Kutulutsa kwa prostate kwa transurethral

Transurethral resection wa prostate (TURP) ndi opaleshoni yochotsa mbali yamkati mwa prostate gland. Zimachitidwa pofuna kuchiza zizindikiro za prostate yowonjezera.

Kuchita opaleshoni kumatenga pafupifupi 1 mpaka 2 maola.

Mudzapatsidwa mankhwala musanachite opareshoni kuti musamve kuwawa. Mutha kupeza mankhwala oletsa ululu omwe mukugona komanso opanda ululu kapena ochititsa dzanzi a msana omwe muli ogalamuka, koma ofooka kuyambira mchiuno mpaka pansi.

Dokotalayo amalowetsa chotupa kudzera mu chubu chomwe chimanyamula mkodzo kuchokera m'chikhodzodzo chanu kutuluka mbolo. Chida ichi chimatchedwa resectoscope. Chida chodulira chapadera chimayikidwa kupyola muyeso. Amagwiritsidwa ntchito kuchotsa gawo lamkati la prostate gland yanu pogwiritsa ntchito magetsi.

Wothandizira zaumoyo wanu akhoza kulimbikitsa opaleshoniyi ngati muli ndi benign prostatic hyperplasia (BPH). Ubongo wa prostate nthawi zambiri umakula akamakula amuna. Prostate yayikulu imatha kubweretsa mavuto pokodza. Kuchotsa gawo la prostate gland nthawi zambiri kumapangitsa kuti zizindikilozi zikhale zabwinoko.

TURP itha kulimbikitsidwa ngati muli:

• Zovuta kutulutsa chikhodzodzo
• Matenda opatsirana pafupipafupi
• Kutuluka magazi kuchokera ku prostate
• Mwala wa chikhodzodzo wokulitsa prostate
• Kuchepetsa pokodza kwambiri
• Kuwonongeka kwa impso chifukwa cholephera kukodza
• Kudzuka nthawi zambiri usiku kukodza
• Nkhani zowongolera chikhodzodzo chifukwa cha prostate yayikulu

Musanachite opareshoni, omwe amakupatsani angakuuzeni kuti musinthe momwe mumadyera kapena kumwa. Muthanso kufunsidwa kuti muyesere kumwa mankhwala. Gawo la prostate lanu lingafunike kuchotsedwa ngati izi sizikuthandizani. TURP ndi imodzi mwazofala zamankhwala opaleshoni ya prostate. Njira zina zimapezekanso.

Wopezayo amakambirana zotsatirazi posankha mtundu wa opareshoni:

• Kukula kwa prostate gland yanu
• Thanzi lanu
• Kodi ndi opaleshoni yamtundu wanji yomwe mungafune
• Kuopsa kwa zizindikiro zanu

Zowopsa za opaleshoni iliyonse ndi izi:

• Magazi amatundikira m'miyendo yomwe imatha kupita kumapapu
• Mavuto opumira
• Kutenga, kuphatikizapo bala la opaleshoni, mapapo (chibayo), kapena chikhodzodzo kapena impso
• Kutaya magazi
• Matenda a mtima kapena sitiroko panthawi yochita opaleshoni
• Zomwe zimachitika ndi mankhwala

Zowopsa zina ndi izi:

• Mavuto ndi kuwongolera mkodzo
• Kutaya umuna
• Mavuto okonzekera
• Kutumiza umuna mu chikhodzodzo mmalo mopyola mu urethra (kukonzanso umuna)
• Urethral kukhazikika (kumangika kwa kwamikodzo kuchokera pachilonda chofiira)
• Matenda a Transurethral resection (TUR) (madzi akamapanga opaleshoni)
• Kuwonongeka kwa ziwalo zamkati ndi kapangidwe kake

Mudzakhala ndi maulendo ambiri ndi omwe amakupatsani mayeso ndi mayeso musanachite opaleshoni. Ulendo wanu uphatikizira:

• Kuyezetsa thupi kwathunthu
• Kuchiza ndi kuwongolera matenda ashuga, kuthamanga kwa magazi, mavuto amtima kapena am'mapapo, ndi zina

Ngati mumasuta, muyenera kusiya milungu ingapo musanachite opareshoni. Wothandizira anu akhoza kukupatsani malangizo a momwe mungachitire izi.

Nthawi zonse muuzeni omwe akukuthandizani mankhwala, mavitamini, ndi zina zowonjezera zomwe mumamwa, ngakhale zomwe mwagula popanda mankhwala.

Pakati pa masabata musanachite opaleshoni yanu:

• Mutha kupemphedwa kusiya kumwa mankhwala omwe angachepetse magazi anu, monga aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), vitamini E, clopidogrel (Plavix), warfarin (Coumadin), apixaban (Eliquis), ndi ena.
• Funsani omwe amakupatsani mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.

Patsiku la opareshoni yanu:

• Musadye kapena kumwa kalikonse pakati pausiku usiku usanachitike opaleshoni yanu.
• Tengani mankhwala omwe munauzidwa kuti mumamwe pang'ono.
• Mudzauzidwa nthawi yobwera kuchipatala.

Nthawi zambiri mumakhala mchipatala kwa masiku 1 kapena 3. Nthawi zina, mutha kuloledwa kupita kwanu tsiku lomwelo.

Pambuyo pa opareshoni, mudzakhala ndi chubu chaching'ono, chotchedwa catheter ya Foley, mu chikhodzodzo chanu kuti muchotse mkodzo. Chikhodzodzo chanu chitha kuthiriridwa ndi madzi (kuthirira) kuti chikhale chowonekera bwino. Mkodzo udzawoneka wamagazi poyamba. Nthaŵi zambiri, magazi amatuluka m'masiku ochepa. Magazi amathanso kuyenderera mozungulira catheter. Njira yapadera ingagwiritsidwe ntchito kutulutsa catheter ndikuti isadzaze ndi magazi. Catheter idzachotsedwa mkati mwa masiku 1 mpaka 3 kwa anthu ambiri.

Mutha kubwerera kuti mudye chakudya choyenera nthawi yomweyo.

Gulu lanu lazachipatala lidza:

• Kukuthandizani kusintha malo pabedi.
• Phunzitsani masewera olimbitsa thupi kuti magazi aziyenda.
• Kukuphunzitsani momwe mungapangire kutsokomola komanso kupuma mwakuya. Muyenera kuchita izi maola atatu kapena anayi aliwonse.
• Kukuuzani momwe mungadzisamalire mutatha kuchita.

Mungafunike kuvala masitonkeni olimba ndikugwiritsa ntchito chida chopumira kuti mapapu anu aziwoneka bwino.

Mutha kupatsidwa mankhwala ochepetsa chikhodzodzo.

TURP imachepetsa zizindikilo za prostate wokulitsidwa nthawi zambiri. Mutha kutentha ndi kukodza, magazi mumkodzo wanu, kukodza pafupipafupi, ndipo muyenera kukodza mwachangu. Izi zimatha kutha pakadutsa kanthawi.

KULIMBITSA; Kubwezeretsa prostate - transurethral

• Chitetezo cha bafa cha akulu
• Kukula kwa prostate - zomwe mungafunse dokotala wanu
• Kusamalira catheter wokhala
• Zochita za Kegel - kudzisamalira
• Kupewa kugwa
• Chisamaliro cha bala la opaleshoni - chotseguka
• Kutulutsa kwa prostate kwa prostate - kutulutsa

• Kutengera kwamwamuna kubereka
• Chiberekero cha prostate
• Prostatectomy - Mndandanda
• Transurethral resection wa prostate (TURP) - Mndandanda

Wophunzitsa HE, Dahm P, Kohler TS, et al. Kuwongolera opareshoni yazizindikiro zam'munsi za kwamikodzo zomwe zimayambitsidwa ndi benign prostatic hyperplasia: AUA Guideline Amendment 2019. J Urol. 2019; 202 (3): 592-598. (Adasankhidwa) PMID: 31059668 www.ncbi.nlm.nih.gov/pubmed/31059668. (Adasankhidwa)

Han M, Partin AW. Prostatectomy yosavuta: njira zotseguka komanso zothandizidwa ndi maloboti. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 106.

Milamu DF. Kutsekemera kwa transurethral ndi kudula kwa transgethral kwa prostate. Mu: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, olemba. Hinman’s Atlas of Urologic Surgery. Wolemba 4. Philadelphia, PA: Elsevier; 2018: chap 67.

Roehrborn CG. Benign prostatic hyperplasia: etiology, pathophysiology, epidemiology, ndi mbiri yachilengedwe. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 103.