Iprostate eyandisiweyo

IProstate yindlala evelisa ulwelo oluthwala isidoda ngexesha lokuchama. Idlala lobudoda lijikeleze i-urethra, ityhubhu edlula kuyo umchamo emzimbeni.

Iprostate eyandisiweyo ithetha ukuba i-gland ikhule ngakumbi. Ukwandiswa kweprostate kwenzeka phantse kuwo onke amadoda njengoko bekhula.

Iprostate eyandisiweyo ihlala ibizwa ngokuba yi-benign prostatic hyperplasia (BPH). Ayisiwo umhlaza, kwaye awunyusi umngcipheko womhlaza webele.

Oyena nobangela wokwandiswa kweprostate akaziwa. Izinto ezinxulunyaniswa nokwaluphala kunye notshintsho kwiiseli zamatyhalarha zinokuba nendima ekukhuleni kwedlala, kunye namanqanaba e testosterone. Amadoda athe asuswa amasende asemncinci (umzekelo, ngenxa yomhlaza wamatyhalarha) akabi nayo i-BPH.

Kwakhona, ukuba amasende ayasuswa emva kokuba indoda ikhule i-BPH, iprostate iqala ukuncipha ngobukhulu. Nangona kunjalo, le ayisiyonyango iqhelekileyo yeprostate eyandisiweyo.

Ezinye iinyani malunga nokwandiswa kweprotate:

• Amathuba okuphucula i-Prostate eyandisiweyo ngokuya ekhula.
• I-BPH ixhaphake kangangokuba kuye kwathiwa onke amadoda aya kuba neprostate eyandisiweyo ukuba aphile ixesha elide ngokwaneleyo.
• Inani elincinci lokwandiswa kweprostate likhoyo kumadoda amaninzi aneminyaka engaphezulu kwama-40. Ngaphezulu kwama-90% amadoda angaphezu kweminyaka engama-80 anayo le meko.
• Akukho bungozi buthe bachongwa, ngaphandle kokuba anamasende asebenza ngesiqhelo.

Ngaphantsi kwesiqingatha samadoda onke ane-BPH aneempawu zesi sifo. Iimpawu zingabandakanya:

• Ukuqhuba esiphelweni wokuchama
• Ukungakwazi ukuchama (ukugcinwa komchamo)
• Ukukhuphela ngokungagqibekanga isinyi sakho
• Ukungakwazi ukuzibamba
• Ukufuna ukuchama amaxesha ama-2 okanye nangaphezulu ngobusuku bonke
• Ubuhlungu ngokuchama okanye umchamo wegazi (oku kunokubonisa usulelo)
• Ukucothisa okanye ukulibazisa ukuqala komjelo womchamo
• Ukujongwa ukuze uchame
• Amandla anamandla kwaye ngequbuliso wokuchama
• Umjelo womchamo obuthathaka

Umboneleli wakho wezempilo uya kubuza imibuzo malunga nembali yakho yezonyango. Uvavanyo lwe-rectal rectal luyakwenziwa ukuziva i-prostate gland. Olunye uvavanyo lunokubandakanya:

• Umlinganiselo wokuhamba komchamo
• Uvavanyo lomchamo olushiyekileyo lwasemva kokubona ukuba ungakanani umchamo oshiyekileyo kwisinyi sakho emva kokuba uchamile
• Uvavanyo loxinzelelo loxinzelelo lokulinganisa uxinzelelo kwisinyi njengoko uchama
• Uhlalutyo lomchamo ukujonga igazi okanye usulelo
• Umchamo wenkcubeko ukukhangela usulelo
• Uvavanyo lwegazi lwe-antigen (PSA) yegazi kwiscreen somhlaza webala
• ICystoscopy
• Igazi urea nitrogen (BUN) kunye neemvavanyo ze-creatinine

Unokucelwa ukuba ugcwalise ifom yokuvavanya ukuba zimbi kangakanani iimpawu zakho kwaye zibuchaphazela kangakanani ubomi bakho bemihla ngemihla. Umboneleli wakho unokusebenzisa eli nqaku ukugweba ukuba imeko yakho iya isiba mandundu ngokuhamba kwexesha.

Unyango olukhethileyo luya kusekelwa kwindlela ezimbi ngayo iimpawu zakho kunye nokuba zikukhathaza kangakanani. Umboneleli wakho uya kujonga nezinye iingxaki zonyango onokuba nazo.

Ukhetho kunyango lubandakanya "ukulinda ubukele," utshintsho kwindlela yokuphila, amayeza, okanye utyando.

Ukuba ungaphezulu kweminyaka engama-60, kunokwenzeka ukuba ube neempawu. Kodwa amadoda amaninzi ane-prostate eyandisiweyo aneempawu nje ezimbalwa. Amanyathelo okuzikhathalela ahlala enele ukwenza ukuba uzive ungcono.

Ukuba unayo i-BPH, kufuneka ube novavanyo lonyaka lokujonga iimpawu zakho kwaye ubone ukuba ufuna utshintsho kunyango.

UKUZINAKEKELA

Ngeempawu ezinobulali:

• Ukuchama xa uqala ukufumana umnqweno. Kwakhona, uye kwigumbi lokuhlambela kwishedyuli eneexesha, nokuba awuziva unesidingo sokuchama.
• Gwema utywala kunye ne-caffeine, ngakumbi emva kokutya.
• SUKUYISELA into eninzi ulwelo ngaxeshanye. Sasaza ulwelo emini. Kulumkele ukusela amanzi kwiiyure ezi-2 zokulala.
• Ungazami ukuthatha amayeza abandayo kunye nesinus aqukethe i-decongestants okanye i-antihistamines. La machiza anokunyusa iimpawu ze-BPH.
• Hlala ufudumele kwaye uzilolonge rhoqo. Imozulu ebandayo kunye nokungabikho kwemisebenzi yomzimba kunokubangela iimpawu zibe mandundu.
• Ukunciphisa uxinzelelo. Uvalo kunye noxinzelelo kunokukhokelela ekuchameni rhoqo.

AMAYEZA

I-Alpha-1 blockers ludidi lweziyobisi ezisetyenziselwa ukunyanga uxinzelelo lwegazi oluphezulu. La mayeza ayayekelela izihlunu zentamo yesinyi kunye neprostate. Oku kuvumela ukuchama ngokulula. Uninzi lwabantu abathatha i-alpha-1 blocker bayaqaphela ukuphucuka kweempawu zabo, zihlala ngaphakathi kweentsuku ezi-3 ukuya kwezi-7 emva kokuqala amayeza.

I-Finasteride kunye ne-dutasteride amanqanaba asezantsi ehomoni aveliswa yiprostate. La machiza anciphisa ubungakanani bendlala, anyusa izinga lokuhamba komchamo, kunye nokunciphisa iimpawu ze-BPH. Kuya kufuneka uwathathe la mayeza iinyanga ezi-3 ukuya kwezi-6 ngaphambi kokuba uqaphele ukuba iimpawu ziya zibangcono. Iziphumo ebezingalindelekanga ezinokubakho zibandakanya ukwehla kwesondo kunye nokungabi namandla.

I-antibiotics inokumiselwa ukuba inyange i-prostatitis engapheliyo (ukuvuvukala kweprotrate), enokuthi yenzeke nge-BPH. Iimpawu ze-BPH ziyaphucuka kwamanye amadoda emva kwekhosi ye-antibiotics.

Jonga iziyobisi ezinokwenza ukuba iimpawu zakho zibe mandundu:

WABONA UPALMETTO

Amayeza amaninzi azanyiwe ngokunyanga iprotrate eyandisiweyo. Amadoda amaninzi asebenzisa i-saw palmetto ukunciphisa iimpawu. Olunye uphononongo lubonakalisile ukuba lunokunceda ngeempawu, kodwa iziphumo zixubekile, kwaye kufuneka uphando ngakumbi. Ukuba usebenzisa i-saw palmetto kwaye ucinga ukuba iyasebenza, buza ugqirha wakho ukuba kufuneka usayithatha na.

UKUGQIBELA

Unyango lweprostate lunokucetyiswa ukuba unayo:

• Ukungakwazi ukuzibamba
• Igazi eliphindaphindayo kumchamo
• Ukungakwazi ukukhupha ngokupheleleyo isinyi (ukugcinwa komchamo)
• Izifo ezenzeka rhoqo kumchamo
• Ukunciphisa umsebenzi wezintso
• Amatye esinyi
• Iimpawu zeBothersome ezingaphenduliyo kumayeza

Ukukhethwa kwenkqubo yotyando ekucetyiswa ngayo kuhlala kuxhomekeka kubukhali beempawu zakho kunye nobukhulu kunye nokumila kwe-Prostate gland. Uninzi lwamadoda otyando lweprostate anokuphucuka kokuhamba komchamo kunye neempawu.

Ukuthengiswa ngokutsha kweprostate (TURP) ngoguquguquko: Olu lolona hlobo lonyango luqhelekileyo nolona lungqinelwayo lwe-BPH. I-TURP yenziwa ngokufaka isithuba kwilungu lobudoda kunye nokususa iqhekeza leprostate ngesiqwenga.

Iprostatectomy elula: Yinkqubo yokususa icandelo langaphakathi leprostate. Yenziwe ngokusikwa kotyando esiswini sakho esisezantsi. Olu nyango luhlala lusenziwa kumadoda aneedlala zeprostate ezinkulu kakhulu.

Ezinye iinkqubo ezingangenisi kangako zisebenzisa ubushushu okanye i-laser ukutshabalalisa izicwili zeprostate. Enye inkqubo engangenisi kangako isebenza ngokuthi "kubanjwe" iprostate ivuleke ngaphandle kokususa okanye ukutshabalalisa izicwili. Akukho namnye uqinisekiswe ukuba ungcono kune-TURP. Abantu abafumana ezi nkqubo kunokwenzeka ukuba baphinde bafune ukuphinda batyandwe emva kweminyaka emi-5 okanye elishumi. Nangona kunjalo, ezi nkqubo zinokukhetha:

• Amadoda amancinci (uninzi lweenkqubo ezingangenisi kangako zithatha umngcipheko ophantsi wokungabi namandla kunye nokungalawuleki kune-TURP, nangona umngcipheko nge-TURP awuphezulu kakhulu)
• Abantu abadala
• Abantu abaneemeko ezinzima zonyango, kubandakanya nesifo seswekile esingalawulwayo, i-cirrhosis, i-alcoholism, i-psychosis, kunye nemiphunga emikhulu, izintso, okanye isifo sentliziyo
• Amadoda athatha iziyobisi ezicothisa igazi
• Amadoda angenye ingozi yokuhlinzwa

Amanye amadoda anokukufumanisa kuluncedo ukuthatha inxaxheba kwiqela le-BPH lenkxaso.

Amadoda ane-BPH ixesha elide kunye neempawu eziya zisiba mbalwa zinokuphuhlisa:

• Ngequbuliso ukungakwazi ukuchama
• Usulelo lomjelo womchamo
• Amatye omchamo
• Umonakalo kwizintso
• Igazi kumchamo

I-BPH inokubuya ngokuhamba kwexesha, kwanasemva koqhaqho.

Shayela umnikezeli wakho ngokukhawuleza ukuba unayo:

• Umchamo omncinci kunesiqhelo
• Umkhuhlane okanye ubanda
• Umva, icala, okanye iintlungu zesisu
• Igazi okanye ubofu kumchamo wakho

Biza kwakhona ukuba:

• Isinyi sakho asiziva singenanto kwaphela emva kokuba uchamile.
• Uthatha amayeza anokubangela iingxaki kumchamo, ezinje nge-diuretics, antihistamines, anti-depressants, okanye sedatives. SUKUYEKE okanye utshintshe amayeza akho ngaphandle kokuthetha nomboneleli wakho.
• Uzamile amanyathelo okuzikhathalela iinyanga ezi-2 kwaye iimpawu azikaphucuki.

BPH; I-Benign prostatic hyperplasia (i-hypertrophy); Iprostate-yandiswa

• Iprostate eyandisiweyo- yintoni oza kuyibuza ugqirha wakho
• Ukuthengiswa kwakhona kweprostate- ukukhutshwa okungafunekiyo okuncinci
• Ukuthengiswa ngokutsha kweprostate-ukukhutshwa

• I-anatomy yokuzala eyindoda
• BPH
• Ukuthengiswa ngokutsha kweprostate (TURP) -Uluhlu

UAndersson KE, uWein AJ. Ulawulo lwe-Pharmacologic lokugcina umchamo osezantsi kunye nokusilela kokukhupha. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; Ngo-2016: isahluko 79.

Khulisa u-HE, uDahm P, uKohler TS, uLerner LB, et al. Ulawulo lotyando lweempawu ezisezantsi zomchamo ezinxulunyaniswa ne-benign prostatic hyperplasia: Isilungiso se-AUA Guideline 2019. J Urol. 2019; ; 202 (3): 592-598. IINKCUKACHA: 31059668 www.ncbi.nlm.nih.gov/pubmed/31059668.

UMcNicholas TA, uSomlomo MJ, uKirby RS. Uvavanyo kunye nolawulo lwangaphandle lwe-benign prostatic hyperplasia. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; Ngo-2016: isahluko 104.

IZiko leLizwe leSwekile kunye neWebhusayithi kunye neZifo zeZintso. Ukwandiswa kweprostate (benign prostatic hyperplasia). www.niddk.nih.gov/health-information/urologic-diseases/prostate-problems/prostate-enlargement-benign-prostatic-hyperplasia. Ukuhlaziywa kukaSeptemba 2014. Ifikeleleke ngo-Agasti 7, 2019.

USandhu JS, uBreyer B, uComiter C, et al. Ukungakwazi ukuzibamba emva konyango lweprostate: Isikhokelo se-AUA / SUFU. J Urol. 2019; 202 (2): 369-378. IINKCUKACHA: 31059663 www.ncbi.nlm.nih.gov/pubmed/31059663.

I-Terrone C, uBillia M. Iinkalo zonyango kunyango lwe-LUTS / BPH: unyango oludibeneyo. Ku: Morgia G, ed. Iimpawu ezisezantsi zoMchamo kunye neBenign Prostatic Hyperplasia. ICambridge, MA: Elsevier Academic Press; I-2018: isahluko 11.