Ngaba kufuneka uchame rhoqo? Ngaba isinyi sakho sibuthathaka, siyayeka size siyeke? Okanye kufuneka uvuke amaxesha amaninzi ebusuku ukuze uchame? Ezi zinokuba ziimpawu zendlala yeprostate ekhulayo efunyanwa ngamadoda amaninzi njengoko ekhula. Namhlanje siza kuthetha ngolunye lotyando olubaluleke kakhulu noluphumeleleyo koku. Olu lutyando lweTURP.
Yintoni utyando lwe-TURP?
Ngamafutshane, i-TURP kukususwa ngotyando kwenxalenye enkulu ye-prostate gland yakho. Igama elipheleleyo lale nto yi -Transurethral Resection of the Prostate (TURP) .
Khawucinge nje, i-prostate gland ikufutshane nombhobho othwala umchamo (urethra). Njengoko ukhula, le gland iyakhula kancinci kancinci. Xa ikhula, i-urethra iqala ukuvaleka. Kulapho ke uba nobunzima bokuchama.
Ngexesha lotyando lwe-TURP, ugqirha ufaka isixhobo esincinci kakhulu kwi-urethra yakho aze asebenzise umbane okanye i-laser ukusika nokususa i-prostate gland ekhulisiweyo. Ekubeni kungekho zikrweqe zenziweyo ngaphandle, akukho zikrweqe.
Kutheni kufuneka wenze utyando lwe-TURP?
Utyando lwe-TURP lwenziwa ikakhulu ukunyanga imeko ebizwa ngokuba yi -Benign Prostatic Hyperplasia (BPH) . Oku kuthetha "ukwanda kwe-prostate gland ngenxa yesizathu esingengomhlaza." Le yimeko eqhelekileyo kumadoda njengoko ekhula, ngoko ke akukho nto ifanele ixhalabe ngayo.
Kodwa iimpawu ze-BPH zinokuba yingozi kancinci. Njengoko besitshilo ngaphambili, i-prostate gland ekhulisiweyo icinezela i-urethra. Oku kunokubangela iimpawu ezifana nezi:
| Iimpawu eziqhelekileyo ze-BPH | Ingcaciso elula |
|---|---|
| Ukungxamiseka komchamo | Ukuziva unesidingo esingxamisekileyo esikwenza uzive ngathi kufuneka uhambe ngoku, kwaye awukwazi ukuzibamba. |
| Ukudinga rhoqo ukuchama | Ukuchama rhoqo, njengakwiiyure ezimbini. |
| Umchamo obuthathaka | Ukuhamba komchamo okubuthathaka, okuhamba kancinci, okanye okungakhawuleziyo. |
| Ukugcinwa komchamo | Ukuziva ngathi kusekho umchamo esinyini nasemva kokuchama. |
| Ukuchama rhoqo ebusuku (i-Nocturia) | Ukuvuka amaxesha amaninzi ebusuku ukuze uchame, nokuba ulele kamnandi. |
| Umonakalo wezintso | Oku kubonakala xa imeko imbi kakhulu. Izintso zinokuchaphazeleka kuba umchamo awukhutshwa kakuhle. |
Ngokwesiqhelo, ugqirha wakho uya kuqala azame ukulawula imeko ngamayeza. Nangona kunjalo, ukuba amayeza awasebenzi, okanye ukuba unezinye iingxaki ezifana namatye omchamo okanye iingxaki zezintso, utyando lwe-TURP lunokuba sisisombululo esingcono.
Kwenzeka ntoni ngaphambi kotyando?
Nangona kungekho kusikwa kwenkqubo ye-TURP, yenziwa phantsi kwe-anesthesia eqhelekileyo okanye i-spine anesthesia. Ngoko ke awuyi kuva ntlungu. Ugqirha wakho uza kuxoxa nawe ngendlela ye-anesthesia efanelekileyo kuwe.
Ukulungiselela i-anesthesia, uya kucetyiswa ukuba uyeke ukutya nokusela iiyure ezimbalwa ngaphambi kotyando. Kwakhona, qiniseka ukuba uxelela ugqirha wakho ngayo yonke imithi oyithathayo (ingakumbi imithi yokunciphisa igazi) . Buza ukuba ngaba kufuneka uyeke na ukusebenzisa naliphi na kula mayeza ngaphambi kotyando.
Kwenzeka ntoni ngexesha lotyando?
Olu tyando ludla ngokwenziwa kwigumbi lotyando esibhedlele. Ludla ngokuthatha ngaphantsi kwemizuzu engama-90. Nantsi inkcazo-ntetho yenyathelo ngenyathelo yoko kwenzekayo ngexesha lotyando:
1. Ukufaka isixhobo: Ugqirha ufaka isixhobo esincinci esifana netyhubhu (iRectoscope) esinekhamera eqhotyoshelwe kwi-urethra yakho.
2. Jonga kwaye ususe iindawo:Ikhamera ijonga kakuhle i-prostate gland, kwaye iindawo ezikhuliswe kwaye zivale i-urethra ziyasikwa kwaye zisuswe kusetyenziswa umbane okanye i-laser.
3. Ukuhlamba iindawo ezisusiweyo: Emva koko, kusetyenziswa isisombululo esikhethekileyo, iziqwenga zezicubu ezisikiweyo zityhalelwa kwisinyi sakho.
4. Ukususa iziqwenga: Ekugqibeleni, zonke iziqwenga zezicubu ezikwisinyi ziyatsalwa ecaleni kwe-urethra.
5. Ukususa isixhobo: Xa umsebenzi ugqityiwe, isixhobo esasifakwe ekuqaleni siyasuswa.
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kusiwa kwindawo yokuchacha. Abanye abantu baza kuhlala esibhedlele usuku olunye okanye ezimbini. Abanye abantu banokuthunyelwa ekhaya ngaloo mini.
Ngelixa usesibhedlele, kuza kufakwa enye ityhubhu (i-catheter) kwi-urethra yakho. Oku kwenzelwa ukuqinisekisa ukuba umchamo uyaphuma ngaphandle kokuphazanyiswa emva kotyando. Le tyhubhu idla ngokususwa ngaphambi kokuba uye ekhaya.
Zithini iingenelo kunye neengozi zotyando lwe-TURP?
Njengalo naluphi na olunye utyando, olu tyando luneengenelo zalo kunye neengozi ezithile, kwaye kubalulekile ukuba uzazi.
| Iingenelo | Iingozi/Iziphumo Ezingalindelekanga (Iingozi/Iingxaki) |
|---|---|
| Iziphumo ezikhawulezileyo: Kwiintsuku ezimbalwa emva kotyando, uza kuqala ukuziva umahluko omkhulu kunye nesiqabu kwiingxaki zakho zokuchama. | Ukungasebenzi kakuhle kwe-erectile: Abanye abantu banokuba neengxaki zokufumana i-erection. |
| Isisombululo seempawu eziqatha: Olu lunyango olusebenzayo kakhulu kwiimpawu eziqatha ze-BPH ezingenakulawulwa ngamayeza. | Ukuphuma komchamo emva kokuzala: Imbewu ayiphumi ngexesha lokufikisa komntwana, endaweni yoko ibuyela esinyini. |
| Isisombululo kwezinye iingxaki: Olu tyando lukwacetyiswa nakwiimeko ezifana namatye omchamo kunye neengxaki zezintso ezibangelwa yi-BPH. | Ukungakwazi ukuzibamba komchamo: Ukuvuza komchamo ngokungazi. |
| Usulelo lwendlela yomchamo (UTIs): Kukho umngcipheko wosulelo lwendlela yomchamo. | |
| I-Hematuria: Ukubakho kwegazi kumchamo. |
Kuthatha ixesha elingakanani ukuphiliswa?
Kungathatha iiveki ezine ukuya kwezintandathu ukuze uphile ngokupheleleyo. Kufuneka ulumke kakhulu ngeli xesha.
- Yeka ukuphakamisa iintsimbi nokwenza umthambo onzima.
- Kuphephe ukulala nomntu.
- Kuphephe ukuqhuba imoto ukuba usebenzisa amayeza okudambisa iintlungu.
Ukuba umsebenzi wakho awunzima kakhulu emzimbeni, kufuneka ukwazi ukubuyela emsebenzini kwiiveki ezimbini ukuya kwezintathu. Nangona kunjalo, kubalulekile ukubonisana nogqirha wakho ngayo yonke le nto kwaye ulandele imiyalelo yakhe ngokuchanekileyo.
Iimeko apho kufuneka ubone ugqirha ngoko nangoko
Xa ufika ekhaya emva kotyando, kukho iimpawu ekufuneka uziqaphele. Ukuba ubona naziphi na kwezi, fowunela ugqirha wakho okanye uye esibhedlele ngokukhawuleza .
- Ifiva.
- Iimpawu ezintsha ezifana nokungachami kakuhle komchamo kunye nokuchama rhoqo.
- Igazi elibomvu elimnyama okanye amahlwili egazi kumchamo.
- Ukungakwazi ukuchama konke konke.
I-TURP lunyango olukhuselekileyo nolusebenzayo lwe-BPH. Kodwa ayisosisombululo sodwa. Ngoku kukho unyango olutsha olungenalo utyando, olungenalo utyando kakhulu, nolukhawuleza ukululama. Ungaxoxa nogqirha wakho ukuba loluphi unyango olukulungeleyo, ngokusekelwe kwimeko yakho yempilo kunye nezinto ozikhethayo.
Umyalezo Wokuya Ekhaya
- I-TURP lutyando oluqhelekileyo noluphumelelayo kwiingxaki zomchamo ezibangelwa kukwanda kwe-prostate gland (BPH) kumadoda njengoko ekhula.
- Kule meko, akukho kusikwa kwenziwa ngaphandle. Utyando lwenziwa ngokufaka isixhobo esithambileyo ecaleni kwe-urethra.
- Kwiintsuku ezimbalwa emva kotyando, uza kuqala ukuziva ukhululekile xa uchama.
- Kuthatha malunga neeveki ezi-4-6 ukuphiliswa ngokupheleleyo, kwaye ngelo xesha, kufuneka uphephe ukuphakamisa izinto ezinzima kunye nomsebenzi onzima.
- Njengakwezinye iintlobo zotyando, kukho iingozi ezithile, ngoko qiniseka ukuba uxoxa ngale nto nogqirha wakho ngaphambi kokuba wenze olu tyando.
- Ukuba ubonakalisa iimpawu ezinje ngomkhuhlane, ukopha kakhulu, okanye ukungakwazi ukuchama emva kotyando, funa ingcebiso kagqirha ngoko nangoko.
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