Unyango lwe-Prostate Cryotherapy lomhlaza we-Prostate: Masifunde ngayo ngokulula

Kuqhelekile ukuba abantu abaninzi bazive besoyika kakhulu kwaye bexhalabile xa befunda ngomhlaza we-prostate. Kodwa eyona nto ibalulekileyo ekufuneka siyikhumbule kukuba kukho unyango olusebenzayo kakhulu namhlanje. Uninzi lwexesha ukhe weva ngotyando kunye nonyango lwe-radiation . Kodwa namhlanje siza kuthetha ngonyango olwahlukileyo kancinci, kodwa olusebenzayo kakhulu. Lubizwa ngokuba yi-prostate cryotherapy, okanye (Prostate Cryoablation ). Abanye abantu balubiza ngokuba yi-(Prostate Cryoablation).

Yintoni i-cryotherapy?

Ngamafutshane, oku kuquka ukukhenkceza iiseli zomhlaza kwi-prostate gland nokuzitshabalalisa. Cinga ngayo njengamanzi abandayo, kodwa kubushushu obuphantsi kakhulu, njengo-minus 40°C, iiseli zomhlaza ziyatshatyalaliswa.

Olu nyango lwenziwa yingcali yotyando lwesinyi kunye nolwe-urethra ( urologist ). Ngamanye amaxesha i-prostate iyonke inyangwa, kwaye ngamanye amaxesha inxalenye enomhlaza kuphela. Le ndlela isetyenziswa rhoqo, ingakumbi ukuba umhlaza ubuyile emva konyango lwe-radiation . Ingacetyiswa njengonyango oluphambili kwabanye abantu.

Ngubani ofanelekileyo kolu nyango?

Olu nyango alufanelekanga kuye wonke umntu. Ugqirha wakho uza kuyihlola ngononophelo imeko yakho aze agqibe ukuba ifanelekile na kuwe. Olu nyango luhlala luqwalaselwa kwiimeko ezilandelayo:

• Ukuba umhlaza awukasasazeka: Oku kufanelekile kwiimhlaza ezingasasazekanga ngaphandle kwe-prostate gland, ezikhula kancinci, kwaye zinomngcipheko omncinci wokusasazeka kwixesha elizayo.
• Ukuba awufuni utyando okanye i-radiation: Abanye abantu abafuni ukwenza utyando olukhulu okanye i-radiation. Olu lukhetho olufanelekileyo kubo.
• Xa ugqirha engacebisi ezinye iindlela: Ukuba ugqirha wakho ugqiba kwelokuba utyando olukhulu okanye unyango lwemitha alufanelekanga kuwe ngenxa yezinye iingxaki zempilo emzimbeni wakho, angacebisa le ndlela.
• Xa umhlaza uphinde uvela emva konyango lwemitha:Olu lunyango oluphumelele kakhulu kwizigulane ezinomhlaza obuye waphinda wavela emva kokufumana unyango lwemitha ngaphambili.
• Ukunciphisa iintlungu kunye neempawu: Kwezinye iimeko, le ndlela ikwanceda ukulawula iintlungu okanye ezinye iimpawu ezibangelwa ngumhlaza.

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Lusebenza njani olu nyango? Luyamangalisa!

Le yinto enomdla kakhulu ukuyenza. Ugqirha ufaka iinaliti ezikhethekileyo ezibhityileyo, ezibizwa ngokuba yi-cryoprobes, ngesikhumba ziye kwi-prostate gland apho umhlaza ukhoyo khona. Basebenzisa indlela yokuskena ebizwa ngokuba yi-transrectal ultrasound ukukhokela ezi naliti ngqo kwindawo ezijolise kuyo.

Emva koko, igesi ekhethekileyo ebizwa ngokuba yi-argon ifakwa ngenaliti. Le gesi ipholisa ngokukhawuleza izicwili ezijikeleze inaliti ukuya kubushushu obungaphantsi kwama-40°C (-40°C). Lo mkhenkce ugqithisileyo ubangela ukuba iityhubhu zomkhenkce zenziwe ngaphakathi kweeseli zomhlaza, nto leyo ebangela ukuba iindonga zeeseli ziqhume zize zibulale. Ugqirha ujonga ukwakheka kwale 'bhola yomkhenkce' kwiskeni.

Xa iiseli zomhlaza zikhenkcezisiwe kakuhle, kuthunyelwa enye igesi ebizwa ngokuba yi-helium ukuze ifudumale indawo kwakhona. Oku kubizwa ngokuba yi-'freeze-thaw cycle', oku kuthetha 'freeze and melting cycle'. Lo mjikelo wokuqala uwenza buthathaka kakhulu iiseli zomhlaza. Emva koko, ukhenkcezisiwe kube kanye okanye kabini ngaphezulu , uze ufudumale kwakhona, utshabalalise ngokupheleleyo iiseli zomhlaza.

Ulungiselela njani ngaphambi konyango?

Ugqirha wakho uza kukunika imiyalelo ecacileyo malunga nento omawuyenze ngaphambi kokuba ufumane unyango. Kubalulekile ukulandela le miyalelo ngokuchanekileyo ukuze unciphise iingxaki. Ungacelwa ukuba wenze oku kulandelayo:

• Musa ukutya okanye ukusela nantoni na kangangeeyure ezisi-8 ngaphambi konyango (ukuzila ukutya).
• Usenokucelwa ukuba uthathe iyeza lokucoca amathumbu akho.
• Kubalulekile ukuba nomntu oza kukusa ekhaya emva konyango, kuba awuyi kukwazi ukuqhuba imoto.
• Ngokuqinisekileyo kufuneka uxelele ugqirha wakho ngazo zonke amayeza owasebenzisayo, kuquka lawo achazwe ngugqirha wakho, amayeza athengiswa ngaphandle kwemvume kagqirha, iivithamini, kwanemithi ye-Ayurvedic okanye yemifuno.

Kwenzeka ntoni ngexesha lonyango?

Awuyi kuva ntlungu ngexesha lonyango.

1. I-Anesthesia: Okokuqala, uza kunikwa i-anesthesia. Isenokuba yi-anesthesia eqhelekileyo okanye i-anesthesia yendawo.

2. Ukufaka i-catheter:Okulandelayo, kufakwa ityhubhu, ebizwa ngokuba yi-catheter, kwi-urethra yakho. Isicombululo se-saline esifudumeleyo kancinci sidlula kule tyhubhu. Oku kuthintela i-urethra ukuba ingonakaliswa yingqele egqithisileyo.

3. Ukufakwa kwenaliti: Emva koko, njengoko bekutshiwo ngaphambili, ngoncedo lwe-(Ultrasound) okanye (MRI) scan, iinaliti ezikhethekileyo (Cryoprobes) zifakwa kwi-prostate gland kwiindawo ezichanekileyo.

4. Ukuqandisa kunye nokucoca: Emva koko, kusetyenziswa iigesi ze-argon kunye ne-helium, iiseli zomhlaza ziyatshatyalaliswa ngokuqandisa kunye nokucoca amaxesha amaninzi.

Lonke olu tyando ludla ngokuthatha malunga nemizuzu engama-45 . Nangona kunjalo, kuya kufuneka uhlale esibhedlele malunga neeyure ezimbini ukuya kwezintathu. Kwiimeko ezininzi, le yinkqubo yokulaliswa ngaphandle, ngoko ke ungagoduka ngaloo mini inye. Nangona kunjalo, kwezinye iimeko, kunokufuneka uhlale esibhedlele ubusuku bonke.

Zithini iingenelo zale ndlela?

Kukho iingenelo ezininzi kule ndlela yonyango.

Ngaba kukho iziphumo ebezingalindelekanga kunye neengxaki ezinokubakho?

Njengakwezinye iindlela zonyango, kukho iziphumo ebezingalindelekanga. Kodwa ungakhathazeki, uninzi lwazo zezokwexeshana.

Iziphumo ezimbini eziphambili zezi: Ukungasebenzi kakuhle kwe-Erectile (ubunzima bokuqingqa) kunye nokungavumi ukuchama (ukuvuza komchamo, njengaxa ukhohlela okanye uhleka).

Ezi ziphumo bezingalindelekanga zinokwenzeka ngakumbi ukuba ukhe wasebenzisa ezinye iindlela zonyango, ezifana nonyango lwe-radiation kwi-prostate, ngaphambili. Kodwa iindaba ezimnandi zezokuba kubantu abaninzi, ezi meko ziyaphucuka kancinci kancinci kwiinyanga ezili-12-18 zonyango.

Ukongeza, oku kulandelayo kunokwenzeka okwethutyana:

• Ukudumba kwamasende.
• Ukutsha okanye intlungu xa uchama.
• Intlungu kwi-pelvis okanye kwi-rectum.
• Igazi elincinci kumchamo.
• Ukufuna ukuchama rhoqo okanye ngokukhawuleza.

Amaxesha amaninzi, iingxaki ezinkulu zinokwenzeka, njengokonakala kwe-rectum okanye i-bladder, okanye ukwakheka kokuvulwa okungaqhelekanga (i-fistula) phakathi kwe-urethra kunye ne-rectum. Nangona kunjalo, ezi azixhaphakanga kakhulu.

Kuthatha ixesha elingakanani ukuchacha? Luphumelele kangakanani unyango?

Ixesha lokuchacha liyahluka kumntu nomntu, kodwa kufuneka ubuyele esiqhelweni kwisithuba seveki okanye ngaphezulu . Ugqirha wakho uza kuyisusa i-catheter kwiveki okanye ezimbini. Buza ugqirha wakho ukuba ungaqhubeka nini nemisebenzi yakho yesiqhelo.

Impumelelo yolu nyango ilinganiswa ngokuba inqanaba lakho le-PSA (i-Prostate-specific antigen - PSA) alinyuki ixesha elingakanani kwaye umhlaza awukhuli ixesha elingakanani. Izifundo zibonise ukuba olu nyango luphumelela kwiimeko ezingama-76 ukuya kuma-90 kwi-100 emva kweminyaka emithathu emva konyango. Eso sisiphumo esihle kakhulu.

Ndifanele ndimbone nini ugqirha?

Ungaze woyike ukubuza ugqirha wakho ukuba unemibuzo okanye izinto ezikuxhalabisayo, nokuba ngaphambi okanye emva konyango. Ngokukodwa, ukuba uneempawu zosulelo, ezinje ngomkhuhlane, igazi kumchamo, umchamo onamafu okanye onevumba elibi, okanye intlungu, yazisa ugqirha wakho ngoko nangoko .