Kuvhiya kweprostate (prostatectomy): zvazviri, mhando uye kupora

Zvemukati

• Kuvhiyiwa kunoitwa sei
• Mhando huru dzeprostatectomy
• Iko kudzoreredza sei kubva ku prostatectomy
• Mhedzisiro inogona kuitika yekuvhiya
• 1. Urinary kusagadzikana
• 2. Erectile kusagadzikana
• 3. Kushaya mbereko
• Bvunzo uye kubvunza mushure mekuvhiyiwa
• Gomarara rinogona kudzoka here?

Kuvhiya kweprostate, kunozivikanwa senge radical prostatectomy, ndiyo nzira huru yekurapa gomarara reprostate nekuti, kazhinji, zvinokwanisika kubvisa bundu rese rakaipisisa uye nekurapa gomarara, kunyanya kana chirwere ichi chisati chachinja zvakanaka uye chisina kusvika dzimwe nhengo.

Kuvhiya uku kunoitwa, zvirinani, pane varume vari pasi pemakore makumi manomwe neshanu ekuberekwa, inofungidzirwa yakaderera kusvika pakati nepakati kuvhiya njodzi, ndokuti, nezvirwere zvisingaperi zvinodzorwa, senge chirwere cheshuga kana hosha yeropa. Kunyangwe kurapwa uku kuchinyatso shanda, zvinogona zvakare kukurudzirwa kuita radiotherapy mushure mekuvhiyiwa mune mamwe mamiriro, kubvisa chero maseru akaipa angave akasiyiwa munzvimbo.

Kenza yeprostate inononoka kukura uye, nekudaro, hazvidi kuti uite oparesheni nekukurumidza mushure mekuona kuongororwa, kugona kuongorora kukura kwayo kwenguva, pasina izvi kuwedzera njodzi yezvinetso.

Kuvhiyiwa kunoitwa sei

Kuvhiya kunoitwa, kazhinji, pamwe neanesthesia yakajairika, zvisinei, zvakare inogona kuitwa nespinal anesthesia, inoiswa kumuzongoza, zvichienderana nehunyanzvi hwekuvhiya huchaitwa.

Kuvhiya kunotora avhareji yemaawa maviri uye zvinowanzo fanirwa kugara muchipatara kwemazuva maviri kusvika matatu. Prostatectomy inosanganisira kubviswa kweprostate, kusanganisira iyo prostate urethra, seminal vesicles uye ampoules evas deferens. Kuvhiya uku kunogona zvakare kusangana neyakaenzana biladadenectomy, iyo inosanganisira kubvisa ma lymph node kubva munzvimbo yepelvic.

Mhando huru dzeprostatectomy

Kuti ubvise prostate, kuvhiya kunogona kuitwa ne robotic kana laparoscopy, ndiko kuti, kuburikidza nemaburi madiki mudumbu umo zviridzwa zvekubvisa prostate kupfuura, kana ne laparotomy panogadzirwa hombe paganda.

Mhando huru dzekuvhiya dzinoshandiswa ndeidzi:

• Radical retropubic prostatectomy: mune iyi hunyanzvi, chiremba anoita kakacheka paganda padhuze neguvhu kubvisa prostate;
• Perineal radical prostatectomy: kucheka kunoitwa pakati pegaro nechikosoro uye prostate inobviswa. Iyi nzira inoshandiswa zvishoma zvishoma pane yapfuura, sezvo paine njodzi huru yekusvika tsinga dzinokonzeresa kumiswa, izvo zvinogona kukonzera kusagadzikana kwe erectile;
• Robotic radical prostatectomy: muhunyanzvi uhu, chiremba anodzora muchina nemaoko erobhoti uye, nekudaro, hunyanzvi hwakanyanya, hune njodzi shoma ye sequelae;
• Transurethral resection yeprostate: inowanzoitwa pakurapa benign prostatic hyperplasia, zvisinei, mune zviitiko zvecancer umo radical prostatectomy haigone kuitwa asi pane zviratidzo, nzira iyi inogona kushandiswa.

Muzviitiko zvakawanda, hunyanzvi hwakakodzera ndiyo inoitwa nemarobhoti, nekuti inokonzeresa kurwadziwa, inokonzeresa kurasikirwa neropa uye nguva yekudzoresa inokurumidza

Iko kudzoreredza sei kubva ku prostatectomy

Kudzoreredza kubva pakuvhiyiwa kweprostate kuri kukurumidza uye zvinongokurudzirwa kuzorora, kudzivirira kuedza, kwemazuva gumi kusvika gumi neshanu. Mushure menguva iyoyo, unogona kudzokera kuzviito zvezuva nezuva, sekutyaira kana kushanda, zvisinei, mvumo yekuedza kukuru kunoitika chete mushure memazuva makumi mapfumbamwe kubva pazuva rekuvhiyiwa. Kusangana kwepedyo kunogona kuitwazve mushure memazuva makumi mana.

Munguva yekupedzisira-yekuvhiya yeprostatectomy, zvakafanira kuisa chirongwa chedundira, chubhu inoitisa weti kubva padundiro kuenda kubhegi, nekuti iyo weti inotsva kwazvo, ichidzivirira kufamba kweweti. Iyi probe inofanira kushandiswa kwe1 kusvika kumavhiki maviri, uye inofanirwa kubviswa chete mushure mekurudzirwa nachiremba. Dzidza maitiro ekuchengetedza catheter ye bladder panguva ino.

Pamusoro pekuvhiyiwa, kurapa kwehomoni, chemotherapy uye / kana radiation kurapwa kunogona kudikanwa kuuraya maseru ane ngozi asina kubviswa mukuvhiya kana ayo akapararira kune dzimwe nhengo, achivatadzisa kuramba vachiwanda.

Mhedzisiro inogona kuitika yekuvhiya

Pamusoro pengozi dzese, dzakadai sehutachiona panzvimbo yekukuvara kana kubuda ropa, kuvhiyiwa kenza yeprostate kunogona kuve nezvimwe zvakakosha sequelae senge:

1. Urinary kusagadzikana

Mushure mekuvhiyiwa, murume wacho anogona kusangana nedambudziko rekudzora kubuda kweweti, zvichizokonzera kusagadzikana kweweti. Uku kusagadzikana kunogona kuve kwakapfava kana kuzere uye kazhinji kunotora kwemavhiki mashoma kana mwedzi mushure mekuvhiyiwa.

Dambudziko iri rinowanzoitika kune vakwegura, asi rinogona kuitika chero zera uye zvinoenderana nedanho rekuvandudza gomarara uye mhando yekuvhiyiwa. Kurapa kunowanzo kutanga nezvikamu zvephysiotherapy, uine pelvic kurovera uye zvidiki zviridzwa, senge biofeedback, uye kinesiotherapy. Muzviitiko zvakanyanyisa, kuvhiyiwa kunogona kuitwa kugadzirisa kusagadzikana uku. Ona zvimwe zvakawanda nezve maitiro ekurapa kusagadzikana kweweti.

2. Erectile kusagadzikana

Erectile kudzvinyirira ndeimwe yematambudziko anoshungurudza evarume, avo vasingakwanise kutanga kana kuchengetedza erection, zvisinei, nechitarisiko che robotic kuvhiyiwa, erectile kudzvanya mitengo kwaderera. Izvi zvinodaro nekuti padhuze neprostate pane yakakosha tsinga dzinodzora kumisikidzwa. Nekudaro, erectile kudzvinyirira kwakajairika mune zviitiko zvekenza yakanyanyisa kukura umo munofanirwa kubvisa nzvimbo dzakawanda dzakabatwa, uye zvinogona kudikanwa kubvisa tsinga.

Mune zvimwe zviitiko, iyo erection inogona kukanganisika chete nekuzvimba kwetishu dzakakomberedza prostate, iyo inodzvanya pamitsipa. Aya kesi anowanzo gadziridza pamusoro pemwedzi kana makore sezvo zvinyama zvinopora.

Kubatsira mumwedzi yekutanga, chiremba wezvedundira anogona kukurudzira mimwe mishonga, sildenafil, tadalafil kana iodenafil, iyo inobatsira kuve nekugutsikana kunogadziriswa. Dzidza zvakawanda nezve maitiro ekurapa erectile kudzvinyirira.

3. Kushaya mbereko

Kuvhiya kwekenza yeprostate kunocheka kubatana pakati pemachende, panogadzirwa urume, uye urethra. Naizvozvo, murume haachakwanise kubereka mwana nenzira yechisikigo. Iwo machende acharamba achiburitsa urume, asi hauzobudisirwe.

Sezvo varume vazhinji vanobatwa nekenza yeprostate vakura, kushaya mbereko haisi iyo inonyanya kunetsekana, asi kana iwe uri jaya kana uchida kuita vana, zvinokurudzirwa kuti utaure nachiremba wezveuropi uye ongorora mukana wekuchengetedza urume mumakiriniki akakosha.

Bvunzo uye kubvunza mushure mekuvhiyiwa

Mushure mekupedza kurapwa kwekenza yeprostate, iwe unofanirwa kuita iyo PSA bvunzo mune yakasarudzika nzira, kwemakore mashanu. Bone scans uye imwe bvunzo yekufungidzira inogona kuitwawo gore rega kuti uve nechokwadi chekuti zvese zvakanaka kana kuongorora chero shanduko nekukurumidza sezvazvinogona.

Sisitimu yemanzwiro uye zvebonde zvinogona kuzununguswa zvakanyanya, saka zvinogona kuratidzwa kuti zvinoteverwa nachiremba wepfungwa panguva yekurapwa uye kwemwedzi mishoma inotevera zvichizotevera. Rutsigiro rwemhuri neshamwari dzepedyo zvakare rwakakosha rubatsiro kuenderera nerunyararo.

Gomarara rinogona kudzoka here?

Ehe, varume vanoonekwa vaine gomarara reprostate uye vanorapwa nechinangwa chekurapa vanogona kudzokedzana nechirwere uye voda kuwedzerwa kurapwa. Naizvozvo, kugara uchitevera pamwe neuurologist kwakakosha, kuita bvunzo dzakakumbirwa kuti ubate zvakanyanya chirwere.

Pamusoro pezvo, zvinokurudzirwa kuchengetedza hunhu hwakanaka uye usasute, pamusoro pekuita bvunzo dzekuongorora nguva nenguva, pese paunokumbirwa nachiremba, nekuti yekutanga kenza kana kumukazve kwayo kunoonekwa, ndiko kuwedzera mikana yekurapa.