Mitundu ya Opaleshoni ya Prostate Mwachindunji

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Opaleshoni ya Prostate: Mwachidule

Kuchita opaleshoni ya prostate kumachitika kawirikawiri pa zifukwa ziwiri: kansa ya prostate ndi benign prostatic hypertrophy (BPH). Kuchiza kungakhale kupulumutsa moyo, kapena kungatheke kuthetsa mavuto omwe akukwera omwe sanayankhe mankhwala.

Kusankha pa njira ya prostate kungakhale kovuta monga pali mitundu yambiri yomwe ikupezeka kuti ikhale ndi mankhwala a prostate. Kuchita opaleshoni iliyonse kuli ndi phindu lapadera. Zina mwa njira zochepetsetsa zomwe zimakhala zochepa kwambiri zimakhala ndi nthawi yowonongeka mwamsanga, koma siziyenera kulandira khansa. Njira zowonongeka kwambiri zingayambitse mavuto aakulu, koma nkhanizi ziyenera kuyeza poyesa kuika khansara ya prostate osatengedwera.

Dokotala wanu opaleshoni angakhale chisankho chofunika kwambiri chomwe mumapanga, mochuluka kuposa momwe mungagwiritsire ntchito. Wodziwa bwino dokotala wa opaleshoni, makamaka ndi zodziwika bwino akuchita zambiri kapena zikwi za njira monga zanu, mosakayikira inu mudzakhala ndi erectile kulephera chifukwa cha mitsempha yawonongeka.

Kuwonjezera pa kusankha dokotala wochita opaleshoni, ndikofunikira kugwira ntchito ndi dokotala wanu opaleshoni kuti musankhe njira yabwino kwambiri yopezera zosowa zanu. Njira zina zimagwiritsidwira ntchito kuchepetsa matenda a prostate, ena amachotsa gawo kapena prostate yonse ndipo amagwiritsidwa ntchito pochiza khansa.

Opaleshoni yonse ili ndi chiopsezo, opaleshoni ya prostate ili ndi zoopsa zina pokhapokha kuopsa koopsa kwa opaleshoni .

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Opaleshoni ya Robotic Prostate

Prostatectomy yothandizidwa ndi robotic ndi mankhwala opatsirana opaleshoni ochizira khansa ya prostate mothandizidwa ndi robot. Mukachita popanda robot imatchedwa prostatectomy laparoscopic koma mosiyana ndi njira yomweyi.

Ndikofunika kukumbukira kuti luso la dokotalayo ndilofunika kwambiri pozindikira zotsatira zomaliza kuchokera ku opaleshoni yanu. Robot m'manja mwa dokotala wamkulu opaleshoni iyenera kukhala ndi zotsatira zabwino kwambiri, komabe, opaleshoni yopanga opaleshoni yochitidwa ndi dokotala wochita kafukufuku wochepa kwambiri sangakhale ndi zotsatira zabwino.

Ma prostatectomy laparoscopic ndi robotic njira zowonongeka , zomwe zimagwiritsidwa ntchito pogwiritsa ntchito zilembo zapamwamba m'malo mochita opaleshoni yapamwamba yomwe idagwiritsidwa ntchito kwambiri kuchoka ku pubic bone mpaka umbilicus.

Ndondomekoyi imagwiridwa ndi anesthesia ndipo imayamba ndi zochepa zisanu zomwe zimakhala pakati pa fupa la pubic ndi umbilicus. Kupyolera mu zidazi zing'onozing'ono zimayikidwa, kuphatikizapo kanema kanema, kuthandiza zipangizo ndi zida zowonongeka. Mu njira yopangira roboti, dokotalayo akuyendetsa zipangizo zochepetsera pogwiritsa ntchito robot. Mu njira yopanda roboti, manja a dokotalayo akuwongolera mwachindunji zida.

Prothate imachotsedwa kudzera mu chotsitsa chitatha kudulidwa ndi scalpel kapena chida chofanana. Pamene minofu yachotsedwa, malowa akudiridwa ndi njira yothetsera, catheter ya foley imalowetsedwa ndipo zotsatirazo zatsekedwa.

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Kutsata kwa Transtrethral kwa Prostate (TURP)

Kutentha kwa prostatethral ya prostate, yomwe imatchedwanso njira ya TURP, ndi imodzi mwa opaleshoni ya prostate yomwe imagwiritsidwa ntchito pochiza khansa. Ndondomekoyi imachitika m'njira ziwiri, "njira" yomwe imagwiritsira ntchito scalpel kuchotsa mitsempha ya prostate, kapena kugwiritsa ntchito electro-resection, yomwe imagwiritsa ntchito waya wothandizira kuti ichotse minofu.

Ndondomekoyi imakhala yochepa kwambiri, ndipo palibe zooneka zomwe zimafuna kuti chisamaliro chisamangidwe pambuyo pochitika. Ndi njira yochiritsira matenda , ndipo wodwala amakhala m'chipatala usiku wonse.

Njira ya TURP imayamba ndi kayendedwe ka anesthesia . Mphuno ndi khungu loyandikana ndizoyeretsedwa ndi njira yothetsera khungu koposa momwe zingathere. Malo osindikizira amatha kumetedwa.

Dokotalayu amayamba poyambitsa kachipupa kapena resectoscope mu urethra. Chidacho chimakhala ndi kuwala ndi kamera, zomwe zimathandiza dokotalayo kuti aziwone bwinobwino njirayi. Zida zomwe amagwiritsidwa ntchito nthawi zambiri zimakhala zazifupi ndi theka ndi inchi ndi yaitali khumi ndi awiri.

Chida chofanana ndi chubu chimapita patsogolo kudzera mu urethra mpaka prostate imafika. Pamene ilipo, dokotalayo amachotsa ziwalo za prostate kapena mankhwala onse. Izi zikhoza kuchitidwa ndi chida chocheka kapena waya wopangidwa ndi magetsi.

Malo opaleshoni nthawi zambiri amachotsedwa ndi njira yothirira, yomwe imayambitsa ziwalo zonse za prostate kupita mu chikhodzodzo. Njirayi ingakhale ndi zowonjezera zomwe zimapewa matenda kapena kuchepetsa kutupa.

Pamene opaleshoniyo yatsirizidwa, zidazo zimachotsedwa ndipo catheter ya foley imalowetsedwa m'chikhodzodzo. Mbali za prostate zomwe ziri m'chikhodzodzo zimachotsedwa mthupi ndi mkodzo, kupita ku thumba la zokolola za foley catheter.

Pakhoza kukhala magazi ena mumtsinje masiku omwe akutsatidwa opaleshoni, ndipo zidutswa za prostate kuchokera m'chikhodzodzo zimatchulidwanso.

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Transurethral Microwave Thermotherapy (TUMT)

Transurethral microwave thermotherapy (TUMT) ndi mankhwala opatsirana opaleshoni ya benign prostatic hypertrophy (BPH). Ndondomekoyi ikutanthawuza kuthandiza amuna omwe akuvutika kukodza chifukwa cha kukula kwa prostate ndipo sagwiritsidwa ntchito pochiza khansa ya prostate. Ndondomekoyi imabwerezedwa mobwerezabwereza kuti mupeze zotsatira.

Pansi pa sedation , kathete yapadera yamakono imalowetsedwa kudzera mu urethra ndi chikhodzodzo. Dokotalayo atakhala ndi katheta m'malo mwake, kachilombo kakang'ono ka tizilombo toyambitsa matenda kameneka kamalowetsedwa mu prostate gland .

Kamodzi pamalo, nyanjayi imatenthedwa kufika madigiri 113 Fahrenheit (45 degrees Celcius). Kutentha pansi pa madigiri 113 sikumapereka kutentha kofunikira kwa minofu yodalirika imfa, komabe kutentha kwapamwamba kungayambitse kupweteka ndipo kumafuna chigawo chozizira panthawiyi.

Ndondomeko ikhoza kubweretsa prostate edema (kutupa) kuti catheter yamkodzo ikhale yochepa masiku asanu ndi asanu ndi awiri. Kwa odwala ambiri, TUMT imabwerezedwa kangapo chifukwa cha zotsatira zabwino.

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Opaleshoni Yochepa Yopatsa Prostate (TUEVAP)

Kutentha kwa Transturethral Electro-Vaporization ya Prostate, kapena TUEVAP, ndi kusiyana kwakukulu kochepa pa njira ya TURP yomwe imagwiritsa ntchito electrocautery kuchotsa minofu ya prostate.

Ndondomekoyi ndi yofanana koma m'malo mogwiritsa ntchito waya wothira mafuta kuti achotse minofu ya prostate, yogwiritsira ntchito magetsi. Mpirawo umagwiritsidwa ntchito ku prostate, kupukuta minofu yosafunikira. Mpirawo ukhoza kugwiritsidwa ntchito pofuna kupha mitsempha yaing'ono kuti iwononge magazi.

> Zotsatira:

> Kuchotsa Mtembo Patatha Opaleshoni ya Prostate. Global Robotics Institute ku Florida Hospital.

> Laparoscopic Robotic Assisted Prostatectomy. Health University System ya University of Michigan.

> Transurethral Electro-Resection ya Prostate. Mikungudza-Sina.

> Transurethral Microwave Technology. Mikungudza-Sina.

> Kutembenuka kwa Transterthral kwa Prostate. National Institute of Health.

> Kuchotsa Mitsempha Yotchedwa Urinary Potsatira Chithandizo cha Khansa ya Prostate: Chikoka ndi Kufotokozera Kwachipatala. Kuchokera ku Service d'Urologie kuchipatala Charles Nicolle, Rouen, France (PG), ndi Programme ya Genitourinary ku H. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida. Masiku ano .