Kuchita opaleshoni yotchuka ya prostate (BPH) ndi njira yabwino kwambiri komanso yothetsera chithandizo chamtundu uliwonse wa BPH ( benign prostatic hyperplasia ).
Chimodzi mwa zizindikiro zomwe anthu amakumana nazo akafika zaka makumi asanu ndi limodzi ndi makumi asanu ndi ziwiri (nthawi zina ngakhale kale), ndi BPH, yomwe ingawoneke yosadziwika mpaka itatchedwa dzina lake lofala, prostate yowonjezera.
Prothate ili pansi pa chikhodzodzo, ndipo imagwirizanitsa ndi urethra , yomwe chubu imanyamula mkodzo kuchokera kuchikhodzodzo kunja kwa thupi lanu mukamaliza. Pamene prostate ikukulitsidwa, pali prostate yowonjezera mu prostate. Prothate imatha kukanikiza molimba kwambiri urethra, kusokoneza kuti imayenda bwino. Ngati zizindikiro zanu ndizoopsa kwambiri, simungathe kukodza, zomwe ndizozidzidzidzi kuti muwauze orologist wanu nthawi yomweyo.
Ndi opaleshoni ya BPH, zizindikiro zimatha kusintha kwa zaka 10. Komabe, mwazochita zonse, opaleshoni ndi amene angakusiye ndi erectile dysfunction . Ngati muli ndi vuto lalikulu ndi zizindikiro za BPH, muyenera kufufuza njira ndi chithandizo cha mankhwalawa musanasankhe.
TURP - Opaleshoni Yowonjezereka Kwambiri ya Prostate
Kugwiritsidwa ntchito kwa prostatethral kwa prostate (TURP) ndi opaleshoni yofala kwambiri kwa BPH.
Zimatengedwa ngati mankhwala a golide a BPH chifukwa akhala akutalika kwambiri. Ndi mankhwala omwe amachiritsidwa atsopano amawonekera.
Kuchita opaleshoni kumaphatikizapo kuika kamera kakang'ono kwambiri kapena endoscope yomwe imadutsa pampando wa penis kudzera mu urethra ndi chikhodzodzo ndi kuchotsa minofu yochulukirapo ku prostate.
Pa gawo loyambalo la njirayi, urologist amayesa mavuto mu chikhodzodzo chomwecho, monga zotupa za chikhodzodzo kapena miyala. Poganiza kuti urologist sapeza mavuto osayembekezereka, chida cha magetsi chimayikidwa kupyolera mu urethra ndi pafupi ndi malo omwe minofu ya prostate imatsutsana ndi urethra. Chovalacho chimachotsa minofu yambiri mu prostate. Kutsegula magetsi kumagwiritsidwanso ntchito poletsa kutuluka kwa magazi kumene opaleshoniyo inkachitidwa.
Minofu yomwe imachotsedwa imayesedwa pa labotale kuti zitsimikizire kuti palibe khansa ya prostate yomwe ilipo. Kathethala imayikidwa kudzera mu urethra ndi chikhodzodzo kuti mutenge mkodzo wanu mpaka mutachiritsa.
Ndondomekoyi imachitidwa kuchipatala pansi pa anesthesia. Malo okhala kuchipatala ndi ochepa, nthawi zina amakhala ochepa monga tsiku limodzi pansi pa chisamaliro choyang'anira. Pakutha, muyenera kutsimikiza kuti dokotala wanu akukuuzani momwe mungadzisamalire nokha ndikumva kuti zingakhale zovuta.
Kubwezeretsa Pambuyo pa TURP kwa Prostate Yowonjezereka
Muyenera kuyembekezera kukhala ndi catheter yamakono m'masiku angapo kwa masiku angapo. Mukapita kunyumba ndi catheter, mudzawona ndi dokotala wanu wa urologisti mkati mwa tsiku limodzi kapena awiri kuti mutenge kathetera.
Atabwerera kwawo, abambo amatha kuona magazi mumtsuko.
Ngakhale chowopsya pachiyambi, izi nthawi zambiri zimangotuluka kuchokera ku nkhanambo kuchokera ku bala lozungulira opaleshoni. Komabe, ngati mkodzo wanu uli wofiira kwambiri, funsani dokotala mwamsanga.
- Onetsetsani kuti mukugona pabedi mukatha opaleshoni ndipo mumamwa madzi ambiri. Izi zidzatsuka malipiro amagazi ndi kuteteza khungu, zomwe zingachititse kuti mutseke m'mitsempha yanu.
- Pewani kuyendetsa galimoto ndi kukweza katundu.
- Musasokoneze pamene mukusuntha matumbo anu.
- Ngati mwatonthozedwa, funsani dokotala kuti apeze njira yabwino yothetsera vutoli (kaya mutenge mankhwala ozunguza bongo ndi abwino kwa inu).
Zotsatira Zotsatira za TURP za Prostate Yowonjezereka
Pa miyezi ingapo yapitayi, mutha kukomoka.
Poyamba, mutha kukhala ndi mphamvu yamphamvu yamakina imene simungathe kuiiwala. Komabe, malo anu opatsirana opaleshoni adzawululidwa kamodzi kathetta yanu itatuluka, kotero mukhoza kumva ululu mukamaliza. Pakangotha miyezi ingapo, kuyendetsa mkodzo kwanu kudzakhazikika, ndipo kusakanizidwa kosasintha kapena kukanika kudzatha.
Amuna ena ali ndi zovuta kuchokera ku opaleshoni. Zotsatira zoyipa zomwe zimachitika ndi kubwezeretsa . Mukasintha, mimba yanu imathamangira ku chikhodzodzo, osati monga momwe zimakhalira. Izi sizingakhale zodetsa nkhaŵa kwa amuna omwe safuna kubereka ana, koma ndi chifukwa chodziwikiratu cha kusabereka kwa amuna.
Kulephera kwa erectile kwa nthawi yayitali ndi kusabisa kumtenda ndizo zizindikiro zomwe anthu amadandaula nazo kwambiri. Funsani dokotala kuti ndi chiani chiwerengero cha amuna omwe ali ndi zizindikiro zanu ndi zomwe zimatha kumakhala ndi vuto la erectile la nthawi yaitali komanso kusagwedeza kwa umuna. Mpata wa zochitika izi ndi zovuta kufotokozera, komabe, chifukwa kafukufuku akuwerengera pa mapu onse. Kusagwirizana kwa urinary kumakhala kochepa kwambiri (kawirikawiri kuzungulira 1 peresenti) kuposa erectile dysfunction.
Kukhoza Kuchita Opaleshoni Yowonjezereka: Tsegulani Prostatectomy kwa Prostate Yowonjezereka
Nthawi zina sizingatheke kuchotsa minofu ya prostate kuchokera ku prostate yayikulu kwambiri pogwiritsa ntchito njira yopuma. Dokotala wanu sangathe kupeza chubu chachikulu chokwanira mu urethra, kotero prostatectomy yotseguka - kuchotsa opaleshoni yonse ya prostate - ikhoza kukhala yofunikira.
Zifukwa zina zomwe mungafunike kutseguka ndi monga kukhala ndi miyala ya chikhodzodzo kapena kusakhoza kuyika miyendo yanu kuti mulole kuti TURP kapena njira zochepetsera zosayembekezereka zichitike.
Chifukwa ndi opaleshoni yotseguka, mudzakhala m'chipatala kwa masiku angapo, ndipo mudzakhala ndi ululu wambiri kusiyana ndi njira zochepetsera,
Kukula kwa Chizindikiro ndi Opaleshoni kwa BPH
Malinga ndi zomwe bungwe la American Urological Association linanena, kusintha kwakukulu kwa zizindikiro zodwala, ndiko motere:
- TURP: 88%
- Tsegulani Prostatectomy: 98%
Zotsatira:
Presti JC, Kane CJ, Shinohara K, Carroll. PR. Maopopu a prostate gland. Chapt. 22. Mu: Tanagho ndi McAninch, eds. Smith's General Urology. 17th ed. New York: McGraw Hill .
Kusamalira opaleshoni ya BPH. American Urological Association Foundation.
Tanguay S, Awde M, Brock G, Casey R, et al. Kuzindikira ndi kusamalira bongo prostatic hyperplasia kuchipatala chachikulu. Kodi Urol Assoc J 2009 (3Suppl2): S92-S100.