Hello! Egbea míele nu ƒom tso nane si le vevie ŋutɔ na mi ŋutsuwo, gake ɖewohĩ womeƒo nu tso eŋu boo o. Emae nye
prostate gland , alo abe alesi woyɔnɛ le Eŋlisigbe me ene
(Prostate Gland) . Vevietɔ ne ame tsi la, tɔtrɔ
vovovowo ate ŋu ava le ʋuka sia me, eyata ele vevie ŋutɔ be nànyae. Elabena, ne ènya do ŋgɔ la, woate ŋu akpɔ kuxi geɖe gbɔ bɔbɔe.
Eyata nukae nye prostate gland sia?
Kpuie ko la, prostate gland nye
lãkusi sue aɖe le ŋutsu ƒe vidzidzi ƒe ɖoɖoa me . Ne míagblɔe tututu la, zi geɖe la, ʋuka si le lãmesẽ me
ƒe lolome anɔ abe walnut ene . Ame aɖewo tsɔe sɔ kple akɔɖu. Eƒe kpekpeme anɔ abe gram 30 ene. Eyata afikae wòle, ɖewohĩ ànɔ eŋu bum? Bu eŋu kpɔ be, lãkusi sue sia le
wò tsinyegoe te tututu, eye wòle wò dɔgbo ŋgɔ . Nu vevi bubue nye be mɔ̃ si tsɔa wò aɖuɖɔ,
si nye tsinyegoe , toa tsinyegoe me. Ele abe mɔ̃ si toa avɔ aɖe me ene. Prostate gland nye
akpa atɔ̃, alo lobes : ŋgɔgbe, megbe, axadzi, kple titina lobe. Esiawo nyea kadodoŋusẽwo kple lãkusiwo. Kadodo ƒe lãkusi tsɛ aɖe si woyɔna be
prostatic fascia ye xɔ lãkusi bliboa .
Subɔsubɔdɔ kae prostate gland wɔna na ŋutsu?
Enyo, azɔ na míakpɔ nusi adzɔ ɖe lãkusi sue sia dzi ɖa. Nu vevitɔ kekeakee nye esi:
- Eƒe dɔ vevitɔe nye be wòatsɔ tsi bubu akpe ɖe wò tsinyenye ŋu (semen/ejaculate) , si nye tsi ɣi si dona tso wò ŋutsu ƒe vidzinu me ne èɖe tsi. Lãmetsi sia le etɔxɛ ŋutɔ. Enzyme , zinc, kple citric acid le eme. Esiawo kpena ɖe ame ŋu be woana nunyiame na tsinyenye ƒe lãmenugbagbeviwo, wokpena ɖe wo ŋu woʋãna nyuie wu, eye wosia ami na tsinyegoea .
- Menye ema ɖeɖeko o, ne nyɔ wò la, lãmeka siwo le ʋuka me hã kpena ɖe ame ŋu wòtutua tsinyenyea doa goe to tsinyegoea me.
Ao,
nyɔnuwo mekpɔa ʋuka si me ʋu sina tona o. Gake ɖewohĩ èse nane si woyɔna be "nyɔnu ƒe ʋuka" ŋu nya. Nusi wòfia ŋutɔŋutɔe nye
Skene ƒe lãkusiwo. Skene ƒe lãkusi siawo le nyɔnu ƒe tsinyegoe ƒe akpa eveawo. Atikewɔwɔ ŋuti numekulawo xɔe se be tsi aɖe si lãkusi siawo dona ate ŋu akpe ɖe ame ŋu le aɖuɖɔɖɔɖɔ kple dzadzɛnyenye me. Nufiafia aɖewo gblɔ hã be lãkusi siawo kpɔa gome le tsi si dona le nyɔnu ƒe dzinukpɔkpɔ me la me. Ðe ʋuka si me ʋu sina tona la lolona ne ame tsia?
Ẽ, esia nye nusi dzɔna ɖe ŋutsu geɖe dzi. Zi geɖe la, le ŋutsu akpa gãtɔ siwo xɔ wu ƒe 40 gome la, ʋuka si me ʋu sina tona la tea tsitsi vivivi. Woyɔa esia le atikewɔwɔ me be ‘Benign Prostatic Hyperplasia’ , alo BPH kpuie. Nu vevitɔe nye be menye kansae BPH nye o, eye medzia wò ʋumenugbagbeviɣidɔ xɔxɔ ƒe afɔkua ɖe edzi o.
Prostate gland si ƒe lolome anɔ abe walnut ene tsã la te ŋu tsina abe lime ene ɣeaɖewoɣi. Esia nye nɔnɔme si bɔ si me ŋutsu geɖe tona ne wole tsitsim. Gake ne elolo la, ate ŋu ana ame aɖe nase veve to aɖuɖɔtoea ƒe ʋuʋu me. Míaƒo nu tso ema ŋu le ɣeyiɣi kpui aɖe megbe. Nukawoe nye nɔnɔme siwo bɔ siwo ate ŋu ado mo ɖa siwo do ƒome kple ʋuka si me ʋu sina tona?
Atikewɔwɔ me nɔnɔme vevi geɖe li siwo ŋu woƒo nu tsoe ku ɖe ʋuka si me ʋu sina tona ŋu. 1. Aɖuɖɔtoeme Kansa
Esiae nye kansa ƒomevi evelia si bɔ wu le ŋutsuwo me . Eyata ele vevie ŋutɔ be míanya esia. Ne wokpɔe kaba la, anɔ eme be woate ŋu adae dzidzedzetɔe. 2. Prostatitis ƒe dɔléle
Esia nye ʋuka si me ʋu sina tona ƒe dɔdzẽ . Esia ƒomevi vevi enee li:- Acute Bacterial Prostatitis : Nɔnɔme si dzɔna kpata eye dɔlékui ƒe dɔléle gbɔe wòtsona.
- Dɔlékuiwo ƒe Prostatitis si nɔa anyi didi: Dɔlékuiwo ƒe dɔléle si nɔa anyi didi, si gbugbɔna dzɔna.
- Chronic Pelvic Pain Syndrome (CPPS): Le nɔnɔme sia me la, vevesese ate ŋu adzɔ le ʋuka me ne dɔlékui aɖeke mele eŋu o gɔ̃ hã.
- Dzesi aɖeke mele eŋu o: Le go sia me la, dɔdzẽ nɔa ame ŋu gake dzesi aɖeke medzena o. Dodokpɔ bubu me koe wokpɔnɛ le.
Prostatitis ye nye aɖuɖɔtoedɔléle si bɔ wu le ŋutsu siwo mexɔ ƒe 50 haɖe o me , eye wònye etɔ̃lia si bɔ wu le ŋutsu siwo xɔ wu ƒe 50 me. 3. Prostatic Hyperplasia (BPH) si me dɔléle aɖeke mele o .
Míeƒo nu tso esia ŋu kpɔ. Ne tsinyegoea lolo nyuie o la, ate ŋu ana tsinyegoea naxe, si ana be aɖuɖɔtoe nasesẽ . Ne èle tsitsim la, .Nɔnɔme sia dzɔna ɖe ŋutsu geɖe dzi. Nukawoe nye nuxlɔ̃amedzesi siwo ate ŋu ade dzesi ʋuka me kuxiwo?
Ne kuxi aɖe le wò prostate gland ŋu la, àte ŋu ade dzesi dzesiwo abe esiawo ene:- Vevesese le ŋutsu ƒe vidzinu, vidzidɔ , alo perineum (teƒe si le vidzidɔ kple aɖuɖɔtoe dome).
- Alesi wòhiã be nàɖe aɖuɖɔ enuenu.
- Aɖuɖɔtoe si me vevesese le (Dysuria) alo vevesese le tsinyenye me.
- Aɖuɖɔ si le sisim blewu, alo aɖuɖɔ si le dodom.
- Aɖuɖɔɖɔɖɔ gɔmedzedze sesẽ.
- Ele be nàfɔ enuenu le zã me hafi aɖu aɖuɖɔ.
- Gbɔdɔdɔ ƒe dɔmawɔmawɔ nyuie ( Erectile Dysfunction / ED).
- Ʋu le aɖuɖɔ alo tsinyenye me (Hematospermia).
- Vevesese le ƒodo ƒe akpa si le ete, akɔta, alo akɔta (esia ate ŋu adzɔ vevietɔ ne kansa la kaka).
Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, anyo wu be nàyi ɖɔkta gbɔ aɖaɖo aɖaŋu na wò vɔvɔ̃ alo ŋukpe manɔmee. Menye dzesi siawo katãe nye dɔléle sesẽ aɖe ƒe dzesiwo o, gake ele vevie be woado wo kpɔ.
Aleke woawɔ alé ŋku ɖe ʋuka si me ʋu sina tona ƒe lãmesẽ ŋu?
Mɔnu vevi geɖe li siwo ɖɔktawo zãna tsɔ léa ŋku ɖe ʋuka ƒe lãmesẽ ŋu: 1. Digitál Rectal Dodokpɔ (DRE) .
Le esia me la, ɖɔktaa tsɔa asibidɛ si ŋu asigɛ le, si me wode ami ɖo la dea wò dɔgbo me eye wòsea ʋuka si me ʋu sina tona la gɔme. Esia ate ŋu alé ŋku ɖe ƒunukpeƒetetedɔ ɖesiaɖe ƒe lolome, nɔnɔme, sesẽ, kple anyinɔnɔ ŋu . Togbɔ be esia adze nusi meɖea fu na ame vie o hã la, enye dodokpɔ vevi aɖe ŋutɔ si xɔa miniti ʋɛ aɖewo ko. 2. Prostate-Specific Antigen (PSA) ƒe ʋudodokpɔ
PSA nye protein si prostate gland wɔna le dzɔdzɔme nu. Ne wò PSA ƒe agbɔsɔsɔ sɔ gbɔ wu alesi wòle dzɔdzɔmee , ate ŋu anye ʋumenugbagbeviɣidɔ ƒe dzesi. Gake woate ŋu adzi PSA ƒe agbɔsɔsɔ ɖe edzi le BPH, prostatitis, alo gbɔdɔdɔ ƒe nuwɔna siwo wowɔ nyitsɔ laa hã me. Eyata menye PSA ƒe agbɔsɔsɔ ɖeɖekoe nye nusi nana wokpɔa dɔlélea o, ke boŋ wobua eŋu kpe ɖe DRE ŋu. 3. Biopsy dodokpɔ
Ne nane li si ŋu ɖikeke le le DRE alo PSA ƒe agbɔsɔsɔ ŋu la, wò ɖɔkta ate ŋu aɖo aɖaŋu be woaɖe ŋutilã ƒe akpa aɖewo ɖa . Esia bia be woaɖe lãkusi sue aɖe tso ʋuka si me ʋu sina tona me, eye zi geɖe la, wozãa ultrasound scan ƒe kpekpeɖeŋu.Emegbe wodoa lãmenugbagbeviwo ƒe kpɔɖeŋua kpɔna le nusuekpɔmɔ̃ me le nudokpɔƒea be woakpɔe ɖa be kansadɔlékui aɖewo li hã . Atikewɔwɔ nɔ te ɖe dɔléle si gblẽa nu le ʋuka si me ʋu sina tona ŋu dzi. Egbɔkpɔnu ɖeka aɖeke meli si sɔ na amesiame o.- Kpɔkpɔ Nyuie: Ne kansa la le afɔku sue aɖe me, eye wòle tsitsim blewu la, woléa ŋku ɖe kansa la ŋu to dodokpɔ edziedzi (PSA, DRE, biopsy) me amekoko alo atike bubu aɖeke manɔmee.
- Brachytherapy: Esia nye keklẽŋusẽdɔdamɔnu si wozãna le ememe. Wotsɔa nuku sue siwo me keklẽŋusẽ le la dea prostate gland la me.
- Dɔdamɔnu si Woatsɔ Akpɔ Dɔléle Siwo Woatsɔ Akpɔ Dɔléleae: Atikewɔwɔ siwo ku ɖe akpa si ŋu dɔdzẽ le le ʋuka me ko ŋu. Kpɔɖeŋuwo: Ultrasound si Wozãna le Sesẽme Ŋu (HIFU), Cryotherapy (tsikpe), Laser Ablation, Photodynamic Therapy (PDT).
- Prostatectomy: Amekoko be woaɖe prostate gland bliboa alo eƒe akpa aɖe ɖa.
Le Prostatitis gome la:
- Atikewo: Atike siwo naa lãmeka siwo ƒo xlã tsinyegoe kple tsinyegoe ƒe ʋuʋu (e.g., Alpha-blockers), vevesesenutsitikewo , kple dɔlékuiwutikewo ne dɔlékui aɖe le ame ŋu.
- Nuteɖeamedzi dzi ɖuɖu: Ɣeaɖewoɣi la, nuteɖeamedzi hã ate ŋu ana dzesi siawo nadzi ɖe edzi, eyata nuwo abe aɖaŋuɖoɖo ene ate ŋu akpe ɖe ŋuwò.
- Kamedede: Kamedede le akɔta ɖea vi na ame aɖewo.
Le prostatic hyperplasia si me dɔlékui aɖeke mele o (BPH) gome la:
- Atikewo: Atike siwo ɖea lãmetsiŋusẽ siwo kpɔa ŋusẽ ɖe ʋumenugbagbeviɣi ƒe tsitsi dzi ƒe wɔwɔ dzi kpɔtɔna (e.g. 5-alpha reductase inhibitors) alo atike siwo naa aɖuɖɔ ƒe sisi nɔa bɔbɔe (e.g. Alpha-blockers).
- Amekoko: Amekoko be woaɖe ʋuka me lãkusi si le mɔ xem na aɖuɖɔ ƒe sisi (e.g. TURP - Transurethral Resection of the Prostate).
- Tsi ƒe Dzoxɔxɔ ƒe Dɔdamɔnu: Wotsɔa mɔ̃ aɖe toa tsinyegoea me eye woɖoa tsi ƒe dzoxɔxɔ ɖe ʋuka me, si tsrɔ̃a lãmenugbagbevi siwo sɔ gbɔ eye wònaa lãkusia dzi ɖena kpɔtɔna.
Aleke mawɔ ana nye ʋuka nanɔ lãmesẽ me?
Wò ʋuka ƒe lãmesẽ dzi kpɔkpɔ le vevie ŋutɔ. Nu aɖewo siwo nàte ŋu awɔ atsɔ akpe ɖe ŋuwòe nye esi:- Lé ŋku ɖe wò ʋuka me edziedzi .Zi geɖe la, anyo wu be nàdze egɔme le ƒe 50 xɔxɔ vɔ megbe. Gake ne wò ƒomea me tɔ aɖe (abe fofowò alo nɔviwòŋutsu ene) xɔ ʋumenugbagbeviɣidɔ la, nunya anɔ eme be nàdze dodokpɔ gɔme kaba gɔ̃ hã, ɖewohĩ tso esime wòxɔ ƒe 40-45. Ðo dze kple wò ɖɔkta tso esia ŋu.
- De kame edziedzi. Wokpɔe be afɔku si le amesiwo le kame dem la me be woaxɔ BPH.
- Ƒo nuɖuɖu si naa lãmesẽ. De amagbewo, atikutsetsewo, kple protein siwo naa lãmesẽ (tɔmelã, koklozi, nukuwo) geɖe wò nuɖuɖu me. Ðe lã dzĩ, nuɖuɖu siwo ŋu wotrɔ asi le, kple nuɖuɖu siwo me ami sɔ gbɔ ɖo dzi kpɔtɔ.
- Ƒo asa na atamanuwo zazã. Sigaretnono ate ŋu ana ʋumenugbagbeviɣidɔ ƒe afɔkua nadzi ɖe edzi.
Ðe kpeɖeŋutɔtikewo nyo na ʋuka si me ʋu sina tona?
Ðewohĩ ède dzesii be kpeɖeŋutɔ vovovowo le asi me le asi me le ŋkeke siawo me siwo gblɔna be wonyo na ʋumenugbagbeviɣidɔ ƒe lãmesẽ. Le kpɔɖeŋu me, Saw Palmetto. Gake dɔwɔƒewo abe United States ƒe Nuɖuɖu Kple Atike Ŋuti Dɔwɔƒe (FDA) ene medo atike siawo dometɔ geɖe kpɔ vevie heda asi ɖe wo dzi o. Eyata dzɔdzɔmeŋutinunya me nyatakaka geɖe meli ku ɖe woƒe dɔwɔwɔ ŋu o. Togbɔ be woate ŋu aɖe vi sue aɖe na ame aɖewo hã la, asesẽ be míasusui be ame akpa gãtɔ aɖe vi geɖe tso wo me alo ana woƒe ʋukawo ƒe lãmesẽ nanyo ɖe edzi. Eyata bu kpeɖeŋutɔ mawo zazã ŋu zi eve ɖɔktawo ƒe aɖaŋuɖoɖo manɔmee. Nunya le eme be nàƒo nu kple wò ɖɔkta ahabia eƒe aɖaŋuɖoɖo.
Ẽ, àte ŋui. Le kpɔɖeŋu me, le nɔnɔme aɖe abe ʋumenugbagbeviɣidɔ ene me la, ɖɔktawo ate ŋu atso nya me be yewoawɔ dɔ na yewo be yewoaɖe ʋuka bliboa ɖa (prostatectomy) . Esia ate ŋu ade ame ƒe agbe afɔku me. Gake nugbegblẽ eve siwo bɔ wu le prostate ɖeɖeɖa me enye tsitretsitsi ƒe dɔmawɔmawɔ nyuie (ED) kple aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie . Atikewɔwɔ vovovowo li woatsɔ akpɔ nusiawo gbɔ. Ðe mate ŋu ase nye prostate la gɔmea?
Màte ŋu ase prostate la gɔme tẽ tso wò ŋutilã ƒe eme o. Gake àte ŋu ase egɔme tso gota vaseɖe afi aɖe, alo àte ŋu ase egɔme to wò dɔgbo me. Mɔ bɔbɔetɔ si dzi nàto ase egɔme tso gotae nye be nàse wò akɔta (nuto si le wò akɔta kple wò akɔta dome) tso megbe, si te ɖe wò akɔta ŋu . Nuto sia mee lãmekawo kple ʋukawo sɔ gbɔ ɖo wu, eye lãmenugbagbevi suetɔ kekeake hã le afima. Ele be ʋuka si le lãmesẽ me nase le eɖokui me be yefa eye wòle abe goma ene. Ne ètsɔ wò asibidɛ de wò akɔta abe sentimeta eve ene la, àte ŋu ase egɔme le teƒe si le wò ŋutsu ƒe vidzinu kple wò akɔta dome. Ele be wòase le eɖokui me hã be yefa eye wòle abe goma ene. Ne èka asi wò ʋuka ŋu alea la, àte ŋu ase le ɖokuiwò me zi ɖeka be yeaɖe aɖuɖɔ. Gake, esia nenɔ susu me na wò: Màte ŋu anya wò ʋuka ƒe lãmesẽ pɛpɛpɛ to ɖokuiwò dodokpɔ sia wɔwɔ me o.DRE dodokpɔ si ɖɔkta wɔe nye mɔnu si de pɛpɛpɛ wu. Ne ɖikeke alo nyabiase aɖewo le mewò la, kpɔ egbɔ be yeyi ɖɔkta gbɔ. Ate ŋu aɖo wò biabiawo ŋu eye wòada wò ʋuka ƒe lãmesẽ kpɔ pɛpɛpɛ.
Mlɔeba la, nu vevi aɖewo siwo dzi wòle be woaɖo ŋkui...
Prostate gland nye ŋutinu sue aɖe gake wòle vevie ŋutɔ le míaƒe ŋutsu ƒe ŋutilã me. Esɔ be wòatrɔ ne ame tsi eye wòalolo vie (BPH). Naneke meli si ŋu woavɔ̃ ɖo o. Gake ne nuxlɔ̃amedzesi siwo me míedzro la dze la, mègaŋe aɖaba ƒu wo dzi o. Kpɔ ɖɔkta enumake eye nàdi aɖaŋuɖoɖo. Enye numame nyui aɖe ŋutɔ be woado wo kpɔ edziedzi (Screenings) le ƒe 50 xɔxɔ vɔ megbe, alo do ŋgɔ na ema gɔ̃ hã nenye be ʋumenugbagbeviɣidɔ le ƒomea me. Nuɖuɖu nyui, kamedede edziedzi , kple atamanono ate ŋu akpɔ menye wò ʋuka ɖeɖeko ƒe lãmesẽ ta o, ke boŋ wò ŋutilã bliboa hã ƒe lãmesẽ ta. Kuxi ka kee ɖale ŋuwò o, ƒo nu kple wò ɖɔkta vɔvɔ̃ alo ŋukpe manɔmee. Ele klalo be yeakpe ɖe ŋuwò.
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