Ukuthengiswa ngokutsha kweprostate

Ukuthengiswa ngokutsha kweprostate (TURP) ngogqithiso lotyando kususwe indawo yangaphakathi yeprostate gland. Yenziwa ukunyanga iimpawu zeprotate eyandisiweyo.

Olu tyando luthatha iiyure ezi-1 ukuya kwezi-2.

Uya kunikwa amayeza phambi kotyando ukuze ungaziva zintlungu. Unokufumana i-anesthesia ngokubanzi apho ulele khona kwaye ungenazintlungu okanye i-anesthesia yomqolo apho uvuke khona, kodwa ubuthathaka ukusuka esinqeni nangaphantsi.

Ugqirha uya kufaka ubungakanani ngombhobho ohambisa umchamo kwisinyi sakho ngaphandle kwepenisi. Esi sixhobo sibizwa ngokuba yi-resectoscope. Isixhobo esikhethekileyo sokusika sibekwe ngaphakathi komda. Isetyenziselwa ukususa icandelo langaphakathi leprostate gland usebenzisa umbane.

Umboneleli wakho wezempilo unokulucebisa olu tyando ukuba une-benign prostatic hyperplasia (BPH). Idlala lengqula lidla ngokukhula ngakumbi njengoko amadoda esiba mdala. Iprostate enkulu inokubangela iingxaki ngokuchama. Ukususa inxenye yeprostate gland kunokwenza ukuba ezi mpawu zibengcono.

I-TURP inokucetyiswa ukuba unayo:

• Ubunzima bokukhupha isinyi sakho
• Izifo ezenzeka rhoqo kumchamo
• Ukopha kuprostate
• Amatye esinyi kunye nokwandiswa kweprostate
• Ukucothisa kakhulu ukuchama
• Umonakalo kwizintso ngenxa yokungakwazi ukuchama
• Ukuvuka rhoqo ebusuku ukuya kuchama
• Imicimbi yokulawula isinyi ngenxa yeprostate enkulu

Ngaphambi kokuba wenze utyando, umboneleli wakho uya kukucebisa ukuba wenze utshintsho kwindlela otya okanye osela ngayo. Unokucelwa ukuba uzame ukuthatha amayeza. Inxalenye yeprostate yakho inokufuna ukuba isuswe xa la manyathelo engancedi. I-TURP yenye yezona ntlobo zixhaphakileyo zotyando lweprostate. Ezinye iinkqubo ziyafumaneka.

Umboneleli wakho uya kuqwalasela oku kulandelayo xa esenza isigqibo ngohlobo lotyando:

• Ubungakanani beprostate gland yakho
• Impilo yakho
• Loluphi uhlobo lotyando onokulufuna
• Ubunzima beempawu zakho

Iingozi zalo naluphi na utyando zezi:

• Amahlwili egazi emilenzeni anokuhamba aye emiphungeni
• Iingxaki zokuphefumla
• Usulelo, kubandakanya inxeba lotyando, imiphunga (inyumoniya), okanye isinyi okanye izintso
• Ukuphulukana negazi
• Ukuhlaselwa yintliziyo okanye ukubetha xa uqhaqho
• Impendulo kumayeza

Eminye imingcipheko yile:

• Iingxaki kulawulo lomchamo
• Ukuphulukana nokuchuma kwesidoda
• Iingxaki zokwakhiwa
• Ukugqithisa isidoda kwisinyi endaweni yokuphuma nge-urethra (phinda wenze i-ejaculation)
• Ukuqiniswa kwe-Urreral (ukuqiniswa kwendawo yokuphuma komchamo kwizihlunu ezibomvu)
• Isifo seTransurethral resection (TUR) syndrome (ukwakha amanzi ngexesha lotyando)
• Ukonakaliswa kwamalungu angaphakathi kunye nolwakhiwo

Uya kuba notyelelo oluninzi kunye nomboneleli wakho kunye novavanyo ngaphambi kotyando lwakho. Utyelelo lwakho luya kubandakanya:

• Gqibezela uvavanyo lomzimba
• Ukunyanga kunye nokulawula isifo seswekile, uxinzelelo lwegazi oluphezulu, iingxaki zentliziyo okanye imiphunga, kunye nezinye iimeko

Ukuba uyatshaya, kuya kufuneka uyeke iiveki ezimbalwa ngaphambi kotyando. Umboneleli wakho unokukunika iingcebiso zokwenza oku.

Soloko uxelela umboneleli wakho ukuba zeziphi iziyobisi, iivithamini kunye nezinye izongezo ozithathayo, kwanezo uzithengileyo ngaphandle kommiselo.

Ngexesha leeveki ngaphambi kotyando:

• Unokucelwa ukuba uyeke ukuthatha amayeza anokunciphisa igazi lakho, njengeasprini, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), ivithamin E, clopidogrel (Plavix), warfarin (Coumadin), apixaban (Eliquis), nabanye.
• Buza umboneleli wakho ukuba zeziphi iziyobisi omele uzithathe ngosuku lotyando lwakho.

Ngomhla wotyando lwakho:

• Sukutya okanye usele nantoni na emva kobusuku ezinzulwini zobusuku ngaphambi kotyando lwakho.
• Thatha la mayeza uxelelwe ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Uzakuxelelwa ukuba ufike nini esibhedlele.

Uhlala uhlala esibhedlele kangangeentsuku ezi-1 ukuya kwezi-3. Ngamanye amaxesha, unokuvunyelwa ukuba ugoduke kwangolo suku.

Emva kotyando, uya kuba netyhubhu encinci, ebizwa ngokuba yicatheter kaFoley, kwisinyi sakho ukususa umchamo. Isinyi sakho sinokuhlanjwa ngamanzi (unkcenkceshelwe) ukugcina kucacile ukuba kukho amahlwili. Umchamo uya kujongeka unegazi ekuqaleni. Kwiimeko ezininzi, igazi liyahamba kwiintsuku nje ezimbalwa. Igazi linokuntywila ngokujikeleza i-catheter. Isisombululo esikhethekileyo singasetyenziselwa ukukhupha i-catheter kunye nokugcina ukuba ingagcini ligazi. I-catheter iya kususwa kwisithuba seentsuku ezi-1 ukuya kwezi-3 kubantu abaninzi.

Uya kuba nakho ukubuyela ekutyeni ukutya okuqhelekileyo kwangoko.

Iqela lakho lokhathalelo lwempilo liza:

• Nceda utshintshe indawo ebhedini.
• Fundisa umthambo ukugcina igazi lihamba.
• Ndifundisa indlela yokwenza ukukhwehlela kunye neendlela zokuphefumla nzulu. Kuya kufuneka uzenze rhoqo kwiiyure ezi-3 ukuya kwezi-4.
• Ndikuxelele indlela yokuzikhathalela emva kwenkqubo yakho.

Kuya kufuneka unxibe isitokhwe esomeleleyo kwaye usebenzise isixhobo sokuphefumla ukugcina imiphunga yakho icacile.

Unokunikwa iyeza lokunciphisa i-blasder spasms.

I-TURP isusa iimpawu zeprostate eyandisiweyo ixesha elininzi. Unokuba utshisa ngokuchama, igazi kumchamo wakho, ukuchama rhoqo, kwaye kufuneka uchame ngokukhawuleza. Oku kuhlala kusombulula emva kwexesha elincinci.

UKUJIKA; Ukuthengiswa kwakhona kweprostate-transurethral

• Ukhuseleko kwigumbi lokuhlambela kubantu abadala
• Iprostate eyandisiweyo- yintoni oza kuyibuza ugqirha wakho
• Ukuhlala kukhathalelo lwecatheter
• Ukuzivocavoca kukaKegel-ukuzikhathalela
• Ukuthintela ukuwa
• Unonophelo lwenxeba lotyando - luvulekile
• Ukuthengiswa ngokutsha kweprostate-ukukhutshwa

• I-anatomy yokuzala eyindoda
• Idlala lesinyi
• Uthotho lweprostatectomy
• Ukuthengiswa ngokutsha kweprostate (TURP) -Uluhlu

Ukukhulisa u-HE, uDahm P, uKohler TS, et al. Ulawulo lotyando lweempawu ezisezantsi zomchamo ezinxulunyaniswa ne-benign prostatic hyperplasia: Isilungiso se-AUA Guideline 2019. J Urol. Ngo-2019; 202 (3): 592-598. IINKCUKACHA: 31059668 www.ncbi.nlm.nih.gov/pubmed/31059668.

UHan M, uPartin AW. Iprostatectomy elula: iindlela ezivulekileyo nezincediswa ziirobhothi. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 106.

IMilam, DF. Ukuthengiswa ngokutsha kweTransurethral kunye nokusikwa kwenkqubo yeprostate. Ku: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, ii-eds. I-Atlas ye-Hinman yoNyango lwe-Urologic. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 67.

ICoehrborn CG. I-Benign prostatic hyperplasia: i-etiology, i-pathophysiology, i-epidemiology, kunye nembali yendalo. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2016: isahl. 103.