He aha ka mea e manaʻo ai mai kahi Orchiectomy

Anter

• He aha nā ʻano o orchiectomy?
• Orchiectomy maʻalahi
• Orchiectomy radical inguinal
• Subcapsular orchiectomy
• Orchiectomy bilateral
• ʻO wai ka moho maikaʻi no kēia kaʻina hana?
• Pehea ka maikaʻi o kēia kaʻina hana?
• Pehea wau e hoʻomākaukau ai no kēia kaʻina hana?
• Pehea e hana ai i kēia kaʻina hana?
• He aha ka hoʻōla e like me kēia kaʻina hana?
• Aia kekahi hopena a i ʻole nā ​​pilikia?
• Outlook

He aha ka orchiectomy?

ʻO kahi orchiectomy kahi ʻoki i hana ʻia e wehe i hoʻokahi o ʻelua paha o kāu mau hōʻike. Hana pinepine ʻia ia e mālama a pale aku paha i ka maʻi ʻaʻai prostate mai ka hoʻolaha ʻana.

Hiki i kahi orchiectomy ke mālama a pale paha i ka maʻi ʻaʻai testicular a me ka maʻi ʻaʻai umauma i nā kāne. Hana pinepine ʻia hoʻi ia ma mua o ke ʻoki hou ʻana o ka moekolohe (SRS) inā he wahine transgender ʻoe e hoʻololi ana mai ke kāne a ka wahine.

E heluhelu e aʻo hou aʻe e pili ana i nā ʻano ʻokoʻa o ke kaʻina orchiectomy, pehea e hana ai ke kaʻina hana, a pehea e mālama ai iā ʻoe iho ma hope o kāu loaʻa ʻana o ke kaʻina hana.

He aha nā ʻano o orchiectomy?

Aia kekahi mau ʻano o nā kaʻina orchiectomy e pili ana i kāu kūlana a i ʻole ka pahuhopu āu e hoʻāʻo nei e hoʻokō i kēia hana.

Orchiectomy maʻalahi

Lawe ʻia hoʻokahi a i ʻole ʻelua mau testicle ma o kahi ʻoki liʻiliʻi i kāu scrotum. Hana ʻia kēia e mālama ai i ka maʻi ʻaʻai o ka umauma a i ʻole ka maʻi ʻaʻai prostate inā makemake kāu kauka e kaupalena i ka nui o nā testosterone e hana ai i kou kino.

Orchiectomy radical inguinal

Lawe ʻia hoʻokahi a i ʻole ʻelua mau testicle ma o kahi ʻoki liʻiliʻi i ka ʻaoʻao haʻahaʻa o kou wahi ʻōpū ma kahi o kāu scrotum. Hana ʻia kēia inā ua ʻike ʻoe i kahi puʻupuʻu i kāu testicle a makemake kāu kauka e hoʻāʻo i kāu kiko testicular no ka maʻi ʻaʻai. Makemake paha nā kauka e hoʻāʻo no ka maʻi ʻaʻai me ka hoʻohana ʻana i kēia ʻoki no ka mea hiki i kahi ʻāpana kikoʻī maʻamau, a i ʻole biopsy, ke hoʻonui i nā hunaola maʻi ʻino.

He koho maikaʻi paha kēia ʻano ʻoki no ka hoʻololi ʻana mai ke kāne a ka wahine.

Subcapsular orchiectomy

Lawe ʻia nā pūnaewele a puni nā testicle mai ka scrotum. ʻAe kēia iā ʻoe e mālama paʻa i kāu scrotum i ʻole kahi hōʻailona waho e lawe ʻia kekahi mea.

Orchiectomy bilateral

Wehe ʻia nā testicle ʻelua. Hana ʻia kēia inā loaʻa ʻoe i ka maʻi ʻaʻai prostate, maʻi ʻaʻai umauma, a i ʻole ke neʻe nei mai ke kāne a ka wahine.

ʻO wai ka moho maikaʻi no kēia kaʻina hana?

Hiki i kāu kauka ke hana i kēia ʻoki e mālama i ka maʻi ʻaʻai umauma a i ʻole ka maʻi ʻaʻai prostate. Me ka ʻole o nā testicle, ʻaʻole hiki i kou kino ke hana i ka nui o ka testosterone. ʻO Testosterone kahi hōmona e hiki ai ke hoʻolaha i ka maʻi hānai a i ʻole ka umauma umauma me ka wikiwiki. Me ka ʻole o ka testosterone, ulu paha ka maʻi ʻaʻai i ka nui o ka wikiwiki, a ʻo kekahi mau ʻōuli, e like me ka ʻeha o ka iwi, hiki ke hoʻomanawanui ʻia.

Hiki i kāu kauka ke koi aku iā orchiectomy inā ʻoe i ke olakino maikaʻi āpau, a inā ʻaʻole i pālahalaha nā hunaola maʻi ʻoi aku ma mua o kāu testicle a i ʻole ma ʻō aku o kāu gland prostate.

Makemake paha ʻoe e hana i kahi orchiectomy inā hoʻololi ʻoe mai ke kāne a ka wahine a makemake e hōʻemi i ka nui o ka testosterone e hana ai i kou kino.

Pehea ka maikaʻi o kēia kaʻina hana?

Mālama maikaʻi kēia ʻoki ʻana iā prostate a me ka maʻi ʻaʻai umauma. Hiki iā ʻoe ke hoʻāʻo i nā therapies hormone me antiandrogens ma mua o ka noʻonoʻo ʻana i kahi orchiectomy, akā hiki i kēia mau mea ke loaʻa nā hopena ʻaoʻao, e like me:

• hōʻino i kou kelepaʻi thyroid, ake, a me nā puʻupaʻa
• huʻi koko
• hopena maʻi ʻaʻai

Pehea wau e hoʻomākaukau ai no kēia kaʻina hana?

Ma mua o kahi orchiectomy, hiki i kāu kauka ke lawe i nā laʻana koko e ʻike pono ʻoe i ke olakino no ke ʻoki a me ka hoʻāʻo ʻana no nā hōʻailona o ke kanesa.

He ʻōnaehana waho kēia e lawe i nā minuke 30-60. Hiki paha i kāu kauka ke hoʻohana i ka anesthesia kūloko e hoʻopau i ka wahi a i ʻole ka anesthesia laulā. ʻOi aku ka nui o nā makaʻu o ka anesthesia ākea akā e ʻae ʻoe e ʻike ʻole i ka wā o ke ʻoki.

Ma mua o ke koho ʻana, e hōʻoia inā he kaʻa kou i ka home. Lawe i kekahi mau lā mai ka hana a mākaukau e kaohi i kāu nui o ka hoʻoikaika kino ma hope o ke ʻoki. E haʻi i kāu kauka e pili ana i nā lāʻau a me nā mea hoʻopihapihaʻai āu e lawe nei.

Pehea e hana ai i kēia kaʻina hana?

ʻO ka mea mua, e hāpai ana kāu mea lapaʻau i kāu peni a kāpili iā ia i kou ʻōpū. A laila, e hana lākou i kahi ʻokiʻoki ma kāu scrotum a i ʻole ka wahi ma luna pono o kou iwi pubic ma kou ʻōpū o lalo. Hoʻokiʻoki ʻia hoʻokahi a i ʻole ʻelua testicle mai nā aʻa a puni a me nā kīʻaha, a hemo i loko o ka ʻokiʻoki.

E hoʻohana kāu lāʻau lapaʻau i nā mea hoʻopaʻa e pale ai i kāu mau kaula spermatic mai ke kahe ʻana o ke koko. Hoʻokomo paha lākou i kahi testicle prosthetic e pani i ka mea i hemo. A laila, holoi lākou i ka wahi me kahi wai paʻakai a humuhumu i ka ʻokiʻoki.

He aha ka hoʻōla e like me kēia kaʻina hana?

Hiki iā ʻoe ke hoʻi i ka home i mau hola ʻelua ma hope o ka orchiectomy. Pono ʻoe e hoʻi i ka lā aʻe no ka hōʻoia.

No ka pule mua ma hope o ka orchiectomy:

• Lawe i kahi kākoʻo scrotal no nā hola he 48 ma hope o ke kaha ʻana inā kuhikuhi ʻia e kāu kauka a kahu maʻi paha.
• E hoʻohana i ka hau e hoʻoliʻiliʻi i ka pehu ʻana i kāu scrotum a i ʻole ka ʻokiʻoki.
• E holoi mālie i ka wahi me kahi kopa kope ke ʻauʻau ʻoe.
• E mālama i kou wahi ʻoki a maloʻo a uhi ʻia i ka gauze no nā lā mua.
• E hoʻohana i nā kalima a me nā hamo e pili ana i nā ʻōlelo aʻoaʻo a kāu kauka.
• Lawe i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ibuprofen (Advil, Motrin) no kou ʻeha.
• Hōʻalo i ke kau ʻana i ka neʻe ʻana o ka ʻōpū. Inu i ka wai he nui a ʻai i nā meaʻai fiber kiʻekiʻe e mālama mau ai i ka neʻe ʻana o ka ʻōpū. Hiki iā ʻoe ke lawe i kahi palupalu palupalu.

Hiki iā ia ke lilo i ʻelua mau pule i ʻelua mau mahina e ola pono ai mai kahi orchiectomy. Mai hāpai i kekahi mea ma mua o 10 paona no nā pule ʻelua mua a i ʻole moe kolohe a hiki i ka wā i pau ai ka ʻokiʻoki. Hōʻalo i ka hoʻoikaika kino, nā haʻuki, a me ka holo ʻana no ʻehā mau pule ma hope o ke kaha ʻana.

Aia kekahi hopena a i ʻole nā ​​pilikia?

E ʻike koke i kāu kauka inā ʻike ʻoe i kekahi o nā hopena ʻē aʻe:

• ʻeha a ʻulaʻula paha e pili ana i ka ʻoki
• kaomi a kahe paha mai ka ʻokiʻoki
• wela ma luna o 100 ° F (37.8 ° C)
• hiki ʻole ke mimī
• hematoma, ʻo ia ke koko i ka scrotum a ma ke ʻano maʻamau ke nānā aku me kahi wahi poni nui
• nalo o ka manaʻo a puni kou scrotum

E kamaʻilio me kāu kauka e pili ana i nā hopena hopena lōʻihi ma muli o ka liʻiliʻi o ka testosterone i kou kino, e like me:

• ʻosteoporosis
• lilo o ka momona
• uila uila
• manaʻo kaumaha
• ka hana erectile

Outlook

ʻO kahi orchiectomy kahi kīʻaha maʻi i waho ʻaʻole i liʻuliʻu e ola hou mai. ʻOi aku ka liʻiliʻi o ka makaʻu ma mua o ka hoʻōla hormonone no ka mālama ʻana i ka maʻi ʻaʻai prostate a i ʻole testicular.

E wehe me kāu kauka inā loaʻa ʻoe i kēia ʻoki ma ke ʻano he mahele o kāu hoʻololi ʻana mai ke kāne a ka wahine. Hiki paha i kāu kauka ke hana pū me ʻoe e hōʻemi i nāʻiʻo o ka wīwī ma kahi e holomua ai ka SRS e hiki mai ana.