Ukuhlinzwa okwandisiwe kwe-prostate (BPH) yindlela yokwelapha ehlala njalo futhi ehlala isikhathi eside kunazo zonke zonke izinketho ezitholakalayo ze-BPH ( benign prostatic hyperplasia ).
Esinye sezibonakaliso ezivame kakhulu amadoda abhekene nazo uma efinyelela eminyakeni engamashumi ayisithupha namashumi ayisikhombisa (ngezinye izikhathi ngisho nangaphambilini), i-BPH, engase izwakale engaziwa kuze kube yilapho ibizwe ngegama layo elivamile, i-prostate ekhulisiwe.
I-prostate itholakale ngezansi kwesigqila, futhi ixhuma ku- urethra , okuyinto ithini eliphethe umchamo esivela ngaphandle kwesidumbu sakho uma uchama. Lapho i-prostate ikhuliswa, kukhona ukukhula okweqile kweseli ku-prostate. I-prostate ingacindezela kakhulu i-urethra, iphazamise ukugeleza kwayo okujwayelekile. Uma izimpawu zakho zinzima kakhulu, kungenzeka ukuthi awukwazi ukuchama, noma yikuphi okuphuthumayo okufanele utshele urologist wakho ngaso leso sikhathi.
Nge-BPH ukuhlinzeka, izimpawu zingathuthukiswa uma nje iminyaka engu-10. Kodwa-ke, kuzo zonke izinketho, ukuhlinzwa kungcono kakhulu ukukushiya nge- dysfunction erectile . Uma unenkinga enkulu ngezimpawu ze-BPH, kufanele uhlole ubuncwane nobungozi bale nketho yokwelashwa ngaphambi kokuyikhetha.
I-TURP - Ukuhlinzwa Okuhlinzekwa Kakhulu Kwe-Prostate
Ukuthengiswa kwe-prostatethral ye-prostate (TURP) yindlela yokuhlinzwa ejwayelekile kunazo zonke ezenziwa i-BPH.
Kucatshangwa ukuthi ukwelashwa okujwayelekile kwegolide kwe-BPH ngoba sekude kakhulu. Yilapha ukwelashwa okusha okuvame ukufaniswa nayo.
Ukuhlinzwa kuhilela ukufakela ikhamera encane kakhulu noma i-endoscope edluliselwa ngendwangu ye-penis phezulu nge-urethra bese ingena esikhwameni bese isusa izicubu ezingaphezu kwe-prostate.
Phakathi nengxenye yokuqala yale nqubo, i-urologist ihlola izinkinga esibelethweni ngokwazo, njengezicubu zesisu noma amatshe. Ecabanga ukuthi i-urologist ayitholi izinkinga ezingalindelekile, i-loop kagesi iyabekwa eceleni kwe-urethra futhi iseduze nendawo lapho izicubu zesicathulo zicindezela ngokumelene ne-urethra. I-loop isusa izicubu ezingaphezu kwe-prostate. I-loop kagesi iyasetshenziselwa ukulawula ukuphuma lapho kuhlinzwa khona.
Izishubhu ezisusiwe zihlaziywa ebhokisatri ukuqinisekisa ukuthi akukho mdlavuza wesicathulo okhona. I-catheter iphakanyiswe nge-urethra nesambatho ukuqoqa umchamo wakho uze uphulukise.
Inqubo ivame ukuqhutshwa esibhedlela ngaphansi kwe-anesthesia yomgogodla. Ukuhlala esibhedlela kufushane, ngezinye izikhathi kufushane njengosuku olulodwa ngaphansi kokunakekelwa okuphethwe. Ekuphumuleni, kufanele uqiniseke ukuthi urologist wakho ukunikeza imiyalelo yokuthi ungayinakekela kanjani nokuthi ungazizwa kanjani.
Ukubuyiswa Ngemva kwe-TURP yeProstate Ekhulisiwe
Kufanele ulindele ukuthi ube ne- catheter yama- urinary emahoreni amaningana ezinsukwini ezimbalwa. Uma uhamba ekhaya nge-catheter, uzobonwa yi-urologist yakho phakathi nosuku noma ezimbili yenqubo yokuba umcengezi ususwe.
Ngemva kokubuyela ekhaya, amadoda ngokuvamile abona igazi emcinini.
Nakuba esesabekayo ekuqaleni, lokhu kuvame ukuphuma nje kwesikhumba esivela kwilonda elizungeze ukuhlinzwa. Kodwa-ke, uma umchamo wakho ubomvu obukhulu, xhumana nodokotela wakho ngokushesha.
- Qinisekisa ukuthi ulala embhedeni ngemva kokuhlinzwa futhi uphuza amanzi amaningi. Lokhu kuzosusa noma yimaphi ama-deposit yegazi futhi kuvimbele i-clot, engabangela ukuvinjelwa emgqeni wakho we-urinary.
- Gwema ukushayela nokuphakamisa okunzima.
- Ungakhathazeki uma uhambisa amabilini akho.
- Uma unqanyuliwe, cela iseluleko ngudokotela ngendlela engcono kakhulu yokusingatha (noma ukuthatha i-laxative kulungile kuwe).
Imiphumela emibi ye-TURP ye-Prostate ekhulisiwe
Phakathi nezinyanga ezimbalwa zokuqala ngemuva kwenqubo, ungase ungakhulumi kahle nge-urinary.
Ekuqaleni, ungase ube nokugeleza okunamandla kakhulu kwamanzi okungakwazi ukulawula. Noma kunjalo, indawo yakho yokulimala izokwehliswa uma isikhala sakho siphelile, ngakho-ke ungase uzizwe ubuhlungu uma uchama. Ezinyangeni ezimbalwa, ukugeleza kwe-urinary yakho kuzokuzinza, futhi ukuchama okungalawuleki noma ukungazelelwe kuyakunqamula.
Amanye amadoda anenkinga yokuhlinzwa. Umthelela ohlangothini oluyinhloko olwenzekayo ukubuyiswa kabusha kwe-ejaculation . Uma u-ejaculate, i-semen yakho izogeleza isheke kwesinye isisu sakho, hhayi nje ngendlela ejwayelekile ngayo. Lokhu kungase kungabi ukukhathazeka kwamadoda angafuni ukuzala abantwana, kodwa kuyisizathu esivamile sokungasebenzi komuntu.
Ukungasebenzi kahle kwe-erectile yesikhathi eside nokungaziphathi kwamagciwane yizimpawu abantu abazikhathazeka ngazo kakhulu. Buza udokotela wakho ukuthi yiliphi inani lamadoda anezibonakaliso zakho kanye nephrofayili ephela nge-erectile yokusebenza okungasebenzi kwesikhathi eside nokungahambisani nomugqa. Ithuba lokhu kwenzekani kunzima ukubikezela, noma kunjalo, ngoba izifundo zibalwe yonke ibalazwe. Ukungahambi kahle kwe-urinary kuvame ukuba okuncane kakhulu (ngokuvamile okuzungeze amaphesenti angu-1) kunokungasebenzi kahle kwe-erectile.
Ukutholakala Kokuhlinzwa Okukhulu Kakhulu: I-Prostatectomy Evuliwe Yomuthi Ophuthumayo WaseProstate
Ngezinye izikhathi akunakwenzeka ukususa izicubu ze-prostate ezivela ku-prostate enkulu kakhulu besebenzisa inqubo ye-transurethral. Udokotela wakho ngeke akwazi ukuthola ithubhu enkulu ngokwanele ku-urethra, ngakho-ke i-prostatectomy evulekile-ukususwa kokuhlinzwa kwayo yonke i-prostate-kungadingeka.
Ezinye izizathu ongase udinge inqubo evulekile zihlanganisa ukuba namatshe okugqoka noma ukuhluleka ukubeka imilenze yakho ngokugubha ukuvumela ukuthi kutholakale izinqubo zokuhlinzeka nge-TURP noma izinqubo ezincane zokuhlinzeka.
Ngenxa yokuthi ukuhlinzekwa okuvulekile, uzobe usesibhedlela izinsuku ezimbalwa, futhi uzoba nobuhlungu obuningi kunezinqubo ezincane ezingenayo,
Ukuthuthukiswa kwesimangaliso ngezokwelapha ze-BPH
Ukuthuthukiswa okuphelele ezimpawu zesiguli, ngokusho kwe-American Urological Association, kanje:
- I-TURP: 88%
- Vula i-Prostatectomy: 98%
Imithombo:
Presti JC, Kane CJ, Shinohara K, Carroll. PR. I-Neoplasms ye-prostate gland. Chapt. 22. Ku: Tanagho noMcAninch, ama-eds. I-Smith's General Urology. 17th ed. ENew York: McGraw Hill .
Ukuphathwa kokuhlinzwa kwe-BPH. I-American Urological Association Foundation.
Tanguay S, Awde M, Brock G, Casey R, et al. Ukuxilongwa nokuphathwa kwe-benign prostatic hyperplasia ekunakekelweni okuyinhloko. Ingabe Urol Assoc J 2009 (3Suppl2): S92-S100.