Ingaba i-prostate gland yakho ikhulisiwe kwaye yenza kube nzima ukuchama? Masifunde ngotyando lwe-HoLEP nge-laser! (I-Holmium Laser Enucleation ye-Prostate - HoLEP)

Njengoko amadoda ekhula, kuba nzima kancinci ukuchama , akunjalo? I-urethra iba buthathaka, kukho isidingo sokuchama rhoqo, okanye kuvakala ngathi ayinakugqitywa. Isizathu esiphambili soku kukuba i- prostate gland inkulu kancinci. Le meko siyibiza ngokuba yi-BPH ( Benign Prostatic Hyperplasia ). Ngoko ke namhlanje sithetha ngonyango lwamva nje, oluphumeleleyo nolukhuselekileyo koku.

Ngamafutshane, yintoni utyando lweHoLEP?

I-HoLEP (ebizwa ngokuba yi-'ho-lep') yinkqubo ekhethekileyo yelaser enyanga ukuvaleka komchamo okubangelwa kukwanda kweprostate. Cinga ngeprostate yakho njengebhanti yerabha ejikeleze umbhobho wamanzi. Njengoko ukhula, indlala iyadumba kwaye iyanda, ibeka uxinzelelo kuloo mbhobho wamanzi (urethra yakho). Oku kwenza kube nzima ukuchama.

Utyando lweHoLEP lubandakanya ukufaka umqadi welaser ecaleni kweurethra ngekhamera encinci, ngaphandle kokusikwa, ukuze kususwe ngononophelo izicubu ezigqithisileyo kwiprostate ezithintela ukuhamba komchamo. Ekubeni kungekho kusikwa eluswini , ixesha lokuchacha lifutshane kakhulu.

Ziziphi iimpawu eziqhelekileyo ze-BPH?

Jonga ukuba unayo na enye yezi mpawu. Ukuba unayo enye okanye ezingaphezulu kwezi, kubaluleke kakhulu ukuthetha nogqirha wakho.

Kwenzeka ntoni ngaphambi kotyando?

Ukuba ugqirha wakho ugqiba kwelokuba ufanelekile kutyando lweHoLEP, kuya kufuneka wenze uvavanyo oluninzi ngaphambi kotyando. Olu vavanyo lwenziwa ukuze kuhlolwe ngokuchanekileyo imeko yakho.

• Ukubonisana nogqirha: Ugqirha uza kukubuza ngembali yakho yezonyango aze ahlole i-prostate yakho.
• Uvavanyo lwegazi nomchamo: Ukongeza kwiimvavanyo zegazi eziqhelekileyo, uvavanyo lwe -PSA (Prostate-Specific Antigen) lunokwenziwa.
• Uvavanyo lokuhamba komchamo: Uvavanyo olulinganisa isantya kunye nomthamo womchamo wakho.
• Iiskeni : I-ultrasound okanye i-CT scan inokuchonga ngokuchanekileyo ubungakanani be-prostate gland.
• I-Cystoscopy: Ityhubhu encinci enekhamera encinci idluliselwa kwi-urethra ukuze ihlole ingaphakathi le-prostate kunye ne-bladder.
• Uvavanyo lwe-Urodynamics: Uvavanyo olukhethekileyo olujonga indlela esebenza ngayo i-bladder yakho.

Uza kucelwa ukuba uyeke ukuthatha amayeza okunciphisa igazi (umz., i-Aspirin, i-Clopidogrel) malunga neentsuku ezili-10 ngaphambi kotyando. Kufuneka uphephe ukutya okanye ukusela emva kobusuku bobusuku ngaphambi kotyando. Ugqirha wakho uza kukuchazela konke oku ngokucacileyo.

Utyando lweHoLEP lwenziwa njani?

Musa ukoyika oku. Awuyi kuva nto. Lonke utyando lwenziwa phantsi kwe-anesthesia eqhelekileyo, oko kuthetha ukuba ulele ngokupheleleyo. Okanye ungayenza nge-anesthetic yomqolo evala indawo engaphantsi kwesinqe sakho.

1. Emva kokuba uhlanjululwe, ugqirha uza kufaka isixhobo esincinci esibizwa ngokuba yi-'resectoscope' kwi-urethra yakho. Esi sixhobo sinekhamera ukuze i-prostate gland ibonakale ngokucacileyo.

2. Emva koko, umqadi welaser uthunyelwa ngesixhobo, esinqumla kakuhle izicubu ezingaphezulu kwi-prostate gland ethintela ukuhamba komchamo. Kwangaxeshanye, imithambo yegazi ethwala igazi nayo ivalwe ngale laser.

3. Emva koko i-laser iyasuswa, kuze kufakwe esinye isixhobo esibizwa ngokuba yi-'morcellator', esifunxa zonke iziqwenga zezicubu ezisikiweyo size sizisuse emzimbeni.

4. Kubaluleke kakhulu: Izicubu ezisusiweyo ngale ndlela ziya kuthunyelwa kuvavanyo lwelebhu (i-'biopsy') ukuze kubonwe ukuba kukho into engaqhelekanga na, efana neeseli zomhlaza.

5. Ekugqibeleni, zonke izixhobo ziyasuswa kwaye kufakwa i-catheter yomchamo.

Olu tyando ludla ngokuthatha phakathi kweyure enye ukuya kwezintathu.

Kwenzeka ntoni emva kotyando? Linjani ixesha lokuchacha?

Uninzi lwexesha, ungaya ekhaya ngokuhlwa okufanayo notyando. Ngamanye amaxesha, kusenokufuneka uhlale esibhedlele usuku olunye.

• I-Catheter: I-catheter efakwa emva kotyando idla ngokususwa ngosuku olulandelayo. Nje ukuba i-catheter isusiwe, ungaya ekhaya ukuba uyakwazi ukuchama kakuhle. Kuqhelekile ukuba ekuqaleni ube nokutsha, iintlungu, kunye nokuchama rhoqo.
• Igazi kumchamo wakho: Kuqhelekile ukuba umchamo wakho ube pinki kwaye unegazi elincinci kangangeeveki ezimbalwa . Ungakhathazeki ngayo. Okukhona usela amanzi amaninzi, kokukhona umchamo wakho uya kucaca ngakumbi.
• Ulawulo: Ekuqaleni, kunokuba nzima ukulawula umchamo. Oku kuthetha ukuba umchamo omncinci unokuvuza xa uhleka okanye ukhohlela. Njengoko ugqirha esitsho, ukwenza 'iimithambo zeKegel' (imithambo eqinisa izihlunu zesisu esisezantsi) kunokunceda kakhulu. Le meko iza kuphucuka phantse ngokupheleleyo kwiiveki ezimbalwa.
• Ukuphumla: Ungahamba ngeenyawo kwaye uqhube ngemoto ngosuku olulandela utyando. Nangona kunjalo, kuphephe imisebenzi enzima efana nokuphakamisa iintsimbi okanye ukubaleka iiveki ezimbini . Kuphephe ukukhwela iibhayisekile okanye iibhayisekile iiveki ezintandathu .

Iingenelo, iziphumo ebezingalindelekanga, kunye neengozi zotyando lweHoLEP

Xa kuthelekiswa nezinye iindlela zotyando, i-HoLEP ineengenelo ezininzi. Nangona kunjalo, njengazo zonke iindlela zotyando, kukho iingozi ezincinci kunye nemiphumo emibi.

Ixesha lokubona ugqirha ngoko nangoko

Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kotyando, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (ETU) kwisibhedlele esikufutshane nawe.

• Ukuba umchamo wakho ubomvu obumnyama, njengesosi yetumato, kwaye unamahlwili egazi.
• Umkhuhlane (ngaphezulu kwama-38 Celsius / 101 Fahrenheit).
• Ukuba unentlungu enzima engapheziyo nokuba sele usele amayeza.
• Ukuba awukwazi ukuchama konke konke.