Yu kin dɔn fred di wɔd ‘Urostomy’. Ɔ sɔntɛm we di dɔktɔ tɔk bɔt dis kayn ɔpreshɔn, wan kwɛstyɔn afta di ɔda wan kin kam na mi maynd. Fɔ tru, dis nɔto natin fɔ fred. Dis na prosidur we de mek ɔda we fɔ mek pɔsin we gɛt sɔm tin we de ambɔg di bɔdi in nɔmal urinary system fɔ pas urine. Fɔ tɔk am simpul wan, dis na we fɔ ɛp wi bɔdi. So, tide wi go tɔk bɔt dis rili simpul wan, insay wan we we yu go ɔndastand.
Wetin na Urostomy insay simpul wɔd dɛn?
Yurostomi na ɔpreshɔn we de mek smɔl opin na yu bɛlɛ ɔ bɛlɛ fɔ mek yu urine pas. dis opin dεm dεn kכl am mεdikal wan ‘stoma’ . dis min se di urine we de prodyuz na yu bכdi, insted fכ kכmכt nכmal wan, de kכmכt tru dis nyu opin. Dɛn kɔl dis ‘urinary diversion’ .
fכ kכlekt di urine we de kכmכt lεk dis, wi de yuz spεshal bag (urostomy bag) we dεn tay pan di stoma. Dɔn wi kin pul di urine we kin gɛda na da bag de izi wan.
Bɔku tɛm, di urostomy kin de fɔ ɔltɛm ɛn i nɔ kin chenj. Bɔt nɔ wɔri. Yu dɔktɔ ɛn di mɛdikal tim go du ɔl wetin dɛn ebul fɔ ɛp yu fɔ ajɔst to dis nyu layf.
Insay us kes dɛn dis ɔpreshɔn nid fɔ du?
Bɔku rizin dɛn de we mek dɛn kin du urostomy. Lɛ wi luk dɛn na di tebul we de dɔŋ ya.
| Rizin fɔ mek dɛn du di ɔpreshɔn | Wan simpul ɛksplen |
|---|---|
| Blada Kansa | Dis na di rizin we bɔku pipul dɛn kin du. Dɛn kin du dis ɔpreshɔn we dɛn nid fɔ pul di blad ( cystectomy ) bikɔs ɔf kansa. |
| Blad we dɔn pwɛl | If di blad dɔn pwɛl bikɔs ɔf aksidɛnt, sik, ɔ tritmɛnt wit raytin. |
| Urinary Inkontinɛns we pɔsin kin gɛt | Insay siriɔs kes dɛm we dɛn nɔ kin ebul fɔ ol di urine ɛni we ɛn i kin lik kɔmɔt we dɛn nɔ ebul fɔ kɔntrol am. |
| Spinal kɔd we dɔn pwɛl | biכs fכ di spεnal kכd injuri כ di bכn kכndishכn lεk spina bifida . |
| Damej na di urethra | we di tכb we de kכri urine frכm di blad to di כdasay dεn dכn pwεl. |
Ilɛk wetin na di rizin, di ɔpreshɔn we dɛn kin du fɔ mek yu urostomy, dat kin mek nyu rod we sef fɔ mek di urine kɔmɔt na di bɔdi.
Yu tink se difrɛn kayn ɔpreshɔn dɛn de we dɛn kin du fɔ mek yu nɔ gɛt yu urostomy?
Yɛs, bɔku we dɛn de fɔ du dis ɔpreshɔn. Dɛn gi dɛn nem akɔdin to di we aw dɛn mek di nyu rod fɔ urine.
Ileal Conduit - Na di we aw dɛn kin yuz mɔ
Dis na di tin we dɛn kin du mɔ. Na ya, di dɔktɔ we de du di ɔpreshɔn kin tek wan smɔl pat pan yu smɔl intestinal ɛn mek wan tiub wit am. wan εnd pan dis tiub de kכnekt to wan stoma we dεn dכn mek na yu bכdi. di כda εnd de kכnekt to di tu tכb dεm we de kכri urine frכm yu kidni dεm (ureters). di urine we dεn prodyuz na yu kidni dεm de fכlכ tru dis nyu tכb εn kכmכt na di stoma.
Kolonik Kɔndɔkt
dis rili fiba di we aw wi bin dכn tכk bכt, εksεpt we dεn de yuz wan pat pan di big intestinal (kכlon) fכ mek di tכb insted fכ di sכmכl intestכn.
Yureterostomy we dɛn kin du
insay dis mכtכd, dεn nכ de mek tכb frכm wan pat pan intestכn lεk dat. bifo dat, di ureters frכm di kidni dεm de kכnekt dεrekt to wan stoma we dεn mek na di bכdi.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bifo di ɔpreshɔn, di dɔktɔ we de du yu ɔpreshɔn ɛn di tim 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 bak bɔt ustɛm fɔ stɔp fɔ it ɛn drink bifo dɛn du yu ɔpreshɔn, ɛn if yu fɔ stɔp fɔ tek ɛni mɛrɛsin we yu kin tek ɔ nɔ fɔ tek am. Mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek.
Bifo yu du di ɔpreshɔn, yu mɛdikal tim go ɛp yu fɔ pik di bɛst ples na yu bɛlɛ fɔ mek di stoma. I fɔ bi flat ples we yu go ebul fɔ si, rich, ɛn rich izi wan.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Dɛn go put yu ɔnda jenɛral anestezi fɔ di ɔpreshɔn. So yu nɔ go fil ɛni pen . di sajin go mek wan stoma na wan ples we yu bin dɔn pik bifo tɛm na yu bɛlɛ ɛn kɔnɛkt di ureters to am.
Sɔntɛnde, mɔ we pɔsin gɛt kansa, i kin nid fɔ pul di wan ol ɔ pat pan di blad di sem tɛm. Dɔn bak, if nid de, dɛn kin nid fɔ pul ɔgan dɛn lɛk di apɛndiks, di limf no dɛm, ɔ di prɔstat gland na man ɔ di uterus na uman. Dis ɔpreshɔn kin tek 6 awa .
Aw na di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn?
Afta dɛn dɔn du di ɔpreshɔn, dɛn go kɛr yu fɔs go na say usay dɛn de mɛn pipul dɛn we dɔn wɛl ɛn afta dat dɛn go kɛr yu go na wan wɔd.
- Dɛn go put wan ɔ mɔ dreyn fɔ pul wata we kin gɛda na di bɔdi.
- Dɛn go gi yu di mɛrɛsin we nid fɔ mek yu fil pen.
- Dɛn go ɛnkɔrej yu fɔ sidɔm na bed kwik kwik wan, muv yu leg dɛn, ɛn waka wit di ɛp we di dɔktɔ dɛn de ɛp yu. Dis kin ɛp fɔ mek yu nɔ gɛt tin dɛn lɛk we blɔd kin klɔt ɛn nyumonia .
- Yu kin bigin fɔ it ɛn drink nɔmal wan insay sɔm dez.
Yu go gɛt fɔ de na ɔspitul fɔ bitwin 3 ɛn 7 dez. Insay dis tɛm, dɛn go tich yu aw fɔ kia fɔ yu stoma ɛn aw fɔ yuz yu urine bag. Afta yu go bak na os, i kin tek lɛk tu mɔnt fɔ go bak to nɔmal tin dɛn (wok, skul).
Us tɛm a fɔ kɔl di dɔktɔ?
If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt yu urostomy, tɔk to yu dɔktɔ. Mek shɔ se yu go to dɔktɔ, 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 kala ɔ strɔng smel
Kwɛshɔn dɛn we dɛn kin aks bɔt fɔ liv wit urostomy
Yu go mɔs gɛt bɔku kwɛstyɔn bɔt layf afta dis ɔpreshɔn. Lɛ wi ansa dɛn.
Aw stoma tan lɛk? Aw i kin fil?
We yu fɔs luk yu stoma, i kin swel smɔl, i kin dak rɛd, ɛn i kin tan lɛk se i dɔn brus. Dis na nɔmal tin. As tɛm de go, di swɛlin go go dɔŋ, tɔn layt pink kɔlɔ, ɛn i go smɔl. I kin bi rawnd ɔ ɔval in shep.
di mכst imכtant na dat di stoma nכ gεt nεv εnd dεm. So, di stoma nɔ de fil ɛnitin ɔ i nɔ de fil pen . Pan ɔl we di say we de rawnd kin fil pen te di wund we dɛn du di ɔpreshɔn wɛl, di stoma insɛf nɔ kin fil pen.
Aw ɔltɛm dɛn fɔ chenj di urostomy bag?
Fɔ ɛmti di bag ɛn chenj am ɔl na tu difrɛn tin dɛn.
- Ɛmpti di bag: Jɔs lɛk aw yu go pis bifo dɛn du yu ɔpreshɔn, yu fɔ ɛmti di bag ɛvri sɔm awa. Nɔ wet te di bag ful-ɔp ɔl. I bɛtɛ fɔ ɛmti am we i ful-ɔp wan pat pan tri pat (1/3) ɔ wan af (1/2). Dis go ɛp fɔ mek di bag nɔ lik ɛn mek i nɔ gɛt infɛkshɔn na di skin. We yu de slip na nɛt, yu kin kɔnɛkt dis bag to big rizɔva (drenaj kɔntena). Dis go mek yu ebul fɔ slip we yu nɔ go grap na nɛt.
- Chenj di bag: Dis dipen pan di kayn pouching system we yu de yuz. Sɔm nid fɔ chenj ɛvride, ɛn ɔda wan dɛn kin yuz fɔ 3 dez ɔ ivin wan wik.
Mɛsej we dɛn kin kɛr go na os
- Urostomy na ɔpreshɔn we go ɛp yu ɛn mek yu layf izi, nɔto sɔntin fɔ fred.
- Dis kin bi chenj fɔ ɔltɛm, bɔt yu go gɛt ɔl di no ɛn sɔpɔt we yu nid fɔ yus to am frɔm yu mɛdikal tim.
- i rili impɔtant fɔ kip di skin we de rawnd di stoma klin ɛn dray. Dis kin ɛp fɔ mek yu nɔ gɛt infɛkshɔn na di skin.
- Ilɛk uskayn tin we de mɔna yu na yu bɔdi ɔ yu maynd bɔt dis, tɔk to yu dɔktɔ opin wan bɔt dɛn. If nid de, jɔyn sɔpɔt grup wit ɔda pipul dɛn we dɔn gɛt di sem ɛkspiriɛns.
- Yu kin stil liv ful, aktif layf afta yu dɔn ɔpreshɔn yu urostomy.
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