Varume, mune matambudziko akadai sehutachiona hwemunzira yeweti uye kuchengetwa kweweti sezvaunokura here? Ngatitaurei nezveBenign Prostatic Hyperplasia (BPH)

Sezvaunokura, unozviwana uchimuka kakawanda husiku kuti uite weti here? Kana kuti unofanira kumirira kwenguva yakati rebei kuti uite weti here? Dzimwe nguva unonzwa sekunge une weti yakawanda here kunyangwe wapedza kuita weti? Izvi zvinogona kunge zvine chekuita nekuchinja kudiki muprostate gland kunoitika kuvarume vazhinji pavanenge vachikura. Nhasi, tichataura nezvechirwere ichi chinonzi benign prostatic hyperplasia (BPH).

Chii chinonzi BPH (Benign Prostatic Hyperplasia) iyi?

Zvichitaurwa zviri nyore, Benign Prostatic Hyperplasia (BPH) kukura kweprostate gland yako. Prostate igland diki, rakakura senzungu riri pasi pedundira uye pamberi perekiti. Waizviziva here kuti chikamu cheurethra chinopfuura nepagland iyi?

Urethra iyi ichubhu inotakura weti nembeu kubva mumuviri. Saka, fungidzira, sezvo prostate gland iyi ichikura, urethra yandataura inotanga kuoma. Ndipo panotanga kuvharika nzira yekubuda kweweti, uye nzira yekubuda kwembeu inogonawo kuvharika.

Chinhu chakakosha ndechekuti BPH haisi kenza. Zvisinei, zviratidzo zveBPH dzimwe nguva zvinogona kufanana nezvechirwere chakakomba, senge kenza yeprostate, saka zvakakosha kuziva izvozvo zvakare.

Kuva neBPH kunowedzera njodzi yekubatwa nekenza yeprostate here?

Uyu mubvunzo unobvunzwa nevanhu vazhinji. Sekureva kweongororo dziri kuitwa pari zvino, kuva neBPH hakuwedzeri njodzi yekubatwa nekenza yeprostate. Zvisinei, sezvandambotaura, zviratidzo zveBPH nekenza yeprostate zvakafanana zvikuru. Saka, kana uine BPH, unogona kunge uchibatwa nekenza yeprostate panguva imwe chete usingatombozvizivi.

Ndosaka zvichikosha kuti munhu wese ane prostate, kunyanya avo vari pakati pemakore 55 ne69, aongorore prostate kamwe chete pagore. Izvi zvinogona kubatsira kuona kenza nekukurumidza. Kana uri mutema kana kuti une nhoroondo yemhuri yekenza yeprostate, uri panjodzi yakakura zvishoma. Kune avo vane prostate, zvakanaka kutanga kuongororwa pazera remakore 40.

Ndiani anonyanya kubatwa nechirwere ichi cheBPH? Chinowanzoitika sei?

BPH ndiyo dambudziko rinowanzoonekwa nevarume. Kutaura zvazviri, vanhu vese vane prostate gland vachaona kukura kweprostate gland yavo pavanenge vachikura.

Izvi zvakajairika zvekuti, pavanosvika makore makumi matanhatu, varume vanosvika makumi mashanu muzana (50%) vanenge vachiratidza zviratidzo zveBPH.Uye pavanosvika makore 85, nhamba iyi inowedzera kusvika pa90%. Zvisinei, havasi vese vanhu ava vanoda kurapwa. Inenge hafu chete yevanhu vane BPH ndiyo inoda kurapwa zviratidzo zvavo.

Ndezvipi zviratidzo zvinonyevera zveBPH?

Sezvandambotaura, urethra iri pedyo neprostate gland. Saka kana prostate gland ikakura nekuda kweBPH, inotanga kuvhara urethra. Saka, zviratidzo zvekutanga zveBPH zvinosanganisira:

• Weti inononoka kana kuti inodonha zvishoma nezvishoma paunenge uchiita weti .
• Kuomerwa nekutanga kuita weti, kumirira kwenguva yakati.
• Kusakwanisa kudzora weti uye kubuda kwemvura (kusazvidzora).
• Kuda kuita weti kamwe kamwe (`(kukurumidzira)`). Hazvigoneki kutsungirira.
• Kumuka nguva nenguva husiku kuti uite weti.
• Kunzwa sekuti dundira harina kubuda zvachose kunyangwe mushure mekuita weti.
• Kurwadziwa mushure mekubuda kwemvura kana pakuita weti.
• Kuchinja kweruvara rweweti.
• Kunhuhwirira kusinganzwisisike muweti.

Kana uine chimwe chezviratidzo izvi kana kupfuura, zvakanaka kuti uone chiremba wotaura naye.

Chii chinoitika kana prostate gland ikakura yosiyiwa isina kurapwa?

Kana ukasawana kurapwa, BPH inogona kukonzera kuvharika kweurethra. Zviratidzo zvako zvinogona kuwedzera kuipa. Kwete izvozvo chete, asi unogona zvakare kuwana mamwe matambudziko, akadai se:

• Utachiona hweWeti (UTI).
• Matombo edundira.
• Ropa muweti (hematuria).
• Kukuvara kweitsvo. Izvi zvinoitika kana weti yatanga kuyerera ichibva kudundira ichienda kuitsvo. Kukuvara uku kunokonzerwa nekumanikidzwa kwakanyanya kweitsvo.

Saka, kana uine zviratidzo, zvakakosha kutsvaga mazano echiremba usingazviregeredze.

Sei BPH ichiitika? Ndezvipi zvikonzero?

Kutaura zvazviri, vanachiremba nevaongorori havasati vaziva kuti chii chinokonzera BPH. Zvisinei, pane zvinhu zvakati wandei zvinofungidzirwa kuti ndizvo zvinokonzera BPH.

Imwe dzidziso ndeyekuti sezvaunokura, huwandu hwehormone inonzi testosterone mumuviri wako hunoderera. Panguva imwe chete, huwandu hwehormone inonzi estrogen hunoramba hwakafanana. Zvinofungidzirwa kuti shanduko mumahormone aya dzinogona kukonzera kukura kwemasero eprostate. Zvisinei, dzimwe nguva, varume vanotora testosterone pamusoro pekuitora vanogonawo kuva neBPH.

Uyewo, varume vakuru vane huwandu hwakanyanya hwehomoni inonzi dihydrotestosterone (DHT).DHT iyi imhando ye testosterone ine simba zvikuru. Inofungidzirwawo kuti inowedzera kukura kweprostate gland.

BPH inotapuriranwa here?

Kwete, BPH haisi chirwere chinotapuriranwa. Haugone kuiparadzira kune mumwe munhu.

Chiremba werudzii anorapa BPH?

Kana chiremba wako achifungidzira kuti une BPH, vachakutumira kuna chiremba wezvemukati medumbu, chiremba ane ruzivo nezvezvirwere zvemudumbu. Vanachiremba ava vakadzidziswa zvakanyanya kurapa zvirwere zvemudumbu medumbu.

Ungaziva sei kuti une BPH?

Paunoenda kunoona chiremba, anotanga akubvunza nezvenhoroondo yako yezvekurapwa, obva akubvunza mibvunzo, obva aita bvunzo yemuviri. Sechikamu chebvunzo iyi yemuviri , bvunzo yedhijitari yerectal (DRE) inoitwa.

Munguva iyi ye "Digital Rectal Exam", chiremba anoisa chigunwe chine glovu mu rectum yako uye anonzwa mipendero nepamusoro pe prostate gland. Izvi zvinogona kukupa pfungwa yehukuru hweprostate gland uye kuona chero nzvimbo dzakaoma, dzakadai semapundu anogona kukonzera kenza.

Uyezve, chiremba wako anogonawo kuita bvunzo dzakadai se:

• Mibvunzo yekuongorora kuti zviratidzo zvako zvakakomba sei.
• Kuyedzwa kweweti kunoyera kumhanya kweweti yako.
• Kuongororwa kwekuona kuti weti yasara mudundira yakadii mushure mekunge wapedza kuita weti.
• Kuongororwa kwecystoscopy inzira yekuongorora mukati medundira. Izvi zvinosanganisira kuisa chubhu ine kamera diki kuburikidza neurethra.

BPH inogona kurapwa zvachose here?

Hapana mushonga chaiwo weBPH, asi kune mishonga inoshanda inogona kubatsira kudzora zviratidzo zvako.

Saka BPH inorapwa sei?

Kana uine zviratidzo zvisina kunyanya kuipa, ungasada kurapwa. Chiremba wako anogona kukurudzira kuti ugare wakangwarira. Izvi zvinoreva kuti unoona chiremba wako nguva nenguva kuti uve nechokwadi chekuti BPH yako hainyanyi kuipa.

Asi kana zviratidzo zvacho zvakanyanya, kune nzira dzekurapa dzakadai sedzinotevera:

Mishonga

Mishonga inowanzo nyorwa nachiremba inoshanda nekurerutsa tsandanyama dziri muprostate gland, izvo zvinoderedza kumanikidzwa kweurethra. Mimwe mienzaniso inosanganisira:

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

Mimwe mishonga inoderedza kugadzirwa kwehomoni DHT (Dihydrotestosterone) yandambotaura. Izvi zvinogona kuderedza kukura kweprostate gland. Mishonga iyi inonyanya kubatsira varume vane prostate yakakura. Mienzaniso:

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

Dzimwe nguva chiremba wako anogona kukupa mushonga wemishonga miviri kuti ubatsire kudzora zviratidzo zvako uye kuti zvive nyore kuita weti. Muenzaniso ndeweDutasteride neTamsulosin (Jalyn®).

Mushure mekunge watanga kutora mushonga, zvinogona kutora chero vhiki imwe kusvika masere kuti zviratidzo zvako zviderere.

Kuvhiya

Kune mhando dzakasiyana dzekuvhiya dzinobvisa zvikamu zveprostate gland zviri kuvharira urethra. Dzimwe dzacho ndedzinotevera:

• Kubviswa kweprostate kuburikidza netransurethral (TURP): Mukuita uku, chiremba weuropathy anoisa chinhu chakakosha (resectoscope) kuburikidza neurethra yako kuti aone uye abvise chero zvikamu zvasara zveprostate gland yako.
• Kuchekwa kweprostate kuburikidza neTransurethral: Mukuita uku, chiremba anoita kucheka kudiki kaviri muprostate uye apo urethra inobatanidza nedundira (mutsipa wedura) kuti urethra ikure uye kuti zvive nyore kuita weti.
• Kupisa kwemasero eprostate kuburikidza neTransurethral Electrovaporization: Mukuita uku, chiremba anoshandisa electrode kupisa prostate, zvichiita kuti masero eprostate akakura atsvuke.
• Kurapa neLaser yeGreenLight™: Mukuita uku, chiremba anoshandisa laser dark chaiyo kubvisa prostate tissue yakakura. Izvi zvinonziwo Photoselective Vaporization yeProstate (PVP).
• Aquablation®: Mukuita uku, chiremba anoshandisa majeti emvura ane simba guru kubvisa nyama yeprostate.

Mushure mekuvhiyiwa, unogona kudzokera kumabasa ako enguva dzose mukati memazuva mashoma kana vhiki.

Kurapa Kusingapindi Zvishoma

Kurapa kutsva kweBPH hakunyanyi kukuvadza kupfuura kuvhiyiwa, zvichireva kuti kukuvadza kwenyama dzine hutano kwakawanda kunogona kuitwa sekurapa kwekunze. Izvi zvinoreva kuti unogona kudzokera kumba zuva rimwe chete. Kurapa uku hakudhuri zvakanyanya, kune migumisiro mishoma, uye kunogona kukubatsira kuti upore nekukurumidza. Zvisinei, nekuda kwekuti kurapwa uku kutsva, hapana ruzivo rwakawanda parizvino nezvemhedzisiro yako yenguva refu kana matambudziko.

Mimwe mienzaniso:

• Kusimudza Urethral Prostatic (UroLift®):Maitiro aya anosanganisira kupatsanura prostate gland yakakura uye kuwedzera urethra. Izvi zvinoita kuti zvive nyore kuita weti. Chiremba anoisa mudziyo wakakosha (`(UroLift®)`) kumusoro kweurethra kuenda kuprostate gland. Kana yasvika pamadziro eprostate, maimplants madiki akati wandei (`(implants)`) anoiswa uye anodhonzwa kuti avhure urethra. Zvichienderana nehukuru hweprostate, maimplants maviri kusvika matanhatu akadaro anogona kuiswa.
• Kurapa kweRezūm™: Mukuita uku, chiremba anoisa mudziyo muurethra ouendesa kuprostate gland. Zvadaro, tsono inopinzwa muprostate gland. Tsono inoburitsa utsi, iyo inoshanduka kuita mvura. Kupisa kuri mumvura iyi kunoparadza masero eprostate. Masero akafa anotorwazve nemuviri, zvichiita kuti prostate gland itete.

Migumisiro inowanzoonekwa yekurapwa uku ndeyekuda kuita weti kupfuura zvakajairika uye kusagadzikana kana kupisa kusvika prostate gland yapora.

Mushure mekurapwa uku kusinganyanyi kupindira mumuviri, unogona kudzokera kumabasa ako emazuva ese mukati memazuva mashoma. Unofanira kuona kuvandudzika kukuru muzviratidzo zvako mukati memavhiki matatu kusvika matanhatu.

Ndeipi nzira yakanakisisa yekurapa BPH?

Kuvhiyiwa kweTURP ndiyo nzira inonyanya kushanda yekurapa vanhu vazhinji vane BPH.

Zvisinei, kune avo vane makore anopfuura makumi matanhatu nemashanu ekuberekwa, mishonga nemishonga isinganyanyi kupindira zvakanyanya ndiyo yakanakisisa. Izvi zvinodaro nekuti vanhu vakwegura vanowanzova nematambudziko mushure mekuvhiyiwa uye vanogona kutora nguva yakareba kuti vapore.

Ndezvipi zvekudya zvakanaka nezvakaipa zvekudya kana uine BPH?

Michero, miriwo, uye mafuta ane hutano zvinogona kubatsira pahutano hweprostate yako. Zvakanaka kutevedzera kudya kweMediterranean kana kuwedzera zvinotevera pakudya kwako:

• Mabheri
• Brokoli
• Michero yeCitrus
• nzungu
• Madomasi
• Turmeric

Kudya zvisina kunaka kunogona kuita kuti dambudziko rako reBPH riwedzere kuipa. Kana uine BPH, zvakanaka kuti usadye zvakagadzirwa nesimbi, chikafu chine shuga yakawanda nemacarbohydrate. Zvakare, deredza zvinotevera:

• Doro
• Caffeine (senge tii, kofi)
• Dairy
• Nyama tsvuku
• Sodium (munyu)

Gland reprostate rakakura rinogona kudzokera pakuva rakajairika here?

Vamwe vanhu vane BPH isina kunyanya kuipa zviratidzo zvavo zvinopera vasina kurapwa. Asi kana zviratidzo zvako zvikasavandudzika paunenge uri munzira yekumirira, iwe nachiremba wako munofanira kutanga kutaura nezvenzira dzekurapa.

Chii chandinofanira kutarisira kana ndine BPH?

Maonero evanhu vane BPH akanaka kwazvo.Kunyangwe pasina mushonga weBPH, kune mishonga inogona kubatsira kudzora zviratidzo zvako. Zviratidzo zvishoma zvingasada kurapwa zvachose. Zvirwere zvakanyanya zvinogona kurapwa nemishonga, kuvhiyiwa, uye mishonga isinganyanyi kupindira mumuviri.

Ungaderedza sei njodzi yekubatwa neBPH?

Nzira yakanakisisa yekuderedza njodzi yako yekubatwa neBPH ndeyekuchinja mararamiro ako uye kutora mamwe ma supplements kuti uchengetedze hutano hweprostate yako nemoyo.

Kurovedza muviri kwemaminitsi makumi matatu pazuva kunogona kubatsira kudzivirira BPH uye kunonoka kukura kweprostate gland. Zvakakoshawo kuchengetedza huwandu hwecholesterol hwakajairwa, BP, uye huwandu hweshuga muropa.

Mishonga iyi yekuwedzera inogonawo kubatsira kuderedza njodzi yekubatwa neBPH:

• Beta-sitosterol: Ichi chinhu chinowanikwa mumiti. Chinogona kubatsira kuchengetedza hutano hwemoyo.
• Pygeum africanum: Ichi chikamu chemuti chinobva mumakwati emuti wecherry wemuAfrica. Chinogona kubatsira kuderedza prostate gland.
• Mbeu yeflax: Mbeu yeflax yakapfuma mu fiber uye omega-3 fatty acids. Inogona kubatsira kuderedza cholesterol.
• Mafuta embeu yemanhanga: Aya mafuta anotorwa kubva kumbeu yemanhanga. Anogona kubatsira kuderedza prostate gland.

Asi yeuka, unofanira kugara uchitaura nachiremba wako usati watanga mishonga mitsva yekuwedzera, sezvo inogona kukanganisa mimwe mishonga kana mishonga yauri kutora parizvino.

Ndinofanira kuona chiremba rini?

Kana uine chimwe chezviratidzo izvi, fonera chiremba wako nekukasika:

• Kurwadziwa mudumbu kana munzvimbo yesikarudzi kana uchiita weti.
• Kuomerwa nekuita weti kana kusakwanisa kuita weti zvachose.
• Kunzwa fivha kana kutonhorwa paunenge uchiita weti.
• Ropa muweti.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Heano mimwe mibvunzo yaunogona kubvunza chiremba wako:

• Unoziva sei chaizvo kana ndine BPH?
• Kana ndisina BPH, ndechipi chimwe chirwere chandingasangana nacho?
• Ndingaitei kuti ndideredze kukura kweprostate yangu?
• Ndinoda kurapwa here?
• Ndeipi nzira yakanakisisa yekurapa?
• Ndezvipi zvekudya zvinovaka muviri zvamunokurudzira?
• Mishonga iyi inodyidzana nemimwe mishonga kana mishonga yandichiri kutora pari zvino here?
• Ndinofanira kuona chiremba wezvemudumbu here?

Musiyano uripo pakati pekenza yeprostate neBPH ndeupi?

Kenza yeprostate rudzi rwekenza rwakajairika runokura muprostate gland. Pakutanga kwayo, kenza yeprostate haiwanzo kukonzera zviratidzo. Zvisinei, sezvainokura, inogona kukonzera zviratidzo zvakafanana neBPH. Semuenzaniso, weti isina simba, kurwadziwa panguva yekubuda kwemvura kana weti, uye kuda kuita weti nguva nenguva. Kenza yeprostate inogona kupararira kumapfupa ako, lymph nodes, kana kune dzimwe nhengo dzemuviri wako. Nzira dzekurapa dzinosanganisira kurapwa nemwaranzi uye kuvhiyiwa.

Zviratidzo zveBPH zvakafanana nezvekenza yeprostate. Zvisinei, BPH haisi kenza, uye haiwedzeri njodzi yekubatwa nekenza. Haipararire kune dzimwe nhengo dzemuviri. Nzira dzekurapa dzinosanganisira mishonga, kuvhiyiwa, uye nzira dzisinganyanyi kukuvadza.

Ndeupi musiyano uripo pakati peBPH neBenign Prostatic Enlargement (BPE)?

Benign Prostatic Hyperplasia (BPH) izita rechirwere chinoita kuti prostate gland yako ikure.

`Benign Prostatic Enlargement (BPE)` izwi rinoshandiswa navanachiremba kutsanangura kukura kweprostate gland nekuda kweBPH. Zvichitaurwa zviri nyore, BPH ndiyo inokonzera, uye BPE imhedzisiro yekukura kweprostate gland.

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Kukura kweprostate, inozivikanwawo seBPH, chirwere chinowanzoitika muvarume. BPH inowanzotanga kukura pazera remakore makumi mashanu nemashanu. Kana uine zviratidzo zveBPH zvishoma, iwe nachiremba wako munogona kutarisa zviratidzo zvako nekuita ongororo nguva nenguva. Asi kana BPH iri kukanganisa hupenyu hwako, kune mishonga inoshanda inogona kubatsira kuderedza prostate.

Kana uine zviratidzo zveBPH, iva nechokwadi chekutaura nachiremba. Pamwe chete, munogona kusarudza kuti ndeipi nzira yakanakira iwe. Usanetseke, kune mhinduro dzakanaka!

` Kukura kweprostate, BPH, prostate, matambudziko eweti, hutano hwevarume, kenza yeprostate, zviratidzo zveweti