Yini i-Cryotherapy yomdlavuza wendlala yesinye? Inhloso, Inqubo & Imiphumela

I-Cryotherapy yomdlavuza wendlala yesinye isebenzisa ubanda olukhulu ukuqandisa nokubhubhisa amaseli omdlavuza endlaleni yakho yesinye. Lokhu kwelashwa okungahlaseli kakhulu kunikeza amadoda anomdlavuza wendlala yesinye okhawulelwe kwenye indawo enye indlela yokuhlinzwa noma imisebe, ikakhulukazi uma okunye ukwelashwa kungasebenzi noma kungafaneleki esimweni sabo.

Inqubo ihlanganisa ukufaka izinti ezincane, ezinjengezinaliti ngesikhumba sakho ukuze zilethe amazinga okushisa abandayo ngqo ezicutshini ezinomdlavuza. Udokotela wakho angakwazi ukuqondisa ngqo umdlavuza ngenkathi ezama ukulondoloza izicubu ezinempilo ezizungezile, okwenza kube yindlela egxile ekwelashweni komdlavuza.

Yini i-cryotherapy yomdlavuza wendlala yesinye?

I-Cryotherapy ukwelashwa komdlavuza okusebenzisa amazinga okushisa abandayo ukubulala amaseli omdlavuza wendlala yesinye. Le ndlela incike emgomeni wokuthi amaseli omdlavuza azwela kakhulu ebandeni elikhulu kunezicubu ezijwayelekile, okubangela ukuthi afe lapho eqandisiwe.

Ngesikhathi senqubo, udokotela wakho ufaka izinhlobo eziningana zezinti zensimbi ezincane ngesikhumba esiphakathi kwesikhwama sakho sesitho sangasese sowesilisa nomgqomo. Lezi zinti ziletha i-nitrogen ewuketshezi noma igesi ye-argon, okudala amazinga okushisa aphansi njengo -40°C (-40°F). Inqubo yokuqandisa ibhubhisa amaseli omdlavuza ngokwakha amakristalu eqhwa ngaphakathi kwawo, okuqeda izindonga zawo zamaseli.

I-cryotherapy yesimanje isebenzisa ubuchwepheshe obuthuthukisiwe bokucabanga njenge-ultrasound noma i-MRI ukuqondisa izinti ngokuqondile. Lokhu kusiza udokotela wakho ukuthi aqondise amaseli omdlavuza ngenkathi evikela izicubu ezinempilo eziseduze njengomchamo wakho, umgqomo, kanye nezinzwa ezilawula ukuchama nomsebenzi wezocansi.

Kungani i-cryotherapy yomdlavuza wendlala yesinye yenziwa?

I-Cryotherapy isebenza njengenketho yokwelapha lapho umdlavuza wendlala yesinye ukhawulelwe endlaleni yesinye futhi ungazange usabalale kwezinye izingxenye zomzimba wakho. Udokotela wakho angase ancome le ndlela uma ungafaneleki kahle ukuhlinzwa ngenxa yobudala, izimo zempilo, noma izintandokazi zakho.

Lokhu kwelapha kusebenza kahle kakhulu emadodeni umdlavuza wawo obuyile ngemva kwemisebe. Njengoba imisebe ephindwayo ingavame ukwenzeka, i-cryotherapy inikeza ithuba lesibili lokuqeda amaseli omdlavuza ngaphandle kokuhlinzwa okukhulu. Kubuye kucatshangelwe uma unethumba elincane, eliqondene nendawo elingaqondiswa ngqo.

Amanye amadoda akhetha i-cryotherapy ngoba ayihlaseli kangako kunokuhlinzwa kwendabuko futhi ngokuvamile idinga isikhathi esifushane sokululama. Le nqubo ingaphindwa uma kunesidingo, ikunikeza wena nodokotela wakho ukuguquguquka ekuphatheni ukwelashwa komdlavuza wakho ngokuhamba kwesikhathi.

Yini inqubo ye-cryotherapy?

Inqubo ye-cryotherapy ngokuvamile ithatha cishe amahora amabili futhi ivame ukwenziwa njengokwelashwa kwesiguli esingagcini esibhedlela. Uzothola i-anesthesia yomgogodla noma i-anesthesia ejwayelekile ukuqinisekisa ukuthi uzizwa ukhululekile kuyo yonke inqubo.

Okokuqala, udokotela wakho uzofaka i-catheter efudumezayo ngomgudu wakho womchamo ukuwuvikela ekulimaleni okuqandayo. Bese, besebenzisa isiqondiso se-ultrasound, bazobeka ngokucophelela ama-probes ensimbi angu-6-8 amancane ngesikhumba sakho angene endleni yendlala ye-prostate. Lawa ma-probes abekwe ukuze ahlanganise yonke indawo enomdlavuza.

Inqubo yokuqandisa yenzeka ngemijikelezo. Nakhu okwenzeka ngokuvamile ngesikhathi sokwelashwa:

• Umjikelezo wokuqala wokuqandisa uthatha imizuzu engu-10-15, uletha izinga lokushisa lezicubu ku- -40°C
• Isikhathi sokuncibilika sivumela izicubu ukuthi zifudumale kancane kancane
• Umjikelezo wesibili wokuqandisa uphinda inqubo yokucekela phansi amaseli omdlavuza
• Ukuqapha izinga lokushisa kuqinisekisa ukuqandisa okufanele ngenkathi kuvikelwa izicubu ezinempilo
• Ukucabanga ngesikhathi sangempela kusiza udokotela wakho ukuthi alungise ukubekwa kwe-probe njengoba kudingeka

Ngemva kwenqubo, uzoba ne-catheter yomchamo cishe isonto elilodwa ukusiza ngokuphuma komchamo okuvamile njengoba ukuvuvukala kwehla. Amadoda amaningi angahamba ekhaya ngosuku olufanayo noma ngemva kokuhlala ebusuku.

Ungalungela kanjani i-cryotherapy yakho?

Ukulungiselela i-cryotherapy kuhilela izinyathelo eziningana zokuqinisekisa umphumela ongcono kakhulu. Udokotela wakho uzonikeza imiyalelo ethile, kodwa ukulungiselela kuvame ukuqala cishe ngesonto ngaphambi kwenqubo yakho.

Kuzodingeka uyeke ukuthatha imithi ethile engandisa ingozi yokopha. Lokhu kufaka i-aspirin, ama-blood thinners, kanye neminye imithi yokwelapha ngamakhambi. Udokotela wakho uzokunikeza uhlu olugcwele lwemithi okufanele uyigweme nokuthi uyeke nini ukuyithatha.

Ngosuku olwandulela inqubo yakho, cishe uzodinga ukuthi:

• Uthathe ama-antibiotics abekiwe ukuvimbela ukutheleleka
• Ulandele imikhawulo yokudla, ngokuvamile ugweme ukudla okuqinile ngemuva kwamabili
• Uqedele ukulungiswa kwamathumbu nge-enema noma i-laxative
• Lungiselela othile ukuthi akuqhubele ekhaya ngemuva kwenqubo
• Geza ngensipho elwa namagciwane njengoba kuqondiswe

Ithimba lakho lezokwelapha lizobuye libuyekeze umlando wakho wezokwelapha kanye nemithi yamanje. Bazochaza okulindelekile ngesikhathi nangemva kwenqubo, bakunike isikhathi esiningi sokubuza imibuzo nokubhekana nanoma yiziphi izinkathazo.

Ungawafunda kanjani imiphumela yakho ye-cryotherapy?

Impumelelo ngemuva kwe-cryotherapy ilinganiswa ikakhulukazi ngokusebenzisa izivivinyo zegazi ze-PSA (i-prostate-specific antigen) ngokuhamba kwesikhathi. Amazinga akho e-PSA kufanele ehlise kakhulu ezinyangeni ezimbalwa zokuqala ngemuva kokwelashwa, okukhombisa ukuthi amaseli omdlavuza abhubhile.

Udokotela wakho uzoqapha amazinga akho e-PSA njalo, ngokuvamile njalo emavikini angu-3-6 ngeminyaka embalwa yokuqala. Umphumela ophumelelayo ngokuvamile usho ukuthi i-PSA yakho yehlela emazingeni aphansi kakhulu futhi ihlale lapho. Kodwa-ke, amazinga e-PSA awafinyeleli njalo ku-zero ngoba ezinye izicubu ze-prostate ezinempilo zingase zihlale.

Ezinye izivivinyo zingasetshenziswa ukuhlola impumelelo yokwelashwa:

• Izifundo zokucabanga njenge-MRI ukuhlola izicubu ezingumdlavuza ezisele
• I-Prostate biopsy uma amazinga e-PSA enyuka noma ehlala ephakeme
• Ukuhlolwa komzimba ukuhlola ukuphola nemiphumela emibi
• Izivivinyo zomsebenzi womchamo ukuqapha ukulawulwa kwesitho somchamo

Udktela wakho uzokuchazela ukuthi imiphumela yakho ethile isho ukuthini ngesimo sakho. Amazinga e-PSA akhuphukayo angase abonise ukuthi umdlavuza ubuyile, kanti amazinga aphansi azinzile abonisa ukwelashwa okuphumelelayo.

Ziyini izici eziyingozi zokuhlupheka kwe-cryotherapy?

Ezinye izici zingakhuphula ingozi yakho yezinkinga ezivela ku-cryotherapy. Ukuqonda lokhu kukusiza wena nodokotela wakho ukuthi nenze izinqumo ezinolwazi mayelana nokuthi lokhu kwelashwa kulungile yini kuwe.

Ubudala nempilo yonke kudlala indima ebalulekile emiphumeleni yokwelashwa. Amadoda angaphezu kweminyaka engama-70 angase abe namazinga aphezulu okuhlupheka, nakuba iminyaka yobudala yodwa ingakukhiphi ekwelashweni. Impilo yakho ejwayelekile, okuhlanganisa umsebenzi wenhliziyo, wamaphaphu, kanye nezinso, kuthinta ukuthi uzokwazi kangakanani ukubekezelela inqubo.

Izici eziningana ezithile zingakhuphula izingozi zokuhlupheka:

• Usayizi omkhulu we-prostate wenza ukubekwa kwe-probe okunembile kube yinselele enkulu
• Ukuhlinzwa kwe-prostate kwangaphambili kungakha izicubu ezinamathambo eziyinkimbinkimbi ekwelashweni
• Ukwelashwa ngemisebe yangaphambilini kwandisa ingozi yokulimala kwezicubu
• Ukungasebenzi kahle komchamo noma ngokocansi okukhona kungase kube kubi ngemva kokwelashwa
• Isifo sikashukela noma ezinye izimo ezithinta ukuphulukiswa nokululama

Udktela wakho uzohlola ngokucophelela lezi zici ngaphambi kokuncoma i-cryotherapy. Bazoxoxa ngephrofayili yakho yengozi ngayinye futhi bakusize ukuthi ulinganise izinzuzo ngokumelene nezinkinga ezingaba khona.

Ziyini izinkinga ezingaba khona ze-cryotherapy?

Njenganoma iyiphi inqubo yezokwelapha, i-cryotherapy ingabangela imiphumela emibi nezinkinga. Amadoda amaningi athola eminye imiphumela yesikhashana njengoba umzimba wawo uphola, kuyilapho izinkinga ezingathi sína zingavamile kodwa kungenzeka.

Imiphumela emibi evamile evame ukuthuthuka ngokuhamba kwesikhathi ihlanganisa ukuvuvukala, ukulimala, nokungakhululeki endaweni yokwelashwa. Ungase futhi uthole izinguquko zesikhashana ekuchameni, njengokwanda kwemvamisa noma ukushesha, njengoba i-prostate yakho iphila.

Izinkinga ezibaluleke kakhulu zingahlanganisa:

• Ukuphazamiseka kokwakheka okuthinta amadoda angama-80-90% ngemva kokwelashwa
• Ukungakwazi ukuzibamba komchamo noma ubunzima bokulawula umsebenzi wesinye
• Ukugcinwa komchamo okudinga ukusetshenziswa kwe-catheter yesikhashana
• Ukwelashwa kwe-rectal noma ukwakheka kwe-fistula (okungavamile, ngaphansi kuka-1%)
• Ubuhlungu obungapheli be-pelvic noma ukuba ndikindiki endaweni
• Ukuvinjelwa kwe-urethral okubangela ubunzima bokuchama

Ushintsho lomsebenzi wezocansi yilona elivame kakhulu ukuba nomthelela wesikhathi eside, njengoba inqubo yokuqandisa ivame ukulimaza imizwa enesibopho sokwakheka. Kodwa-ke, amanye amadoda agcina noma athola kabusha umsebenzi ngokuhamba kwesikhathi, ikakhulukazi amadoda amancane anomsebenzi omuhle ngaphambi kokwelashwa.

Udokotela wakho uzoxoxa ngalezi zingozi ngemininingwane futhi akusize uqonde okulindelekile ngokuya ngesimo sakho esithile.

Kufanele ngibone nini udokotela ngemva kwe-cryotherapy?

Ukuqokwa okulandelayo njalo kubalulekile ngemva kwe-cryotherapy ukuqapha ukululama kwakho futhi ubheke noma yiziphi izimpawu zezinkinga. Udokotela wakho uzohlela lezi zivakashi, kodwa kufanele futhi wazi ukuthi kufanele ufune nini ukunakekelwa kwezempilo ngokushesha.

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nezimpawu ezinzima ezingabonisa izinkinga. Lokhu kufaka phakathi ukungakwazi ukuchama, ukopha okukhulu, izimpawu zokutheleleka njengomkhuhlane noma ama-chills, noma ubuhlungu obukhulu obungathuthuki ngemithi.

Kufanele futhi uxhumane nethimba lakho lezempilo uma uqaphela:

• Igazi emchameni elingathuthuki ezinsukwini ezimbalwa
• Isicanucanu esiqhubekayo noma ukuhlanza
• Ukuvuvukala noma ububomvu obuba bubi esikhundleni sokuthuthuka
• Ukuphuma noma iphunga elingavamile endaweni yokwelashwa
• Ubunzima ngamathumbu noma ukopha kwe-rectal

Ukuze uthole ukulandelela okuvamile, ngokuvamile uzobona udokotela wakho kungakapheli amasonto angu-1-2 ngemva kwale nqubo, bese ngamanye amabanga avamile. Lezi zivakashi zivumela ithimba lakho lezokwelapha ukuthi lilandelele amazinga akho e-PSA, lihlole ukuphola, futhi libhekane nanoma yikuphi ukukhathazeka mayelana nemiphumela emibi noma ukululama.

Imibuzo Evame Ukubuzwa Mayelana Ne-cryotherapy yomdlavuza wendlala yesinye

Umbuzo 1. Ingabe ukuhlolwa kwe-cryotherapy kulungile ngomdlavuza wendlala yesinye esigabeni sokuqala?

I-Cryotherapy ingasebenza ngomdlavuza wendlala yesinye esigabeni sokuqala, ikakhulukazi lapho umdlavuza ukhawulelwe endlaleni yesinye. Ucwaningo lubonisa amazinga okuphulukisa afana nokunye ukwelashwa komdlavuza wendlala yesinye onengozi ephansi, okwenza kube yindlela efanelekile yamadoda amaningi.

Nokho, akudingeki ukuthi kube yindlela yokuqala yokwelapha isifo esigabeni sokuqala. Ukuhlinzwa kanye nemisebe kunomlando omude futhi nocwaningo oluningi olusekela ukusetshenziswa kwazo. Udokotela wakho uzocabangela iminyaka yakho, isimo sempilo, kanye nezintandokazi zakho siqu lapho nixoxa ngokuthi i-cryotherapy ilungile yini esimweni sakho esithile.

Umbuzo 2. Ingabe i-cryotherapy ibangela ukungasebenzi kahle kwesitho sangasese ngokusimeme?

Ngeshwa, i-cryotherapy ibangela ukungasebenzi kahle kwesitho sangasese emadodeni amaningi athola le nqubo. Ucwaningo lubonisa ukuthi ama-80-90% amadoda athola izinga elithile lokungasebenzi kahle kwesitho sangasese ngemva kokwelashwa, futhi amacala amaningi ahlala njalo.

Inqubo yokuqandisa ivame ukulimaza izinhlobo zemizwa ezibucayi ezinomthwalo wemfanelo wokuvuka, ngisho nalapho odokotela bezama ukuzilondoloza. Nokho, amanye amadoda ayabuyela emsebenzini ngokuhamba kwesikhathi, ikakhulukazi amadoda amancane anomsebenzi omuhle wezocansi ngaphambi kokwelashwa. Ukwelashwa okuhlukahlukene kokungasebenzi kahle kwesitho sangasese kuyatholakala uma lokhu kuthinta kwenzeka.

Umbuzo 3. Ingabe i-cryotherapy ingaphindwa uma umdlavuza ubuyela?

Yebo, i-cryotherapy ingaphindwa uma umdlavuza ubuyela noma uma ukwelashwa kokuqala kungazisusanga zonke izimila ezinomdlavuza. Lokhu empeleni kungenye yezinzuzo ze-cryotherapy ngaphezu kokunye ukwelashwa okufana nemisebe, okungase kungaphindwa endaweni efanayo.

Nokho, izinqubo eziphindwayo zithwala izingozi eziphakeme zezinkinga. Udokotela wakho uzohlola ngokucophelela ukuthi ngabe izinzuzo ezingaba khona zidlula izingozi ezengeziwe ngokuya ngezimo zakho ezithile, okuhlanganisa impilo yakho yonke kanye nezici zomdlavuza obuyayo.

Umbuzo 4. Kuthatha isikhathi esingakanani ukululama ngemva kwe-cryotherapy?

Amadoda amaningi alulama ku-cryotherapy phakathi kwamasonto angu-2-4, nakuba eminye imiphumela ingahlala isikhathi eside. Ngokuvamile uzoba ne-catheter yomchamo cishe isonto elilodwa, futhi ngokuvamile ungakwazi ukubuyela emisebenzini evamile phakathi kwamasonto angu-1-2 ngemva kokususwa kwe-catheter.

Ukuphola okuphelele kwesicubu se-prostate kuthatha izinyanga eziningana. Ngesikhathi lesi, ungase uhlangabezane nokuthuthuka kancane kancane ezimpawini zomchamo. Eminye imiphumela emibi, ikakhulukazi izinguquko ekusebenzeni ngokocansi, ingase ihlale unomphela, kanti ezinye ziqhubeka nokuthuthuka kuze kube unyaka owodwa ngemva kokwelashwa.

Umbuzo 5. Ingabe i-cryotherapy ihlanganiswa ngumshuwalense?

Izinhlelo eziningi zomshuwalense, okuhlanganisa i-Medicare, zihlanganisa i-cryotherapy yomdlavuza we-prostate uma kudingeka ngokwezokwelapha. Le nqubo ithathwa njengendlela yokwelapha esunguliwe yomdlavuza we-prostate, ngakho-ke ukuhlinzekwa ngokuvamile kuyatholakala.

Nokho, imininingwane yokuhlinzekwa ingahluka phakathi kwezinhlelo zomshuwalense. Kubalulekile ukuxhumana nomhlinzeki wakho womshuwalense ngaphambi kokuhlela inqubo ukuze uqonde ukuhlinzekwa kwakho okuthile, okuhlanganisa noma yiziphi izinkokhelo ezihlanganyelwe noma okuncishwayo okungase kusebenze. Ihhovisi likadokotela wakho lingasiza ngokuvamile ukuqinisekisa ukuhlinzekwa futhi lisebenze nenkampani yakho yomshuwalense.