Yu dɔktɔ dɔn tɛl yu bɔt urostomy? Ɔ yu tink se pɔsin we yu sabi go gɛt dis ɔpreshɔn? Na nɔmal tin fɔ mek yu fred ɛn wɔri smɔl we yu yɛri dis nem. "Wetin kain tin dis?", "Wetin mai laif go bi afta dis?" Bɔku kwɛstyɔn dɛn kin kam na yu maynd. Bɔt we wi no gud gud wan bɔt dis, da fred de nɔ de igen. Tide, wi go tɔk bɔt ɔltin rili simpul, di we we yu go ɔndastand.
Wetin rili na Urostomy?
Fɔ tɔk am simpul wan, urostomy na ɔpreshɔn we de mek nyu rod fɔ mek yu urine (pi) kɔmɔt na yu bɔdi. We dɛn de du dis, di dɔktɔ we de du di ɔpreshɔn kin mek wan smɔl opin ɔ ol na yu bɛlɛ we de na di skin. We wi de tɔk bɔt mɛrɛsin, dɛn kin kɔl dis stoma .
Tink bɔt wi urinary system lɛk wata paip sistem. di urine we di kidni dεm de mek de travul dכn tu tכb dεm (ureters) to di blad, usay dεn de kכl am kכmכt na di bכdi tru כda tכb (urethra). Sɔntɛnde, di men tank na dis sistɛm (di blad) ɔ di tiub dɛn we dɛn kɔnɛkt to am kin pwɛl bikɔs ɔf sik ɔ aksidɛnt. Dɔn, dɛn fɔ mek ɔda rod fɔ mek di urine kɔmɔt na di bɔdi. Na dat mek dɛn kin du dis ɔpreshɔn.
di urine de kכntinyu fכ fכlכ kכmכt na di bכdi tru dis stoma. wan spεshal bag (urostomy bag) dεn de yuz fכ kכlekt di urine we de kכmכt, εn i de atak di stoma. Bɔku tɛm, dis na ɔpreshɔn we dɛn kin du fɔ ɔltɛm. Dis min se dɛn nɔ go ebul fɔ tɔn am bak. Bɔt nɔ wɔri, yu mɛdikal tim go ɛp yu fɔ ajɔst to yu ɛvride layf wit dis nyu chenj.
Wetin mek i nid fɔ du dis kayn ɔpreshɔn?
Bɔku rizin dɛn de we mek pɔsin nid fɔ du urostomy. Di men rizin dɛn na:
- Blad we dɛn kin pul bikɔs ɔf blad kansa: Dis na di rizin we kin apin mɔ. we dεn kכl di blad kכmplit (cystectomy) bikoz fכ kεnsar, dεn kin yuz dis prכsidכm biכs nכ ples de fכ urine fכ kכlekt.
- Blad damej: We di blad dɔn pwɛl bad bad wan bikɔs ɔf aksidɛnt, sik, ɔ tritmɛnt wit raytin.
- Urinary incontinence: If i sik bad bad wan, no we nɔ de fɔ kɔntrol di urine.
- di spεnal kכd dεm we dεn dכn pwεl: We di blad nכ de wok lכs bikoz fכ di spεnal kכd injuri.
- Disɔda we dɛn bɔn wit: Na di prɔblɛm dɛn we dɛn kin bɔn we dɛn bɔn pikin lɛk spina bifida.
- Damej to di urethra: We di tiub we de kɛr urine kɔmɔt na di bɔdi dɔn damej.
- Ɔda tin dɛn we nɔ kin apin na di urinary system: Ɔda prɔblɛm dɛn we kin mek di urine nɔ kɔmɔt fayn.
Fɔ sɔmtin, dis ɔpreshɔn na sɔlv fɔ mek layf izi ɛn sef pan ɛni siriɔs sityueshɔn usay dɛn nɔ kin ebul fɔ pul urine kɔmɔt na di bɔdi nɔmal wan.
Yu tink se difrɛn kayn ɔpreshɔn dɛn de we dɛn kin du fɔ mek yu nɔ gɛt yu urostomy?
Yɛs, bɔku men we dɛn de fɔ du dis ɔpreshɔn. I dipen pan yu mɛrɛsin ɛn wetin di dɔktɔ we de du di ɔpreshɔn dɔn tɔk.
Ileal conduit - Dis na di mכst kכmכn mεtכd.
We dɛn de du dis, di dɔktɔ we de du di ɔpreshɔn kin pul wan smɔl pat pan di las pat pan yu smɔl intestinal (ileum) . Dɔn, dɛn kin mek wan smɔl chanɛl we tan lɛk tiub frɔm di pis. di tu tכb dεm we de kכri urine frכm di kidni dεm (ureters) de kכnekt to dis nyu chanεl we dεn mek. di כda εnd pan di chanεl de kכnekt to wan stoma (stoma) we dεn mek na di bכdi. di urine we de kכmכt na di kidni dεm de fכlכ kכmכt na di stoma tru dis nyu chanεl. di stoma kin de na di rayt say na di bכdi.
Kolonik kɔndɔkt
dis rili fiba di we aw dεn bin de du am bifo, εksεpt se insted fכ tek wan sεkshכn pan di sכmכl intestin fכ mek di nyu chanεl, dεn de yuz wan sεkshכn pan di big intestin (sigmoid colon) .
Yureterostomy we dɛn kin du
insay dis prosidur, dεn de pul nכ pat pan di intestכn dεm. di dɔktɔ kin kɔnɛkt wan ɔ ɔl tu di tiub dɛn we de kɛr urine frɔm di kidni dɛn dairekt to di stoma we dɛn mek na di bɛlɛ .
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bifo dɛn du di ɔpreshɔn, di dɔktɔ we de mɛn yu ɛn di wan dɛn we de du di mɛrɛsin go tɔk to yu gud gud wan. Dɛn go ɛksplen to yu dɛn tin ya:
- Wetin mek yu nid fɔ du dis ɔpreshɔn?
- Wetin kin apin we dɛn de du di ɔpreshɔn?
- Wetin fɔ ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
- Wetin na di prɔblɛm dɛn we kin apin to dis?
Dɛn go advays yu fɔ fast, dat na fɔ lɛf fɔ it ɛn drink fɔ sɔm tɛm bifo dɛn du di ɔpreshɔn. Dɛn go tɛl yu bak if yu fɔ stɔp fɔ tek ɛni mɛrɛsin we yu kin tek ɔ kɔntinyu fɔ tek am. I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk vaytamɛn ɛn ɛbul mɛrɛsin dɛn.
Apat frɔm dat, bifo dɛn du di ɔpreshɔn, di dɔktɔ ɛn di nɔs dɛn go tɔk to yu fɔ pik di bɛst ples na yu bɛlɛ fɔ mek di stoma. Dis fɔ bi ples we yu go ebul fɔ si izi wan, rich, ɛn gɛt flat ples. Dis go mek am izi fɔ yu fɔ chenj di bag leta.
Wetin kin apin we dɛn de du di ɔpreshɔn ɛn afta dɛn dɔn du di ɔpreshɔn?
Dɛn kin du di ɔpreshɔn ɔnda jenɛral anestezi. Dis min se yu nɔ go fil ɛnitin, yu go slip ɔl. Di ɔpreshɔn kin tek lɛk 6 awa so. di sajin go mek wan stoma na wan ples we i bin dɔn pik bifo tɛm ɛn kɔnɛkt wan tiub to am fɔ kɛr urine. sכmtεm, insay kes dεm lεk kεnsar, i kin nid fכ pul כda כgan dεm lεk di blad, di limf no dεm, כ pat dεm na di rεprכdaktiv sistεm (prכstat na man, uterus na uman).
Afta di ɔpreshɔn, dɛn go kɛr yu go na say usay dɛn de mɛn pipul dɛn we de wɛl ɛn dɛn go kɛr yu go na wan wɔd we yu kɔndishɔn dɔn stebul.
- Dɛn kin put wan ɔ mɔ tiub (dreyn) fɔ pul wata we kin gɛda na di bɔdi.
- Dɛn kin gi mɛrɛsin fɔ kɔntrol di pen.
- Fɔ mek blɔd nɔ klɔt ɛn nyumonia, dɛn kin ɛnkɔrej yu fɔ sidɔm na bed kwik kwik wan, muv yu leg dɛn, ɛn waka wit pɔsin we ɛp yu.
- Yu kin bigin fɔ it ɛn drink nɔmal wan insay sɔm dez.
| Di kayn risk we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Kɔmɔn risk dɛn we gɛt fɔ du wit ɔpreshɔn | Prɔblɛm dɛn we gɛt fɔ du wit anestezi, infɛkshɔn, damej pan di ɔgan dɛn we de rawnd, blɔd we de klɔt, blɔd we de kɔmɔt pasmak, nyumonia. |
| Sɔm prɔblɛm dɛn we kin apin leta | di tyub blok bikoz fכ ska tisu, infεkshכn כ wund dεm na di skin rawnd di stoma, hεnia fכmeshכn, kidni stכn כ kidni fεil, mεtabolik εshyu. |
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Bɔt bɔku tɛm, na wan we we rili sef. Yu dɔktɔ go du ɔl wetin i ebul fɔ mek dɛn prɔblɛm ya nɔ bɔku.
Aw lɔng i go tek fɔ mek i wɛl? Ustɛm a fɔ go to dɔktɔ?
Sɔm pipul dɛn kin kɔmɔt na di ɔspitul insay tri dez afta dɛn dɔn du di ɔpreshɔn, ɛn ɔda wan dɛn kin nid fɔ de fɔ wan wik ɔ mɔ. We yu de na ɔspitul, di wan dɛn we de wok na di nɔs go tich yu aw fɔ kip yu bɛlɛ klin, aw fɔ yuz di pɔch, ɛn aw fɔ chenj am. Dis na nyu tin, so i kin fil lɛk se i strenj smɔl fɔs, bɔt yu go yus to am afta sɔm tɛm.
Afta yu go bak na os, i kin tek lɛk tu mɔnt fɔ mek yu wɛl gud gud wan bifo yu go bak na wokples ɔ skul. Insay dis tɛm, yu go gɛt di chans fɔ yus fɔ yuz yu urostomy bag.
If yu gɛt ɛni prɔblɛm, kɔl yu dɔktɔ wantɛm wantɛm, mɔ if yu gɛt ɛni wan pan dɛn sayn ya:
- Fiva
- Blɔd we nɔ de kɔmɔt fayn
- I kin fil pen bad bad wan
- I nɔ izi fɔ yuz di urostomy bag
- Chenj in urine kɔlɔ ɔ smel
Sɔm kwɛstyɔn dɛn de na ɔlman in maynd
We dɛn de tɔk bɔt dis kayn ɔpreshɔn, bɔku pipul dɛn kin gɛt di sem kwɛstyɔn dɛn. Lɛ wi fɛn ansa to dɛn wan dɛn de bak.
Aw stoma tan lɛk? Aw i kin fil?
We yu fɔs si yu stoma, i kin swel smɔl, i kin rɛd, ɛn i kin brus. Bɔt nɔ wɔri, dis go chenj as tɛm de go. di stoma go shrink sכmtεm εn tכn wan layt pink כ rεd kכla. I kin bi rawnd ɔ ɔval in shep. Sɔm pipul dɛn stoma kin rayz smɔl ɔp di skin, ɔda wan dɛn kin flat agens di skin.
di tin we impɔtant pas ɔl na dat di stoma nɔ gɛt ɛni nɛv ɛnd. Dis min se yu nɔ go ebul fɔ fil am. Pan ɔl we di skin we de rawnd kin at te di wund we dɛn du di ɔpreshɔn wɛl, yu nɔ go fil natin we yu tɔch di stoma.
Aw ɔltɛm dɛn fɔ chenj di urostomy bag?
Tu tin de ya: fɔ ɛmti di bag ɛn fɔ chenj di bag.
- Ɛmpti: Yu go nid fɔ ɛmti di bag ɔltɛm we yu go na di bafa bifo dɛn du yu ɔpreshɔn. Bɔku tɛm, na ɛvri sɔm awa. Nɔ wet te di bag ful-ɔp ɔl. I bɛtɛ fɔ ɛmti am we i ful-ɔp lɛk wan pat pan tri ɔ af. Dis go ɛp fɔ mek di bag nɔ lik ɛn mek i nɔ gɛt infɛkshɔn na di skin.
- Chenj: Di tɛm we yu de chenj kin difrɛn difrɛn wan bay di kayn bag sistɛm we yu de yuz. Sɔm dɛn nid fɔ chenj ɛvride. Dɛn kin yuz ɔda kayn dɛn fɔ tri dez ɔ fɔ lɛk wan wik.
Di gud nyus na dat wan big drenaj kɔntena de we yu kin tay pan yu urostomy bag we yu de go slip na nɛt, so yu kin slip fayn ɔl nɛt we yu nɔ grap.
Aw yu kin ajɔst to dis nyu chenj?
I kin tek sɔm tɛm fɔ yus fɔ liv wit dis chenj na yu bɔdi. Dis na tin we rili nɔmal. Fɔs, yu kin fil bad, vɛks, ɔ fred. Yu kin wɔri bɔt wetin ɔda pipul dɛn go tink bɔt dis.
Tɔk to yu dɔktɔ, yu fambul, ɛn yu tayt padi dɛn bɔt dɛn filin ya. Sɔpɔt grup dɛn de bak fɔ pipul dɛn we dɔn gɛt dis kayn ɔpreshɔn. Dɛn kin ɔndastand yu ɛkspiriɛns gud gud wan. Yu kin lan bɔku tin frɔm di tin dɛn we dɛn dɔn ɛkspiriɛns ɛn gɛt trɛnk.
Mɛsej we dɛn kin kɛr go na os
- Yurostomy nɔto natin fɔ fred. Na saf ɔpreshɔn wae kin mek yu layf izi, ɛn bɔrku tɛm kin sev yu layf.
- I go tek tɛm fɔ yus to dis nyu bɔdi chenj. Na nɔmal tin fɔ fil bad ɛn fred bɔt am. Tɔk to pɔsin we yu trɔst bɔt dɛn filin ya.
- Fɔ kip di stoma ɛn di skin we de rawnd am klin ɛn dray rili impɔtant fɔ mek yu nɔ gɛt prɔblɛm.
- Nɔ ɛva shem fɔ tɔk to yu dɔktɔ bɔt ɛni smɔl prɔblɛm ɔ prɔblɛm we yu go gɛt.
- Yu kin stil liv nɔmal, aktif, ɛn gladi layf afta dɛn dɔn du yu urostomy ɔpreshɔn.
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