ʻO prostatectomy maʻalahi

ʻO ka wehe ʻana i ka prostate maʻalahi kahi hana e wehe ai i ka ʻaoʻao i loko o ka gland prostate e mālama i kahi prostate nui. Hana ʻia ia ma o kahi ʻoki ʻoki ʻana i kou ʻōpū o lalo.

Hāʻawi ʻia ʻoe i ka anesthesia laulā (hiamoe, ʻaʻohe ʻeha) a i ʻole anesthesia spinal (sedated, awake, pain-free). Hana ke kaʻina hana ma kahi o 2 a 4 mau hola.

E ʻokiʻoki kāu kaukipoki i kou ʻoki lalo. E hele ana ke ʻoki mai lalo o ka pihi o ka ʻōpū a ma luna pono o ka iwi pubic a i ʻole hana ʻia ʻia ia ma luna pono o ka iwi pubic. Wehe ʻia ka pūpū a hoʻoneʻe ʻia ka gland prostate ma o kēia ʻoki.

Lawe wale ka mea lapaʻau i ka ʻaoʻao o loko o ka gland prostate. Waiho ʻia ka ʻaoʻao waho. Ua like ke kaʻina me ka scooping ʻana i loko o ka ʻalani a haʻalele i ka ʻili. Ma hope o ka hemo ʻana i kahi ʻāpana o kāu prostate, e pani ka mea lōkō i ka pū o waho o ka prostate me nā humuhumu. E waiho ʻia kahi kahawai i loko o kou ʻōpū e kōkua i ka lawe ʻana i nā wai keu ma hope o ke kaha ʻana. E waiho pū ʻia paha kahi catheter i loko o ka bladder. Aia paha kēia catheter i ka urethra a i ʻole i ka ʻōpū o lalo a i ʻole ʻelua paha kāu. ʻAe kēia mau catheters i ka maha e hoʻomaha a hoʻōla.

Hiki i kahi prostate hoʻonui ʻia ke kumu i nā pilikia me ka mimiki. Hiki i kēia ke alakaʻi i nā maʻi maʻi urinary. ʻO ka lawe ʻana i kahi ʻāpana o ka gland prostate hiki ke hana maikaʻi i kēia mau ʻōuli. Ma mua o kou hoʻokalakupua ʻana, hiki i kāu mea mālama ola ke haʻi iā ʻoe i kekahi mau loli i hiki iā ʻoe ke hana i kāu ʻano e ʻai ai a inu ai paha. E noi ʻia paha ʻoe e hoʻāʻo i ka lāʻau.

Hiki ke hoʻopau i ka prostate ma nā ʻano like ʻole. Aia ke ʻano o ke kaʻina hana i ka nui o ka prostate a me ka mea i ulu ai kāu prostate. Hoʻohana pinepine ʻia ka prostatectomy maʻalahi ke nui ka prostate no ka ʻoki liʻiliʻi invasive. Eia naʻe, ʻaʻole mālama kēia hana i ka maʻi ʻaʻai prostate. Pono ʻia ka prostatectomy radical no ka maʻi ʻaʻai.

Paipai ʻia ka hemo ʻana o ka prostate inā loaʻa iā ʻoe:

• Nā pilikia e waiho ana i kāu bladder (urinary retention)
• ʻO nā maʻi maʻi urinary pinepine
• ʻO ka kahe pinepine mai ka prostate
• Nā pōhaku bladder me ka hoʻonui ʻana i ka prostate
• Mimi lohi loa
• Poino i nā puʻupaʻa

Pono paha e hemo i kāu prostate inā lawe i ka lāʻau a hoʻololi i kāu papaʻai ʻaʻole e kōkua i kāu mau ʻōuli.

ʻO nā pōʻino no kēlā me kēia ʻoki kino:

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

ʻO nā pilikia ʻē aʻe:

• Hoʻopōʻino i nā mea kūloko
• Nā pilikia kūkulu hale (impotence)
• Ka nalowale o ka hiki no ka sperm e haʻalele i ke kino e hopena i ka infertility
• Ke hoʻi nei i ka semen i loko o ka hakahaka ma kahi o ka urethra (e haʻalele ana i ka retrograde)
• Nā pilikia me ka mimi kaohi (incontinence)
• Ke hoʻopaʻa nei i ka puka urinary mai nā aʻa makaʻu (ka ikaika urethral)

E nui nā kipa ʻana me kāu kauka a me nā hoʻokolohua ma mua o kāu ʻoki ʻana.

• Piha hōʻike kino
• ʻO nā kipa me kāu kauka e hōʻoia ai e mālama maikaʻi ʻia nā pilikia olakino (e like me ka maʻi diabetes, ke koko kiʻekiʻe, a me nā maʻi puʻuwai a me nā akemāmā).
• ʻO nā hoʻokolohua hou aku e hōʻoia i ka hana o ka bladder

Inā ʻoe he puhipaka, pono ʻoe e hooki i kekahi mau pule ma mua o ke kaha. 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:

• Pono 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 lāʻau ʻē aʻe e like me kēia.
• E noi i kāu kauka i nā lāʻau e pono ai ʻoe e lawe i ka lā o kou ʻoki ʻana.
• Hiki iā ʻoe ke lawe i kahi laxative kūikawā i ka lā ma mua o kou ʻoki ʻana. E hoʻomaʻemaʻe kēia i nā ʻike o kāu kolona.

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 noho ʻoe i ka haukapila ma kahi o 2 a 4 mau lā.

• Pono ʻoe e noho i ka moena a kakahiaka.
• Ma hope o kou ʻae ʻia ʻana e ala aʻe e noi ʻia ʻoe e neʻe a puni ka hiki.
• E kōkua kāu kahu iā ʻoe e hoʻololi i nā kūlana ma kahi moe.
• E aʻo pū ʻoe i nā hoʻoikaika kino e kahe ai ke kahe o ke koko, a me nā hana hoʻoheʻe / hohonu hanu.
• Hana ʻoe i kēia mau hoʻomaʻamaʻa i kēlā me kēia 3 a 4 mau hola.
• Pono paha ʻoe e komo i nā stocking compression kūikawā a hoʻohana i kahi mea hanu e hoʻomaʻemaʻe i kou māmā.

E haʻalele ʻoe i ke kahakaha ʻana me kahi catheter Foley i loko o kāu ʻōpū. Loaʻa i kekahi mau kāne i kahi catheter suprapubic i loko o ko lākou pā ʻōpū e kōkua ai i ka hoʻoheheʻe ʻana i ka ʻai.

Ola nā kāne he nui ma kahi o 6 mau pule. Hiki iā ʻoe ke manaʻo e hiki iā ʻoe ke miʻima e like me ka maʻamau me ka hele ʻole o ka mimi.

Prostatectomy - maʻalahi; ʻO prostatectomy Suprapubic; Prostatectomy maʻalahi Retropubic; Open prostatectomy; Nā hana Millen

• Hoʻonui prostate - he aha e nīnau aku ai i kāu kauka
• Transurethral resection o ka prostate - hoʻokuʻu

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 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.

Zhao PT, Richstone L. Robotic-kōkua a me ka laparoscopic maʻalahi prostatectomy. I: Bishoff JT, Kavoussi LR, nā hua. ʻO Atlas o Laparoscopic a me Robotic Urologic Surgery. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2017: chap 32.