Tshaj dhau prostatectomy

Radical prostatectomy (kev tshem tawm prostate) yog kev phais tshem tawm tag nrho cov kab mob prostate thiab qee qhov nqaij ntawm nws. Nws yog ua los kho tus mob prostate.

Muaj 4 hom tseem ceeb lossis hom kev kho mob ntawm cov radical prostatectomy phais. Cov txheej txheem no yuav siv sijhawm li 2 txog 4 teev:

• Retropubic - Koj tus kws phais yuav txiav ib qho pib hauv qab koj lub plab uas ncav cuag koj tus pob txha pubic. Qhov kev phais no siv sijhawm 90 feeb txog 4 teev.
• Laparoscopic - Tus kws phais mob txiav ntau qhov me me me es tsis txhob txiav ib qho loj loj. Ntev, nyias cov cuab yeej raug muab tso rau sab hauv qhov kev txiav. Tus kws phais mob tso txoj hlab nyias nyias nrog lub koob yees duab yees duab (laparoscope) sab hauv ib qho ntawm cov txiav. Qhov no tso cai rau tus kws phais neeg pom sab hauv koj lub plab thaum ua cov txheej txheem.
• Kev phais neeg hlau - Qee zaum, kev phais mob laparoscopic yog ua tiav los ntawm kev siv cov khoom siv roj ntsha. Tus kws phais maj mam txav cov twj paj nruag thiab lub koob yees duab siv caj npab robotic thaum zaum ntawm tus tswj kav ze rau ntawm lub rooj ua haujlwm. Tsis yog txhua lub tsev kho mob muaj kev phais neeg hlau.
• Perineal - Koj tus kws phais mob txiav ntawm daim tawv nqaij ntawm koj lub qhov quav thiab lub hauv qhov tawv nqaij me me (qhov perineum). Qhov kev txiav yog me dua nrog cov txheej txheem retropubic. Hom kev phais mob no feem ntau siv sij hawm tsawg dua thiab ua rau cov ntshav tsis muaj ntshav ntau. Txawm li cas los xij, nws yuav nyuaj rau tus kws phais yuav zam cov leeg ib puag ncig prostate lossis tshem lub qog nyob ze nrog cov txheej txheem no.

Rau cov txheej txheem no, koj yuav muaj kev tso tshuaj kom tsaug zog kom koj tsaug zog thiab mob dawb. Lossis, koj yuav tau txais tshuaj kom loog ib nrab ntawm koj lub cev (pob txha caj qaum lossis mob hlwb).

• Tus kws phais tshem tawm cov prostate caj pas los ntawm daim ntaub ncig. Cov hlwv seminal, ob lub hnab me me ua kua ntawm koj lub prostate, kuj raug tshem tawm.
• Tus kws phais yuav saib xyuas kom ua rau muaj kev puas tsuaj me me rau cov hlab ntsha thiab leeg ntshav.
• Tus kws phais mob rov tso zis rau lub qhov zis hu ua lub zais zis. Txoj hlab zis yog txoj hlab uas tso zis ntawm lub zais zis tawm los ntawm chaw mos.
• Koj tus kws phais yuav tuaj yeem tshem cov qog ntshav hauv lub plab mog mus kuaj seb puas muaj mob qog nqaij hlav.
• Cov dej ntws tawm, hu ua ntws-Jackson-pratt, tuaj yeem tso rau hauv koj lub plab kom tso kua dej ntxiv tom qab kev phais.
• Txoj yas (raj) tso rau ntawm koj txoj hlab zis thiab lub zais zis kom tso zis. Qhov no yuav nyob hauv qhov chaw rau ob peb hnub rau ob peb lub lis piam.

Radical prostatectomy feem ntau tau ua thaum mob qog tsis kis mus dhau lub qog prostate. Qhov no yog hu ua laus hauv prostate cancer.

Koj tus kws kho mob yuav pom zoo kom kho ib qho rau koj vim tias dab tsi yog paub txog koj hom mob qog nqaij hlav thiab qhov koj muaj feem ua txhaum. Lossis, koj tus kws kho mob yuav tham nrog koj txog lwm txoj kev kho mob uas yuav zoo rau koj mob cancer. Cov kev kho no yuav siv los hloov kev phais lossis tom qab phais tau ua.

Cov ntsiab lus los txiav txim siab thaum xaiv hom kev phais mob suav nrog koj lub hnub nyoog thiab lwm yam teebmeem mob. Qhov kev phais no feem ntau ua rau cov txiv neej noj qab nyob zoo uas xav tias yuav nyob rau 10 lossis ntau xyoo tom qab tus txheej txheem.

Kev phom sij ntawm cov txheej txheem no yog:

• Cov teeb meem tswj kev tso zis (mob tso zis tsis ua pa)
• Teeb meem erection (impotence)
• Kev raug mob rau lub qhov quav
• Txoj hlab raum (qhov zes ntawm lub tso zis vim yog caws pliav)

Koj tuaj yeem ntsib ob peb zaug nrog koj tus kws kho mob. Koj yuav muaj kev kuaj mob lub cev tag nrho thiab tej zaum yuav muaj lwm qhov kev ntsuam xyuas. Koj tus kws kho mob yuav ua kom ntseeg tau cov teeb meem kev kho mob xws li mob ntshav qab zib, ntshav siab, thiab teeb meem hauv lub plawv lossis lub ntsws.

Yog tias koj haus luam yeeb, koj yuav tsum nres ntau lub lis piam ua ntej kev phais mob. Koj tus kws khomob tuaj yeem pab.

Qhia koj tus kws kho mob ib zaug tias tshuaj twg, vitamins, thiab lwm yam tshuaj koj noj, txawm yog koj yuav yam tsis muaj daim ntawv xaj yuav tshuaj.

Lub lim piam ua ntej koj phais:

• Tej zaum yuav kom koj tsum tsis txhob noj cov tshuaj aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), vitamin E, clopidogrel (Plavix), warfarin (Coumadin), thiab lwm yam tshuaj ntshav me lossis tshuaj uas nyuaj rau koj cov ntshav txhaws.
• Nug cov tshuaj twg koj tseem yuav tsum tau noj nyob rau hnub koj phais.
• Hnub ua ntej koj txoj kev phais mob, haus dej ntshiab kom ntau.
• Qee zaum, koj tus kws kho mob yuav tau kom koj lax lub cev tshwj xeeb ua ntej hnub koj phais. Qhov no yuav ua kom huv huv hauv cov hnyuv.

Hnub koj phais:

• Tsis txhob noj lossis haus dab tsi tom qab ib tag hmo hmo ua ntej koj txoj kev phais mob.
• Siv cov tshuaj uas koj tau hais kom noj nrog lub pas dej me me.
• Luag yuav qhia rau koj paub thaum mus txog hauv tsev kho mob. Nco ntsoov tuaj kom ncav sijhawm.

Npaj koj lub tsev rau thaum koj los tsev tom qab phais mob.

Feem ntau cov neeg nyob hauv tsev kho mob li 1 txog 4 hnub. Tom qab laparoscopic lossis robotic phais, koj tuaj yeem mus tsev tom qab hnub tom qab tau ua tiav sai.

Koj yuav tsum tau nyob hauv txaj kom txog rau thaum sawv ntxov tom qab phais tas. Koj yuav tau txhawb kom txav mus los ntau li ntau tau tom qab ntawd.

Koj tus nais maum yuav pab koj hloov chaw nyob hauv txaj thiab qhia kev qoj ib ce kom ntshav ntws. Koj tseem yuav tau kawm txog kev hnoos lossis ua pa tob tob kom tiv thaiv kom txhob mob ntsws. Koj yuav tsum ua cov kauj ruam no txhua 1 txog 2 teev. Koj yuav tsum tau siv cuab yeej ua pa los pab koj lub ntsws kom pom tseeb.

Tom qab koj phais, koj yuav:

• Hnav cov thom khwm tshwj xeeb ntawm koj ob sab ceg kom tiv thaiv cov ntshav txhaws.
• Txais tshuaj mob hauv koj cov leeg ntshav los yog noj tshuaj kom mob.
• Hnov nti hauv koj lub zais zis.
• Muaj lub raj mis ua npuas rau hauv koj lub zais zis thaum koj rov qab los tsev.

Qhov kev phais mob yuav tsum tshem tawm tag nrho cov qog nqaij hlav cancer. Txawm li cas los xij, koj yuav ua tib zoo saib xyuas kom ntseeg tau tias tus kabmob tsis rov qab los. Koj yuav tsum mus kuaj mob tsis tu ncua, suav nrog kev kuaj ntshav kuaj ntshav prostate (PSA).

Ua raws li cov kab mob pathology thiab PSA cov txiaj ntsig tom qab kev tshem tawm prostate, koj tus kws kho mob yuav tham nrog kev kho hluav taws xob lossis kev kho tshuaj hormone nrog koj.

Prostatectomy - radical; Tshaj dhau retropubic prostatectomy; Tshaj dhau perineal prostatectomy; Laparoscopic radical prostatectomy; LRP; Pabcuam rau laparoscopic prostatectomy neeg hlau; HLUB; Pelvic lymphadenectomy; Prostate cancer - prostatectomy; Prostate tshem tawm - radical

• Chav dej nyab xeeb rau cov neeg laus
• Indwelling catheter saib xyuas
• Kev qoj ib ce Kegel - kev saib xyuas tus kheej
• Prostate brachytherapy - kev tshem tawm
• Tshaj dhau prostatectomy - tawm
• Suprapubic catheter saib xyuas
• Kev phais mob kho mob - qhib
• Cov khoom tso zis tsis tu ncua - saib xyuas tus kheej
• Zis ntim hnab dej
• Thaum koj xeev siab thiab ntuav
• Thaum koj tso zis tsis tu ncua

Pob-Axelson A, Holmberg L, Garmo H, li al. Tshaj dhau prostatectomy lossis saib xyuas tos thaum ntxov prostate cancer. N Engl J Med. Xyoo 2014; 370 (10): 932-942. PMID: 24597866 www.ncbi.nlm.nih.gov/pubmed/24597866.

Ellison JS, Nws C, Ntoo DP. Kev tso zis thaum ntxov thiab kev sib deev ua haujlwm kwv yees rov qab ua haujlwm 1 xyoo tom qab prostatectomy. J Urol. 2013; 190 (4): 1233-1238. PMID: 23608677 www.ncbi.nlm.nih.gov/pubmed/23608677.

Lub koom haum Cancer National website. Kev kho mob Prostate cancer (PDQ) - kev tshaj lij kho mob. www.cancer.gov/types/prostate/hp/prostate-treatment-pdq. Hloov kho Lub Ib Hlis 29, 2020. Nkag mus rau Lub Ob Hlis 20, 2020.

Resnick MJ, Koyama T, Ntxuam KH, li al. Kev ua haujlwm mus sij hawm ntev tau tshwm sim tom qab kev kho mob hauv zos hauv prostate cancer. N Engl J Med. 2013; 368 (5): 436-445. PMID: 23363497 www.ncbi.nlm.nih.gov/pubmed/23363497.

Schaeffer EM, Partin AW, Lepor H. Qhib radical prostatectomy. Hauv: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 114.

Su LM, Gilbert SM, Smith JA. Laparoscopic thiab robotic-pab laparoscopic radical prostatectomy thiab pelvic lymphadenectomy. Hauv: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 115.