Simpleananan prostatectomy

Saukewar prostate mai sauki shine hanya don cire cikin sashin glanden prostate don magance kara girman prostate. Ana yin sa ta hanyar yankewar tiyata a cikin cikin ka na ciki.

Za a ba ku maganin rigakafi na gaba ɗaya (barci, ba tare da ciwo ba) ko maganin saɓo na kashin baya (kwantar da hankali, a farke, ba tare da ciwo ba). Hanyar tana ɗaukar awanni 2 zuwa 4.

Likitan likitan ku zai yi muku tiyata a cikin cikin ku. Yankan zai tafi daga ƙasan maɓallin ciki zuwa sama da ƙashin ƙugu ko kuma za a yi shi a kwance a saman ƙashin tsufan. An bude mafitsara kuma an cire glandon prostate ta wannan yankan.

Likita yana cire kawai ɓangaren cikin glandan prostate. An bar sashin waje a baya. Tsarin yana kama da diban ciki cikin lemu mai barin kwasfa ba cikakke. Bayan cire wani sashin prostate din, likitan zai rufe bakin kwanar na prostate din da dinki. Za'a iya barin magudanar ruwa a cikin cikinka don taimakawa cire ƙarin ruwa bayan tiyata. Hakanan za'a iya barin catheter a cikin mafitsara. Wannan bututun yana iya kasancewa a cikin fitsarin ko a cikin ƙananan ciki ko kuma kuna da duka biyun. Waɗannan catheters suna ba da mafitsara ta huta kuma ta warke.

Anara girman prostate na iya haifar da matsala game da yin fitsari. Wannan na iya haifar da cututtukan fitsari. Fitar da wani ɓangare na glandon prostate na iya sau da yawa waɗannan alamun bayyanar da kyau. Kafin ayi maka aikin tiyata, mai kula da lafiyar ka na iya gaya maka wasu canje-canje da zaka iya yi game da yadda zaka ci ko sha. Hakanan za'a iya tambayarka don gwada shan magani.

Za a iya cire ƙwayar ƙwayar cuta ta hanyoyi daban-daban. Irin aikin da zaku yi ya ta'allaka ne da girman prostate da kuma abin da ya sa prostate ɗin ku ta girma. Bude prostatectomy mai sauki ana amfani dashi sau da yawa lokacin da prostate yayi girma don rashin aikin tiyata. Koyaya, wannan hanyar ba ta magance cututtukan prostate. Ana iya buƙatar prostatectomy mai tsattsauran ra'ayi don ciwon daji.

Za a iya ba da shawarar cirewar ƙwayar mace idan kuna da:

• Matsalolin wofintar da mafitsara (fitsarin riƙewa)
• Yawan cututtukan fitsari
• Yawan zubar jini daga prostate
• Duwatsu masu mafitsara tare da faɗaɗa prostate
• Saurin fitsari sosai
• Lalacewa ga koda

Hakanan za'a iya cire ƙwayar cutar ku idan shan magani da canza abincin ku ba zai taimaka wa alamun ku ba.

Hadarin ga kowane tiyata shine:

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

Sauran haɗarin sune:

• Lalacewa ga gabobin ciki
• Matsalar haɓaka (rashin ƙarfi)
• Rashin karfin maniyyi ya fita daga jiki wanda ke haifar da rashin haihuwa
• Maniyyin wucewa ya dawo cikin mafitsara maimakon fita ta mafitsara (retrograde ejaculation)
• Matsaloli game da sarrafa fitsari (rashin kamewa)
• Ightarfafa fitowar fitsarin daga jikin tabo (tsananin fitsari)

Za ku sami ziyara da yawa tare da likitanku da gwaje-gwaje kafin aikinku:

• Kammala gwajin jiki
• Ziyara tare da likitanka don tabbatar da matsalolin lafiya (kamar ciwon sukari, hawan jini, da cututtukan zuciya ko na huhu) ana kula da su da kyau
• Testingarin gwaji don tabbatar da aikin mafitsara

Idan kai mashaya sigari ne, ya kamata ka tsaida makonni da yawa kafin aikin tiyatar. 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:

• Kuna iya dakatar da shan aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), bitamin E, clopidogrel (Plavix), warfarin (Coumadin), da duk wasu magunguna kamar waɗannan.
• Tambayi likitanku waɗanne magunguna ne yakamata ku sha a ranar tiyata.
• Kuna iya shan kayan maye na musamman ranar da za ayi muku tiyata. Wannan zai tsabtace abubuwan da ke cikin hanjinku.

A ranar tiyata:

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

Za ku zauna a asibiti na kimanin kwanaki 2 zuwa 4.

• Kuna buƙatar zama a kan gado har gobe da safe.
• Bayan an ba ka izinin tashi za a umarce ka da ka zaga yadda ya kamata.
• M nas zai taimake ka ka canza matsayi a gado.
• Hakanan zaku koya motsa jiki don kiyaye jini yana gudana, da tari / zurfin hanyoyin numfashi.
• Ya kamata ku yi waɗannan motsa jiki kowane 3 zuwa 4 hours.
• Wataƙila kuna buƙatar saka safa na matsewa na musamman kuyi amfani da na'urar numfashi don kiyaye huhunku.

Za ku bar tiyata tare da bututun Foley a cikin mafitsara. Wasu maza suna da babban kitsen bututu a bangon cikinsu don taimakawa magudanar mafitsara.

Maza da yawa suna murmurewa cikin kimanin makonni 6. Zaku iya tsammanin samun damar yin fitsari kamar yadda kuka saba ba tare da zubar fitsari ba.

Prostatectomy - mai sauki; Suprapubic prostatectomy; Retropubic sauki prostatectomy; Bude prostatectomy; Tsarin Millen

• Prostara girman prostate - abin da za a tambayi likitanka
• Ragewar juzu'i na prostate - fitarwa

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.

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.

Zhao PT, Richstone L. Robotic-taimaka da laparoscopic sauki prostatectomy. A cikin: Bishoff JT, Kavoussi LR, eds. Atlas na Laparoscopic da Robotic Urologic Surgery. 3rd ed. Philadelphia, PA: Elsevier; 2017: babi na 32.