Njira Zachikhalidwe Zothandizira Kukula Kwa Prostate

Zamkati

• Zosankha zamankhwala a BPH
• Alpha blockers a BPH
• 5-alpha reductase inhibitors a BPH
• Mankhwala a combo
• Imani kutentha
• Chithandizo cha TUNA
• Kulowa m'madzi otentha
• Zosankha za opaleshoni
• Opaleshoni ya Laser
• Tsegulani prostatectomy yosavuta
• Kudzisamalira kungathandize

Kuzindikira BPH

Ngati kupita kuchimbudzi kumafunikira modzidzimutsa kapena kumadziwika ndi kukodza, prostate yanu ikhoza kukulitsidwa. Simuli nokha - Urology Care Foundation ikuyerekeza kuti 50 peresenti ya amuna azaka zawo za 50 ali ndi prostate wokulitsidwa. Prostate ndiye kansalu kamene kamatulutsa timadzi timene timanyamula umuna. Imakula ndikakalamba. Prostate wokulitsa, kapena benign prostatic hyperplasia (BPH), imatha kuletsa mkodzo kuti usanyamule mkodzo kuchokera m'chikhodzodzo ndi kunja kwa mbolo.

Pitilizani kuwerenga kuti muphunzire zamankhwala achikhalidwe a BPH.

Zosankha zamankhwala a BPH

Osadzipereka kuti mukhale ndi BPH. Kulimbana ndi zizindikiro zanu tsopano kungakuthandizeni kupewa mavuto mtsogolo. BPH yosatulutsidwa ingayambitse matenda opatsirana m'mitsempha, kusungira kwamikodzo koopsa (simungapite konse), ndi miyala ya impso ndi chikhodzodzo. Pazovuta kwambiri zimatha kubweretsa kuwonongeka kwa impso.

Njira zochiritsira zimaphatikizapo mankhwala ndi opaleshoni. Inu ndi dokotala muwona zingapo mukamawunika zisankhozi. Izi ndi monga:

• momwe matenda anu amakhudzira moyo wanu
• kukula kwa prostate yanu
• zaka zanu
• thanzi lanu lonse
• matenda ena aliwonse

Alpha blockers a BPH

Mankhwala amtunduwu amagwiranso ntchito pofewetsa minofu ya chikhodzodzo ndi ulusi wamtundu wa prostate. Kupumula kwa minofu kumakhala kosavuta kukodza. Mutha kuyembekezera kuwonjezeka kwa mkodzo komanso kufunika kodzikodza pasanathe tsiku limodzi kapena awiri ngati mutatenga alpha blocker ya BPH. Alpha blockers ndi awa:

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

5-alpha reductase inhibitors a BPH

Mankhwala amtunduwu amachepetsa kukula kwa prostate gland poletsa mahomoni omwe amalimbikitsa kukula kwa prostate gland yanu. Dutasteride (Avodart) ndi finasteride (Proscar) ndi mitundu iwiri ya 5-alpha reductase inhibitors. Muyenera kudikirira miyezi itatu kapena isanu ndi umodzi kuti muchepetse chizindikiro ndi 5-alpha reductase inhibitors.

Mankhwala a combo

Kutenga kuphatikiza kwa alpha blocker ndi 5-alpha reductase inhibitor kumapereka mpumulo waukulu wazizindikiro kuposa kumwa imodzi mwa mankhwalawa, malinga ndi nkhani ya. Mankhwala osakaniza nthawi zambiri amalimbikitsidwa ngati alpha blocker kapena 5-alpha reductase inhibitor sikugwira ntchito yokha. Kuphatikiza komwe madokotala amalamula ndi finasteride ndi doxazosin kapena dutasteride ndi tamsulosin (Jalyn). Mgwirizano wa dutasteride ndi tamsulosin umabwera ngati mankhwala awiri ophatikizidwa piritsi limodzi.

Imani kutentha

Pali maopareshoni ochepera pomwe chithandizo cha mankhwala sichikwanira kuthetsa zizindikiro za BPH. Njirazi zimaphatikizapo transurethral microwave thermotherapy (TUMT). Ma microwaves amawononga minofu ya prostate ndi kutentha panthawiyi.

TUMT sichiza BPH. Njirayi imachepetsa kuchepa kwamkodzo, imathandizira kukodza, komanso imachepetsa kutuluka kofooka. Sichithetsa vuto lakutsitsa mosakwanira chikhodzodzo.

Chithandizo cha TUNA

TUNA imayimira kuchotsedwa kwa singano yopingasa. Mafunde apafupipafupi, omwe amaperekedwa kudzera m'masingano amapasa, amawotcha dera linalake la prostate pochita izi. TUNA imatulutsa mkodzo wabwinoko ndipo imachepetsa zizindikiritso za BPH ndizovuta zochepa kuposa opaleshoni yovuta.

Njira yakuchipatala iyi imatha kuyambitsa moto. Zomverera zimatha kuyang'aniridwa pogwiritsa ntchito mankhwala oletsa kupweteka kuti atseke mitsempha mkati ndi mozungulira prostate.

Kulowa m'madzi otentha

Madzi otentha amaperekedwa kudzera mu catheter kupita kubaluni yamankhwala yomwe imakhala pakatikati pa prostate m'matenda opangidwa ndi madzi. Njira yoyendetsedwa ndi makompyuta imawotcha malo omwe amadziwika ndi prostate pomwe matupi oyandikana nawo amatetezedwa. Kutentha kumawononga minofu yovuta. Minofuyo imatha kutulutsa mkodzo kapena kubwezeretsanso m'thupi.

Zosankha za opaleshoni

Kuchita opaleshoni yovuta kwa BPH kumaphatikizapo opaleshoni ya transurethral, ​​yomwe siimafuna opaleshoni yotseguka kapena kudula kwina. Malinga ndi National Institutes of Health, kupendekera kwa Prostate transgethral ndiko kusankha koyamba maopaleshoni a BPH. Dokotalayo amachotsa minofu ya prostate yomwe imalepheretsa urethra kugwiritsa ntchito resectoscope yolowetsedwa kudzera mu mbolo nthawi ya TURP.

Njira inanso ndiyo kudula mbali ya prostate (TUIP). Pa nthawi ya TUIP, dokotalayo amapanga zotupa m'khosi mwa chikhodzodzo komanso mu prostate. Izi zimathandizira kukulitsa mkodzo ndikuwonjezera mkodzo kutuluka.

Opaleshoni ya Laser

Opaleshoni ya Laser ya BPH imaphatikizapo kulowetsa kukula kudzera mu nsonga ya mbolo mu urethra. Laser yodutsa pamalowo imachotsa minofu ya prostate pochotsa (kusungunuka) kapena enucleation (kudula). Laser imasungunuka minofu yochulukirapo ya prostate pakuwonetsetsa kwa prostate (PVP).

Holmium laser ablation ya prostate (HoLAP) ndiyofanana, koma mtundu wina wa laser umagwiritsidwa ntchito. Dokotalayo amagwiritsa ntchito zida ziwiri za Holmium laser enucleation ya prostate (HoLEP): laser yodula ndikuchotsa minofu yochulukirapo ndi morcellator kuti adule minofu yocheperako m'magawo ang'onoang'ono omwe achotsedwa.

Tsegulani prostatectomy yosavuta

Kuchita opaleshoni yotseguka kungafunike pamavuto ovuta kwambiri a prostate, kuwonongeka kwa chikhodzodzo, kapena mavuto ena. Pogwiritsa ntchito prostatectomy yosavuta, dokotalayo amapanga tinthu tating'onoting'ono pansi pa mchombo kapena tating'onoting'ono tambiri pamimba kudzera pa laparoscopy. Mosiyana ndi prostatectomy ya khansa ya prostate ikachotsedwa gland yonse, mu prostatectomy yosavuta wochita opaleshoni amachotsa gawo lokha la prostate lomwe limatseka mkodzo.

Kudzisamalira kungathandize

Sikuti amuna onse omwe ali ndi BPH amafunikira mankhwala kapena opaleshoni. Izi zitha kukuthandizani kuthana ndi matenda ofatsa:

• Chitani zolimbitsa thupi m'chiuno.
• Khalani achangu.
• Kuchepetsa kumwa mowa komanso kumwa khofi.
• Pezani malo omwe mumamwa m'malo mongomwa mowa nthawi imodzi.
• Kodzani pamene chilakolakocho chikugunda - musayembekezere.
• Pewani mankhwala osokoneza bongo komanso antihistamines.

Lankhulani ndi dokotala wanu za njira yothandizira yomwe ikugwirizana ndi zosowa zanu.