Ni iki TUMT? Impamvu, Uburyo & Ibivamo

TUMT yerekana Transurethral Microwave Thermotherapy, uburyo bwo kuvura butagira ibikomere bukoresha ubushyuhe bugenzurwa kugirango bugabanye urugingo rwa prostate rwagutse. Ubu buryo bukorerwa hanze y'ivuriro butanga ubufasha ku bimenyetso byo mu nkari bitabangamiye bitagombye kubagwa bikomeye, bigatuma biba uburyo bukundwa na benshi mu bagabo bahanganye na benign prostatic hyperplasia (BPH).

TUMT ni iki?

TUMT ni uburyo bwo kuvura bushingiye ku bushyuhe bugamije urugingo rwa prostate rurenze rukunda gutera ibibazo byo mu nkari. Ubu buryo bukoresha catheter idasanzwe ifite antenna ya microwave kugirango itange ubushyuhe butunganye kandi bugenzurwa neza kuri urugingo rwa prostate rwagutse.

Bitekereze nk'uburyo bwo gushyushya bugamije bukora kuva imbere hanze. Imbaraga za microwave zishyushya urugingo rwa prostate ku bushyuhe buri hagati ya 113-140 ° F, bituma urugingo rurenze rugabanuka buhoro buhoro uko igihe gihita. Uku kugabanuka gufungura inzira y'inkari, bigatuma inkari zitemba neza.

Ubu buryo bufatwa nk'ubutagira ibikomere kuko ntibusaba ibikomere byo kubaga. Ahubwo, catheter ishyirwa mu nzira isanzwe y'inkari, bigatuma gukira byoroha cyane kuruta kubagwa prostate gakondo.

Kuki TUMT ikorwa?

TUMT ikorwa cyane cyane kugirango ivure ibimenyetso byo mu nkari byoroheje kugeza ku bikomeye biterwa na prostate yagutse, ikintu cyitwa benign prostatic hyperplasia (BPH). Iyo abagabo bakuze, prostate yabo ikura mu buryo busanzwe, rimwe na rimwe igakanda ku urethra kandi bigatuma kunyara bigorana.

Muganga wawe ashobora kugusaba TUMT niba urimo guhura n'ibimenyetso bibangamiye bitarashoboye gukira neza n'imiti. Ibi bimenyetso birashobora kugira ingaruka zikomeye ku mibereho yawe n'imikorere yo gusinzira.

Ibimenyetso bisanzwe bitera TUMT birimo:

• Kujya kunyara kenshi, cyane cyane nijoro
• Uruhererekane rw'inkari rudakomeye cyangwa ruhagarara
• Kugorana gutangira kunyara
• Kumva nk'aho umubiri wawe wuzuye inkari utuzuye neza
• Ubukererwe bwo kunyara bigoye kugenzura
• Kunyeganyega mugihe unyara

Ubu buryo bwa none bukunda gushyirwaho iyo imiti itatanze umuti uhagije ariko ushaka kwirinda uburyo bwo kubaga burushijeho. Bikwiriye cyane cyane abagabo bifuza gukomeza imikorere yabo y'imibonano mpuzabitsina, kuko TUMT akenshi igira ingaruka nke ku mibonano mpuzabitsina kurusha izindi nshuti.

Ni iki uburyo bwa TUMT bumaze?

TUMT ikorwa nk'uburyo bwo hanze, bivuze ko ushobora gutaha umunsi umwe. Ubuvuzi akenshi bufata iminota 45 kugeza ku isaha, kandi uzaba uri maso ariko wumva umeze neza muri ubu buryo.

Mbere yuko ubu buryo butangira, muganga wawe azaguha imiti y'agace kugirango utagira ububabare kandi ashobora no gutanga imiti yoroheje kugirango igufashe kuruhuka. Sisitemu yo gukonjesha irinda umurongo wa urethral mugihe imbaraga za microwave zerekeza ku gice cyimbitse cya prostate.

Ibi nibyo bibaho mugihe cyo gukora ubu buryo:

1. Catheter yoroheje, yoroshye hamwe na antenna ya microwave ishyirwa muri urethra yawe
2. Catheter ishyirwa neza mumitsi ya prostate yagutse
3. Imbaraga za microwave zigenzurwa zitangwa kugirango zishyushye igice cyerekanwe
4. Sisitemu yo gukonjesha irinda igice cyuzuye gifite ubuzima bwiza
5. Uburyo bwo gushyushya burakomeza iminota 30-45
6. Catheter ikurwaho mugihe ubuvuzi burangiye

Mugihe cyo kuvurwa, ushobora kumva ubushyuhe cyangwa kutumva neza, ariko sisitemu yo gukonjesha ifasha kugabanya ibintu bitari byiza. Abarwayi benshi bafata neza ubu buryo kandi barashobora gusoma cyangwa kumva umuzika mugihe bavurwa.

Ni gute wakwitegura TUMT yawe?

Kitegura TUMT bikubiyemo intambwe nyinshi zoroshye zifasha kwemeza ko uburyo bukora neza kandi mu buryo bwizewe. Muganga wawe azatanga amabwiriza yihariye yagenewe uko ubuzima bwawe bumeze, ariko imyiteguro myinshi iroroshye kandi irashoboka.

Mu minsi mbere yo gukorerwa ubu buryo, uzakenera guhagarika gufata imiti imwe n'imwe ishobora kongera ibyago byo kuva amaraso. Muganga wawe azaguha urutonde rwuzuye, ariko imiti isanzwe yo kwirinda irimo imiti igabanya amaraso n'imiti imwe igabanya ububabare.

Dore intambwe zisanzwe zo kwitegura:

• Hagarika gufata imiti igabanya amaraso nk'uko byategetswe na muganga wawe
• Tegura umuntu wo kukujyana mu rugo nyuma yo gukorerwa ubu buryo
• Fata imiti yanditswe na muganga niba abikugiriye inama
• Irinde kurya cyangwa kunywa amasaha make mbere yo kuvurwa niba gahunda yo gutuza iteganyijwe
• Wambare imyenda yoroshye, yagutse
• Zana urutonde rw'imiti yose ufata ubu

Muganga wawe ashobora kandi kugusaba gutangira gufata imiti irwanya mikorobe umunsi umwe cyangwa ibiri mbere yo gukorerwa ubu buryo kugirango wirinde indwara. Iki ni ingamba zo kwirinda zifasha kwemeza ko gukira kwawe kugenda neza.

Ni gute usoma ibisubizo byawe bya TUMT?

Ibisubizo bya TUMT ntibiza ako kanya nk'ibizamini by'amaraso - ahubwo, uzabona impinduka buhoro buhoro mu byumweru byinshi kugeza ku mezi. Igice cy'umubiri wa prostate gishyushye gifata igihe kugirango kigabanuke kandi kigabwe n'umubiri wawe, bityo kwihangana ni ingenzi mugihe cyo gukira.

Abagabo benshi batangira kubona impinduka mu bimenyetso byabo by'inkari mu byumweru 2-4 nyuma yo kuvurwa. Ariko, inyungu zose za TUMT zirashobora kutagaragara mu mezi 2-3 kuko prostate ikomeza kugabanuka buhoro buhoro.

Ibimenyetso byerekana ko TUMT ikora birimo:

• Uruzi rw'inkari rukomeye, ruhamye
• Kugabanya kenshi kw'inkari, cyane cyane nijoro
• Gutangiza inkari byoroshye
• Kuvana inkari mu kizungera neza
• Kugabanya ubushake bwo kwihagarika
• Kugorana gake mugihe cyo kwihagarika

Muganga wawe azakurikiza uko urimo utera imbere mu gihe cyo gusuzuma, kandi ashobora gukoresha ibibazo byanditse kugira ngo akurikirane uko ibimenyetso birimo birushaho gukira. Abagabo bamwe bagira iterambere riri hagati ya 50-70% mu bimenyetso byabo byo mu nkari, nubwo ibisubizo by’umuntu ku giti cye bitandukanye bitewe n’ibintu nk’ubunini bwa prostate n’ubuzima muri rusange.

TUMT ikora neza ite?

TUMT itanga ubufasha bukomeye ku bimenyetso ku bagabo benshi bafite prostate yagutse, nubwo muri rusange ifatwa nk’itari nziza nk’uburyo bwo kubaga nka TURP. Ubushakashatsi bwerekana ko hafi 60-80% by’abagabo bagira iterambere rifatika mu bimenyetso byabo byo mu nkari nyuma ya TUMT.

Ubu buvuzi bukora neza ku bagabo bafite prostate yagutse mu rugero ruciriritse n’ubwoko bwihariye bwa prostate. Muganga wawe azasuzuma niba uri umukandida mwiza ashingiye ku bunini bwa prostate yawe, imiterere yayo, n’uburemere bw’ibimenyetso byawe.

Amahame y’ubushobozi bw’igihe kirekire yerekana ko abagabo benshi bagumana iterambere ryabo mu myaka myinshi nyuma y’ubuvuzi. Ariko, kubera ko prostate ikomeza gukura uko umuntu asaza, abagabo bamwe bashobora kuzakenera ubuvuzi bwiyongera. Ibi ni ibisanzwe kandi ntibisobanura ko TUMT yananiwe.

Ni izihe mpamvu zishobora gutera ingaruka mbi za TUMT?

Nubwo TUMT muri rusange ari nziza, ibintu bimwe bishobora kongera ibyago byawe byo kugira ingaruka mbi cyangwa bikagira ingaruka ku buryo ubuvuzi bukora neza. Kumva izi mpamvu zishobora gutera ingaruka mbi bifasha wowe na muganga wawe gufata icyemezo cyiza ku miterere yawe.

Ubuzima bwawe muri rusange bugira uruhare runini mu buryo uzihanganira ubu buryo kandi ugakira nyuma yaho. Abagabo bafite indwara zimwe na zimwe bashobora gukenera ingamba zidasanzwe cyangwa ntibashobore kuba abakandida beza ba TUMT.

Impamvu zishobora kongera ingaruka mbi zirimo:

• Prostate nini cyane (irenga garama 100)
• Udukoko dukora mu nkari
• Indwara zikomeye z’umutima
• Indwara zo gupfuka amaraso
• Imiti imwe na rimwe igira ingaruka ku gukira
• Kubagwa prostate mbere
• Ibibazo bikomeye by’urugingo rw’inkari

Icyo imyaka y'amavuko ivuga ku buzima

Imyaka y'amavuko yonyine ntigomba gufatwa nk'ikintu cy'ingenzi cyongera ibyago, ariko abagabo bakuze bashobora kuba bafite indwara nyinshi zikeneye kwitabwaho. Muganga wawe azasuzuma neza amateka yawe y'ubuzima kugira ngo amenye niba TUMT ikwiriye kuri wowe.

Ni izihe ngaruka zishobora guterwa na TUMT?

TUMT ifatwa nk'uburyo bufite ibyago bike, ariko nk'ubundi buvuzi bw'ubuvuzi, bushobora kugira ingaruka ziterwa n'imiti. Ingaruka nyinshi ziba iz'igihe gito kandi zikemuka zonyine mu byumweru bike, ariko ni ngombwa kumenya icyo witegura.

Ingaruka zisanzwe ziterwa n'imiti zifitanye isano n'uburyo umubiri ukira kandi akenshi zikongera uko prostate yawe yiyumvisha ubuvuzi. Izi ngaruka akenshi zirashoboka kandi ntizisaba ubuvuzi bwiyongera.

Ingaruka zisanzwe z'igihe gito zirimo:

• Kumva uburibwe mu gihe cyo kunyara mu byumweru 1-2
• Kunyara kenshi cyane mu ntangiriro
• Amaraso mu nkari mu minsi mike
• Kutoroherwa gake mu gatuza
• Kuzamba kw'ibimenyetso byo kunyara by'igihe gito

Ingaruka zitazwi cyane ariko zikomeye zirashobora kubaho, nubwo bidakunze kubaho. Izi zishobora gusaba ubufasha bw'ubuvuzi bwiyongera cyangwa ubuvuzi kugira ngo zikemuke neza.

Ingaruka zitazwi zirimo:

• Kuguma kw'inkari gukabije bisaba gushyirwamo catheter
• Uburwayi bw'inzira y'inkari
• Gusohoka kw'amaraso cyane
• Urethral stricture (kugabanuka)
• Gukenera uburyo bwiyongera

Ingaruka ziterwa n'imibonano mpuzabitsina muri rusange ntizikunze kubaho kuri TUMT ugereranije n'ubundi buvuzi bwa prostate, ariko abagabo bamwe bashobora guhura n'impinduka z'igihe gito mu gusohora cyangwa imikorere y'igitsina.

Nzagomba kubona muganga ryari nyuma ya TUMT?

Ubuvuzi buhoraho nyuma ya TUMT ni ingenzi kugira ngo ukurikirane uko ukira kandi wemeze ko ubuvuzi bukora neza. Muganga wawe azateganya gahunda zihariye, ariko ugomba no kumenya igihe ugomba gushaka ubufasha bw'ubuvuzi bwihuse.

Abaganga benshi basaba gusubira kwa muganga nyuma y'ibyumweru 2, ibyumweru 6, n'amezi 3 nyuma yo kubagwa. Izo gahunda zifasha muganga wawe gukurikirana uko urimo ukira no gukemura ibibazo byose byagaragara mu gihe cyo gukira.

Vugana na muganga wawe vuba na bwangu niba ubonye:

• Kutabasha kunyara amasaha arenga 8
• Urubavu rurenze 101°F (38.3°C)
• Guhuhuka cyane cyangwa ibimburambere binini by'amaraso
• Urubavu rukabije rutagendeshwa n'imiti yategetswe
• Ibimenyetso by'ubwandu nk'imbeho cyangwa gutwika bikomeza

Ugomba kandi kuvugana niba ibimenyetso byawe bitagenda neza nyuma y'ibyumweru 6-8 cyangwa niba bisa nk'aho birimo birushaho kuba bibi aho kuba byiza. Nubwo hariho ukuba bibi mbere na mbere bisanzwe, ibibazo bihoraho bishobora gukenera isuzuma.

Ibibazo bikunze kubazwa kuri TUMT

Q1: Ese TUMT iruta imiti ya BPH?

TUMT ishobora kuba ifite akamaro kurusha imiti ku bimenyetso bya BPH byoroheje kugeza ku bikabije, ariko biterwa n'uko ubuzima bwawe bwite bumeze. Imiti ikora neza ku bagabo benshi kandi akenshi igeragezwa mbere kuko itagira uburyo bwo kubaga. Ariko, niba imiti itatanga ubufasha buhagije cyangwa ikaba yateza ingaruka zibabaje, TUMT ishobora gutanga impinduka zikomeye kandi zirambye. Guhitamo biterwa n'uburemere bw'ibimenyetso byawe, uko witwara neza ku miti, n'uko wowe ubwawe wifuza uburyo bwo kuvura.

Q2: Ese TUMT igira ingaruka ku mikorere y'imibonano mpuzabitsina?

TUMT akenshi igira ingaruka nke ku mibonano mpuzabitsina ugereranije n'ubuvuzi bwo kubaga nka TURP. Abagabo benshi bagumana imikorere yabo yo guhagarara kw'igitsina kandi ntibagira ejaculate retrograde (orgasm yumye). Ariko, abagabo bamwe bashobora kubona impinduka z'agateganyo mu gusohora cyangwa impinduka ntoya mu kumva mu mibonano mpuzabitsina mu byumweru bike bya mbere nyuma yo kuvurwa. Izi ngaruka akenshi zikemuka uko gukira kugenda. Niba ufite impungenge ku ngaruka z'imibonano mpuzabitsina, biganireho mu buryo bweruye na muganga wawe mbere yo kubagwa.

Q3: Ese ibisubizo bya TUMT bimara igihe kingana iki?

Ibyavuye muri TUMT bishobora kumara imyaka myinshi ku bagabo benshi, n’ubushakashatsi bwerekana ko hariho iterambere rirambye mu myaka 3-5 mu bihe byinshi. Ariko, kubera ko prostate ikomeza gukura uko umuntu asaza, abagabo bamwe bashobora kuzakenera izindi nshuro zo kuvurwa. Igihe ibyavuye muri ubu buryo bimara biterwa n’ibintu nk’imyaka yawe, ubuzima bwawe muri rusange, n’uburyo prostate yawe ikomeza kwaguka uko igihe kigenda. Kuguma ukurikirana na muganga wawe bifasha gukurikirana uko urugendo rwawe rumeze mu gihe kirekire.

Q4: Ese TUMT irashobora gusubirwamo niba ibimenyetso bigarutse?

Yego, TUMT irashobora gusubirwamo niba ibimenyetso bigarutse, nubwo ibi bitari ngombwa cyane mu myaka mike ya mbere. Niba ibimenyetso byawe bigenda birushaho gukomera uko igihe kigenda, muganga wawe ashobora gusuzuma niba irindi vurwa rya TUMT ryaba rifitiye akamaro cyangwa niba uburyo butandukanye bwaba bukwiye kurushaho. Abagabo bamwe bashobora kuzungukirwa n’uburyo bwo kubaga niba prostate yabo ikomeje kwaguka cyane. Muganga wawe azatekereza ku miterere yawe bwite n’amateka y’ubuvuzi mu gihe asaba intambwe ikurikira nziza.

Q5: Ese TUMT irababaza mu gihe cy’igikorwa?

Abagabo benshi basanga TUMT yihanganirwa hamwe n’ububabare buke mu gihe cy’igikorwa nyirizina. Uzahabwa imiti y’agace kugirango itume ahantu hatagira ububabare, kandi abaganga benshi batanga kandi imiti yoroheje yo kugufasha kuruhuka. Sisitemu yo guhaza ubushyuhe yubatswe muri kateteri ifasha kugabanya ububabare bwose buterwa n’ubushyuhe. Abagabo bamwe basobanura kumva ubushyuhe cyangwa igitutu gito, ariko ububabare bukomeye ntibusanzwe. Nyuma y’igikorwa, ushobora guhura no gushya mu gihe cyo kunyara mu cyumweru kimwe cyangwa bibiri, ariko ibi birashoboka hamwe n’imiti yategetswe kandi bikunda gukira vuba.