Download - BENIGN PROSTATIC HYPERTROPHY (BPH)
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BENIGN PROSTATIC HYPERTROPHY (BPH)
DEFINISIPembesaran pada kilang prostat
INSIDEN- lelaki umur 50 ke atas
ETIOLOGI- Tidak diketahui- Kesan daripada jangkitan yang kronik- Tidak keseimbangan hormon, umur meningkat hormon testosteron
Disediakan Oleh : Nassruto
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BENIGN PROSTATIC HYPERTROPHY (BPH)
PATOFISIOLOGI- Peningkatan umur – berlaku ‘tissue hyperplasia’ (peningkatan yang abnormal ke atas bilangan sel)- Penyempitan salur urethra- Hipertrofi pundi kencing- pembangkakan ureter (hydroureter)- pembengkakan ginjal (hydronephrosis)
CIRI-CIIRI KLINIKAL- kerap kencing- inkontinen urin- kencing meleleh- retensi urin
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COMPLICATIONS OF BPH
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BENIGN PROSTATIC HYPERTROPHY (BPH)
CIRI-CIRI KLINIKAL- Keinginan hendak kencing- pancutan kencing lemah- nokturia- haematuria (jarang berlaku)
DIAGNOSIS PERBEZAAN- Prostatitis- Ca prostat- Cystitis- batu pundi kencing
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BENIGN PROSTATIC HYPERTROPHY (BPH)
PENDIAGNOSAAN1. Sejarah2. Ciri-ciri klinikal3. Pemeriksaan fizikal - GC - bladder distended4. Penyiasatan - cystoscopy - ultrasound - intravenous pyelogram (IVP) - Biopsy - Urin FEME - pemeriksaan rektum (PR)
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BENIGN PROSTATIC HYPERTROPHY (BPH)
PENGURUSAN
Rawatan yang berkesan adalah pembedahan
Indikasi Pembedahan- Retensi urin akut- Infeksi kronik - Haematuria- Hydronephrosis- Penyekatan dibahagian leher pundi kencing
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BENIGN PROSTATIC HYPERTROPHY (BPH)
Terdapat 4 jenis pembedahan yang biasa Dilakukan.1. Transurethral Rescetion of Prostate (TRUP)2. Suprapubic Prostatectomy3. Retropubic Prostatectomy4. Perineal Prostatectomy
1. Transurethral Rescetion of Prostate (TRUP)- Tidak memerlukan pembedahan- Menggunakan alat resectoscope untuk membuang tisu prostat- Disadvantage – truma urethra
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TRANSURETHRAL RESECTION OF PROSTATE (TURP)
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BENIGN PROSTATIC HYPERTROPHY (BPH)
2. Suprapubic / Transversical Prostatectomy- pembuangan melalui suprapubik - disadvantage – sakit, penyembuhan mengambil masa yang lama
3. Retropubic Prostatectomy
- pembuangan prostat melalui belakang tulang pubik- digunakan apabila kilang prostat terlalu besar
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SUPRAPUBIC / TRANSVESICAL PROSTATECTOMY
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RETROPUBIC / RETROVESICAL PROSTATECTOMY
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BENIGN PROSTATIC HYPERTROPHY (BPH)
4. Perineal Prostatectomy- pembuangan prostat melalui perineal- jarang digunakan (komplikasi banyak)
RAWATAN SELEPAS PEMBEDAHAN- Posisi pesakit (fowler’s)- monitor tanda vital- ubatan – analgesik untuk 24jam- penjagaan irigasi yang berterusan (sodium citrate dan normal saline)- penjagaan kateter- penjagaan carta aliran (I/O)
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PERINEAL PROSTATECTOMY
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CONTINUOUS BLADDER IRRIGATION
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BENIGN PROSTATIC HYPERTROPHY (BPH)
KOMPLIKASI- Perdarahan- Infeksi ke atas trak urinari- hydronephrosis- kegagalan renal
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