Kuchita opaleshoni ya prostate (prostatectomy): ndi chiyani, mitundu ndi kuchira

Zamkati

• Kodi opaleshoniyi yachitika bwanji
• Mitundu yayikulu ya prostatectomy
• Kodi kuchira kuchokera ku prostatectomy
• Zotsatira zotheka za opaleshoni
• 1. Kusagwirizana kwa mkodzo
• 2. Kulephera kwa Erectile
• 3. Kusabereka
• Mayeso ndi kufunsa atachitidwa opaleshoni
• Kodi khansa ingabwererenso?

Kuchita opaleshoni ya Prostate, yotchedwa radical prostatectomy, ndiyo njira yayikulu yothandizira khansa ya prostate chifukwa, nthawi zambiri, ndizotheka kuchotsa chotupa chonse choyipa ndikuchiritsa khansa, makamaka ngati matendawa sanasinthidwe bwino ndipo sanafike ziwalo zina.

Kuchita opaleshoniyi kumachitidwa, makamaka kwa amuna ochepera zaka 75, omwe amawoneka kuti ndi ocheperako pochita opaleshoni, ndiye kuti, ali ndi matenda osachiritsika, monga matenda ashuga kapena matenda oopsa. Ngakhale mankhwalawa ndi othandiza kwambiri, amathanso kulimbikitsidwa kuti apange radiotherapy atachitidwa opaleshoni nthawi zina, kuti athetse maselo aliwonse oyipa omwe mwina adatsalira.

Khansara ya Prostate imachedwa kukula ndipo, chifukwa chake, sikofunikira kuchita opaleshoni atangozindikira kuti ali ndi matendawa, kutha kuyesa kukula kwake kwakanthawi, popanda izi kuonjezera chiwopsezo cha zovuta.

Kodi opaleshoniyi yachitika bwanji

Kuchita opaleshoniyi kumachitika, nthawi zambiri, ndi anesthesia wamba, komabe itha kuchitidwanso ndi kupweteka kwa msana, komwe kumagwiritsidwa ntchito msana, kutengera njira yochitira opareshoni yomwe ingachitike.

Kuchita opaleshoni kumatenga pafupifupi maola awiri ndipo nthawi zambiri kumakhala kofunikira kukhala mchipatala kwa masiku awiri kapena atatu. Prostatectomy imakhala ndikuchotsa kwa Prostate, kuphatikiza prostate urethra, seminal vesicles ndi ampoules a vas deferens. Kuchita opaleshoniyi kumatha kuphatikizidwanso ndi ma lymphadenectomy, omwe amachotsa ma lymph node m'chiuno.

Mitundu yayikulu ya prostatectomy

Kuchotsa prostate, opareshoni imatha kuchitidwa ndi robotic kapena laparoscopy, ndiye kuti, kudzera m'mabowo ang'onoang'ono m'mimba momwe zida zochotsera prostate zimadutsira, kapena laparotomy pomwe pamadulidwa khungu.

Mitundu yayikulu ya opaleshoni yomwe amagwiritsidwa ntchito ndi iyi:

• Wopambana retropubic prostatectomy: mwa njirayi, adotolo amadula pang'ono pakhungu pafupi ndi mchombo kuchotsa prostate;
• Perineal radical prostatectomy: amadulidwa pakati pa nthako ndi minyewa ndipo prostate imachotsedwa. Njirayi imagwiritsidwa ntchito mobwerezabwereza kuposa kale, popeza pali chiopsezo chachikulu chofika ku mitsempha yomwe imayambitsa erection, yomwe imatha kuyambitsa vuto la erectile;
• Zovuta kwambiri za prostatectomy: mwa njirayi, adotolo amawongolera makina okhala ndi manja a robotic motero, njirayi ndiyolondola, yopanda chiopsezo chotsatira;
• Kutulutsa kwa prostate kwa transurethral: Nthawi zambiri amachitika pochiza benign prostatic hyperplasia, komabe, ngati ali ndi khansa yomwe prostatectomy yayikulu siyingachitike koma pali zizindikiro, njirayi itha kugwiritsidwa ntchito.

Nthawi zambiri, njira yoyenera kwambiri ndimomwe imagwiridwa ndi robotic, chifukwa imayambitsa kupweteka pang'ono, imayambitsa kuchepa kwamagazi pang'ono ndipo nthawi yochira imathamanga.

Kodi kuchira kuchokera ku prostatectomy

Kuchira kuchokera ku opaleshoni ya prostate ndikofulumira ndipo kumangolimbikitsidwa kuti mupumule, kupewa zoyeserera, kwa masiku pafupifupi 10 mpaka 15. Pambuyo pa nthawiyo, mutha kubwerera kuzinthu zatsiku ndi tsiku, monga kuyendetsa galimoto kapena kugwira ntchito, komabe, chilolezo chakuchita bwino kumangochitika patatha masiku 90 kuchokera tsiku lochitidwa opaleshoni. Kuyanjana kwapafupi kumayambiranso pambuyo pa masiku 40.

Pakatha nthawi yogwira ntchito ya prostatectomy, m'pofunika kuyika chikhodzodzo, chubu chomwe chimayendetsa mkodzo kuchokera m'chikhodzodzo kupita m'thumba, chifukwa thirakiti limatuluka kwambiri, kuteteza mkodzo. Kafukufukuyu ayenera kugwiritsidwa ntchito kwa milungu iwiri kapena iwiri, ndipo ayenera kuchotsedwa pokhapokha pomwe dokotala amuuza. Phunzirani kusamalira catheter ya chikhodzodzo panthawiyi.

Kuphatikiza pa opareshoni, mankhwala a mahomoni, chemotherapy ndi / kapena mankhwala a radiation angafunike kupha maselo owopsa omwe sanachotsedwe pa opaleshoniyi kapena omwe afalikira ku ziwalo zina, kuwalepheretsa kuti achuluke.

Zotsatira zotheka za opaleshoni

Kuphatikiza pa zoopsa zambiri, monga matenda opezeka pamalo opunduka kapena kukha mwazi, kuchitidwa opaleshoni ya khansa ya prostate kumatha kukhala ndi zina zofunikira monga:

1. Kusagwirizana kwa mkodzo

Atachita opareshoni, mwamunayo amatha kukhala ndi vuto lina pochepetsa mkodzo, zomwe zimadzetsa mkodzo. Kusadziletsa kumeneku kumatha kukhala kofatsa kapena kwathunthu ndipo nthawi zambiri kumatha milungu ingapo kapena miyezi ingapo opaleshoni.

Vutoli limapezeka kwambiri kwa okalamba, koma limatha kuchitika mulimonsemo ndipo zimadalira kukula kwa khansa ndi mtundu wa opareshoni. Chithandizo chimayamba ndi magawo a physiotherapy, ndi masewera olimbitsa thupi ndi zida zazing'ono, monga wachidwi, ndi kinesiotherapy. Pazovuta kwambiri, opaleshoni imatha kuchitidwa kuti athetse vuto ili. Onani zambiri zamomwe mungathandizire kusadziletsa kwamikodzo.

2. Kulephera kwa Erectile

Kulephera kwa Erectile ndichimodzi mwazovuta kwambiri kwa amuna, omwe sangathe kuyambitsa kapena kukonza erection, komabe, ndikuwoneka ngati opareshoni ya robotic, kuchuluka kwa kuwonongeka kwa erectile kwatsika. Izi ndichifukwa choti pafupi ndi Prostate pali mitsempha yofunikira yomwe imayendetsa erection. Chifukwa chake, kulephera kwa erectile kumakhala kofala pakagwa khansa yotukuka kwambiri momwe kumafunika kuchotsa madera ambiri okhudzidwa, ndipo kungafunike kuchotsa misempha.

Nthawi zina, kukomoka kumatha kukhudzidwa kokha ndi kutupa kwaminyewa yozungulira prostate, yomwe imakankhira mitsempha. Milanduyi nthawi zambiri imakula pakapita miyezi kapena zaka pamene minofu imayambiranso.

Kuthandiza m'miyezi yoyamba, urologist amatha kulangiza mankhwala ena, monga sildenafil, tadalafil kapena iodenafil, omwe amathandiza kukhala ndi erection yokhutiritsa. Phunzirani zambiri za momwe mungachitire ndi kuwonongeka kwa erectile.

3. Kusabereka

Kuchita opaleshoni ya khansa ya prostate kumachepetsa kulumikizana pakati pa machende, momwe umuna umapangidwira, ndi mkodzo. Chifukwa chake, munthu sangathenso kubala mwana mwanjira zachilengedwe. Machendewo amakhalabe ndi umuna, koma sadzakodzedwa.

Popeza amuna ambiri omwe akhudzidwa ndi khansa ya prostate ndi okalamba, kusabereka sichinthu chodetsa nkhawa kwambiri, koma ngati ndinu wachinyamata kapena mukufuna kukhala ndi ana, tikulimbikitsidwa kuti mukalankhule ndi dokotala wa ukodzo ndikuwunika kuthekera koteteza umuna muzipatala zapadera.

Mayeso ndi kufunsa atachitidwa opaleshoni

Mukamaliza chithandizo cha khansa ya prostate, muyenera kuchita mayeso a PSA mosiyanasiyana, kwa zaka 5. Kujambula mafupa ndi mayeso ena ojambula amatha kuchitidwanso chaka chilichonse kuti zitsimikizire kuti zonse zili bwino kapena kuti mupeze zosintha zilizonse mwachangu.

Maganizo ndi chiwerewere zitha kugwedezeka kwambiri, chifukwa chake atha kuwonetsedwa kuti azitsatiridwa ndi zamaganizidwe akamalandira chithandizo komanso kwa miyezi ingapo yoyambirira pambuyo pake. Chithandizo cha abale ndi abwenzi apamtima ndichothandizanso kuti mupite mwamtendere.

Kodi khansa ingabwererenso?

Inde, amuna omwe amapezeka kuti ali ndi khansa ya prostate ndipo amachiritsidwa ndi cholinga chowachiritsa amatha kudwaladwala ndipo amafunikira chithandizo chowonjezera. Chifukwa chake, kutsatira pafupipafupi ndi urologist ndikofunikira, kuyesa mayeso omwe amafunsidwa kuti athe kuwongolera matendawa.

Kuphatikiza apo, ndikofunikira kuti mukhale ndi zizolowezi zabwino osasuta, kuwonjezera pakuchita mayeso azachipatala nthawi ndi nthawi, mukafunsidwa ndi adotolo, chifukwa khansa kapena kuyambiranso kwawo kumapezeka, kumawonjezera mwayi wochiritsidwa.