Uma udokotela wakho ekutshela ukuthi udinga ukuhlinzwa ukuze kususwe indlala yakho ye-prostate ngenxa yomdlavuza noma enye inkinga, kuvamile ukuzizwa wesaba futhi ukhathazekile kancane. "Ingabe lokhu kungukuhlinzwa okukhulu?", "Kuzokwenzekani kimi?", "Impilo yami izobe injani ngemva kokuhlinzwa?" Ungase ube nemibuzo eminingi efika engqondweni yakho. Ngakho-ke namuhla, ake sixoxe ngokuhlinzwa kwe-prostate, noma ukuhlinzwa kokususwa kwe-prostate, ngendlela elula kakhulu ongayiqonda.
Okokuqala, ake sibone, iyini i-prostate gland?
Kalula nje, i-prostate iyindlala encane etholakala kwabesilisa kuphela. Icishe ibe usayizi we-walnut, uma sikhuluma iqiniso. Itholakala ngaphansi nje kwesinyi sakho. I-urethra, ipayipi elithwala umchamo nesidoda emzimbeni wakho, lidlula phakathi kwale ndlala.
Umsebenzi oyinhloko walesi sithombo ukufaka uketshezi e-ejaculate. Lolu ketshezi luqinisa isidoda futhi lusize ukuba sihambe ngokuphepha. Ngakho-ke lokhu kuyingxenye ebalulekile yesimiso sokuzala sabesilisa.
Yiziphi izinhlobo eziyinhloko zokuhlinzwa kwe-prostatectomy?
Lokhu kuhlinzwa kungahlukaniswa ngezinhlobo ezimbili eziyinhloko. Udokotela uzokhetha indlela efanele kakhulu kuwe ngokusekelwe esimweni sakho sezokwelapha.
1. Ukususwa Kwendlala Okulula
Cabanga ngakho njengewolintshi. Iwolintshi line-pulp ngaphakathi kanye ne-peel ngaphandle. I-prostate gland ifana nalokho kancane. Inengxenye yangaphakathi kanye nesembozo sangaphandle (i-capsule). Ngokuvamile, le ngxenye yangaphakathi iba nkulu njengoba ukhula.
Ekuhlinzweni okulula kwe-prostate, udokotela ohlinzayo ususa ingxenye yangaphakathi ye-prostate gland kuphela, njengokususa umongo we-orenji. Isembozo sangaphandle sihlala siphelele. Lokhu kuhlinzwa kuvame ukwenziwa ezimweni ezingezona umdlavuza, njenge -Benign Prostatic Hyperplasia (BPH), lapho i-prostate gland ikhula khona futhi ivimbele ukuchama.
2. Ukususwa Kwendlala Yesitho Esiyinhloko
Kulokhu, njengoba igama lisho, yonke indlala ye-prostate iyasuswa. Ezinye zezicubu ezizungezile, ama-seminal vesicles, futhi ngezinye izikhathi ama-lymph node nazo zingasuswa. Ngemuva kwalokho, udokotela ohlinzayo uxhuma kabusha i-urethra yakho nesinye sakho. Lokhu kuhlinzwa kuvame ukusetshenziswa kakhulu kumdlavuza we-prostate .
Into ebalulekile ukuthi kokubili lokhu kuhlinzwa manje kungenziwa "njengokuhlinzwa okuvulekile" kanye "nokuhlinzwa kwe-Keyhole" kwesimanje (Laparoscopic/Robotic Surgery) .
| Indlela yokuhlinzwa | Incazelo |
|---|---|
| Ukuhlinzwa Okuvulekile | Ukuhlinzwa kwenziwa ngokwenza ukusika okuqondile okungamasentimitha ambalwa ubude esiswini esingezansi. Udokotela angayibona kahle indlala nendawo ezungezile. |
| Ukuhlinzwa kwe-Laparoscopic/Robotic | Ukuhlinzwa kwenziwa ngokwenza izimbobo eziningana ezincane (njengezimbobo zokhiye) esiswini, okufakwa ngazo ikhamera (i-laparoscope) kanye namathuluzi amancane. Uma kusetshenziswa ubuchwepheshe berobhothi, udokotela ulawula ingalo yerobhothi ukuthi yenze ukuhlinzwa ngokunemba okukhulu nangokunemba. Izimbobo zincane, ngakho-ke ubuhlungu buncane futhi isikhathi sokululama sincane. |
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Ngemva kosuku lokuhlinzwa olubekiwe, kuzodingeka ubone udokotela. Impilo yakho izohlolwa.
- Tshela udokotela wakho ngayo yonke imithi oyithathayo (imithi kadokotela, ethengiswa ngaphandle kwemithi kadokotela, i-Ayurvedic, imithi yamakhambi). Ungase ucelwe ukuthi uyeke ukuthatha i-aspirin kanye nemithi yokunciphisa igazi ezinsukwini ezimbalwa ngaphambi kokuhlinzwa kwakho. Ungalokothi uyeke ukuthatha noma yimuphi umuthi ngaphandle kokubuza udokotela wakho kuqala.
- Sitshele ngezinkinga zakho zokungezwani komzimba: Qiniseka ukuthi usitshela nganoma yikuphi ukungezwani komzimba onakho (imithi, i-iodine, ama-plaster, ukudla).
- Ukuzila Ukudla: Uzokwaziswa ukuthi ungadli noma uphuze lutho ngemva kwamabili ngobusuku bangaphambi kokuhlinzwa. Uma kufanele uthathe imithi, ungase ukwazi ukuyiphuza kuphela ngamanzi amancane.
Kwenzekani ngemva kokuhlinzwa?
Ukuhlinzwa kuvame ukuthatha cishe amahora amabili kuya kwamane. Ngemva kokuhlinzwa, uzoyiswa ekamelweni lokululama. Uzozizwa ubuthakathaka kancane ngemva kokuthola ingqondo.
- Ubuhlungu: Ukuhlinzwa kwerobhothi akubuhlungu kangako kunokuhlinzwa okuvulekile. Kodwa-ke, uzonikezwa amaphilisi obuhlungu ukuze usize ekulawuleni ubuhlungu.
- I-catheter ye-urethral:Ngemva kokuhlinzwa, cishe wonke umuntu ufakwa i-catheter yomchamo. Lokhu kusiza ukukhipha umchamo kuze kube yilapho isinye siphola. Le catheter ingashiywa endaweni yayo izinsuku ezingu-2-3 ukuze kukhishwe i-prostatectomy elula, kanye nezinsuku ezingu-10-14 ukuze kukhishwe i-prostatectomy enamandla.
- Ukudla: Kunikezwa ukudla okumanzi kuphela ngosuku lokuqala noma ezimbili. Bese, kancane kancane wethula ukudla okuvamile.
- Ukuhamba: Uzokhuthazwa ukuthi uvuke embhedeni uhambe kancane kusukela ngosuku olulandela ukuhlinzwa. Ukuhamba kuthuthukisa ukujikeleza kwegazi futhi kukusiza ukuthi ululame ngokushesha.
- Ukuhlala esibhedlela: Usuku olulodwa noma ezimbili zokuhlinzwa kwerobhothi, izinsuku ezintathu kuya kwezine zokuhlinzwa okuvulekile.
Izingozi zokuhlinzwa kanye nezinguquko empilweni
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile. Kodwa khumbula, uma kukhulunywa ngento efana nomdlavuza wendlala, izinzuzo zokuhlinzwa zidlula izingozi zokungatholi ukwelashwa.
| Izingozi ezingaba khona zokuhlinzwa kwe-prostatectomy | |
|---|---|
| Izingozi zokuhlinzwa ezivamile | |
| |
| Izingozi eziqondene nokuhlinzwa kwe-prostatectomy | |
| Ukungakwazi ukuzibamba | Ukuvuza komchamo okungahleliwe lapho ukhwehlela, uthimula, noma ujima. Kwabaningi abantu, lokhu kuzobuyela esimweni esijwayelekile phakathi kwamasonto noma izinyanga ezimbalwa. |
| Ukungasebenzi kahle kwe-Erectile | Ukuhlinzwa kungalimaza imizwa elawula ukuvuka kocansi. Lesi simo singathuthuka kancane kancane ezinyangeni ezimbalwa. Kunezindlela zokwelapha (isib., imithi yokuvimbela i-PDE-5 - i-Viagra®, i-Cialis®) yalokhu. |
| I-Orgasm Eyomile | Ngemva kokususwa kwendlala ye-prostate, ukuphuma komchamo akwenzeki ngesikhathi sokufika esikhathini sokuvuthwa, kodwa ikhono lokufika esikhathini sokuvuthwa kanye nokuzwa lihlala lijwayelekile. |
Le miphumela emibi ingase ikwesabise. Kodwa khumbula, ayenzeki kuwo wonke umuntu. Kwabaningi abantu, lezi zimo ziyathuthuka ngokuhamba kwesikhathi. Futhi udokotela wakho angakhuluma nawe ngemithi yokwelapha kanye nokuzivocavoca okungasiza ngalezi zinkinga.
Kufanele ngiphinde ngimbone nini udokotela?
Uzonikezwa izinsuku zokulandelela emtholampilo. Qiniseka ukuthi uya kulezo zinsuku. Futhi, uma uhlangabezana nezimpawu ezilandelayo , shayela udokotela wakho ngokushesha noma uye e-Emergency Treatment Unit (ETU) yesibhedlela.
- Ukopha ngokweqile noma uketshezi olushintsha umbala oluphuma esithonjeni.
- Umkhuhlane ongama-38 Celsius (100 Fahrenheit) noma ngaphezulu.
- Izimpawu zokutheleleka eduze kwesilonda (ukuvuvukala, ukubomvu, ubuhlungu obukhulu, iphunga).
- Ubuhlungu obungabekezeleleki.
Uma indlala ye-prostate isusiwe ngenxa yomdlavuza, kuzodingeka kwenziwe ukuhlolwa kwegazi okubizwa nge -PSA (Prostate-specific antigen) ngezikhathi ezithile ukuze kubonakale ukuthi umdlavuza ubuyile yini.
Umlayezo Wokuya Nawe Ekhaya
- Ukususwa kwe-prostate kuyindlela yokwelapha ephumelelayo yezimo ezifana nomdlavuza we-prostate kanye ne-BPH.
- Ukuhlinzwa okwenziwa ngobuchwepheshe besimanje bamarobhothi kunciphisa ubuhlungu futhi kunciphise isikhathi sokululama.
- Izinkinga zokulawula umchamo kanye nokuchama zingase zivele ngemva kokuhlinzwa, kodwa eziningi zazo ziyaxazululeka ngokuhamba kwesikhathi noma zingaphathwa ngokwelashwa.
- Uma unemibuzo, ukwesaba, noma ukungabaza mayelana nokuhlinzwa, zizwe ukhululekile ukuxoxa ngakho nodokotela wakho. Uzokuchazela konke.
- Awuwedwa. Odokotela, abahlengikazi, nomndeni wakho bakanye nawe ukuze bakusekele kulolu hambo.
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