I-Suprapubic Prostatectomy yonyango lweProstate eyandisiweyo: Yintoni Ongayilindela

Umxholo

• Kutheni ndifuna olu tyando?
• Uyilungiselela njani i-suprapubic prostatectomy
• Inkqubo
• Ukuchacha
• Iingxaki
• Imbonakalo

Ushwankathelo

Ukuba ufuna ukukhutshwa i-Prostate gland ngenxa yokuba ikhulu kakhulu, ugqirha unokucebisa nge-suprapubic prostatectomy.

I-Suprapubic kuthetha ukuba utyando lwenziwa ngokusikwa kwisisu sakho esezantsi, ngaphezulu kwethambo lakho le-pubic. Kwenziwe isisu kwisinyi sakho, kwaye iziko leprostate gland liyasuswa. Eli candelo leprostate gland yaziwa ngokuba yindawo yotshintsho.

I-suprapubic prostatectomy yinkqubo yezigulana ezingalaliswayo. Oku kuthetha ukuba le nkqubo yenziwa esibhedlele. Kuya kufuneka uhlale esibhedlele ixesha elifutshane ukuze uchache. Njengalo naluphi na utyando, le nkqubo inobungozi. Thetha nogqirha wakho malunga nokuba kutheni unokufuna utyando, zeziphi iingozi, kwaye kufuneka wenze ntoni ukulungiselela le nkqubo.

Kutheni ndifuna olu tyando?

I-suprapubic prostatectomy yenziwa ukususa inxenye yeprostate gland eyandisiweyo. Njengokuba usiba mdala, iprotrate yakho ngokwendalo iya ikhula kuba izicwili zikhula zijikeleze iprotrate. Oku kukhula kubizwa ngokuba yi-benign prostatic hyperplasia (BPH). Akuhambelani nomhlaza. Iprostate eyandisiweyo ngenxa ye-BPH inokwenza kube nzima ukuchama. Inokude ikwenze uve iintlungu xa uchama okanye ikwenze uzive ngathi awunako ukukhupha ngokupheleleyo isinyi sakho.

Ngaphambi kokucebisa utyando, ugqirha wakho unokuzama amayeza okanye iinkqubo zonyango zokunciphisa iimpawu zeprostate eyandisiweyo. Ezinye iinkqubo zibandakanya unyango lwe-microwave kunye ne-thermotherapy, ekwabizwa ngokuba lonyango lobushushu. Ezi zinokukunceda ukutshabalalisa ezinye izicwili ezingaphezulu kweprostate. Ukuba iinkqubo ezinje azisebenzi kwaye uqhubeka nokufumana iintlungu okanye ezinye iingxaki xa uchama, ugqirha wakho unokucebisa ngeprostatectomy.

Uyilungiselela njani i-suprapubic prostatectomy

Nje ukuba wena nogqirha wakho uthathe isigqibo sokuba ufuna iprostatectomy, ugqirha wakho unokufuna ukwenza i-cystoscopy. Kwi-cystoscopy, ugqirha wakho usebenzisa indawo yokujonga indawo yakho yokuchama kunye neprostate yakho. Ugqirha wakho unokuyalela uvavanyo lwegazi kunye nolunye uvavanyo lokuvavanya iprotrate yakho.

Kwiintsuku ezimbalwa ngaphambi kwenkqubo, ugqirha wakho uya kukucela ukuba uyeke ukuthatha amayeza eentlungu kunye nabacoci begazi ukunciphisa umngcipheko wokopha kakhulu ngexesha lotyando. Imizekelo yala mayeza ibandakanya:

• ibuprofen (Advil, Motrin)
• I-naproxen (uAleve, uAnaprox, uNaprosyn)
• iwarfarin (Coumadin)

Ugqirha wakho unokufuna ukuba uzile ukutya ixesha elininzi ngaphambi kotyando. Oko kuthetha ukuba awungekhe utye okanye usele nantoni na ngaphandle kolwelo olucacileyo. Ugqirha wakho unokufumana i-enema ukucoca ikholoni yakho ngaphambi kokuhlinzwa.

Phambi kokuba ungene esibhedlele ngenxa yenkqubo, yenza amalungiselelo ekhefu emsebenzini. Usenokungakwazi ukubuyela emsebenzini iiveki ezininzi. Cwangcisa umhlobo okanye ilungu losapho ukuba likugoduse emva kokuba ukhutshiwe esibhedlele. Awuyi kuvunyelwa ukuba uqhube ngexesha lokubuyisela kwakho.

Inkqubo

Phambi kotyando lwakho, uyakususa iimpahla kunye nezacholo kwaye utshintshe ube yingubo yasesibhedlele.

Kwigumbi lokusebenza, ityhubhu efakwa ngaphakathi (IV) iya kufakwa ukuze ikunike amayeza okanye olunye ulwelo ngexesha lotyando. Ukuba uza kufumana i-anesthesia ngokubanzi, inokulawulwa nge-IV yakho okanye ngemaski ebusweni bakho. Ukuba kukho imfuneko, kungafakwa ityhubhu emqaleni ukuze ifake ianesthesia kwaye ixhase ukuphefumla kwakho ngexesha lotyando.

Kwezinye iimeko, kufuneka i-anesthesia yendawo kuphela (okanye yengingqi). I-anesthesia yendawo ilawulwa ukufiphalisa indawo apho kwenziwa khona inkqubo. Nge-anesthesia yendawo, uhlala uphaphile ngexesha lotyando. Awuyi kuva zintlungu, kodwa usenokuziva ungonwabanga okanye uxinzelelo kwindawo eqhutywa kuyo.

Nje ukuba ulele okanye undindisholo, ugqirha wotyando uya kwenza isisu esiswini sakho ukusuka ezantsi kwenkaba yakho ukuya ngaphezulu kwethambo lakho le-pubic. Emva koko, ugqirha uya kwenza ukuvula phambi kwesinyi sakho. Okwangoku, ugqirha wakho wotyando unokufaka i-catheter ukugcina umchamo wakho uchithiwe kulo lonke utyando. Ugqirha wakho oya kuthi emva koko asuse iziko leprostate yakho ngokuvula. Nje ukuba le nxalenye yeprostate isuswe, ugqirha wotyando uya kuvala ukubonakala kweprotrate, isinyi kunye nesisu.

Kuxhomekeka kwimeko yakho, ugqirha wakho unokucebisa ngoncedo lwe-robotic prostatectomy. Kule ndlela yenkqubo, izixhobo zerobhothi zisetyenziselwa ukunceda ugqirha. Iprostatectomy encediswa irobhothi ayonakalisi kangako kunotyando lwesiko kwaye inokubangela ilahleko encinci yegazi ngexesha lenkqubo. Ihlala inexesha elifutshane lokubuyisa kunye nemingcipheko embalwa kunotyando lwesiko.

Ukuchacha

Ixesha lakho lokuphulukana esibhedlele linokusukela kusuku olunye ukuya kwiveki okanye nangaphezulu, ngokusekwe kwimpilo yakho kunye nenqanaba lokuphumelela kwenkqubo. Ngosuku lokuqala okanye kwiiyure ezimbalwa emva kotyando, ugqirha wakho uya kukucebisa ukuba ujikeleze ukugcina igazi lakho linganqeni. Abongikazi baya kukunceda, ukuba kukho imfuneko.Iqela lakho lezonyango liya kukujonga kwakhona kwaye lisuse i-catheter yakho yomchamo xa bakholelwa ukuba ulungile.

Emva kokuba ukhululwe esibhedlele, unokufuna iiveki ezi-2 ukuya kwezi-4 ukuze uphinde uchache ngaphambi kokuba uphinde uqalise ukusebenza kunye nemisebenzi yemihla ngemihla. Ngamanye amaxesha, kungafuneka ugcine i-catheter okwexeshana emva kokuba uphumile esibhedlele. Ugqirha wakho unokukunika i-antibiotics ukukhusela izifo, okanye i-laxatives ukuqinisekisa ukuba uyaqhubeka nokuhamba rhoqo ngaphandle kokuchukumisa indawo yokuhlinzwa.

Iingxaki

Inkqubo ngokwayo inobungozi obuncinci. Njengalo naluphi na utyando, kukho ithuba lokufumana usulelo ngexesha okanye emva kotyando, okanye ukopha ngaphezu kokuba bekulindelwe. Ezi ngxaki zinqabile kwaye azihlali zikhokelela kwimicimbi yezempilo yexesha elide.

Naluphina utyando olubandakanya i-anesthesia luneengozi ezithile, ezinje nge-pneumonia okanye stroke. Iingxaki zeanesthesia zinqabile, kodwa unokuba semngciphekweni omkhulu xa utshaya, utyebe kakhulu, okanye uneemeko ezifana noxinzelelo lwegazi okanye isifo seswekile.

Imbonakalo

Ngokubanzi, imbonakalo ye-suprapubic prostatectomy ilungile. Imicimbi yezempilo ebangelwa yile nkqubo inqabile. Emva kokuba uchache kutyando lwakho, kuya kuba lula kuwe ukuba uchame kwaye ulawule isinyi sakho. Akufanele ube nemiba ngokungahambisani, kwaye akufanelekanga ukuba uzive ngathi usafuna ukuchama emva kokuba sele uhambe.

Nje ukuba uchache kwi-prostatectomy yakho, usenokungafuneki naziphi na iinkqubo zokulawula i-BPH.

Kuya kufuneka uphinde ubonane nogqirha kwakhona ukuze ufumane ukulandelwa, ngakumbi ukuba unayo nayiphi na ingxaki yotyando.