Radical prostatectomy

Radical prostatectomy (kubviswa kweprostate) kuvhiyiwa kubvisa iyo yese yeprostate gland uye zvimwe zvezvinyama zvakakomberedza. Izvo zvinoitirwa kurapa kenza yeprostate.

Kune mana makuru marudzi kana maitiro eakanyanya prostatectomy kuvhiya. Maitiro aya anotora maawa maviri kusvika mana:

• Kudzokorora - Chiremba wako anovhiya achacheka achitangira pazasi pebumbu rako rinosvika kune rako repabhupu. Kuvhiya uku kunotora maminetsi makumi mapfumbamwe kusvika kumaawa mana.
• Laparoscopic -Chiremba anovhiya akacheka akati wandei pachinzvimbo chekucheka kukuru. Yakareba, maturusi matete anoiswa mukati mekucheka. Chiremba anovhiya anoisa chubhu nhete ine vhidhiyo kamera (laparoscope) mukati meimwe yekucheka. Izvi zvinobvumira chiremba anovhiya kuti aone mukati medumbu rako panguva yekuita.
• Robotic kuvhiyiwa - Dzimwe nguva, laparoscopic kuvhiya kunoitwa uchishandisa robotic system. Chiremba anovhiya anotamisa zviridzwa uye kamera achishandisa maoko erobhoti paakagara pane yekudzora koni padyo netafura yekushandisa Hachisi chipatara chese chinopa kuvhiya kwerobhoti.
• Zvakakwana - Chiremba wako anovhiya paganda pakati penzvimbo yako nechepasi peganda (iro perineum). Iyo yakatemwa idiki pane neiyo retropubic maitiro. Rudzi urwu rwekuvhiya runotora nguva shoma uye rwunokonzera kushomeka kweropa. Nekudaro, zvinorema kuti chiremba anovhiya achengetedze tsinga dzakatenderedza prostate kana kubvisa lymph node padyo neiyi nzira.

Kune aya maitiro, iwe unogona kuve uine yakajairika anesthesia kuitira kuti iwe uvete uye unorwadziwa mahara. Kana, iwe unowana mushonga wekudzikisira iyo yepazasi hafu yemuviri wako (musana kana epidural anesthesia).

• Chiremba anovhiya anobvisa gland yeprostate kubva munyama dzakakomberedza. Iyo seminal vesicles, maviri madiki masaga-akazara masaga padhuze neprostate yako, anobviswawo.
• Chiremba anovhiya anozotarisira kukonzera kukuvara kudiki sezvinobvira kumitsipa uye tsinga dzeropa.
• Chiremba anovhiya anonamatira urethra kune chikamu chedundira chinonzi mutsipa wedundira. Urethra ndiyo chubhu inotakura weti kubva mudundira ichibuda nepanhengo.
• Chiremba wako anovhiya anogona zvakare kubvisa lymph node mumapfupa kuti atarise ivo kenza.
• Dhayera, inonzi Jackson-Pratt drain, inogona kusiiwa mudumbu mako kuti ubudise imwe mvura mushure mekuvhiyiwa.
• Chubhu (catheter) inosara mune yako urethra uye bladder kudhonza weti. Izvi zvichagara munzvimbo kwemazuva mashoma kusvika mavhiki mashoma.

Radical prostatectomy inowanzoitwa kana kenza isina kupararira kupfuura iyo gland yeprostate. Izvi zvinodaidzwa kunzi nzvimbo yakawanikwa cancer.

Chiremba wako anogona kukurudzira imwe kurapwa iwe nekuda kweizvo zvinozivikanwa nezve yako mhando kenza uye yako njodzi zvinhu. Kana, chiremba wako anogona kutaura newe nezve mamwe marapirwo angave akanaka kune kenza yako. Aya marapirwo anogona kushandiswa panzvimbo pekuvhiyiwa kana mushure mekuvhiyiwa kwaitwa.

Zvinhu zvekufunga nezvazvo pakusarudza rudzi rwekuvhiya zvinosanganisira zera rako nemamwe matambudziko ekurapa. Uku kuvhiya kunowanzoitwa kune varume vane hutano avo vanotarisirwa kurarama kwemakore gumi kana anopfuura mushure mekuita.

Njodzi dzeiyi maitiro ndeiyi:

• Zvinetso kudzora weti (weti kusagadzikana)
• Matambudziko ekumisikidza (kushaya simba)
• Kukuvadza kune rectum
• Urethral kuomesa (kuomesa kweiyo weti kuvhurwa nekuda kwekukuvara kwenyama)

Iwe unogona kuve nekushanya kwakati wandei nemupi wako wekuchengeta hutano Iwe unenge uine bvunzo yakakwana yemuviri uye unogona kunge uine mimwe bvunzo. Mubatsiri wako anozoona kuti matambudziko ekurapa akadai seshuga, kuwedzerwa kweropa, uye matambudziko emoyo kana emapapu ari kudzorwa.

Ukasvuta, unofanirwa kumira mavhiki akati wandei usati wavhiyiwa. Mupi wako anogona kubatsira.

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

Pakati pevhiki usati wavhiyiwa:

• Unogona kubvunzwa kuti umire kutora aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), vitamin E, clopidogrel (Plavix), warfarin (Coumadin), uye chero zvimwe zvinochenesa ropa kana zvinodhaka zvinoita kuti zviomere ropa rako. kugwamba.
• Bvunza kuti ndeapi madhiragi aunofanira kutora pazuva rekuvhiyiwa kwako.
• Pazuva rekuvhiyiwa kwako, ingonwa zvinwiwa zvakajeka chete.
• Dzimwe nguva, unogona kubvunzwa nemupi wako kuti utore laxative yakakosha pazuva rakapfuura kuvhiyiwa kwako. Izvi zvinonatsa zvirimo kunze kwekoloni yako.

Pazuva rekuvhiyiwa kwako:

• Usadya kana kunwa chero chinhu pakati pehusiku husiku usati waitwa oparesheni.
• Tora mishonga yawakaudzwa kunwa nekamwe kamvura.
• Unozoudzwa nguva yekuuya kuchipatara. Iva nechokwadi chekusvika nenguva.

Gadzirira imba yako kuitira paunodzoka kumba mushure mekuvhiyiwa.

Vanhu vazhinji vanogara muchipatara kwe1 kusvika mazuva mana. Mushure mekuvhiyiwa kweparoscopic kana robotic, unogona kuenda kumba zuva rinotevera maitiro.

Ungangoda kugara pamubhedha kusvikira mangwanani mushure mekuvhiyiwa. Iwe unozokurudzirwa kufamba famba zvakanyanya sezvinobvira mushure meizvozvo.

Mukoti wako anokubatsira iwe kuchinja chinzvimbo mumubhedha uye kukuratidza iwe kurovedza kuitira kuti ropa rirambe richiyerera. Iwe zvakare unodzidza kukosora kana kufema kwakadzika kudzivirira mabayo. Iwe unofanirwa kuita nhanho idzi nguva dzese kusvika kumaawa maviri. Ungangoda kushandisa mudziyo wekufema kuti uchengetedze mapapu ako akajeka.

Mushure mekuvhiyiwa kwako, unogona:

• Pfeka masokisi akakosha pamakumbo ako kudzivirira kugwamba kweropa.
• Gamuchira mushonga wemarwadzo mutsinga dzako kana kunwa mapiritsi ekurwadziwa.
• Inzwa kutsemuka mudundira rako.
• Iva neFoley catheter muhombodo yako paunodzoka kumba.

Kuvhiya kunofanira kubvisa ese maseru ekenza. Zvisinei, iwe uchaongororwa zvakanaka kuti uone kuti kenza haidzoke. Iwe unofanirwa kugara uchiongororwa, kusanganisira prostate yakatarwa antigen (PSA) kuongororwa kweropa.

Zvichienderana nemhedzisiro yezvirwere uye PSA bvunzo mhedzisiro mushure mekubviswa kweprostate, mupi wako anogona kukurukura nezve radiation radiation kana kurapwa kwehomoni newe.

Prostatectomy - yakanyanyisa; Radical retropubic prostatectomy; Radical perineal prostatectomy; Laparoscopic radical prostatectomy; LRP; Robotic-inobatsira laparoscopic prostatectomy; RALP; Pelvic lymphadenectomy; Kenza yeprostate - prostatectomy; Kubviswa kweprostate - kwakanyanya

• Kuchengetedzwa kwekugezera kwevakuru
• Kugara catheter kuchengetedza
• Kegel kurovedza muviri - kuzvitarisira
• Prostate brachytherapy - kubuda
• Radical prostatectomy - kubuda
• Suprapubic catheter kuchengetedza
• Kuchengeta ronda rekuvhiya - rakavhurika
• Urinary kusagadzikana zvigadzirwa - kuzvitarisira
• Weti mabhegi emvura
• Paunenge uine kusvotwa uye kurutsa
• Paunenge uine weti kusagadzikana

Bhiri-Axelson A, Holmberg L, Garmo H, et al. Radical prostatectomy kana kungwarira kumirira mune yekutanga kenza yeprostate. N Engl J Med. 2014; 370 (10): 932-942. PMID: 24597866 www.ncbi.nlm.nih.gov/pubmed/24597866.

Ellison JS, Iye C, Wood DP. Pakutanga postoperative weti uye yebonde basa rinofanotaura kushanda kwekupora 1 gore mushure meprostatectomy. J Urol. 2013; 190 (4): 1233-1238. PMID: 23608677 www.ncbi.nlm.nih.gov/pubmed/23608677.

National Cancer Institute webhusaiti. Prostate cancer kurapwa (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/prostate/hp/prostate-treatment-pdq. Yakagadziridzwa Ndira 29, 2020. Yakasvika munaFebruary 20, 2020.

Resnick MJ, Koyama T, Fan KH, et al. Yakareba-nguva anoshanda mhedzisiro mushure mekurapwa kweinowanikwa munharaunda kenza yeprostate. N Engl J Med. 2013; 368 (5): 436-445. PMID: 23363497 www.ncbi.nlm.nih.gov/pubmed/23363497.

Schaeffer EM, Partin AW, Lepor H. Vhura radical prostatectomy. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chits. 114.

Su LM, Gilbert SM, Smith JA. Laparoscopic uye robotic-inobatsira laparoscopic radical prostatectomy uye pelvic lymphadenectomy. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chits. 115.