Munyori: Lewis Jackson
Zuva Rekusika: 7 Chivabvu 2021
Gadziridza Zuva: 17 Mbudzi 2024
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Zvemukati

Chii chinonzi kuvhiyiwa kweprostate?

Prostate igland riri pasi pechidzitiro, pamberi pechikamu. Inoita basa rakakosha muchikamu chehurume hwekubereka hunoburitsa zvinwiwa zvinotakura urume.

Kuvhiya kwekusarura kana kukwana kubvisa prostate kunonzi prostatectomy. Zvinonyanya kukonzera chirwere cheprostate kenza yeprostate uye yakawedzera prostate, kana benign prostatic hyperplasia (BPH).

Yedzidzo yekufanotangisa idanho rekutanga kuita sarudzo nezve kurapwa kwako. Mhando dzese dzekuvhiyiwa kweprostate dzinogona kuitwa neanesthesia yakajairika, iyo inokuisa iwe kurara, kana musana kutindivadza, iyo inopinza hafu yepasi yemuviri wako.

Chiremba wako anokurudzira rudzi rweanesthesia zvichienderana nemamiriro ako ezvinhu.

Chinangwa chekuvhiyiwa kwako ndechekuti:

  • poresa mamiriro ako
  • chengetedza urinary Continence
  • chengetedza kugona kuve nekugadziriswa
  • kurerutsa mhedzisiro
  • kurerutsa marwadzo pamberi, panguva, uye mushure mekuvhiyiwa

Verenga pamusoro kuti udzidze zvakawanda nezve mhando dzekuvhiya, njodzi, uye kupora.


Mhando dzekuvhiyiwa kweprostate

Chinangwa chekuvhiyiwa kweprostate chinoenderana nemamiriro ako. Semuenzaniso, chinangwa chekuvhiyiwa gomarara reprostate kubvisa tishu rine gomarara. Chinangwa chekuvhiyiwa kweBPH ndechokubvisa hutachiona hweprostate uye kudzoreredza kuyerera kwese kweweti.

Vhura prostatectomy

Vhura prostatectomy inozivikanwawo sekuvhiya kwetsika kana nzira yakavhurika. Chiremba wako anovhiya achaita cheki kuburikidza neganda rako kuti abvise iyo prostate uye nyama dziri pedyo.

Pane nzira mbiri huru, sekutsanangura kwatinoita apa:

Radical retropubic: Chiremba wako anovhiya achacheka kubva mudumbu rako bhatani kuenda kune yako pubic bone. Muzviitiko zvakawanda, chiremba wako anobvisa chete prostate. Asi kana vachifungidzira kuti gomarara ringave rapararira, vanobvisa mamwe ma "lymph node" ekuyedzwa. Chiremba wako anogona kutadza kuenderera mberi nekuvhiyiwa kana vakaona kuti gomarara rapararira.

Mhando dzekuvhiyiwa kweprostate dzinobatsira nekuyerera kwerini

Kuvhiyiwa kweprostate laser

Prostate laser yekuvhiya inonyanya kubata BPH isina kuita chero kucheka kunze kwemuviri wako. Panzvimbo iyoyo, chiremba wako anozoisa iyo fiber-optic chiyero kuburikidza nesipi yepenis uye uye mune yako urethra. Ipapo chiremba wako achabvisa prostate tishu iri kuvharira weti kuyerera. Kuvhiyiwa kweLaser kunogona kusashanda zvakanyanya.


Kuvhiya kweEndoscopic

Zvakafanana neiyo laser kuvhiya, endoscopic kuvhiya hakuite chero kutsemura. Chiremba wako anoshandisa refu, inochinja chubhu ine mwenje uye lens kubvisa zvikamu zveprostate gland. Iyi chubhu inoenda nepazasi penhengo uye inoonekwa seisina kupinza.

Kuwedzera urethra

Transurethral resection yeprostate (TURP) yeBPH: TURP ndiyo yakajairwa maitiro eBPH. Chiremba wezveuropi anocheka zvidimbu zvemuviri wako wakawedzeredzwa netambo tambo. Izvo zvidimbu zvidimbu zvinopinda mudundira uye zvinobuda kunze panopera maitiro.

Transurethral incision yeprostate (TUIP): Iyi nzira yekuvhiya ine mashoma mashoma akacheka muprostate uye dundira mutsipa kuti uwedzere urethra. Mamwe maurologist anotenda kuti TUIP ine njodzi yakaderera yemhedzisiro pane TURP.

Chii chinoitika mushure mekuvhiyiwa?

Usati wamuka kubva pakuvhiyiwa, chiremba anovhiya anoisa catheter munhengo yako yekubatsira kuburitsa dundira rako. Iyo catheter inoda kugara mukati kwevhiki imwe kana mbiri. Ungangoda kugara muchipatara kwemazuva mashoma, asi kazhinji unogona kuenda kumba mushure memaawa makumi maviri nemana. Chiremba wako kana mukoti anokupa zvakare rairo pamaitiro ekubata catheter yako uye kutarisira nzvimbo yako yekuvhiya.


Mushandi wezvehutano anobvisa catheter kana wagadzirira uye unozokwanisa kuita weti wega.

Chero mhando yekuvhiya yawaive nayo, iyo incision saiti inogona kunge ichirwadza kwemazuva mashoma. Iwe unogona zvakare kusangana:

  • ropa mune yako weti
  • weti kutsamwa
  • kuoma kubata weti
  • Urinary turakiti hutachiona
  • kuzvimba kweprostate

Zviratidzo izvi zvakajairika kwemazuva mashoma kusvika mavhiki mashoma apora. Nguva yako yekudzoreredza inoenderana nerudzi uye kureba kwekuvhiyiwa, hutano hwako hwese, uye kuti unoteedzera zvakarairwa nachiremba wako here. Iwe unogona kurairwa kudzikisa zviitiko zvezviitiko, kusanganisira bonde.

Kazhinji mhedzisiro mhedzisiro yekuvhiya kweprostate

Maitiro ese ekuvhiya anouya nenjodzi, kusanganisira:

  • kugadzirisa kune anesthesia
  • kubuda ropa
  • hutachiona hwenzvimbo yekuvhiya
  • kukuvara kunhengo
  • kugwamba kweropa

Zviratidzo zvekuti iwe unogona kunge uine hutachiona zvinosanganisira fivha, kutonhora, kuzvimba, kana kubuda kubva kune iyo incision. Shevedza chiremba wako kana weti yako yakavharika, kana kana iro ropa riri mumurini rako rakakora kana kuwedzera kuipa.

Zvimwe, zvimwe zvakasarudzika mhedzisiro zvine chekuita nekuvhiya kweprostate zvinogona kusanganisira:

Urinary matambudziko: Izvi zvinosanganisira weti inorwadza, kunetseka kuita weti, uye kusagadzikana kweweti, kana matambudziko ekudzora weti. Aya matambudziko anowanzoenda mwedzi yakati wandei mushure mekuvhiyiwa. Kashoma kuona kusapfuurira kusagadzikana, kana kurasikirwa kwekugona kudzora weti yako.

Erectile kusagadzikana (ED): Zvakajairika kuti usave nekumiswa masvondo masere kusvika gumi nemaviri mushure mekuvhiyiwa. Iyo mikana yenguva refu ED inowedzera kana tsinga dzako dzakuvara. Imwe ongororo yeUCLA yakawana kuti kusarudza chiremba akaita kanokwana chiuru kuvhiya kunowedzera mikana yekuvhiya mushure mekuvhiyiwa kwe erectile basa. Chiremba anovhiya akapfava uye anobata tsinga zvine hungwaru zvakare anogona kudzikisira mhedzisiro iyi. Vamwe varume vakaona kudzikira kudiki pakureba kwepenisi nekuda kwekufupisa kweiyo urethra.

Kusagadzikana pabonde: Unogona kusangana neshanduko kana kurasikirwa mukubereka. Izvi zvinodaro nekuti chiremba wako anobvisa madonhwe emurume panguva yekuita. Taura nachiremba wako kana izvi zviri kukunetsa.

Mimwe mhedzisiro. Iyo mikana yekuunganidza mvura mune ma lymph node (lymphedema) munzvimbo yekubereka kana makumbo, kana kuvandudza gomera hernia inogoneka. Izvi zvinogona kukonzera kurwadziwa uye kuzvimba, asi zvese zviri zviviri zvinogona kuvandudzwa nemushonga.

Chii chaunofanira kuita mushure mekuvhiyiwa kwako

Zvipe nguva yekuzorora, sezvo ungangonzwa kuneta mushure mekuvhiyiwa. Nguva yako yekudzoreredza inoenderana nerudzi uye kureba kwekuvhiyiwa, hutano hwako hwese, uye kuti unoteedzera zvakarairwa nachiremba wako here.

Mirayiridzo inogona kusanganisira:

  • Kuchengeta ronda rako rekuvhiya rakachena.
  • Kwete kutyaira kwevhiki rimwe chete.
  • Hapana chiitiko chepamusoro-simba kwemavhiki matanhatu.
  • Hapana masitepisi ekukwira kupfuura zvakafanira.
  • Hapana kunyura mumabhawa, madziva ekushambira, kana matopu anopisa.
  • Kudzivirira imwe nzvimbo yekugara kweanopfuura maminitsi makumi mana nemashanu.
  • Kutora mishonga sekurairwa kubatsira kurwadziwa.

Kunyangwe iwe uchizokwanisa kuita zvese wega, zvingave zvakanaka zano kuti uve nemumwe munhu padhuze kuti akubatsire iwe panguva iyo iwe paunenge uine catheter.

Zvakakoshawo kuti ura ufambe mukati mezuva rimwe kana maviri. Kubatsira nekuzvimbirwa, inwa zvinwiwa, wedzera fiber kuchikafu chako, uye kurovedza muviri. Iwe unogona zvakare kubvunza chiremba wako nezve laxatives kana izvi zvisarudzo zvikasashanda.

Kuzvitarisira

Kana scrotum yako ikatanga kuzvimba mushure mekuvhiyiwa, unogona kugadzira chipfuramabwe netauro rakamonera kuti kudzikisira kuzvimba. Isa tauro mupumburu pasi pechikwama chako paunenge wakarara pasi kana kugara uye kusunungura magumo pamusoro pemakumbo ako saka zvinopa rutsigiro. Shevedza chiremba wako kana kuzvimba kusingadziki mushure mevhiki.

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