Tsarin prostatectomy mai tsattsauran ra'ayi

Icalwararren ƙwayar ƙwayar ƙwayar cuta (cirewar prostate) shine tiyata don cire duk glandon prostate da wasu ƙwayoyin da ke kewaye da shi. Ana yinta ne don magance cutar sankarar mafitsara.

Akwai manyan nau'ikan nau'ikan 4 ko dabaru na tiyatar mahaifa. Waɗannan hanyoyin suna ɗaukan awanni 2 zuwa 4:

• Rarrabawa - Likitan likitan ku zai fara yankewa kasan makullin cikin ku wanda yakai ga kashin kumatun ku. Wannan aikin yana ɗaukar minti 90 zuwa awanni 4.
• Laparoscopic - Likita yana yin kananan yanka da yawa maimakon yanke babba. Dogaye, siraran kayan aiki an sanya su cikin cuts. Likitan ya sanya wani bututu na bakin ciki tare da kyamarar bidiyo (laparoscope) a cikin ɗayan yankan. Wannan yana bawa likita damar ganin cikin cikin yayin aikin.
• Yin aikin tiyata - Wani lokaci, ana yin aikin tiyata ta laparoscopic ta amfani da tsarin mutum-mutumi. Dikitan ya motsa kayan aikin da kyamarar ta amfani da hannayen mutum-mutumi yayin da yake zaune a kan na'urar sarrafa wuta kusa da teburin aiki. Ba kowane asibiti ne ke ba da aikin tiyata ba.
• Perineal - Likitan likitan ku ya yanke fata a tsakanin duburar ku da kuma gwaiwar mahaifa (the perineum). Yankan ya fi ƙanƙanta da dabarun sake dawowa. Irin wannan tiyatar yakan dauki lokaci kadan kuma yana haifar da asarar jini. Koyaya, yana da wahala ga likitan ya rage jijiyoyin da ke kusa da prostate ko kuma cire ƙwayoyin lymph da ke kusa da wannan dabarar.

Don waɗannan hanyoyin, zaku iya samun maganin sa rigakafin cutar gaba ɗaya don kuyi bacci kuma ba tare da jin zafi ba. Ko kuma, za ku sami magani don taƙaita ƙananan rabin jikin ku (maganin baya baya ko maganin ɓarin ciki).

• Dikita ya cire glandon prostate daga kayan da ke kewaye. Hakanan an cire kayan kwayayen maniyyi, kananan jaka biyu cike da ruwa kusa da prostate din ku.
• Dikita zai kula don haifar da ƙananan lalacewa kamar yadda zai yiwu ga jijiyoyi da hanyoyin jini.
• Likitan ya sake maida fitsarin zuwa wani bangare na mafitsara wanda ake kira wuyan mafitsara. Urethra bututu ne wanda ke fitar da fitsari daga mafitsara ta cikin azzakari.
• Likitan likitan ku na iya cire ƙwayoyin lymph a ƙashin ƙugu don bincika su don cutar kansa.
• Za a iya barin magudanar ruwa, da ake kira magudanar Jackson-Pratt, a cikin cikinka domin fitar da karin ruwa bayan tiyata.
• An bar bututu (catheter) a cikin mafitsara da mafitsara don zubar da fitsari. Wannan zai zauna a wurin na fewan kwanaki zuwa fewan makonni.

Mafi yawan lokuta ana yin prostatectomy mai tsattsauran ra'ayi lokacin da ciwon daji bai yada ba bayan glandon prostate. Wannan ana kiransa da sankarar sankara ta cikin gida.

Likitanku na iya bayar da shawarar a ba ku magani guda saboda abin da aka sani game da nau'in cutar kansa da abubuwan haɗarinku. Ko kuma, likitanku na iya magana da ku game da sauran maganin da zai iya zama alheri ga kansar ku. Ana iya amfani da waɗannan magungunan maimakon aikin tiyata ko kuma bayan an yi tiyata.

Abubuwan da za a yi la’akari da su yayin zaɓar nau'in tiyata sun haɗa da shekarunka da sauran matsalolin kiwon lafiya. Wannan aikin ana yin shi akan maza masu lafiya waɗanda ake tsammanin zasu rayu tsawon shekaru 10 ko sama da haka bayan aikin.

Hadarin wannan hanyar sune:

• Matsalolin sarrafa fitsari (matsalar fitsari)
• Matsalar haɓaka (rashin ƙarfi)
• Rauni ga dubura
• Matsanancin fitsari (matsewar buɗewar fitsari saboda tabon nama)

Wataƙila ku sami ziyarar sau da yawa tare da mai ba ku kiwon lafiya. Za ku sami cikakken gwajin jiki kuma wataƙila ku sami wasu gwaje-gwaje. Mai ba ku sabis zai tabbatar da cewa ana shawo kan matsalolin lafiya kamar su ciwon sukari, hawan jini, da matsalolin zuciya da na huhu.

Idan ka sha taba, ya kamata ka tsaida makonni da yawa kafin aikin. Mai ba da sabis naka na iya taimakawa.

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 aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), bitamin E, clopidogrel (Plavix), warfarin (Coumadin), da duk wani mai rage jini ko magunguna wanda ke wahalar da jininka don daskarewa.
• Tambayi wane kwayoyi ne yakamata ku sha a ranar tiyata.
• A ranar da za ayi maka aikin tiyata, a sha ruwan sha kawai.
• Wasu lokuta, mai ba da sabis na iya tambayar ku da ku yi amfani da laxative na musamman a ranar da za a fara tiyata. Wannan zai tsabtace abinda ke ciki daga cikin mahaifar ku.

A ranar tiyata:

• Kada ku ci ko sha komai bayan tsakar dare daren aikinku.
• Theauki magungunan da aka ce ka sha tare da ɗan shan ruwa kaɗan.
• Za a gaya muku lokacin da za ku isa asibiti. Tabbatar kun isa akan lokaci.

Shirya gidanku lokacin da kuka dawo gida bayan tiyatar.

Yawancin mutane suna kwana a asibiti na kwana 1 zuwa 4. Bayan laparoscopic ko robotic tiyata, zaku iya komawa gida washegari bayan aikin.

Kila iya buƙatar kasancewa a kan gado har zuwa safe bayan aikin tiyata. Za a ƙarfafa ku don motsawa kamar yadda ya yiwu bayan wannan.

M nas za ta taimake ka ka canza matsayi a kan gado kuma ta nuna maka motsa jiki don ci gaba da jini. Hakanan zaku koya tari ko kuma zurfin numfashi don hana cutar huhu. Ya kamata kuyi waɗannan matakan kowane 1 zuwa 2 hours. Kila iya buƙatar amfani da na'urar numfashi don kiyaye huhunka.

Bayan aikin tiyata, zaku iya:

• Sanya safa ta musamman a ƙafafunku don hana daskarewar jini.
• Karɓi maganin ciwo a cikin jijiyoyinku ko shan ƙwayoyin ciwo.
• Ka ji spasms a cikin mafitsara.
• Ka kasance da Foley catheter a cikin mafitsara idan ka dawo gida.

Yin aikin ya kamata ya cire duka ƙwayoyin cutar kansa. Koyaya, za a sa ido a hankali don tabbatar da cewa cutar sankara ba ta dawo ba. Yakamata a yi bincike akai-akai, gami da gwajin jini na musamman na antigen (PSA).

Dogaro da sakamakon cututtukan cututtuka da sakamakon gwajin PSA bayan cirewar prostate, mai ba da sabis ɗinku na iya tattauna batun maganin radiation ko kuma maganin hormone tare da ku.

Prostatectomy - m; Icalwararren ƙwayar prostatectomy mai tsattsauran ra'ayi; Icalwararren kwayar cutar prostatectomy; Laparoscopic m prostatectomy; LRP; Taimakon kwakwalwa ta hanyar laparoscopic prostatectomy; GASKIYA; Ciwon kwayar halittar; Prostate cancer - prostatectomy; Gusar da Prostate - m

• Tsaron gidan wanka don manya
• Cika kulawar catheter
• Ayyukan Kegel - kula da kai
• Prostate brachytherapy - fitarwa
• M prostatectomy - fitarwa
• Suprapubic catheter kulawa
• Kula da rauni na tiyata - a buɗe
• Kayan fitsarin fitsari - kulawa da kai
• Jakar magudanun ruwa
• Lokacin da kake cikin jiri da amai
• Lokacin yin fitsarin

Bill-Axelson A, Holmberg L, Garmo H, et al. Tsarin prostatectomy mai tsattsauran ra'ayi ko jiran aiki a farkon sankara ta prostate. N Engl J Med. 2014; 370 (10): 932-942. PMID: 24597866 www.ncbi.nlm.nih.gov/pubmed/24597866.

Ellison JS, Shi C, Itace DP. Farkon aikin bayan gida da aikin jima'i yayi tsinkayen murmurewar aikin shekara 1 bayan prostatectomy. J Urol. 2013; 190 (4): 1233-1238. PMID: 23608677 www.ncbi.nlm.nih.gov/pubmed/23608677.

Yanar gizo Cibiyar Cancer ta Kasa. Maganin ciwon daji na ƙwayar cuta (PDQ) - fasalin ƙwararrun masu kiwon lafiya. www.cancer.gov/types/prostate/hp/prostate-treatment-pdq. An sabunta Janairu 29, 2020. An shiga 20 ga Fabrairu, 2020.

Resnick MJ, Koyama T, Fan KH, et al. Sakamakon aiki na dogon lokaci bayan magani don ƙananan cututtukan prostate. N Engl J Med. 2013; 368 (5): 436-445. PMID: 23363497 www.ncbi.nlm.nih.gov/pubmed/23363497.

Schaeffer EM, Partin AW, Lepor H. Bude prostatectomy mai tsattsauran ra'ayi. A cikin: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: babi na 114.

Su LM, Gilbert SM, Smith JA. Laparoscopic da robotic-taimaka laparoscopic radical prostatectomy da pelvic lymphadenectomy. A cikin: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh ilimin Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: babi na 115.