Resection Transurethral of endlaleni: iimpawu

resection Transurethral ye yesinye, okanye TURP zexesha elifutshane, yenye yezona ngempumelelo yaye kude yenye yeendlela ezininzi ethandwa ukuba umisele ukuba unyango wendlala. Lusetyenziswa kwiimeko apho izifo ayidingi kuhlinzwa ungenelelo ezinkulu. Kusenokwenzeka kwakhona kusetyenziswa xa umntu naziphi Izimo ukuba uqhaqho.

Kungenxa kwiimeko ezinjalo inkqubo ukususa neziqu yomhlaza ingaba lowo ilungileyo unyango olusebenzayo ngexesha. Kufuneka kuqatshelwe ukuba TURP siphelekwa ekupheliseni izihlunu ngokungeyomfuneko, kodwa le nkqubo wenziwe kuphela nje inxalenye unyango.

Kakuhle eli resection wendlala adenoma

resection Transurethral ye endlaleni ngu ifuthe lazo ngemvelo kubhekiselele kwiintlobo iinkqubo kancinane ezitshabalalisayo endoscopic. Le mbono kunye nentsingiselo yalo nkqubo kukususa ngokupheleleyo hyperplasia nabungozi ye yesinye, ngaphandle kokwenza oko bangayicenti angaphandle.

Kusenokwenzeka ukuba aqhube inkqubo enjalo kuba ngenxa yokuba wadala isixhobo akhethekileyo ekuthiwa resectoscope. Oku lesitofu ngqo urethra eyindoda. Ngoncedo lo gqirha iziyobisi, ukulawula zonke iinkqubo abangaboniyo kwaye ngokubhekiselele ezizodwa kweziporo, sekhombuya sokunciphisa nangezilonda evela kwi parenchyma.

Ingongoma ebalulekileyo: resection transurethral ye endlaleni - yenye izacholo kunye neenkqubo ecikizekileyo zotyando esikhoyo kule nkalo iinkqubo. Ngenxa yesi sizathu, impumelelo yalo ngoncedo liya kuxhomekeka kakhulu amava kunye neziqinisekiso lukagqirha.

iimpawu ubuchule

Ukuza kuthi ga ngoku, kukho iindawo eziliqela ezibalulekileyo apho inokuba kuxhomekeke impumelelo unyango kunye nexesha laso.

Njani na transurethral resection le adenoma wendlala? Imiphumo ixhomekeke ngokupheleleyo zinto zilandelayo:

• izenzo Ukuchaneka kunye nokusebenza ugqirha. Isigulana ngexesha nkqubo kuphela kwi ngasemva, kunye neentungo zayo wavuswa. Le urethra (itshaneli yemveliso umchamo) yaziswa i omncinci (7.6 mm instrument). Emsebenzini, udala ethile lokungcangcazela. Ugqirha kufuneka benze ixesha inkqubo mfutshane kangangoko. Kakhulu, omnye zeseshoni kwiyure ngaphantsi kwesinye.
• Ukubonakala. Sithetha ngendlela elungileyo ukubonakala in the urethra. Ukuze ukucacisa inqanaba yayo, waya resectoscope izixhobo urethra iya kuqaliswa kancinci. Ekupheleni kukho umthombo wokukhanya onamandla, kunye nethumbu lamanzi ubukhulu encinane. Kunye wazithwala engaphezi lokondla suctioning amanzi agqithisileyo. Ngenxa resectoscope design yenza indawo ukusebenza ehlambulukileyo, ngoko ke umgangatho umfanekiso amaninzi ifunyenwe. Ngokutsho ugqirha wakhe uya kuba nako ukubeka esweni izenzo zabo nokulawula inkqubo.

Inkqubo yokususa inyama kwakhiwa Kulula ukuchaza umsebenzi excavator eziqhelekileyo zokwakha.

Ngokusebenzisa ezizodwa iihenjisi umsebenzi lonyango ngcembe, umaleko yi umaleko, anqunyulwe onke iqala engeyomfuneko ukuya ixesha de kukho umfowunelwa olubonakalayo kunye, parenchyma prostatic oluqhelekileyo zendalo. Ngoko ke, ngokuthe ngcembe ukususa izihlunu ababesifa, ugqirha ulibuyele isithuba eziyimfuneko mocheottoka. Kwakhona, le nkqubo wenziwe ngumntu oqeqeshiweyo, kuwugcina, amanqanaba eziqhelekileyo endalo amandla.

Imihlobo TURP inkqubo

resection Transurethral ye endlaleni na iintlobo ezininzi:

• Usinga-TURP. Le nkqubo luphawulwa ukuvalwa buso. Xa pseudo-TURP ususa kuphela 15-20% yazo zonke izakhiwo elungisiweyo angcolile. Olu hlobo lonyango ibhekisa lingaze. Ngamanye amazwi, le nkqubo Unganciphisa inxalenye kuphela mpawu zixhaphakileyo. Kwabo kunganxulunyaniswa iingxaki kunye ukukhutshwa ngumchamo.
• TURP Partial. Olu hlobo nkqubo ibonelela ukususwa enkulu. Kukho bahlabeka 80 ekhulwini zeendawana.
• Zalisa resection transurethral le adenoma wendlala. Apha asuswe-100% ye ingaba achaphazelekayo. Le ndlela usebenzo lugqityiwe.

iingenelo yenkqubo

Nazi ke izinto eziphambili:

• kungekho naziphi na amacandelo abangaboni ephawuleka kwesikhumba;
• ixesha elifutshane yokusebenza;
• inqanaba eliphezulu nakho ukuguqulwa sisigulane;
• ukungabikho ngokupheleleyo okanye kancinci reactions icala kunye neziphumo;
• ixesha elincinane ukuvuselelwa.

ubungqina

Tur (resection transurethral of endlaleni) oluqhutywa Yayibubungqina zilandelayo:

• Le eselula kakhulu malunga nesigulane eso. Oku malunga yobudala apho kuyimfuneko ukwenza nje le nkqubo, kodwa kulondolozwe amandla endalo kunye inkanuko.
• Ubukho nayiphi na imisebenzi nalo endlaleni.
• intsimbi Ukwanda unyuse (ukuba iisentimitha cubic malunga 80). Ukuba ubungakanani prostate ubuncinane kancinane mkhulu kunale kweli nqanaba, imiphumo ayimfuneko kwezonyango lenkqubo ayikwazi kuphunyezwa.
• Naziphi na izifo ebonakalayo, ingakumbi ukuba zinzima. Ezi ziquka intso, intliziyo kunye isifo sesibindi okanye iinkqubo ezosulelayo emzimbeni.
• Iindibaniso prostatitis kunye adenoma.

Ingongoma ebalulekileyo: lowo wenziwe kunye nenkqubo ukususa somdlavuza wendlala. Umahluko kuphela kukuba apha isuswe ithumba.

Izimo

resection Transurethral le eguquguqukayo prostate unalo Izimo zilandelayo:

• zokugula olunamandla;
• nakuphi na ukunyhashwa ezinxulumene ekunqandeni igazi;
• kubonwa ngexesha lokwenziwa kolhlolo.

Man phambi nasemva kotyando kungavumelekanga ukwamkelwa kwabo iimveliso, okuye caffeine.

Ingongoma ebalulekileyo, ngenxa yokuba ngexesha lokusebenza akukho monakalo izihlunu, yena iingxaki ezincinci. Ngoko ke, ixesha post-operative nalo elifutshane. Ngosuku olulandelayo isigulane nivuke siyashukuma ngokuzimeleyo.

Iingxaki emva resection transurethral le adenoma wendlala

Emva kokuba inkqubo, iingxaki ezinjalo kungabonakala:

• Ukunxila yonke umzimba ngamanzi. Le ingxaki kubonakala ukuba kukho isixa esikhulu ulwelo okunkcenkceshela, nto leyo esetyenziselwa ukunkcenkceshela. Ngokuqhelekileyo in a kwimeko zingenzeka ubuthathaka jikelele. Kwezinye iimeko, umntu kancinane, kodwa kakhulu kunciphisa iqondo lobushushu emzimbeni. Isigulane uzakufuna ukulala.
• Kancinci ukopha. Oko kunokuthi kwenzeke emva kokuba usebenzo lugqityiwe, yaye kuphela kwiimeko apho nkqubo yaba into eyaphukileyo. Kule kama zilahlwe kuyo isiqabu. Oku kwenziwa ngokusebenzisa iindlela ezahlukeneyo kuvumelekile ukuba ayeke igazi. Kwakhona kusetyenziswa diathermocoagulation nkqubo endoscopic.

Iingxaki zinqabile, ikakhulu ithembele inqanaba nobuchwepheshe ugqirha kuphela koko.

reviews

resection Transurethral ye endlaleni iye ncomo becala HIV. Oku kungenxa yokuba phantse akukho zingxaki, oko kakuhle zokuba kulo msebenzi. Kuthatha ixesha elincinane, phantse elula.

period kwimo

Emva kotyando, isigulane kufuneka kusela, kodwa hayi ezininzi kunene. Ngu ngokuhlwa ngosuku olulandelayo emva kokuba inkqubo, yena uyakwazi ngokuzimeleyo vuka uhambe. Kulo mzekelo, iintlungu kakhulu okanye ukungakhululeki, akayi kuphinda. Noko ke, ukuba kusekho, ungathatha ntlungu, ngoweqela of analgesics non-ezidakumbisayo okanye ezidakumbisayo.

Le catheter evela urethra abayi kuphuma iintsuku ezimbalwa. Oku kuyimfuneko ukuze umonakalo ephilile baba nako ukuzifumana amphilise. Kwakhona kuyimfuneko ukuze kuthintelwe kungekho kukhula umchamo. Musa ukoyika ukuba ngowokuqala phakathi catheter iya kumka umchamo ugalelwe igazi. Ekuqaleni, oko kuyinto eqhelekileyo. Emva kweentsuku ezintathu okanye ezine emva kokuba inkqubo, le catheter asuswe.

Ukubuyiselwa kunye nokuvuselelwa ekhaya

Ngokumalunga iinkqubo ekuphulukenwe kwelo khaya, kukho imfuneko ukukhumbula iingongoma ezibalulekileyo. Oku kuya kunceda nje ukuba siphephe iingxaki kunokwenzeka, kodwa kukhawulezisa kakhulu inkqubo yokubuyisa ixesha ekuphulukenwe nalo.

Kufuneka sisele kangangoko kunokwenzeka. Oku kuyimfuneko ukuze kuhlamba nangoko loo urethra. Oku kuya kunceda ekuphuculeni inkqubo endalo ukuchama. Nisele ngcono emva kwemini okanye kusasa, kubalulekile ukuphepha ukwandisa inani fluid ebusuku.

Kwakhona kuyimfuneko ukubeka ecaleni ngokupheleleyo utywala nekofu kuzo zonke obubonakala. Inyaniso yokuba ezi ulwelo efanayo dilates imithambo yegazi, ngaloo ndlela Nokumphikisa ezophayo umntu.

Kuyimfuneko ukuba siphephe iingxaki ezinokuba ukuhamba kwamathumbu. Ngamanye amazwi, ukuba umntu ukuqhina, ukuba inyanzelekile ukuba laxatives.

Yintoni ekufuneka ukuba uyenze le unyango ekhaya?

Kubalulekile ukuba kupheliswe umthwalo de bachache ngokupheleleyo. Kungcono ukwenza imithambo Kegel, kodwa kuphela ukuba wenze oko kuya kuvumela ugqirha. Le mithambo ziyimfuneko ukuze ukomeleza izihlunu ukuba banoxanduva inkqubo ukuchama.

Enoba akukho usuleleko, usafuna kufuneka balandele imithetho kunye nezikhokelo unyango isibulala-zintsholongwane.

Ingongoma ebalulekileyo; ukuze inkqubo okubuyiswa flora emathunjini phe yakhawuleza, kufuneka uthathe iziyobisi ezongezelelweyo, nto leyo ubunjwe iintsholongwane siyingenelo.

Iziphumo resection transurethral ye endlaleni

Inkqubo TURP ayikho eyingozi ukusebenza kwayo, kunye namadoda kufuneka ukuphucula kuphela impilo yabo kunye sifo, kodwa ukwenzela ukunciphisa ingozi ubuncinane nge amandla endalo kunye neqondo inkanuko yesini.

Ukuba uyazihlonela zonke izindululo gqirha ukuya kwaye ugqirha owenze lomgaqo, utyando kunye nexesha yesiqhelo uya kudlula ngaphandle naziphi na iingxaki okanye iingxaki. Emva koko, abantu baya kuba nako ukubuyela imisebenzi yabo yemihla ngemihla kunye ubomi obuqhelekileyo. Kule meko msebenzi ngokwayo ayikho umqondo eqhelekileyo. Nantso inqubo enjalo emangalisayo - resection transurethral le adenoma wendlala. Guest kuqinisekisiwe ngokupheleleyo.