Kini madoda: Ukwelashwa kwesimanje okungenakuhlinzwa kwe-prostate ekhulisiwe (Inqubo ye-Rezūm)

Ingabe nawe ukuthola kunzima ukuchama njengoba ukhula? Ingabe i-urethra yakho iba mncane, futhi ingabe uyachama ngezikhathi ezithile? Noma ingabe kufanele uvuke izikhathi eziningana ebusuku ukuze uchame? Lezi yizinkinga ezivamile amadoda amaningi abhekana nazo njengoba ekhula. Isizathu esiyinhloko salokhu i-prostate gland ekhulisiwe, esiyibiza ngokwezokwelapha ngokuthi `(Benign Prostatic Hyperplasia - BPH)`. Ngakho-ke noma ngabe uthatha umuthi walokhu, ngezinye izikhathi awunikezi impumuzo ephelele. Abantu abaningi besaba ukuya kohlinzwa njengesinyathelo esilandelayo. Yingakho indlela yakamuva yokwelashwa okungeyona eyokuhlinzwa esikhuluma ngayo namuhla ibaluleke kakhulu kubantu abanjalo. Ake sixoxe ngalokhu kwelashwa kwe-`Rezūm` ngamazwi alula.

Kalula nje, iyini le ndlela yokwelapha iRezūm?

I-`Rezūm` iyindlela yokwelapha engahlinzwa, engangenisi kakhulu ye-benign prostatic hyperplasia (BPH). Ihilela ukusebenzisa idivayisi ekhethekile ukuqondisa umhwamuko wamanzi ahlanzekile (umusi) ezindaweni ezikhulisiwe ze-prostate yakho. Amandla aku-steam abhubhisa amangqamuzana akhulisiwe, okubangela ukuba anciphe ngokuhamba kwesikhathi.

Cabanga ngakho njengokubilisa into ngomusi wamanzi. Kodwa lokhu kwenziwa ngendlela elawulwa kakhulu, endaweni ethile kuphela. Le divayisi ifakwa nge-urethra yakho, ngakho-ke asikho isidingo sokusika noma ukuthunga noma kuphi emzimbeni wakho. Ngaphambi kokwelashwa, indawo iyavaleka ukuze ungezwa ubuhlungu, ukuze ungazizwa ungakhululekile. Lokhu kubizwa nangokuthi i-Water Vapor Therapy.

Ubani ofanele lolu hlobo lokwelashwa? Futhi ubani ofanele lona?

Lokhu kwelashwa kwenziwa kakhulu kwabesilisa abane-benign prostatic hyperplasia (BPH). Ubuwazi ukuthi i-prostate iyi-gland etholakala eduze kwesinyi emadodeni? Njengoba sikhula, iyanda kancane kancane. Njengoba ikhula, i-urethra edlula kuyo iqala ukuqina. Yilapho izimpawu ezibalwe ngenhla zobunzima bokuchama, ukuchama njalo, kanye nomuzwa wokuthi kufanele uchame ngemva kokuqeda ukuchama zivela khona.

Kodwa-ke, akuwona wonke umuntu ongathola lolu hlobo lokwelashwa. Kunezimo lapho odokotela bengaluncomi khona.

• Uma unezinkinga ezihlobene nokusebenza kwezinso .
• Uma une-implant ye-urethra.
• Uma i-prostate yakho inkulu kakhulu (ngokuvamile ingaphezu kwamagremu angu-80).

Udokotela wakho uzokuhlola bese enquma ukuthi unalesi simo noma cha.

Indlela yokwelashwa kanye nokuthi kuthatha isikhathi esingakanani

Lokhu kwelashwa kwe-`Rezūm` akuyona into edinga ukuhlala isikhathi eside endaweni enkulu yokuhlinza. Ngokuvamile kungenziwa ehhovisi likadokotela (inqubo yehhovisi).

Ngaphambi nangesikhathi sokwelashwa

Okokuqala, udokotela uzokucela ukuthi uchame bese ubuya. Ngemuva kwalokho, kuzonikezwa umuthi wokubulala izinzwa wendawo ukuze uvale i-urethra kanye nendawo ezungeze i-prostate gland ukuze ungezwa ubuhlungu noma ukungakhululeki ngesikhathi sokwelashwa.

Ngemuva kwalokho, udokotela wezifo zomchamo ufaka idivayisi ende, encane, ephathwa ngesandla ebizwa ngokuthi i-speculum e-urethra yakho. Inaliti encane iphuma ekugcineni kwepayipi bese ikhipha umusi endlaleni ye-prostate ekhulisiwe imizuzwana embalwa. Lokhu akwenziwa endaweni eyodwa kuphela, kodwa ezindaweni eziningana njengoba kudingeka. Ukushisa okuvela kulo musi kubhubhisa amangqamuzana engeziwe, okubangela ukuba anciphe ngokuhamba kwesikhathi.

Ngemva kokwelashwa

Ngemva kokuphela kokwelashwa, kuzodingeka ufake i-catheter yomchamo ezinsukwini ezimbalwa zokuqala. Lokhu kungenxa yokuthi ukwelashwa kungase kubangele ukuvuvukala endaweni ekuqaleni. I-catheter ifakwa ngoba ukuvuvukala kuzokwenza kube nzima ukuchama. Ngemva kokwehla kokuvuvukala ezinsukwini ezimbalwa, udokotela uzoyisusa i-catheter.

Ukwelashwa konke kuvame ukuthatha imizuzu engama-30 . Kuthatha imizuzwana eyi-10 ukuqondisa umusi endaweni eyodwa. Lokhu kungenziwa izikhathi ezifika kweziyi-15 ngesikhathi esisodwa sokwelashwa.

Izinzuzo kanye nempumelelo yokwelashwa kweRezūm

Lokhu kubhekwa njengokwelashwa okuphephile kakhulu futhi okusebenzayo kwe-BPH. Futhi, imiphumela ihlala isikhathi eside. Ake sibone ukuthi yiziphi ezinye izinzuzo ezinazo.

• Akusadingeki imithi ye-BPH: Abantu abaningi bayakwazi ukuyeka ukuthatha imithi yansuku zonke ngemva kwalokhu kwelashwa.
• Imiphumela esheshayo: Ungabona ukuthuthuka okucacile kwezimpawu zingakapheli amasonto ambalwa.
• Ukulondoloza ukusebenza kocansi: Ukuhlinzwa okukhulu ngezinye izikhathi kungathinta ukusebenza kocansi. Kodwa-ke, ngalokhu kwelashwa, ingozi iphansi kakhulu.
• Ukuba ukwelashwa ngaphandle kwesibhedlela: Asikho isidingo sokuhlala esibhedlela. Ungaya ekhaya ngosuku olufanayo nokwelashwa.
• Asikho isidingo sokuhlinzwa okujwayelekile: Akudingeki ukuthi ungazi lutho nhlobo. Ukufaka nje izinzwa endaweni kwanele.
• Ukululama okusheshayo: Ungabuyela emisebenzini evamile zingakapheli izinsuku ezimbalwa.
• Ukuphinda: Akuvamile, uma izimpawu ziphinda zibuye ngemva kwesikhathi esithile, lokhu kwelashwa kungaphindwa.

Kuphumelela kangakanani lokhu?

Izinga lempumelelo yokwelashwa kweRezūm liphezulu kakhulu. Izifundo zikhombisile ukuthi abantu abangaphansi kuka-5% badinga ukuhlinzwa okuphindaphindiwe phakathi neminyaka emi-5 yokwelashwa. Futhi, cishe abantu abayi-10% kuphela abadinga ukuthatha imithi ye-prostate futhi phakathi naleso sikhathi. Nakuba lokhu kuyindlela yokwelapha entsha (yavunywa ngo-2015), idatha yamanje ikhombisa ukuthi imiphumela mihle kakhulu okungenani iminyaka emi-5.

Ingabe ikhona imiphumela emibi noma izingozi?

Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezingozi ezincane nemiphumela emibi, kodwa iningi lalezi zingokwesikhashana.

Ungakhathazeki ngalezi zimpawu. Iningi lalezi azenzeki kuwo wonke umuntu. Futhi, udokotela wakho uzokwazisa ngazo kusenesikhathi.

Isikhathi sokululama kanye nalokho okudingeka ukwenze

Lokhu kubaluleke kakhulu. Izimpawu zakho ngeke zithuthuke ngokushesha ngemva kokwelashwa. Eqinisweni, ungase uzizwe sengathi izimpawu zakho zikhule kancane emasontweni ambalwa okuqala. Lokho kungenxa yokuvuvukala. Kodwa ungakhathazeki ngakho. Lokho kuvamile.

Iningi labantu libona ukuthuthuka okuphawulekayo ezimpawini zabo zingakapheli amasonto ambalwa . Kodwa-ke, kungathatha izinyanga ezintathu ukubona imiphumela ephezulu. Kuthatha isikhathi ukuthi umzimba ululame ngaphakathi.

Yenza lezi zinto ukuze wenze ukululama kwakho kube lula

• Ukuphumula: Ngemva kokwelashwa, hlala ekhaya uphumule kahle okungenani usuku olulodwa noma ezimbili. Nakuba ungenza izinto ezifana nokuhamba nokushayela, gwema imisebenzi enzima njengokugijima, ukuphakamisa izinsimbi, kanye nokugibela ibhayisikili amasonto ambalwa.
• Gwema ukwenza ucansi: Ukuyeka ucansi noma ukushaya indlwabu izinsuku ezimbalwa kuzosiza indawo ukuthi iphole ngokushesha.
• Phuza amanzi amaningi: Ukuphuza amanzi amaningi usuku lonke kuzosiza ekukhipheni noma yiliphi igazi emchameni wakho (uma likhona) ngokushesha.
• Gwema iziphuzo ezicasula isinyi: Gwema itiye eline-caffeine, ikhofi, iziphuzo zamandla, iziphuzo ezine-carbonated (njenge-soda), kanye neziphuzo zezithelo ze-citrus ezifana nama-oranges kanye ne-grapefruit isikhashana.

Kufanele uphinde ubonane nodokotela wakho nini futhi?

Kufanele ubone udokotela wakho futhi cishe emavikini amabili kuya kwamathathu ngemva kokwelashwa kwakho. Uzohlola intuthuko yakho.

Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho noma uye esibhedlela ngokushesha.

• Uma ungakwazi nhlobo ukuchama .
• Uma kukhona ubuhlungu obukhulu .
• Uma unomkhuhlane ongaphezu kwama-Fahrenheit angu-101 (38 Celsius) .
• Uma uzizwa ubanda futhi uqhaqhazela (Ukugodola).
• Uma kuvela isifo sohudo (ukuphazamiseka kwesisu) .

Ukuqhathaniswa nezinye izindlela zokwelapha

I-`Rezūm` akuyona yodwa indlela yokwelapha i-BPH. Kunezinye izindlela zokwelapha ezifanayo. Ake siqhathanise i-`Rezūm` nezimbili zalezi zindlela eziyinhloko.

Kalula nje, izindlela ze-`Aquablation` kanye ne-`TURP` zinikeza imiphumela esheshayo neqinile, kodwa futhi zinezingozi eziphezulu ngoba kumele zenziwe ekamelweni lokuhlinzwa. I-`Rezūm` iyindlela enhle phakathi kwalezi zindlela, enengozi encane, futhi ngaphandle kokuhlala esibhedlela.