Transurethral resection yeprostate

Transurethral resection yeprostate (TURP) kuvhiya kubvisa chikamu chemukati cheprostate gland. Izvo zvinoitwa kuitira kurapa zviratidzo zveprostate yakawedzera.

Kuvhiya kunotora anenge 1 kusvika 2 maawa.

Unozopihwa mushonga usati wavhiyiwa kuti usazonzwa kurwadziwa. Iwe unogona kuwana anesthesia yakajairika iyo iwe paunenge wakarara uye usina kurwadziwa-kana musana anesthesia mawakamuka iwe, asi wakagwinha kubva muchiuno uye pazasi.

Chiremba anovhiya anoisa chiyero kuburikidza netubhu inotakura weti kubva mudundira rako kunze kwepeni. Chimbo ichi chinonzi resectoscope. Chishandiso chakakosha chekucheka chinoiswa kuburikidza nehukuru. Inoshandiswa kubvisa chikamu chemukati cheprostate gland yako uchishandisa magetsi.

Mutapi wako wezvehutano anogona kukurudzira kuvhiyiwa uku kana uine benign prostatic hyperplasia (BPH). Iyo prostate gland inowanzo kukura kana varume vachikura. Prostate hombe inogona kukonzera matambudziko nekuita weti. Kubvisa chikamu cheprostate gland kunogona kuita kuti zviratidzo izvi zvive nani.

TURP inogona kukurudzirwa kana iwe uine:

• Zvakaoma kuburitsa dundira rako
• Kazhinji urinary turakiti hutachiona
• Kubuda ropa kubva muprostate
• Matombo edundira ane kuwedzera kweprostate
• Kunyanya kunonoka kuita weti
• Kukuvadza kune itsvo nekuda kwekutadza kuita weti
• Kumuka kazhinji husiku kuti uite weti
• Bladder control nyaya nekuda kweiyo yakakura prostate

Usati wavhiyiwa, mupi wako anokupa zano kuti iwe uchinje maitiro ekudya kana kunwa. Iwe unogona zvakare kubvunzwa kuyedza kutora mushonga. Chikamu cheprostate yako chingangoda kubviswa kana matanho aya asingabatsire. TURP ndeimwe yemhando dzakajairika dzekuvhiyiwa kweprostate. Dzimwe nzira dziripo zvakare.

Wako mupi anozotarisa zvinotevera paanofunga nezverudzi rwekuvhiya.

• Kukura kweprostate gland yako
• Hutano hwako
• Nderupi rudzi rwekuvhiya iwe rwaungade
• Kuomarara kwezviratidzo zvako

Ngozi dzekuvhiyiwa chero ndeidzi:

• Ropa rinovhara mumakumbo ayo anogona kuenda kumapapu
• Matambudziko ekufema
• Utachiona, kusanganisira mune yekuvhiya ronda, mapapu (pneumonia), kana dundira kana itsvo
• Ropa kurasikirwa
• Kurwara kwemoyo kana sitiroko panguva yekuvhiyiwa
• Zviitiko kumishonga

Dzimwe njodzi ndedze:

• Matambudziko nekudzora weti
• Kurasikirwa kwehurume kubereka
• Matambudziko ekugadzirisa
• Kupfuudza urume muchidundira pane kubuda kunze kweiyo urethra (kudzoreredza ejaculation)
• Urethral kuomesa (kuomesa kweiyo weti kuburitsa kubva kune turu turu)
• Transurethral resection (TUR) syndrome (mvura inovakwa panguva yekuvhiyiwa)
• Kukuvadza kune zvemukati nhengo uye zvivakwa

Iwe uchave nekushanya kwakawanda nemupi wako uye bvunzo usati wavhiyiwa. Kushanya kwako kunosanganisira:

• Pedza bvunzo dzepanyama
• Kurapa uye kudzora chirwere cheshuga, kuwedzerwa kweropa, matambudziko emoyo kana emapapu, uye mamwe mamiriro

Kana iwe uchisvuta, unofanirwa kumira mavhiki akati wandei usati wavhiyiwa. Wako mupi anogona kukupa matipi ekuti ungaite sei izvi.

Nguva dzose udza mupi wako kuti ndeapi madhiragi, mavitamini, uye zvimwe zvekuwedzera zvauri kutora, kunyangwe izvo zvawakatenga pasina mushonga.

Pakati pevhiki usati wavhiyiwa:

• Iwe unogona kukumbirwa kumira kutora mishonga inogona kutetepa ropa rako, senge aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), vitamin E, clopidogrel (Plavix), warfarin (Coumadin), apixaban (Eliquis), nevamwe.
• Kumbira mupi wako kuti ndeapi madhiragi aunofanirwa kutora pazuva rekuvhiyiwa kwako.

Pazuva rekuvhiyiwa kwako:

• Usadye kana kunwa chero chinhu pakati pehusiku husiku usati waitwa oparesheni.
• Tora mishonga yawakaudzwa kuti utore nekunwa zvishoma mvura.
• Unozoudzwa nguva yekuuya kuchipatara.

Iwe unowanzo gara muchipatara kwemazuva 1 kusvika matatu. Mune zvimwe zviitiko, unogona kubvumidzwa kuenda kumba musi iwoyo.

Mushure mekuvhiyiwa, iwe unenge uine diki chubhu, inonzi Foley catheter, mune rako dundira kubvisa weti. Dundira rako rinogona kukwenywa nemvura (kudiridzwa) kuti rirambe rakajeka. Weti inozotaridza seropa pakutanga. Muzviitiko zvakawanda, ropa rinoenda mukati memazuva mashoma. Ropa rinogona zvakare kusvetuka rakatenderedza catheter. Mhinduro yakakosha inogona kushandiswa kuburitsa catheter uye kuichengeta kubva pakuvhara neropa. Iyo catheter inobviswa mukati me1 kusvika kumazuva matatu kune vanhu vazhinji.

Iwe unozokwanisa kudzokera kunodya zvakajairwa kudya ipapo ipapo.

Yako yehutano timu icha:

• Kubatsira iwe kuchinja chinzvimbo pamubhedha
• Dzidzisa iwe kurovedza muviri kuti urambe uchiyerera ropa.
• Dzidzisa iwe maitiro ekuita kukosora uye kwakadzika kufema maitiro. Iwe unofanirwa kuita izvi ese matatu kusvika maawa mana.
• Kukuudza kuti ungazvichengete sei iwe mushure mekuita kwako.

Ungangoda kupfeka masokisi akaomarara uye kushandisa mudziyo wekufema kuitira kuti mapapu ako aonekwe.

Unogona kupihwa mushonga wekuti usunungure mhasuru yedundira.

TURP inoderedza zviratidzo zveprostate yakawedzerwa kazhinji yenguva. Iwe unogona kunge uchipisa nekuita weti, ropa mune rako weti, kugara uchiita weti, uye uchida kukurumidza kuita weti. Izvi zvinowanzo gadzirisa mushure mekanguva kadiki.

TURP; Prostate resection - transurethral

• Kuchengetedzwa kwekugezera kwevakuru
• Yakawedzera prostate - chii chekubvunza chiremba wako
• Kugara catheter kuchengetedza
• Kegel kurovedza muviri - kuzvitarisira
• Kudzivirira kudonha
• Kuchengeta ronda rekuvhiya - rakavhurika
• Transurethral resection yeprostate - kubuda

• Utano hwemurume hwekubereka
• Prostate gland
• Prostatectomy - Series
• Transurethral resection yeprostate (TURP) - Series

Kurudzira HE, Dahm P, Kohler TS, et al. Kuvhiya manejimendi ezasi eurineti turakiti zviratidzo zvinonzi kune benign prostatic hyperplasia: AUA Guideline Amendment 2019. J Urol. 2019; 202 (3): 592-598. PMID: 31059668 www.ncbi.nlm.nih.gov/pubmed/31059668.

Han M, Chikamu AW. Yakareruka prostatectomy: yakavhurika uye marobhoti-anobatsira laparoscopic nzira. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chits. 106.

Milam DF. Transurethral resection uye transurethral incision yeprostate. Mune: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, eds. Hinman's Atlas yeUrologic Kuvhiya. 4th ed. Philadelphia, PA: Elsevier; 2018: chits. 67.

Roehrborn CG. Benign prostatic hyperplasia: etiology, pathophysiology, epidemiology, uye nhoroondo yechisikigo. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chits. 103.