Imajin se dɛn bin gɛt fɔ pul yu blad fɔ sɔm rizin, ɔ i nɔ de wok fayn. Dɔn aw di urine we de kɔmɔt na di bɔdi kin kɔmɔt? Yusɛf go mɔs dɔn gɛt dis prɔblɛm. Na da tɛm de dɔktɔ dɛn kin tɔn to wetin dɛn kɔl ‘urinary diversion surgery’ ɔ Urinary Diversion . Pan ɔl we dis kin tan lɛk tɔpik we nɔ izi fɔ tɔk bɔt, tide wi go tɔk bɔt am simpul wan, di we we yu go ɔndastand.
Fɔs, lɛ wi luk aw wi urinary system de wok.
fכ כndastand dis, wi fכs nid fכ כndastand di nכmal prכsεs we di urine fכm εn kכmכt na wi bכdi. I rili simpul.
- Kidni: Dɛn tin ya tan lɛk tu wata filta. Dɛn kin filta wi blɔd, pul dɔti tin dɛn we wi nɔ want ɛn wata we pasmak, ɛn mek "urine."
- di yureta dεm: di urine we dεn prodyuz na di kidni dεm de kכri go na di blad tru tu tכb dεm. dεn kכl dεn tu tכb dεm ya ureter.
- Blad: Dis na lɛk smɔl balyɔn. Na bag we de gɛda ɛn kip urine.
- Yuretra: we di blad ful, di urine de kכmכt tru dis tכb.
dis ol prכsεs de kכntro bay wan nyural kכnεkshכn bitwin di bren εn di blad. We di blad ful-ɔp, dɛn kin sɛn signal to di bren. Dɔn di bren kin tɛl di blad fɔ kɔntrakt ɛn di mɔsul dɛn na di urinary tract fɔ rilaks.
Wetin mek pɔsin go nid fɔ du dis kayn ɔpreshɔn?
Dis ɔpreshɔn kin jɔs nid we di blad nɔ de wok fayn ɔ we dɛn nid fɔ pul am. Bɔku rizin dɛn kin de fɔ dis.
- Blada kansa .
- Blad damej we kin kam bikɔs ɔf redyushɔn tɛrapi fɔ kansa.
- Blad infεkshכn dεm we de kכ mכt plεnti tεm εn we nכ de hεl.
- Sivεr trauma to di urinary sistεm.
- Difεkt dεm we dεn bכn pikin lεk spina bifida.
- Sik dɛm na di nervɔs sistɛm lɛk Multiple Sclerosis (MS) .
- Siriɔs inkɔntinɛns ɔ pen we yu nɔ go ebul fɔ bia na di blad.
Di tin we impɔtant pas ɔl na dat di urine nid fɔ kɔmɔt na di bɔdi. If i nɔ du dat, da urine de kin bak ɛn put prɛshɔn pan di kidni dɛm, we kin mek yu gɛt siriɔs tin dɛm lɛk we di kidni nɔ wok fayn. Di men gol fɔ dis ɔpreshɔn na fɔ mek dɛn nɔ du da damej de.
Wetin na dɛn kayn ɔpreshɔn ya?
Fɔ tɔk am simpul wan, dɔktɔ dɛn we de du ɔpreshɔn kin yuz smɔl pat pan yu yon insay fɔ mek nyu rod fɔ mek yu urine kɔmɔt. Dɛn kin du dis tu men we dɛn. Lɛ wi luk di tu we dɛn di we aw i izi fɔ ɔndastand.
| Di kayn ɔpreshɔn we dɛn kin du | Wetin kin apin na simpul tin. |
|---|---|
| Inkɔntinɛnt Dayvɛnshɔn | di dɔktɔ we de du di ɔpreshɔn de mek wan opin (stoma) na di skin na di bɛlɛ. di uretra de kכnekt to wan pat pan di intestin εn i de fix am na dis opin. di urine de kכntinyu fכ fכlכ kכmכt na dis opin εn go insay wan εksternal bag (ostomy bag) we dεn tay pan am. Dis bag nid fɔ ɛmti ɔltɛm. Dɛn kin kɔl dis bak urostomy . |
| Kɔntinɛnt Dayvɛnshɔn | na ya, dεn de yuz wan pat pan di intestin fכ mek wan paus insay di bכdi we de kכlekt urine. Dɛn kin du dis tu we dɛn. כl tu dεn mek nyu blad (neobladder) we kכnekt to di urethra, כ dεn mek wan paus we dεn kin εmpti tru wan sכmכl opin (stoma) na di bכdi wit kateta. |
Di we aw pɔsin nɔ ebul fɔ kɔntrol insɛf: Ileal Conduit
Dis na di we aw dɛn kin yuz mɔ. Na ya yu nɔ go ebul fɔ kɔntrol di we aw yu de urine. I kin gɛda ɔtomɛtik wan insay di bag.
- Di bɛnifit dɛn we yu kin gɛt:
- Di ɔpreshɔn simpul pas ɔda we dɛn.
- No nid nɔ de fɔ mek yu yuz kateshɔn fɔ yusɛf.
- Di bad tin dɛn we kin apin:
- Sɔm pipul kin fil se dɛn nɔr kin fil fayn pan dɛn maynd fɔ wɛr bag we de gɛda urine.
- Di bag kin lik ɔ i kin gɛt ɔda tin fɔ smɛl.
We fɔ pas urine wit kɔntrol
1. Indiana Pouch we de na di wɔl
Insay dis we, dɛn kin put wan pɔch we dɛn mek wit intestinal insay di bɔdi. Di urinary tract de kɔnɛkt to dis. sכm sכm pat pan di intestinal, we kכnekt to dis pכch, dεn kin bכn am to wan sכmכl opin (stoma) we dεn mek na di bכdi. Yurin nɔ de kɔmɔt pan dis fɔ insɛf. lɛk ɛvri 4 awa, yu fɔ put smɔl tiub (kateta) wit yu an tru dis opin fɔ ɛmti di urine we de na di paus.
- Di bɛnifit dɛn we yu kin gɛt:
- Bikɔs urine de insay di bɔdi, i nɔ nid fɔ gɛt bag we de na do.
- Risk nɔ de fɔ lik ɔ fɔ smɛl bikɔs bag nɔ de.
- Yu kin kip di stoma klos wit plasta.
- Di bad tin dɛn we kin apin:
- Di ɔpreshɔn kin tek lɔng tɛm.
- Yu fɔ put tiub ɛn ɛmti yu blad ɔltɛm, lɛk ɛvri 4 awa.
- Sɔntɛnde di opin kin blok, ska tisu kin fɔm, ston kin fɔm insay di pɔch, ɔ infɛkshɔn kin apin.
- I rili impɔtant: If fɔ sɔm rizin dɛn nɔ ebul fɔ put di tiub ɛn dɛn nɔ ebul fɔ ɛmti di bag, i kin bɔs. Dis na mɛdikal imejensi. If na so i bi, yu fɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
2. Fɔ mek nyu blad (Neobladder) .
Dis na di tin we de nia di nɔmal urinary tract. na ya, wan nyu blad we dεn mek frכm di intestכn de kכnekt to yu כrijinal urethra. So no eksternal opin (stoma) de we de na do. We yu nid fɔ pis, yu fɔ kɔntrakt yu bɛlɛ mɔsul dɛn fɔ du dat.
- Di bɛnifit dɛn we yu kin gɛt:
- Di we aw pɔsin kin pis kin rili fiba di we aw i kin pis.
- No eksternal opin (stoma) nɔ de fɔ tek kia ɔf.
- Di bad tin dɛn we kin apin:
- Di ɔpreshɔn kin tek lɔng tɛm.
- Yu kin gɛt sɔm kayn inkɔntinɛns fɔ lɛk siks mɔnt afta dɛn dɔn du di ɔpreshɔn. Sɔm pipul dɛn kin gɛt dis sik na nɛt.
- Sɔm pipul dɛn nɔ kin ebul fɔ ɛmti dɛn nyu blad ɔltogɛda. Dɛn kin nid bak fɔ mek dɛn put wan tiub tru di urethra, fɔ sɔm tɛm ɔ fɔ ɔltɛm, fɔ ɛmti dɛn urine.
Aw na di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn?
I kin tek wan ɔ tu mɔnt fɔ mek i wɛl ɛn gɛt trɛnk bak afta dɛn dɔn du ɔpreshɔn lɛk dis. I kin tek sɔm tɛm bak fɔ yus to di nyu sistɛm. Yu nid fɔ peshɛnt wit dat.
- Wok: Bɔku tɛm, yu kin go bak na wokples insay wan ɔ tu mɔnt.
- Di tin dɛn we yu fɔ du: We yu dɔn wɛl, yu kin go bak fɔ du ɛksɛsayz ɛn spɔt. Bɔt, go to yu dɔktɔ bifo yu du kɔntakt spɔt ɔ swim.
- Di it: Di dɔktɔ advays yu fɔ it tin dɛn we saf ɛn izi fɔ dayjɛst fɔ di fɔs mɔnt afta dɛn dɔn du di ɔpreshɔn.
- Travul: No ristrikshɔn nɔ de fɔ travul. Bɔt duya kam wit ɔda tin dɛn (ostomy bag, kateta) if nid de.
Dis ɔpreshɔn kin afɛkt yu bɔdi ɛn maynd . Na nɔmal tin fɔ fil wɔri ɛn wɔri bɔt yu sɛks layf ɛn yu rilayshɔn wit yu patna wit dis nyu tin. I rili impɔtant fɔ tɔk opin wan bɔt dis wit yu dɔktɔ.
Ustɛm a fɔ go to di dɔktɔ?
If yu gɛt sayn dɛn fɔ yurinary tract infection, go to yu dɔktɔ wantɛm wantɛm.
- Fiva
- Shivering bikɔs ɔf kol
- Nɔs ɔ vɔmit
- Bak ɔ bɛlɛ pen
- Yurin kin chenj in kɔlɔ (i kin dak) ɔ i kin gɛt strɔng smel
Apat frɔm dat, if di skin we de rawnd yu stoma rɛd, swel, pus ɔ urine lik, ɔ if i nɔ izi fɔ yu fɔ put di kateshɔn, tɛl yu dɔktɔ wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- Dɛn kin du Urinary Diversion ɔpreshɔn fɔ stɔp di damej pan yu kidni dɛn we yu blad nɔ de wok fayn.
- tu men kayn ɔpreshɔn de: di we aw dɛn kin gɛda urine na bag we de na do (incontinent) ɛn di we aw dɛn kin gɛda urine insay bag we dɛn mek insay di bɔdi (continent).
- Yu dɔktɔ go disayd di we we go fayn fɔ yu bay aw yu gɛt wɛlbɔdi. Tek tɛm tɔk to am bɔt am.
- I go tek tɛm fɔ yus to di nyu sistɛm afta dɛn dɔn du di ɔpreshɔn. Peshɛnt wit am. If yu fil se yu nɔ de fil fayn, go to dɔktɔ ɛn sɔpɔt yu.
- If yu gɛt fiva, kol, chenj na yu urine, ɔ yu gɛt prɔblɛm wit yu stoma, tɛl yu dɔktɔ wantɛm wantɛm .
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