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3 Zarif Before and After Orchiopexy and Circumcision

aiyooo, the title is english maaa, so i need to talk english lorr... (mcm cine kg. pulak), huh, penatnyeeeee....lega dpt lepak kat umah setelah berhempas pulas ulang alik ke hospital muar,opss pakar muar...tapi ayat ni patut ditujukan buat ibu zarif, sbbnya ibulah yang berhempas badan dn pale utk menjaga zarif di hospital..abah bagi kredit kat ibu, bagi rakan zarif yang belom tau, tanggal 28hb julai yang lalu, zarif telah dimasukkan ke hospital pakar sultanah Fatimah, muar utk menjalani rawatan dan pembedahan orchiopexy..pastu alang2 dah masuk tu, abah sarankan zarif disunatkan sekali.Pada hari tersebut, ayah de zarif ngan tok mi pun ade menemani zarif.berikut sequel kejadian:

Hari pertama (28.07.2010)

abah dan ibu telah mendaftarkan zarif di hospital pada jam 11.45pagi, dan zarif telah ditempatkan di wad 15, katil no 8.Pada hari pertama, zarif hanya cuma diambil darah dan dimasukkan external tiub di sebelah tangan kanan.Hari tu kan zarif mmg ceria habisla, masa nak cucuk tiub tu pun siap senyum je n tak menangis, cuma kali ketiga sbb tak masuk2 jarum tiub tu baru la zarif melalak, selebihnya di katil zarif byk gelak,ceria,bermain ngan kawan sebelah zarif....petangnya abah dimaklumkan oleh ibu yang zarif akan di operate esok pagi pada jam 7.30pagi....pastu abah,ayah de dan tok mi pulang ke tangkak.On the way to tangkak, singgah taman muhibbah, ade pasar malam tepi jalan,sbb dah penat satu hari tuh, abah ckp ngan tok mi, kita makan bungkus je la, selesai urusan pasar malam..kitowang pun balik.huh penattnyeee, lega smpi umah.......pas mkn, solat isya...last b4 tido, abah as usual layan farmville, tup2 kul 11mlm mate dah kuyu...booommmm tido terus......

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Hari kedua (29.07.2010)

penat smlm masih terasa pagi ni.actually smlm tido tak brp tenang.sbb duk fikirkan zarif yang nak kene operate kul 7.30pagi ni,abah terbgn awal, sbb hati tak tenang, so pas solat subuh,abah bace yassin n mendoakan keselamatan dan kelancaran operation zarif pagi ni...kul 7pagi, ibu sms zarif dah tukar baju bedah..huh,berdegup jantung abah ni.berdebar2 rasanya...bila tgk mms yang ibu send kat abah, abah tgk eaaahh, nak bedah pun ceria agi,tergelak sketike dlm hati, tok umi n ayah de pun gelak duk tgk pic mms tu.dlm kul 8pagi, new info yang zarif belom lagi masuk bilik bedah,so abah,tok mi n ayah de smpi hospital muar pada jam 9.20pagi.dan waktu itulah zarif telah di masukkan ke dlm bilik bedah.so connection ibu n abah pun terputus.abah,tok mi n ayah de menunggu dgn sabar n bedebar2 di luar bilik bedah....ibu citer, masa zarif diusung dari wad ke operation theater, mulut zarif bising la bercakap2..dalam dewan bedah pun coce-coce lagi mulut sambil main belon masa tunggu turn..tak nangis sikit pun.on da way nk masuk bilik bedah tu boleh bergambar dengan wat peace and good sign lagi..tapi gambar tu bukan ibu yang amik tapi doktor yang amik..zarif start menangis bila kene cucuk belakang (bius)..pastu zarif ditidurkan n ibu cium zarif then ibu kene tunggu kat luar..masa ibu cium zarif tu bergenang air mata ibu..n disebabkan zarif sangat baik n happy, doktor mintak kebenaran ibu untuk jadikan gambar2 zarif tu as a learning purpose for doktor2 baru kot..around kul 11 pagi ibu call abah tapi tak sempat angkat sebab ibu berkejar ke katil zarif yg baru kuar dari bilik bedah. Abah tak tau camne keadaan zarif sebab cuma ibu yg dibenarkan dalam dewan bedah tu..ibu citer lagi, zarif menangis sambil pejam mata mintak dukung..zarif tengah mamai2 time tu..zarif tak nak langsung baring atas bed n tak nak selimut langsung..kalau ikut pengalaman ibu n abah yg penah jugak masuk OT, pas operation sangat2 sejuk..tapi zarif langsung taknak selimut..agaknya zarif trauma..ngn selimut n bed tu.. terpaksa la ibu dukung zarif sambil doktor halakan oksigen ke hidung zarif..45 minit jugak la ibu bergelut ngn zarif sampai kebas tangan ibu n sengal belakang..16 kg for 45 mins while struggling to comfort him..huh..just imagine..

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Posted by Muhammad Zarif Izzudin at 6:11 PM 3 comments
Browse » Home » Archives for July 2010

1 ORCHIOPEXY


Takut plak ibu baca artikel ni..kalu ikut kata doktor, cam simple je operation yang zarif kene wat..huhuhu..Ya ALLAH, permudahkanlah segala urusan berkaitan yang ini nanti...you will be going through this in less than 2 weeks my dear.. 

 

WHAT YOU SHOULD KNOW

If one or both of a boy's testicles fail to descend from the lower abdomen into the scrotum, the problem can be remedied by an operation called an orchiopexy (OR-kee-o-PEK-see). The testicles ordinarily fall into place before birth. They may still descend on their own before age 1. If they don't, the doctor will probably prescribe hormone shots. If they still refuse to descend, surgery is the next step.

Risks

If both testicles remain undescended, the boy may be sterile when he grows up, and may not develop normal male traits. A single unde__scended testicle increases the risk of testicular cancer later in life. All these risks can be avoided if the problem is corrected before age 3. Of course, the surgery poses risks of its own. The boy could suffer heavy bleeding or develop infection. However, doctors are alert for such dangers.

IF YOU'RE HEADING FOR THE HOSPITAL...

Before You Go

  • The Week Before Surgery:
  • You'll probably need to stop giving the boy ibuprofen; the doctor will tell you when. Also, never give aspirin to any child under 18. It can cause a serious neurological illness called Reye's syndrome if the child catches a virus. Ask the doctor about any otherover-the-counter medicines you've been giving the child.
  • Your doctor will tell you whether any blood needs to be drawn for preop tests.
  • The Night Before Surgery:
  • Your physician may suggest that you give the boy a sleeping pill.
  • Just before surgery, the child should not eat or drink anything (even water). Your doctor will tell you when the boy should start fasting.
  • Call Your Doctor If...
  • The boy has a cold or flu or is running a high temperature. The operation may need to be postponed.

When You Arrive

  • Check with your doctor before giving the child insulin or any other medication on the day of surgery.

What to Expect While You're There

You may encounter the following procedures and equipment during your son's stay:
  • Taking Vital Signs: These include your son's temperature, blood pressure, pulse (counting his heartbeats), and respirations (counting his breaths). A stethoscope is used to listen to his heart and lungs. His blood pressure is taken by wrapping a cuff around his arm.
  • Blood Tests: The doctor may need to have blood taken for tests. It can be drawn from a vein in the boy's hand or from the bend in the elbow. Several samples may be needed.
  • Chest X-ray: Doctors study this picture of the boy's lungs and heart for signs of infection, pneumonia, and other conditions that might interfere with the operation.
  • Heart Monitor: (Also called anelectrocardiogram [e-LEK-tro-KAR-di-o-gram] or EKG). Typically, three to five sticky pads are placed on different parts of the boy's body. Each pad has a wire that is hooked to a TV-type screen or to a small portable box (telemetry unit) that shows a tracing of each heartbeat.
  • IV: A tube placed in the boy's vein for giving medicine or liquids. It will be capped or have tubing connected to it.
  • Pulse Oximeter: With a little clip connected to his ear, finger, or toe, this machine measures the oxygen in your boy's blood.
  • General Anesthesia: For this operation, the boy needs to be put completely to sleep. The anesthesia will be given either as a liquid in the child's IV or as a gas through a face mask or an endotracheal (END-o-TRA-kee-ull) tube placed in his mouth and throat.

During Surgery

The doctor makes incisions in the boy's groin and scrotum. Each testicle is then pulled down into the scrotum through an opening called the inguinal (IN-gwih-null) canal. The incisions are usually closed with thread that the body eventually absorbs.

After Surgery

The boy should not get out of bed until doctors give the OK. If he's in a crib, keep the side rails up at all times for safety. The incisions will be covered with bandages to keep them clean and dry. A doctor may remove them briefly soon after surgery to check the stitches.
  • Ice: For pain or swelling, you may put ice in a plastic bag, cover it with a towel, and place it over the surgery area for 15 to 20 minutes out of every hour as long as necessary. Do not let the boy sleep on the ice pack. Treatment with ice is most effective when started right after surgery and used for 24 to 48 hours.
  • Heat: After the first 24 to 48 hours you may use heat for pain or swelling. Use a heating pad (turned on low) or a hot water bottle, or put the boy in a warm water bath for 15 to 20 minutes out of every hour as long as needed. Do not let him sleep on the heating pad or hot water bottle. Heat brings blood to the area of the surgery and helps it heal faster.
  • Activity: The boy will need to rest in bed for a while. But even while he's confined to bed, it's important to have him exercise his legs in order to stop blood clots from forming. Tell him to lift one leg off the bed and draw big circles with his toes, then repeat with the other leg. You can also let him lie on his side and pretend to pedal a bike. When you're told it's OK for him to get out of bed, make sure someone is with you the first time he tries. If he feels weak or dizzy, have him sit or lie down right away. Eating: You can begin feeding the youngster as soon as the doctor hears bowel sounds (stomach growling) through a stethoscope. Start with ice chips, then add liquids (water, broth, apple juice, or 7-up). If he has no problems after drinking liquids, he'll be allowed to eat soft foods such as ice cream, applesauce, or custard. If he does well with soft food, he can resume his regular diet.
  • Strict Intake or Output: Your doctor may need to know the amount of liquid your boy is taking in versus the amount he loses in his urine. This is often called "I&O." Try to keep track of how much the boy drinks. Check with a nurse before flushing urine down the toilet or disposing of the boy's diapers.
  • Medicines:
  • Antibiotics: These medicines may be prescribed to prevent a bacterial infection. They can be given by IV, as a shot, or by mouth.
  • Pain Medicine: Your doctor can prescribe pain-killers to be given in your boy's IV, as a shot, or by mouth. Tell your doctor or nurses if the pain doesn't seem to go away, or if it comes back.
  • Anti-Nausea Medicine: Because pain medicine sometimes upsets the stomach, your doctor may prescribe additional medicine to calm your son's stomach and control vomiting.

After You Leave

  • Always give medicine exactly as directed. If it doesn't seem to help, let the doctor know, but keep giving it until told otherwise. If the boy has been prescribed antibiotics, be sure to use them up, even if he's feeling better.
  • When your doctor says it's alright to bathe the boy, carefully wash the incisions with soap and water. Afterwards put on a clean, new bandage. Change the bandage any time it gets wet or dirty.
  • If the boy has steristrips (thin strips of tape) over the incision, keep them clean and dry. As they start to peel off, let them fall off by themselves. Don't pull them off.
  • Urination should not hurt the youngster. If you think it's causing the boy pain, call the doctor.
  • Children usually get better quickly after surgery. Let your child rest as much as needed. He may return to normal activity when he seems ready. Once he feels better, he can do all the things he normally does every day. Lifting things should not damage the stitches.

Call Your Doctor If...

  • The boy's stitches are swollen or red, or you see pus coming out of them. They may be infected.
  • The stitches come apart.
  • The bandage becomes soaked with blood.
  • The boy develops a high temperature.
  • He is fussy or crying a lot.
  • His pain won't go away or seems to be getting worse.

Posted by Muhammad Zarif Izzudin at 3:29 PM 1 comments
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