Ukuthengiswa kabusha kwe-prostatethral

Ukuthengiswa kabusha kwe-prostate (TURP) okuyi-Transurethral wukuhlinzwa okususa ingxenye engaphakathi yendlala yesinye. Kwenziwa ukwelapha izimpawu ze-prostate ekhulisiwe.

Ukuhlinzwa kuthatha amahora awu-1 kuya kwangu-2.

Uzonikezwa umuthi ngaphambi kokuhlinzwa ukuze ungezwa ubuhlungu. Ungathola i-anesthesia ejwayelekile lapho ulele khona futhi awunazinhlungu noma i-anesthesia yomgogodla ovuke kuyo, kepha indikindiki kusukela okhalweni nangaphansi.

Udokotela ohlinzayo uzofaka ububanzi ngeshubhu elikhipha umchamo esinyeni sakho uphume epeni. Le nsimbi ibizwa ngokuthi i-resectoscope. Ithuluzi lokusika elikhethekile lifakwa esikalini. Isetshenziselwa ukususa ingxenye engaphakathi yendlala yakho yesinye usebenzisa ugesi.

Umhlinzeki wakho wokunakekelwa kwezempilo angancoma lokhu kuhlinzwa uma une-benign prostatic hyperplasia (BPH). Indlala yesinye ivame ukukhula njengoba amadoda ekhula. I-prostate enkulu ingadala izinkinga ngokuchama. Ukususa ingxenye yendlala yesinye kaningi kungenza lezi zimpawu zibe ngcono.

Kunganconywa i-TURP uma une:

• Kunzima ukukhipha isinye sakho
• Ukutheleleka kaningi komchamo
• Ukopha okuvela endlezweni
• Amatshe esinye anokukhuliswa kwendlala yesinye
• Ukuchama kancane kakhulu
• Ukulimala kwezinso ngenxa yokwehluleka ukuchama
• Ukuvuka kaningi ebusuku ukuyochama
• Izinkinga zokulawula isinye ngenxa ye-prostate enkulu

Ngaphambi kokuhlinzwa, umhlinzeki wakho uzokuphakamisa ukuthi wenze izinguquko endleleni odla ngayo noma ophuza ngayo. Ungacelwa futhi ukuthi uzame ukuthatha umuthi. Ingxenye ye-prostate yakho ingadinga ukususwa uma lezi zinyathelo zingasizi. I-TURP ingenye yezinhlobo ezivame kakhulu zokuhlinzwa kwe-prostate. Ezinye izinqubo ziyatholakala.

Umhlinzeki wakho uzocubungula okulandelayo lapho ethatha isinqumo ngohlobo lokuhlinzwa:

• Usayizi wendlala yakho yesinye
• Impilo yakho
• Uhlobo luni lokuhlinzwa ongalufuna
• Ubukhulu bezimpawu zakho

Izingozi zanoma yikuphi ukuhlinzwa yilezi:

• Amahlule egazi emilenzeni angahamba aye emaphashini
• Izinkinga zokuphefumula
• Ukutheleleka, kufaka phakathi isilonda sokuhlinzwa, amaphaphu (i-pneumonia), noma isinye noma izinso
• Ukwehla kwegazi
• Ukuhlaselwa yisifo senhliziyo noma ukushaywa unhlangothi ngesikhathi sokuhlinzwa
• Ukusabela emithini

Izingozi ezingeziwe yilezi:

• Izinkinga ngokulawulwa komchamo
• Ukulahleka kokuzala kwesidoda
• Izinkinga zokwakhiwa
• Ukudlulisa isidoda esinyeni esikhundleni sokuphuma nge-urethra (ukubuyisela kabusha i-ejaculation)
• Ukuqina kwe-Urethral (ukuqiniswa kwendawo yokuphuma komchamo kusuka ezicutshini ezibomvu)
• Isifo seTransurethral resection (TUR) (ukwakhiwa kwamanzi ngesikhathi sokuhlinzwa)
• Ukulimala kwezitho zangaphakathi nezakhiwo

Uzoba nokuvakashelwa okuningi nomhlinzeki wakho kanye nokuhlolwa ngaphambi kokuhlinzwa kwakho. Ukuvakasha kwakho kuzobandakanya:

• Qedela ukuhlolwa ngokomzimba
• Ukwelapha nokulawula isifo sikashukela, umfutho wegazi ophakeme, izinkinga zenhliziyo noma zamaphaphu, nezinye izimo

Uma ubhema, kufanele ume amasonto ambalwa ngaphambi kokuhlinzwa. Umhlinzeki wakho angakunika amathiphu wokuthi ungakwenza kanjani lokhu.

Hlala utshela umhlinzeki wakho ukuthi yiziphi izidakamizwa, amavithamini, nezinye izithako ozithathayo, ngisho nalezo ozithenge ngaphandle kadokotela.

Phakathi namasonto angaphambi kokuhlinzwa kwakho:

• Ungacelwa ukuthi uyeke ukuthatha imishanguzo enganciphisa igazi lakho, njenge-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), vitamin E, clopidogrel (Plavix), warfarin (Coumadin), apixaban (Eliquis), nabanye.
• Buza umhlinzeki wakho ukuthi yiziphi izidakamizwa okufanele usaziphuza ngosuku lokuhlinzwa kwakho.

Ngosuku lokuhlinzwa kwakho:

• UNGADLI noma uphuze noma yini ngemuva kwamabili ebusuku ngaphambi kokuhlinzwa kwakho.
• Thatha imishanguzo otshelwe ukuthi uyiphuze ngamanzi amancane.
• Uzotshelwa ukuthi ufika nini esibhedlela.

Imvamisa uzohlala esibhedlela izinsuku ezi-1 kuya kwezi-3. Kwezinye izimo, ungavunyelwa ukuya ekhaya ngalo lolo suku.

Ngemuva kokuhlinzwa, uzoba neshubhu elincane, elibizwa nge-Foley catheter, esinyeni sakho ukukhipha umchamo. Isinye sakho singafakwa uketshezi (oluniselwayo) ukusigcina sicacile ngamahlule. Umchamo uzobukeka unegazi ekuqaleni. Ezimweni eziningi, igazi liyasuka ezinsukwini ezimbalwa. Igazi nalo lingazungeza ipayipi. Kungasetshenziswa isixazululo esikhethekile ukukhipha ipayipi bese uligcina lingaminyene ngegazi. Ipayipi le-catheter lizosuswa zingakapheli izinsuku ezi-1 kuya kwezingu-3 kubantu abaningi.

Uzokwazi ukubuyela emuva ekudleni ukudla okujwayelekile zisuka nje.

Ithimba lakho lokunakekelwa kwezempilo lizo:

• Kukusize ushintshe izikhundla embhedeni.
• Kufundisa ukuzivocavoca ukugcina igazi ligeleza.
• Ukufundisa ukuthi ungakwenza kanjani ukukhwehlela nezindlela zokuphefumula ezijulile. Kufanele ukwenze lokhu njalo emahoreni ama-3 kuye kwangu-4.
• Ukutshele ukuthi ungazinakekela kanjani ngemuva kwenqubo yakho.

Ungadinga ukugqoka amasokisi aminyene futhi usebenzise into yokuphefumula ukugcina amaphaphu akho ecacile.

Unganikezwa umuthi wokuqeda ukuqhuma kwesinye.

I-TURP iqeda izimpawu zesibeletho esikhulisiwe isikhathi esiningi. Kungenzeka ukuthi uvutha ngokuchama, igazi emchameni wakho, ukuchama kaningi, futhi udinga ukuchama ngokushesha. Lokhu kuvame ukuxazululwa ngemuva kwesikhashana esincane.

I-TURP; Ukuthengiswa kabusha kweprostate - transurethral

• Ukuphepha kwamakamelo abantu abadala
• I-prostate ekhulisiwe - okufanele ubuze udokotela wakho
• Ukunakekelwa kwe-catheter ehlala ngaphakathi
• Ukuzivocavoca kukaKegel - ukuzinakekela
• Ukuvimbela ukuwa
• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile
• Ukudluliswa kabusha kwe-prostatethral kwe-prostate - ukukhishwa

• I-anatomy yokuzala yowesilisa
• Indlala yendlala
• I-Prostatectomy - Uchungechunge
• Ukuthengiswa kabusha kwe-prostate (TURP) - Uchungechunge

Khulisa u-HE, uDahm P, uKohler TS, et al. Ukuphathwa okuhlinzekwayo kwezimpawu ezisezingeni eliphansi zomchamo kukhonjwe yi-benign prostatic hyperplasia: Ukuchitshiyelwa Kwesiqondiso se-AUA 2019. J Urol. 2019; 202 (3): 592-598. I-PMID: 31059668 www.ncbi.nlm.nih.gov/pubmed/31059668.

UHan M, uPartin AW. I-prostatectomy elula: izindlela ezivulekile nezisizwa ngamarobhothi. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 106.

IMilam DF. Ukuthengiswa kabusha kwe-Transurethral kanye nokusikwa kwe-prostate kwe-transurethral. Ku: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, ama-eds. IHinman’s Atlas of Urologic Surgery. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 67.

I-Roehrborn CG. I-Benign prostatic hyperplasia: i-etiology, i-pathophysiology, i-epidemiology, nomlando wemvelo. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 103.