Kwa amuna ena, kukodza kungakhale kowawa kwambiri komanso kosasangalatsa. Mkodzo umatuluka ngati kuti watsekeka, kudontha ndi kudontha... nthawi zina ukhoza kutsekeka kwathunthu. Chifukwa chachikulu cha izi chikhoza kukhala kutsekeka kwa mkodzo, kutanthauza kuchepa. M'mawu azachipatala, timatcha izi ' Urethral Stricture '. Chifukwa chake, lero tikulankhula za opaleshoni yapadera yomwe madokotala amalangiza pamene njira zina zochiritsira sizinapambane.
Kodi Perineal Urethrostomy ndi chiyani?
Mwachidule, opaleshoni ya Perineal Urethrostomy ndi opaleshoni yomwe imachitidwa kwa amuna. Imafuna kupanga mpata watsopano, kapena njira, kuti mkodzo udutse. Mpata watsopanowu umapangidwa m'dera la khungu pakati pa machubu anu ndi thako lanu. Malo amenewo timawatcha 'perineum'.
Tangoganizirani, nthawi zambiri, mkodzo womwe umasonkhana m'chikhodzodzo chathu umadutsa mu chubu chotchedwa urethra ndikutuluka kumapeto kwa mbolo. Komabe, chifukwa cha matenda ena, kuvulala , kapena opaleshoni yapitayi, mkodzo uwu ukhoza kukhala ndi zipsera, kuchepetsedwa, kapena kutsekeka. Pamenepo ndi pomwe kutuluka kwa mkodzo kumatsekeka kwathunthu kapena pang'ono. Opaleshoni iyi imapanga njira yatsopano, yokhazikika yotulutsira mkodzo kwa iwo omwe mkodzo wawo watsekeka kwambiri kotero kuti sangathe kudutsa mkodzo kudzera mu mbolo.
N’chifukwa chiyani muyenera kuchitidwa opaleshoni yamtunduwu?
Opaleshoni iyi nthawi zambiri imaganiziridwa ngati njira zina zochizira kutsekeka kwa mkodzo zalephera. Izi zikutanthauza kuti, pamene mkodzo sungathe kuyikidwanso kuti mkodzo utuluke kudzera m'mphepete mwa mbolo. Pambuyo pa opaleshoni iyi, mkodzo umatuluka kudzera m'malo atsopano mu perineum, kotero muyenera kukhala pansi mukukodza.
Izi zitha kukhalanso njira yabwino kwa okalamba omwe sakufuna kuchitidwa opaleshoni yayikulu yokonzanso ziwalo. Opaleshoni iyi imaganiziridwa pazochitika zotsatirazi.
| Zinthu zomwe zingafunike opaleshoni | Kufotokozera kosavuta |
|---|---|
| Kutsekeka kwa mkodzo kovuta/kobwerezabwereza | Milandu yomwe mkodzo umatsekeka ndipo suyankha mankhwala ena. |
| Khansa ya mbolo ya squamous cell | Chifukwa cha khansa zina zomwe zimachitika mu mbolo. |
| Kuchotsa mbolo mwa opaleshoni (Penectomy) | Pamene mbolo yachotsedwa kwathunthu chifukwa cha khansa kapena zifukwa zina. |
| Kuchotsa urethra | Pamene mkodzo wonse kapena gawo lake la mkodzo lachotsedwa opaleshoni. |
| Hypospadias | Imeneyi ndi vuto lobadwa nalo lomwe khomo la mkodzo limakhala pansi pa mbolo m'malo mwa nsonga. |
| Kulephera kwa urethroplasty | Pamene opaleshoni ya mkodzo yapitayi sinapambane. |
| Fournier's gangrene | Pambuyo pa matenda oopsa a mbolo ndi machubu. |
Ndani amene sali woyenera opaleshoni iyi?
Koma si aliyense amene angapatsidwe opaleshoniyi. Nthawi zina, zingakhale zovuta pang'ono. Ngati muli ndi chilichonse mwa izi, muyenera kulankhula ndi dokotala wanu mozama za izi:
- Ngati muli ndi kunenepa kwambiri.
- Ngati mudachitidwapo opaleshoni kale pa dera la perineum .
- Chithandizo cha khansa ya prostate pogwiritsa ntchito radiationNgati mwatenga.
Mafunso ena ofala omwe mungakhale nawo
Kodi umuna umatuluka mu mbolo pambuyo pa opaleshoni?
Ili ndi vuto lomwe anthu ambiri ali nalo. Ayi, pambuyo pa opaleshoni iyi, umuna sutuluka mu mbolo, koma umachokera pamalo omwe angopangidwa kumene.
Kodi opaleshoniyi ingayambitse kutayika kwa njira yowongolera mkodzo?
Chinanso chomwe chimakuopsani kwambiri ndichakuti mudzakhala osadziletsa. Zimenezo sizingachitike. Muli ndi minofu yomwe imalamulira mkodzo wanu pamwamba pa khomo ili. Kotero mutha kulamulira mkodzo wanu.
Opaleshoni iyi sidzapangitsa kuti munthu asamayende bwino. Musadandaule ndi zimenezo. Dokotala wanu adzakufotokozerani izi mwatsatanetsatane.
Kodi mungakonzekere bwanji opaleshoni?
Dokotala wanu asanachite opaleshoni, adzakufunsani kuti mutenge mkodzo. Iye adzayamba kumwa mankhwala opha tizilombo toyambitsa matenda kuti mupewe matenda. Mungafunikenso kutenga X-ray kuti muwone momwe mkodzo wanu ulili.
Chofunika kwambiri ndi kudziwitsa dokotala wanu za matenda ena omwe mukumwa komanso mankhwala omwe mukumwa.
| Onetsetsani kuti mwauza dokotala wanu za izi. | |
|---|---|
| Zinthu zomwe zimayikidwa m'thupi | Zinthu monga ma stent, ma institutions olowa m'malo mwa mafupa, ma pacemaker, ma valves a mtima. |
| Matenda | Ngati mwakhalapo ndi matenda monga MRSA. |
| Mankhwala ochepetsa magazi | Ngati mukumwa mankhwala monga warfarin, aspirin, clopidogrel, rivaroxaban, kapena dabigatran. |
Momwe opaleshoni imachitikira ndi zomwe zimachitika pambuyo pake
Izi zimachitika kuchipatala, pansi pa opaleshoni ya anesthesia . Izi zikutanthauza kuti mukugona mokwanira panthawi ya opaleshoni. Choncho simukumva chilichonse. Opaleshoni nthawi zambiri imatenga ola limodzi kapena awiri.
Pambuyo pa opaleshoni, chubu chidzaikidwa mu chikhodzodzo chanu kuti chikuthandizeni kutulutsa mkodzo. Timachitcha kuti catheter ya Foley . Catheter iyi nthawi zambiri imakhala pamalo ake kwa milungu iwiri kapena itatu. Panthawiyi, mudzapatsidwa mankhwala ochepetsa ululu ndi maantibayotiki kuti mupewe matenda.
Musanachoke kuchipatala, dokotala ndi ogwira ntchito yosamalira anamwino adzakufotokozerani momwe mungadzisamalire kunyumba, momwe mungasamalire catheter yanu, momwe mungamwere mankhwala anu, komanso nthawi yomwe muyenera kubwerera ku chipatala.
Pakatha miyezi pafupifupi 8-12, mayeso otchedwa cystourethroscopy, omwe amagwiritsa ntchito kamera, amachitidwa kuti awone ngati mkodzo uli bwino kapena ngati watsekekanso.
Kodi mavuto omwe angakhalepo ndi ati?
Chiwopsezo cha opaleshoniyi n'chokwera kwambiri (chimanenedwa kuti ndi "chabwino kwambiri"). Ndipo mavuto ndi osowa kwambiri. Komabe, ndikofunikira kuwadziwa ngati china chake chachitika.
Ngati pali vuto, zizindikiro zake zingakhale monga: kuchepa kwa kukodza, mkodzo wotsala mu chikhodzodzo mutakodza, kapena matenda a mkodzo. Mavuto ena omwe angakhalepo ndi awa:
- Kutuluka magazi kuchokera ku mdulidwe
- Kutupa
- Malungo
- Matenda a mkodzo
- Kubwerezabwereza kwa stricture
- Mavuto a mtima
Ngati mukukumana ndi zizindikiro izi, mwachitsanzo, kutuluka magazi ambiri chifukwa cha bala kapena kutentha thupi kwambiri, dziwitsani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala chapafupi.
Uthenga Wopita Nawo Kunyumba
- Urethrostomy ya m'mimba ndi njira yopambana kwambiri yochitira opaleshoni yokhudza kutsekeka kwa mkodzo komwe njira zina zochiritsira sizinayende bwino.
- Mukamaliza opaleshoniyi, muyenera kukhala pansi kuti mukodze. Komanso, umuna udzatuluka m'malo atsopano omwe mwangopangidwa kumene.
- Opaleshoni iyi sidzakupangitsani kutaya mphamvu zanu zowongolera mkodzo wanu (kusadziletsa).
- Chiwopsezo cha mavuto ndi chochepa kwambiri, koma ngati mukukumana ndi zizindikiro zachilendo (kutuluka magazi ambiri, kutentha thupi), dziwitsani dokotala wanu nthawi yomweyo.
- Kutsatira malangizo a dokotala (kumwa mankhwala, kupita kuzipatala) nthawi yomweyo mutachita opaleshoni ndikofunikira kuti munthu achire msanga.
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