Kucheka kweprostate nehurongwa hwe urethra (TUIP)

Kucheka prostate kuburikidza neurethra (TUIP) chirwere chekurapa zviratidzo zvekunetsekana kwekupaza kwemukomana kunokonzerwa ne prostate yakakura, mamiriro anozivikanwa se benign prostatic hyperplasia (BPH). TUIP kazhinji inoshandiswa kune varume vaduku vane prostate diki vanonetseka nezve kubereka.

TUIP inobatsira kuderedza zviratidzo zvekeni nezvimwe zvinetso zvinokonzerwa neBPH, kusanganisira: Kuwanda, kuda kuenda kukeni nekukurumidza Kunetseka kutanga kuenda kukeni Kuenda kukeni kuri kunonoka (kwenguva refu) Kuwanda kwekuenda kukeni usiku Kumira uye kutanga zvakare panguva yekuenda kukeni Manzwiro ekusagona kubvisa zvachose mvura muvesicle Zvirwere zvekeni TUIP inogona zvakare kuitwa kurapa kana kudzivirira matambudziko anokonzerwa nekudzvinyirira kwemvura, akadai se: Zvirwere zvekeni zvinodzokorora Kukuvadzwa kweitsvo kana vesicle Kusakwanisa kudzora kuenda kukeni kana kusakwanisa kuenda kukeni zvachose Matombo emuvesicle Ropa mumuviri TUIP inogona kupa mabhenefiti akawanda pane mamwe maitiro ekurapa BPH, akadai se transurethral resection ye prostate (TURP) uye open prostatectomy. Mabhenefiti anogona kusanganisira: Njodzi yakaderera yeropa. TUIP inogona kuva sarudzo yakanaka kune varume vanotora mishonga inononotsa ropa ravo kana vane chirwere cherufu cheropa chisingavabvumiri ropa ravo kuoma zvakajairwa. Kugara muchipatara kwenguva pfupi. TUIP inogona kuitwa se outpatient, kunyangwe vamwe varume vachida kugara usiku kuti vatarwe. TUIP inogona kuva sarudzo yakachengeteka kupfuura kuvhiya kana uine mamwe matambudziko ehutano. Njodzi yakaderera yekusava nekumwe kuita pabonde. TUIP haina kukonzera kudeuka kwembeu panguva yekubuda kwembeu muvesicle panzvimbo pekubuda kubva kumukono (retrograde ejaculation) kupfuura mamwe kurapwa kweBPH. Retrograde ejaculation haina kukuvadza, asi inogona kukanganisa kugona kubereka mwana.

TUIP yakachengeteka kazhinji ine zvishoma kana kuti pasina matambudziko makuru. Njodzi dzinobvira dzeTUIP dzinogona kusanganisira: Kunetseka kwenguva pfupi pakushandisa mvura. Unganetseka kushandisa mvura kwemazuva mashoma mushure mekuita kwacho. Kusvika waona kuti unogona kushandisa mvura wega, ungada kuiswa chubhu (catheter) mudumbu rako kuti ubvise mvura mudumbu rako. Hutachiona hwekuyerera kwemvura. Rudzi urwu rwehutachiona rwuri njodzi mushure mekuita chero chii chacho che prostate. Hutachiona hunowedzera kuitika kana uchinge wava ne catheter kwenguva yakareba. Kurapwa kunowanzo sanganisira mishonga inorwisa mabhakitiriya. Kuda kurapwa zvakare. TUIP inogona kunge isingashande zvakanaka pane zviratidzo zvekuyerera kwemvura kupfuura mamwe maitiro asingakonzere kukuvara kwakakura kana kuvhiya. Ungada kurapwa zvakare neimwe nzira yekurapa BPH.

Uchapihwa kana mushonga unovitsa hope (anesthesia yakazara), kana mushonga unodzima manzwiro kubva pachigochiso kuenda pasi (spinal block).