Kuwedzerwa prostate (BPH) kuvhiyiwa ndiyo inoshanda uye yakasimba kwenguva refu yekurapa kwezvose zvingasarudzwa zveBPH ( benign prostatic hyperplasia ).
Chimwe chezviratidzo zvinowanzoonekwa nevarume pavanosvika makumi matanhatu nemakumi manomwe (dzimwe nguva kunyange kare), ndeye BPH, iyo inogona kunzwa isingazivikanwi kusvikira yakashevedzwa nezita rayo rinowanzozivikanwa, prostate yakawedzerwa.
Iyo prostate inenge iri pasi pechidzitiro, uye inosanganiswa kune urethra , iyo inotakura huyu inotakura urinha kubva pachikanya kunze kwemuviri wako paunenge uchishamba. Apo prostate yakawedzerwa, pane kuwedzera kwekukura kwema cell in the prostate. Iyo prostate inogona kuomerera zvakasimba zvakakomberedza urethra, inopesana nehuwandu hwekufamba kwayo. Kana zviratidzo zvako zvakakomba zvikuru, iwe unogona kunge usingakwanise kurinha zvachose, izvo zvinotyisa kuti iwe unofanira kuudza iwe urologist pamusoro pakarepo.
Nekuvhiyiwa kweBPH, zviratidzo zvinogona kuvandudzwa kwemazuva gumi. Zvisinei, pane zvose zvingasarudzwa, kuvhiyiwa ndiyo inonyanya kukusiya ne erectile dysfunction . Kana iwe uchinetseka zvakanyanya nezviratidzo zveBPH, unofanira kufungisisa zvinobudirira uye zvinotapira musarudzo iyi usati wasarudza.
TURP - Inonyanya Kuwedzera Prostate Surgery
Kugadziriswa kwepiratethral yeprostate (TURP) ndiyo inowanzovhiyiwa yeBPH.
Iyo inofungidzirwa yegoridhe yakarongedzerwa yeBPH nokuti yakange yakapoteredza nguva refu. Ndiro kurapa maitiro matsva anowanzofananidzwa.
Kuvhiyiwa kunosanganisira kuisa kamu kamera kadiki kana endoscope iyo inopfurikidza nechepakati pepenis upi kuburikidza ne-urethra uye muchikanda uye kubvisa zvipembenene zvakanyanya kubva ku prostate.
Pakati pekutanga chekuita izvi, urologist anoongorora zvinetso mumubhadharo pachawo, zvakadai semakumbo emakumbo kana matombo. Achifunga kuti urologist haawani matambudziko asingatarisirwi, magetsi emagetsi anobva aiswa kumusoro kuburikidza nehutachire uye pedyo nenzvimbo iyo mavara eprostate ari kuramba achirwisana newarethra. Mucheka wacho unobvisa zvipembenene zvakanyanya mu prostate. Iko magetsi anogadziriswawo anoshandiswawo kudzora kubuda kweropa apo kuvhiyiwa kwakaitwa.
Mucheka wakabviswa unongororwa pa laboratori kuti uone kuti hapana kenza yeprostate iripo. A catheter inogadzirwa kuburikidza neuroreti uye chidzara kuti uwane urini wako kusvikira wapora.
Iyo nzira inowanzoitwa muchipatara pasi pepinal anesthesia. Chipatara chinogara kwenguva pfupi, dzimwe nguva shoma sezuva rimwe pasi pekutarisirwa kwekutarisirwa. Pakuzorora, iwe unofanira kuva nechokwadi chokuti wako weurologist anokupa mirayiridzo yekuti ungazvichengeta sei uye pfungwa yezvinetso zvingangodaro.
Kudzorerwa Pashure peTURP yePolstate Yakakurumbira
Iwe unofanirwa kutarisira kuva nekatheta yekuvhenekera mumaawa akawanda kusvika kumazuva mashomanana. Kana iwe uchienda kumusha nemakateti, iwe uchaonekwa neurorosi yako mukati mezuva rimwe kana maviri zvekuita kuti catheter ibve.
Mushure mekudzokera kumusha, varume vanowanzoona ropa mumurini.
Kunyange zvazvo zvinotyisa pakutanga, izvi zvinowanzova kungobuda kunze kweganda zvakasvibiswa kubva panga rinenge riri pedyo nekuvhiyiwa. Zvisinei, kana urini yako iine ruvara rukuru, taura nachiremba wako pakarepo.
- Iva nechokwadi chokuti iwe unorara mubhedha mushure mekuvhiyiwa uye kuti unonwa mvura zhinji. Izvi zvinosuka chero ropa rega rega uye kudzivirira hovha, iyo inogona kutungamirira pakuvhara mukati mutsamba yako.
- Dzivisa kutyaira uye kutakura zvakasimba.
- Usatambudza kana iwe uchifamba nemoyo wako.
- Kana iwe wakagadziriswa, bvunza chiremba wako kuti akupe mazano nenzira yakanakisisa ndeyokutora (kana kutora laxative kwakakunakira iwe).
Migumisiro Yechipfuva yeTURP yeProstate Yakakurumbira
Mumwedzi mishoma yapfuura mushure mekugadzirisa, iwe unogona kusangana nehutano husina kunaka.
Pakutanga, iwe unogona kunge uine simba rakasimba rekuvhota rausingakwanisi kuzvidzora. Zvisinei, nzvimbo yako yekuvhiya inogona kubudiswa kana katheta yako yapera, saka iwe unogona kunzwa kurwadziwa kana iwe ukanyura. Mumwedzi mishomanana, urinha yako inoyerera ichagadzikana, uye kukanganisa kusingadzorwi kana kusazeza kuchapera.
Vamwe varume vane zvinetso kubva pakuvhiyiwa. Nhengo huru yechirungu inowanzoitika ndeyekudzorerazve ejaculation . Paunenge uchidzikisa, mbeu yako ichayerera ichienda kumucheto wako, kwete sezvinowanzoita. Izvi zvingava zvisina hanya nevarume vasingadi kubereka vana, asi icho chikonzero chizhinji chekushaya vana.
Kwenguva refu erectile kusagadzikana uye urinary incontinence ndiyo zviratidzo izvo varume vanonetseka nezvakanyanya. Bvunza chiremba wako kuti zviyero zvevarume vane zvirwere uye zviratidzo zvinoguma nekure kwenguva refu erectile kusagadzikana uye urinary incontinence. Mukana wekuitika uku kwakaoma kufanotaura, zvisinei, nokuti zvidzidzo zvinoshambadza pose pose pamepu. Urinary incontinence inowanzova yakawanda kudarika (kazhinji inotenderera 1 muzana) kupfuura erectile dysfunction.
Kugona Kuvhiyiwa Kwakanyanya: Wavhura Prostatectomy yeProstate Yakakurumbira
Dzimwe nguva hazvibviri kubvisa mishonga yeprotate kubva kune prostate yakakura zvikuru uchishandisa nzira yekutenderera. Chiremba wako haazokwanisi kuwana huwandu hwehutano hwakakwana kusvika kune urethra, saka prostatectomy yakazaruka - kubviswa kushandiswa kweprostate yose-inogona kudiwa.
Zvimwe zvikonzero zvaungada nzira yakasununguka zvinosanganisira kuva nematombo emukanda kana kusakwanisa kuisa makumbo ako mukumanikidza kubvumira TURP kana kuti zvishoma nezvishoma chirongwa chekuvhiya chisingaiti kuitwa.
Nokuti iri kuvhiyiwa pachena, iwe uchange uri muchipatara kwemazuva mashomanana, uye iwe uchange uine marwadzo akawanda kupfuura ayo ane zvishoma zvishoma,
Chiratidzo Kuvandudza Nekuvhiya kweBPH
Kuwedzera kwekuvandudza kwezviratidzo zvehutano, maererano neAmerican Urological Association, ndeyotevera:
- TURP: 88%
- Vhura Prostatectomy: 98%
Sources:
Presti JC, Kane CJ, Shinohara K, Carroll. PR. Neoplasms of the prostate gland. Chapt. 22. Muna: Tanagho uye McAninch, eds. Smith's General Urology. 17th ed. New York: McGraw Hill .
Kuvhiya kushandiswa kweBPH. American Urological Association Foundation.
Tanguay S, Awde M, Brock G, Casey R, et al. Kuongororwa uye kutungamirirwa kwebenign prostatic hyperplasia mukutarisira kwekutanga. Unogona Urol Assoc J 2009 (3Suppl2): S92-S100.