He aha te Prostatectomy? Te Whāinga, te Hātepe & te Whakaora

Ko te prostatectomy he hātepe pokanga hei tango i te katoa, i tetahi wahi ranei o te repe prostate. Ko tēnei maimoatanga te mea e tino taunakitia ana mō ngā tāne e mate ana i te mate pukupuku prostate, ahakoa ka āwhina hoki i ngā keehi nui o te prostate kua whānui kāore i aro ki ētahi atu maimoatanga.

Ko te prostate he repe iti, he rite ki te nati, e noho ana i raro i tō pūpū me te karapoti i te urethra. Ka puta te mate pukupuku, ka whānui rānei te repe, ko te tango i te pokanga te huarahi tino whai hua ki te tiaki i tō hauora me te whakapai ake i tō kounga o te oranga.

He aha te prostatectomy?

Ko te prostatectomy te tikanga he tango pokanga i te repe prostate mai i tō tinana. E rua ngā momo matua: ko te prostatectomy radical e tango ana i te katoa o te repe prostate me ētahi kiko e karapoti ana, i te mea ko te prostatectomy māmā e tango ana i te wāhanga o roto o te prostate.

Ko te prostatectomy radical te maimoatanga paerewa mō te mate pukupuku prostate kua whāiti. I te wā o tēnei hātepe, ka tango tō tākuta pokanga i te katoa o te repe prostate, ngā pūpū seminal (ngā pūpū iti e whakaputa ana i te wai mō te hēmana), me ētahi wā ngā pona rākau tata hei tirotiro mō te horapa o te mate pukupuku.

Ko te prostatectomy māmā he mea iti noa iho, ā, ko te tikanga e rāhui ana mō ngā tāne he nui rawa ngā prostate e pā ana ki ngā raruraru mimi nui. Ko tēnei huarahi e tango ana i ngā kiko kua whānui e aukati ana i te rere o te mimi, e waiho ana i te anga o waho o te prostate.

He aha te take e mahia ai te prostatectomy?

Ka mahia te prostatectomy i te tuatahi ki te rongoā i te mate pukupuku prostate kāore anō i horapa atu i te repe prostate. Ka taunaki pea tō tākuta i tēnei pokanga mēnā he mate pukupuku tōmua tōu, ā, he hauora koe mō te pokanga nui.

Ko te whāinga matua ko te tango katoa i te mate pukupuku mai i tō tinana i mua i te whai wāhi ki te horapa ki ētahi atu okana. Mā tēnei koe e whai wāhi pai ki te kore mate pukupuku i te wā roa, ina koa ka mau te mate pukupuku i te wā tōmua, ā, kua whāiti ki te prostate.

I te nuinga o te wā, ka tūtohutia pea te prostatectomy mō te hyperplasia prostatic benign nui (te pūtaiao nui) i te wā kāore anō ngā rongoā me ngā rongoā iti ake te whakaora i āwhina i ō tohu. Ko tēnei āhuatanga e pā ana ki ngā tāne he pūtaiao nui rawa atu e pā ana ki ngā raruraru mimi nui, ki te kino rānei o te tākihi.

He aha te tikanga mō te prostatectomy?

E whakawhirinaki ana te huarahi pokanga ki tō āhuatanga motuhake me te mātanga o tō tākuta. Ko te nuinga o ngā prostatectomies i tēnei rā e mahia ana mā te whakamahi i ngā tikanga iti ake te whakaora e hua ai ngā tapahi iti ake me ngā wā whakaora tere ake.

Ko te prostatectomy laparoscopic āwhina-robot te huarahi tino noa i tēnei wā. E mahi ana tō tākuta mā ngā tapahi iti mā te whakamahi i ngā taputapu robotic e whakarato ana i te tika me te tirohanga 3D. Ko tēnei tikanga te nuinga o te wā e hua ana i te iti o te toto, te iti o te mamae, me te whakaora tere ake i te pokanga tuwhera tuku iho.

I te wā o te tikanga, ka noho koe i raro i te rongoā whānui, kāore hoki koe e rongo i tētahi mea. Ka wehewehe tō tākuta i te pūtaiao mai i ngā hanganga e karapoti ana, tae atu ki te pūpū me te urethra, kātahi ka tango katoa i te repe. Ka honoa anō te pūpū ki te urethra.

Ko te prostatectomy radical tuwhera e pā ana ki te tapahi nui ake i tō puku o raro. Ahakoa te iti o te noa i tēnei wā, ka tika pea tēnei huarahi mō ngā pūtaiao nui rawa atu, i te wā rānei i hangaia e ngā pokanga o mua he kiko kiko e uaua ai ngā tikanga iti ake te whakaora.

Me pēhea te whakarite mō tō prostatectomy?

Ka tīmata tō whakarite i ngā wiki maha i mua i te pokanga me ngā whakamātautau me ngā whakamahere whānui. Ka whakarite tō rōpū hauora kei te hauora koe mō te pokanga, ā, ka āwhina i a koe ki te mārama ki ngā mea e tūmanakohia ana i te wā o te whakaora.

Me whakamutu e koe ētahi rongoā ka piki ake te tūponotanga o te whakaheke toto, pērā i ngā rongoā whakaheke toto, te aspirini, me ētahi taapiri. Ka hoatu e tō tākuta ngā tohutohu motuhake ki a koe mō ngā rongoā hei whakamutu me te wā. Kaua rawa e whakamutu i ngā rongoā kua whakaritea me te kore e kōrero tuatahi ki tō rōpū hauora.

Ko ngā whakamātautau i mua i te pokanga ko te nuinga he mahi toto, he karapa whakaahua, ā, i ētahi wā he whakamātautau anō mō te mahi o te ngākau, te pūkahukahu rānei. Mā ēnei e āwhina i tō rōpū pokanga ki te whakamahere i te huarahi pai rawa atu mō tō tinana me tō hauora.

I te rā i mua i te pokanga, me whai koe i ngā here kai motuhake. Ko te nuinga o ngā tūroro e tonoa ana kia kai i te kai māmā i te ahiahi i mua, ā, me karo i ngā kai me ngā inu i muri i te pō waenga pō. Ko tō whakarite i te pūwero ka uru pea he enema, he rongoā whakarewa rānei hei whakarite kia kore he mea kei roto i ō whekau.

Me pēhea te pānui i ngā hua o tō prostatectomy?

E whakarato ana tō pūrongo pathology i ngā kōrero taipitopito mō te mate pukupuku i kitea i roto i tō prostate kua tangohia. Mā tēnei pūrongo e āwhina ki te whakatau mēnā e hiahiatia ana he maimoatanga anō, ā, e whakaatu ana i te tirohanga ki tō tūāhuatanga mo te wā roa.

Ka tirotirohia e te tohunga pathology tō prostate katoa i raro i te karuiti, ā, ka pūrongo i ētahi kitenga matua. E whakaatu ana te kaute Gleason i te kaha o te ahua o ngā pūtau mate pukupuku, me ngā kaute iti e tohu ana i te mate pukupuku e puhoi ana te tipu. Ko te whānuitanga o ngā kaute mai i te 6 ki te 10, ko te 6 te mea kāore i te kaha.

E kōrero ana ngā tapa pokanga ki a koe mēnā i kitea ngā pūtau mate pukupuku i ngā tapa o te kiko kua tangohia. Ko te tikanga o ngā tapa mārama i tangohia e te tākuta te mate pukupuku katoa e kitea ana, ā, ko ngā tapa pai pea e tohu ana kei te toe tonu ngā pūtau mate pukupuku iti, ā, he pai pea te maimoatanga anō.

E whakaatu ana te wāhanga pathological i te tawhiti i horahia ai te mate pukupuku i roto i te prostate, me te toro atu ki tua atu i te repe. Mā ēnei kōrero, me ngā whakamātautau i mua i te pokanga, e āwhina ana i tō rōpū hauora ki te whakatau mēnā e hiahia ana koe i ngā maimoatanga anō pērā i te rongoā iraruke.

Me pēhea te whakapai ake i tō whakaora i te prostatectomy?

He mahi haere te whakaora mai i te prostatectomy, e hia wiki, marama rānei te roa. Mā te whai i ngā tohutohu a tō tākuta e āwhina i te hua pai rawa atu, me te whakaiti i tō tūponotanga ki ngā raruraru.

He mea nui te whakahaere i te mamae i ngā rā tuatahi i muri i te pokanga. Ka hoatu e tō rōpū hauora ngā rongoā hei whakamarie i a koe, ā, ka tino heke te mamae i roto i te wiki tuatahi. E kitea ana e te nuinga o ngā tūroro he rawaka ngā rongoā mamae kaore i te tohua i muri i ngā rā tuatahi.

Ka whai koe i te catheter mimi mō te kotahi ki te rua wiki i muri i te pokanga. Ko tēnei ngongo angiangi e tango ana i te mimi mai i tō pūpū, i te wā e rongoa ana te hononga i waenga i tō pūpū me te urethra. Ahakoa he watea kore, he mea nui te catheter mō te rongoa tika me te aukati i ngā raruraru.

Ka āwhina te aukati i ngā mahi tinana ki te tiaki i ō kiko e rongoa ana. Me karo koe i te hiki i ngā mea taumaha, i ngā mahi whakangungu kaha, me te taraiwa mō te maha o ngā wiki. Heoi, e akiakitia ana te hikoi marie mai i te rā tuatahi i muri i te pokanga hei aukati i ngā toto toto, me te whakatairanga i te rongoa.

He aha ngā āhuatanga tūpono mō ngā raruraru prostatectomy?

Ahakoa te nuinga o te wā he haumaru te prostatectomy, ka taea e ētahi āhuatanga te whakanui i tō tūponotanga ki ngā raruraru. Mā te māramatanga ki ēnei e āwhina ana i a koe me tō rōpū hauora ki te whai i ngā whakatūpato tika, me te whakatau i ngā whakatau mō tō manaakitanga.

He nui te pānga o te pakeke me te āhua o te hauora whānui ki tō tūponotanga pokanga. Ko ngā tāne neke atu i te 70 tau, ko te hunga rānei e whai mate ngākau, mate huka, ētahi atu āhuatanga rānei, ka nui ake te tūponotanga ki ngā raruraru. Heoi, he maha ngā tāne pakeke e angitu ana te prostatectomy me ngā hua pai.

Ko ngā pokanga puku o mua, ko te rāpoi rānei, ka uaua ake te mahi. Ko ngā kiko kōpiko mai i ngā maimoatanga o mua ka uaua ake ki ngā tākuta te tautuhi i ngā rārangi kiko noa, ka whakanui pea i te wā mahi me te tūponotanga raruraru.

Ka whai pānga hoki te rahi o te pūkahukahu me te whānuitanga o te mate pukupuku ki ngā taumata tūponotanga. Ko ngā pūkahukahu nui rawa atu, ko te mate pukupuku rānei kua tipu tata ki ngā hanganga e tata ana, ka hiahia pea ki ngā tikanga pokanga uaua ake, ka piki ake pea te tūponotanga o ngā raruraru.

Ko te kai paipa me te momomo he āhuatanga tūponotanga ka taea te whakarereke e taea ana e koe te whakatika i mua i te pokanga. Ka pā te kai paipa ki te whakaora i ngā patunga me te whakanui i te tūponotanga o te mate, i te mea ka uaua ake te pokanga me te whakaroa i te whakaora.

He aha ngā raruraru ka puta mai i te prostatectomy?

Pērā i ngā pokanga nui katoa, he tūponotanga me ngā raruraru ka puta mai i te prostatectomy. Kāore te nuinga o ngā tāne e pā ana ki ngā raruraru nui, engari mā te māramatanga ki ngā raruraru ka puta mai ka āwhina koe ki te whakatau whakatau mōhio, me te mōhio ki te wā ki te rapu āwhina hauora.

Ko ngā raruraru tino noa e pā ana ki te mahi mimi me te mahi tāngata. He wā poto noa ēnei take engari i ētahi wā ka pūmau, i runga i ngā āhuatanga rerekē tae atu ki tō tau, te hauora whānui, me te whānuitanga o te pokanga e hiahiatia ana.

Koinei ngā raruraru nui hei mōhio:

• Te kore e taea te whakahaere i te mimi: He uaua ki te whakahaere i te rere o te mimi e pā ana ki te nuinga o ngā tāne i te tīmatanga engari ka pai ake i te wā. Ka roa pea te whakaora katoa o te whakahaere pūpū mai i ētahi marama ki te tau.
• Te kore e taea te whakatū: He uaua ki te whakatutuki, ki te pupuri rānei i ngā whakatūtanga he mea noa i muri i te pokanga. Kei runga i te tau, te mahi i mua i te pokanga, me te mea i taea ngā tikanga whakaora io.
• Te toto: He mea noa te toto, engari ko te toto nui pea ka hiahia ki te rongoā atu, i ētahi wā, te whakawhitinga toto.
• Te mate: Ka puta mai ngā mate i te wāhi pokanga, i ngā mate rānei o te ara mimi engari ka taea te rongoā ki ngā paturopi.
• Te hanga whāiti: Ka taea e te kiko kiko te whāiti i te hononga i waenga i te pūpū me te urethra, ka hiahia pea ki ētahi atu tikanga.

Ko ētahi raruraru nui engari he onge ko ngā pūpū toto, ngā raruraru o te ngākau, te whara rānei o te kōpū. Ka mātakitaki tō rōpū tākuta i ēnei take, ā, he tikanga ā rātou hei whakahaere i a rātou ki te puta.

Āhea au e kite ai i te tākuta i muri i te prostatectomy?

He mea nui te tiaki whai muri i te prostatectomy hei mātakitaki i tō whakaora me te titiro mō ngā tohu o te hokinga mai o te mate pukupuku. Ka whakarite tō rōpū hauora i ngā whakaritenga motuhake, engari me mōhio hoki koe āhea koe e rapu ai i te āwhina hauora tonu.

Whakapā atu ki tō tākuta tonu mēnā ka pā mai te mamae nui kāore i te whakahaerehia e ngā rongoā kua whakaritea, ngā tohu o te mate urutā pēnei i te kirika, te wiri rānei, te nui rānei o te toto. Ko ēnei tohu ka tohu i ngā raruraru e hiahia ana ki te rongoā tere.

Ko ngā raruraru ki tō pūhihi mimi e hiahia ana hoki kia aro tonu. Mēnā ka mutu te rere o te pūhihi, ka ngaro, ka pā mai rānei te mamae nui, whakapā atu ki tō rōpū hauora tonu. Kaua e ngana ki te whakatika i ngā raruraru pūhihi i a koe anō.

Ko te whai muri i te wā roa ko te nuinga o te wā ko ngā whakamātautau toto PSA hei mātakitaki i te hokinga mai o te mate pukupuku. Ka arotake hoki tō tākuta i tō whakaora i te mahi mimi me te mahi tāngata, ā, ka whakarato i ngā rongoā, i ngā tohutohu rānei ki te hiahiatia.

Ngā pātai e pātai pinepine ana mō te prostatectomy

Q.1 He pai te prostatectomy mō te mate pukupuku prostate i te wā tuatahi?

Āe, ko te prostatectomy e kiia ana ko tētahi o ngā rongoā tino whai hua mō te mate pukupuku prostate i te wā tuatahi. Ki te herea te mate pukupuku ki te repe prostate, ka whai hua te tango pokanga, ka whai hua te reiti whakaora me ngā putanga oranga wā roa.

Ko te painga nui ko te tango katoa i te mate pukupuku, e whakakore ana i te tūponotanga o te tipu, te horapa rānei o te puku mai i te prostate. E whakaatu ana ngā rangahau ko ngā tāne e mate ana i te mate pukupuku prostate kua rāhuitia, e haere ana i te prostatectomy, he reiti oranga e rite ana ki ngā tāne kāore he mate pukupuku.

Q.2 Ka pā mai te kore mimi tonu i te prostatectomy?

Ka hoki te mana whakahaere o te pūpū ki te nuinga o ngā tāne i muri i te prostatectomy, ahakoa he wā e pau ana. He mea onge te kore e taea te whakahaere i te pūpū, e pā ana ki te 5-10% o ngā tāne i te wā roa. Ko te nuinga o ngā tūroro ka whai mana whakahaere pūpū pai i roto i te ono marama ki te tau.

E whakawhirinaki ana te whakaora ki ētahi mea, tae atu ki te pakeke, te mahi pūpū i mua i te pokanga, me te tikanga pokanga. Ka taea e ngā mahi whakangungu papa pelvic me ētahi atu rongoā te āwhina i te whakaora tere me te whakapai ake i ngā hua mō te nuinga o ngā tāne.

Q.3 Me whai rongoā anō au mō te mate pukupuku i muri i te prostatectomy?

Kāore te nuinga o ngā tāne e hiahia rongoā anō i muri i te prostatectomy angitu. Heoi, tata ki te 20-30% o ngā tūroro ka whai hua mai i te rongoā iraruke mēnā e whakaatu ana ngā hua pathology i ngā āhuatanga mōrearea nui pēnei i ngā taha pai, te horapa rānei o te mate pukupuku i tua atu i te prostate.

Ka arotakehia e tō rōpū hauora ō hua pathology, ā, ka tūtohu rongoā anō anake mēnā ka pai ake ō hua i te wā roa. Ka āwhina te aroturuki PSA i te wā katoa ki te kite i ngā tohu o te hokinga mai o te mate pukupuku i te wā wawe.

Q.4 Kia pēhea te roa o te whakaora i te prostatectomy?

E pā ana ki te 4-6 wiki te whakaora tuatahi, ā, i tēnei wā ka hoki haere koe ki ngā mahi noa. Heoi, ka roa pea te 6-12 marama, neke atu rānei, te whakaora katoa o te mahi mimi me te mahi tāngata.

Ka hoki te nuinga o ngā tāne ki te mahi i roto i te 2-4 wiki, e whakawhirinaki ana ki ngā whakaritenga o tā rātou mahi. Ko te hiki taumaha me ngā mahi kaha ka rāhuitia mō te 6-8 wiki kia pai ai te whakaora.

Q.5 Ka taea te mahi prostatectomy mā ngā tikanga iti-whakauru?

Āe, ko te nuinga o ngā prostatectomies i tēnei rā ka mahia mā te whakamahi i ngā tikanga robotic iti-whakauru, laparoscopic rānei. E whai hua ana ēnei huarahi, tae atu ki ngā tapahi iti, te iti o te toto e ngaro ana, te whakaiti i te mamae, me te whakaora tere ake i te pokanga tuwhera tuku iho.

Kua noho te prostatectomy āwhina-robot hei huarahi tino noa iho nā te mea ka whai hua te hunga tākuta i te tika me te tirohanga 3D. Heoi, ko te huarahi pokanga pai rawa atu ka whakawhirinaki ki tō āhuatanga motuhake me te mōhiotanga o tō tākuta.