I-prostate ekhulisiwe

Indlala yesinye yindlala ekhiqiza olunye uketshezi oluthwala isidoda ngesikhathi sokukhishwa. Indlala yesinye izungeze umchamo, ishubhu lapho umchamo uphuma khona emzimbeni.

I-prostate ekhulisiwe isho ukuthi indlala ikhule kakhulu. Ukwandiswa kwesisu kwenzeka cishe kuwo wonke amadoda njengoba bekhula.

I-prostate ekhulisiwe ivame ukubizwa ngokuthi yi-benign prostatic hyperplasia (BPH). Akuwona umdlavuza, futhi ayiphakamisi ingozi yokuba nomdlavuza wendlala yabesilisa.

Imbangela yangempela yokwandiswa kwe-prostate ayaziwa. Izinto ezixhunyaniswe nokuguga nezinguquko kumaseli wamasende zingaba nendima ekukhuleni kwendlala, kanye namazinga e-testosterone. Abesilisa abakhishwe amasende besebancane (ngokwesibonelo, ngenxa yomdlavuza wamasende) ababi ne-BPH.

Futhi, uma amasende ekhishwa ngemuva kokuba indoda ibe ne-BPH, indlala yesinye iqala ukuncipha ngosayizi. Kodwa-ke, lokhu akuyona indlela ejwayelekile yokwelapha i-prostate enwetshiwe.

Amanye amaqiniso ngokukhuliswa kwendlala yesinye:

• Amathuba okukhulisa i-prostate enwetshiwe ayanda ngokukhula.
• I-BPH ivame kakhulu kangangokuthi kuye kwathiwa wonke amadoda azoba ne-prostate enwetshiwe uma ephila isikhathi eside ngokwanele.
• Inani elincane lokukhulisa i-prostate likhona emadodeni amaningi angaphezu kweminyaka engama-40. Abesilisa abangaphezu kwama-90% abaneminyaka engaphezu kuka-80 banesimo.
• Azikho izinto ezinobungozi ezikhonjisiwe, ngaphandle kokuba namasende asebenza ngokujwayelekile.

Abangaphansi kwengxenye yabo bonke abesilisa abane-BPH banezimpawu zalesi sifo. Izimpawu zingafaka:

• Ukushayela ekupheleni kokuchama
• Ukungakwazi ukuchama (ukugcinwa kwe-urinary)
• Ukukhishwa okungaphelele kwesinye sakho
• Ukungazibambi
• Kudingeka ukuchama izikhathi ezimbili noma ngaphezulu ubusuku ngabunye
• Ubuhlungu ngokuchama noma umchamo onegazi (lokhu kungakhombisa ukutheleleka)
• Ukuqala okuhamba kancane noma okulibazisekile kokusakazwa komchamo
• Eqonde ukuchama
• Isifiso esinamandla nesizuma sokuchama
• Ukusakaza komchamo obuthakathaka

Umhlinzeki wakho wokunakekelwa kwezempilo uzobuza imibuzo ngomlando wakho wezokwelapha. Ukuhlolwa kwamakholomu edijithali kuzokwenziwa futhi ukuzwa indlala yesinye. Ezinye izivivinyo zingafaka:

• Izinga lokugeleza komchamo
• Ukuhlolwa komchamo osele ngemuva kokungena ukuze ubone ukuthi kungakanani umchamo osele esinyeni sakho ngemuva kokuchama
• Ucwaningo lokugeleza kwengcindezi ukukala ingcindezi esinyeni njengoba uchama
• Ukuhlolwa kwe-urinalysis ukuhlola igazi noma ukutheleleka
• Isiko lomchamo lokuhlola ukutheleleka
• Ukuhlolwa kwegazi leProstate-specific antigen (PSA) ukuhlola umdlavuza wendlala yabesilisa
• I-cystoscopy
• Igazi urea nitrogen (BUN) nokuhlolwa kwe-creatinine

Ungacelwa ukuthi ugcwalise ifomu ukukala ukuthi zimbi kangakanani izimpawu zakho nokuthi ziyithinta kanjani impilo yakho yansuku zonke. Umhlinzeki wakho angasebenzisa leli banga ukwahlulela uma isimo sakho siba sibi ngokuhamba kwesikhathi.

Ukwelashwa okukhethayo kuzoncika ekutheni izimpawu zakho zimbi kangakanani nokuthi zikukhathaza kangakanani. Umhlinzeki wakho uzobheka nezinye izinkinga zezokwelapha ongahle ube nazo.

Izinketho zokwelashwa zifaka "ukulinda okubukhali," izinguquko zendlela yokuphila, imithi, noma ukuhlinzwa.

Uma ungaphezu kweminyaka engama-60, kungenzeka ukuthi ube nezimpawu. Kepha amadoda amaningi ane-prostate enwetshiwe anezimpawu ezincane kuphela. Izinyathelo zokuzinakekela zivame ngokwanele ukukwenza uzizwe ungcono.

Uma une-BPH, kufanele uhlolwe minyaka yonke ukuqapha izimpawu zakho bese ubona ukuthi udinga izinguquko ekwelashweni.

UKUZINAKEKELA

Ngezimpawu ezincane:

• Chama lapho uqala ukuthola isifiso. Futhi, hamba uye endlini yangasese ngesikhathi esimisiwe, noma ungazizwa unesidingo sokuchama.
• Gwema utshwala ne-caffeine, ikakhulukazi ngemuva kokudla kwakusihlwa.
• UNGAPHUZI uketshezi oluningi ngasikhathi sinye. Spread fluids emini. Gwema uketshezi lokuphuza kungakapheli amahora amabili ngaphambi kokulala.
• Zama ukungathathi imishanguzo yamakhaza namakhambi e-counter equkethe ama-decongestants noma ama-antihistamine. Le mithi ingakhuphula izimpawu ze-BPH.
• Gcina ukufudumala nokuzivocavoca umzimba njalo. Isimo sezulu esibandayo nokuntuleka kokuvivinya umzimba kungazenza zibe zimbi izimpawu.
• Nciphisa ukucindezeleka. Ukwesaba nokungezwani kungaholela ekuchameni kaningi.

IMITHI

Ama-alpha-1 blockers ayisigaba semithi esetshenziselwa ukwelapha umfutho wegazi ophezulu. Le mithi idambisa imisipha yentsamo yesinye kanye ne-prostate. Lokhu kuvumela ukuchama okulula. Abantu abaningi abathatha i-alpha-1 blocker babona ukuthuthuka kwezimpawu zabo, imvamisa kungakapheli izinsuku ezi-3 kuye kwezi-7 ngemuva kokuqala umuthi.

Amazinga aphansi we-Finasteride ne-dutasteride ama-hormone akhiqizwa yi-prostate. Le mithi futhi inciphisa ubukhulu bendlala, inyuse izinga lokugeleza komchamo, futhi yehlise nezimpawu ze-BPH. Ungadinga ukuthatha le mithi izinyanga ezi-3 kuya kwezi-6 ngaphambi kokuthi ubone izimpawu zokuba ngcono. Imiphumela emibi engaba khona ifaka phakathi ukwehla kwe-sex drive nokungabi namandla.

Ama-antibiotic angabelwa ukuthi aphathe i-prostatitis engapheli (ukuvuvukala kwe-prostate), okungenzeka kube ne-BPH. Izimpawu ze-BPH ziyathuthuka kwamanye amadoda ngemuva kwenkambo yama-antibiotic.

Qaphela izidakamizwa ezingenza izimpawu zakho zibe zimbi kakhulu:

WABONA U-PALMETTO

Amakhambi amaningi azamile ukwelapha indlala yesinye. Amadoda amaningi asebenzisa i-saw palmetto ukunciphisa izimpawu. Ezinye izifundo zikhombisile ukuthi kungasiza ngezimpawu, kepha imiphumela ixubekile, futhi kudingeka olunye ucwaningo. Uma usebenzisa i-saw palmetto futhi ucabanga ukuthi iyasebenza, buza udokotela wakho ukuthi ngabe kusamele uyithathe.

UKUHLINZA

Kunganconywa ukuhlinzwa kwendlala yesinye uma une:

• Ukungazibambi
• Igazi eliphindaphindayo emchameni
• Ukwehluleka ukukhipha ngokuphelele isinye (ukugcinwa kwe-urinary)
• Ukutheleleka okuvamile komchamo
• Ukwehla kokusebenza kwezinso
• Amatshe esinye
• Izimpawu ze-Bothersome ezingaphenduli emithini

Ukukhethwa kwendlela yokuhlinzwa okunconywayo kuvame kakhulu ngokususelwa ebukhali bezimpawu zakho nosayizi nokuma kwendlala yakho ye-prostate. Iningi lamadoda ahlinzwe indlala yesibeletho athuthukile emazingeni okugeleza komchamo nasezimpawu.

Ukuthengiswa kabusha kwe-prostate (TURP) eTransurethral: Lokhu ukwelashwa okuvame kakhulu futhi okufakazelwe kakhulu kwe-BPH. I-TURP yenziwa ngokufaka isikalo ngomthondo nokususa ucezu lwendlala yesinye.

I-prostatectomy elula: Kuyinqubo yokususa ingxenye yangaphakathi yendlala yesinye. Kwenziwa ngokusika kokuhlinzwa esiswini sakho esingezansi. Lokhu kwelashwa kuvame ukwenziwa emadodeni anezindlala ezinkulu kakhulu zesinye.

Ezinye izinqubo ezingangenisi kakhulu zisebenzisa ukushisa noma i-laser ukuqeda izicubu zesibeletho. Enye inqubo engahlaseli kakhulu isebenza ngokuthi "kuthathwe" i-prostate evulekile ngaphandle kokususa noma ukubhubhisa izicubu. Akukho okuye kwafakazelwa ukuthi kungcono kune-TURP. Abantu abathola lezi zinqubo kungenzeka badinge ukuhlinzwa futhi ngemuva kweminyaka emihlanu noma eyishumi. Noma kunjalo, lezi zinqubo zingase zikhethe uku:

• Amadoda amancane (iningi lezinqubo ezingangenisi kakhulu zibeka engcupheni ephansi yokungabi namandla nokuzijwayeza kune-TURP, yize ingozi nge-TURP ingekho kakhulu)
• Abantu abadala
• Abantu abanezimo ezinzima zezokwelapha, kufaka phakathi isifo sikashukela esingalawulwa, i-cirrhosis, ukuphuza ngokweqile, i-psychosis, namaphaphu amakhulu, izinso, noma isifo senhliziyo
• Abesilisa abathatha imishanguzo yokuncipha kwegazi
• Abesilisa abangenabo ubungozi bokuhlinzwa obandayo

Amanye amadoda angakuthola kuwusizo ukubamba iqhaza eqenjini lokwesekwa le-BPH.

Amadoda asenesikhathi eside ene-BPH anezimpawu eziya ziba zimbi kancane angakhula:

• Ukungakwazi ukuchama kungazelelwe
• Ukutheleleka ngomgudu womchamo
• Amatshe e-Urinary
• Ukulimala kwezinso
• Igazi emchameni

I-BPH ingabuya ngokuhamba kwesikhathi, ngisho nangemva kokuhlinzwa.

Shayela umhlinzeki wakho ngokushesha uma une:

• Umchamo omncane kunokujwayelekile
• Imfiva noma amakhaza
• Ubuhlungu emuva, ohlangothini, noma besisu
• Igazi noma ubomvu emchameni wakho

Fonela futhi uma:

• Isinye sakho asizizwa singenalutho ngokuphelele ngemuva kokuchama.
• Uthatha imithi engadala izinkinga zomchamo, njenge-diuretics, antihistamines, anti-depressants, noma sedatives. Ungayeki noma ushintshe imithi yakho ngaphandle kokukhuluma nomhlinzeki wakho.
• Uzame izinyathelo zokuzinakekela izinyanga ezi-2 futhi izimpawu azikathuthuki.

BPH; I-Benign prostatic hyperplasia (i-hypertrophy); I-Prostate - ikhulisiwe

• I-prostate ekhulisiwe - okufanele ubuze udokotela wakho
• Ukukhishwa kwe-Prostate - ukukhipha okuncane okungajwayelekile
• Ukudluliswa kabusha kwe-prostatethral kwe-prostate - ukukhishwa

• I-anatomy yokuzala yowesilisa
• BPH
• Ukuthengiswa kabusha kwe-prostate (TURP) - Uchungechunge

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