He raruraru noa mō te nuinga o ngā tāne neke atu i te 50 tau te pakeke ko te uaua ki te mimi. Hei tauira, me ara ake koe i te pō kia rua, kia toru rānei ngā wā ki te mimi, te ngoikore o te pūkahukahu, te kī tonu rānei tō pūkahukahu i muri i te mimi. He tohu ēnei mō te mate e kiia nei ko te BPH. Kaua e manukanuka, ehara i te mate pukupuku. Me whakamārama tātou i ngā mea katoa i roto i ngā kupu māmā.
He aha te BPH?
He whakarāpopototanga noa iho, ko te BPH he whakarāpopototanga mō te 'Benign Prostatic Hyperplasia'. I te reo Sinhala, he whakanui i te repe prostate. Ehara i te mate pukupuku te take o tēnei.
Whakaarohia pēnei. Kei raro i te pūhā te repeurete i roto i ngā tāne, i te taha o te urethra. Ka puta te mimi me te purapura i te tinana mā roto i tēnei urethra. I te pakeketanga o ngā tāne, ka tīmata te whakanui haere i te repeurete i roto i te nuinga o ngā tāne. He mea noa tēnei. Heoi, ina nui rawa, pērā i te paipa wai piri, ka tīmata te pēhi i te urethra. Koinā te wā ka puta ai ngā raruraru mimi kua whakahuatia ake nei.
Ko te mea nui, ehara te BPH i te matepukupuku repeure. Ā, kāore te BPH e whakanui ake i te tūponotanga o te matepukupuku. He mate ka taea te rongoā .
He aha te tino take o te BPH?
Kāore e taea e ngā tākuta te kī tika he aha te take, engari e whakapono ana rātou nā ngā huringa homoni i roto i te tinana e puta ana i te koroheketanga, inā koa he tukanga e pā ana ki te homoni tāne testosterone .
Ina tae te tamaiti ki te pakeketanga, ka piki rua te rahi o te repe prostate i te wā kotahi. Kātahi ka tīmata i te 25 tau te pakeke, ka tīmata anō te tipu. Ka puta tēnei i te roanga o te oranga. Mō ētahi tāne, ka hua ake tēnei tipu ki te BPH.
He aha tonu ngā tohu o te BPH?
Ko ngā tohu o te ara mimi o raro (LUTS) e puta ana ina nui haere te repe prostate, ā, ka piri te urethra ki ngā wāhanga matua e rua. Ka mārama pai ēnei i te ripanga i raro nei.
| Kāwai tohu | Whakaahuatanga (ngā kare ā-roto e pā ana ki a koe) |
|---|---|
| Ngā Tohumate o te Mimi |
|
| Ngā Tohu Rokiroki |
|
Ka taea e ēnei tohu te arahi i ētahi mea pēnei i te mate mimi (UTI), te kōhatu o te pūkahukahu, me ētahi atu. He onge te puta o te pupuri mimi, te kino rānei o te whatukuhu. Nō reira, he mea nui kia mōhio ki ēnei tohu.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ina haere koe ki te kite i tētahi tākuta me ēnei tohumate, ka pātai tuatahi ia mō ō tohumate me tō hītori hauora whānau. Kātahi ka tirotirohia e ia tō tinana.
- Whakamātautau Rere Matihiko (DRE): I tēnei whakamātautau, ka whakaurua e tō tākuta he maihao kua mau ki te karapu ki roto i tō repe kia tirohia ai te rahi me te āhua o tō repe prostate. Ahakoa te āhua kore whakamarie, he mea tino nui tēnei mō te tautuhi mate.
Hei tāpiri, he maha ngā whakamātautau ka taea te whakahaere hei whakaū i te āhua:
- Ngā whakamātautau toto: Tirohia te mahi a te whatukuhu.
- Ngā whakamātautau mimi: Tirohia mēnā he mate pāwera.
- Whakamātautau toto PSA (Paturopi Motuhake ki te Prostate):He whakamātautau e ine ana i te taumata o te pūmua i hangaia e te repe prostate. He tohu pea te taumata PSA teitei o te repe prostate kua nui haere.
- Matawai Ultrasound: Hei ine i te rahi o te repe prostate me te kite i te nui o te mimi e toe ana i roto i te pūkahukahu i muri i te mimi.
- Ētahi atu whakamātautau motuhake: I ētahi wā, ka tonoa pea ngā whakamātautau pēnei i te uroflowmetry, e ine ana i te tere o te rere o te mimi, te cystoscopy rānei, e whakamahi ana i te kāmera hei tirotiro i te urethra me te pūhā.
He aha ngā maimoatanga mō te BPH?
Kāore e taea te whakaora katoa i te BPH. Engari he maha ngā maimoatanga whai hua hei āwhina i a koe ki te whakahaere i ō tohumate me te noho i tētahi oranga noa. Mā tō tākuta e whakatau te maimoatanga pai rawa atu i runga i tō tau, tō hauora, me te kaha o ō tohumate.
1. Ngā Huringa Āhua Noho
Ki te kore e tino kino ō tohumate, ka taea e koe te whakamātau i ēnei mahi māmā i te tuatahi:
- Whakaitihia te nui o ngā wai e inuhia ana e koe, pērā i te wai, te tī, me te kawhe, i mua i te moe i te pō, me mua hoki i te haere ki waho.
- Te whakawhāiti i te whakamahinga o te waipiro me te kawheine (kawhe, ētahi momo tī).
- Te mahi i ngā mahi whakakori tinana hei whakapakari i ngā uaua o te papa hope (me kōrero ki tō tākuta mō tēnei).
2. Ngā rongoā
Mena kāore e ranea ngā huringa momo noho anake, ka tohua pea e te tākuta he rongoā.
- Ngā aukati-ārai: Ka whakangāwari ēnei i ngā uaua o te repe prostate me te kaki o te pūkahukahu, kia māmā ake ai te rere o te mimi.
- Ngā aukati 5-alpha reductase: Ka whakaitihia te repe prostate e ēnei rongoā.
Tērā pea me whakamahi ngātahi ēnei rongoā e rua e ētahi tāngata.
3. Ngā Tukanga me ngā Pokanga
Mena kāore e taea te whakahaere i ngā tohu mā te rongoā, mēnā rānei ka puta he raruraru pēnei i te mate mimi auau, te kōhatu rānei o te pūkahukahu, ka whakaarohia pea te pokanga. Ko te nuinga o ngā pokanga o ēnei rā he iti noa te whakaekenga.
- TURP (Transurethral Resection of the Prostate): Ko te pokanga tino noa. Ka tukuna he taputapu iti mā roto i te urethra hei tango i ngā wāhanga taikaha o te repe prostate.
- Pokanga Taiaho: Te whakamahi i ngā hihi taiaho hei mimiti me te tango i te kiko taikaha.
- UroLift: Te whakamahinga o ngā tāpiringa iti hei pana i te kiko prostate ki tahaki kia kore ai e aukatia te urethra.
He maha ngā tikanga pēnei. Mā tō tākuta koe e whakamārama ko tēhea te tikanga e tino tika ana māu.
Karere Tangohia ki te Kāinga
- He tino noa te BPH, ehara i te mate pukupuku, i waenga i ngā tāne kua kaumātuatia, nō reira kaua e manukanuka noa.
- Mena kei a koe ngā tohu pēnei i te mimi pinepine, te ara ake i te pō ki te mimi, te ngoikore rānei o te pūkahukahu mimi, kaua e whakamā, me kōrero ki te tākuta.
- He tino whai hua ngā maimoatanga mō tēnei (ngā huringa āhua noho, ngā rongoā, ngā pokanga).
- Ki te kore e rongoatia, ka puta pea ngā raruraru pēnei i te mate mimi me ngā raruraru tākihi. Nō reira, he mea pai kia rapu tohutohu hauora i te wā e taea ai.
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