Kukula kwa prostate - pambuyo pa chisamaliro

Wothandizira zaumoyo wanu wakuwuzani kuti muli ndi vuto lokulitsa prostate. Nazi zinthu zina zofunika kudziwa zokhudza matenda anu.

Prostate ndimatenda omwe amatulutsa madzimadzi omwe amanyamula umuna panthawi yopuma. Imazungulira chubu chomwe mkodzo umatulukira mthupi (urethra).

Kukula kwa prostate kumatanthauza kuti gland yakula kwambiri. Pamene gland imakula, imatha kulepheretsa urethra ndikuyambitsa mavuto, monga:

• Kulephera kutulutsa chikhodzodzo chanu kwathunthu
• Kufunika kukodza kawiri kapena kupitilira usiku
• Kuchedwa kapena kuchedwa koyambira kwamtsinje ndikungoyenda kumapeto
• Kuthamangira kukodza ndi kutsetsereka kwamkodzo
• Kulimbikitsa mwamphamvu komanso mwadzidzidzi kukodza kapena kutaya kwamkodzo

Zosintha izi zingakuthandizeni kuwongolera zizindikilo:

• Kodzani mukangoyamba kukhumba. Komanso, pitani kubafa panthawi yake, ngakhale simukuwona kuti mukuyenera kukodza.
• Pewani mowa ndi caffeine, makamaka mukatha kudya.
• MUSAMWE madzi ambiri nthawi imodzi. Kufalitsa madzi tsiku lonse. Pewani madzi akumwa mkati mwa maola awiri musanagone.
• 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.

Wothandizira zaumoyo wanu akhoza kukupatsani mankhwala otchedwa alpha-1- blocker. Anthu ambiri amapeza kuti mankhwalawa amathandizira zizindikilo zawo. Zizindikiro nthawi zambiri zimakhala bwino atangoyamba kumwa mankhwala. Muyenera kumwa mankhwalawa tsiku lililonse. Pali mankhwala angapo m'gululi, kuphatikiza terazosin (Hytrin), doxazosin (Cardura), tamsulosin (Flomax), alfusozin (Uroxatrol), ndi silodosin (Rapaflo).

• Zotsatira zoyipa zimaphatikizapo kupindika m'mphuno, kupweteka mutu, mutu wopepuka mukaimirira, ndi kufooka. Muthanso kuwona umuna wochepa mukamatulutsa umuna. Ili si vuto lachipatala koma amuna ena samakonda momwe zimamvera.
• Funsani omwe akukuthandizani musanatenge sildenafil (Viagra), vardenafil (Levitra), ndi tadalafil (Cialis) yokhala ndi alpha-1- blockers chifukwa nthawi zina pamatha kulumikizana.

Mankhwala ena monga finasteride kapena dutasteride amathanso kulembedwa. Mankhwalawa amathandiza kuchepetsa prostate pakapita nthawi ndikuthandizira zizindikiro.

• Muyenera kumwa mankhwalawa tsiku lililonse kwa miyezi itatu kapena isanu ndi umodzi matenda anu asanakwane.
• Zotsatira zoyipa zimaphatikizapo chidwi chochepa pakugonana komanso umuna wochepa mukamatulutsa umuna.

Samalani ndi mankhwala omwe angapangitse kuti zizindikiro zanu ziwonjezeke:

• Yesetsani kuti musamwe mankhwala ozizira komanso otsekemera omwe amakhala ndi mankhwala opangira mankhwala ophera tizilombo kapena ma antihistamine.Amatha kukulitsa matenda anu.
• Amuna omwe akumwa mapiritsi am'madzi kapena okodzetsa angafune kuyankhula ndi omwe amawapatsa chithandizo chochepetsera kapena kusintha mtundu wina wa mankhwala.
• Mankhwala ena omwe atha kukulitsa zizindikilo zake ndi ena opatsirana kupsinjika ndi mankhwala omwe amagwiritsidwa ntchito kuthana ndi kuchepa.

Zitsamba zambiri ndi zowonjezera zayesedwa pochiza prostate wokulitsa.

• Saw palmetto yakhala ikugwiritsidwa ntchito ndi mamiliyoni a amuna kuti achepetse zizindikiro za BPH. Sizikudziwika ngati zitsambazi ndizothandiza kuthetsa zizindikilo za BPH.
• Lankhulani ndi omwe akukuthandizani za zitsamba zilizonse zomwe mumamwa.
• Nthawi zambiri, opanga mankhwala azitsamba ndi zowonjezera zowonjezera zakudya safuna kuvomerezedwa ndi a FDA kuti agulitse zinthu zawo.

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. Izi zingaphatikizepo okodzetsa, antihistamines, anti-depressants, kapena sedatives. Musayime kapena kusintha mankhwala anu musanalankhule ndi dokotala.
• Mudachitapo zoyeserera zodzisamalira ndipo matenda anu sanakhale bwino.

BPH - kudzisamalira; Benign Prostatic hypertrophy - kudzisamalira; Benign Prostatic hyperplasia - kudzisamalira

• BPH

Aronson JK. Kumaliza ndalama. Mu: Aronson JK, mkonzi. Zotsatira zoyipa za Meyler za Mankhwala Osokoneza bongo. Wolemba 16. Waltham, MA: Zotsalira; 2016: 314-320.

Kaplan SA. Benign Prostatic hyperplasia ndi prostatitis. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 120.

McVary KT, Roehrborn CG, Avins AL, ndi al. Kusintha kwa upangiri wa AUA pakuwongolera kwa benign prostatic hyperplasia. J Urol. 2011; 185 (5): 1793-1803. PMID: 21420124 www.ncbi.nlm.nih.gov/pubmed/21420124.

McNicholas TA, Mneneri Speakman MJ, Kirby RS. Kuwunika ndikuwongolera kosagwira ntchito kwa benign prostatic hyperplasia. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 104.

Samarinas M, Gravas S. Chiyanjano pakati pa kutupa ndi LUTS / BPH. Mu: Morgia G, mkonzi. Zizindikiro Zotsika M'mitsinje ndi Benign Prostatic Hyperplasia. Cambridge, MA: Atolankhani a Elsevier Academic; 2018: mutu 3.

• Kukulitsa Prostate (BPH)