Kuvulala kwa mkodzo ndi opaleshoni yokonzanso (Posterior Urethral Reconstruction)

Tangoganizani kuti mwasweka fupa la m'chiuno chifukwa cha ngozi, mwina kugwa pa njinga. Kapena mwalandira chithandizo cha khansa ya prostate. Nthawi zina, mkodzo mwa amuna ukhoza kuwonongeka kapena kuchepetsedwa. Pamene kuli kovuta kukodza, ululu ndi kusasangalala komwe kungachitike mukatseka sikungathe kufotokozedwa. Lero tikulankhula za opaleshoni yofunika kwambiri komanso yapadera yomwe imafunika nthawi ngati imeneyi.

Mwachidule, kodi Posterior Urethral Reconstruction ndi chiyani?

Chabwino, tiyeni tiyambe ndi kufotokoza izi mosavuta. Mkodzo, womwe umasonkhana mu chikhodzodzo chanu, umatuluka mu mbolo yanu kudzera mu chubu chotchedwa urethra. Uli ngati chitoliro chotuluka mu thanki yamadzi.

Urethra uwu ulinso ndi zigawo. Gawo lalifupi, lotalika pafupifupi inchi imodzi kapena ziwiri, lomwe limalumikizana ndi chikhodzodzo ndikudutsa mu prostate gland, limatchedwa 'Posterior Urethra'. Uku ndiye kuyamba kwa urethra.

Kukonzanso kwa Posterior Urethral ndi njira yochitira opaleshoni yomwe imabwezeretsa umphumphu wa posterior urethra pambuyo poti yawonongeka, yachepa, kapena yachepa (urethral stricture). Izi zikutanthauza kuti gawo lowonongekalo lakonzedwa ndipo mkodzo umabwerera popanda chopinga.

N’chifukwa chiyani opaleshoni imeneyi ndi yofunika?

Pali zifukwa ziwiri zazikulu zochitira opaleshoni iyi.

1. Kuvulala mwangozi: Makamaka ngozi zazikulu zomwe zimathyola fupa la m'chiuno. M'dziko lathu, kuvulala kotereku kumachitika kawirikawiri chifukwa cha ngozi za njinga zamoto, kugwa kuchokera pamwamba, ndi kuvulala kosweka. Pa ngozi zotere, gawo ili la mkodzo limatha kusweka, kuvulala, ndi zipsera. Pakapita nthawi, zipsera zimenezi zingayambitse mkodzo kupatukana ndikupangitsa kuti kukodza kukhale kovuta.

2. Chithandizo cha Khansa ya Prostate: Pambuyo pa opaleshoni yochotsa prostate gland (radical prostatectomy) kapena chithandizo cha radiation, urethra ikhoza kuchepetsedwa chifukwa cha zipsera zomwe zimabwera chifukwa cha opaleshoniyo.

Pamene mkodzo wa mkodzo uchepa motere, madzi otuluka mkodzo amatha kuchepa, mkodzo ukhoza kutuluka pang'onopang'ono, kapena kutsekeka kwathunthu. Imeneyi ndi vuto lopweteka kwambiri komanso loopsa.

Kodi dokotala amasankha bwanji ngati mukufuna opaleshoni iyi?

Ngati muli ndi zizindikiro izi, chinthu choyamba chomwe dokotala wanu angachite ndikuchita mayeso angapo kuti atsimikizire vuto lenileni. Kuti achite izi, angachite chimodzi kapena zingapo mwa izi:

• Retrograde Urethrogram: Izi zimagwiritsa ntchito madzi apadera (utoto wosiyana) ndi X-ray kuti zidziwe komwe ndi nthawi yayitali bwanji kutsekeka kwa urethra.Kuti ndizisamalira bwino.
• Kuchotsa mkodzo m'chikhodzodzo: Izi zimagwiritsanso ntchito utoto wosiyana kuti ziwone momwe mkodzo umatulukira m'chikhodzodzo. Izi zingathandize kudziwa kukula kwa kutsekeka kwa mkodzo.
• Cystoscopy: Mu izi, chubu chopyapyala chokhala ndi kamera (scope) chimadutsa mu urethra kuti chiwone mwachindunji mkati mwa urethra ndi chikhodzodzo.
• Kujambula kwa MRI (Magnetic Resonance Imaging): Nthawi zina zapadera, kujambulidwa kwa MRI kungachitike ngati pakufunika kudziwa zambiri.

Kodi muyenera kukonzekera bwanji musanachite opaleshoni?

Muyeneranso kukonzekera musanachite opaleshoni. Kutsatira njira izi ndikofunikira kwambiri kuti opaleshoniyo ipambane.

Kodi opaleshoniyi imachitika bwanji?

Opaleshoni iyi imachitika pansi pa anesthesia wamba, zomwe zikutanthauza kuti simudzamva chilichonse, mudzakhala mukugona.

Njira yodziwika kwambiri yomwe madokotala amagwiritsa ntchito imatchedwa Anastomotic Urethroplasty . Iyi ndi njira yosavuta kwambiri.

Gawo lovulala, lokhala ndi zipsera, kapena lopapatiza la mkodzo limadulidwa ndikuchotsedwa, ndipo mbali ziwiri zathanzi zimasokedwa pamodzi. Zili ngati kuchotsa chitoliro chosweka ndikulumikizanso zidutswa ziwiri zabwino zotsalazo.

Koma, taganizirani kuti mutachotsa chilondacho, mpata pakati pa mbali ziwiri zotsalazo zathanzi ndi waukulu kwambiri, zomwe zimapangitsa kuti zikhale zovuta kuzisoka pamodzi. Kodi mungatani ngati zimenezo zitachitika?

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni ndipo zoopsa zake ndi ziti?

Pambuyo pa opaleshoni, mudzayang'aniridwa kuchipatala kwa maola pafupifupi 24. Katheta kakang'ono, kofewa kadzalowetsedwa kudzera mu mbolo yanu kupita ku chikhodzodzo chanu mpaka zosokera zitachira, zomwe zingatenge milungu pafupifupi 3-4. Izi sizikusangalatsa kwenikweni, koma ndikofunikira kuti kukonzako kuchiritsidwe bwino. Pambuyo pa milungu 3-4, X-ray idzatengedwa kuti ione ngati kukonzako kwachira, ndipo kathetayo idzachotsedwa.

Monga opaleshoni iliyonse, opaleshoni iyi ili ndi zoopsa zina zazing'ono.

• Kutuluka magazi
• Matenda
• Kukhazikika kobwerezabwereza

Kulephera kudziletsa mkodzo ndi chiopsezo ndipo nthawi zambiri kumakhala kosowa ngati opaleshoni yachitika. Komabe, chiopsezocho chingawonjezeke pang'ono ngati opaleshoni yachitika pambuyo polandira chithandizo cha khansa.

Vuto lina lofunika ndi vuto la erectile dysfunction (ED) . Amuna ena mwina adakhalapo ndi vutoli asanachite opaleshoniyi, atathyoka m'chiuno kapena atalandira chithandizo cha khansa. Opaleshoniyi sidzachiritsa ED. Ingafunike chithandizo china pambuyo pake. Lankhulani ndi dokotala wanu za izi momasuka.

Kuchita bwino kwa opaleshoni ndi kuchira

Iyi ndi nkhani yabwino kwambiri. Opaleshoni iyi yapambana kwambiri .Ndi opaleshoni yomwe imakhala ndi zotsatira zabwino kwambiri, makamaka ikachitidwa ndi dokotala wodziwa bwino ntchito yake.

• Chiŵerengero cha kupambana kwa opaleshoni ya kuvulala komwe kudachitika pangozi chili pakati pa 92% - 97% .
• Chiŵerengero cha kupambana kwa opaleshoni pambuyo pa chithandizo cha khansa chili pakati pa 70% - 85% .

Kubwerera ku moyo wabwinobwino...

• Kuyendetsa Galimoto: Mutha kuyamba kuyendetsa galimoto ngati simukugwiritsa ntchito mankhwala ochepetsa ululu komanso mutachotsa chubu cha catheter.
• Kubwerera kuntchito: Anthu ambiri amabwerera kuntchito catheter ikachotsedwa, koma ntchito yopepuka yokha ndi yomwe imalimbikitsidwa kwa milungu 6-8 .
• Kuchita Masewera Olimbitsa Thupi: Kuyenda kuli bwino mukatha opaleshoni, koma pewani kuchita zinthu zolemetsa monga kunyamula zolemera kapena kusewera gofu kwa milungu 6-8 .
• Kuchita Zogonana: Mutha kuyambiranso kuchita zogonana milungu 8 mutachita opaleshoni.