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Ukuhlinzekwa kwama-prostate: OkubalulekileUkuhlinzekwa kwama-prostate kuvame ukwenza ngezizathu ezimbili: umdlavuza wesifo sofuba kanye ne-benign prostatic hypertrophy (BPH). Ukwelashwa kungase kube ukusindisa impilo, noma kungenziwa ukuxazulula izinkinga zokuguqula ezingazange ziphendule imithi.
Ukunquma ngenqubo ye-prostate kungaba nzima njengoba kunezinhlobo eziningi ezitholakalayo zokwelapha izidakamizwa ze-prostate. Ukuhlinzwa ngamunye kunezinzuzo ezihlukile kanye nezingozi. Ezinye zezinqubo ezincane ezingenasidingo zithola isikhathi sokuphumula ngokushesha, kodwa azifanelekile ukwelashwa komdlavuza. Izinqubo ezimbi kakhulu zingabangela izinkinga zesikhathi eside, kodwa lezo zinkinga kufanele zilinganiswe ngengozi yokushiya umdlavuza wesibeletho ungaphathwa kabi.
Ukukhetha udokotela ohlinzayo kungase kube yisinqumo esibaluleke kunazo zonke owenzayo, ngisho nangaphezulu kunhlobo lwenqubo. Uchwepheshe onguchwepheshe onguchwepheshe, mhlawumbe onokuhlangenwe nakho okuningi okwenza amakhulu noma ngisho nezinkulungwane zenqubo efana neyakho, cishe cishe uzobhekana nokungasebenzi kahle kwe-erectile ngenxa yomonakalo wezinzwa.
Ngaphezu kokukhetha udokotela ohlinzayo ochwepheshe, kubalulekile ukusebenza nodokotela wakho ohlinzayo ukuze ukhethe inqubo engcono kakhulu yezidingo zakho eziyingqayizivele. Ezinye izinqubo zisetshenziselwa ukunciphisa izicubu zesisu, ezinye zisuse ingxenye noma yonke i-prostate futhi ingasetshenziselwa ukwelapha umdlavuza.
Yonke imisebenzi yokuhlinzeka inengozi, ukuhlinzeka nge-prostate kunezingozi ezithile ezengeziwe ngaphezu kwezingozi ezijwayelekile zokuhlinzwa .
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I-Robotic Prostate SurgeryI-prostatectomy yama- laparoscopic esisizwa nge-robotic yindlela yokuhlinzwa ehlinzeka ukwelapha umdlavuza we-prostate ngokusizwa i-robot. Uma kwenziwa ngaphandle kwe-robot ibizwa ngokuthi i-prostatectomy ye- laparoscopic kodwa kungenjalo inqubo efanayo.
Kubalulekile ukukhumbula ukuthi ikhono lomhlinzeki ohlinzayo liyisici esibaluleke kakhulu ekunqumeni umphumela wokugcina kusuka ekuhlinzekeni kwakho. I-robot ezandleni zomhlinzeki ohlinzayo omuhle kufanele ibangele umphumela omuhle kakhulu, noma kunjalo, ukuhlinzeka nge-robotic eyenziwa udokotela ohlinzayo ongenamakhono kuyoba nomphumela omncane wokuba nomphumela omuhle.
Kokubili i-prostatectomy yama-laparoscopic kanye nenqubo ye-robotic yizinqubo ezincane ezingenasidingo , ezenziwe ngokusebenzisa ukuqondiswa kwe-keyhole kunokuba kuhlinzekwe yendabuko endala eyasetshenziselwa ukuxubha okukhulu kusuka esitokisini se-pubic kuya kumbilicus.
Inqubo yenziwa ngaphansi kwe-anesthesia ejwayelekile futhi iqala ngemibono emihlanu encane ehlukaniswe phakathi kwethambo le-pubic kanye ne-umbilicus. Ngalokhu kuhlanganiswa kwezinsimbi ezincane kufakwa, kufaka phakathi ikhamera yevidiyo, ukusiza izinsimbi kanye namathuluzi wokusika. Inqubo ye-robotic, udokotela ohlinzayo ulawula izinsimbi zokusika ngokulawula i-robot. Inqubo engezona i-robotic, izandla zogqirha ohlinzayo zilawula ngokuqondile izinsimbi.
I-prostate isuswe ngokucwilisa ngemuva kokunqunywa ngesikhumba noma isitsha esifanayo. Lapho izicubu zisusiwe, le ndawo iseliswe ngesisombululo esiyinyumba, i- foley catheter ifakwa futhi ukuvalwa okuvaliwe kuvaliwe.
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Ukutholakala kweTransurethral ye-Prostate (TURP)Ukuthengiswa kwe-prostatethral ye-prostate, eyaziwa nangokuthi inqubo ye-TURP, ingenye yezindlela ezivame ukuhlinzekwa kwe-prostate ezisebenzisela ukwelapha umdlavuza. Le nqubo yenziwa ngezindlela ezimbili, inqubo "ejwayelekile" esebenzisa isicalpel ukususa izicubu ze-prostate, noma ukusebenzisa i-electro-resection, esebenzisa i-electrofied wire loop ukususa izicubu.
Le nqubo iyingxenye encane, futhi ayikho imibono ebonakalayo edinga ukunakekelwa kwezilonda ngemuva kwenqubo. Kuyindlela yokwelashwa , kanti isiguli sihlala ubusuku bonke esibhedlela okungenani.
Inqubo ye-TURP iqala ngokuphathwa kwe- anesthesia . I-penis nezikhumba ezizungezile zihlanzwa ngesisombululo sokwenziwa inzalo isikhumba ngangokunokwenzeka. Indawo yokushicilela nayo ingahlungwa.
Udokotela ohlinzayo uqala ngokusungula i-cytoscope noma i-resectoscope ku-urethra. Insimbi inekhamera kanye nekhamera, okuvumela ohlinzayo ukuba acabange ngenqubo. Izitsha ezisetshenzisiwe zivame ukulinganisa isigamu ngamasentimitha ubude futhi okungenani amasentimitha angu-12 ubude.
Ithuluzi elifana nethubhu liqhubekela phambili ngokusebenzisa i-urethra kuze kube yilapho i-prostate ifinyelelwa. Uma isendaweni, udokotela ohlinzayo ususa izingxenye ze-prostate noma yonke ingubo. Lokhu kungenziwa ngensimbi yokusika noma ucingo olugesi.
Isayithi lokuhlinza livame ukucwiliswa ngesisombululo sokunisela, okuyinto ezosusa noma yiziphi izingcezu ze-prostate zingene esikhwameni. Lesi sinkinga singaba nezithasiselo ezivimbela ukutheleleka noma ukunciphisa ukuvuvukala.
Lapho ukuhlinzwa sekuqediwe, izinsimbi zisusiwe futhi i-catheter e-foley ifakwa kwisinye. Izingcezu ze-prostate ezisekhondeni ziyasuswa emzimbeni ngomchamo, zibe esikhwameni seqoqo le-foley cathter.
Kungase kube khona igazi elithile emcimbini ezinsukwini ezilandelayo ngemuva kokuhlinzwa, futhi izingcezu zesicathulo esivela kulesi sifo zingase ziphawulwe.
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I-Transurethral Microwave Thermotherapy (TUMT)I-Transurethral microwave thermotherapy (i-TUMT) yindlela yokwelapha yokwelapha ye-benign prostatic hypertrophy (BPH). Le nqubo ihlose ukusiza amadoda azinzima ukuchama ngenxa yobukhulu be-prostate futhi engasetshenziselwa ukwelapha umdlavuza wesifo sofuba. Inqubo ivame ukuphindaphindiwe izikhathi eziningana ukuthola umphumela oyifunayo.
Ngaphansi kwe- sedation , i- catheter ekhethekile ye-urinary ifakwa ngaphakathi nge-urethra nasesivinini. Lapho udokotela ohlinzayo ephethe i-catheter endaweni, i-microwave i-antenna encane ifakwa ngaphakathi kwe- prostate gland .
Ngesinye isikhathi, i-antenna ishisa okungenani ama-degrees Fahrenheit angu-113 (45 degrees Celcius). Amazinga okushisa angaphansi kuka-113 degrees awahlinzeki ngokushisa okudingekayo ekufweni kwezicubu ezinokwethenjelwa, noma kunjalo, izinga lokushisa eliphakeme lingabangela ubuhlungu futhi lidinga ingxenye yokupholisa ngesikhathi senqubo.
Inqubo ingabangela i-prostate edema (ukuvuvukala) ngakho-ke umcathisi wamanzi we-urinary ngokuvamile ushiywe endaweni ngezinsuku ezingu-5 kuya kwezingu-7. Kulezi ziguli eziningi, i-TUMT iphindwe izikhathi eziningana ngemiphumela emihle.
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Ukwelashwa Kwe-Prostate Okungavamile (TUEVAP)I-Transurethral Electro-Vaporization ye-Prostate, noma i-TUEVAP, iyinto eguquguqukayo encane engavamile ekusetshenzisweni kwe-TURP esebenzisa i-electrocautery ukususa izicubu ze-prostate.
Le nqubo ibonakala ngokufanayo ngaphandle kokusebenzisa ucingo olugesi ukuze lisuse izicubu zesisu, i-roller ball ball isetshenziswa. Ibhola lisetshenziselwa i-prostate, liphunga izicubu ezingafuneki. Ibhola lingasetshenziselwa ukuqeda imithwalo yegazi encane ukulawula ukuphuma kwegazi.
> Imithombo:
> Ukungabi nalutho Emva kokuhlinzwa kwama-prostate. I-Global Robotics Institute e-Florida Hospital.
> I-Laparoscopic Prostatectomy yaseRobotic. Uhlelo lwezempilo lweYunivesithi yaseMichigan.
> I-Transurethral Electro-Resection ye-Prostate. Imisedari-iSinayi.
> I-Transvethral Technology Microwave. Imisedari-iSinayi.
> Ukususwa kwe-Transurethral ye-Prostate. I-National Institute of Health.
Ukwelashwa Kwe-Urinary Ukulandela Ukwelashwa Kwemdlavuza ye-Prostate: Isibhedlela kanye Nethulo Lomtholampilo. Kusukela ku-Service d'Urologie eHôpital uCharles Nicolle, eRouen, eFrance (PG), kanye nohlelo lweGenitourinary eHi Lee Moffitt Cancer Center & Research Institute, eTampa, eFlorida. I-Medscape Namuhla .