Created at:1/13/2025
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Ko te pokanga Laser PVP (Photoselective Vaporization of the Prostate) he tikanga iti nei te whakaeke e whakamahi ana i te kaha laser hei tango i te kiko prostate nui e aukati ana i te rere o te mimi. Whakaarohia he huarahi tika ki te whakawātea i te awa kua aukatihia, engari hei utu mo te whakamahi i ngā taputapu tuku iho, ka whakamahi ngā tākuta i te kaha marama i arotahi hei whakakore marie i te kiko e raru ana.
Ko tēnei tikanga waho-pāpā e tuku ana i te maha o ngā tāne i te whakawātea i ngā tohu mimi e raru ana me te kore e hiahia ki te pokanga nui, ki te noho roa rānei i te hōhipera. Ka taea e te hangarau laser te tākuta pokanga ki te mahi me te tika nui, e arotahi ana ki te kiko raruraru anake i te wa e tiaki ana i ngā wāhi hauora e tata ana.
Ka whakamahi te pokanga Laser PVP i te laser marama kākāriki motuhake hei whakakore i te kiko prostate kua whānui e aukati ana i tō urethra. Ka huri te kurupae laser i te wai i roto i ngā pūtau prostate ki te korohū, e tango ana i te paparanga kiko nui i te paparanga.
I te wā o te tikanga, ka whakauru tō tākuta pokanga i tētahi āwhina angiangi mā tō urethra me te ārahi i te muka laser tika ki ngā wāhi kua whānui. Ka hangaia e te kaha laser ngā mirumiru iti e hiki marie ana i te kiko e aukati ana, e whakatuwhera ana i te ara mimi me te kore e hanga i ngā tapahi waho.
He tino whai hua tēnei tikanga mō ngā tāne e pā ana ki te hyperplasia prostatic benign (BPH), he āhuatanga noa e whānui ake ai te repe prostate i te wā e pakeke ana. Ka taea e te tika o te laser ngā tākuta ki te whakairo i te kiko prostate pērā i te tohunga mahi rākau e hanga ana i te rākau, e hanga ana i tētahi ara mārama kia rere noa ai te mimi.
Ka tūtohu te pokanga Laser PVP i te wā e raru nui ana te prostate kua whānui i tō kounga o te ora me ngā mahi o ia rā. Ka tūtohu pea tō tākuta i tēnei tikanga mēnā kei te pā koe i ngā tohu mimi tonu kāore i pai ake me ngā rongoā, ngā huringa rānei o te oranga.
Ko ngā take tino nui e whakaarohia ana mō tēnei pokanga ko te uaua ki te tīmata i te mimi, te ngoikore o te rerenga mimi, te haere auau ki te wharepaku i te pō, me te whakaaro kāore anō kia putu katoa tō pūpū. He mea whakatōpū, he mea whakapau kaha ēnei tohumate, e pā ana ki tō moe, mahi, me ngā mahi pāpori.
Ka tohutohu pea tō tākuta ki te laser PVP mēnā kua whanake ngā raruraru mai i te pūpū nui. Ko ēnei pea ko ngā mate urutā mimi e hoki mai ana, ngā kōhatu pūpū, ngā wā rānei e kore ai e mimi ohorere ana, e hiahia ana kia āwhina hauora ohorere.
I ētahi wā, ko ngā tāne e kore e taea te tango i ētahi rongoā pūpū nā te pānga kino, ētahi atu āhuatanga hauora rānei, ka kitea te laser PVP he huarahi pai. He pai hoki te tikanga mō te hunga e tango ana i ngā rongoā whakaheke toto, nā te mea he iti ake te toto e puta ana i te pokanga tuku iho.
Ko te tikanga laser PVP te nuinga o te wā e 30 ki te 90 meneti te roa, ā, ka mahia i raro i te rongoā ā-tuarā, i te rongoā whānui rānei. Ka whakatū tō tākuta i a koe kia pai ki tō tuara, ā, ka whakarite kia tino whakangā koe i mua i te tīmatanga.
Tuatahi, ka whakauru tō tākuta i tētahi resectoscope, he taputapu angiangi me te mārama me te kāmera, mā tō ure kia kite i te pūpū. Kāore he tapahi o waho e hiahiatia ana, ko te tikanga kāore he kiko e kitea i muri mai.
I muri mai, ka ārahi te tākuta i te muka laser mā te resectoscope ki te kiko pūpū nui. Ka tukuna e te laser mārama kākāriki ngā ngaru pūngao whakahaere e whakakore ana i te kiko nui i te wā kotahi, i te hiri i ngā oko toto i te wā kotahi, e āwhina ana ki te whakaiti i te toto.
I te wā o te tikanga, ka tango tō tākuta i te kiko kua whakakorea, ka horoi i te wāhi ki te wai horoi kia mau tonu te kite. Ko te tika o te laser ka taea te tango i te kiko raruraru anake, ka waiho te kiko pūpū hauora kia ora.
Whai muri i te otinga o te tango kiko, ka waiho pea e tō tākuta he katita rangitahi hei āwhina i te rerenga mimi i te wā e tīmata ana te whakaora. Ko te tikanga ka tangohia tēnei katita i roto i te 24 ki te 48 haora, ahakoa ka hoki ētahi tāne ki te kāinga kāore he katita.
Ko te whakarite mō te pokanga laser PVP e hāngai ana ki ētahi mahi nui hei whakarite kia pai te hua. Ka hoatu e tō tākuta ngā tohutohu motuhake i hangaia mō ō hiahia hauora me ō rongoā.
Tata ki te kotahi ki te rua wiki i mua i te pokanga, me whakamutu e koe te tango i ētahi rongoā ka piki ake te tūponotanga o te whakaheke toto. Ko te tikanga ko te aspirin, te ibuprofen, me ngā rongoā whakaiti toto, engari kaua rawa e whakamutu i tētahi rongoā me te kore e whakaaehia e tō tākuta i te tuatahi.
Ka whakarite pea tō rōpū hauora i ngā whakamātautau i mua i te pokanga hei whakarite kia hauora koe mō te mahi. Ka uru pea ēnei ki te mahi toto, ngā whakamātautau mimi, me te EKG pea hei tirotiro i te mahi o tō ngākau.
I te rā i mua i te pokanga, ka whiwhi koe i ngā tohutohu mō te kai me te inu. Ko te tikanga, me karo koe i te kai me ngā wai mō te 8 ki te 12 haora i mua i te mahi hei ārai i ngā raruraru i te wā o te anethesia.
He pai hoki te whakarite kia whai tangata hei taraiwa i a koe ki te kāinga i muri i te pokanga, nā te mea me wā te pānga o te anethesia kia ngaro katoa. Ko te whai i tētahi hoa, mema rānei o te whānau e noho ana ki a koe mō te 24 haora tuatahi ka taea te whakarato i te āwhina whaihua me te tautoko aronganui i te wā o tō whakaora tuatahi.
Ko te māramatanga ki ō hua laser PVP e hāngai ana ki te mōhio ki ngā huringa tonu me ngā whakapainga haere i ngā wiki me ngā marama e whai ake nei. Ka kite te nuinga o ngā tāne i ētahi whakapainga i ngā tohu mimi i roto i ngā rā i muri i te mahi.
I te wiki tuatahi i muri i te pokanga, tera pea ka pā ki a koe ētahi tohu rangitahi he mea noa noa iho. Kei roto i ēnei ko te wera ngawari i te wā e mimi ana, te toto i roto i tō mimi i ētahi wā, he wāhanga kiko iti e puta ana i te wā e mimi ana koe.
Tera pea ka whakarite tō tākuta i ngā tūpono whai muri hei aroturuki i tō ahunga whakamua, ā, ka whakamahi pea i ngā ine motuhake hei whai i te whakapai ake. Kei roto i ēnei ko ngā whakamātautau uroflowmetry e ine ana i te tere me te tino whakawātea i tō pūpū, i ngā whakamātautau toenga i muri i te wātea e tirotiro ana i te nui o te mimi e toe ana i muri i te mimi.
Ko ngā hua tino whai tikanga ka kitea i te 4 ki te 6 wiki i muri i te pokanga, ka oti te whakaora tuatahi. He maha ngā tāne e kī ana he kaha ake te rere o te mimi, he iti ake ngā haerenga ki te wharepaku i te pō, me te nui ake o te whakaaro kua wātea te pūpū.
Ko te angitu mo te wā roa ka inehia e te whakapai ake tonu i ngā kaute o te kounga o te ora me te iti ake o te hiahia ki ngā rongoā. Ka mahi tō kaiwhakarato hauora ki a koe ki te whakatū i ngā tūmanako tūturu me te whakanui i ngā whakapainga ka pā ki a koe.
Ko te whakapai ake i tō whakaora i muri i te pokanga laser PVP ko te whai i ngā tohutohu a tō tākuta me te manawanui ki te tukanga whakaora. Ka taea e te nuinga o ngā tāne te hoki ki ngā mahi noa i roto i ngā rā torutoru, engari ka roa te wiki hei whakaora katoa.
I te wiki tuatahi, he mea nui ki te inu i te wai nui hei āwhina i tō pūnaha me te whakaiti i te tūponotanga o te mate. Me whai kia 8 ki te 10 karaihe wai ia rā ki te kore tō tākuta e tohutohu i ētahi atu mea.
Kaua e hiki i ngā mea taumaha, kaua e mahi i ngā mahi whakangungu kaha, me te mahi i ngā mahi tūāhua mo te 2 ki te 4 wiki i muri i te pokanga. Ka taea e ēnei mahi te whakanui i te pēhanga i tō wāhi pelvic me te aukati i te whakaora.
Tera pea ka tohua e tō tākuta ngā rongoā hei āwhina i te whakaora, pērā i ngā paturopi hei ārai i te mate, i ngā rongoā rānei hei whakaiti i ngā ngāwhā o te pūpū. Tangohia ēnei i te mea i tohua, ahakoa kei te pai koe.
Whakapā atu ki tō kaiwhakarato hauora mēnā ka pā koe ki te mamae nui, te kore e mimi, te nui o te toto, ngā tohu rānei o te mate pērā i te kirika, te wiri rānei. Ahakoa he onge ngā raruraru, he pai ake tonu te tirotiro ki tō rōpū hauora mēnā he āwangawanga ō.
He maha ngā āhuatanga mō te hiahia pokanga laser PVP, ko te pakeke te āhuatanga nui. I te wā e pakeke haere ana ngā tāne, ka tipu noa te pūkahukahu, ā, ka tere ake tēnei mahi i muri i te 50 tau.
He mea nui te hītori o te whānau i te mōrearea o te whakanui i te pūkahukahu. Mēnā i pā ki tō pāpā, ki ō tuakana rānei ngā raruraru nui o te pūkahukahu, tērā pea ka nui ake te tūponotanga ka pā ki a koe ngā raruraru pērā e hiahia ana ki te pokanga.
Ka taea hoki e ētahi āhuatanga hauora te whakanui i tō mōrearea ki te hiahia pokanga pūkahukahu. Kei roto i ēnei ko te mate huka, te mate ngākau, me te momomo, ka pā ki te rere o te toto me ngā taumata homoni e pā ana ki te tipu o te pūkahukahu.
Ka taea hoki e ngā āhuatanga o te noho te whai wāhi ki te whakanui i te pūkahukahu. Ko te iti o te mahi tinana, te kai kino, me te pēhanga mau tonu ka tere ake te tipu o te pūkahukahu, ahakoa kāore i te māmā ngā hononga.
Ko ētahi āhuatanga mōrearea kāore i te mōhiotia ko te tango i ētahi rongoā mō te wā roa, te pā ki ngā mate pūkahukahu o mua, te pā rānei ki ngā tauritenga homoni. Ka taea e tō kaiwhakarato hauora te āwhina i a koe ki te mārama ko ēhea āhuatanga mōrearea e pā ana ki tō āhuatanga motuhake.
Ahakoa te nuinga o te wā he haumaru, he whai hua te pokanga laser PVP, pērā i ngā mahi rongoā katoa, he mōrearea me ngā raruraru ka puta. Mā te mārama ki ēnei ka āwhina i a koe ki te whakatau whakatau mōhio, me te mōhio ki ngā mea hei mātakitaki i te wā o te whakaora.
Ko ngā raruraru e pā ana ki tēnei, he ngawari noa iho, he wā poto anake. Ko ētahi pea ko te uaua ki te mimi mō te wā poto, te toto iti, te riri rānei i te wā e mimi ana, ā, ka ngaro i roto i ngā rā, wiki rānei.
Anei ngā raruraru e mōhiotia ana e koe:
He onge ngā raruraru nui ake, engari ka puta. Ko ētahi pea ko te nui o te toto e hiahia ana ki te rongoā atu, te mate, te kino rānei ki ngā hanganga e tata ana pēnei i te pūpū, te ure rānei.
He onge ngā raruraru mō te wā roa, engari ka puta pea:
Ka kōrero tō tākuta pokanga i ēnei tūponotanga ki a koe, ka whakamārama me pēhea te pānga ki tō āhuatanga. Ko te nuinga o ngā tāne ka whai hua pai, me te iti o ngā raruraru.
Me whakaaro koe ki te kite i te tākuta mō te pokanga pūpū ka nui te pānga o ngā tohu mimi ki tō oranga o ia rā, me te kounga o te moe. Ki te kite koe kei te whakamahere koe i ngā mahi huri noa i ngā wāhi wharepaku, kei te ara ake rānei i te pō, kua tae ki te wā mō te arotake hauora.
Whakaritea he rārangi ki te kite i te tākuta ki te raru koe i te uaua tonu ki te tīmata i te mimi, te ngoikore rawa o te rere o te mimi, te whakaaro rānei kāore anō kia putu katoa tō pūpū. Ko ēnei tohu ka kaha haere i te wā, nō reira kāore pea koe e mōhio ana ki te nui o te pānga ki tō oranga, kia tino nui rawa rānei.
Rapua he āwhina hauora i te wā tonu mēnā ka pūta mai ētahi tohumate nui ake. Ko te kore rawa e mimi he ohorere hauora e hiahia ana kia rongoā tonu, nā te mea ka pā ki te pūkahukahu mēnā kāore e rongoā.
Ētahi atu tohu whakatūpato e tika ana kia arotakengia wawe e te tākuta ko te toto i roto i tō mimi, te mamae nui i te wā e mimi ana, ngā tohu rānei o ngā raruraru pūkahukahu pēnei i te pūhihi i ō waewae, te whakapairuaki rānei e mau tonu ana.
Kaua e tatari mēnā kei te pūta mai ngā mate huakita i roto i te ara mimi, ngā kōhatu pūpū rānei, nā te mea ka tohu ēnei raruraru e hiahia ana tō pūtaiao whānui kia nui ake te rongoā i ngā rongoā anake.
Āe, he tino whai hua te pokanga laser PVP mō te rongoā i te pūtaiao whānui kua whānui (BPH) i te nuinga o ngā tāne. E whakaatu ana ngā rangahau haumanu e 85-95% o ngā tāngata e pā ana ki te whakapai ake i ngā tohumate mimi me te kounga o te ora.
He pai rawa te tikanga mō ngā tāne e whai tohumate ngawari ki te nui, kāore i pai te urupare ki ngā rongoā. E whakahere ana i te whakamaunga tohumate pai i te wā e tiaki ana i te mahi tāngata pai ake i ētahi kōwhiringa pokanga tuku iho.
Ko te pokanga laser PVP te tikanga he iti noa te tūponotanga o te pā ki te kore e whai kaha. E whakaatu ana ngā rangahau ko te nuinga o ngā tāne e mau ana i tō rātou mahi whai kaha i mua i te pokanga, ā, ētahi ka pai ake pea nā te iti o te ahotea mai i ngā tohumate mimi.
Heoi, ka pā pea te tikanga ki te whakahoki i te wai i roto i ētahi tāne, kei te hoki te wai i muri ki roto i te pūpū, kāore i mua i te wā o te whakatū. Kāore tēnei e pā ki te mana'o o te orgasm engari ka pā ki te whānautanga mēnā kei te ngana koe ki te hapū.
He tere te ora o te nuinga o nga tāne i muri i te pokanga laser PVP ki te whakataurite ki te pokanga prostate tuku iho. Ka taea e koe te hoki ki nga mahi ngawari i roto i nga ra 2-3, ka hoki ano ki nga mahi noa i roto i nga wiki 1-2.
Ko te whakaora katoa e 4-6 wiki te roa, i roto i tenei wa ka kite koe i te pai haere tonu o nga tohu mimi. He poto ake te wa whakaora tuatahi i te pokanga tuwhera, ko te nuinga o nga tāne ka hoki ki te kainga i te ra ano, i muri ranei i te po kotahi i te hōhipera.
Ko te kiko prostate i tangohia i te wa o te pokanga laser PVP e kore e tipu ano. Heoi, ka taea e te kiko prostate e toe ana te tipu haere i te wa, ina koa ka noho koe i nga tau maha i muri i te tikanga.
He roa te hua o te pokanga laser PVP e pai ana ki te nuinga o nga tāne. E whakaatu ana nga rangahau e tata ana ki te 90% o nga tāne e mau ana i te mahi mimi pai 5 tau i muri i te tikanga, a he iti noa te hiahia mo te pokanga ano.
He maha nga painga o te pokanga laser PVP i runga i te pokanga prostate tuku iho, tae atu ki te iti o te toto, te poto o te noho i te hōhipera, me te tere o te whakaora. He tino pai mo nga tāne e tango ana i nga rongoa whakaheke toto.
Heoi, ko te whiringa