Kodi mwangochitidwa opaleshoni kapena chithandizo cha khansa ya prostate gland yanu posachedwapa? Zonse zinayenda bwino, ndipo patapita kanthawi munabwerera kunyumba, kodi munayamba kuona kusintha kwina m'kukodza kwanu? Mwina mkodzo wachepa pang'ono, kapena mukumva ngati mukuyenera kuvutikira pang'ono kuti mukodze ? Ngati izi zakuchitikirani, zitha kukhala chifukwa cha vuto lotchedwa Bladder Neck Contracture, lomwe tikulankhula lero. Musadandaule, tikambirana izi mwachidule.
Mwachidule, kodi chikhodzodzo ndi khosi lolimba n'chiyani?
Chabwino, kuti timvetse izi, choyamba tiyeni tiwone momwe njira ya mkodzo m'thupi lathu imagwirira ntchito. Ganizirani chikhodzodzo chanu ngati baluni yodzazidwa ndi madzi. Ichi ndi thumba lomwe limasonkhanitsa ndikusunga mkodzo wanu. Pansi pa chikhodzodzo ichi, monga pakamwa pa baluni, pali malo omwe amalumikizana ndi chubu chaching'ono. Timatcha ichi khosi la chikhodzodzo. Mukakodza , mkodzo umatuluka kudzera pakhosi ili ndikulowa mu urethra.
Tsopano, pambuyo pa zinthu monga opaleshoni ya prostate kapena chithandizo cha radiation, minofu ya zipsera imatha kupangika pakhosi la chikhodzodzo. Monga momwe chipsera chimapangikira tikakhala ndi bala pakhungu lathu. Minofu ya zipsera iyi imapangitsa kuti khosi la chikhodzodzo lizichepa pang'onopang'ono kapena kufupika. Ndicho chimene timachitcha kuti Chikhodzodzo Cholimba .
Mwachidule, iyi ndi vuto lomwe minofu ya chilonda imatseka njira yotulukira mkodzo m'chikhodzodzo pambuyo pa opaleshoni ya prostate. Izi zingapangitse kuti zikhale zovuta kukodza ndipo, ngati sizikuthandizidwa, zingakhudze chikhodzodzo ndi impso.
Ndi mankhwala otani omwe angayambitse vutoli?
Izi nthawi zambiri zimakhala zotsatira zoyipa za mankhwala a prostate. Chiwopsezochi chimakhala chachikulu makamaka mukalandira chithandizo chotsatirachi:
- Kuchotsa Prostatectomy: Kuchotsa prostate gland opaleshoni.
- Kuchotsa prostate kwathunthu chifukwa cha khansa.
- Kuchotsa prostate kudzera mu mkodzo (TURP): Opaleshoni yomwe chipangizo chimayikidwa kudzera mu mkodzo kuti chichotse ziwalo za prostate.
- Chithandizo cha radiation: Kupereka chithandizo cha radiation.
Vutoli si lofala kwambiri. Akuti pafupifupi mwamuna m'modzi mwa amuna khumi omwe amachitidwa opaleshoni ya prostate amakhala ndi vutoli. Koma ndikofunikira kuti mudziwe izi.
Kodi zizindikiro za vutoli ndi ziti?
Zizindikiro zimenezi nthawi zambiri zimayamba kuonekera mkati mwa miyezi itatu kapena isanu ndi umodzi kuchokera pamene opaleshoni ya prostate yachitika. Poyamba sizingaoneke, koma pang'onopang'ono zimatha kuwonjezeka pakapita nthawi. Yang'anani ngati muli ndi zizindikiro izi.
| Chizindikiro | Kufotokozera kosavuta |
|---|---|
| Kulephera kudziletsa mkodzo | Kufunika kulimbikira ndi kulimbikira kuti muyambe kukodza. |
| Kupweteka pokodza (Dysuria) | Kupsa kapena kupweteka mukamakodza. |
| Kutuluka kwa mkodzo wofooka | Kuchepa kwa liwiro ndi kuchuluka kwa mkodzo . Kuchepa kwa madzi. |
| Kuyimitsa ndi kuyambitsanso mkodzo | Kusakodza kosalekeza, kusiya kwakanthawi, kenako kuyambanso. |
| Kutulutsa mkodzo kosakwanira (Kusunga mkodzo) | Kumva ngati mkodzo udakalipo mu chikhodzodzo mukamaliza kukodza . |
| Matenda opatsirana pafupipafupi m'njira ya mkodzo (UTIs) | Chikhodzodzo sichitulutsa madzi onse, zomwe zimawonjezera chiopsezo cha kukula kwa mabakiteriya ndi matenda. |
| Miyala ya chikhodzodzo | Mchere wa mchere womwe umatsala mu chikhodzodzo umasonkhana ndikupanga miyala. |
| Kusadziletsa kochuluka | Kutuluka kwa mkodzo mosalamulirika chifukwa cha chikhodzodzo chodzaza kwambiri. |
Chifukwa chiyani izi zikuchitika? Chifukwa chake ndi chiyani?
Ngakhale madokotala sangathe kupereka chifukwa chotsimikizika 100% cha izi, pali zifukwa ziwiri zazikulu zomwe zimaganiziridwa kuti ndizo zimayambitsa.
1. Mavuto pambuyo pa opaleshoni: Pambuyo pochotsa prostate gland, dokotala adzalumikizanso khosi lanu la chikhodzodzo ndi mkodzo wanu (izi zimatchedwa anastomosis). Nthawi zina, magazi ochepa (hematoma) amatha kupangika pakati pa zosokera pamalo pomwe izi zalumikizana. Izi zikachitika, zosokera zimatha kukoka, ndikusiya mipata yaying'ono mu cholumikiziracho. Pamene thupi likuchira, mipata iyi imadzazidwa ndi minofu ya chilonda yomwe tatchula kale. Minofu iyi ya chilonda ndiyo imatseka njira.
2. Kusakwanira kwa magazi: Nthawi zina, ngati zosokera zomwe zimagwiritsidwa ntchito pa opaleshoni zili zolimba kwambiri, magazi omwe amafika pamalopo amatha kuchepa. Pamene magazi achepa, minofu sichira bwino, ndipo m'malo mwake, zipsera zimakhalapo nthawi zambiri.
Chiwopsezo chokoka khosi la chikhodzodzo pambuyo pa opaleshoni ya prostate chikhoza kuwonjezeka pang'ono, makamaka kwa anthu omwe ali ndi matenda ena omwe amakhudza kuyenda kwa magazi m'thupi, monga matenda a shuga kapena matenda a mtima.
Kodi dokotala amazindikira bwanji izi?
Ngati muli ndi zizindikiro zomwe zatchulidwa pamwambapa, chinthu choyamba chomwe muyenera kuchita ndikuwonana ndi dokotala wanu kachiwiri. Kapena, zingakhale bwino kupita kwa dokotala wa mkodzo. Iye adzakuyang'anirani ndikuyesa mayeso kuti atsimikizire vutoli.
| Mayeso | Kodi chimachitika ndi chiyani ndi izi? |
|---|---|
| Cystoscopy | Chubu chopyapyala kwambiri chokhala ndi kamera chimayikidwa kudzera mu mkodzo kuti chiwone mwachindunji kutsekeka kwa khosi la chikhodzodzo. Pa nthawiyi, mankhwala oletsa kumva kupweteka amaperekedwa kuti apewe kupweteka. |
| Cystourethrogram | Madzi apadera (utoto wosiyana) amalowetsedwa mu chikhodzodzo ndipo zithunzi za X-ray zimatengedwa. Izi zimathandiza kuti mawonekedwe a chikhodzodzo ndi malo ozungulira komanso mavuto aliwonse awonekere bwino. |
| Kuyeza kwa magazi m'thupi (VCUG) | Ndi mayeso omwewo monga momwe tafotokozera pamwambapa, koma nthawi ino mumatenga X-ray pamene mukukodza . Izi zimakupatsani mwayi wowona zomwe zikuchitika ndi kuyenda kwa mkodzo wanu. |
| Mayeso a Uroflow | Chipangizo chapadera chimagwiritsidwa ntchito poyesa liwiro ndi kuchuluka kwa mkodzo womwe umatuluka. Izi zingakuthandizeni kudziwa bwino ngati madzi anu ndi ofooka. |
| Kuyesa kwa mkodzo wotsalira pambuyo popanda kanthu (mayeso a PVR) | Mukamaliza kukodza , scan ya ultrasound imachitika kuti muwone kuchuluka kwa mkodzo womwe watsala mu chikhodzodzo. |
Kodi mankhwala ochizira izi ndi otani?
Uwu ndi matenda ochiritsika. Kutengera ndi kuopsa kwa matenda anu, dokotala wanu adzakusankhirani chithandizo choyenera kwambiri.
- Kukulitsa: Iyi si opaleshoni. Ndi chinthu chomwe chingachitike mu ofesi ya dokotala. Machubu owonda, omwe akuwonjezeka pang'onopang'ono amalowetsedwa kudzera mu urethra, pang'onopang'ono akukulitsa malo otsekeka.
- Njira yochizira mkodzo: Iyi ndi opaleshoni yaying'ono yomwe imachitidwa pansi pa mankhwala oletsa ululu. Mofanana ndi cystoscopy, chipangizo chokhala ndi kamera chimayikidwa ndipo magetsi amagwiritsidwa ntchito kudula ndikuchotsa minofu ya chilonda yomwe ikuletsa.
- Kukonzanso ndi kusintha mkodzo (opaleshoni yayikulu): Izi zimachitika kawirikawiri, ndipo zimachitika pokhapokha ngati pali vuto lalikulu. Mu njira imeneyi, gawo lina kapena chikhodzodzo chonse chimachotsedwa ndipo njira ina yotulutsira mkodzo m'thupi (monga kabowo kakang'ono m'mimba) imapangidwa.
Kodi vutoli silikungoyamba kumene?
Ayi. Kupindika kwa Khosi la Chikhodzodzo sikuchira kokha .Koma ngati vuto lanu ndi lochepa kwambiri, zomwe zikutanthauza kuti mutha kutulutsa chikhodzodzo chanu chonse ndipo impso zanu sizikuwonongeka, dokotala wanu angakulangizeni njira yoti "dikirani ndikuwona". Izi zikutanthauza kuti, kuyembekezera kwakanthawi popanda chithandizo kuti muwone ngati zizindikiro zanu zikusintha.
Kodi ndiyenera kupita ku dokotala liti? Kodi ndiyenera kupita ku Dipatimenti Yothandiza Anthu Odwala Pangozi (ETU) nthawi yanji?
Iyi ndi gawo lofunika kwambiri. Muyenera kudziwa bwino lomwe kuti ichi ndi chiyani.
Nthawi yoti muwone dokotala wanu:
- Pambuyo pa chithandizo cha prostate, ngati mukupeza zizindikiro zilizonse zomwe takambirana kale.
- Ngati mwalandira kale chithandizo cha chikhodzodzo chotupa, koma zizindikirozo zikubwereranso kapena kukulirakulira .
Musaiwale, musanyalanyaze ngakhale chizindikiro chochepa kwambiri. Mukapita kwa dokotala msanga, zimakhala zosavuta kuchiza.
Nthawi yoti mupite ku Emergency Treatment Unit (ETU) nthawi yomweyo:
Ngati mukukumana ndi chilichonse mwa zotsatirazi, pitani ku chipatala chapafupi cha Emergency Department (ETU) nthawi yomweyo osaganizira china chilichonse.
- Ngati simungathe kukodza konse.
- Ngati mukumva kupweteka kwambiri m'mimba kapena m'chifuwa .
- Ngati mutuluka thukuta kwambiri .
Izi ndi zadzidzidzi, choncho musachedwe konse.
Kodi izi zingabwererenso mutalandira chithandizo?
Kwa anthu ambiri, vutoli limatha kwathunthu atalandira chithandizo. Komabe, nthawi zina minofu ya zipsera imatha kupangidwanso ndipo kutsekekako kungabwerenso. Chiwopsezo chobwereranso chimakhala chachikulu makamaka pazochitika zotsatirazi:
- Ngati mwalandira chithandizo cha radiation.
- Ngati mudachitidwapo opaleshoni ina yokhudza mkodzo wanu.
- Ngati panali vuto panthawi ya chithandizo choyamba.
Ngati zitachitikanso, mungafunike kupatsidwanso chithandizo. Ndicho chifukwa chake ndikofunikira nthawi zonse kudziwa zizindikiro zake.
Uthenga Wopita Nawo Kunyumba
- Kupindika kwa khosi la chikhodzodzo ndi vuto losowa koma lotheka pambuyo pa opaleshoni ya prostate kapena chithandizo.
- Kuchepa kwa mkodzo, kuchuluka kwa mkodzo , kusunga mkodzoDziwani zizindikiro monga ululu mukamachita izi. Izi nthawi zambiri zimawonekera miyezi ingapo mutalandira chithandizo.
- Uwu ndi matenda ochiritsika. Choncho ngati muli ndi zizindikiro, musachite mantha kapena kuzinyalanyaza, koma pitani kwa dokotala nthawi yomweyo.
- Ngati simungathe kukodza konse, ndi vuto ladzidzidzi. Pitani ku chipinda chapafupi chadzidzidzi (ETU) nthawi yomweyo.
- Palibe chomwe mungachite kuti mupewe vutoli. Komabe, kuzindikira zizindikiro msanga ndikupeza chithandizo kungathandize kupewa mavuto akuluakulu.
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