I-prostatectomy elula

Ukususwa kwe-prostate okulula kuyindlela yokususa ingxenye engaphakathi yendlala yesinye ukwelapha indlala eyandisiwe. Kwenziwa ngokusika kokuhlinzwa esiswini sakho esingezansi.

Uzonikezwa i-anesthesia ejwayelekile (elele, engenazinhlungu) noma i-anesthesia yomgogodla (ehlalisiwe, evukile, engenazinhlungu). Inqubo ithatha cishe amahora amabili kuya kwamane.

Udokotela wakho ohlinzayo uzokwenza ukusika kokuhlinzwa esiswini sakho esingezansi. Ukusikeka kuzosuka ngezansi kwenkinobho yesisu kuye ngaphezu kwethambo le-pubic noma kungenziwa ngokuvundlile ngenhla nje kwethambo le-pubic. Isinye sivulwa bese kuthi indlala yesinye iphume ngalokhu kusika.

Udokotela ohlinzayo ususa kuphela ingxenye engaphakathi yendlala yesinye. Ingxenye engaphandle isele ngemuva. Le nqubo ifana nokukhipha ingaphakathi lewolintshi bese ushiya ikhasi lisasebenza. Ngemuva kokukhipha ingxenye ye-prostate yakho, udokotela ohlinzayo uzovala igobolondo langaphandle le-prostate ngemithungo. Umsele ungashiywa esiswini sakho ukusiza ukususa uketshezi oluthe xaxa ngemuva kokuhlinzwa. I-catheter nayo ingasala esinyeni. Le catheter ingahle ibe se-urethra noma esiswini esingezansi noma ungaba nakho kokubili. Lawa ma-catheters avumela isinye ukuba siphumule futhi silapheke.

I-prostate enwetshiwe ingadala izinkinga ngokuchama. Lokhu kungaholela ekutheleleni ngezifo zomchamo. Ukukhipha ingxenye yendlala yesinye kaningi kungenza lezi zimpawu zibe ngcono. Ngaphambi kokuhlinzwa, umhlinzeki wakho wezokunakekelwa kwempilo angakutshela ezinye izinguquko ongazenza endleleni odla ngayo noma ophuza ngayo. Ungacelwa futhi ukuthi uzame ukuthatha umuthi.

Ukususwa kwendlala yesinye kungenziwa ngezindlela eziningi ezahlukene. Uhlobo lwenqubo ozoba nayo incike kubukhulu bendlala yesinye nokuthi yini ebangele ukuthi indlala yakho ikhule. Kuvulwe i-prostatectomy elula evame ukusetshenziswa lapho i-prostate inkulu kakhulu ukuthi ingahlinzwa kancane. Kodwa-ke, le ndlela ayilapheki umdlavuza wesinye. I-radical prostatectomy ingadingeka ngomdlavuza.

Kunganconywa ukususwa kwendlala yesinye uma une:

• Izinkinga zokuchitha isinye sakho (ukugcinwa kwe-urinary)
• Ukutheleleka kaningi komchamo
• Ukopha njalo kusuka endlaleni yesinye
• Amatshe esinye anokukhuliswa kwendlala yesinye
• Ukuchama kancane kakhulu
• Ukulimala kwezinso

I-prostate yakho nayo ingadinga ukususwa uma ukuthatha umuthi nokushintsha indlela odla ngayo kungazisizi izimpawu zakho.

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), noma isinye noma izinso
• Ukusabela emithini

Ezinye izingozi yilezi:

• Ukulimala ezithweni zangaphakathi
• Izinkinga zokwakhiwa (ukungabi namandla)
• Ukulahleka kwekhono lokuthi isidoda siphume emzimbeni kuholele ekutholeni inzalo
• Ukudlulisa isidoda kubuyela esinyeni esikhundleni sokuphuma nge-urethra (ukubuyisa kabusha i-ejaculation)
• Izinkinga ngokulawulwa komchamo (incontinence)
• Ukuqina kokuphuma kwe-urinary kusuka esikhunjeni esibomvu (ukuqina kwe-urethral)

Uzoba nokuvakashelwa okuningi nodokotela wakho nokuhlolwa ngaphambi kokuhlinzwa kwakho:

• Qedela ukuhlolwa ngokomzimba
• Ukuvakasha nodokotela wakho ukuqinisekisa ukuthi izinkinga zezokwelapha (njengesifo sikashukela, umfutho wegazi ophakeme, nezifo zenhliziyo noma zamaphaphu) ziphathwa kahle
• Ukuhlolwa okungeziwe ukuqinisekisa ukusebenza kwesinye

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:

• Ungadinga ukuyeka ukuthatha i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), vitamin E, clopidogrel (Plavix), warfarin (Coumadin), kanye neminye imithi efana nale.
• Buza udokotela wakho ukuthi yimiphi imithi okufanele uyithathe ngosuku lokuhlinzwa kwakho.
• Ungathatha i-laxative ekhethekile ngosuku olwandulela ukuhlinzwa kwakho. Lokhu kuzohlanza okuqukethwe kukholoni yakho.

Ngosuku lokuhlinzwa kwakho:

• UNGADLI noma uphuze noma yini ngemuva kwamabili ebusuku ngaphambi kokuhlinzwa kwakho.
• Thatha izidakamizwa otshelwe ukuthi uziphuze ngophuzo oluncane lwamanzi.
• Uzotshelwa ukuthi ufika nini esibhedlela.

Uzohlala esibhedlela izinsuku ezi-2 kuya kwezi-4.

• Uzodinga ukuhlala embhedeni kuze kube ngakusasa ekuseni.
• Ngemuva kokuba uvunyelwe ukusukuma uzocelwa ukuthi uzulazule ngangokunokwenzeka.
• Umhlengikazi wakho uzokusiza ushintshe izikhundla embhedeni.
• Uzofunda nokuzivocavoca ukugcina igazi ligeleza, nezindlela zokukhwehlela / zokuphefumula ezijulile.
• Kufanele wenze lezi zivivinyo njalo emahoreni amathathu kuya kwangu-4.
• Ungadinga ukugqoka amasokisi aminyene wokucindezela futhi usebenzise into yokuphefumula ukugcina amaphaphu akho ecacile.

Uzoshiya ukuhlinzwa nge-catheter kaFoley esinyeni sakho. Amanye amadoda anepayipi le-suprapubic esiswini salo esisiza ukukhipha isinye.

Amadoda amaningi alulama cishe emavikini ayisithupha. Ungalindela ukuthi ukwazi ukuchama njengenjwayelo ngaphandle kokuvuza.

I-Prostatectomy - elula; I-suprapubic prostatectomy; I-Retropubic prostatectomy elula; Vula i-prostatectomy; Inqubo kaMillen

• I-prostate ekhulisiwe - okufanele ubuze udokotela wakho
• Ukudluliswa kabusha kwe-prostatethral kwe-prostate - ukukhishwa

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.

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.

I-Zhao PT, i-Richstone L. esizwa i-Robotic esizwa ne-laparoscopic prostatectomy elula. Ku: Bishoff JT, Kavoussi LR, ama-eds. I-Atlas Yokuhlinzwa Kwe-Laparoscopic neRobotic Urologic. 3rd ed. IPhiladelphia, PA: Elsevier; I-2017: isahluko 32.