Iprostatectomy elula

Ukususwa kweprostate okulula yinkqubo yokususa icandelo langaphakathi leprostate ukunyanga iprotrate eyandisiweyo. Yenziwe ngokusikwa kotyando esiswini sakho esisezantsi.

Uya kunikwa i-anesthesia ngokubanzi (ilele, ingenazintlungu) okanye i-spinal anesthesia (ihleli, ivukile, ayinazintlungu). Inkqubo ithatha malunga neeyure ezi-2 ukuya kwezi-4.

Ugqirha wakho uya kusika utyando esiswini sakho esisezantsi. Ukusikwa kuya kusuka ezantsi kweqhosha lesisu ukuya ngaphezulu kwethambo le-pubic okanye kunokwenziwa ngokuthe tyaba ngaphezulu nje kwethambo le-pubic. I-bladder ivuliwe kwaye i-prostate gland isuswe ngale ndlela.

Ugqirha ususa kuphela inxalenye engaphakathi yedlala lobudoda. Inxalenye engaphandle ishiye ngasemva. Inkqubo iyafana nokukhupha ngaphakathi ngaphakathi kweorenji kunye nokushiya i-peel ihambile. Emva kokususa inxenye yeprostate, ugqirha uya kugqiba ukuvala iqokobhe langaphandle leprostate ngemithungo. Umsele ungashiywa esiswini sakho ukunceda ukususa ulwelo olongezelelweyo emva kotyando. Icatheter nayo inokushiywa kwisinyi. Le catheter inokuba kwindawo urethra okanye emazantsi esisu okanye unokuba nobabini. Ezi catheters zivumela isinyi ukuba siphumle kwaye siphilise.

Iprostate eyandisiweyo inokubangela iingxaki ngokuchama. Oku kunokukhokelela kukosuleleka kwendlela yokuchama. Ukukhupha inxalenye yeprostate gland kunokwenza ukuba ezi mpawu zibengcono. Ngaphambi kokuba wenze utyando, umboneleli wakho wezempilo unokukuxelela utshintsho onokulenza kwindlela otya okanye osela ngayo. Unokucelwa ukuba uzame ukuthatha amayeza.

Ukususwa kweprostate kunokwenziwa ngeendlela ezininzi ezahlukeneyo. Uhlobo lwenkqubo oya kuba nalo luxhomekeke kubungakanani beprostate kwaye yintoni ebangele ukuba ikhule. I-prostatectomy elula evulekileyo ihlala isetyenziswa xa iprostate inkulu kakhulu ukuba ingenzeki kutyando olungenayo. Nangona kunjalo, le ndlela ayinyangi umhlaza wedlala lobudoda. I-radical prostatectomy inokufuneka kumhlaza.

Ukususwa kweprostate kunokucetyiswa ukuba une:

• Iingxaki zokukhupha isinyi sakho (ukugcinwa komchamo)
• Izifo ezenzeka rhoqo kumchamo
• Ukopha rhoqo kwiprostate
• Amatye esinyi kunye nokwandiswa kweprostate
• Ukuchama kancinci
• Umonakalo kwizintso

Iprostate yakho inokufuna nokususwa ukuba ukuthatha amayeza kunye nokutshintsha indlela otya ngayo akuncedi iimpawu zakho.

Iingozi zalo naluphi na utyando zezi:

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

Eminye imingcipheko yile:

• Ukonakala kumalungu angaphakathi
• Iingxaki zokwakhiwa (ukungabi namandla)
• Ukuphulukana nokubanakho kwesidoda ukushiya umzimba kukhokelela ekubeni ungachumi
• Ukugqithisa isidoda ukubuyela kwisinyi endaweni yokuphuma nge-urethra (phinda wenze i-ejaculation)
• Iingxaki ngokulawulwa komchamo (ukungasebenzi)
• Ukuqiniswa kwendawo yokuphuma komchamo kwizihlunu ezibomvu (ukungqinisisa urethral)

Uya kuba notyelelo oluninzi kunye nogqirha wakho kunye novavanyo ngaphambi kotyando:

• Gqibezela uvavanyo lomzimba
• Ukutyelelwa ngugqirha wakho ukuqinisekisa ukuba iingxaki zonyango (ezinjengesifo seswekile, uxinzelelo lwegazi, kunye nesifo sentliziyo okanye semiphunga) ziphathwa kakuhle
• Uvavanyo olongezelelweyo lokuqinisekisa ukusebenza kwesinyi

Ukuba uyatshaya, kuya kufuneka uyeke iiveki ezimbalwa ngaphambi kotyando. Umboneleli wakho unokunceda.

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

Ngexesha leeveki ngaphambi kotyando:

• Kuya kufuneka uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), vitamin E, clopidogrel (Plavix), warfarin (Coumadin), kunye nawaphi na amanye amayeza afana nala.
• Buza ugqirha wakho ukuba ngawaphi amayeza ekufuneka uwathathe ngemini yotyando lwakho.
• Unokuthatha i-laxative ekhethekileyo kusuku olungaphambi kotyando lwakho. Oku kuyakucoca umxholo wekholoni yakho.

Ngomhla wotyando lwakho:

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

Uya kuhlala esibhedlele malunga neentsuku ezimbini ukuya kwezine.

• Kuya kufuneka uhlale ebhedini kude kube kusasa kusasa.
• Emva kokuba uvunyelwe ukuba uvuke uya kucelwa ukuba ujikeleze kangangoko.
• Umongikazi wakho uya kukunceda utshintshe indawo ebhedini.
• Uya kufunda kwakhona imithambo yokugcina igazi lihamba, kunye nokukhohlela / neendlela zokuphefumla nzulu.
• Kuya kufuneka wenze le mithambo qho kwiiyure ezi-3 ukuya kwezi-4.
• Kuya kufuneka unxibe isitokhwe esikhethekileyo kwaye usebenzise isixhobo sokuphefumla ukugcina imiphunga yakho icacile.

Uya kushiya utyando nge-Foley catheter kwisinyi sakho. Amanye amadoda ane-catheter ye-suprapubic eludongeni lwesisu ukunceda ukukhupha isinyi.

Amadoda amaninzi ayachacha kwiiveki ezi-6. Unokulindela ukuba ube nako ukuchama njengesiqhelo ngaphandle kokuvuza umchamo.

Iprostatectomy - elula; Suprapubic prostatectomy; I-Retropubic prostatectomy elula; Vula iprostatectomy; Inkqubo yeMillen

• Iprostate eyandisiweyo- yintoni oza kuyibuza ugqirha wakho
• Ukuthengiswa ngokutsha kweprostate-ukukhutshwa

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.

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.

I-Zhao PT, i-Richstone L.I-Robotic incediswa kunye ne-laparoscopic elula ye-prostatectomy. Ku: Bishoff JT, Kavoussi LR, ii-eds. I-Atlas yoNyango lwe-Laparoscopic kunye neRobotic. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 32.