Ukwelashwa Nge-Prostate Cryotherapy Komdlavuza We-Prostate: Masifunde Kalula Ngayo

Kuvamile ukuthi abantu abaningi bazizwe besaba kakhulu futhi bekhathazekile lapho bezwa ngomdlavuza wendlala yesitho sangasese sowesilisa. Kodwa into ebaluleke kakhulu okudingeka siyikhumbule ukuthi kunezindlela zokwelapha eziphumelela kakhulu zalokhu namuhla. Isikhathi esiningi uke wezwa ngokuhlinzwa kanye nokwelashwa ngemisebe . Kodwa namuhla sizokhuluma ngokwelashwa okuhlukile kancane, kodwa okuphumelelayo kakhulu. Kubizwa ngokuthi i-prostate cryotherapy, noma `(Prostate Cryoablation )`. Abanye abantu bakubiza nangokuthi `(Prostate Cryoablation)`.

Kuyini ukwelashwa nge-cryotherapy?

Kalula nje, lokhu kuhilela ukuqandisa amangqamuzana omdlavuza endlaleni ye-prostate nokuwabhubhisa. Cabanga ngakho njengamanzi aqandisayo, kodwa lapho izinga lokushisa liphansi kakhulu, njengo-minus 40°C, amangqamuzana omdlavuza ayabhujiswa.

Lokhu kwelashwa kwenziwa uchwepheshe ekuhlinzeni isinyi kanye nomchamo ( udokotela wezifo zomchamo ). Ngezinye izikhathi i-prostate yonke iyelashwa, kanti ngezinye izikhathi ingxenye enomdlavuza kuphela. Le ndlela ivame ukusetshenziswa, ikakhulukazi uma umdlavuza ubuyile ngemuva kokwelashwa ngemisebe . Ingase futhi inconywe njengokwelashwa okuyinhloko kwabanye abantu.

Ubani ofanele lolu hlobo lokwelashwa?

Lokhu kwelashwa akufanele wonke umuntu. Udokotela wakho uzohlola ngokucophelela isimo sakho bese enquma ukuthi kufanele yini kuwe. Lokhu kwelashwa kuvame ukucatshangelwa ezimweni ezilandelayo:

• Uma umdlavuza ungakasabalali: Lokhu kufaneleka kumdlavuza ongakasabalali ngaphandle kwendlala yesinye, okhula kancane, futhi onengozi encane yokusabalala esikhathini esizayo.
• Uma ungafuni ukuhlinzwa noma ukushiswa ngemisebe: Abanye abantu abafuni ukuhlinzwa okukhulu noma ukushiswa ngemisebe. Lena inketho enhle kubo.
• Uma udokotela engancomi ezinye izindlela: Uma udokotela wakho enquma ukuthi ukuhlinzwa okukhulu noma ukwelashwa ngemisebe akukufanele ngenxa yezinye izinkinga zempilo emzimbeni wakho, angase asikisele le ndlela.
• Uma umdlavuza uphindela emuva kokwelashwa ngemisebe:Lokhu kungaba ukwelashwa okuphumelelayo kakhulu kweziguli ezinomdlavuza obuye wabuya ngemva kokuthola ukwelashwa ngemisebe ngaphambilini.
• Ukunciphisa ubuhlungu nezimpawu: Kwezinye izimo, le ndlela iyasiza futhi ekulawuleni ubuhlungu noma ezinye izimpawu ezibangelwa umdlavuza.

Kusebenza kanjani lokhu kwelashwa? Kuyamangalisa!

Lokhu kuyinto ethokozisayo kakhulu ukuyenza. Udokotela ufaka izinaliti ezincane ezikhethekile, ezibizwa ngokuthi ama-cryoprobes, esikhumbeni ziye endlaleni ye-prostate lapho umdlavuza ukhona khona. Basebenzisa inqubo yokuskena ebizwa ngokuthi i-transrectal ultrasound ukuqondisa lezi zinaliti ngqo endaweni ezihlosiwe.

Ngemuva kwalokho, igesi ekhethekile ebizwa ngokuthi i-argon ifakwa ngenaliti. Le gesi ipholisa ngokushesha izicubu ezizungeze inaliti kuze kufike ekushiseni okungu-40°C (-40°C). Lokhu kubanda okukhulu kubangela ukuthi kwakheke ama-ice cubes ngaphakathi kwamangqamuzana omdlavuza, okubangela ukuthi izindonga zamangqamuzana ziqhume futhi ziwabulale. Udokotela ubheka ukwakheka kwaleli 'bhola leqhwa' ngokuskena.

Uma amangqamuzana omdlavuza eseqandisiwe kahle, kuthunyelwa enye igesi ebizwa ngokuthi i-helium ukuze ifudumale indawo futhi. Lokhu kubizwa ngokuthi 'umjikelezo wokuqandisa nokuncibilikisa', okusho 'umjikelezo wokuqandisa nokuncibilikisa'. Lo mjikelezo wokuqala wenza amangqamuzana omdlavuza abe buthaka kakhulu. Bese, uqandisiwe kanye noma kabili ngaphezulu , bese ufudumala futhi, ubhubhise ngokuphelele amangqamuzana omdlavuza.

Uzilungiselela kanjani ngaphambi kokwelashwa?

Udokotela wakho uzokunikeza imiyalelo ecacile yokuthi yini okufanele uyenze ngaphambi kokwelashwa kwakho. Kubalulekile ukulandela le miyalelo ngqo ukuze unciphise izinkinga. Ungase ucelwe ukuba wenze okulandelayo:

• Ungadli noma uphuze lutho amahora angu-8 ngaphambi kokwelashwa (ukuzila ukudla).
• Ungase ucelwe ukuthi uthathe umuthi wokuhlanza isisu ukuze uhlanze ikholoni lakho.
• Kubalulekile ukuba nomuntu ozokuthatha akuyise ekhaya ngemva kokwelashwa, njengoba ngeke ukwazi ukushayela.
• Kufanele nakanjani utshele udokotela wakho ngayo yonke imithi oyiphuzayo, okuhlanganisa naleyo enqunywe udokotela wakho, imithi ethengiswa ngaphandle kwemithi kadokotela, amavithamini, ngisho nemithi ye-Ayurvedic noma yemithi yamakhambi.

Kwenzekani ngesikhathi sokwelashwa?

Ngeke uzizwe ubuhlungu ngesikhathi sokwelashwa.

1. I-Anesthesia: Okokuqala, uzonikezwa i-anesthesia. Kungaba i-anesthesia ejwayelekile noma i-anesthesia yendawo.

2. Ukufaka i-catheter:Okulandelayo, kufakwa ipayipi, elibizwa ngokuthi i-catheter, e-urethra yakho. Isixazululo se-saline esifudumele kancane sidlula kuleli payipi. Lokhu kuvimbela i-urethra ukuthi ingonakaliswa umkhuhlane omkhulu.

3. Ukufakwa kwenaliti: Bese kuthi, njengoba kushiwo ngaphambili, ngosizo lwe-`(Ultrasound)` noma `(MRI)` scan, izinaliti ezikhethekile `(Cryoprobes)` zifakwa endlaleni ye-prostate ezindaweni eziqondile kakhulu.

4. Ukuqandisa kanye nokuhlanza: Bese kuthi, kusetshenziswa amagesi e-argon kanye ne-helium, amangqamuzana omdlavuza abhujiswe ngokuqandisa bese ehlanzwa izikhathi eziningana.

Inqubo yonke ivame ukuthatha imizuzu engama-45 . Kodwa-ke, kuzodingeka uhlale esibhedlela cishe amahora amabili kuya kwamathathu. Ezimweni eziningi, lokhu kuyindlela yokulaliswa esibhedlela, ngakho-ke ungaya ekhaya ngalolo suku. Kodwa-ke, kwezinye izimo, kungadingeka uhlale esibhedlela ubusuku bonke.

Yiziphi izinzuzo zale ndlela?

Empeleni kunezinzuzo eziningana kule ndlela yokwelapha.

Ingabe kukhona imiphumela emibi kanye nezinkinga ezingaba khona?

Njenganoma yikuphi ukwelashwa kwezokwelapha, kunemiphumela emibi engaba khona. Kodwa ungakhathazeki, eminingi yayo ingeyesikhashana.

Le miphumela emibi ingenzeka kakhulu uma uke waphathwa ngezinye izindlela zokwelapha, njengokwelashwa ngemisebe ye-prostate, esikhathini esidlule. Kodwa izindaba ezinhle ukuthi kubantu abaningi, lezi zimo ziyathuthuka kancane kancane zingakapheli izinyanga ezingu-12-18 zokwelashwa.

Ngaphezu kwalokho, okulandelayo kungenzeka okwesikhashana:

• Ukuvuvukala kwamasende.
• Ukushisa noma ubuhlungu lapho uchama.
• Ubuhlungu ethangeni noma e-rectum.
• Igazi elincane emchameni.
• Ukudinga ukuchama njalo noma ngokushesha.

Akuvamile kakhulu ukuthi kube nezinkinga ezinkulu, njengokulimala kwe-rectum noma esinyeni, noma ukwakheka kwesikhala esingavamile (i-fistula) phakathi kwe-urethra ne-rectum. Kodwa-ke, lezi azivamile kakhulu.

Kuthatha isikhathi esingakanani ukululama? Kuphumelela kangakanani ukwelashwa?

Isikhathi sokululama siyahlukahluka kuye ngomuntu nomuntu, kodwa kufanele ubuyele esimweni esijwayelekile zingakapheli isonto noma ngaphezulu . Udokotela wakho uzokhipha i-catheter ngesonto noma amabili. Buza udokotela wakho ukuthi ungaqhubeka nini nemisebenzi evamile.

Impumelelo yalolu hlobo lokwelashwa ilinganiswa ngokuthi izinga lakho le-PSA (i-Prostate-specific antigen - PSA) alikhuphuki isikhathi esingakanani nokuthi umdlavuza awukhuphuki isikhathi esingakanani. Izifundo zikhombisile ukuthi lolu hlobo lokwelashwa luphumelela ezimweni ezingu-76 kuya ku-90 kwezingu-100 eminyakeni emithathu ngemva kokwelashwa. Lowo umphumela omuhle kakhulu.

Kufanele ngimbone nini udokotela?

Ungesabi ukubuza udokotela wakho uma unemibuzo noma ukukhathazeka, ngaphambi noma ngemva kokwelashwa. Ikakhulukazi, uma unezimpawu zokutheleleka, njengomkhuhlane , igazi emchameni, umchamo onamafu noma onephunga elibi, noma ubuhlungu, yazisa udokotela wakho ngokushesha .