Yini Ukuhlinzwa nge-Laser ye-Prostate? Inhloso, Inqubo & Imiphumela

Ukuhlinzwa nge-laser ye-prostate kuyinqubo encane esebenzisa amandla e-laser agxilile ukuze isuse noma inciphise izicubu ze-prostate ezikhulisiwe. Le ndlela yesimanje isiza amadoda ane-benign prostatic hyperplasia (BPH) - isimo esingeyona umdlavuza lapho i-gland ye-prostate ikhula ngobukhulu futhi ivimba ukugeleza komchamo. I-laser iqondisa ngokuqondile izicubu ezingeziwe ngenkathi ivikela izindawo ezinempilo ezizungezile, ngokuvamile ikuvumela ukuthi uhambe ekhaya ngosuku olufanayo.

Yini ukuhlinzwa nge-laser ye-prostate?

Ukuhlinzwa nge-laser ye-prostate kulapha ukwelapha i-prostate ekhulisiwe ngokusebenzisa amandla okukhanya agxilile ukususa noma ukunciphisa izicubu ezivimbayo. Udokotela ohlinzayo uqondisa i-fiber-optic scope encane ngomgudu wakho womchamo (ishubhu elithwala umchamo) ukuze afinyelele ku-prostate ngaphandle kokwenza noma yikuphi ukusikeka kwangaphandle.

I-laser isebenza njethuluzi eliqondile lokusika nokuvala. Ishisa izicubu ze-prostate ezingeziwe ezicindezela umgudu wakho womchamo, ngokushesha ivule indlela yokuthi umchamo ugeleze ngokukhululeka. Ngesikhathi esifanayo, ukushisa kwe-laser kuvala imithambo yegazi, okunciphisa kakhulu ukuphuma kwegazi uma kuqhathaniswa nokuhlinzwa kwendabuko.

Kunezinhlobo eziningana zokuhlinzwa nge-laser, kodwa zonke zihlanganyela umgomo ofanayo: ukudala isikhala esiningi sokuthi umchamo udlule ngenkathi kuncishiswa ukungakhululeki nesikhathi sokululama. Amadoda amaningi aqaphela ukuthuthuka kokuchama ezinsukwini kunase masontweni.

Kungani kwenziwa ukuhlinzwa nge-laser ye-prostate?

Ukuhlinzwa nge-laser ye-prostate kusiza amadoda i-prostate yawo ekhulisiwe ebangela izimpawu zomchamo eziphazamisayo ezingathuthukanga ngemithi. Udokotela wakho angase ancome le nqubo uma izinga lempilo yakho lithinteka kakhulu ukuchama ebusuku njalo, ukugeleza komchamo okubuthakathaka, noma ukuzwa sengathi awukwazi ukukhipha ngokuphelele isinye sakho.

Le nqubo iba yimfuneko xa ukwelashwa okungashintshi njengama-alpha-blockers okanye i-5-alpha reductase inhibitors bengazange banikeze ukukhululeka okwaneleyo emva kweenyanga ezininzi. Amadoda amaninzi afikelela kule ndawo xa evuka izihlandlo ezininzi ebusuku ukuze achame, ejongene nokungxamiseka okuya endlwini yangasese, okanye ejongene nomsinga obuthathaka kangangokuba kuthatha ngonaphakade ukugqiba.

Ngamanye amaxesha utyando lwe-laser luyacetyiswa ngezinto ezinzulu ngakumbi. Ezi ziquka ukungakwazi ngokupheleleyo ukuchama (ukugcinwa komchamo), usulelo lomgudu womchamo oluphindaphindiweyo, amatye e-bladder abangelwa kukungabi nanto, okanye iingxaki zezintso ezivela kuxinzelelo lomchamo olubuyiselweyo.

Yintoni inkqubo yotyando lwe-laser ye-prostate?

Utyando lwe-laser ye-Prostate ngokuqhelekileyo luthatha imizuzu engama-30 ukuya kuma-90 kwaye lwenziwa phantsi kwe-spinal okanye i-anesthesia ngokubanzi. Ugqirha wakho otyayo uza kukubeka ngokukhululekileyo ngomqolo wakho ngemilenze yakho iphakanyiswe kancinci, efana nokuhlolwa okuqhelekileyo kwe-urological kodwa ngelixa ulele ngokupheleleyo.

Le nkqubo iqala ngogqirha wakho otyayo efaka ngobumnene uluhlu oluncinci, oluguquguqukayo olubizwa ngokuba yi-resectoscope ngomgudu wakho womchamo. Olu luhlu luqulathe ikhamera encinci kunye ne-fiber ye-laser, evumela ugqirha wakho otyayo ukuba abone kanye ukuba benza ntoni kwimonitha. Akukho nqununu yangaphandle efunekayo ekubeni yonke into yenzeka ngomngxuma wakho womchamo wendalo.

Ngethuba lonyango lwe-laser oluqinisekileyo, ugqirha wakho otyayo ukhokela ngononophelo amandla e-laser ukujolisa kwi-tissue ye-prostate eyandisiweyo. I-laser itshisa i-tissue ngoko nangoko (kwiinkqubo ezinjenge-PVP okanye i-GreenLight) okanye iyinqumle ibe ngamaqhekeza asuswayo (kwiinkqubo ezinjenge-HoLEP). Ubushushu obusuka kwi-laser ngaxeshanye buvala imithambo yegazi, bugcina ukopha kuncinci.

Nje ukuba i-tissue ethintelayo isusiwe, ugqirha wakho otyayo uza kubeka i-catheter yesikhashana ngomgudu wakho womchamo ungene kwi-bladder yakho. Le tyhubhu encinci inceda ukukhupha umchamo ngelixa umzimba wakho uphola kule nkqubo, ngokuqhelekileyo ihlala endaweni iintsuku ezi-1-3 kuxhomekeke kwimeko yakho ethile.

Ungalungiselela kanjani ukuhlinzwa kwakho kwe-laser yendlala yesinye?

Ukulungiselela ukuhlinzwa kwe-laser yendlala yesinye kuhilela izinyathelo eziningana ezibalulekile ezisiza ukuqinisekisa umphumela ongcono kakhulu. Udokotela wakho uzobukeza yonke imithi yakho yamanje, ikakhulu ama-blood thinners afana ne-warfarin, i-aspirin, noma i-clopidogrel, okungenzeka ukuthi idinga ukumiswa izinsuku eziyi-5-7 ngaphambi kokuhlinzwa ukunciphisa ingozi yokopha.

Ngokuvamile uzodinga ukugwema ukudla noma ukuphuza noma yini amahora angu-8-12 ngaphambi kwenqubo yakho. Lesi sikhathi sokuzila ukudla sibalulekile ekuphepheni kwakho ngesikhathi sokuhlinzwa. Ithimba lakho lezokwelapha lizokunikeza imiyalelo ethile mayelana nokuthi ungayeka nini ukudla nokuphuza ngokuya ngesikhathi sakho sokuhlinzwa.

Ezinsukwini ezimbalwa ngaphambi kokuhlinzwa, kuyasiza ukulungisa ikhaya lakho ukuze ululame. Gcina izingubo ezikhululekile ezikhululekile, amanzi amaningi nokudla okunempilo, futhi uhlele ukuthi othile akuqhubele ekhaya futhi ahlale nawe amahora okuqala angu-24.

Udokotela wakho angase futhi ancome ukuyeka ezinye izithasiselo ezinjenge-vitamin E, amafutha ezinhlanzi, noma imithi yezitshalo engathinta ukopha. Uma uthatha imithi yezinye izimo ezinjengesifo sikashukela noma umfutho wegazi ophezulu, uzothola imiyalelo ethile mayelana nokuthi yiziphi okufanele uziqhubeke nokuthi yiziphi okufanele uzimisele okwesikhashana.

Ungawafunda kanjani imiphumela yakho yokuhlinzwa kwe-laser yendlala yesinye?

Impumelelo ngemva kokuhlinzwa kwe-laser yendlala yesinye ilinganiswa ngokuthi izimpawu zakho zomchamo zithuthuka kangakanani nokuthi izinga lempilo yakho liyashintsha kanjani. Amadoda amaningi aqaphela ukuthuthuka okukhulu emandleni okugeleza komchamo ezinsukwini zokuqala ezimbalwa, nakuba ukuphola okuphelele nemiphumela engcono kakhulu ngokuvamile kuthuthuka emasontweni angu-4-6.

Udokotela wakho cishe uzosebenzisa izilinganiso eziqondile ukulandelela inqubekela phambili yakho. Imibuzo ye-International Prostate Symptom Score (IPSS), okungenzeka ukuthi uyigcwalisile ngaphambi kokuhlinzwa, izophindwa ekuvakasheni okulandelayo ukuze kulinganiswe ukuthuthuka kwakho. Izikolo ngokuvamile zehla zisuka ebangeni elibi (20-35) ziye ebangeni elincane (0-7) ngemva kokuhlinzwa okuphumelelayo.

Izifundo zokugeleza komchamo zinikeza enye indlela yokulinganisa impumelelo. Ngaphambi kokuhlinzwa, izinga lakho eliphezulu lokugeleza kungenzeka belingu-8-10 mL ngomzuzwana, okuthathwa njengokuhamba kancane. Ngemva kokuphola, amadoda amaningi afinyelela amazinga okugeleza angu-15-20 mL ngomzuzwana noma ngaphezulu, okumelela ukuthuthuka okukhulu ekukhipheni isinye.

Izilinganiso ezisele ngemva kokuchama zibonisa ukuthi usikhipha ngokuphelele kangakanani isinye sakho. Izinsalela zangaphambi kokuhlinzwa ezingu-100-200 mL (noma ngaphezulu) zivame ukwehla zibe ngaphansi kuka-50 mL ngemva kokuhlinzwa ngelaser okuphumelelayo, okubonisa ukuthi isinye sakho sisebenza kahle kakhulu.

Ungayithuthukisa kanjani ukululama kwakho ngemva kokuhlinzwa nge-laser yendlala yesinye?

Ukwelashwa ngemva kokuhlinzwa nge-laser yendlala yesinye kugxila ekuvumeleni umzimba wakho ukuthi uphole ngenkathi ubuyela kancane kancane emisebenzini evamile. Ezinsukwini ezimbalwa zokuqala, cishe uzobhekana nokusha okuncane ngesikhathi sokuchama futhi ungase ubone inani elincane legazi emchamweni wakho - kokubili kuyingxenye evamile yohlelo lokuphola.

Ukuhlala unamanzi kahle kubalulekile ekululameni kwakho. Ukuphuza amanzi amaningi kusiza ukukhipha uhlelo lwakho futhi kunciphisa ingozi yamaqhubu egazi noma ukutheleleka. Hlela ukuthatha izinkomishi zamanzi ezingu-8-10 nsuku zonke ngaphandle kwalapho udokotela wakho ekweluleka ngenye indlela, futhi gwema utshwala ne-caffeine okungase kucasule izicubu zakho eziphilayo.

Umsebenzi womzimba kufanele wenyuswe kancane kancane emasontweni amaningana. Ukuhamba okulula kuyakhuthazwa kusukela ngosuku lokuqala, kodwa kufanele ugweme ukuphakamisa izinto ezisindayo (ezingaphezu kwamaphawundi angu-10), ukuzivocavoca okukhulu, noma umsebenzi wezocansi amasonto angu-4-6. Lezi zithiyo zisiza ekuvikeleni ukopha futhi ziqinisekise ukuphola okufanele kwendawo yokuhlinzwa.

Amadoda amaningi angabuyela emsebenzini wedesk ngaphakathi kwezinsuku ezimbalwa, kuyilapho labo abanemisebenzi efunayo ngokomzimba bangase badinge amasonto angu-2-3. Udokotela wakho uzohlinzeka ngemihlahlandlela ethile esekelwe ekuqhubekeleni phambili kwakho kokuphola kanye nezidingo zomsebenzi.

Yini umphumela ongcono kakhulu wokuhlinzwa nge-laser yendlala yesinye?

Umphumela ongcono kakhulu ovela emsebenzini wokuhlinzwa nge-laser we-prostate ukuthuthuka okukhulu, okuhlala isikhathi eside ezimpawini zakho zomchamo ezinemiphumela emincane. Amadoda amaningi athola ukuncipha okukhulu ekuvukeni ebusuku ukuze baye emchamo, ukugeleza komchamo okunamandla, kanye nekhono lokukhipha ngokuphelele isinye sabo ngaphandle kokuzama.

Amanani empumelelo akhuthaza kakhulu, ngamadoda angama-85-90% abika ukuthuthuka okukhulu ezimpawini zawo. Abaningi bathola ukuthi bangalala ubusuku bonke futhi, abasahlaleli phansi imisebenzi ezindaweni zokugezela, futhi bazizwa beqiniseka ngokulawula kwabo isinye ngesikhathi semisebenzi yansuku zonke.

Umphumela ofanele futhi uhlanganisa ukulondolozwa komsebenzi wezocansi. Ngenkathi amanye amadoda angase abe nezinguquko zesikhashana ekukhishweni kwesidoda (njengokukhishwa kwesidoda emuva lapho isidoda sibuyela emuva esinyeni), umsebenzi wokuvuka ngokuvamile awushintshi. Amadoda amaningi agcina ikhono labo lokuba nobuhlobo obanelisayo obusondelene.

Ukuqina kwesikhathi eside kungenye into ebonisa ukuhlinzwa kwe-laser okuphumelelayo. Ngokungafani nemithi ethile engase ilahlekelwe ukusebenza ngokuhamba kwesikhathi, ukususwa ngokomzimba kwesicubu esivimbayo kunikeza ukukhululeka okuhlala isikhathi eside kumadoda amaningi, ngokuthuthuka kwezimpawu okugcinwa iminyaka eminingi.

Yiziphi izici eziyingozi zezinkinga ngemva kokuhlinzwa nge-laser ye-prostate?

Izici eziningana zingakhuphula ingozi yakho yezinkinga ngemva kokuhlinzwa nge-laser ye-prostate, nakuba izinkinga ezingathi sína zihlala zingavamile. Ubudala budlala indima, ngamadoda angaphezu kweminyaka engama-75 enezingozi eziphakeme kancane zokugcinwa komchamo noma izinkinga zokuphola, nakuba amadoda amaningi amadala esenza kahle kakhulu ngokunakekelwa okufanele.

Izimo zezokwelapha ezikhona ngaphambilini zingathinta ukululama kwakho. Isifo sikashukela singanciphisa ukuphola futhi sandise ingozi yokutheleleka, kuyilapho izimo zenhliziyo zingase zibe nzima ukuhlinzwa. Ukuphazamiseka kokujiya kwegazi noma imithi ethinta ukopha kungakhuphula ingozi yokopha ngemva kokuhlinzwa, nakuba ithimba lakho lokuhlinzwa lizophatha lezi zici ngokucophelela.

Ubukhulu nobunkimbinkimbi bokukhuliswa kwendlala yakho yesinye nakho kunomthelela engozini. Amadlala esinye amakhulu kakhulu (angaphezu kwama-80-100 amagremu) angase adinge izikhathi ezinde zokuhlinzwa futhi abe namathuba aphezulu okudinga ezinye izinqubo, nakuba ukuhlinzwa nge-laser kuvame ukuphumelela kula macala.

Ezinye izici zokuphila zingathinta ukululama kwakho. Ukubhema kuphazamisa kakhulu ukuphola futhi kwandisa ingozi yokutheleleka, kanti ukukhuluphala ngokweqile kungase kube nzima ukuthola i-anesthesia nokululama. Udokotela wakho uzosebenza nawe ukuze uthuthukise lezi zici ngaphambi kokuhlinzwa noma nini lapho kungenzeka.

Ingabe kungcono ukuhlinzwa nge-laser noma ukuhlinzwa kwendlala yesinye kwendabuko?

Ukuhlinzwa nge-laser kunikeza izinzuzo eziningi ngaphezu kokuhlinzwa kwendlala yesinye kwendabuko, ikakhulukazi emadodeni afuna ukunciphisa isikhathi sokululama kanye nezingozi zokuhlinzwa. Indlela ye-laser ngokuvamile ibangela ukopha okuncane, ukuhlala esibhedlela okufushane, nokubuyela ngokushesha emisebenzini ejwayelekile uma kuqhathaniswa nezindlela zendabuko ezinjenge-TURP (transurethral resection of prostate).

Ukwelahlekelwa igazi kuncishiswa kakhulu ngokuhlinzwa nge-laser ngoba amandla e-laser avala imithambo yegazi njengoba esebenza. Lokhu kusho ukuthi amadoda ambalwa adinga ukumpontshelwa igazi, futhi labo abathatha izinciphisi zegazi bangase bakwazi ukuqhubeka nemithi yabo ngokugadwa ngokucophelela, kanti ukuhlinzwa kwendabuko kuvame ukudinga ukuyeka le mithi.

Isikhathi sokululama ngokuvamile sifushane ngezindlela ze-laser. Ngenkathi ukuhlinzwa kwendabuko kungase kudingeke izinsuku ezi-3-5 esibhedlela, iziguli eziningi zokuhlinzwa nge-laser zihamba ngosuku olufanayo noma ngemva kobusuku obubodwa. I-catheter nayo ngokuvamile ikhishwa ngokushesha, ngokuvamile phakathi kwezinsuku ezi-1-2 kunokuba izinsuku ezi-3-5.

Nokho, ukuhlinzwa kwendabuko kungase kusanconywe ezimweni ezithile. Amadlala esinye amakhulu kakhulu, lawo anezibazi ezinkulu, noma amacala lapho kusolwa umdlavuza angase aphathwe kangcono ngezindlela zendabuko. Udokotela wakho we-urologist uzoncoma inketho engcono kakhulu ngokusekelwe ekwakhekeni kwakho okuthile kanye nesimo sezokwelapha.

Ziziphi izinkinga ezingase zibe khona ngemva kokuhlinzwa ngelaser kwendlala yesinye?

Nakuba ukuhlinzwa ngelaser kwendlala yesinye kuvamile ukuthi kuphephe, ukuqonda izinkinga ezingase zibe khona kukusiza ukuthi wenze izinqumo ezinolwazi futhi ubone ukuthi yini okufanele uyifune ukwelashwa. Izinkinga eziningi zincane futhi zizodlula ngokushesha, kodwa kubalulekile ukwazi ukuthi yini engase yenzeke.

Izinkinga ezivamile zesikhashana zihlanganisa izimpawu zesikhashana zokuchama ezivame ukulungiseka emasontweni ambalwa. Ungase uzwe ubuhlungu ngesikhathi uchama, ukuchama kaningi, noma ukuzwa ukuthi udinga ukuchama ngokushesha njengoba umzimba wakho ululama. Amanye amadoda abona igazi emchameni wawo izinsuku eziningana, okuyinto ejwayelekile uma nje incipha kancane kancane.

Izinkinga eziqondene kakhulu, nakuba zingavamile, zidinga ukwelashwa ngokushesha. Lokhu kuhlanganisa:

• Ukuphuma kwegazi eliningi elinamahlule amakhulu angami
• Ukungakwazi ngokuphelele ukuchama ngemva kokususwa kwe-catheter
• Izimpawu zokutheleleka njengomkhuhlane, ama-chills, noma ukusha okukhulu
• Ubuhlungu obukhulu obungathuthuki ngemithi enikeziwe

Izinkinga zesikhathi eside azivamile kodwa zingahlanganisa i-urethral stricture (ukuncipha kwe-urethra), okungase kudingeke ukwelashwa okwengeziwe. Amanye amadoda abhekana ne-retrograde ejaculation, lapho isidoda sihlehlela emuva singene esinyeni ngesikhathi socansi, nakuba lokhu kungawuthinti umuzwa wokuba ne-orgasm.

Okubalulekile ukugcina ukuxhumana okuvulekile nethimba lakho lezempilo nokubika noma yiziphi izimpawu ezikhathazayo ngokushesha. Izinkinga eziningi zingalawulwa ngempumelelo uma zitholwe ngokushesha.

Kufanele ngibone nini udokotela ngemva kokuhlinzwa ngelaser kwendlala yesinye?

Kufanele uthinte udokotela wakho ngokushesha uma uba nokopha okukhulu, ungakwazi ukuchama, noma uba nezimpawu zokutheleleka ngemva kokuhlinzwa kwakho ngelaser kwendlala yesinye. Ukuphuma kwegazi eliningi kusho ukukhipha amahlule amakhulu, ukuba nomchamo obomvu ongacaci ngokwanda kokuthatha uketshezi, noma ukuzizwa ubuthakathaka futhi unesiyezi.

Izimpawu zokutheleleka zidinga ukunakekelwa kwezokwelapha ngokushesha futhi zihlanganisa umkhuhlane ongaphezu kuka-101°F (38.3°C), ukusha okukhulu okuba kubi kunokuba ngcono, umchamo onukayo, noma ama-chills nobuhlungu bomzimba. Lezi zimpawu zingabonisa ukutheleleka emgudwini womchamo okudinga ukwelashwa ngama-antibiotic.

Ukungakwazi ngokuphelele ukuchama ngemva kokususwa kwe-catheter yakho kuyisimo esiphuthumayo sezokwelapha. Ngenkathi ubunzima obuthile bokuqala ukuchama buvamile, uma ungakwazi ukukhiqiza umchamo ngamahora angu-6-8 naphezu kokuzwa isidingo, udinga ukuhlolwa kwezokwelapha ngokushesha.

Ukuze kulandelwe njalo, odokotela abaningi bahlela ama-aphoyintimenti ngamasonto angu-1-2, amasonto angu-6, nezinyanga ezi-3 ngemva kokuhlinzwa. Lokhu kuvakasha kuvumela udokotela wakho ukuthi aqaphe ukuqhubeka kwakho kokuphola, ahlulele ukuthuthuka kwezimpawu, futhi abhekane nanoma yikuphi ukukhathazeka ongase ube nakho mayelana nokululama kwakho.

Imibuzo evame ukubuzwa mayelana nokuhlinzwa nge-laser ye-prostate

Q.1 Ingabe ukuhlinzwa nge-laser ye-prostate kulungile kuma-prostate amakhulu kakhulu?

Yebo, izinhlobo ezithile zokuhlinzwa nge-laser zingelapha ngempumelelo ama-prostate amakhulu kakhulu, nakuba indlela ethile ibalulekile. I-HoLEP (Holmium Laser Enucleation of Prostate) isebenza kahle ikakhulukazi kuma-prostate angaphezu kwama-80-100 amagremu, inikeza imiphumela emihle ngisho nasezindleni ezikhuliswe kakhulu.

Kuma-prostate amakhulu kakhulu, ukuhlinzwa kungase kuthathe isikhathi eside futhi kudinga ubuchwepheshe obukhethekile, kodwa amadoda amaningi anama-prostate akhuliswe kakhulu afinyelela ekukhululekeni okuhle kakhulu kwezimpawu. Udokotela wakho we-urologist uzohlola i-anatomy yakho ethile ukuze anqume ukuthi ukuhlinzwa nge-laser kufanelekile yini noma ngabe izindlela zendabuko zingase zibe ngcono.

Q.2 Ingabe ukuhlinzwa nge-laser kubangela ukungasebenzi kahle kwe-erectile unomphela?

Cha, ukuhlinzwa nge-laser ye-prostate ngokuvamile akubangeli ukungasebenzi kahle kwe-erectile unomphela. Izindlela ze-laser zenzelwe ukugcina imizwa enesibopho sokusebenza kwe-erectile, futhi amadoda amaningi agcina ikhono lawo le-erectile ngaphambi kokuhlinzwa.

Noma kunjalo, amanye amadoda angase abe nezinguquko zesikhashana ekusebenzeni ngokocansi ngesikhathi sokwelapha. Lokhu kuvame ukuxazululwa phakathi kwamasonto angu-6-12 njengoba ukuvuvukala kuncipha futhi izicubu ziyelapha. Uma uke waba nezinkinga zokuvuka ngaphambi kokuhlinzwa, le nqubo ngeke izithuthukise, kodwa akufanele zikwenze zibe zimbi nakakhulu.

Q.3 Ngingazishayela ngemoto ngemva kokuhlinzwa nge-laser yendlala yesinye?

Cha, awukwazi ukuzishayela ngemoto ngemva kokuhlinzwa nge-laser yendlala yesinye ngoba uzobe uthole i-anesthesia futhi kungenzeka ukuthi unekhathetha endaweni. Uzodinga othile ozokushayela ngemoto akuyise ekhaya futhi ahlale nawe okungenani amahora okuqala angu-24.

Amadoda amaningi angakwazi ukuqala kabusha ukushayela phakathi kwezinsuku ezingu-2-3 uma eseyekile ukuthatha imithi yokwelapha ubuhlungu, ezizwa eqaphele, futhi ekwazi ukuhlala kahle. Noma kunjalo, kufanele ugweme ukushayela ngenkathi unekhathetha endaweni, njengoba kungase kungakhululeki futhi kuphazamise.

Q.4 Ngizothatha isikhathi esingakanani ngaphambi kokuthi ngikwazi ukuzivocavoca ngokujwayelekile ngemva kokuhlinzwa nge-laser?

Ngokuvamile ungaqala ukubuyela ekuzivocavoceni okuvamile kancane kancane emasontweni angu-4-6 ngemva kokuhlinzwa nge-laser yendlala yesinye. Ukuhamba okulula kuyakhuthazwa kusukela ngosuku lokuqala, kodwa kufanele ugweme ukuphakamisa izinto ezisindayo, ukugijima, noma imisebenzi eqinile inyanga yokuqala.

Qala ngemisebenzi emnene efana nokuhamba futhi wandise kancane kancane amandla njengoba uzizwa ukhululekile. Gwema imisebenzi ebandakanya ukuzikhandla, ukuphakamisa izinto ezisindayo (ezingaphezu kwamaphawundi angu-10), noma ukunyakaza okuqhumayo kuze kube yilapho udokotela wakho ekuhlanza, ngokuvamile cishe emasontweni angu-4-6 ngemva kokuhlinzwa.

Q.5 Ngizodinga ukuhlinzwa okuphindwayo esikhathini esizayo?

Amadoda amaningi awadingi ukuhlinzwa okuphindwayo ngemva kokuhlinzwa nge-laser yendlala yesinye okuphumelelayo, ngamanani empumelelo yesikhathi eside angaba ngu-85-90%. Izicubu ezisusiwe azikhuli futhi, ngakho izinzuzo ezisheshayo zivame ukuba unomphela.

Noma kunjalo, izicubu ezisele zendlala yesinye zingaqhubeka nokukhula kancane kancane eminyakeni eminingi. Amanye amadoda angase adinge ukwelashwa okwengeziwe eminyakeni engu-10-15 kamuva, kodwa lokhu kuyahlukahluka kakhulu phakathi kwabantu ngabanye. Ukulandelela njalo nodokotela wakho we-urologist kusiza ukuqapha inqubekela phambili yakho yesikhathi eside futhi kubhekane nanoma yiziphi izinguquko ekuqaleni.