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

Ko te TURP te kupu mō te Transurethral Resection of the Prostate, he hātepe pokanga noa e āwhina ana i ngā tāne e whānui ana ngā repeure kia māmā ake te mimi. I roto i tēnei pokanga iti nei te wawaenga, ka tango tō tākuta mimi i te kiko repeure nui rawa atu e aukati ana i tō rerenga mimi, pērā i te horoi i tētahi paipa kua purua kia hoki mai ai te rerenga wai noa.

He aha te TURP?

Ko te TURP he hātepe pokanga e tango ai tō tākuta i ētahi wāhanga o te repeure kua whānui mā tō ure, kāore he tapahi o waho. Ka whakamahi te tākuta i tētahi taputapu motuhake e kīia ana he resectoscope, e haere ana mā tō ure ki te tae atu ki te repeure, ā, ka āta tapahia te kiko nui rawa atu e pā ana ki ngā raruraru mimi.

Kua mahia tēnei hātepe i runga i te haumaru mō ngā tau tekau, ā, kei te noho tonu ko tētahi o ngā rongoā whai hua mō te hyperplasia prostatic benign (BPH), he whānui repeure kāore i te mate pukupuku. Kāore i rite ki te pokanga tuwhera, kāore te TURP e hiahia ana i ngā tapahi i tō puku, i tō pūpū rānei, e tere ake ai te whakaora, ā, he iti ake te mamae.

He aha te take e mahia ana te TURP?

Ko te tikanga ka tūtohutia te TURP i te wā e raru nui ana tētahi repeure kua whānui i tō oranga o ia rā, ā, kāore anō ētahi atu rongoā i whai hua. Ka tūtohu pea tō tākuta i tēnei hātepe mēnā kei te pā koe i ngā tohumate mimi e pā ana ki tō kounga o te oranga, e tūpono ana rānei he raru hauora.

Ko ngā take noa e tūtohu ana ngā tākuta i te TURP ko ētahi raruraru mimi ka puta mai i tētahi repeure kua whānui:

• Te kore e mimi katoa, te kore ranei e mimi (te pupuri mimi)
• He maha ngā mate i roto i ngā ara mimi nā te kore e horoi katoa i te pūpū
• Te toto i roto i tō mimi e mau tonu ana, e hoki mai ana rānei
• Ngā raruraru o te whatumanawa i puta mai i te pūpū e piki ana
• Ngā kōhatu pūpū e hanga ana nā te kore e horoi katoa
• Te mimi i te pō e kaha ana, e whakararuraru ana i tō moe i ngā wā maha
• He ngoikore te rere o te mimi e uaua ai te horoi i tō pūpū

Ka whakaaro anō tō tākuta mimi ki te TURP mēnā kāore anō ngā rongoā pērā i te alpha-blockers, i te 5-alpha reductase inhibitors i whakapai ake i ō tohumate i muri i ētahi marama o te rongoā. I ētahi wā, ahakoa te āwhina o ngā rongoā i te tīmatanga, ka kino ake ngā tohumate i te roanga o te wā i te mea kei te tipu tonu te pūtaiao.

He aha te tikanga mō te TURP?

Ka mahia te TURP i roto i te rūma whakahaere i te hōhipera i raro i te rongoā whakatāpui, i te rongoā whānui rānei, nō reira kāore koe e rongo i te mamae i te wā o te pokanga. Ko te tikanga katoa e pā ana ki te 60 ki te 90 meneti, i runga i te rahi o tō pūtaiao me te nui o te kiko e tika ana kia tangohia.

Koinei te mea ka tū i te wā o tō tikanga TURP, i te taahiraa i te taahiraa:

1. Ka whiwhi koe i te rongoā whakatāpui kia mōhio ai koe kei te pai koe i te wā o te pokanga
2. Ka whakauru tō tākuta pokanga i tētahi resectoscope mā tō urethra kia tae ki te pūtaiao
3. Ka tangohia e tētahi taputapu motuhake ngā wāhanga iti o te kiko pūtaiao e aukati ana i te rere o te mimi
4. Ka horoia ngā wāhanga kiko i tangohia mā te resectoscope
5. Ka āta tirohia e tō tākuta pokanga mō te toto e rere ana, ka hīraia ngā oko toto i te mea e tika ana
6. Ka whakatakotoria tētahi katita i roto i tō pūpū hei āwhina i te whakaora me te aroturuki i tō whakaora

Ka mahia te pokanga i roto i tō waha mimi māori, nā reira kāore he tapahi, he tūi rānei hei māharahara. Ka tangohia e tō tākuta te wāhanga o roto o te pūkahukahu e pā ana ki te aukati, ka waiho te anga o waho kia mau tonu te mahi noa.

Me pēhea te whakarite mō tō TURP?

Ko te whakarite mō te TURP e whai ana i ētahi mahi nui hei āwhina i te pokanga kia pai te haere me te whakaiti i te tūponotanga o ngā raruraru. Ka ārahi tō rōpū hauora i a koe i ia taahiraa whakarite, ka whakautu i ngā pātai katoa e pā ana ki te tukanga.

Tērā pea ka tono tō tākuta kia whakamutua e koe ētahi rongoā i mua i te pokanga, ina koa ko ērā e pā ana ki te whakaheke toto:

• Ngā rongoā whakaheke toto pēnei i te warfarin, te nuinga ka mutu 3-5 rā i mua i te pokanga
• Aspirin me ngā rongoā anti-inflammatory, te nuinga ka mutu 7-10 rā i mua
• Ngā taapiri otaota e pā ana ki te whakaheke toto, pēnei i te ginkgo, te karika rānei
• Ētahi rongoā mō te mate huka e hiahia ana kia whakatikatikaina

Me whakarite hoki koe i tētahi tangata hei taraiwa i a koe ki te kāinga i muri i te tukanga, nā te mea ka pā te rongoā whakamoe ki ō urupare me ō whakatau mō ētahi haora. Whakarite kia noho tētahi pakeke kawenga ki a koe mō te 24 haora tuatahi i muri i te pokanga hei āwhina i ngā hiahia taketake me te aroturuki i tō whakaora.

I te pō i mua i te pokanga, me nohopuku koe mō te 8-12 haora, ko te tikanga kāore he kai, he inu rānei i muri i te pō waenganui, i te wā rānei i tohua e tō rōpū pokanga. Mā tēnei whakatūpato e ārai ngā raruraru mai i te rongoā whakamoe me te whakarite kia kau ana tō puku i te wā o te tukanga.

Me pēhea te pānui i ō hua TURP?

Ko ngā hua TURP te nuinga ka inehia e te nui o te whakapai ake o ō tohu mimi, kaua ki ngā uara tau motuhake pēnei i ngā whakamātautau toto. Ka arotake tō tākuta i tō ahunga whakamua mā te whakamahi i ngā pātai tohu me ngā ine whāinga o tō rere mimi me te mahi pūkahukahu.

Ko te nuinga o nga tāne ka kite i te whakapai ake i o ratou tohu mimi i roto i nga wiki tuatahi i muri i te TURP. Me tumanako koe ka kaha ake to rerenga mimi, ka tino putu to pūpū, ka tino heke te mimi i te pō.

Ka aroturukihia e tō tākuta mimi etahi tohu matua hei aromatawai i te pai o te mahi o tō TURP:

• Te ine i te tere o te rerenga mimi i ngā haerenga whai muri
• Te rōrahi toenga i muri i te mimi (te nui o te mimi e toe ana i roto i tō pūpū i muri i te mimi)
• Ngā kaute kaha o ngā tohu mā te whakamahi i ngā pātai paerewa
• Te whakapai ake i te kounga o te oranga i roto i te moe me ngā mahi o ia rā
• Te whakahekenga i te auau mimi, ina koa i te pō

Ko te kiko i tangohia i te wā o tō TURP ka tukuna ki te taiwhanga mō te tirotiro hei whakakore i te mate pukupuku, ahakoa ka mahia te TURP mō ngā āhuatanga pai. Ka kōrero tō tākuta i ēnei hua pathology ki a koe i te wā o tō hui whai muri.

Me pēhea te whakanui ake i tō whakaoranga TURP?

Ko te whakaoranga TURP e hāngai ana ki te whai i ngā aratohu motuhake hei āwhina i tō repe taiaki kia ora tika, me te whakaiti i te tūponotanga o ngā raruraru. Ka taea e te nuinga o ngā tāne te hoki ki ngā mahi māmā i roto i ngā rā torutoru, engari ko te whakaora katoa ka roa te 4-6 wiki.

I te wā o tō wā whakaora tuatahi, ka whai i te katita i te wāhi mō te 1-3 rā hei āwhina i tō pūpū kia rere i te wā e heke ana te pūhi. Ko tēnei katita rangitahi e ārai ana i te pupuri mimi, ā, ka taea e tō tākuta te aroturuki i tō ahunga whakamua whakaora mā te tae me te mārama o tō mimi.

Koinei ngā aratohu whakaora matua hei āwhina i te whakaora pai:

• Inu wai nui hei horoi i tō pūnaha me te ārai i ngā pūtau toto
• Kaua e hiki i ngā mea taumaha, e whakapau kaha rānei, e whakakori tinana kaha rānei mō te 4-6 wiki
• Tangohia ngā rongoā mamae me ngā paturopi i whakaritea kia rite ki ngā tohutohu
• Kaua e taraiwa kia tangohia rā anō tō kātere, ā, kia pai anō tō tū
• Kaua e whai pānga tāngata mō te 4-6 wiki kia ora katoa ai
• Kaua e tango rongoā whakaheke toto ki te kore e whakaaetia e tō tākuta

He mea noa te kite toto i roto i tō mimi mō ētahi rā, wiki rānei i muri i te TURP, ā, ka heke haere tēnei. Heoi anō, me whakapā atu ki tō tākuta tonu mēnā ka nui te toto, e kore e mimi, he mamae nui, he tohu rānei o te mate, pērā i te kirika, te wiri rānei.

He aha ngā āhuatanga tūpono mō ngā raruraru TURP?

Ahakoa te nuinga o te wā he haumaru te TURP, ētahi āhuatanga ka piki ake te tūponotanga o ngā raruraru i te wā, i muri rānei i te mahi. Mā te māramatanga ki ēnei āhuatanga tūpono ka āwhina i tō rōpū hauora ki te whai i ngā whakatūpato tika, ā, ka āwhina i a koe ki te whakatau i tētahi whakatau mō tō maimoatanga.

He nui te pānga o ngā āhuatanga e pā ana ki te pakeke ki ngā putanga TURP, nā te mea he hauora anō pea ngā tāne pakeke e pā ana ki te whakaora me te whakaora. Ko ngā tāne neke atu i te 80 tau te pakeke ka tūpono pea ki ngā tūponotanga, ahakoa he pai tonu te putanga o te nuinga o ngā tūroro pakeke mā te whakahaere hauora tika.

He maha ngā āhuatanga hauora ka piki ake te tūponotanga o ngā raruraru TURP:

• Te mate ngakau, ngā manawataki ngakau rānei e pā ana ki te manawanui ki te rongoā whakawairakau
• Ngā mate pūhui toto e whakanui ana i te tūponotanga o te whakaheke toto i te wā o te pokanga
• Te mate huka e pōturi ai te whakaora i ngā patunga, e whakanui ana i te tūponotanga o te mate urutā
• Te mate tākihi e pā ana ki te āhua o tō tinana ki te tukatuka rongoā me ngā wai
• Ngā pokanga prostate o mua e uaua ai te tikanga o nāianei
• Ngā repe prostate nui rawa atu e roa ake ai te wā pokanga
• Ngā mate urutā i roto i te ara mimi e hiahia ana kia rongoatia i mua i te pokanga

Ka tino arotakehia e tō tākuta pokanga tō hītori hauora me tō āhua hauora o nāianei hei whakaiti i ēnei tūponotanga. I ētahi wā, ka tūtohutia ētahi atu rongoā mēnā ka kore e pai ngā āhuatanga tūpono mō te TURP mō tō āhuatanga motuhake.

He aha ngā raruraru ka puta mai i te TURP?

He iti noa iho ngā raruraru TURP, ka puta i roto i te iti iho i te 10% o ngā tūroro, engari he mea nui kia mārama ki ngā mea ka puta kia mōhio ai koe ki ngā tohumate me te rapu i te manaakitanga tika mēnā e tika ana. Ko te nuinga o ngā raruraru he wā poto noa iho, ka whakatikahia me te rongoā tika.

Ko ngā raruraru tino noa he ngawari noa iho, he wā poto noa iho, e pā ana ki tō mahi mimi, tō mahi tāngata rānei mō ngā wiki ki ngā marama i muri i te pokanga. Ko ēnei take ka pai ake i a rātou anō i te wā e ora ana tō tinana, e whakatika ana ki ngā huringa.

Anei ngā raruraru ka puta pea me mōhio koe, kua rārangihia mai i te mea tino noa ki te mea iti rawa:

• Te hoki whakamuri o te wai (ka uru te wai ki roto i te pūpū, kaua ki waho), e pā ana ki te 65-75% o ngā tāne
• Te kore e taea te pupuri i te mimi, te uaua rānei ki te whakahaere i te rere o te mimi
• Ngā mate i roto i te ara mimi, me hiahia pea te rongoā paturopi
• Te korenga o te tūāwhiwhi i te wā poto, ka pai ake i roto i ngā marama
• Te toto i roto i te mimi e roa ana i te mea e tūmanakohia ana
• Te whāiti o te ure (te whāiti), me hiahia pea te rongoā atu
• Me tūhau anō te pokanga mēnā ka tupu anō te kiko pūpū i te wā

Ko ngā raruraru nui engari he onge ko te mate TURP, ka puta i te wā e uru ana te wai horoi ki roto i tō toto, ka pā ki te tauritenga o te hiko o tō tinana. Nā ngā tikanga pokanga hou me te aroturuki i tēnei raruraru i tino onge, ka puta i roto i te iti iho i te 1% o ngā tukanga.

I te wā onge, ka pā pea te korenga tūturu o te pupuri mimi, te korenga rānei o te tūāwhiwhi, engari ka puta ēnei raruraru nui i roto i te iti iho i te 1-2% o ngā keehi. Ka kōrero tō tākuta pokanga i tō kōtaha tūponotanga takitahi i runga i tō āhuatanga hauora me ngā āhuatanga o te pūpū.

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

Me whakapā atu koe ki tō tākuta tonu mēnā ka pā ki a koe ētahi tohu whakatūpato e tohu ana i ngā raruraru nui e hiahia ana ki te āwhina hauora tere. Ahakoa te nuinga o ngā whakaoranga TURP e haere pai ana, ko te mōhio ki te wā ki te rapu āwhina ka whakarite kia tere te whakatika i ngā raruraru.

Ko ngā āhuatanga ohorere e hiahia ana ki te āwhina hauora tonu ko te kore rawa e mimi, te nui o te toto e kore e mutu, te mamae nui e kore e taea te whakahaere e ngā rongoā kua whakaritea, ngā tohu rānei o te mate nui. Ko ēnei tohu, ahakoa he onge, me arotake me te rongoā tonu.

Whakapā atu ki tō kaiwhakarato hauora tonu mēnā ka pā ki a koe ētahi o ēnei tohu e pā ana:

• Te kore e mimi ahakoa kua tangohia te katita
• Te nui o te toto me nga kapiti toto nui e mau tonu ana
• Te kirika i runga ake i te 101°F (38.3°C) me te wiri, te ruru ranei
• Te mamae nui o te puku, o te puku ranei e kaha haere ana i te wa
• Te whakapairuaki, te ruaki, te rangirua ranei e puta ohorere ana
• Te wera i te wa e mimi ana e kaha haere ana
• Te pupuhi i ou waewae, i te puku, i te takiwa ranei o to waahi pokanga

Mo te tiaki whai muri i nga wa katoa, ka kite koe i to tohunga urologist i roto i te 1-2 wiki i muri i te pokanga, katahi ano i te 6-8 wiki ki te arotake i to ahunga whakamua o te whakaora me te whakapai ake i nga tohu. He mea nui enei huihuinga ki te aroturuki i to whakaora me te whakatika i nga awangawanga kei a koe.

Nga patai e paatai ​​ana mo TURP

Q.1 He whai hua a TURP mo te rongoa i te repeure nui?

Ae, he tino whai hua a TURP mo te rongoa i nga tohu o te repeure nui, me nga reeti angitu o te 85-90% mo te whakapai ake i te rere mimi me te whakaiti i nga tohu whakararuraru. Ko te nuinga o nga tane ka tino pai ake te kaha ki te mimi, ka iti ake te mimi i te po, me te pai ake o te whakawātea i te pūpū i roto i nga wiki i muri i te tikanga.

Ko nga whakapainga mai i te TURP te tikanga ka roa mo nga tau maha, ahakoa ka hiahia etahi tane ki etahi atu maimoatanga mena ka tipu tonu to ratou repeure i te wa. E whakaatu ana nga rangahau ko te 80-85% o nga tane e makona ana ki o raatau hua TURP ahakoa 10 tau i muri i te pokanga.

Q.2 Ka puta te TURP i te ngoikore o te erectile pumau?

He uaua te TURP ki te ngoikore o te erectile pumau, me nga rangahau e whakaatu ana ka puta tenei i roto i te 5-10% noa iho o nga tane. Ko te nuinga o nga tane e raru ana i te erectile rangitahi i muri i te TURP ka kite i te whakapai ake i roto i te 3-6 marama i te wa e heke ana te pupuhi me te hoki mai o te rere toto noa ki te waahi.

Mēnā he pai tō mahi whakatō i mua i te TURP, ka pērā tonu pea i muri mai. Heoi, he nui ake te horo o te whakatō whakamuri (te orgasm maroke), e pā ana ki te 65-75% o ngā tāne mō ake tonu atu, ahakoa kāore tēnei e pā ki te ngahau i te moe tāngata, ki te kaha rānei o te orgasm.

Q.3 Kia pēhea te roa o te whakaora i te TURP?

Ko te whakaora i te TURP te tikanga e 4-6 wiki kia ora katoa, ahakoa ka kite pea koe i te pai ake o te mimi i roto i ngā rā tuatahi i muri i te tango i te catheter. Ka taea e te nuinga o ngā tāne te hoki ki ngā mahi māmā me te mahi tēpu i roto i te wiki, engari me karo i te hiki i ngā mea taumaha, i te whakakori tinana kaha rānei mō te wā whakaora katoa e 6 wiki.

Ko te tikanga ka tangohia tō catheter i te 1-3 rā i muri i te pokanga, ā, me kite koe i te pai haere o ngā tohu mimi i ngā wiki e whai ake nei. Ko te whakaora katoa, tae atu ki te whakatau i ngā pānga taha rangitahi, ka roa pea ki te 3 marama i ētahi wā.

Q.4 Ka hoki mai te whakanui i te prostate i muri i te TURP?

Ka taea e te kiko prostate te tipu anō i muri i te TURP i te mea kei te noho tonu te wāhanga o waho o te repe prostate, engari ko te tikanga ka puta tēnei i te tino puhoi i roto i ngā tau maha. Tata ki te 10-15% o ngā tāne ka hiahia pea ki te rongoā atu i roto i te 10-15 tau, ahakoa he rerekē tēnei i runga i te pakeke, te hauora whānui, me te nui o te kiko i tangohia i te tīmatanga.

Mēnā ka hoki mai ngā tohu, ka puta te tikanga i te haere haere, ā, ka taea te whakahaere i te tīmatanga ki ngā rongoā. Ka taea te mahi anō i te TURP, i ētahi atu tikanga rānei mēnā e tika ana, ahakoa he iti noa te hiahia ki te pokanga atu i te tekau tau tuatahi i muri i te rongoā tuatahi.

Q.5 He pai ake te TURP i te rongoā mō te prostate whakanui?

Ko te TURP te tikanga he pai ake i te rongoā mō ngā tohu whakanui i te prostate mai i te ngawari ki te kaha, e whakarato ana i te pai ake o te rere o te mimi me te whakaiti i ngā tohu. Ahakoa ka taea e ngā rongoā te āwhina i ngā tohu ngawari ki te ngawari, ka iti ake te whai hua i te roanga o te wā i te mea kei te tipu tonu te prostate.

Heoi anō, ko te whakatau i waenga i te TURP me te rongoā e whakawhirinaki ana ki ō tohu motuhake, te hauora whānui, ngā hiahia o te oranga, me te ngākau ki te whakaae ki ngā pānga taha pea. Mā tō tākuta mimi e āwhina i a koe ki te whakatau i ngā painga me ngā tūponotanga o ia kōwhiringa i runga i tō āhuatanga takitahi me ngā whāinga maimoatanga.