Kuchotsa prostate: opaleshoni zotsatira, ndemanga

thanzi anthu - ndi mbali yofunika osati kwa thupi, komanso m'maganizo. Kusintha ntchito a kumaliseche chikondwerero matenda Urological. Ambiri mwa iwo ankaona kuti kudwala a prostate. Prostate amapereka umuna yachibadwa amuna ndi kumathandiza kuti alipo mwa chikhodzodzo pa umuna. Matenda a prostate likhoza kulumikizidwa ndi kutupa, hyperplasia ndi khansa njira. Nthawi zambiri mankhwala ndi kuchotsa prostate. Ngakhale njira kwakukulu, zina opaleshoni imatengedwa njira yokha.

Zikuonetsa kuti kuchotsedwa kwa prostate

kuchotsa prostate amachitidwa pa nthawi imene chithandizo ndiwofatsa ndi mphamvu. Nthawi zambiri izi ndondomeko oncologic. Nthawi zina prostatectomy anachitira otchedwa benign prostatic hyperplasia. Kuchuluka thupi chifukwa kutupa si chifukwa opaleshoni. Pali zizindikiro zotsatirazi kwa Prostate kuchotsa:

1. masiteji koyamba kansa ya prostate.
2. Calculous prostatitis - limodzi ndi kuphwanya pokodza ndi hematuria.
3. Otchedwa benign prostatic hyperplasia, limba - adenoma.

Cancer imatengedwa kuti ndi umboni waukulu kuchotsa limba. Prostatectomy ikuchitika okha 1 ndi 2 matenda. Mu milandu, ndondomeko oncologic okha kwa Prostate minofu. Ngati nthawi sachita kuchotsa prostate, khansa ingafalire thupi lonse. Opaleshoni kupanga anyamata kuposa zaka 70 monga matenda somatic ndi contraindications kuti ntchito zake.

Adenoma Prostate kumawonjezera thupi. Chifukwa matenda ikusonyezedwa mpheto ndi mkhutu pokodza ndondomeko. Ndi kupitirira wa otchedwa benign prostatic hyperplasia komanso kusowa efficacy wa njira achire mankhwala ntchito prostatectomy.

Njira ya opaleshoni

Pali njira zingapo kuchotsa prostate. Kusankha njira zimadalira kuchuluka matenda. Chiwalo kuchotsa chidzale ndi tsankho. Ndi opaleshoni chosiyanasiyana:

1. Transurethral resection a prostate. Iwo yodziwika ndi tsankho kuchotsa minofu, amene amapangidwa mwa mkodzo ndi. Resection imagwiridwa ndi laparoscopy. Iwo ikuchitika otchedwa benign prostatic hyperplasia.
2. Ang'ambe thupilo ku prostate. opaleshoni imeneyi kudula minofu thupi. Timatha inu kukuza urethral lumen ndi kuteteza psinjika a mkodzo ndi. Pa gawo prostate imagwiridwa, koma thupi kuchotsedwa.
3. Kwakukulu prostatectomy. Ikuchitika ndi zotupa ndi aakulu otchedwa benign prostatic hyperplasia. England The kunachotsedwa pamodzi ndi mwanabele. Access kwa thupi angakhale osiyana - ndi crotch, pa ndi retropubic. Open opaleshoni chiopsezo cha matenda oyamba osauka.
4. Opaleshoni. Akukhulupirira bwino monga amachepetsa chiopsezo magazi. Kuchotsa laser Prostate ndi mtima wabwino hyperplasia anachita England. Pali njira zingapo mpheto izi. Pakati pawo - ndi vaporization (evaporation), ndi laser enucleation resection wa adenoma a.

Panopa adalipo zochepa zoopsa popanga munthu opaleshoni. Zikuphatikizapo laser kuchotsa adenomas, transurethral resection. Komabe, opaleshoni yotsegula m'malo njira zina zina zosatheka.

Kuchotsa Prostate adenoma: opaleshoni zotsatira

Kuchotsa ku prostate - ndi njira kwakukulu mankhwala, amene anatsagana ndi nambala cha ngozi. Zikuphatikizapo mavuto oyambirira ndi mochedwa postoperative nthawi. Pakati pawo - kuphwanya dongosolo la pokodza ndi umuna. Pambuyo kuchotsa Prostate adenoma ndi laser ndi njira transurethral resection za chiopsezo cha matenda oyamba awa yafupika, poyerekeza ndi opaleshoni lotseguka.

Opaleshoni imeneyi ndi nkhawa chifukwa lake lonse. Choncho, pambuyo kukanika Amowabu a dongosolo genitourinary. Bwinobwino, iwo zayamba kutha. Mu 2-10% a milandu kuyan'anila kukhala. Mavuto obwera chifukwa cha prostatectomy monga:

1. Mkodzo incontinence.
2. Pakalibe ejaculate panthawi yogonana.
3. Osabereka.
4. Erectile kukanika.
5. njira yotupa mu mafupa a chiuno ndi.

Mavuto amenewa sanali kukhala mu masiku oyambirira angapo pambuyo kuchotsa prostate ikuchitika kuwunika wodwalayo. Pa kumaliseche, ndi urologist ayenera kutsatira malangizo. Izi zingathandize kuchepetsa chiopsezo cha matenda oyamba mochedwa.

Kumayambiriro postoperative nthawi

Pamasiku oyamba pambuyo prostatectomy moleza matenda oopsa. Ichi ndi chifukwa kutaya magazi ndi kusintha ntchito ziwalo urogenital. Panthawi imeneyi, pali chiopsezo cha mavuto otsatirawa:

1. Chilonda matenda ndi malowedwe a majeremusi. alili ndi olemedwa, pali malungo, kutupa m'dera ndi zizindikiro za kukhumudwa peritoneal.
2. Magazi - amapezeka 2.5% ya milandu.
3. Urethral kutsekeka ndi magazi kuundana, pakutchulidwa wa strictures.
4. The zosangalatsa za sphincter a chikhodzodzo. Mwachibadwa, chizindikiro ichi akudutsa paokha. Yosangalala minofu kumabweretsa incontinence.

Matenda a mavuto oyambirira imagwiridwa ndi madokotala ku chipatala. Pa nkhani ya zinthu pachimake zofuna chisamaliro opaleshoni.

Nthawi kuchira pambuyo prostatectomy

Kumayambiriro postoperative masiku ochepa (masiku 5-7). Panthawi imeneyi wodwala yachibadwa, pali wodziimira pokodza. Komabe, kuchira bwino pambuyo kuchotsedwa kwa kansa ya prostate kapena adenomas angayambe miyezi yochepa chabe. Izo zimatengera m'badwo wa mtima, makhalidwe a chamoyo ndi njira ntchito. Mofulumira ayambe ndi kuchepetsa chiopsezo cha matenda oyamba mochedwa zofunika zotsatirazi ayenera kukwaniritsa:

1. Kodi olimbitsa kulimbikitsa minofu m'chiuno. Kegel Zochita angathandize realign njira pokodza yachibadwa. Olimbitsa ndi kusinthana kwa mavuto ndi zosangalatsa za minofu obisika.
2. Kugwedera mankhwala ndi kutikita.
3. Ntchito electrostimulator kapena zingalowe erector.

Pambuyo prostatectomy ngakhale kunyamula zinthu zolemera masekeli makilogalamu oposa 3. Komanso osavomerezeka ntchito amangokhala ndi kuyendetsa galimoto. Zakudya ayenera kukhala kachigawo, ndi predominance chakudya mosavuta zidyeke, ndi mapuloteni.

Kubwezeretsa micturition pambuyo prostatectomy

kuchotsa prostate zambiri kumayambitsa kusokonezeka kwa njira ya pokodza. Mu masiku oyamba pambuyo pa opaleshoni, ndi mkodzo catheter. Ndi koyenera kuti achoke wa madzimadzi kwa chikhodzodzo. Patatha masiku angapo kapena masabata, ndi catheter atachotsedwa. Chifukwa cha kufooka kwa pansi m'chiuno minofu pokodza n'kovuta. Koma pang'onopang'ono m'kati anakhazikitsa. Mofulumira konzanso zofunika kuchita olimbitsa opindulitsa spa chithandizo.

Kugonana moyo pambuyo opaleshoni kuti achotse prostate

miyezi 3 pambuyo prostatectomy, wodwalayo akalowa kugonana. Pa nthawiyi, minofu m'chiuno muyenera kuti achire. Nthawi zina, odwala ndi umuna retrograde. madzimadzi umuna adzamasulidwa, koma kugwa mu lumen wa chikhodzodzo. Chotero chodabwitsa si owopsa, koma chindiletsa pathupi. Kuchotsa chizindikiro ichi, ntchito kugwedera kutikita ndi zingalowe-erectors. Pamene kutumikiridwa erectile kukanika mankhwala okhala sildenafil. Zikuphatikizapo mankhwala "cialis", "gondolosi".

Reviews cha machitidwe a madokotala

Madokotala amati Prostatectomy - ndi ntchito zovuta kuti ayenera kuchitika pokhapokha ngati kuli koyenera. Pamene khansa kwathunthu kuchotsedwa limba osavomerezeka, ndi bwino kuchita resection kapena laser vaporization. Kuchira pambuyo prostatectomy pang'onopang'ono, kotero muyenera kusunga malangizo a urologist ndi kuleza mtima.