Ukutheleleka Kwendlala Yesinye

-Delile

• Kuyini ukutheleleka kwendlala yesinye?
• Izinhlobo ze-prostatitis
• Izimbangela ze-prostatitis
• Izimpawu zokutheleleka kwe-prostate
• I-bacterial prostatitis enamandla
• I-bacterial prostatitis engapheli
• I-prostatitis engapheli
• Udokotela wakho uzokuhlonza kanjani ukutheleleka kwendlala yesinye?
• Ulapha kanjani i-prostate infection?
• I-bacterial prostatitis
• I-prostatitis engapheli
• Ezinye izindlela zokwelapha
• I-prostatitis ephindaphindiwe
• Umbono
• Ukudla okudlela endlini

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Kuyini ukutheleleka kwendlala yesinye?

Ukutheleleka kwe-prostate (i-prostatitis) kwenzeka lapho i-prostate yakho kanye nendawo ezungezile ivutha. Indlala yesinye icishe ilingane ne-walnut. Itholakala phakathi kwesinye nesisekelo sowesilisa. Ishubhu elihambisa umchamo lisuka esinyeni liye enduneni (urethra) ligijima lingene maphakathi ne-prostate yakho. I-urethra ibuye ihambise isidoda ezisuka kwizindlala zocansi iye ethangeni.

Izinhlobo eziningi zezifo zingathinta indlala yesinye. Abanye besilisa abane-prostatitis abanazo izimpawu nhlobo, kanti abanye babika eziningi, kufaka phakathi nobuhlungu obukhulu.

Izinhlobo ze-prostatitis

Kunezinhlobo ezine ze-prostatitis:

I-acute bacterial prostatitis: Lolu hlobo lungajwayelekile kakhulu futhi luhlala isikhashana. Kungasongela impilo futhi uma kungalashwa. Lolu uhlobo olulula lokuxilonga i-prostatitis.

I-bacterial prostatitis engapheli: Izimpawu azibi kakhulu futhi zikhula ngaphezu kweminyaka eminingana. Kungenzeka ukuthi ithinte abesilisa abasebasha nabaphakathi nendawo futhi ibangele ukutheleleka okuvela kaningi komgudu womchamo (UTIs).

I-prostatitis engapheli, noma isifo esibuhlungu esibuhlungu se-pelvic: Lesi simo sibangela ubuhlungu nokungaphatheki kahle ezungeze indawo yokubamba kanye nendawo okhalo lwayo. Kungathinta abesilisa bayo yonke iminyaka.

I-prostatitis yokuvuvukala engabonakali: I-prostate iyavuvukala kepha azikho izimpawu. Kuvame ukutholakala lapho udokotela exilonga enye inkinga.

Izimbangela ze-prostatitis

Imbangela yokutheleleka kwendlala yesinye ayicaci ngaso sonke isikhathi. Nge-prostatitis engapheli, imbangela ngqo ayaziwa. Abaphenyi bakholelwa ukuthi:

• i-microorganism ingadala i-prostatitis engapheli
• amasosha akho omzimba aphendula ku-UTI yangaphambilini
• amasosha akho omzimba asabela ekulimaleni kwemizwa endaweni

Nge-bacterial acute futhi engalapheki i-prostatitis, ukutheleleka ngamagciwane kuyimbangela. Kwesinye isikhathi, amabhaktheriya angangena kwi-prostate ngokusebenzisa i-urethra.

Usengozini enkulu yokutheleleka nge-prostate uma usebenzisa i-catheter noma unenqubo yezokwelapha ehilela urethra. Ezinye izinto ezinobungozi zifaka:

• ukuvimbela isinye
• ukutheleleka
• izifo ezithathelwana ngocansi (STDs)
• i-prostate ekhulisiwe noma ukulimala, okungakhuthaza ukutheleleka

Izimpawu zokutheleleka kwe-prostate

Izimpawu zokutheleleka kwendlala yesinye ziyahlukahluka kuye ngohlobo.

I-bacterial prostatitis enamandla

Izimpawu ze-bacterial prostatitis ebucayi zibucayi futhi zenzeka kungazelelwe. Funa usizo lwezokwelapha ngokushesha uma uhlangabezana:

• ukushisa noma ubuhlungu ngesikhathi uchama
• isicanucanu nokuhlanza
• Ubuhlungu bomzimba
• ukungakwazi ukukhipha isinye sakho
• umkhuhlane namakhaza
• ubuhlungu esiswini sakho noma emhlane ongezansi

Kufanele wazise udokotela wakho uma ngabe enye yalezi zimpawu ezilandelayo ihlala isikhathi eside kunezinsuku ezimbalwa:

• uhlangabezana nenkinga yokuchama, noma ngabe uqala noma unomsinga obuthakathaka
• cabanga ukuthi une-UTI
• unesidingo sokuchama kaningi
• uhlangabezana nocturia, noma isidingo sokuchama kabili noma kathathu ebusuku

Ungabona futhi iphunga noma igazi elibi kumchamo wakho noma isidoda. Noma uzwe ubuhlungu obukhulu esiswini sakho esingezansi noma lapho uchama. Lokhu kungaba yizimpawu zesifo esibi se-bacterial prostatitis.

I-bacterial prostatitis engapheli

Izimpawu zokutheleleka okungamahlalakhona, ezingafika zidlule, azinzima njengokutheleleka okunamandla. Lezi zimpawu zikhula kancane noma zihlala zimnene. Izimpawu zingahlala ngaphezu kwezinyanga ezintathu, futhi zifaka:

• ukusha ube uchama
• ukuchama kaningi noma okuphuthumayo
• ubuhlungu obuzungeze imbila, isisu esingezansi, noma iqolo
• ubuhlungu besinye
• isende noma ubuhlungu bepipi
• unenkinga yokuqala ukusakaza umchamo noma ukuba nomfudlana obuthakathaka
• ukuphuma okubuhlungu
• UTI

I-prostatitis engapheli

Izimpawu ze-prostatitis engapheli ziyafana nezimpawu ezitholwa yi-bacterial prostatitis engapheli. Ungase futhi ube nemizwa yokungakhululeki noma yobuhlungu izinyanga ezintathu noma ngaphezulu:

• phakathi kwesikhwama sakho sendoda kanye nendunu
• isisu esiphakathi nendawo
• ezungeze ipipi lakho, isirobhothi, noma iqolo
• ngesikhathi noma ngemuva kokukhishwa

Bona udokotela uma unezinhlungu zomgogodla, ukuchama kabuhlungu, noma ukuphuma okubuhlungu.

Udokotela wakho uzokuhlonza kanjani ukutheleleka kwendlala yesinye?

Ukuxilongwa kokutheleleka kwe-prostate kusekelwe emlandweni wakho wezokwelapha, ukuhlolwa ngokomzimba, nokuhlolwa kwezokwelapha. Udokotela wakho angakhipha nezinye izimo ezibucayi ezifana nomdlavuza wendlala yesinye ngesikhathi sokuhlolwa. Ngesikhathi sokuhlolwa komzimba, udokotela wakho uzokwenza ukuhlolwa kwamakholomu edijithali ukuze avivinye indlala yakho futhi azobheka:

• ukukhipha
• ama-lymph node akhulisiwe noma athambile emgodini
• i-scrotum evuvukile noma yethenda

Udokotela wakho angabuza futhi ngezimpawu zakho, ama-UTI wakamuva, nemithi noma izengezo ozithathayo. Ezinye izivivinyo zezokwelapha ezingasiza uhlelo lwakho lokuxilongwa nokwelashwa zifaka:

• ukuhlaziywa komchamo noma ukuhlaziywa kwesidoda, ukubheka izifo
• i-prostate biopsy noma ukuhlolwa kwegazi kwe-antigen eqondene ne-prostate (PSA)
• ukuhlolwa kwe-urodynamic, ukubona ukuthi umchamo wakho wesinye nowe urethra ugcina kanjani
• cystoscopy, ukubheka ngaphakathi kwe-urethra kanye nesinye ukuvimba

Udokotela wakho angaphinde ayale i-ultrasound ukuze ubukisise. Isizathu sizosiza ekutholeni inkambo yokwelashwa efanele.

Ulapha kanjani i-prostate infection?

I-bacterial prostatitis

Ngesikhathi sokwelashwa, udokotela wakho angancoma ukuthi ukwandise ukungena kwakho ketshezi ukusiza ukukhipha amabhaktheriya. Ungakuthola kuzuzisa ukugwema utshwala, i-caffeine, nokudla okune-asidi noma okubabayo.

Nge-bacterial prostatitis, uzothatha ama-antibiotic noma ama-antimicrobial amasonto ayisithupha kuya kwayisishiyagalombili. Uma unesifo esibi kakhulu, ungadinga ukulaliswa esibhedlela. Ngalesi sikhathi, uzothola uketshezi namagciwane ngemithambo yegazi.

Ukutheleleka okungapheli kwegciwane kudinga okungenani izinyanga eziyisithupha zemithi elwa namagciwane. Lokhu ukuvikela izifo eziphindaphindayo. Udokotela wakho angaphinde anikeze ama-alpha-blockers ukusiza imisipha yakho yesinye ukuthi iphumule futhi inciphise izimpawu.

Ungadinga ukuhlinzwa uma kunokuvinjelwa esinyeni noma enye inkinga ye-anatomic. Ukuhlinzwa kungasiza ekuthuthukiseni ukugeleza komchamo nokugcinwa komchamo ngokususa izicubu ezibomvu.

I-prostatitis engapheli

Ukwelashwa kwe-prostatitis engapheli kuya ngezimpawu zakho. Udokotela wakho uzohlinzeka ngama-antibiotic ekuqaleni ukukhipha ukutheleleka kwamagciwane. Eminye imithi yokusiza ekunciphiseni ukungakhululeki nobuhlungu ifaka phakathi:

• i-silodosin (Rapaflo)
• izidakamizwa ezingezona ukuvuvukala (i-NSAIDS) ezinjenge-ibuprofen ne-aspirin
• i-glycosaminoglycan (i-chondroitin sulfate)
• ukuphumula kwemisipha njenge-cyclobenzaprine ne-clonazepam
• ama-neuromodulators

Ezinye izindlela zokwelapha

Abanye abantu bangathola izinzuzo kusuka:

• okugeza okufudumele noma ukubhucungwa kwendlala
• ukwelashwa kokushisa okuvela emabhodleleni amanzi ashisayo noma amapayipi okushisa
• Ukuzivocavoca kweKegel, ukusiza ukuqeqesha isinye
• ukukhululwa kwe-myofascial, ukusiza ukukhulula izicubu ezithambile emhlane ongezansi
• ukuzivocavoca umzimba
• ukutshopa
• biofeedback

Njalo khuluma nodokotela wakho ngaphambi kokuzama umuthi ohambisanayo noma ohlukile. Ukwelashwa okufana nezithasiselo namakhambi kungahle kuhlanganyele nemithi osuvele uyiphuza.

I-prostatitis ephindaphindiwe

Kubalulekile ukuthatha yonke imishanguzo udokotela wakho akunika yona ukuqeda amagciwane. Kepha i-bacterial prostatitis ingahle ibuye, noma ngabe kunama-antibiotic. Lokhu kungabangelwa ukuthi ama-antibiotic awasebenzi noma awabhubhisi wonke amabhaktheriya.

Ungadinga ukuthatha imishanguzo isikhathi eside noma uzame eyehlukile. Cela udokotela wakho ukuthi akudlulisele kochwepheshe, njengo-urologist, uma une-prostatitis ephindaphindayo.Bangakwazi ukuhlola ukuthola amabhaktheriya athile abangela ukutheleleka. Ukuqoqa lolu lwazi, udokotela wakho uzokhipha uketshezi oluvela endlaleni yakho yesinye. Ngemuva kokuthola amagciwane, udokotela wakho angakunikeza imithi ehlukile.

Umbono

Endabeni yokutheleleka, i-bacterial prostatitis izophuma ngokwelashwa okufanele. I-prostatitis engapheli ingadinga ukwelashwa okuhlukahlukene okuhlukahlukene.

Izinkinga ze-acute prostatitis zifaka:

• amagciwane egazini
• ukwakheka kwethumba
• ukungakwazi ukuchama
• sepsis
• ukufa, ezimweni ezimbi kakhulu

Izinkinga ze-prostatitis engapheli zingafaka:

• ubunzima bokuchama
• ukungasebenzi ngokocansi
• ubuhlungu obungapheli be-pelvic
• ubuhlungu obungapheli ngokuchama

Kungenzeka ukuthi ube namazinga aphakeme e-PSA ngokutheleleka kwe-prostate. Amaleveli ngokuvamile abuyela ebangeni elijwayelekile kungakapheli inyanga eyodwa kuya kwezintathu. Landela udokotela wakho ngemuva kokuqeda ukwelashwa. Uma amazinga akho enganciphi, udokotela wakho angancoma inkambo ende yama-antibiotic noma i-prostate biopsy ukuze afune umdlavuza we-prostate.

Ukudla okudlela endlini

Ukutheleleka kwendlala yesinye, ngisho nokungalapheki, akuhlangene nakancane nomdlavuza wendlala yabesilisa. Futhi azikhulisi ingozi yokuba nomdlavuza wendlala yabesilisa. Ukutheleleka kwe-prostate nakho kungathelelani noma kubangelwe umlingani wakho. Ungaqhubeka nokuya ocansini inqobo nje uma ungekho ebunzimeni.

Khuluma nodokotela wakho uma uhlangabezana nezimpawu zesifo se-prostate. Lokhu kungabandakanya ukungakhululeki lapho uchama noma ubuhlungu obuzungeze umgogodla noma emuva ophansi. Kungcono ukuthola ukuxilongwa kusenesikhathi ukuze uqale ukwelashwa. Kwezinye izimo, njenge-bacterial prostatitis ebukhali, ukwelashwa kusenesikhathi kubalulekile ekubukeni kwakho.