Yu kin fred smɔl we yu dɔktɔ tɛl yu se yu nid fɔ gɛt ureteral stent. We bɔku pan wi kin tink bɔt stent, wi kin tink bɔt stent we dɛn kin put na di at. Bɔt dis na sɔntin we rili difrɛn. Na smɔl tin we de ɛp yu kidni sistɛm fɔ wok fayn fayn wan. So nid nɔ de fɔ fred. Tide, wi go tɔk bɔt dis insay wan rili simpul we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na ureteral stent?
Tink bɔt di tu kidni dɛn na wi bɔdi lɛk tu wata filta. dis filta dεm gεt tu sכm sכm tכb dεm we de kכri di urine (pi) we dεn tu filta dεm ya klin to di blad. dis tu tכb dεm na dεn wi kin kכl di ‘ureters’ כ urinary tract.
ureteral stent na wan tiub we rili tan, we kin chenj we dɛn mek wit silikon ɔ polyurethane. dεn kin put am insay di ureter, di tכb we de kכri urine, fכ εp fכ mek i opin εn nכ blok. I tan lɛk we yu put smɔl tiub tru wata paip we dɔn blok fɔ ɛp fɔ klin di rod.
Dis stent kin lɔng lɛk 10-15 inch. Dɛn mek am so dat wan ɛnd pan am go de insay di kidni ɛn di ɔda ɛnd go de insay di blad. Dɛn kin kɔl dis bak ‘Dɔbul-J stent’.
Wetin mek wi nid fɔ put dis stent insay?
di men rizin na dat di ureter de blok fכ sכm rizin (ureteral obstruction). we dis apin, di urine nכ de fכlכ frכm di kidni to di blad. Dis kin mek di kidni pwɛl ɛn mek yu gɛt infɛkshɔn. di stent de wok bay we i de baypas di blɔk ɛn mek wan rod fɔ mek di urine flɔ.
Si di tebul we de dɔŋ fɔ di men rizin dɛn we mek yu put dis stent.
| Rizin | Tɔk bɔt |
|---|---|
| Kidni Ston dɛn | Dis na di tin we kin mek pɔsin gɛt dis sik. If di kidni ston stɔp na di ureter ɛn i de blok di urine fɔ flɔ, dɛn kin put stent fɔ baypas di ston ɛn mek wan rod fɔ mek di urine flɔ. Dɛn kin yuz am afta dɛn dɔn trit di ston ɛn fɔ mek di tiub nɔ swel. |
| Afta dɛn dɔn du di ɔpreshɔn | Afta dɛn dɔn ɔpreshɔn di urinary system, di eria kin swel ɛn blok di urethra. Dɛn kin put stent fɔ sɔm tɛm fɔ mek dis nɔ apin. |
| Tumɔs dɛn | If wan tumbu we gɛt kansa ɔ we nɔ gɛt kansa push go na do ɛn blok di urethra, dɛn nid fɔ put stent fɔ mek i opin. |
| Ɔda rizin dɛn | Dɛn kin yuz dɛn bak we blɔd kin klɔt, skata we kin kam bikɔs ɔf tin dɛn lɛk ɛndometriɔsis, ɔ we dɛn bɔn wit di urethra we kin smɔl. |
Yu tink se fɔ put stent na big ɔpreshɔn? Aw a kin rɛdi fɔ am?
Nɔ, dis nɔ kin bi big ɔpreshɔn . Dis na ɔpreshɔn we nɔ kin tek bɔku pipul dɛn. Dat min se dɛn kin du am tru wan natura opin, we dɛn nɔ mek big say. Bɔku tɛm, yu kin go na os di sem de. Bɔt bikɔs dɛn de anestez yu, yu go nid pɔsin fɔ kɛr yu go na os.
Bifo di ɔpreshɔn, di dɔktɔ go tɛl yu dɛn tin ya:
- Tɛl wi bɔt yu kɔmplit mɛdikal istri ɛn ɛni alɛji we yu go gɛt.
- Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud di vaytamɛn dɛn) . Sɔm mɛrɛsin dɛn kin mek yu blɔd bɔku.
- Dɛn se fɔ du blɔd tɛst (eGFR) fɔ chɛk aw di kidni de wok.
- Dɛn go aks yu fɔ nɔ it ɔ drink ɛnitin fɔ lɛk 8 awa bifo di ɔpreshɔn. If ɛni impɔtant mɛrɛsin de, dɛn go alaw yu fɔ tek am wit wata.
Aw di we aw dɛn kin put di stent insay di stent kin wok?
Bɔku tɛm, na dɔktɔ we de mɛn yu urolɔg kin du dis. Dɛn go gi yu jenɛral anestezi, so yu nɔ go fil natin ɛn yu go de slip.
Afta yu dɔn slip, di dɔktɔ go fala dɛn tin ya:
1. Fɔs, dɛn kin yuz skan (fluoroscopy ɔ kidney ultrasound) fɔ fɛn di rayt say we di blɔk de.
2. afta dat, dεn de pas wan tin, lכng instrכmεnt we gεt kεmεra we dεn ataya (wan `cystoscope`) tru yu urethra εn insay yu blad.
3. tru dis `sistoskop`, dεn de pas wan ivin tin we lεk waya (`guidewire`) insay di uretra we dεn blכk.
4. Dɛn kin put di stent na di kɔrɛkt say along da gaydway de.
5. We di stent dɔn de, dɛn kin tek tɛm pul di gaydway ɛn di sistoskɔp. Di stent de kɔntinyu fɔ de insay di bɔdi.
Di ɔl di ɔpreshɔn nɔ kin tek 30 minit, bɔt yu go nid fɔ de na ɔspitul fɔ sɔm awa fɔ rɛdi fɔ di ɔpreshɔn ɛn fɔ wach aw yu sik afta dat.
Wetin kin apin afta dɛn dɔn put di stent? Wetin wi fɔ ɛkspɛkt?
Afta di ɔpreshɔn, yu go fil smɔl we yu wek. Dɛn go gi yu mɛrɛsin fɔ kɔntrol di pen. Di dɔktɔ go tɛl yu fɔ drink bɔku wata . Dis go ɛp fɔ flush yu kidni ɛn blad.
Dɛn tin ya na nɔmal tin insay di fɔs dez:
- Smɔl blɔd na di urine (hematuria): Dis go go dɔŋ smɔl smɔl.
- Smɔl diskɔmfɔt ɔ bɔn we yu de pis: Dis go stɔp bak insay sɔm dez.
- Nid fɔ pis bɔku tɛm: Dis kin apin bikɔs di stent de mek di blad wok.
- Fɔ fil smɔl pen na di say we di kidni dɛn de (na di tu say dɛn na di lɔwa bak) we yu de pis: Dis kin apin bak to sɔm pipul dɛn.
Dɛn diskɔmfɔt ya kin de mɔ ɔ smɔl as lɔng as di stent de insay. Bɔt if yu fil pen we yu nɔ go ebul fɔ bia ɔ yu de blɔd pasmak , tɛl yu dɔktɔ wantɛm wantɛm.
Aw lɔng di stent nid fɔ de na in ples?
I dipen pan yu kɔndishɔn. Bɔku tɛm, dɛn tin ya kin apin fɔ shɔt tɛm . Dɛn kin lɛf dɛn na dɛn ples fɔ sɔm dez to sɔm wiks. Yu dɔktɔ go pul dɛn wans yu sik dɔn bɛtɛ.
Bɔt sɔm pipul dɛn (fɔ ɛgzampul, di wan dɛn we tumbu dɔn blok dɛn at) nid fɔ gɛt di stent fɔ lɔng tɛm. Na dɛn kayn pipul ya, dɛn kin pul di ol stent ɛn put nyu wan ɛvri 3-6 mɔnt fɔ mek dɛn nɔ gɛt di sik.
Aw yu kin pul di stent? Yu tink se i de mek pɔsin fil pen?
Fɔ pul di stent rili simpul.
- Stɛnt wit trɛd: Sɔm stent dɛn we dɛn kin yuz fɔ shɔt tɛm kin gɛt trɛd we pɔsin kin si we di dɔktɔ kin pul fɔ pul di stent.
- Stent dɛn we nɔ gɛt trɛd: Dɛn kin pul dɛn wan ya bay we dɛn de yuz sistoskɔp we dɛn bin de put dɛn. Dɛn kin put jel we de mek yu nɔ fil fayn na di say we yu de, so yu nɔ go fil bɔku pen. Yu kin fil smɔl fɔ mek yu nɔ fil fayn.
Sɔm kin bɔn smɔl ɔ nɔ kin fil fayn fɔ wan ɔ tu dez afta dɛn pul am. Dis na nɔmal tin.
Wetin na di bɛnifit dɛn ɛn di prɔblɛm dɛn we kin apin?
Jɔs lɛk ɛni mɛrɛsin, bɛnifit dɛn de ɛn smɔl smɔl prɔblɛm dɛn/kɔmplikeshɔn dɛn de.
| ✅ Di bɛnifit dɛn we pɔsin kin gɛt | ⚠️ Posisibul Kɔmplikeshɔn dɛn |
|---|---|
| I de mek di urine flɔ bɛtɛ. | Blad iritashɔn. |
| I de mek di kidni nɔ pwɛl. | Nid fɔ pis bɔku tɛm. |
| I de ɛp fɔ klin di urine we gɛt di sik. | Bɔn ɔ pen we yu de pis (dysuria). |
| I de alaw di tiub fɔ wɛl afta dɛn dɔn ɔpreshɔn am. | Infεkshכn dεm na di urinary tract (UTIs). |
| I de ɛp fɔ pul di ston dɛn na di kidni. | Smɔl blɔd na di urine. |
Aw fɔ ridyus di pen we di stent de mek?
Bɔrku tɛm, dɛn kin kɔntrol dɛn diskɔmfɔt ya wit mɛrɛsin wae de mek pɔrsin fil pen. Bɔt nɔ tek ɛni mɛrɛsin fɔ mek yu fil pen (lɛk `NSAID`) we yu nɔ aks yu dɔktɔ. Sɔntɛnde yu dɔktɔ kin gi yu spɛshal mɛrɛsin lɛk `tamsulosin` fɔ ridyus dis diskɔmfɔt.
If yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm!
If yu gɛt ɛni wan pan dɛn tin ya we yu gɛt di stent, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU).
- Ay fiva ɔ kol (i kin bi sayn fɔ infekshɔn).
- Pen we yu nɔ go ebul fɔ bia, we gɛt siriɔs pen na di kidni eria, ɔnda bɛlɛ, ɔ we yu de pis.
- Dak rɛd blɔd ɔ blɔd we de klɔt na di urine.
- I nɔ ebul fɔ pis ɔ di urine we de kɔmɔt na di bɔdi nɔ de kɔmɔt fayn .
- Dak brawn urine, dɔti smel .
- Nɔs ɛn vɔmit .
Mɛsej we dɛn kin kɛr go na os
- Yuritɛral stent na sef, tɛmporari tin we dɛn kin yuz fɔ pul di blɔk na yu urinary tract. Dis rili difrɛn frɔm stent we dɛn put na yu at.
- I nɔmal fɔ mek yu gɛt sɔm smɔl smɔl blɔd, bɔn, ɛn nɔ fil fayn we yu de pis afta dɛn dɔn put di stent. Dɛn tin ya go stɔp insay sɔm dez.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan, mɔ di advays fɔ drink bɔku wata.
- If yu gɛt siriɔs prɔblɛm lɛk pen we yu nɔ go ebul fɔ bia, fiva, ɔ we yu de blɔd pasmak, nɔ shem fɔ go to dɔktɔ wantɛm wantɛm.
- Nɔ fred! Dis na tritmɛnt we rili kɔmɔn ɛn we kin wok fayn. Tɔk opin wan wit yu dɔktɔ bɔt di tin dɛn we de mɔna yu ɛn di tin dɛn we yu de fred.
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