Suprapubic Prostatectomy for Treatment of Prostate Prostate: Zomwe Muyenera Kuyembekezera
Zamkati
- Chifukwa chiyani ndikufunika opaleshoniyi?
- Momwe mungakonzekerere suprapubic prostatectomy
- Njira zake
- Kuchira
- Zovuta
- Chiwonetsero
Chidule
Ngati mukufuna kuchotsa prostate gland chifukwa yakula kwambiri, adokotala angakulimbikitseni kuti mutenge suprapubic prostatectomy.
Suprapubic amatanthauza kuti opaleshoniyi imachitika kudzera m'matumba am'munsi mwanu, pamwamba pa fupa lanu. Chodulira chikhodzodzo chapangidwa mu chikhodzodzo chanu, ndipo pakati pa prostate gland yanu amachotsedwa. Gawo ili la prostate gland limadziwika kuti dera losinthira.
Suprapubic prostatectomy ndi njira yopatsira odwala. Izi zikutanthauza kuti njirayi imachitika mchipatala. Mungafunike kukhala mchipatala kwakanthawi kochepa kuti mupeze bwino. Monga opaleshoni iliyonse, njirayi imakhala ndi zoopsa zina. Lankhulani ndi dokotala wanu za chifukwa chomwe mungafunikire opaleshoni, zomwe zimawopsa, komanso zomwe muyenera kuchita kuti mukonzekere.
Chifukwa chiyani ndikufunika opaleshoniyi?
Suprapubic prostatectomy yachitika kuchotsa gawo lokulitsa kwa prostate. Mukamakula, prostate yanu imakula chifukwa minofu imakula mozungulira prostate. Kukula kumeneku kumatchedwa benign prostatic hyperplasia (BPH). Sichokhudzana ndi khansa. Prostate wokulitsa chifukwa cha BPH imapangitsa kuti kukhale kovuta kukodza. Zitha kukupangitsani kumva kuwawa mukakodza kapena kukupangitsani kumva kuti simutha kutulutsa chikhodzodzo chanu.
Musanalangize za opaleshoni, dokotala wanu akhoza kuyesa mankhwala kapena njira zochiritsira kuti muchepetse zizindikiro za prostate wokulitsa. Njira zina zimaphatikizapo mankhwala a microwave ndi thermotherapy, omwe amadziwikanso kuti kutentha kwa kutentha. Izi zitha kuthandiza kuwononga ziwalo zina zapafupi ndi prostate. Ngati njira ngati izi sizigwira ntchito ndipo mukupitilizabe kumva kupweteka kapena mavuto ena mukakodza, dokotala wanu akhoza kukupatsani prostatectomy.
Momwe mungakonzekerere suprapubic prostatectomy
Inu ndi dokotala mutaganiza kuti mukufuna prostatectomy, dokotala wanu angafune kupanga cystoscopy. Mu cystoscopy, dokotala wanu amagwiritsa ntchito mawonekedwe kuti ayang'ane kapangidwe kanu ka mkodzo ndi prostate yanu. Dokotala wanu atha kuyitanitsa mayeso a magazi ndi mayeso ena kuti aone prostate yanu.
Masiku angapo asanachite izi, dokotala akukufunsani kuti musiye kumwa mankhwala opweteka komanso opopera magazi kuti muchepetse magazi anu nthawi yayitali. Zitsanzo za mankhwalawa ndi awa:
- ibuprofen (Advil, Motrin)
- naproxen (Aleve, Anaprox, Naprosyn)
- nkhondo (Coumadin)
Dokotala wanu angakufunseni kuti muzisala kudya kwakanthawi musanachite opareshoni. Izi zikutanthauza kuti simungadye kapena kumwa china chilichonse kupatula zakumwa zooneka bwino. Dokotala wanu amathanso kukupatsani enema kuti muchotse m'matumbo musanachite opareshoni.
Musanalowe kuchipatala kuti mukatsatire ndondomekoyi, konzekerani nthawi yopuma kuntchito. Simungathe kubwerera kuntchito kwa milungu ingapo. Konzani kuti mnzanu kapena abale anu adzakutengereni kunyumba mukatuluka kuchipatala. Simudzaloledwa kuyendetsa galimoto nthawi yanu yochira.
Njira zake
Musanachite opareshoni, mudzachotsa zovala ndi zodzikongoletsera ndikusintha zovala za kuchipatala.
M'chipinda chochitiramo opareshoni, chubu chomatira (IV) chidzaikidwa kuti chikupatseni inu mankhwala kapena zamadzimadzi ena popanga opaleshoni. Ngati mungalandire mankhwala oletsa ululu ambiri, atha kuperekedwa kudzera mu IV yanu kapena kudzera pachisoti pamaso panu. Ngati ndi kotheka, chubu chitha kuikidwa pakhosi panu kuti muzikupatsani mankhwala oletsa ululu komanso kuti muzitha kupuma bwino popanga opaleshoni.
Nthawi zina, pamafunika anesthesia akomweko (kapena am'deralo). Mankhwala oletsa ululu am'deralo amaperekedwa kuti ateteze malo omwe akuchitirako. Ndi anesthesia yakomweko, mumakhala ogalamuka panthawi yochita opareshoni. Simumva kuwawa, komabe mutha kumva kusasangalala kapena kukakamizidwa kudera lomwe mukuchitidwa opaleshoni.
Mukangogona kapena kuchita dzanzi, dokotalayo adzadula m'mimba mwanu kuchokera pansi pamchombo mpaka pamwamba pa fupa lanu. Kenako, dokotalayo adzatsegula kutsogolo kwa chikhodzodzo chanu. Pakadali pano, dotolo wanu amathanso kuyika catheter kuti mkodzo wanu ukhale wothira opaleshoni yonse. Dokotala wanu akuchotsani pakatikati pa prostate yanu potsegula. Mbali iyi ya prostate ikachotsedwa, dokotala wanu amatseka zomwe zili mu prostate, chikhodzodzo, ndi pamimba.
Kutengera ndi momwe muliri, adotolo angavomereze prostatectomy yothandizidwa ndi robotic. Pochita izi, zida za robotic zimagwiritsidwa ntchito kuthandiza dotolo. Prostatectomy yothandizidwa ndi robotic siyothandiza kwenikweni kuposa maopareshoni achikhalidwe ndipo imatha kuchepa magazi pang'ono panthawiyi. Nthawi zambiri imakhala ndi nthawi yocheperako yochira komanso zoopsa zochepa pochita opaleshoni yachikhalidwe.
Kuchira
Nthawi yanu yochira ikhoza kukhala kuyambira tsiku limodzi mpaka sabata kapena kupitilira apo, kutengera thanzi lanu komanso momwe ntchitoyo ikuyendera bwino. Pakadutsa tsiku loyamba kapena patadutsa maola ochepa mutachitidwa opaleshoni, dokotala wanu akukulangizani kuti muziyenda mozungulira kuti magazi anu asamange. Ogwira ntchito namwino adzakuthandizani, ngati kuli kofunikira.Gulu lanu lazachipatala liziwunika momwe mukuchira ndikuchotsa catheter yanu yamikodzo akawona kuti mwakonzeka.
Mukatulutsidwa mchipatala, mungafunike masabata 2-4 kuti mupezenso thanzi lanu musanayambirenso ntchito ndi ntchito za tsiku ndi tsiku. Nthawi zina, mungafunike kusunga catheter kwa kanthawi kochepa mutatuluka kuchipatala. Dokotala wanu amathanso kukupatsirani maantibayotiki kuti mupewe matenda, kapena mankhwala ofewetsa tuvi tolimba kuti muonetsetse kuti mukupitilizabe kuyenda m'matumbo osasokoneza malo opangira opaleshoni.
Zovuta
Njira yokhayo imakhala ndi chiopsezo chochepa. Monga momwe zimakhalira ndi opareshoni iliyonse, pali mwayi woti mungatenge matenda nthawi ya opaleshoni kapena itatha, kapena kutuluka magazi mopitilira muyeso. Mavutowa ndi osowa ndipo nthawi zambiri samayambitsa mavuto azaumoyo kwakanthawi.
Kuchita opaleshoni kulikonse komwe kumakhudzana ndi dzanzi kumakhala ndi zoopsa zina, monga chibayo kapena sitiroko. Zovuta za anesthesia ndizochepa, koma mutha kukhala pachiwopsezo chachikulu mukasuta, kunenepa kwambiri, kapena kukhala ndi mavuto monga kuthamanga kwa magazi kapena matenda ashuga.
Chiwonetsero
Ponseponse, chiyembekezo cha suprapubic prostatectomy ndi chabwino. Zaumoyo chifukwa cha njirayi ndizosowa. Mukachira kuchipatala, ziyenera kukhala zosavuta kuti mukodze ndi kuwongolera chikhodzodzo chanu. Simuyenera kukhala ndi zovuta zosadziletsa, ndipo simuyenera kumvanso ngati mukufunika kukodza mukapita kale.
Mukachira ku prostatectomy yanu, simudzafunika njira zina zowongolera BPH.
Mungafunike kuwonanso dokotala wanu kuti adzakutsatireni, makamaka ngati mukukumana ndi zovuta zilizonse kuchokera ku opaleshoniyi.