Sɔntɛm yu dɔktɔ dɔn tɛl yu se yu gɛt ston na yu kidni. Ɔ sɔntɛm yu nɔ de fil fayn bikɔs yu urinary tract dɔn blok. Na tɛm lɛk dis, i nɔmal fɔ mek yu fred smɔl ɛn fred we yu dɔktɔ tɛl yu se yu nid fɔ put stent. Bɔt nɔ wɔri, tide wi go tɔk bɔt wetin na ureteral stent, wetin i de du, ɛn aw i kin fil we yu gɛt am na in ples.
Wetin na Yuritɛral Stɛnt?
Fɔ tɔk am simpul wan, dis na tiub we rili tan ɛn we kin chenj, we dɛn mek wit silikon ɔ plastic. wi bכdi gεt tu tin tכb dεm we de kכri urine frכm di kidni dεm to di blad, we wi kכl ureters. Dɛn kin yuz dis stent fɔ kip am opin we wan pan dɛn ureter dɛn de blok ɔ blok.
Jɔs lɛk we wata paip kin lɔk wit dɔti, di wata kin stɔp fɔ flɔ. we wi urethra kכlok, urine nכ kin pas frכm di kidni to di blad. wetin dis stent de du na fכ put dis tכn tכb insay di kכlכg pasεj, we de mek wan rod fכ urine fכ fכlכ tru we nכ gεt nכ tin we de ambɔg am.
Dis stent kin lɔng lɛk 10 to 15 inch. di dכkta de put am insay so dat di kכyl we de na di tכp εnd de insay di kidni εn di kכyl we de dכn εnd de insay di blad. Dɛn tu kɔyl dɛn ya kin mek di stent de na in ples we i nɔ de muf rawnd. Sɔm pipul dɛn kin kɔl dis bak ‘Double-J stent.’
Wetin mek yu nid fɔ put dis stent insay?
di men rizin na fכ avכyd enitin we de ambɔg di fכ fכlכ di urine εn fכ transpכt di urine to di blad we nכ de damej di kidni dεm. Bɔku rizin dɛn kin de fɔ dis.
| Rizin fɔ put stent | Fɔ ɛksplen am simpul wan |
|---|---|
| Kidni Ston dɛn | di kidni ston dεm (rεnal kalkyuli) kin lod insay di ureter, we kin blok di fכ fכlכ di urine. Stent de mek wan separet rod fɔ mek di urine flɔ we di ston stil de. Dɛn kin put am bak fɔ mek di tiub nɔ swel afta dɛn dɔn trit di ston. |
| Tumɔs dɛn | Sɔntɛnde, kansa ɔ ɔda tumbu kin prɛs na di ɔdasay na di urethra, we kin mek i blok. Stent de ɛp fɔ mek di tiub opin agens da prɛshɔn de. |
| Afta dɛn dɔn du di ɔpreshɔn | Afta dɛn dɔn du ɔpreshɔn pan di urinary system, di eria kin swel ɛn blok fɔ sɔm tɛm. Dɛn kin put stent fɔ ɛp di urine fɔ flɔ te di swɛlin go dɔŋ. |
| Skar Tisu we de na di bɔdi | ska we de na di urethra kin mek i smɔl bikɔs ɔf di infɛkshɔn dɛn we bin dɔn de bifo, ɔpreshɔn, ɔ kɔndishɔn lɛk ɛndometriɔsis. Stent kin ɛp bak fɔ mek di say we dɔn smɔl opin. |
Di tin we impɔtant pas ɔl na dat if di wata we de kɔmɔt na di urine stɔp fɔ ɛni rizin, i kin mek di kidni dɛn pwɛl bad bad wan, i kin mek pɔsin gɛt infɛkshɔn, ɛn sɔntɛm i kin ivin mek di kidni dɛn nɔ wok fayn. Wetin di stent de du na fɔ mek dɛn nɔ gɛt dɛn siriɔs tin dɛn de.
Us tin dɛn fɔ pripia bifo dɛn put di stent?
Bikɔs dis na ɔpreshɔn, yu dɔktɔ go gi yu sɔm tin dɛn bifo yu du am. I rili impɔtant fɔ fala dɛn instrɔkshɔn ya di rayt we.
- Yu kɔmplit wɛlbɔdi istri: Tɛl yu dɔktɔ ɔltin we yu gɛt, ivin ɛni ɔda sik we yu dɔn gɛt, ɛn ɛni ɔpreshɔn we yu dɔn du bifo.
- Di mɛrɛsin dɛn we yu de tek: I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk vaytamɛn ɛn ɛbul mɛrɛsin dɛn. Sɔm mɛrɛsin dɛn (lɛk tin dɛn we de mek pɔsin blɔd tan) kin mek i gɛt mɔ blɔd we dɛn de du ɔpreshɔn.
- Alɛji: If yu gɛt ɛni alɛji to ɛni mɛrɛsin ɔ it, mek shɔ se yu tɔk bɔt am.
- Blɔd tɛst: Dɛn kin aks yu fɔ du sɔm blɔd tɛst dɛn lɛk eGFR fɔ si if yu kidni dɛn de wok fayn.
- Fastin: Dɛn go aks yu fɔ stɔp fɔ it ɔ drink fɔ lɛk 8 awa bifo dɛn du di ɔpreshɔn. Bɔt if yu gɛt ɛni impɔtant mɛrɛsin, aks yu dɔktɔ if yu kin tek am wit wata.
Dis na big ɔpreshɔn?
Nɔ, bɔku tɛm dis na simpul ɔpreshɔn, we dɛn nɔ kin kɔt ɔ kɔt ɛni big big ɔpreshɔn. Dɔktɔ dɛn kin kɔl am ‘minimally invasive’. Dat min se na smɔl damej de pan di bɔdi. Bɔku tɛm yu kin go na os di sem ivintɛm. Bɔt bikɔs dɛn de gi yu anestezi, i rili impɔtant fɔ mek sɔmbɔdi kam kɛr yu go na os.
Wetin kin apin we dɛn put stent?
Na wan dɔktɔ we de mɛn yu uro de du dis ɔpreshɔn. Dɛn kin du di ɔl di tin dɛn we dɛn kin du ɔnda jenɛral anestezi, so yu nɔ go fil natin ɛn yu go slip fayn.
1. Skan: Fɔs, di dɔktɔ kin yuz wan kayn ɛkstrem rayt (fluoroscopy) ɔ ɔltra saund skan fɔ fɛn ɛksaktɔli usay di blɔk de na di urethra.
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3. insay di stent: nεks, dεn de pas wan vεri tכn waya (`guidewire`) tru di `cystoscope` insay di urethra we dεn blכk. Dɔn dɛn kin gayd di stent along da waya de fɔ go na di rayt say.
4. Fɔ dɔn: We dɛn dɔn put di stent fayn fayn wan, dɛn kin pul di waya ɛn di sistoskɔp. Na di stent nɔmɔ lɛf insay.
Di ɔl di ɔpreshɔn nɔ kin tek 30 minit, bɔt yu go nid fɔ de na ɔspitul fɔ sɔm awa, inklud tɛm fɔ rɛdi fɔ di ɔpreshɔn, fɔ wɛl afta di ɔpreshɔn, ɛn mek shɔ se yu de fayn.
Wetin yu kin ɛkspɛkt afta yu dɔn put stent?
We yu wek wit anestezi, yu go fil smɔl ɛn yu go de slip. Dɛn go gi yu mɛrɛsin fɔ kɔntrol di pen.
- Blɔd na di urine (hematuria): I nɔmal fɔ gɛt smɔl blɔd na di urine ɛn pinkish tinge to am fɔ di fɔs sɔm dez. Nɔ wɔri bɔt am. I go stɔp smɔl smɔl fɔ sɔm dez. Bɔt yu kin stil si smɔl blɔd te dɛn pul di stent.
- Diskɔmfɔt ɛn pen: Yu kin fil smɔl bɔn ɔ pen (`dysuria`) we yu de pis. Yu kin fil bak se yu nid fɔ pis bɔku tɛm.
- Drink plɛnti wata: Yu dɔktɔ go tɛl yu fɔ drink bɔku wata fɔ sɔm dez. Dis go ɛp yu kidni ɛn blad fɔ wok.
Aw lɔng dɛn fɔ lɛf di stent na in ples? Aw a go pul am?
Bɔku tɛm, wan stent na fɔ shɔt tɛm nɔmɔ . yu dכkta go pul am afta di prכblεm na yu urethra (e.g., dεn pul di ston, di swel go dכn) dכn sכlv. Bɔku tɛm, dɛn kin lɛf am na in ples fɔ sɔm dez to sɔm wiks.
Bɔt fɔ sɔm pipul dɛn, fɔ ɛgzampul, if tumbu dɔn blok di urethra, dɛn kin nid fɔ lɛf am na in ples fɔ sɔm mɔnt, ɔ ivin fɔ lɔng lɔng tɛm. Fɔ dɛn pipul dɛn de, dɛn kin pul di ol stent ɛn put nyu wan ɛvri 3-6 mɔnt fɔ mek dɛn nɔ gɛt infɛkshɔn (UTI).
I kin at fɔ mek dɛn pul di stent?
Tu we dɛn de fɔ pul di stent.
1. Stɛnt wit trɛd: Sɔm stent dɛn we dɛn kin yuz fɔ shɔt tɛm kin gɛt smɔl trɛd na di ɛnd. I de kɔmɔt na di urethra. Di dɔktɔ pul di trɛd saful wan ɛn pul di stent. Dis na tin we dɛn kin du kwik kwik wan.
2. Stent we nɔ gɛt trɛd: Stent we dɔn de fɔ sɔm wiks ɔ pas dat nɔ gɛt trɛd. Dɛn kin pul dɛn na smɔl tin we dɛn kin du na di dɔktɔ in ɔfis. Fɔs, dɛn kin put wan sɔlvushɔn we de mek pɔsin nɔ fil fayn na di say, dɛn kin put sistoskɔp insay, ɛn dɛn kin pul di stent wit smɔl fɔspɛs. Di numbing nɔ de mek pɔsin fil bɔku pen. Bɔt sɔm kayn pwɛl hat ɛn pen kin de fɔ sɔm dez afta di numbing dɔn go.
Wetin dɛn kin du bɔt di prɔblɛm ɛn pen we kin apin we pɔsin gɛt stent?
Na ɔnfɔni, lɛk 80% pan di pipul dɛm wae gɛt stent go gɛt sɔm smɔl smɔl diskɔmfɔt. Bɔku tɛm, dɛn tin ya nɔ kin siriɔs.
- Blad iritashɔn
- Nid fɔ pis bɔku tɛm
- Pen ɔ bɔn we yu de pis
- Smɔl blɔd na di urine
- Di risk fɔ gɛt infɛkshɔn na di urinary tract (UTI) we de go ɔp .
Wetin mek i kin at bad bad wan we a gɛt stent na in ples?
Dis nɔto di sem tin fɔ ɔlman. Sɔm pipul dɛn kin jɔs fil smɔl fɔ fil bad, ɛn ɔda wan dɛn kin fil mɔ pen. Di men rizin na bikɔs we yu de pis, di blad kin kɔntrakt. Dɔn di kɔyl we de insay di stent de rɔb pan di blad in wɔl. Na dat mek sɔm pipul dɛn kin fil pen.
Wetin dɛn kin du fɔ mek pɔsin nɔ fil pen?
- Di tin dɛn we de mek pɔsin fil pen: Yu kin yuz parasetamol ɔ nɔ-stɛroyd anti-inflammatory drɔgs (NSAID) (e.g. ibuprofen). Bɔt nɔ ɛva tek ɛni mɛrɛsin fɔ mek yu fil pen if yu nɔ go to yu dɔktɔ .
- Speshal mɛrɛsin: Sɔntɛnde yu dɔktɔ go gi yu mɛrɛsin lɛk tamsulosin. Pan ɔl we dɛn tin ya na rili mɛrɛsin dɛn we dɛn kin gi man dɛn fɔ gɛt prɔblɛm wit prɔstat, dɛn kin ɛp bɔku pan di pen ɛn diskɔmfɔt we di stent kin mek.
Ustɛm yu fɔ kɔl di dɔktɔ?
Pan ɔl we smɔl diskɔmfɔt na nɔmal tin we yu de yuz stent, if yu si ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU).
| Sayn dɛn we de wɔn pipul dɛn we yu fɔ luk fɔ | |
|---|---|
| I kin fil pen bad bad wan | Pen na di bɛlɛ ɔ kidni wae nɔr kin ebul fɔ kɔntrol ɔr kin bia ivin wit mɛrɛsin wae de mek pɔrsin fil pen. |
| Sayn dɛn we de sho se pɔsin gɛt infekshɔn | Fɔ gɛt ay fiva, fɔ shek shek ɛn fil kol. |
| Di chenj dɛn we de apin na di urine | Blɔd kin klɔt na di urine, urine we kin rili dɔt ɔ we kin rili dak ɔ we gɛt dɔti in kɔlɔ. |
| Nɔ ebul fɔ pis | Di nid fɔ pis bɔt nɔ urine nɔ de kɔmɔt. Dis min se di stent kin stɔp. |
| Vɔmit ɛn nɔs | Nɔs ɛn vɔmit we de kɔntinyu fɔ de. |
Mɛsej we dɛn kin kɛr go na os
- ureteral stent na sef ɛn bɔku tɛm i kin wok fayn fɔ ɛp fɔ muv urine frɔm di kidni to di blad.
- Afta dɛn dɔn put stent, i nɔmal fɔ gɛt sɔm blɔd na yu urine, nid fɔ pis bɔku tɛm, ɛn fil sɔm pen. Nɔ fred dat.
- Fɔ bɔku pipul dɛn, dis na tin we dɛn kin du fɔ sɔm tɛm. Di dɔktɔ go pul am wans yu prɔblɛm dɔn sɔlv.
- Stɔp fɔ du ebi ebi wok ɔ fɔ ɛksesaiz tranga wan fɔ sɔm dez. Drink bɔku wata.
- If yu gɛt ɛni sayn lɛk pen we yu nɔ go ebul fɔ bia, fiva, ɔ blɔd na yu urine, nɔ ignore am ɛn tɛl yu dɔktɔ wantɛm wantɛm . Nɔ shem fɔ tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.
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