Yakareruka prostatectomy

Rakareruka prostate kubviswa inzira yekubvisa iyo yemukati chikamu cheprostate gland kurapa yakawedzera prostate. Izvo zvinoitwa kuburikidza nekucheka kwekuvhiya mudumbu rako rezasi.

Iwe unozopihwa general anesthesia (wakarara, unorwadza-wakasununguka) kana musana kutindivadza (kugadzikana, kumuka, kusarwadziwa). Maitiro acho anotora maawa maviri kusvika mana.

Chiremba wako achaita kucheka kwekuvhiya mudumbu rako rezasi. Iyo yakatemwa inoenda kubva pazasi peguvhu bhatani kusvika pamusoro peiyo pubic bone kana inogona kugadzirwa yakatwasuka pamusoro peiyo pubic bone. Dundira rinovhurwa uye gland reprostate rinobviswa kuburikidza nekucheka uku.

Chiremba anovhiya anobvisa chete chikamu chemukati cheprostate gland. Chikamu chekunze chasara kumashure. Maitiro acho akafanana nekuburitsa mukati mearanjisi uye nekusiya ganda riripo. Mushure mekubvisa chikamu cheprostate yako, chiremba anovhiya achavhara ganda rekunze reprostate nemastitches. Iyo yekudonha inogona kusiiwa mudumbu rako kuti ibatsire kubvisa zvimwe zvinwiwa mushure mekuvhiyiwa. Catheter inogonawo kusiiwa mudundira. Iyi catheter inogona kunge iri mune urethra kana mudumbu rezasi kana iwe unogona kunge uine zvese. Aya makateti anobvumira dundira kuzorora uye kupora.

Kuwedzera kweprostate kunogona kukonzera matambudziko neweti. Izvi zvinogona kutungamira kune urinary turakiti hutachiona. Kutora chikamu cheprostate gland kunogona kuita kuti zviratidzo izvi zvive nani. Usati wavhiyiwa, mupi wako wezvehutano anogona kukuudza dzimwe shanduko dzaungaite mumadyiro kana kunwa. Iwe unogona zvakare kubvunzwa kuyedza kutora mushonga.

Kubviswa kweprostate kunogona kuitwa nenzira dzakasiyana siyana. Rudzi rwemaitiro auchazove nawo zvinoenderana nesaizi yeprostate uye chii chakakonzera kuti prostate ikure. Vhura yakapusa prostatectomy inowanzo shandiswa kana iyo prostate yakanyanya kukura kuti iite mashoma kuvhiya. Nekudaro, nzira iyi hairape kenza yeprostate. Radical prostatectomy inogona kudikanwa nekenza.

Kubviswa kweprostate kunogona kukurudzirwa kana iwe uine:

• Matambudziko kuburitsa dundira rako (kuchengetedza weti)
• Kazhinji urinary turakiti hutachiona
• Kakawanda kubuda ropa kubva kuprostate
• Matombo edundira ane kuwedzera kweprostate
• Inononoka kuita weti
• Kukuvadza kune itsvo

Prostate yako ingangodawo kubviswa kana uchitora mushonga uye nekuchinja chikafu chako hazvibatsire zviratidzo zvako.

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), kana dundira kana itsvo
• Zviitiko kumishonga

Dzimwe njodzi ndedze:

• Kukuvadza kunhengo dzemukati
• Matambudziko ekumisikidza (kushaya simba)
• Kurasikirwa kwekugona kwehurume kusiya muviri zvichikonzera kushaya mbereko
• Kupfuudza urume kudzokera kumusoro mudundira pane kubuda kunze kweiyo urethra (kudzoreredza ejaculation)
• Matambudziko neiyo weti kutonga (incontinence)
• Kumisikidza kweiyo weti kuburitsa kubva kune turu turu (urethral kuomarara)

Iwe uchave nekushanya kwakawanda nachiremba wako uye bvunzo usati wavhiyiwa:

• Pedza bvunzo dzepanyama
• Kushanya nachiremba wako kuti ave nechokwadi chekuti matambudziko ekurapa (akadai seshuga, kuwedzerwa kweropa, uye chirwere chemwoyo kana chemapapu) ari kurapwa zvakanaka
• Kuwedzera kuyedza kuratidza bladder 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:

• Ungangoda kumira kutora aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), vitamin E, clopidogrel (Plavix), warfarin (Coumadin), uye chero mimwe mishonga yakaita seiyi.
• Kumbira chiremba wako kuti ndeapi mishonga yaunofanira kutora pazuva rekuvhiyiwa kwako.
• Unogona kutora laxative yakakosha zuva rakapfuura kuvhiyiwa kwako. Izvi zvichachenesa zvirimo mukoloni yako.

Pazuva rekuvhiyiwa kwako:

• Usadye kana kunwa chero chinhu pakati pehusiku husiku usati waitwa oparesheni.
• Tora mishonga yawakaudzwa kunwa nekumwa mvura shoma.
• Unozoudzwa nguva yekuuya kuchipatara.

Iwe uchagara muchipatara kwemazuva maviri kusvika mana.

• Iwe uchafanirwa kugara pamubhedha kusvikira mangwana mangwanani.
• Mushure mekutenderwa kumuka muchakumbirwa kuti mufambe-fambe nepese pamunogona napo.
• Mukoti wako anokubatsira iwe kuchinja chinzvimbo mumubhedha.
• Iwe zvakare unodzidza maekisesaizi kuti uchengete ropa richiyerera, uye kukosora / kwakadzika kufema maitiro.
• Iwe unofanirwa kuita zviitwa zvese 3 kusvika ku4 maawa.
• Iwe ungangoda kupfeka yakasarudzika compression masokisi uye shandisa chinhu chekufema kuchengetedza mapapu ako akajeka.

Iwe uchasiya kuvhiyiwa neFoley catheter mune rako dundira. Vamwe varume vane suprapubic catheter mudumbu ravo madziro kubatsira kuburitsa dundira.

Varume vazhinji vanopora mumasvondo matanhatu. Unogona kutarisira kugona kuita weti semazuva ese pasina kubuda weti.

Prostatectomy - yakapusa; Suprapubic prostatectomy; Retropubic yakapusa prostatectomy; Vhura prostatectomy; Maitiro eMillen

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

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.

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.

Zhao PT, Richstone L. Robotic-yakabatsirwa uye laparoscopic nyore prostatectomy. Mune: Bishoff JT, Kavoussi LR, eds. Atlas yeLaparoscopic uye Robotic Urologic Kuvhiya. 3rd ed. Philadelphia, PA: Elsevier; 2017: chits. 32.