Rushewar juzu'i na prostate

Ragewar juji na prostate (TURP) shine tiyata don cire ɓangaren cikin glandan prostate. Ana yin shi don magance alamun bayyanar prostate.

Yin aikin yana ɗaukar awa 1 zuwa 2.

Za a ba ku magani kafin aikin tiyata don kada ku ji zafi. Kuna iya samun maganin rigakafi na gaba ɗaya wanda kuke bacci da rashin ciwo ko maganin sauro wanda kuke farkawa, amma kubuce daga kugu da ƙasa.

Likitan likitan zai shigar da wata hanya ta bututun da ke dauke da fitsari daga mafitsara daga azzakari. Ana kiran wannan kayan aikin resectoscope. An sanya kayan aikin yankan musamman ta wurin faɗin. Ana amfani dashi don cire ɓangaren ɓangaren glandan ku ta amfani da wutar lantarki.

Mai ba ku kiwon lafiya na iya bayar da shawarar wannan tiyatar idan kuna da cutar rashin karfin jini (BPH). Glandar prostate tana yawan girma yayin da maza ke tsufa. Mafi girman prostate na iya haifar da matsala game da yin fitsari. Cire wani sashi na glandon prostate na iya sau da yawa waɗannan alamun bayyanar da kyau.

TURP na iya bada shawarar idan kana da:

• Matsalar wofintar da mafitsara
• Yawan cututtukan fitsari
• Zuban jini daga prostate
• Duwatsu masu mafitsara tare da faɗaɗa prostate
• Musamman jinkirin fitsari
• Lalacewa ga koda saboda rashin iya yin fitsari
• Yawan tashi da daddare don yin fitsari
• Batutuwan da suka shafi kula da mafitsara saboda yawan prostate

Kafin kayi tiyata, mai ba ka sabis zai ba da shawarar ka yi canje-canje a yadda za ka ci ko sha. Hakanan za'a iya tambayarka don gwada shan magani. Wani ɓangare na prostate ɗinka na iya buƙatar cirewa idan waɗannan matakan basu taimaka ba. TURP shine ɗayan sanannun nau'ikan tiyata. Sauran hanyoyin kuma ana samunsu.

Mai ba da sabis ɗinku zai yi la'akari da waɗannan abubuwa yayin yanke shawara kan nau'in tiyata:

• Girman glandan jikin ku
• Lafiyar ku
• Wani irin tiyata kuke so
• Tsananin rashin lafiyar ku

Hadarin ga kowane tiyata shine:

• Jinin jini a kafafu wanda na iya tafiya zuwa huhu
• Matsalar numfashi
• Kamuwa da cuta, gami da ciwon tiyata, huhu (ciwon huhu), ko mafitsara ko koda
• Rashin jini
• Ciwon zuciya ko bugun jini yayin aikin tiyata
• Amsawa ga magunguna

Risksarin haɗari sune:

• Matsaloli game da fitsari
• Rashin haihuwa na haihuwa
• Matsalar tashin hankali
• Shigar da maniyyin cikin mafitsara maimakon fita ta cikin mafitsara (retrograde ejaculation)
• Matsanancin fitsari (matse jijiyar fitsari daga jikin tabo)
• Raunin ƙwayar cuta na Transurethral (TUR) (haɓakar ruwa yayin tiyata)
• Lalacewa ga gabobin ciki da sifofi

Za ku sami ziyarar sau da yawa tare da mai ba ku da gwaje-gwaje kafin aikin tiyatar ku. Ziyarku zai hada da:

• Kammala gwajin jiki
• Kulawa da shawo kan cutar sikari, hawan jini, matsalolin zuciya ko na huhu, da sauran yanayi

Idan kai mashaya sigari ne, ya kamata ka tsaida makonni da yawa kafin aikin tiyatar. Mai ba ku sabis na iya ba ku shawarwari kan yadda ake yin hakan.

Koyaushe gaya wa mai ba ku irin kwayoyi, bitamin, da sauran abubuwan haɗin da kuke sha, har ma waɗanda kuka saya ba tare da takardar sayan magani ba.

A lokacin makonnin kafin aikin tiyata:

• Ana iya tambayarka ka daina shan magungunan da zasu iya rage maka jini, kamar su aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), Vitamin E, clopidogrel (Plavix), warfarin (Coumadin), apixaban (Eliquis), da sauransu.
• Tambayi mai ba ku magani wadanne kwayoyi ne ya kamata ku sha a ranar tiyata.

A ranar tiyata:

• KADA KA ci ko sha wani abu bayan tsakar dare daren aikin da kake yi.
• Theauki magungunan da aka ce maka ka sha tare da ɗan shan ruwa kaɗan.
• Za a gaya muku lokacin da za ku isa asibiti.

Sau da yawa zaka zama a asibiti na kwana 1 zuwa 3. A wasu lokuta, za a iya ba ka izinin komawa gida rana guda.

Bayan tiyata, za a sami karamin bututu, wanda ake kira Foley catheter, a cikin mafitsara don cire fitsari. Bila za a iya fitar da mafitsara da ruwa (a sha ruwa) don kiyaye shi daga daskarewa. Fitsarin zai yi jini da farko. A mafi yawan lokuta, jinin yakan tafi ne cikin fewan kwanaki. Jini kuma na iya diga a kusa da catheter. Ana iya amfani da mafita ta musamman don fitar da catheter din a hana shi toshewa da jini. Za a cire catheter a tsakanin kwana 1 zuwa 3 ga yawancin mutane.

Za ku iya komawa ga cin abincin yau da kullun nan da nan.

Careungiyar ku na kiwon lafiya za:

• Taimaka maka canza matsayi a gado.
• Koya muku motsa jiki don kiyaye jini yana gudana.
• Koyar da ku yadda ake yin tari da dabarun numfashi. Ya kamata kuyi waɗannan kowane 3 zuwa 4 hours.
• Faɗa maka yadda zaka kula da kanka bayan aikinka.

Wataƙila kuna buƙatar sa matsattsun safa da amfani da na'urar numfashi don kiyaye huhunku.

Za a iya ba ka magani don magance cututtukan fata na mafitsara.

TURP na sauƙaƙe alamun bayyanar ƙara girman prostate a mafi yawan lokuta. Wataƙila kuna da kuna da fitsari, jini a cikin fitsarinku, yawan yin fitsari, kuma kuna buƙatar yin fitsari cikin gaggawa. Wannan yakan warware bayan ɗan lokaci kaɗan.

TURP; Rushewar ƙwayar ƙwayar cuta - transurethral

• Tsaron gidan wanka don manya
• Prostara girman prostate - abin da za a tambayi likitanka
• Cika kulawar catheter
• Ayyukan Kegel - kula da kai
• Hana faduwa
• Kula da rauni na tiyata - a buɗe
• Ragewar juzu'i na prostate - fitarwa

• Jikin haihuwa na namiji
• Prostate gland
• Prostatectomy - Jerin
• Tsarin transurethral na prostate (TURP) - Jerin

Tallafa HE, Dahm P, Kohler TS, et al. Gudanar da tiyata na ƙananan cututtukan urinary wanda aka danganta da hyperplasia mai saurin rauni: Kwaskwarimar Jagorar AUA 2019. J Urol. 2019; 202 (3): 592-598. PMID: 31059668 www.ncbi.nlm.nih.gov/pubmed/31059668.

Han M, Partin AW. Ananan prostatectomy: buɗewa da robot-taimaka hanyoyin laparoscopic. A cikin: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: babi 106.

Milam DF. Rushewar transurethral da raunin transurethral na prostate. A cikin: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, eds. Atlas na Yin aikin Urologic na Hinman. 4th ed. Philadelphia, PA: Elsevier; 2018: babi na 67.

Roehrborn CG. Ignananan hyperplasia na prostatic: ilimin ilimin halittu, ilimin ilimin lissafi, ilimin annoba, da tarihin halitta. A cikin: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: babi na 103.