Uqhaqho lweprostate (prostatectomy): yintoni, iintlobo kunye nokubuyela kwimeko yesiqhelo

Umxholo

• Lwenziwa njani utyando
• Ezona ntlobo ziphambili zeprostatectomy
• Kunjani kwakhona kwi-Prostatectomy
• Iziphumo ezinokubakho zotyando
• 1. Ukungasebenzi kakuhle komchamo
• 2. Ukungasebenzi kakuhle kwe-Erectile
• 3. Ukungachumi
• Iimviwo kunye nothethwano emva kotyando
• Ngaba umhlaza ungabuya?

Utyando lweprostate, olubizwa ngokuba yi-radical prostatectomy, lolona hlobo lonyango kunyango lwe-Prostate kuba, kwiimeko ezininzi, kunokwenzeka ukuba ususe lonke ithumba elibi kwaye unyange ngokuqinisekileyo umhlaza, ngakumbi xa isifo sisaguqukile kwaye singafikanga amanye amalungu.

Olu tyando lwenziwa, ngokukhethekileyo, kumadoda angaphantsi kweminyaka engama-75 ubudala, kuthathelwa ingqalelo yomngcipheko ophantsi ukuya kovavanyo ophakathi, Oko kukuthi, ngezifo ezinganyangekiyo ezilawulwayo, ezinjengesifo seswekile okanye uxinzelelo lwegazi. Nangona olu nyango lusebenza kakhulu, kunokucetyiswa ukuba kwenziwe i-radiotherapy emva kotyando kwiimeko ezithile, ukuphelisa naziphi na iiseli ezinobungozi ezinokuthi zishiyeke endaweni.

Umhlaza wedlala lobudoda uyacotha ukukhula kwaye, ke ngoko, akuyomfuneko ukwenza uqhaqho kwangoko emva kokufumanisa isifo, ukukwazi ukuvavanya ukukhula kwayo kwithuba elithile, ngaphandle kokunyusa umngcipheko weengxaki.

Lwenziwa njani utyando

Olu tyando lwenziwe, kwiimeko ezininzi, nge-anesthesia ngokubanzi, nangona kunjalo inokwenziwa nge-spinal anesthesia, esetyenziselwa umqolo, kuxhomekeke kubuchule bokuhlinzwa obuza kwenziwa.

Olu tyando luthatha umndilili weeyure ezi-2 kwaye kuhlala kufanelekile ukuba uhlale esibhedlele malunga neentsuku ezimbini ukuya kwezintathu. Iprostatectomy iqulathe ukususwa kweprostate, kubandakanya i-Prostate urethra, i-seminal vesicles kunye ne-ampoules ze-vas deferens. Olu tyando lunokunxulunyaniswa ne-lymphadenectomy yamazwe amabini, equka ukususa i-lymph node kwingingqi ye-pelvic.

Ezona ntlobo ziphambili zeprostatectomy

Ukususa i-Prostate, utyando lunokwenziwa ngerobhothi okanye nge-laparoscopy, oko kukuthi, ngemingxunya encinci esiswini apho izixhobo zokususa iprostate pass, okanye nge-laparotomy apho kusikwe khona okukhulu kulusu.

Ezona ntlobo ziphambili zotyando zisetyenzisiweyo zezi:

• I-radical retropubic prostatectomy: kobu buchule, ugqirha usika kancinci kulusu kufutshane nenkaba ukususa iprotrate;
• IPerineal radical prostatectomy: kusikwa phakathi kwe-anus kunye ne-scrotum kwaye i-prostate iyasuswa. Obu buchule busetyenziswa ngokufuthi kunangaphambili, kuba kukho umngcipheko omkhulu wokufikelela kwimithambo-luvo ejongene nolwakhiwo, enokubangela ukungasebenzi kakuhle kwe-erectile;
• Irobhothi yeprostatectomy: kobu buchule, ugqirha ulawula umatshini oneengalo zerobhothi kwaye, ke ngoko, ubuchwephesha buchanekile ngakumbi, bunomngcipheko omncinci wokulandelelana;
• Ukuthengiswa ngokutsha kweprostate: ihlala yenziwa kunyango lwe-benign prostatic hyperplasia, nangona kunjalo, kwimeko zomhlaza apho i-radical prostatectomy ingenakwenziwa kodwa kukho iimpawu, obu buchule bunokusetyenziswa.

Kwiimeko ezininzi, obona buchule bufanelekileyo yile yenziwa ziirobhothi, kuba ibangela iintlungu ezimbalwa, ibangela ukulahleka kwegazi okuncinci kwaye ixesha lokubuyisa likhawuleza.

Kunjani kwakhona kwi-Prostatectomy

Ukuchacha kuqhaqho lobudoda kuyakhawuleza kwaye kuyacetyiswa kuphela ukuba uphumle, uthintele iinzame, malunga neentsuku ezili-10 ukuya kwezi-15. Emva kwelo xesha, ungabuyela kwimisebenzi yemihla ngemihla, njengokuqhuba okanye ukusebenza, nangona kunjalo, imvume yeenzame ezinkulu yenzeka kuphela emva kweentsuku ezingama-90 ukusukela kumhla wotyando. Unxibelelwano olusondeleyo lunokuphinda luqale emva kweentsuku ezingama-40.

Ngexesha post-operative of Prostatectomy, kufuneka ubeke isinyenyiso probe, ityhubhu, nto leyo eza kuqhuba umchamo ukusuka esinyeni ukuya engxoweni, ngenxa yokuba womchamo uye ukudumba kakhulu, ukuthintela indlela yokuchama. Le probe kufuneka isetyenziselwe iiveki ezi-1 ukuya kwezi-2, kwaye kufuneka isuswe kuphela emva kwengcebiso kagqirha. Funda indlela yokunyamekela i-catheter ye-bladder ngeli xesha.

Ukongeza kotyando, unyango lwehomoni, ichemotherapy kunye / okanye unyango ngemitha kunokufuneka ukubulala iiseli ezinobungozi ezingakhange zisuswe kuqhaqho okanye ezinwenwele kwamanye amalungu, ukubathintela ekuqhubekeni nokwanda.

Iziphumo ezinokubakho zotyando

Ukongeza kwimingcipheko ngokubanzi, enjengokusuleleka kwindawo enesikrelemnqa okanye ukopha, utyando lomhlaza wedlala lobudoda lunokuba nolunye ulungelelwaniso olubalulekileyo olufana noku:

1. Ukungasebenzi kakuhle komchamo

Emva kotyando, indoda inokufumana ubunzima ekulawuleni ukuphuma komchamo, okukhokelela ekungangeni komchamo. Oku kungazinzisi kunokuba buthathaka okanye kuphelele kwaye kuhlala kuhlala iiveki okanye iinyanga ezimbalwa emva kotyando.

Le ngxaki ixhaphake kakhulu kubantu abadala, kodwa inokwenzeka nakweyiphi na iminyaka kwaye ixhomekeke kwinqanaba lokukhula komhlaza kunye nohlobo lotyando. Unyango luhlala luqala ngeeseshoni ze-physiotherapy, ngokwenza umthambo we-pelvic kunye nezixhobo ezincinci, ezinje biofeedback, kunye ne-kinesiotherapy. Kwiimeko ezinzima kakhulu, utyando lunokwenziwa ukulungisa ukungasebenzi kakuhle. Bona iinkcukacha ezithe kratya malunga nendlela yokunyanga ukungabikho komchamo.

2. Ukungasebenzi kakuhle kwe-Erectile

Ukungasebenzi kakuhle kwe-Erectile yenye yezona ngxaki zixhalabisayo kumadoda, angakwaziyo ukuqala okanye ukugcina ulwakhiwo, nangona kunjalo, ngokubonakala kotyando lweerobhothi, amaqondo okungasebenzi kakuhle e-erectile anciphile. Kungenxa yokuba ecaleni kweprostate kukho imithambo-luvo ebalulekileyo elawula ukwakhiwa. Ke, ukungasebenzi kakuhle kwe-erectile kuxhaphake kakhulu kwimeko yomhlaza ophucukileyo apho kufuneka kususwe indawo ezininzi ezichaphazelekayo, kwaye kunokuba yimfuneko ukususa imithambo-luvo.

Ngamanye amaxesha, ulwakhiwo lunokuchaphazeleka kuphela kukudumba kwezicubu ezijikeleze iprostate, ecinezela kwimithambo-luvo. La matyala ahlala ephucula ngaphezulu kweenyanga okanye iminyaka njengoko izicwili zibuyela kwimeko yesiqhelo.

Ukunceda kwiinyanga zokuqala, ugqirha we-urologist unokucebisa ngamanye amayeza, anje nge-sildenafil, i-tadalafil okanye iodenafil, encedisa ekwakheni ulwaneliseko. Funda ngakumbi malunga nendlela yokunyanga ukungasebenzi kakuhle kwe-erectile.

3. Ukungachumi

Utyando lwesifo somhlaza wedlala lobudoda lusika unxibelelwano phakathi kwamatyhalarha, apho kuveliswa khona isidoda, kunye ne-urethra. Ke ngoko, umntu akasayi kuphinda akwazi ukuzala umntwana ngendlela yendalo. Amatyhalarha asaza kuvelisa amadlozi, kodwa awayi kutsalwa.

Njengamadoda amaninzi achaphazeleka ngumhlaza wedlala lobudoda sele aluphele, ukungachumi ayisiyiyo inkxalabo enkulu, kodwa ukuba ungumfana okanye ufuna ukuba nabantwana, kuyacetyiswa ukuba uthethe nogqirha kwaye uvavanye ukubakho kokugcina isidoda kwiiklinikhi ezizodwa.

Iimviwo kunye nothethwano emva kotyando

Emva kokugqiba unyango lomhlaza wedlala lobudoda, kufuneka wenze uvavanyo lwePSA ngendlela elandelelanayo, kangangeminyaka emi-5. Ukuvavanywa kwamathambo kunye nezinye iimvavanyo zokucinga zinokwenziwa rhoqo ngonyaka ukuqinisekisa ukuba yonke into ilungile okanye ichonge naluphi na utshintsho kwangoko.

Inkqubo yeemvakalelo kunye nokwabelana ngesondo kunokushukunyiswa kakhulu, kungabonakaliswa ukuba kulandelwe ugqirha weengqondo ngexesha lonyango nakwinyanga ezimbalwa zokuqala emva koko. Inkxaso yosapho kunye nabahlobo abasenyongweni ikwaluncedo olubalulekileyo lokuqhubeka ngoxolo.

Ngaba umhlaza ungabuya?

Ewe, amadoda afunyaniswe enomhlaza wedlala lobudoda kwaye anyangwa ngenjongo yokunyanga anokuthi aphindaphinde kwesi sifo kwaye afune unyango olongezelelekileyo. Ke ngoko, ukulandela rhoqo ugqirha womchamo kubalulekile, ukwenza iimvavanyo eziceliweyo zokulawula isifo.

Ukongeza, kuyacetyiswa ukuba ugcine imikhwa esempilweni kwaye ungatshayi, ukongeza ekwenzeni uvavanyo lokuchonga amaxesha ngamaxesha, nanini na xa kuceliwe ngugqirha, kuba kwangoko umhlaza okanye ukuphinda ubuye kwafunyanwa, kokukhona amathuba okuba anyangeke.