Ukwandiswa kweProstate okanye i-BPH

Yintoni idlala lengqula?

I-BPH imele i-benign prostatic hyperplasia. I-Benign ithetha "hayi umhlaza," kwaye i-hyperplasia ithetha ukukhula kakhulu. Isiphumo kukuba idlala lengqula liya likhula. I-BPH ayidityaniswanga nomhlaza kwaye ayiwaphakamisi amathuba akho okufumana umhlaza wedlala lesinyi-kodwa iimpawu ze-BPH kunye nomhlaza wedlala lobudoda zinokufana.

iimpawu

Iimpawu ze-BPH zihlala ziqala emva kweminyaka engama-50 ubudala.

• Ingxaki yokuqalisa umjelo womchamo okanye ukwenza okungaphezulu kwe-dribble
• Ukukhupha umchamo rhoqo, ngakumbi ebusuku
• Ukuvakalelwa kukuba isinyi asikakhumki ngokupheleleyo
• Umnqweno onamandla okanye ngokukhawuleza wokukhupha umchamo
• Umjelo womchamo obuthathaka okanye ocothayo
• Ukuyeka kwaye uqale kwakhona amaxesha amaninzi ngelixa ukhupha umchamo
• Ukutyhala okanye ukutsala nzima ukuqalisa ukuchama

Okona kubi kakhulu, i-BPH inokukhokelela koku:

• Isinyi esibuthathaka
• Ukubuyela umva komchamo obangela usulelo lwesinyi okanye kwizintso
• Gqibezela ibhloko ekuhambeni komchamo
• Ukuhluleka kweengso

I-BPH ichaphazela amadoda amaninzi njengoko ekhula. Ingakhokelela kwiingxaki zomchamo ezifana nezo zineprostatitis. Ngeminyaka engama-60, amadoda amaninzi aneempawu ze-BPH. Kwiminyaka engama-70, phantse onke amadoda anokwandiswa kwedlala lengqula. I-prostate iqala malunga nobukhulu be-walnut. Xa indoda ineminyaka engama-40 ubudala, isenokuba sele ikhule kancinane, ilingane neapilkosi. Ngeminyaka engama-60 ubudala, inokuba ubukhulu belamuni.

Njengenxalenye eqhelekileyo yokuguga, i-prostate iyanda kwaye inokucinezela ngokuchasene nesinye kunye ne-urethra. Oku kunokucothisa okanye kuthintele ukuhamba komchamo. Amanye amadoda angakufumanisa kunzima ukuqalisa umjelo womchamo, nangona eziva efuna ukuhamba. Emva kokuba umchamo uqalile, kunokuba nzima ukuyeka. Amanye amadoda asenokuziva ngathi afuna ukuchama ngalo lonke ixesha okanye avuswe ngexesha elele ngequbuliso efuna ukukhupha umchamo.

Iimpawu zokuqala ze-BPH zithatha iminyaka emininzi ukuba zijike zibe ziingxaki ezikhathazayo. Ezi mpawu zakwangoko luphawu lokubona ugqirha wakho.

Ukuhamba komchamo wesiqhelo (ekhohlo) kunye ne-prostate eyandisiweyo (ekunene). Kumzobo osekhohlo, umchamo uhamba ngokukhululekileyo. Ngasekunene, ukuhamba komchamo kuchaphazeleka ngenxa ye-prostate ecinezela isinyi kunye ne-urethra.

Inganyangwa njani i-BPH?

Malunga nesiqingatha samadoda ane-BPH ekugqibeleni aneempawu ezikhathazayo kangangokuba afune unyango. I-BPH ayinakunyangeka, kodwa amayeza okanye utyando ngokufuthi lunokuziphelisa iimpawu zayo. Iimpawu ze-BPH azisoloko zikhula ngakumbi.

Kukho iindlela ezintathu zokulawula i-BPH:

• Ukulinda okulindileyo (ulandelelwano rhoqo nogqirha wakho)
• Unyango lweziyobisi
• Ukuhlinzwa

Thetha nogqirha wakho malunga nolona khetho lufanelekileyo kuwe. Iimpawu zakho zingatshintsha ngokuhamba kwexesha, ke qiniseka ukuba uxelele ugqirha wakho malunga naluphi na utshintsho olutsha.

Ukulinda ulindile

Amadoda aneempawu ezingephi ze-BPH angawafumaniyo ewakhathazayo adla ngokukhetha le ndlela.Ukulinda ngokuphaphileyo kuthetha ukuya kuxilongo ngonyaka. Ukuhlolwa kunokubandakanya ii-DRE kunye nolunye uvavanyo (jonga "Iintlobo zovavanyo"). Unyango luqalwa kuphela xa iimpawu ziba yingxaki kakhulu. Ukuba ukhetha ukuphila neempawu, la manyathelo alula angakunceda:

• Nciphisa ukusela ngokuhlwa, ngakumbi iziselo ezinotywala okanye icaffeine.
• Khupha isinyi yonke indlela xa uphuma umchamo.
• Sebenzisa indlu yangasese rhoqo. Musa ukulinda ixesha elide ngaphandle kokuphuma umchamo.

Unyango lweziyobisi

Zimbini iindidi eziphambili zamachiza asetyenziswayo. Olunye uhlobo lukhulula izihlunu kufuphi ne-prostate ngelixa olunye uhlobo lunciphisa i-prostate gland. Kukho ubungqina obubonisa ukuba ukuthatha omabini amachiza kunye kunokusebenza ngcono ukugcina iimpawu ze-BPH zingabi mandundu.

Utyando lwe-BPH

Inani lotyando lwedlala lobudoda liye lehla ukutyhubela iminyaka. Kodwa utyando lwe-BPH luselolona tyando luxhaphakileyo kumadoda aseMelika. Utyando lusetyenziswa xa iimpawu zinzima okanye unyango lweziyobisi lungasebenzi kakuhle.

Iindidi zotyando ziquka:

• I-TURP (i-transurethral resection ye-prostate) lolona tyando luxhaphakileyo lwe-BPH. Ibalelwa kwi-90 yeepesenti yazo zonke iintlobo zotyando lwe-BPH. Ugqirha ugqithisa isixhobo kwi-urethra aze asuse izicubu zedlala lengqula ezongezelelweyo. I-spinal block isetyenziselwa ukuba ndindisholo le ndawo. Izicubu zithunyelwa elabhoratri ukuze kujongwe umhlaza wedlala lesinyi. I-TURP ngokubanzi igwema iingozi ezimbini eziphambili ezinxulumene nolunye utyando lwe-prostate, oluyi-Incontinence (ukungakwazi ukubamba umchamo) kunye nokungabi namandla (ukungakwazi ukumiswa) .Ixesha lokubuyisela i-TURP lifutshane kakhulu.
• I-TUIP (i-transurethral incision ye-prostate) ifana ne-TURP. Isetyenziswa kwidlala lengqula elandiswa kancinci. Ugqirha wotyando ubeka elinye okanye amabini amanxeba amancinci kwiprostate. Oku kunciphisa uxinzelelo ngaphandle kokucheba izicubu. Inomngcipheko ophantsi weziphumo ebezingalindelekanga. Njenge-TURP, olu nyango lunceda ngokuhamba komchamo ngokwandisa umbhobho we-urethra.
• I-TUNA (i-transurethral needle ablation) itshisa izicubu zedlala lobudoda ezigqithisileyo zisebenzisa amaza erediyo. Inceda ngokuhamba komchamo, ithomalalisa iimpawu, kwaye inokuba neziphumo ebezingalindelekanga ezimbalwa kune-TURP. Amadoda amaninzi adinga i-catheter yokukhupha umchamo ixesha elide emva kwenkqubo.
• I-TUMT (i-transurethral microwave thermotherapy) isebenzisa ii-microwaves ezithunyelwa nge-catheter ukutshabalalisa izicubu zedlala lengqula ezigqithisileyo. Oku kunokuba lukhetho kumadoda angafanele enze utyando olukhulu ngenxa yokuba anezinye iingxaki zonyango.
• I-TUVP (i-transurethral electroevaporation ye-prostate) isebenzisa umbane wangoku ukukhupha izicubu ze-prostate.
• Ukuvula i-prostatectomy kuthetha ukuba ugqirha wotyando ususa idlala lobudoda ngokusikwa kumazantsi esisu. Oku kwenziwa kuphela kwiimeko ezinqabileyo kakhulu xa umqobo unzima, i-prostate inkulu kakhulu, okanye ezinye iinkqubo azinakwenziwa. Ngokuqhelekileyo okanye i-anesthesia yomgogodla isetyenziswa kwaye i-catheter ihlala kwi-3 kwiintsuku ze-7 emva kokuhlinzwa. Olu tyando lunomngcipheko ophezulu weengxaki kunonyango lwezonyango. Izicubu zithunyelwa elabhoratri ukuze kujongwe umhlaza wedlala lesinyi.