Ingabe kunzima ukuchama ngenxa yokukhula kwe-prostate? Ake sifunde ngokuhlinzwa kwe-TURP (Transurethral Resection of the Prostate - TURP)

Ingabe nawe uzizwa unesidingo sokuchama njalo? Ingabe umgudu wakho womchamo uzizwa uqinile futhi ungaphumi kahle? Noma uvuka izikhathi eziningana ebusuku ukuze uchame? Lokhu kungaba izimpawu zendlala ye-prostate ekhuphukile, evame kakhulu kwabesilisa njengoba bekhula. Ngokwezokwelapha, lokhu kubizwa ngokuthi i-BPH, okusho ukwanda kwendlala ye-prostate okungenawo umdlavuza. Ukuhlinzwa kwe-TURP kuyindlela ephumelela kakhulu yokwelapha ukungakhululeki okubangelwa yilesi simo. Nakuba igama liyinkimbinkimbi kancane, aliyesabi njengoba ucabanga. Namuhla, sizoxoxa ngalokhu ngokuningiliziwe, ngesiSinhala esilula ongasiqonda.

Kuyini ngempela ukuhlinzwa kwe-TURP?

Kalula nje, i-TURP (Transurethral Resection of the Prostate) iwukususwa ngokuhlinzwa kwengxenye ekhulisiwe yendlala yakho ye-prostate.

Cabanga ngakho, i-prostate iyi-gland engange-walnut etholakala kumadoda kuphela. Itholakala ngaphansi kwesinye, eduze kwe-urethra yakho. Ifana ne-donut enepayipi elidlula kuyo. Njengoba ukhula, le gland iqala ukuba nkulu. Njengoba ikhula, i-urethra iqala ukuvaleka. Yilapho kuvela khona izinkinga zokuchama.

Inzuzo enkulu yokuhlinzwa kwe-TURP ukuthi akudingi ukusikeka emzimbeni wakho . Udokotela ufaka ithuluzi elincane kakhulu, elifakwe ikhamera e-urethra yakho bese esebenzisa ugesi noma i-laser ukusika noma yiziphi izicubu ezisele, ezinamathele ku-prostate yakho.

Kungani ngidinga ukwenza lokhu kuhlinzwa kwe-TURP?

Lokhu kuhlinzwa kwenziwa kakhulu esimweni esibizwa ngokuthi i-BPH (Benign Prostatic Hyperplasia) . Lokhu kusho 'ukukhula kwendlala ye-prostate okungenamdlavuza'. Lokhu akuwona umdlavuza, ngakho ungesabi. Yisimo esivamile esikhula amadoda amaningi njengoba ekhula. Nazi izimpawu ezingase zivele ngenxa yalokhu.

Kwenzekani ngaphambi nangesikhathi sokuhlinzwa?

Ukulungiselela ngaphambi kokuhlinzwa

I-TURP yenziwa ngaphansi kwe-anesthesia ukuze ungezwa ubuhlungu. Lokhu kungaba i-anesthesia ejwayelekile, ekwenza ulale ngokuphelele, noma i-anesthesia yomgogodla, eqeda kuphela ingxenye engezansi yomzimba wakho. Udokotela wakho kanye nodokotela we-anesthesia bazochaza ukuthi iyiphi indlela engcono kakhulu kuwe.

Uzokwaziswa ukuthi uyeke ukudla nokuphuza amahora ambalwa ngaphambi kokuhlinzwa ukuze ulungiselele i-anesthesia. Kubalulekile ukutshela udokotela wakho ngayo yonke imithi, amavithamini, ikakhulukazi imithi yokunciphisa igazi oyithathayo. Uzokwazisa futhi uma udinga ukuyeka ukuthatha noma iyiphi yalezi ngaphambi kokuhlinzwa.

Ngesikhathi sokuhlinzwa

Lokhu kuhlinzwa kuvame ukuthatha imizuzu engaphansi kwama-90. Ngeke uzwe ubuhlungu ngoba ungaphansi kwe-anesthesia.

1. Udokotela ufaka ithuluzi elincane kakhulu elinekhamera enamathiselwe ebizwa ngokuthi 'i-Rectoscope' eduze kwe-urethra.

2. Indlala ye-prostate ihlolwa ngaleyo khamera, bese izicubu ezisele zisikwa futhi zisuswe nge-laser noma ngogesi.

3. Bese kuthi, kusetshenziswa uketshezi olukhethekile, izingcezu zezicubu ezisikiwe zifakwe esinyeni.

4. Ekugcineni, zonke lezo zingcezu zezicubu ziyakhishwa esinyeni.

5. I-rectoscope iyasuswa bese ukuhlinzwa sekuqediwe.

Kwenzekani ngemva kokuhlinzwa futhi yiziphi izinzuzo?

Ngemva kokuhlinzwa, uzoyiswa endaweni yokululama. Abanye abantu bazohlala esibhedlela usuku olulodwa noma ezimbili, kanti abanye bangaya ekhaya ngalo lolo suku. Ngesikhathi usesibhedlela, kuzofakwa ipayipi elibizwa ngokuthi i-catheter e-urethra yakho ukuze likusize ukhiphe umchamo. Le catheter ivame ukususwa ngaphambi kokuba uye ekhaya.

Lesi yisisombululo esisebenza kahle kakhulu kulabo abanezinkinga ezinkulu zomchamo ezingenakukwazi ukulawulwa ngemithi.

Izingozi kanye nesikhathi sokululama kwalokhu kuhlinzwa

Njenganoma yikuphi ukuhlinzwa, i-TURP ingaba nezingozi ezincane, kodwa lokhu akwenzeki kuwo wonke umuntu.

• Ukungasebenzi Kahle Kwesidoda: Kungase kube nezinkinga ngokuma kwesidoda.
• Ukuphuma komchamo emuva: Lokhu kwenzeka lapho isidoda singaphumi ngesikhathi socansi kodwa singene esinyeni. Lokhu akulimazi umzimba, kodwa kungenza kube nzima ngezingane ukukhulelwa.
• Ukungakwazi ukuzibamba umchamo: Ngezinye izikhathi, inani elincane lomchamo lingavuza uma ukhwehlela noma uhleka. Lokhu kuvame ukuba okwesikhashana.
• Ukutheleleka komgudu womchamo (UTIs).
• Igazi emchameni (i-Hematuria).

Xoxa ngalezi zingozi nodokotela wakho ngaphambi kokuhlinzwa bese ubuza noma yimiphi imibuzo ongase ube nayo.

Ngokuvamile kuthatha cishe amasonto amane kuya kwayisithupha ukululama ngokuphelele. Phakathi nalesi sikhathi , gwema ukuphakamisa izinsimbi, ukwenza ukuzivocavoca okunzima, noma ukwenza ucansi kuze kube yilapho udokotela wakho ekunike imvume. Uma unomsebenzi ongadingi amandla amaningi ngokomzimba, ungase ukwazi ukubuyela emsebenzini emavikini amabili kuya kwamathathu. Kodwa-ke, kufanele uxhumane nodokotela wakho ngalokhu futhi.

Isikhathi sokubona udokotela ngokushesha

• Imfiva.
• Izinkinga ezintsha zomchamo njengokungakwazi ukuzibamba komchamo kanye nokuchama njalo.
• Umchamo obomvu ngokumnyama noma onamahlule egazi.
• Ukungakwazi nhlobo ukuchama.

Ekuphetheni, i-TURP iyindlela yokwelapha ephumelela kakhulu futhi ephephile ye-BPH. Kodwa akuyona yodwa ikhambi. Manje sekukhona izindlela zokwelapha ezintsha, ezingahlinzwa, futhi ezingangenisi kakhulu lesi simo. Udokotela wakho angase aqale akunike imithi. Uma le mithi ingasebenzi, ungathunyelwa enkambisweni yokuhlinzwa efana ne-TURP. Kufanele unqume indlela yokwelapha engcono kakhulu kuwe, ngokusekelwe emlandweni wakho wezempilo kanye nezintandokazi zakho, kanye nodokotela wakho.