Yakawedzera prostate

Prostate igland rinoburitsa zvimwe zvemvura inotakura urume panguva yekubuda. Iyo prostate gland yakakomberedza urethra, iyo chubhu inopfuura nayo weti kunze kwemuviri.

Kuwedzera kweprostate zvinoreva kuti gland rakura. Kuwedzera kweprostate kunoitika kune vangangoita vese varume sezvavanokura.

Prostate yakakura inowanzonzi benign prostatic hyperplasia (BPH). Haisi kenza, uye haisimudzi mukana wako wekenza yeprostate.

Chikonzero chaicho chekuwedzera kweprostate hachizivikanwe. Zviitiko zvakabatana nekukwegura uye shanduko mumasero emachende anogona kuita basa mukukura kwegland, pamwe nemazinga e testosterone. Varume vakave vakabviswa machende pazera diki (semuenzaniso, semhedzisiro yekenza yechipupuriro) havaiti BPH.

Zvakare, kana machende akabviswa mushure mekunge murume agadzira BPH, prostate inotanga kudzikira muhukuru. Nekudaro, uyu hausati uri mushonga chaiwo weprostate yakawedzerwa.

Zvimwe chokwadi nezve kuwedzera kweprostate:

• Iko mukana wekuvandudza iyo yakawedzera prostate inowedzera nezera.
• BPH yakajairika zvekuti zvakanzi varume vese vanozove neprostate yakakura kana vachirarama kwenguva yakareba zvakakwana.
• Chishoma chekuwedzera kweprostate chiripo muvarume vazhinji vanopfuura makore makumi mana. Vanopfuura makumi mapfumbamwe muzana evarume vanopfuura makore makumi masere vane mamiriro acho.
• Hapana zvinhu zvine njodzi zvakaonekwa, kunze kwekunge uine chaiwo-anoshanda machende.

Pasina hafu yevarume vese vane BPH vane zviratidzo zvechirwere. Zviratidzo zvinogona kusanganisira:

• Kutyaira pakupera kwekuita weti
• Kusakwanisa kuita weti (kuchengetedza weti)
• Kusakwana kudurura dundira rako
• Kusazvidzora
• Inoda kuita weti kaviri kana kupfuura nguva husiku
• Marwadzo nekubuda kana weti ine ropa (izvi zvinogona kuratidza hutachiona)
• Inononoka kana kunonoka kutanga kwerwizi rwizi
• Kutwasuka kuita weti
• Yakasimba uye kamwe kamwe kukurudzira kuita weti
• Weti isina kusimba rukova

Anopa hutano hwako anozobvunza mibvunzo nezve yako nhoroondo yezvokurapa. Kuongororwa kwedigital rectal kunozoitwawo kuti unzwe iyo prostate gland. Mimwe bvunzo inogona kusanganisira:

• Urini kuyerera mwero
• Post-void residual urine test kuti uone kuti weti yakawanda sei yasara mudundira rako mushure mekunge weti
• Kumanikidza-kuyerera zvidzidzo kuyera kumanikidza kuri mudundira paunenge uchiita weti
• Urinalysis kutarisa ropa kana hutachiona
• Urine tsika yekutarisa hutachiona
• Prostate-yakatarwa antigen (PSA) kuongororwa kweropa kuongorora kenza yeprostate
• Cystoscopy
• Ropa urea nitrogen (BUN) uye creatinine bvunzo

Iwe unogona kukumbirwa kuzadza fomu kuti uone kuti zvakaipa sei zviratidzo zvako uye kuti zvakakanganisa sei hupenyu hwako hwezuva nezuva. Wako mupi anogona kushandisa uyu mamaki kutonga kana mamiriro ako ari kuramba achiipa nekufamba kwenguva.

Kurapa kwaunosarudza kunoenderana nekuti yakaipa sei zviratidzo zvako uye kuti zvinokushungurudza zvakadii. Wako mupi achafungawo nezve mamwe matambudziko ekurapa aungave nawo.

Sarudzo dzekurapa dzinosanganisira "kungwarira kumirira," shanduko yemararamiro, mishonga, kana kuvhiyiwa.

Kana iwe uri pamusoro pemakumi matanhatu, iwe unowanzo kuve nezviratidzo. Asi varume vazhinji vane prostate yakakura vane zviratidzo zvishoma chete. Matanho ekuzvitarisira kazhinji anokwana kuita kuti unzwe zvirinani.

Kana iwe uine BPH, unofanirwa kunge uine bvunzo dzegore rose kuti utarise zviratidzo zvako uye uone kana uchida shanduko pakurapwa.

KUZVIITIRA

Kune zviratidzo zvinyoro.

• Weti paunotanga kuwana chishuwo. Zvakare, enda kuimba yekugezera pane imwe nguva yakatarwa, kunyangwe kana iwe uchinzwa kusada kuita weti.
• Dzivisa doro uye caffeine, kunyanya mushure mekudya kwemanheru.
• Usamwa mvura yakawanda nguva imwe chete. Paridza mvura mukati mezuva. Dzivisa kunwa zvinwiwa mukati maawa maviri ekurara.
• Edza KUTI utore pamusoro-iyo-counter inotonhorera uye sinus mishonga iyo ine decongestants kana antihistamines. Iyi mishonga inogona kuwedzera BPH zviratidzo.
• Ramba uchidziya uye uchirovedza muviri nguva dzose. Kutonhora kwemamiriro ekunze uye kushomeka kwechiitiko chemuviri kunogona kukuvadza zviratidzo.
• Deredza kushushikana. Kutya uye kukakavara zvinogona kutungamira mukuita weti kakawanda.

MISHONGA

Alpha-1 blockers iri kirasi yemishonga iyo inoshandiswa zvakare kurapa yakakwira BP. Iyi mishonga inodzikamisa mhasuru dzemuhuro wedundira neprostate. Izvi zvinobvumira kuita weti nyore. Vazhinji vanhu vanotora alpha-1 blockers vanoona kuvandudzwa muzviratidzo zvavo, kazhinji mukati memazuva matatu kusvika manomwe mushure mekutanga mushonga.

Finasteride uye dutasteride akadzika ezasi mahormone anogadzirwa neprostate. Iyi mishonga inoderedza saizi yegland, inowedzera weti kuyerera, uye inoderedza zviratidzo zveBPH. Ungangoda kutora mishonga iyi kwemwedzi mitatu kusvika kumatanhatu usati waona zviratidzo zvave kuita nani. Zvinogona kuitika mhedzisiro zvinosanganisira kuderera kwepabonde kutyaira uye kushaya simba.

Mishonga inorwisa mabhakitiriya inogona kupihwa kurapwa kwenguva refu prostatitis (kuzvimba kweprostate), izvo zvinogona kuitika neBPH. BPH zviratidzo zvinovandudza mune vamwe varume mushure mekosi yemishonga inorwisa mabhakitiriya.

Chenjerera zvinodhaka zvinogona kuita kuti zviratidzo zvako zviwedzere.

AKAONA PALMETTO

Mishonga yakawanda yakaedzwa pakurapa prostate yakawedzerwa. Varume vazhinji vanoshandisa saw palmetto kurerutsa zviratidzo. Zvimwe zvidzidzo zvakaratidza kuti zvinogona kubatsira nezviratidzo, asi mhedzisiro inosanganiswa, uye kumwe kutsva kunodiwa. Kana iwe ukashandisa saw palmetto uye uchifunga kuti zvinoshanda, bvunza chiremba wako kana iwe uchifanirwa kuitora.

Kuvhiya

Kuvhiya kweprostate kunogona kukurudzirwa kana iwe uine:

• Kusazvidzora
• Ropa rinowanzoitika mumuti
• Kusakwanisa kuburitsa zvizere dundira (kuchengetedza weti)
• Dzokororo urinary turakiti hutachiona
• Kuderedza kushanda kweitsvo
• Matombo edundira
• Zviratidzo zvekumwe kusapindura kumishonga

Kusarudzwa kweiyo nzira yekuvhiya inokurudzirwa kazhinji kazhinji kunoenderana nekuomarara kwezviratidzo zvako uye saizi uye chimiro cheprostate gland yako. Vazhinji varume vane chirwere cheprostate vanovandudza mune weti kuyerera mazinga uye zviratidzo.

Transurethral resection yeprostate (TURP): Iyi ndiyo inonyanya kurapwa uye yakanyanya kurapwa kurapwa kweBPH. TURP inoitwa nekuisa chiyero kuburikidza nepeni uye kubvisa iyo prostate chidimbu nechidimbu.

Yakareruka prostatectomy: Iyo maitiro ekubvisa iyo yemukati chikamu cheprostate gland. Izvo zvinoitwa kuburikidza nekucheka kwekuvhiya mudumbu rako rezasi. Iyi kurapwa inowanzoitwa pavarume vane hombe kwazvo prostate gland.

Dzimwe nzira diki-dzinokanganisa dzinoshandisa kupisa kana laser kuparadza prostate tishu. Imwe nzira isingakanganisi inoshanda neku "bata" iyo prostate yakavhurika isina kubvisa kana kuparadza nyama. Hapana akaratidzirwa kuve ari nani kupfuura TURP. Vanhu vanogamuchira maitiro aya vangangoda kuvhiyiwa zvakare mushure memakore mashanu kana gumi. Nekudaro, maitiro aya anogona kunge ari sarudzo ye:

• Varume vadiki (mazhinji easina kuvhiringidza maitiro ane njodzi yakaderera yekushaya simba uye kusagadzikana pane TURP, kunyangwe njodzi neTURP isiri yakanyanya kukwirira)
• Vanhu vakuru
• Vanhu vane zvakakomba zvehutano mamiriro, anosanganisira asingadzoreke chirwere cheshuga, cirrhosis, kudhakwa, psychosis, uye zvakakomba mapapu, itsvo, kana chirwere chemwoyo
• Varume vari kutora mishonga-yekuonda ropa
• Varume avo vari pane imwe njodzi yekuvhiya yakawedzera

Vamwe varume vanogona kuona zvichibatsira kutora chikamu muboka rekutsigira BPH.

Varume vane BPH kwenguva yakareba uye zvishoma nezvishoma kuwedzera zviratidzo zvinogona kukura:

• Kamwe kamwe kutadza kuita weti
• Urinary turakiti hutachiona
• Urinary matombo
• Kukuvadza kune itsvo
• Ropa mune weti

BPH inogona kudzoka nekufamba kwenguva, kunyangwe mushure mekuvhiyiwa.

Fonera mupiki wako ipapo kana uine:

• Kashoma weti kupfuura zvakajairwa
• Fivha kana kutonhora
• Kudzoka, padivi, kana kurwadziwa mudumbu
• Ropa kana pus mumuti wako weti

Zvakare fona kana:

• Dundira rako harinzwe risina kana chinhu mushure mekuweta.
• Iwe unotora mishonga inogona kukonzeresa weti matambudziko, senge diuretics, antihistamines, antidepressants, kana sedatives. Usamise kana kushandura mishonga yako usingataure nemupi wako.
• Wakaedza matanho ekuzvichengeta kwemwedzi miviri uye zviratidzo hazvina kuvandudzika.

BPH; Benign prostatic hyperplasia (hypertrophy); Prostate - yakawedzerwa

• Yakawedzera prostate - chii chekubvunza chiremba wako
• Prostate resection - zvishoma zvisingaiti - kubuda
• Transurethral resection yeprostate - kubuda

• Utano hwemurume hwekubereka
• BPH
• Transurethral resection yeprostate (TURP) - Series

Andersson KE, Wein AJ. Pharmacologic manejimendi yepasi weti nzira yekuchengetera uye kubvisa kukundikana. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chits. 79.

Mureri HE, Dahm P, Kohler TS, Lerner LB, et al. Kuvhiya manejimendi ezasi eurineti turakiti zviratidzo zvinonzi kune benign prostatic hyperplasia: AUA Guideline Amendment 2019. J Urol. 2019; ; 202 (3): 592-598. PMID: 31059668 www.ncbi.nlm.nih.gov/pubmed/31059668.

McNicholas TA, Mutauri MJ, Kirby RS. Kuongorora uye manejimendi manejimendi ebenign prostatic hyperplasia. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chits. 104.

National Institute of Chirwere cheshuga uye Digestive uye Kidney Zvirwere webhusaiti. Kuwedzera kweprostate (benign prostatic hyperplasia). www.niddk.nih.gov/health-information/urologic-diseases/prostate-problems/prostate-enlargement-benign-prostatic-hyperplasia. Yakagadziridzwa Nyamavhuvhu 2014. Yakasvika Nyamavhuvhu 7, 2019.

Sandhu JS, Breyer B, Munyori C, et al. Kusagadzikana mushure mekurapwa kweprostate: AUA / SUFU Nongedzo. J Urol. 2019; 202 (2): 369-378. PMID: 31059663 www.ncbi.nlm.nih.gov/pubmed/31059663.

Terrone C, Billia M. Kurapa kwezvinhu zvekurapa kweLUTS / BPH: kusanganisa kurapa. Mune: Morgia G, ed. Pazasi Urinary Tract Zviratidzo uye Benign Prostatic Hyperplasia. Cambridge, MA: Elsevier Dzidzo Press; 2018: chits. 11.