn, sכmtεm dεn kin kכnεkt am. Na avrej, na lɛk wan pan ɛvri 1,500 pikin dɛn kin bɔn wit dis sik. Bɔt bɔku tɛm, i kin sɔlv fɔ insɛf bay di tɛm we di pikin ol 18 mɔnt. If i kɔntinyu fɔ de, lɛk if di kidni kɔntinyu fɔ swel ɔ gɛt di sik, dɔktɔ dɛn kin se dɛn fɔ du ɔpreshɔn pan am.
Dɔn bak, dis sik kin apin leta pan pikin dɛn we dɔn big, yɔŋ pipul dɛn, ɛn big pipul dɛn. If yu dɔktɔ si se yu kidni dɔn swel (Hydronephrosis) pan ɔltra saund ɔ CT skan, dɛn kin sɔprayz se di kɔz na we di UPJ blok. Dis ɔpreshɔn kin nid bak.
Aw dɛn kin du dis ɔpreshɔn? Yu kin mek big say we dɛn kɔt?
Nɔ, wit di advans tɛknɔlɔji tide, bɔku tɛm dɛn kin du dis wit smɔl smɔl say dɛn we dɛn kin kɔt . Bɔt difrɛn we dɛn de we dɛn kin du am. Lɛ wi si wetin dɛn bi.
| Di we aw dɛn kin du ɔpreshɔn | Aw dɛn kin du am |
|---|---|
| Laparoskɔpik Ɔpreshɔn | Dis na di we aw dɛn kin yuz mɔ. Dɛn kin du dis ɔpreshɔn bay we dɛn kin kɔt sɔm rili smɔl smɔl say dɛn na di bɛlɛ ɛn put kamɛra ɛn dilik inschrumɛnt dɛn. Dɛn kin du dis bak wit rɔbɔt. |
| Ɛndoskopik Ɔpreshɔn | Insay dis, dɛn nɔ kin kɔt ɛni say na do. di blכk de rεsכlv bay we dεn put wan tin instrכmεnt along di urethra. |
| Opin Ɔpreshɔn | insay dis, dεn kin mek wan say we big sכmtεm na di sayd we di kidni de. Dɛn nɔ de yuz dis we fɔ du tin naw. |
Wetin yu fɔ du bifo dɛn du yu ɔpreshɔn?
Yu dɔktɔ go gi yu instrɔkshɔn dɛn bɔt aw fɔ pripia fɔ yu ɔpreshɔn, ɛn i rili impɔtant fɔ fala dɛn kɔrɛkt wan.
- Fastin: Dɛn go aks yu fɔ lɛf fɔ it ɔ drink fɔ lɛk 8 awa bifo dɛn du di ɔpreshɔn.
- Mɛrɛsin: If yu de tek ɛni ɔda mɛrɛsin, aks yu dɔktɔ if yu fɔ stɔp fɔ tek am ɔ if yu kin tek am wit wan sip wata. Nɔ stɔp fɔ tek ɛni mɛrɛsin we yu nɔ gɛt dɔktɔ advays.
- Sɔmbɔdi fɔ ɛp yu: Yu go nid fɔ de na ɔspitul fɔ wan ɔ tu dez afta dɛn dɔn du di ɔpreshɔn. Arenj bifo tɛm fɔ mek sɔmbɔdi go wit yu na os.
Wetin yu go ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Bɔku tɛm yu go gɛt fɔ de na ɔspitul fɔ wan ɔ tu dez. Insay dis tɛm:
- Yu kin it ɛn drink nɔmal wan afta dɛn dɔn du yu ɔpreshɔn.
- Yu kin waka rawnd smɔl, muv rawnd smɔl. Bɔt i impɔtant fɔ rɛst, lɛk aw di dɔktɔ se.
- Dɛn kin gi antibayɔtik fɔ mek pɔsin nɔ gɛt di sik.
- Dɛn kin put wan Foley kateta. Dɛn go pul am we yu go na os.
- Di ɔpreshɔn kin mek di urethra swel, we kin mek sɔm pen ɛn blad spasm. Di dɔktɔ go gi yu di mɛrɛsin dɛn we yu nid fɔ mek yu nɔ fil pen fɔ dis.
Wetin i min fɔ put stent?
Bɔku tɛm, we dɛn de du dis ɔpreshɔn, dɛn kin put wan rili tint plastic tyub insay di nyu ureta we dɛn dɔn kɔnɛkt fɔ mek i opin te i wɛl. Dɛn kɔl dis `(Stent).` Dis na sɔntin we dɛn kin put fɔ sɔm tɛm. dis `(Stent)` de kכmכt afta di kidni hεl insay fכ wik.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin?
Jɔs lɛk ɛni ɔpreshɔn, bɛnifit ɛn prɔblɛm dɛn de we kin apin. Yu dɔktɔ go ɛksplen dɛn tin ya to yu ditayli.
| Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
|
Tɛm fɔ wɛl ɛn aw fɔ kia fɔ yu na os
Bɔku tɛm yu go bigin fɔ fil fayn insay wan ɔ tu wiks . Te dɛn pul di stent, yu kin gɛt sɔm pen we yu de pis ɛn smɔl blɔd na yu urine. Dis na nɔmal tin. Yu go ebul fɔ go bak to yu nɔmal tin dɛn insay lɛk tri to 4 wiks .
Tek kia ɔf dɛn tin ya na os:
- Drink bɔku wata. I rili fayn fɔ drink at le 2-3 lita wata wan de.
- Tek di mɛrɛsin (pain-killer, antibiotics) we di dɔktɔ gi yu di rayt tɛm.
- Rimov di bandej na di say we dɛn kɔt am lɛk aw yu dɔktɔ tɛl yu. Kip am klin ɛn dray.
- Nɔ was na sink. I kin mek pɔsin gɛt infɛkshɔn. I nɔ bad fɔ tek shawa.
- Nɔ es wet ɔ du wok we tranga fɔ 4 to 6 wiks.
Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?
Tek tɛm bad bad wan bɔt dɛn sayn ya. If yu gɛt ɛni wan pan dɛn tin ya, yu fɔ tɔk to yu dɔktɔ wantɛm wantɛm ɛn yu nɔ fɔ west yu tɛm.
- Nɔs ɔ vɔmit we de kɔntinyu fɔ de .
- Sayn dεm fכ infεksh כn lεk fiva , rεd arawnd di say we dεn kכl, swεla, εn pus dεn de kכmכt.
- Bɔrku pen wae yu nɔr kin ebul fɔ kɔntrol ivin wit mɛrɛsin.
- If di urine dak rɛd ɛn gɛt ebi blɔd wit klot.
- If yu gɛt pen na yu chɛst ɔ yu nɔ ebul fɔ blo , go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
Dis ɔpreshɔn kin wok pas 95%, we min se nayn pan tɛn pipul dɛn. So nid nɔ de fɔ wɔri bɔt dis. Bɔt if di dɔktɔ se yu ɔ yu pikin nid dis ɔpreshɔn, tɔk to am bɔt ɛni kwɛstyɔn, fred, ɔ dawt we yu gɛt bɔt am. Da we de, yu go ɔndastand gud gud wan ɛn yu go gɛt kolat na yu maynd.
Mɛsej we dɛn kin kɛr go na os
- Pyeloplasty na ɔpreshɔn we dɛn kin du fɔ kɔrɛkt wan blɔk we de na di tiub we de kɛr urine frɔm di kidni to di blad (UPJ obstruction).
- Naw dɛn kin du dis bɔku tɛm wit rili smɔl smɔl say dɛn we dɛn kɔt (we nɔ kin ambɔg bɛtɛ), so i kin wɛl kwik kwik wan.
- Dɛn kin put stent fɔ sɔm tɛm afta dɛn dɔn du di ɔpreshɔn fɔ ɛp fɔ mek i wɛl.
- Dis ɔpreshɔn kin rili fayn ɛn i kin ɛp fɔ mek yu nɔ gɛt pen, infɛkshɔn, ɛn pwɛl di kidni.
- Bifo ɛni ɔpreshɔn, tɔk to yu dɔktɔ opin wan bɔt di bɛnifit dɛn, di prɔblɛm dɛn we yu go gɛt, ɛn ɛni kwɛstyɔn we yu go gɛt.
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