Pamene mukukula, kodi mumadzuka pafupipafupi usiku kuti mukodze? Kapena mumayenera kudikira pang'ono kuti mukodze? Kodi nthawi zina mumamva ngati muli ndi mkodzo wambiri ngakhale mutamaliza kukodza? Izi zitha kukhala zokhudzana ndi kusintha pang'ono kwa prostate komwe amuna ambiri amakumana nako akamakula. Lero, tikambirana za vuto ili lotchedwa benign prostatic hyperplasia (BPH).

Kodi BPH iyi (Benign Prostatic Hyperplasia) ndi chiyani?

Mwachidule, Benign Prostatic Hyperplasia (BPH) ndi kukula kwa prostate gland yanu. Prostate ndi gland yaying'ono, yofanana ndi mtedza yomwe ili pansi pa chikhodzodzo ndi kutsogolo kwa rectum. Kodi mukudziwa kuti gawo lina la urethra limadutsa mu gland iyi?

Mkodzo uwu ndi chubu chomwe chimatulutsa mkodzo ndi umuna m'thupi. Ndiye, tangoganizirani, pamene prostate gland iyi ikukula, mkodzo umene ndatchulawu umayamba kuuma. Pamenepo ndi pamene njira yotulukira mkodzo imatsekedwa, ndipo njira yotulukira umuna imathanso kutsekedwa.

Chofunika kwambiri ndichakuti BPH si khansa. Komabe, zizindikiro za BPH nthawi zina zimatha kufanana ndi za matenda oopsa kwambiri, monga khansa ya prostate, kotero ndikofunikira kudziwa zimenezo.

Kodi kukhala ndi BPH kumawonjezera chiopsezo chotenga khansa ya prostate?

Funso limene anthu ambiri amafunsa ndi ili. Malinga ndi kafukufuku waposachedwa, kukhala ndi BPH sikukuwonjezera chiopsezo chanu chokhala ndi khansa ya prostate. Komabe, monga ndanenera kale, zizindikiro za BPH ndi khansa ya prostate zimafanana kwambiri. Chifukwa chake, ngati muli ndi BPH, mutha kukhala ndi khansa ya prostate nthawi imodzi osadziwa.

Ndicho chifukwa chake ndikofunikira kuti aliyense amene ali ndi prostate, makamaka azaka zapakati pa 55 ndi 69, apite kukayezetsa prostate kamodzi pachaka. Izi zingathandize kuzindikira khansa msanga. Ngati ndinu wakuda kapena muli ndi mbiri ya banja lanu ya khansa ya prostate, muli pachiwopsezo chachikulu. Kwa omwe ali ndi prostate, ndi bwino kuyamba kuyezetsa prostate ali ndi zaka 40.

Kodi ndani amene amakhudzidwa kwambiri ndi matenda a BPH amenewa? Kodi ndi ofala bwanji?

BPH ndi vuto lofala kwambiri la prostate pakati pa amuna. Ndipotu, pafupifupi aliyense amene ali ndi prostate gland amakumana ndi kukula pang'ono kwa prostate gland yawo akamakalamba.

Izi zimachitika kawirikawiri kotero kuti, akafika zaka 60, pafupifupi 50% ya amuna amawonetsa zizindikiro zina za BPH.Ndipo akafika zaka 85, chiwerengerochi chimawonjezeka kufika pa 90%. Komabe, si anthu onsewa omwe amafunika chithandizo. Pafupifupi theka la anthu omwe ali ndi BPH ndi omwe amafunika chithandizo cha zizindikiro zawo.

Kodi zizindikiro zochenjeza za BPH ndi ziti?

Monga ndanenera kale, urethra ili mozungulira prostate gland. Choncho prostate gland ikakula chifukwa cha BPH, imayamba kutseka urethra. Chifukwa chake, zizindikiro zoyambirira za BPH ndi izi:

• Kuchepa kapena kutsika kwa mkodzo mukakodza .
• Kuvuta kuyamba kukodza, kudikira kwakanthawi.
• Kulephera kulamulira mkodzo ndi kutuluka madzi pang'ono (kusadziletsa).
• Kufuna kukodza mwadzidzidzi komanso mwamphamvu (`(mwachangu)`). N'kovuta kwambiri.
• Kudzuka pafupipafupi usiku kuti ukodze.
• Kumva ngati chikhodzodzo sichinatuluke konse ngakhale mutakodza.
• Ululu mukamaliza kukodza kapena mukakodza.
• Kusintha kwa mtundu wa mkodzo.
• Fungo lachilendo mu mkodzo.

Ngati muli ndi chimodzi mwa zizindikiro izi kapena zingapo, ndi bwino kupita kwa dokotala.

Kodi chimachitika n’chiyani ngati prostate gland yakula ndipo sinachiritsidwe?

Ngati simulandira chithandizo, BPH ingayambitse kutsekeka kwa mkodzo. Zizindikiro zanu zimatha kukulirakulira. Sikuti zokhazo, komanso mungakhale ndi mavuto ena monga:

• Matenda a mkodzo (UTI).
• Miyala ya chikhodzodzo.
• Magazi mu mkodzo (hematuria).
• Kuwonongeka kwa impso. Izi zimachitika pamene mkodzo ukuyamba kutsika kuchokera ku chikhodzodzo kupita ku impso. Kuwonongeka kumeneku kumachitika chifukwa cha kupanikizika kwa impso.

Choncho, ngati muli ndi zizindikiro, ndikofunikira kwambiri kufunafuna upangiri wa dokotala popanda kuzinyalanyaza.

N’chifukwa chiyani BPH imachitika? Kodi zimayambitsa matenda otani?

Ndipotu, madokotala ndi ofufuza sakudziwabe chomwe chimayambitsa BPH. Komabe, pali zinthu zingapo zomwe zikuganiziridwa kuti zimayambitsa vutoli.

Lingaliro lina ndi lakuti pamene mukukalamba, kuchuluka kwa mahomoni otchedwa testosterone m'thupi lanu kumachepa. Nthawi yomweyo, kuchuluka kwa mahomoni otchedwa estrogen kumakhalabe komweko. Akuganiza kuti kusintha kwa mahomoni amenewa kungayambitse kukula kwa maselo a prostate. Komabe, nthawi zina, amuna omwe amamwa testosterone kuwonjezera pa kumwa amathanso kukhala ndi BPH.

Komanso, amuna achikulire ali ndi mahomoni ambiri otchedwa dihydrotestosterone (DHT).DHT iyi ndi mtundu wa testosterone wamphamvu kwambiri. Amakhulupiriranso kuti imawonjezera kukula kwa prostate gland.

Kodi BPH imafalikira?

Ayi, BPH si matenda opatsirana. Simungathe kufalitsa kwa wina.

Ndi dokotala wamtundu wanji amene amachiritsa BPH?

Ngati dokotala wanu akukayikira kuti muli ndi BPH, adzakutumizani kwa dokotala wa urologist, dokotala yemwe ndi katswiri wa matenda a mkodzo. Madokotala awa ndi ophunzitsidwa mwapadera kuchiza matenda amtunduwu a mkodzo wanu.

Kodi mungadziwe bwanji ngati muli ndi BPH?

Mukapita kukaonana ndi dokotala, iye adzakufunsani kaye za mbiri yanu yachipatala, adzakufunsani mafunso, kenako adzakuyesani thupi. Monga gawo la mayeso awa , mayeso a digito a rectal (DRE) amachitidwa.

Pa nthawi ya "Digital Rectal Exam" iyi, dokotalayo amaika chala chovala magolovesi m'matumbo mwanu ndipo amakhudza m'mbali ndi pamwamba pa prostate gland. Izi zingakupatseni lingaliro la kukula kwa prostate gland ndikupeza madera aliwonse olimba, monga zotupa zomwe zingakhale khansa.

Komanso, dokotala wanu angapereke mayeso monga:

• Mafunso ofufuza momwe zizindikiro zanu zilili zoopsa.
• Kuyezetsa kwa mkodzo kumayesa liwiro la mkodzo wanu.
• Kuyesa kuti muwone kuchuluka kwa mkodzo womwe watsala mu chikhodzodzo mukamaliza kukodza.
• Kuyeza kwa cystoscopy ndi njira yoyezera mkati mwa chikhodzodzo. Izi zimaphatikizapo kulowetsa chubu chokhala ndi kamera kakang'ono kudzera mu urethra.

Kodi BPH ingachiritsidwe kwathunthu?

Palibe mankhwala enieni a BPH, koma pali mankhwala othandiza omwe angathandize kuchepetsa zizindikiro zanu.

Ndiye kodi BPH imachiritsidwa bwanji?

Ngati muli ndi zizindikiro zochepa, simungafunike chithandizo chilichonse. Dokotala wanu angakulangizeni kuti mudikire mosamala. Izi zikutanthauza kuti mukaonana ndi dokotala nthawi zonse kuti muwonetsetse kuti BPH yanu siikulirakulira.

Koma ngati zizindikirozo zili zovuta kwambiri, pali njira zochiritsira monga izi:

Mankhwala

Mankhwala omwe amaperekedwa nthawi zambiri amagwira ntchito pomasula minofu ya prostate gland, zomwe zimachepetsa kupanikizika kwa mkodzo. Zitsanzo zina ndi izi:

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

Mankhwala ena amachepetsa kupanga kwa hormone ya DHT (Dihydrotestosterone) yomwe ndatchula kale. Izi zitha kuchepetsa kuchuluka kwa prostate gland. Mankhwalawa ndi othandiza makamaka kwa amuna omwe ali ndi prostate yayikulu kwambiri. Zitsanzo:

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

Nthawi zina dokotala wanu angakupatseni mankhwala awiri osakaniza kuti muchepetse zizindikiro zanu ndikupangitsa kuti kukodza kukhale kosavuta. Chitsanzo ndi Dutasteride ndi Tamsulosin (Jalyn®).

Mukayamba kumwa mankhwalawo, zingatenge sabata imodzi mpaka zisanu ndi zitatu kuti zizindikiro zanu zithe.

Opaleshoni

Pali mitundu yosiyanasiyana ya opaleshoni yochotsera ziwalo za prostate zomwe zikutseka urethra. Zina mwa izo ndi izi:

• Kuchotsa Prostate mu mkodzo (TURP): Mu njira imeneyi, dokotala wanu wa mkodzo amaika chipangizo chapadera (resectoscope) kudzera mu mkodzo wanu kuti aone ndikuchotsa ziwalo zina zonse za prostate yanu.
• Kudula kwa Transurethral kwa Prostate (TUIP): Mu njirayi, dokotalayo amadula pang'ono kawiri mu prostate ndipo pomwe urethra imalumikizana ndi chikhodzodzo (khosi la chikhodzodzo) kuti ikule urethra ndikupangitsa kuti kukodza kukhale kosavuta.
• Kutulutsa mpweya m'thupi kudzera mu mkodzo: Mu njira imeneyi, dokotala amagwiritsa ntchito electrode kutentha minofu ya prostate, zomwe zimapangitsa kuti maselo a prostate okulirapo asungunuke.
• Chithandizo cha Laser cha GreenLight™: Mu njirayi, dokotala amagwiritsa ntchito kuwala kwapadera kwa laser kuti achotse minofu ya prostate yokulirapo. Izi zimatchedwanso Photoselective Vaporization of the Prostate (PVP).
• Aquablation®: Mu njirayi, dokotala amagwiritsa ntchito madzi othamanga kwambiri kuti achotse minofu ya prostate.

Pambuyo pa opaleshoni, mutha kubwerera ku zochita zanu zachizolowezi mkati mwa masiku ochepa kapena sabata imodzi.

Mankhwala Osawononga Kwambiri

Mankhwala atsopano a BPH savulaza kwambiri kuposa opaleshoni, zomwe zikutanthauza kuti minofu yathanzi imawonongeka pang'ono. Mankhwala ambiriwa nthawi zambiri amatha kuchitika ngati njira zochiritsira kunja kwa thupi. Izi zikutanthauza kuti mutha kupita kunyumba tsiku lomwelo. Ndi otsika mtengo, alibe zotsatirapo zoyipa zambiri, ndipo angakuthandizeni kuchira mwachangu. Komabe, chifukwa mankhwalawa ndi atsopano, palibe chidziwitso chokwanira chokhudza zotsatira zake za nthawi yayitali kapena zovuta zake.

Zitsanzo zina:

• Kukweza kwa Urethral kwa Prostatic (UroLift®):Njira imeneyi imaphatikizapo kulekanitsa prostate gland yokulirapo ndikukulitsa urethra. Izi zimapangitsa kuti kukodza kukhale kosavuta. Dokotala amaika chipangizo chapadera (`(UroLift®)`) mmwamba mwa urethra kupita ku prostate gland. Chikafika pakhoma la mbali ya prostate, ma implants angapo ang'onoang'ono (`(implants)`) amaikidwa ndikukokedwa kuti atsegule urethra. Kutengera ndi kukula kwa prostate, ma implants awiri kapena asanu ndi limodzi otere angaikidwe.
• Chithandizo cha Rezūm™: Mu njira imeneyi, dokotala amaika chipangizo mu mkodzo ndikuchisuntha kupita ku prostate gland. Kenako, singano imayikidwa mu prostate gland. Singanoyo imatulutsa nthunzi, yomwe imasanduka madzi. Kutentha komwe kuli m'madzi awa kumawononga maselo a prostate. Maselo akufa amatengedwanso ndi thupi, zomwe zimapangitsa kuti prostate gland ichepe.

Zotsatira zoyipa kwambiri za mankhwalawa ndi kufunikira kukodza kwambiri kuposa nthawi zonse komanso kusapeza bwino kapena kutentha pang'ono mpaka prostate itachira.

Mukalandira chithandizo chocheperako, mutha kubwerera ku zochita zanu zachizolowezi pasanathe masiku angapo. Muyenera kuwona kusintha kwakukulu pazizindikiro zanu mkati mwa masabata atatu kapena asanu ndi limodzi.

Kodi chithandizo chabwino kwambiri cha BPH ndi chiyani?

Opaleshoni ya TURP ndiyo njira yothandiza kwambiri yochizira matenda ambiri a BPH.

Komabe, kwa anthu azaka zopitirira 65, mankhwala ndi mankhwala osalowa m'thupi ndi abwino kwambiri. Izi zili choncho chifukwa anthu okalamba amakhala ndi mavuto ambiri akachitidwa opaleshoni ndipo angatenge nthawi yayitali kuti achire.

Kodi zakudya zabwino ndi zoipa ndi ziti zomwe mungadye ngati muli ndi BPH?

Zipatso, ndiwo zamasamba, ndi mafuta abwino athanzi zingakhale zabwino pa thanzi la prostate yanu. Ndibwino kutsatira zakudya za ku Mediterranean kapena kuwonjezera izi muzakudya zanu:

• Zipatso
• Burokoli
• Zipatso za citrus
• Mtedza
• Tomato
• Turmeric

Kudya zakudya zosapatsa thanzi kungapangitse kuti matenda anu a BPH aipireipire. Ngati muli ndi BPH, ndi bwino kupewa zakudya zokonzedwa kale, zakudya zokhala ndi shuga wambiri ndi chakudya cham'mimba. Komanso, chepetsani izi:

• Mowa
• Kafeini (monga tiyi, khofi)
• Mkaka
• Nyama yofiira
• Sodium (mchere)

Kodi prostate gland yokulirapo ingabwererenso mwakale?

Anthu ena omwe ali ndi BPH yochepa zizindikiro zawo zimatha popanda chithandizo chilichonse. Koma ngati zizindikiro zanu sizikusintha pamene mukuyembekezera mwachidwi, inu ndi dokotala wanu muyenera kuyamba kukambirana za njira zochiritsira.

Kodi ndiyenera kuyembekezera chiyani ngati ndili ndi BPH?

Chiyembekezo cha anthu omwe ali ndi BPH ndi chabwino kwambiri.Ngakhale kuti palibe mankhwala a BPH, pali mankhwala omwe angathandize kuchepetsa zizindikiro zanu. Zizindikiro zochepa sizingafunike chithandizo konse. Milandu yoopsa kwambiri ingathandizidwe ndi mankhwala, opaleshoni, ndi mankhwala osapweteka kwambiri.

Kodi mungachepetse bwanji chiopsezo chotenga matenda a BPH?

Njira yabwino yochepetsera chiopsezo chanu chotenga matenda a BPH ndikusintha moyo wanu ndikumwa mankhwala ena owonjezera kuti mukhale ndi thanzi la prostate ndi mtima wanu.

Kuchita masewera olimbitsa thupi kwa mphindi zosachepera 30 patsiku kungathandize kupewa BPH ndikuchepetsa kukula kwa prostate gland. Ndikofunikanso kusunga cholesterol yokwanira, kuthamanga kwa magazi, komanso shuga m'magazi.

Zakudya zowonjezera izi zamasamba zingathandizenso kuchepetsa chiopsezo cha matenda a BPH:

• Beta-sitosterol: Ichi ndi chakudya chochepa chomwe chimapezeka m'zomera. Chingathandize kuti mtima ukhale wathanzi.
• Pygeum africanum: Ichi ndi chomera chochokera ku khungwa la mtengo wa chitumbuwa cha ku Africa. Chingathandize kuchepetsa prostate gland.
• Mbeu ya Flax: Mbeu ya Flax ili ndi ulusi wambiri m'zakudya ndi mafuta omega-3 acids. Ingathandize kuchepetsa cholesterol.
• Mafuta a mbewu ya dzungu: Awa ndi mafuta otengedwa ku mbewu ya dzungu. Angathandize kuchepetsa prostate gland.

Koma kumbukirani, nthawi zonse muyenera kulankhula ndi dokotala wanu musanayambe mankhwala atsopano, chifukwa amatha kusokonezana ndi mankhwala ena kapena mankhwala ena omwe mukumwa panopa.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro izi, imbani dokotala nthawi yomweyo:

• Kupweteka m'mimba kapena m'malo oberekera mukakodza.
• Kuvuta kukodza kapena kulephera kukodza konse.
• Kumva kutentha thupi kapena kuzizira pamene mukukodza.
• Magazi mu mkodzo.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Nazi mafunso ena omwe mungafunse dokotala wanu:

• Kodi mumadziwa bwanji ngati ndili ndi BPH?
• Ngati ndilibe BPH, ndi vuto lina liti lomwe ndingakhale nalo?
• Kodi ndingachite chiyani kuti ndichepetse kukula kwa prostate yanga?
• Kodi ndikufunika chithandizo?
• Kodi chithandizo chabwino kwambiri kwa ine ndi chiti?
• Kodi ndi zakudya ziti zowonjezera zomwe mumalimbikitsa?
• Kodi mankhwala owonjezera awa angagwirizane ndi mankhwala ena kapena mankhwala owonjezera omwe ndikumwa panopa?
• Kodi ndiyenera kupita kwa dokotala wa urologist?

Kodi kusiyana pakati pa khansa ya prostate ndi BPH ndi kotani?

Khansa ya prostate ndi mtundu wofala wa khansa womwe umayamba mu prostate gland. Poyamba, khansa ya prostate nthawi zambiri imayambitsa zizindikiro. Komabe, ikakula, ingayambitse zizindikiro zambiri zomwezo monga za BPH. Mwachitsanzo, mkodzo wofooka, kupweteka panthawi yotulutsa umuna kapena kukodza, komanso kufunikira kukodza pafupipafupi. Khansa ya prostate imatha kufalikira ku mafupa anu, ma lymph nodes, kapena ziwalo zina za thupi lanu. Njira zina zochiritsira zimaphatikizapo chithandizo cha radiation ndi opaleshoni.

Zizindikiro za BPH zimafanana ndi za khansa ya prostate. Komabe, BPH si khansa, ndipo siikuwonjezera chiopsezo chotenga khansa. Siifalikira ku ziwalo zina za thupi. Njira zina zochiritsira zimaphatikizapo mankhwala, opaleshoni, ndi njira zochepetsera kufalikira kwa khansa.

Kodi kusiyana pakati pa BPH ndi Benign Prostatic Enlargement (BPE) ndi kotani?

Benign Prostatic Hyperplasia (BPH) ndi dzina la vuto lomwe limapangitsa kuti prostate gland yanu ikule.

`Benign Prostatic Enlargement (BPE)` ndi mawu omwe madokotala amagwiritsa ntchito pofotokoza kukula kwa prostate gland chifukwa cha BPH. Mwachidule, BPH ndiye chifukwa chake, ndipo BPE ndi zotsatira za kukula kwa prostate gland.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Kukulira kwa prostate, komwe kumadziwikanso kuti BPH, ndi vuto lofala kwambiri mwa amuna. BPH nthawi zambiri imayamba kukula ali ndi zaka 55. Ngati muli ndi zizindikiro zochepa za BPH, inu ndi dokotala wanu mutha kuyang'anira zizindikiro zanu pochita kafukufuku nthawi zonse. Koma ngati BPH ikukhudza moyo wanu, pali mankhwala othandiza omwe angathandize kuchepetsa prostate.

Ngati muli ndi zizindikiro za BPH, onetsetsani kuti mwalankhula ndi dokotala. Pamodzi, mutha kusankha njira yabwino kwambiri yochitira. Musadandaule, pali njira zabwino zothetsera vutoli!

` Kukulira kwa prostate, BPH, prostate, mavuto a mkodzo, thanzi la amuna, khansa ya prostate, zizindikiro za mkodzo