Ingabe kufanele futhi uchame njalo? Ingabe isinyi sakho sibuthakathaka, siyama bese siyama? Noma kufanele uvuke izikhathi eziningana ebusuku ukuze uchame? Lezi kungaba izimpawu zendlala ye-prostate ekhuphukile eba khona abesilisa abaningi njengoba bekhula. Namuhla sizokhuluma ngomunye wokuhlinzwa okubaluleke kakhulu nokuphumelelayo kulokhu. Lokho ukuhlinzwa kwe-TURP.
Kuyini ukuhlinzwa kwe-TURP?
Kalula nje, i-TURP ukususwa ngokuhlinzwa kwengxenye ekhulisiwe yendlala yakho ye-prostate. Igama eliphelele lalokhu yi- Transurethral Resection of the Prostate (TURP) .
Cabanga nje, indlala ye-prostate itholakala eduze kwepayipi elithwala umchamo (urethra). Njengoba ukhula, le ndlala ikhula kancane kancane. Uma ikhula, i-urethra iqala ukuvaleka. Yilapho-ke uba nobunzima bokuchama.
Ngesikhathi sokuhlinzwa kwe-TURP, udokotela ufaka ithuluzi elincane kakhulu e-urethra yakho bese esebenzisa ugesi noma i-laser ukusika nokususa i-prostate gland ekhulisiwe. Njengoba kungekho zimbobo ezenziwe ngaphandle, azikho izibazi.
Kungani ngidinga ukuhlinzwa kwe-TURP?
Ukuhlinzwa kwe-TURP kwenziwa kakhulu ukwelapha isimo esibizwa ngokuthi i-Benign Prostatic Hyperplasia (BPH) . Lokhu kusho "ukukhula kwendlala yesinye ngenxa yesizathu esingeyona umdlavuza." Lesi yisimo esivame kakhulu kwabesilisa njengoba bekhula, ngakho-ke akukho okufanele bakhathazeke ngakho.
Kodwa izimpawu ze-BPH zingaba yinkinga kancane. Njengoba sishilo ngaphambili, indlala ye-prostate ekhulisiwe icindezela i-urethra. Lokhu kungabangela izimpawu ezifana nalezi:
| Izimpawu ezivamile ze-BPH | Incazelo elula |
|---|---|
| Ukuphuthuma komchamo | Ukuzizwa unesidingo esiphuthumayo esikwenza uzizwe sengathi kufanele uhambe manje, nokuthi awukwazi ukuzibamba. |
| Isidingo sokuphuza njalo | Ukuchama njalo, njengangesikhathi samahora amabili. |
| Umchamo obuthakathaka | Ukugeleza komchamo okubuthakathaka, okugeleza kancane kancane, noma okungahleliwe. |
| Ukugcinwa komchamo | Ukuzizwa sengathi kusekhona umchamo esinyini ngisho nangemva kokuchama. |
| Ukuchama njalo ebusuku (i-Nocturia) | Ukuvuka izikhathi eziningana ebusuku ukuze uchame, noma ngabe ulele kahle. |
| Ukulimala kwezinso | Lokhu kubonakala lapho isimo sibi kakhulu. Izinso zingathinteka ngoba umchamo awukhishwa kahle. |
Ngokuvamile, udokotela wakho uzoqala azame ukulawula lesi simo ngemithi. Kodwa-ke, uma imithi ingasebenzi, noma uma unezinye izinkinga ezifana namatshe omchamo noma izinkinga zezinso, ukuhlinzwa kwe-TURP kungaba yisisombululo esingcono kakhulu.
Kwenzekani ngaphambi kokuhlinzwa?
Nakuba kungekho ukusikwa enkambisweni ye-TURP, kwenziwa ngaphansi kwe-anesthesia ejwayelekile noma i-anesthesia yomgogodla. Ngakho ngeke uzwe ubuhlungu. Udokotela wakho uzoxoxa nawe ngokuthi iyiphi indlela ye-anesthesia engcono kakhulu kuwe.
Ukulungiselela i-anesthesia, uzokwaziswa ukuthi uyeke ukudla nokuphuza amahora ambalwa ngaphambi kokuhlinzwa. Futhi, qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyithathayo (ikakhulukazi imithi yokunciphisa igazi) . Buza ukuthi udinga yini ukuyeka ukuthatha noma yimiphi yale mithi ngaphambi kokuhlinzwa.
Kwenzekani ngesikhathi sokuhlinzwa?
Lokhu kuhlinzwa kuvame ukwenziwa egumbini lokuhlinza esibhedlela. Ngokuvamile kuthatha imizuzu engaphansi kwama-90. Nasi isibuyekezo sesinyathelo ngesinyathelo salokho okwenzekayo ngesikhathi sokuhlinzwa:
1. Ukufaka ithuluzi: Udokotela ufaka ithuluzi elincane elifana nethubhu (i-Rectoscope) elinekhamera enamathiselwe ku-urethra yakho.
2. Hlola futhi ususe izingxenye:Ikhamera ibheka kahle indlala ye-prostate, futhi izingxenye ezikhulisiwe nezivimba i-urethra ziyasikwa bese zisuswa kusetshenziswa ugesi noma i-laser.
3. Ukugeza izingxenye ezisusiwe: Bese kuthi, kusetshenziswa ikhambi elikhethekile, izingcezu zezicubu ezisikiwe zifakwe esinyeni sakho.
4. Ukususa izingcezu: Ekugcineni, zonke izingcezu zezicubu esinyeni zikhishwa eduze kwe-urethra.
5. Ukususa idivayisi: Uma umsebenzi usuqediwe, idivayisi eyayifakwe ekuqaleni iyasuswa.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzothuthelwa endaweni yokululama. Abanye abantu bazohlala esibhedlela usuku olulodwa noma ezimbili. Abanye abantu bangase bathunyelwe ekhaya ngalolo suku.
Ngesikhathi usesibhedlela, kuzofakwa elinye ipayipi (i-catheter) ku-urethra yakho. Lokhu kwenzelwa ukuqinisekisa ukuthi umchamo uphuma ngaphandle kokuvinjelwa ngemva kokuhlinzwa. Leli payipi livame ukususwa ngaphambi kokuba uye ekhaya.
Yiziphi izinzuzo nezingozi zokuhlinzwa kwe-TURP?
Njenganoma yikuphi okunye ukuhlinzwa, lokhu kuhlinzwa kunezinzuzo zako kanye nezingozi ezithile, futhi kubalulekile ukuzazi.
| Izinzuzo | Izingozi / Imiphumela Engemihle (Izingozi / Izinkinga) |
|---|---|
| Imiphumela esheshayo: Ezinsukwini ezimbalwa zokuhlinzwa, uzoqala ukuzwa umehluko omkhulu kanye nokukhululeka ezinkingeni zakho zokuchama. | Ukungasebenzi kahle kwe-Erectile: Abanye abantu bangase babe nezinkinga zokuthola i-erection. |
| Isixazululo sezimpawu ezinzima: Lokhu kuyindlela yokwelapha ephumelela kakhulu yezimpawu ze-BPH ezinzima ezingenakukwazi ukulawulwa ngemithi. | Ukuphuma komchamo emuva: Isidoda asiphumi ngesikhathi sokufika esikhathini, kodwa kunalokho sibuyela esinyini. |
| Isixazululo kwezinye izinkinga: Lokhu kuhlinzwa kuyanconywa nasezimweni ezifana namatshe omchamo nezinkinga zezinso ezibangelwa yi-BPH. | Ukungakwazi ukuzibamba umchamo: Ukuvuza komchamo okungahlosiwe. |
| Ukutheleleka komgudu womchamo (UTIs): Kukhona ingozi yokutheleleka komgudu womchamo. | |
| I-Hematuria: Ukuba khona kwegazi emchameni. |
Kuthatha isikhathi esingakanani ukuphulukiswa?
Kungathatha amasonto amane kuya kwayisithupha ukululama ngokuphelele. Udinga ukuqaphela kakhulu phakathi nalesi sikhathi.
- Yeka ukuphakamisa izinsimbi nokwenza izivivinyo ezinzima.
- Gwema ukuya ocansini.
- Gwema ukushayela uma uphuza imithi yokubulala izinhlungu.
Uma umsebenzi wakho ungewona onzima kakhulu ngokomzimba, kufanele ukwazi ukubuyela emsebenzini cishe emavikini amabili kuya kwamathathu. Kodwa-ke, kubalulekile ukubonisana nodokotela wakho ngakho konke lokhu bese ulandela imiyalelo yakhe ngqo.
Izimo lapho udinga ukubona udokotela ngokushesha
Uma ufika ekhaya ngemva kokuhlinzwa, kunezimpawu ezithile okufanele uziqaphele. Uma ubona noma yiziphi zalezi, shayela udokotela wakho noma uye esibhedlela ngokushesha .
- Imfiva.
- Izimpawu ezintsha ezifana nokuphuma komchamo obuthakathaka kanye nokuchama njalo.
- Igazi elibomvu elimnyama noma amahlule egazi emchameni.
- Ukungakwazi nhlobo ukuchama.
I-TURP iyindlela yokwelapha ephephile kakhulu futhi ephumelelayo ye-BPH. Kodwa akuyona yodwa ikhambi. Manje kunezindlela ezintsha zokwelapha ezingahlinzwa, ezingangenisi kakhulu, futhi ezilulama ngokushesha. Ungaxoxa nodokotela wakho ukuthi yikuphi ukwelashwa okungcono kakhulu kuwe, ngokusekelwe esimweni sakho sempilo kanye nezintandokazi zakho.
Umlayezo Wokuya Nawe Ekhaya
- I-TURP iyindlela evamile futhi ephumelelayo yokuhlinzwa kwezinkinga zomchamo ezibangelwa ukwanda kwendlala ye-prostate (BPH) kwabesilisa njengoba bekhula.
- Kulokhu, akukho ukusikwa okwenziwa ngaphandle. Ukuhlinzwa kwenziwa ngokufaka ithuluzi elithambile eceleni komchamo.
- Ezinsukwini ezimbalwa ngemva kokuhlinzwa, uzoqala ukuzizwa ukhululekile kakhulu lapho uchama.
- Kuthatha cishe amasonto angu-4-6 ukuphulukiswa ngokuphelele, futhi phakathi naleso sikhathi, kufanele ugweme ukuphakamisa okunzima nomsebenzi onzima.
- Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile, ngakho qiniseka ukuthi uxoxa ngalokhu nodokotela wakho ngaphambi kokwenza inqubo.
- Uma uba nezimpawu ezifana nomkhuhlane, ukopha kakhulu, noma ukungakwazi ukuchama ngemva kokuhlinzwa, funa iseluleko sezokwelapha ngokushesha.
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