Prostate resection - zvishoma zvinokanganisa

Zvishoma zvinokanganisa prostate resection kuvhiyiwa kubvisa chikamu cheprostate gland. Izvo zvinoitwa kurapa yakawedzera prostate. Kuvhiya kunovandudza kuyerera kwerini kuburikidza neurethra, iyo chubhu inotakura weti kubva mudundira kunze kwemuviri wako. Izvo zvinogona kuitwa nenzira dzakasiyana. Iko hakuna kucheka (kucheka) paganda rako.

Maitiro aya anowanzoitwa muhofisi yako yemutarisiri wehutano kana kukiriniki yekuvhiya kwevarwere.

Kuvhiya kwacho kunogona kuitwa nenzira dzakawanda. Mhando yekuvhiya inoenderana nesaizi yeprostate yako uye chii chakakonzera kuti ikure. Chiremba wako anozotarisa saizi yeprostate yako, kuti une hutano hwakadii, uye rudzii rwekuvhiya kwaungade.

Maitiro ese aya anoitwa nekupfuudza chiridzwa kuburikidza nekuvhura munhengo yako (nyama). Iwe unozopihwa general anesthesia (yakarara uye isina kurwadziwa), musana kana epidural anesthesia (yakamuka asi isina kurwadziwa), kana anesthesia yemuno uye sedation. Sarudzo dzakasimbiswa ndedze:

• Laser prostatectomy. Maitiro aya anotora anenge 1 kusvika 2 maawa. Iyo laser inoparadza iyo prostate tishu inovhara kuvhura kweiyo urethra. Iwe uchaenda kumba zuva rimwe chetero. Unogona kuda catheter yaFoley yakaiswa mudundira rako kuti ubatsire kukora weti kwemazuva mashoma mushure mekuvhiyiwa.
• Transurethral tsono ablation (TUNA). Chiremba anovhiya anoisa tsono muprostate. Yakakwira-frequency mafungu ekurira (ultrasound) anopisa tsono uye prostate tishu. Unogona kuda catheter yaFoley yakaiswa mudundira rako kuti ubatsire kukora weti mushure mekuvhiyiwa kwemazuva matatu kusvika mashanu.
• Transurethral microwave thermotherapy (TUMT). TUMT inounza kupisa ichishandisa microwave pulses yekuparadza prostate tishu. Chiremba wako anoisa iyo microwave antenna kuburikidza neurethra yako. Unogona kuda catheter yaFoley yakaiswa mudundira rako kuti ubatsire kukora weti mushure mekuvhiyiwa kwemazuva matatu kusvika mashanu.
• Transurethral electrovaporization (TUVP). Chishandiso kana chiridzwa chinoburitsa yakasimba magetsi magetsi kuparadza prostate tishu. Iwe unenge uine catheter yakaiswa mudundira rako. Inogona kubviswa mumaawa mashoma mushure mekuita kwacho kana kuti unogona kuenda kumba nayo.
• Transurethral incision (TUIP). Chiremba wako anovhiya madiki ekuvhiya uko prostate inosangana neyako dundira. Izvi zvinoita kuti urethra iwedzere. Maitiro aya anotora maminetsi makumi maviri kusvika makumi matatu. Varume vazhinji vanogona kuenda kumba musi mumwe chete iwoyo. Kupora zvizere kunogona kutora mavhiki maviri kusvika matatu. Unogona kuenda kumba uine katheta mudundira rako.

Kuwedzera kweprostate kunogona kukuomesera iwe kuita weti. Iwe unogona zvakare kuwana urinary turakiti hutachiona. Kubvisa zvese, kana chikamu, cheprostate gland kunogona kuita kuti zviratidzo izvi zvive nani. Usati wavhiyiwa, chiremba wako anogona kukuudza shanduko dzaungaite mumadyiro kana kunwa. Iwe unogona zvakare kuyedza mimwe mishonga.

Kubviswa kweprostate kunogona kukurudzirwa kana iwe:

• Haikwanise kudurura zvakakwana bladder rako (kuchengetedza weti)
• Dzokorora hutachiona hwehutachiona
• Ive nekubuda ropa kubva ku prostate
• Iva nematombo edundira neprostate yako yakakura
• Weti zvishoma nezvishoma
• Vakatora mishonga, uye havana kubatsira zviratidzo zvako kana kuti hauchadi kuinwa

Ngozi dzekuvhiyiwa chero ndeidzi:

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

Dzimwe njodzi dzekuvhiya uku ndedzinotevera:

• Matambudziko ekumisikidza (kushaya simba)
• Hapana chiratidzo chekuvandudza
• Kupfuudza urume kumashure kwako mudundira pane kubuda kunze kweiyo urethra (kudzoreredza ejaculation)
• Matambudziko neiyo weti kutonga (incontinence)
• Urethral kuomesa (kuomesa kweiyo weti kuburitsa kubva kune turu turu)

Iwe uchave nekushanya kwakawanda nemupi wako uye bvunzo usati wavhiyiwa:

• Pedza bvunzo dzepanyama
• Kushanya nachiremba wako kuti uve nechokwadi chekuti matambudziko ekurapa, akadai seshuga, kuwedzerwa kweropa, uye matambudziko emoyo kana emapapu ari kurapwa zvakanaka
• Kuyedza kuratidza kuti une zvakajairika dundira anatomy uye basa

Kana iwe uchisvuta, 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:

• Iwe unogona kukumbirwa kumira kutora aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), vitamin E, clopidogrel (Plavix), warfarin (Coumadin), uye mimwe mishonga yakaita seiyi.
• Bvunza kuti ndeipi mishonga yaunofanira kutora pazuva rekuvhiyiwa kwako.

Pazuva rekuvhiyiwa kwako:

• Usadye kana kunwa chero chinhu pakati pehusiku husiku usati waitwa oparesheni.
• Tora mishonga yawakaudzwa kunwa nekamwe kamvura.
• Unozoudzwa nguva yekuuya kuchipatara kana kukiriniki.

Vanhu vazhinji vanokwanisa kuenda kumba zuva rekuvhiyiwa, kana zuva rakatevera. Unogona kunge uchine catheter mudundira rako paunobuda muchipatara kana kukiriniki.

Kazhinji yenguva, maitiro aya anogona kubvisa zviratidzo zvako. Asi iwe une mukana wepamusoro wekuda kuvhiyiwa kwechipiri mumakore mashanu kusvika kugumi pane kana uine transurethral resection yeprostate (TURP).

Kumwe kwekuvhiya kusinga pindike kunogona kukonzera matambudziko mashoma ekudzora weti yako kana kugona kuita bonde pane zvakajairwa TURP. Taura nachiremba wako.

Iwe unogona kuve uine anotevera matambudziko kwenguva mushure mekuvhiyiwa:

• Ropa mune yako weti
• Kusvirwa neweti
• Inoda kuita weti kakawanda
• Kamwe kamwe kukurudzira kuita weti

Greenlight laser prostatectomy; Transurethral tsono ablation; TUNA; Transurethral incision; TUIP; Holmium laser enucleation yeprostate; HoLep; Yepakati laser coagulation; ILC; Photoselective vaporization yeprostate; PVP; Transurethral electrovaporization; TUVP; Transurethral microwave thermotherapy; TUMT; Urolift; BPH - resection; Benign prostatic hyperplasia (hypertrophy) - resection; Prostate - yakakwidziridzwa - resection; Kurapa kwemvura kwemvura (Rezum)

• Yakawedzera prostate - chii chekubvunza chiremba wako
• Prostate resection - zvishoma zvisingaiti - kubuda
• Transurethral resection yeprostate - kubuda

Djavan B, Teimoori M. Kuvhiya manejimendi yeLUTS / BPH: TURP vs. yakavhurika prostatectomy. Mune: Morgia G, ed. Pazasi Urinary Tract Zviratidzo uye Benign Prostatic Hyperplasia. Cambridge, MA: Elsevier Dzidzo Press; 2018: chits.

Kudza HE, Barry MJ, Dahm P, et al. Kuvhiya manejimendi ezasi eurineti turakiti zviratidzo zvinonzi kune benign prostatic hyperplasia: AUA Guideline. J Urol. 2018; 200 (3): 612-619. PMID: 29775639 www.ncbi.nlm.nih.gov/pubmed/29775639.

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.

Welliver C, McVary KT. Minimas invasive uye endoscopic manejimendi ebenign prostatic hyperplasia. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chits. 105.