Resection Transurethral we wendlala: izici

resection Transurethral we wendlala yabesilisa, noma TURP elifushane, ingenye ngempumelelo kakhulu futhi kude enye yezindlela ethandwa kakhulu ukuze usethe i-ukwelashwa wendlala. Isetshenziselwa ezimweni lapho isifo akudingi kuhlinzwa kokungenela sonkana. Kungase futhi zisetshenziswe uma umuntu unazo contraindications ukuhlinzwa.

Kungenxa ezifana inqubo izimo ukususa umdlavuza neziqu kungaba nguye kangcono ukwelashwa esifike ngesikhathi ngempumelelo. Kufanele kuqashelwe ukuthi TURP kuhambisana nokuqedwa izicubu ezingadingekile, kodwa inqubo yenziwa kuphela njengengxenye yokwelapha.

Ingqikithi yalo resection ka wendlala adenoma

resection Transurethral we wendlala ngokwemvelo yabo umthelela libhekisela izinhlobo izinqubo kancane koda endoscopic. Umqondo kanye nencazelo yalesi kunemidanti ukususa ngokuphelele Hyperplasia ingozi ye wendlala yabesilisa, ngaphandle okwenza kube usikekile zangaphandle.

Ukuze aqhube inqubo enjalo kungaba ngenxa yokuthi wadala kudivayisi elikhethekile okuthiwa i resectoscope. It is injected ngqo urethra besilisa. Ngosizo kulo dokotela izidakamizwa, ukulawula zonke izinqubo zibukeke ngokuya ezikhethekile izihibe, ukusikeka egqinsiwe izimila esisesigabeni parenchyma.

Iphuzu elibalulekile: resection transurethral we wendlala - ingenye ubucwebe kanye nezinqubo esihle kuhlinzwa e khona kulo mkhakha nezinqubo. Ngenxa yalesi sizathu, impumelelo le kokungenela izoncika kakhulu isipiliyoni kanye neziqu nochwepheshe wezokwelapha.

Izici amasu

Kuze kube manje, zikhona amaphuzu amaningana ebalulekile okungase kungancika ekutholakaleni impumelelo ukwelashwa kanye ubude bayo.

Kangakanani transurethral resection we adenoma wendlala? Imiphumela incike ngokuphelele lezi zinto ezilandelayo:

• izenzo Ukunemba futhi udokotela ohlinzayo ukusebenza. Isiguli phakathi naleyo nqubo kuphela ngemuva, futhi imilenze yakhe wavuswa. I urethra (isiteshi ngoba umchamo okukhipha) yethulwa ububanzi ezincane (7.6 mm instrument). Emsebenzini, akha ezinye vibration. Udokotela udinga ukwenza inqubo isikhathi njengoba short ngangokunokwenzeka. Ngokuvamile, eyodwa yesimiso enjalo ngehora engaphansi.
• Ukubonakala. Sikhuluma kanjani okuhle ukubonakala ku urethra. Ukuze sicacise ezingeni yawo, resectoscope urethra apharathasi sivela kancane. Ekupheleni kukhona umthombo wokukhanya onamandla, usayizi hose encane. Nge wazithwala engapheli yokondla suctioning amanzi okweqile. Ngenxa yendlela aklanywe yayo resectoscope kwenza indawo ukusebenza ahlanzekile, ngakhoke ikhwalithi yesithombe uvame etholwe. Ngokusho kukadokotela wakhe uzokwazi nokuqaphela izenzo zazo futhi ukulawula inqubo.

Inqubo yokususa zezicubu kulula ukuchaza umsebenzi ojwayelekile wokwakha Excavator.

Esebenzisa ekhethekile buxhomeke isisebenzi yezokwelapha kancane kancane, ungqimba by ungqimba, ukuze aqede ngisho nokuphathwa zonke siqala ezingadingekile kuze kube isikhathi kuze kukhona contact ezibukwayo nge yemvelo, evamile parenchyma Prostatic. Ngakho, susa kancane kancane izicubu onesifo, udokotela, elikhishiwe kwezinye izinguqulo isikhala ezidingekile mocheottoka. Futhi, le nqubo Kwenziwa umuntu ofanelekayo, uyoba alondoloze evamile, amazinga engokwemvelo potency.

Izinhlobonhlobo TURP inqubo

resection Transurethral we wendlala has izinhlobo eziningana:

• Pseudo-TURP. Le nqubo libhekene ukuvalwa esinqunyiwe. Lapho mbumbulu TURP kususa kuphela 15-20% azo zonke izakhiwo Ushintshe futhi kungangcoli. Lolu hlobo ukwelashwa libhekisela lingaze. Ngamanye amazwi, lokhu inqubo kungadambisa kuphela ingxenye izimpawu ezivamile. Ukuze labo akunakubangelwa yezinkinga ekushayweni umchamo.
• TURP kwengxenye. Lolu hlobo lwe-inqubo sihlinzekela ukukhishwa okukhulu. Kukhona usike amaphesenti angu-80 ka-substrate.
• Qedela resection transurethral we adenoma wendlala. Lapha ziyasuswa 100% we ndlala ethintekile. Le ndlela wokusebenza kuqedile.

Izinzuzo inqubo

Nazi izinzuzo main:

• khona kwanoma isiphi izigaba zibukeke lubonakale kwesikhumba;
• isikhathi esifushane ukusebenza;
• ezingeni lelisetulu ukuphatheka yisiguli;
• sokungabi nhlobo noma ongatheni ohlangothini ukusabela nemiphumela;
• isikhathi esincane ukuvuselelwa.

ubufakazi

Tur (resection transurethral we wendlala) wenziwa izimpawu ezilandelayo:

• I ayesemncane isiguli. Kumayelana iminyaka kubalulekile hhayi kuphela ukufeza inqubo, kodwa futhi alondoloze potency yemvelo futhi isifiso.
• Ukuba khona yimiphi imisebenzi kwi wendlala.
• yensimbi Ukwandisa umthamo (kwaya amasentimitha angaba ngu-80). Uma usayizi wendlala okungenani kancane mkhulu kunezinhliziyo alolu, imiphumela kudingekile oqabulayo inqubo awutholakali.
• Noma yimuphi izifo concomitant, ikakhulukazi uma siyesinda. Lezi zihlanganisa izinso, isifo senhliziyo, isibindi, noma izinqubo ezithathelwanayo emzimbeni.
• Inhlanganisela prostatitis futhi adenoma.

Iphuzu elibalulekile: okufanayo wenziwa kanye nenqubo ukususa umdlavuza wendlala. Umahluko owokuthi ukuthi lapha isuswe isimila esibulalayo.

Izimo

resection Transurethral we okuguquguqukayo wendlala ine Izimo ezilandelayo:

• zokugula acute;
• yikuphi ukuphulwa ezihlobene igazi ekunqandeni;
• isimo esibucayi ngesikhathi inqubo.

Man ngaphambi nangemva kokuhlinzwa kungavunyelwe ukwamukela mikhiqizo, ezithinta-caffeine.

Iphuzu elibalulekile: ngenxa yokuthi ngesikhathi ukusebenza akukho umonakalo izicubu, yena yezinkinga omncane. Ngakho-ke, ngemva kwezikhathi zokulotshwa-op futhi iDemo. Ngakusasa okusayo i isiguli suka futhi nyakazo! Ngokuzimela.

Izinkinga ngemva resection transurethral we adenoma wendlala

Emva inqubo, yezinkinga ezifana kungabonwa:

• Ukudakwa wonke umzimba ngamanzi. Lokhu inkinga ivela uma kukhona semali ngenkasa uketshezi, okuyinto esetshenziswa ukunisela. Ngokuvamile lokho ababekubheka njengemininingwane icala kungenzeka ubuthakathaka jikelele. Kwezinye izimo, umuntu kancane, kodwa kakhulu lehla nezinga lokushisa komzimba. Isiguli uyofuna ukulala.
• ukopha kancane. Kungenzeka emuva kokuhlinzwa kuqedile, futhi kuphela ezimweni lapho inqubo kwaba into ephukile. Kule inkinga ilahlwe ngokusebenzisa impumuzo. Lokhu kwenziwa ngokusebenzisa izindlela ezehlukene kuvunyelwe ukuyeka igazi. Zingase futhi zisetshenziswe diathermocoagulation inqubo endoscopic.

Izinkinga ezingajwayelekile, ikakhulu bathembele kuphela kulokho ezingeni nobuchwepheshe bale ohlinzayo.

Izibuyekezo

resection Transurethral we wendlala has Izibuyekezo ikakhulukazi omuhle. Lokhu kungenxa yokuthi cishe akukho zinkinga, it is kahle kubekezelelwe lo msebenzi. Kuthatha isikhathi esincane, cishe kobuhlungu.

isikhathi nokuvuselelwa

Ngemva kokuhlinzwa, isiguli kufanele baphuze, kodwa hhayi inqwaba kakhulu. Ngu kusihlwa kosuku olulandelayo lwabo emva inqubo, ukuthi ingakwazi sukuma uhambe. Kulokhu, ubuhlungu obukhulu noma ukungaphatheki, yena ngeke ube nomuzwa. Nokho, uma zisuke zisekhona, ungathatha amaphilisi ezinhlungu, okuqondene iqembu analgesics non-kwezidakamizwa noma isidakamizwa.

I ipayipi kusukela urethra ngeke ukuphuma izinsuku ezimbalwa. Lokhu kuyadingeka ukuze umonakalo kwezicubu enempilo bakwazi sokusukuma futhi ngelapheka. Kuyadingeka ukuze kuvinjelwe yokujama tsi umchamo. Ungesabi ukuthi lokuqala ngokusebenzisa ipayipi izosuka umchamo okuxutshwe negazi. Ekuqaleni kuyinto evamile. Emva kwezinsuku ezintathu noma ezine ngemva kokuhlinzwa, lo ipayipi kungaba zisuswe.

Kokusimama nokuhlunyeleliswa ekhaya

Ngokuphathelene nenqubo yokutakula ekhaya, kukhona isidingo ukukhumbula amanye amaphuzu abalulekile. Lokhu kuzosiza hhayi kuphela zokugwema izinkinga kungenzeka, kodwa futhi kakhulu kusheshiswe umsebenzi wokutakula.

Udinga baphuze ngangokunokwenzeka. Lokhu kuyadingeka ukuze ngokushesha ukugeza urethra. Izosiza ukuthuthukisa inqubo engokwemvelo ukuchama. Phuza okungcono ntambama noma ekuseni, kubalulekile ukugwema okwandisa baphuza uketshezi ebusuku.

Futhi kubalulekile ukuba aluqede ngokuphelele utshwala kanye nekhofi zonke zako. Iqiniso lokuthi la futhi uketshezi efanayo dilates imithambo yegazi, ngaleyo ndlela ingqondo a ukopha indoda.

Kuyadingeka ukuze sigweme izinkinga ezingaba nalo ukunyakaza wamathumbu. Ngamanye amazwi, uma umuntu ukuqunjelwa, kuphoqelekile ukuthatha laxatives.

Yini okudingeka uyenze ukuphathwa ekhaya?

Kubalulekile ukuqeda umthwalo kuze ukululama ephelele. Kungcono kokwenza Kegel umzimba, kodwa kuphela uma ulifunda kuzovumela udokotela. Lezi umzimba ayadingeka ukuze uqinise imisipha ukuthi banesibopho inqubo ukuchama.

Ngisho noma kungekho ukutheleleka, usadinga ukulandela imithetho nemihlahlandlela yokwelapha ngemithi elwa namagciwane.

Iphuzu elibalulekile: ukuze inqubo zokubuyiselwa izitshalo emathunjini sihamba ngokushesha, udinga ukuthatha imithi eyengeziwe, okuyinto yakhiwa nama-bacterium awusizo.

Imiphumela resection transurethral we wendlala

Inqubo TURP akuyona esiyingozi emiphumeleni yayo, futhi amadoda kudingeka singagcini nje ukuze bathuthukise impilo yabo nalesi sifo, kodwa ukuze kuncishiswe ingozi esiphansi kanye potency yemvelo kanye nezinga isifiso sobulili.

Uma ukuhambisana nayo yonke izincomo udokotela ukuba khona futhi udokotela ohlinzayo owenza inqubo, ukuhlinzwa kanye isikhathi nokuvuselelwa kuzodlula ngaphandle kwezinkinga noma izinkinga. Ngemva kwalokho, abantu bazokwazi bakwazi ukuphinde benze imisebenzi yabo yansuku zonke futhi ukuphila okuvamile. Kulokhu ukusebenza ngokwalo alikho ejwayelekile operation umuzwa. Yilokho inqubo enjalo emangalisayo - resection transurethral we adenoma wendlala. Guest kuqinisekisiwe ngokugcwele.