Yu kin gɛt bak di urine lik frɔm ɔdasay? Lɛ wi lan bɔt dis urethrocutaneous fistula!

Yu dɔn ɛva fil lɛk se yu de lik urine frɔm ɔdasay pas nɔmal? Ɔ yu kin gɛt urinary tract infection (UTI) ɔltɛm? Pan ɔl we dɛn tin ya na tin dɛn we wi nɔ kin pe atɛnshɔn to bɔku tɛm, dɛn kɔl di ɔndalayn kɔndishɔn Yurethrocutaneous Fistula. Nɔ wɔri, wi go tɔk bɔt dis simpul we we yu go ɔndastand.

Wetin na dis urethrocutaneous fistula?

Fɔ tɔk am simpul wan, dis na kɔmplikt nem smɔl, bɔt i nɔ at fɔ ɔndastand. Lɛ wi ɔndastand dɛn wɔd ya fɔs.

• Yurethra: Di urethra na di tiub we de kɛr urine (we dɛn kin kɔl bak pee ) kɔmɔt na yu bɔdi. I tan lɛk wata paip.
• Cutaneous: Dis kin min sɔntin we gɛt fɔ du wit di skin .
• Fistula: Fistula na wan abnɔmal kɔnekshɔn, kɔlvat, ɔ tanɛl bitwin tu insay pat dɛn na di bɔdi ɔ bitwin wan pat we de insay ɛn di say we di skin de.

afta dat, urethrocutaneous fistula na nyu, we nכ nכmal pasej we de fכm frכm yu urethra to di skin we de rawnd yu jεnital כ di skin bitwin yu anus εn jεnital (we wi mεdikal kכl di perineum). Tink bɔt am lɛk ol na wata paip we de lik wata frɔm ɔdasay.

nכmal wan, di urine fכ כnli pas tru di urethra εn kכmכt na di bכdi. Bɔt bikɔs ɔf dis fistula, di urine kin bigin fɔ pas na da nyu rod de ɛn kɔmɔt tru da nyu ol de we de na di skin. Dɛn kin kɔl dis bak urinary fistula ɔ urethral fistula .

Dɛn kin tek dis kɔndishɔn se i siriɔs smɔl bikɔs i nɔ go wɛl fɔ insɛf. I go mɔs nid fɔ kɔrɛkt am wit ɔpreshɔn . If nɔto so, i kin mek pɔsin gɛt mɔ urinary tract infection (UTI) ɛn ɔda prɔblɛm dɛn.

Wetin na di sayn dɛm fɔ dis? Aw yu no?

Bɔrku impɔtant sayn dɛm de wae kin sho se yu gɛt dis sik:

• urine we de lik frɔm di ol we dɛn jɔs dɔn mek (fistula): Dis na di men ɛn we de sho klia wan. Nɔto jɔs we yu de pis, bɔt sɔntɛnde ivin we yu tinap. Wi kin kɔl dis bak urinary incontinence , we min se yu nɔ go ebul fɔ kɔntrol yu urine.
• Infεkshכn na di urinary tract infεkshכn (UTIs): Dis rod we nכ de na di nεchכral de mek jεm dεm fכ go insay di urinary tract izi wan εn mek infεkshכn. Dis kin pwɛl di ɔgan ɛn tisu dɛn we de rawnd am bak.

If yu gɛt sɔm kayn sik lɛk dis, i go fayn fɔ mek yu go to dɔktɔ ɛn mek dɛn chɛk yu.

Wetin mek dis de apin? Wetin na di rizin dɛn?

Bɔku men rizin dɛn de we mek yu gɛt urethrocutaneous fistula.

• As kɔmplikeshɔn fɔ di ɔpreshɔn we dɛn bin dɔn du bifo: Dis na di tin we kin mek dɛn du am pas ɔl. Dis kayn fistula kin kam, mɔ afta dɛn dɔn du ɔpreshɔn fɔ wan sik we dɛn kɔl hypospadias .
• Wetin na hypospadias? Fɔ tɔk am simpul wan, na kɔndishɔn we dɛn kin bɔn bɔy pikin dɛn wit. i min se di opin fכ urine de na di כndasay na di penis, pas na di tכp pan di penis. So, afta dɛn dɔn du ɔpreshɔn fɔ kɔrɛkt dis, sɔntɛnde fistula kin kam as sayd ɛfɛkt.
• Infεkshכn: Sɔntɛnde, bikɔs ɔf infεkshɔn, di pus kin gɛda insay di tisu na da eria de ɛn mek wan abses . Afta dɛn dɔn trit dis pus ɛn wɛl, wan smɔl say we tan lɛk dreyn kin de insay da tisu de. Na dat kin bi fistula.
• Injuri: Dis kin apin bikɔs ɔf wan had blow na di say we di sik afɛkt. Fɔ ɛgzampul, we yu de ple mishit bɔl we yu de ple kriket, pak we yu de ple gem lɛk ɔki, ɔ we yu fɔdɔm pan baysikul in krɔs (we dɛn kɔl straddle injury ) kin mek yu gɛt dis sik.
• Di tin dɛm wae kin mek pɔrsin nɔr kin bɔrku: Nɔr kin bɔrku, sɔm pikin dɛm kin bɔn wit dis sik. Dɔn bak, pipul dɛm wae nɔr kin kɔntrol fayn fayn wan (i.e., if dɛn HbA1c lɛvɛl pas 8% fɔ wan ia ɔr mɔr, pan ɔl we dɛn kin trit dɛn ɔltɛm) kin gɛt dis fistula.

Wetin na di risk factor dɛm fɔ dis?

Yurethrocutaneous fistula na rili wan sik we nɔ kin apin so ɔltɛm. Bɔt di big tin we kin mek yu gɛt am na we yu dɔn du ɛni ɔpreshɔn pan yu urethra bifo tɛm.

Fɔ ɛgzampul:

• Di ɔpreshɔn fɔ mek di hypospadia dɛn we wi bin dɔn tɔk bɔt.
• Yurethroplasty (rikostrɔkshɔn fɔ di yuretra bak).
• Ɔpreshɔn dɛn lɛk fɔ sakɔmsayz .

Dis fistula kin kam sɔmtɛm as kɔmplikeshɔn afta dɛn kayn ɔpreshɔn ya.

Aw dɔktɔ dɛn kin no bɔt dis? (Diagnosis) .

If yu gɛt urine lik we yu nɔ ɛksplen ɔ yu gɛt infekshɔn na yu urinary tract we yu nɔ ɛksplen, dɔktɔ kin sɔprayz se yu gɛt urethrocutaneous fistula. Bɔku tɛst dɛn de we yu dɔktɔ kin ɔda fɔ mek yu no se yu gɛt di sik:

• Voiding Cystourethrogram (VCUG): Insay dis tɛst, dɔktɔ kin injɛkt spɛshal day na yu blad. Dɔn, dɛn kin aks yu fɔ pis na tebul fɔ ɛgzamin. Dɔn di dɔktɔ kin si usay di day de go wit yu urine ɛn if i lik ɛnisay.
• Retrograde urethrograms ɔ fistulograms: Dɛn tin ya tan lɛk VCUG. Dɛn kin injekt wan day insay di blad fɔ si klia wan usay di urethra de, usay di fistula de, ɛn aw i kɔnɛkt.
• CT scan (Computed Tomography - CT scan): CT skan de yuz X-ray ɛn kɔmpyuta tɛknɔlɔji fɔ tek ditayla pikchɔ dɛn we de insay di bɔdi. Dis kin ɛp dɔktɔ dɛn fɔ si if ɛni ɔda prɔblɛm de we kin kam wit di fistula, lɛk we pɔsin gɛt abses.
• Sistoskopi: Dis min se yu fɔ put wan lɔng, tin ɛn layt inschrumɛnt we dɛn kɔl sistoskɔp insay yu urethra. Dis kin mek di dɔktɔ ebul fɔ si insay yu urethra ɛn si ustɛm di fistula de ɛn aw i tan.

Wetin na di tritmɛnt dɛm fɔ dis? Yu tink se dɛn kin mɛn am?

Yɛs, dɛn kin trit dis sik. Bɔku tɛm, i kin nid fɔ du ɔpreshɔn. Bɔt bifo di dɔktɔ bigin fɔ trit am, i go tink bɔt sɔm tin dɛn. Na sɔm pan dɛn:

• Di sayz fɔ di fistula.
• Usay i de (Lɔkeshɔn).
• I pas wan fistula (Possibility of multiple fistulas) .

Dɛn kin no di we aw dɛn de trit am bay dɛn tin ya.

• sכm sכm fistula dεm (< 2mm) kin rili izi fכ klos. Di dɔktɔ go gi yu wan mɛrɛsin we de mek yu fil fayn fɔ mek yu rilaks ɛn mek yu slip, ɛn dɔktɔ we de du ɔpreshɔn go stich di fistula klos.
• Big fistulas nid fɔ gɛt mɔ kɔmpleks ɔpreshɔn. Sɔntɛnde, if di skin we de rawnd di fistula nɔ wɛl, di dɔktɔ we de du di ɔpreshɔn kin nid fɔ yuz bɔku layers. Dis min se dɛn kin tek wɛlbɔdi skin frɔm ɔda pat na yu bɔdi (we dɛn kɔl skin flap ) fɔ tek di tisu we dɔn pwɛl, ɛn dɛn kin yuz wan layt we nɔ de mek wata pas fɔ sidɔm di ol.

Bɔku pipul dɛn go nid fɔ yuz urinary catheter fɔ pul urine na dɛn blad fɔ sɔm dez afta dɛn dɔn du di ɔpreshɔn. Dis kin ɛp di say we dɛn jɔs dɔn mek fɔ wɛl. Yu kin nid bak fɔ de na ɔspitul fɔ wan de ɔ so afta dɛn dɔn du di ɔpreshɔn.

Yu tink se dis fistula go wɛl fɔ insɛf?

Nɔ, urethral fistula nɔ go wɛl fɔ insɛf.Bɔku pipul dɛn go mɔs nid ɔpreshɔn fɔ lɔk dis. Na urologist nɔmɔ kin trit dis , dɔktɔ we spɛshal pan sik dɛn we gɛt fɔ du wit di urinary system ɛn di reproductive system.

Aw lɔng i kin tek fɔ mek i wɛl afta dɛn dɔn du di ɔpreshɔn?

Dis at fɔ tɔk fɔ tru. Ɔlman in bɔdi difrɛn, so di tɛm we pɔsin kin wɛl kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Bɔt bɔku tɛm, di swel ɛn brus we kin apin afta dɛn du di ɔpreshɔn go stɔp insay sɔm wiks. Dɔktɔ dɛn se yu fɔ wɛl ɔl insay lɛk siks wiks so . I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan insay da tɛm de.

Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin?

Infakt, wi nɔ kin ebul fɔ stɔp ɔl di tin dɛn we kin mek pɔsin gɛt urethrocutaneous fistula. Fɔ ɛgzampul, i nɔ kin izi fɔ wi fɔ kɔntrol wan we kin kam as kɔmplikeshɔn we dɛn kin du ɔpreshɔn pan.

Bɔt yu kin du dɛn tin ya fɔ mek yu nɔ wund da say de:

• We yu de ple spɔt ɔ du ɔda tin dɛn we strɔng, wɛr atletik kɔp , we dɛn kin kɔl bak jokstrap. Mek shɔ se i gɛt di rayt saiz fɔ yu.
• Ɔltɛm wɛr yu sitbɛlt we yu de drayv ɔ as pɔsin we de insay motoka.
• Bi sef we yu de rayd baysikul. If i pɔsibul, tay sɔntin lɛk pani rɛk na di krɔs-ba na yu bayk. Dis kin ɛp fɔ ridyus di risk fɔ injuri if aksidɛnt apin.

Wetin kin apin if a gɛt urethrocutaneous fistula? A fɔ wɔri?

Na nɔmal tin fɔ fil smɔl frayd we yu kam fɔ no se yu gɛt urethrocutaneous fistula. Bɔt di bɛst pat na dat, tritmɛnt dɛn de fɔ am, ɛn wit tritmɛnt, di ɔvalayn rit we pɔsin kin wɛl kin rili fayn.

Wan stכdi sho se fistula ripa כ pεraysh כn kin 89% saksesful. Dat min se pan tɛn pipul dɛn we dɛn du ɔpreshɔn, na lɛk nayn pipul dɛn go wɛl ɔl. Sɔntɛnde, if di sayn dɛn kɔntinyu afta di fɔs ɔpreshɔn, dɛn kin du wan mɔ kɔmplikɛt layt we dɛn kin du. Dis kin rili fayn bak. Bɔt if dɛn du yu ɔpreshɔn fɔ di sɛkɔn tɛm, yu go nid fɔ wet fɔ at le siks mɔnt afta di fɔs ɔpreshɔn fɔ mek di say we yu de du di ɔpreshɔn wɛl.

Ustɛm a fɔ go to di dɔktɔ?

Afta yu dɔn du ɔpreshɔn fɔ mek yu gɛt urethrocutaneous fistula, i rili impɔtant fɔ kip yu dɔktɔ ɔltɛm fɔ mek shɔ se yu de wɛl fayn fayn wan. Mek shɔ se yu kip yu apɔntinmɛnt dɛn lɛk aw yu dɔktɔ tɛl yu. Dis we ya, i kin ebul fɔ wach yu kɔndishɔn. If yu sik stil de, i kin tɛl yu fɔ du ɔda ɔpreshɔn.

Ustɛm yu fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) ?

Afta dɛn dɔn du di ɔpreshɔn, if yu gɛt ɛni wan pan dɛn sayn ya, yu fɔ go na di Imejɛnsi Rum (ER) we de nia yu wantɛm wantɛm:

• If blɔd de kɔmɔt pasmak frɔm di say we dɛn du di ɔpreshɔn.
• If yu gɛt fiva we na 38 Sɛlshiɔs ɔ pas dat .
• If di pen we pɔsin nɔ ebul fɔ bia .
• If i nɔ izi fɔ yu fɔ pis, ɔ if i tan lɛk se yu urine dɔn blok.
• If blɔd de na di urine (Hematuria).

Dɔn bak, if yu kateshɔn kɔmɔt fɔ insɛf, ɔ if yu urine lik frɔm rawnd di kateshɔn, i fayn fɔ go to dɔktɔ wantɛm wantɛm.

Wetin na di impɔtant kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ?

We yu go si yu dɔktɔ, yu gɛt rayt fɔ aks kwɛstyɔn dɛn lɛk dis. Dɛn tin ya go ɛp yu fɔ ɔndastand yu sik fayn fayn wan:

• Aw yu no fɔ tru se a gɛt Urethrocutaneous Fistula?
• Wetin bin fɔ dɔn mek dis fistula?
• A gɛt smɔl fistula ɔ big wan?
• Aw a fɔ tek kia ɔf misɛf we a gɛt dis fistula? Wetin a fɔ du ɛn wetin a nɔ fɔ du?
• Wetin na di prɔblɛm dɛn we kin apin we dɛn kin du dis ɔpreshɔn fɔ mek dɛn ripɛnt fistula?
• I fayn fɔ du mami ɛn dadi biznɛs if a gɛt urethrocutaneous fistula? Yu tink se dat go mek prɔblɛm?

Nɔ fred fɔ aks kwɛstyɔn dɛn lɛk dis. Yu dɔktɔ go ɛksplen ɔltin to yu.

Fɔ dɔn, mɛsej we yu kin kɛr go na os:

Okay, so naw wi dɔn ɔndastand gud gud wan bɔt wetin wi bin de tɔk bɔt, Urethrocutaneous Fistula. Di tin we impɔtant pas ɔl na dat if yu gɛt ɛni sayn lɛk dis, lɛk we yu urine de lik frɔm ɔdasay we yu de pas urine, ɔ if yu gɛt UTI ɔltɛm, nɔ ignore am. Sɔntɛnde, i kin bi smɔl tin, bɔt i fayn fɔ go to dɔktɔ ɔltɛm bikɔs dis kin apin.

Mɛmba se tritmɛnt de fɔ dis, ɛn di tritmɛnt kin wok fayn. So nɔ fred ɔ shem fɔ go to dɔktɔ ɛn tɔk bɔt di tin dɛn we de mɔna yu. Wi de wish yu fɔ wɛl kwik kwik wan! Nɔto yu wan de, ɛn dɔktɔ dɛn de ya fɔ ɛp.

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