Yu kin gɛt smɔl prɔblɛm bak fɔ pis? Di urine strim rili wik ɛn slo? Ɔ i kin kɔmɔt insay drɔp? Sɔntɛnde yu kin fil lɛk se urine stil de afta yu dɔn fɔ pis? If yu gɛt ɛni wan pan dɛn sayn ya, di rizin kin bi we yu urethra blok ɔ smɔl. dis na mεdikal kכl am `(Urethral Stricture)`. So tide wi go tɔk bɔt di sɔlv we go wok fayn ɛn we go de sote go fɔ dis prɔblɛm. Dat na di ɔpreshɔn we dɛn kɔl `Urethroplasty`.
Fɔ tɔk am simpul wan, wetin na Urethroplasty?
Fɔ ɔndastand dis, lɛ wi fɔs luk aw wi urinary system de wok. Yurin de mek na wi bɔdi na di kidni dɛn. Dɔn, da urine de kin gɛda na di urinary bladder. We di blad ful-ɔp, wi kin fil se wi nid fɔ pis. Dɔn, wan tiub de we de kɛr urine frɔm di blad go na di ɔdasay na di bɔdi. Dɛn kɔl da tiub de di urethra . pan man, di sεl dεm de kכmכt bak na di bכdi tru dis urethra.
Naw imajin wetin go apin if dis urethra blok ɔ smɔl fɔ sɔm rizin? Jɔs lɛk we dɔti kin stɔp insay wata paip, i kin at fɔ mek wata flɔ, ɛn urine nɔ kin ebul fɔ kɔmɔt izi wan. Di ɔpreshɔn we dɛn kin du fɔ mek di urethra we bin dɔn blok ɔ we bin dɔn smɔl, kam bak ɛn mek am bak, dɛn kɔl am Yurethroplasty .
Insay dis prosidur, di ɔspitul kin kɔt di ska tisu we de blok di urethra ɛn kɔnɛkt bak di tu pat dɛn we gɛt wɛlbɔdi na di tiub. Sɔntɛnde, if di blɔk tu lɔng, dɛn kin yuz wan pat pan di tisu we dɛn tek frɔm ɔda pat na di bɔdi fɔ mek di pat bak. I tan lɛk se yu pul wan ol wata paip ɛn put nyu pat pan am.
Wetin mek dɛn nid fɔ du dis ɔpreshɔn?
Bɔku men rizin dɛn de we kin mek dɛn du urethroplasty. Lɛ wi tek wan luk pan wetin dɛn bi.
- Yurethral stricture: Dis na di tin we kin mek yu gɛt dis sik. Ska we de insay di urethra kin mek i smɔl bikɔs ɔf infekshɔn, aksidɛnt, ɔpreshɔn we dɛn bin dɔn du bifo, ɔ ɔda tin. Dis sik kin kam pan man dɛm pas uman dɛm.
- Di tin dɛn we dɛn kin bɔn wit: Sɔm pikin dɛn kin bɔn wit sɔm prɔblɛm dɛn wit di urethra. Epispadias ɛn hypospadias na tu kayn tin ya. Pan ɔl we dɛn kin kɔrɛkt dɛn tin ya bay we dɛn de du ɔpreshɔn we dɛn smɔl, leta dɛn kin gɛt blɔk na di say dɛn we dɛn du di ɔpreshɔn.
- Ɔda Ɔpreshɔn fɔ Rikɔnstrɔk: Sɔntɛnde dis ɔpreshɔn kin nid fɔ pɔsin we dɔn du ɔda ɔpreshɔn fɔ mek di bɔdi bak na di say we di uman in bɛlɛ de.
Yu tink se Yurethroplasty na big ɔpreshɔn?
Dis rili dipen pan aw bɔku pan yu urethra nid fɔ ripɛnt. If di blɔk smɔl, di ɔpreshɔn fɔ kɔt am ɛn jɔyn di tu ɛnd dɛn na di urethra togɛda nɔ kin tek smɔl tɛm. Bɔt if di blɔk lɔng, dɛn kin yuz wan pat pan di tisu (graft) frɔm ɔda pat na di bɔdi fɔ mek di urethra fayn. Dɔn di ɔpreshɔn kin kɔmplikt smɔl ɛn i kin tek lɔng tɛm.
Usay yu kin gɛt dis tisu?
Bɔku say dɛn de usay dɔktɔ dɛn we de du ɔpreshɔn kin gɛt tisu fɔ dis.
- Frɔm insay yu mɔt: Yɛs, yu yɛri rayt. dis tisu kin kכmכt frכm di smol sכft layn na yu chεk (buccal mucosa) כ insay yu lip dεm. Dis na wan we we kin rili wok fayn.
- Frɔm yu jɛnɛral eria: If yu na man, dɛn kin tek wan pat pan di skin frɔm yu penis. If yu du ɔpreshɔn fɔ mek yu bɔdi bak, dɛn kin tek wan pat pan di skin frɔm yu vagina ɔ labia.
- rεktal: we yu de כnda anεsthεsia fכ di כpεrayshכn, dεn kin tek wan pat pan di tisu frכm di insay wכl na di rεktum tru di rεktum.
Nɔ fred dis. Dɛn kin du ɔl dis ɔnda kɔmplit anestezi so dat yu nɔ go fil ɛni pen.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Afta yu dɔn disayd fɔ du Yurethroplasty ɔpreshɔn, yu dɔktɔ go fɔs du sɔm tɛst fɔ no ustɛm di blɔk de na yu urethra ɛn aw lɔng i tek.
| Tɛst | Fɔ tɔk am simpul wan, . |
|---|---|
| Retrogrɛd Yuretrogram | Dis na ɛks-ray tɛst. Dɛn kin pas wan spɛshal wata na yu urethra ɛn dɛn kin tek ɛkstrem rayt pikchɔ dɛn. Dis kin mek yu si di blɔk klia wan. |
| Sistoskɔpi we dɛn kin du | wan tin tכb we gεt sכmכl kεmεra dεn de pas dכn di urethra εn dεn de si di kכndishכn insay di tכb dairekt wan. |
Dɛn tu tɛst ya kin apin kwik ɛn nɔ kin mek pɔsin fil pen. Dɔn di dɔktɔ go mek arenjmɛnt fɔ mek dɛn du di ɔpreshɔn. Fɔ sɔm dez bifo dɛn du di ɔpreshɔn, i go tɛl yu wetin fɔ tek, wetin fɔ it, ɛn aw lɔng yu fɔ fast.
Sɔntɛnde, yu kin nid fɔ gɛt Suprapubic Catheter bifo dɛn du yu ɔpreshɔn.Yu dɔktɔ kin tɛl yu fɔ du wan. Dis min se yu fɔ put wan tiub dairekt insay yu blad frɔm yu bɛlɛ we de dɔŋ ɛn pul am. dis de gi di urethra "rεst." Dɔn dɛn kin si di ska tisu klia wan, we kin mek i izi fɔ pul am ɔl we dɛn de du di ɔpreshɔn.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Di de we dɛn go du yu ɔpreshɔn, dɛn go kɛr yu go na di ɔpreshɔn rum. Na de, di dɔktɔ we de mɛn yu go gi yu jenɛral anestezi . Dis min se yu go de na dip slip te di ɔpreshɔn dɔn. Yu nɔ go fil ɛnitin.
Dɔn di dɔktɔ we de du di ɔpreshɔn kin kɔt di skin fɔ mek i go ebul fɔ go na di urethra. dis insayshכn kin kכmכt na di כndasay pan di penis, insay di skrotum, כ mכst kכmכn na di εria bitwin di skrotum εn di anus (di pεriniכm).
Neks, dεn kin no di εria we blכk כ we skata εn, dipכnt pan in lεngth εn usay i de, dεn kin kכt di εria εn pul am כ kכnstrכkt am bak. If di blɔk lɔng, dɛn kin yuz graft fɔ mek di say bak, lɛk aw wi bin dɔn tɔk bɔt am, frɔm di mɔt, di bɔdi we gɛt bɔdi, ɔ di rɛktum.
Afta dɛn dɔn fɔ ripɛnt, dɛn kin put kateta fɔ pul di urine te di urethra wɛl. Dɔn dɛn kin lɔk di say we dɛn kɔt ɛn sutura am. Dɛn kin mek dɛn sutura ya wit wan kayn trɛd we kin sɔlv insay di bɔdi. So yu nɔ nid fɔ kam bak fɔ mek dɛn pul di stich dɛn.
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, dɛn go kɛr yu go na di rum usay dɛn de wɛl te yu wek frɔm di anestezi. Yurethroplasty na wan ɔ tu dez fɔ de na ɔspitul, ɛn yu kin go na os. Sɔntɛnde, yu kin go na os di sem de. Bɔt, yu nɔ go ebul fɔ drayv yusɛf, ɛn sɔmbɔdi go nid fɔ drayv yu go na os.
We yu go na os, yu go nid fɔ kɛr dɛn tin ya wit yu:
- Urinary kateta we dɛn kin yuz fɔ mek di wata
- Di tin dɛn we dɛn kin yuz fɔ mek pɔsin fil pen
- Antibayɔtik fɔ mek yu nɔ gɛt di sik
- Dɛn kin gi yu mɛrɛsin fɔ mek yu nɔ gɛt blad spam.
- If dɛn pul wan tisu na di mɔt, dɛn go yuz spɛshal wata fɔ was di wund fɔ mek di wund klin.
Yu go nid fɔ go to yu dɔktɔ bak insay lɛk tu to tri wiks afta dɛn dɔn du yu ɔpreshɔn. Da tɛm de, yu kin du ɔda ɛkstrem rayt fɔ chɛk aw dɛn dɔn mek am. Dis min se yu fɔ pul di kateshɔn, ful-ɔp yu blad wit spɛshal sɔlvushɔn, ɛn tek ɛkstrem rayt pikchɔ dɛn we yu de pis. Dɛn pikchɔ ya go ɛp fɔ no aw yu de wɛl.
Yurethroplasty ɔpreshɔn na di wɔl no se na di bɛst ɛn saksesful tritmɛnt fɔ urethral stricture.
Wetin na di bɛnifit dɛn, di prɔblɛm dɛn we kin apin, ɛn di prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Lɛk ɛni ɔpreshɔn, dis wan gɛt bɛnifit dɛn ɛn sɔm prɔblɛm dɛn bak.
Di bɛnifit dɛn we pɔsin kin gɛt
Di big bɛnifit we dis ɔpreshɔn gɛt na we i rili ay . Risach dɔn sho se di sakrifays fɔ dis ɔpreshɔn pas 80% . insay sɔm kes dεm, dipכnt pan di kayn we aw di blכk de, di sakses rεt kin pas 90% . Dis min se if 10 pipul dɛn du di ɔpreshɔn, 8 ɔ 9 go mek dɛn wɛl ful wan.
Risk ɛn Kɔmplikɛshɔn dɛn
Sɔm tin dɛn de we kin apin we pɔsin de anestez ɛn di risk fɔ gɛt infɛkshɔn we kin apin to ɛni ɔpreshɔn. Apat frɔm dat, sɔm prɔblɛm dɛn de we kin apin we pɔsin du dis ɔpreshɔn. Lɛ wi tek tɛm luk dɛn wan dɛn de.
| Risk/Kɔmplikeshɔn | Tɔk bɔt |
|---|---|
| Prɔblɛm dɛn we gɛt fɔ du wit kateshɔn | Yurin lik ɔ di kateshɔn kin blok nia di kateshɔn. If dis apin, dɛn fɔ go to dɔktɔ wantɛm wantɛm. |
| Infεkshכn dεm | Infεkshכn kin kam na di say we dεn kɔt am כ na di urinary tract. Dɛn kin trit dis wit antibayɔtiks. |
| Di ɔpreshɔn we nɔ wok | Na smɔl tɛm nɔmɔ di urethra kin blok bak afta dɛn dɔn du di ɔpreshɔn, ɛn dis kin mek dɛn nid fɔ du ɔda ɔpreshɔn ɔ ɔda tritmɛnt. |
| Narv Injuri we pɔsin kin gɛt | Di pozishɔn we yu de we yu de du ɔpreshɔn kin mek di nɛv dɛn na yu leg, an, ɛn finga dɛn pwɛl fɔ sɔm tɛm (we nɔ kin apin so ɔltɛm). |
| Pen | di pen kin apin fכ lכng tεm bikoz fכ di nεv dεm we dεn dכn pwεl na di εria we dεn du di כpεrayshכn (di skrotum כ di pεriniכm). |
| Lik fɔ urine ɔ semen | Yurin ɔ sεmεn kin gɛda na di say we dɛn du di ɔpreshɔn ɛn lik kɔmɔt na di penis. |
| Erectile Dysfunction we pɔsin kin gɛt | Dis kin apun, bɔt bɔrku tɛm na fɔ shɔt tɛm ɛn i kin sɔlv insay 18 mɔnt ɔr less. |
Aw lɔng i go tek fɔ mek i wɛl? Ustɛm a go ebul fɔ go bak na wokples?
Dis na prɔblɛm we bɔku pipul dɛn gɛt. Sɔm tin de wae yu fɔ no bɔt de tɛm wae yu de wɛl.
- We di kateshɔn de na in ples: Insay dis tɛm (lɛk 2-3 wik), yu fɔ avɔyd fɔ drayv ɔ sidɔm fɔ lɔng tɛm . Dɔn bak, nɔ fɔ skwatin ɔ du tin wit yu leg dɛn we yu spre big wan (lɛk we yu de klaym stej) . Bɔt i nɔ bad fɔ waka nɔmal wan ɛn du layt wok dɛn na os.
- Mɔt sos: If yu gɛt tisu we dɛn kɔt na yu mɔt, nɔ wɔri. Sɔm na yu mɔt kin wɛl kwik kwik wan. insay lεk 3 wik, nyu tisu go gro εn kכba di εria.
- Fɔ go bak na wok: Yu go ebul fɔ go bak na wok afta dɛn dɔn pul di kateshɔn. Dis min se yu go nid fɔ tek lɛk 2-3 wik ɔf. If yu gɛt wok we de mek yu at pwɛl, i kin tek lɔng tɛm smɔl.
- Fɔ du mami ɛn dadi biznɛs: Dis rili impɔtant. Yu fɔ avɔyd fɔ du mami ɛn dadi biznɛs ɔ fɔ ple wit yu bɔdi fɔ 6 wiks afta dɛn dɔn du di ɔpreshɔn. Dis impɔtant fɔ mek di wund wɛl fayn fayn wan.
Ustɛm yu nid fɔ go to dɔktɔ?
If yu gɛt prɔblɛm fɔ pis, yu kin gɛt urinary tract infection (UTI) ɔltɛm, ɔ yu dɔn tɛl yu se yu gɛt blok na yu urethra, yu fɔ rili go to dɔktɔ ɛn tɔk bɔt dis.
If dɛn dɔn du ɔpreshɔn fɔ yu urethroplasty ɛn yu gɛt ɛni wan pan dɛn sayn ya we de wɔn yu , yu fɔ kɔntak yu dɔktɔ wantɛm wantɛm.
- If yu gɛt fiva .
- If di say we dɛn kɔt di ɔspitul luk opin .
- If ebi ebi blɔd stɛyn de na yu ɔndawea.
- If wata de we tan lɛk pus we de kɔmɔt na di kɔt.
- Na tin we dɛn nɔ bin de ɛkspɛktIf bad bad pen de .
- If yu kateshɔn dɔn blok ɛn nɔ urine nɔ de kɔmɔt.
If yu gɛt ɛni dawt bɔt ɛnitin lɛk dis, nɔ ignore am. Kɔl yu dɔktɔ ɔ ɔspitul wantɛm wantɛm fɔ advays.
Mɛsej we dɛn kin kɛr go na os
- Yurethroplasty na ɔpreshɔn we kin rili wok fayn fɔ trit wan urethral stricture.
- di sakses rεt fכ dis כpεrayshכn de hכy lεk 80%-90%.
- Yu go nid fɔ put kateshɔn fɔ lɛk 2-3 wik afta di ɔpreshɔn.
- Fɔ fala di dɔktɔ dɛn advays ɛksaktɔli, mɔ fɔ avɔyd fɔ du mami ɛn dadi biznɛs ɛn fɔ stɔp fɔ du tin, di tɛm we yu de wɛl.
- If yu si sayn dɛn we de wɔn yu lɛk fiva, bad bad pen, ɔ pus we de kɔmɔt frɔm di say we dɛn kɔt, tɛl yu dɔktɔ wantɛm wantɛm.
- If yu gɛt ɛni kwɛstyɔn ɔ tin we de mɔna yu bɔt yu wɛlbɔdi biznɛs, tɔk to yu dɔktɔ opin wan.
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