Txiv neej txoj kev noj qab haus huv yog ib qho tseem ceeb tsis yog rau lub cev xwb, tab sis kuj rau lub hlwb. Kev hloov pauv hauv kev ua haujlwm ntawm qhov chaw mos ntawm qhov chaw mos tau sau tseg hauv cov kab mob urological. Feem ntau ntawm lawv yog prostate pathologies. Lub prostate ua kom ejaculation ib txwm nyob rau hauv cov txiv neej thiab pab thaiv qhov tawm ntawm lub zais zis thaum lub sij hawm ejaculation. Cov kab mob prostate tuaj yeem cuam tshuam nrog inflammatory, hyperplastic thiab oncological txheej txheem. Feem ntau txoj kev kho yog tshem tawm cov prostate. Txawm hais tias qhov xwm txheej radical ntawm txoj kev, qee zaum, kev ua haujlwm yog suav tias yog qhov kev xaiv nkaus xwb.
Qhia rau kev tshem tawm prostate
Kev tshem tawm ntawm cov prostate yog ua nyob rau hauv rooj plaub uas kev kho mob tsis muaj zog. Feem ntau, qhov no yog txheej txheem oncological. Qee zaum prostatectomy yog ua rau benign prostatic hyperplasia. Kev nce hauv lub cev vim qhov mob tsis yog vim li cas rau kev phais. Cov lus qhia hauv qab no rau kev tshem tawm prostate yog qhov txawv:
- pibtheem ntawm mob qog noj ntshav prostate.
- Calculous prostatitis - nrog los ntawm kev tso zis tsis zoo thiab hematuria.
- Benign organ hyperplasia - adenoma.
mob qog noj ntshav yog suav tias yog qhov qhia tseem ceeb rau kev tshem tawm lub cev. Prostatectomy tsuas yog ua nyob rau theem 1 thiab 2 ntawm tus kab mob. Hauv cov xwm txheej no, cov txheej txheem oncological tsuas yog txwv rau cov ntaub so ntswg prostate. Yog tias tus prostate tsis raug tshem tawm raws sijhawm, mob qog noj ntshav tuaj yeem kis thoob plaws lub cev. Kev ua haujlwm yog ua rau cov txiv neej hnub nyoog qis dua 70 xyoo, txij li cov kab mob somatic yog contraindications rau nws qhov kev siv.
Prostate adenoma ua rau muaj kev nce hauv lub cev. Raws li qhov tshwm sim ntawm tus kab mob no, kev sib deev tsis muaj zog thiab tso zis tsis zoo tau sau tseg. Nrog rau kev loj hlob ntawm benign hyperplasia thiab tsis muaj txiaj ntsig ntawm cov txheej txheem kho mob, prostatectomy tau ua.
Txoj kev ntawm kev cuam tshuam kev phais
Muaj ntau ntau txoj hauv kev los tshem tawm cov prostate. Kev xaiv ntawm txoj kev yog nyob ntawm qhov ntau ntawm pathology. Kev tshem tawm ntawm lub cev tuaj yeem ua tiav lossis ib nrab. Cov kev xaiv phais muaj xws li:
- Transurethral resection ntawm prostate. Nws yog tus cwj pwm los ntawm kev tshem tawm ib nrab ntawm cov ntaub so ntswg, uas yog ua los ntawm cov urethra. Kev phais yog ua laparoscopically. Nws yog ua rau benign prostatic hyperplasia.
- Prostate incision. Xws li kev phais mob cuam tshuam nrog kev tshem tawm cov ntaub so ntswg ntawm lub cev. Nwstso cai rau koj nthuav cov lumen ntawm cov urethra thiab tiv thaiv compression ntawm cov urethra. Kev phais yog tsim nyob rau hauv lub caj pas prostate, tab sis lub cev tsis raug tshem tawm.
- Radical prostatectomy. Nws yog nqa tawm nrog qog formations thiab hnyav benign hyperplasia. Lub caj pas raug tshem tawm ua ke nrog cov qog nqaij hlav. Kev nkag mus rau hauv lub cev tuaj yeem sib txawv - perineal, supra- thiab retropubic. Kev phais qhib yog qhov txaus ntshai rau kev txhim kho cov teeb meem.
- Laser cuam tshuam. Nws raug suav hais tias yog qhov zoo dua, vim nws txo qhov kev pheej hmoo los ntshav. Kev tshem tawm ntawm prostate nrog lub laser yog ua nrog benign gland hyperplasia. Muaj ntau ntau txoj hauv kev los ua qhov kev ua haujlwm no. Ntawm lawv yog vaporization (evaporation), enucleation thiab laser resection ntawm adenoma.
Tam sim no, cov txheej txheem phais mob tsawg dua yog nyiam. Cov no muaj xws li laser tshem tawm adenoma, transurethral resection. Txawm li cas los xij, qee qhov tsis tuaj yeem hloov qhov qhib kev ua haujlwm nrog lwm txoj hauv kev.
Kev tshem tawm ntawm prostate adenoma: qhov tshwm sim ntawm kev kho mob phais
Kev tshem tawm ntawm lub caj pas prostate yog kev kho mob radical uas tuaj nrog ntau yam kev phom sij rau kev noj qab haus huv. Cov no muaj xws li teeb meem ntawm lub sij hawm ntxov thiab lig postoperative. Ntawm lawv - kev ua txhaum ntawm cov txheej txheem tso zis thiab ejaculation. Tom qab tshem tawm ntawm prostate adenoma nrog lub laser thiab transurethral resection, qhov kev pheej hmoo ntawm cov teeb meem no tau txo qis piv rau qhib.phais.
Txoj haujlwm no muaj kev ntxhov siab rau tag nrho lub cev. Yog li, tom qab nws, muaj kev ua txhaum ntawm kev ua haujlwm ntawm genitourinary system. Feem ntau, lawv maj mam ploj mus. Hauv 2-10% ntawm cov xwm txheej, kev ua txhaum cai tseem nyob. Cov teebmeem tsis zoo ntawm prostatectomy suav nrog:
- tso zis tsis quav ntsej.
- Tsis muaj ejaculation thaum sib deev.
- Kev tsis muaj menyuam.
- Erectile dysfunction.
- cov txheej txheem mob hauv plab.
Txhawm rau tiv thaiv cov teeb meem no los ntawm kev txhim kho, tus neeg mob tus mob raug saib xyuas hauv thawj hnub tom qab tshem tawm prostate. Thaum tso tawm, koj yuav tsum ua raws li cov lus pom zoo ntawm urologist. Qhov no yuav pab txo qhov kev pheej hmoo ntawm cov teeb meem lig.
Thaum ntxov postoperative
Thaum thawj hnub tom qab prostatectomy, tus neeg mob tus mob hnyav heev. Qhov no yog vim ntshav poob thiab kev hloov pauv hauv kev ua haujlwm ntawm cov kab mob tso zis. Lub sijhawm no, muaj kev pheej hmoo ntawm kev tsim cov teeb meem hauv qab no:
- Kev kis mob ntawm qhov txhab thiab nkag mus ntawm microbes. Tus neeg mob tus mob hnyav, ua npaws, mob hauv zos thiab cov tsos mob ntawm peritoneal irritation.
- Bleeding - tshwm sim hauv 2.5% ntawm tus neeg mob.
- Kev cuam tshuam ntawm cov urethra nrog cov ntshav txhaws, qhov tshwm sim ntawm kev nruj.
- Nyob rau ntawm lub zais zis sphincter. Feem ntau, cov tsos mob no ploj mus ntawm nws tus kheej. Cov leeg nqaij so ua rau urinary incontinence.
Kev kuaj mob ntxov yog ua los ntawm cov neeg ua haujlwm kho mob hauv tsev kho mob. Nyob rau hauv cov ntaub ntawv ntawm kev loj hlob ntawm mob hnyav, nws yuav tsum taukev pab kws phais.
Lub sijhawm rov qab los tom qab prostatectomy
Lub sijhawm tom qab ntxov yog ob peb hnub (5-7 hnub). Thaum lub sij hawm no, tus neeg mob tus mob yog normalized, muaj ib tug ywj siab tso zis. Txawm li cas los xij, kev rov zoo tag nrho tom qab tshem tawm cov qog nqaij hlav prostate lossis adenoma tuaj yeem tshwm sim tom qab ob peb lub hlis. Nws nyob ntawm lub hnub nyoog ntawm tus neeg mob, tus yam ntxwv ntawm nws lub cev thiab cov txheej txheem ntawm kev ua haujlwm. Txhawm rau kom rov ua kom rov zoo dua thiab txo qhov kev pheej hmoo ntawm cov teeb meem lig, cov lus qhia hauv qab no yuav tsum ua raws:
- Ua gymnastics kom ntxiv dag zog rau cov leeg hauv plab. Kegel ce yuav pab coj cov txheej txheem tso zis rov qab mus rau qhov qub. Gymnastics muaj nyob rau hauv alternating nro thiab so ntawm cov leeg pubic.
- Vibrotherapy thiab massage.
- Siv lub tshuab hluav taws xob lossis lub tshuab nqus tsev.
Tom qab kev phais prostatectomy, koj tsis tuaj yeem nqa cov khoom hnyav uas hnyav tshaj 3 kg. Nws kuj tsis pom zoo kom koom nrog hauv kev ua haujlwm sedentary thiab tsav tsheb. Khoom noj khoom haus yuav tsum yog ib feem, nrog ib tug predominance ntawm yooj yim digestible carbohydrates thiab proteins.
Kev tso zis tom qab prostatectomy
Kev tshem tawm ntawm prostate feem ntau ua rau cuam tshuam cov txheej txheem tso zis. Thawj hnub tom qab kev phais, ib tug catheter yog muab tso rau hauv lub urethra. Nws yog ib qho tsim nyog rau kev khiav tawm ntawm cov kua dej los ntawm lub zais zis. Lub catheter raug tshem tawm tom qab ob peb hnub los yog lub lis piam. Vim tsis muaj zogpelvic pem teb cov leeg tso zis yog qhov nyuaj rau tswj. Tab sis maj mam cov txheej txheem tau zoo dua. Txhawm rau kom rov ua kom rov zoo dua, koj yuav tsum ua gymnastics, kho spa yog qhov tseem ceeb.
Lub neej zoo tom qab kev phais prostate
Tom qab 3 lub hlis tom qab prostatectomy, tus neeg mob tuaj yeem pib ua kev sib deev. Nyob rau lub sijhawm no, cov nqaij ntshiv ntawm lub plab yuav tsum rov zoo. Qee qhov xwm txheej, cov neeg mob muaj kev rov qab ejaculation. Seminal kua yog tso tawm, tab sis nws nkag mus rau lub lumen ntawm lub zais zis. Qhov tshwm sim no tsis txaus ntshai, tab sis nws tiv thaiv kev xeeb tub. Txhawm rau tshem tawm cov tsos mob no, siv vibromassage thiab lub tshuab nqus tsev vacuum. Nrog erectile kawg, cov tshuaj muaj sildenafil tau sau tseg. Cov no suav nrog cov tshuaj "Cialis", "Viagra"
Kev tshuaj xyuas cov kws kho mob txog kev ua haujlwm
Cov kws kho mob hais tias prostatectomy yog ib txoj haujlwm nyuaj uas yuav tsum tau ua thaum tsim nyog. Nrog rau prostate adenoma, nws tsis pom zoo kom tshem tawm tag nrho lub cev; nws yog qhov zoo dua los ua resection lossis laser vaporization. Rov qab tom qab prostatectomy yog maj mam, yog li koj yuav tsum ua raws li cov lus qhia ntawm urologist thiab ua siab ntev.
