Yintoni ongayilindela kwi-Orchiectomy

Umxholo

• Zeziphi iintlobo ze-orchiectomy?
• I-orchiectomy elula
• I-orchiectomy egqibeleleyo ye-inguinal
• I-orchiectomy encinci
• I-orchiectomy yamazwe amabini
• Ngubani umgqatswa ofanelekileyo wale nkqubo?
• Isebenza kangakanani le nkqubo?
• Ndiyilungiselela njani le nkqubo?
• Yenziwa njani le nkqubo?
• Kukuthini ukufumana kwakhona kule nkqubo?
• Ngaba zikhona iziphumo ebezingalindelekanga okanye iingxaki?
• Imbonakalo

Yintoni i-orchiectomy?

I-orchiectomy yenziwa ngotyando ukuze kususwe elinye okanye omabini amasende akho. Kuqhele ukwenziwa ukunyanga okanye ukuthintela umhlaza wedlala lobubovu ukuba ungasasazeki.

I-orchiectomy inokunyanga okanye ithintele umhlaza wamatyhalarha kunye nomhlaza webele emadodeni, nawo. Kwakhona kwenziwa rhoqo ngaphambi kotyando lokwabelana ngesondo (i-SRS) ukuba ungumfazi we-transgender owenza utshintsho ukusuka kwindoda kuye kwabasetyhini.

Funda ukuze ufunde ngakumbi ngeentlobo ezahlukeneyo zenkqubo ye-orchiectomy, indlela esebenza ngayo inkqubo, kunye nendlela yokuzikhathalela emva kokuba uyenzile inkqubo.

Zeziphi iintlobo ze-orchiectomy?

Kukho iintlobo ezininzi zeenkqubo ze-orchiectomy ngokuxhomekeke kwimeko yakho okanye injongo ozama ukuyifumana ngokwenza le nkqubo.

I-orchiectomy elula

Elinye okanye omabini amasende ayasuswa ngokunqunyulwa okuncinci kwisikram sakho. Oku kunokwenziwa ukunyanga umhlaza webele okanye umhlaza webele lobudoda ukuba ugqirha wakho ufuna ukunciphisa umda we testosterone eyenziwa ngumzimba wakho.

I-orchiectomy egqibeleleyo ye-inguinal

Elinye okanye omabini amasende ashenxiswa ngokunqunyulwa okuncinci kwindawo esezantsi kwesisu endaweni yesikhwebu sakho. Oku kunokwenziwa ukuba ufumene iqhuma kwitende lakho kwaye ugqirha wakho ufuna ukuvavanya isicwili sakho samatyhalarha somhlaza. Oogqirha banokukhetha ukuvavanya umhlaza besebenzisa olu tyando kuba isampulu yethishu rhoqo, okanye i-biopsy, inokwenza ukuba iiseli zomhlaza zisasazeke.

Olu hlobo lotyando lunokuba yinto elungileyo yotshintsho ukusuka kwindoda kuye kwabasetyhini.

I-orchiectomy encinci

Izicubu ezijikeleze amasende ziyasuswa kwisingxobo samatyhalarha. Oku kukuvumela ukuba ugcine iscrotum sakho ukuze kungabikho phawu lwangaphandle lokuba nantoni na isusiwe.

I-orchiectomy yamazwe amabini

Omabini amasende ayasuswa. Oku kunokwenziwa ukuba unomdlavuza webele, umhlaza webele, okanye utshintsha ukusuka kwindoda uye kwabasetyhini.

Ngubani umgqatswa ofanelekileyo wale nkqubo?

Ugqirha wakho unokwenza olu nyango ukunyanga umhlaza wamabele okanye umhlaza webele. Ngaphandle kwamatyhalarha, umzimba wakho awunako ukwenza testosterone engako. I-testosterone yincindi yedlala enokubangela ukuba i-Prostate okanye umhlaza webele usasazeke ngokukhawuleza. Ngaphandle kwe testosterone, umhlaza unokukhula kancinci, kwaye ezinye iimpawu, ezinje ngethambo, zinokunyamezeleka.

Ugqirha wakho unokucebisa i-orchiectomy ukuba usempilweni ngokubanzi, kwaye ukuba iiseli zomhlaza azisasazekanga ngaphaya kwamatyhalarha akho okanye kude ngaphaya kwedlala lengqula.

Unokufuna ukwenza i-orchiectomy ukuba uyatshintsha ukusuka kwindoda uye kwabasetyhini kwaye ufuna ukunciphisa ubuninzi be testosterone emzimbeni wakho.

Isebenza kangakanani le nkqubo?

Olu tyando lunyanga ngempumelelo iprostate kunye nomhlaza wamabele. Unokuzama unyango lwehomoni nge-antiandrogens ngaphambi kokujonga i-orchiectomy, kodwa ezi zinokuba neziphumo ebezingalindelekanga, kubandakanya:

• umonakalo kwi-thyroid gland, isibindi okanye izintso
• amahlwili egazi
• negazi lakho

Ndiyilungiselela njani le nkqubo?

Ngaphambi kwe-orchiectomy, ugqirha wakho unokuthatha iisampulu zegazi ukuqinisekisa ukuba uphilile ngokwaneleyo ukuba ungatyandwa kwaye uvavanye naziphi na izikhombisi zomhlaza.

Le yinkqubo yokugula ngaphandle ethatha imizuzu engama-30-60. Ugqirha wakho angasebenzisa i-anesthesia yendawo ukuba anqamle indawo okanye i-anesthesia jikelele. I-anesthesia ngokubanzi inobungozi kodwa ikuvumela ukuba uhlale ungazi nto ngexesha lotyando.

Ngaphambi kokuqeshwa, qiniseka ukuba ukhwele ekhaya. Thatha iintsuku ezimbalwa emsebenzini kwaye ukulungele ukunciphisa isixa sakho somsebenzi emva koqhaqho. Tshela ugqirha wakho malunga nawaphi na amayeza okanye izongezo zokutya ozithathayo.

Yenziwa njani le nkqubo?

Okokuqala, ugqirha wakho otyholayo uya kuyiphakamisa ipenisi yakho kwaye ayinamathisele esiswini sakho. Emva koko, baya kwenza i-incision mhlawumbi kwi-scrotum yakho okanye indawo ephezulu ngaphezu kwethambo lakho le-pubic kwisisu sakho esisezantsi. Elinye okanye omabini amasende aya kuthi emva koko asikwe kwizicwili nakwimikhumbi, aze asuswe kububunzima.

Ugqirha wakho uza kusebenzisa izikhonkwane ukukhusela iintambo zakho ze-spermatic ekuphumeni kwegazi. Banokufaka ityhalarha lokufakelwa endaweni yelo lisusiweyo. Emva koko, baya kuhlamba loo ndawo ngesisombululo se-saline kunye nokuthunga ukusikwa.

Kukuthini ukufumana kwakhona kule nkqubo?

Kuya kufuneka uye ekhaya kwiiyure ezimbalwa emva kwe-orchiectomy. Uya kudinga ukubuyela ngosuku olulandelayo ukuze uhlolwe.

Kwiveki yokuqala emva kwe-orchiectomy:

• Nxiba inkxaso mali yokuqala kwiiyure zokuqala ezingama-48 emva kotyando ukuba uyalelwe ngugqirha okanye ngumongikazi.
• Sebenzisa umkhenkce ukunciphisa ukudumba kwisingxobo sakho samatyhalarha okanye ujikeleze incision.
• Hlamba loo ndawo ngobunono ngesepha epholileyo xa uhlamba.
• Gcina indawo yakho yokugawula yomile kwaye ugqunywe ngegawusi kwiintsuku zokuqala.
• Sebenzisa naziphi na iikhrimu okanye Amafutha alandela imiyalelo kagqirha wakho.
• Thatha iziyobisi ezichasayo (ii-NSAID) ezinje nge-ibuprofen (Advil, Motrin) kwintlungu yakho.
• Gwema ukuxinana ngexesha lokuhamba kwamathumbu. Sela amanzi amaninzi kwaye utye ukutya okuneswekile eninzi ukugcina amathumbu rhoqo. Unokuthatha isitya sokuthambisa.

Kungathatha iiveki ezimbini ukuya kwiinyanga ezimbini ukubuyela ngokupheleleyo kwi-orchiectomy. Sukuphakamisa nantoni na ngaphezulu kweepawundi ezili-10 kwiiveki ezimbini zokuqala okanye ubelane ngesondo kude kube yinto leyo ipholileyo. Gwema ukuzivocavoca, imidlalo kunye nokuqhuba iiveki ezine emva kokuhlinzwa.

Ngaba zikhona iziphumo ebezingalindelekanga okanye iingxaki?

Yiya kugqirha wakho ngoko nangoko xa ubona nayiphi na eminye yemiphumo emibi:

• intlungu okanye ubomvu obujikeleze ukusikwa
• ubofu okanye ukopha okusikweni
• Umkhuhlane ongaphezu kwe-100 ° F (37.8 ° C)
• ukungakwazi ukuchama
• ihemmatoma, egazini kwisingxobo samatyhalarha kwaye ihlala ikhangeleka ngathi yindawo enkulu emfusa
• ukulahleka kwemvakalelo malunga neprototum yakho

Thetha nogqirha wakho malunga neziphumo ebezingalindelekanga zexesha elide ngenxa yokuba une-testosterone encinci emzimbeni wakho, kubandakanya:

• osteoporosis
• ukuphulukana nokuchuma
• kushushu
• iimvakalelo zokudakumba
• Ukungasebenzi kakuhle kwe-erectile

Imbonakalo

Unyango lwe-orchiectomy lunyango lwangaphandle olungathathi xesha lide ukubuyela ngokupheleleyo. Kunobungozi obuncinci kunonyango lwehomoni kunyango lweprotate okanye umhlaza wamatyhalarha.

Vuleleka kugqirha wakho ukuba ufumana olu tyando njengenxalenye yotshintsho ukusuka kwindoda ukuya kubafazi. Ugqirha wakho unakho ukusebenza nawe ukunciphisa izicwili ezibomvu kwindawo leyo ukuze i-SRS yexesha elizayo ibe nempumelelo ngakumbi.