Aloha! I kēia lā, e kamaʻilio ana mākou e pili ana i kahi mea nui loa iā ʻoukou e nā kāne, akā ʻaʻole paha i kamaʻilio nui ʻia. ʻO ia
ka prostate gland , a i ʻole e like me ka mea i kapa ʻia ma ka ʻōlelo Pelekania
(Prostate Gland) . ʻOi loa me ka makahiki, hiki ke loli nā ʻano
like ʻole i loko o kēia prostate gland, no laila he mea nui loa iā ʻoe e makaʻala iā ia. No ka mea, inā ʻike mua ʻoe, hiki ke hoʻoponopono maʻalahi ʻia nā pilikia he nui.
No laila, he aha kēia ʻano prostate gland?
I ka ʻōlelo maʻalahi,
he ʻāpana liʻiliʻi ka prostate gland i loko o ka ʻōnaehana hānau kāne . I mea e pololei ai, ʻo
ka nui o ka prostate gland olakino e like me ka walnut . Hoʻohālikelike kekahi poʻe iā ia me ka chestnut. He 30 grams kona kaumaha. No laila ma hea ia e waiho ai, e noʻonoʻo paha ʻoe? E noʻonoʻo, aia kēia gland liʻiliʻi
ma lalo pono o kou ʻōpū mimi, a ma mua o kou rectum . ʻO kekahi mea nui ʻē aʻe, ʻo ka paipu e lawe ana i kāu mimi,
ka urethra , e hele ana ma waena o ka prostate gland. Ua like ia me kahi paipu e hele ana ma kahi ʻāpana lole. Hana ʻia ka prostate gland
i ʻelima mau ʻāpana, a i ʻole lobes : ka anterior, posterior, lateral lobes, a me ka median lobe. Hana ʻia kēia mau mea me nā ʻiʻo hoʻopili a me nā ʻiʻo glandular. Uhi ʻia ka gland holoʻokoʻa e kahi papa lahilahi o ka ʻiʻo hoʻopili i kapa ʻia
ʻo ka prostatic fascia .
He aha ka lawelawe a ka prostate gland e hāʻawi ai i ke kāne?
ʻAe, e nānā kākou i ka mea e hana ʻia me kēia gland liʻiliʻi. Eia ka mea nui loa:
- ʻO kāna hana nui ka hoʻohui ʻana i ka wai keu i kāu semen (semen/ejaculate) , ka wai keʻokeʻo e puka mai ana mai kāu penis ke ejaculate ʻoe. He mea kūikawā loa kēia wai. Loaʻa iā ia nā enzymes , zinc, a me ka citric acid . Kōkua kēia i ka hānai ʻana i nā cell sperm, kōkua iā lākou e neʻe maikaʻi, a hoʻomāmā i ka urethra .
- ʻAʻole wale ia, ke hoʻāla ʻia ʻoe, kōkua pū nā ʻiʻo o ke kelepa prostate i ka hoʻokuke ʻana i ka sperm i waho ma o ka urethra.
Loaʻa i nā wāhine kekahi ʻāpana prostate?
ʻAʻole.
ʻAʻohe o nā wāhine he kelepa prostate. Eia naʻe, ua lohe paha ʻoe i kahi mea i kapa ʻia ʻo "prostate wahine." ʻO ke ʻano maoli o ia mea, ʻo ia
ʻO nā kelepaʻi o Skene. Aia kēia mau kelepaʻi o Skene ma nā ʻaoʻao ʻelua o ka urethra wahine. Manaʻo nā kānaka noiʻi lapaʻau e hiki i kahi wai i hoʻokuʻu ʻia e kēia mau kelepaʻi ke kōkua i ke kaʻina hana o ka mimi a me ka maʻemaʻe. Wahi a kekahi mau kumumanaʻo ua pili kēia mau kelepaʻi i ka wai i hoʻokuʻu ʻia i ka wā o ka menstrual cycle o ka wahine. Ke hoʻonui nei ke kelepa prostate me ka makahiki?
ʻAe, he mea kēia e hana ʻia i nā kāne he nui. ʻO ka maʻamau, i ka hapa nui o nā kāne ma luna o 40 mau makahiki, hoʻomaka ka nui o ka prostate gland e hoʻonui mālie. Ua kapa ʻia kēia ma ke ʻano lapaʻau ʻo 'Benign Prostatic Hyperplasia' , a i ʻole BPH no ka pōkole. ʻO ka mea nui, ʻaʻole ʻo BPH he maʻi kanesa, a ʻaʻole ia e hoʻonui i kou pilikia o ka loaʻa ʻana o ka maʻi kanesa prostate.
ʻO ke kelepa prostate, kahi i like ka nui me ka walnut ma mua, hiki i kekahi manawa ke ulu a hiki i ka nui o ka lemona. He kūlana maʻamau kēia i ʻike ʻia e nā kāne he nui i ko lākou ʻelemakule ʻana. Eia nō naʻe, i ka wā e nui ai, hiki iā ia ke hoʻoulu i kahi ʻoluʻolu ʻole ma o ka hoʻopaʻa ʻana i ka urethra. E kamaʻilio mākou e pili ana i kēlā ma hope iki. He aha nā kūlana maʻamau e hiki ke hana e pili ana i ka prostate gland?
Aia kekahi mau pilikia olakino koʻikoʻi e kūkākūkā ʻia e pili ana i ka ʻōpū prostate. 1. Ka maʻi ʻaʻai prostate
ʻO kēia ka lua o ke ʻano maʻi kanesa maʻamau i nā kāne . No laila, he mea nui loa ia e makaʻala i kēia. Inā ʻike mua ʻia, ʻoi aku ka maikaʻi o ka mālama ʻia ʻana. 2. ʻO ka maʻi prostatitis
He mumū kēia o ke kelepa prostate. ʻEhā ʻano nui o kēia:- ʻO ka Prostatitis Bacterial ʻĀkiu: He kūlana e kū koke mai ana a hoʻokumu ʻia e kahi maʻi bacteria.
- ʻO ka prostatitis bacteria mau loa: He maʻi bacteria e hele pinepine ana no ka manawa lōʻihi.
- ʻO ka Chronic Pelvic Pain Syndrome (CPPS): I kēia kūlana, hiki ke loaʻa ka ʻeha ma ka ʻōpū prostate me ka ʻole o ka maʻi bacteria.
- ʻAsymptomatic Inflammatory Prostatitis: I kēia hihia, aia ka mumū akā ʻaʻohe hōʻailona e kū mai. ʻIke wale ʻia i ka wā o kahi hoʻokolohua ʻē aʻe.
ʻO ka prostatitis ka maʻi ʻaʻai mimi maʻamau i nā kāne ma lalo o 50 mau makahiki , a ʻo ke kolu o ka maʻi maʻamau i nā kāne ma luna o 50 mau makahiki. 3. ʻO ka Benign Prostatic Hyperplasia (BPH)
Ua kamaʻilio mākou e pili ana i kēia ma mua. ʻO ka hoʻonui maikaʻi ʻana o ka prostate gland hiki ke hoʻopaʻa i ka urethra, e paʻakikī ai ka mimi . I kou wā ʻelemakule,Loaʻa kēia ʻano i nā kāne he nui. He aha nā hōʻailona e hiki ai ke ʻike i nā pilikia prostate?
Inā loaʻa iā ʻoe kahi pilikia me kou ʻōpū prostate, hiki iā ʻoe ke ʻike i nā hōʻailona e like me kēia:- ʻEha ma ka penis, nā testicles , a i ʻole ka perineum (ka wahi ma waena o nā testicles a me ka anus).
- ʻO ka pono e mimi pinepine.
- ʻO ka mimi ʻeha (Dysuria) a i ʻole ka ʻeha i ka wā ejaculation.
- He kahe mālie o ka mimi, a i ʻole he kulu o ka mimi.
- Ka paʻakikī e hoʻomaka ana e mimi.
- Pono e ala pinepine i ka pō e mimi.
- Ka hana pono ʻole o ka moekolohe ( Erectile Dysfunction / ED).
- Koko i loko o ka mimi a i ʻole ka semen (Hematospermia).
- Ke ʻeha nei ma ka ʻōpū lalo, nā pūhaka, a i ʻole ka umauma (hiki ke hana ʻia kēia inā ua pālahalaha ke kanesa).
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka no ka ʻōlelo aʻo me ka makaʻu ʻole a me ka hilahila ʻole. ʻAʻole kēia mau hōʻailona a pau he mau hōʻailona o kahi maʻi koʻikoʻi, akā he mea nui e nānā ʻia.
Pehea e nānā ai i ke olakino o ka ʻōpū prostate?
Aia kekahi mau ʻano hana nui a nā kauka e hoʻohana ai e nānā i ke olakino o ka prostate: 1. Hoʻokolohua Rectal Kikohoʻe (DRE)
Ma kēia, hoʻokomo ke kauka i kahi manamana lima i uhi ʻia me ka mīkina lima i loko o kou rectum a hoʻopā i ke kelepa prostate. Hiki i kēia ke nānā i ka nui, ke ʻano, ka paʻa, a me ke alo o nā puʻupuʻu . ʻOiai he mea ʻoluʻolu ʻole kēia, he hoʻāʻo koʻikoʻi loa ia e lawe wale i kekahi mau minuke. 2. Hoʻāʻo koko Prostate-Specific Antigen (PSA)
He protein ka PSA i hana maoli ʻia e ka prostate gland. Inā ʻoi aku ke kiʻekiʻe o kou pae PSA ma mua o ka maʻamau , he hōʻailona paha ia o ka maʻi kanesa prostate. Eia nō naʻe, hiki ke hoʻokiʻekiʻe ʻia nā pae PSA i nā hihia o BPH, prostatitis, a i ʻole ka hana moekolohe hou. No laila, ʻaʻole wale nā pae PSA wale nō ke kumu i ka hōʻailona, akā ua noʻonoʻo ʻia me ka DRE. 3. Hoʻāʻo Biopsy
Inā he mea kānalua me ka pae DRE a i ʻole PSA, e paipai paha kāu kauka i kahi biopsy . Pili kēia i ka lawe ʻana i kahi hāpana liʻiliʻi o ka ʻiʻo mai ka prostate gland, maʻamau me ke kōkua o kahi ultrasound scan.A laila ua nānā ʻia ka hāpana ʻiʻo ma lalo o kahi microscope i loko o ka hale hana e ʻike ai inā he mau hunaola kanesa . He aha nā lāʻau lapaʻau no nā maʻi prostate?
Aia ka lāʻau lapaʻau i ka maʻi e hoʻopilikia ana i ka ʻōpū prostate. ʻAʻohe hopena hoʻokahi e kūpono i nā mea āpau. No ke kanesa prostate:
- Nānā Hana: Inā aia ke kanesa i kahi pae haʻahaʻa ka pilikia a lohi ka ulu ʻana, e nānā ʻia ke kanesa ma o ka hoʻāʻo mau ʻana (PSA, DRE, biopsy) me ka ʻole o ke ʻoki ʻana a i ʻole kekahi lāʻau ʻē aʻe.
- Brachytherapy: He lāʻau lapaʻau radiation kūloko kēia. Hoʻokomo ʻia nā hua radioactive liʻiliʻi i loko o ka prostate gland.
- Lapaʻau Focal: Nā lāʻau lapaʻau e pili wale ana i ka wahi o ke kanesa prostate. Nā Laʻana: High-Intensity Focused Ultrasound (HIFU), Cryotherapy (hauʻoli), Laser Ablation, Photodynamic Therapy (PDT).
- Prostatectomy: Wehe ʻana i ka prostate a pau a i ʻole kekahi hapa ma ke ʻano ʻoki kino.
No ka maʻi prostatitis:
- Nā lāʻau lapaʻau: Nā lāʻau lapaʻau e hoʻomaha ai i nā ʻiʻo a puni ka ʻōpū mimi a me ka prostate (e.g., Alpha-blockers), nā lāʻau ʻeha , a me nā antibiotics inā he maʻi bacteria.
- Ka hoʻokele koʻikoʻi: I kekahi manawa hiki i ke koʻikoʻi ke hoʻonui i kēia mau hōʻailona, no laila hiki i nā mea e like me ke aʻo ʻana ke kōkua.
- Hoʻoikaika Kino: He mea maikaʻi nā hoʻomaʻamaʻa papahele pelvic no kekahi poʻe.
No ka maʻi prostatic hyperplasia (BPH):
- Nā lāʻau lapaʻau: Nā lāʻau lapaʻau e hōʻemi ana i ka hana ʻana o nā hormones e hoʻopilikia i ka ulu ʻana o ka prostate (e like me nā mea hoʻopaʻa 5-alpha reductase) a i ʻole nā lāʻau lapaʻau e hoʻomaʻamaʻa i ke kahe o ka mimi (e like me nā Alpha-blockers).
- ʻOki kino: ʻOki kino e wehe i ka ʻiʻo prostate e ālai ana i ke kahe o ka mimi (e like me TURP - Transurethral Resection of the Prostate).
- Lapaʻau Kohu Wai: Hoʻokomo ʻia kahi hāmeʻa ma o ka urethra a hoʻouna ʻia ka kohu wai i loko o ka ʻōpū prostate, e luku ana i nā hunaola keu a hoʻēmi i ka ʻōpū.
Pehea e hiki ai iaʻu ke mālama i ke olakino o koʻu prostate?
He mea nui loa ka mālama ʻana i ke olakino o kou prostate. Eia kekahi mau mea hiki iā ʻoe ke hana e kōkua:- E nānā pinepine i kou prostate.ʻOi aku ka maikaʻi o ka hoʻomaka ʻana ma hope o 50 mau makahiki. Akā inā ua loaʻa kekahi o kou ʻohana (e like me kou makuakāne a kaikuaʻana paha) i ka maʻi ʻaʻai prostate, he mea naʻauao ke hoʻomaka i ka nānā ʻana ma mua, malia paha i ka wā o 40-45 mau makahiki. E kamaʻilio me kāu kauka e pili ana i kēia.
- E hoʻoikaika kino i nā manawa a pau. Ua ʻike ʻia he haʻahaʻa ka pilikia o ka poʻe e hana kino ana i ka BPH.
- E ʻai i ka meaʻai olakino. E hoʻokomo i ka nui o nā mea kanu, nā huaʻai, a me nā protein olakino (iʻa, moa, nati) i kāu papaʻai. E hōʻemi i ka ʻiʻo ʻulaʻula, nā meaʻai i hana ʻia, a me nā meaʻai momona kiʻekiʻe.
- E hōʻalo i ka hoʻohana ʻana i nā huahana paka. Hiki i ka puhi paka ke hoʻonui i ka pilikia o ke kanesa prostate.
He maikaʻi anei nā mea hoʻohui no ka prostate?
Ua ʻike paha ʻoe he nui nā mea hoʻohui like ʻole ma ka mākeke i kēia mau lā e koi ana he maikaʻi no ke olakino prostate. Eia kekahi laʻana, ʻo Saw Palmetto. Eia naʻe, ʻaʻole i hoʻāʻo pono ʻia a ʻae ʻia ka nui o kēia mau mea hoʻohui e nā ʻoihana e like me ka US Food and Drug Administration (FDA). No laila, ʻaʻohe nui o ka ʻikepili ʻepekema e pili ana i ko lākou pono. ʻOiai he liʻiliʻi ko lākou pono no kekahi poʻe, he paʻakikī ke noʻonoʻo e pōmaikaʻi nui ka hapa nui o ka poʻe mai ia mau mea a hoʻomaikaʻi paha i ko lākou olakino prostate. No laila, e noʻonoʻo pono i ka hoʻohana ʻana i ia mau mea hoʻopihapiha me ka ʻole o ke aʻo lapaʻau. He mea naʻauao ke kamaʻilio me kāu kauka a ʻimi i kāna ʻōlelo aʻo.
Hiki ke ola me ka ʻole o kahi kelepa prostate?
ʻAe, hiki iā ʻoe. No ka laʻana, i kahi hihia e like me ke kanesa prostate, hiki i nā kauka ke hoʻoholo e wehe i ka prostate holoʻokoʻa (prostatectomy) . Hiki i kēia ke hoʻoweliweli i ke ola. Eia nō naʻe, ʻelua o nā hopena ʻaoʻao maʻamau o ka wehe ʻana i ka prostate ʻo ia ka erectile dysfunction (ED) a me ka urinary incontinence . Aia nā ʻano lapaʻau like ʻole e mālama ai i kēia mau mea. Hiki iaʻu ke ʻike i koʻu prostate?
ʻAʻole hiki iā ʻoe ke hoʻopā pololei i ka prostate mai loko mai o kou kino. Eia nō naʻe, hiki iā ʻoe ke hoʻopā iā ia mai waho a i kekahi ʻano, a i ʻole hiki iā ʻoe ke hoʻopā iā ia ma o kou rectum. ʻO ke ala maʻalahi loa e hoʻopā ai iā ia mai waho mai, ʻo ia ke hoʻopā i kou perineum (ka wahi ma waena o kou scrotum a me kou anus) mai hope, kokoke i kou anus . ʻO kēia wahi ka nui o nā aʻalolo a me nā kīʻaha koko, a ʻo ka liʻiliʻi loa o nā ʻiʻo. Pono ka prostate olakino e palupalu a like me ka rubber. Inā ʻoe e kau i kou manamana lima ma kahi o ʻelua ʻīniha i loko o kou anus, hiki iā ʻoe ke hoʻopā iā ia ma ka wahi ma waena o kāu penis a me kou anus. Pono nō hoʻi e palupalu a like me ka rubber. Ke hoʻopā ʻoe i kou prostate ma kēia ʻano, hiki iā ʻoe ke manaʻo koke i ka makemake e mimi. Akā, e hoʻomanaʻo i kēia: ʻAʻole hiki iā ʻoe ke hoʻoholo pololei i ke olakino o kou prostate ma ka hana ʻana i kēia hoʻokolokolo ponoʻī.ʻO ka hoʻāʻo DRE i hana ʻia e ke kauka ke ʻano pololei loa. Inā he kānalua a nīnau paha kāu, e ʻike pono i ke kauka. Hiki iā ia ke pane i kāu mau nīnau a loiloi pololei i ke olakino o kou prostate.
ʻO ka mea hope loa, aia kekahi mau mea nui e hoʻomanaʻo ai ...
He ʻōkana liʻiliʻi akā koʻikoʻi loa ke kelepa prostate i loko o ko kākou kino kāne. He mea maʻamau ia e loli me ka makahiki a lilo i mea nui iki (BPH). ʻAʻohe mea e makaʻu ai. Eia naʻe, inā ʻike ʻia nā hōʻailona a mākou i kūkākūkā ai, mai hoʻowahāwahā iā lākou. E ʻike koke i ke kauka a e ʻimi i ka ʻōlelo aʻo. He maʻamau maikaʻi loa ka loaʻa ʻana o nā hoʻokolohua lapaʻau maʻamau (Screenings) ma hope o 50 mau makahiki, a i ʻole ma mua inā he moʻolelo ʻohana o ka maʻi kanesa prostate. ʻO ka ʻai olakino, ka hoʻoikaika kino mau , a me ka pale ʻana i ka puhipaka hiki ke pale i ke olakino ʻaʻole wale o kou prostate, akā, o kou kino holoʻokoʻa. ʻOiai he aha ka pilikia āu e loaʻa ai, e kamaʻilio me kāu kauka me ka makaʻu ʻole a hilahila ʻole. Ua mākaukau ʻo ia e kōkua iā ʻoe.
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