Yu kin gɛt sɔm kayn pwɛl hat, pen, ɔr yu kin gɛt urine we kin rili wik, ɛn wan wan tɛm we yu de pis? Sɔntɛnde yu kin fil lɛk se yu blad nɔ ɛmti ɔl? di kכz fכ dis kכndyushכn na dat yu urethra, di tכb we de kכri urine frכm di blad to di כdasay na di bכdi, kin blok כ sכmsay. So tide wi go tɔk bɔt Urethroplasty, we na spɛshal ɔpreshɔn we dɛn kin du na dis kayn tin ɛn we kin rili fayn.
Fɔ tɔk am simpul wan, wetin na Urethroplasty?
Yurethroplasty na ɔpreshɔn we dɛn kin du pan yu urethra. dis tכb we na pat pan wi urinary sistεm, de kכri urine frכm di blad kכmכt na di bכdi. pan man, di sεmεn de kכmכt bak tru dis tכb.
So, fכ sכm rizin, ska tisu de fכm insay dis urethra, εn di tכb de bigin fכ sכm כ kכnstrikt, we de mek di urine nכ fכ fכlכ. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis sik urethral stricture . Dis sik kin kam pan man dɛm pas uman dɛm.
Yurethroplasty involv fɔ kɔt di pat pan di urethra we dɔn blok ɛn we gɛt skata ɛn kɔnɛkt bak di tu pat dɛn we gɛt wɛlbɔdi na di tiub. Ɔ, if di blɔk lɔng, dɛn kin tek wan pat pan di tisu frɔm ɔda pat na di bɔdi ɛn yuz am fɔ mek di pat we dɔn blok bak.
Imajin, wetin de apin ya tan lɛk we yu pul wan ol wata paip we dɔn rɔsti ɛn we dɔn lɔk ɛn put nyu wan insay.
Bɔku men tin dɛn de we kin mek dɛn nid fɔ du dis ɔpreshɔn:
- If yu gɛt urethral stricture .
- If yu dɔn gɛt ɔpreshɔn pan yu urethra as pikin bikɔs ɔf sɔm prɔblɛm dɛn we dɛn bɔn yu, lɛk epispadias ɔ hypospadias, bikɔs chans de fɔ mek di urethra blok bak na di urethra we dɛn bin dɔn ɔpreshɔn bifo.
- As pat pan wan ɔda ɔpreshɔn we dɛn go du fɔ mek di bɔdi fayn bak.
Aw dɛn kin du di ɔpreshɔn? Usay dɛn kin pul di tisu?
Di tɛm we dɛn kin tek fɔ dis ɔpreshɔn kin dipen pan aw di tin we dɔn blok lɔng ɛn aw i tan. Smɔl blɔk kin dɔn insay smɔl tɛm. Bɔt if i blok fɔ lɔng tɛm, i go tek smɔl tɛm bikɔs dɛn fɔ pul wan pat pan di tisu na ɔda say fɔ mek i fayn.
So lɛ wi luk usay dɛn kin gɛt di tisu fɔ mek di urethra fayn.
| Di ples usay dɛn kin gɛt di tisu | Tɔk bɔt |
|---|---|
| Insay di mɔt | Di tisu we dɛn tek frɔm insay yu chɛst ɔ insay yu lip. Wi kin kɔl dis di bukal mukɔsa . Dis na di we aw dɛn kin yuz mɔ. |
| Frɔm di say we di uman in bɔdi de | Fɔ man, dɛn kin pul wan pat pan di skin frɔm di penis. fכ uman dεm, dεn kin tek di skin frכm di vagina כ di vulva. |
| Anal | Sɔntɛnde, we yu de ɔnda anestezi, dɛn kin tek di tisu frɔm di insay layn na di rεktum tru di an. |
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Bifo yu du di ɔpreshɔn, yu dɔktɔ go nid fɔ no ustɛm di blɔk de na yu urethra ɛn aw lɔng i tek. Dis go gɛt fɔ du wit ɛkstrem rayt (retrograde urethrogram) ɔ we dɛn de yuz kamɛra (cystoscopy) . Dɛn tin ya nɔto tɛst we kin mek pɔsin fil pen pasmak.
Dɔn, bifo di de we dɛn go du di ɔpreshɔn, dɛn go gi yu instrɔkshɔn bɔt ustɛm fɔ it ɛn drink, ɛn if yu fɔ stɔp fɔ tek ɛni mɛrɛsin we yu de tek ɔ nɔ fɔ tek am.
Sɔntɛnde, yu dɔktɔ kin tɛl yu fɔ put suprapubic catheter bifo dɛn du di ɔpreshɔn. dis na di we aw dεn kin put tכb tru di lכw bכdi, dεrekt insay di blad, fכ mek di urine kכmכt. dis de mek di urethra "rεst" we di blad de εmpti izi wan, we de mek di ska tisu fכ si klia wan. Dis kin mek am izi fɔ pul di say we dɛn de du di ɔpreshɔn.
Wetin kin apin afta di ɔpreshɔn? Aw na di tɛm fɔ wɛl?
Afta di ɔpreshɔn, dɛn go kip yu na rum usay dɛn de wɛl te yu wek frɔm di anestezi. Bɔku tɛm, yu kin go na os di sem ivintɛm, ɔ yu go gɛt fɔ de na ɔspitul fɔ wan nɛt. We yu go na os, yu go gɛt kateshɔn insay in ples. dis na fכ mek yu urine fכ fכlכ we nכ de ambɔg te di nyu urethra we dεn kכriεt hεl.
Apat frɔm dat, dɛn go gi yu mɛrɛsin fɔ mɛn pen, antibayɔtik fɔ mek yu nɔ gɛt di sik, ɛn mɛrɛsin fɔ mek yu blad nɔ kɔntrakt we yu nɔ nid. If dɛn tek tisu na di mɔt, dɛn go tɛl yu fɔ yuz spɛshal wata fɔ was yu mɔt fɔ mek di wund klin.
Dɛn go gi yu de fɔ go to yu dɔktɔ bak tu ɔ tri wik afta dɛn dɔn du di ɔpreshɔn. Da tɛm de, yu go nid fɔ tek ɛkstrem rayt fɔ chɛk aw dɛn dɔn mek am. Dis min se yu fɔ ful yu blad wit spɛshal sɔlvushɔn, pul di urethra, ɛn tek ɛkstrem rayt pikchɔ dɛn we yu de pis.
Mɛmba dɛn tin ya we yu de wɛl
- Yu fɔ avɔyd fɔ drayv ɔ sidɔm fɔ lɔng tɛm we yu gɛt yu urinary catheter in ples.
- Yu fɔ avɔyd fɔ sidɔm krɔs leg ɔ du tin wit yu leg dɛn we spred big wan (lɛk fɔ klaym stej) . Fɔ waka nɔmal wan ɛn fɔ klaym stej na fayn tin.
- Ivin afta dɛn dɔn pul di urethral catheter, yu fɔ avɔyd fɔ du mami ɛn dadi biznɛs ɔ fɔ ple wit yu bɔdi fɔ 6 wiks frɔm di de we dɛn du di ɔpreshɔn.
- Di wund we de insay di mɔt kin wɛl kwik kwik wan. Insay lɛk tri wik so, nyu tisu kin fɔm ɛn di wund kin lɔk.
- Yu go nid fɔ tek tɛm fɔ lɛf fɔ wok ɔ skul fɔ tu to tri wiks afta yu dɔn put yu urinary catheter.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Di big bɛnifit fɔ dis ɔpreshɔn na dat na di bɛst ɛn ifɛktiv we fɔ trit di urethral obstruction. Risach dɔn sho se di sakses rɛt fɔ dis ɔpreshɔn pas 80%, ɛn insay sɔm kes dɛm, i pas 90%.
Lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin mek pɔsin gɛt prɔblɛm. Prɔblɛm wit anestezi ɛn wund infɛkshɔn kin bɔku.
Di men risk na dat di ɔpreshɔn nɔ go wok fɔ lɔng tɛm ɛn di skata dɛn go kam bak ɛn stɔp. If dat apin, yu go nid fɔ du ɔda ɔpreshɔn. Na dat mek i impɔtant fɔ kam na di klinik di de dɛn we di dɔktɔ gi yu ɛn mek dɛn chɛk yu.
Sɔm ɔda prɔblɛm dɛn we nɔ kin apin so ɔltɛm:
- Di nerv dεm na di lεg, an, εn finga dεm de damej fכ sכm tεm bikoz fכ di posishכn we dεn de du di כpεrayshכn.
- Pen na di εria bitwin di tεstikul dεm εn di anus bikoz fכ di nεv dεm we dεn dכn pwεl.
- di urine ɔ di sεmεn kin gɛda na di say we dɛn de du di ɔpreshɔn, we kin mek i lik ɔ dischaj frɔm di penis.
- Di prɔblɛm we kin mek pɔsin gɛt raytin . Bɔt ivin if dis apin, i kin bi fɔ shɔt tɛm nɔmɔ ɛn i kin sɔlv insay 18 mɔnt ɔ smɔl pas dat.
Ustɛm fɔ go to yu dɔktɔ wantɛm wantɛm
If i nɔ izi fɔ yu fɔ pis, yu kin gɛt infekshɔn na yu urinary tract bɔku tɛm, ɔ yu dɔn tɛl yu se yu gɛt blok na yu urethra, mek shɔ se yu go to dɔktɔ.
If yu gɛt ɛni wan pan dɛn tin ya afta yu dɔn du yu urethroplasty, tɛl yu dɔktɔ wantɛm wantɛm.
| Simptom dɛm fɔ wach fɔ | |
|---|---|
| Fiva | If di bɔdi in tɛmpracha go ɔp. |
| We di wund opin | If di stich dɛn na di say we dɛn du di ɔpreshɔn dɔn kɔmɔt ɔ i tan lɛk se di wund opin. |
| Ebi ebi blɔd we de kɔmɔt | If yu si bɔku blɔd stɛyn na yu ɔndawea. |
| Pus we de kɔmɔt na di bɔdi | If wata we tan lɛk pus de kɔmɔt na di wund. |
| I kin fil pen bad bad wan | If yu nɔ bin de ɛkspɛkt, pen we pɔsin nɔ go ebul fɔ bia kin apin. |
| Di we aw di yurethral de stɔp | If i tan lɛk se di urine we de kɔmɔt na di urethra dɔn stɔp. |
Nɔ ɛva fred fɔ tɔk to yu dɔktɔ bɔt ɛni sayn we yu de wɔri bɔt. Na in na di bɛst pɔsin fɔ tɛl yu wetin na di bɛst tin fɔ du nɛks.
Mɛsej we dɛn kin kɛr go na os
- Yurethroplasty na ɔpreshɔn we kin rili wok fayn fɔ trit di urethral strictures.
- Dis involv fɔ pul di pat we dɔn blɔk ɛn mek ɔ bil di urethra bak.
- Yu go nid fɔ wɛr kateshɔn fɔ sɔm tɛm we yu de wɛl, ɛn sɔm tin dɛn we yu de du go nid fɔ stɔp fɔ sɔm wiks.
- I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn go na klinik dɛn di de dɛn we dɛn dɔn sɛtul.
- If yu gɛt ɛnitin we nɔ kɔmɔn afta yu du di ɔpreshɔn, tɛl yu dɔktɔ wantɛm wantɛm.
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