Ese prostate yawe yagutse bigatuma bigorana kunyara? Reka twige ibijyanye no kubaga hakoreshejwe laser ya HoLEP! (Holmium Laser Enucleation of the Prostate - HoLEP)

Uko abagabo bakura, biragorana kunyara , si byo se? Urthra iracika intege, hakenerwa ko umuntu anyara kenshi, cyangwa wumva ko idashobora kurangira. Impamvu nyamukuru ibitera ni uko prostate gland iba nini gato. Iyi ndwara twita BPH ( Benign Prostatic Hyperplasia ). Uyu munsi rero turimo kuvuga ku buryo bugezweho, bwiza kandi bwizewe bwo kuvura ibi.

Mu magambo make, kubaga HoLEP ni iki?

HoLEP (izwi nka 'ho-lep') ni uburyo bwihariye bwo kuvura imiyoboro y'inkari iterwa no kwiyongera kwa prostate. Tekereza kuri prostate yawe nk'umukandara ukikije umuyoboro w'amazi. Uko ugenda usaza, imvubura irabyimba kandi ikaguka, bigashyira igitutu kuri uwo muyoboro w'amazi (urret). Ibi bituma bigorana kunyara.

Kubaga HoLEP bikubiyemo gushyira umuyoboro wa laser ku muyoboro w'inkari ukoresheje kamera nto, nta gukata, no gukuramo witonze ingingo zirenze muri prostate zibuza inkari gutembera. Kubera ko nta gukata uruhu, igihe cyo gukira ni gito cyane.

Ni ibihe bimenyetso bisanzwe bya BPH?

Reba niba ufite kimwe muri ibi bimenyetso. Niba ufite kimwe cyangwa byinshi muri ibi, ni ngombwa cyane kuvugana na muganga wawe.

Ni iki kibaho mbere yo kubagwa?

Niba muganga wawe afashe icyemezo cy'uko ukwiriye kubagwa HoLEP, uzakenera gukorerwa ibizamini byinshi mbere yo kubagwa. Ibi bikorwa kugira ngo umenye neza uko umeze.

• Ubujyanama kwa muganga: Muganga azabaza amateka y'ubuzima bwawe kandi asuzume prostate yawe.
• Gupima amaraso n'inkari: Uretse gupima amaraso bisanzwe, hashobora gukorwa ikizamini cya PSA (Prostate-Specific Antigen).
• Ibizamini byo gutembera kw'inkari: Ibizamini bipima umuvuduko n'ingano y'inkari zawe.
• Gupima : Ultrasound cyangwa CT scan bishobora kumenya neza ingano ya prostate gland.
• Cystoscopy: Umuyoboro muto ufite kamera nto unyuzwa mu muyoboro w'inkari kugira ngo usuzume imbere muri prostate no mu ruhago.
• Ikizamini cya Urodynamics: Ikizamini cyihariye gisuzuma imikorere y'uruhago rwawe.

Uzasabwa kureka gufata imiti igabanya amaraso (urugero: Aspirine, Clopidogrel) mu minsi 10 mbere y'uko ubagwa. Ugomba kandi kwirinda kurya cyangwa kunywa nyuma ya saa sita z'ijoro mbere y'uko ubagwa. Muganga wawe azagusobanurira neza ibi byose.

Kubaga HoLEP bikorwa gute?

Ibi ntibigutere ubwoba. Nta kintu na kimwe uzumva. Kubagwa kose gukorwa hakoreshejwe ikinyabutabire rusange, bivuze ko usinziriye rwose. Cyangwa ushobora kubikora ukoresheje ikinyabutabire cy'umugongo gitera ibisebe ahantu hepfo y'ikibuno cyawe.

1. Nyuma yo gusinzira, muganga azashyira igikoresho gito cyitwa 'resectoscope' mu muyoboro w'inkari. Iki gikoresho gifite kamera kugira ngo prostate igaragare neza.

2. Hanyuma, umuyoboro wa laser woherezwa mu gikoresho, ugaca neza cyane ingingo zisigaye mu gasabo ka prostate kabuza inkari gutembera. Muri icyo gihe, imiyoboro y'amaraso itwara amaraso nayo ifunze n'iyi laser.

3. Hanyuma laser irakurwaho, hanyuma hagashyirwamo ikindi gikoresho cyitwa `morcellator`, gikurura ibice byose by'umubiri byaciwe kikabikura mu mubiri.

4. Icy'ingenzi cyane: Udusimba twakuwe muri ubu buryo twoherezwa mu isuzuma rya laboratwari (biopsy) kugira ngo harebwe niba hari ikintu kidasanzwe, nk'uturemangingo twa kanseri.

5. Amaherezo, ibikoresho byose birakurwaho hanyuma hagashyirwamo catheter y'inkari.

Ubusanzwe ubu buvuzi bumara hagati y'isaha 1 na 3.

Ni iki kibaho nyuma yo kubagwa? Igihe cyo gukira kimeze gite?

Akenshi, ushobora gutaha nimugoroba nk'uko wabaga. Hari igihe ushobora kumara umunsi umwe mu bitaro.

• Katheteri: Katheteri ishyirwamo nyuma yo kubagwa ikunze gukurwaho umunsi ukurikiyeho. Iyo katheteri imaze gukurwaho, ushobora gutaha niba ushobora kunyara neza. Ni ibisanzwe ku ikubitiro kugira ngo ugire ubushye, ububabare, no kunyara kenshi.
• Amaraso mu nkari zawe: Ni ibisanzwe rwose ko inkari zawe ziba umutuku zifite amaraso make mu byumweru bike . Ntugahangayike. Uko unywa amazi menshi, niko inkari zawe zirushaho kuba nziza.
• Kugenzura: Mu ntangiriro, bishobora kugorana kugenzura inkari. Ibi bivuze ko inkari nke zishobora kuva iyo useka cyangwa ukoroye. Nk'uko muganga abivuga, gukora imyitozo ngororamubiri ya 'Kegel' (imyitozo ngororamubiri ikomeza imitsi yo mu nda yo hasi) bishobora gufasha cyane. Iyi ndwara izakira neza mu byumweru bike.
• Kuruhuka: Ushobora kugenda n'amaguru no gutwara imodoka umunsi umwe nyuma yo kubagwa. Ariko, irinde gukora imirimo ivunanye nko guterura ibyuma cyangwa kwiruka mu gihe cy'ibyumweru bibiri . Irinde gutwara amagare cyangwa moto mu gihe cy'ibyumweru bitandatu .

Ibyiza, ingaruka mbi, n'ingaruka zo kubagwa HoLEP

Ugereranyije n'ubundi bwoko bw'ubuvuzi, HoLEP ifite ibyiza byinshi. Ariko, kimwe n'ubundi bwoko bwose bw'ubuvuzi, hari ingaruka nto n'ingaruka mbi.

Igihe cyo kubonana na muganga ako kanya

Niba ubonye kimwe muri ibi bimenyetso bikurikira nyuma yo kubagwa, hamagara muganga wawe ako kanya cyangwa ujye mu bitaro bikuru byihutirwa (ETU) biri hafi yawe.

• Niba inkari zawe zitukura cyane, nk'isosi y'inyanya, kandi zikaba zirimo amaraso afunganye.
• Umuriro (uri hejuru ya selisiyusi 38 / 101 Fahrenheit).
• Niba ufite ububabare bukomeye butagabanuka ndetse no nyuma yo gufata imiti.
• Niba udashobora kunyara na gato.