Kua rahi ake tō repe prostate, ā, kua uaua ki te mimi? Me ako tātou mō te pokanga taiaho HoLEP! (Holmium Laser Enucleation of the Prostate - HoLEP)

I te pakeketanga o ngā tāne, ka uaua ake te mimi , tika? Ka ngoikore te urethra, ka hiahia tonu ki te mimi, ka rite rānei ki te kore e taea te whakaoti. Ko te take matua o tēnei he nui ake te repe prostate . Ka kiia tēnei mate ko te BPH ( Benign Prostatic Hyperplasia ). Nō reira, i tēnei rā ka kōrero tātou mō te maimoatanga hou, te maimoatanga angitu me te haumaru mō tēnei.

He aha te tikanga o te pokanga HoLEP?

Ko te HoLEP (e whakahuatia ana ko 'ho-lep') he tikanga taiaho motuhake e rongoā ana i ngā aukati mimi i puta mai i te nui haere o te repeure. Whakaarohia tō repeure he here rapa e karapoti ana i te paipa wai. I a koe e pakeke haere ana, ka pupuhi, ka nui haere te repe, ka pēhi i taua paipa wai (tō urethra). Nā tēnei ka uaua te mimi.

Ko te pokanga HoLEP he whakauru i tētahi hihi laser ki te taha o te urethra me tētahi kāmera iti, kāore he tapahi, hei tango mārire i te kiko taikaha o te repeure e aukati ana i te rere o te mimi. Nā te mea kāore he tapahi i te kiri , he poto rawa te wā whakaora.

He aha ngā tohu noa o te BPH?

Tirohia mēnā kei a koe tētahi o ēnei tohu. Mēnā kei a koe tētahi, ētahi rānei o ēnei, he mea nui kia kōrero koe ki tō tākuta.

He aha ngā mea ka tupu i mua i te pokanga?

Ki te whakatau tō tākuta he tika koe mō te pokanga HoLEP, me whai koe i ētahi whakamātautau i mua i te pokanga. Ka mahia ēnei hei aromatawai tika i tō āhua.

• Whakawhitiwhiti kōrero hauora: Ka pātai te tākuta mō tō hītori hauora, ā, ka tirotirohia hoki tō repeure.
• Ngā whakamātautau toto me te mimi: Haunga ngā whakamātautau toto o ia rā, ka taea te whakahaere i tētahi whakamātautau PSA (Prostate-Specific Antigen).
• Ngā whakamātautau rere o te mimi: Ngā whakamātautau e ine ana i te tere me te rahinga o tō rerenga mimi.
• Ngā Matawai : Ka taea e te matawai ultrasound, CT rānei te whakatau tika i te rahi o te repe prostate.
• Cystoscopy: Ka tukuna he ngongo angiangi me te kāmera iti mā roto i te urethra hei tirotiro i te roto o te prostate me te pūkahukahu.
• Whakamātautau Urodynamics: He whakamātautau motuhake e tirotiro ana i te mahi a tō pūkahukahu.

Ka tonoa koe kia mutu te tango i ētahi rongoā whakaiti toto (hei tauira, Aspirin, Clopidogrel) i ngā rā 10 i mua i te pokanga. Me karo hoki koe i te kai, i te inu rānei i muri i te waenganui pō o te pō i mua i te pokanga. Ma tō tākuta ēnei mea katoa e whakamārama mārama ki a koe.

Me pēhea te mahi i te pokanga HoLEP?

Kaua e mataku i tēnei. Kāore koe e rongo i tetahi mea. Ka mahia te pokanga katoa i raro i te rongoā whakamoe whānui, arā, kei te moe katoa koe. Ka taea rānei te mahi mā te rongoā whakamoe tuaiwi hei whakangoioi i te wāhi i raro i tō hope.

1. Whai muri i te whakamoenga, ka whakaurua e te tākuta tētahi taputapu angiangi e kiia nei ko te `resectoscope` ki roto i tō urethra. He kāmera kei runga kia kitea mārama ai te repe prostate.

2. Muri iho, ka tukuna he hihi taiaho mā roto i te taputapu, ka tapahia rawatia te kiko tāpiri i roto i te repe repeure e aukati ana i te rere o te mimi. I taua wā anō, ka hiritia hoki ngā oko toto e kawe ana i te toto ki tēnei taiaho.

3. Kātahi ka tangohia te taiaho, ka whakauruhia he taputapu anō e kiia nei ko te `morcellator`, e mimiti ana i ngā wahi kiko katoa kua tapahia, ka tangohia mai i te tinana.

4. He mea tino nui: Ko te kiko i tangohia i tēnei ara ka tukuna mō te whakamātautau taiwhanga (he `biopsy`) hei tirotiro mēnā he mea rerekē, pērā i ngā pūtau matepukupuku.

5. Hei whakamutunga, ka tangohia ngā taputapu katoa, ā, ka whakaurua he catheter mimi.

Ko te tikanga ka roa tēnei pokanga i waenga i te 1 ki te 3 hāora.

He aha ngā mea ka tupu i muri i te pokanga? He aha te wā whakaora?

I te nuinga o te wā, ka taea e koe te hoki ki te kāinga i taua ahiahi tonu ka whakahaerehia te pokanga. I ētahi wā, me noho pea koe ki te hōhipera mō te rā kotahi.

• Kātene: Ko te kātene e whakatakotoria ana i muri i te pokanga ka tangohia i te aonga ake. Kia tangohia te kātene, ka taea e koe te hoki ki te kāinga mēnā ka taea e koe te mimi pai. He mea noa te wheako i te tīmatanga i te wera, te mamae, me te mimi pinepine.
• Te toto i roto i tō mimi: He mea noa kia māwhero tō mimi me te iti o te toto mō ngā wiki torutoru . Kaua e manukanuka. Ka nui ake te wai e inuhia ana e koe, ka mārama ake tō mimi.
• Te Mana Whakahaere: I te tīmatanga, tera pea he uaua ki te whakahaere i te mimi. Ko te tikanga ka turuturu pea te mimi ina kata koe, ina maremare rānei. E ai ki te tākuta, he tino āwhina te mahi i ngā 'whakangungu Kegel' (ngā mahi whakakaha i ngā uaua o te puku o raro). Ka tata pai ake tēnei āhua i roto i ētahi wiki.
• Okiokinga: Ka taea e koe te hikoi me te taraiwa i te rā i muri i te pokanga. Heoi, karohia ngā mahi uaua pēnei i te hiki taumaha, te oma rānei mō ngā wiki e rua . Kaua e eke pahikara, e motopaika rānei mō ngā wiki e ono .

Ngā painga, ngā pānga taha, me ngā mōrearea o te pokanga HoLEP

Ki te whakaritea ki ētahi atu pokanga, he maha ngā painga o te HoLEP. Heoi, pērā i ngā pokanga katoa, he iti noa ngā mōrearea me ngā pānga taha.

Āhea te wā tika kia kite tonu i te tākuta

Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te pokanga, waea atu ki tō tākuta tonu atu, haere rānei ki te Tari Ohotata (ETU) i te hōhipera tata ki a koe.

• Mena he whero pouri tō mimi, pērā i te ranu tōmato, ā, kei roto hoki he toto totoka.
• Te kirika (neke atu i te 38 Celsius / 101 Fahrenheit).
• Mena he nui te mamae e pā mai ana, ā, kāore e memeha ahakoa te tango i te rongoā.
• Ki te kore rawa e taea e koe te mimi.