Kubviswa kweprostate: migumisiro yokuvhiya, kuongororwa

Utano hwevanhu chinhu chinokosha kwete kwete chete mumuviri, asiwo kune psyche. Kuchinja mukushanda kweiyo genitalia kunoonekwa mune zvirwere zveurolo. Yakawanda pane idzi ndeye prostate gland pathologies. Prostate inopa ejaculation yakakwana mumarume uye inobatsira kudzivisa kubuda kubva muchechi panguva yekudzivirira. Zvirwere zve prostate gland zvinogona kusanganiswa nekuputika, kushaya muviri uye zvirongwa zvepfungwa. Kazhinji kurapwa ndiko kubvisa prostate. Pasinei nechinangwa chechimiro chacho, pane dzimwe nguva kushandiswa kunoonekwa seyoga sarudzo.

Zviratidzo zvekubviswa kweprostate

Kubudiswa kweprostate kunoitwa kana chirwere chekuchengetedza chisina simba. Muzviitiko zvakawanda, izvi ndezvekuita zvehutano. Dzimwe nguva prostatectomy inowanikwa nebenstatic hyperplasia. Kuwedzera kwomuviri nekuda kwekuputika hakurevi zvikonzero zvekushanda. Zviratidzo zvinotevera zvekubviswa kwe prostate zvakasiyana:

1. Maitiro okutanga ekenza yeprostate.
2. Calculous prostatitis - inopesana nokuputsa kwekuzora uye hematuria.
3. Benign hyperplasia yechigoni - adenoma.

Kanzira inofungidzirwa kuti inonyanya kuratidza kubvisa chirongwa. Prostateectomy inowanikwa pazvikamu 1 ne2 zvechirwere chacho. Muzviitiko izvi, chirongwa chekuita zvepfungwa chinongopfurikidza nematomu eprostate gland. Kana iyo prostate isina kubviswa panguva yakakodzera, kenza inogona kupararira mumuviri wose. Kuitwa kunoitwa kwevarume vaduku kudarika makore makumi manomwe, sezvo sangano rekushaya tariro rinopesana nemafambiro aro.

Adenoma ye prostate gland inotungamirira kukura munhengo. Somugumisiro wehutachiona, hutano hwepabonde uye husina kusimba urination hunoonekwa. Nekuwedzera kwehutano hyperplasia nekushaikwa kwekubudirira kubva pakurapa nzira dzokurapa, prostatectomy inoitwa.

Nzira dzokugadzirira kupindira

Kune nzira dzakawanda dzokubvisa prostate. Kusarudzwa kwemuitiro kunobva pauwandu hwehutano. Kubviswa kwechirongwa kunogona kukwana uye kusarura. Sarudzo dzekuvhiya dzinosanganisira:

1. Transurethral resection ye prostate. Iyo inoratidzwa nekubvisa kusarura kwemasukisi, iyo inobudiswa kuburikidza neutrera. Kuregererwa kunoitwa laparoscopically. Inowanikwa nebenzi ye prostatic hyperplasia.
2. Induction ye prostate. Kupindira kwakadaro kunosanganisira kuparadzanisa zviputi zvechirongwa. Iko inokubvumira kuti uwedzere chiedza chechiremba uye kudzivirira kukanganiswa kwechiremba. Iyo prostate gland inotemwa, asi nhengo haina kubviswa.
3. Radical prostatectomy. Inogadzirwa nemararamiro akakuvara uye akaratidza kuti ane hanya hyperplasia. Iyo gland inobviswa pamwe chete ne lymph nodes. Kuwanika kwechirongwa kunogona kusiyanisa - perineal, supra-uye retropubic. Kuvhiyiwa pachena kune ngozi kunekukudzikisa kwezvinetso.
4. Laser intervention. Inonzi inofanirwa, sezvo inoderedza ngozi yekubuda ropa. Kubviswa kweprostate nea laser kunoitwa nebenign gland hyperplasia. Kune nzira dzakawanda dzekuita izvi kushandiswa. Pakati pavo - kupisa (evaporation), enucleation uye laser resection ye adenoma.

Parizvino, zvakasarudzwa zvinopiwa kumatambudziko mashoma ekuvhiya. Izvi zvinosanganisira kushandiswa kwemalasi kweAdenoma, transurethral resection. Kunyange zvakadaro, hazvibviri kutora basa rakasununguka nedzimwe nzira mune dzimwe mamiriro.

Kubviswa kweprostatic adenoma: migumisiro yekurapwa

Kubviswa kweprostate gland inzira inoshandiswa yokurapa, iyo inofambidzana nehuwandu hwehutano hwehutano. Izvi zvinosanganisira zvinetso zvepakutanga uye nguva yekupedzisira pashure pokushanda. Pakati pavo - kutyora kwekugadzirisa nekugadzirisa. Mushure mokubviswa kweprostate adenoma ine laser uye kushandisa nzira yekushandura mutambo rese, njodzi yezvipingamupinyi izvi inoderera, pakuenzanisa nekuvhiya kwakazaruka.

Kuvhiya uku ndiko kunetseka kwomuviri wose. Nokudaro, mushure maro, pane zvisina kukodzera mukushanda kwe genitourinary system. Kazhinji, zvishoma nezvishoma zvinopfuura. Muna 2-10% yezvakaipa zvinokanganisa zviripo. Migumisiro yakaipa ye prostatectomy inosanganisira:

1. Urinary incontinence.
2. Kusasara kwe ejaculate panguva yepabonde.
3. Infertility.
4. Erectile dysfunction.
5. Zvirwere zvinopesana mumatombo maduku.

Kuti udzivise zvinetso izvi, chirwere chemuviri chinongororwa mumazuva ekutanga pashure pokubviswa kweprostate. Pakusununguka, mazano eUrologist anofanira kuteverwa. Izvi zvingabatsira kuderedza dambudziko rekugadzikana kwekupedzisira.

Pakutanga postoperative nguva

Mumazuva okutanga mushure me prostatectomy, mamiriro ezvinhu emuurwere akaoma. Izvi zvinokonzerwa nokurasikirwa kweropa uye kuchinja mubasa rehengo dze genito-urinary. Panguva ino pane ngozi yekukurira zvinetso zvinotevera:

1. Kuvharirwa kwevanga uye kupindira kwemakiromita. Mamiriro ehutano akaoma, fivha, kuputika kwemukati uye zviratidzo zvekutsamwa kwe peritoneum.
2. Kudonha - kunowanikwa mu 2.5% yezviitiko.
3. Kuvharwa kwechirwere chemauropa neropa rekuvhara, kubuda kwezvigadzirwa.
4. Relaxation ye sphincter yemukaka. Kazhinji chiratidzo ichi chinopfuura pachako. Kuzorodzwa kwemisumbu kunotungamirira kumakirini kusagadzikana.

Kuongororwa kwezvinetso zvepakutanga kunoitwa nevashandi vezvokurapa vari muchipatara. Mumamiriro ezvinhu ekubudirira kwemaitiro akaoma, rubatsiro rwechiremba anovhiya runodikanwa.

Kudzorera nguva mushure me prostatectomy

Nguva yekutanga postoperative nguva mazuva anoverengeka (mazuva 5-7). Munguva ino chirwere chemurwere chinowanzogadzirwa, kune humwe hunozvimirira. Zvisinei, kuzora zvakakwana mushure mekubviswa kwekenza yeprotate kana adenoma inogona kuitika mushure memwedzi mishomanana. Izvi zvinoenderana nezera remurwere, unhu hwemuviri wake uye nzira yekuita basa racho. Kukurudzira kugadziriswa uye kuderedza dambudziko rekugadzikana kwenguva refu, zvinotevera zvinofanira kuonekwa:

1. Itai gymnastics kuti musimbise misi miviri yepilvic. Kudzidzira nenzira yeKegel kunobatsira kuunza nzira yekudzoka kumashure. Gymnastics inosanganisira kushandura kukanganisa nekuzorodzwa kwepisic muscle.
2. Vibration therapy uye massage.
3. Kushandiswa kwe electrostimulator kana kuti vacuum-erector.

Mushure me prostatectomy, zvinhu zvinorema zvinorema zvinopfuura 3 kg hazvifaniri kusimudzwa. Uyewo hazvibvumirwi kuti uite basa rekugadzirira uye kutyaira motokari. Zvokudya zvinofanira kugoverwa, uye zvinotakura zvinokonzerwa nemahydrohydrates uye mapuroteni.

Kudzorerwa kwekuzora mushure me prostatectomy

Kubviswa kweprostate kunowanzokonzera kukanganisa kwekushambadzira. Mumazuva okutanga mushure mekuvhiyiwa, catheter inowanikwa mu urethra. Izvo zvakakosha kuti kubviswa kwechirwere kubva pachiganda. Pashure pemazuva mashoma kana vhiki, catheter inobviswa. Nemhaka yehutera hwemapundu epadvic, kuvhuna kwakaoma kudzora. Asi zvishoma nezvishoma basa iri riri nani. Kukurudzira kugadziriswa, zvinokosha kuita gymnastics, inobatsira sanatorium kurapwa.

Upenyu hwepedyo mushure mekuvhiyiwa kubvisa prostate

Pashure pemwedzi mitatu mushure me prostatectomy, murwere anogona kutanga kuita zvepabonde. Nenguva ino, mitsipa yepilvic inofanira kudzoka. Mune zvimwe zviitiko, varwere vanoona kudzokorora kuwedzerwa. Mbeu yemvura inonyorwa, asi inopinda muvhenekera. Chinhu chakadaro hachina ngozi, asi chinodzivirira kubata. Kuti ubvise zviratidzo izvi, shandisa vibromassage uye vacuum-erectors. Ne erectile dysfunction inoronga zvinodhaka zvine sildenafil. Izvi zvinosanganisira zvinodhaka "Cialis", "Viagra".

Mhinduro dzechiremba pamusoro pekushanda

Vanachiremba vanotaura kuti prostatectomy inoshanda zvakaoma iyo inofanira kuitwa kunze kwekudiwa. Ne prostate adenoma, hazvibvumirwi kubvisa chikamu zvachose, zviri nani kuita resection kana laser vaporization. Kudzorera mushure me prostatectomy kunoitika zvishoma nezvishoma, saka zvakakosha kutevera mirayiridzo yeurorosi uye uve nemoyo murefu.