Ni iki TURP? Intego, Uburyo & Gukira

TURP yerekana Transurethral Resection ya Prostate, uburyo bwo kubaga busanzwe bufasha abagabo bafite prostate yagutse kunyara byoroshye. Mugihe cyo kubaga gukoresha uburyo butuma umuntu adakomeretswa cyane, umuganga wawe ukora imirimo yo mu rwego rwo hejuru akuraho imitsi ya prostate yarenze igihe, ikabuza urugendo rw'inkari, nk'uko usukura umuyoboro wazibye kugirango wongere gusubiza urugendo rw'amazi rusanzwe.

Ni iki TURP?

TURP ni uburyo bwo kubaga aho muganga wawe akuraho ibice bya prostate yagutse anyuze mu nzira y'inkari atagize ibikomere byo hanze. Umuganga ukoresha igikoresho cyihariye cyitwa resectoscope, kinyura mu gitsina cyawe kugirango kigere kuri prostate kandi agabanye neza imitsi yarenze igihe itera ibibazo byo kunyara.

Ubu buryo bwakozwe neza mumyaka mirongo kandi bugikomeza kuba imwe mumiti ifite akamaro cyane ya benign prostatic hyperplasia (BPH), ni ukuvuga kwaguka kwa prostate idafite kanseri. Bitandukanye no kubaga bifunguye, TURP ntisaba ibikomere byose ku nda yawe cyangwa igice cyo mu gatuza, bituma gukira muri rusange byihuta kandi bidafite ububabare bukabije.

Kuki TURP ikorwa?

TURP isanzwe isabwa iyo prostate yagutse igira uruhare runini mubuzima bwawe bwa buri munsi kandi izindi miti itatanze ubufasha buhagije. Muganga wawe ashobora gutanga igitekerezo cy'ubu buryo niba urimo guhura nibimenyetso byo kunyara bihoraho bigira ingaruka kumitunganyirize y'ubuzima bwawe cyangwa bigashyira mu kaga ubuzima.

Impamvu zisanzwe abaganga basaba TURP zirimo ibibazo byinshi byo kunyara bishobora guturuka kuri prostate yagutse:

• Kutabasha kunyara neza cyangwa na gato (kubura kwihagarika)
• Udukoko twinshi two mu nzira y'inkari bitewe no kutuzurura neza kw'umuvure w'inkari
• Amaraso mu nkari zawe ahora cyangwa agaruka
• Ibibazo by'impyiko biterwa n'inkari zizana
• Amabuye yo mu muvure w'inkari akorwa bitewe no kutuzurura neza
• Kunyara cyane nijoro bikabangamira gusinzira kwawe inshuro nyinshi
• Uruzi rw'inkari rutagira imbaraga bituma bigorana kuzurura umuvure w'inkari

Umuhanga mu kuvura indwara z'imyanya myibarukirizo azatekereza kandi TURP niba imiti nka alpha-blockers cyangwa 5-alpha reductase inhibitors itarateje impinduka ku bimenyetso byawe nyuma y'amezi menshi yo kuvurwa. Rimwe na rimwe, niyo imiti ifashije mu ntangiriro, ibimenyetso bishobora kwiyongera uko imyaka igenda yiyongera kuko prostate ikomeza gukura.

Ni iki gikorerwa muri TURP?

TURP ikorerwa mu cyumba cyo kubagiramo mu bitaro hakoreshejwe anesthesia ya spinal cyangwa rusange, bityo ntuzumva ububabare ubwo aribwo bwose mu gihe cyo kubagwa. Iyi nzira yose ikunze gufata iminota iri hagati ya 60 na 90, bitewe n'ubunini bwa prostate yawe n'ingano y'umubiri ugomba gukurwaho.

Ibi nibyo bibaho mu gihe cyo kubagwa kwawe kwa TURP, intambwe ku yindi:

1. Uzakira anesthesia kugirango wemeze ko wumva umeze neza neza mu gihe cyo kubagwa
2. Umuvuzi wawe ashyiraho resectoscope anyuze mu nzira y'inkari kugirango agere kuri prostate
3. Igikoresho cyihariye gikatira gikuraho uduce duto tw'umubiri wa prostate tubuza uruzi rw'inkari
4. Uduce twakuweho tw'umubiri dusukwa hanze binyuze muri resectoscope
5. Umuvuzi wawe asuzuma neza niba hari amaraso ava hanyuma agafunga imitsi y'amaraso uko bikwiye
6. Catheter ishyirwa mu muvure wawe w'inkari kugirango ifashe mu gukira no gukurikirana imikorere yawe

Kubaga bikorwa rwose binyuze mu mwobo wawe w'inkari, bityo ntakintu cyo hanze gikatwa cyangwa giterwa imitsi byo guhangayikishwa. Umuganga wawe azavana gusa igice cy'imbere cya prostate gitera ibibazo, asiga uruhu rwo hanze rutagizweho icyo aricyo cyose kugirango rukomeze imikorere isanzwe.

Ni gute witegura TURP yawe?

Kwitegura TURP bikubiyemo intambwe zingenzi zigufasha kumenya neza ko kubaga kwawe kugenda neza kandi bigabanya ibyago byo kugira ibibazo. Itsinda ryawe ry'ubuvuzi rizagufasha mu ntambwe zose zo kwitegura kandi risubize ibibazo byose ushobora kugira kubyerekeye urwo rugendo.

Ugomba gushobora gusaba umuganga wawe guhagarika imiti imwe mbere yo kubagwa, cyane cyane iyo igira ingaruka ku kuvura amaraso:

• Imiti igabanya amaraso nka warfarin, akenshi ihagarikwa iminsi 3-5 mbere yo kubagwa
• Aspirin n'imiti irwanya umubiri, akenshi ihagarikwa iminsi 7-10 mbere
• Ibiyobyabwenge by'ibyatsi bishobora kugira ingaruka ku kuva amaraso, nka ginkgo cyangwa tungurusumu
• Imiti imwe ya diyabete ishobora gukenera guhindurwa

Ugomba kandi gutegura umuntu wo kukujyana mu rugo nyuma y'uburyo kuko anesthesia igira ingaruka ku myitwarire yawe no gutekereza mu masaha menshi. Teganya kugira umuntu mukuru ufite inshingano ugumana nawe byibuze amasaha 24 ya mbere nyuma yo kubagwa kugirango afashe iby'ibanze kandi akurikirane imikorere yawe.

Ijoro mbere yo kubagwa, ugomba kwiyiriza byibuze amasaha 8-12, bivuze ko nta biribwa cyangwa ibinyobwa nyuma ya saa sita z'ijoro cyangwa igihe cyagenwe n'itsinda ryawe ry'abaganga. Iyi ngamba irinda ibibazo biturutse kuri anesthesia kandi ikemeza ko igifu cyawe kidafite ikintu icyo aricyo cyose mugihe cyo kubagwa.

Ni gute usoma ibisubizo byawe bya TURP?

Ibisubizo bya TURP bikunze gupimwa n'uburyo ibimenyetso byawe by'inkari bigenda neza kuruta agaciro k'imibare runaka nk'ibizamini by'amaraso. Umuganga wawe azasuzuma iterambere ryawe akoresheje ibibazo by'ibimenyetso n'ingamba zigaragara z'umuvuduko w'inkari zawe n'imikorere y'umubiri.

Abenshi mu bagabo babona impinduka zigaragara mu bimenyetso byabo byo kunyara mu byumweru bike nyuma ya TURP. Ugomba kwitega ko uruzi rwawe rwo kunyara ruzakomera, uruhago rwawe rugasohora neza, kandi kunyara nijoro bikagabanuka cyane.

Umuvuzi w'inzobere mu by'impyiko azakurikiza ibipimo byinshi by'ingenzi kugira ngo asuzume uko TURP yawe yakoze neza:

• Igeragezwa ry'umuvuduko w'inkari mu gihe cyo gusuzuma
• Umuvuduko w'inkari usigara (inkari zingahe zisigara mu ruhago rwawe nyuma yo kunyara)
• Amanota y'uburemere bw'ibimenyetso hakoreshejwe ibibazo byagenewe
• Impinduka mu mibereho myiza mu gusinzira no mu bikorwa bya buri munsi
• Kugabanya kunyara kenshi, cyane cyane nijoro

Umutsi wavanyweho mu gihe cya TURP yawe uzoherezwa muri laboratori kugira ngo usuzumwe kugira ngo hakurweho kanseri, nubwo TURP ikorwa cyane cyane kubera indwara zitari mbi. Muganga wawe azaganira nawe kuri ibi byavuye mu isuzuma mu gihe cyo gusuzuma.

Ni gute wakwongera imbaraga mu gukira kwawe kwa TURP?

Gukira kwa TURP bikubiyemo gukurikiza amabwiriza yihariye afasha imitsi yawe gukira neza no kugabanya ibyago byo guhura n'ibibazo. Abagabo benshi bashobora gusubira mu bikorwa byoroheje mu minsi mike, ariko gukira neza mubisanzwe bifata ibyumweru 4-6.

Mu gihe cyo gukira kwawe kwa mbere, uzagira kateteri mu mwanya w'iminsi 1-3 kugira ngo ifashe uruhago rwawe gusohora mu gihe kubyimba kugabanuka. Iyi kateteri y'agateganyo irinda guhagarara kw'inkari kandi yemerera muganga wawe gukurikirana iterambere ryawe ryo gukira binyuze mu ibara n'isuku y'inkari zawe.

Aha hari amabwiriza y'ingenzi yo gukira azagufasha kumenya neza gukira neza:

• Nywa amazi menshi kugira ngo usukure umubiri wawe kandi wirinde kubyimba amaraso
• Irinde kuzamura ibintu biremereye, gukoresha imbaraga nyinshi, cyangwa gukora imyitozo ikomeye mu gihe cy'ibyumweru 4-6
• Fata imiti igabanya ububabare n'imiti yica mikorobe nk'uko byategetswe
• Irinde gutwara imodoka kugeza igihe catheter yawe ivanyweho kandi wumva umeze neza
• Irinde imibonano mpuzabitsina mu gihe cy'ibyumweru 4-6 kugira ngo uruhuke rwuzure
• Ntukanywe imiti ituma amaraso ataguma mu mubiri keretse niba byemewe n'umuganga wawe

Bisanzwe kubona amaraso mu nkari zawe mu minsi myinshi cyangwa mu byumweru nyuma ya TURP, kandi ibi bikunze kugabanuka buhoro buhoro. Ariko, ugomba guhita uvugana n'umuganga wawe ako kanya niba ubonye amaraso menshi, kudashobora kunyara, ububabare bukomeye, cyangwa ibimenyetso by'ubwandu nk'umuriro cyangwa ibikonjo.

Ni ibihe bintu byongera ibyago byo guhura n'ingorane za TURP?

Nubwo TURP muri rusange itagira ingaruka, ibintu bimwe na bimwe bishobora kongera ibyago byo guhura n'ingorane mu gihe cyangwa nyuma y'iyi nzira. Kumva ibi bintu byongera ibyago bifasha ikipe yawe y'abaganga gufata ingamba zikwiye kandi bikagufasha gufata icyemezo gifitiye akamaro ku bijyanye n'ubuvuzi bwawe.

Ibintu bifitanye isano n'imyaka bigira uruhare runini mu ngaruka za TURP, kuko abagabo bakuze bashobora kugira ibindi bibazo by'ubuzima bigira ingaruka ku gukira no koroherwa. Abagabo bafite imyaka irenga 80 bashobora guhura n'ibyago bito, nubwo abarwayi benshi bakuze bagifite ingaruka nziza hamwe n'imicungire y'ubuvuzi ikwiye.

Indwara nyinshi zirashobora kongera ibyago byo guhura n'ingorane za TURP:

• Indwara y'umutima cyangwa imikorere y'umutima idahwitse igira ingaruka ku kwihanganira anesthesia
• Uburwayi bwo gushwanyagura amaraso butuma amaraso ava cyane mu gihe cyo kubaga
• Indwara ya diyabete ishobora gutuma ibikomere bikira gahoro kandi ikongera ibyago byo kwandura indwara
• Indwara y'impyiko igira ingaruka ku buryo umubiri wawe ukoresha imiti n'amazi
• Kubagwa prostate mbere bishobora gukomera ubuvuzi buriho
• Prostate nini cyane bisaba igihe kirekire cyo kubaga
• Udukoko twanduye mu nzira y'inkari dukeneye kuvurwa mbere yo kubagwa

Umuvuzi wawe azasuzuma neza amateka yawe y'ubuzima n'ubuzima bwawe buriho kugira ngo agabanye ibyo byago. Mu bihe bimwe na bimwe, imiti itandukanye ishobora gushyirwaho niba ibyago byawe bituma TURP idakwiriye neza imiterere yawe.

Ni izihe ngaruka zishobora guterwa na TURP?

Ingaruka za TURP ntizikunze kubaho, zibaho kuri bakeya bari munsi ya 10% by'abarwayi, ariko ni ngombwa gusobanukirwa icyo gishobora kuba kugira ngo umenye ibimenyetso kandi ushake ubuvuzi bukwiye niba bibaye ngombwa. Ingaruka nyinshi ziba iz'igihe gito kandi zikemurwa n'ubuvuzi bukwiye.

Ingaruka zisanzwe zikunze kuba zoroshye kandi z'igihe gito, zigira ingaruka ku mikorere yawe y'inkari cyangwa imibonano mpuzabitsina mu byumweru cyangwa amezi nyuma yo kubagwa. Izo ngorane zikunze gukira zonyine uko umubiri wawe ukira kandi ukamenyera impinduka.

Dore ingaruka zishobora kubaho ugomba kumenya, zashyizwe ku rutonde kuva ku zikunze kugaragara kugeza ku zitagaragara cyane:

• Kujya kw'intanga mu mpyisi (intanga zijya mu mpyisi aho gusohoka), bikaba byibasira 65-75% by'abagabo
• Kutabasha kwihanganira inkari by'igihe gito cyangwa kugorwa no kugenzura urujya n'uruza rw'inkari
• Udukoko dutera indwara mu nzira y'inkari dushobora gusaba kuvurwa n'imiti yica udukoko
• Kutagira ubushobozi bwo gushyira mu bikorwa by'igihe gito, akenshi bikagenda neza mu mezi make
• Amaraso mu nkari akomeza igihe kirekire kuruta uko byari byitezwe
• Uruzitiro rw'inzira y'inkari (kugabanuka) rushobora gusaba kuvurwa
• Gusabwa kubagwa bundi bushya niba imitsi ya prostate yongera gukura nyuma y'igihe

Ingorane zikomeye ariko zitabaho kenshi zirimo indwara ya TURP, ibaho iyo amazi yoza yinjira mu maraso yawe akagira ingaruka ku mikoranire y'umubiri wawe. Uburyo bwa none bwo kubaga no gukurikiranira hafi byatumye iyi ngorane ibaho gake cyane, ikaba mu buryo butarenze 1% by'ibikorwa.

Gake cyane, abagabo bamwe bashobora guhura no kutabasha kwihanganira inkari burundu cyangwa kutagira ubushobozi bwo gushyira mu bikorwa burundu, ariko izi ngorane zikomeye zibaho mu buryo butarenze 1-2% by'ibihe. Umuganga wawe azaganira nawe ku bijyanye n'uburyo witeguye guhangana n'izi ngorane bitewe n'ubuzima bwawe bwihariye n'imiterere ya prostate.

Ni ryari nkwiriye kubona umuganga nyuma ya TURP?

Ugomba guhita uvugana n'umuganga wawe ako kanya niba uhuye n'ibimenyetso byerekana ingorane zikomeye zisaba ubufasha bwihuse. Nubwo gukira nyuma ya TURP akenshi bigenda neza, kumenya igihe cyo gushaka ubufasha bituma ibibazo byose bikemurwa vuba.

Ibihe by'ubutabazi bisaba ubufasha bwihuse bw'ubuvuzi birimo kutabasha gusohora inkari, kuva amaraso menshi atahagarara, kubabara cyane kutagabanywa n'imiti yategetswe, cyangwa ibimenyetso by'ubwandu bukomeye. Ibi bimenyetso, nubwo bitabaho kenshi, bisaba isuzuma n'ubuvuzi bwihutirwa.

Vugana n'umuganga wawe ako kanya niba uhuye n'ikimenyetso icyo aricyo cyose muri ibi bikurikira:

• Kutabasha kunyara nubwo bavanyeho catheter
• Gushirira amaraso menshi hamwe n'utuvungushwe tunini tw'amaraso bidahagarara
• Urubore rurenze 101°F (38.3°C) hamwe n'ubukonje cyangwa guhinda umushyitsi
• Urubabare rukabije mu nda cyangwa mu gatuza rurushaho uko igihe gishize
• Isesemi, kuruka, cyangwa urujijo bibaho mu buryo butunguranye
• Kumva ushye igihe unyara bikarushaho kuba bikabije
• Ukubyimba mu maguru yawe, mu nda, cyangwa hafi y'ahantu habagiriwe

Kubera kwitabwaho bisanzwe, mubisanzwe uzabona umuganga wawe w'inzobere mu by'impyiko mu byumweru 1-2 nyuma yo kubagwa, hanyuma wongere umubone nyuma y'ibyumweru 6-8 kugirango asuzume uko ukira n'uko ibimenyetso byawe bigenda bikira. Izo gahunda ni ingenzi mu gukurikirana imikurire yawe no gukemura ibibazo byose waba ufite.

Ibikunze kubazwa kuri TURP

Q.1 Ese TURP ifasha kuvura umugabo wabyimbye?

Yego, TURP ifasha cyane kuvura ibimenyetso by'umugabo wabyimbye, hamwe n'ubushobozi bwo gukira bwa 85-90% mu kunoza imikorere y'inkari no kugabanya ibimenyetso bibangamira. Abagabo benshi bagira impinduka zigaragara mu bushobozi bwabo bwo kunyara, kugabanya kunyara nijoro, no gusukura neza umwanya w'inkari mu byumweru bike nyuma y'uburyo.

Impinduka ziva muri TURP mubisanzwe zimara imyaka myinshi, nubwo abagabo bamwe bashobora gukenera ubuvuzi bwiyongera niba umugabo wabo akomeje gukura uko igihe gishize. Ubushakashatsi bwerekana ko hafi 80-85% by'abagabo bakomeza kunyurwa n'ibisubizo byabo bya TURP ndetse no mu myaka 10 nyuma yo kubagwa.

Q.2 Ese TURP itera ubumuga buhoraho bwo kutagira ubushobozi bwo gutera akabariro?

TURP ntikunze gutera ubumuga buhoraho bwo kutagira ubushobozi bwo gutera akabariro, hamwe n'ubushakashatsi bwerekana ko ibi bibaho gusa kuri 5-10% by'abagabo. Abagabo benshi bahura n'ibibazo by'agateganyo byo kutagira ubushobozi bwo gutera akabariro nyuma ya TURP babona impinduka mu mezi 3-6 uko kubyimba kugabanuka n'imikorere isanzwe y'amaraso igaruka muri ako gace.

Niba wari ufite imikorere myiza yo guhagarara mbere ya TURP, birashoboka ko uzayigumana nyuma yaho. Ariko, gusohora inyuma (orgasm yumye) birakunda cyane, bikibasira abagabo bagera kuri 65-75% burundu, nubwo ibyo bitagira ingaruka ku byishimo byo mu mibonano mpuzabitsina cyangwa ubukana bwa orgasm.

Q.3 Bifata igihe kingana iki kugira ngo umuntu akire nyuma ya TURP?

Gukira nyuma ya TURP mubisanzwe bifata ibyumweru 4-6 kugira ngo bikire neza, nubwo bishoboka ko uzabona impinduka mu mikorere y'inkari mu minsi mike nyuma yo gukuraho catheter. Abagabo benshi bashobora gusubira mu bikorwa byoroheje no gukora akazi ko ku meza mu cyumweru, ariko bagomba kwirinda kuzamura ibintu biremereye cyangwa gukora imyitozo ikomeye mu gihe cyose cyo gukira cy'ibyumweru 6.

Catheter yawe mubisanzwe izakurwaho nyuma y'iminsi 1-3 nyuma yo kubagwa, kandi ugomba kubona impinduka zigenda ziza mu bimenyetso by'inkari mu byumweru bikurikira. Gukira neza, harimo no gukemura ingaruka zose z'igihe gito, bishobora gufata amezi agera kuri 3 mu bihe bimwe.

Q.4 Kwiyongera kwa prostate bishobora kugaruka nyuma ya TURP?

Umutsi wa prostate urashobora kongera gukura nyuma ya TURP kuko igice cyo hanze cy'urugingo rwa prostate kiguma kidahindutse, ariko ibi mubisanzwe bibaho buhoro buhoro mu myaka myinshi. Abagabo bagera kuri 10-15% bashobora gukenera ubuvuzi bwiyongera mu myaka 10-15, nubwo ibi bitandukanye bitewe n'imyaka, ubuzima muri rusange, n'umubare w'umutsi wakuweho.

Niba ibimenyetso bigarutse, mubisanzwe bigenda byiyongera buhoro buhoro kandi akenshi bishobora gucungwa mbere na mbere hakoreshejwe imiti. TURP yongera cyangwa uburyo bundi bushobora gukorwa niba bibaye ngombwa, nubwo gukenera kubagwa kwiyongera bidakunze kubaho mu myaka icumi ya mbere nyuma yo kuvurwa bwa mbere.

Q.5 Ese TURP iruta imiti mu kwaguka kwa prostate?

TURP muri rusange iruta imiti mu bimenyetso byo kwaguka kwa prostate kuva hagati kugeza ku bikomeye, itanga impinduka yihuse kandi ikomeye mu mikorere y'inkari no guhumuriza ibimenyetso. Mugihe imiti ishobora gufasha ibimenyetso byoroheje kugeza hagati, akenshi bigenda bigabanuka uko igihe kigenda gihita kuko prostate ikomeza gukura.

Ariko, guhitamo hagati ya TURP n'imiti biterwa n'ibimenyetso byawe byihariye, ubuzima bwawe muri rusange, uburyo ubaho, n'ubushake bwo kwemera ingaruka zishobora kubaho. Umuhanga mu kuvura indwara z'imyanya myibarukiro azagufasha gupima inyungu n'ibibazo bya buri kimwe hashingiwe ku miterere yawe bwite n'intego z'ubuvuzi.