Ingxaki eqhelekileyo yempilo ejongene namadoda amaninzi njengoko ekhula kukukhula kweprostate. Ngokwezonyango, sibiza oku ngokuthi `(Benign Prostatic Hyperplasia - BPH)`. Oku kunokubangela ubunzima bokuchama, ukuvaleka komchamo, ukuchama rhoqo, kwaye ngamanye amaxesha nokungakwazi ukuzibamba komchamo. Kukho iindlela ezahlukeneyo zonyango zale meko. Namhlanje, siza kuthetha ngenye yazo, i-TUIP, olu lutyando olulula nolungenabungozi.
Ngamafutshane, yintoni i-TUIP?
I-TUIP imele iTransurethral Incision of the Prostate. Khawuthelekelele ukuba i-prostate gland yakho idumbile kwaye ivala ukuhamba komchamo wakho. Utyando lwe-TUIP alubandakanyi ukusika nokususa izicubu ze-prostate. Endaweni yoko, ingcali ifaka isixhobo esincinci kakhulu esibizwa ngokuba yi-resectoscope nge-urethra yakho. Esi sixhobo sisebenzisa i-laser beam okanye umbane wamandla ukwenza imicu emincinci emibini entanyeni yesinyi , apho i-urethra iqhagamshela khona ne-prostate.
Ezi zigcawu zivula i-urethra evalekileyo kwaye zivumela indawo engakumbi yokuba umchamo uphume ngokukhululekileyo. Oku kunceda ekunciphiseni iimpawu ezininzi ze-BPH.
Ngubani olona tyando lwe-TUIP lufanelekileyo kuye?
Le ndlela yonyango ayifanelekanga kuye wonke umntu. Ugqirha wakho uza kuhlola imeko yakho aze agqibe ukuba ifanelekile na kuwe. Utyando lwe-TUIP ludla ngokucetyiswa kwezi meko zilandelayo:
- Ukuba iprostate yakho ikhule ngokuphakathi (kunokufuneka olunye unyango ukuba lukhulu kakhulu).
- Ukuba ukhathazekile ngemiphumo emibi enokuthi ichaphazele ukuzala ngexesha lotyando olunye.
- Ukuba unezinye iingxaki zempilo (umz. isifo sentliziyo) ezenza utyando olukhulu lube yingozi.
- Ukuba wena nogqirha wakho nigqiba kwelokuba unyango olungenabungozi kangako , oko kukuthi olubangela umonakalo omncinci emzimbeni, lolona khetho lufanelekileyo.
Yintoni umahluko phakathi kweTUIP kunye neTURP?
Abantu abaninzi bayayibhidanisa le misebenzi mibini yotyando. Nangona zombini ziyindlela yonyango lwe-BPH, ziinkqubo ezimbini ezahlukeneyo. Masiwuqonde kakuhle lo mahluko kwitheyibhile engasezantsi.
| Uphawu | I-TUIP (Ukusika i-Transurethral ye-Prostate) | I-TURP (Ukususwa kweProstate ngeTransurethral) |
|---|---|---|
| Isenzo esenziweyo | Ukwenza imingxunya emincinci emi-1-2 ukuze kwandiswe i-urethra, ngaphandle kokususa izicubu ze-prostate. | Ukususwa kwezicubu zeprostate ezigqithisileyo ezivimba i-urethra. |
| Ifanelekile kwi | Kwiprostates ezikhuliswe ngokulinganisela. | Kwi-prostates ekhuliswe ngokuphakathi ukuya kwenzulu. |
| Uhlobo lotyando | Ayifuni kungenelela kakhulu. Idla ngokufuna ukuhlala esibhedlele kancinci. | Ingangenisi kakhulu. Isenokufuna iintsuku ezimbalwa esibhedlele. |
Uzilungiselela njani ngaphambi kotyando?
Ugqirha wakho uza kukunika imiyalelo ethile ngaphambi kotyando. Kubaluleke kakhulu ukulandela loo miyalelo ngokuchanekileyo ukuze kuncitshiswe iingxaki.
- Uza kucelwa ukuba uzile ukutya kangangeeyure ezisi-8 ngaphambi kotyando.
- Ungacetyiswa ukuba uyeke ukusebenzisa amayeza athile (ingakumbi amayeza okunciphisa igazi) kwiintsuku ezimbalwa ngaphambi kotyando okanye uwasebenzise namanzi. Musa ukuyeka ukusebenzisa amayeza ngaphandle kwengcebiso kagqirha wakho.
- Lungiselela ukuba umntu akuse ekhaya emva kotyando.
Zithini iingenelo kunye neengxaki/iingozi?
Njengalo naluphi na unyango lwezonyango, i-TUIP ineengenelo kunye neengxaki. Kubalulekile ukuzazi zombini ezi zinto ngaphambi kokuba wenze isigqibo.
| Iingenelo | Iingxaki / iingozi |
|---|---|
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Eyona nto ibalulekileyo kukuxoxa ngokukhululekileyo nogqirha wakho ngako konke oku ukuze ukwazi ukwenza isigqibo esifanelekileyo kwimeko yakho.
Kuza kuthatha ixesha elingakanani ukuchacha? Ndingenza ntoni ekhaya?
Kungathatha iiveki ezintathu ukuya kwezintlanu ukuze umntu aphile ngokupheleleyo emva kotyando lwe-TUIP. Kungathatha iiveki ezininzi okanye iinyanga ukubona ukuphucuka okubonakalayo kwiimpawu. Kuqhelekile ukuba oku kulandelayo kwenzeke kwiintsuku ezimbalwa emva kotyando:
- Igazi elincinci kumchamo.
- Ukufuna ukuchama ngequbuliso okanye ukufuna ukuchama rhoqo.
- Ukutsha okanye intlungu xa uchama.
Ngexesha lokululama, kubaluleke kakhulu ukulandela le miyalelo:
- Sela amayeza owalelwe ngugqirha wakho (ingakumbi amayeza okubulala iintsholongwane ukuthintela usulelo) njengoko eyalelwe.
- Ukuba une-catheter ye-Foley, landela imiyalelo kagqirha wakho ngendlela yokuyinyamekela.
- Sela amanzi amaninzi imini yonke.
- Kuphephe ukuphakamisa izinto ezisindayo kunye nokuzilolonga okunzima.
- Kuphephe ukuhamba ngebhayisekile.
- Kuphephe ukuhlamba ngamanzi ashushu kunye nee-sauna.
Kufuneka uthethe nini nogqirha?
Ukuba kukho naziphi na kwezi mpawu zilandelayo, yazisa ugqirha wakho ngokukhawuleza:Okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele.
- Ifiva.
- Umchamo omnyama okanye ivumba elibi.
- Intlungu engalindelekanga, enganyamezelekiyo.
- Ukopha kakhulu ngomchamo.
Umyalezo Wokuya Ekhaya
- I-TUIP yindlela yonyango engaphantsi kakhulu kumadoda ane-prostate enkulu.
- Xa kuthelekiswa notyando lwe-TURP, umngcipheko weziphumo ebezingalindelekanga ezichaphazela ukuzala uphantsi, kodwa umngcipheko awupheliswanga ngokupheleleyo.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngononophelo ngexesha lokuchacha kwakho emva kotyando.
- Ngaphambi kokuba wenze naziphi na izigqibo, thetha ngokukhululekileyo nangokucacileyo nogqirha wakho malunga nezinto ezilungileyo nezingalunganga kunye neendlela onokukhetha kuzo. Kulapho ke kuphela apho unokukhetha khona unyango olukulungeleyo.
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