Kodi mumavutikanso kukodza pang'ono? Kodi mkodzo umaoneka wofooka komanso wopapatiza? Kodi nthawi zina mumamva ngati simunachotse chikhodzodzo chanu chonse ngakhale mutakodza? Izi zitha kukhala chifukwa cha kutsekeka kwa mkodzo wanu. Izi ndi zoona makamaka ngati mwangochita ngozi posachedwapa, makamaka yomwe imakhudza dera la m'chiuno, kapena ngati mwalandira chithandizo cha khansa ya prostate. Chifukwa chake lero tikulankhula za opaleshoni yapadera yomwe ndi yankho labwino pa izi. Imeneyo ndi opaleshoni ya Posterior Urethral Reconstruction.
Mwachidule, kodi Posterior Urethral Reconstruction ndi chiyani?
Kuti timvetse izi, choyamba tiyeni tiphunzire pang'ono za ziwalo izi za thupi lathu. Mukudziwa kuti urethra ndi chubu chomwe chimatulutsa mkodzo ndi umuna kuchokera ku chikhodzodzo chathu kutuluka m'thupi. Urethra iyi ilinso ndi zigawo zingapo.
Posterior Urethra imatanthauza kumbuyo kwa urethra, ndiko kuti, gawo lomwe lili mkati mwa thupi. Kunena zoona, tikutanthauza gawo laling'ono la urethra, lotalika pafupifupi inchi imodzi kapena ziwiri, lomwe limayambira pansi pa chikhodzodzo, kudzera mu prostate gland, komanso kudzera mu minofu ya pansi pa chiuno.
Kotero, Posterior Urethral Reconstruction ndi opaleshoni yokonzanso gawo lakumbuyo la mkodzo lomwe lawonongeka, lotsekedwa, kapena lochepetsedwa pazifukwa zina.
Ndi nthawi ziti pamene opaleshoni iyi ikufunika?
Chifukwa chachikulu cha opaleshoniyi nthawi zambiri chimakhala kuchepa kapena kutsekeka kwa mkodzo (Urethral Stricture) . Monga momwe dothi limaunjikira mkati mwa chitoliro cha madzi ndikuchepetsa kuyenda kwa madzi, minofu ya zipsera ikapangika mkati mwa mkodzo ndikuuchepetsa, zimakhala zovuta kutulutsa mkodzo. Nthawi zina mkodzo ukhoza kukhala wopapatiza kwambiri, kapena ukhoza kuima kwathunthu.
Pali zifukwa zingapo zazikulu zomwe zimapangitsa kuti urethra izitsekeka motere.
| Chifukwa | Kufotokozera ndi zitsanzo |
|---|---|
| Kuvulala kwakukulu monga kusweka kwa chiuno | Kuvulala kwakukulu kwa dera la m'chiuno (fupa la m'chiuno) kungawononge mkodzo. Mwachitsanzo:
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| Mankhwala a Khansa ya Prostate | Vutoli likhoza kuchitikanso pambuyo polandira chithandizo cha khansa ya prostate.
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Ndi mayeso ati omwe amachitidwa opaleshoni isanachitike?
Dokotala asanasankhe kuchita opaleshoniyi, adzayesa kangapo kuti adziwe momwe mkodzo wanu watsekekera komanso kuchuluka kwa kuwonongeka.
- Retrograde Urethrogram: Madzi apadera amalowetsedwa mu urethra ndipo zithunzi za X-ray zimatengedwa.
- Kuchotsa magazi m'chikhodzodzo: Chubu chimayikidwa mu chikhodzodzo, chodzazidwa ndi madzi, ndipo X-ray imatengedwa mukamakodza.
- Cystoscopy: Chubu chopyapyala kwambiri chokhala ndi kamera chimadutsa mu urethra kuti chione mkati.
- Kujambula kwa MRI: Nthawi zina kujambulidwa kwa MRI kungachitike kuti mupeze chithunzi chomveka bwino cha dera lino.
Chofunika kwambiri n’chakuti pambuyo pa ngozi, madokotala amayembekezera kaye kuti kuvulalako kukhazikike. Panthawi imeneyo, chubu chaching’ono chimalowetsedwa kudzera pakhungu la mimba kupita ku chikhodzodzo kuti chitulutse mkodzo. Chimatchedwa catheter ya suprapubic .
Kodi mungakonzekere bwanji opaleshoni?
Ndikofunikira kutsatira malangizo a dokotala kuti mukhale otetezeka musanachite opaleshoni.
| Zoyenera kuchita | Ndichoncho chifukwa chiyani? |
|---|---|
| Tiuzeni za ziwengo zilizonse zomwe muli nazo. | Pewani kudwala chifukwa cha mankhwala omwe aperekedwa panthawi ya opaleshoni. |
| Uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini ndi mankhwala a Ayurvedic). | Mankhwala ena angakhudze opaleshoni. |
| Ngati mukumwa mankhwala ochepetsa magazi, siyani kumwa kwakanthawi monga momwe dokotala wanu walangizira. | Siyani kutuluka magazi kosafunikira panthawi ya opaleshoni. |
| Siyani kudya ndi kumwa maola 8-12 musanachite opaleshoni. | Ngati muli ndi chakudya m'mimba mwanu muli chikomokere, kapena ngati mukusanza, chingalowe m'mapapo. Ndi zoopsa. Ndicho chifukwa chake chimatchedwa choncho. |
Mungathenso kupatsidwa mankhwala opha tizilombo toyambitsa matenda kuyambira tsiku lisanafike opaleshoni kuti mupewe matenda.
Kodi opaleshoniyi imachitidwa bwanji?
Choyamba, dokotala wogonetsa adzakuikani pansi pa mankhwala oletsa ululu. Izi zikutanthauza kuti mudzakhala mu tulo tofa nato . Simudzamva ululu uliwonse kapena chilichonse mpaka opaleshoniyo itatha.
Kenako dokotala wa urologist amayamba opaleshoni. Anastomotic Urethroplasty ndiyo njira yodziwika kwambiri yomwe imagwiritsidwa ntchito pochiza kutsekeka pambuyo pa ngozi.
Tangoganizirani, izi ndi zomwe zimachitika:
1. Choyamba, kudula pang'ono kumachitika pakati pa thumba lanu la m'mimba ndi m'mimba (perineum).
2. Kenako, minofu yovulala yomwe yakhala mu mkodzo imadulidwa kwathunthu ndikuchotsedwa.
3. Pomaliza, malekezero awiri a mkodzo wathanzi wotsalawo amagwirizanitsidwanso, ndipo amasokedwa pamodzi mosamala kwambiri.
Tangoganizirani, nthawi zina mbali yovulala ikachotsedwa, mpata pakati pa ziwalo ziwiri zathanzi zotsalazo ukhoza kukhala wokulirapo pang'ono. Pazochitika zotere, madokotala amachita chinthu chachilendo kwambiri. 'Amabwereka' chidutswa chaching'ono cha minofu kuchokera mkati mwa tsaya lanu kapena milomo yanu (buccal mucosa) , amadzaza mpatawo, ndikumanganso mkodzo.
Opaleshoni iyi nthawi zambiri imatenga maola atatu kapena asanu ndi limodzi .
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Opaleshoni ikatha, chochekacho chidzasokedwa, kutsukidwa, ndi kumangidwa ndi bandeji. Kuphatikiza apo, catheter ya Foley idzalowetsedwa kudzera mu mbolo yanu mu chikhodzodzo chanu kuti ithandize kutulutsa mkodzo. Izi zimathandiza kuti mkodzo upitirire bwino mpaka urethra ipole. Musadandaule, izi ndi zakanthawi kochepa.
Kachidutswa kakang'ono ka opaleshoni kangaikidwe pafupi ndi bala kuti kachiritse. Nthawi zambiri kameneka kamachotsedwa musanatuluke kuchipatala.
Pamene zotsatira za mankhwala ogonetsa tulo zikutha, pang'onopang'ono mudzachira pang'onopang'ono. Poyamba mudzamva kutopa pang'ono. Mukachira, mudzapatsidwa mankhwala ochepetsa ululu kuti muchepetse ululu.
Madokotala akangoona kuti muli bwino, mukhoza kupita kunyumba. Komabe, mungafunike kukhala m'chipatala kwa tsiku limodzi kapena kuposerapo.
Mudzapatsidwa nthawi yokumana ndi dokotala m'miyezi ingapo ikubwerayi. Panthawiyo, mayeso monga X-ray ndi cystoscopy angabwerezedwe kuti aone ngati bala likuchira bwino.
Katheta ya Foley idzakhalapo kwa milungu itatu kapena inayi, ndipo mkodzo wanu udzadutsamo. Mukachotsa, muyenera kukodza mosavuta monga momwe munachitira musanatseke.
Ubwino, kupambana ndi zoopsa
Monga opaleshoni iliyonse, opaleshoni iyi ili ndi ubwino komanso zoopsa zina zazing'ono.
| Gawo | Kufotokozera |
|---|---|
| Ubwino | Kusasangalala komwe kumachitika chifukwa cha kusunga mkodzo kwatha, ndipo mutha kukodza popanda kupweteka kapena kupsinjika. Kuchuluka kwa matenda opatsirana m'mitsempha ya mkodzo (UTIs) kumachepa. Ndikwabwino kwambiri pa thanzi la impso, chifukwa chikhodzodzo chimatuluka bwino. |
| Chiwongola dzanja | Opaleshoni iyi yapambana kwambiri . Kafukufuku akusonyeza kuti opaleshoni pambuyo pa kuvulala kwa chiuno imakhala yopambana ndi 92% mpaka 97% . Pambuyo pa chithandizo cha khansa ya prostate, chiŵerengero cha kupambana ndi 70% mpaka 85% . |
| Zotsatirapo ndi Zoopsa |
Chiwopsezo cha kusadziletsa kwa mkodzo n'chochepa, koma chimakhala chokwera pang'ono pambuyo pa chithandizo cha khansa. Kulephera kwa erectile (ED) nthawi zambiri kumachitika chifukwa cha kuvulala koyamba kapena chithandizo cha khansa. Opaleshoni iyi sidzachiritsa vutoli, ndipo ingafunike chithandizo china. |
Nthawi yochira ndi zinthu zomwe muyenera kudziwa
Kudzipereka kwanu kuti muchiritse pambuyo pa opaleshoni n'kofunika kwambiri.
Ululu
Anthu ambiri angamve ululu pang'ono, koma ukhoza kuchepetsedwa bwino ndi mankhwala ochepetsa ululu omwe dokotala wawapatsa.
Zochita
- Pewani kuyendetsa galimoto ndi kukhala pansi kwa nthawi yayitali mpaka catheter itachotsedwa (masabata 3-4).
- Kuyenda ndi kukwera masitepe si vuto.
- Musanyamule zinthu zolemera kuposa 9 kg (20 lbs).
- Pewani kuthamanga, kudzuka, kuchita masewera olimbitsa thupi okulitsa miyendo, ndi masewera ena omwe amaphatikizapo kuzungulira chiuno (monga gofu) kwa mwezi umodzi kapena iwiri.
Zochita zogonana
Pewani kugonana kapena kudziseweretsa maliseche kwa milungu yosachepera 8 .
Kubwerera kuntchito/kusukulu
Ngati mumagwira ntchito mu ofesi, mutha kuyamba ntchitoyo pakatha sabata imodzi kapena ziwiri. Koma ngati muli ndi ntchito yovuta, muyenera kudikira milungu 6-8.
Mwayi uliwonse wokumana ndi dokotala
Ngati mukukumana ndi zizindikiro zotsatirazi mutapita kunyumba mutachita opaleshoni, imbani dokotala nthawi yomweyo.
| Zizindikiro zoopsa - dziwitsani dokotala nthawi yomweyo! | |
|---|---|
| - Kulephera kukodza. | - Magazi kapena magazi kuundana mu mkodzo ngakhale patatha sabata imodzi kuchokera pamene opaleshoni yachitika. |
| - Mkodzo wotuluka mu catheter umakhala wochepa kwambiri. | - Madzi ofanana ndi mafinya akutuluka pabala. |
| - Zizindikiro za matenda monga malungo, kuzizira, ndi mutu. | - Kuwonjezeka kwa ululu kapena ululu womwe sumatha ngakhale mutamwa mankhwala. |
| - Kutupa kwa malo ochitira opaleshoni. | |
N'zovuta kuthana ndi vuto monga ngozi kapena khansa. Ndizachibadwa kukhala ndi nkhawa kwambiri pamene vuto lina monga kutsekeka kwa mkodzo likubwera. Koma nkhani yabwino ndi yakuti Posterior Urethral Reconstruction ndi mankhwala opambana kwambiri. Ndi opaleshoni iyi, mutha kukodza popanda vuto lililonse.
Uthenga Wopita Nawo Kunyumba
- Kukonzanso kwa Posterior Urethral ndi opaleshoni yopambana kwambiri yokhudza strictures kumbuyo kwa urethra.
- Vutoli nthawi zambiri limachitika pambuyo pa ngozi zazikulu kapena chithandizo cha khansa ya prostate.
- Ndizachibadwa kukhala ndi mantha komanso nkhawa ndi opaleshoni, koma cholinga chachikulu ndikukweza moyo wanu.
- Pa nthawi yochira, ndikofunikira kutsatira malangizo a dokotala molondola kuti muchiritse mwachangu.
- Ngati muli ndi vuto lililonse pokodza kapena zizindikiro zina, musazengereze kulankhula ndi dokotala za vutoli.
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