Iindlela zonyango lweNdabuko kwi-Prostate eyandisiweyo

Umxholo

• Iinketho zonyango lwe-BPH
• Iibhlokhi zeAlfa zeBPH
• I-5-alpha reductase inhibitors ye-BPH
• Unyango lwe combo
• Yima ubushushu
• Unyango lweTUNA
• Ukungena emanzini ashushu
• Ukhetho lotyando
• Utyando lweLaser
• Vula iprostatectomy elula
• Ukuzinyamekela kunokunceda

Ukuqonda i-BPH

Ukuba uhambo oluya kwigumbi langasese lufuna amachaphaza ngequbuliso okanye luphawulwe ngobunzima bokuchama, iprostate yakho inokwandiswa. Awuwedwa - iUrology Care Foundation iqikelela ukuba ama-50 eepesenti yamadoda akwi-50s yawo ine-prostate eyandisiweyo. IProstate lidlala elivelisa amadlozi. Ikhula ngakumbi ngobudala. Iprostate eyandisiweyo, okanye i-benign prostatic hyperplasia (BPH), inokuthintela i-urethra ekuhambiseni umchamo kwisinyi nangaphandle kwelungu lobudoda.

Qhubeka ufunda ukuze ufunde ngonyango lwesintu lwe-BPH.

Iinketho zonyango lwe-BPH

Musa ukurhoxa ukuhlala ne-BPH. Ukujongana neempawu zakho ngoku kunokukunceda uphephe iingxaki kamva. Ukunganyangwa kwe-BPH kunokukhokelela kusulelo lwe-urinary tract, ugcino olunamandla lwe-urinary (awungekhe uhambe), kunye nezintso kunye namatye esinyi. Kwiimeko ezimandundu kungakhokelela ekonakaleni kwezintso.

Iinketho zonyango zibandakanya amayeza kunye notyando. Wena kunye nogqirha uya kuqaphela izinto ezininzi xa uvavanya ezi zikhetho. Ezi zinto zibandakanya:

• zingakanani iimpawu zakho eziphazamisana nobomi bakho
• ubungakanani beprostate yakho
• iminyaka yakho
• impilo yakho iyonke
• naziphi na ezinye iimeko zonyango

Iibhlokhi zeAlfa zeBPH

Eli klasi lamayeza lisebenza ngokuphumla kwizihlunu zentamo yesinyi kunye neentsinga zemisipha kwiprostate. Ukuphumla kwezihlunu kwenza kube lula ukuchama. Unokulindela ukonyuka kokuhamba komchamo kunye nesidingo esincinci sokuchama ngaphakathi kosuku okanye ezimbini ukuba uthatha i-alpha blocker ye-BPH. Iibhloko blocker zibandakanya:

• alfuzosin (Uroxatral)
• doxazosin (Cardura)
• isilodosin (iRapaflo)
• itamsulosin (Flomax)
• terazosin (IHytrin)

I-5-alpha reductase inhibitors ye-BPH

Olu hlobo lonyango linciphisa ubungakanani beprostate gland ngokuthintela iihomoni ezikhuthaza ukukhula kwedlala lobudoda. I-Dutasteride (Avodart) kunye ne-finasteride (Proscar) ziindidi ezimbini ze-5-alpha reductase inhibitors. Ngokuqhelekileyo kuya kufuneka ulinde iinyanga ezintathu ukuya kwezintandathu ukufumana isiqabu seempawu kunye ne-5-alpha reductase inhibitors.

Unyango lwe combo

Ukuthatha indibaniselwano ye-alpha blocker kunye ne-5-alpha reductase inhibitor ibonelela ngesiqabu esikhulu seempawu kunokuthatha elinye lala machiza uwedwa, ngokwenqaku elikwi. Ukudityaniswa kwonyango kuhlala kunconyelwa xa i-alpha blocker okanye i-5-alpha reductase inhibitor ayisebenzi yodwa. Umdibaniso oqhelekileyo ogqitywa ngoogqirha yi-finasteride kunye ne-doxazosin okanye i-dutasteride kunye ne-tamsulosin (Jalyn). Indibaniselwano ye-dutasteride kunye ne-tamsulosin iza njengeziyobisi ezibini zidityaniswe kwitafile enye.

Yima ubushushu

Kukho ukhetho oluncinci olungenayo utyando xa unyango lweziyobisi alwanele ukukhupha iimpawu ze-BPH. Ezi nkqubo zibandakanya i-transurethral microwave thermotherapy (TUMT). Ii-Microwaves zitshabalalisa izicubu zeprostate ngobushushu ngeli xesha lokugula.

I-TUMT ayizukuyinyanga i-BPH. Inkqubo iyalunciphisa urhoqo lomchamo, lwenze kube lula ukuchama, kunye nokunciphisa ukuhamba kancinci. Ayisombululi ingxaki yokungagqitywa okungagqitywanga kwesinyi.

Unyango lweTUNA

I-TUNA imele ukuhanjiswa kweenaliti. Amaza omoya ohamba ngesantya esiphezulu, athunyelwa ngeinaliti ezingamawele, atshisa indawo ethile yeprostate kule nkqubo. I-TUNA ikhokelela ekuhambeni okungcono komchamo kwaye ikhuphe iimpawu ze-BPH ngeengxaki ezimbalwa kunotyando olungenelelayo.

Le nkqubo yezigulana ezingalaliswayo inokubangela uvakalelo oluvuthayo. Imvakalelo inokulawulwa ngokusebenzisa i-anesthetic yokuthintela imithambo ngaphakathi nakwiindawo ezijikeleze iprotrate.

Ukungena emanzini ashushu

Amanzi ashushu ahanjiswa nge-catheter ukuya kwibhaluni yonyango ehleli embindini weprostate kunyango olwenziwe ngamanzi. Inkqubo elawulwa yikhompyuter iyatshisa indawo echaziweyo yeprostate ngelixa izicubu ezingabamelwane zikhuselwe. Ubushushu butshabalalisa izicwili ezinengxaki. Izicubu emva koko ziyakhutshwa ngomchamo okanye ziphinde zenziwe emzimbeni.

Ukhetho lotyando

Utyando oluhlaselayo lwe-BPH lubandakanya utyando lwe-transurethral, ​​olungadingi kutyando oluvulekileyo okanye ukusikwa kwangaphandle. NgokweZiko leSizwe lezeMpilo, ukuhanjiswa ngokutsha kweprostate kukhetho lokuqala lotyando lwe-BPH. Ugqirha ususa izicwili zeprostate ezithintela urethra usebenzisa i-resectoscope efakwe kwilungu lobudoda ngexesha le-TURP.

Enye indlela kukusikwa kweprostate (TUIP). Ngexesha le-TUIP, ugqirha wotyando wenza ukusikwa entanyeni yesinyi nakwiprostate. Oku kunceda ukwandisa i-urethra kunye nokunyusa ukuhamba komchamo.

Utyando lweLaser

Utyando lwe-Laser lwe-BPH lubandakanya ukufaka isithuba kwincam yelungu lobudoda kwi-urethra. I-laser edlulile kwisikali isusa izicwili zeprostate ngokupheliswa (ukunyibilika) okanye inyukliya (ukusika). I-laser inyibilikisa izicwili ezingaphezulu kweprostate kwi-photoselective vaporization yeprostate (PVP).

IHolmium laser ablation yeprostate (HoLAP) iyafana, kodwa kusetyenziswa uhlobo olwahlukileyo lwelaser. Ugqirha usebenzisa izixhobo ezibini ze-Holmium laser enucleation ye-Prostate (HoLEP): i-laser yokusika nokususa izicwili ezigqithisileyo kunye ne-morcellator ukusika izicwili ezongezelelweyo kumacandelo amancinci asuswe.

Vula iprostatectomy elula

Utyando oluvulekileyo lunokufuneka kwiimeko ezinzima zeprostate eyandisiweyo kakhulu, umonakalo wesinyi, okanye ezinye iingxaki. Kwi-prostatectomy elula evulekileyo, ugqirha wotyando wenza isiciko esingezantsi kwenkaba okanye izinto ezincinci ezisiswini esiswini nge-laparoscopy. Ngokungafaniyo neprostatectomy yomhlaza wedlala lobudoda xa kususwe yonke idlala lendlala, kwi-prostatectomy evulekileyo elula ugqirha ususa kuphela isahlulo seprostate esivimba ukuhamba komchamo.

Ukuzinyamekela kunokunceda

Ayingawo onke amadoda ane-BPH afuna amayeza okanye utyando. La manyathelo anokukunceda ulawule iimpawu ezinobulali:

• Yenza umthambo owomeleza i-pelvic.
• Hlala usebenza.
• Nciphisa ukuselwa kotywala kunye necaffeine.
• Yenza isithuba ngaphandle kokuba usela kangakanani kunokuba usele kakhulu ngexesha elinye.
• Ukuchama xa umnqweno uhlasela - sukulinda.
• Gwema i-decongestants kunye ne-antihistamines.

Thetha nogqirha wakho malunga nendlela yonyango ehambelana neemfuno zakho.