Pākuʻi Prostate (prostatectomy): he aha ia, ʻano a me ka hoʻōla

Anter

• Pehea e hana ai ke ʻoki
• Nā ʻano nui o ka prostatectomy
• Pehea ke ola ʻana mai prostatectomy
• Nā hopena hiki i ke ʻoki kino
• 1. Ka hoʻomau ʻole o ka mimi
• 2. ʻOihana Erectile
• 3. Hoʻoikaika kino ʻole
• Nā hoʻāʻo a me nā kūkākūkā ʻana ma hope o ke kaha ʻana
• Hiki i ke kanesa ke hoʻi mai?

ʻO ke kīkino Prostate, i ʻike ʻia ma ke ʻano he prostatectomy radical, ke ʻano nui o ka mālama ʻana no ka maʻi ʻaʻai prostate no ka mea, i ka hapanui o nā hihia, hiki ke wehe i ka puʻupuʻu malignant āpau a hoʻōla pono i ka maʻi ʻaʻai, ʻoiai ke ʻano loli maikaʻi ʻole ka maʻi a ʻaʻole i hiki nā lālā ʻē aʻe.

Hana ʻia kēia ʻoki, ʻoi aku ka maikaʻi, ma luna o nā kāne ma lalo o 75 mau makahiki, i manaʻo ʻia no ka haʻahaʻa a waena o ka ʻoki poepoe waena, ʻo ia hoʻi, me nā maʻi maʻi hoʻomau ʻia, e like me ka maʻi kōkō a i ʻole ke kiʻekiʻe. ʻOiai maikaʻi loa kēia lapaʻau, koi ʻia paha e hana i ka radiotherapy ma hope o ke kaha ʻana i nā hihia kikoʻī, e hoʻopau ai i nā hunaola malignant i waiho ʻia ma kahi.

Lōʻihi ka ulu ʻana o ka maʻi ʻaʻai Prostate a, no laila, ʻaʻole pono e hana ʻoki koke ma hope o ka ʻike ʻana i ka hōʻailona, ​​hiki ke loiloi i kāna ulu ʻana i loko o kahi manawa, me ka ʻole o kēia e hoʻonui ana i ka pilikia o nā pilikia.

Pehea e hana ai ke ʻoki

Hana ʻia ke kaha, ma ka hapanui o nā hihia, me ka anesthesia ākea, akā hiki nō ke hana ʻia me ka anesthesia ʻōiwi, i hoʻopili ʻia i ka iwi kuamoʻo, kaukaʻi ʻia i ka ʻenehana hana e hana ai.

Lawe ke kīpē i ka awelika o 2 mau hola a he mea maʻamau ka noho ʻana i ka haukapila ma kahi o 2 a 3 mau lā. Aia ka Prostatectomy i ka wehe ʻana o ka prostate, me ka urethra prostatic, nā vesicle seminal a me nā ampoules o nā vas deferens. Hiki ke hoʻopili ʻia kēia ʻoki me ka lymphadenectomy bilateral, ʻo ia ka wehe ʻana i nā lymph node mai ka pelvic region.

Nā ʻano nui o ka prostatectomy

No ka hemo ʻana i ka prostate, hiki ke hana ʻia ke kāʻoki e robotic a i ʻole laparoscopy, ʻo ia hoʻi, ma o nā puka liʻiliʻi i loko o ka ʻōpū kahi e hoʻopau ai nā mea kani i ka prostate, a i ʻole ma laparotomy kahi e ʻoki nui ʻia ai ka ʻili.

ʻO nā ʻano nui o ke ʻoki i hoʻohana ʻia:

• ʻO prostatectomy retropubic radical: i kēia ʻano hana, hana ke kauka i kahi ʻoki liʻiliʻi ma ka ʻili kokoke i ka piko e wehe i ka prostate;
• ʻO prostatectomy radical Perineal: hana ʻia kahi ʻoki ma waena o ka anus a me ka scrotum a hoʻoneʻe ʻia ka prostate. Hoʻohana pinepine ʻia kēia ʻano ma mua o ka mea ma mua, no ka mea, ʻoi aku ka nui o ka makaʻu o ka hōʻea ʻana i nā ʻalalā nona ke kuleana no ke kūkulu ʻana, kahi e hiki ai i ka hana erectile ke hana;
• ʻO prostatectomy radical radical: i kēia ʻano hana, kaohi ke kauka i kahi mīkini me nā lima robotic a, no laila, ʻoi aku ke kikoʻī o ke kiʻina hana, me ka liʻiliʻi o ka hopena o ka sequelae;
• ʻO ka transurethral resection o ka prostate: hana maʻamau ia i ka mālama ʻana i ka hyperplasia prostatic benign, akā naʻe, i nā hihia o ka maʻi ʻaʻai ʻaʻole hiki ke hoʻokō ʻia ka prostatectomy radical akā aia kekahi mau ʻōuli, hiki ke hoʻohana ʻia kēia ʻano.

I ka hapanui o nā hihia, ʻo ke ʻano kūpono kūpono ka mea i hana ʻia e nā robotics, no ka mea he mea ia e hōʻemi ai i ka ʻeha, e hoʻemi ana i ka emi o ke koko a ʻoi aku ka wikiwiki o ka manawa hoʻōla.

Pehea ke ola ʻana mai prostatectomy

He wikiwiki ka hoʻōla ʻana mai ke kahakaha prostate a koi wale ʻia ia e hoʻomaha, pale i nā hana, ma kahi o 10 a 15 mau lā. Ma hope o kēlā manawa, hiki iā ʻoe ke hoʻi i nā hana o kēlā me kēia lā, e like me ke kalaiwa ʻana a i ʻole ka hana ʻana, akā naʻe, aia wale nō ka ʻae no nā hana nui ma hope o 90 mau lā mai ka lā o ke ʻoki. Hiki ke hoʻomaka hou ka pilina pilina ma hope o 40 mau lā.

I ka wā ma hope o ka hana o ka prostatectomy, pono pono e waiho i kahi ʻimi hoʻāʻo, kahi paipu e lawe i ka mimi mai ka pāpaʻi i kahi ʻeke, no ka mea, ua wela loa ka maʻi urinary, e pale ana i ka hele o ka mimi. E hoʻohana ʻia kēia ʻimi 1 no 2 mau pule, a hemo wale nō ma hope o ka ʻōlelo a ke kauka. E aʻo pehea e mālama ai i ka catheter bladder i kēia wā.

Ma waho aʻe o ka ʻoki ʻana, koi ʻia ka hormone therapy, chemotherapy a me / a i ʻole radiation therapy e pepehi i nā hunaola malignant i wehe ʻole ʻia i ke ʻoki a i pāhola paha i nā meaola ʻē aʻe, e pale ana iā lākou mai ka hoʻomau ʻana e hoʻonui.

Nā hopena hiki i ke ʻoki kino

Hoʻohui ʻia i nā pōpilikia laulā, e like me ka maʻi maʻi ma ke kahua maʻa a i ʻole ka heʻe hemorrhage, hiki i ke ʻoki no ka maʻi ʻaʻai prostate ke loaʻa i kahi ʻē aʻe koʻikoʻi e like me:

1. Ka hoʻomau ʻole o ka mimi

Ma hope o ke kahakaha ʻana, ʻike paha ke kāne i kekahi mau pilikia i ka kaohi ʻana i ka puka mimi, a laila i ka hopena o ka mimi. Hiki i kēia incontinence ke akahai a piha paha a mau i kekahi mau pule a i ʻole mau mahina ma hope o ke kahakaha ʻana.

ʻOi aku ka maʻamau o kēia pilikia i ka poʻe ʻelemākule, akā hiki ke hiki i kēlā me kēia makahiki a hilinaʻi ʻia i ke degere o ka ulu ʻana o ka maʻi ʻaʻai a me ke ʻano o ke ʻoki. Hoʻomaka ka hoʻomaʻamaʻa maʻamau me nā kauila physiotherapy, me nā hana pelvic a me nā mea kani liʻiliʻi, e like me biofeedback, a me kinesiotherapy. I nā hihia ʻoi loa, hiki ke hana i ke ʻoki e hoʻoponopono i kēia hana pono ʻole. E ʻike i nā kikoʻī e pili ana i ka mālama ʻana i ka incontinence urinary.

2. ʻOihana Erectile

ʻO ke kīnā erectile kekahi o nā pilikia hopohopo nui loa no nā kāne, hiki ʻole ke hoʻomaka a mālama i ke kūkulu ʻana, eia nō naʻe, me ke ʻano o ke kāpoki robotic, ua emi nā helu o ka erectile. ʻO kēia no ka mea ma ka ʻaoʻao o ka prostate aia nā aʻa koʻikoʻi e kaohi i ke kūkulu ʻana. No laila, ʻoi aku ka maʻamau o ka hana erectile i nā hihia o ka maʻi ʻaʻai nui i pono ai e hemo i nā wahi i hoʻopilikia ʻia, a he mea pono paha e hemo i nā aʻa.

I nā hihia ʻē aʻe, hoʻopili wale ʻia ke kūkulu ʻana e ka mumū o nā aʻa a puni ka prostate, kaomi ma nā ʻalolo. Hoʻonui pinepine kēia mau hihia i loko o nā mahina a i ʻole nā ​​makahiki i ke ola ʻana o nā aʻa.

I mea e kōkua ai i nā mahina mua, e koi paha ka urologist i kekahi mau lāʻau lapaʻau, e like me sildenafil, tadalafil a iodenafil paha, kahi mea e kōkua ai i ke kūkulu ʻana i kahi leʻaleʻa. E aʻo hou e pili ana i ka mālama ʻana i ka hana erectile.

3. Hoʻoikaika kino ʻole

ʻO keʻoki no ka maʻi ʻaʻai prostate e ʻoki i ka pilina ma waena o nā testicle, kahi e hana ʻia ai ka sperm, a me ka urethra. No laila, ʻaʻole e hiki i ke kāne ke hānau keiki hou aʻe. E hana mau ana ka testicle i ka sperm, akā ʻaʻole e ejaculated.

ʻOiai ʻo ka hapanui o nā kāne i hoʻopilikia ʻia e ka maʻi ʻaʻai prostate he ʻelemakule, ʻaʻohe mea hopohopo nui ka infertility, akā inā he kāne ʻōpio ʻoe a makemake paha e loaʻa he keiki, ua ʻōlelo ʻia e kamaʻilio me ka urologist a loiloi i ka hiki ke mālama i ka sperm i nā keʻena lapaʻau kūikawā.

Nā hoʻāʻo a me nā kūkākūkā ʻana ma hope o ke kaha ʻana

Ma hope o ka pau ʻana o ka mālama ʻana i ka maʻi ʻaʻai prostate, pono ʻoe e hana i ka hoʻokolohua PSA i kahi ʻano serial, no 5 mau makahiki. Hiki ke hana ʻia nā scann Bone a me nā hoʻokolohua kiʻi ʻē aʻe i kēlā me kēia makahiki e hōʻoia i ka maikaʻi o nā mea āpau a i ʻole e hōʻoia i nā loli i ka wā hiki.

Hiki ke hoʻoluliluli ʻia ka ʻōnaehana naʻau a me ka moekolohe, no laila hiki ke hōʻike ʻia e ukali ʻia e kahi psychologist i ka wā o ka mālama ʻana a no nā mahina mua ma hope. ʻO ke kākoʻo o ka ʻohana a me nā hoaaloha pili kekahi mea kōkua nui e hoʻomaka i ka maluhia.

Hiki i ke kanesa ke hoʻi mai?

ʻAe, ua ʻike ʻia nā kāne me ka maʻi ʻaʻai prostate a mālama ʻia me ka manaʻo curative e loaʻa hou paha ka maʻi a pono i kahi lāʻau hou. No laila, he mea nui ka ukali maʻamau me ka urologist, e hana ana i nā hoʻokolohua i noi ʻia no ka kaohi nui ʻana o ka maʻi.

Eia hou, he ʻōlelo aʻoaʻo e mālama i nā ʻano olakino a ʻaʻole puhipaka, i ka hoʻohui ʻana i nā hoʻokolohua diagnostical i kēlā me kēia manawa, ke noi ʻia e ke kauka, no ka mea, ua ʻike ʻia ka maʻi ʻaʻai a i ʻole ke ala hou ʻana, ʻoi aku ka nui o ka manawa e ola ai.