Prostatectomy yosavuta

Kuchotsa kosavuta kwa prostate ndi njira yochotsera mkati mwa prostate gland kuti muchiritse prostate wokulitsidwa. Zimachitika kudzera podula m'mimba mwanu.

Mudzapatsidwa mankhwala oletsa ululu (ogona, opanda ululu) kapena ochititsa dzanzi a msana (ogonedwa, ogalamuka, opanda ululu). Njirayi imatenga pafupifupi 2 mpaka 4 maola.

Dokotala wanu azidula opaleshoni m'mimba mwanu. Chekacho chimachoka pansi pamimba mpaka pamwamba pa fupa la pubic kapena chitha kupangika mozungulira pamwamba pa fupa la pubic. Chikhodzodzo chimatsegulidwa ndipo prostate gland imachotsedwa podulidwa.

Dokotalayo amangochotsa mbali ya mkati mwa prostate gland yokha. Gawo lakunja latsalira kumbuyo. Njirayi ndi yofanana ndi kutulutsa mkati mwa lalanje ndikusiya khungu likhale lolimba. Pambuyo pochotsa gawo lina la prostate yanu, dokotalayo amatseka chigoba chakunja cha prostate ndi zomangira. Kutaya kumatha kusiyidwa m'mimba mwanu kuti muthandizire kuchotsa madzi ena pambuyo pa opaleshoni. Catheter amathanso kusiya chikhodzodzo. Catheter iyi ikhoza kukhala mu urethra kapena pamimba pamunsi kapena mutha kukhala nonse awiri. Izi catheters kulola chikhodzodzo kupumula ndi kuchiritsa.

Kukula kwa prostate kumatha kubweretsa mavuto pokodza. Izi zitha kubweretsa matenda amkodzo. Kutenga gawo la prostate gland nthawi zambiri kumapangitsa kuti zizindikilozi zizikhala bwino. Musanachite opareshoni, wothandizira zaumoyo wanu akhoza kukuwuzani zomwe mungasinthe momwe mumadyera kapena kumwa. Muthanso kufunsidwa kuti muyesere kumwa mankhwala.

Kuchotsa prostate kumachitika m'njira zosiyanasiyana. Mtundu wa njira yomwe mudzakhale nayo zimatengera kukula kwa prostate komanso zomwe zidapangitsa kuti prostate yanu ikule. Prostatectomy yosavuta imagwiritsidwa ntchito nthawi zambiri prostate ikakhala yayikulu kwambiri kuti ichitidwe maopareshoni ochepa. Komabe, njirayi siyothandiza khansa ya prostate. Kuchuluka kwa prostatectomy kungafunikire khansa.

Kuchotsa prostate kungalimbikitsidwe ngati muli ndi:

• Mavuto kutulutsa chikhodzodzo (kusungira mkodzo)
• Matenda opatsirana pafupipafupi
• Kutuluka magazi pafupipafupi kuchokera ku prostate
• Mwala wa chikhodzodzo wokulitsa prostate
• Kukodza pang'ono pang'onopang'ono
• Kuwonongeka kwa impso

Prostate wanu angafunikenso kuchotsedwa ngati mukumwa mankhwala ndikusintha kadyedwe sikuthandizira zizindikilo zanu.

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), kapena chikhodzodzo kapena impso
• Zomwe zimachitika ndi mankhwala

Zowopsa zina ndi izi:

• Kuwonongeka kwa ziwalo zamkati
• Mavuto okonzekera (kusowa mphamvu)
• Kutaya mwayi kwa umuna kutuluka mthupi kumabweretsa kusabereka
• Kutumiza umuna kubwerera mu chikhodzodzo mmalo mopyola mu urethra (kutsegulanso umuna)
• Mavuto ndi kuwongolera mkodzo (kusadziletsa)
• Kulimbitsa malo okodza mkodzo kuchokera ku minofu yofiira (urethral stricture)

Mudzakhala ndi maulendo ambiri ndi dokotala wanu ndikuyesedwa musanachite opareshoni:

• Kuyezetsa thupi kwathunthu
• Kuyendera dokotala wanu kuti muwonetsetse kuti zovuta zamankhwala (monga matenda ashuga, kuthamanga kwa magazi, ndi matenda amtima kapena m'mapapo) zikuchiritsidwa bwino
• Zowonjezera kuyesa kutsimikizira chikhodzodzo

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:

• Mungafunike kusiya kumwa aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), vitamini E, clopidogrel (Plavix), warfarin (Coumadin), ndi mankhwala ena aliwonse onga awa.
• Funsani dokotala wanu za mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
• Mutha kumwa mankhwala otsegulitsa m'mimba musanachitike opaleshoni yanu. Izi zidzatsuka zomwe zili m'matumbo anu.

Patsiku la opareshoni yanu:

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

Mudzakhala mchipatala kwa masiku awiri kapena anayi.

• Muyenera kugona mpaka m'mawa mwake.
• Mukaloledwa kudzuka mudzafunsidwa kuti muziyenda mozungulira momwe mungathere.
• Namwino wanu amakuthandizani kusintha malo ogona.
• Muphunziranso masewera olimbitsa thupi kuti magazi aziyenda, komanso kutsokomola / njira zopumira kwambiri.
• Muyenera kuchita zolimbitsa thupi maola atatu kapena anayi aliwonse.
• Mungafunike kuvala masitonkeni apadera ndikugwiritsa ntchito chida chopumira kuti mapapu anu aziwoneka bwino.

Mudzasiya opaleshoni ndi catheter ya Foley mu chikhodzodzo. Amuna ena amakhala ndi kathumba kakang'ono kakang'ono m'mimba mwawo kothandiza kutulutsa chikhodzodzo.

Amuna ambiri amachira pafupifupi milungu isanu ndi umodzi. Mutha kuyembekezera kuti mutha kukodza mwachizolowezi popanda kutuluka mkodzo.

Prostatectomy - yosavuta; Suprapubic prostatectomy; Retropubic prostatectomy yosavuta; Tsegulani prostatectomy; Ndondomeko ya Millen

• Kukula kwa prostate - zomwe mungafunse dokotala wanu
• Kutulutsa kwa prostate kwa prostate - kutulutsa

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.

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.

Zhao PT, Richstone L.Robotic wothandizidwa ndi laparoscopic prostatectomy yosavuta. Mu: Bishoff JT, Kavoussi LR, olemba., Eds. Atlas of Laparoscopic and Robotic Urologic Opaleshoni. Wachitatu ed. Philadelphia, PA: Elsevier; 2017: mutu 32.