Kukula kwa prostate

Prostate ndimatenda omwe amatulutsa timadzi tina timene timanyamula umuna panthawi yopuma. Prostate gland imayandikira urethra, chubu chomwe mkodzo umatulukira mthupi.

Kukula kwa prostate kumatanthauza kuti gland yakula kwambiri. Kukula kwa prostate kumachitika pafupifupi kwa amuna onse akamakalamba.

Prostate wokulitsa amatchedwa benign prostatic hyperplasia (BPH). Si khansa, ndipo sikukuwonjezera chiopsezo cha khansa ya prostate.

Zomwe zimayambitsa kukulira kwa prostate sizikudziwika. Zinthu zolumikizidwa ndi ukalamba komanso kusintha kwamaselo amachende atha kukhala ndi gawo pakukula kwa gland, komanso kuchuluka kwa testosterone. Amuna omwe adachotsedwa machende awo ali aang'ono (mwachitsanzo, chifukwa cha khansa ya testicular) samakhala ndi BPH.

Komanso, ngati machende atachotsedwa mwamuna atayamba kudwala BPH, prostate imayamba kuchepa kukula. Komabe, awa si mankhwala wamba a prostate wokulitsidwa.

Zina zakukulitsa kwa Prostate:

• Mwayi wokhala ndi prostate wokulitsidwa umakulirakulira.
• BPH ndiyofala kwambiri kotero kuti akuti amuna onse adzakhala ndi prostate yokulirapo ngati atakhala ndi moyo wokwanira.
• Kukulitsa pang'ono kwa prostate kulipo mwa amuna ambiri azaka zopitilira 40. Oposa 90% ya amuna azaka zopitilira 80 ali ndi vutoli.
• Palibe zifukwa zoopsa zomwe zadziwika, kupatula kukhala ndi machende omwe amagwira bwino ntchito.

Pafupifupi theka la amuna onse omwe ali ndi BPH ali ndi zizindikilo za matendawa. Zizindikiro zimaphatikizapo:

• Kuyenda kumapeto kwa kukodza
• Kulephera kukodza (kusungira mkodzo)
• Kutulutsa mosakwanira kwa chikhodzodzo chanu
• Kusadziletsa
• Kufunika kukodza kawiri kapena kupitilira usiku
• Ululu wokodza kapena mkodzo wamagazi (izi zitha kuwonetsa matenda)
• Kuchedwa kapena kuchedwa kuyamba kwa mtsinje
• Kutsauka pokodza
• Amphamvu komanso ofulumira kukodza
• Mtsinje wofooka

Wothandizira zaumoyo wanu adzafunsa mafunso okhudza mbiri yanu yazachipatala. Kuyeza kwamakina a digito kudzachitikanso kuti mumveke prostate gland. Mayesero ena atha kuphatikizira:

• Kuthamanga kwa mkodzo
• Kuyesa mkodzo kotsalira kuti muwone kuchuluka kwa mkodzo womwe watsala mu chikhodzodzo chanu mukakodza
• Kupanikizika koyezera kuti mupime kuthamanga kwa chikhodzodzo mukamakodza
• Kuthira urinal kuyesa magazi kapena matenda
• Chikhalidwe cha mkodzo kuti muwone ngati alibe matenda
• Kuyezetsa magazi kwa Prostate-antigen (PSA) kuti muwonetse khansa ya prostate
• Zojambulajambula
• Magazi urea nitrogen (BUN) ndi mayeso a creatinine

Mutha kufunsidwa kuti mudzaze fomu kuti muwone momwe zizindikilo zanu ziliri zoyipa komanso momwe zimakhudzira moyo wanu watsiku ndi tsiku. Wopereka wanu atha kugwiritsa ntchito mphambu iyi kuweruza ngati vuto lanu likuipiraipira pakapita nthawi.

Chithandizo chomwe mungasankhe chidzatengera kukula kwa zizindikilo zanu komanso momwe zimakusokonezera. Wothandizira anu adzaganiziranso mavuto ena azachipatala omwe mungakhale nawo.

Njira zochiritsira zimaphatikizapo "kuyembekezera mwachidwi," kusintha kwa moyo, mankhwala, kapena opaleshoni.

Ngati muli ndi zaka zopitilira 60, mumakhala ndi zizindikiro zambiri. Koma amuna ambiri omwe ali ndi prostate wokulitsa amakhala ndi zizindikilo zochepa chabe. Njira zodzisamalira nthawi zambiri zimakhala zokwanira kuti mumve bwino.

Ngati muli ndi BPH, muyenera kukhala ndi mayeso apachaka kuti muwone ngati ali ndi vuto ndikuwona ngati mukufuna kusintha kwa mankhwala.

KUDZISANGALIRA

Zizindikiro zofatsa:

• Kodzani mukangoyamba kukhumba. Komanso, pitani kubafa panthawi yake, ngakhale simukuwona kuti mukufunika kukodza.
• Pewani mowa ndi caffeine, makamaka mukatha kudya.
• MUSAMWE madzi ambiri nthawi imodzi. Kufalitsa madzi masana. Pewani madzi akumwa mkati mwa maola awiri musanagone.
• Yesetsani kuti musamwe mankhwala ozizira komanso otsekemera omwe amakhala ndi mankhwala opangira mankhwala ophera tizilombo kapena ma antihistamine. Mankhwalawa amatha kukulitsa zizindikilo za BPH.
• Kutentha ndi kuchita masewera olimbitsa thupi nthawi zonse. Kutentha komanso kusachita masewera olimbitsa thupi kumatha kukulitsa zizindikilo.
• Kuchepetsa nkhawa. Mantha komanso kupsinjika kumatha kubweretsa kukodza pafupipafupi.

MANKHWALA

Alpha-1 blockers ndi gulu la mankhwala omwe amagwiritsidwanso ntchito pochiza kuthamanga kwa magazi. Mankhwalawa amatsitsimutsa minofu ya m'khosi ya chikhodzodzo ndi prostate. Izi zimalola kukodza kosavuta. Anthu ambiri omwe amatenga ma alpha-1 blockers amazindikira kusintha kwa zizindikilo zawo, nthawi zambiri pakati pa masiku 3 mpaka 7 atayamba mankhwalawa.

Finasteride ndi dutasteride otsika a mahomoni opangidwa ndi prostate. Mankhwalawa amachepetsanso kukula kwa gland, amachulukitsa kuchuluka kwa mkodzo, komanso amachepetsa zizindikiritso za BPH. Mungafunike kumwa mankhwalawa kwa miyezi itatu kapena isanu ndi umodzi musanazindikire kuti zayamba kukhala bwino. Zotsatira zoyipa zimaphatikizira kuchepa kwakugonana komanso kusowa mphamvu.

Maantibayotiki amatha kupatsidwa mankhwala ochizira prostatitis (kutupa kwa prostate), komwe kumatha kuchitika ndi BPH. Zizindikiro za BPH zimasintha mwa amuna ena atamwa mankhwala opha tizilombo.

Samalani ndi mankhwala omwe angapangitse kuti zizindikiro zanu ziwonjezeke:

ANAONA PALMETTO

Zitsamba zambiri zayesedwa pochiza prostate wokulitsa. Amuna ambiri amagwiritsa ntchito saw palmetto kuti achepetse zizindikiro. Kafukufuku wina wasonyeza kuti zitha kuthandiza ndi zizindikilo, koma zotsatira zake ndizosakanikirana, ndipo kafukufuku wina amafunika. Ngati mumagwiritsa ntchito saw palmetto ndikuganiza kuti ikugwira ntchito, funsani dokotala ngati mukuyenera kuyitenga.

KUGWIDWA

Kuchita opaleshoni ya prostate kungalimbikitsidwe ngati muli ndi:

• Kusadziletsa
• Magazi obwereza mkodzo
• Kulephera kutulutsa chikhodzodzo (kusungira mkodzo)
• Matenda opitilira kwamkodzo
• Kuchepetsa ntchito ya impso
• Miyala ya chikhodzodzo
• Zizindikiro zina zosayankha mankhwala

Kusankha njira yovutikira yomwe imalimbikitsidwa nthawi zambiri kutengera kukula kwa zizindikilo zanu komanso kukula ndi mawonekedwe a prostate gland yanu. Amuna ambiri omwe achita opaleshoni ya Prostate amasintha kuchuluka kwa ziwonetsero zamkodzo komanso zizindikilo zake.

Transurethral resection wa Prostate (TURP): Awa ndi mankhwala ofala kwambiri komanso ovomerezeka pa opaleshoni ya BPH. TURP imachitika polowetsa kukula kudzera mu mbolo ndikuchotsa chidutswa cha prostate.

Prostatectomy yosavuta: Ndi njira yochotsera mkati mwa prostate gland. Zimachitika kudzera podula m'mimba mwanu. Mankhwalawa amachitidwa nthawi zambiri kwa amuna omwe ali ndi zotupa zazikulu za prostate.

Njira zina zocheperako zimagwiritsa ntchito kutentha kapena laser kuwononga minofu ya prostate. Njira ina yocheperako imagwira ntchito "kupopera" prostate yotseguka osachotsa kapena kuwononga ziwalo. Palibe amene atsimikiziridwa kuti ali bwino kuposa TURP. Anthu omwe amalandila njirazi amafunikanso kuchitidwa opaleshoni pakatha zaka 5 kapena 10. Komabe, njirazi zitha kukhala chisankho cha:

• Amuna achichepere (njira zambiri zocheperako zimakhala ndi chiopsezo chocheperako komanso chosadziletsa kuposa TURP, ngakhale chiwopsezo chake ndi TURP sichikulira)
• Anthu okalamba
• Anthu omwe ali ndi matenda aakulu, kuphatikizapo matenda a shuga, matenda enaake, uchidakwa, psychosis, ndi mapapo akulu, impso, kapena matenda amtima
• Amuna omwe amamwa mankhwala ochepetsa magazi
• Amuna omwe ali pachiwopsezo chowonjezeka cha opaleshoni

Amuna ena angaone kuti ndiwothandiza kutenga nawo mbali pagulu lothandizira BPH.

Amuna omwe akhala ndi BPH kwa nthawi yayitali ali ndi zizindikiro zowonjezereka pang'onopang'ono akhoza kuyamba:

• Kulephera mwadzidzidzi kukodza
• Matenda a mkodzo
• Miyala Urinary
• Kuwonongeka kwa impso
• Magazi mkodzo

BPH ikhoza kubwereranso pakapita nthawi, ngakhale itachitidwa opaleshoni.

Itanani omwe akukuthandizani nthawi yomweyo ngati muli:

• Mkodzo pang'ono kuposa masiku onse
• Malungo kapena kuzizira
• Kumbuyo, mbali, kapena kupweteka m'mimba
• Magazi kapena mafinya mumkodzo wanu

Komanso itanani ngati:

• Chikhodzodzo chanu sichimakhala chopanda kanthu mukakodza.
• Mumamwa mankhwala omwe angayambitse vuto la kukodza, monga okodzetsa, antihistamines, anti-depressants, kapena sedatives. Osayimitsa kapena kusintha mankhwala anu osalankhula ndi omwe amakupatsani.
• Mudayesa njira zodzisamalira kwa miyezi iwiri ndipo zisonyezo sizinasinthe.

BPH; Benign Prostatic hyperplasia (hypertrophy); Prostate - yakula

• Kukula kwa prostate - zomwe mungafunse dokotala wanu
• Kutulutsa kwa prostate - kutulutsa pang'ono - kutulutsa
• Kutulutsa kwa prostate kwa prostate - kutulutsa

• Kutengera kwamwamuna kubereka
• BPH
• Transurethral resection wa prostate (TURP) - Mndandanda

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National Institute of Diabetes ndi tsamba la Digestive and Impso Diseases. Kukula kwa prostate (benign prostatic hyperplasia). www.niddk.nih.gov/health-information/urologic-diseases/prostate-problems/prostate-enlargement-benign-prostatic-hyperplasia. Idasinthidwa mu Seputembara 2014. Idapezeka pa Ogasiti 7, 2019.

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Terrone C, Billia M. Zamankhwala pazithandizo za LUTS / BPH: othandizira othandizira. Mu: Morgia G, mkonzi. Zizindikiro Zotsika M'mitsinje ndi Benign Prostatic Hyperplasia. Cambridge, MA: Atolankhani a Elsevier Academic; 2018: mutu 11.