Ukuthengiswa kabusha kweprostate - okuhlasela kancane

Ukwehliswa okuncane kwe-prostate resection ukuhlinzwa ukususa ingxenye yendlala yesinye. Kwenziwa ukwelapha i-prostate ekhulisiwe. Ukuhlinzwa kuzothuthukisa ukugeleza komchamo nge-urethra, ishubhu elithwala umchamo esinyeni esingaphandle komzimba wakho. Kungenziwa ngezindlela ezahlukene. Akukho ukusikeka (ukusika) esikhunjeni sakho.

Lezi zinqubo zivame ukwenziwa ehhovisi lomhlinzeki wakho wezokunakekelwa kwempilo noma emtholampilo wokuhlinza abagulayo.

Ukuhlinzwa kungenziwa ngezindlela eziningi. Uhlobo lokuhlinzwa luzoya ngosayizi wendlala yakho kanye nokuthi yini eyenze yakhula. Udokotela wakho uzobheka ubukhulu be-prostate yakho, ukuthi unempilo kangakanani, nokuthi hlobo luni lokuhlinzwa ongalufuna.

Zonke lezi zinqubo zenziwa ngokudlulisa into ethile embotsheni yelungu lakho lobudoda (inyama). Uzonikezwa i-anesthesia ejwayelekile (ilele futhi ayinazinhlungu), i-anesthesia yomgogodla noma ye-epidural (evukile kodwa engenazinhlungu), noma i-anesthesia yendawo nokuthambisa. Izinketho ezisungulwe kahle yilezi:

• I-Laser prostatectomy. Le nqubo ithatha cishe amahora angu-1 kuya kwangu-2. I-laser ibulala izicubu zesibeletho ezivimba ukuvuleka kwe-urethra. Cishe uzoya ekhaya ngalo lolo suku. Ungadinga i-Foley catheter efakwe esinyeni sakho ukusiza ukukhipha umchamo izinsuku ezimbalwa ngemuva kokuhlinzwa.
• Ukuchithwa kwenaliti yeTransurethral (TUNA). Udokotela ohlinzayo udlulisa izinaliti ku-prostate. Amagagasi omsindo aphakeme kakhulu (i-ultrasound) ashisa izinaliti nezicubu zomzimba. Ungadinga ipayipi le-Foley elibekwe esinyeni sakho ukusiza ukukhipha umchamo ngemuva kokuhlinzwa izinsuku ezi-3 kuye kwezi-5.
• I-Transurethral microwave thermotherapy (TUMT). I-TUMT iletha ukushisa isebenzisa ama-microwave pulses ukubhubhisa izicubu zesibeletho. Udokotela wakho uzofaka i-antenna ye-microwave nge-urethra yakho. Ungadinga ipayipi le-Foley elibekwe esinyeni sakho ukusiza ukukhipha umchamo ngemuva kokuhlinzwa izinsuku ezi-3 kuye kwezi-5.
• Transurethral electrovaporization (TUVP). Ithuluzi noma insimbi iletha amandla kagesi aqinile okubhubhisa izicubu zomzimba. Uzoba nepayipi elibekwe esinyeni sakho. Ingasuswa kungakapheli amahora ambalwa ngemuva kwenqubo noma ungaya nayo ekhaya.
• Ukuqhamuka kweTransurethral (TUIP). Udokotela wakho ohlinzayo usikeka okuncane lapho i-prostate ihlangana khona nesinye. Lokhu kwenza i-urethra ibanzi. Le nqubo ithatha imizuzu engama-20 kuye kwengama-30. Amadoda amaningi angaya emakhaya ngalolo suku. Ukululama ngokugcwele kungathatha amasonto amabili kuya kwamathathu. Ungaya ekhaya ngepayipi esinyeni sakho.

Indlala yesibeletho enwetshiwe ingenza kube nzima kuwe ukuchama. Ungase futhi uthole izifo ezithwala umchamo. Ukususa konke, noma ingxenye, yendlala yesinye kungenza lezi zimpawu zibe ngcono. Ngaphambi kokuba uhlinzwe, udokotela wakho angakutshela ushintsho ongalwenza endleleni odla ngayo noma ophuza ngayo. Ungazama neminye imithi.

Kunganconywa ukususwa kwendlala yesinye uma:

• Awukwazi ukukhipha ngokuphelele isinye sakho (ukugcinwa komchamo)
• Yiba nezifo eziphindaphindayo zomgudu womchamo
• Ukopha ku-prostate yakho
• Yiba namatshe esinyama nge-prostate yakho enwetshiwe
• Chama kancane kakhulu
• Bathathe imithi, futhi abazisizanga izimpawu zakho noma awusafuni ukuyiphuza

Izingozi zanoma yikuphi ukuhlinzwa yilezi:

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

Ezinye izingozi zalokhu kuhlinzwa yilezi:

• Izinkinga zokwakhiwa (ukungabi namandla)
• Akukho ukuthuthukiswa kwezimpawu
• Ukudlulisa isidoda emuva esinyeni sakho esikhundleni sokuphuma nge-urethra (buyisela kabusha i-ejaculation)
• Izinkinga ngokulawulwa komchamo (incontinence)
• Ukuqina kwe-Urethral (ukuqiniswa kwendawo yokuphuma komchamo kusuka ezicutshini ezibomvu)

Uzoba nokuvakashelwa okuningi nomhlinzeki wakho kanye nokuhlolwa ngaphambi kokuhlinzwa:

• Qedela ukuhlolwa ngokomzimba
• Ukuvakasha nodokotela wakho ukuqinisekisa ukuthi izinkinga zezokwelapha, ezinjengesifo sikashukela, umfutho wegazi ophakeme, nezinkinga zenhliziyo noma zamaphaphu ziphathwa kahle
• Ukuhlola ukuqinisekisa ukuthi une-anatomy yesinye evamile nokusebenza

Uma ubhema, kufanele ume amasonto ambalwa ngaphambi kokuhlinzwa. Umhlinzeki wakho angasiza.

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 i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), vitamin E, clopidogrel (Plavix), warfarin (Coumadin), kanye neminye imithi efana nale.
• Buza ukuthi imiphi imithi okufanele uyithathe 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 noma emtholampilo.

Iningi labantu liyakwazi ukuya emakhaya ngosuku lokuhlinzwa, noma ngosuku olulandelayo. Ungahle ube nepayipi esinyeni sakho lapho uphuma esibhedlela noma emtholampilo.

Isikhathi esiningi, lezi zinqubo zingakhulula izimpawu zakho. Kepha unethuba eliphakeme lokudinga ukuhlinzwa kwesibili eminyakeni engu-5 kuye kwengu-10 kunokuthi uma une-transurethral resection ye-prostate (TURP).

Okunye kwalokhu kuhlinza okungahlaseli kangako kungadala izinkinga ezimbalwa ngokulawula umchamo wakho noma ikhono lokuya ocansini kune-TURP ejwayelekile. Khuluma nodokotela wakho.

Ungaba nezinkinga ezilandelayo isikhashana ngemuva kokuhlinzwa:

• Igazi emchameni wakho
• Ukushisa ngomchamo
• Udinga ukuchama kaningi
• Isifiso esisheshayo sokuchama

IGreenlight laser prostatectomy; Ukukhishwa kwenaliti yeTransurethral; TUNA; Ukuqhekeka kweTransurethral; ISIQINISEKISO; I-Holmium laser enucleation ye-prostate; I-HoLep; I-laser coagulation yangaphakathi; ILC; I-photoselective vaporization ye-prostate; I-PVP; Ukudluliswa kwe-electrovaporization; TUVP; Transurethral microwave thermotherapy; TUMT; Urolift; BPH - ukuthengiswa kabusha; I-Benign prostatic hyperplasia (hypertrophy) - ukuvuselelwa; I-Prostate - kukhulisiwe - ukuthengiswa kabusha; Ukwelashwa komphunga wamanzi (Rezum)

• I-prostate ekhulisiwe - okufanele ubuze udokotela wakho
• Ukukhishwa kwe-Prostate - ukukhipha okuncane okungajwayelekile
• Ukudluliswa kabusha kwe-prostatethral kwe-prostate - ukukhishwa

UDjavan B, Teimoori M. Ukuphathwa kokuhlinzwa kwe-LUTS / BPH: TURP vs. open prostatectomy. Ku: Morgia G, ed. Izimpawu Ze-Urinary Tract Lower neBenign Prostatic Hyperplasia. ICambridge, MA: I-Elsevier Academic Press; 2018: isahluko 12.

Khulisa u-HE, uBarry MJ, uDahm P, et al. Ukuphathwa kokuhlinzwa kwezimpawu ezisezingeni eliphansi zomchamo kukhonjwe yi-benign prostatic hyperplasia: Umhlahlandlela we-AUA. J Urol. I-2018; 200 (3): 612-619. I-PMID: 29775639 www.ncbi.nlm.nih.gov/pubmed/29775639.

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.

UWelliver C, uMcVary KT. Ukuphathwa okuhlaselayo okuncane nokugcina kancane kwe-benign prostatic hyperplasia. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 105.