Kia ora! I tēnei rā, ka matapakihia e tātou tētahi kaupapa tino nui mō ngā tāne, engari he kaupapa kāore i te kōrerotia: ko te Repe Repeure . He mea nui kia noho mōhio koe ki tēnei repe, nā te mea i a koe e pakeke haere ana, ka pāngia pea koe e ngā huringa maha . Mā te mārama wawe ki ēnei huringa ka māmā ake te whakahaere i ngā raruraru ka pā mai.
Nā, he aha rawa te Repe Prostate?
He whakarāpopototanga noa iho, he okana iti te repe tāne i roto i te pūnaha whakaputa uri tāne . Ko te repe tāne hauora he rite te rahi ki te nati wōnati , ā, e 30 karamu te taumaha. Ka whakaritea hoki e ētahi tōna rahi me tōna āhua ki te nati.
Tērā pea kei te whakaaro koe kei hea ia. Whakaarohia kei raro tonu i tō pūhā, kei mua tonu i tō pūhā . Ko tētahi kōrero nui hei maumahara ko tō urethra—te ngongo e kawe ana i te mimi i waho o tō tinana—ka tika mā waenganui o te repe prostate, he rite tonu ki te kakau witi e uru ana ki roto i tētahi monamona.
E rima ngā pūwero o te repeure: te pūwero o mua, te pūwero o muri, ngā pūwero taha e rua, me te pūwero waenga. He mea hanga ēnei mai i ngā kiko honohono me ngā kiko repeure, ā, kua kapi katoa te repeure i roto i tētahi kiko honohono totoro e kiia nei ko te prostatic fascia .
He aha te mahi a te repe prostate ki te hauora o ngā tāne?
Kia tirohia tātou te mahi a tēnei repe iti. Anei āna mahi matua:
- Ko tāna mahi matua he tāpiri wai ki tō purapura tāne (puāwai) , arā, te wai mā e tukuna ana i te wā e orgasm ana. He tino motuhake tēnei wai; kei roto ngā whākōkī , te konutea, me te waikawa citric . Ka āwhina ēnei wāhanga ki te whāngai i ngā pūtau parāoa, ki te whakahaere i tā rātou nekehanga, me te whakahinuhinu i te urethra .
- Hei tāpiri atu, ina tae koe ki te orgasm, ka āwhina ngā uaua i roto i te prostate ki te pana i te purapura tāne mā roto i te urethra me te puta atu i te tinana.
He repe prostate tō ngā wāhine?
Kāo, kāore he repe prostate o ngā wāhine. Heoi, kua rongo pea koe i te "repe prostate wahine." Ko tēnei e pā ana ki ngā repe Skene , kei ia taha o te urethra wahine. E whakapono ana ngā kairangahau ko te wai e tukuna ana e ēnei repe ka āwhina i te mahi mimi me te horoi. E kī ana ētahi ariā he hononga ēnei repe ki te wai e tukuna ana i te wā e orgasm ana te wahine.
Ka nui haere te repe prostate i te pakeketanga?
Ae, he mea noa tēnei mō te nuinga o ngā tāne. I te nuinga o te wā, mō ngā tāne neke atu i te 40 tau te pakeke, ka tīmata te tipu haere o te repeure. I roto i te kupu hauora, e mōhiotia ana tēnei ko te Benign Prostatic Hyperplasia , ko te BPH rānei te poto.
Ko te mea nui kia maumahara, ehara te BPH i te mate pukupuku. Hei tāpiri, kāore tēnei āhuatanga e whakanui ake i tō tupono ki te whakawhanake i te mate pukupuku repeure.
Ko te repeure i rite te rahi ki te nati wōnati i mua, ka tupu pea ki te rahi o te rēmana. He wāhanga noa tēnei o te koroheketanga mō te tini o ngā tāne. Heoi, i a ia e nui haere ana, ka taea e ia te pēhi i te urethra, ka puta he mamae, ā, ka kōrerohia e tātou i roto i ngā wā poto nei.
He aha ngā āhuatanga hauora e pā ana ki te prostate?
He iti noa ngā āhuatanga matua e pā ana ki te repeure hei mōhio māu.
1. Matepukupuku Prostate
Koinei te tuarua o ngā mate pukupuku e tino kitea ana i roto i ngā tāne . He mea nui kia noho mōhio tonu, nā te mea, ki te kitea wawetia, ka nui ake te tūponotanga kia angitu te maimoatanga.
2. Te mate pūkahukahu
E pā ana tēnei ki te mumura, te pupuhi rānei o te repe prostate. E whā ngā momo matua:
- Te Rewharewha Pūmua Kino:He mate huakita ohorere.
- Te mate pūkahukahu huakita mau tonu: He mate huakita e puta pinepine ana mō te wā roa.
- Te Mate Mamae Pelvic Mau tonu (CPPS): Te mamae i te rohe prostate, kāore he mate huakita.
- Te Rewharewha Mumura Kore Tohu: Ka puta te mumura, kāore he tohu e kitea; ka kitea pinepine i roto i ētahi atu whakamātautau hauora.
Ko te prostatitis te mate mimi tino noa i roto i ngā tāne kei raro iho i te 50 tau te pakeke , ā, ko te tuatoru o ngā mate mimi e tino kitea ana i roto i te hunga neke atu i te 50 tau te pakeke.
3. Te Whakarahinga Pai o te Repeure (BPH)
E ai ki tā mātou i kōrero ai, koinei te whakanui kore-matepukupuku o te repeure, ka taea te whakawhāiti i te urethra, ā, ka uaua te mimi. He mea tino noa i te pakeketanga o ngā tāne.
He aha ngā tohu whakatūpato o ngā raruraru prostate?
Mena kei te pāngia koe e ngā raruraru o tō repeure, ka kitea pea e koe ēnei tohu:
- Te mamae i roto i te ure, i ngā rae , i te perineum rānei (te rohe i waenganui i te kiriuhi me te nono).
- Te hiahia kia mimi pinepine.
- Te mamae i te wā e mimi ana (Dysuria) te mamae rānei i te wā e puta ai te wai.
- He ngoikore te rere o te mimi, he turuturu rānei.
- Te uaua ki te tīmata i te rere o te mimi.
- Te ara ake i te pō ki te mimi i ngā wā maha.
- Te ngoikore o te ure (ED).
- Te toto i roto i te mimi, i te purapura rānei (Hematospermia).
- Te mamae i te puku o raro, i te hope, i te tuara rānei (tērā pea ka puta tēnei mēnā kua horapa te mate pukupuku).
Ki te pāngia koe e tētahi, e ētahi rānei o ēnei tohu, kaua e wehi, kaua hoki e whakama ki te toro atu ki te tākuta mō ētahi tohutohu. Ahakoa ehara i te mea ko ngā tohu katoa he tohu mō tētahi mate kino, he mea nui te tirotiro i a koe mō te rangimarie o te hinengaro me tō hauora.
Me pēhea te aromatawai i te hauora o te prostate?
E whakamahia ana e ngā tākuta ētahi tikanga paerewa hei aromatawai i te hauora o tō repeure:
1. Whakamātautau Rekereke Mamati (DRE)
I tēnei whakamātautau, ka whakaurua e tō tākuta he maihao kua pania ki te karapu, kua pania ki te hinu ki roto i tō pūkahukahu hei pā mārire i te repe prostate. Mā tēnei ka taea e rātou te aromatawai i te rahi, te āhua, te ōritetanga o te repe, me te tirotiro mō ngā puku rerekē, ngā hapa rānei . Ahakoa he ahua kore whakamarie, he tere, he mea nui, he tikanga noa hoki e torutoru meneti noa iho te roa.
2. Whakamātautau Toto mō te Pūmua-Motuhake (PSA)
He pūmua te PSA e hangaia ana e te repe prostate. Mena he teitei ake ō taumata PSA i te mea noa , he tohu pea tēnei mō te matepukupuku prostate. Heoi anō, ka piki ake pea ngā taumata PSA nā ngā āhuatanga pēnei i te BPH, te prostatitis, tae noa ki ngā mahi moepuku tata nei. Nā reira, kāore ngā tākuta e whakawhirinaki ki te whakamātautau PSA anake; ka arotakehia ngātahitia me te DRE.
3. Ko te koiora
Mena kei te whakaatu mai ō hua DRE, PSA rānei i tētahi mea e āwangawanga ana, ka tūtohu pea tō tākuta kia whakamahia he koiora . I roto i tēnei tikanga, mā te matawai ultrasound, ka whakamahia he ngira angiangi hei kohi i ngā tauira kiko iti mai i te prostate. Kātahi ka tirohia ēnei tauira i roto i te taiwhanga i raro i te karuārai hei tirotiro mō te aroaro o ngā pūtau matepukupuku .
He aha ngā maimoatanga mō ngā mate prostate?
Ka whakaritea te maimoatanga kia rite ki te mate kua tautuhia; kāore he huarahi kotahi e pai ana mō te katoa.
Mō te Matepukupuku Prostate:
- Aroturuki Kaha: Mena he puhoi te tipu o te mate pukupuku , ā, he iti te mōrearea, ka tūtohu pea tō tākuta kia aroturukitia tata mā te whakamahi i ngā whakamātautau auau (PSA, DRE, koiora) kaua e haere tonu ki te pokanga, ki ētahi atu maimoatanga rānei.
- Brachytherapy: He momo rongoā ā-roto tēneite rongoā irahiko e whakanohoia tika ana ngā "kākano" iti ki roto i te repe prostate.
- Whakaora Arotahi: Ko ngā maimoatanga e aro nui ana ki te wāhi o te mate pukupuku, pērā i te Ultrasound Arotahi Kaha-Teitei (HIFU), te Cryotherapy (te whakatio i ngā pūtau), te Laser Ablation, te Photodynamic Therapy rānei (PDT).
- Te tango i te repe prostate: He tikanga pokanga hei tango i te repe prostate katoa, i tetahi wāhanga rānei.
Mō te mate Prostatitis:
- Rongoā: Ngā rongoā hei whakangāwari i ngā uaua huri noa i te pūkahukahu me te repeure (hei tauira, ngā aukati-ārai), te whakamamae mamae , ngā paturopi rānei mēnā he mate kitakita te take.
- Te Whakahaere Taumahatanga: Ka taea e te ahotea te whakanui ake i ngā tohu i ētahi wā; he tino āwhina te tuku tohutohu, te rongoā rānei.
- Whakakorikori tinana: He maha ngā wā ka tūtohutia kia whakakorikori tinana te papa o te hope hei whakapai ake i ngā tohu.
Mō te Benign Prostatic Hyperplasia (BPH):
- Rongoā: Ngā rongoā e aukati ana i ngā homoni e whai wāhi ana ki te tipu o te repeure (hei tauira, ngā aukati 5-alpha reductase) me ērā rānei e whakapai ake ana i te rere o te mimi (hei tauira, ngā aukati-Alpha).
- Pokanga: Ngā tikanga hei tango i te kiko ārai (hei tauira, TURP – Transurethral Resection of the Prostate).
- Whakaora Kohu Wai: He tikanga iti rawa te whakaekenga e whakamahi ana i te kohu wai hei whakaiti i te kiko repeure nui e aukati ana i te urethra.
Me pēhea taku pupuri i te hauora o taku prostate?
He mea nui te tiaki i te hauora o tō repeure. Anei ētahi mahi matatau ka taea e koe te mahi:
- Whakaritea ngā whakamātautau auau. Ko te tikanga kia tīmata i mua i te 50 tau. Heoi, ki te mea he hītori whānau tōu (hei tauira, te matua tāne, te tuakana rānei) mō te mate pukupuku repeure, me whakaaro koe ki te tīmata wawe ake, i waenganui i te 40-45 tau pea. Kōrerohia tēnei ki tō tākuta i Nirogi Lanka.
- Kia kaha tonu te tinana. Kua whakaatuhia e te whakakori tinana auau ka whakaiti i te tūponotanga o te whakawhanake i te BPH.
- Kai i tētahi kai hauora. Tāpirihia he nui o ngā huawhenua, ngā hua rākau, me ngā pūmua hauora (ika, heihei kikokore, nati). Whakawhāitihia te kai mīti whero, ngā kai tukatuka, me ngā kai he nui te ngako.
- Āta karohia ngā hua tupeka. E hono ana te momi hikareti ki te pikinga ake o te mōrearea o te mate pukupuku repeure.
He tino āwhina ngā tāpiringa prostate?
Tērā pea ka kite koe i ngā momo tāpiringa e hokohokohia ana mō te hauora o te repeure, pērā i te Saw Palmetto. Heoi, ko te nuinga o ēnei tāpiringa kāore i te tino whakahaeretia, i whakaaetia rānei e ngā mana hauora nui pērā i te FDA. He iti noa ngā taunakitanga pūtaiao e tautoko ana i tōna whai huatanga. Ahakoa e whakaaro ana ētahi tāngata he āwhina, he iti noa ngā raraunga haumanu hei whakaatu he nui ngā painga mō te hauora o te repeure mō te wā roa.
Whakaarohia kia rua ngā wā i mua i te tango i ngā tāpiringa me te kore he tohutohu ngaio. Me kōrero tonu ki tō tākuta i Nirogi Lanka i mua i te tīmatanga o tētahi tikanga tāpiringa hou.
Ka taea e koe te ora me te kore he repe prostate?
Āe, ka taea e koe. Mō ngā take pēnei i te mate pukupuku repeure, me tango pokanga (Prostatectomy) i ētahi wā. Ahakoa ka taea e koe te ora tonu i muri i tēnei tikanga, ko ngā pānga taha noa ko te ngoikore o te ure (ED) me te kore e taea te pupuri i te mimi . Waimarie, he maha ngā maimoatanga whai hua e wātea ana hei whakahaere i ēnei pānga taha.
Ka taea e au te tirotiro i taku ake prostate?
Kāore e taea e koe te tirotiro i tō repeure mā te hōhonutanga. Ahakoa ka pā pea koe ki ētahi wāhanga o te rohe i waho, i te taha rānei o te repe, ehara tēnei i te taputapu tātaritanga.
Ko te huarahi māmā ki te pā atu ki te rohe perineal (te āputa i waenganui i te scrotum me te nono) ko te pēhi mārire; heoi, ko te nuinga o tēnei rohe he io me ngā uaua. Me mārō te ahua o te repeure hauora, engari he rite ki te rapa.
Kāore i te tūtohutia kia whakamātau koe ki te tirotiro i a koe anō i te repe, nā te mea kāore e taea e koe te toro atu, te aromatawai rānei i te repe.
He mea nui: Ehara te whakamātautau-ā-koe i te whakakapi i tētahi aromatawai ngaio. Ko te DRE e mahia ana e te tākuta te huarahi tika anake hei aromatawai i te hauora o tō repeure. Mena he āwangawanga, he tohu rānei āu, tēnā toro atu ki te tākuta tonu. Mena ka pāngia koe e te mamae nui, te uaua ki te mimi, te toto rānei i roto i tō mimi, rapua tonutia ngā ratonga ohorere i tō hōhipera tata.
Ngā whakaaro whakamutunga: Ngā mea hei maumahara māu…
He okana iti te repeure engari he mea nui. He mea noa ngā panonitanga i a koe e pakeke haere ana, pērā i te BPH, ā, kāore he take e mataku ai.
Heoi, kaua e warewarehia ngā tohu whakatūpato. Ki te kite koe i ngā tohu rerekē, me toro atu ki te tākuta tonu.
Kia eke koe ki te 50 tau—ki mua atu rānei mēnā he hītori whānau tōu—me whakarite kia haere tonu koe ki te mātakitaki i ngā whakaaturanga o ngā mate.
Mā te kai hauora, te whakakori tinana auau , me te karo i te kai hikareti, ka taea e koe te tiaki i te hauora o tō repeure me te oranga o tō tinana katoa me Nirogi Lanka.
Mēnā he āwangawanga kei te ara ake, tēnā koa kōrero maia ki tō tākuta. Kua rite katoa rātou ki te tautoko i a koe, ā, kei reira tonu rātou hei āwhina.
