ʻO prostatectomy radical

ʻO Radat prostatectomy (wehe ʻana i ka prostate) kahi ʻoki e wehe i nā gland prostate a me kekahi o nā mea a puni iā ​​ia. Hana ʻia e mālama i ka maʻi ʻaʻai prostate.

Aia he ʻano nui ʻehā a i ʻole ʻenehana o ke keʻoki prostatectomy radical. Lawe ʻia kēia mau kaʻina hana ma kahi o 2 a 4 mau hola.

• Retropubic - E ʻokiʻoki kāu kauka maʻi ma ka hoʻomaka ʻana o ka pihi o kou ʻōpū a hiki i kou iwi ʻōiwi. Lawe kēia ʻoki 90 minuke i 4 mau hola.
• Laparoscopic - Hana ke kauka i kekahi mau ʻoki liʻiliʻi ma kahi o kahi ʻoki nui. Hoʻokomo ʻia nā mea hana lōʻihi, lahilahi i loko o nā ʻoki. Hoʻokomo ke kaukōkō i kahi paipu lahilahi me ka pahu paʻi wikiō (laparoscope) i loko o kekahi o nā ʻoki. ʻAe kēia i ke kaukipō ʻike i loko o kou ʻōpū i ke kaʻina hana.
• ʻOki kino Robotic - I kekahi manawa, hana ʻia ke kaha laparoscopic me ka hoʻohana ʻana i kahi ʻōnaehana robotic. Hoʻoneʻe ka mea hana lāʻau i nā mea kani a me ka kāmela e hoʻohana ana i nā lima robotic ʻoiai e noho ana ma kahi console e kokoke ana i ka papa hana. ʻAʻole hāʻawi kēlā me kēia haukapila i kahi ʻoki robotic.
• Perineal - ʻOki kou ʻokiʻoki i ka ʻili ma waena o kou anus a me ke kumu o ka scrotum (ka perineum). ʻOi aku ka liʻiliʻi o ka ʻoki ma mua o ke ʻano retropubic. Lawe pinepine kēia ʻano ʻoki ʻana i ka manawa a emi ka emi o ke koko. Eia naʻe, ʻoi aku ka paʻakikī o ka mea hana lāʻau lapaʻau e hoʻokoe i nā aʻalolo a puni ka prostate a i ʻole e wehe i nā lymph node kokoke me kēia ʻano.

No kēia mau kaʻina hana, loaʻa paha iā ʻoe kahi anesthesia ākea i kou hiamoe ʻana a me ka ʻeha ʻole. A i ʻole, e kiʻi ʻoe i ka lāʻau e numb ka hapa haʻahaʻa o kou kino (spinal or anesthesia epidural).

• Lawe ka mea lapaʻau i ka gland prostate mai nā mea a puni. ʻO nā vesicle seminal, ʻelua mau ʻeke piha piha wai e pili ana i kāu prostate, hemo pū kekahi.
• E mālama ka kaukukō i mea e hōʻemi iki ai i nā aʻa a me nā kīʻaha koko.
• Hoʻopili hou ke kauka i ka urethra i kahi ʻāpana o ka puhā i kapa ʻia ʻo ka ʻāʻī bladder. ʻO ka urethra ka paipu e lawe ana i ka mimi mai ka pākuʻi i waho ma o ka peni.
• Hiki i kāu kaukipoki ke hemo i nā lymph node i ka pelvis e nānā iā lākou no ka maʻi ʻaʻai.
• ʻO kahi waikahe, i kapa ʻia he kahawai ʻo Jackson-Pratt, e waiho ʻia paha i loko o kou ʻōpū e hoʻokahe i ka wai keu ma hope o ke kaha ʻana.
• Waiho ʻia kahi ʻōmole (catheter) i kāu urethra a me kāu kīwī e hoʻokahe i ka mimi. E noho kēia ma kahi no kekahi mau lā a i kekahi mau pule.

Hana pinepine ʻia ka prostatectomy radical ke hele ʻole ka maʻi ʻaʻai ma ʻō aku o ka gland prostate. Kapa ʻia kēia he maʻi ʻaʻai prostate kūloko.

Koi paha kāu kauka i hoʻokahi lapaʻau iā ʻoe no ka mea i ʻike ʻia e pili ana i kāu ʻano maʻi ʻaʻai a me kāu mau pilikia pilikia. A i ʻole, e kamaʻilio paha kāu kauka me ʻoe e pili ana i nā mālama ʻē aʻe i hiki ke maikaʻi no kāu maʻi maʻi. Hiki ke hoʻohana ʻia kēia mau lapaʻau ma kahi o ke kaha ʻana a ma hope paha o ka hana ʻia ʻana o ke kaha.

ʻO nā mea e noʻonoʻo ai i ke koho ʻana i kahi ʻano o ke ʻoki ʻana me kou mau makahiki a me nā pilikia olakino ʻē aʻe. Hana pinepine ʻia kēia ʻoki kino i nā kāne olakino e manaʻo ʻia e ola no 10 a ʻoi paha mau makahiki ma hope o ke kaʻina hana.

ʻO nā pilikia o kēia kaʻina hana:

• Nā pilikia e kaohi ana i ka mimi (urinary incontinence)
• Nā pilikia kūkulu hale (impotence)
• Ka hōʻeha i ka poli
• ʻO ke koʻikoʻi urethral (ke hoʻopaʻa nei i ka wehe o ka urinary ma muli o ka maʻi scar)

He mau kipa paha kāu me kāu kahu mālama ola. E loaʻa iā ʻoe kahi hōʻike kino holoʻokoʻa a loaʻa paha i nā hoʻokolohua ʻē aʻe. E ʻike pono kāu mea hāʻawi i nā pilikia olakino e like me ka maʻi kō, ke koko kiʻekiʻe, a me nā pilikia o ka puʻuwai a i ʻole nā ​​māmā i kaohi ʻia.

Inā puhi ʻoe, pono ʻoe e hooki i nā pule he nui ma mua o ke kahakaha ʻana. Hiki i kāu mea hāʻawi ke kōkua.

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 ka aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), wikamina E, clopidogrel (Plavix), warfarin (Coumadin), a me nā mea ʻemi a koko ʻē aʻe i paʻakikī i kou koko. e kāʻei.
• E nīnau i nā lāʻau āu e lawe ai i ka lā o kou ʻoki ʻana.
• I ka lā ma mua o kou ʻoki ʻana, inu wale i nā wai maopopo.
• I kekahi manawa, noi ʻia paha ʻoe e kāu mea hāʻawi e lawe i kahi laxative kūikawā i ka lā ma mua o kou ʻoki ʻana. E hoʻomaʻemaʻe kēia i nā ʻike mai kāu kolone.

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. E hōʻea pono i ka manawa.

E hoʻomākaukau i kou home no ka wā e hoʻi mai ai ʻoe i ka home ma hope o ke kaha ʻana.

Noho ka hapa nui o ka poʻe i ka haukapila no 1 a 4 mau lā. Ma hope o ka hana laparoscopic a i ʻole robotic, hiki paha iā ʻoe ke hoʻi i ka home i ka lā ma hope o ke kaʻina hana.

Pono ʻoe e noho i ka moena a kakahiaka. Paipai ʻia ʻoe e neʻe a puni ka manawa ma hope o kēlā.

E kōkua kāu kahu iā ʻoe e hoʻololi i nā wahi i kahi moe a hōʻike iā ʻoe i nā hoʻoikaika ʻana e mālama i ke kahe o ke koko. E aʻo pū ʻoe i ka puʻe a i ʻole ka hanu hohonu ʻana e pale ai i ka maʻi kōpaʻa. Hana ʻoe i kēia mau ʻanuʻu i kēlā me kēia 1 a i 2 mau hola. Pono paha ʻoe e hoʻohana i kahi hāmeʻa e mālamalama ai kou mau māmā.

Ma hope o kāu ʻoki ʻana, hiki iā ʻoe ke:

• E komo i nā stocking kūikawā i kou mau wāwae e pale ai i ke koko koko.
• Loaʻa i nā lāʻau ʻeha i loko o kou veins a i ʻole lawe i nā lāʻau ʻeha.
• Manaʻo i nā spasms i loko o kāu ʻōpū.
• E loaʻa i kahi catheter Foley i loko o kāu pēpē ke hoʻi ʻoe i ka home.

Pono ke ʻoki e wehe i nā hunaola maʻi ʻaʻai. Eia naʻe, e kiaʻi pono ʻia ʻoe e nānā pono ʻole i ka maʻi ʻaʻai. Pono ʻoe e hōʻoia maʻamau, e like me nā hoʻokolohua koko antigen (PSA) kikoʻī.

Kaukaʻi ʻia i nā hopena pathology a me nā hopena hōʻike PSA ma hope o ka hemo ʻana o ka prostate, hiki i kāu mea hāʻawi ke kūkākūkā i ka radiation therapy a i ʻole ka therapy therapy me ʻoe.

Prostatectomy - radical; ʻO prostatectomy retropubic radical; Prostatectomy radical perineal; ʻO prostatectomy radical laparoscopic; LRP; ʻO Robat-kōkua laparoscopic prostatectomy; RALP; Pelvic lymphadenectomy; Ka maʻi ʻaʻai Prostate - prostatectomy; ʻO ka hemo ʻana o ka prostate - radical

• Ka palekana i ka lumipaku no nā mākua
• Mālama catheter i loko
• Hoʻomaʻamaʻa Kegel - mālama pono iā ʻoe iho
• ʻO Prostate brachytherapy - hoʻokuʻu
• Prostatectomy radical - hoʻokuʻu
• Mālama pōpoki Suprapubic
• Mālama ʻeha ʻeha - wehe
• Nā huahana incontinence urinary - mālama pono iā ʻoe iho
• Nā ʻeke hoʻokahe mimi
• Ke loaʻa ka nausea a me ka luaʻi
• Ke loaʻa ʻoe i ka incontinence urinary

ʻO Bill-Axelson A, Holmberg L, Garmo H, et al. ʻO ka prostatectomy radical a i ʻole ke kali kiaʻi ʻana i ka maʻi ʻaʻai prostate mua. N Engl J Med. 2014; 370 (10): 932-942. PMID: 24597866 www.ncbi.nlm.nih.gov/pubmed/24597866.

ʻO Ellison JS, He C, Wood DP. Hoʻolālā ka hana urinary mua a me ka moekolohe i ka hana hou i ka makahiki 1 ma hope o ka prostatectomy. J Urol. 2013; 190 (4): 1233-1238. PMID: 23608677 www.ncbi.nlm.nih.gov/pubmed/23608677.

Pūnaewele ʻo National Cancer Institute. Hoʻomaʻo Prostate cancer (PDQ) - mana loea olakino. www.cancer.gov/types/prostate/hp/prostate-treatment-pdq. Hoʻohou i Ianuali 29, 2020. Loaʻa iā Pepeluali 20, 2020.

Resnick MJ, Koyama T, Fan KH, et al. Nā hopena hana wā lōʻihi ma hope o ka mālama ʻana no ka maʻi ʻaʻai prostate kūloko. N Engl J Med. 2013; 368 (5): 436-445. PMID: 23363497 www.ncbi.nlm.nih.gov/pubmed/23363497.

ʻO Schaeffer EM, Partin AW, Lepor H. Open prostatectomy radical. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 114.

Su LM, Gilbert SM, Smith JA. Laparoscopic a me robotic-kōkua laparoscopic radical prostatectomy a me pelvic lymphadenectomy. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 115.