Bagabo, ese mugira ibibazo nko kwandura indwara zo mu nkari no kugumana inkari uko mugenda mukura? Reka tuvuge kuri Benign Prostatic Hyperplasia (BPH)

Uko ugenda ukura, ese ujya ubyuka kenshi nijoro kugira ngo wongere inkari? Cyangwa ugomba gutegereza igihe gito kugira ngo wongere inkari? Ese hari igihe wumva inkari nyinshi ndetse na nyuma yo kurangiza kunyara? Ibi bishobora kuba bifitanye isano n'impinduka nto mu gasabo k'inkari abagabo benshi bahura nazo uko bagenda bakura. Uyu munsi, turaganira kuri iyi ndwara yitwa benign prostatic hyperplasia (BPH).

Iyi BPH (Benign Prostatic Hyperplasia) ni iki?

Muri make, Benign Prostatic Hyperplasia (BPH) ni ukwiyongera kwa prostate gland yawe. Prostate ni prostate nto, ifite ingano nk'iya walnut iherereye munsi y'uruhago n'imbere y'uruhago. Ese wari uzi ko igice cy'umuyoboro w'inkari kinyura muri iyi prostate gland?

Iyi urethra ni umuyoboro usohora inkari n'intanga ngore mu mubiri. Tekereza rero, uko iyi prostate gland igenda ikura, uriya muyoboro w'inkari navuze utangira gufunga. Ni bwo inzira inkari zisohokamo ifunga, kandi inzira isohokamo irashobora no kuziba.

Igikuru ni uko BPH atari kanseri. Ariko, ibimenyetso bya BPH rimwe na rimwe bishobora gusa n'iby'indwara ikomeye cyane, nka kanseri ya prostate, bityo rero ni ngombwa kubimenya.

Ese kugira BPH byongera ibyago byo kurwara kanseri ya prostate?

Iki ni ikibazo abantu benshi bibaza. Dukurikije ubushakashatsi buriho ubu, kugira BPH ntibyongera ibyago byo kurwara kanseri ya prostate. Ariko, nk'uko nabivuze mbere, ibimenyetso bya BPH na kanseri ya prostate birasa cyane. Kubwibyo, niba ufite BPH, ushobora kuba urwaye kanseri ya prostate icyarimwe utabizi.

Niyo mpamvu ari ngombwa ko abantu bose bafite prostate, cyane cyane abari hagati y'imyaka 55 na 69, babanza kwipimisha prostate nibura rimwe mu mwaka. Ibi bishobora gufasha kumenya kanseri hakiri kare. Niba uri umwirabura cyangwa ufite amateka yo kurwara kanseri ya prostate mu muryango wawe, uba uri mu kaga gakomeye gato. Ku bafite prostate, ni byiza gutangira kwipimisha ufite imyaka 40.

Ni nde wibasirwa cyane n'iyi ndwara ya BPH? Ni mu rugero rungana iki?

BPH ni ikibazo gikunze kugaragara cyane mu bagabo. Mu by’ukuri, hafi ya buri wese ufite prostate gland azagira imiterere y’ingirabuzimafatizo ze uko agenda akura.

Ibi ni ibisanzwe cyane ku buryo, ku myaka 60, abagabo bagera kuri 50% bagaragaza ibimenyetso bimwe na bimwe bya BPH.Kandi iyo umuntu afite imyaka 85, uyu mubare uzamuka ukagera kuri 90%. Nyamara, si bose muri abo bantu bakeneye kuvurwa. Kimwe cya kabiri cy'abafite BPH ni bo bonyine bakeneye kuvurwa ibimenyetso byabo.

Ni ibihe bimenyetso by'umuburo bya BPH?

Nkuko nabivuze mbere, urethra iba ikikije prostate gland. Rero iyo prostate gland yagutse bitewe na BPH, itangira kuziba urethra. Kubwibyo, ibimenyetso bya mbere bya BPH birimo:

• Kugenda buhoro cyangwa gutemba kw'inkari mu gihe cyo kunyara .
• Kugorwa no gutangira kunyara, bikaba ngombwa gutegereza igihe gito.
• Kudashobora kugenzura inkari no kuva amazi mu nda (kunanirwa kwifata).
• Gukenera cyane kunyara mu buryo butunguranye (`(byihutirwa)`). Bigoye cyane kwihanganira.
• Kubyuka kenshi nijoro kugira ngo unywe inkari.
• Kumva nk'aho uruhago rutarashira burundu ndetse no nyuma yo kunyara.
• Kubabara nyuma yo gusohora cyangwa iyo uri kunyara.
• Ihinduka ry'ibara ry'inkari.
• Impumuro idasanzwe mu nkari.

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ni byiza kujya kwa muganga ukaganira na we.

Bigenda bite iyo prostate yagutse kandi ntivurwe?

Iyo utabonye umuti, BPH ishobora gutuma umwobo w'inkari ukomeza kuziba. Ibimenyetso byawe bishobora kwiyongera. Si ibyo gusa, ahubwo ushobora no kugira ibindi bibazo, nko:

• UTI ( Urinary Tract Infection ).
• Amabuye y'inkari .
• Amaraso mu nkari (hematuria).
• Kwangirika kw'impyiko. Ibi bibaho iyo inkari zitangiye gutemba ziva mu ruhago zijya mu mpyiko. Uku kwangirika guterwa n'umuvuduko w'impyiko wiyongera.

Kubwibyo, niba ufite ibimenyetso, ni ngombwa cyane gushaka inama kwa muganga utirengagije.

Kuki BPH ibaho? Ni izihe mpamvu?

Mu by’ukuri, abaganga n’abashakashatsi ntibaramenya neza icyatera BPH. Nyamara hari ibintu byinshi bivugwa ko bishobora kuyitera.

Imwe mu nyigisho ni uko uko ugenda usaza, urugero rw'umusemburo witwa testosterone mu mubiri wawe rugabanuka. Muri icyo gihe, urugero rw'umusemburo witwa estrogen ruguma ari rumwe. Bikekwa ko impinduka muri iyi misemburo zishobora gutuma uturemangingo twa prostate dukura. Ariko, rimwe na rimwe, abagabo bafata testosterone usibye kuyifata bashobora no kurwara BPH.

Nanone, abagabo bakuze bafite urugero rwo hejuru rw'imisemburo yitwa dihydrotestosterone (DHT).Iyi DHT ni ubwoko bukomeye bwa testosterone. Bivugwa kandi ko yongera ingano ya prostate gland.

Ese BPH yandura?

Oya, BPH si indwara yandura. Ntushobora kuyikwirakwiza ku wundi muntu.

Ni ubwoko ki bw'umuganga uvura BPH?

Niba muganga wawe akeka ko ufite BPH, azakohereza kwa muganga w’inzobere mu ndwara z’inkari, umuganga w’inzobere mu kuvura indwara z’inkari. Aba baganga bahawe ubumenyi bwihariye bwo kuvura ubwo bwoko bw’indwara z’inkari zawe.

Wamenya ute neza ko ufite BPH?

Iyo ugiye kwa muganga, abanza kukubaza amateka y'ubuzima bwawe, akubaze ibibazo, hanyuma agukorere isuzuma ry'umubiri. Muri iki kizamini , hakorwa isuzuma rya digitale rectal (DRE) .

Muri iki gikorwa cyo "gupima igitsina cya digitale", muganga yitonze ashyira urutoki mu maraso yawe maze agakora ku nkengero no ku buso bwa prostate gland. Ibi bishobora kuguha igitekerezo cy'ingano ya prostate gland no kumenya ahantu hakomeye, nk'utubyimba dushobora gutera kanseri.

Byongeye kandi, muganga wawe ashobora no gukora ibizamini nka:

• Urutonde rw'ibibazo rugamije gusuzuma ubukana bw'ibimenyetso byawe.
• Ikizamini cy'inkari gipima umuvuduko w'inkari zawe.
• Ikizamini cyo kureba ingano y'inkari zisigaye mu ruhago nyuma yo kurangiza kunyara.
• Isuzuma rya cystoscopy ni ikizamini cyo kureba imbere mu ruhago. Ibi bisaba gushyiramo umuyoboro urimo kamera nto unyuze mu muyoboro w'inkari.

Ese BPH ishobora gukira burundu?

Nta muti wihariye wa BPH uhari, ariko hari uburyo bwiza bwo kuvura bushobora gufasha mu kugenzura ibimenyetso by'indwara yawe.

None se BPH ivurwa ite?

Niba ufite ibimenyetso byoroheje, ushobora kudakenera ubuvuzi ubwo aribwo bwose. Muganga wawe ashobora kukugira inama yo "gutegereza witonze". Ibi bivuze ko ujya kwa muganga wawe buri gihe kugira ngo urebe neza ko BPH yawe idakomeza kwiyongera.

Ariko niba ibimenyetso bikomeye kurushaho, hari uburyo bwo kuvura nk'ubu:

Imiti

Imiti ikunze kwandikirwa n’umuntu ikora neza mu kuruhura imitsi yo muri prostate gland, ibi bikaba bigabanya umuvuduko w’umuyoboro w’inkari. Ingero zimwe zirimo:

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

Imiti imwe igabanya ikorwa rya hormone DHT (Dihydrotestosterone) navuze mbere. Ibi bishobora kugabanya umuvuduko w'ubwiyongere bwa prostate. Iyi miti ni ingirakamaro cyane ku bagabo bafite prostate nini cyane. Ingero:

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

Hari igihe muganga wawe ashobora kukwandikira imiti ibiri ivanze kugira ngo igufashe kugenzura ibimenyetso byawe no koroshya kwihagarika. Urugero ni Dutasteride na Tamsulosin (Jalyn®).

Umaze gutangira gufata imiti, bishobora gufata icyumweru kimwe kugeza ku cyumweru umunani kugira ngo ibimenyetso byawe bigabanuke.

Kubaga

Hari ubwoko butandukanye bwo kubaga kugira ngo hakorwe ibice bya prostate bifunga urethra. Bimwe muri byo ni:

• Gucibwa kwa Prostate mu muyoboro w'amaraso (TURP): Muri ubu buryo, umuganga w'inkari ashyiramo igikoresho cyihariye (resectoscope) anyuze mu muyoboro w'amaraso kugira ngo arebe kandi akureho ibice byose bisigaye bya prostate gland yawe.
• Gukata porositate mu muyoboro w'amaraso (TUIP): Muri ubu buryo, muganga akora uduce duto tubiri muri porositate n'aho urethra ihurira n'uruhago (ijosi ry'uruhago) kugira ngo yongere urethra kandi yorohereze kunyara.
• Gushyushya amashanyarazi hakoreshejwe amashanyarazi akoreshwa mu muyoboro w'amaraso: Muri ubu buryo, muganga akoresha electrode kugira ngo ashyushye imiterere ya prostate, bigatuma uturemangingo twa prostate twagutse duhinduka umwuka.
• Uburyo bwo kuvura hakoreshejwe laser ya GreenLight™: Muri ubu buryo, muganga akoresha icyuma cyihariye cya laser kugira ngo ahindure prostate yagutse kandi akureho uturemangingo twayo. Ibi kandi byitwa Photoselective Vaporization of the Prostate (PVP).
• Aquablation®: Muri ubu buryo, muganga akoresha amazi menshi kugira ngo akureho uturemangingo twa prostate.

Nyuma yo kubagwa, ushobora gusubira mu bikorwa bisanzwe mu minsi mike cyangwa icyumweru.

Uburyo bwo kuvura butari busanzwe

Uburyo bushya bwo kuvura BPH ntibukunze kwangiza umubiri kurusha kubagwa, bivuze ko kwangirika kw'ingingo nzima mu mubiri ari guke. Ubu buryo bwinshi bushobora gukorwa nk'ubuvuzi bwo hanze. Ibi bivuze ko ushobora gutaha uwo munsi. Nanone buhendutse, bigira ingaruka nke, kandi bishobora kugufasha gukira vuba. Ariko, kubera ko ubu buryo ari bushya, nta makuru menshi araboneka ku ngaruka zabwo z'igihe kirekire cyangwa ingorane.

Ingero zimwe na zimwe:

• Kuzamura umuyoboro w'inkari mu buryo bwa Prostatic (UroLift®):Ubu buryo bukubiyemo gutandukanya prostate gland yagutse no kwagura urethra. Ibi bituma byoroha kunyara. Muganga ashyiramo igikoresho cyihariye (`(UroLift®)`) hejuru y'umuyoboro w'inkari ugana kuri prostate gland. Iyo kigeze ku rukuta rw'impande za prostate, hashyirwamo uduce duto twinshi (`(implants)`) hanyuma tugakururwa kugira ngo dufungure urethra. Bitewe n'ingano ya prostate, hashobora gushyirwamo uduce tubiri kugeza kuri dutandatu nk'utwo.
• Ubuvuzi bwa Rezūm™: Muri ubu buryo, umuganga yinjiza igikoresho mu muyoboro w'inkari akakijyana mu gasabo ka prostate. Hanyuma, urushinge rwinjizwa mu gasabo ka prostate. Urushinge rurekura umwuka, uhinduka amazi. Ubushyuhe buri muri aya mazi bwangiza uturemangingo twa prostate. Uturemangingo twapfuye twongera kwinjirwa n'umubiri, bigatuma agasabo ka prostate gagabanuka.

Ingaruka mbi zikunze kugaragara z’ubu buryo bwo kuvura ni ugukenera kunyara cyane kuruta uko bisanzwe no kubabara cyangwa gushya kugeza igihe prostate ikize.

Nyuma y’ubu buryo bwo kuvura butari busanzwe, ushobora gusubira mu bikorwa bisanzwe mu minsi mike. Ugomba kubona iterambere rigaragara mu bimenyetso byawe mu byumweru bitatu kugeza kuri bitandatu.

Ni ubuhe buryo bwiza bwo kuvura BPH?

Kubaga TURP ni bwo buryo bwiza bwo kuvura abarwayi benshi ba BPH.

Ariko, ku bantu barengeje imyaka 65, imiti n'uburyo bwo kuvura butari busanzwe ni byo byiza. Ibi biterwa nuko abantu bakuze bashobora kugira ibibazo byinshi nyuma yo kubagwa kandi bishobora gufata igihe kirekire kugira ngo bakire.

Ni ibihe biribwa byiza n'ibibi byo kurya niba ufite BPH?

Imbuto, imboga n'ibinure byiza bishobora kuba byiza ku buzima bwa prostate yawe. Ni byiza gukurikiza indyo yo mu nyanja ya Mediterane cyangwa kongeramo ibi bikurikira ku ndyo yawe:

• Imbuto
• Brokoli
• Imbuto z'imitobe
• Ubunyobwa
• Inyanya
• Turmeric

Kurya nabi bishobora gutuma indwara ya BPH yawe irushaho kuba mbi. Niba ufite BPH, ni byiza kwirinda ibiryo byatunganyijwe, ibiryo birimo isukari nyinshi na karubohidrati. Nanone, gabanya ibi bikurikira:

• Inzoga
• Kafeyine (nk'icyayi, ikawa)
• Amata
• Inyama zitukura
• Sodiyumu (umunyu)

Ese prostate gland yagutse ishobora gusubira ku murongo?

Hari abantu bafite BPH yoroheje ibimenyetso byabo bishira nta muti. Ariko niba ibimenyetso byawe bitagenze neza mu gihe uri mu nzira yo "gutegereza witonze", wowe na muganga wawe mugomba gutangira kuganira ku buryo bwo kuvura.

Ni iki nkwiye kwitega mu gihe mfite BPH?

Icyizere ku bantu barwaye BPH ni cyiza cyane.Nubwo nta muti uhari wa BPH, hari uburyo bwo kuvura bushobora kugufasha kugenzura ibimenyetso byawe. Ibimenyetso byoroheje bishobora kudasaba kuvurwa na gato. Indwara zikomeye cyane zishobora kuvurwa hakoreshejwe imiti, kubagwa, no kuvurwa mu buryo budakabije.

Ni gute wagabanya ibyago byo kurwara BPH?

Uburyo bwiza bwo kugabanya ibyago byo kurwara BPH ni uguhindura imibereho yawe no gufata inyongeramusaruro zimwe na zimwe kugira ngo ukomeze kugira ubuzima bwiza bwa prostate n'umutima wawe.

Gukora imyitozo ngororamubiri nibura iminota 30 ku munsi bishobora gufasha gukumira BPH no kugabanya umuvuduko w'ikura rya prostate. Ni ngombwa kandi kugumana urugero rwa cholesterol rusanzwe, umuvuduko w'amaraso, n'isukari mu maraso.

Izi nyongeramusaruro z'ibimera zishobora kandi gufasha kugabanya ibyago byo kurwara BPH:

• Beta-sitosterol: Iyi ni intungamubiri nto iboneka mu bimera. Ishobora gufasha umutima kugira ubuzima bwiza.
• Pygeum africanum: Iki ni ikinyabutabire gikomoka ku gishishwa cy'igiti cy'umusemburo cyo muri Afurika. Gishobora gufasha kugabanya prostate gland.
• Imbuto z'ibitunguru: Imbuto z'ibitunguru zikungahaye ku biryo bya fibre na aside irike ya omega-3. Bishobora gufasha kugabanya cholesterol.
• Amavuta y'imbuto z'ibihaza: Aya ni amavuta ava mu mbuto z'ibihaza. Ashobora gufasha kugabanya prostate.

Ariko wibuke ko ugomba kuganira na muganga wawe mbere yo gutangira imiti mishya, kuko ishobora kugira ingaruka mbi ku yindi miti cyangwa indi miti urimo gufata.

Ni ryari ngomba kujya kwa muganga?

Niba ufite kimwe muri ibi bimenyetso, hamagara muganga wawe ako kanya:

• Kubabara mu nda yo hasi cyangwa mu gitsina iyo uri kunyara.
• Kugorwa no kunyara cyangwa kutabasha kunyara na gato.
• Kurwara umuriro cyangwa kumva urimo kunyara.
• Amaraso mu nkari.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Dore ibibazo bimwe na bimwe ushobora kubaza muganga wawe:

• Wamenya ute neza niba mfite BPH?
• Niba ntarwaye BPH, ni iyihe ndwara yindi nagira?
• Ni iki nakora kugira ngo ngire porositate yanjye yo kwaguka?
• Ese nkeneye kuvurwa?
• Ni ubuhe buryo bwiza bwo kuvura kuri njye?
• Ni izihe ntungamubiri usaba?
• Ese izi nyongeramusaruro zishobora kugira ingaruka ku yindi miti cyangwa inyongeramusaruro ndimo gufata ubu?
• Ese nkwiye kujya kwa muganga w’inkari?

Ni irihe tandukaniro riri hagati ya kanseri ya prostate na BPH?

Kanseri ya prostate ni ubwoko busanzwe bwa kanseri igaragara muri prostate gland. Mu ntangiriro zayo, kanseri ya prostate ntabwo ikunze gutera ibimenyetso. Ariko, uko ikura, ishobora gutera ibimenyetso byinshi nk'ibya BPH. Urugero, inkari nke, ububabare mu gihe cyo gusohora cyangwa kwihagarika, no gukenera kwihagarika kenshi. Kanseri ya prostate ishobora gukwirakwira mu magufwa yawe, mu duce tw'imitsi, cyangwa mu bindi bice by'umubiri wawe. Uburyo bwo kuvura burimo kuvurwa hakoreshejwe imirasire no kubagwa.

Ibimenyetso bya BPH bisa n'ibya kanseri ya prostate. Ariko, BPH si kanseri, kandi ntiyongerera ibyago byo kurwara kanseri. Ntikwirakwira mu bindi bice by'umubiri. Uburyo bwo kuvura burimo imiti, kubagwa, no kuvurwa mu buryo budakabije.

Ni irihe tandukaniro riri hagati ya BPH na Benign Prostatic Enlargement (BPE)?

Benign Prostatic Hyperplasia (BPH) ni izina ry'indwara ituma prostate yawe yiyongera.

`Benign Prostatic Enlargement (BPE)` ni ijambo abaganga bakoresha bashaka kuvuga ko prostate gland yagutse bitewe na BPH. Muri make, BPH ni yo mpamvu, naho BPE ikaba ari ingaruka z'iyo prostate gland yagutse.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Uburwayi bwa prostate, buzwi kandi nka BPH, ni indwara ikunze kugaragara ku bagabo. Ubusanzwe BPH itangira kugaragara mu myaka 55. Niba ufite ibimenyetso byoroheje bya BPH, wowe na muganga wawe mushobora gukurikirana ibimenyetso byawe mu kwisuzumisha buri gihe. Ariko niba BPH irimo kugira ingaruka ku buzima bwawe, hari uburyo bwiza bwo kuvura bushobora gufasha kugabanya prostate yawe.

Niba ufite ibimenyetso bya BPH, menya neza ko uvugana na muganga. Muri kumwe, mushobora guhitamo inzira nziza yo gukora. Ntugahangayike, hari ibisubizo byiza!

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