Ikibazo gikunze kugaragara ku bagabo benshi barengeje imyaka 50 ni ukugorwa no kunyara. Urugero, kubyuka kabiri cyangwa gatatu mu ijoro kugira ngo unywe, kumva ufite intege nke mu ruhago, cyangwa kumva uruhago rwawe rukiri rwuzuye nyuma yo kurangiza kunyara. Ibi bishobora kuba ibimenyetso by'indwara yitwa BPH. Ariko ntugahangayike, si kanseri. Reka dusobanure byose mu magambo yoroheje.
BPH ni iki?
Mu magambo make, BPH ni incamake ya 'Benign Prostatic Hyperplasia'. Mu rurimi rwa Sinhala, ni ukwiyongera kwa prostate gland. Ibi ntibiterwa na kanseri.
Tekereza kuri ubu buryo. Indwara ya prostate iherereye munsi y'uruhago rw'inkari ku bagabo, hafi y'umuyoboro w'inkari. Inkari n'amasohoro bisohoka mu mubiri binyuze muri uyu muyoboro w'inkari. Uko abagabo bakura, prostate itangira kwiyongera buhoro buhoro ku bagabo benshi. Ibi ni ibisanzwe. Ariko, iyo ibaye nini cyane, nk'umuyoboro w'amazi ufunganye, itangira gukanda umuyoboro w'inkari. Ni bwo ibibazo by'inkari byavuzwe haruguru bibaho.
Icy'ingenzi ni uko BPH atari kanseri ya prostate. Kandi kugira BPH ntibyongera ibyago byo kurwara kanseri. Ni indwara ishobora kuvurwa .
Ni iyihe mpamvu nyayo itera BPH?
Abaganga ntibashobora kuvuga neza impamvu ibitera, ariko bemeza ko biterwa n'impinduka mu misemburo mu mubiri zibaho iyo umuntu ashaje, cyane cyane iyo umuntu agize testosterone mu misemburo y'abagabo.
Iyo umuhungu ageze mu bwangavu, prostate ikura inshuro ebyiri icyarimwe. Hanyuma, guhera ku myaka 25, itangira kongera gukura. Ibi bibaho mu buzima bwose. Ku bagabo bamwe, uku gukura kujyana na BPH.
Ni ibihe bimenyetso by'indwara ya BPH mu by'ukuri?
Ibimenyetso byo mu nzira y'inkari yo hasi (LUTS) bibaho iyo prostate yagutse kandi urethra ikagira umubyimba bishobora kugabanywamo ibice bibiri by'ingenzi. Ibi bishobora kumvikana neza uhereye ku mbonerahamwe iri hepfo.
| Icyiciro cy'ibimenyetso | Ibisobanuro (uko wumva) |
|---|---|
| Ibimenyetso byo Kutabona Impumyi |
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| Ibimenyetso byo kubika |
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Ibi bimenyetso rimwe na rimwe bishobora gutera indwara nk'indwara zo mu nzira y'inkari (UTIs), amabuye mu ruhago, n'ibindi. Ni gake cyane, kubikwa kw'inkari cyangwa kwangirika kw'impyiko bishobora kubaho. Kubwibyo, ni ngombwa cyane kumenya ibi bimenyetso.
Ubibona ute, Muganga?
Iyo ugiye kwa muganga ufite ibimenyetso nk'ibi, abanza kukubaza ibimenyetso byawe n'amateka y'ubuzima bw'umuryango wawe. Hanyuma azakora isuzuma ry'umubiri.
- Isuzuma rya digitale rectal (DRE): Muri iki kizamini, muganga wawe ashyira urutoki rufite agapfukamunwa mu gahu kawe kugira ngo arebe ingano n'imiterere ya prostate gland yawe. Ibi bishobora gusa nkaho bitameze neza, ariko ni ingenzi cyane mu gusuzuma indwara.
Byongeye kandi, ibizamini byinshi bishobora gukorwa kugira ngo byemezwe ko indwara ari yo:
- Gupima amaraso: Kureba imikorere y'impyiko.
- Ibizamini by'inkari: Reba niba nta ndwara zandujwe.
- Igipimo cy'amaraso cya PSA (Antigen idasanzwe ya Prostate):Ikizamini gipima urwego rwa poroteyine ikorwa na prostate gland. Urugero rwa PSA ruri hejuru rushobora kuba ikimenyetso cy'uko prostate gland yagutse.
- Gupima ingano ya prostate no kureba inkari zisigaye mu ruhago nyuma yo kunyara.
- Ibindi bizamini byihariye: Hari igihe hashobora gutangwa ibizamini nka uroflowmetry, bipima umuvuduko w'inkari, cyangwa cystoscopy, ikoresha kamera kugira ngo isuzume urethra n'uruhago.
Ni ubuhe buryo bwo kuvura BPH?
BPH ntishobora gukira burundu. Ariko hari uburyo bwinshi bwiza bwo kuvura bushobora kugufasha kugenzura ibimenyetso byawe no kubaho ubuzima busanzwe. Muganga wawe azaguhitiramo uburyo bwiza bwo kuvura hashingiwe ku myaka yawe, ubuzima bwawe, n'uburemere bw'ibimenyetso byawe.
1. Impinduka mu mibereho
Niba ibimenyetso byawe bidakabije cyane, ushobora kubanza kugerageza ibi bintu byoroheje:
- Gabanya ingano y'ibinyobwa unywa, nk'amazi, icyayi, na kawa, mbere yo kuryama nijoro na mbere yo gusohoka.
- Kugabanya ikoreshwa ry'inzoga na kafeyine (ikawa, ubwoko bumwe na bumwe bw'icyayi).
- Gukora imyitozo ngororamubiri ikomeza imitsi yo hasi mu kibuno (bariza muganga wawe kuri ibi).
2. Imiti
Niba guhindura imibereho gusa bidahagije, muganga ashobora kukwandikira imiti.
- Alpha-blockers: Izi ziruhura imitsi ya prostate gland n'ijosi ry'uruhago, bigatuma inkari zitembera neza.
- Imiti igabanya ubukana bwa 5-alpha reductase: Iyi miti ituma prostate gland igabanuka.
Hari abantu bashobora gukenera gukoresha iyi miti yombi hamwe.
3. Uburyo bwo kuvura no kubaga
Niba ibimenyetso bidashobora gukemurwa n'imiti, cyangwa niba habayeho ingorane nko kwandura indwara zikunze kugaragara mu nkari cyangwa amabuye mu ruhago, kubagwa bishobora gusuzumwa. Kubagwa kenshi muri iki gihe ntibikunze kubangamira ubuzima bw'umuntu.
- TURP (Gucibwa kwa Prostate mu muyoboro w'amaraso): Kubaga bikunze kugaragara cyane. Igikoresho gito gica mu muyoboro w'amaraso kugira ngo gikuremo ibice by'inyongera bya prostate.
- Kubaga hakoreshejwe imirasire ya laser: Gukoresha imirasire ya laser kugira ngo uhindure umwuka kandi ukureho ingirabuzima fatizo zirenze.
- UroLift: Gukoresha uduce duto dushyiramo uduce twa prostate ku ruhande kugira ngo urethra idafungwa.
Hari uburyo butandukanye nk'ubu. Muganga wawe azagusobanurira uburyo bukubereye.
Ubutumwa bwo kujyana mu rugo
- BPH ni indwara ikunze kugaragara cyane, itari kanseri mu bagabo bageze mu za bukuru, bityo ntugahangayikishwe bitari ngombwa.
- Niba ufite ibimenyetso nko kunyara kenshi, kubyuka nijoro ujya kunyara, cyangwa uruhago rw'inkari rudakora neza, ntugatinye kubikora kandi uganire na muganga.
- Hari uburyo bwiza cyane bwo kuvura ibi (guhindura imibereho, imiti, kubagwa).
- Iyo bitavuwe, hashobora kubaho ingorane nko kwandura indwara zo mu nkari n'ibibazo by'impyiko. Kubwibyo, ni byiza gushaka inama kwa muganga vuba bishoboka.
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