Yu kin fil bak se yu nid fɔ pis ɔltɛm? Yu urinary tract de fil tayt ɛn nɔ de ɛmti fayn? Ɔ yu kin wek bɔku tɛm na nɛt fɔ pis? Dɛn tin ya kin bi sayn dɛn we de sho se di prɔstat gland dɔn big, we kin apin to man dɛn we dɛn de ol. We wi de tɔk bɔt mɛrɛsin, dɛn kɔl dis BPH, we min se di prɔstat gland de big we nɔto kansa. TURP ɔpreshɔn na wan tritmɛnt we rili fayn fɔ di diskɔmfɔt we dis sik kin kam wit. Pan ɔl we di nem kɔmplikt smɔl, i nɔ de mek pɔsin fred lɛk aw yu tink. Tide, wi go tɔk bɔt dis ditayli, insay simpul Sinhala we yu go ɔndastand.
Wetin rili na TURP ɔpreshɔn?
Fɔ tɔk am simpul wan, TURP (Transurethral Resection of the Prostate) na di ɔpreshɔn fɔ pul wan pat pan yu prɔstat gland we dɔn big.
Tink bɔt am, di prɔstat na gland we saiz lɛk walnut we na man dɛn nɔmɔ gɛt. i de dכn yu blad, rawnd yu urethra. I tan lɛk donut we gɛt tiub we de go tru am. As yu de ol, dis gland kin bigin fɔ big. As i de big, di urethra de bigin fɔ blok. Na da tɛm de prɔblɛm wit aw yu de pis kin kam.
Di big bɛnifit fɔ TURP ɔpreshɔn na dat i nɔ nid fɔ kɔt ɛni bɔdi na yu bɔdi . Di dɔktɔ kin put wan tin we rili tan ɛn we gɛt kamɛra insay yu urethra ɛn yuz ilɛktrik kɔrɛnt ɔ lɛsa fɔ kɔt ɛnitin we pasmak ɛn we dɔn stɔp na yu prɔstat.
Wetin mek a nid fɔ gɛt dis TURP ɔpreshɔn?
Dɛn kin du dis ɔpreshɔn mɔ fɔ wan sik we dɛn kɔl BPH (Benign Prostatic Hyperplasia) . Dis min se ‘di prɔstat gland we nɔ gɛt kansa’. Dis nɔto kansa, so nɔ fred. Na kɔmɔn sik we bɔku man dɛn kin gɛt as dɛn de ol. Na di sayn dɛm wae kin apun bikɔs ɔf dis.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| Wantɛm wantɛm nid fɔ pis | A kin fil se a nid fɔ pis kwik kwik wan, ɛn i nɔ kin izi fɔ mek a nɔ pis. |
| Fɔ pis bɔku tɛm | Yu nid fɔ pis bɔku tɛm, lɛk ɛvri tu awa. |
| Fɔ pis na nɛt (Nocturia) . | A fɔ grap fɔ pis bɔku tɛm we a de slip. |
| Urinary Retention we pɔsin kin gɛt | Ivin afta yu dɔn pis, di blad kin fil lɛk se i nɔ ɛmti ɔl. |
| Yurinary tract wik | di urine strim de stat sloslo, i de stɔp af-af ɛn bigin bak, ɔ i de kɔmɔt insay drɔp. |
| Kidni dɛn we dɔn pwɛl | Dis kin apin pan siriɔs kes dɛm. Bikɔs di urine nɔ de flɔ fayn, di prɛshɔn kin bɔku ɛn pwɛl di kidni dɛn. |
Wetin kin apin bifo dɛn du di ɔpreshɔn ɛn we dɛn de du di ɔpreshɔn?
Fɔ pripia bifo dɛn du di ɔpreshɔn
Dɛn kin du TURP ɔnda anestezi so dat yu nɔ go fil ɛni pen. Dis kin bi jenɛral anestezi, we kin mek yu slip ɔl, ɔ spɛshal anestezi, we kin mek yu bɔdi nɔ gɛt bɛtɛ trɛnk. Yu dɔktɔ ɛn di dɔktɔ we de mɛn yu go ɛksplen to yu us we go fayn fɔ yu.
Dɛn go advays yu fɔ stɔp fɔ it ɛn drink sɔm awa bifo di ɔpreshɔn fɔ rɛdi fɔ anestezi. I impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn mɔ di wan dɛn we de mek yu blɔd tan. I go advays yu bak if yu nid fɔ stɔp fɔ tek ɛni wan pan dɛn tin ya bifo dɛn du di ɔpreshɔn.
We dɛn de du di ɔpreshɔn
Bɔku tɛm, dis ɔpreshɔn nɔ kin tek pas 90 minit. Yu nɔ go fil ɛni pen bikɔs yu de ɔnda anestezi.
1. di dכkta de put wan instrכmεnt we rili tכn wit wan kεmεra we dεn atak we dεn kכl ‘Rεktoskop’ along di urethra.
2. Dɛn kin chɛk di prɔstat gland wit da kamɛra de, ɛn dɛn kin kɔt di tisu we pasmak ɛn pul am wit lɛsa ɔ ilɛktrik kɔrɛnt.
3. Dɔn, we dɛn de yuz spɛshal wata fɔ push di tisu dɛn we dɛn kɔt insay di blad.
4. Fɔ dɔn, dɛn kin pul ɔl dɛn pat dɛn de kɔmɔt na di blad.
5. Dɛn kin pul di rɛktoskɔp ɛn dɔn di ɔpreshɔn.
Wetin kin apin afta di ɔpreshɔn ɛn wetin na di bɛnifit dɛn we i kin gɛt?
Afta dɛn dɔn du di ɔpreshɔn, dɛn go kɛr yu go na say usay yu go wɛl. Sɔm pipul dɛn go de na ɔspitul fɔ wan ɔ tu dez, ɛn ɔda wan dɛn kin go na os di sem de. We yu de na ɔspitul, dɛn go put wan tiub we dɛn kɔl kateta na yu urethra fɔ ɛp yu fɔ pas urine. Dɛn kin pul dis kateshɔn bifo yu go na os.
Di big bɛnifit fɔ TURP ɔpreshɔn na di kwik rizɔlt . Bɔrku pipul kin bigin fɔ fil big difrɛns ɛn fil fayn frɔm dɛn prɔblɛm wae de wit dɛn fɔ pis insay sɔm dez.
Dis na sɔlv we rili fayn fɔ di wan dɛn we gɛt siriɔs prɔblɛm wit dɛn urinary we dɛn nɔ kin ebul fɔ kɔntrol wit mɛrɛsin.
Di risk dɛm ɛn di tɛm fɔ wɛl we dis ɔpreshɔn de du
Lɛk ɛni ɔpreshɔn, TURP kin gɛt sɔm smɔl smɔl prɔblɛm dɛn, bɔt dɛn tin ya nɔ kin apin to ɔlman.
- Erectile Dysfunction: Prɔblɛm wit erection kin apin.
- Retrograde ejaculation: Dis na we di sεl dεm nכ de kכmכt we yu de du mami εn dadi biznεs εn insted i de go insay di blad. Dis nɔ de ambɔg di bɔdi, bɔt i kin mek i nɔ izi fɔ pikin dɛn fɔ gɛt bɛlɛ.
- Urinary incontinence: Sɔntɛnde, smɔl urine kin lik we yu kɔf ɔ laf. Bɔku tɛm, dis kin apin fɔ shɔt tɛm.
- Infεkshכn dεm na di urinary tract (UTIs).
- Blɔd we de na di urine (Hematuria).
Tɔk bɔt dɛn prɔblɛm ya wit yu dɔktɔ bifo yu du di ɔpreshɔn ɛn aks ɛni kwɛstyɔn we yu gɛt.
Bɔku tɛm, i kin tek lɛk 4 to 6 wiks fɔ mek i wɛl ɔl. Insay dis tɛm , nɔ es di wet, nɔ du ɛksɛsayz we go tranga, ɔ du mami ɛn dadi biznɛs te yu dɔktɔ gi yu di rayt fɔ du dat. If yu gɛt wok we nɔ de mek yu bɔdi wok tranga wan, yu go ebul fɔ go bak na yu wokples insay tu to tri wiks. Bɔt yu fɔ go to yu dɔktɔ bɔt dis bak.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
Impɔtant: If yu gɛt ɛni wan pan dɛn sik ya afta dɛn dɔn du yu ɔpreshɔn, kɔl yu dɔktɔ wantɛm wantɛm. If nid de, go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Fiva.
- Nyu prɔblɛm dɛn we kin kam wit yu urinary lɛk we yu nɔ kin ebul fɔ pis ɛn we yu kin pis ɔltɛm.
- Yurin we dak rɛd ɔ we gɛt blɔd we de klɔt.
- Nɔ ebul fɔ pis atɔl.
Fɔ dɔn, TURP na tritmɛnt we rili wok ɛn sef fɔ BPH. Bɔt nɔto in wangren sɔlv. Naw, nyu tritmɛnt dɛn de we nɔ de du ɔpreshɔn, ɛn we nɔ de tek bɔku tɛm fɔ dis sik. Yu dɔktɔ kin gi yu mɛrɛsin fɔs. If dɛn tin ya nɔ wok, dɛn kin sɛn yu to ɔpreshɔn lɛk TURP. Yu fɔ disayd di bɛst tritmɛnt fɔ yu, bay yu wɛlbɔdi istri ɛn wetin yu lɛk, ɛn togɛda wit yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- TURP na wan saksesful ɔpreshɔn fɔ urinary prɔblɛm dɛn we kin kam bikɔs ɔf di ej-rilayt prɔstat ɛnlargement (BPH).
- Dɛn kin du dis ɔpreshɔn tru di urethra, we dɛn nɔ kin kɔt ɛni say na do na di bɔdi.
- Bɔku pipul dɛn kin fil fayn we dɛn de pis insay sɔm dez afta dɛn dɔn du dɛn ɔpreshɔn.
- I kin tek lɛk 4-6 wiks fɔ ful-ɔp fɔ wɛl, ɛn i rili impɔtant fɔ fala dɔktɔ advays insay da tɛm de.
- If yu gɛt sɔm sayn dɛn lɛk fiva, bɔku blɔd, ɔ yu nɔ ebul fɔ pis afta dɛn dɔn du yu ɔpreshɔn, go to dɔktɔ wantɛm wantɛm.
- Tɔk to yu dɔktɔ bɔt us tritmɛnt we bɛtɛ fɔ yu.
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