Prostatectomy radical - hoʻokuʻu

Ua ʻoki ʻoe e wehe i kāu prostate a pau, kekahi mau mea kokoke i kāu prostate, a me kekahi mau lymph node paha. ʻ tellslelo kēia ʻatikala iā ʻoe pehea e mālama ai iā ʻoe iho ma ka home ma hope o ke kahakaha ʻana.

Ua hana ʻoki ʻoe e hoʻoneʻe i kāu prostate āpau, kekahi mau mea kokoke i kāu prostate, a me kekahi mau lymph node paha. Ua hana ʻia kēia e mālama i ka maʻi ʻaʻai prostate.

• Ua hana paha kāu kauka lāʻau i kahi ʻokiʻoki (ʻoki) ma ka ʻaoʻao haʻahaʻa o kou ʻōpū a i ʻole ma kahi ma waena o kāu scrotum a me anus (hāmama ʻoki).
• Ua hoʻohana paha kāu kauka lāʻau i kahi lopako a i ʻole laparoscope (kahi paipu lahilahi me kahi pahu paʻi kiʻi liʻiliʻi ma ka hopena). E loaʻa iā ʻoe i kahi mau ʻoki liʻiliʻi ma kou ʻōpū.

Ua luhi paha ʻoe a pono e hoʻomaha hou no 3 a 4 mau pule ma hope o kou hoʻi ʻana i ka home. Hiki paha iā ʻoe ke ʻeha a hōʻoluʻolu paha i kou ʻōpū a i ʻole ka wahi ma waena o kou scrotum a me anus no 2 a 3 mau pule.

E hoʻi ʻoe i ka hale me ka catheter (Tube) e hoʻokahe i ka mimi mai kāu pēpē. E hoʻoneʻe ʻia kēia ma hope o 1 a 3 mau pule.

Hiki paha iā ʻoe ke hoʻi i ka home me kahi kahawai hou (i kapa ʻia ʻo Jackson-Pratt, a i ʻole JP drain). E aʻo ʻia ʻoe pehea e ninini ai a mālama ai.

Hoʻololi i ka ʻaʻahu ma luna o kou ʻeha ʻoki kino i hoʻokahi manawa i ka lā, a i ʻole ma mua koke inā ua lepo. E haʻi aku kāu mea mālama ola iā ʻoe inā ʻaʻole pono ʻoe e uhi i kou ʻeha. E hoʻomaʻemaʻe i kahi ʻeha ma ka holoi ʻana me ke kopa me ka wai.

• Hiki iā ʻoe ke hemo i nā lole ʻeha a lawe i nā ua inā ua hoʻohana ʻia nā sutures, staples, a glue e pani i kou ʻili. Uhi i ka incision me ka wahī wahī ma mua o ka ninini ʻana no ka pule mua inā he lipine (Steri-Strips) kāu ma luna ona.
• MAI kolo i loko o kahi pahu wai a i ʻole pahu wai wela, a i ʻole hele i ka ʻauʻau, inā he catheter kāu. Hiki iā ʻoe ke hana i kēia mau hana ma hope o ka hemo ʻana o ka catheter a ua haʻi aku kāu kauka iā ʻoe he maikaʻi ke hana pēlā.

Pehu paha kāu scrotum no 2 a 3 mau pule inā he ʻoki hāmama kāu. Pono ʻoe e ʻaʻe i kahi kākoʻo (e like me ke kaula jock) a i ʻole ka lole komo pōkole a hiki i ka hele ʻana o ka ʻōhū. ʻOiai ʻoe e moe ana, hiki iā ʻoe ke hoʻohana i kahi kāwele ma lalo o kou scrotum no ke kākoʻo.

Hiki paha iā ʻoe ke kahe (i kapa ʻia ʻo Jackson-Pratt, a i ʻole JP hoʻokahe) ma lalo o kou pihi ʻōpū e kōkua ai i ka kahe wai hou mai kou kino a pale iā ia mai ke kūkulu ʻana i kou kino E lawe aku kāu mea lawelawe ma hope o 1 a 3 mau lā.

ʻOiai he catheter urinary kāu:

• ʻIke paha ʻoe i ka spasms i loko o kāu ʻōpū. Hiki i kāu mea hāʻawi ke hāʻawi iā ʻoe i ka lāʻau no kēia.
• Pono ʻoe e hōʻoia i ka hana pono ʻana 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 i ʻole ʻoe e loaʻa i kahi maʻi a i ʻole ka huhū o ka ʻili.
• ʻO ka mimi i loko o kāu ʻeke hoʻokahe he ʻulaʻula ʻeleʻele loa. He maʻamau kēia.

Ma hope o ka hemo ʻana o kāu catheter:

• Loaʻa paha iā ʻoe ke ahi ke kele ʻoe, ke koko i ka mimi, ka mimi pinepine, a me kahi makemake nui e mimi.
• Loaʻa paha iā ʻoe kahi leakage mimi (incontinence). E hoʻomaikaʻi kēia i ka hala o ka manawa. Loaʻa iā ʻoe ke kaohi o ka ʻai maʻamau ma waena o 3 a 6 mau mahina.
• E aʻo ʻoe i nā hoʻoikaika kino (i kapa ʻia 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.

Mai kalaiwa i nā pule he 3 ma hope o kou hoʻi ʻana i ka home. Hōʻalo i nā huakaʻi kaʻa lōʻihi inā hiki iā ʻoe. Inā pono ʻoe e hele i kahi kaʻa kaʻa lōʻihi, kū ma ka liʻiliʻi i kēlā me kēia 2 mau hola.

Mai hāpai i kekahi mea ʻoi aku ke kaumaha ma mua o ka ipu waiū 1-ʻalani (4 liters) no nā pule he 6 i hala. Hiki iā ʻoe ke hana lohi i kāu hana hoʻoikaika kino maʻamau ma hope o kēlā. Hiki iā ʻoe ke hana i nā hana o kēlā me kēia lā a puni ka hale inā ʻoe e noʻonoʻo.Akā ke lana nei ka māluhiluhi me ka maʻalahi.

Inu ma ka liʻiliʻi he 8 mau aniani o ka wai i ka lā, ʻai i nā hua a me nā mea kanu he nui, a lawe i nā mea palupalu e pale ai i ka paʻa paʻa. Mai kānana i ka neʻe ʻana o ka ʻōpū.

Mai lawe i ka aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), a i ʻole nā ​​lāʻau like ʻē aʻe no 2 mau pule ma hope o kou ʻoki ʻana. Hoʻokumu paha lākou i nā pilikia me nā huʻa koko.

ʻO nā pilikia moe kolohe āu e ʻike ai paha:

• ʻAʻole paʻakikī paha kāu kūkulu ʻana. ʻAʻole hiki i kekahi mau kāne ke kūkulu i kūkulu.
• ʻAʻole paha ikaika a ʻoluʻolu paha kou orgasm e like me ma mua.
• ʻAʻole paha ʻoe e ʻike i kekahi semen i ka wā e loaʻa ai iā ʻoe kahi punahele.

E hele a maikaʻi paha kēia mau pilikia a i ʻole hele aku paha, akā he mau mahina paha a ʻoi paha ma mua o hoʻokahi makahiki. ʻO ka nele o kahi ejaculate (semen e puka me ka orgasm) e paʻa mau. E noi i kāu kauka e pili ana i nā lāʻau e kōkua.

Kāhea i kāu mea hāʻawi inā:

• He ʻeha kou i kou ʻōpū i hele ʻole ke lawe ʻoe i kāu 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)
• ʻO kou ʻoki ʻoki ʻana ke kahe ʻana i ke kōkō, ʻulaʻula, mehana i ka pā, a i ʻole he kōwele, melemele, ʻōmaʻomaʻo, a me ka wai hoʻoinu waiū
• Loaʻa iā ʻoe nā hōʻailona o ka maʻi (ke ahi i ka wā e mimi ai ʻoe, kuni, a i ʻole ʻalalā)
• ʻAʻohe ikaika o kāu kahawai a ʻaʻole hiki ʻole iā ʻoe ke pee
• 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
• ʻIke ʻoe i ka grit a i nā pōhaku paha i kāu mimi
• ʻAno ʻole kou mimi, a ʻohuʻohu a ʻokoʻa paha ke kala
• Ua hāʻule kāu catheter i waho

Prostatectomy - radical - hoʻokuʻu; Prostatectomy radical retropubic radical - hoʻokuʻu; Prostatectomy radical perineal - hoʻokuʻu; Laparoscopic radical prostatectomy - hoʻokuʻu; LRP - hoʻokuʻu; Robotic-kōkua laparoscopic prostatectomy - hoʻokuʻu; RALP - hoʻokuʻu; Pelvic lymphadenectomy - hoʻokuʻu; Ka maʻi ʻaʻai Prostate - prostatectomy

Catalona WJ, Han M. Hoʻoponopono i ka maʻi ʻaʻai prostate kūloko. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 112.

ʻO Nelson WG, Antonarakis ES, Carter HB, De Marzo AM, et al. Maʻi ʻaʻai Prostate. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 81.

Skolarus TA, Wolf AM, Erb NL, et al. ʻO nā ʻōkuhi mālama ola ʻōpio ʻAmelika Hui Pū ʻIa. ʻO CA Cancer J Clin. 2014; 64 (4): 225-249. PMID: 24916760 www.ncbi.nlm.nih.gov/pubmed/24916760.

• Maʻi ʻaʻai Prostate
• ʻO prostatectomy radical
• Ejaculation hoʻopau
• Miki ʻole

• 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

• Kanesa Prostate