Radical prostatectomy - kutulutsa

Munachitidwa opaleshoni kuti muchotse prostate yanu yonse, minofu ina pafupi ndi prostate yanu, ndipo mwina ma lymph node. Nkhaniyi ikukuwuzani momwe mungadzisamalire kunyumba mukatha opaleshoni.

Munachitidwa opaleshoni kuti muchotse prostate yanu yonse, minofu ina pafupi ndi prostate yanu, ndipo mwina ma lymph node. Izi zinkachitidwa pofuna kuchiza khansa ya prostate.

• Dokotala wanu ayenera kuti adadula (mwina) kumunsi kwa mimba yanu kapena kudera pakati pa scrotum ndi anus (opaleshoni yotseguka).
• Dokotala wanu mwina atha kugwiritsa ntchito loboti kapena laparoscope (chubu chochepa thupi chokhala ndi kamera yaying'ono kumapeto). Mudzakhala ndi zocheperako zingapo pamimba panu.

Mutha kukhala otopa ndikusowa kupumula kwakanthawi kwa milungu itatu kapena inayi mukapita kwanu. Mutha kukhala ndi zowawa m'mimba mwanu kapena malo omwe muli pakati pamatumbo ndi anus kwa milungu iwiri kapena itatu.

Mupita kunyumba ndi kateti (chubu) kukatulutsa mkodzo m'chikhodzodzo chanu. Izi zichotsedwa pakadutsa sabata limodzi kapena atatu.

Mutha kupita kunyumba ndikutulutsa zina (zotchedwa Jackson-Pratt, kapena JP drain). Muphunzitsidwa momwe mungatherere ndi kusamalira.

Sinthani kavalidwe kanu pachilonda chanu kamodzi patsiku, kapena posachedwa ngati chaipitsidwa. Wothandizira zaumoyo wanu angakuuzeni nthawi yomwe simuyenera kusunga bala lanu. Malo osungira chilonda akhale oyera powasambitsa ndi sopo wofatsa ndi madzi.

• Mutha kuchotsa zokutira ndi bala kuti mugwiritse ntchito sutures, chakudya, kapena guluu kutseka khungu lanu. Phimbani ndi pulasitiki musanasambe sabata yoyamba ngati muli ndi tepi (Steri-Strips) pamwamba pake.
• MUSAMAKHALIKE mu bafa kapena mu chubu lotentha, kapena kupita kusambira, bola ngati muli ndi catheter. Mutha kuchita izi atachotsa catheter ndipo dokotala wanu wakuwuzani kuti zili bwino kutero.

Matenda anu atha kutupa kwa milungu iwiri kapena itatu ngati mutachitidwa opaleshoni yotseguka. Mungafunike kuvala zokuthandizani (monga zingwe zomangirira) kapena kabudula wamkati wamkati mpaka kutupa kumatha. Mukakhala pabedi, mutha kugwiritsa ntchito thaulo pansi pachikopa chanu kuti muthandizidwe.

Mutha kukhala ndi zotulutsa madzi (zotchedwa Jackson-Pratt, kapena JP drain) pansi pa batani lanu lamimba lomwe limathandizira madzi owonjezera kutuluka mthupi lanu ndikuletsa kuti lisamange m'thupi lanu. Wopereka wanu azitulutsa pakatha masiku 1 mpaka 3.

Pamene muli ndi catheter yamikodzo:

• Mutha kumva kukomoka mu chikhodzodzo. Wothandizira anu akhoza kukupatsani mankhwala pa izi.
• Muyenera kuwonetsetsa kuti catheter yanu yokhalamo ikugwira ntchito bwino. Muyeneranso kudziwa momwe mungatsukitsire chubu ndi dera lomwe limamangirira thupi lanu kuti musatenge matenda kapena khungu.
• Mkodzo mu thumba lanu lamadzi ukhoza kukhala wofiira kwambiri. Izi si zachilendo.

Katemera wanu atachotsedwa:

• Mutha kuyaka mukasaka, magazi mumkodzo, kukodza pafupipafupi, komanso kufunika kokodza mwachangu.
• Mutha kukhala ndi kutulutsa mkodzo (kusadziletsa). Izi ziyenera kusintha pakapita nthawi. Muyenera kukhala ndi chiwongolero chabwinobwino mkati mwa miyezi 3 mpaka 6.
• Muphunzira zolimbitsa thupi (zotchedwa Kegel zolimbitsa thupi) zomwe zimalimbitsa minofu m'chiuno mwanu. Mutha kuchita izi nthawi iliyonse mukakhala kapena mutagona.

Osayendetsa galimoto milungu itatu yoyamba mutabwerera kunyumba. Pewani maulendo ataliatali a galimoto ngati mungathe. Ngati mukufunika kuyenda ulendo wautali wamagalimoto, imani osachepera maola awiri aliwonse.

Osakweza chilichonse cholemera kuposa botolo la mkaka wokwanira malita anayi kwa milungu 6 yoyambirira. Mutha kubwereranso pang'onopang'ono ku zizolowezi zanu zolimbitsa thupi pambuyo pake. Mutha kuchita zochitika za tsiku ndi tsiku panyumba ngati mukufunitsitsa kutero.Koma yembekezerani kutopa mosavuta.

Imwani magalasi osachepera 8 a madzi patsiku, idyani zipatso ndi ndiwo zamasamba zambiri, ndipo tengani zofewetsa kupewera kudzimbidwa. Musamapanikizike mukamayenda m'matumbo.

Musatenge aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), kapena mankhwala ena ofanana nawo milungu iwiri mutachitidwa opaleshoni. Amatha kuyambitsa mavuto a magazi.

Mavuto omwe mungazindikire ndi awa:

• Kukhazikika kwanu sikungakhale kolimba. Amuna ena sangathe kukhala ndi erection.
• Chiwerewere chanu sichingakhale champhamvu kapena chosangalatsa monga kale.
• Simungazindikire umuna konse mukakhala ndi vuto.

Mavutowa amatha kukhala bwino kapena amatha, koma atha kutenga miyezi yambiri kapena kupitilira chaka. Kuperewera kwa umuna (umuna womwe umatuluka ndi vuto) kudzakhala kwamuyaya. Funsani dokotala wanu za mankhwala omwe angakuthandizeni.

Itanani omwe akukuthandizani ngati:

• Muli ndi zowawa m'mimba mwanu zomwe sizimatha mukamamwa mankhwala anu opweteka
• Ndipovuta kupuma
• Muli ndi chifuwa chomwe sichitha
• Simungamwe kapena kudya
• Kutentha kwanu ndikoposa 100.5 ° F (38 ° C)
• Mabala anu opangira opaleshoni akutuluka magazi, ofiira, ofunda mpaka kukhudza, kapena amakhala ndi ngalande yakuda, yachikasu, yobiriwira, kapena yamkaka
• Muli ndi zizindikilo za matenda (kutentha pamtima mukakodza, kutentha thupi, kapena kuzizira)
• Mtsinje wanu si wamphamvu kapena simungathe kutulutsa nkomwe
• Muli ndi ululu, kufiira, kapena kutupa m'miyendo mwanu

Ngakhale muli ndi kateti yamikodzo, itanani omwe akukuthandizani ngati:

• Muli ndi ululu pafupi ndi catheter
• Mukutuluka mkodzo
• Mumazindikira magazi ambiri mumkodzo wanu
• Catheter yanu ikuwoneka yotsekedwa
• Mukuwona kukoka kapena miyala mkodzo wanu
• Mkodzo wanu umanunkhiza bwino, kapena ndi mitambo kapena mtundu wina
• Catheter yanu yagwa

Prostatectomy - kwakukulu - kumaliseche; Radical retropubic prostatectomy - kutulutsa; Zazikulu perineal prostatectomy - kumaliseche; Laparoscopic kwakukulu prostatectomy - kumaliseche; LRP - kutulutsa; Laparoscopic prostatectomy - kutulutsa; RALP - kutulutsa; Pelvic lymphadenectomy - kumaliseche; Khansa ya prostate - prostatectomy

Catalona WJ, Han M. Kuwongolera kwa khansa ya prostate yakomweko. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 112.

Nelson WG, Antonarakis ES, Carter HB, De Marzo AM, ndi al. Khansa ya prostate. Mu: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, olemba. Chipatala cha Abeloff's Oncology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: chap 81.

Skolarus TA, Wolf AM, Erb NL, ndi al. Malangizo othandizira kupulumuka kwa khansa ku American Cancer Society. CA Khansa J Clin. 2014; 64 (4): 225-249. PMID: 24916760 www.ncbi.nlm.nih.gov/pubmed/24916760. (Adasankhidwa)

• Khansa ya prostate
• Wopanga prostatectomy
• Kubwezeretsanso kukweza
• Kusadziletsa kwamikodzo

• Zochita za Kegel - kudzisamalira
• Chisamaliro cha catheter cha Suprapubic
• Ma catheters amkodzo - zomwe mungafunse dokotala wanu
• Matumba otulutsa mkodzo

• Khansa ya Prostate