Utyando olwandisiweyo lwe-prostate (BPH) lusetyenziso oluqhubekayo nolunexesha elide kunabo bonke abakhona kwi-BPH ( benign prostatic hyperplasia ).
Esinye sezibonakaliso eziqhelekileyo abantu abajamelana nazo xa befikelela kwiminyaka engamashumi ama-60 kunye nama-70 (ngezinye iinkqubela nangaphambili), yi-BPH, enokuzwakala ingaqhelekanga kude ibizwe igama layo eliqhelekileyo, i-prostate eyandisiweyo.
Iprotrate ifumaneka ngaphantsi kwe-bladder, kwaye idibanisa ne- urethra , leyo ityhubhu ephethe umchamo kwi-vestile ngaphandle komzimba wakho xa uchama. Xa iprotrath ikwandisiwe, kukho ukukhula okungaphezulu kweseli kwiprotrate. Iprotate ingaxininisa kakhulu kwi-urethra, iphazamise ukuhamba kwayo. Ukuba iimpawu zakho zinzima kakhulu, ungeke ukwazi ukuchukumisa konke, okwenzeka ngongxamiseko ofuna ukuxelela urologist wakho ngokukhawuleza.
Ngophenyo lwe-BPH, iimpawu zingaphuculwa ngokude kwimizuzu eyi-10. Nangona kunjalo, kuzo zonke iinketho, utyando ngumntu onokukushiya nge- erectile dysfunction . Ukuba unenkathazo eninzi ngeempawu ze-BPH, kufuneka uqikelele i-pros and cons to this option before you choose it.
I-TURP - Unyango olugqithiseleyo kakhulu lweProstate Surgery
Ukuthengiswa kweprotrate (transurthral resectional prostation) (TURP) yinto eqhutywayo ngokugqithiseleyo ye-BPH.
Kuthathwa njengenyango yegolide yegolide ye-BPH kuba sele ijikeleze ixesha elide. Ngonyango unyango olutsha luhlala lufaniswa.
Utyando lubandakanya ukufaka ikhamera encinane kakhulu okanye i-endoscope esadluliselwa kwi-tip ye-penis ukuya kwi-urethra ibe kwisitya kunye nokususa izicubu ezingaphezu kwe-prostate.
Ngexesha lokuqala le nqubo, i-urologist ihlola iingxaki kwi-bladder ngokwayo, njengezicubu zesisu okanye amatye. Ukucinga ukuba i-urologist ayifumana iingxaki ezingalindelekanga, i-loop yombane ibekwa kwi-urethra kwaye isondele kwendawo apho i-prostate tissue ixhomekeke kwi-urethra. I-loop isusa izicubu ezingaphezulu kweprotate. I-loop yombane isetyenziselwa ukulawula ukuphuma kwegazi apho utyando lwenziwe khona.
Izicubu ezisuswe zihlaziywa kwibhubhoratri ukuqinisekisa ukuba akukho mdlavuza weprotate okhoyo. I-catheter ifakwe kwi-urethra ne-vestile ukuqokelela umchamo wakho uze uphilise.
Inkqubo ivame ukuqhutyelwa esibhedlele phantsi kwe-anesthesia yomgudu. Isibhedlele sihlala simfutshane, ngamanye amaxesha sifutshane nje ngomhla omnye phantsi kokunyamekelwa. Xa ukhutshwa, kufuneka uqiniseke ukuba i-urologist yakho ikunika imiyalelo malunga nendlela onokuzinyamekela ngayo kunye nemvakalelo yeengxaki.
Ukubuyiswa emva kwe-TURP yeProstate eyandisiweyo
Umele ulindele ukuba ube ne- cathter ye- urinary kwiiyure eziliqela ukuya kwiintsuku ezimbalwa. Ukuba uya ekhaya ngekathetha, uya kubonwa nguwe ulologist ngaphakathi kwimihla okanye emibini yenkqubo ukuba unxweme lususwe.
Emva kokubuyela ekhaya, amadoda ahlala ebona igazi kumchamo.
Nangona okokuqala ngothusayo, oku kudla ngokuba nje ukukhupha izinto ezivela kwinqama ejikeleze ukuhlinzwa. Nangona kunjalo, ukuba umchamo wakho ubomvu obomvu, qha ga mshelana nodokotela wakho.
- Qinisekisa ukuba ulala embhedeni emva kokuhlinzwa kwaye uphuza amanzi amaninzi. Oku kuya kuhlamba nayiphina idiphozi yegazi kunye nokukhusela i-clot, engakhokelela ekuthintweni kwiphepha lakho lokuvota.
- Gweba ukuqhuba nokuqhuma okukhulu.
- Musa ukuxhatshaza xa uhambisa amathambo akho.
- Ukuba uthe wagqitywa, cela udokotela wakho ngcebiso malunga nendlela efanelekileyo yokusingatha (nokuba uthatha i-laxative iyilungile kuwe).
Iimpembelelo ezingezantsi ze-TURP zeProstate ekhulisiweyo
Kwiinyanga ezimbalwa zokuqala emva kwenkqubo, unokufumana ukungaxhamli kwamanzi.
Ekuqaleni, unokuba nobutyebi obukhulu kakhulu be-urinary obungakwazi ukulawula. Nangona kunjalo, indawo enxeba yakho yokugqitywa iya kubonakala xa i-catheter yakho iphume, ngoko unokuva intlungu xa uchama. Kwiinyanga ezimbalwa, ukuhamba kwakho kwe-urinary kuya kuzinza, kwaye ukungcola okungalawulwayo okanye ukungazithengisi kuya kunciphisa.
Abanye abantu baneengxaki ezivela ekutyunjeni. Isiphumo esona siphumelelo esiphezulu esenzekayo kukubuyiswa kwe-ejaculation . Xa u-ejaculate, i-semen yakho iya kuqhuma ukuya kwi-bladder yakho, kungekhona njengoko iqhelekile. Oku akumele kube yinkxalabo kubantu abangafuni ukuzala abantwana, kodwa isizathu esivakalayo sokungabikho komntwana.
Ukusebenza kwexesha elide le-erectile kunye nokungahambisani nokuvuthwa kwe-urinary kuyimpawu abantu abaxhalabisa ngazo kakhulu. Buza ugqirha wakho ukuba yeyiphi inxalenye yamadoda aneempawu zakho kunye neeprofayili ziphela nge-erectile i-dysfunction kunye ne-incontinence ye-urinary. Ilungelo le nzekayo kunzima ukuqikelela, nangona kunjalo, kuba uphando luye lwabaleka kuyo yonke imephu. Ukungahambi kakuhle kwee-Urinary kulubala kakhulu (ngokuqhelekileyo malunga neepesenti ezi-1) kunokudityaniswa kwe-erectile.
Ukufumaneka Kokunyanga Okukhulu: I-Prostatectomy Evulekileyo Yokwanda Kweprostate
Ngamanye amaxesha akunakwenzeka ukususa isisu se-prostate kwi-prostate enkulu kakhulu esebenzisa inkqubo ye-transurethral. Ugqirha wakho akayi kukwazi ukufumana i-tube enkulu ngokwaneleyo kwi-urethra, ngoko-prostatectomy evulekile-ukususwa kokugqithiselwa kweprotate yonke-kunokufuneka.
Ezinye izizathu ezinokuthi ufune imigaqo evulekileyo zibandakanya ukuba namatye e-bladder okanye ukungakwazi ukubeka imilenze yakho kwimigudu yokuvumela i-TURP okanye iinkqubo ezincinci zokurhoxiswa.
Ngenxa yokuba utyando oluvulekile, uya kuba esibhedlele iintsuku ezimbalwa, kwaye uya kuba neentlungu ezingaphezu kweendlela ezinenkqubo ezincinci,
Ukuphuculwa kweSimptom kunye noBuroyiki kwi-BPH
Ukuphuculwa ngokubanzi kwimpawu zesigulane, ngokutsho kweMelika ye-Urological Association, yile ndlela ilandelayo:
- TURP: 88%
- Vula iProstatectomy: 98%
Imithombo:
I-Presti JC, uKen Kane CJ, uShinohara K, uCarroll. PR. Iiplastiki ze-prostate gland. Chapt. 22. Kwi: Tanagho kunye noMcAninch, ii-eds. Smith's General Urology. 17. ENew York: McGraw Hill .
Ulawulo lokuphanda i-BPH. I-American Urological Association Foundation.
Tanguay S, Awde M, Brock G, Casey R, et al. Ukuxilongwa kunye nokulawulwa kwe-prostatic hyperplasia kwiinkathalo eziphambili. Ngaba Urol Assoc J 2009 (3Suppl2): S92-S100.