Ni iki cyitwa kubagwa kwa Laser PVP? Intego, Uburyo & Ibivamo

Kubagwa kwa Laser PVP (Photoselective Vaporization of the Prostate) ni uburyo bwo kubaga butagira ingaruka nyinshi bukoresha imbaraga za laser kugirango bukuraho imitsi y'umurengera ya prostate iziba uruzi rw'inkari. Bitekereze nk'uburyo bwiza bwo gukuraho ibiziba, ariko aho gukoresha ibikoresho bisanzwe, abaganga bakoresha imbaraga z'umucyo zibanze kugirango batere imitsi itera ibibazo.

Ubu buryo bukorerwa hanze y'ibitaro butanga ubufasha ku bagabo benshi bafite ibimenyetso by'inkari bibabangamiye batagombye kubagwa cyangwa kumara igihe kirekire mu bitaro. Ikoranabuhanga rya laser rituma umuganga ubaga akora neza cyane, akibanda gusa ku mitsi ifite ibibazo mugihe arengera ahantu hazima.

Ni iki cyitwa kubagwa kwa Laser PVP?

Kubagwa kwa Laser PVP bikoresha laser yihariye y'umucyo w'icyatsi kugirango itere imitsi ya prostate yagutse iziba uruzi rw'inkari. Urumuri rwa laser ruhindura amazi mu ngirangingo za prostate mo umwuka, ukuraho imitsi y'umurengera ku gice ku gice.

Mugihe cyo kubagwa, umuganga ubaga ashyira ikintu gito gishobora kureba mu ruzi rw'inkari akoresheje umugozi wa laser ukagera ahantu hagutse. Imbaraga za laser zikora utuntu duto duto dutuma imitsi iziba ikurwaho buhoro, igafungura inzira y'inkari itagize ibikomere byo hanze.

Ubu buryo bufasha cyane abagabo bafite benign prostatic hyperplasia (BPH), uburwayi busanzwe aho prostate igenda yaguka uko umuntu asaza. Uburyo laser ikora neza butuma abaganga bashobora gushushanya imitsi ya prostate nk'uko umubaji w'umuhanga abaza ibiti, bakarema inzira isobanutse y'inkari kugirango zitembe neza.

Kuki kubagwa kwa Laser PVP bikorwa?

Kubagwa kwa Laser PVP bigirwa inama iyo prostate yagutse cyane igira uruhare runini mu mibereho yawe ya buri munsi. Muganga wawe ashobora gutanga igitekerezo cy'ubu buryo niba ufite ibimenyetso by'inkari bidahinduka bitaravuzweho n'imiti cyangwa impinduka mu mibereho.

Impamvu zisanzwe zitera gutekereza kubaga iyi ni ukugorwa no gutangira kunyara, uruzi rw'inkari rutagira imbaraga, kujya kenshi mu bwiherero nijoro, ndetse no kumva ko umubiri wawe utajya usukura neza. Ibi bimenyetso bishobora kurambya kandi bigatuma unanirwa, bigira ingaruka ku gusinzira kwawe, akazi kawe, n'ibikorwa byawe bya buri munsi.

Ushobora kandi gusabwa na muganga wawe gukoresha laser PVP niba waragize ibibazo biturutse ku rugingo rw'umubiri rwagutse. Ibi bishobora kuba harimo indwara ziterwa n'inkari zikunda kugaruka, amabuye yo mu mpyisi, cyangwa ibihe utabasha kunyara na gato, ibyo bisaba ubufasha bwihutirwa bw'abaganga.

Rimwe na rimwe, abagabo batabasha gufata imiti imwe na imwe y'umubiri bitewe n'ingaruka zayo cyangwa izindi ndwara, basanga laser PVP ari uburyo bwiza bwo kubivura. Iyi nzira kandi ishobora kuba nziza ku bafata imiti ituma amaraso ataguma, kuko akenshi bituma amaraso ava make ugereranyije no kubaga gakondo.

Ni iki gikorerwa mu kubaga hifashishijwe laser PVP?

Uburyo bwa laser PVP akenshi bufata iminota 30 kugeza kuri 90 kandi bukorerwa munsi ya anesthesia ya spinal cyangwa rusange. Umuganga wawe azagushyira neza ku mugongo wawe kandi yemeze ko uruhutse neza mbere yo gutangira.

Mbere na mbere, muganga wawe ashyiraho resectoscope, igikoresho gito gifite urumuri na kamera, binyuze mu muyoboro w'inkari kugirango abone urugingo rw'umubiri. Nta gice cyo hanze gikenewe, bivuze ko nta bikomere bigaragara nyuma.

Nyuma, umuganga ayobora uruzi rwa laser binyuze muri resectoscope ku gice cy'umubiri cyagutse. Urumuri rwa laser rutanga imbaraga zigenzurwa zikoreshwa mu guhindura umwuka w'igice cy'umubiri cyinshi mugihe gihagarika imitsi y'amaraso icyarimwe, ibyo bifasha kugabanya amaraso ava.

Muri iki gikorwa, umuganga wawe akuraho neza igice cyahindutse umwuka kandi akamesa ahantu hifashishije amazi yera kugirango agumane isuku. Uburyo bwa laser butuma hakurwaho gusa igice cy'umubiri gifite ibibazo, bigasiga igice cy'umubiri gifite ubuzima bwiza.

Nyuma yo kurangiza gukuraho urugingo, umuganga wawe ashobora gushyiraho catheter y'agateganyo kugira ngo ifashe kuvana inkari mu gihe hakiri gukira. Iyi catheter isanzwe ikurwaho mu masaha 24 kugeza kuri 48, nubwo abagabo bamwe bashobora gutaha batayifite na gato.

Ni gute witegura kubagwa Laser PVP?

Kwitegura kubagwa laser PVP bikubiyemo intambwe z'ingenzi kugira ngo wizere umusaruro mwiza. Muganga wawe azatanga amabwiriza yihariye yagenewe ibyifuzo byawe by'ubuzima n'imiti.

Muri icyumweru kimwe cyangwa bibiri mbere yo kubagwa, uzakenera guhagarika gufata imiti imwe n'imwe ishobora kongera ibyago byo kuva amaraso. Ibi bikubiyemo aspirine, ibuprofen, n'imiti ituma amaraso ataguma, ariko ntuzigere uhagarika umuti uwo ari wo wose utabanje kubisaba umuganga wawe.

Itsinda ryawe ry'ubuzima rishobora gutegura ibizamini mbere yo kubagwa kugira ngo wizere ko ufite ubuzima bwiza buhagije kugira ngo ukore icyo gikorwa. Ibi bishobora kuba bikubiyemo akazi k'amaraso, ibizamini by'inkari, ndetse n'ibishoboka bya EKG kugira ngo bagenzure imikorere y'umutima wawe.

Ku munsi mbere yo kubagwa, uzahabwa amabwiriza yerekeye kurya no kunywa. Mubisanzwe, uzakenera kwirinda ibiryo n'amazi mu masaha 8 kugeza kuri 12 mbere y'igikorwa kugira ngo wirinde ingorane mugihe cyo kubagwa.

Birashoboka kandi gutegura umuntu wo kukujyana mu rugo nyuma yo kubagwa, kuko ingaruka za anesthesia zikeneye igihe cyo gushira burundu. Kugira inshuti wizewe cyangwa umuntu wo mu muryango wawe ugumana nawe mumasaha 24 ya mbere birashobora gutanga ubufasha bufatika ndetse n'inkunga y'amarangamutima mugihe cyo gukira kwawe kwa mbere.

Ni gute usoma ibisubizo byawe bya Laser PVP?

Gusobanukirwa ibisubizo byawe bya laser PVP bikubiyemo kumenya impinduka zihuse n'imivugururize buhoro buhoro muminsi n'amezi akurikira. Abagabo benshi bamenya impinduka zimwe na zimwe mumyigaragambyo yinkari muminsi mike nyuma yigikorwa.

Mu cyumweru cya mbere nyuma yo kubagwa, ushobora guhura n'ibimenyetso by'igihe gito bisanzwe rwose. Ibi bishobora kwibandaho gushya gake mugihe cyo kunyara, amaraso rimwe na rimwe mu nkari zawe, cyangwa udusimba duto tw'imyenda dukururuka mugihe unyara.

Muganga wawe ashobora gutegura gahunda yo gusuzuma uko urimo witwara neza kandi ashobora gukoresha ibipimo byihariye kugirango akurikirane iterambere. Ibi bishobora kwibandaho ibizamini bya uroflowmetry bipima uko unyara vuba kandi neza, cyangwa ibizamini bisigaye nyuma yo kunyara bigenzura inkari zisigara nyuma yo kunyara.

Ibipimo bifite icyo bisobanura cyane bikunda kugaragara nyuma y'ibyumweru 4 kugeza kuri 6 nyuma yo kubagwa, mugihe gukira kwa mbere kurangira. Abagabo benshi bavuga imigezi ikomeye y'inkari, urugendo ruto rwo kujya mu bwiherero nijoro, no kumva neza ko umubiri w'inkari usukuye.

Intsinzi irambye ikunda gupimwa no kunoza ibipimo by'ubuzima bwawe no kugabanya ibisabwa by'imiti. Umuganga wawe azakorana nawe kugirango ashyireho ibyiringiro bifatika kandi yishimire iterambere urimo kugeraho.

Ni gute watezimbere imikorere yawe nyuma yo kubagwa Laser PVP?

Guteza imbere imikorere yawe nyuma yo kubagwa laser PVP bikubiyemo gukurikiza amabwiriza ya muganga wawe neza no kwihanganira mugihe cyo gukira. Abagabo benshi bashobora gusubira mumirimo isanzwe muminsi mike, ariko gukira neza bifata ibyumweru byinshi.

Mugihe cyicyumweru cya mbere, ni ngombwa kunywa amazi menshi kugirango afashe gusukura umubiri wawe no kugabanya ibyago byo kwandura. Gira intego yo kunywa ibirahure 8 kugeza kuri 10 by'amazi buri munsi keretse muganga wawe abigushishikarije.

Irinde gukora imirimo iremereye, imyitozo ikomeye, no gukora imibonano mpuzabitsina muminsi nka 2 kugeza kuri 4 nyuma yo kubagwa. Iyi mirimo irashobora kongera umuvuduko mumubiri wawe kandi ishobora kubangamira gukira.

Muganga wawe ashobora kwandika imiti yo gufasha gukira, nka antibiyotike zo gukumira kwandura cyangwa imiti yo kugabanya imitsi y'umubiri w'inkari. Fata iyi miti nkuko yategetswe, nubwo wumva umeze neza.

Vugana na muganga wawe niba wumva ububabare bukomeye, kudashobora kunyara, kuva amaraso menshi, cyangwa ibimenyetso byo kwandura nk'umuriro cyangwa guhinda umushyitsi. Nubwo ibibazo biba gake, buri gihe ni byiza kuganira n'ikipe yawe y'ubuvuzi niba ufite impungenge.

Ni ibihe bintu byongera ibyago byo gukenera kubagwa na laser PVP?

Ibintu byinshi byongera ibyago byo gukenera kubagwa na laser PVP, imyaka ikaba ariyo mpamvu ikomeye. Iyo abagabo bakuze, imitsi y'intanga yiyongera mu buryo busanzwe, kandi iyi nzira yihuta nyuma y'imyaka 50.

Amateka y'umuryango agira uruhare runini mu byago byo kwiyongera kw'imitsi y'intanga. Niba so cyangwa bavandimwe bawe baragize ibibazo bikomeye by'imitsi y'intanga, urashobora kurushaho kugira ibibazo nk'ibyo bisaba kubagwa.

Indwara zimwe na zimwe zirashobora kongera ibyago byo gukenera kubagwa imitsi y'intanga. Ibi birimo diyabete, indwara z'umutima, no gukabya ibiro, bishobora kugira ingaruka ku mikorere y'amaraso n'imisemburo igira uruhare mu mikurire y'imitsi y'intanga.

Ibintu by'imibereho bishobora gutuma imitsi y'intanga yiyongera. Gukora imyitozo ngororamubiri gake, kurya nabi, no guhangayika bikabije bishobora kwihutisha imikurire y'imitsi y'intanga, nubwo isano itajya igaragara neza.

Ibintu bimwe na bimwe bitamenyerewe birimo gufata imiti imara igihe kirekire, kugira indwara z'imitsi y'intanga mbere, cyangwa kugira imisemburo idahagije. Muganga wawe ashobora kugufasha gusobanukirwa ibintu byongera ibyago bikureba.

Ni ibihe bibazo bishobora kuvuka nyuma yo kubagwa na laser PVP?

Nubwo kubagwa na laser PVP muri rusange bifite umutekano kandi bikora neza, nk'ubundi buryo bw'ubuvuzi, bifite ibyago bimwe na bimwe bishobora kuvuka. Kubisobanukirwa bifasha gufata ibyemezo bifitiye akamaro kandi ukamenya icyo ugomba kwitaho mugihe cyo gukira.

Ibyago bikunze kubaho ni ibyoroshye kandi by'igihe gito. Ibi bishobora kuba harimo kugorwa by'agateganyo mu kwihagarika, kuva amaraso macye, cyangwa kuribwa mu gihe cyo kwihagarika bikunda gukira mu minsi mike cyangwa mu byumweru.

Dore ibyago bikunze kubaho ugomba kumenya:

• Kuguma kw'inkari by'agateganyo bisaba gushyirwamo catheter
• Kuribwa gake cyangwa kwihutisha kwihagarika
• Amaraso make mu nkari mu minsi myinshi
• Kongera kenshi kwihagarika by'agateganyo
• Uburibwe bucye mu mpyisi cyangwa kutumva neza

Ibyago bikomeye biraboneka ariko bishobora kubaho. Ibi bishobora kuba harimo kuva amaraso menshi bisaba kuvurwa, kwandura, cyangwa kwangiza ibice byegereye nk'umuyoboro w'inkari cyangwa urethra.

Ibyago by'igihe kirekire ntibisanzwe ariko bishobora kuba harimo:

• Kujugunya inyuma kw'amasohoro (amasohoro ajya inyuma mu mpyisi)
• Kutabasha kwihagarika (akenshi by'agateganyo)
• Kugabanuka kwa urethra (urethral stricture)
• Gusabwa kubagwa mu gihe gike

Umuvuzi wawe azaganira nawe kuri ibi byago mu buryo burambuye kandi asobanure uko bireba uko ubuzima bwawe bumeze. Abagabo benshi cyane bagira ibisubizo byiza hamwe n'ibyago bike.

Ni ryari nkwiriye kubona umuganga ku bijyanye no kubagwa prostate?

Ukwiriye gutekereza kubona umuganga ku bijyanye no kubagwa prostate iyo ibimenyetso byo kwihagarika bigira ingaruka zikomeye ku buzima bwawe bwa buri munsi no ku gukora neza. Niba wibona urimo gutegura ibikorwa bikurikije aho ubwiherero buri cyangwa ukabyuka inshuro nyinshi ijoro ryose, ni igihe cyo kugenzura ubuzima.

Teganya gahunda niba urimo guhura n'ingorane zidakuka zo gutangira kwihagarika, urujijo rw'inkari rukomeye cyane, cyangwa kumva ko umuyoboro w'inkari yawe utajya usukura neza. Ibi bimenyetso akenshi biriyongera buhoro buhoro, bityo ntushobora kumenya urugero byagize ku buzima bwawe kugeza igihe biba bikomeye cyane.

Shaka ubufasha bw'abaganga vuba na bwangu niba ubonye ibimenyetso bikomeye. Kutabasha na gato kunyara ni ikibazo cy'ubuzima gikomeye gisaba kuvurwa ako kanya, kuko bishobora gutera kwangirika kw'impyiko niba bitavuwe.

Ibindi bimenyetso by'imburabuzi bikwiriye gusuzumwa vuba n'abaganga birimo amaraso mu nkari zawe, kuribwa cyane mu gihe unyara, cyangwa ibimenyetso by'ibibazo by'impyiko nk'ukubyimba amaguru yawe cyangwa isesemi ihoraho.

Ntugategereze niba urimo kugira indwara ziterwa n'inzira z'inkari zikunze kugaruka cyangwa amabuye mu rwagashya, kuko izi ngorane zishobora kugaragaza ko urugingo rwawe rwa prostate rukeneye kuvurwa bikomeye kurusha imiti yonyine ishobora gutanga.

Ibibazo Bikunze Kubazwa ku bijyanye no kubagwa Laser PVP

Q1. Ese kubagwa laser PVP ni byiza mu kuvura prostate yagutse?

Yego, kubagwa laser PVP bifite akamaro kanini mu kuvura prostate yagutse (BPH) ku bagabo benshi. Ubushakashatsi bwa kliniki bwerekana ko 85-95% by'abarwayi bagira impinduka zigaragara mu bimenyetso by'inkari n'imibereho myiza.

Ubu buryo bufitiye akamaro kanini abagabo bafite ibimenyetso byoroheje kugeza ku bikomeye batitabiriye imiti. Bitanga ubufasha bwiza bw'ibimenyetso mugihe barengera imikorere y'imibonano mpuzabitsina neza kurusha uburyo bwo kubaga gakondo.

Q2. Ese kubagwa laser PVP bitera ubumuga bwo kutagira ubushake bwo gukora imibonano mpuzabitsina?

Kubagwa laser PVP mubisanzwe bifite ibyago bito cyane byo gutera ubumuga bwo kutagira ubushake bwo gukora imibonano mpuzabitsina. Ubushakashatsi bwerekana ko abagabo benshi bagumana imikorere yabo y'imibonano mpuzabitsina mbere yo kubagwa, kandi bamwe bashobora no kugira impinduka kubera kugabanya umunaniro uterwa n'ibimenyetso by'inkari.

Ariko, ubu buryo bushobora gutera retrograde ejaculation ku bagabo bamwe, aho intanga zigenda inyuma mu rwagashya aho kujya imbere mugihe cyo kurangiza. Ibi ntibigira ingaruka ku kumva orgasm ariko bishobora kugira ingaruka ku kubyara niba ugerageza kubyara.

Q3. Bifata igihe kingana iki kugira ngo ukire nyuma yo kubagwa laser PVP?

Abagabo benshi bakira vuba nyuma yo kubagwa na laser PVP ugereranije no kubagwa prostate gakondo. Ubusanzwe ushobora gusubira mu bikorwa byoroheje nyuma y'iminsi 2-3, ugakora ibikorwa bisanzwe nyuma y'icyumweru 1-2.

Gukira neza mubisanzwe bifata ibyumweru 4-6, muri icyo gihe uzagenda ubona impinduka nziza ku bimenyetso byo kunyara. Igihe cyo gukira cyambere muri rusange kiba kigufi cyane kurusha kubagwa, abagabo benshi bagataha uwo munsi cyangwa nyuma y'ijoro rimwe mu bitaro.

Q4. Ese igice cya prostate gishobora kongera gukura nyuma yo kubagwa na laser PVP?

Igice cya prostate cyavanyweho mugihe cyo kubagwa na laser PVP ntigishobora kongera gukura. Ariko, igice cya prostate gisigaye gishobora gukomeza gukura uko imyaka igenda yicuma, cyane cyane niba umaze imyaka myinshi nyuma y'ubwo buryo.

Abagabo benshi bishimira ibisubizo birambye byo kubagwa na laser PVP. Ubushakashatsi bwerekana ko hafi 90% by'abagabo bagumana imikorere myiza yo kunyara nyuma y'imyaka 5 nyuma y'ubwo buryo, kandi gukenera kubagwa bikongera ntibisanzwe.

Q5. Ese kubagwa na laser PVP biruta kubagwa prostate gakondo?

Kubagwa na laser PVP bitanga inyungu nyinshi kurusha kubagwa prostate gakondo, harimo kuva amaraso make, igihe gito cyo kumara mu bitaro, n'igihe gito cyo gukira. Bifitiye akamaro cyane abagabo bafata imiti ituma amaraso atavura.

Ariko,