I-radical prostatectomy - ukukhishwa

Uhlinzwe ukukhipha wonke ama-prostate, ezinye izicubu eziseduze ne-prostate yakho, futhi mhlawumbe nama-lymph node. Le ndatshana ikutshela ukuthi ungazinakekela kanjani ekhaya ngemuva kokuhlinzwa.

Uhlinzwe ukukhipha wonke ama-prostate, ezinye izicubu eziseduze ne-prostate yakho, futhi mhlawumbe nama-lymph node. Lokhu kwenziwa ukwelashwa umdlavuza wendlala yabesilisa.

• Udokotela wakho ohlinzayo kungenzeka ukuthi usike (wasika) engxenyeni engezansi yesisu sakho noma endaweni ephakathi kwesikhwama sakho sezitho zangasese ne-anus (ukuhlinzwa okuvulekile).
• Udokotela wakho ohlinzayo kungenzeka ukuthi usebenzise irobhothi noma i-laparoscope (ishubhu elincanyana elinekhamera encane ekugcineni). Uzoba nokusikeka okumbalwa esiswini sakho.

Kungenzeka ukhathele futhi udinga ukuphumula okwengeziwe amasonto ama-3 kuya kwangu-4 ngemuva kokuya ekhaya. Ungaba nobuhlungu noma ungaphatheki kahle esiswini sakho noma indawo ephakathi kwesikhwama sakho sendunu kanye nendunu amasonto amabili kuya kwamathathu.

Uzoya ekhaya ngepayipi (ishubhu) ukuyokhipha umchamo esinyeni sakho. Lokhu kuzosuswa ngemuva kweviki eli-1 kuye kwele-3.

Ungaya ekhaya nge-drain eyengeziwe (ebizwa nge-Jackson-Pratt, noma i-JP drain). Uzofundiswa ukuthi ungayikhipha kanjani futhi uyinakekele.

Shintsha ukugqoka phezu kwesilonda sakho sokuhlinzwa kanye ngosuku, noma ngokushesha uma kungcola. Umhlinzeki wakho wezempilo uzokutshela uma ungadingi ukugcina isilonda sakho simboziwe. Gcina indawo yesilonda ihlanzekile ngokuyigeza ngensipho namanzi amancane.

• Ungasusa ukugqokiswa kwamanxeba futhi uthathe izihlambi uma kusetshenziswa ama-sutures, okuyisisekelo, noma i-glue ukuvala isikhumba sakho. Mboza imbobo ngokugoqwa kwepulasitiki ngaphambi kokugeza isonto lokuqala uma une-tape (Steri-Strips) ngaphezulu kwayo.
• UNGACAMI kubhavu wokugeza noma kubhavu oshisayo, noma uyobhukuda, inqobo nje uma unepayipi. Ungayenza le misebenzi ngemuva kokukhishwa kwepayipi bese udokotela wakho ekutshele ukuthi kulungile ukwenza njalo.

Isikhwehlela sakho singavuvukala amasonto amabili kuya kwamathathu uma uhlinzekiwe. Kungase kudingeke ukuthi ugqoke okokusekela (njengebhande le-jock) noma izingubo zangaphansi ezimfushane kuze kube yilapho ukuvuvukala kuhamba. Ngenkathi ulele, ungasebenzisa ithawula ngaphansi kwesikhwama sakho ukwesekwa.

Ungaba nomsele (obizwa ngokuthi yiJackson-Pratt, noma i-JP drain) ngezansi kwenkinobho yesisu sakho esisiza ukukhipha uketshezi oluthe xaxa emzimbeni wakho nokuwuvimbela ukuthi wakhe emzimbeni wakho. Umhlinzeki wakho uzoyikhipha ngemuva kwezinsuku ezi-1 kuye kwezi-3.

Ngenkathi une-catheter yomchamo:

• Ungazizwa uqaqamba esinyeni sakho. Umhlinzeki wakho angakunika umuthi walokhu.
• Uzodinga ukuthi uqiniseke ukuthi i-catheter yakho yokuhlala isebenza kahle. Uzodinga futhi ukwazi ukuthi ungayihlanza kanjani ithubhu nendawo okunamathela kuyo emzimbeni wakho ukuze ungatholi ukutheleleka noma ukucasulwa isikhumba.
• Umchamo esikhwameni sakho samanzi ungaba umbala obomvu omnyama. Lokhu kujwayelekile.

Ngemuva kokukhishwa kwe-catheter yakho:

• Ungase uvuthe lapho uchama, igazi emchameni, ukuchama kaningi, kanye nesidingo esiphuthumayo sokuchama.
• Ungaba nokuvuza okuthile komchamo (ukungavumelani). Lokhu kufanele kuthuthuke ngokuhamba kwesikhathi. Kufanele ube nokulawula kwesinye okujwayelekile cishe ezinyangeni ezi-3 kuya kwezi-6.
• Uzofunda ukuzivocavoca umzimba (okubizwa ngokuthi yiKegel exercises) okuqinisa imisipha okhalweni lwakho. Lezi zivivinyo ungazenza noma nini lapho uhleli noma ulele phansi.

UNGAYISHAYI imoto emasontweni amathathu okuqala ubuyile ekhaya. Gwema ukuhamba kwemoto ende uma ukwazi. Uma udinga ukuthatha uhambo olude lwemoto, yeka okungenani njalo emahoreni amabili.

UNGAKHULU ukuphakamisa noma yini esindayo kunenkonxa yobisi engamalitha angu-4 emasontweni ayisithupha okuqala. Ungabuyela kancane emuva esimisweni sakho esivamile sokuzivocavoca ngemuva kwalokho. Ungenza imisebenzi yansuku zonke endlini uma uzizwa uthanda ukuyenza.Kepha lindela ukukhathala kalula.

Phuza okungenani izingilazi zamanzi eziyi-8 ngosuku, udle izithelo nemifino eningi, futhi uthathe izithambisi zesitulo ukuvimbela ukuqunjelwa. UNGAKHWAZI ngesikhathi sokuhamba kwamathumbu.

UNGAYITHATHI i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), noma eminye imithi efana nayo amasonto amabili ngemuva kokuhlinzwa kwakho. Kungadala izinkinga ngamahlule egazi.

Izinkinga zocansi ongazibona yilezi:

• Ukwakhiwa kwakho kungahle kungabi ngokuqinile. Amanye amadoda awakwazi ukwakhiwa.
• I-orgasm yakho ingahle ingabi namandla noma ijabulise njengakuqala.
• Awukwazi ukubona isidoda nhlobo uma une-orgasm.

Lezi zinkinga zingase zibe ngcono noma zingaphela, kepha kungathatha izinyanga eziningi noma ngaphezulu konyaka. Ukuntuleka kwe-ejaculate (isidoda esiphuma ne-orgasm) kuzohlala unomphela. Buza udokotela wakho ngemithi ezokusiza.

Shayela umhlinzeki wakho uma:

• Unobuhlungu esiswini sakho obungapheli lapho uthatha imithi yakho yezinhlungu
• Kunzima ukuphefumula
• Unesikhwehlela esingapheli
• Awukwazi ukuphuza noma ukudla
• Izinga lokushisa kwakho lingaphezu kuka-100.5 ° F (38 ° C)
• Ukusikeka kwakho kokuhlinzwa kuphuma igazi, kubomvu, kufudumele lapho uthinta, noma ube nomsele ojiyile, ophuzi, oluhlaza noma obisi
• Unezimpawu zokutheleleka (ukuvutha komuzwa lapho uchama, umkhuhlane noma ukubanda)
• Ukusakazwa kwakho komchamo akuqinile noma awukwazi ukuchama nhlobo
• Unobuhlungu, ubomvu, noma ukuvuvukala emilenzeni yakho

Ngenkathi une-catheter ye-urinary, shayela umhlinzeki wakho uma:

• Unobuhlungu eduze kwepayipi
• Uvuza umchamo
• Uqaphela igazi eliningi emchameni wakho
• I-catheter yakho ibonakala ivinjiwe
• Uqaphela ukugaya noma amatshe emchameni wakho
• Umchamo wakho unuka kabi, noma kunamafu noma umbala ohlukile
• I-catheter yakho iwile

I-Prostatectomy - ukuqina okukhulu - ukukhishwa; I-radical retropubic prostatectomy - ukukhishwa; I-radical perineal prostatectomy - ukukhishwa; I-laparoscopic radate prostatectomy - ukukhishwa; I-LRP - ukukhishwa; I-laparoscopic prostatectomy - ukukhishwa; RALP - ukukhishwa; I-pelvic lymphadenectomy - ukukhishwa; Umdlavuza wendlala yesinye - i-prostatectomy

ICatalona WJ, uHan M. Ukuphathwa komdlavuza we-prostate owenziwe endaweni. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 112.

UNelson WG, u-Antonarakis ES, uCarter HB, uDe Marzo AM, et al. Umdlavuza wendlala yesinye. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, abahleli. I-Abeloff’s Clinical Oncology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 81.

USkolarus TA, uWolf AM, u-Erb NL, et al. Imihlahlandlela yokunakekelwa kokusinda komdlavuza we-American Cancer Society. I-CA Cancer J Clin. 2014; 64 (4): 225-249. I-PMID: 24916760 www.ncbi.nlm.nih.gov/pubmed/24916760.

• Umdlavuza wendlala yesinye
• I-radical prostatectomy
• Phinda wenze kabusha i-ejaculation
• Ukungakwazi ukubamba umchamo

• Ukuzivocavoca kukaKegel - ukuzinakekela
• Ukunakekelwa kwe-catheter ye-Suprapubic
• Ama-catheters e-Urinary - yini ongayibuza udokotela wakho
• Izikhwama zokudonsa umchamo

• Umdlavuza Wendlala Yesinye