He aha kāu e pono ai e ʻike e pili ana i ka hana ʻoki Prostate

Anter

• Nā ʻano o ka ʻoki prostate
• Open prostatectomy
• Nā ʻano o ke kāpili prostate e kōkua me ke kahe o ka mimi
• ʻOki kukuna Prostate
• ʻOki kino Endoscopic
• Ke hoʻonui nei i ka urethra
• He aha ka hana ma hope o ke kaha?
• Nā hopena ʻaoʻao āpau o ke kahakaha prostate
• He aha e hana ai ma hope o kāu ʻoki ʻana
• Mālama ponoʻī

He aha ka hana ʻoki prostate?

ʻO ka prostate kahi gland aia ma lalo o ka bladder, i mua o ka pololei. He mea nui ia i ka ʻāpana o ka ʻōnaehana hānau kāne e hoʻopuka i nā wai e hāpai i ka sperm.

ʻO ke ʻoki lāʻau no ka lawe hapa ʻana a hoʻopau piha paha i ka prostate i kapa ʻia ʻo prostatectomy. ʻO nā kumu maʻamau no ke kīpoki prostate ka maʻi ʻaʻai prostate a me kahi prostate hoʻonui ʻia, a i ʻole hyperplasia prostatic benign (BPH).

ʻO ka hoʻonaʻauao Pretreatment ke ala mua i ka hoʻoholo ʻana e pili ana i kāu lapaʻau. Hiki ke hana ʻia i nā ʻano ʻoki prostate āpau me ka anesthesia laulā, kahi e hiamoe ai, a i ʻole ka anesthesia spinal, kahi e hoʻopau ai i ka hapa haʻahaʻa o kou kino.

Paipai kāu kauka i kahi ʻano anesthesia e pili ana i kāu kūlana.

ʻO ka pahuhopu o kāu ʻoki kino ʻo:

• hoola i kou kulana
• mālama urinary hoʻomau
• mālama i ka hiki ke kūkulu ʻia
• hoʻemi i nā hopena ʻaoʻao
• hoʻēmi i ka ʻeha ma mua, i ka wā, a ma hope o ke kaha ʻana

E heluhelu e ʻike hou aʻe e pili ana i nā ʻano o ke kaha ʻana, nā pilikia a me ka hoʻōla ʻana.

Nā ʻano o ka ʻoki prostate

ʻO ka pahuhopu o ke kāpili prostate kaukaʻi ʻia i kāu ʻano. ʻO kahi laʻana, ʻo ka pahuhopu o ke kahakaha maʻi ʻaʻai prostate ka wehe ʻana i nāʻiʻo maʻi ʻaʻai. ʻO ka pahuhopu o ke kahakaha BPH e wehe i kaʻiʻo prostate a hoʻihoʻi i ke kahe maʻamau o ka mimi.

Open prostatectomy

ʻO ka prostatectomy hāmama ka mea i ʻike ʻia ma ke ʻano he ʻoki ākea kuʻuna a i ʻole he ala ākea. E hoʻokau kāu lāʻau lapaʻau i kou ʻili e hoʻopau i ka prostate a me nā mea kokoke.

ʻElua ala nui e like me kā mākou e wehewehe nei:

Pākuʻi radical: E ʻoki ana kou kaukipoki i kou ʻoki ʻana i kou iwi pihi i kāu iwi pubic. I ka hapanui o nā hihia, e hoʻopau wale kāu kauka lāʻau i ka prostate. Akā inā manaʻo lākou ua pālahalaha ka maʻi ʻaʻai, e lawe lākou i kekahi mau lymph node no ka hoʻāʻo ʻana. ʻAʻole hiki i kāu kaukipō ke hoʻomau i ke ʻoki inā ʻike lākou ua pāhola ka maʻi ʻaʻai.

Nā ʻano o ke kāpili prostate e kōkua me ke kahe o ka mimi

ʻOki kukuna Prostate

Mālama nui ke kuni laser Prostate iā BPH me ka ʻole o ka ʻoki ʻana ma waho o kou kino. Akā, e hoʻokomo kāu kauka i kahi pae fiber-optic ma o ka piko o ka peni a i loko o kāu urethra. A laila e kāpae ke kauka i nā kiko o ka prostate e ālai ana i ka kahe mimi. ʻAʻole maikaʻi paha ke kahakaha laser.

ʻOki kino Endoscopic

E like me ke kaha ʻana o ka laser, ʻaʻole hana ke kaha lāʻau endoscopic i kekahi mau ʻokiʻoki. E hoʻohana kāu kauka i kahi paipu lōʻihi, maʻalahi me kahi kukui a me nā aniani e lawe i nā ʻāpana o ka gland prostate. Hele kēia paipu ma ka piko o ka peni a manaʻo ʻia he emi iki ka hoʻouka.

Ke hoʻonui nei i ka urethra

ʻO ka transurethral resection o ka prostate (TURP) no BPH: ʻO TURP kahi hana maʻamau no BPH. E ʻoki kahi urologist i nā ʻāpana o kāu pepa prostate hoʻonui ʻia me kahi loop loop. E hele nā ​​ʻāpana i loko o ka puhā a holo aku i ka hopena o ke kaʻina hana.

Ke kuhi Transurethral o ka prostate (TUIP): ʻO kēia kaʻina hana ʻokiʻoki o kekahi mau ʻoki liʻiliʻi i ka prostate a me ka ʻāʻī bladder e hoʻonui i ka urethra. Manaʻo kekahi mau urologist he haʻahaʻa ka haʻahaʻa o ka TUIP no nā hopena ʻaoʻao ma mua o TURP.

He aha ka hana ma hope o ke kaha?

Ma mua o kou ala ʻana mai ke ʻoki kino, e hoʻokau ke kauka lāʻau i ka catheter i loko o kāu peni e kōkua ai i ka hoʻopau ʻana i kāu ʻōpū. Pono ka catheter e noho i hoʻokahi a ʻelua mau pule paha. Pono ʻoe e noho i ka haukapila no kekahi mau lā, akā maʻamau hiki iā ʻoe ke hoʻi i ka home ma hope o 24 mau hola. E hāʻawi aku kāu kauka a kahu hānai paha iā ʻoe i nā ʻōkuhi pehea e lawelawe ai i kāu catheter a mālama i kāu pūnaewele ʻoki kino.

E wehe kahi limahana olakino i ka catheter ke mākaukau a hiki iā ʻoe ke mimi iā ʻoe iho.

ʻO kēlā me kēia ʻano o kāu ʻoki ʻana, e ʻeha paha ka pūnaewele incision no kekahi mau lā. E ʻike paha ʻoe:

• ke koko i kou mimi
• ukiuki urinary
• paʻakikī e paʻa i ka mimi
• maʻi maʻi urinary tract
• pehu o ka prostate

Kūleʻa kēia mau ʻōuli no kekahi mau lā a i kekahi mau pule ma hope o ke ola ʻana. E hilinaʻi kou manawa hoʻōla i ke ʻano a me ka lōʻihi o ke ʻoki ʻana, kou olakino holoʻokoʻa, a inā ʻoe e hāhai i nā ʻōlelo aʻoaʻo a kāu kauka. E aʻo ʻia ʻoe e hōʻemi i nā pae hana, me ka moekolohe.

Nā hopena ʻaoʻao āpau o ke kahakaha prostate

Hele mai nā kaʻina hana āpau me kahi makaʻu, e like me:

• hopena i ka anesthesia
• kahe ana ke koko
• maʻi o ka wahi ʻoki lāʻau
• poino i nā ʻokana
• huʻi koko

ʻO nā hōʻailona hiki ke loaʻa iā ʻoe i ka maʻi me ke kuni, ke anuanu, ka pehu ʻana, a me ke kahawai mai ka ʻokiʻoki. Kāhea i kāu kauka inā kāpae ʻia kāu mimi, a inā he mānoanoa a ʻino paha ke koko i loko o kāu mimi.

ʻO nā hopena ʻē aʻe, nā kikoʻī kikoʻī e pili ana i ke kahakaha prostate:

Nā pilikia mimi: Hoʻopili kēia i ka urination ʻeha, paʻakikī i ka mimiki, a me ka urinary incontinence, a i ʻole nā ​​pilikia e kaohi ana i ka mimi. Hele pinepine kēia mau pilikia i mau mahina ma hope o ke kaha ʻana. He mea maʻamau ʻole ke ʻike i ka hoʻomau mau ʻole, a i ʻole ka nalo ʻana o ka hiki ke kaohi i kāu mimi.

ʻO ka hana Erectile (ED): He mea maʻamau ka ʻaʻohe kūkulu ʻewalu a 12 mau pule ma hope o ke kahakaha ʻana. Hoʻonui ka manawa o ka lōʻihi o ED inā hōʻeha ʻia kou mau ʻalolo. Hoʻokahi o ka noiʻi UCLA i ʻike ʻia i ke koho ʻana i kahi kauka nāna i hana ma kahi o ka ʻoki ʻana he 1000 a hoʻonui i ka manawa o ka hana hou ʻana ma hope o ke kaha ʻana o ka hana erectile. ʻO kahi kauka lāʻau e akahai a lawelawe i nā aʻalolo me ka maʻalahi hiki ke hoʻoliʻiliʻi i kēia hopena. Ua ʻike kekahi mau kāne i ka hōʻemi iki ʻana o ka lōʻihi o ka peni ma muli o ka pōkole o ka urethra.

Hewa ka wahine: Hiki paha iā ʻoe ke ʻike i nā loli i ka orgasm a me ka nalo ʻana o ka momona. ʻO kēia no ka mea e hoʻoneʻe kāu kauka i nā glands semen i ka wā o ke kaʻina hana. E kamaʻilio me kāu kauka inā he hopohopo kēia nou.

Nā hopena ʻē aʻe: ʻO nā manawa o ka hōʻiliʻili ʻana i ka wai i nā lymph node (lymphedema) i ka genital area a i ʻole nā ​​wāwae, a i ʻole ke hoʻomohala ʻana i kahi hernia groin hiki pū kekahi. Hiki i kēia ke hōʻeha i ka ʻeha a me ka pehu, akā hiki ke hoʻomaikaʻi ʻia nā mea ʻelua me ka lāʻau.

He aha e hana ai ma hope o kāu ʻoki ʻana

Hāʻawi iā ʻoe iho i ka manawa e hoʻomaha ai, ʻoiai ʻoe e ʻike i ka luhi hou ʻana ma hope o ke kaha ʻana. E hilinaʻi kou manawa hoʻōla i ke ʻano a me ka lōʻihi o ke ʻoki ʻana, kou olakino holoʻokoʻa, a inā ʻoe e hāhai i nā ʻōlelo aʻoaʻo a kāu kauka.

E komo pū paha nā ʻōkuhi me:

• Ka mālama ʻana i kou ʻeha ʻoki kino.
• ʻAʻohe hoʻokele no hoʻokahi pule.
• ʻAʻohe hana ikaika nui no ʻeono pule.
• ʻAʻohe piʻi piʻi i mua o ka pono.
• ʻAʻohe e hoʻopulu i nā pahu wai, nāʻauʻau, a me nā pahu wai wela.
• Ke pale nei i kahi kūlana e noho ana ma mua o 45 mau minuke.
• Lawe i nā lāʻau e like me ke kauoha e kōkua ai me ka ʻeha.

ʻOiai e hiki iā ʻoe ke hana i nā mea āpau ma kāu iho, he manaʻo maikaʻi paha e loaʻa kahi mea e kōkua iā ʻoe no ka manawa manawa kahi āu e loaʻa ai ka catheter.

He mea nui nō hoʻi e loaʻa i nā ʻōpū o ke ʻōpū i loko o hoʻokahi lā a ʻelua paha. I mea e kōkua ai i ka paʻa paʻa ʻana, inu i nā wai, hoʻohui i ka fiber i kāu papaʻai, a me ka hoʻoikaika kino. Hiki iā ʻoe ke nīnau i kāu kauka e pili ana i nā laxatives inā ʻaʻole holo pono kēia mau koho.

Mālama ponoʻī

Inā hoʻomaka kou scrotum e pehu ma hope o ke kahakaha ʻana, hiki iā ʻoe ke hana i kahi maʻa me kahi kāwele i ʻōwili ʻia e hoʻemi ai i ka pehu. E kau i ke kāwele kāwele ma lalo o kou scrotum ʻoiai ʻoe e moe ana i lalo a i ʻole e noho ana a loop i nā wēlau ma luna o kou mau wāwae no laila hāʻawi ia i ke kākoʻo. Kāhea i kāu kauka inā ʻaʻole e iho ka ʻōhū ma hope o hoʻokahi pule.