Iintlobo ze-Surgery ye-Prostate

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Ugqirha lwe-Prostate: Ingqwalasela

Utyando lweprostate luqhutyelwa ngezizathu ezibini: umdlavuza weprotate kunye ne-benign prostatic hypertrophy (BPH). Unyango lunokusindisa ubomi, okanye kunokukwenziwa ukulungisa iingxaki zokungcambuza ezingazange ziphendule kumachiza.

Ukugqiba inqubo yeprotate kunzima kunokuba kukho iintlobo ezininzi ezifumanekayo unyango lwemiba yeprotate. Ukuhlinzwa nganye kunenzuzo ekhethekileyo kunye nobungozi. Ezinye zeenkqubo ezincinci ezingenayo zifumana ixesha lokuphucula, kodwa azifanelekanga unyango lomhlaza. Iinkqubo ezingenayo zingabangela iingxaki zexesha elide, kodwa ezo zinto kufuneka zilinganiswe nomngcipheko wokushiya umhlaza wesifo seprotate.

Ukukhetha kwakho ugqirha kungasona sinqumo esibalulekileyo ukwenzayo, nangaphezulu kunoko uhlobo lwenkqubo. Unobungcali ogqithisileyo, ngokukhethekileyo ngamava amaninzi enza amawaka okanye amawaka enkqubo efana neyakho, akunakwenzeka ukuba ufumane usebenziso olusisiseko lwe-erectile ngenxa yomonakalo womonakalo.

Ukongezelela ekukhetheni unogqirha onobuchule, kubalulekile ukuba usebenze kunye nodokotela ohlinzayo ukuba ukhethe inkqubo efanelekileyo kakhulu yezidingo zakho ezizodwa. Ezinye iinkqubo zisetyenziselwa ukunciphisa izicubu ze-prostate, ezinye zisusa inxalenye okanye zonke iprotate kwaye zisetyenziselwa ukunyanga umdlavuza.

Yonke into eyenziwa ngumngcipheko, ukuhlinzwa ngonyango kunomngcipheko othile ngokubhekiselele kwimingcipheko ebanzi yenkqubo yokuhlinzwa .

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I-Robotic Prostate Surgery

I-prostatectomy yokuncedisa i- laparoscopic i -robotic isifo soogula esenziwa ekwenzeni umdlavuza wesibeletho ngoncedo lombhobhothi. Xa kwenziwa ngaphandle kombhobhothi ubizwa ngokuba yi- laparoscopic prostatectomy kodwa enye inqubo efanayo.

Kubalulekile ukugcina engqondweni ukuba ubuchule bonyango buyinto ebalulekileyo ekuqaliseni isiphumo sokugqibela ekugqibeleni kwakho. I-robot ezandleni zogqirha ogqithiseleyo kufuneka ibangele kwisiphumo esihle kakhulu, nangona kunjalo, ukuhlinzwa ngonyango olwenziwa ngumgqirha ongeyena mfundi kuya kuba nzima ukuba ube nomphumo omkhulu.

Bobabini i-laparoscopic prostatectomy kunye ne-robotic inkqubo yinkqubo encinci ye-invasive , eyenziwa ngokusebenzisa iziphumo eziphambili kunokuba utyando lwendabuko oludala olwalisebenzisa ukuxhamla okukhulu kwi-pubic bone kuya kumbilicus.

Inkqubo eyenziwa phantsi kwe-anesthesia jikelele kwaye iqala ngeendlela ezincinane ezincinane eziphakathi kwethambo le-pubic kunye ne-umbilicus. Ukusebenzisa ezi zixhobo ezincinci zifakiwe, kufaka phakathi ikhamera yevidiyo, ukuncedisa izixhobo kunye nezixhobo zokusika. Kwi-robotic inkqubo, ugqirha uyayilawula izixhobo zokusika ngokulawula i-robot. Kwinkqubo engeyiyo-robotic, izandla zogqirha zilawula ngqo izixhobo.

Iprotrate isuswa kwisicatshulwa emva kokunqunyulwa kunye ne-scalpel okanye isixhobo esifanayo. Emva kokuba izicubu zisuswe, indawo iya kunkcenkceshwa ngesisombululo esiyinyumba, i- catheter ifowuni ifakwe kwaye izigqibo zivaliwe.

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Ukufunyanwa kweTransurethral yeProstate (TURP)

Ukuthengiswa kwetransitrare yeprotrate, eyaziwa njengenkqubo ye-TURP, yenye yezona ziqhelo eziqhelekileyo zonyango ezisetyenziselwa ukunyanga umdlavuza. Le nqubo yenziwa ngeendlela ezimbini, inkqubo "ejwayelekile" esebenzisa isalfel ukususa izicubu ze-prostate, okanye ukusebenzisa i-electro-resection, esebenzisa i-wire-wire loop ukususa izicubu.

Le nkqubo inokungena emncinci, kwaye akukho ziphumo ezibonakalayo ezifuna ukunakekelwa kwentleba emva kwenkqubo. Inkqubo yokugulisa isigulane , kunye nesigulana sihlala esibhedlele ngobuncinane esibhedlele.

Inkqubo ye-TURP iqala ngolawulo lwe- anesthesia . I-penis kunye nesikhumba esijikelezileyo ihlambulukisiwe nesisombululo sokwenza inambuzane yesikhumba kangangoko kunokwenzeka. Ummandla we-pubic unokucocwa.

Ugqirha uqala ngokuzisa i-cytoscope okanye i-resectoscope kwi-urethra. Isixhobo sinokukhanya kunye nekhamera, evumela ukuba ugqirha ukuba zibonise inkqubo. Izixhobo ezisetyenzisiweyo ziqhelekileyo kwisigidi intshi ububanzi kwaye ubuncinane ubuncinane obuyi-intshi ezili-12.

Isixhobo esifana netyhubhu siphumelele kwi-urethra de ifike iprotrate. Xa ikhona, ugqirha uyasusa iziqendu zeprotate okanye i-gland. Oku kungenziwa ngensimbi yokusika okanye ucingo ogqityiweyo.

Indawo yokuhlinzwa isoloko ihlanjululwe isisombululo sokunkcenkceshela, esiza kutyhoxisa nayiphi na ingcezu yeprotrate ephakamileyo. Esi sixazululo sinokuba nezongezo ezikhusela ukusuleleka okanye ukunciphisa ukuvuvukala.

Xa utyando lugqityiwe, izixhobo ziyakususwa kwaye i-catheter ifowuni ifakwe kwi-bladder. Iziqwenga zeprotrate ezisekhondweni ziyahluthwa ziphuma emzimbeni ngomchamo, kwi-bag ye-foley catheter collection.

Kungase kubekho igazi kumchamo kwiintsuku ezilandelayo emva kokuhlinzwa, kunye neengcambu zeprostate ezivela kwintlambo nazo ziyaqatshelwa.

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I-Transurethral Microwave Thermotherapy (TUMT)

I-transvethral microwave thermotherapy (i-TUMT) yonyango lokugonywa nge-benign prostatic hypertrophy (BPH). Le nkqubo injongo yokunceda amadoda anzima ukuvota ngenxa yobukhulu beprotate kwaye ayetyenziswanga ukunyanga umdlavuza wesibeletho. Inkqubo iphindwaphindwa kabini amaxesha ukufumana umphumo oyifunayo.

Ngaphantsi kwe- sedation , i- catheter ekhethekileyo ye-urinary ifakwe kwi-urethra kunye ne-bladder. Emva kokuba ugqirha unogqirha endaweni, i-antenna encinci ye-microwave ifakwe kwi- prostate gland .

Ngesinye indawo, i-antenna iyatshisa ubuncinane i-113 degrees Fahrenheit (45 degrees Celcius). Amaqondo obushushu angaphantsi kwe-113 degrees awaboneleli ukushisa okufunekayo ekufeni kwethambo, kodwa ke, amaqondo aphezulu aphezulu angabangela intlungu kwaye afune ukuphucula ngexesha lenkqubo.

Inkqubo inokubangela i-prostate edema (ukuvuvukala) ukwenzela ukuba i-catheter ye-urinary ishiywe endaweni yeentsuku ezi-5 ukuya kwezi-7. Kwizigulane ezininzi, i-TUMT iphinda iphindwe kabini ngeziphumo eziphambili.

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Ukwelashwa kwe-Prostate ye-Prostate (TUEVAP)

I-Transurethral Electro-Vaporization ye-Prostate, okanye i-TUEVAP, ishintsho esincinci se-TURP esebenzisa i-electrocautery ukususa izicubu ze-prostate.

Inkqubo injalo ngokufanayo ngaphandle kokusebenzisa ucingo ochanekileyo ukususa izicubu ze-prostate, i-roller roller ibhola isetyenzisiweyo. Ibhola isetyenziswe kwi-prostate, iphefumula izicubu ezingafunekiyo. Ibhola ingasetyenziselwa ukukhupha imitshini yegazi encinci ukulawula ukuphuma kwegazi.

> Imithombo:

> Ukungabikho Kwangemva Emva kokuhlinzwa. I-Global Robotics Institute kwisibhedlele saseFlorida.

> I-Laparoscopic Robotic Assisted Prostatectomy. Inkqubo yeMpilo yeYunivesithi yaseMichigan.

> I-Transurethral Electro-Resection yeProstate. Imisedare-iSinayi.

> ITranswaretral Microwave Technology. Imisedare-iSinayi.

> Ukufunyanwa kweTransurethral yeProstate. Isizwe seZiko lezeMpilo.

> Ukunyuka kwama-Urinary Ukulandela unyango lwe-Prostate Cancer: Impembelelo kunye neNkcazo yeNtetho. Ukusuka kwiNkonzo yeUrologie kwiHôpital uCharles Nicolle, eRouen, eFransi (PG), kunye neNkqubo yeGenitourinary kwi-H. Lee Moffitt yeCancer Centre kunye neCandelo loPhando, eTampa, eFlorida. IMedscape Namhlanje .