Ongakulindela ku-Orchiectomy

-Delile

• Yiziphi izinhlobo ze-orchiectomy?
• I-orchiectomy elula
• I-orchiectomy enamandla kakhulu
• I-orchiectomy engaphansi
• I-orchiectomy eyimbumba
• Ubani umuntu ofanelekela ukhetho kule nqubo?
• Iphumelela kangakanani le nqubo?
• Ngilungiselela kanjani le nqubo?
• Le nqubo yenziwa kanjani?
• Yini ukululama ngale nqubo?
• Ingabe kukhona imiphumela emibi noma izinkinga?
• Umbono

Yini i-orchiectomy?

I-orchiectomy iyenziwa ukuze kususwe elilodwa noma womabili amasende akho. Kwenziwa ngokuvamile ukwelapha noma ukuvimbela umdlavuza wendlala yabesilisa ukuthi usabalale.

I-orchiectomy ingelapha noma ivimbele umdlavuza wamasende nomdlavuza webele emadodeni, nawo. Kuyenzeka kaningi ngaphambi kokuhlinzwa kabusha (SRS) uma ungowesifazane we-transgender owenza ushintsho kusuka kowesilisa kuya kowesifazane.

Funda ukuze ufunde kabanzi mayelana nezinhlobo ezahlukahlukene zenqubo ye-orchiectomy, ukuthi inqubo isebenza kanjani, nokuthi ungazinakekela kanjani ngemuva kokuthi wenze inqubo.

Yiziphi izinhlobo ze-orchiectomy?

Kunezinhlobo eziningi zezinqubo ze-orchiectomy ngokuya ngesimo sakho noma inhloso ozama ukuyifinyelela ngokwenza le nqubo yenziwe.

I-orchiectomy elula

Isende elilodwa noma womabili asuswa ngokunqunywa okuncane esikhwameni sakho. Lokhu kungenziwa ukwelapha umdlavuza webele noma umdlavuza we-prostate uma udokotela wakho efuna ukunciphisa inani le-testosterone elenziwa ngumzimba wakho.

I-orchiectomy enamandla kakhulu

Isende elilodwa noma womabili asuswa ngokunqunywa okuncane engxenyeni engezansi yesisu sakho esikhundleni se-scrotum sakho. Lokhu kungenziwa uma usuthole iqhubu esendeni lakho futhi udokotela wakho ufuna ukuhlola izicubu zakho zamasende ukuthi zinomdlavuza. Odokotela bangase bakhethe ukuhlola umdlavuza besebenzisa lokhu kuhlinzwa ngoba isampula ejwayelekile yezicubu, noma i-biopsy, ingenza amangqamuzana omdlavuza abe sethubeni lokusabalala.

Lolu hlobo lokuhlinzwa lungahle lube yindlela enhle yokushintsha kusuka kowesilisa kuye kowesifazane.

I-orchiectomy engaphansi

Izicubu ezizungeze amasende ziyasuswa emgodleni. Lokhu kukuvumela ukuthi ugcine i-scrotum yakho iqinile ukuze kungabikho uphawu lwangaphandle lokuthi kukhona okususiwe.

I-orchiectomy eyimbumba

Womabili amasende ayasuswa. Lokhu kungenziwa uma unomdlavuza wendlala yesinye, umdlavuza webele, noma ushintsha usuka kowesilisa uye kowesifazane.

Ubani umuntu ofanelekela ukhetho kule nqubo?

Udokotela wakho angenza lokhu kuhlinzeka ukwelapha umdlavuza webele noma umdlavuza we-prostate. Ngaphandle kwamasende, umzimba wakho awukwazi ukwenza i-testosterone engako. I-testosterone yi-hormone engadala umdlavuza webele noma wesifuba ukuthi usabalale ngokushesha okukhulu. Ngaphandle kwe-testosterone, umdlavuza ungakhula ngezinga eliphansi, futhi ezinye izimpawu, ezifana nobuhlungu bethambo, zingabekezeleleka.

Udokotela wakho angancoma i-orchiectomy uma unempilo enhle ngokuvamile, futhi uma amangqamuzana omdlavuza engazange asabalale ngale kwamasende akho noma kude kakhulu nendlala yakho yesinye.

Ungahle uthande ukwenza i-orchiectomy uma ushintsha usuka kowesilisa uye kowesifazane futhi ufuna ukunciphisa ukuthi umzimba we-testosterone wenza malini.

Iphumelela kangakanani le nqubo?

Lokhu kuhlinzwa kuphatha ngempumelelo umdlavuza wesinye kanye nowesifuba. Ungazama ukwelashwa kwamahomoni ngama-antiandrogens ngaphambi kokucwaninga nge-orchiectomy, kepha lokhu kungaba nemiphumela engemihle, kufaka phakathi:

• ukulimala kwendlala yegilo, isibindi noma izinso
• amahlule egazi
• ukusabela okweqile

Ngilungiselela kanjani le nqubo?

Ngaphambi kwe-orchiectomy, udokotela wakho angathatha amasampula egazi ukuze aqiniseke ukuthi uphilile ngokwanele ukuhlinzwa nokuhlola noma yiziphi izinkomba zomdlavuza.

Le yinqubo yokwelashwa ngaphandle ethatha imizuzu engama-30-60. Udokotela wakho angasebenzisa i-anesthesia yendawo ukubamba indawo noma i-anesthesia ejwayelekile. I-anesthesia ejwayelekile inezingozi eziningi kepha ikuvumela ukuthi uhlale uqulekile ngesikhathi sokuhlinzwa.

Ngaphambi kokuqokwa, qiniseka ukuthi unohambo oluya ekhaya. Thatha izinsuku ezimbalwa emsebenzini futhi ulungele ukukhawulela inani lomsebenzi wakho ngemuva kokuhlinzwa. Tshela udokotela wakho nganoma yimiphi imithi noma izithako zokudla ozithathayo.

Le nqubo yenziwa kanjani?

Okokuqala, udokotela wakho ohlinzayo uzophakamisa ipipi lakho bese eliqopha esiswini sakho. Ngemuva kwalokho, bazokwenza ukusikeka noma esikhaleni sakho noma endaweni engaphezulu kwethambo lakho le-pubic esiswini sakho esingezansi. Isende elilodwa noma womabili ayasikwa ezicutshini nasemikhunjini ezungezile, bese esuswa ngokusikwa.

Udokotela wakho ohlinzayo uzosebenzisa izibopho ukuvimbela izintambo zakho zesidoda ukuba zingaphumi egazini. Bangafaka isende lokufakelwa esikhundleni salo osusiwe. Bese-ke begeza indawo ngesisombululo sikasawoti bese bethunga imbobo ivaliwe.

Yini ukululama ngale nqubo?

Kufanele ukwazi ukuya ekhaya emahoreni ambalwa ngemuva kwe-orchiectomy. Uzodinga ukubuya ngosuku olulandelayo ukuze uyohlolwa.

Esontweni lokuqala ngemuva kwe-orchiectomy:

• Gqoka ukwesekwa okuyisisekelo kwamahora okuqala angama-48 ngemuva kokuhlinzwa uma uyalelwe ngudokotela noma unesi wakho.
• Sebenzisa iqhwa ukunciphisa ukuvuvukala esikhwameni sakho noma lapho usike khona.
• Geza indawo ngobumnene ngensipho emnene lapho ugeza.
• Gcina indawo yakho yokusika yomile futhi imbozwe nge-gauze ezinsukwini ezimbalwa zokuqala.
• Sebenzisa noma yimaphi okhilimu noma amafutha okugcoba ngokulandela imiyalo kadokotela wakho.
• Thatha izidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-ibuprofen (Advil, Motrin) yezinhlungu zakho.
• Gwema ukuhlunga ngesikhathi sokuhamba kwamathumbu. Phuza amanzi amaningi futhi udle ukudla okune-fiber eningi ukugcina ukuhamba kwamathumbu njalo. Ungathatha futhi isithambisi sendle.

Kungathatha amasonto amabili kuya ezinyangeni ezimbili ukuthola kabusha ngokugcwele kwi-orchiectomy. Ungaphakamisi lutho olungaphezu kwamakhilogremu ayi-10 emasontweni amabili okuqala noma wenze ucansi kuze kube yilapho imbobo isilulame ngokuphelele. Gwema ukuzivocavoca umzimba, ezemidlalo, nokugijima amasonto amane ngemuva kokuhlinzwa.

Ingabe kukhona imiphumela emibi noma izinkinga?

Bheka udokotela wakho ngokushesha uma ubona noma yimiphi imiphumela emibi elandelayo:

• ubuhlungu noma ubomvu obuzungeze imbobo
• ubomvu noma ukopha okusikeni
• umkhuhlane ongaphezu kuka-100 ° F (37.8 ° C)
• ukungakwazi ukuchama
• i-hematoma, okuyigazi esikhwameni futhi imvamisa ibukeka njengendawo enkulu ephephuli
• ukulahlekelwa umuzwa eduze kwesikhwama sakho

Khuluma nodokotela wakho ngemiphumela emibi yesikhathi eside ngenxa yokuba ne-testosterone encane emzimbeni wakho, kufaka phakathi:

• ukukhumuzeka kwamathambo
• ukulahlekelwa inzalo
• ukushisa okushisayo
• imizwa yokudangala
• ukungasebenzi kahle kwe-erectile

Umbono

I-orchiectomy wukuhlinzwa kweziguli okungathathi isikhathi eside ukululama ngokuphelele. Kuyingozi kakhulu ukwelashwa kwehomoni ekwelashweni komdlavuza wendlala noma wesinye.

Vuleleka kudokotela wakho uma uthola lokhu kuhlinzwa njengengxenye yenguquko yakho usuka kowesilisa uye kowesifazane. Udokotela wakho angakwazi ukusebenza nawe ukunciphisa izicubu ezibomvu endaweni ukuze i-SRS yesikhathi esizayo iphumelele kakhulu.