Pono anei ʻoe e mimi pinepine? Ua nāwaliwali kou ʻōpū mimi, ua pau a pau? A i ʻole pono ʻoe e ala i nā manawa he nui i ka pō e mimi ai? Hiki i kēia ke lilo i mau hōʻailona o kahi gland prostate i hoʻonui ʻia e ʻike ʻia e nā kāne he nui i ko lākou wā ʻelemakule. I kēia lā e kamaʻilio mākou e pili ana i kekahi o nā ʻoki kino koʻikoʻi a holomua hoʻi no kēia. ʻO ia ka ʻoki kino TURP.
He aha ke ʻano o ke ʻoki kino TURP?
I ka ʻōlelo maʻalahi, ʻo TURP ka wehe ʻoki ʻana i kahi ʻāpana i hoʻonui ʻia o kou gland prostate. ʻO ka inoa piha no kēia ʻo Transurethral Resection of the Prostate (TURP) .
E noʻonoʻo, aia ka ʻōpū prostate a puni ka ʻōmole e lawe ana i ka mimi (urethra). I kou wā ʻelemakule, e ulu mālie ana kēia ʻōpū. Ke nui aʻe, hoʻomaka ka urethra e ālai ʻia. ʻO ia ka manawa e paʻakikī ai iā ʻoe ke mimi.
I ka wā o ke ʻoki ʻana o TURP, hoʻokomo ke kauka i kahi mea hana maikaʻi loa i loko o kou urethra a hoʻohana i kahi au uila a i ʻole laser e ʻoki a wehe i ka gland prostate i hoʻonui ʻia. ʻOiai ʻaʻohe ʻoki ʻia ma waho, ʻaʻohe ʻeha.
No ke aha e pono ai iaʻu ke hana ʻoki TURP?
Hana nui ʻia ke ʻoki TURP e mālama i kahi maʻi i kapa ʻia ʻo Benign Prostatic Hyperplasia (BPH) . ʻO ke ʻano kēia o ka "hoʻonui ʻia ʻana o ka ʻōpū prostate ma muli o ke kumu ʻaʻole he maʻi kanesa." He ʻano maʻamau loa kēia i nā kāne i ko lākou wā ʻelemakule, no laila ʻaʻohe mea e hopohopo ai.
Akā, hiki i nā hōʻailona o ka BPH ke hoʻopilikia iki. E like me kā mākou i ʻōlelo ai ma mua, ʻo ka nui o ka prostate gland e hoʻopili i ka urethra. Hiki i kēia ke hana i nā hōʻailona e like me:
| Nā hōʻailona maʻamau o BPH | He wehewehe maʻalahi |
|---|---|
| Ka wikiwiki o ka mimi | Ke manaʻo nei i kahi pono wikiwiki e hoʻomaopopo ai iā ʻoe e pono ʻoe e hele i kēia manawa, a ʻaʻole hiki iā ʻoe ke kāohi. |
| Pono pinepine e mimi | Pono e mimi pinepine, e like me kēlā me kēia ʻelua hola. |
| Kahe wai mimi nāwaliwali | Ke kahe ʻana o ka mimi nāwaliwali, kahe, a i ʻole ke kahe pinepine ʻana. |
| Ka paʻa ʻana o ka mimi | Manaʻo e like me ke koena o ka mimi i loko o ka ʻōpū ʻōpū ma hope o ka mimi ʻana. |
| Ka mimi pinepine ʻana i ka pō (Nocturia) | Pono e ala i nā manawa he nui i ka pō e mimi, ʻoiai ke hiamoe maikaʻi nei ʻoe. |
| Ka pōʻino o nā puʻupaʻa | ʻIke ʻia kēia i ka wā e koʻikoʻi loa ai ke ʻano. Hiki ke hoʻopilikia ʻia nā puʻupaʻa no ka mea ʻaʻole i hoʻokuʻu pono ʻia ka mimi. |
ʻO ka maʻamau, e hoʻāʻo mua kāu kauka e kāohi i ke kūlana me nā lāʻau lapaʻau. Eia nō naʻe, inā ʻaʻole holo pono nā lāʻau lapaʻau, a inā he mau pilikia ʻē aʻe kāu e like me nā pōhaku mimi a i ʻole nā pilikia puʻupaʻa, ʻo ke ʻoki ʻana ʻo TURP paha ka hopena maikaʻi loa.
He aha ka mea e hana ʻia ma mua o ke ʻoki kino?
ʻOiai ʻaʻohe ʻoki ʻia ma ke kaʻina hana TURP, hana ʻia ia ma lalo o ka anesthesia laulā a i ʻole ka anesthesia spinal. No laila, ʻaʻole ʻoe e ʻeha. E kūkākūkā kāu kauka me ʻoe i ke ʻano anesthesia maikaʻi loa iā ʻoe.
I ka hoʻomākaukau ʻana no ka anesthesia, e aʻo ʻia ʻoe e hoʻōki i ka ʻai ʻana a me ka inu ʻana no kekahi mau hola ma mua o ke ʻoki ʻana. Eia kekahi, e hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (ʻoi aku hoʻi nā lāʻau hoʻokahe koko) . E nīnau inā pono ʻoe e hoʻōki i ka lawe ʻana i kekahi o kēia mau lāʻau lapaʻau ma mua o ke ʻoki ʻana.
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
Hana pinepine ʻia kēia ʻoki kino i loko o ka lumi hana o ka haukapila. ʻAʻole i ʻoi aku ma mua o 90 mau minuke. Eia kahi wehewehe ʻanuʻu o nā mea e hana ʻia i ka wā o ke ʻoki kino:
1. Ke hoʻokomo ʻana i ka mea kani: Hoʻokomo ke kauka i kahi mea kani e like me ka paipu lahilahi (Rectoscope) me kahi kāmela i hoʻopili ʻia i loko o kou urethra.
2. E nānā a wehe i nā ʻāpana:Nānā pono ke kāmela i ke kelepaʻo prostate, a ʻokiʻoki ʻia a wehe ʻia nā ʻāpana i hoʻonui ʻia a ālai i ka urethra me ka hoʻohana ʻana i ke au uila a i ʻole ka laser.
3. Ka holoi ʻana i nā ʻāpana i wehe ʻia: A laila, me ka hoʻohana ʻana i kahi wai kūikawā, e hoʻokomo ʻia nā ʻāpana ʻiʻo i ʻoki ʻia i loko o kou ʻōpū mimi.
4. Ka wehe ʻana i nā ʻāpana: ʻO ka hope loa, ua huki ʻia nā ʻāpana ʻiʻo a pau i loko o ka ʻōpū mimi ma ke urethra.
5. Ke wehe ʻana i ka hāmeʻa: Ke pau ka hana, e wehe ʻia ka hāmeʻa i hoʻokomo mua ʻia.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
Ma hope o ke ʻoki kino, e hoʻoneʻe ʻia ʻoe i kahi e hoʻōla ai. E noho kekahi poʻe ma ka haukapila no hoʻokahi a ʻelua paha lā. Hiki ke hoʻouna ʻia kekahi poʻe i ka home i ka lā hoʻokahi.
ʻOiai ʻoe ma ka haukapila, e kau ʻia kekahi paipu (catheter) i loko o kou urethra. ʻO kēia ke hōʻoia i ka holo ʻana o ka mimi me ke keakea ʻole ma hope o ke ʻoki ʻana. Hoʻoneʻe pinepine ʻia kēia paipu ma mua o kou hoʻi ʻana i ka home.
He aha nā pōmaikaʻi a me nā pilikia o ke ʻoki ʻana o TURP?
E like me nā ʻoki kino ʻē aʻe, loaʻa i kēia ʻoki kino kona mau pono a me kekahi mau pilikia, a he mea nui e ʻike iā lākou.
| Nā Pōmaikaʻi | Nā Pōʻino / Nā Hopena ʻAoʻao (Nā Pōʻino / Nā Pilikia) |
|---|---|
| Nā hopena wikiwiki: I loko o kekahi mau lā o ke ʻoki ʻana, e hoʻomaka ʻoe e ʻike i kahi ʻokoʻa nui a me ka hōʻoluʻolu i kou mau pilikia mimi. | ʻO ka hana ʻino ʻana o ka erectile: Loaʻa paha i kekahi poʻe nā pilikia i ka loaʻa ʻana o kahi erection. |
| Hoʻonā no nā hōʻailona koʻikoʻi: He lāʻau lapaʻau maikaʻi loa kēia no nā hōʻailona BPH koʻikoʻi i hiki ʻole ke kāohi ʻia me ka lāʻau lapaʻau. | ʻO ka ejaculation retrograde: ʻAʻole puka mai ka sperm i ka wā o ka orgasm a hele hou aku i ka ʻōpū mimi. |
| He hopena i nā pilikia ʻē aʻe: Manaʻo ʻia kēia ʻoki kino no nā kūlana e like me nā pōhaku mimi a me nā pilikia puʻupaʻa i hoʻokumu ʻia e BPH. | Ka hoʻōki ʻana o ka mimi: Ke kahe ʻana o ka mimi me ka makemake ʻole. |
| Nā maʻi ʻaʻai mimi (UTIs): Aia kahi pilikia o nā maʻi ʻaʻai mimi. | |
| Hematuria: Ke kū ʻana o ke koko i loko o ka mimi. |
ʻEhia ka lōʻihi e ho'ōla ai?
Hiki ke hala ʻehā a ʻeono pule e hoʻōla piha ai. Pono ʻoe e makaʻala loa i kēia manawa.
- Hoʻōki i ka hāpai ʻana i nā mea kaumaha a me ka hana ʻana i nā hoʻoikaika kino ikaika.
- Mai moe kolohe.
- E pale i ka hoʻokele kaʻa inā ʻoe e lawe ana i nā mea hoʻomaha ʻeha.
Inā ʻaʻole koi nui kāu hana i ke kino, pono ʻoe e hoʻi i ka hana i loko o ʻelua a ʻekolu pule. Eia nō naʻe, he mea nui e kūkākūkā me kāu kauka e pili ana i kēia mau mea a pau a hahai pololei i kāna mau kuhikuhi.
Nā kūlana i ka wā e pono ai ʻoe e ʻike koke i ke kauka
Ke hoʻi ʻoe i ka home ma hope o ke ʻoki ʻana, aia kekahi mau hōʻailona āu e makaʻala ai. Inā ʻike ʻoe i kekahi o kēia mau mea, e kāhea koke i kāu kauka a i ʻole e hele i ka haukapila .
- Kuni.
- Nā hōʻailona hou e like me ke kahe ʻana o ka mimi nāwaliwali a me ka mimi pinepine.
- Koko ʻulaʻula ʻeleʻele a i ʻole nā ʻōpū koko i loko o ka mimi.
- ʻAʻole hiki ke mimi iki.
He lāʻau palekana a maikaʻi loa ʻo TURP no ka BPH. Akā, ʻaʻole ia wale nō ka hopena. Aia i kēia manawa nā lāʻau lapaʻau hou ʻole-ʻoki, minimally invasive, a me ka hoʻōla wikiwiki. Hiki iā ʻoe ke kūkākūkā me kāu kauka i ka lāʻau lapaʻau maikaʻi loa iā ʻoe, ma muli o kou kūlana olakino a me kāu mau makemake.
Leka Lawe-Home
- He hana maʻamau a holomua ka TURP no nā pilikia mimi i hoʻokumu ʻia e ka hoʻonui ʻia ʻana o ka gland prostate (BPH) i nā kāne i ko lākou wā ʻelemakule.
- Ma kēia, ʻaʻohe ʻoki ʻia ma waho. Hana ʻia ke ʻoki ʻana ma ke komo ʻana i kahi mea hana palupalu ma ke urethra.
- I loko o kekahi mau lā ma hope o ke ʻoki ʻana, e hoʻomaka ʻoe e ʻike i ka hōʻoluʻolu nui i ka wā e mimi ai.
- Ma kahi o 4-6 pule e ho'ōla piha ai, a i loko o ia manawa, pono ʻoe e pale i ka hāpai kaumaha a me ka hana luhi.
- E like me nā hana ʻoki kino āpau, aia kekahi mau pilikia, no laila e kamaʻilio me kāu kauka ma mua o ke kaʻina hana.
- Inā ʻike ʻoe i nā hōʻailona e like me ke kuni, ke kahe koko nui, a i ʻole ka hiki ʻole ke mimi ma hope o ke ʻoki ʻana, e ʻimi koke i ke kōkua lapaʻau.











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