Kubaga prostate hakoreshejwe uburyo bwo kuyikuramo (TURP)

Kubaga prostate hakoreshejwe uburyo bwa transurethral (TURP) ni uburyo busanzwe bwo kuvura ibibazo byo kwinjira mu gifu bitewe no kuba prostate yagagagaye. Igikoresho cyitwa resectoscope gishyirwa mu mwiru w'igitsina. Nyuma yoherezwa mu muyoboro utwara imyeyo iva mu kibuno, witwa urethra. Resectoscope ifasha umuganga kubona no gukata umubiri wa prostate urenze urugero ubuza imyeyo kuva.

TURP ifasha gufasha ibimenyetso byo kwinjira mu gifu biterwa na hyperplasia ya prostate nzima (BPH), birimo: Gukenera kenshi, guhita ujya kumwisha. Kugira ikibazo cyo gutangira kumwisha. Kumwisha buhoro cyangwa igihe kirekire. Kugenda kenshi mu bwiherero nijoro. Guhagarara no kongera gutangira mugihe umwisha. Kumva ko udashobora gusuka neza umusemburo. Indwara zifata inzira y'umusemburo. TURP ishobora kandi gukorwa kugira ngo ivure cyangwa ikumirwe ingaruka ziterwa no kubuzwa kw'umusemburo, nko: Indwara zikomeza kwibasira inzira y'umusemburo. Gukomeretsa impyiko cyangwa umusemburo. Kudakora neza cyangwa kutamwisha na gato. Amabuye mu musemburo. Amaraso mu mwisha.

Ibyago bya TURP bishobora kuba birimo: Kugira ikibazo cyo kumuha mu gihe gito. Ibi bishobora kumara iminsi mike nyuma y'ubuganga. Kugeza ubwo uzaba ushobora kumuha wenyine, uzakenera kugira umuyoboro muto kandi woroshye witwa kateteri ushyirwa mu gitsina cyawe. Itwara imyeyo iva mu gifu. Kwandura mu nzira y'umuyoboro w'inkari. Ubu bwoko bw'indwara bushobora kubaho nyuma ya buri buganga bwo kuvura prostate. Buzamuka cyane igihe kirekire ufite kateteri. Abagabo bamwe bagize TURP bagira indwara zikomeye zo kwandura mu nzira y'inkari. Gushira umusemburo mu gifu. Iki ni ugushira umusemburo mu gihe cyo kwikinisha mu gifu aho kuba hanze y'igitsina. Ni ingaruka zisanzwe kandi zirambye z'ubwoko bwose bw'ubuganga bwo kuvura prostate. Gushira umusemburo mu gifu ntibyangiza, kandi ntibigira ingaruka ku byishimo by'imibonano mpuzabitsina. Ariko bishobora gutuma ugira amahirwe make yo gutera inda umukunzi wawe w'umugore. Irindi zina ryabyo ni ejaculation retrograde. Kugira ikibazo cyo kubona ubushobozi bw'igitsina. Iki ni ikibazo cyo kubona cyangwa kugumana ubushobozi bw'igitsina. Icyago ni gito cyane, ariko kugira ikibazo cyo kubona ubushobozi bw'igitsina bishobora kubaho nyuma yo kuvura prostate. Umusurire mwinshi. Gake cyane, abagabo bahomba amaraso menshi mu gihe cya TURP ku buryo bagomba kwakira amaraso atanzwe binyuze mu mutsi. Ibi bita amaraso. Abagabo bafite prostate nini basa nkaho bafite ibyago byinshi byo kubura amaraso menshi. Kugira ikibazo cyo gufata imyeyo. Gake cyane, kubura ubushobozi bwo kugenzura umufuka ni ingaruka zirambye za TURP. Bita kandi incontinence. Sodium nke mu maraso, bita hyponatremia. Gake cyane, umubiri ufasha amazi menshi akoreshwa mu gukaraba ahantu havurirwa mu gihe cya TURP. Ibi bishobora gutuma ufite amazi menshi kandi nta sodium ihagije mu maraso. Ibi bibaye, bizwi nka TURP syndrome cyangwa transurethral resection (TUR) syndrome. Utabonye ubuvuzi, TURP syndrome ishobora kuba ikintu cyangiza ubuzima. Ubuhanga bwitwa bipolar TURP buvanaho ibyago by'iki kibazo. Kwifuza kuvurwa ukundi. Abagabo bamwe bakeneye kuvurwa nyuma ya TURP. Ibimenyetso byabo bigaruka cyangwa ntibikira uko igihe gihita. Rimwe na rimwe, kuvurwa kurushaho birakenewe kuko TURP itera urethra cyangwa umuyoboro w'inkari gutomba, bita kandi stricture.

Iminsi mike mbere y'igihe cy'ubuganga, umuganga wawe ashobora kugusaba guhagarika imiti yongera ibyago byo kuva amaraso, irimo: imiti igabanya amaraso nka warfarin (Jantoven) cyangwa clopidogrel (Plavix). imiti igabanya ububabare igurishwa mu maduka, nka aspirine, ibuprofen (Advil, Motrin IB, n'izindi) cyangwa naproxen sodium (Aleve). Ushobora kwandikirwa imiti yitwa antibiyotike kugira ngo wirinde kwandura mu nzira y'umuyoboro w'inkari. Tegura kugira umuntu wo mu muryango wawe cyangwa inshuti azakujyana kwa muganga no kukugarura. Ntuzashobora kuyobora imodoka ugaruka iwacu nyuma y'igihe cy'ubuganga kuri uwo munsi cyangwa muri rusange niba ufite kateteri mu kibuno. Ushobora kutazashobora gukora cyangwa gukora imirimo ikomeye mu gihe kigera ku ndwi esheshatu nyuma y'ubuganga. Baza umwe mu itsinda ry'abaganga bakora ubu buganga igihe uzamara ukomeza.

Igikorwa cya TURP gifata iminota 60 kugeza kuri 90. Mbere y'ubugingo, uzahabwa imiti igutera ubunebwe, yitwa anesthésie. Ushobora guhabwa anesthésie rusange, ikugira nk'aho uryamye. Cyangwa ushobora guhabwa anesthésie ya spinal, bivuze ko uzaba uzi. Ushobora kandi guhabwa umuti wa antibiyotike kugira ngo wirinde kwandura.