Transurethral resection a prostate: makhalidwe a

Transurethral resection ya prostate, kapena TURP kwa Mwachidule, mmodzi wa yabwino kwambiri ndi kwambiri njira imodzi wotchuka kwambiri kukhazikitsa kwa Prostate chithandizo. Izo ntchito pa nthawi imene matenda sikutanthauza opaleshoni alowererepo zikuluzikulu lonse. Lusoli kugwiritsidwa ntchito pamene munthu ali contraindications aliyense opaleshoni.

Ndi m'mavuto oterewa ndondomeko kuchotsa zophuka khansa akhoza kukhala yabwino mankhwala yake yogwira mtima. Tikumbukenso kuti TURP limodzi ndi kuwonongedwa kwa minofu zosafunika, koma zimatenga ikuchitika okha monga gawo la mankhwala.

Mfundo yaikulu ya resection a Prostate adenoma

Transurethral resection a prostate ndi zimakhudza awo chikhalidwe amanena za mitundu ya njira asang'ambe endoscopic. Lingaliro ndi tanthauzo la njirayi ndi kuchotsa kotheratu mtima wabwino hyperplasia ya prostate, popanda kupangitsa mabala kwina.

Kuchititsa ndondomeko amenewa chifukwa chakuti analenga chipangizo wapadera wotchedwa resectoscope. Ndi wa jekeseni mwachindunji mu mkodzo wamwamuna. Mothandizidwa ndi dokotala izi mankhwala kulamulira njira zonse zowoneka ndi mawu apadera zingwe zopota, magawo mabala zotupa mu parenchyma lapansi.

Zikusonyezanso kuti transurethral resection a prostate - ndi imodzi mwa zodzikongoletsera ndi bwino popanga munthu opaleshoni mu nzeru munda wa njira. Pachifukwa ichi, ndi bwino za phukusi kudzadalira makamaka zinachitikira ndi zoyenera kwa dokotala.

Features njira

Pakali pano, pali mfundo zingapo zofunika omwe mwina amadalira bwino mankhwala ndi nthawi yake.

Kodi transurethral resection wa Prostate adenoma? zotsatira amadalira kwathunthu mfundo zotsatirazi:

• zochita molondola ndi ntchito opaleshoni. Wodwala pa zimatenga yekha pa nsana, komanso miyendo yake sanauke. The mkodzo (njira kwa linanena bungwe mkodzo) umayamba awiri ang'ono (7.6 mm) chida. Kuntchito, Analenga ena kugwedera. dokotala ayenera kupanga ndondomeko nthawi yaifupi ngati nkotheka. Nthawi zambiri, chimodzi ngati gawo mu ola n'komwe.
• Aone. Tikuyankhula zokhudza zabwino motani aone mu mkodzo ndi. Pofuna kulongosola mlingo wake, mu mkodzo zida resectoscope umayamba pang'onopang'ono. Kumapeto pali amphamvu kuwala gwero ndi yaing'ono kukula payipi. Ndi inatenga osaleka kudyetsa suctioning madzi owonjezera. Chifukwa cha kamangidwe kake resectoscope amapanga malo ntchito woyera, choncho fano khalidwe nthawi zambiri zopezera. Malinga kuchipatala adzatha kuwayang'anira mmene akuchitira ndi kulamulira ndondomeko.

Ndondomeko ya kuchotsa minofu popangidwa ndi zosavuta kufotokoza za ntchito ya wamba yomanga excavator.

Kudzera wapadera kumadalira ntchito mankhwala pang'onopang'ono, wosanjikiza ndi wosanjikiza, kudula kumayamba onse zosafunika kwa nthawi mpakana pali kukhudzana zithunzi ndi zachibadwa, Prostatic parenchyma. Choncho, pang'onopang'ono kuchotsa minofu matenda, dokotala limabwezeretsa danga zofunika mocheottoka. Komanso, njirayi ikuchitika ndi munthu woyenera, adzapulumutsa munthu wamba, milingo chilengedwe cha potency.

Zosiyanasiyana TURP ndondomeko

Transurethral resection a prostate ali mitundu angapo:

• Zoyerekeza-TURP. njirayi wofanana ndi liquidation tsankho. Pamene zoyerekeza-TURP yekha amachotsa 15-20% ya onse nyumba kusinthidwa ndi zoipa. Mtundu uwu wa mankhwala amatanthauza symptomatic. M'mawu ena, njirayi akhoza kuchepetsa yekha gawo la zizindikiro ambiri. Kwa iwo akhoza zimachitika mavuto ndi umuna wa mkodzo.
• Tsankho TURP. mtundu uwu wochita amapereka kuchotsa wamkulu. Pali Kadulidwa kuti 80 peresenti ya gawo lapansi ndi.
• Complete transurethral resection wa Prostate adenoma. Apa amachotsedwa 100% ya England akhudzidwa. Njira imeneyi ntchito chokwanira.

Ubwino wa njira

Pano pali ubwino waukulu:

• sitili mbali iliyonse zowoneka noticeable wa khungu;
• lalifupi nthawi ya opaleshoni;
• mkulu mlingo wa portability ndi wodwalayo;
• anasiya kapena kochepa zochita mbali ndi zotsatira;
• ang'ono nthawi konzanso.

umboni

TUR (transurethral resection a prostate) ikuchitika mu zizindikiro zotsatirazi:

• The wachinyamata wa wodwalayo. Ndi za pa msinkhu womwe m'pofunika osati kuchita ndondomeko, komanso kusunga potency zachilengedwe ndi chilakolako.
• Pamaso pa aliyense wa ntchito ya pa prostate.
• Kuchuluka chitsulo buku (pafupifupi 80 masentimita kiyubiki). Ngati kukula kwa prostate osachepera pang'ono kuposa mlingo, zofunika achire zotsatira za ndondomeko sizingatheke.
• matenda aliwonse concomitant, makamaka ngati ali wolemera. Zikuphatikizapo impso, mtima ndi chiwindi matenda kapena njira matenda m'thupi.
• Kuphatikiza prostatitis ndi adenoma.

Zikusonyezanso: yemweyo ikuchitika ndi ndondomeko kuchotsa khansayo prostate. Kusiyana komwe kulipo ndi kuti pano kuchotsedwa chotupa chotupa.

contraindications

Transurethral resection a prostate ochititsa kuti ali ndi contraindications zotsatirazi:

• pachimake kudwala;
• kuyan'anila zokhudza clotting magazi;
• mwakayakaya pa nthawi ya ndondomeko.

Man isanayambe kapena itatha ntchito ndikoletsedwa kuvomereza anthu mankhwala, amene tiyi kapena khofi.

Zikusonyezanso kuti chifukwa chakuti pa ntchito ya palibe kuwonongeka minofu, iye kochepa zosokonezeka. Choncho, nthawi pambuyo kugwira ntchito ndi lalifupi. Tsiku lotsatira wodwala kudzuka ndi kusuntha paokha.

Zovuta pambuyo transurethral resection wa Prostate adenoma

Pambuyo ndondomeko, zosokonezeka ngati Tingaone:

• Kuledzera madzi lonse thupi. Vuto limeneli limapezeka ngati pali wambirimbiri madzimadzi ulimi, umene ntchito ulimi wothirira. Childs ngati mlandu kumachitika kufooka ambiri. Nthawi zina, munthu pang'ono, koma kwambiri amachepetsa kutentha thupi. Wodwalayo angafune kugona.
• Pang'ono magazi. Iwo angayambe pambuyo opareshoni uli wangwiro ndi pokha pokha pamene ndondomeko chinachake wosweka. Kuyambira vuto ili kuwataya kudzera mpumulo. Izi zachitika pogwiritsa ntchito njira zosiyanasiyana chovomerezeka kusiya magazi. Angagwiritsidwenso ntchito diathermocoagulation ndondomeko endoscopic.

Zovuta n'zochepa, makamaka iwo amadalira pa zinthu zokhazo zomwe mlingo wa Luso la dokotala wa.

Reviews

Transurethral resection a prostate ali ndemanga makamaka positive. Ichi ndi chifukwa chakuti pafupifupi palibe mavuto, ndi bwino analekerera mu opareshoni iyi. Pamafunika nthawi pang'ono, pafupifupi sabweretsa chisoni.

nthawi konzanso

Pambuyo pa opaleshoni, wodwala ayenera kumwa, koma osati lalikulu zedi kwambiri. Ndi madzulo a tsiku lotsatira pambuyo ndondomeko, akhoza mosadalira kudzuka ndi kuyamba kuyenda. Pankhaniyi, ululu kapena kusamva, iye salinso kumva. Komabe, ngati iwo alipobe, inu mukhoza kutenga mankhwala othetsa ululu, cha gulu la analgesics sanali chomwa mankhwalawa kapena chomwa mankhwalawa.

The catheter ku mkodzo sadzakhala kutuluka kwa masiku angapo. Izi ndi zofunika kuti kuwonongeka kwa minofu wathanzi anatha achire ndi kuchiritsa. M'pofunikanso pofuna kupewa stagnation wa mkodzo. Usachite mantha kuti choyamba kudzera catheter ndi adzachoka mkodzo wothira magazi. Poyamba, ndi ponseponse. Patapita masiku atatu kapena anayi pambuyo ndondomeko, ndi catheter akhoza kuchotsedwa.

Kusangalala ndi konzanso kunyumba

Pankhani njira kuchira mu nyumba, pali kufunika kumbukirani mfundo zina zofunika. Izi zidzathandiza osati kupewa mavuto zotheka, komanso kwambiri kufulumizitsa ndondomeko kuchira.

Muyenera kumwa ngati kuli kotheka. Izi ndi zofunika kuti mwamsanga kusambitsa mkodzo. Zithandizanso kusintha masoka njira ya pokodza. Kumwa bwino masana kapena m'mawa, n'kofunika kupewa kuwonjezeka wambiri madzimadzi usiku.

Komanso ndikofunikira wokonzeka kuthana mowa ndi khofi mu mawonekedwe ake onse. chakuti awa ndi madzi ofanana dilates Mitsempha, potero ochititsa munthu magazi.

M'pofunikanso kupewa mavuto ambiri ndi matumbo kuyenda. M'mawu ena, ngati munthu ali ndi kudzimbidwa, ndi kuvomerezedwa kutenga mankhwala ofewetsa tuvi.

Kodi muyenera kuchita mankhwala kunyumba?

Nkofunika kuthetsa katundu mpaka ayambe wathunthu. Ndi bwino kuchita Kegel kokoka, koma ngati inu mungachite izo adzalola dokotala. Zochita izi ndi zofunika kuti kulimbikitsa kuti azitha ali ndi udindo ndondomeko pokodza.

Ngakhale palibe matenda, inu muyenera kutsatira malamulo ndi malangizo kwa mankhwala mankhwala.

Mfundo yofunika kwambiri: kuti ntchito yokonzanso za zomera matumbo akudutsa mwamsanga, muyenera mankhwala zina, amene wapangidwa ndi mabakiteriya opindulitsa.

Zotsatira za transurethral resection a prostate

TURP ndondomeko si zoopsa zotsatira zake, ndi amuna ayenera osati kuti thanzi lawo ndi matenda, koma kuti kuchepetsa chiopsezo yochepa ndi potency zachilengedwe ndi mlingo wa chilakolako chogonana.

Ngati inu kutsatira malangizo onse a dokotala kupezeka ndi dokotala amene anachita ndondomeko, opaleshoni nthawi konzanso ndidzadutsa popanda vuto kapena mavuto. Pambuyo pake, anthu adzakhala okhoza kubwerera ku ntchito zawo za tsiku ndi tsiku ndi moyo wabwinobwino. Pankhaniyi ntchito pakokha mu muyezo tanthauzo ntchito. Ndi wodabwitsa ndondomeko - transurethral resection wa Prostate adenoma. Mlendo zikutsimikiziridwa kwathunthu.