Xav txog tias koj tau raug mob pob txha hauv lub duav vim muaj xwm txheej, tej zaum yog koj poob ntawm lub tsheb kauj vab. Los yog koj tau kho mob qog nqaij hlav prostate. Hauv cov xwm txheej zoo li no, qee zaum cov zis ntawm cov txiv neej tuaj yeem raug puas tsuaj lossis nqaim. Thaum nws nyuaj rau tso zis, qhov mob thiab tsis xis nyob uas tuaj yeem tshwm sim thaum nws raug thaiv tsis tuaj yeem piav qhia. Hnub no peb tab tom tham txog kev phais mob tseem ceeb thiab tshwj xeeb uas xav tau rau lub sijhawm zoo li no.
Hauv lwm lo lus, Posterior Urethral Reconstruction yog dab tsi?
Zoo, cia peb pib los ntawm kev piav qhia qhov no yooj yim. Cov zis, uas sau rau hauv koj lub zais zis, tawm ntawm koj tus qau los ntawm lub raj hu ua urethra. Nws zoo li lub yeeb nkab tawm ntawm lub taub dej.
Qhov urethra no kuj muaj ib feem. Qhov luv luv, ntev li ib mus rau ob ntiv tes, uas txuas rau lub zais zis thiab hla dhau lub qog prostate, hu ua 'Posterior Urethra'. Qhov no yog qhov pib ntawm urethra.
Kev Kho Dua Qhov Ncauj Tom Qab yog ib qho kev phais uas kho qhov ncauj tom qab raug puas tsuaj, nqaim, lossis nqaim (urethral stricture). Qhov no txhais tau tias qhov puas tsuaj tau kho thiab cov zis ntws tau rov qab los yam tsis muaj kev thaiv.
Vim li cas qhov kev phais no thiaj li tsim nyog?
Muaj ob qho laj thawj tseem ceeb rau kev phais mob no.
1. Kev raug mob los ntawm kev sib tsoo: Tshwj xeeb tshaj yog kev sib tsoo loj uas ua rau pob txha hauv lub duav tawg. Hauv peb lub tebchaws, cov kev raug mob no feem ntau yog vim muaj kev sib tsoo maus taus, poob ntawm qhov siab, thiab raug mob los ntawm kev sib tsoo. Hauv cov xwm txheej zoo li no, qhov no ntawm lub qhov zis tuaj yeem tawg, raug mob, thiab muaj caws pliav. Raws li lub sijhawm dhau mus, cov caws pliav no tuaj yeem ua rau lub qhov zis nqaim thiab ua rau nws tsis tuaj yeem tso zis.
2. Kev Kho Mob Cancer Prostate: Tom qab phais tshem cov qog prostate (radical prostatectomy) lossis kev kho mob hluav taws xob, cov hlab zis yuav nqaim vim yog qhov caws pliav.
Thaum lub qhov zis nqaim li no, cov zis ntws qeeb qeeb, cov zis tuaj yeem tawm me me, lossis txawm tias raug thaiv tag. Qhov no yog ib qho mob heev thiab txaus ntshai heev.
Tus kws kho mob txiav txim siab li cas yog tias koj xav tau kev phais no?
Yog koj muaj cov tsos mob no, thawj qhov koj tus kws kho mob yuav ua yog kuaj ob peb zaug kom paub tseeb tias yog tus mob tiag. Yuav ua li no, lawv yuav ua ib lossis ntau qhov kev kuaj hauv qab no:
- Retrograde Urethrogram: Qhov no siv cov kua tshwj xeeb (contrast dye) thiab X-rays los txiav txim siab qhov twg thiab ntev npaum li cas qhov kev thaiv hauv qhov zis.Yuav tsum saib xyuas nws raws nraim.
- Kev kuaj zis thaum tso zis tawm: Qhov no kuj siv cov xim sib txawv los saib seb cov zis ntws tawm ntawm lub zais zis li cas. Qhov no tuaj yeem pab txiav txim siab qhov dav ntawm qhov kev txhaws.
- Cystoscopy: Hauv qhov no, ib lub raj nyias nyias uas muaj lub koob yees duab (scope) raug xa mus rau hauv txoj hlab zis kom ncaj qha saib sab hauv ntawm txoj hlab zis thiab lub zais zis.
- Kev Ntsuas MRI (Magnetic Resonance Imaging): Hauv qee kis tshwj xeeb, kev ntsuas MRI yuav raug ua yog tias xav tau cov ntaub ntawv ntxaws ntxiv.
Qhov tseem ceeb tshaj plaws yog tias yog qhov mob no yog los ntawm kev sib tsoo, cov kws kho mob yuav tos kom txog thaum lwm qhov kev raug mob hnyav hauv koj lub cev zoo. Thaum lub sijhawm ntawd, ib lub raj tuaj yeem ntxig los ntawm lub plab ncaj qha mus rau hauv lub zais zis kom ntws cov zis. Peb hu nws ua Suprapubic Catheter .
Koj yuav tsum npaj li cas ua ntej phais?
Ua ntej phais, koj kuj yuav tsum npaj. Ua raws li cov kauj ruam no kom meej yog qhov tseem ceeb heev rau kev phais kom ua tiav.
| Yuav npaj dab tsi rau | Yuav ua li cas |
|---|---|
| Cov tshuaj ua kom cov ntshav nyias | Yog tias koj noj cov tshuaj no, koj yuav tsum nrog koj pab neeg kho mob tham thiab tsum tsis txhob noj lawv ib ntus ob peb hnub ua ntej phais, raws li lawv qhia. |
| Khoom noj thiab dej haus ua ntej phais | Tsis txhob noj lossis haus dab tsi tom qab ib tag hmo ntawm hnub phais. |
| Cov tshuaj thaum sawv ntxov | Tus kws kho mob tsuas yog tso cai rau koj noj cov tshuaj uas nws tau pom zoo thaum sawv ntxov nrog ib qho dej me me xwb. |
| Cov tshuaj tua kab mob | Yuav kom tiv thaiv kev kis kab mob, tus kws kho mob yuav sau ntawv kom noj tshuaj tua kab mob ib hnub ua ntej phais. |
Qhov kev phais mob no tshwm sim li cas tiag?
Qhov kev phais no yog ua nyob rau hauv kev siv tshuaj loog dav dav, uas txhais tau tias koj yuav tsis hnov dab tsi, koj yuav tsaug zog.
Txoj kev uas cov kws phais feem ntau siv hu ua Anastomotic Urethroplasty . Qhov no yog ib txoj kev kho mob yooj yim heev.
Qhov uas raug mob, muaj qhov txhab, lossis nqaim ntawm lub qhov zis raug txiav tawm thiab tshem tawm, thiab ob qhov kawg noj qab haus huv raug xaws rov qab ua ke. Nws zoo li tshem tawm ib daim yeeb nkab tawg thiab rov txuas ob daim zoo uas tseem tshuav.
Tiam sis, xav txog tias tom qab tshem cov nqaij caws pliav tawm lawm, qhov sib txawv ntawm ob sab kawg uas tseem noj qab nyob zoo loj dhau lawm, ua rau nws nyuaj rau xaws lawv ua ke. Koj yuav ua li cas yog tias qhov ntawd tshwm sim?
Hauv cov xwm txheej zoo li no, tus kws phais yuav muab ib daim nqaij me me los ntawm lwm qhov ntawm koj lub cev thiab siv nws los sau qhov sib txawv. Feem ntau, qhov no yog cov nqaij hauv koj lub puab tsaig (buccal mucosa) . Kev rho ib daim me me los ntawm sab hauv koj lub qhov ncauj tsis mob heev. Nws zoo li mob me ntsis thaum koj raug txiav ntawm koj lub puab tsaig. Tsis tas li ntawd, cov qhov txhab hauv koj lub qhov ncauj kho sai heev, feem ntau hauv ib lub lim tiam.
Tom qab phais tas, muaj dab tsi tshwm sim thiab muaj kev pheej hmoo dab tsi?
Tom qab phais tas, koj yuav raug saib xyuas hauv tsev kho mob li ntawm 24 teev. Yuav muab ib lub catheter me me, mos mos ntxig rau hauv koj lub qhov zis kom txog thaum cov xov zoo, uas yuav siv sijhawm li ntawm 3-4 lub lis piam. Qhov no yuav ua rau koj tsis xis nyob me ntsis, tab sis nws yog ib qho tseem ceeb rau qhov kho kom zoo. Tom qab 3-4 lub lis piam, yuav muab duab X-ray los xyuas seb qhov kho puas tau zoo lawm, thiab yuav muab lub catheter tshem tawm.
Ib yam li lwm yam kev phais mob, qhov no muaj qee qhov kev pheej hmoo me me.
- Los ntshav
- Kev kis kab mob
- Kev nruj dua
Kev tso zis tsis tu ncua yog ib qho kev pheej hmoo thiab tsis tshua muaj yog tias phais. Txawm li cas los xij, qhov kev pheej hmoo yuav nce me ntsis yog tias phais tom qab kho mob qog noj ntshav.
Lwm qhov teeb meem tseem ceeb yog qhov ua tsis taus txiv neej (ED) . Tej zaum ib txhia txiv neej yuav muaj tus mob no ua ntej phais mob no, tom qab pob txha hauv plab lossis kev kho mob qog noj ntshav. Kev phais mob no yuav tsis kho tau ED. Tej zaum yuav xav tau lwm yam kev kho mob tom qab. Tham nrog koj tus kws kho mob txog qhov no yam tsis qhia npe.
Kev phais mob zoo thiab rov zoo
Nov yog xov xwm zoo tshaj plaws. Qhov kev phais mob no muaj kev vam meej siab heev.Nws yog ib qho kev phais uas muaj cov txiaj ntsig zoo heev, tshwj xeeb tshaj yog thaum ua los ntawm ib tus kws phais uas muaj kev paub dhau los.
- Tus nqi ua tiav ntawm kev phais rau cov neeg raug mob hauv qhov xwm txheej yog nyob nruab nrab ntawm 92% - 97% .
- Tus nqi ntawm kev phais mob tom qab kev kho mob qog noj ntshav yog nyob nruab nrab ntawm 70% - 85% .
Rov qab mus rau lub neej ib txwm ...
- Tsav Tsheb: Koj tuaj yeem pib tsav tsheb yog tias koj tsis siv tshuaj tua kab mob thiab tom qab tshem lub raj catheter tawm lawm.
- Rov qab mus ua haujlwm: Feem ntau cov neeg rov qab mus ua haujlwm tom qab tshem lub catheter, tab sis tsuas yog pom zoo kom ua haujlwm me me rau 6-8 lub lis piam .
- Kev Ua Si: Kev taug kev zoo tom qab phais mob, tab sis tsis txhob ua tej yam hnyav xws li tsa cov hnyav lossis ntaus golf rau 6-8 lub lis piam .
- Kev sib deev: Koj tuaj yeem rov pib ua kev sib deev tau 8 lub lis piam tom qab phais.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev Kho Dua Qhov Ncauj Tom Qab (Posterior Urethral Reconstruction) yog ib qho kev phais tshwj xeeb uas ua rau cov txiv neej uas qhov ncauj qhov ntswg nqaim vim yog raug mob hauv lub duav lossis kev kho mob qog nqaij hlav prostate.
- Lub hom phiaj ntawm kev phais mob no yog kho qhov seem ntawm txoj hlab zis uas puas lawm thiab rov qab tso zis tau zoo li qub.
- Qhov no yog ib qho kev phais mob uas feem ntau muaj feem pua ntawm kev vam meej siab heev, yog li tsis tas yuav ntshai.
- Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia ua tib zoo ua ntej thiab tom qab phais, tshwj xeeb tshaj yog hais txog lub catheter thiab kev txwv kev ua ub no.
- Tsis txhob yig tham nrog koj tus kws kho mob txog tej teeb meem uas koj tab tom ntsib, xws li tso zis tsis tau lossis ua tsis taus kev sib deev. Kev tau txais cov ntaub ntawv thiab kev txhawb nqa zoo yog ib feem tseem ceeb ntawm txoj kev kho mob.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus