He paʻakikī anei ke mimi ma muli o ka hoʻonui ʻia ʻana o ka prostate? E aʻo kākou e pili ana i ke ʻoki kino TURP (Transurethral Resection of the Prostate - TURP)

Ke manaʻo nei hoʻi ʻoe i ka pono e mimi pinepine? Ke paʻa nei kou ala mimi a ʻaʻole e hoʻokahe pono? A i ʻole ke ala nei ʻoe i nā manawa he nui i ka pō e mimi? He mau hōʻailona paha kēia o ka hoʻonui ʻia ʻana o ka prostate gland, kahi mea maʻamau i nā kāne i ko lākou wā ʻelemakule. Ma nā ʻōlelo lapaʻau, ua kapa ʻia kēia ʻo BPH, ʻo ia hoʻi ka hoʻonui ʻole ʻia o ka prostate gland. He lāʻau lapaʻau maikaʻi loa ka ʻoki TURP no ka ʻeha i hoʻokumu ʻia e kēia ʻano. ʻOiai he paʻakikī iki ka inoa, ʻaʻole ia he mea weliweli e like me kou manaʻo. I kēia lā, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī, ma ka ʻōlelo Sinhala maʻalahi hiki iā ʻoe ke hoʻomaopopo.

He aha maoli ke ʻano o ke ʻoki kino TURP?

I ka ʻōlelo maʻalahi, ʻo TURP (Transurethral Resection of the Prostate) ka wehe ʻana i kahi ʻāpana i hoʻonui ʻia o kou kelepa prostate.

E noʻonoʻo e pili ana i ia mea, he ʻōpū nui e like me ka walnut ka prostate a nā kāne wale nō i loaʻa. Aia ia ma lalo o kou ʻōpū mimi, a puni kou urethra. Ua like ia me kahi donut me kahi paipu e hele ana ma loko. I kou wā ʻelemakule, hoʻomaka kēia ʻōpū e nui aʻe. I kona wā e nui aʻe ai, hoʻomaka ka urethra e ālai ʻia. ʻO ia ka manawa e kū mai ai nā pilikia me ka mimi ʻana.

ʻO ka pōmaikaʻi nui o ke ʻoki ʻana TURP, ʻaʻole ia e koi i kekahi ʻoki i kou kino . Hoʻokomo ke kauka i kahi mea lahilahi loa i lako me ke kāmela i loko o kou urethra a hoʻohana i kahi au uila a i ʻole ka laser e ʻoki i kekahi ʻiʻo keu i paʻa i loko o kou prostate.

No ke aha e pono ai iaʻu ke hana i kēia ʻoki TURP?

Hana nui ʻia kēia ʻoki kino no kahi maʻi i kapa ʻia ʻo BPH (Benign Prostatic Hyperplasia) . ʻO ia hoʻi, ʻo ka 'hoʻonui ʻole ʻia o ka prostate gland'. ʻAʻole kēia he maʻi kanesa, no laila mai makaʻu. He maʻi maʻamau ia e ulu ai nā kāne he nui i ko lākou ʻelemakule ʻana. Eia nā hōʻailona e hiki ke kū mai ma muli o kēia.

He aha ka mea e hana ʻia ma mua a i ka wā o ke ʻoki kino?

Hoʻomākaukau ma mua o ke ʻoki kino

Hana ʻia ʻo TURP ma lalo o ka anesthesia i ʻole ʻoe e ʻeha. Hiki i kēia ke lilo i anesthesia laulā, ka mea e hoʻohiamoe loa iā ʻoe, a i ʻole ka anesthesia spinal, ka mea e hoʻomānoʻo wale i ka ʻaoʻao haʻahaʻa o kou kino. E wehewehe kāu kauka a me ka anesthesiologist iā ʻoe i ke ʻano hana kūpono loa iā ʻoe.

E aʻo ʻia ʻoe e hoʻōki i ka ʻai ʻana a me ka inu ʻana i kekahi mau hola ma mua o ke ʻoki ʻana e hoʻomākaukau ai no ka anesthesia. He mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā lāʻau hoʻokahe koko āu e lawe nei. E aʻo pū ʻo ia iā ʻoe inā pono ʻoe e hoʻōki i ka lawe ʻana i kekahi o kēia mau mea ma mua o ke ʻoki ʻana.

I ka wā o ke ʻoki kino

ʻO ka maʻamau, ʻaʻole ma mua o 90 mau minuke ka lōʻihi o kēia hana ʻoki. ʻAʻole ʻoe e ʻeha no ka mea aia ʻoe ma lalo o ka anesthesia.

1. Hoʻokomo ke kauka i kahi mea lahilahi loa me kahi kāmela i hoʻopili ʻia i kapa ʻia ʻo 'Rectoscope' ma ka urethra.

2. Nānā ʻia ke kelepaʻa prostate me kēlā kāmela, a ʻoki ʻia a wehe ʻia ke kino keu me ka laser a i ʻole ke au uila.

3. A laila, me ka hoʻohana ʻana i kahi wai kūikawā, ua hoʻokomo ʻia nā ʻāpana ʻiʻo i ʻoki ʻia i loko o ka ʻōpū mimi.

4. ʻO ka hope loa, ua huki ʻia kēlā mau ʻāpana ʻiʻo a pau mai loko mai o ka ʻōpū mimi.

5. Ua wehe ʻia ka rectoscope a ua hoʻopau ʻia ke ʻoki ʻana.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino a he aha nā pōmaikaʻi?

Ma hope o ke ʻoki ʻana, e lawe ʻia ʻoe i kahi wahi hoʻōla. E noho kekahi poʻe ma ka haukapila no hoʻokahi a ʻelua paha lā, aʻo kekahi poʻe e hoʻi i ka home i ka lā hoʻokahi. ʻOiai ʻoe ma ka haukapila, e kau ʻia kahi ʻōmole i kapa ʻia he catheter i loko o kou urethra e kōkua iā ʻoe e hoʻohele i ka mimi. Hoʻoneʻe pinepine ʻia kēia catheter ma mua o kou hoʻi ʻana i ka home.

He hopena kūpono loa kēia no ka poʻe me nā pilikia mimi koʻikoʻi hiki ʻole ke kāohi ʻia me ka lāʻau lapaʻau.

Nā pilikia a me ka manawa ho'ōla o kēia ʻoki kino

E like me ke ʻano o kekahi hana ʻoki kino, hiki i ka TURP ke loaʻa kekahi mau pilikia liʻiliʻi, akā ʻaʻole kēia mau mea i nā mea āpau.

• ʻO ka hana ʻino ʻana o ke kūkulu ʻana: Hiki ke loaʻa nā pilikia me ke kūkulu ʻana.
• Ejaculation retrograde: ʻO kēia ka manawa ʻaʻole e puka mai ka sperm i ka wā o ka moekolohe a hele i loko o ka ʻōpū mimi. ʻAʻole kēia e hōʻeha i ke kino, akā hiki iā ia ke paʻakikī i nā keiki ke hāpai.
• ʻO ka hoʻōki ʻana o ka mimi: I kekahi manawa, hiki ke kahe kahi liʻiliʻi o ka mimi ke ʻū ʻoe a ʻakaʻaka paha. He manawa pōkole kēia.
• Nā maʻi ʻōpū mimi (UTI).
• Ke koko i loko o ka mimi (Hematuria).

E kūkākūkā i kēia mau pilikia me kāu kauka ma mua o ke ʻoki ʻana a e nīnau i nā nīnau āu e loaʻa ai.

ʻO ka maʻamau, ma kahi o ʻehā a ʻeono pule e hoʻōla piha ai. I loko o kēia manawa , e pale i ka hāpai ʻana i nā mea kaumaha, ka hana ʻana i ka hoʻoikaika kino nui, a i ʻole ke komo ʻana i ka moekolohe a hiki i ka ʻae ʻana o kāu kauka iā ʻoe. Inā he hana kāu ʻaʻole koi kino, hiki paha iā ʻoe ke hoʻi i ka hana i loko o ʻelua a ʻekolu pule. Eia nō naʻe, pono ʻoe e kūkākūkā me kāu kauka e pili ana i kēia.

I ka manawa e ʻike koke ai i ke kauka

• Kuni.
• Nā pilikia mimi hou e like me ka hoʻopaʻa ʻole ʻana o ka mimi a me ka mimi pinepine.
• ʻO ka mimi ʻulaʻula ʻeleʻele a i ʻole he mau ʻūpā koko.
• ʻAʻole hiki ke mimi iki.

I ka hopena, he lāʻau lapaʻau maikaʻi loa a palekana hoʻi ʻo TURP no ka BPH. Akā, ʻaʻole ia wale nō ka hopena. Aia i kēia manawa nā lāʻau lapaʻau hou, ʻaʻohe ʻoki kino, a me nā lāʻau lapaʻau minimally invasive no kēia ʻano. Hiki i kāu kauka ke kuhikuhi mua i nā lāʻau lapaʻau. Inā ʻaʻole holo pono kēia mau mea, hiki ke kuhikuhi ʻia ʻoe i kahi hana ʻoki kino e like me TURP. Pono ʻoe e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu, ma muli o kou mōʻaukala olakino a me kou makemake, a me kāu kauka pū kekahi.