E ngā tāne, kei a koutou ngā raruraru pēnei i te mate mimi me te pupuri mimi i a koutou e pakeke haere ana? Me kōrero tātou mō te Benign Prostatic Hyperplasia (BPH)

I a koe e pakeke haere ana, ka kite koe kei te ara ake koe i te pō ki te mimi? Me tatari rānei koe mō tētahi wā ki te mimi? I ētahi wā ka rongo koe he nui ake tō mimi ahakoa kua mutu tō mimi? Tērā pea he hononga ēnei ki ngā huringa iti o te repe prostate e pāngia ana e te tini o ngā tāne i a rātou e pakeke haere ana. I tēnei rā, ka kōrero tātou mō tēnei āhuatanga e kiia nei ko te benign prostatic hyperplasia (BPH).

He aha tēnei BPH (Benign Prostatic Hyperplasia)?

Ki te whakarapopototanga, ko te Benign Prostatic Hyperplasia (BPH) he whakanui i tō repe prostate. He repe iti te prostate, he rite te rahi ki te nati wōnati kei raro i te pūkahukahu, kei mua hoki i te rectum. I mōhio koe ka puta tētahi wāhanga o te urethra mā roto i tēnei repe?

He ngongo tēnei urethra e kawe ana i te mimi me te parāoa i waho o te tinana. Nō reira, whakaarohia, i te nui haere o tēnei repe prostate, ka tīmata te kikī o te urethra i kōrerotia e au. Ko te wā tēnā ka āraia te ara mō te mimi ki waho, ā, ka āraia hoki te ara mō te parāoa ki waho.

Ko te mea nui , ehara te BPH i te mate pukupuku. Heoi, i ētahi wā ka rite ngā tohu o te BPH ki ērā o tētahi mate kino ake, pērā i te mate pukupuku prostate, nō reira he mea nui kia mōhio koe ki tēnā.

Ka piki ake rānei te mōrearea o te mate pukupuku prostate i te pānga o te BPH?

He pātai tēnei e pātaihia ana e te tini. E ai ki ngā rangahau o nāianei, kāore te BPH e whakanui ake i te tūponotanga o te mate pukupuku repeure. Heoi, e ai ki taku kōrero i mua ake nei, he tino ōrite ngā tohu o te BPH me te mate pukupuku repeure. Nō reira, ki te mea he BPH tōu, tera pea kei te pāngia koe e te mate pukupuku repeure i te wā kotahi, me te kore e mōhio.

Koia te mea nui mō te hunga katoa he mate pūkahukahu tō rātou, inā koa ko te hunga i waenga i te 55 me te 69 tau te pakeke, kia tirotirohia te pūkahukahu tō rātou i te iti rawa kotahi i te tau. Mā tēnei ka āwhina i te kite wawe i te mate pukupuku. Mēnā he mangu koe, he hītori whānau rānei tōu mō te mate pukupuku pūkahukahu tō rātou, he paku teitei ake tō mōrearea. Mō te hunga he mate pūkahukahu tō rātou, he pai ake te tīmata tirotiro i te 40 tau te pakeke.

Ko wai te hunga e tino pāngia ana e tēnei mate BPH? He pēhea te noa o tōna pānga?

Ko te BPH te raruraru repeure e tino kitea ana i waenga i ngā tāne. Inaa, tata ki te katoa he repeure ka pāngia e te whakanui i te repeure i a rātou e pakeke haere ana.

He tino noa tēnei, ā, i te 60 tau te pakeke, tata ki te 50% o ngā tāne ka whakaatu i ētahi tohu o te BPH.Ā, i te 85 tau te pakeke, ka piki ake tēnei tau ki te 90%. Heoi, kāore e hiahiatia ana he maimoatanga mō ēnei tāngata katoa. Tata ki te haurua noa iho o te hunga whai BPH e hiahia ana ki te maimoatanga mō ō rātou tohumate.

He aha ngā tohu whakatūpato o te BPH?

E ai ki taku kōrero i mua ake nei, kei te taha o te repe prostate te urethra. Nō reira, ina nui haere te repe prostate nā te BPH, ka tīmata te aukati i te urethra. Nō reira, ko ngā tohu tōmua o te BPH ko:

• Te puhoi, te maturuturu rānei o te mimi i te wā e mimi ana .
• He uaua ki te tīmata mimi, me tatari mō tētahi wā.
• Te kore e taea te whakahaere i te mimi me te turuturu (te kore e taea te pupuri i te mimi).
• He hiahia ohorere, he hiahia nui ki te mimi (`(whakaohooho)`). Kāore e taea te manawanui.
• Me ara ake pinepine i te pō ki te mimi.
• Te āhua nei kāore anō kia tino mimiti te pūkahukahu ahakoa i muri i te mimi.
• Te mamae i muri i te putanga mai o te ihu, i te wā rānei e mimi ana.
• Te huringa o te tae o te mimi.
• He kakara rerekē i roto i te mimi.

Mena kei a koe tētahi, ētahi rānei o ēnei tohu, he mea pai kia toro atu koe ki tētahi tākuta, kia kōrero hoki ki a ia.

He aha ngā mea ka puta mēnā ka nui haere te repe prostate, ā, kāore e rongoatia?

Ki te kore koe e whiwhi maimoatanga, ka taea e te BPH te aukati i te urethra. Tērā pea ka kino haere ō tohu. Ehara i te mea koinā anake, engari tera pea ka pāngia koe e ētahi atu raruraru, pēnei i:

• Matepukupuku o te Ara Mimi (UTI).
• Ngā kōhatu pūkahukahu.
• Te toto i roto i te mimi (hematuria).
• Te kino o te whatukuhu. Ka puta tēnei ina tīmata te rere o te mimi mai i te pūkahukahu ki ngā whatukuhu. Ka puta tēnei kino i te pikinga o te pēhanga ki runga i ngā whatukuhu.

Nō reira, ki te puta mai ngā tohu, he mea nui kia rapu tohutohu hauora, kaua e warewarehia.

He aha te take e puta ai te BPH? He aha ngā take?

Ina hoki, kāore anō kia tino mōhiotia e ngā tākuta me ngā kairangahau he aha te pūtake o te BPH. Heoi, he maha ngā āhuatanga e whakaarohia ana he whai wāhi ki tēnei.

Ko tētahi ariā , i a koe e pakeke haere ana, ka heke te taumata o te homoni e kiia nei ko te testosterone i roto i tō tinana. I taua wā anō, ka noho tonu te taumata o te homoni e kiia nei ko te estrogen. E whakaarohia ana ka taea e ngā panonitanga o ēnei homoni te whakatipu i ngā pūtau prostate. Heoi, i ētahi wā, ka taea hoki e ngā tāne e tango ana i te testosterone hei tāpiri atu ki te tango i te BPH te whakawhanake.

He nui ake anō hoki ngā taumata o te homoni e kiia nei ko te dihydrotestosterone (DHT) i roto i ngā tāne kaumātua.He momo testosterone kaha ake tēnei DHT. E whakaponohia ana hoki ka whakanui ake i te rahi o te repe prostate.

He mate hopuhopu te BPH?

Kāo, ehara te BPH i te mate hopuhopu. Kāore e taea te hora atu ki tētahi atu.

He aha te momo tākuta e rongoā ana i te BPH?

Ki te whakapae tō Tākuta Whānau kei a koe te BPH, ka tukuna koe e rātou ki tētahi tākuta urologist, he tākuta e tohunga ana ki ngā mate o te pūnaha mimi. He tino whakangungua ēnei tākuta ki te rongoā i ēnei momo mate o tō pūnaha mimi.

Me pēhea koe e tino mōhio ai mēnā kei a koe te BPH?

Ina haere koe ki te kite i tētahi tākuta, ka pātai tuatahi ia ki a koe mō tō hītori hauora, ka pātai atu ki a koe, kātahi ka whakahaere i tētahi whakamātautau tinana. Hei wāhanga o tēnei whakamātautau tinana , ka whakahaerehia he whakamātautau matihiko rectum (DRE) .

I tēnei "Whakamātautau Rekereke Mamati", ka āta whakaurua e te tākuta tētahi maihao kua mau ki te karapu ki roto i tō rekereke, ā, ka pā atu ki ngā taha me te mata o te repe repeure. Mā tēnei ka taea e koe te whakaaro ki te rahi o te repe repeure, me te kite i ngā wāhi mārō, pērā i ngā puku pea he mate pukupuku.

Hei tāpiri, ka taea e tō tākuta te whakahaere i ngā whakamātautau pēnei i:

• He pātai hei aromatawai i te kaha o ō tohumate.
• Ka ine te whakamātautau rere o te mimi i te tere o te rere o tō mimi.
• He whakamātautau hei kite i te nui o te mimi e toe ana i roto i te pūkahukahu i muri i te mutunga o te mimi.
• He whakamātautau te cystoscopy hei tirotiro i roto i te pūkahukahu. Ko te whakauru i tētahi ngongo me tētahi kāmera iti mā roto i te urethra.

Ka taea te whakaora katoa i te BPH?

Kāore he rongoā motuhake mō te BPH, engari he maimoatanga whai hua hei āwhina i te whakahaere i ō tohumate.

Nā, me pēhea te rongoā mō te BPH?

Mena he ngawari ngā tohu, kāore pea koe e hiahia ki tētahi maimoatanga. Tērā pea ka tūtohu tō tākuta i tētahi huarahi "tatari mataara". Ko te tikanga me toro atu koe ki tō tākuta i ia wā, i ia wā, kia kore ai e kino haere tō BPH.

Engari ki te kaha ake ngā tohu, kei reira ngā maimoatanga penei:

Ngā rongoā

Ko te mahi a te nuinga o ngā rongoā e tohua ana mā te whakangāwari i ngā uaua o te repe prostate, ka whakaiti i te pēhanga ki runga i te urethra. Ko ētahi tauira ko:

• Tamsulosin (Tamsulosin - Flomax®)
• Terazosin `(Terazosin - Hytrin®)`
• Doxazosin `(Doxazosin - Cardura®)`
• Alfuzosin `(Alfuzosin - Uroxatral®)`
• Silodosin (Silodosin - Rapaflo®)

Ka whakaitihia e ētahi rongoā te hanga o te homoni DHT (Dihydrotestosterone) i kōrerotia e au i mua ake nei. Ka taea e tēnei te whakaroa i te tere o te whakanui o te repe prostate. He tino whai hua ēnei rongoā mō ngā tāne he nui rawa ngā repe prostate. Hei tauira:

• Finasteride (Finasteride - Proscar®)
• Dutasteride (Dutasteride - Avodart®)

I ētahi wā, ka tohua pea e tō tākuta he huinga o ngā rongoā e rua hei āwhina i te whakahaere i ō tohumate, hei whakangāwari hoki i te mimi. Hei tauira, ko Dutasteride me Tamsulosin (Jalyn®).

I muri i tō tīmatanga ki te tango i te rongoā, ka roa pea mai i te kotahi ki te waru wiki ka memeha haere ō tohumate.

Pokanga

He momo pokanga rerekē hei tango i ngā wāhanga o te repe prostate e aukati ana i te urethra. Ko ētahi o ēnei:

• Te Tangohanga Transurethral o te Repeure (TURP): I roto i tēnei tikanga, ka whakauruhia e tō tākuta mimi tētahi taputapu motuhake (resectoscope) mā roto i tō urethra hei tiro me te tango i ngā wāhanga e toe ana o tō repeure.
• Te Tapahi Transurethral o te Repeure (TUIP): I roto i tēnei tikanga, ka tapahia e te tākuta kia rua ngā tapahanga iti ki te repeure me te wāhi e hono ai te urethra ki te pūkahukahu (te kaki o te pūkahukahu) hei whakawhānui i te urethra me te whakangāwari ake i te mimi.
• Te Whakamahana Hiko Transurethral: I roto i tēnei tikanga, ka whakamahia e te tākuta he hiko hei whakamahana i te kiko prostate, ka mimiti ai ngā pūtau prostate kua nui haere.
• Maimoatanga Reera GreenLight™: I roto i tēnei tikanga, ka whakamahia e te tākuta he hihi reera motuhake hei mimiti me te tango i te kiko repeure kua nui haere. Ka kiia hoki tēnei ko te Whakamomona Reera Whakaahua-mā-Pūmau (PVP).
• Aquablation®: I roto i tēnei tikanga, ka whakamahia e te tākuta ngā pupuhi wai pēhanga teitei hei tango i te kiko o te repeure.

I muri i te pokanga, ka taea e koe te hoki ki ngā mahi o ia rā i roto i ētahi rā, i te wiki rānei.

Ngā Maimoatanga Whakaiti i te Whakaurunga

He iti ake te whakaekenga o ngā maimoatanga hou mō te BPH i te pokanga, arā, he iti ake te kino ki ngā kiko hauora. Ko te nuinga o ēnei maimoatanga ka taea te mahi hei tikanga o waho. Ko te tikanga ka taea e koe te hoki ki te kāinga i taua rā anō. He iti ake te utu, he iti ake ngā pānga taha, ā, ka taea te āwhina i a koe kia tere ake te ora. Heoi, nā te mea he mea hou ēnei maimoatanga, kāore anō kia nui ngā mōhiohio e pā ana ki ō rātou pānga roa, ngā raruraru rānei.

Ētahi tauira:

• Te Hiki Urethral Prostatic (UroLift®):Ko tēnei tikanga he wehe i te repe repeure kua nui haere, me te whakawhanui i te urethra. Mā tēnei ka māmā ake te mimi. Ka whakaurua e te tākuta tētahi taputapu motuhake (`(UroLift®)`) ki runga i te urethra ki te repe repeure. Kia tae atu ki te pakitara taha o te repeure, ka whakaurua ētahi whakatō iti (`(implants)`) ka kumea kia wehea hei whakatuwhera i te urethra. I runga i te rahi o te repeure, ka taea te whakanoho i te rua ki te ono o aua whakatō.
• Whakaora Rezūm™: I roto i tēnei tikanga, ka whakaurua e te tākuta tētahi taputapu ki roto i te urethra ka nekehia ki te repe prostate. Kātahi ka whakaurua he ngira ki roto i te repe prostate. Ka tukuna e te ngira te mamaoa, ka huri hei wai. Ka whakangaromia e te wera o tēnei wai ngā pūtau prostate. Ka mimitihia anō ngā pūtau mate e te tinana, ka whakaiti i te repe prostate.

Ko ngā pānga taha e tino kitea ana o ēnei maimoatanga ko te hiahia kia nui ake te mimi i te tikanga, me te mamae, te wera rānei kia ora rā anō te repe prostate.

I muri i tēnei maimoatanga iti rawa te whakaekenga, ka taea e koe te hoki ki ngā mahi o ia rā i roto i ētahi rā. Tērā pea ka kite koe i tētahi whakapainga nui o ō tohumate i roto i ngā wiki e toru ki te ono.

Ko tēhea te rongoā pai rawa atu mō te BPH?

Ko te pokanga TURP te maimoatanga tino whai hua mō te nuinga o ngā take o te BPH.

Heoi, mō te hunga neke atu i te 65 tau te pakeke, ko te rongoā me ngā maimoatanga iti rawa te whakaekenga te mea pai rawa atu. Nā te mea he nui ake te tūponotanga ka pāngia te hunga kaumātua e ngā raruraru i muri i te pokanga, ā, ka roa ake pea te wā e ora ai.

He aha ngā kai pai me ngā kai kino hei kai mēnā he BPH tōu?

He pai ngā hua rākau, ngā huawhenua, me ngā ngako hauora mō te hauora o tō repeure. He whakaaro pai te whai i te kai Mediterranean, te tāpiri rānei i ēnei ki tō kai:

• Ngā hua
• Pūrokoro
• Ngā hua citrus
• Nati
• Tōmato
• Tāmiriki

Ka kino ake pea tō āhua BPH i ngā tikanga kai kino. Mēnā he BPH tōu, he mea pai kia karohia ngā kai tukatuka, ngā kai he nui te huka me te warowaihā. Me whakaiti hoki i ngā kai e whai ake nei:

• Waipiro
• Kawheine (pērā i te tī, te kawhe)
• Miraka
• Mīti whero
• Konutai (tote)

Ka taea e te repe repeure kua nui haere te hoki ki te āhua noa?

Ko ētahi tāngata he BPH ngawari, ka memeha haere ā rātou tohumate, kāore he maimoatanga. Engari, ki te kore ō tohumate e pai ake i a koe e whakamahi ana i te huarahi "tatari mataara", me tīmata kōrua ko tō tākuta ki te kōrero mō ngā kōwhiringa maimoatanga.

He aha taku e tumanako atu ai mēnā he BPH tōku?

He tino pai te tirohanga mō te hunga whai BPH.Ahakoa kāore he rongoā mō te BPH, kei reira ngā maimoatanga hei āwhina i te whakahaere i ō tohumate. Tērā pea kāore e hiahiatia he maimoatanga mō ngā tohumate ngawari. Tērā pea ka āwhinahia ngā kēhi kino ake mā te rongoā, te pokanga, me ngā maimoatanga iti rawa te whakaekenga.

Me pēhea te whakaiti i te mōrearea o te whakawhanake i te BPH?

Ko te huarahi pai hei whakaiti i tō tupono ki te whakawhanake i te BPH ko te huri i te momo noho me te tango i ētahi tāpiringa hei pupuri i te hauora o tō repeure me tō ngākau.

Mā te whakakorikori tinana mō te 30 meneti pea i te rā ka āwhina i te ārai i te BPH me te whakaroa i te tipu o te repe prostate. He mea nui anō hoki kia mau tonu te taumata cholesterol, te toto toto, me te huka toto.

Tērā pea ka āwhina ēnei tāpiringa otaota ki te whakaiti i te mōrearea o te whakawhanake i te BPH:

• Beta-sitosterol: He matūkai iti tēnei e kitea ana i roto i ngā tipu. Tērā pea ka āwhina i te pupuri i te hauora o te ngākau.
• Pygeum africanum: He tango otaota tēnei nō te kiri o te rākau cherry o Āwherika. Tērā pea ka āwhina i te whakaiti i te repe prostate.
• Purapura harakeke: He nui ngā muka kai me ngā waikawa ngako omega-3 i roto i te purapura harakeke. Ka taea e ia te āwhina ki te whakaheke i te cholesterol.
• Hinu kākano paukena: He hinu tēnei i tangohia mai i ngā kākano paukena. Tērā pea ka āwhina i te whakaiti i te repe prostate.

Engari kia maumahara, me kōrero tonu koe ki tō tākuta i mua i te tīmatanga o tētahi tāpiringa hou, nā te mea ka taea e ēnei te taunekeneke kino me ētahi atu rongoā, tāpiringa rānei e tangohia ana e koe i tēnei wā.

Āhea ahau me toro atu ki te tākuta?

Mena kei a koe ētahi o ēnei tohu, waea atu ki tō tākuta tonu:

• Te mamae i te puku o raro, i te wāhi ira tangata rānei i te wā e mimi ana.
• Te uaua ki te mimi, te kore rānei e taea te mimi.
• Te pāngia e te kirika, te mātao rānei i a koe e mimi ana.
• Te toto i roto i te mimi.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Anei ētahi pātai ka taea e koe te pātai atu ki tō tākuta:

• Me pēhea te mōhio mēnā he BPH tōku?
• Mena kāore he BPH i ahau, he aha atu anō ngā mate ka pā mai ki ahau?
• He aha taku e taea ai te whakaiti i te whakanui o taku prostate?
• Me whai maimoatanga ahau?
• He aha te maimoatanga pai rawa atu mōku?
• He aha ngā tāpiringa kai e taunaki ana koe?
• Ka taunekeneke rānei ēnei tāpiringa me ētahi atu rongoā, tāpiringa rānei e tangohia ana e au i tēnei wā?
• Me kite ahau i tētahi tākuta mimi?

He aha te rerekētanga i waenga i te matepukupuku prostate me te BPH?

He momo matepukupuku noa te matepukupuku repeure e puta ana i roto i te repeure. I ngā wāhanga tōmua, kāore i te maha ngā tohu e puta mai i te matepukupuku repeure. Heoi, i a ia e tipu haere ana, ka taea e ia te puta he maha o ngā tohu rite ki te BPH. Hei tauira, he ngoikore te rere o te mimi, te mamae i te wā e puta ai te mimi, te mimi rānei, me te hiahia kia mimi pinepine. Ka horapa te matepukupuku repeure ki ō wheua, ki ō kōpū lymph, ki ētahi atu wāhanga rānei o tō tinana. Ko ngā kōwhiringa maimoatanga ko te rongoā irahiko me te pokanga.

He rite ngā tohu o te BPH ki ērā o te matepukupuku repeure. Heoi, ehara te BPH i te matepukupuku, ā, kāore e whakapiki ake i te mōrearea o te matepukupuku. Kāore e horapa ki ētahi atu wāhanga o te tinana. Ko ngā kōwhiringa maimoatanga ko te rongoā, te pokanga, me ngā tikanga iti rawa te whakaekenga.

He aha te rerekētanga i waenga i te BPH me te Benign Prostatic Enlargement (BPE)?

Ko te Benign Prostatic Hyperplasia (BPH) te ingoa o tētahi āhuatanga e whakanui ai tō repe prostate.

Ko te kupu 'Benign Prostatic Enlargement (BPE)' he kupu e whakamahia ana e ngā tākuta hei whakaahua i te repe prostate kua nui haere nā te BPH. Ki te kī māmā noa, ko te BPH te take, ā, ko te BPE te hua o te repe prostate kua nui haere.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He mate tino noa te repeure kua whakanuia, e mōhiotia ana ko te BPH, i roto i ngā tāne. Ka tīmata te BPH ki te whanake i te 55 tau te pakeke. Mēnā he tohu BPH ngawari ōu, ka taea e kōrua ko tō tākuta te aroturuki i ō tohu mā te tirotiro i ōu tinana i ia wā. Engari, mēnā kei te pāngia tō oranga e te BPH, kei reira ngā maimoatanga whai hua hei āwhina i te whakaiti i te repeure.

Ki te pāngia koe e ngā tohu o te BPH, me kōrero koe ki te tākuta. Ka taea e kōrua te whakatau tahi i te huarahi mahi pai māu. Kaua e manukanuka, he pai ngā otinga!

` Te repeure kua whakanuia, BPH, repeure, ngā raruraru mimi, te hauora o ngā tāne, te matepukupuku repeure, ngā tohu mimi