Ukuhlinzwa kwe-Prostate (prostatectomy): kuyini, izinhlobo nokubuyiselwa

-Delile

• Kwenziwa kanjani ukuhlinzwa
• Izinhlobo eziyinhloko ze-prostatectomy
• Ngabe ukululama kusuka ku-prostatectomy
• Imiphumela engaba khona yokuhlinzwa
• 1. Ukuchama kokuchama
• 2. Ukungasebenzi kahle kwe-Erectile
• 3. Ukungabi nenzalo
• Izivivinyo nokubonisana ngemuva kokuhlinzwa
• Ngabe umdlavuza ungabuya?

Ukuhlinzwa indlala yesinye, okuyindlela yokwelashwa komdlavuza wesinye ngoba, ezimweni eziningi, kungenzeka kususwe sonke isimila esibi futhi welaphe umdlavuza, ikakhulukazi lapho lesi sifo sisaguquke kahle futhi singafinyelelanga ezinye izitho.

Lokhu kuhlinzwa kwenziwa, okungcono, emadodeni aneminyaka engaphansi kwengama-75 ubudala, kubhekwe njengobungozi obuphansi kuya obuphakathi bokuhlinzwa, okungukuthi, ngezifo ezingamahlalakhona ezilawulwayo, njengesifo sikashukela noma umfutho wegazi ophezulu. Yize lokhu kwelashwa kusebenza kahle, kunganconywa futhi ukuthi kwenziwe i-radiotherapy ngemuva kokuhlinzwa ezimeni ezithile, ukuqeda noma yimaphi amaseli amabi okungenzeka ukuthi asele endaweni.

Umdlavuza wesibeletho uyephuza ukukhula futhi, ngakho-ke, akudingekile ukuthi uhlinzwe ngokushesha ngemuva kokuthola ukuxilongwa, ukwazi ukuhlola ukukhula kwawo esikhathini esithile, ngaphandle kwalokhu kwandisa ubungozi bezinkinga.

Kwenziwa kanjani ukuhlinzwa

Ukuhlinzwa kwenziwa, ezimweni eziningi, nge-anesthesia ejwayelekile, kepha kungenziwa nange-anesthesia yomgogodla, esetshenziselwa umgogodla, ngokuya ngenqubo yokuhlinza ezokwenziwa.

Ukuhlinzwa kuthatha isilinganiso samahora ama-2 futhi imvamisa kuyadingeka ukuhlala esibhedlela izinsuku ezi-2 kuye kwezi-3. I-Prostatectomy iqukethe ukususwa kwe-Prostate, kufaka phakathi i-prostatic urethra, ama-vesicles weseminal kanye nama-ampoules we-vas deferens. Lokhu kuhlinzwa kungabuye kuhlotshaniswe ne-biladenectomy yamazwe amabili, equkethe ukususa ama-lymph node esifundeni se-pelvic.

Izinhlobo eziyinhloko ze-prostatectomy

Ukususa i-Prostate, ukuhlinza kungenziwa nge-robotic noma i-laparoscopy, okungukuthi, ngokusebenzisa izimbobo ezincane esiswini lapho izinsimbi zokususa i-prostate pass, noma nge-laparotomy lapho kusikwa khona esikhudlwana esikhunjeni.

Izinhlobo eziyinhloko zokuhlinzwa ezisetshenziswayo yilezi:

• I-radical retropubic prostatectomy: ngale ndlela, udokotela usika kancane esikhunjeni eduze kwenkaba ukususa indlala;
• I-Perineal radical prostatectomy: kuyasikwa phakathi kwendunu nesimila bese kususwa indlala yesinye. Le ndlela isetshenziswa kancane kunaleyo eyedlule, njengoba kunengozi enkulu yokufinyelela izinzwa ezibhekene nokwakhiwa, ezingadala ukungasebenzi kahle kwe-erectile;
• I-robotic radate prostatectomy: kule nqubo, udokotela ulawula umshini onezingalo ze-robotic futhi, ngakho-ke, inqubo inembile kakhulu, inobungozi obuncane be-sequelae;
• Ukudluliswa kabusha kwe-prostatethral: kuvame ukwenziwa ekwelapheni i-benign prostatic hyperplasia, noma kunjalo, ezimweni zomdlavuza lapho i-radate prostatectomy ingenakwenziwa kepha kunezimpawu, le ndlela ingasetshenziswa.

Ezimweni eziningi, inqubo efaneleke kakhulu yileyo eyenziwa ngamarobhothi, ngoba ibangela ubuhlungu obuncane, ibangela ukulahleka kwegazi okuncane futhi nesikhathi sokululama sishesha.

Ngabe ukululama kusuka ku-prostatectomy

Ukululama ekuhlinzweni kwendlala yesinye kuqhathaniswa nokushesha futhi kunconywa kuphela ukuphumula, ukugwema imizamo, izinsuku ezingaba yishumi kuya kwezingu-15. Ngemuva kwaleso sikhathi, ungabuyela emisebenzini yansuku zonke, njengokushayela noma ukusebenza, noma kunjalo, imvume yemizamo emikhulu ivela kuphela ngemuva kwezinsuku ezingama-90 kusukela osukwini lokuhlinzwa. Ukuxhumana obuseduze kungaphinda kuqalwe ngemuva kwezinsuku ezingama-40.

Esikhathini sokusebenza ngemuva kokuhlinzwa kwe-prostatectomy, kubalulekile ukubeka iphenyo yesinye, ishubhu elizohambisa umchamo kusuka esinyeni liye esikhwameni, ngoba ipheshana lomchamo livutha kakhulu, livimbela ukudlula komchamo. Le probe kufanele isetshenziselwe isonto elilodwa kuya kwamabili, futhi kufanele isuswe kuphela ngemuva kwesincomo sikadokotela. Funda ukuthi unganakekela kanjani ipayipi lesinye ngalesi sikhathi.

Ngaphezu kokuhlinzwa, ukwelashwa ngama-hormone, ukwelashwa ngamakhemikhali kanye / noma ukwelashwa ngemisebe kungadingeka ukubulala amaseli amabi angakasuswa ekuhlinzweni noma asabalale kwezinye izitho, okuwavimbela ukuthi aqhubeke nokwanda.

Imiphumela engaba khona yokuhlinzwa

Ngaphezu kwezingozi ezijwayelekile, njengokutheleleka endaweni yesibazi noma ukopha, ukuhlinzekelwa umdlavuza wendlala yabesilisa kungaba nokunye ukulandelana okubalulekile okufana nalokhu:

1. Ukuchama kokuchama

Ngemuva kokuhlinzwa, indoda ingahlangabezana nobunzima ekulawuleni ukuphuma komchamo, okuholele ekungangeni komchamo. Lokhu kungazibambi kungaba mncane noma kuphelele futhi kuvame ukuhlala amasonto noma izinyanga ezimbalwa ngemuva kokuhlinzwa.

Le nkinga ivame kakhulu kubantu asebekhulile, kepha ingenzeka kunoma yisiphi isikhathi futhi kuya ngezinga lokukhula komdlavuza nohlobo lokuhlinzwa. Ukwelashwa kuvame ukuqala ngezikhathi ze-physiotherapy, ngokuzivocavoca kwe-pelvic nezinsimbi ezincane, njenge biofeedback, kanye ne-kinesiotherapy. Ezimweni ezimbi kakhulu, kungenziwa ukuhlinzwa ukulungisa lokhu kungasebenzi. Bona imininingwane eminingi yokuthi ungakwelapha kanjani ukungahambi kahle komchamo.

2. Ukungasebenzi kahle kwe-Erectile

Ukungasebenzi kahle kwe-Erectile kungenye yezinkinga ezikhathaza kakhulu amadoda, angakwazi ukuqala noma ukugcina ukwakhiwa, kepha, ngokubonakala kokuhlinzwa kwe-robotic, amazinga we-erectile dysfunction anciphile. Lokhu kungenxa yokuthi eceleni kwendlala yesinye kunezinzwa ezibalulekile ezilawula ukwakhiwa. Ngakho-ke, ukungasebenzi kahle kwe-erectile kuvame kakhulu ezimweni zomdlavuza othuthuke kakhulu lapho kudingeka khona ukususa izindawo eziningi ezithintekile, futhi kungadingeka ukukhipha izinzwa.

Kwezinye izimo, ukwakhiwa kungathinteka kuphela ukuvuvukala kwezicubu ezizungeze i-prostate, ezicindezela izinzwa. Lawa macala ajwayele ukuba ngcono ezinyangeni noma eminyakeni njengoba izicubu zilulama.

Ukusiza ezinyangeni zokuqala, udokotela we-urologist angancoma amanye amakhambi, njenge-sildenafil, i-tadalafil noma iodenafil, esiza ukuba nokwakhiwa okwanelisayo. Funda kabanzi mayelana nokuthi ungakwelapha kanjani ukungasebenzi kahle kwe-erectile.

3. Ukungabi nenzalo

Ukuhlinzwa komdlavuza wendlala yesinye kunciphisa ukuxhumana phakathi kwamasende, lapho kukhiqizwa khona isidoda, nomchamo. Ngakho-ke, umuntu ngeke esakwazi ukuzala ingane ngendlela yemvelo. Amasende asazokhiqiza isidoda, kepha ngeke akhishwe.

Njengoba iningi lamadoda athinteka ngumdlavuza wendlala yabesilisa seligugile, ukungabatholi abantwana akuyona inkinga enkulu, kepha uma uyinsizwa noma ufuna ukuba nezingane, kunconywa ukuthi ukhulume nodokotela womchamo futhi uhlole ukuthi kungenzeka yini ukonga isidoda emitholampilo ekhethekile.

Izivivinyo nokubonisana ngemuva kokuhlinzwa

Ngemuva kokuphothula ukwelashwa komdlavuza wesinye, udinga ukwenza ukuhlolwa kwe-PSA ngendlela elandelanayo, iminyaka engu-5. Ukuhlolwa kwamathambo nokunye ukuhlolwa kwe-imaging nakho kungenziwa minyaka yonke ukuqinisekisa ukuthi konke kuhamba kahle noma ukuxilonga noma yiziphi izinguquko ngokushesha ngangokunokwenzeka.

Uhlelo lwezemizwa nobulili bunganyakaziswa kakhulu, ngakho-ke kungakhonjiswa ukuthi kuzolandelwa isazi sokusebenza kwengqondo ngesikhathi sokwelashwa nasezinyangeni ezimbalwa zokuqala ngemuva kwalokho. Ukwesekwa komndeni nabangane abaseduze nakho kuwusizo olubalulekile lokuqhubeka ngokuthula.

Ngabe umdlavuza ungabuya?

Yebo, abesilisa abatholakala benomdlavuza wendlala yesinye futhi belashwa ngenhloso yokwelapha bangahle baphinde bavele kulesi sifo futhi badinge ukwelashwa okwengeziwe. Ngakho-ke, ukulandelwa njalo kwe-urologist kubalulekile, ukwenza izivivinyo eziceliwe ukulawula okukhulu kwesifo.

Ngaphezu kwalokho, kuyalulekwa ukugcina imikhuba enempilo futhi ungabhemi, ngaphezu kokwenza izivivinyo zokuxilonga ngezikhathi ezithile, noma nini lapho kucelwa udokotela, ngoba lapho kutholakala umdlavuza noma ukuvuseleleka kwawo ngaphambili, aba maningi amathuba okwelashwa.