Kuxi si bɔ ɖe ŋutsu geɖe siwo xɔ wu ƒe 50 ŋue nye aɖuɖɔtoe sesẽ. Le kpɔɖeŋu me, ne èfɔ zi eve alo zi etɔ̃ le zã me be yeaɖe aɖuɖɔ, ne èse le ɖokuiwò me be yegbɔdzɔ le tsinyegoea me, alo nàse le ɖokuiwò me be yeƒe tsinyegoe gakpɔtɔ yɔ fũ ne èwu aɖuɖɔ vɔ megbe. Zi geɖe la, esiawo ate ŋu anye nɔnɔme aɖe si woyɔna be BPH ƒe dzesiwo. Gake mègatsi dzi o, menye kansae o. Mina míaɖe nusianu me le nya bɔbɔewo me.
Nukae nye BPH?
Kpuie ko la, BPH nye ‘Benign Prostatic Hyperplasia’ ƒe kpukpui. Le Sinhalagbe me la, enye ʋuka si me ʋu sina tona ƒe lolome. Menye kansa gbɔe esia tsona o.
Bu eŋu ale. Prostate gland le ŋutsuwo ƒe tsinyegoe te, ƒo xlã tsinyegoea. Aɖuɖɔ kple tsinyenye dona le ŋutilãa me to tsinyegoe sia me. Ne ŋutsuwo le tsitsim la, ʋuka si me ʋu sina tona la tea tsitsi vivivi le ŋutsu akpa gãtɔ me. Esia sɔ. Gake ne elolo akpa, abe tsido si me tsi le sesĩe ene la, edzea aɖuɖɔtoea mimi gɔme. Ɣemaɣie aɖuɖɔtoe me kuxi siwo míeyɔ va yi la dzɔna.
Nu vevitɔe nye be BPH menye ʋumenugbagbeviɣidɔ o. Eye BPH ƒe amesinɔnɔ medzia kansa xɔxɔ ƒe afɔkua ɖe edzi o. Enye dɔléle si woate ŋu ada .
Nuka tututue gbɔ BPH tsona?
Ðɔktawo mate ŋu agblɔ nusi gbɔ wòtsona kple kakaɖedzi ŋutɔŋutɔ o, gake woxɔe se be lãmetsiŋusẽ ƒe tɔtrɔ siwo vaa ŋutilãa me siwo dzɔna ne ame tsitsi, vevietɔ nuwɔna si me ŋutsu ƒe lãmetsi si nye testosterone , gbɔe wòtso.
Ne ŋutsuvi ɖo sɔhɛme la, ʋuka si me ʋu sina tona la lolona zi gbɔ zi eve zi ɖeka. Emegbe, tso esime wòxɔ ƒe 25 lɔƒo la, egadzea tsitsi gɔme ake. Esia dzɔna le agbemeŋkekewo katã me. Le ŋutsu aɖewo gome la, dzidziɖedzi sia hea BPH vɛ.
Nukawo tututue nye BPH ƒe dzesiwo?
Woate ŋu ama aɖuɖɔtoe ƒe dzesi siwo le ete (LUTS) siwo dona ne tsinyegoea lolo eye tsinyegoea me mekɔ o la ɖe hatsotso vevi eve me. Woate ŋu ase esiawo gɔme nyuie tso kplɔ̃ si le ete la dzi.
| Dzesiwo ƒe hatsotso | Numeɖeɖe (nusi nèsena le ɖokuiwò me) . |
|---|---|
| Voiding Dzesiwo |
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| Nudzraɖoƒe ƒe Dzesiwo |
|
Dzesi siawo ateŋu ahe nuwo abe aɖuɖɔtoe me dɔléle (UTIs), tsinyegoe me kpewo, kple bubuawo vɛ ɣeaɖewoɣi.Ƒã hafi aɖuɖɔtoe me tsi alo ayiku ƒe gbegblẽ ateŋu adzɔ. Eyata ele vevie ŋutɔ be nànya dzesi siawo.
Aleke nèwɔ kpɔ esia, Ðɔkta?
Ne èyi ɖɔkta si ƒe dzesiwo le abe esiawo ene gbɔ la, abia wò dzesiwo kple ƒomea ƒe atikewɔwɔ ŋutinya gbã. Emegbe awɔ ŋutilãmedɔdada.
- Digital Rectal Exam (DRE): Le dodokpɔ sia me la, wò ɖɔkta tsɔa asibidɛ si ŋu asigɛ le dea wò dɔgbo me be yeatsɔ akpɔ wò ʋuka ƒe lolome kple nɔnɔme. Esia adze abe ɖe mefa o ene, gake ele vevie ŋutɔ na dɔlélea didi.
Tsɔ kpe ɖe eŋu la, woate ŋu awɔ dodokpɔ geɖe atsɔ aɖo kpe nɔnɔmea dzi:
- Ʋudodokpɔ: Kpɔ ayiku ƒe dɔwɔwɔ ɖa.
- Aɖuɖɔtoe dodokpɔ: Kpɔe ɖa be dɔlékuiwo le ame ŋu hã.
- PSA ʋudodokpɔ (Prostate-Specific Antigen):Dodokpɔ si me wodzidzea protein si prostate gland wɔna ƒe agbɔsɔsɔme. PSA ƒe agbɔsɔsɔ si dzi ɖe edzi ate ŋu anye prostate gland si lolo ƒe dzesi.
- Ultrasound Scan: Be woadzidze tsinyegoe ƒe lolome eye woakpɔ aɖuɖɔ agbɔsɔsɔme si susɔ ɖe tsinyegoea me le aɖuɖɔtoe vɔ megbe.
- Dodokpɔ tɔxɛ bubuwo: Le go aɖewo me la, woate ŋu adɔ dodokpɔwo abe uroflowmetry, si dzidzea aɖuɖɔtoe ƒe sisi kabakaba, alo cystoscopy, si zãa fotoɖemɔ̃ tsɔ doa tsinyegoe kple tsinyegoe kpɔna ene.
Nukawoe nye atike siwo wozãna na BPH?
Womate ŋu ada BPH keŋkeŋ o. Gake atikewɔmɔnu nyui geɖewo li siwo ate ŋu akpe ɖe ŋuwò nàɖu wò dzesiwo dzi ahanɔ agbe si sɔ. Wò ɖɔkta anɔ te ɖe ƒe si nèxɔ, wò lãmesẽ, kple alesi wò dzesiawo nu sẽe dzi anya atike nyuitɔ kekeake.
1. Agbenɔnɔ ƒe Tɔtrɔwo
Ne wò dzesiawo mesẽ akpa o la, àte ŋu ate nu bɔbɔe siawo kpɔ gbã:
- Ðe tsi siwo nènona, abe tsi, tii, kple kɔfi ene, dzi kpɔtɔ hafi mlɔ anyi le zã me kple hafi nàdo go.
- Aha kple caffeine (kɔfi, tii ƒomevi aɖewo) zazã dzi ɖeɖe kpɔtɔ.
- Kamedede siwo doa ŋusẽ akɔta ƒe lãmekawo wɔwɔ (bia wò ɖɔkta tso esia ŋu).
2. Atikewo zazã
Ne agbenɔnɔ ƒe tɔtrɔ ɖeɖe mesɔ gbɔ o la, ɖɔkta ate ŋu aŋlɔ atike na wò.
- Alpha-blockers: Esiawo naa lãmeka siwo le prostate gland kple tsinyegoe ƒe kɔ me la ɖea dzi ɖi, si wɔnɛ be aɖuɖɔtoe ƒe sisi nɔa bɔbɔe.
- 5-alpha reductase inhibitors: Atike siawo nana prostate gland la dzi ɖena kpɔtɔna.
Ðewohĩ ahiã be ame aɖewo nazã atike siawo evea siaa ɖekae.
3. Dɔwɔwɔwo Kple Amekokowo
Ne womate ŋu atsɔ atikewo aɖu dzesiawo dzi o, alo ne kuxiwo abe aɖuɖɔtoedɔléle enuenu alo tsinyegoe me kpewo ene do mo ɖa la, woate ŋu abu amekoko ŋu. Amekoko akpa gãtɔ egbea mewɔa nu boo aɖeke o.
- TURP (Transurethral Resection of the Prostate): Amekoko si bɔ wu. Wotsɔa dɔwɔnu sue aɖe toa tsinyegoea me tsɔ ɖea ʋuka si me ʋu sina tona ƒe akpa siwo sɔ gbɔ la ɖa.
- Laser Amekoko: Laser-ya zazã atsɔ awɔ yaƒoƒoe ahaɖe lãkusi siwo sɔ gbɔ ɖe wo ɖa.
- UroLift: Nu suesuesue siwo wotsɔ dea ʋuka me siwo ƒoa tsinyegoe ƒe lãkusiwo ɖe vovo ale be tsinyegoea nagaxe o la zazã.
Mɔnu vovovowo li abe esia ene. Wò ɖɔkta aɖe mɔnu si sɔ na wò wu la me na wò.
Gbedasi si Wotsɔ Yi Aƒeme
- BPH nye dɔléle si bɔ ŋutɔ, si menye kansa o le ŋutsu tsitsiwo dome, eyata mègatsi dzodzodzoe madzemadzee o.
- Ne dzesiwo abe aɖuɖɔɖɔɖɔ enuenu, fɔfɔ le zã me be yeaɖe aɖuɖɔ, alo aɖuɖɔtoe si gbɔdzɔ ene le ŋuwò la, mègakpe ŋu o eye nàƒo nu kple ɖɔkta.
- Atikewɔwɔ siwo wɔa dɔ ŋutɔ li na esia (agbenɔnɔ ƒe tɔtrɔ, atikewo, amekoko).
- Ne womedae o la, kuxiwo abe aɖuɖɔtoedɔléle kple ayiku me kuxiwo ene ate ŋu ado mo ɖa. Eyata anyo wu be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo kaba ale si nàte ŋui.
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