ʻO ka transurethral resection o ka prostate

ʻO kahi transurethral resection o ka prostate (TURP) kahi ʻoki e wehe i ka ʻaoʻao i loko o ka gland prostate. Hana ʻia ia i mea e mālama ai i nā ʻōuli o kahi prostate hoʻonui ʻia.

Hana ke ʻoki ma kahi o 1 a 2 mau hola.

Hāʻawi ʻia ʻoe i ka lāʻau ma mua o ke kaha ʻana no laila ʻaʻole ʻoe e ʻeha. Hiki paha iā ʻoe ke loaʻa i ka anesthesia ākea kahi āu e hiamoe nei a ʻaʻohe ʻeha a i ʻole anesthesia ʻōiwi kahi e ala ai, akā no ka pūhaka a ma lalo.

E hoʻokomo ke kaukōkō i kahi ākea ma o ka paipu e lawe i ka mimi mai kāu pēpē i waho o ka peni. Kapa ʻia kēia mea kani ka resectoscope. Hoʻonoho ʻia kahi mea hana ʻoki kūikawā ma o ka laulā. Hoʻohana ʻia ia e wehe i ka ʻaoʻao i loko o kāu gland prostate e hoʻohana nei i ka uila.

Hiki i kāu kauka olakino ke koi i kēia ʻoki inā loaʻa ʻoe i ka hyperplasia prostatic benign (BPH). Piʻi ka nui o ka gland prostate i ka nui ʻana o nā kāne. ʻO ka prostate nui aʻe ke kumu o nā pilikia me ka mimiki. ʻO ka wehe ʻana i kahi ʻāpana o ka gland prostate hiki ke hana maikaʻi i kēia mau ʻōuli.

Koi ʻia ʻo TURP inā loaʻa iā ʻoe:

• Hōʻalo paʻakikī i kou ʻōpū
• ʻO nā maʻi maʻi urinary pinepine
• Kahe mai ka prostate
• Nā pōhaku bladder me ka hoʻonui ʻana i ka prostate
• Hoʻoiho lohi loa
• Poino i nā puʻupaʻa ma muli o ka hiki ʻole ke mimī
• E ala pinepine i ka pō e mimi
• Nā pilikia kaohi o ka bladder ma muli o ka prostate nui

Ma mua o kou ʻoki ʻana, e ʻōlelo ka mea lawelawe iā ʻoe e hoʻololi i kāu ʻai ʻana a i ʻole inu. E noi ʻia paha ʻoe e hoʻāʻo i ka lāʻau. Pono e hemo kahi ʻāpana o kāu prostate inā ʻaʻole kōkua kēia mau ʻanuʻu. ʻO TURP kekahi o nā ʻano maʻamau o ke kāpili prostate. Loaʻa nā kaʻina hana ʻē aʻe.

E noʻonoʻo kāu mea i ka mea aʻe i ka wā e hoʻoholo ana i ke ʻano o ke ʻoki ʻana.

• Ka nui o kāu gland prostate
• Kou olakino
• He aha ke ʻano o ke ʻoki āu e makemake ai
• Ka paʻakikī o kāu mau ʻōuli

ʻO nā pōʻino no kēlā me kēia ʻoki kino:

• Hoʻopaʻa ke koko i nā wāwae e hele paha i nā akemāmā
• Nā pilikia hanu
• ʻO ka maʻi, e komo pū ana me ka ʻeha ʻoki, paru (pneumonia), a i ʻole bladder a i ʻole kidney
• Lilo ke koko
• Ka hōʻeha puʻuwai a i ʻole hahau i ka wā o ke ʻoki
• Nā hopena i nā lāʻau

ʻO nā pilikia hou aʻe:

• Nā pilikia me ka kaohi mimi
• Loaʻa o ka momona o ka sperm
• Nā pilikia kūkulu
• Ke hele nei i ka semen i loko o ka hakahaka ma kahi o ka urethra (e haʻalele ana i ka retrograde)
• ʻO ke koʻikoʻi urethral (ke hoʻopaʻa nei i ka puka urinary mai nā maʻi makaʻu)
• ʻO Transurethral resection (TUR) maʻi (ka wai kūkulu i ke ʻoki ʻana)
• Ka hōʻino ʻana i nā ʻōnaehana o loko a me nā hanana

E kipa nui aku ʻoe me kāu mea hoʻolako a me nā hoʻokolohua ma mua o kāu ʻoki ʻana. E komo pū kāu kipa:

• Piha hōʻike kino
• Ka mālama ʻana a me ka kaohi ʻana i ka maʻi kō, ke koko kiʻekiʻe, nā puʻuwai a i ʻole nā ​​mumū, a me nā kūlana ʻē aʻe

Inā ʻoe he puhipaka, pono ʻoe e hooki i kekahi mau pule ma mua o ke kaha. Hiki i kāu mea hāʻawi ke hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo pehea e hana ai i kēia.

E haʻi mau i kāu mea hāʻawi i nā lāʻau, nā wikamina, a me nā mea hoʻopili ʻē aʻe āu e lawe nei, ʻo nā mea āu i kūʻai ai me ka ʻole o ka lāʻau.

I loko o nā pule ma mua o kou ʻoki kino:

• E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā lāʻau i hiki ke lahilahi i kou koko, e like me aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), wikamina E, clopidogrel (Plavix), warfarin (Coumadin), apixaban (Eliquis), a me kekahi poʻe ʻē aʻe.
• E nīnau i kāu mea hāʻawi i nā lāʻau e pono ai e lawe i ka lā o kou ʻoki ʻana.

I ka lā o kou ʻoki kino:

• Mai ʻai a inu paha i kekahi mea ma hope o ke aumoe i ka pō ma mua o kou ʻoki ʻana.
• Lawe i nā lāʻau i kauoha ʻia iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E haʻi ʻia ʻoe i ka wā e hōʻea ai i ka haukapila.

Noho pinepine ʻoe i ka haukapila no 1 a 3 mau lā. I kekahi mau hihia, ʻae ʻia ʻoe e hoʻi i ka home i ka lā like.

Ma hope o ke kaha ʻana, e loaʻa iā ʻoe kahi puʻupuʻu liʻiliʻi, i kapa ʻia he catole Foley, i loko o kāu pēpē e hoʻoneʻe i ka mimi. E hamo ʻia kāu kīʻaha me nā wai (i hoʻoinu ʻia) e hoʻomaʻemaʻe i nā clots. E nānā ka mimi i ke koko i ka mua. I ka hapanui o nā hihia, hele ke koko i loko o kekahi mau lā. Hiki ke kolo ke koko a puni ka catheter. Hoʻohana ʻia paha kahi hopena kūikawā e kīkiʻi i ka catheter a mālama iā ia mai ka paʻa ʻana me ke koko. Lawe ʻia ka catheter ma waena o 1 a 3 mau lā no ka hapanui o ka poʻe.

Hiki iā ʻoe ke hoʻi i ka ʻai ʻana i kahi papaʻai maʻamau i kēia manawa koke.

ʻO kāu hui mālama ola:

• Kōkua iā ʻoe e hoʻololi i nā kūlana i kahi moe.
• E aʻo iā ʻoe i ka hoʻoikaika kino e hoʻomau i ke kahe o ke koko.
• E aʻo iā ʻoe pehea e hana ai i ka mimiki a me nā ʻano hanu hohonu. Hana ʻoe i kēia i kēlā me kēia 3 a 4 mau hola.
• E haʻi iā ʻoe pehea e mālama ai iā ʻoe iho ma hope o kāu kaʻina hana.

Pono ʻoe e komo i nā stockings paʻa a hoʻohana i kahi mea hanu e hoʻomaʻemaʻe i kou māmā.

Hāʻawi ʻia ʻoe i ka lāʻau e hōʻoluʻolu i nā spadms bladder.

Hoʻomaha ʻo TURP i nā ʻōuli o kahi prostate hoʻonui ʻia i ka hapa nui o ka manawa. Loaʻa paha iā ʻoe ke ahi me ka urination, ke koko i loko o kou mimi, ka mimi pinepine, a pono e mimiki wikiwiki. Hoʻoholo maʻamau kēia ma hope o ka manawa liʻiliʻi.

TURP; ʻO ka Prostate resection - transurethral

• Ka palekana i ka lumipaku no nā mākua
• Hoʻonui prostate - he aha e nīnau aku ai i kāu kauka
• Mālama catheter i loko
• Hoʻomaʻamaʻa Kegel - mālama pono iā ʻoe iho
• Pāleʻa ka pale ʻana
• Mālama ʻeha ʻeha - wehe
• Transurethral resection o ka prostate - hoʻokuʻu

• Anatomia hānau kāne
• Kelepa ʻaʻ Prostate
• Prostatectomy - Pūnaewele
• ʻO ka transurethral resection o ka prostate (TURP) - Series

Hanai HE, Dahm P, Kohler TS, et al. Hoʻokele ʻoki lāʻau o nā ʻōuli urinary haʻahaʻa i pili i ka hyperplasia prostatic maikaʻi: AUA Alakaʻi Hoʻololi 2019. J Urol. 2019; 202 (3): 592-598. PMID: 31059668 www.ncbi.nlm.nih.gov/pubmed/31059668.

Han M, Partin AW. ʻO prostatectomy maʻalahi: hāmama a me nā robot-kōkua laparoscopic hoʻokokoke. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 106.

ʻO Milam DF. Transurethral resection a transurethral incision o ka prostate. I: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, eds. ʻO Hinman's Atlas of Urologic Surgery. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 67.

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.