Mhando dzeProstate Surgery In Detail

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Prostate Surgery: An Overview

Kuvhiyiwa kweprostate kunowanzoitwa nokuda kwezvikonzero zviviri: kenza ye prostate uye benign prostatic hypertrophy (BPH). Mishonga inogona kunge inoponesa upenyu, kana inogona kuitwa kugadzirisa zvinetso zvokukwira izvo zvisina kupindura mishonga.

Kusarudza pamusoro pemaitiro e prostate kunogona kuva kwakaoma sekunge pane mhando dzakawanda dzinowanikwa mukurapa kwepodate nyaya. Kuvhiyiwa kwega rega kunobatsira zvakasiyana-siyana uye njodzi. Zvimwe zvemaitiro mashoma asingakonzerwi anokurumidza kupora nguva, asi hazvina kukodzera kurapa kenza. Izvo zvinowedzera kushandiswa zvinogona kukonzera kusangana kwenguva refu, asi nyaya idzodzo dzinofanira kuyerwa pamusoro pengozi yekusiya kenza yeprostate isingateereri.

Chisarudzo chako chokuvhiya chingangodaro chisarudzo chakakosha zvikuru chauri kuita, kunyanya kupfuura rudzi rwekuita. Iwe unyanzvi hukuru hwechiremba, zvichida neruzivo rwakawanda runoita mazana kana kunyange zviuru zvehutano sezvakaita yako, zvishoma iwe unenge uine erectile dysfunction nemhaka yenyonga yekukuvara.

Mukuwedzera pakusarudza chiremba wechiremba ane unyanzvi, zvinokosha kushanda nechiremba wako kuti asarudze nzira yakanakisisa yezvaunoda zvakasiyana. Mimwe nzira inoshandiswa kukanganisa maitiro eprotate, vamwe vanobvisa chikamu kana yese yeprostate uye inogona kushandiswa kurapa kenza.

Kuvhiyiwa kwose kune chimwe chinhu chekutengesa, chirwere chepirate chinokonzera njodzi chaiyo kuwedzera kune njodzi dzakawanda dzekuvhiya .

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Robotic Prostate Surgery

Iyo prostatectomy inobhabhatidza robotic-inobatsira chirwere chepachirwere chinoshandiswa kurapa kenza yeprotate nekubatsirwa kwebhobhoti. Pakaitwa pasina robot inonzi inonzi laparoscopic prostatectomy asi yakasiyana nenzira imwe chete.

Zvakakosha kuchengeta mupfungwa kuti ruzivo rwechiremba chiremba ndicho chinonyanya kukosha pakusarudza mugumisiro wekupedzisira kubva pakuvhiya kwako. Irobhoti riri muruoko rwechiremba anonyanya kukodzera inofanira kuguma nemugumisiro wakaisvonaka, zvisinei, chirwere chinonzi robotic chinoshandiswa nechiremba chiremba asingakwanisi chichava kashoma kuva nemigumisiro yakanaka.

Zvose maitiro eparoscopic prostatectomy uye robotic zvinoshandiswa zvishoma nezvishoma zvinoshandiswa, zvinoshandiswa kushandisa keyhole zvisarudzo panzvimbo yekuvhiya kwechizvarwa chekare iyo yakashandisa kusanganisa kukuru kubva ku pubic bone kusvika kumbilicus.

Nzira yacho inowanikwa pasi peanesthesia yakawanda uye inotanga nemagetsi mashoma mashanu akasiyana pakati pepisic bone uye umbilicus. Kuburikidza nekukanganiswa kwezvinhu zviduku zvinowanikwa, kusanganisira video kamera, kubatsira midziyo nekugadzira zvishandiso. Mu robotic nzira, chiremba anovhiya ari kutonga zvigadzirwa zvokucheka nekudzora robot. Mune zvisiri nzira yekurobhoti, maoko echiremba anovhiya ari kunyatsogadzirisa zvigadzirwa.

Iyo prostate inobviswa kuburikidza nekukanganiswa mushure mekuputswa kure neecalpel kana chimbo chakafanana. Kana imwechete iyo yave yabviswa, nzvimbo yacho inonyoreswa nesarudzo isina kuchena, foley catheter inowanikwa uye izvo zvinoshandiswa zvakavharwa.

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Transurethral Resection yeProstate (TURP)

Transurethral resection ye prostate, inozivikanwa seTURP chirongwa, ndeimwe yezvekuvhiya kazhinji kweprostate inoshandiswa kurapa kenza. Iyi nzira inogadzirwa nenzira mbiri, iyo "standard" nzira inoshandisa scalpel kubvisa mavara eprotate, kana kushandisa electro-resection, iyo inoshandisa iyo yakagadzirwa nemhepo yakasungirirwa kuti ibvise mhuka.

Iyi nzira inowanzosavhiringidza, uye hapachina kuonekwa kunoratidzika kunoda kushungurudzwa mushure mekuita. Icho chirwere chisingaiti , uye murwere achigara usiku humwe muchipatara zvishoma.

Nzira yeTURP inotanga nehutungamiri hweanesthesia . Iyo peni uye ganda rakapoteredza rinocheneswa nechinogadzirisisa ganda zvakanyanya. Inzvimbo yepagicheni inogonawo kuveurwa.

Chiremba anovhiya anotanga nokuisa cytoscope kana resectoscope muchiremba. Nhumbi yacho ine chiedza uye kamera, iyo inobvumira chiremba chiremba kufungidzira nzira yacho. Zvishandiso zvinoshandiswa zvinowanzoita hafu yesendimita yakaenzana uye inenge masendimita gumi nemazana masere.

Chimbo-chinonzi chimbo chinotungamira kuburikidza neurethra kusvikira prostate yasvika. Kana iripo, chiremba anovhiya anosiya zvikamu zveprostate kana gland rose. Izvi zvinogona kuitwa nechekucheka kana tambo inoshandiswa.

Nzvimbo yekuvhiya inowanzoputirwa nemvura yekudiridza, iyo inosundira chero zvidimbu zveprostate kusvika muchikanda. Iyi sarudzo inogona kunge ine additives inodzivirira utachiona kana kuderedza kupfugama.

Apo kuvhiyiwa kwapera, zvishandiso zvinobviswa uye fatheta ye foley inopindirwa muchikanda. Zvikamu zveprostate zviri mubhanhire zvinobva zvasunungurwa kubva mumuviri nemuyo, kupinda muhomwe ye cleyter collection.

Panogona kuva neropa mumuguta mumazuva achangobva kuvhiyiwa, uye zvikamu zveprostate kubva mubharazi zvinogonawo kuonekwa.

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Transurethral Microwave Thermotherapy (TUMT)

Transurethral microwave thermotherapy (TUMT) chirwere chinoporesa chirwere chinonzi benign prostatic hypertrophy (BPH). Izvi zvinoreva kubatsira varume vane dambudziko rekutsvaira nokuda kwekukura kweprostate uye kusashandiswa kurapa kenza yeprostate. Nzira yacho inowanzodzokororwa kakawanda kuti iwane zvinodiwa.

Pasi pedation , catheter yakakosha yowuchi inowanikwa kuburikidza neurethra uye mucheka. Kana imwe chirwere ichi chiine catheter panzvimbo, kechidiki microwave antenna inopinda mu prostate gland .

Kamwe pane imwe nzvimbo, antenna inopisa kuti inenge 113 degrees Fahrenheit (45 degrees Celcius). Utsi hwezasi pasi pe132 degrees hahupi hunodikanwa kupisa kune hutachiona hwekufa kwechokwadi, zvisinei, kutonhora kwakakwirira kunogona kukonzera marwadzo uye kunoda kuporesa chikamu panguva inoitwa.

Iyo nzira inogona kuguma ne prostate edema (kuzvimba) kuitira kuti urinary catheter inowanzosiyiwa munzvimbo panzvimbo yemazuva mashanu kusvika ku7. Kune vanorwara vakawanda, TUMT inodzokororwa kazhinji pane zvikwereti zvakanaka.

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Mininally Invasive Prostate Surgery (TUEVAP)

Transurethral Electro-Vaporization yeProstate, kana TUEVAP, inoparadzanisa zvishoma nezvishoma paTURP nzira iyo inoshandisa electrocautery kubvisa mishonga yeprotate.

Nzira yacho inonyanya kufanana kunze kwekushandisa shandi yakasvibiswa kuti ibvise mishonga yeprotate, iyo inogadziriswa goroza ibhola inoshandiswa. Bhora rinoshandiswa kune prostate, kupisa mhuka dzisina kufanira. Bhora rinogona kushandiswawo kukonzera midzi midzi yeropa kudzivirira kubuda ropa.

> Sources:

> Incontinence After Prostate Surgery. Global Robotics Institute kuFlorida Hospital.

> Laparoscopic Robotic Assisted Prostatectomy. University of Michigan Health System.

> Transurethral Electro-Resection yeProstate. Misidhari-Sinai.

> Transurethral Microwave Technology. Misidhari-Sinai.

> Transurethral Resection yeProstate. National Institute of Health.

> Urinary Incontinence Ichitevera Prostate Cancer Treatment: Chiitiko uye Mharidzo Yechipatara. Kubva pa Service of Urology kuHôpital Charles Nicolle, Rouen, France (PG), uye Programme yeGenitourinary kune H. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida. Medscape Nhasi .