Kodi mukukumbukira kuti munavutika kukodza mutachitidwa opaleshoni ya prostate kapena mutalandira chithandizo cha khansa ? Mwina mukumva ngati mkodzo wanu wachepa, kapena mukumva ngati chikhodzodzo chanu sichili ndi kanthu kalikonse ngakhale mutamaliza. Ngati mukukumana ndi zizindikirozi, mwina mwakhala ndi vuto lotchedwa Bladder Neck Contracture . Ngakhale izi zingamveke zachilendo, chonde musachite mantha. Tiyeni tikambirane izi momveka bwino komanso momveka bwino mu Chingerezi .
Kodi Kukhwima kwa Khosi la Chikhodzodzo ndi Chiyani?
Mwachidule, chikhodzodzo chanu cha mkodzo ndi chiwalo chaching'ono, chopanda kanthu m'mimba mwanu chomwe chimapangidwa kuti chisunge mkodzo. Chimaganiza ngati baluni: chimakula pamene chikudzaza ndikuchepa mukachitulutsa. Pansi penipeni pa chikhodzodzo, komwe chimalumikizana ndi chubu chomwe chimatulutsa mkodzo m'thupi (urethra), pali malo otchedwa khosi la chikhodzodzo . Chimagwira ntchito ngati njira yotulukira mkodzo.
Nthawi zina, pambuyo pa chithandizo cha prostate—makamaka opaleshoni— minofu ya zipsera ingapangidwe m'derali. Chipserachi chimapangitsa khosi la chikhodzodzo kupapatiza kapena "kupindika." Taganizirani izi ngati chotchinga mu payipi ya m'munda chomwe chimaletsa kuyenda kwa madzi. Khosi la chikhodzodzo likapapatiza, kukodza kumakhala kovuta, ndipo ngati sikusamalidwa, kungakhudze thanzi la chikhodzodzo chanu ndi impso.
Monga momwe kutsekedwa kwa msewu kumalepheretsa magalimoto kudutsa, khosi lopapatiza la chikhodzodzo limapangitsa kuti zikhale zovuta kuti mkodzo utuluke bwino.
Ndi mankhwala ati a prostate omwe angayambitse vutoli?
Si mankhwala onse a prostate omwe amachititsa izi, koma njira zotsatirazi zimakhala ndi chiopsezo cha kupweteka kwa chikhodzodzo:
- Kuchotsa prostate : Kuchotsa gawo la prostate kapena gland yonse pa opaleshoni.
- Kuchotsa prostate konse : Njira yochotsera prostate yonse, yomwe nthawi zambiri imachitidwa pa khansa.
- Kuchotsa prostate kudzera mu mkodzo (TURP) : Njira yomwe zipangizo zimayikidwa kudzera mu mkodzo kuti zichotse minofu ya prostate yotsekeka.
- Chithandizo cha radiation : Miyezi yamphamvu kwambiri yomwe imagwiritsidwa ntchito kuwononga maselo a khansa .
Kumbukirani, si aliyense amene amalandira chithandizochi amene adzakhale ndi vutoli.
Kodi Kutupa kwa Khosi la Chikhodzodzo Kungathe Kuchiritsidwa?
Inde, ndi yotheka kuchiritsidwa. Ngati mukukumana ndi zizindikiro izi mutachita opaleshoni ya prostate, lankhulani ndi dokotala wanu mwachangu. Iwo adzakukonzerani njira yoyenera yochizira. Palibe chifukwa choopera.
Kodi vutoli ndi lofala bwanji?
Ndipotu, vutoli ndi losowa kwambiri . Malinga ndi akatswiri, wodwala mmodzi yekha pa khumi aliwonse amavutika ndi chikhodzodzo atachitidwa opaleshoni ya prostate. Chifukwa chake, palibe chifukwa chodera nkhawa kwambiri.
Kodi zizindikiro za Kufooka kwa Khosi la Chikhodzodzo ndi ziti?
Zizindikiro zimenezi sizimaonekera mwadzidzidzi; nthawi zambiri zimakula pang'onopang'ono ndipo poyamba zimakhala zosaonekera bwino.
- Kufunika kukankhira (kukakamiza) kuti muyambe kukodza. Mungaone kuti muyenera kuchita khama kwambiri m'malo molola mkodzo kuti utuluke momasuka.
- Kupweteka pokodza (dysuria). Izi zingamveke ngati kuluma kapena kutentha.
- Mkodzo wofooka. Mkodzo sukuyenda mwamphamvu monga kale.
- Mtsinje womwe umayamba ndikuyima. Kuyenda kwake kumakhala kosinthasintha osati kokhazikika.
- Kumva ngati mkodzo sunatuluke mokwanira (kusunga mkodzo). Kumva ngati kuti mkodzo udakalipo m'chikhodzodzo.
- Matenda a mkodzo pafupipafupi (UTIs). Popeza mkodzo umakhalabe m'chikhodzodzo, mabakiteriya amatha kukula mosavuta.
- Kukula kwa miyala ya chikhodzodzo .
- Kulephera kudziletsa kapena kulephera kulamulira chikhodzodzo (kusadziletsa kokwanira).
Nthawi zambiri, zizindikirozi zimayamba kuonekera mkati mwa miyezi itatu kapena isanu ndi umodzi mutachita opaleshoni ya prostate. Poyamba simungazindikire kufooka kwa mtsinje, koma kumatha kuipiraipira pakapita nthawi, nthawi zina zomwe zimapangitsa kuti musamakodze konse. Ngati muwona chimodzi mwa zizindikirozi, kufunafuna upangiri wa dokotala msanga ndiyo njira yabwino kwambiri.
N’chifukwa chiyani khosi la chikhodzodzo limachepa? Kodi zimayambitsa chiyani?
Ngakhale ofufuza sakumvetsa bwino chifukwa chake chikhodzodzo chimakoka, pali zifukwa zingapo zazikulu zomwe zimazindikirika.
Chimodzi mwa mavutowa ndi pambuyo pa opaleshoni ya prostate . Pa opaleshoniyi, dokotala wa urologist amalumikizanso khosi la chikhodzodzo ndi urethra, njira yotchedwa anastomosis . Pamene mukuchira, magazi ochepa (hematoma) amatha kupangika pafupi kapena pansi pa suture. Izi zingayambitse suture kukoka kapena kusweka, ndikupanga mipata mu reconnection. Mipata iyi imadzazidwa ndi zipsera, zomwe zimapangitsa kuti chipata pakati pa chikhodzodzo ndi urethra chichepe.
Chinthu china chingakhale kusakwanira kwa magazi kupita kumalo otupa . Ngati ma shoti ali olimba kwambiri, amatha kuletsa mitsempha yamagazi yapafupi, zomwe zimalepheretsa kuchira ndikulimbikitsa kupanga minofu ya zipsera.
Ndani ali pachiopsezo cha kufooka kwa khosi la chikhodzodzo?
Aliyense amene amachitidwa opaleshoni ya prostate akhoza kukhala ndi vutoli.
Komabe, ngati muli ndi matenda omwe kale analipo omwe amakhudza kuyenda kwa magazi —monga matenda a shuga kapena matenda a mtima —chiopsezo chanu chotenga chikhodzodzo chikhoza kukhala chachikulu pang'ono.
Kodi matendawa amawapeza bwanji?
Ngati mukuwonetsa zizindikiro, dokotala wa mkodzo ndiye katswiri amene angatsimikizire matendawa. Adzakuyezani thupi ndipo angakupatseni mayeso enaake.
Ndi mayeso ati omwe amachitidwa?
Dokotala wanu akhoza kulamula mayeso otsatirawa:
- Cystoscopy : Pa nthawiyi, dokotala wanu amaika chubu chopyapyala, chopepuka (cystoscope) kudzera mu mkodzo wanu ndikulowa m'chikhodzodzo chanu. Musadandaule, mudzapatsidwa mankhwala oletsa ululu kuti musamve kupweteka kulikonse. Dokotalayo angadzaze chikhodzodzo chanu ndi madzi oyera kapena saline kuti muwone bwino mkati mwa chikhodzodzo.
- Cystourethrogram : Mu mayeso awa, chubu chaching'ono chapulasitiki chosinthasintha (catheter ya mkodzo) chimatsogozedwa kudzera mu urethra yanu kupita ku chikhodzodzo chanu. Utoto wapadera wosiyana umadutsa mu chubucho, ndipo X-ray imatengedwa. Utotowo umawunikira chikhodzodzo chanu, zomwe zimathandiza dokotala kuwona bwino kapangidwe ka mkati.
- Kuchotsa magazi m'thupi (VCUG) : Izi zikufanana ndi kugwiritsa ntchito njira yodziwika bwino yochotsera magazi m'thupi (cystourethrogram), koma pali kusiyana kwakukulu: X-ray imatengedwa pamene mukukodza .
- Kuyesa kwa Uroflow : Kuyesaku kumayesa momwe chikhodzodzo chanu chimatulutsira madzi. Kumalemba liwiro ndi kuchuluka kwa mkodzo wanu kuti mudziwe ngati pali zotsekeka zilizonse.
- Kuyesa mkodzo wotsalira pambuyo pa kusakhalapo (PVR) : Pogwiritsa ntchito ultrasound scan, dokotala wanu adzayesa kuchuluka kwa mkodzo womwe watsala mu chikhodzodzo chanu mukamaliza kukodza.
Zipangizo zodziwira matenda zimenezi zimathandiza dokotala wanu kudziwa bwino kukula ndi chifukwa cha kuchepa kwa khosi lanu la chikhodzodzo.
Kodi Kupweteka kwa Khosi la Chikhodzodzo kumachiritsidwa bwanji?
Pali njira zingapo zochiritsira zomwe zikupezeka. Wopereka chithandizo chamankhwala ku Nirogi Lanka adzasankha njira yabwino kwambiri yogwirizana ndi vuto lanu.
- Kukulitsa : Iyi si opaleshoni yovomerezeka ndipo ingachitike mu ofesi ya dokotala. Dokotala pang'onopang'ono amaika machubu akuluakulu mu mkodzo wanu kuti atambasule malo opapatiza. Akakulitsa, amalola kuti pakhale katheta ya mkodzo kwakanthawi kuti ithandize kutulutsa madzi.
- Njira yochizira mkodzo : Iyi ndi njira yochitira opaleshoni yomwe imachitidwa pansi pa mankhwala oletsa ululu. Pogwiritsa ntchito chipangizo chapadera (resectoscope), dokotalayo amagwiritsa ntchito mphamvu yamagetsi kuchotsa minofu ya chilonda yomwe imayambitsa kutsekeka kwa khosi la chikhodzodzo.
- Kukonzanso ndi kusintha mkodzo : Izi zimangochitika pa milandu yoopsa pomwe khosi la chikhodzodzo limatsekeka kwambiri. Nthawi zina, chikhodzodzo chonse kapena gawo lina lingafunike kuchotsedwa, ndipo njira yatsopano yoti mkodzo utuluke m'thupi iyenera kupangidwa, nthawi zambiri imakhala ndi kabowo kakang'ono m'mimba (stoma) komwe mkodzo umatuluka mu thumba lakunja.
Dokotala wanu adzakambirana nanu mwatsatanetsatane njira zimenezi kutengera zosowa zanu zachipatala.
Kodi Kupindika kwa Khosi la Chikhodzodzo kumatha kokha?
Ayi, vutoli nthawi zambiri silichira lokha. Komabe, ngati kupweteka kwanu kuli kofatsa ndipo sikumayambitsa mavuto a impso kapena vuto lalikulu lotulutsa chikhodzodzo chanu, dokotala wanu angakupatseni njira yoti "dikirani ndikuwona", pomwe mumangoyang'anira zizindikiro zanu kuti muwone ngati pali kusintha kulikonse.
Kodi nthawi yochira pambuyo pa opaleshoni ya khosi la chikhodzodzo ndi iti?
Odwala ambiri amachira mkati mwa milungu iwiri kapena itatu atachitidwa opaleshoni. Komabe, nthawi yochira imasiyana malinga ndi momwe wodwalayo alili; dokotala wanu adzakupatsani chiŵerengero cha momwe mungachiritsire.
Kodi chikhodzodzo chingalepheretsedwe kugwedezeka?
Palibe njira yeniyeni yopewera vutoli, chifukwa ndi vuto losowa lomwe nthawi zina limatha kuchitika pambuyo pa opaleshoni ya prostate chifukwa cha kupangika kwa minofu ya chilonda.
Kodi ndiyenera kuyembekezera chiyani ngati ndili ndi chikhodzodzo chotupa?
Chithandizo nthawi zambiri chimabweretsa zotsatira zabwino. Komabe, pali chiopsezo chakuti minofu ya chilonda ikhoza kusintha, zomwe zimapangitsa kuti kukokana kubwererenso . Chiwopsezochi chimakhala chachikulu ngati:
- Mwalandira chithandizo cha radiation .
- Mwachitidwapo opaleshoni kapena njira zingapo kale pa mkodzo wanu.
- Panali zovuta pa chithandizo chanu choyamba cha contraction.
Ngati vutoli labwereranso, chithandizo china chingafunike.
Kodi ndiyenera kupita kwa dokotala liti?
Ngati mukuona zizindikiro zilizonse za kukokana kwa khosi la chikhodzodzo mutachita opaleshoni ya prostate, onetsetsani kuti mwaonana ndi dokotala nthawi yomweyo . Ngati mukuyamba kale kulandira chithandizo, nenani zizindikiro zilizonse zatsopano kapena zomwe zikuipiraipira nthawi yomweyo.
Kodi ndiyenera kupita liti ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi?
Fufuzani chithandizo chadzidzidzi mwamsanga ngati mukukumana ndi zotsatirazi:
- Kulephera kukodza konse.
- Kupweteka kwambiri m'mimba kapena m'chifuwa.
- Kutuluka thukuta kwambiri kapena kumva kukomoka.
Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?
Kuti mugwiritse ntchito bwino upangiri wanu, ganizirani kufunsa mafunso otsatirawa:
- Kodi ndinayamba bwanji kukokana kwa khosi la chikhodzodzo?
- Ndi njira iti yothandizira yomwe mukupangira?
- Kodi nthawi yochira yomwe ikuyembekezeka ndi yotani pa njirayi?
- Kodi pali chiopsezo chachikulu chakuti vutoli libwererenso mutalandira chithandizo?
Kumbukirani, ngakhale kuti kukokana kwa khosi la chikhodzodzo ndi vuto lachilendo lomwe limapangitsa kuti kukodza kukhale kovuta, koma limachiritsidwa. Kwa odwala ambiri, opaleshoni imathetsa bwino zizindikiro, ngakhale kuti nthawi zina amafunika chisamaliro chowonjezereka ngati vutoli labwereranso.
Uthenga Wopita Nawo Kunyumba
Ngati mukuvutika kukodza, kutuluka kwa madzi m'thupi, kapena kulephera kutulutsa madzi m'chikhodzodzo chanu mutalandira chithandizo cha prostate, mwina mukukumana ndi vuto la chikhodzodzo . Ngakhale kuti ndi losowa, ndi vuto lochiritsika . Musachite mantha; konzani nthawi yokumana ndi dokotala wa urologist nthawi yomweyo. Iwo adzasankha njira yoyenera yothandizira kuti akuthandizeni kubwezeretsanso moyo wanu. Musavutike chete—lankhulani momasuka ndi dokotala wanu. Ndikukufunirani kuti muchiritse bwino ndi Nirogi Lanka!
