Radical prostatectomy - kubuda

Iwe wakavhiyiwa kubvisa yako yese prostate, zvimwe zvinyama padhuze neprostate yako, uye pamwe mamwe ma lymph node. Ichi chinyorwa chinokuudza maitiro ekuzvichengeta wega kumba mushure mekuvhiyiwa.

Iwe wakavhiyiwa kubvisa yako yese prostate, mamwe matissue padyo neprostate yako, uye pamwe mamwe ma lymph node. Izvi zvakaitirwa kurapa gomarara reprostate.

• Chiremba wako anogona kunge akagadzira (kucheka) kungave mune yepazasi dumbu rako kana munzvimbo iri pakati pechikwama chako neanus (kuvhiya kwakavhurika).
• Chiremba wako anogona kunge akashandisa robhoti kana laparoscope (chubhu nhete ine kamera diki kumagumo). Iwe unenge uine akati wandei akachekwa padumbu rako.

Unogona kunge wakaneta uye unoda kuzorora kumwe kwemavhiki matatu kusvika mana iwe waenda kumba. Unogona kuve nekurwadziwa kana kusagadzikana mudumbu rako kana nzvimbo iri pakati pechikwama chako neanus kwevhiki mbiri kusvika kumatatu.

Uchaenda kumba nekateti (chubhu) kunodhonza weti kubva padundira rako. Izvi zvichabviswa mushure memavhiki matatu kusvika matatu.

Iwe unogona kuenda kumba neimwe yekuwedzera drain (inonzi Jackson-Pratt, kana JP drain). Iwe uchadzidziswa nzira yekuidurura uye kuitarisira.

Chinja kupfeka pamusoro pevanga rako rekuvhiya kamwe pazuva, kana nekukurumidza kana rikasviba. Anokuchengetedza hutano anokuudza kana iwe usingade kuti ronda rako rivharike. Chengetedza nzvimbo yemaronda yakachena nekuigeza nesipo isina kunyorova nemvura.

• Iwe unogona kubvisa kupfeka maronda uye kutora mashawa kana sutures, staples, kana glue zvakashandiswa kuvhara ganda rako. Vhara iyo incision nepurasitiki yekuputira usati wageza kwevhiki yekutanga kana uine tepi (Steri-Strips) pamusoro payo.
• Usanyike mubhavhu kana mutabhu inopisa, kana kuenda kunoshambira, chero bedzi uine kateti. Iwe unogona kuita izvi zviitiko mushure mekuti catheter yabviswa uye chiremba wako akuudza kuti zvakanaka kuti uite saizvozvo.

Chikwambo chako chinogona kunge chakazvimba kwemasvondo maviri kusvika matatu kana iwe ukavhiyiwa pachena. Iwe ungangoda kupfeka chero rutsigiro (senge joko tambo) kana kapfupi chipfeko chemukati kusvikira kuzvimba kwaenda. Paunenge uri pamubhedha, unogona kushandisa tauro pasi pechikwama chako kutsigira.

Iwe unogona kunge uine drain (inonzi Jackson-Pratt, kana JP drain) pazasi peguvhu rako bhatani iyo inobatsira yakawedzera mvura yemvura kubva mumuviri wako uye ichidzivirira kubva pakuvaka mumuviri wako. Mupiki wako anozoiburitsa mushure memazuva matatu kana matatu.

Paunenge uine kateti weti:

• Iwe unogona kunzwa kutsemuka mudundira rako. Mupiki wako anogona kukupa mushonga weizvi.
• Iwe unozofanirwa kuve nechokwadi chekuti catheter yako yekugara iri kushanda nemazvo. Unodawo kuziva kuti ungachenesa sei chubhu nenzvimbo yainonamira pamuviri wako kuitira kuti usabatwe nehutachiona kana kugumbuka kweganda.
• Weti irimo muhombodo yako yekudonha inogona kunge yakasviba tsvuku. Izvi zvakajairika.

Mushure mokunge catheter yako yabviswa:

• Iwe unogona kunge uchipisa paunodhonza, ropa mumurini, kugara uchiita weti, uye chinodikanwa chinokurumidza kuita weti.
• Iwe unogona kunge uine weti weti (kusagadzikana). Izvi zvinofanirwa kuvandudza nekufamba kwenguva. Iwe unofanirwa kuve neyakajairwa kudzora dundira mukati memwedzi mitatu kusvika kumitanhatu.
• Iwe unozodzidza maekisesaizi (anonzi Kegel kurovedza muviri) ayo anosimbisa mhasuru dziri muchiuno chako. Iwe unogona kuita izvi zviitwa chero nguva iwe wakagara kana wakarara pasi.

Usatyaire mavhiki matatu ekutanga wabva kumba. Dzivisa nzendo refu dzemotokari kana uchikwanisa. Kana iwe uchida kutora rwendo rurefu rwemotokari, mira kanenge maawa maviri ese.

Usasimudze chero chinhu chinorema kupfuura chi 1-marita (marita mana) mukaka chirongo kwemavhiki matanhatu ekutanga. Iwe unogona zvishoma nezvishoma kudzoka kumashure kune ako akajairika maekisesaizi maitiro mushure meizvozvo. Iwe unogona kuita zviitiko zvezuva nezuva kutenderedza imba kana iwe uchinzwa nezvazvo.Asi tarisira kuneta nyore nyore.

Inwa anokwana magirazi masere emvura pazuva, idya michero yakawanda uye miriwo, uye utore zvinorerutsa zvituru kudzivirira kubatira. Usatambure panguva yekufamba kwematumbu.

Usatore aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), kana mimwe mishonga yakafanana kwevhiki mbiri mushure mekuvhiyiwa. Zvinogona kukonzera matambudziko nekugwamba kweropa.

Matambudziko epabonde aungaona ndeaya:

• Yako erection inogona kunge isiri yakaoma. Vamwe varume havakwanise kuve nekumiswa.
• Yako orgasm inogona kunge isinga nyanye kana kunakidza sepakutanga.
• Iwe haugone kuona semenenzi zvachose kana iwe uine orgasm.

Aya matambudziko anogona kuve nani kana kutopera, asi zvinogona kutora mwedzi yakawanda kana kupfuura gore. Kushaikwa kweiyo ejaculate (urume hunobuda neiyo orgasm) ichave yekusingaperi. Kumbira chiremba wako nezvemishonga inobatsira.

Fonera mupiki wako kana:

• Iwe une kurwadziwa mudumbu rako kusingaendi kana iwe uchitora ako ekurapa mishonga
• Zvakaoma kufema
• Une chikosoro chisingapere
• Iwe haugone kunwa kana kudya
• Tembiricha yako iri pamusoro pe100.5 ° F (38 ° C)
• Kucheka kwako kuri kubuda ropa, kutsvuka, kudziya kusvika pakubata, kana kuva nehurema hwakakora, yeyero, girini, kana mukaka.
• Iwe une zviratidzo zvehutachiona (kupisa kunzwa kana uchiita weti, fivha, kana kutonhora)
• Yako weti rwizi haina kusimba kana iwe haugone kutarisisa zvachose
• Iwe une kurwadziwa, kutsvuka, kana kuzvimba mumakumbo ako

Paunenge uine kateti yekuvhurisa, fonera mupi wako kana:

• Une marwadzo pedyo nekateti
• Uri kubuda weti
• Iwe unoona ropa rakawanda mumuti wako
• Catheter yako inoita kunge yakavharika
• Unocherechedza grit kana matombo mumuti wako
• Weti yako inonhuwirira zvakaipa, kana kune makore kana rimwe rakasiyana ruvara
• Catheter yako yawa

Prostatectomy - radical - kubuda; Radical retropubic prostatectomy - kubuda; Radical perineal prostatectomy - kubuda; Laparoscopic radical prostatectomy - kubuda; LRP - kuburitsa; Robotic-inobatsira laparoscopic prostatectomy - kubuda; RALP - kubuda; Pelvic lymphadenectomy - kubuda; Kenza yeprostate - prostatectomy

Catalona WJ, Han M. manejimendi yekenza yeprostate yemuno. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chits. 112.

Nelson WG, Antonarakis ES, Carter HB, De Marzo AM, et al. Kenza yeprostate. Mune: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chits. 81.

Skolarus TA, Wolf AM, Erb NL, et al. American Cancer Society prostate cancer kupona kwekuchengetedza mirau. CA Kanzera J Clin. 2014; 64 (4): 225-249. PMID: 24916760 www.ncbi.nlm.nih.gov/pubmed/24916760.

• Kenza yeprostate
• Radical prostatectomy
• Dzorerazve ejaculation
• Urinary kusagadzikana

• Kegel kurovedza muviri - kuzvitarisira
• Suprapubic catheter kuchengetedza
• Urinary catheters - chii chekubvunza chiremba wako
• Weti mabhegi emvura

• Kenza yeprostate