Yini i-TUMT? Inhloso, Inqubo & Nemiphumela

I-TUMT imele i-Transurethral Microwave Thermotherapy, ukwelashwa okuncane okusebenzisa ukushisa okulawulwayo ukunciphisa izicubu ze-prostate ezikhulisiwe. Le nqubo yeziguli eziphuthumayo inikeza ukukhululeka ezimpawini zokuchama eziphazamisayo ngaphandle kwesidingo sokuhlinzwa okukhulu, okwenza kube yindlela ekhangayo yamadoda amaningi abhekene ne-benign prostatic hyperplasia (BPH).

Yini i-TUMT?

I-TUMT ukwelashwa okusekelwe ekushiseni okuqondiswe ezicutshini ze-prostate ezingaphezu kwesidingo okubangela izinkinga zokuchama. Le nqubo isebenzisa i-catheter ekhethekile efakwe i-antenna ye-microwave ukuletha ukushisa okunembile, okulawulwayo ngqo ezicutshini ze-prostate ezikhulisiwe.

Cabanga ngayo njengesistimu yokushisa eqondiwe esebenza ngaphakathi. Amandla e-microwave ashisisa izicubu ze-prostate emazingeni okushisa aphakathi kuka-113-140°F, okubangela ukuthi izicubu ezingaphezu kwesidingo zinciphe kancane kancane ngokuhamba kwesikhathi. Lokhu kuncipha kuvula indlela yokuchama, okuvumela ukuthi umchamo ugeleze ngokukhululeka.

Ukwelashwa kuthathwa njengokuncane okuhlaselayo ngoba akudingi noma yikuphi ukuhlinzwa. Esikhundleni salokho, i-catheter ifakwa ngembobo yemvelo yokuchama, okwenza ukululama kube mnene kakhulu kunokuhlinzwa kwe-prostate kwendabuko.

Kungani kwenziwa i-TUMT?

I-TUMT yenziwa ikakhulukazi ukwelapha izimpawu zokuchama eziphakathi nendawo kuya kwezinkulu ezibangelwa i-prostate ekhulisiwe, isimo esibizwa nge-benign prostatic hyperplasia (BPH). Njengoba amadoda ekhula, i-prostate yawo ngokwemvelo ikhula ngobukhulu, ngezinye izikhathi icindezela i-urethra futhi yenza ukuchama kube nzima.

Udokotela wakho angase ancome i-TUMT uma uhlangabezana nezimpawu ezinzima ezingaphendulanga kahle emithini. Lezi zimpawu zingathinta kakhulu izinga lempilo yakho kanye namaphethini okulala.

Izimpawu ezivamile eziholela ku-TUMT zihlanganisa:

• Ukuvuvukala njalo, ikakhulukazi ebusuku
• Ukugeleza komchamo okubuthakathaka noma okuphazamisekile
• Ubunzima bokuqala ukuchama
• Ukuzwa sengathi isinye sakho asikabi nalutho ngokuphelele
• Ukuphuthuma ukuchama okunzima ukukulawula
• Ukuzikhandla ngesikhathi sokuchama

Le nqubo ivame ukucatshangelwa lapho imithi inganikezanga ukukhululeka okwanele kodwa ufuna ukugwema ezinye izinketho zokuhlinzwa ezinobungozi obukhulu. Ilungele ikakhulukazi amadoda afuna ukugcina umsebenzi wawo wezocansi, njengoba i-TUMT ngokuvamile inemiphumela emincane yezocansi kuneminye imithi.

Yini inqubo ye-TUMT?

I-TUMT yenziwa njengenqubo yeziguli eziphuthumayo, okusho ukuthi ungahamba ngosuku olufanayo. Ukwelashwa kuvame ukuthatha imizuzu engama-45 kuya ehora elilodwa, futhi uzobe uvukile kodwa ukhululekile kuyo yonke inqubo.

Ngaphambi kokuthi inqubo iqale, udokotela wakho uzokunika i-anesthesia yendawo ukuze uqede indawo futhi angase futhi anikeze ukuthuliswa okuncane ukukusiza uphumule. Uhlelo lokupholisa luvikela umugqa we-urethral ngenkathi amandla e-microwave eqondisa izicubu ezinzulu ze-prostate.

Nakhu okwenzekayo ngesikhathi senqubo:

1. I-catheter encane, eguquguqukayo ene-antenna ye-microwave ifakwa nge-urethra yakho
2. I-catheter ibekwe ngokuqondile ngaphakathi kwezicubu ze-prostate ezikhulisiwe
3. Amandla e-microwave alawulwayo alethwa ukushisa izicubu eziqondiwe
4. Uhlelo lokupholisa luvikela izicubu ezinempilo ezizungezile
5. Inqubo yokushisa iyaqhubeka cishe imizuzu engama-30-45
6. I-catheter isuswa uma ukwelashwa sekuqediwe

Ngesikhathi sokwelashwa, ungase uzwe ukufudumala okuthile noma ukungakhululeki okuncane, kodwa uhlelo lokupholisa lusiza ukunciphisa noma yiziphi izinzwa ezingathandeki. Iziguli eziningi ziyayibekezelela kahle inqubo futhi zingafunda noma zilalele umculo ngesikhathi sokwelashwa.

Ungalungiselela kanjani i-TUMT yakho?

Ukulungiselela i-TUMT kuhilela izinyathelo ezimbalwa eziqondile ezisiza ukuqinisekisa ukuthi inqubo ihamba kahle futhi iphephile. Udokotela wakho uzohlinzeka ngemiyalelo ethile eyenzelwe isimo sakho, kodwa amalungiselelo amaningi alula futhi alawuleka.

Ezinsukwini ngaphambi kwenqubo yakho, kuzodingeka uyeke ukuthatha imithi ethile engandisa ingozi yokopha. Udokotela wakho uzokunikeza uhlu olugcwele, kodwa imithi ejwayelekile okufanele igwenywe ihlanganisa ama-blood thinners kanye nezinhlungu ezithile.

Nawa amasu alungiselelo ajwayelekile:

• Yeka ukuthatha imithi yokunciphisa igazi njengoba kuqondiswe udokotela wakho
• Lungiselela othile ukuthi akuqhubele ekhaya ngemuva kwenqubo
• Thatha ama-antibiotics anqunyiwe uma udokotela wakho ewaphakamisa
• Gwema ukudla noma ukuphuza amahora ambalwa ngaphambi kokwelashwa uma kuhlelwe ukuthulisa
• Gqoka izingubo ezikhululekile, ezikhululekile
• Letha uhlu lwazo zonke izidakamizwa zakho zamanje

Udokotela wakho angase futhi ancome ukuqala ama-antibiotics ngosuku olulodwa noma ezimbili ngaphambi kwenqubo ukuvimbela ukutheleleka. Lesi yisinyathelo sokuzivikela esisiza ukuqinisekisa ukuthi ukululama kwakho kuhamba kahle.

Ungazifunda kanjani imiphumela yakho ye-TUMT?

Imiphumela ye-TUMT ayisheshayo njengokuhlolwa kwegazi - esikhundleni salokho, uzozwa ukuthuthuka kancane kancane emasontweni ambalwa kuya ezinyangeni. Izicubu ze-prostate ezishiswayo zithatha isikhathi ukuncipha futhi zimuncwe ngokwemvelo ngumzimba wakho, ngakho ukubekezela kubalulekile ngesikhathi sokwelapha.

Amadoda amaningi aqala ukuqaphela ukuthuthuka ezimpawini zawo zomchamo phakathi kwamasonto angu-2-4 ngemuva kokwelashwa. Kodwa-ke, izinzuzo ezigcwele ze-TUMT zingase zingabonakali izinyanga ezingu-2-3 njengoba i-prostate iqhubeka nokuncipha kancane kancane.

Izimpawu zokuthi i-TUMT iyasebenza zihlanganisa:

• Ukugeleza komchamo okuqinile, okuqhubekayo
• Ukunciphisa imvamisa yokuchama, ikakhulukazi ebusuku
• Ukuqala okulula kokuchama
• Ukuqeda okwengeziwe kwesinye
• Ukunciphisa ukugcwala kokuchama
• Ukuzikhandla okuncane ngesikhathi sokuchama

Udktela wakho uzoqapha intuthuko yakho ngokuqokwa okulandelayo futhi angase asebenzise imibuzo ukuze alandelele ukuthuthuka kwezimpawu. Amanye amadoda athola ukuthuthuka okungama-50-70% ezimpawini zawo zomchamo, nakuba imiphumela yomuntu ngamunye ihluka ngokusekelwe ezintweni ezinjengosayizi we-prostate nempilo yonke.

Isebenza kahle kangakanani i-TUMT?

I-TUMT inikeza ukukhululeka okukhulu kwezimpawu kumadoda amaningi anama-prostate andisiwe, nakuba ngokuvamile ithathwa njengengasebenzi kangako kunezinketho zokuhlinzwa ezinjenge-TURP. Izifundo zibonisa ukuthi cishe ama-60-80% amadoda athola ukuthuthuka okukhulu ezimpawini zawo zomchamo ngemva kwe-TUMT.

Ukwelashwa kusebenza kahle kakhulu emadodeni anokwanda okulinganiselwe kwe-prostate nezinhlobo ezithile ze-anatomy ye-prostate. Udokotela wakho uzohlola ukuthi ungumuntu ofanelekayo yini ngokusekelwe kusayizi we-prostate yakho, ukuma, nobukhulu bezimpawu zakho.

Amazinga empumelelo yesikhathi eside abonisa ukuthi amadoda amaningi agcina ukuthuthuka kwawo iminyaka eminingana ngemva kokwelashwa. Nokho, njengoba i-prostate ingaqhubeka ikhula ngobudala, amanye amadoda angase adinge ukwelashwa okwengeziwe ekugcineni. Lokhu kujwayelekile futhi akusho ukuthi i-TUMT yehlulekile.

Yiziphi izici eziyingozi zezinkinga ze-TUMT?

Ngenkathi i-TUMT ivikelekile ngokuvamile, izici ezithile zingakhuphula ingozi yakho yezinkinga noma zithinte ukuthi ukwelashwa kusebenza kahle kangakanani. Ukuqonda lezi zici eziyingozi kukusiza kanye nodokotela wakho ukuthi nenze isinqumo esingcono kakhulu sesimo sakho.

Impilo yakho yonke idlala indima ebalulekile ekutheni uzokwazi kangakanani ukubekezelela inqubo futhi ululame ngemva kwalokho. Amadoda anezimo ezithile zezokwelapha angase adinge izinyathelo zokuphepha ezikhethekile noma angase angabi ngabantu abafanelekayo be-TUMT.

Izici ezingase zandise izinkinga zihlanganisa:

• Amaglands e-prostate amakhulu kakhulu (angaphezu kwama-100 amagremu)
• Ukutheleleka komgudu womchamo okusebenzayo
• Izimo zenhliziyo ezinzima
• Izifo zokujiya kwegazi
• Imithi ethile ethinta ukuphulukiswa
• Ukuhlinzwa kwe-prostate kwangaphambilini
• Izinkinga ezinzima zesinye

Ubudala ngokwalo akuyona ngempela into eyingozi, kodwa amadoda amadala angase abe nezimo zempilo eziningi ezidinga ukucatshangelwa. Udokotela wakho uzohlola ngokucophelela umlando wakho wezokwelapha ukuze anqume ukuthi i-TUMT ilungele yini wena.

Ziyini izinkinga ezingase zibe khona ze-TUMT?

I-TUMT ithathwa njengenqubo enobungozi obuncane, kodwa njenganoma yikuphi ukwelashwa kwezokwelapha, ingaba nemiphumela emibi kanye nezinkinga. Iningi lezinkinga zisesikhashana futhi zizozixazulula zodwa emasontweni ambalwa, kodwa kubalulekile ukwazi ukuthi yini ongayilindela.

Imiphumela emibi evame kakhulu ihlobene nenqubo yokuphola futhi ngokuvamile iyathuthuka njengoba i-prostate yakho ijwayela ukwelashwa. Le miphumela ivamise ukulawuleka futhi ayidingi ukwelashwa okwengeziwe.

Imiphumela emibi yesikhashana ejwayelekile ihlanganisa:

• Umuzwa ovuthayo ngesikhathi sokuchama amasonto angu-1-2
• Ukuvama kokuchama okwandayo ekuqaleni
• Igazi emchamweni izinsuku ezimbalwa
• Ukuphatheka kabi okuncane kwesisu
• Ukwanda okwesikhashana kwezimpawu zomchamo

Izinkinga ezingavamile kodwa ezingathi sína zingenzeka, nakuba zingavamile. Lokhu kungase kudingeke ukunakekelwa kwezokwelapha okwengeziwe noma ukwelashwa ukuze kulungiswe kahle.

Izinkinga ezingavamile zihlanganisa:

• Ukugcinwa komchamo okukhulu okudinga ukufakwa kwe-catheter
• Ukutheleleka ngomgudu womchamo
• Ukuphuma kwegazi okukhulu
• Ukuqina kwe-urethral (ukuncipha)
• Isidingo sezinqubo ezengeziwe

Imiphumela emibi yezocansi ngokuvamile ayivamile nge-TUMT uma iqhathaniswa nezinye izindlela zokwelapha i-prostate, kodwa amanye amadoda angase abe nezinguquko zesikhashana ekukhishweni kwesidoda noma ekusebenzeni kwe-erectile.

Kufanele ngibone nini udokotela ngemva kwe-TUMT?

Ukunakekelwa okuvamile kokulandela ngemva kwe-TUMT kubalulekile ukuqapha ukuphola kwakho futhi uqinisekise ukuthi ukwelashwa kusebenza ngempumelelo. Udokotela wakho uzohlela ama-aphoyintimenti athile, kodwa kufanele futhi wazi ukuthi nini okufanele ufune ukunakekelwa kwezokwelapha ngokushesha.

Odokotela abaningi batusa ukuvakashelwa okulandelayo ngemva kwamasonto ama-2, amasonto ayi-6, nezinyanga ezi-3 ngemva kwenqubo yakho. Lokhu kuhlangana kuvumela udokotela wakho ukuthi alandele intuthuko yakho futhi abhekane nanoma yiziphi izinkinga eziphakamayo ngesikhathi sokululama.

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nalokhu okulandelayo:

• Ukungakwazi ukuchama amahora angaphezu kwangu-8
• Umkhuhlane ongaphezu kuka-101°F (38.3°C)
• Ukuphuma kwegazi eliningi noma amahlule amakhulu egazi
• Ubuhlungu obukhulu obungalawulwa ngemithi enikeziwe
• Izimpawu zokutheleleka njengamakhaza noma ukusha okwanda

Kufanele futhi uxhumane uma izimpawu zakho zingathuthuki ngemva kwamasonto angu-6-8 noma uma zibonakala ziba zimbi kunokuba zibe ngcono. Nakuba ukwanda okuthile ekuqaleni kujwayelekile, izinkinga eziqhubekayo zingase zidinge ukuhlolwa.

Imibuzo evame ukubuzwa mayelana ne-TUMT

Q1: Ingabe i-TUMT ingcono kunemithi ye-BPH?

I-TUMT ingase isebenze kangcono kunemithi yezimpawu ze-BPH eziphakathi nendawo kuya kwezinkulu, kodwa kuncike esimweni sakho somuntu ngamunye. Imithi isebenza kahle kumadoda amaningi futhi ivame ukuzanywa kuqala ngoba ayihlaseli. Kodwa-ke, uma imithi inganikezi ukukhululeka okwanele noma ibangela imiphumela emibi, i-TUMT inganikeza ukuthuthuka okukhulu nokuhlala isikhathi eside. Ukukhetha kuncike ekuqineni kwezimpawu zakho, ukuthi usabela kahle kangakanani emithini, kanye nezintandokazi zakho mayelana nezindlela zokwelapha.

Q2: Ingabe i-TUMT ithinta ukusebenza ngokocansi?

I-TUMT ngokuvamile inemiphumela emincane yezocansi uma iqhathaniswa nokwelashwa okuhlinzayo njenge-TURP. Amadoda amaningi agcina umsebenzi wawo wokwakha futhi awabi nakho ukuphuma kwesidoda emuva (i-orgasm eyomile). Kodwa-ke, amanye amadoda angase abone izinguquko zesikhashana ekuphumeni kwesidoda noma izinguquko ezincane emuzweni wezocansi emasontweni ambalwa okuqala ngemva kokwelashwa. Le miphumela ivame ukuxazululwa njengoba ukuphulukiswa kuqhubeka. Uma ukhathazekile ngemiphumela emibi yezocansi, xoxa lokhu ngokukhululekile nodokotela wakho ngaphambi kwenqubo.

Q3: Ingabe imiphumela ye-TUMT ihlala isikhathi esingakanani?

Imiphumela ye-TUMT ingahlala iminyaka eminingi kumadoda amaningi, ngocwaningo olukhombisa ukuthuthuka okuqhubekayo iminyaka engu-3-5 ezimweni eziningi. Kodwa-ke, njengoba i-prostate iqhubeka ikhula ngokwemvelo ngobudala, amanye amadoda angase adinge ukwelashwa okwengeziwe ekugcineni. Ubude bemiphumela buxhomeke ezintweni ezifana nobudala bakho, impilo yonke, nokuthi i-prostate yakho iqhubeka kangakanani ukukhula ngokuhamba kwesikhathi. Ukuqapha njalo nodokotela wakho kusiza ukuqapha intuthuko yakho yesikhathi eside.

Umbuzo 4: Ingabe i-TUMT ingaphindwa uma izimpawu zibuyela?

Yebo, i-TUMT ingaphindwa uma izimpawu zibuyela, nakuba lokhu kungadingeki kakhulu eminyakeni embalwa yokuqala. Uma izimpawu zakho ziba zimbi kancane kancane ngokuhamba kwesikhathi, udokotela wakho angahlola ukuthi ngabe ukwelashwa okusha kwe-TUMT kungaba usizo noma ngabe indlela ehlukile ingase ifaneleke kakhulu. Amanye amadoda angase azuze ekugcineni ezinkethweni zokuhlinzwa uma i-prostate yawo iqhubeka nokukhula kakhulu. Udokotela wakho uzocabangela isimo sakho ngasinye kanye nomlando wokwelashwa lapho encoma isinyathelo esilandelayo esingcono kakhulu.

Umbuzo 5: Ingabe i-TUMT ibuhlungu ngesikhathi senqubo?

Amadoda amaningi athola ukuthi i-TUMT iyakwazi ukubekezeleleka ngokuphazamiseka okuncane ngesikhathi senqubo yangempela. Uzothola i-anesthesia yendawo ukuze uqede indawo, futhi odokotela abaningi banikeza nokuthulisa okuncane ukukusiza uphumule. Uhlelo lokupholisa olwakhelwe ngaphakathi ku-catheter lusiza ukunciphisa noma yikuphi ukuphazamiseka okuhlobene nokushisa. Amanye amadoda achaza ukuzwa ukufudumala noma ukucindezela okuncane, kodwa ubuhlungu obukhulu abavamile. Ngemuva kwenqubo, ungase uzwe ukusha ngesikhathi sokuchama isonto elilodwa noma amabili, kodwa lokhu kulawuleka ngemithi enqunyiwe futhi ngokuvamile kuthuthuka ngokushesha.