Transurethral resection o ka prostate - hoʻokuʻu

Loaʻa iā ʻoe ka transurethral resection o ka ʻoki prostate (TURP) e mālama ai i kahi prostate hoʻonui ʻia. Hōʻike kēia ʻatikala iā ʻoe pehea e mālama ai iā ʻoe iho ma ka home ma hope o ke kaʻina hana.

Loaʻa iā ʻoe ka transurethral resection o ka ʻoki prostate (TURP) e mālama ai i kahi prostate hoʻonui ʻia.

Hoʻokomo kāu kauka lapaʻau i kahi mea paipu e like me ka tube i kapa ʻia he cystoscope (a i ʻole endoscope) ma o kāu urethra (ka paipu e lawe ana i ka mimi mai ka pūpū mai ka peni). Ua hoʻohana kāu kauka lāʻau i kahi mea hana ʻoki kūikawā e wehe ai i kahi ʻāpana o kāu gland prostate.

Hiki iā ʻoe ke manaʻo e hoʻomaka i kāu hana maʻamau i 3 a 6 mau pule. Nā pilikia e nānā paha ʻoe e pili pū ana:

• Nā pilikia me ka mimi a i ʻole ke kulu ma hope o ka honi ʻana, ka ʻū ʻana, a me ka hāpai ʻana paha.
• Nā pilikia kūkulu hale (impotence).
• Ka loaʻa ʻole o ka semen a i ʻole hoʻemi ʻana i ka nui. Hele ʻo Semen i loko o ka hakahaka ma kahi o ka urethra. Kapa ʻia kēia e retrograde ejaculation. ʻAʻole ia he mea hōʻino akā hiki ke hoʻopilikia i kou hiki ke hāpai i nā wahine. Hiki ke mau.
• ʻO ke ahi a ʻeha paha i ka wā o ka urination.
• Hōʻalo ke koko.

E hoʻomaha pinepine ʻoe e like me ka mea e pono ai i nā pule mua ma hope o ke kaha ʻana. Akā pono ʻoe e hana i nā manawa pōkole o ka neʻe e kūkulu i kou ikaika. ʻOiai e hoʻomaha ana, e hoʻomau i ka hana ʻana i kekahi o nā hoʻolālā moena a me nā ʻano hanu i hōʻike ʻia e kāu kahu iā ʻoe.

E hoʻi iki i kāu hana maʻamau. ʻAʻole pono ʻoe e hana i kekahi hana ikaika, hāpai ʻana (ʻoi aku ma mua o 5 paona a ʻoi aku paha ma mua o 2 kilokilo), a i ʻole ke kalaiwa ʻana no 3 a 6 mau pule.

E hoʻāʻo i ka hele wāwae maʻamau, pōkole. E hana i nā hele wāwae lōʻihi e kūkulu i kou ikaika. Hiki iā ʻoe ke hoʻi i ka hana ke ʻoi aku kou maikaʻi a hiki ke hoʻomanawanui i ka nui o nā hana.

Inu i ka wai he nui e kōkua i ka wai ʻana i loko o ka wai paʻa (8 a 10 mau aniani i ka lā). Pale i ke kope, nā mea inu momona, a me nā waiʻona. Hiki iā lākou ke hoʻonāukiuki i kāu ʻōpū a me ka urethra.

ʻAi i kahi papaʻai olakino me ka nui o ka fiber. Hiki paha iā ʻoe ke hoʻohana i ka palupalu palu a i ʻole ka pulupulu kopa e kōkua ai i ka pale ʻana i ka paʻa paʻa, kahi e hoʻopaneʻe ai i ke kaʻina hana hoʻōla.

No nā pule mua ma hope o ke kaha ʻana, e lawe wale i nā lāʻau i ʻōlelo ʻia e kāu mea mālama ola e lawe.

• Pono ʻoe e lawe i nā lāʻau ʻaloʻalo e kōkua ai i ka pale ʻana i ka maʻi.
• E hōʻoia me kāu kauka ma mua o ka lawe ʻana i ka aspirin, ibuprofen (Aleve, Motrin), naproxen (Aleve, Naprosyn), acetaminophen (Tylenol), a i ʻole nā ​​lāʻau ʻē aʻe e like me kēia.

Hiki iā ʻoe ke lawe i nā ua. Inā he catheter kāu, mai ʻauʻau a hiki i ka hemo ʻana.

Hōʻalo i ka moekolohe ma 3 a 4 mau pule. Hōʻike nā kāne he nui i ka haʻahaʻa o ka semen i ka wā o ka orgasm ma hope o ka loaʻa ʻana iā TURP.

ʻIke paha ʻoe i ka spasms i loko o kāu pēpē a manaʻo paha ʻoe e pono ʻoe e mimi ʻoiai he catheter urinary kāu i kahi. Hiki i kāu mea hāʻawi ke hāʻawi iā ʻoe i ka lāʻau no kēia mau spasms. Loaʻa paha iā ʻoe ka mimi ma waho o ka catheter ma muli o nā polina bladder. He maʻamau kēia.

Pono ʻoe e hōʻoia i ka hana pono o kāu catheter noho i loko. Pono ʻoe e ʻike pehea e hoʻomaʻemaʻe ai i ka paipu a me kahi e pili ai i kou kino. Pale kēia i ka maʻi a me ka huhū o ka ʻili. Pono e hemo ka mimi a hoʻopiha i ka ʻeke inā e hana pono ka catheter. Kāhea i kāu mea hāʻawi inā ʻaʻole ʻoe i ʻike i kahi kahe mimi i hoʻokahi hola.

ʻO ka mimi i loko o kāu ʻeke hoʻoheheʻe e nānā ʻulaʻula paha. He maʻamau kēia.

Ma hope o ka hemo ʻana o kāu catheter:

• Loaʻa paha iā ʻoe kahi leakage mimi (incontinence). Eʻoi aku ka maikaʻi o kēia ma mua o ka manawa. Pono ʻoe e kaohi i ka bladder kokoke-i-maʻamau ma waena o 3 a 6 mau mahina.
• E aʻo ʻoe i nā hoʻoikaika kino (nā hana Kegel) e hoʻoikaika ai i nā mākala i kou pelvis. Hiki iā ʻoe ke hana i kēia mau hoʻomaʻamaʻa i kēlā me kēia manawa ke noho ʻoe a moe paha i lalo.

Kāhea i kāu mea hāʻawi inā:

• He ʻeha kou i kou ʻōpū i kōkua ʻole ʻia me kāu mau lāʻau ʻeha
• Paʻa ka hanu
• He ʻūhū kāu hele ʻole
• ʻAʻole hiki iā ʻoe ke inu a ʻai paha
• Aia kou mahana ma luna o 100.5 ° F (38 ° C)
• He mānoanoa, melemele, ʻōmaʻomaʻo, a waiwī waiu kāu mimi
• Loaʻa iā ʻoe nā hōʻailona o ka maʻi (ke ahi i ka wā e mimi ai ʻoe, kuni, a i ʻole ʻalalā)
• ʻAʻole ikaika loa kāu kahawai mimi, a i ʻole ʻaʻole hiki iā ʻoe ke hele i kekahi mimi ma nā mea āpau
• He ʻeha kou, ʻulaʻula, a pehu paha i kou mau wāwae

ʻOiai he catheter urinary kāu, e kāhea i kāu mea hāʻawi inā:

• He ʻeha kou ma kahi o ka catheter
• Ke kulu nei ʻoe i ka mimi
• ʻIke hou ʻoe i ke koko i loko o kou mimi
• Ua kāpae ʻia kāu catheter a ʻaʻole ia e hoʻokahe i ka mimi
• ʻIke ʻoe i ka grit a i nā pōhaku paha i kāu mimi
• ʻAno ʻole kou mimi, a ʻohuʻohu a ʻokoʻa paha ke kala

TURP - hoʻokuʻu; ʻO ka Prostate resection - transurethral - hoʻokuʻu

ʻO Delongchamp NB. Hoʻoponopono ʻoki lāʻau o LUTS / BPH: nā ʻano hana hou mini-invasive. I: Morgia G, ed. Nā Hōʻailona Urinary Tract Low a me Benign Prostatic Hyperplasia. Cambridge, MA: Elsevier Academic Press; 2018: chap 14.

ʻO Roehrborn CG. ʻO Benpl prostatic hyperplasia: etiology, pathophysiology, epidemiology, a me ka mōʻaukala kūlohelohe. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 103.

ʻO Welliver C, McVary KT. Ka hoʻokele minimally invasive a endoscopic o benign prostatic hyperplasia. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 105.

• Prostate hoʻonui
• ʻO ka Prostate resection - minimally invasive
• Ejaculation hoʻopau
• ʻO prostatectomy maʻalahi
• ʻO ka transurethral resection o ka prostate
• Miki ʻole

• Hoʻonui prostate - he aha e nīnau aku ai i kāu kauka
• Mālama catheter i loko
• Hoʻomaʻamaʻa Kegel - mālama pono iā ʻoe iho
• Mālama pōpoki Suprapubic
• Nā mīkini mimi - he aha e nīnau aku ai i kāu kauka
• Nā ʻeke hoʻokahe mimi

• ʻO Prostate hoʻonui ʻia (BPH)