I-Suprapubic Prostatectomy Yokwelapha I-Prostate Ekhulisiwe: Ongakulindela

-Delile

• Kungani ngidinga lokhu kuhlinzwa?
• Ungayilungiselela kanjani i-suprapubic prostatectomy
• Inqubo
• Ukubuyiselwa
• Izinkinga
• Umbono

Ukubuka konke

Uma udinga ukususa indlala yakho ye-Prostate ngoba isikhulu kakhulu, udokotela wakho angancoma i-suprapubic prostatectomy.

I-Suprapubic isho ukuthi ukuhlinzwa kwenziwa ngokusikeka esiswini sakho esingezansi, ngaphezu kwethambo lakho le-pubic. Kuyasikwa esinyeni sakho, futhi kususwe nendawo yesifo sakho sendlala yesinye. Le ngxenye ye-prostate gland yakho yaziwa njengendawo yokuguquka.

I-suprapubic prostatectomy inqubo yokwelashwa. Lokhu kusho ukuthi inqubo iyenziwa esibhedlela. Ungadinga ukuhlala esibhedlela isikhathi esifushane ukuze ululame. Njenganoma yikuphi ukuhlinzwa, le nqubo inezingozi ezithile. Khuluma nodokotela wakho ukuthi kungani ungadinga ukuhlinzwa, ukuthi yiziphi izingozi, nokuthi yini okudingeka uyenze ukulungiselela inqubo.

Kungani ngidinga lokhu kuhlinzwa?

I-suprapubic prostatectomy yenziwa ukususa ingxenye ye-prostate gland ekhulisiwe. Njengoba ukhula, indlwabu yakho ikhula ngokwemvelo ngoba izicubu zikhula zizungeze indlala yesinye. Lokhu kukhula kubizwa ngokuthi yi-benign prostatic hyperplasia (BPH). Akuhlobene nomdlavuza. Indlala yesibeletho ekhulisiwe ngenxa ye-BPH ingenza kube nzima ukuchama. Kungadala nokuthi uzwe ubuhlungu lapho uchama noma kukwenze uzizwe sengathi awukwazi ukukhipha ngokuphelele isinye sakho.

Ngaphambi kokweluleka ngokuhlinzwa, udokotela wakho angazama imishanguzo noma izinqubo zokwelapha iziguli ukuze anciphise izimpawu zesibindi esandisiwe. Ezinye izinqubo zifaka i-microwave therapy kanye ne-thermotherapy, eyaziwa nangokuthi yi-heat therapy. Lokhu kungasiza ekuqedeni ezinye izicubu ezungeze indlala yesinye. Uma izinqubo ezifana nalezi zingasebenzi futhi uqhubeka uzwa ubuhlungu noma ezinye izinkinga lapho uchama, udokotela wakho angancoma ukuthi kwenziwe i-prostatectomy.

Ungayilungiselela kanjani i-suprapubic prostatectomy

Lapho wena nodokotela wakho seninqume ukuthi udinga i-prostatectomy, udokotela wakho angafuna ukwenza i-cystoscopy. Ku-cystoscopy, udokotela wakho usebenzisa ubukhulu ukubheka umgudu wakho wokuchama kanye ne-prostate yakho. Udokotela wakho kungenzeka a-oda ukuhlolwa kwegazi nokunye ukuhlola i-prostate yakho.

Ezinsukwini ezimbalwa ngaphambi kwenqubo, udokotela wakho uzokucela ukuthi uyeke ukuthatha imishanguzo yezinhlungu kanye nabanciphisi begazi ukunciphisa ingozi yokuphuma ngokweqile ngesikhathi sokuhlinzwa. Izibonelo zale mithi zifaka:

• ibuprofen (Advil, Motrin)
• I-naproxen (Aleve, Anaprox, Naprosyn)
• i-warfarin (i-Coumadin)

Udokotela wakho angakudinga ukuthi uzile ukudla isikhathi esithile ngaphambi kokuhlinzwa kwakho. Lokho kusho ukuthi awukwazi ukudla noma ukuphuza noma yini ngaphandle koketshezi olucacile. Udokotela wakho futhi angakuphathisa i-enema ukusula ikholoni yakho ngaphambi kokuhlinzwa.

Ngaphambi kokungena esibhedlela ngenqubo, yenza amalungiselelo esikhathi sokuphumula lapho usebenza khona. Ungahle ungakwazi ukubuyela emsebenzini amasonto ambalwa. Hlela umngani noma ilunga lomndeni ukuthi likuse ekhaya ngemuva kokuphuma esibhedlela. Ngeke uvunyelwe ukushayela ngesikhathi sakho sokutakula.

Inqubo

Ngaphambi kokuhlinzwa kwakho, uzosusa okokugqoka nobucwebe bese ushintsha ube yingubo yasesibhedlela.

Ekamelweni lokuhlinzwa, kuzofakwa ishubhu elifakwa emthanjeni (IV) ukukunikeza umuthi noma olunye uketshezi ngesikhathi sokuhlinzwa. Uma uzothola i-anesthesia ejwayelekile, ingahlinzekwa nge-IV yakho noma ngemaski ebusweni bakho. Uma kunesidingo, ithubhu lingafakwa emphinjeni wakho ukuze kubulawe izinzwa nokusekela ukuphefumula kwakho ngesikhathi sokuhlinzwa.

Kwezinye izimo, i-anesthesia yendawo (noma yesifunda) kuphela edingekayo. I-anesthesia yendawo ilawulwa ukunqanda indawo lapho kwenziwa khona inqubo. Nge-anesthesia yendawo, uhlala uphapheme ngesikhathi sokuhlinzwa. Ngeke ubuzwe ubuhlungu, kepha usengazizwa ungakhululekile noma ingcindezi endaweni okuhlinzwa kuyo.

Uma ulele noma uvalelwe izinhlungu, udokotela ohlinzayo uzokwenza imbobo esiswini sakho kusuka ngaphansi kwenkaba yakho kuze kube ngaphezu kwethambo lakho le-pubic. Okulandelayo, udokotela ohlinzayo uzokwenza imbobo phambi kwesinye sakho. Kuleli qophelo, udokotela wakho ohlinzayo angafaka futhi ipayipi lokugcina amanzi ukuze kugcine umchamo wakho ukhanywa phakathi nakho konke ukuhlinzwa. Udokotela wakho ohlinzayo uzobe esusa isikhungo se-prostate yakho ngokuvula. Lapho le ngxenye ye-prostate isisusiwe, udokotela wakho ohlinzayo uzovala okusikiwe endlaleni yakho, esinyeni nasesiswini.

Ngokuya ngesimo sakho, udokotela wakho angancoma i-prostatectomy esizwa nge-robotic. Kulolu hlobo lwenqubo, kusetshenziswa amathuluzi erobhothi ukusiza udokotela ohlinzayo. I-prostatectomy esizwa ngamarobhothi ayihlaseli kangako kunokuhlinzwa kwendabuko futhi ingaholela ekulahlekelweni kwegazi okuncane ngesikhathi senqubo. Ibuye ibe nesikhathi esifushane sokutakula nezingozi ezimbalwa kunokuhlinzwa kwendabuko.

Ukubuyiselwa

Isikhathi sakho sokululama esibhedlela singahluka kusukela osukwini olulodwa kuye kwesonto noma ngaphezulu, ngokuya ngempilo yakho yonke kanye nezinga lempumelelo yenqubo. Ngosuku lokuqala noma kungakapheli amahora ambalwa emva kokuhlinzwa, udokotela wakho uzokuphakamisa ukuthi uhambe uzungeze igazi lakho lingaboli. Abahlengikazi bazokusiza, uma kunesidingo. Ithimba lakho lezokwelapha lizoqapha ukutakula kwakho futhi lisuse ipayipi lakho lomchamo lapho likholwa ukuthi usukulungele.

Ngemuva kokukhishwa esibhedlela, ungadinga amasonto ama-2-4 ukuze ululame ngaphambi kokuthi uqalise kabusha imisebenzi nemisebenzi yansuku zonke. Kwezinye izimo, kungadingeka ukuthi ugcine i-catheter isikhashana ngemuva kokuphuma esibhedlela. Udokotela wakho futhi angakunikeza ama-antibiotic ukuvikela izifo, noma ama-laxatives ukuze uqiniseke ukuthi uqhubeka nokuhamba kwamathumbu njalo ngaphandle kokucindezela indawo yokuhlinzwa.

Izinkinga

Inqubo uqobo yayo inobungozi obuncane. Njenganoma ikuphi ukuhlinzwa, kunethuba lokuthi ungathola ukutheleleka ngesikhathi noma ngemuva kokuhlinzwa, noma wophe ngaphezu kokulindelekile. Lezi zinkinga azivamile futhi azivame ukuholela ezindabeni zezempilo zesikhathi eside.

Noma yikuphi ukuhlinzwa okubandakanya i-anesthesia kunezingozi ezithile, njenge-pneumonia noma isifo sohlangothi. Izinkinga ze-anesthesia azivamile, kepha ungaba sengozini enkulu uma ubhema, ukhuluphele, noma unezimo ezifana nomfutho wegazi ophakeme noma isifo sikashukela.

Umbono

Sekukonke, umbono we-suprapubic prostatectomy muhle. Izinkinga zezempilo ezibangelwa le nqubo azivamile. Ngemuva kokululama ekuhlinzweni kwakho, kufanele kube lula kuwe ukuthi uchame futhi ulawule isinye sakho. Akufanele ube nezinkinga ngokungazibambi, futhi akufanele usazizwa sengathi usadinga ukuchama ngemuva kokuthi usuhambile.

Lapho usuthole ku-prostatectomy yakho, ungahle ungadingi ezinye izinqubo zokuphatha i-BPH.

Ungadinga ukubona udokotela wakho futhi ukuze uthole isikhathi sokulandelela, ikakhulukazi uma unezinkinga ezivela ekuhlinzeni.