Kia ora! I tēnei rā ka kōrero tātou mō tētahi mea tino nui ki a koutou, e ngā tāne, engari kāore pea i te tino kōrerotia. Ko
te repe prostate tēnei, arā, ko te ingoa Pākehā
(Prostate Gland) . Ina koa i te pakeketanga, ka puta ngā panonitanga
maha i roto i tēnei repe prostate, nō reira he mea tino nui kia mōhio koe ki tēnei. Nā te mea, ki te mōhio koe i mua, he maha ngā raruraru ka taea te whakatau ngāwari.
Nā, he aha tēnei repe prostate?
He kupu ngāwari noa iho,
he repe iti te repe tāne i roto i te pūnaha whakaputa uri tāne . Hei whakamārama, he
rite te rahi o te repe tāne hauora ki te nati . Ka whakaritea e ētahi ki te nati. Tata ki te 30 karamu te taumaha. Nō reira, kei hea ia e tū ana, tera pea koe e whakaaro ana? Whakaarohia, kei
raro tonu i tō pūhā tēnei repe iti, ā, kei mua i tō pūhā . Ko tētahi atu mea nui ko te ngongo e kawe ana i tō mimi,
te urethra , ka haere mā roto i te repe tāne. He rite ki te ngongo e haere ana mā roto i tētahi kakahu.
E rima ngā wāhanga o te repe tāne, arā , ngā wāhanga o mua, o muri, o te wāhanga o te taha, me te wāhanga o waenganui. He mea hanga ēnei mai i ngā kiko honohono me ngā kiko tāne. Ka hipokina te repe katoa e tētahi paparanga angiangi o te kiko honohono e kiia nei ko
te prostatic fascia .
He aha te ratonga e tukuna ana e te repe prostate ki te tāne?
Āe, kia kite tātou he aha te mea ka tupu ki tēnei repe iti. Anei te mea nui:
- Ko tāna mahi matua he tāpiri wai atu ki tō purapura tāne (purapura/puāwai) , te wai mā e puta mai ana i tō ure ina puāwai koe. He tino motuhake tēnei wai. Kei roto ngā whākōkī , te konutea, me te waikawa citric . Ka āwhina ēnei ki te whāngai i ngā pūtau parāoa, te āwhina i a rātou kia pai ake te neke, me te whakahinuhinu i te urethra .
- Ehara i te mea koinā anake, ina oho koe, ka āwhina hoki ngā uaua o te repe prostate ki te pana i te purapura ki waho mā te urethra.
He repe prostate anō hoki tā ngā wāhine?
Kāo.
Kāore he repe prostate o ngā wāhine. Heoi, kua rongo pea koe i tētahi mea e kiia nei ko te "repe prostate wahine". Ko tōna tikanga tūturu ko
Ngā repe o Skene. Kei ia taha o te urethra wahine ēnei repe o Skene. E whakapono ana ngā kairangahau hauora he āwhina pea te wai e tukuna ana e ēnei repe ki te tukanga mimi me te horoi. E kī ana hoki ētahi ariā kei roto ēnei repe i te wai e tukuna ana i te wā o te paheketanga o te wahine. Ka nui haere te repe prostate i te pakeketanga?
Ae, he mea tēnei e pā ana ki te tini o ngā tāne. I te nuinga o te wā, mō te nuinga o ngā tāne neke atu i te 40 tau te pakeke, ka tīmata te whakanui haere i te repe prostate. Ko te ingoa hauora tēnei ko te 'Benign Prostatic Hyperplasia' , ko te BPH rānei. Ko te mea nui, ehara te BPH i te mate pukupuku, ā, kāore e whakapiki ake i te mōrearea ki te whakawhanake i te mate pukupuku repeure.
Ko te repe repeure, i rite te rahi ki te nati wōnati i mua, ka taea e ia te tipu ki te rahi o te rēmana. He mate noa tēnei e pāngia ana e te tini o ngā tāne i a rātou e pakeke haere ana. Heoi, ina nui haere, ka pāngia pea e te whakawhāititanga o te urethra. Ka kōrerohia tēnei e tātou ā muri ake nei. He aha ngā āhuatanga noa ka pā ki te repe prostate?
He maha ngā āhuatanga hauora nui e pā ana ki te repe prostate e kōrerohia ana. 1. Matepukupuku Prostate
Koinei te tuarua o ngā momo mate pukupuku e tino kitea ana i roto i ngā tāne . Nō reira, he mea nui kia mōhio koe ki tēnei. Ki te kitea wawetia, he nui ake te tūponotanga ka angitu te rongoā. 2. Te mate pūkahukahu
He mumura tēnei o te repeure. E whā ngā momo matua o tēnei:- Te Rewharewha Pūkahukahu Āhua Kino: He mate ka puta ohorere mai i te mate huakita.
- Te mate pūkahukahu huakita mau tonu: He mate huakita e puta pinepine ana mō te wā roa.
- Te Mate Mamae Pelvic Mau tonu (CPPS): I roto i tēnei āhuatanga, ka pā te mamae ki te repe prostate ahakoa kāore he mate kitakita.
- Te Rewharewha Mumura Kore-Āhua: I tēnei wā, kei reira te mumura engari kāore he tohu e puta. Ka kitea noa i roto i tētahi atu whakamātautau.
Ko te prostatitis te mate mimi tino noa i roto i ngā tāne kei raro iho i te 50 tau te pakeke , me te tuatoru o ngā mea tino noa i roto i ngā tāne neke atu i te 50 tau te pakeke. 3. Te Whakarahinga Pai o te Repeure (BPH)
Kua kōrerohia tēnei e tātou i mua. Mā te whakanui noa i te repe prostate ka piri te urethra, ka uaua ai te mimi . I a koe e pakeke haere ana,Ka puta tēnei āhuatanga i roto i te tini o ngā tāne. He aha ngā tohu whakatūpato hei tautuhi i ngā raruraru prostate?
Mena he raruraru kei tō repe prostate, ka kitea pea e koe ēnei tohu:- Te mamae i roto i te ure, i ngā rakuraku , i te perineum rānei (te rohe i waenganui i ngā rakuraku me te nono).
- Te hiahia kia mimi pinepine.
- Te mamae o te mimi (Dysuria) me te mamae rānei i te wā e puta ai te pī.
- He rere puhoi o te mimi, he maturuturunga iho rānei o te mimi.
- Te uaua ki te tīmata mimi.
- Me ara ake pinepine i te pō ki te mimi.
- Te ngoikore o te moepuku ( 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 ngā hope, i te uma rānei (tērā pea ka pā tēnei mēnā kua horapa te mate pukupuku).
Mena kei a koe tētahi, ētahi rānei o ēnei tohu, he pai ake te toro atu ki te tākuta mō ētahi tohutohu, me te kore e wehi, e whakama rānei. Ehara i te mea ko ēnei tohu katoa he tohu o tētahi mate kino, engari he mea nui kia tirohia koe.
Me pēhea te tirotiro i te hauora o te repe prostate?
He maha ngā tikanga matua e whakamahia ana e ngā tākuta hei tirotiro i te hauora o te repeure: 1. Whakamātautau Rekereke Mamati (DRE)
I tēnei, ka whakaurua e te tākuta he maihao kua pania ki te karapu, kua pania ki te hinu ki roto i tō pūkahukahu, ā, ka pā atu ki te repe tākihi. Ka taea e tēnei te tirotiro i te rahi, te āhua, te pakari, me te kitea o ngā puku . Ahakoa he ahua kore whakamarie tēnei, he whakamātautau tino nui tēnei e torutoru meneti noa iho te roa. 2. Whakamātautau toto mō te Prostate-Specific Antigen (PSA)
He pūmua te PSA e hangaia ana e te repe prostate. Mena he teitei ake tō taumata PSA i te mea noa , he tohu pea tēnei mō te mate pukupuku prostate. Heoi anō, ka taea hoki te piki ake o ngā taumata PSA i roto i ngā take o te BPH, te prostatitis, te moepuku rānei i ngā wā tata nei. Nō reira, ehara i te mea ko ngā taumata PSA anake te mea anake hei tātaritanga, engari ka whakaarohia ngātahitia me te DRE. 3. Whakamātautau koiora
Mena he mea whakapae kei roto i te taumata DRE, PSA rānei, ka tūtohu pea tō tākuta kia mahia he koiora . Ko te tikanga, me tango he tauira iti o te kiko mai i te repe prostate, me te awhina o te matawai ultrasound.Kātahi ka tirohia te tauira kiko i raro i te karuārai i roto i te taiwhanga hei tirotiro mēnā he pūtau matepukupuku kei roto . He aha ngā maimoatanga mō ngā mate prostate?
Ko te maimoatanga e whakawhirinaki ana ki te mate e pā ana ki te repe prostate. Kāore he otinga kotahi e pai ana mō te katoa. Mō te mate pukupuku prostate:
- Aroturuki Kaha: Mena kei roto te mate pukupuku i te wāhanga iti te mōrearea, puhoi te tipu, ka aroturukitia te mate pukupuku mā te whakamātautau auau (PSA, DRE, koiora) me te kore he pokanga, he maimoatanga rānei.
- Brachytherapy: He maimoatanga irahiko ā-roto tēnei. Ka whakatakotoria ngā kākano irahiko iti ki roto i te repe prostate.
- Whakaora Arotahi: Ngā maimoatanga e aro ana ki te wāhi anake o te matepukupuku repeure. Tauira: Ultrasound Arotahi Kaha-Teitei (HIFU), Cryotherapy (whakatio), Laser Ablation, Photodynamic Therapy (PDT).
- Te tango pokanga i te repe prostate: Te tango pokanga i te repe prostate katoa, i tetahi wāhanga rānei.
Mō te mate Prostatitis:
- Ngā Rongoā: Ngā rongoā hei whakangāwari i ngā uaua huri noa i te pūkahukahu me te repeure (hei tauira, ngā aukati-ārai), ngā rongoā whakamamae mamae , me ngā paturopi mēnā he mate kitakita kei roto.
- Te whakahaere ahotea: I ētahi wā ka taea hoki e te ahotea te whakanui ake i ēnei tohu, nō reira ka taea e ngā mahi pēnei i te tohutohu te āwhina.
- Whakakorikori tinana: He pai ngā whakakorikori tinana o te papa hope mō ētahi tāngata.
Mō te benign prostatic hyperplasia (BPH):
- Ngā Rongoā: Ngā rongoā e whakaiti ana i te hanga o ngā homoni e pā ana ki te tipu o te repeure (hei tauira, ngā aukati 5-alpha reductase) ngā rongoā rānei e whakangawari ana i te rere o te mimi (hei tauira, ngā aukati-alpha).
- Pokanga: Pokanga hei tango i te kiko repeure e aukati ana i te rere o te mimi (hei tauira, TURP - Transurethral Resection of the Prostate).
- Whakaora Kohu Wai: Ka whakauruhia he taputapu mā roto i te urethra, ka tukuna te kohu wai ki roto i te repe prostate, ka whakangaro i ngā pūtau taikaha, ka whakaiti hoki i te repe.
Me pēhea taku pupuri i te hauora o taku prostate?
He mea tino nui te tiaki i te hauora o tō repeure. Anei ētahi mea ka taea e koe te mahi hei āwhina:- Tirohia tō repeure i ia wā .He pai ake te tīmata i muri i te 50 tau te pakeke. Engari, ki te mea kua pāngia tētahi o tō whānau (pēnei i tō pāpā, i tō tungāne rānei), he mea whakaaro nui kia tīmata wawe te tirotiro, i te 40-45 tau pea. Kōrero ki tō tākuta mō tēnei.
- Whakakorikori tinana i ngā wā katoa. Kua kitea he iti ake te tūponotanga o te hunga e kaha ana ki te korikori tinana ki te pāngia e te BPH.
- Kai i tētahi kai hauora. Tāpirihia he nui o ngā huawhenua, ngā hua rākau, me ngā pūmua hauora (ika, heihei, nati) ki roto i tāu kai. Whakaitihia te mīti whero, ngā kai tukatuka, me ngā kai momona.
- Kaua e whakamahi i ngā hua tupeka. Ka taea e te momi hikareti te whakanui ake i te mōrearea o te mate pukupuku prostate.
He pai ngā tāpiringa mō te prostate?
Kua kite pea koe he maha ngā tāpiringa kei te mākete i ēnei rā e kī ana he pai mō te hauora o te repeure. Hei tauira, ko Saw Palmetto. Heoi, he maha o ēnei tāpiringa kāore anō kia whakamatautauria, kia whakaaetia hoki e ngā umanga pēnei i te US Food and Drug Administration (FDA). Nō reira, kāore i te nui ngā raraunga pūtaiao mō tōna whai huatanga. Ahakoa he iti noa iho te painga mō ētahi tāngata, he uaua ki te whakaaro ka nui te painga o te nuinga o te tangata mai i a rātou, ka whakapai ake rānei i te hauora o te repeure. Nō reira, whakaarohia kia rua ngā wā mō te whakamahi i aua tāpiringa me te kore he tohutohu hauora. He mea whakaaro nui kia kōrero ki tō tākuta, kia rapu tohutohu hoki.
Ka taea te ora me te kore he repe prostate?
Āe, ka taea e koe. Hei tauira, i roto i tētahi take pēnei i te mate pukupuku repeure, ka whakatau pea ngā tākuta ki te tango i te repeure katoa mā te pokanga (prostatectomy) . Ka taea e tēnei te whakararu i te ora. Heoi, e rua o ngā pānga taha tino kitea o te tango i te repeure ko te ngoikore o te ure (ED) me te kore e taea te pupuri i te mimi . He maha ngā maimoatanga hei whakahaere i ēnei. Ka taea e au te rongo i tōku repeure?
Kāore e taea e koe te pā tika ki te repeure mai i roto i tō tinana. Heoi, ka taea e koe te pā mai i waho ki tētahi wāhi, ka taea rānei e koe te pā atu mā roto i tō repeure. Ko te huarahi māmā ki te pā atu i waho ko te pā atu i tō perineum (te rohe i waenganui i tō scrotum me tō nono) mai i muri, e tata ana ki tō nono . Kei tēnei rohe te nuinga o ngā io me ngā oko toto, ā, he iti rawa ngā kiko. Me ngawari, me rite te ahua o te repeure hauora ki te rapa. Ki te kuhua tō maihao kia rua inihi ki roto i tō nono, ka taea e koe te pā atu ki te rohe i waenganui i tō ure me tō nono. Me ngawari, me rite hoki ki te rapa. Ina pā atu koe ki tō repeure pēnei, tera pea ka hiahia ohorere koe ki te mimi. Engari, kia maumahara ki tēnei: Kāore e taea e koe te whakatau tika i te hauora o tō repeure mā te mahi i tēnei whakamātautau-ā-koe.Ko te whakamātautau DRE e mahia ana e te tākuta te tikanga tino tika. Mena he ruarua, he pātai rānei āu, me toro atu ki te tākuta. Ka taea e ia te whakautu i ō pātai me te aromatawai tika i te hauora o tō repeure.
Hei whakamutunga, ētahi mea nui hei maumahara...
He okana iti engari he mea nui te repe tātea i roto i te tinana tāne. He mea noa kia rerekē haere i te pakeketanga, kia paku nui haere (BPH). Kāore he mea e wehi ai. Heoi, ki te puta mai ngā tohu whakatūpato kua kōrerohia e tātou, kaua e warewarehia . Tirohia tonutia he tākuta, rapu tohutohu. He tikanga pai te whai i ngā whakamātautau hauora auau (Whakamātautau) i muri i te 50 tau te pakeke, i mua atu rānei mēnā he hītori whānau mō te mate pukupuku tātea. Mā te kai hauora, te whakakori tinana auau , me te karo i te kai paipa ka taea te tiaki i te hauora o tō tātea, tae atu ki tō tinana katoa. Ahakoa he aha te raruraru kei a koe, kōrero ki tō tākuta me te kore wehi, me te kore whakama. Kei te rite ia ki te āwhina i a koe.
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