Kutsekemera kwa prostate - kochepa kwambiri

Kuchepetsa kwambiri kwa prostate resection ndi opaleshoni kuchotsa gawo la prostate gland. Zimapangidwa kuti zithandizire kukulitsa prostate. Kuchita opareshoni kumathandizira kutuluka kwamkodzo kudzera mu mtsempha, chubu chomwe chimanyamula mkodzo kuchokera mu chikhodzodzo kunja kwa thupi lanu. Zitha kuchitika m'njira zosiyanasiyana. Palibe chodulira pakhungu lanu.

Njirazi nthawi zambiri zimachitika muofesi ya omwe amakuthandizani kapena ku chipatala cha odwala.

Opaleshoniyo imatha kuchitidwa m'njira zambiri. Mtundu wa opareshoni umadalira kukula kwa prostate yanu ndi zomwe zidakulitsa. Dokotala wanu adzawona kukula kwa prostate yanu, thanzi lanu, komanso mtundu wanji wa opaleshoni yomwe mungafune.

Njira zonsezi zimachitika podutsa chida potsegula mbolo yanu (nyama). Mudzapatsidwa mankhwala ochititsa dzanzi (ogona komanso opanda ululu), msana kapena matenda ochititsa dzanzi (ogalamuka koma opanda kuwawa), kapena ochititsa dzanzi m'deralo. Zosankha zokhazikitsidwa bwino ndi izi:

• Laser prostatectomy. Njirayi imatenga pafupifupi 1 mpaka 2 maola. Laser imawononga minofu ya Prostate yomwe imatseka kutsegula kwa mtsempha. Mwina mupita kunyumba tsiku lomwelo. Mungafunike catheter ya Foley yoyikidwa mu chikhodzodzo kuti muthandize kukhetsa mkodzo masiku angapo mutachitidwa opaleshoni.
• Kuchotsa singano ya Transurethral (TUNA). Dokotalayo amapatsira singano mu prostate. Mafunde akumveka kwambiri (ultrasound) amatenthetsa masingano ndi minofu ya prostate. Mungafunike catheter ya Foley yoyikidwa mu chikhodzodzo kuti muthandize kukhetsa mkodzo mukatha opaleshoni masiku atatu kapena asanu.
• Transurethral microwave thermotherapy (TUMT). TUMT imapereka kutentha pogwiritsa ntchito mayikirowevu owononga ma prostate. Dokotala wanu adzaika tinyanga ta microwave kudzera mu urethra. Mungafunike catheter ya Foley yoyikidwa mu chikhodzodzo kuti muthandize kukhetsa mkodzo mukatha opaleshoni masiku atatu kapena asanu.
• Transurethral electrovaporization (TUVP). Chida kapena chida chimapereka mphamvu yamagetsi yowononga minofu ya prostate. Mudzakhala ndi catheter yoyikidwa mu chikhodzodzo chanu. Itha kuchotsedwa patangotha ​​maola ochepa mutatha kuchita izi kapena mutha kupita nayo kunyumba.
• Kuchepetsa kwa transurethral (TUIP). Dokotala wanu amapanga mabala ang'onoang'ono opangira opaleshoni pomwe prostate imakumana ndi chikhodzodzo. Izi zimapangitsa urethra kukhala wokulirapo. Njirayi imatenga mphindi 20 mpaka 30. Amuna ambiri amatha kupita kwawo tsiku lomwelo. Kuchira kwathunthu kumatha kutenga milungu iwiri kapena itatu. Mutha kupita kwanu mutatenga katemera m'chikhodzodzo.

Prostate wokulitsidwa amatha kukupangitsani kuti mukhale ovuta kukodza. Muthanso kutenga matenda amkodzo. Kuchotsa zonse, kapena gawo, la prostate gland kumatha kupanga zizindikilozi bwino. Musanachite opareshoni, adokotala angakuuzeni zosintha zomwe mungadye kapena kumwa. Muthanso kuyesa mankhwala.

Kuchotsa prostate kungalimbikitsidwe ngati:

• Simungathe kutulutsa chikhodzodzo chanu (posungira mkodzo)
• Khalani ndi matenda opatsirana mumkodzo
• Kutuluka magazi kuchokera ku prostate yanu
• Khalani ndi miyala ya chikhodzodzo ndi prostate yanu yokulitsidwa
• Kodzani pang'onopang'ono
• Anamwa mankhwala, ndipo sanakuthandizeni zizindikiro zanu kapena simukufunanso kuwamwa

Zowopsa za opaleshoni iliyonse ndi izi:

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

Zowopsa zina za opaleshoniyi ndi izi:

• Mavuto okonzekera (kusowa mphamvu)
• Palibe kusintha kwa chizindikiro
• Kubweretsanso umuna mu chikhodzodzo m'malo modutsa urethra (kuyambiranso kutulutsa umuna)
• Mavuto ndi kuwongolera mkodzo (kusadziletsa)
• Urethral kukhazikika (kumangika kwa kwamikodzo kuchokera pachilonda chofiira)

Mudzakhala ndi maulendo ambiri ndi omwe amakupatsani mayeso ndi mayeso musanachite opareshoni:

• Kuyezetsa thupi kwathunthu
• Kuchezera ndi dokotala kutsimikizira kuti mavuto azachipatala, monga matenda ashuga, kuthamanga kwa magazi, komanso mavuto amtima kapena am'mapapo amathandizidwa
• Kuyesera kutsimikizira kuti muli ndi mawonekedwe abwinobwino a chikhodzodzo ndi momwe amagwirira ntchito

Ngati mumasuta, muyenera kusiya milungu ingapo musanachite opareshoni. Wopereka wanu atha kuthandiza.

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 aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), vitamini E, clopidogrel (Plavix), warfarin (Coumadin), ndi mankhwala ena onga awa.
• Funsani 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 adauzidwa kuti mumwe pang'ono pokha madzi.
• Mudzauzidwa nthawi yobwera kuchipatala kapena kuchipatala.

Anthu ambiri amatha kupita kunyumba tsiku la opareshoni, kapena tsiku lotsatira. Mutha kukhala ndi catheter m'chikhodzodzo chanu mukamachoka kuchipatala kapena kuchipatala.

Nthawi zambiri, njirazi zimatha kuthana ndi vuto lanu. Koma muli ndi mwayi wambiri wofunikanso opaleshoni yachiwiri m'zaka 5 mpaka 10 kuposa ngati muli ndi transgethral resection ya prostate (TURP).

Ena mwa maopaleshoni oopsawa atha kubweretsa zovuta zochepa pakuwongolera mkodzo wanu kapena kuthekera kogonana kuposa TURP wamba. Lankhulani ndi dokotala wanu.

Mutha kukhala ndi mavuto otsatirawa kwakanthawi mutachitidwa opaleshoni:

• Magazi mkodzo wanu
• Kutentha ndi kukodza
• Muyenera kukodza pafupipafupi
• Kufuna mwadzidzidzi kukodza

Greenlight laser prostatectomy; Kuchotsa masingano a Transurethral; TUNA; Kuchekera kwa transurethral; CHOKHUDZA; Holmium laser enucleation ya prostate; HoLep; Kuphatikizana kwa laser; ILC; Kutulutsa zithunzi kwa prostate; PVP; Transurethral electrovaporization; TUVP; Transurethral mayikirowevu thermotherapy; TUMT; Kukweza; BPH - kugulitsa; Benign Prostatic hyperplasia (hypertrophy) - resection; Prostate - yowonjezera - resection; Thandizo la nthunzi yamadzi (Rezum)

• Kukula kwa prostate - zomwe mungafunse dokotala wanu
• Kutulutsa kwa prostate - kutulutsa pang'ono - kutulutsa
• Kutulutsa kwa prostate kwa prostate - kutulutsa

Djavan B, Teimoori M. Kuwongolera maopareshoni a LUTS / BPH: TURP vs. open prostatectomy. Mu: Morgia G, mkonzi. Zizindikiro Zotsika M'mitsinje ndi Benign Prostatic Hyperplasia. Cambridge, MA: Atolankhani a Elsevier Academic; 2018: mutu 12.

Wophunzitsa HE, Barry MJ, Dahm P, et al. Kuwongolera opareshoni yazizindikiro zam'munsi za kwamikodzo zomwe zimayambitsidwa ndi benign prostatic hyperplasia: Chitsogozo cha AUA. J Urol. 2018; 200 (3): 612-619. PMID: 29775639 www.ncbi.nlm.nih.gov/pubmed/29775639. (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.

Welliver C, McVary KT. (Adasankhidwa) Kuwongolera kocheperako komanso kosatha kwa benign prostatic hyperplasia. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 105.