Yu kin gɛt bak di urine lik we nɔ kɔmɔn we yu de pis ? Ɔ yu kin gɛt infekshɔn na yu urinary tract bɔku tɛm? Dis kin mek yu shem smɔl ɛn shem fɔ tɔk bɔt. Bɔt na sik we pɔsin kin gɛt we i nid fɔ tɔk bɔt ɛn trit am. Tide wi go tɔk bɔt wan sik we dɛn kɔl Urethrocutaneous Fistula, we kin mek pɔsin gɛt sɔm kayn sik lɛk dis.
Fɔ tɔk am simpul wan, wetin na Urethrocutaneous Fistula?
Okay, mek wi put am rili simpul. di tכb we de kכri urine kכmכt na yu bכdi dεn kכl am di urethra. urethrocutaneous fistula na abnכmal kכnεkshכn כ ol we de divεlכp bitwin di urethra εn yu jεnital. I tan lɛk smɔl ol na wata men we de lik wata na di ɔda say.
dis ol kin kכnekt to di urethra frכm enisay na di skin na yu jεnital εria. Dis min se we yu de pis , sɔm pis de lik kɔmɔt na dis nyu ol. Dis nɔto jɔs de mek di urine lik, bɔt i de mek di risk fɔ gɛt urinary tract infection (UTI) bɔku tɛm.
Bɔku tɛm dis sik nɔ kin de we dɛn bɔn am. Bɔku tɛm, i kin apin afta dɛn dɔn du ɔpreshɔn, infekshɔn, ɔ aksidɛnt.
Yu tink se dis tin we de apin rili siriɔs?
Yɛs, dis nɔto kɔndishɔn we wi fɔ tek am layt. Yurethrocutaneous Fistula nɔ de wɛl fɔ insɛf . Dis min se yu nɔ go ebul fɔ mɛn am if yu tek mɛrɛsin nɔmɔ. Fɔ mek i wɛl, dɛn rili nid fɔ du ɔpreshɔn (ɔpreshɔn). So, if yu gɛt sɔm sayn dɛm, i rili impɔtant fɔ go to dɔktɔ kwik kwik wan.
Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Aw yu no dis?
Tu men ɛn klia sayn dɛm de fɔ dis sik. Yu kin gɛt dɛn tu tin ya, ɔ yu kin jɔs gɛt wan.
| Di men simptom | Wetin dis min? |
|---|---|
| Yurin lik frɔm wan abnɔmal opin | YuWe di urine lik kɔmɔt na di smɔl say we de na di skin, ilɛksɛf na we pɔsin de pis ɔ ɔda tɛm, apat frɔm di nɔmal pasej, dɛn kin kɔl am urinary incontinence . |
| Urinary tract infection (UTI) we kin kam bɔku tɛm . | jεm dεm lεk baktri dεm kin izi fכ go insay di urinary tract tru dis nyu ol we dεn fכm, we kin mek infεkshכn dεm plεnti tεm lεk urinary tract inflameshn εn it. |
Wetin mek dis de apin? Wetin na di rizin dɛn we mek dɛn de du dis?
Di men rizin fɔ dis na di ɔpreshɔn we dɛn bin dɔn du trade. dis kin apin as komplikashכn afta dεn כpεrayshכn fכ wan kכndyushכn we dεn kכl ``hypospadias'' we de de we dεn bכn, spεshal wan pan bכy pikin dεm. Apat frɔm dat, ɔda rizin dɛn de bak.
- Ɔda ɔpreshɔn dɛn: I kin apin bak smɔl smɔl afta ɔda ɔpreshɔn dɛn we gɛt fɔ du wit di urethra, fɔ ɛgzampul, urethroplasty ɔ sɔntɛm sakɔmsayz.
- Infεkshכn: sכmtεm infεkshכn kin mek di pus kכlekt insay di tisu εn fכm wan abses. Afta di absεs dɔn wɛl, di say kin drayn, ɛn lɛf wan smɔl opin we tan lɛk tanɛl we kin kɔnɛkt to di skin.
- Injuri: Dis kכndyushכn kin kכz bak bay aksidεnt we involv wan blunt tin to di jεnital εria (e.g., we kriket bכl hit am tranga wan) כ `straddle injury` we kכz fכ fכl pan ples lεk di handel dεm fכ baysikul.
- Ɔda tin dɛn we nɔ kin apin so ɔltɛm: Na smɔl tɛm nɔmɔ, dis sik kin de frɔm we dɛn bɔn am. Risk de bak fɔ gɛt dɛn kayn tin ya bikɔs ɔf dayabitis we dɛn nɔ de manej fayn.
Aw ɛksaktɔli di dɔktɔ kin fɛn dis?
We yu go to dɔktɔ, i kin sɔprayz dis bikɔs ɔf di sayn dɛn we yu gɛt. Sɔm tɛst dɛn de we yu kin du fɔ no if yu tink. Nɔr frayd fɔ dɛn tɛst ya, dɛn kin du am fɔ no ustɛm di prɔblɛm de ɛn aw i tan.
| Tɛst | Fɔ tɔk am simpul wan, wetin kin apin wit dis? |
|---|---|
| Voiding Sistourethrogram (VCUG) we de mek pɔsin nɔ ebul fɔ du sɔntin. | Dɛn kin put spɛshal day na yu blad, ɛn we yu de pis , dɛn kin tek ɛkstrem rayt fɔ di say we yu de pis. Dis go sho yu klia wan if ɛni lik de. |
| Retrogrɛd Yuretrogram dɛn | Dis na di sem tin wit di wan we bin de bifo. di day de pas dכn di urethra fכ si usay dis abnכmal kכnεkshכn de. |
| CT Skan we dɛn kin du | Dis kin tek rili klia, 3D pikchɔ dɛn we de insay yu bɔdi. I kin chɛk bak fɔ ɔda prɔblɛm dɛn, lɛk abses, arawnd di fistula. |
| Sistoskɔpi we dɛn kin du | wan tכb we rili tכn we gεt kεmεra (cystoscope) dεn de pas dכn di urethra εn dεn de egzamin am frכm insay. |
Aw dɛn kin trit am?
As wi bin dɔn tɔk, di wangren tritmɛnt we go wok fɔ dis na ɔpreshɔn. Bɔt di kayn ɔpreshɔn we dɛn kin du kin difrɛn frɔm wan pɔsin to ɔda pɔsin. I dipen pan di sayz fɔ di fistula, usay i de, ɛn if i pas wan.
- Smɔl fistulas (we nɔ rich 2 milimita): Dɛn kin trit dɛn tin ya wit simpul ɔpreshɔn. Di dɔktɔ go stich di opin klos.
- Big fistula: Dis kin nid fɔ mek dɛn du ɔpreshɔn we nɔ izi fɔ du. if di skin we de rawnd di opin nכ hεlty, di sכjaman kin nid fכ tek wan skin flap frכm כda pat na di bכdi εn graft am insay di εria, we go mek wan gud, strכng "waterproofing" layεr.
Afta dɛn dɔn du di ɔpreshɔn, yu go nid fɔ put wan urinary catheter fɔ pul urine na yu blad we yu de wɛl. I go mɔs bi se yu go gɛt fɔ de na ɔspitul fɔ wan nɛt.
A go wɛl kwik kwik wan afta di ɔpreshɔn?
Yɛs, di sakrifays we dɛn ɔpreshɔn ya kin gɛt kin rili bɔku. Wan stɔdi sho se di sakrifays rɛt na lɛk 89%. Ɔlman in bɔdi difrɛn, so di tɛm fɔ wɛl kin difrɛn smɔl. In jɔnal, .
- Di swel ɛn brus we kin apin afta dɛn du di ɔpreshɔn go stɔp insay sɔm wiks.
- I kin tek lɛk siks wiks fɔ mek i wɛl ɔl.
If di sik stil de afta di fɔs ɔpreshɔn, di dɔktɔ kin disayd fɔ du di ɔpreshɔn we at fɔ du. Bɔt i impɔtant fɔ wet fɔ at le siks mɔnt fɔ mek di say we dɛn du di fɔs ɔpreshɔn wɛl bifo yu du di sɛkɔn ɔpreshɔn.
| Tin dɛn we yu fɔ wach bɔt afta dɛn dɔn du di ɔpreshɔn | |
|---|---|
| Jɛnɛral fɔl-ɔp | Afta di ɔpreshɔn, mek shɔ se yu go na di klinik di de dɛn we di dɔktɔ gi yu. Di dɔktɔ nid fɔ no aw yu de wɛl. |
| If yu gɛt dɛn sik ya, go to di Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. | |
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Mɛsej we dɛn kin kɛr go na os
- urethrocutaneous fistula na abnכmal kכnεkshכn bitwin yu urethra εn yu vagina. Dis kin mek yu urine lik ɛn gɛt infɛkshɔn ɔltɛm.
- Dis nɔ go wɛl fɔ insɛf . I rili nid fɔ du ɔpreshɔn.
- Nɔ fred, di ɔpreshɔn fɔ dis kin rili wok fayn.
- If yu gɛt dɛn sik ya, nɔ shem ɔ shem, bɔt tɔk to dɔktɔ we spɛshal pan sik dɛn na di blad ɛn urinary tract (urologist) . If yu gɛt tritmɛnt kwik, dat kin ɛp yu fɔ wɛl kwik kwik wan.
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