Kodi mumavutikanso kukodza mukakula? Kodi mumafunika kukodza kangapo patsiku? Kodi mumayenera kudzuka usiku ndikupita kuchimbudzi kawiri kapena katatu? Kodi mumamva ngati mkodzo wanu wachepa ndipo mumamva ngati simunachotse mkodzo wonse? Awa ndi mavuto omwe amuna ambiri amakumana nawo akamakalamba. Chifukwa chachikulu cha izi ndi kukula kwa prostate gland. Koma musadandaule, tsopano pali njira zothandiza komanso zosavuta zochizira izi. Lero, tikambirana za imodzi mwa njira zatsopano komanso zosavulaza kwambiri.
Choyamba, tiyeni tiwone, kodi prostate gland iyi ndi chiyani?
Prostate gland ndi kachiwalo kakang'ono kofanana ndi mtedza komwe kamapezeka mwa amuna okha. Kamapezeka pansi pa chikhodzodzo chanu cha mkodzo, mozungulira mkodzo. Mkodzo wanu ndi umuna wanu zimatuluka m'thupi kudzera mu chubu ichi. Ntchito yayikulu ya prostate gland ndikuwonjezera madzi mu umuna.
Amuna akamakalamba, nthawi zambiri akakwanitsa zaka 50, prostate gland mwa amuna ambiri imayamba kukula. Izi si khansa. M'mawu azachipatala, timatcha vutoli kuti Benign Prostatic Hyperplasia (BPH) . Vuto ndilakuti prostate iyi ikakula, imafinya dzira. Zili ngati munthu akufinya payipi yamadzi. Pamenepo zimakhala zovuta kukodza.
Ndiye chithandizo ichi chotchedwa Prostatic Urethral Lift (PUL) ndi chiyani?
Mwachidule, Prostatic Urethral Lift (PUL) ndi njira yamakono yochiritsira BPH, kapena mavuto a mkodzo omwe amayamba chifukwa cha kukula kwa prostate gland. Mwina munamvapo kuti imatchedwa UroLift® .
Kawirikawiri, dokotala wanu amayamba wakupatsani mankhwala. Komabe, ngati mankhwalawo sakuthandiza, kapena ngati zotsatirapo zake zili zoopsa kwambiri, mungaganizire za chithandizo cha PUL ngati gawo lotsatira. Izi zikuphatikizapo kuchotsa prostate gland yokulirapo, yomwe ikukanikiza urethra, mwa kuyika zida zazing'ono (implants) mu urethra, monga kugwira zenera. Urethra imatsegukanso ndipo mkodzo umatha kuyenda mosavuta.
Ndi mayeso ati omwe amachitidwa chithandizochi chisanachitike?
Dokotala wanu (nthawi zambiri dokotala wa urologist) adzakuyesani mayeso angapo asanasankhe ngati chithandizochi chili choyenera kwa inu. Izi zidzakuthandizani kudziwa kukula kwa prostate yanu komanso kuopsa kwa matenda anu a BPH.
| Mayeso | Kufotokoza mwachidule |
|---|---|
| Kuyesa kwa kayendedwe ka mkodzo | Imayesa liwiro ndi mphamvu ya mkodzo wanu, komanso kuchuluka kwa mkodzo womwe mumatuluka. |
| Mayeso a voliyumu yotsalira pambuyo pa voliyumu | Mukamaliza kukodza, amafufuza kuchuluka kwa mkodzo womwe watsala mu chikhodzodzo chanu. Izi nthawi zambiri zimachitika pogwiritsa ntchito scan yaing'ono. |
| Kujambula kwa ultrasound kwa Transrectal | Kujambula prostate kumachitika poika chida chaching'ono kudzera mu rectum. Izi zimathandiza kuti kukula ndi mawonekedwe a gland ayesedwe bwino. |
| Cystoscopy | Chubu chopyapyala kwambiri komanso chosinthasintha chokhala ndi kamera chimayikidwa kudzera mu urethra kuti chione mkati mwa urethra ndi chikhodzodzo. |
| Kusanthula mkodzo | Mkodzo umafufuzidwa ngati uli ndi matenda a mkodzo (UTI). Ngati pali matenda otere, muyenera kumwa mankhwala musanalandire chithandizo. |
Kodi chithandizochi chimagwira ntchito bwanji?
Izi nthawi zambiri zimatenga nthawi yochepera ola limodzi ndipo zitha kuchitika kuchipatala kapena kuchipatala chochitira opaleshoni, osati m'chipinda chachikulu chochitira opaleshoni.
1. Kukonzekera: Mudzagonekedwa patebulo lapadera, miyendo yanu itakwezedwa ndi kuthandizidwa ndi zothandizira zapadera. Izi zipangitsa kuti dokotala azitha kuchita chithandizo mosavuta.
2. Kusanza: Mtsempha wa mkodzo ndi malo ozungulira zimakhala zadzanzi kotero simukumva kupweteka kulikonse (local anesthesia). Muthanso kugona pang'ono.
3. Chithandizo:
- Choyamba, chida chopyapyala chokhala ndi kamera (cystoscope) chimalowetsedwa kudzera mu urethra ndi kulowa mu prostate gland.
- Kenako, pogwiritsa ntchito chipangizo chapadera chotchedwa UroLift, timabowo tating'onoting'ono tachitsulo chosapanga dzimbiri (nthawi zambiri 2-6) timayikidwa mbali zonse ziwiri za prostate gland kuti tichotse ndikusunga minofu yomwe ikufinya urethra.
- Ma implants awa amatsegula mkodzo womwe unali utatsekedwa. Ndi zimenezo!
Kenako zipangizo zonse zimachotsedwa. Mumawonedwa kwa kanthawi, kufufuzidwa kuti muwone ngati mungathe kukodza, kenako nthawi zambiri mumaloledwa kupita kunyumba tsiku lomwelo.
Kodi ubwino wa chithandizochi ndi wotani?
Pali zifukwa zingapo zomwe njira imeneyi ya chithandizo ndi yotchuka pakati pa anthu ambiri.
Chofunika kwambiri, palibe vuto lililonse pa kugonana pambuyo pa chithandizochi. Sichimayambitsa mavuto monga kulephera kugwira ntchito kwa erectile kapena kubweza umuna, zomwe zingachitike pambuyo pa opaleshoni zina.
| Phindu | Kufotokoza mwachidule |
|---|---|
| Kuchira mwachangu | Zizindikiro za BPH zimachepa mwachangu kwambiri. |
| Kudula ndi kudula kochepa | Iyi si opaleshoni yaikulu, kotero nthawi yochira ndi yochepa ndipo ululu ndi wochepa. |
| Palibe chifukwa chokhalira kuchipatala. | Chithandizocho chimatha pasanathe ola limodzi, ndipo anthu ambiri amatha kupita kunyumba tsiku lomwelo. |
| Kusunga ntchito yogonana | Sizimakhudza chilakolako cha kugonana kapena umuna. Iyi ndi nkhani yofunika kwambiri kwa anthu ambiri. |
Kodi ndiyenera kusamala ndi chiyani ndikalandira chithandizo?
Nthawi yochira imatha kusiyana malinga ndi munthu. Anthu ambiri amamva mpumulo mkati mwa sabata imodzi, koma zingatenge milungu inayi kuti achire mokwanira.
- Ululu: Poyamba, mungamve kutentha pang'ono kapena kupweteka mukamakodza. Mutha kumwa mankhwala ochepetsa ululu (monga NSAIDs) omwe dokotala wanu wakupatsani pa izi.
- Madzi: Imwani madzi ambiri. Izi zithandiza kutulutsa magazi aliwonse mumkodzo wanu, kusunga mkodzo wanu kukhala woyera, komanso kupewa matenda.
- Chakudya: Ndi bwino kupewa zakudya zokometsera, khofi, tiyi, zakumwa za citrus, ndi mowa kwa masiku angapo, chifukwa zimatha kukwiyitsa chikhodzodzo.
- Kuchita Zogonana: Funsani dokotala wanu za izi. Nthawi zambiri amalangizidwa kupewa kugonana ndi maliseche kwa pafupifupi sabata imodzi.
Kodi muyenera kupita kwa dokotala nthawi yanji mwachangu?
Ngati mukukumana ndi zizindikiro zotsatirazi, dziwitsani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi.
- Ngati simungathe kukodza konse.
- Ngati mkodzo ukutuluka magazi ambiri.
- Ngati magazi m'mkodzo sasiya kutuluka patatha milungu iwiri ya chithandizo.
- Ngati muli ndi zizindikiro za matenda, monga malungo, kuzizira, ndi kutupa kwa machende.
Uthenga Wopita Nawo Kunyumba
- Benign prostatic hyperplasia (BPH) ndi matenda ofala kwambiri, omwe si a khansa omwe amapezeka amuna akamakula, choncho musadandaule nazo mosayenera.
- Kukweza kwa Prostatic Urethral (PUL) kapena UroLift ndi njira yothandiza kwambiri, yotetezeka, komanso yothandiza kwambiri pochiza BPH.
- Chimodzi mwa ubwino waukulu wa chithandizochi ndichakuti sichimawononga ntchito yogonana.
- Nthawi yochira ndi yochepa kwambiri. Anthu ambiri amatha kupita kunyumba tsiku lomwelo.
- Ngati mukuvutikanso kukodza, musachite manyazi, koma pitani kwa dokotala wodziwa bwino ntchitoyo ndipo mukambirane za chithandizo chomwe chingakukomereni.
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