Nokubviswa prostate: kuvhiyiwa, zvinokonzerwa

varume vazhinji pamusoro zera vanotambura nezvirwere dzokubereka kana Urinary hurongwa. Kupfuura matambudziko muviri avanotarisira kuva kweprostate gland. Dzimwe nguva mushonga pathologies zvinogona kuchinja nzira, pasina kushandisa yakakura kuvhiyiwa. Zvisinei, pane zviitiko apo kubviswa kweprostate gland - ndiyo chete mukana kubvisa chirwere chakakomba. Nekuti vamwe pathologies vanachiremba varayire oparesheni ichi? Ndezvipi zviratidzo uye contraindications nokuti ikoko? Sei kubviswa muitiro? Sei kuzvibata rokuchinjwa nguva? Ngatiedzei kupindura mibvunzo iyi munyaya ino.

Zvairatidza kuti kubviswa kweprostate gland

Kubviswa kweprostate gland - haisi kuvhiya, iro rinoitwa chete kana pasina mumwe nzira rokurapa murwere. Saka, zviri ushandiswe chete kwazvo pathologies, izvo Kwakabvisa chinyakare nzira, nokuti chero chikonzero asingagoni. Maererano nenhamba, kazhinji ishande varume vakuru, avo pakutanga vakaenda kuna chiremba vane zvichemo nezvinetso Urinary. Kazhinji, vari nechirwere benign kana nyanyisa anomera.

We nyora huru anoratidza kuti nzira iyi:

• chisingaperi prostatitis, achiperekedzwa kuita weti kakawanda uye unopinza kurwadziwa panzvimbo dzapasi mudumbu;
• prostatitis, kuoma nokuvapo matombo kweprostate gland;
• prostate adenoma - a benign bundu, riri kazhinji haana upenyu pamutanhiko;
• kuita weti kakawanda kana Urinary chengetedzo;
• Constant mashoko hematuria (ropa iri weti);
• chido wenhema urinate isingagoni kurapwa conservatively;
• kenza yeprostate - Kuvhiya kazhinji pasi varwere rokutanga kana kuti rechipiri Danho rimwe nehosha, kana bundu asina aenda mhiri muviri nemiganhu.

Contraindications kunorapwa

Operation - ndiko chakakomba kurwadzisa muviri, izvo zvinogona kuita kuti kwete varwere vose. Naizvozvo, nokubviswa prostate anogona kuitwa kwete vanhu vose. Advanced chirwere - chikonzero vakawanda kuti kukundikana kuvhiyiwa. Uyewo, nechepasi chingava kuvapo chakakura chirwere zvirwere kana kunyange makore murwere. Final Mutongo anoita chiremba kana nachiremba basa, pachishandiswa mashoko kubva munhau murwere zvokurapa uye migumisiro Analyses ayo.

Rakajairika zvikonzero kukundikana mukuita oparesheni iyi ndivo contraindications zvinotevera:

• anogumbura zvirwere urogenital wemuTesitamende kusachengeteka kukuru muchimiro;
• nemavhairasi zvirwere uye fivhiri;
• Serious chisingaperi zvirwere zvemwoyo uye kufema nehurongwa;
• kumhanya akaipa bundu, achiperekedzwa vakawanda metastases panyika muviri;
• thyroid kana rwatata, kusanganisira chirwere cheshuga, goiter uye hypothyroidism;
• kukwegura - Kuvhiya iri contraindicated mu varume vakuru kupfuura makore 70;
• zvirwere kuti anokonzera zvinetso ropa, kusanganisira hemophilia;
• Vanotarisira zvinodhaka, ropa thinners, - iyi kana oparesheni rinoitwa chete pashure zvakakwana kubviswa kubva mumuviri.

Types Kuvhiya

Zvichienderana kwokuomerwa chirwere, vanachiremba kushandisa nzira dzakasiyana Kuvhiya. Dzimwe nguva akabvisa chete chikamu chomuviri, kwete yose kweprostate gland. The oparesheni kubvisa kunogona kuitwa anotevera nzira:

• удаление простаты — проводится через наружное отверстие мочеиспускательного канала. Transurethral prostatectomy - rinoitwa kuburikidza kwokunze urethral yokutanga. резектоскопа происходит поэтапное удаление предстательной железы или только ее пораженной части. With resectoscope kunoitika zvishoma nezvishoma nokubviswa prostate kana chete njodzi chikamu. Pasina chekawo - chikuru mukana nzira iyi. Uyewo yekudyidzana kunoderedza vapore nguva.
• аденомэктомия — открытая операция, при которой хирург делает разрез между пупком и лобком. Transvezikalnaya prostatectomy - rakavhurika kuvhiyiwa umo chiremba inoita incision pakati guvhu uye pubis. Rinoshandiswa kuti kubviswa adenoma kana kenza makuru miganhu.
• Laparoscopic resection - panguva oparesheni, chiremba anoita punctures akawanda pamusoro Anterior rusvingo abdominal, iyo inosuma mudziyo nepokuongorora kamera. nzira iyi unogona kubvisa zvachose yose prostate kana chete chikamu chayo.

Preparation kunorapwa

Asati atanga kuvhiyiwa, zvakakodzera kuitisa anonyatsotsvaka chirwere muviri kudzivisa kuwanikwa yematambudziko. Murwere anofanira kuva nechokwadi kuti zvakaitika mukuru uye nokukanganisika bvunzo ropa. Вассермана (обнаружение сифилиса), ВИЧ и вирусные гепатиты. Also vakaperekedza miedzo ropa pamusoro Wasserman (kuziva miedzo njovhera), HIV uye nemavhairasi chiropa. The murwere aidawo kupa ruzivo kune vanachiremba nezveropa ravo boka uye kusapindirana kweropa chikonzero. Tinofanira kupfuura weti bvunzo uye kuti chimwe chirimwa pamusoro aikanganiswa nemishonga. Kuongorora mamiriro kumwoyo, ECG rinoitwa. Kuti siya tiibhii nezvimwe zvemapapu pathologies vanofanira kuita chipfuva X-ray.

Nokubviswa kenza yeprostate rinotanga Ultrasound pamusoro Urinary nhengo, kuona pamberi residual weti. Zvadaro, murwere anoshanyira chiremba, chiremba wezvedundira uye anesthesiologist. Manheru pamberi oparesheni murwere anofanirwa kuita chinhu enema nokuveura pubic bvudzi. Kubvira panguva iyoyo, aisagona kudya kana kunwa.

Nokubviswa prostate: zvinorehwa

The pakuonekwa inobvira yematambudziko Kuvhiya kunoenderana kusaongorora chirwere. Somuenzaniso, kuvhiya kubvisa rakawedzerwa prostate Kazhinji haana zvakakomba. Uyezve, zviri zvikuru ngozi kuita nzira kuburikidza pachena incision. Nengozi yematambudziko ndiko novimba chiremba wacho unyanzvi pamwero.

которыми чаще всего сталкиваются пациенты: We nyora huru postoperative matambudziko, izvo kazhinji yaisangana varwere:

• Zvirwere of genitourinary ezvinhu akanyorwa mumuviri panguva resection;
• hematuria chitarisiko (kuvapo ropa weti);
• pfupi kana zvachose kusabetsera;
• kuitazve;
• приводит к затрудненной деуринации ; kuderedza urethra, iyo inotungamirira kuupenyu pavhurike deurinatsii;
• retrograde ejaculation - dzisingaoneki achawisirwa mhango pakati dundira.

How kuvhiyiwa kubvisa kweprostate gland?

Zvichienderana kunzwisisa kwakaita kuuya kuvhiyiwa, shandisa chero mukuru kana musana yokutindivadza. Chidobi hwokushanda kunobva nzira iyo chichaitwa. трансуретральной резекции инструмент с осветительным прибором и камерой вводится в мочеиспускательный канал пациента. Saka, kana munhu transurethral resection ari mudziyo pamwe chiedza uye kamera akaiswa mukati urethra murwere. Iye anopinda dundira kubudikidza naye. Panguva yavo kumonyanisa chiremba achitarisa pamusoro Monitor chidzitiro. резектоскопа он медленно удаляет простату или ее часть, отщипывая от нее небольшие куски, одновременно прижигая пораженные кровоточащие сосуды. Achibatsirwa resectoscope zvishoma nezvishoma anobvisa prostate kana chikamu chayo, kusunga kure zvidimbu yake duku panguva cauterizing ropa midziyo sei. Pashure resection of chiremba hunoronga anobudisa mushonga zvishoma nezvishoma vachipinda dundira, kuburikidza icho weti acharamba iyerere kupinda muhomwe. Saizvozvowo, laparoscopy rinoitwa. резектоскоп вводится не через мочеиспускательный канал, а через небольшие отверстия на передней стенке брюшной полости. The musiyano mukuru - resectoscope hwakatozotangwa kuburikidza urethra, uye kuburikidza mawindo duku parusvingo pamberi abdominal mhango.

Open nzira zvinogonawo kutakurwa rokubvisa. The prostate mune iyi iri kazhinji kubviswa chose. The chiremba anoita incision pakati pubis uye umbilicus murwere, inopfuura nomunyika tsandanyama rinenge uye dundira rusvingo. Ipapo maoko vashoma kunobvisa chikamu prostate. Panoperera pokuvhiyiwa, zvakare, akaisa anobudisa mushonga zvishoma nezvishoma uye abudise chubhu kuti anoenda kubudikidza incision. The vapore nguva pashure kwakadai kushanda kunotora zvakati rebei.

Features kushanda nokubvisa kenza

лимфоузлов , чтобы не допустить появления и распространения метастазов. Surgery kubvisa kweprostate gland anowedzera kubatana resection of pelvic node nodes kurambidza chidzoke uye kupararira metastases rakakwana. Uyezve vakachenesa uye seminal vesicles. лапароскопические действия, нанося минимальные повреждения пациенту. For namamota duku tanga panguva nokushanda robhoti anogona kushandisa Da Vinci, achiita laparoscopic yakarurama chiito, zvichiita usingashandi kuvadza murwere. Chiremba uye nemukoti anokotsirisa muchiitiko ichi nguva pedyo murwere uye akuteerere ezvinhu ake. Nzira Izvi zvinoita kuti zvakazara kuchengetedza potency nevanhu.

Initial vapore nguva

Pashure pokuvhiyiwa, murwere zvakabatana kwegadziriro kuramba Kuburitswa mu of dundira kuti vachinyatsoziva kubvisa vaunganidza Urume uye ropa clots nokupira anobudisa mushonga zvishoma nezvishoma. Therethrough muviri wakagezeswa chaiwo mhinduro Somuenzaniso, Furacilinum. Zvichienderana kunzwisisa pokuvhiyiwa, gadziriro anogona kumhanya kubva akawanda maawa mazuva akawanda. Mushure 2 maawa pashure nzira murwere anobvumirwa kunwa mvura shoma uye zvokudya yaunodya vakatangazve mangwanani. Mumazuva okutanga pashure resection inokurudzirwa kunwa kupfuura 2 litres mvura, uyewo kubvisa kubva Muterere nuna zvakakangwa, wakawanda uye aisvuta zvokudya.

Zvinoita kuwanazve potency pashure kubviswa kweprostate gland?

Kazhinji, hakuiti kuti pave kukurasikirwa potency resection (rokubvisa). Kweprostate gland akapoteredzwa zhinji tsandanyama izvo kukonzera munhu anogona kuva erection. Kana chiremba pakuvhiya haambotauri usachikanganisa kwavari, ipapo pamusoro nguva potency anomutswa. The akaipa fungidziro yemanyorero kupiwa varwere zvikuru akaipa bundu. Pasina yematambudziko potency unodzokera munhu mavhiki 4-5 mushure resection.

Life pashure pokuvhiyiwa kubvisa kweprostate gland

Mushure chipatara zvinoerera, murwere anogona vachiri kunzwa kusagadzikana kwekanguva. Kana nyore Kuvhiya murwere anotumwa kumba mukati memazuva 4-5. Surgery kubvisa rakawedzerwa prostate kana kenza kunoda kunaya refu pasi pokudzora vanachiremba. nguva yokutanga munhu mbidzwa supercool uye kuita basa rakaoma. Mitoro inogona kudzorerwa muna 1-2 mwedzi resection. A vhiki pashure zvinoerera, murwere anogona kudzokera kubasa.

Paaipedzisa kutaura

Nokudaro, nzira inogona kunzi benign prostatic kubviswa. Migumisiro nayo zvachose anoenderana ezvinhu umo akanga akatakurwa kunze. Kazhinji kunoitika pashure resection murwere wacho nemamiriro nani uye iye anowana nani nguva. Kunyange paine nhengo resection ose akaipa anomera pane mukuru ndingangokuvara yakanaka mugumisiro, kunyanya kana zvakanzi ichiitwa tanga. Panyaya iyi, kupona varwere pashure nokubviswa kenza yeprostate ndiyo 90-100%. Sarudza nekusimba kiriniki uye anovhiya ane yakawanda nyaya dzinovaka yekuzvidzivirira zvokurapa zvikanganiso uye chitarisiko zvichibvira yematambudziko.