Man, yu geht prohblem lek urinary tract infection en urinary retention as yu de ol? Lɛ wi tɔk bɔt Benign Prostatic Hyperplasia (BPH) .

As yu de ol, yu kin si se yu kin grap bɔku tɛm na nɛt fɔ pis? Ɔ yu fɔ wet fɔ sɔm tɛm fɔ pis? Sɔntɛnde yu kin fil lɛk se yu gɛt mɔ urine ivin afta yu dɔn fɔ pis? Dɛn tin ya kin gɛt fɔ du wit smɔl chenj dɛn we kin apin na di prɔstat gland we bɔku man dɛn kin gɛt we dɛn de ol. Tide, wi go tɔk bɔt dis sik we dɛn kɔl benign prostatic hyperplasia (BPH).

Wetin na dis BPH (Benign Prostatic Hyperplasia)?

Fɔ tɔk am simpul wan, Benign Prostatic Hyperplasia (BPH) na we yu prɔstat gland de big. di prכstat na sכmכl gland we saiz lεk walnut we de dכn di blad εn bifo di rεktum. yu no se pat pan di urethra de pas tru dis gland?

dis urethra na tכb we de kכri urine εn sεl dεm kכmכt na di bכdi. So, imajin, as dis prɔstat gland de big, da urethra we a bin tɔk bɔt de bigin fɔ tayt. na da we de di we fכ di urine fכ kכmכt kin blok, εn di we fכ di sεmεn fכ kכmכt kin bכn bak.

Di impɔtant tin na dat BPH nɔto kansa. Bɔt sɔmtɛm, di sayn dɛm fɔ BPH kin tan lɛk di wan dɛm wae gɛt mɔr siriɔs sik, lɛk prɔstat kansa, so i impɔtant fɔ no bɔt dat bak.

Fɔ gɛt BPH kin mek yu gɛt prɔstat kansa?

Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. Risach we dɛn dɔn du naw dɔn sho se if yu gɛt BPH, dat nɔ de mek yu gɛt prɔstat kansa. Bɔt, lɛk aw a bin dɔn tɔk, di sayn dɛm fɔ ɔl tu di BPH ɛn prɔstat kansa rili fiba. So, if yu gɛt BPH, yu kin gɛt prɔstat kansa di sem tɛm we yu nɔ ivin no.

Na dat mek i impɔtant fɔ mek ɔlman we gɛt prɔstat, mɔ di wan dɛn we ol bitwin 55 ɛn 69 ia, fɔ gɛt prɔstat ɛgzam wan tɛm insay di ia. Dis kin ɛp fɔ no kansa kwik kwik wan. If yu blak ɔ yu gɛt famili histri fɔ gɛt prɔstat kansa, yu de pan risk smɔl. Fɔ di wan dɛn we gɛt prɔstat, i bɛtɛ fɔ bigin fɔ gɛt skrinin we dɛn ol 40 ia.

Udat dɛn kin afɛkt mɔ pan dis BPH kɔndishɔn? Aw i kɔmɔn?

BPH na di prɔstat prɔblɛm we kin apin mɔ pan man dɛn. Infakt, klos to ɔlman we gɛt prɔstat gland go gɛt sɔm kayn we fɔ mek dɛn prɔstat gland big as dɛn de ol.

Dis kin so kɔmɔn dat, we dɛn rich 60 ia, lɛk 50% pan di man dɛn go sho sɔm sayn dɛm fɔ BPH.Ɛn we i ol 85 ia, dis nɔmba kin go ɔp to lɛk 90%. Bɔt nɔto ɔl dɛn pipul ya nid tritmɛnt. Na lɛk af pan di wan dɛn we gɛt BPH nid tritmɛnt fɔ dɛn sik dɛn.

Wetin na di wɔnin sayn dɛm fɔ BPH?

As a bin dɔn tɔk, di urethra de rawnd di prɔstat gland. So we di prɔstat gland big bikɔs ɔf BPH, i kin bigin fɔ blok di urethra. So, di fɔs sayn dɛm fɔ BPH na:

• Di urine slo ɔ dribbul we yu de pis .
• I nɔ izi fɔ bigin fɔ pis, fɔ wet fɔ sɔm tɛm.
• I nɔ ebul fɔ kɔntrol di urine ɛn sɔm lik (incontinence).
• Wan wantɛm, strɔng nid fɔ pis (`(urgency)`). I dɔn lɛf smɔl fɔ lɛ i nɔ ebul fɔ bia.
• Fɔ gɛt fɔ grap bɔku tɛm na nɛt fɔ pis.
• Fɔ fil lɛk se di blad nɔ dɔn ɛmti ɔl ivin afta yu dɔn pis.
• Pen afta yu dɔn pul yu bɔdi ɔ we yu de pis.
• Chenj in kɔlɔ na di urine.
• Wan strenj smel we de na di urine.

If yu gɛt wan ɔr mɔr pan dɛn sik ya, i fayn fɔ go to dɔktɔ.

Wetin kin apin if di prɔstat gland big ɛn nɔ trit am?

If yu nɔ gɛt tritmɛnt, BPH kin mek di urethra blok mɔ. Dɔn yu sik kin wɔs. Nɔto dat nɔmɔ, bɔt yu kin gɛt ɔda prɔblɛm dɛn bak, lɛk:

• Infεkshכn na di Urinary Tract (UTI).
• Ston dɛn we de na di blad .
• Blɔd we de na di urine (hematuria).
• Kidni dɛn we dɔn pwɛl. dis kin apin we di urine bigin fכ fכlכ bak כp frכm di blad to di kidni dεm. Dis damej kin bi bikɔs di prɛshɔn we de go ɔp na di kidni dɛn.

So, if yu gɛt sɔm kayn sik, i rili impɔtant fɔ go to dɔktɔ ɛn nɔ fɔ pe atɛnshɔn to dɛn.

Wetin mek BPH kin apin? Wetin na di tin dɛn we kin mek i apin?

Infakt, dɔktɔ ɛn risach pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek pɔsin gɛt BPH. Bɔt sɔm tin dɛn de we dɛn kin tink se kin mek i apin.

Wan tin we dɛn kin tɔk na dat , as yu de ol, di ɔmon we dɛn kɔl tɛstostɛron na yu bɔdi kin go dɔŋ. Na di sem tɛm, di ɔmon we dɛn kɔl ɛstrojen we yu gɛt kin stil de di sem. Dɛn kin tink se we dɛn ɔmon dɛn ya chenj, dat kin mek di prɔstat sɛl dɛn gro. Bɔt sɔm tɛm, man dɛn we de tek tɛstostɛron apat frɔm we dɛn de tek am kin gɛt BPH bak.

Dɔn bak, ol man dɛn gɛt bɔku ɔmon we dɛn kɔl dihaydrotestosterone (DHT).Dis DHT na wan mכr pawaful fכm fכ tεstostεron. Dɛn biliv bak se i kin mek di prɔstat gland big.

Yu tink se BPH kin pas?

Nɔ, BPH nɔto sik we pɔsin kin pas. Yu nɔ go ebul fɔ spre am to ɔda pɔsin.

Us kayn dɔktɔ de trit BPH?

If yu GP saspek se yu gɛt BPH, dɛn go rifer yu to urologist, dɔktɔ we spɛshal pan sik dɛn na di urinary system. Dɛn dɔn tren dɛn dɔktɔ ya spɛshal wan fɔ trit dɛn kayn sik ya na yu urinary system.

Aw yu go no fɔ tru if yu gɛt BPH?

We yu go to dɔktɔ, i go aks yu fɔs bɔt yu mɛdikal istri, aks yu kwɛstyɔn dɛn, dɔn i go du yu bɔdi ɛgzam. As pat pan dis fyzikal ɛgzam , dɛn kin du dijital rɛktal ɛgzam (DRE) .

insay dis ``Digital Rectal Exam'', di dכkta de tek tεm put wan finga we gכg gכl insay yu rεktum εn fil di ed dεm εn di sεf fכ di prכstat gland. Dis kin gi yu aidia bɔt di sayz fɔ di prɔstat gland ɛn no ɛni say we at, lɛk lumps we kin bi kansa.

Apat frɔm dat, yu dɔktɔ kin du tɛst dɛn bak lɛk:

• Wan kwɛshɔn fɔ no aw yu sik dɛn kin tranga.
• Wan urine flow test de mɛzhɔ di spid we yu urine stream de go.
• Test fɔ si ɔmɔs urine lɛf na di blad afta yu dɔn fɔ pis.
• Sistoskopi na tεst fכ luk insay di blad. Dis min se yu fɔ put wan tiub wit smɔl kamɛra tru di uretra.

Yu tink se dɛn kin wɛl BPH ɔltogɛda?

Nɔr patikyula mɛrɛsin nɔr de fɔ BPH, bɔt sɔm tritmɛnt dɛn de we go ɛp fɔ kɔntrol yu sik dɛn.

So aw dɛn kin trit BPH?

If yu gɛt sɔm kayn sik, yu nɔ go nid ɛni tritmɛnt. Yu dɔktɔ kin tɛl yu fɔ du "watchful waiting" we fɔ du am. Dis min se yu kin go to yu dɔktɔ ɔltɛm fɔ mek shɔ se yu BPH nɔ de wɔs.

Bɔt if di sik dɛn kin tranga smɔl, tritmɛnt dɛn de lɛk dɛn wan ya:

Di mɛrɛsin dɛn we dɛn kin yuz

Mɔs pan di mɛrɛsin dɛn we dɛn kin gi kin wok bay we dɛn kin rilaks di mɔsul dɛn na di prɔstat gland, we kin mek di prɛshɔn we de na di urethra nɔ bɔku. Sɔm ɛgzampul dɛn na:

• Tamsulosin (Tamsulosin - Flɔmaks®) .
• Tεrazosin `(Tεrazosin - Hytrin®)`
• Doksazosin `(Dɔksazosin - Kadura®)`
• Alfuzosin `(Alfuzosin - Yuroxatral®)`
• Silodosin (Silodosin - Rapaflo®) ɛn di ɔda wan dɛn.

Sɔm mɛrɛsin dɛn kin ridyus di ɔmon we dɛn kɔl DHT (Dihydrotestosterone) we a bin dɔn tɔk bɔt. dis kin slo di rεt we di prכstat gland de big. Dɛn mɛrɛsin ya kin fayn mɔ fɔ man dɛn we gɛt bɔku bɔku prɔstat. Ɛgzampul dɛn:

• Finasterid (Finasteride - Proscar®) we de mek yu fil fayn.
• Dutasteride (Dutasterid - Avodart®) we de mek di bɔdi.

Sɔntɛnde, yu dɔktɔ kin gi yu tu mɛrɛsin fɔ ɛp yu fɔ kɔntrol di sik dɛn we yu gɛt ɛn mek i izi fɔ pis. Wan ɛgzampul na Dutasteride ɛn Tamsulosin (Jalyn®).

Afta yu dɔn bigin fɔ tek di mɛrɛsin, i kin tek ɛnisay frɔm wan to et wik fɔ mek yu sik nɔ kam.

Ɔpreshɔn

Difrɛn kayn ɔpreshɔn dɛn de fɔ pul sɔm pat dɛn na di prɔstat gland we de blok di urethra. Sɔm pan dɛn na:

• Transurethral Resection of the Prostate (TURP): Insay dis prosidur, yu urologist de put spɛshal inschrumɛnt (resectoscope) tru yu urethra fɔ si ɛn pul ɛni pat we lɛf na yu prostate gland.
• Transurethral Incision of the Prostate (TUIP): Insay dis prosidur, di dכkta de mek tu sכm sכm insishכn dεm na di prכstat εn usay di urethra kכnekt to di blad (di blad nεk) fכ mek di urethra big εn mek i izi fכ pis.
• Transurethral Electrovaporization: Insay dis prosidur, di dכkta de yuz εlektrod fכ hεt di prכstat tisu, we de mek di prostat sεl dεm we big de vaypa.
• GreenLightTM Laser Treatment: Insay dis prosidur, di dɔktɔ de yuz spɛshal laser bim fɔ vaypa ɛn pul di prɔstat tisu we dɔn big. dis dεn kכl am bak Fכtosεlektiv Vayparayzeshn כf di Prכstat (PVP).
• Aquablation®: Insay dis prɔsidyu, di dɔktɔ de yuz ay prɛshɔn wata jet fɔ pul di prɔstat tisu.

Afta dɛn dɔn du di ɔpreshɔn, yu kin go bak to di nɔmal tin dɛn we yu bin de du insay sɔm dez ɔ wan wik.

Tritmɛnt dɛn we Nɔ De Invayd

Nyu tritmɛnt fɔ BPH nɔ kin invayv pas ɔpreshɔn, we min se nɔ kin pwɛl di wɛlbɔdi tisu. Bɔrku pan dɛn tritmɛnt ya kin bi as ɔutpatient prosidur. Dis min se yu kin go na os di sem de. Dɛn nɔ kin dia bak, dɛn nɔ kin gɛt bɛtɛ sayd ɛfɛkt, ɛn dɛn kin ɛp yu fɔ wɛl kwik kwik wan. Bɔt bikɔs dɛn tritmɛnt ya na nyu tin, dɛn nɔr dɔn gɛt bɔku infɔmeshɔn yet bɔt aw dɛn kin du tin fɔ lɔng tɛm ɔr kin gɛt prɔblɛm wit dɛn.

Sɔm ɛgzampul dɛn:

• Prɔstat Yuretra Lift (UroLift®): .dis prosidur involv fכ separet di prostat gland we big εn fכ mek di urethra big. Dis kin mek i izi fɔ pis. di dכkta de put wan spεshal divays (`(UroLift®)`) כp di uretra to di prכstat gland. we i rich di sayd wכl na di prכstat, dεn kin put sכm sכm sכm implant dεm (`(implant)`) εn pul dεm apat fכ opin di urethra. Dipen pan di saiz fɔ di prɔstat, dɛn kin put tu to siks dɛn kayn implant dɛn de.
• RezūmTM Tɛrapi: Insay dis prɔsidyu, dɔktɔ kin put wan divays insay di urethra ɛn muv am to di prɔstat gland. Dɔn, dɛn kin put nidul insay di prɔstat gland. Di nidul de pul stim, we kin tɔn to wata. Di ɔt we de insay dis wata de pwɛl di prɔstat sɛl dɛn. di bכdi de tek di dεd sεl dεm bak, we de mek di prכstat gland shrink.

Di sayd ɛfɛkt dɛm we dɛn tritmɛnt ya kin gɛt na we yu nid fɔ pis pas aw yu kin pis ɛn sɔm prɔblɛm ɔ bɔn te di prɔstat gland wɛl.

Afta dis tritmɛnt wae nɔr kin pasmak, yu kin go bak to nɔrmal aktiviti dɛm insay sɔm dez. Yu fɔ si big impɔtant improvement pan yu symptoms insay tri to siks wik.

Wetin na di bɛst tritmɛnt fɔ BPH?

TURP ɔpreshɔn na di tritmɛnt we go wok pas ɔl fɔ bɔku pan di wan dɛn we gɛt BPH.

Bɔt fɔ di wan dɛn we dɔn pas 65 ia, na di bɛst we fɔ tek mɛrɛsin ɛn fɔ tek di tritmɛnt dɛn we nɔ de tek bɔku pipul dɛn. Dis na bikɔs ol pipul dɛn kin gɛt prɔblɛm dɛn afta dɛn dɔn du dɛn ɔpreshɔn ɛn dɛn kin tek lɔng tɛm fɔ mek dɛn wɛl.

Wetin na di gud ɛn bad it fɔ it if yu gɛt BPH?

Frut, vɛjitebul, ɛn fayn fayn fat kin fayn fɔ yu prɔstat wɛlbɔdi. I fayn fɔ fala di Mɛditarenian it ɔ ad dɛn tin ya to yu it:

• Bɛri dɛn
• Brɔkoli
• Sitrus frut dɛn
• Nat dɛn
• Tomato dɛn we dɛn kin yuz
• Yala magi

Bad it abit kin mek yu BPH kɔndishɔn wɔs. If yu gɛt BPH, i fayn fɔ avɔyd tin dɛn we dɛn dɔn prosɛs, it dɛn we gɛt bɔku shuga ɛn kabɔhaydrɛt. Dɔn bak, kɔt dɛn tin ya:

• Rum
• Kafin (lɛk ti, kɔfi) .
• Tin we dɛn yuz milk mek
• Rɛd mit
• Sɔdiɔm (sɔl) .

Yu tink se di prɔstat gland we dɔn big kin kam bak to in nɔmal?

Sɔm pipul dɛm wae gɛt mild BPH kin gɛt dɛn sik kin go wae dɛn nɔr gɛt ɛni tritmɛnt. Bɔt if yu sik nɔr de bɛtɛ wae yu de pan de "watchful waiting" aprɔch, yu ɛn yu dɔktɔ fɔ bigin tɔk bɔt di tritmɛnt opshɔn dɛm.

Wetin a fɔ ɛkspɛkt if a gɛt BPH?

De luk fɔ pipul dɛm wae gɛt BPH kin rili fayn.Pan ɔl we no mɛrɛsin nɔ de fɔ BPH, tritmɛnt dɛn de we go ɛp fɔ kɔntrol yu sik dɛn. Sɔntɛm di sayn dɛm we nɔr kin gɛt bɛtɛ tritmɛnt nɔr nid fɔ gɛt tritmɛnt atɔl. Dɛn kin trit di wan dɛn we gɛt mɔ sik wit mɛrɛsin, ɔpreshɔn, ɛn tritmɛnt dɛn we nɔ kin tek bɔku mɔni.

Aw yu go ridyus di risk fɔ gɛt BPH?

Di bɛst we fɔ ridyus yu risk fɔ gɛt BPH na fɔ mek chenj na yu layf ɛn tek sɔm sɔpɔtmɛnt fɔ mek yu prɔstat ɛn at kɔntinyu fɔ gɛt wɛlbɔdi.

If yu du ɛksɛsayz fɔ at le 30 minit insay di de, i kin ɛp fɔ mek yu nɔ gɛt BPH ɛn i kin mek di prɔstat gland gro sloslo. I impɔtant bak fɔ mek yu kɔntinyu fɔ gɛt nɔmal kɔlɔstrel lɛvɛl, blɔd prɛshɔn, ɛn blɔd shuga lɛvɛl.

Dɛn ɛbul sɔpɔt ya kin ɛp bak fɔ ridyus di risk fɔ gɛt BPH:

• Beta-sitosterol: Dis na maykronutrient we de insay plant. I kin ɛp fɔ mek di at gɛt wɛlbɔdi.
• Pygeum africanum: Dis na ɛbul we dɛn kin pul frɔm di bark fɔ di Afrikan chɛri tik. I kin ɛp fɔ mek di prɔstat gland smɔl.
• Flaks sid: Flaks sid gɛt bɔku fayv we dɛn kin it ɛn omega-3 fat asid. I kin ɛp fɔ mek di kɔlɔstrel nɔ bɔku.
• Pɔmpin sid ɔyl: Dis na ɔyl we dɛn kin pul frɔm pɔmpin sid. I kin ɛp fɔ mek di prɔstat gland smɔl.

Bɔt mɛmba se yu fɔ tɔk to yu dɔktɔ ɔltɛm bifo yu bigin ɛni nyu supamakit, bikɔs dɛn kin miks bad wit ɔda mɛrɛsin ɔ supamakit we yu de tek naw.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm:

• Pen na di lכw bכdi כ di jεnital εria we yu de pis.
• I nɔ izi fɔ pis ɔ nɔ ebul fɔ pis atɔl.
• Fɔ gɛt fiva ɔ fil kol we yu de pis.
• Blɔd we de na di urine.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Na sɔm kwɛstyɔn dɛn we yu kin aks yu dɔktɔ:

• Aw yu go no ɛksaktɔli if a gɛt BPH?
• If a nɔ gɛt BPH, us ɔda kɔndishɔn a go gɛt?
• Wetin a kin du fɔ mek a nɔ gɛt bɔku prɔstat?
• A nid tritmɛnt?
• Wetin na di bɛst tritmɛnt fɔ mi?
• Us nyutrishɔnal supamakit dɛn yu kin advays?
• Dɛn supamakit ya go intarakt wit ɔda mɛrɛsin ɔ supamakit dɛn we a de tek naw?
• A fɔ go to dɔktɔ we de mɛn yu uro?

Wetin na di difrɛns bitwin prɔstat kansa ɛn BPH?

Prɔstat kansa na wan kɔmɔn kayn kansa we kin kam na di prɔstat gland. We di prɔstat kansa kin bigin, i nɔ kin gɛt sɔm sayn dɛn. Bɔt as i de gro, i kin mek bɔku pan di sem tin dɛn we BPH kin gɛt. Fɔ ɛgzampul, we yu de urine wik, pen we yu de pul ɔ pis, ɛn we yu nid fɔ pis bɔku tɛm. Prɔstat kansa kin pas to yu bon dɛm, yu limf no dɛm, ɔ ɔda pat dɛm na yu bɔdi. Di tritmɛnt dɛn we dɛn kin pik na fɔ gɛt raytin tɛrapi ɛn ɔpreshɔn.

Di sayn dɛm fɔ BPH tan lɛk di wan dɛm wae gɛt prɔstat kansa. Bɔt BPH nɔto kansa, ɛn i nɔ de mek di risk fɔ gɛt kansa bɔku. I nɔ de skata to ɔda pat dɛn na di bɔdi. Di tritmɛnt dɛn we dɛn kin gɛt na fɔ tek mɛrɛsin, ɔpreshɔn, ɛn fɔ du tin dɛn we nɔ kin tek bɔku mɔni.

Wetin na di difrɛns bitwin BPH ɛn Benign Prostatic Enlargement (BPE)?

Benign Prostatic Hyperplasia (BPH) na di nem fɔ wan sik we de mek yu prɔstat gland big.

`Benign Prostatic Enlargement (BPE)` na wan tεm we dכkta dεn kin yuz fכ dεskrεb wan prostat gland we big biכs fכ BPH. Fɔ tɔk am simpul wan, na BPH na di kɔz, ɛn BPE na di rizin fɔ di prɔstat gland we dɔn big.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Prɔstat we dɔn big, we dɛn kin kɔl bak BPH, na wan sik we kin apin to man dɛn. BPH kin bigin fɔ divɛlɔp arawnd di ej 55. If yu gɛt smɔl smɔl BPH simptom dɛm, yu ɛn yu dɔktɔ kin wach yu simptom dɛm bay we yu de du chɛk-ap ɔltɛm. Bɔt if BPH de afɛkt yu layf, fayn tritmɛnt dɛn de we go ɛp fɔ mek di prɔstat smɔl.

If yu gɛt sayn dɛm fɔ BPH, mek shɔ se yu tɔk to dɔktɔ. Una ɔl tu go disayd wetin na di bɛst tin fɔ du fɔ una. Nɔ wɔri, gud sɔlv dɛn de!

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