Inkinga yezempilo evamile amadoda amaningi abhekana nayo njengoba ekhula i-prostate ekhuphukile. Ngokwezokwelapha, lokhu sikubiza ngokuthi `(Benign Prostatic Hyperplasia - BPH)`. Lokhu kungabangela ubunzima bokuchama, ukuvaleka komchamo, ukuchama njalo, futhi ngezinye izikhathi ngisho nokungakwazi ukuzibamba komchamo. Kunezindlela eziningana zokwelapha lesi simo. Namuhla, sizokhuluma ngenye yazo, i-TUIP, okuwukuhlinzwa okulula futhi okunengozi encane.
Kalula nje, iyini i-TUIP?
I-TUIP imele i-Transurethral Incision of the Prostate. Cabanga ukuthi i-prostate gland yakho ivuvukele futhi ivimba ukugeleza komchamo wakho. Ukuhlinzwa kwe-TUIP akubandakanyi ukusika nokususa izicubu ze-prostate. Esikhundleni salokho, uchwepheshe ufaka ithuluzi elincane kakhulu elibizwa ngokuthi i-resectoscope nge-urethra yakho. Leli thuluzi lisebenzisa i-laser beam noma ugesi ukuze lenze ukusikeka okuncane okukodwa noma okubili entanyeni yesinye , lapho i-urethra ixhuma khona ne-prostate.
Lokhu kusikwa kuvula i-urethra evalekile futhi kuvumela isikhala esiningi sokuba umchamo ugeleze ngokukhululeka. Lokhu kusiza ekunciphiseni izimpawu eziningi ze-BPH.
Ubani ofanelekela kakhulu ukuhlinzwa kwe-TUIP?
Le ndlela yokwelapha ayifanele wonke umuntu. Udokotela wakho uzohlola isimo sakho bese enquma ukuthi siyakufanelekela yini. Ukuhlinzwa kwe-TUIP kuvame ukunconywa ezimweni ezilandelayo:
- Uma i-prostate yakho ikhule ngokulingene (kungadingeka ezinye izindlela zokwelapha uma inkulu kakhulu).
- Uma ukhathazekile ngemiphumela emibi engathinta ukuzala ngesikhathi sokuhlinzwa okunye.
- Uma unezinye izimo zempilo (isib. isifo senhliziyo) ezenza ukuhlinzwa okukhulu kube yingozi.
- Uma wena nodokotela wakho ninquma ukuthi ukwelashwa okungangenisi kakhulu , okusho ukuthi okudala umonakalo omncane emzimbeni, kuyindlela engcono kakhulu.
Uyini umehluko phakathi kwe-TUIP ne-TURP?
Abantu abaningi bayaphambanisa lokhu kuhlinzwa okubili. Nakuba kokubili kuyindlela yokwelapha i-BPH, kuyizinqubo ezimbili ezihlukene. Ake siqonde lo mehluko ngokucacile kusukela kuthebula elingezansi.
| Isici | I-TUIP (Ukusika Kwe-Transurethral Ye-Prostate) | I-TURP (Ukususwa Kwe-Transurethral Ye-Prostate) |
|---|---|---|
| Isenzo esenziwe | Ukusikwa okuncane okungu-1-2 ukuze kwandiswe i-urethra, ngaphandle kokususa izicubu ze-prostate. | Ukususwa kwezicubu ze-prostate ezisele ezivimba i-urethra. |
| Kufanelekela | Kwama-prostate akhuliswe kahle. | Kwama-prostate akhule ngokulingene kuya kwanzima. |
| Uhlobo lokuhlinzwa | Akudingi ukungenelela okuningi. Ngokuvamile kudinga ukuhlala esibhedlela okuncane. | Kungaphazamisa kakhulu. Kungadinga izinsuku ezimbalwa esibhedlela. |
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Udokotela wakho uzokunikeza isethi yemiyalelo ngaphambi kokuhlinzwa. Kubaluleke kakhulu ukulandela leyo miyalelo ngqo ukuze unciphise izinkinga.
- Uzocelwa ukuthi uzile ukudla cishe amahora angu-8 ngaphambi kokuhlinzwa.
- Ungase welulekwe ukuthi uyeke ukuthatha imithi ethile (ikakhulukazi imithi yokunciphisa igazi) ezinsukwini ezimbalwa ngaphambi kokuhlinzwa noma uyiphuze namanzi. Ungayeki ukuthatha noma yimiphi imithi ngaphandle kweseluleko sikadokotela wakho.
- Hlela ukuthi othile akuyise ekhaya ngemva kokuhlinzwa.
Yiziphi izinzuzo kanye nokungalungi/izingozi?
Njenganoma yiluphi uhlobo lokwelashwa, i-TUIP inezinzuzo kanye nokungalungi. Kubalulekile ukuqaphela kokubili ngaphambi kokwenza isinqumo.
| Izinzuzo | Izinkinga / Izingozi |
|---|---|
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Into ebaluleke kakhulu ukuxoxa ngakho konke lokhu ngokukhululekile nodokotela wakho ukuze ukwazi ukwenza isinqumo esingcono kakhulu ngesimo sakho.
Kuzothatha isikhathi esingakanani ukululama? Yini okufanele ngiyenze ekhaya?
Kungathatha amasonto amathathu kuya kwamahlanu ukululama ngokuphelele ekuhlinzweni kwe-TUIP. Kungathatha amasonto ambalwa noma izinyanga ukubona ukuthuthuka okuphawulekayo kwezimpawu. Kujwayelekile ukuthi okulandelayo kwenzeke izinsuku ezimbalwa ngemva kokuhlinzwa:
- Igazi elincane emchameni.
- Isidingo sokuchama ngokuzumayo noma isidingo sokuchama njalo.
- Ukushisa noma ubuhlungu lapho uchama.
Ngesikhathi sokululama, kubaluleke kakhulu ukulandela le miyalelo:
- Thatha imithi enqunywe udokotela wakho (ikakhulukazi ama-antibiotic ukuvimbela ukutheleleka) njengoba kunqunywe udokotela wakho.
- Uma une-catheter ye-Foley, landela imiyalelo kadokotela wakho yokuthi ungayinakekela kanjani.
- Phuza amanzi amaningi usuku lonke.
- Gwema ukuphakamisa izinto ezisindayo kanye nokuzivocavoca okunzima.
- Gwema ukuhamba ngebhayisikili.
- Gwema ukugeza ngamanzi ashisayo kanye nama-sauna.
Kunini lapho udinga ukukhuluma nodokotela?
Uma kuvela noma yiziphi izimpawu ezilandelayo, yazisa udokotela wakho ngokushesha:Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela.
- Imfiva.
- Umchamo omnyama noma iphunga elibi.
- Ubuhlungu obungabekezeleleki, obungalindelekile.
- Ukopha ngokweqile ngomchamo.
Umlayezo Wokuya Nawe Ekhaya
- I-TUIP iyindlela yokwelapha engadingi ukungenelela okukhulu kwabesilisa abanezindlala ze-prostate ezikhuliswe kahle.
- Uma kuqhathaniswa nokuhlinzwa kwe-TURP, ingozi yemiphumela emibi ethinta ukuzala iphansi, kodwa ingozi ayiqedwa ngokuphelele.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngokucophelela ngesikhathi sokululama kwakho ngemva kokuhlinzwa.
- Ngaphambi kokwenza noma yiziphi izinqumo, khuluma ngokukhululekile nangokucacile nodokotela wakho mayelana nezinzuzo nezinkinga nokuthi yiziphi izinketho zakho. Kulapho-ke kuphela lapho ungakhetha khona ukwelashwa okukulungele.
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