E aʻo hou aʻe kākou e pili ana i nā pilikia prostate (prostatitis) e hoʻopilikia nei i nā kāne.

Ke manaʻo nei hoʻi ʻoe e pono ʻoe e mimi pinepine? Akā i kou wā e mimi ai, ʻaʻole ia e holo pono? A i ʻole ke ʻike nei ʻoe i ka wela a me ka ʻeha i ka wā e mimi ai, a me ka ʻeha ma ka ʻōpū lalo? He mau pilikia kēia a mākou e ʻike ai i nā kāne he nui, akā kānalua iki mākou e kamaʻilio e pili ana. ʻO ke kumu o kēia mau hōʻailona he mumū o ka prostate gland. Kapa mākou i kēia ma ke ʻano lapaʻau he Prostatitis. No laila, mai hopohopo, e kamaʻilio mākou e pili ana i nā mea āpau e pili ana i kēia i kēia lā me ka maʻalahi a me ka maopopo.

I ka ʻōlelo maʻalahi, he aha ka prostatitis?

ʻAe, e nānā mua kākou i ke ʻano o ka prostate gland. He gland ia e like me ka nui o ka walnut i kū hoʻokahi i nā kāne. Aia ia ma lalo pono o kou ʻōpū mimi. ʻO ka urethra, ka ʻōmole e lawe ana i ka mimi a me ka semen i waho o kou kino, e holo ana ma o ka prostate gland.

I kēia manawa, ʻo ka Prostatitis ka wā e pehu ai kou kelepa prostate a me nā ʻiʻo a puni a pehu paha no kekahi kumu. E noʻonoʻo e like me ka pehu ʻana o ka tonsil i loko o kou puʻu. Hiki i kēia pehu ke kau i ke kaomi ma ka urethra e hele ana ma o ka prostate. ʻO ia ke kumu o nā mea e like me ka paʻakikī o ka mimi a me ka ʻeha.

Aia kekahi mau ʻano prostatitis like ʻole?

ʻAe, ʻaʻole kēia he ʻano maʻi hoʻokahi wale nō. ʻEhā mau ʻano nui. Hoʻokumu ʻia kekahi e nā maʻi bacteria, a ʻaʻohe kumu kikoʻī o kekahi. He mea nui loa ka ʻike ʻana i kēia mau ʻano ʻehā no ʻoe a me kāu kauka e mālama iā ʻoe.

Pehea ka maʻamau o kēia ʻano?

ʻOi aku ka maʻamau ma mua o kou manaʻo. Ma ke ʻano helu, ma kahi o hoʻokahi o nā kāne ʻelua (50%) e ʻike i nā hōʻailona o ka prostatitis i kekahi manawa o ko lākou ola . ʻO ia ka pilikia maʻamau o ke ala mimi i waena o nā kāne ma lalo o 50 makahiki. ʻO ia ke kolu o ke kūlana maʻamau i waena o nā kāne ma luna o 50 makahiki. No laila, ʻaʻole kēia he pilikia wale nō nou.

He aha nā hōʻailona nui o kēia?

Hiki ke ʻokoʻa nā hōʻailona ma muli o ke ʻano o ka prostatitis āu e loaʻa ai, akā aia kekahi mau hōʻailona maʻamau. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea, e ʻike pono i ke kauka.

• ʻEha ma ka ʻōpū lalo, nā ʻōpū wahine, a i ʻole ka wahi ma waena o ka scrotum a me ka anus. Hiki i kēia ʻeha ke pālahalaha i ke kua lalo i kekahi manawa.
• Pono e mimi pinepine.
• ʻEha a wela paha i ka wā e mimi ai (Dysuria).
• Ke kahe mau ʻana o ka mimi, e kū ana a hoʻomaka hou ana.
• Ke koko i loko o ka mimi (Hematuria).
• Koko i loko o ka semen (Hematospermia).
• ʻEha i ka wā o ka moekolohe.
• ʻEha i ka wā o ka ejaculation.
• Ka hana ʻino o ka erectile.

No ke aha e kū mai ai ka prostatitis? He aha nā kumu?

ʻOkoʻa nō hoʻi ke kumu ma muli o ke ʻano a mākou i kūkākūkā ai ma mua. I kekahi manawa ua maopopo ke kumu, akā no nā ʻano e like me CPPS, paʻakikī ke loaʻa i kahi kumu paʻa.

Nā mea e hiki ai ke hoʻoulu i nā maʻi ʻaʻole bacteria (CPPS)

ʻAʻole kēia he mea i hoʻokumu ʻia e ka bacteria, akā ua manaʻo ʻia kēia mau mea he mau kumu kōkua:

• Nā maʻi Autoimmune - ʻO ke ʻano kēia, hoʻouka ka ʻōnaehana pale o ke kino i kāna mau hunaola ponoʻī.
• Ka hōʻino ʻana i nā ʻiʻo papahele pelvic.
• Nā pilikia a i ʻole ka pehu ʻana o nā aʻalolo ma ka ʻāpana pelvic.
• Kaumaha nui.

Nā kumu o nā ʻano i hoʻokumu ʻia e nā maʻi bacteria

Hoʻokumu ʻia kēia e ka bacteria e komo ana i loko o ka prostate gland. Hiki i kēia mau bacteria ke komo ma o ka urethra.

• Nā maʻi ʻōpū mimi a i ʻole nā ​​​​pōhaku mimi.
• Nā maʻi i laha ma ke moekolohe (STIs).
• Ka hoʻohana ʻana i kahi catheter.
• Ke lawe ʻana i kahi ʻāpana o ka ʻiʻo mai ka prostate gland no ka hoʻokolokolo ʻana (prostate biopsy).
• Nā maʻi ʻōpū mimi pinepine (UTI).
• Nā ʻeha i ka ʻāpana pelvic.

ʻO wai ka mea i pilikia nui i ka hoʻomohala ʻana i kēia?

Hiki i kekahi mau kumu ke hoʻonui i kou pilikia.

• Inā loaʻa pinepine iā ʻoe nā maʻi ʻōpū mimi.
• Inā ua loaʻa iā ʻoe ka prostatitis ma mua.
• Inā he kīnā hānau i loko o ka ʻōnaehana mimi.
• Inā ʻoe ma luna o 50 mau makahiki a he nui kou gland prostate i hoʻonui ʻia (benign prostatic hyperplasia).
• Inā ua loaʻa kahi ulia a i ʻole ka hōʻino ʻana o ke aʻalolo i ka ʻāpana pelvic.

Hiki i kēia ke hoʻoulu i nā pilikia ʻē aʻe? Aia kekahi manawa kūpono o ka maʻi kanesa?

He nīnau kēia a ka poʻe he nui e makaʻu nei. ʻO ka mea mua, ʻaʻole ka prostatitis he maʻi kanesa. A ʻaʻole ia e hoʻonui i ka pilikia o ka loaʻa ʻana o ke kanesa prostate. No laila, mai makaʻu iā ia.

Eia nō naʻe, i ka wā e pehu ai ke kelepa prostate ma muli o ka prostatitis, hiki ke piʻi aʻe ka pae o kahi protein i kapa ʻia ʻo PSA (Prostate-specific antigen) i loko o ke koko. ʻOiai ke piʻi nei hoʻi nā pae PSA i ka maʻi kanesa prostate, i kekahi manawa hiki ke huikau ʻia kēia mau kūlana ʻelua. Eia nō naʻe, e hana ke kauka i nā hoʻokolohua hou aʻe e ʻike pono i ke kumu i kiʻekiʻe ai ka pae PSA.

ʻO nā pilikia, ʻoiai inā he koʻikoʻi ka Acute Bacterial Prostatitis, hiki ke alakaʻi i ka sepsis , kahi kūlana hoʻoweliweli i ke ola kahi e laha ai ka maʻi ma ke kino holoʻokoʻa. No laila he mea nui e hele koke i ka Emergency Department (ETU) o ka haukapila inā loaʻa iā ʻoe nā pilikia mimi koʻikoʻi me ke kuni.

Pehea e ʻike ai ke kauka i kēia?

Ke hele ʻoe e ʻike i kāu kauka, e hoʻolohe pono ʻo ia i kāu mau hōʻailona. A laila e hana ʻo ia i kahi hoʻokolokolo kino. Hiki ke hana ʻia kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona.

• Hoʻokolohua Rectal Digital (DRE): Ma kēia hoʻokolohua, hoʻokomo ke kauka i kahi manamana lima i loko o kou rectum a hoʻopā i ke kelepa prostate. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā he pehu a palupalu paha. ʻOiai paha he hoʻokolohua paʻakikī kēia, he mea nui loa ia no ka ʻike ʻana i ke kūlana.
• Urinalysis: Nānā i ka bacteria a i ʻole ka maʻi i loko o ka mimi.
• Hoʻāʻo koko: Kōkua kēia i ke ana ʻana i ka pae PSA a mākou i kamaʻilio ai ma mua.
• Cystoscopy: Ma kēia, ua hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia ma o ka urethra e nānā i loko o ka ʻōpū mimi a me ka urethra.
• ʻO Transrectal Ultrasound: Hoʻohana i nā nalu kani e kiʻi i ke kiʻi o ka ʻōpū prostate a nānā i nā mea ʻē aʻe, e like me nā puʻupuʻu.

ʻĀ, he aha nā lāʻau lapaʻau no kēia i kēia manawa?

Aia ka lāʻau lapaʻau i ke ʻano o ka prostatitis āu e loaʻa ai. ʻAʻohe lāʻau lapaʻau hoʻokahi e kūpono i nā mea āpau.

Ka lāʻau lapaʻau no nā maʻi bacteria

Inā loaʻa iā ʻoe kahi maʻi bacteria (ʻoi a mau paha), e kuhikuhi kāu kauka i nā antibiotics .

• ʻO ka maʻamau, pono ka prostatitis bacteria acute i 2 a 4 mau pule o nā antibiotics. I kekahi mau hihia koʻikoʻi, pono paha ʻoe e noho i ka haukapila a loaʻa ka lāʻau lapaʻau i hāʻawi ʻia ma ke ʻano intravenous (IV).
• He mea paʻakikī iki ka mālama ʻana i ka prostatitis bacteria mau loa . Pono paha ʻoe e lawe i nā lāʻau antibiotic no kahi manawa lōʻihi, mai 4 a 12 mau pule.

Lapaʻau no ka Chronic Pelvic Pain Syndrome (CPPS)

No ka mea, ʻaʻole kēia he maʻi bacteria, ʻokoʻa ke ʻano o ka lāʻau. Pili ia i ka mālama ʻana i kāu mau hōʻailona. Hiki i kāu kauka ke paipai i hoʻokahi a ʻoi aku paha o kēia mau mea:

• Nā lāʻau lapaʻau e kōkua iā ʻoe e mimi me ka maʻalahi (e like me Tamsulosin).
• Nā lāʻau lapaʻau e hōʻoluʻolu ai i ka ʻeha.
• Ke aʻo ʻana a i ʻole ka lāʻau lapaʻau e hōʻemi ai i ke kaumaha.
• Hoʻōla kino papahele pelvic (nā hoʻomaʻamaʻa e hoʻoikaika a hoʻomaha i nā ʻiʻo ma ka ʻāpana pelvic).
• Nā mea e like me ka noho ʻana i loko o ka wai mehana (ʻauʻau sitz).

He aha nā mea hiki iā mākou ke hana ma ka home?

He mea nui e ʻike i ke kauka no ka mālama ʻana. Eia kekahi, hiki iā ʻoe ke hoʻāʻo i kēia mau mea ma ka home e kāohi i nā hōʻailona. Akā e hoʻomanaʻo he mea hoʻohui kēia i nā ʻōlelo aʻoaʻo lapaʻau .

• E inu i ka wai he nui. E kōkua kēia iā ʻoe e mimi pinepine a hoʻokuke aku i ka bacteria mai kou kino.
• E lawe i kahi lāʻau ʻeha (e like me ke kuhikuhi a ke kauka) e like me ka paracetamol a i ʻole ibuprofen no ka mumū a me ka ʻeha.
• E noho mamao aku mai nā mea ʻala a me nā mea ʻawaʻawa, ke kofe, a me ka waiʻona . Hiki i kēia ke hoʻonui i ka mumū o ke ala mimi.
• ʻO ke kau ʻana i kahi ʻōmole wai wela i kou ʻōpū ma lalo a i ʻole ke kua e hiki ke kōkua i ka hoʻomaha ʻana i ka ʻeha.
• Ke ʻeha ʻoe, e noho ma luna o kahi uluna me kahi lua ma waenakonu (uluna donut).
• E hōʻalo i nā hana e hoʻonui ai i ka ʻeha, e like me ke kaʻa paikikala, no kekahi manawa.

Āhea ʻoe e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻike koke i ke kauka.

• Inā he koko i loko o ka mimi a i ʻole ka semen.
• Inā pilikia ʻoe i ka mimi ʻana, a inā ʻaʻole hiki iā ʻoe ke mimi iki.
• Inā loaʻa iā ʻoe ka ʻeha nui i ka wā e mimi ai.
• Inā loaʻa iā ʻoe ka ʻeha hiki ʻole ke hoʻomanawanui ma kou ʻōpū lalo a me ke kuni.
• Inā he ʻeha i ka wā o ka moekolohe a i ʻole ka ejaculation.