Izindlela Zokwelapha Ngokwendabuko zeProstate Ekhulisiwe

-Delile

• Izinketho zokwelashwa kwe-BPH
• I-Alpha blockers ye-BPH
• Ama-5-alpha reductase inhibitors we-BPH
• Imithi combo
• Misa ukushisa
• Ukwelashwa kwe-TUNA
• Ukungena emanzini ashisayo
• Izinketho zokuhlinzwa
• Ukuhlinzwa kwe-Laser
• Vula i-prostatectomy elula
• Ukuzinakekela kungasiza

Ukuqaphela i-BPH

Uma ukuhambela indlu yangasese kudinga amadeshi angazelelwe noma kumakwe ubunzima ngokuchama, indlala yakho ingakhuliswa. Awuwedwa - i-Urology Care Foundation ilinganisela ukuthi amaphesenti angama-50 wamadoda aseminyakeni yawo-50 ubudala anendlala yesinye. Indlala yesinye yindlala ekhiqiza uketshezi oluthwala isidoda. Ikhula ngokukhula ngeminyaka. I-prostate enwetshiwe, noma i-benign prostatic hyperplasia (BPH), ingavimba i-urethra ekuthwaleni umchamo esinyeni nangaphandle kwepipi.

Qhubeka ufunda ukuze ufunde mayelana nokwelashwa kwendabuko kwe-BPH.

Izinketho zokwelashwa kwe-BPH

Ungazibekeli phansi ukuhlala ne-BPH. Ukubhekana nezimpawu zakho manje kungakusiza ugweme izinkinga ngokuhamba kwesikhathi. I-BPH engalashiwe ingaholela ekuthelelekeni kwe-urinary tract, ukugcinwa okunamandla kwe-urinary (awukwazi ukuya nhlobo), namatshe ezinso nesinye. Ezimweni ezimbi kakhulu kungaholela ekulimaleni kwezinso.

Izinketho zokwelashwa zifaka imithi nokuhlinzwa. Wena nodokotela wakho nizocubungula izinto eziningana lapho uhlola lezi zinqumo. Lezi zinto zifaka:

• izimpawu zakho ziphazamisa kangakanani impilo yakho
• ubukhulu be-prostate yakho
• iminyaka yakho
• impilo yakho yonke
• noma yiziphi ezinye izimo zezokwelapha

I-Alpha blockers ye-BPH

Lesi sigaba semithi sisebenza ngokuxegisa imisipha yentamo yesinye kanye nemicu yemisipha esendleleni. Ukuphumula kwemisipha kwenza kube lula ukuchama. Ungalindela ukwanda kokugeleza komchamo kanye nesidingo esingaphansi kakhulu sokuchama kungakapheli usuku noma ezimbili uma uthatha i-alpha blocker ye-BPH. Ama-block blocker afaka:

• i-alfuzosin (Uroxatral)
• i-doxazosin (Cardura)
• i-silodosin (Rapaflo)
• i-tamsulosin (Flomax)
• i-terazosin (i-Hytrin)

Ama-5-alpha reductase inhibitors we-BPH

Lolu hlobo lwemithi linciphisa usayizi wendlala yesinye ngokuvimba amahomoni akhuthaza ukukhula kwendlala yakho yesinye. I-Dutasteride (Avodart) ne-finasteride (Proscar) yizinhlobo ezimbili ze-5-alpha reductase inhibitors.Ngokuvamile kuzodingeka ulinde izinyanga ezintathu kuya kweziyisithupha ukuze uthole ukukhululeka kwezimpawu ngama-5-alpha reductase inhibitors.

Imithi combo

Ukuthatha inhlanganisela ye-alpha blocker kanye ne-5-alpha reductase inhibitor kunikeza ukukhululeka okukhulu kwezimpawu kunokuthatha noma iyiphi yalezi zidakamizwa uwedwa, ngokusho kwe-athikili ku-. Ukwelashwa kokuhlanganiswa kuvame ukunconywa lapho i-alpha blocker noma i-5-alpha reductase inhibitor ingasebenzi yodwa. Inhlanganisela evamile enikezwa odokotela yi-finasteride ne-doxazosin noma i-dutasteride ne-tamsulosin (Jalyn). Inhlanganisela ye-dutasteride ne-tamsulosin iza njengezidakamizwa ezimbili zihlanganiswe kuthebhulethi eyodwa.

Misa ukushisa

Kunezinketho zokuhlinzwa ezihlasela kancane lapho ukwelashwa kwezidakamizwa kunganele ukukhulula izimpawu ze-BPH. Lezi zinqubo zifaka i-transurethral microwave thermotherapy (TUMT). Ama-microwaves abhubhisa izicubu zesibeletho ngokushisa phakathi nale nqubo yokugula.

I-TUMT ngeke iyelaphe i-BPH. Le nqubo yehlisa imvamisa yokuchama, yenza kube lula ukuchama, futhi inciphise ukugeleza okubuthakathaka. Akuyixazululi inkinga yokungaphelele kokuchithwa kwesinye.

Ukwelashwa kwe-TUNA

I-TUNA imele ukwehliswa kwenaliti okuhwebelana. Amagagasi omsakazo aphakeme kakhulu, ahanjiswa ngezinaliti ezingamawele, ashisa indawo ethile ye-prostate kule nqubo. I-TUNA ibangela ukugeleza okungcono komchamo futhi ikhulule izimpawu ze-BPH ngezinkinga ezimbalwa kunokuhlinzwa okungahlaseli.

Le nqubo yokugula ingadala umuzwa ovuthayo. Umuzwa ungalawulwa ngokusebenzisa i-anesthetic ukuvimba izinzwa ngaphakathi nangaseduze kwe-prostate.

Ukungena emanzini ashisayo

Amanzi ashisayo ahanjiswa nge-catheter ebhaluni lokwelashwa elihlala maphakathi ne-prostate ku-thermotherapy eyenziwe ngamanzi. Le nqubo elawulwa ngamakhompiyutha ishisa indawo echaziwe ye-prostate ngenkathi izicubu ezingomakhelwane zivikelekile. Ukushisa kubulala izicubu eziyinkinga. Izicubu bese zikhishwa ngomchamo noma ziphinde zifakwe emzimbeni.

Izinketho zokuhlinzwa

Ukuhlinzwa okuhlaselayo kwe-BPH kufaka phakathi ukuhlinzekwa kwe-transurethral, ​​okungadingi ukuhlinzwa okuvulekile noma ukusikwa kwangaphandle. NgokweNational Institutes of Health, ukuvuselelwa kwe-prostate transgethral ukhetho lokuqala lokuhlinzwa kwe-BPH. Udokotela ohlinzayo ususa izicubu zesibeletho ezivimbela i-urethra esebenzisa i-resectoscope efakwe ngepipi ngesikhathi se-TURP.

Enye indlela ukusikeka kwendlala yesinye (TUIP). Ngesikhathi se-TUIP, udokotela ohlinzayo wenza ukusikeka entanyeni yesinye nasendlezeleni. Lokhu kusebenza ukunweba i-urethra nokwandisa ukugeleza komchamo.

Ukuhlinzwa kwe-Laser

Ukuhlinzwa nge-Laser kwe-BPH kufaka ukufaka isikali ngethiphu yepipi ku-urethra. I-laser edlulile esikalini isusa izicubu zomzimba ngokuncipha (ukuncibilika) noma ukusika (ukusika). I-laser iyancibilika izicubu ze-Prostate ezingaphezulu kwe-photoselective vaporization ye-prostate (PVP).

I-Holmium laser ablation ye-prostate (HoLAP) iyafana, kepha kusetshenziswa uhlobo olwehlukile lwe-laser. Udokotela ohlinzayo usebenzisa izinsimbi ezimbili ze-Holmium laser enucleation ye-prostate (HoLEP): i-laser ukusika nokususa izicubu eziningi kanye ne-morcellator ukusika izicubu ezingeziwe ezingxenyeni ezincane ezisusiwe.

Vula i-prostatectomy elula

Ukuhlinzwa okuvulekile kungadingeka ezimweni eziyinkimbinkimbi ze-prostate ekhuliswe kakhulu, ukulimala kwesinye, noma ezinye izinkinga. Ku-prostatectomy elula evulekile, udokotela ohlinzayo wenza imbobo ngaphansi kwenkaba noma ukusikeka okuncane esiswini nge-laparoscopy. Ngokungafani ne-prostatectomy yomdlavuza wendlala lapho kukhishwa yonke indlala yesinye, ku-prostatectomy elula evulekile udokotela ohlinzayo ususa kuphela ingxenye ye-prostate evimba ukugeleza komchamo.

Ukuzinakekela kungasiza

Akuwona wonke amadoda ane-BPH adinga imishanguzo noma ukuhlinzwa. Lezi zinyathelo zingakusiza ukuphatha izimpawu ezincane:

• Yenza izivivinyo zokuqinisa okhalo.
• Hlala usebenza.
• Nciphisa ukuphuza utshwala ne-caffeine.
• Beka isikhala sokuthi uphuza kangakanani kunokuba uphuze kakhulu ngasikhathi sinye.
• Chama lapho isifiso sihlasela - ungalindi.
• Gwema ama-decongestants nama-antihistamine.

Khuluma nodokotela wakho mayelana nendlela yokwelashwa evumelana kangcono nezidingo zakho.