Transurethral resection ea tšoelesa ea senya

Transurethral resection ea prostate (TURP) ke ho buuoa ho tlosa karolo e ka hare ea tšoelesa ea senya. E etsoa e le ho phekola matšoao a prostate e atolositsoeng.

Ho buuoa ho nka lihora tse ka bang 1 ho isa ho tse 2.

U tla fuoa moriana pele u etsoa opereishene e le hore u se ke ua utloa bohloko. U ka fumana anesthesia e akaretsang eo u robetseng ho eona u sa utloeng bohloko kapa bohloko ba mokokotlo boo u tsohileng ho bona, empa u felloa ke matla ho tloha thekeng le ka tlase.

Ngaka e buoang e tla kenya sekhechana ka phaepeng e ntšang moroto ho tsoa senya ea hau ho tsoa botoneng. Sesebelisoa sena se bitsoa resectoscope. Sesebelisoa se khethehileng sa ho itšeha se beoa ka bongata. E sebelisoa ho tlosa karolo e ka hare ea tšoelesa ea senya e sebelisang motlakase.

Mofani oa hao oa tlhokomelo ea bophelo a ka khothaletsa opereishene ena haeba u na le benign prostatic hyperplasia (BPH). Hangata tšoelesa ea senya e hola ha banna ba ntse ba tsofala. Prostate e kholo e ka baka mathata ka ho ntša metsi. Ho tlosa karolo ea tšoelesa ea senya hangata ho ka etsa hore matšoao ana a be betere.

TURP e ka buelloa haeba u na le:

• Bothata ba ho ntša senya ea hau
• Ho tšoaetsoa khafetsa ha methapo ea ho ntša metsi
• Ho tsoa mali ho tsoa ho senya
• Majoe a senya ka ho atolosoa ha senya
• Ho ntša metsi butle haholo
• Tšenyo ea liphio ka lebaka la ho se khone ho ntša metsi
• Ho tsoha hangata bosiu ho ntša metsi
• Litaba tsa taolo ea senya ka lebaka la prostate e kholo

Pele o etsoa opereishene, mofani oa hau o tla u eletsa hore u etse liphetoho tseleng eo u jang kapa u noang ka eona. U kanna ua kopuoa ho leka ho noa moriana. Karolo ea "prostate" ea hau e kanna ea hloka ho tlosoa haeba mehato ena e sa thuse. TURP ke o mong oa mefuta e tloaelehileng ea ho buuoa ka senya. Mekhoa e meng le eona ea fumaneha.

Mofani oa hau o tla nahana ka tse latelang ha a etsa qeto ka mofuta oa opereishene:

• Boholo ba tšoelesa ea senya ea hau
• Bophelo ba hao bo botle
• U ka batla opereishene ea mofuta ofe
• Boima ba matšoao a hau

Likotsi tsa ts'ebetso efe kapa efe ke:

• Mali a koahetsoe ke maoto a ka 'nang a ea matšoafong
• Mathata a phefumolohang
• Tšoaetso, ho kenyeletsoa leqeba la ho buoa, matšoafo (pneumonia), kapa senya kapa liphio
• Ho lahleheloa ke mali
• Tlhaselo ea pelo kapa stroke nakong ea ts'ebetso
• Liketso tsa meriana

Likotsi tse ling ke:

• Mathata ka taolo ea moroto
• Ho lahleheloa ke matla a peo ea botona
• Mathata a ho emisa
• Ho fetisetsa peo ea botona ka har'a senya ho e-na le ho tsoa ka urethra (ho khutlisetsa mokokotlo)
• Ho tiea ha mothapo (ho tiisa sopho ea ho ntša metsi ho tsoa lisele tse bohale)
• Transurethral resection (TUR) syndrome (metsi a hahang nakong ea ho buuoa)
• Tšenyo ea litho tsa kahare le likarolo

U tla etela hangata le mofani oa hau le liteko pele u etsoa opereishene. Ketelo ea hau e tla kenyelletsa:

• Tlhahlobo e felletseng ea 'mele
• Ho phekola le ho laola lefu la tsoekere, khatello e phahameng ea mali, mathata a pelo kapa a matšoafo le maemo a mang

Haeba u tsuba, u lokela ho emisa libeke tse 'maloa pele ho ts'ebetso. Mofani oa hau a ka u fa malebela a hore na u ka etsa sena joang.

Kamehla bolella mofani oa hau hore na ke lithethefatsi life, livithamini le lisebelisoa tse ling tseo u li nkang, esita le tseo u li rekileng ntle le lengolo la ngaka.

Nakong ea libeke pele u etsoa opereishene:

• U ka kopuoa ho emisa ho noa meriana e ka fokotsang mali a hau, joalo ka aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), vithamine E, clopidogrel (Plavix), warfarin (Coumadin), apixaban (Eliquis), le ba bang.
• Botsa mofani oa hau hore na ke lithethefatsi life tseo u lokelang ho li nka ka letsatsi la ts'ebetso ea hau.

Letsatsing la ho buuoa:

• O SE KE oa ja kapa oa noa letho kamora khitla bosiu pele o etsoa opereishene.
• Nka lithethefatsi tseo u laetsoeng hore u li noe ka ho noa metsi hanyane.
• O tla bolellwa nako ya ho fihla sepetlele.

Hangata o tla lula sepetlele matsatsi a 1 ho isa ho a mararo. Maemong a mang, o ka lumelloa ho ea hae ka lona letsatsi leo.

Kamora 'opereishene, o tla ba le tube e nyane, e bitsoang catheter ea Foley, ka senya ea hau ho ntša moroto. Sesepa sa hau se ka tšeloa metsi (ho nosetsoa) ho se boloka se hlakile. Moroto o tla shebahala o le madi qalong. Maemong a mangata, mali aa fela matsatsing a 'maloa. Mali a ka nyoloha hape ho potoloha catheter. Ho ka sebelisoa tharollo e khethehileng ho ntša catheter le ho e boloka e se ke ea tlala mali. Catheter e tla tlosoa pele ho matsatsi a 1 ho isa ho a 3 bakeng sa batho ba bangata.

U tla khona ho khutlela ho ja lijo tse tloaelehileng hang-hang.

Sehlopha sa hau sa tlhokomelo ea bophelo se tla:

• Ho u thusa ho fetola maemo betheng.
• Ho u ruta ho ikoetlisa ho boloka mali a phalla.
• Ho u ruta mokhoa oa ho khohlela le ho hema ka botebo. U lokela ho li etsa lihora tse ling le tse ling tse 3 ho isa ho tse 4.
• U joetse hore na u ka itlhokomela joang kamora ts'ebetso ea hau.

U kanna ua hloka ho apara li-stockings tse thata le ho sebelisa sesebelisoa sa ho hema ho boloka matšoafo a hau a hlakile.

U ka fuoa moriana oa ho kokobetsa masapo a senya.

TURP e imolla matšoao a prostate e atolositsoeng boholo ba nako. U kanna oa chesa ka ho ntša metsi, mali ka morong oa hau, ho ntša metsi khafetsa, 'me u hloka ho ntša metsi ka potlako. Hangata hona ho raroloha kamora nakoana.

LEBELE; Ts'ebetso ea prostate - transurethral

• Polokeho ea ho hlapela batho ba baholo
• Prostate e atolositsoeng - seo u lokelang ho se botsa ngaka ea hau
• Tlhokomelo ea catheter ea bolulo
• Boikoetliso ba Kegel - ho itlhokomela
• Ho thibela ho oa
• Tlhokomelo ea leqeba la ho buoa - e bulehile
• Transurethral resection ea tšoelesa ea senya - ho tsoa

• Anatomy ea banna ea ho ikatisa
• Tšoelesa ea senya
• Prostatectomy - Letoto la lihlooho tse
• Transurethral resection ea prostate (TURP) - Letoto la lihlooho

Khothaletsa HE, Dahm P, Kohler TS, et al. Tsamaiso ea ho buoa ea matšoao a tlase a pampiri ea moroto e hlahisitsoeng ke benign prostatic hyperplasia: Guideline Guideline Amendment 2019. J Urol. 2019; 202 (3): 592-598. PMID: 31059668 www.ncbi.nlm.nih.gov/pubmed/31059668.

Han M, Karolo ea AW. Prostatectomy e bonolo: mekhoa e bulehileng le e thusang liroboto. Ka: Wein AJ, Kavoussi LR, Partin AW, Peters CA, bahlophisi. Urology ea Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: khaolo ea 106.

Milam DF. Transurethral resection le transurethral incision ea prostate. Ho: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, lingoloa. Hinman’s Atlas of Urologic Surgery. La 4 ed. Philadelphia, PA: Elsevier; 2018: khaolo ea 67.

Ceh ea Roehrborn. Benign prostatic hyperplasia: etiology, pathophysiology, epidemiology le nalane ea tlhaho. Ka: Wein AJ, Kavoussi LR, Partin AW, Peters CA, bahlophisi. Urology ea Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: khaolo ea 103.