Madoda, ngaba nineengxaki ezifana nosulelo lwendlela yomchamo kunye nokugcinwa komchamo njengoko nikhula? Masithethe nge-Benign Prostatic Hyperplasia (BPH)

Njengoko ukhula, ngaba uzifumana uvuka rhoqo ebusuku ukuze uchame? Okanye kufuneka ulinde ixesha elithile ukuze uchame? Ngaba ngamanye amaxesha uziva ngathi unomchamo omninzi nasemva kokuba ugqibile ukuchama? Oku kunokunxulunyaniswa notshintsho oluncinci kwi-prostate gland olufunyanwa ngamadoda amaninzi njengoko ekhula. Namhlanje, siza kuthetha ngale meko ibizwa ngokuba yi-benign prostatic hyperplasia (BPH).

Yintoni le BPH (Benign Prostatic Hyperplasia)?

Ngamafutshane, iBenign Prostatic Hyperplasia (BPH) kukukhula kweprostate gland yakho. Iprostate yindlala encinci, enobukhulu be-walnut efumaneka ngaphantsi kwesinyi naphambi kwe-rectum. Ubusazi ukuba inxalenye ye-urethra idlula kule gland?

Le urethra yityhubhu ekhupha umchamo kunye nesidoda emzimbeni. Ngoko ke, khawucinge, njengoko le ndlala yeprostate ikhula, loo urethra endikhankanyileyo iqala ukuqina. Kulapho indlela yokuphuma komchamo ivaleka khona, kwaye nendlela yokuphuma kwesidoda inokuvaleka.

Into ebalulekileyo kukuba i-BPH ayingomhlaza. Nangona kunjalo, iimpawu ze-BPH ngamanye amaxesha zinokufana nezo zesifo esibi kakhulu, njengomhlaza we-prostate, ngoko ke kubalulekile ukukwazi oko.

Ngaba ukuba ne-BPH kuyandisa umngcipheko wokuba nomhlaza weprostate?

Lo ngumbuzo abantu abaninzi abawubuzayo. Ngokophando lwangoku, ukuba ne-BPH akuyongezi ingozi yokuba nomhlaza we-prostate. Nangona kunjalo, njengoko benditshilo ngaphambili, iimpawu ze-BPH kunye nomhlaza we-prostate ziyafana kakhulu. Ke ngoko, ukuba une-BPH, usenokuba nomhlaza we-prostate ngaxeshanye ungazi nokuba yintoni na.

Yiyo loo nto kubalulekile ukuba wonke umntu one-prostate, ingakumbi abo baphakathi kweminyaka engama-55 nengama-69 ubudala, ahlolwe i-prostate ubuncinane kube kanye ngonyaka. Oku kunokunceda ekufumaneni umhlaza kwangethuba. Ukuba ungumntu omnyama okanye unembali yosapho lwakho yomhlaza we-prostate, usemngciphekweni omkhulu kancinci. Kwabo bane-prostate, kungcono ukuqala ukuhlolwa xa uneminyaka engama-40 ubudala.

Ngubani ochaphazeleka kakhulu yile meko ye-BPH? Ixhaphake kangakanani?

I-BPH yeyona ngxaki ixhaphakileyo phakathi kwamadoda. Enyanisweni, phantse wonke umntu one-prostate gland uya kubona ukwanda kwe-prostate gland yakhe njengoko ekhula.

Oku kuqheleke kakhulu kangangokuba, xa eneminyaka engama-60, malunga nama-50% amadoda aya kubonisa iimpawu ezithile ze-BPH.Kwaye xa beneminyaka engama-85 ubudala, eli nani liyanda liye kuthi ga kwi-90%. Nangona kunjalo, ayingabo bonke aba bantu abafuna unyango. Kuphela malunga nesiqingatha sabo bane-BPH abafuna unyango lweempawu zabo.

Ziziphi iimpawu ezilumkisayo ze-BPH?

Njengoko benditshilo ngaphambili, i-urethra ikufutshane ne-prostate gland. Ngoko ke xa i-prostate gland ikhula ngenxa ye-BPH, iqala ukuvala i-urethra. Ke ngoko, iimpawu zokuqala ze-BPH ziquka:

• Ukucotha okanye ukuvuza komchamo xa uchama .
• Ubunzima bokuqala ukuchama, kufuneka ulinde ixesha elithile.
• Ukungakwazi ukulawula umchamo kunye nokuvuza okuthile (ukungakwazi ukuzibamba).
• Isidingo esikhulu nesiquphe sokuchama (`(ngokungxamisekileyo)`). Akunyamezeleki.
• Ukuvuka rhoqo ebusuku ukuze uchame.
• Ukuziva ngathi isinyi asikaphumi ngokupheleleyo emva kokuchama.
• Intlungu emva kokukhupha umchamo okanye xa uchama.
• Utshintsho kumbala womchamo.
• Ivumba elingaqhelekanga kumchamo.

Ukuba unenye okanye ngaphezulu kwezi mpawu, kungcono ukubona ugqirha uze uthethe naye.

Kuthekani ukuba i-prostate gland ikhulisiwe kwaye inganyangwa?

Ukuba awufumani unyango, i-BPH inokubangela ukuvaleka ngakumbi kwe-urethra. Iimpawu zakho zinokuba mandundu. Akupheleli apho, kodwa unokufumana nezinye iingxaki, ezifana nezi:

• Usulelo lwendlela yomchamo (UTI).
• Amatye esinyi.
• Igazi kumchamo (i-hematuria).
• Ukonakala kwezintso. Oku kwenzeka xa umchamo uqala ukugeleza ubuyela phezulu usuka kwisinyi uye kwizintso. Lo monakalo ubangelwa kukunyuka koxinzelelo kwizintso.

Ngoko ke, ukuba uneempawu, kubaluleke kakhulu ukufuna iingcebiso zonyango ngaphandle kokuzityeshela.

Kutheni i-BPH isenzeka? Zithini izizathu?

Enyanisweni, oogqirha nabaphandi abakayazi kakuhle into ebangela i-BPH. Nangona kunjalo, kukho izinto ezininzi ekucingelwa ukuba zinegalelo kuyo.

Enye ingcamango kukuba njengoko ukhula, amanqanaba omzimba wakho ehomoni ebizwa ngokuba yi-testosterone ayancipha. Kwangaxeshanye, amanqanaba akho ehomoni ebizwa ngokuba yi-estrogen ahlala efana. Kukholelwa ukuba utshintsho kwezi homoni lunokubangela ukuba iiseli zeprostate zikhule. Nangona kunjalo, ngamanye amaxesha, amadoda athatha i-testosterone ukongeza ekuyithatheni nawo anokuphuhlisa i-BPH.

Kwakhona, amadoda amadala anezinga eliphezulu lehomoni ebizwa ngokuba yi-dihydrotestosterone (DHT).Le DHT luhlobo olunamandla ngakumbi lwe testosterone. Kukholelwa ukuba ikwanyusa ubukhulu be-prostate gland.

Ngaba i-BPH iyasulela?

Hayi, i-BPH ayisosifo esosulelayo. Awunakuyisasaza komnye umntu.

Ngugqirha onjani onyanga i-BPH?

Ukuba ugqirha wakho ukrokrela ukuba une-BPH, uza kukuthumela kwingcali ye-urologist, ugqirha ogxile kwizifo zenkqubo yomchamo. Aba gqirha baqeqeshwe ngokukodwa ukunyanga ezi zifo zenkqubo yakho yomchamo.

Ungazi njani ngokuqinisekileyo ukuba une-BPH?

Xa usiya kugqirha, uza kuqala akubuze ngembali yakho yezonyango, akubuze imibuzo, aze emva koko enze uvavanyo lomzimba. Njengenxalenye yolu vavanyo lomzimba , kwenziwa uvavanyo lwedijithali lwerectal (DRE) .

Ngexesha lovavanyo lweDigital Rectal, ugqirha ufaka ngononophelo umnwe ogqunywe ngeglavu kwi-rectum yakho aze azive imiphetho nomphezulu we-prostate gland. Oku kunokukunika umbono wobukhulu be-prostate gland kwaye kufumaneke naziphi na iindawo eziqinileyo, ezifana namaqhuma anokuba ngumhlaza.

Ukongeza, ugqirha wakho angenza iimvavanyo ezifana nezi:

• Uludwe lwemibuzo lokuvavanya ukuba iimpawu zakho zinzima kangakanani.
• Uvavanyo lokuhamba komchamo lulinganisa isantya somchamo wakho.
• Uvavanyo lokujonga ukuba ingakanani imichamo eseleyo kwisinyi emva kokuba ugqibile ukuchama.
• I-cystoscopy luvavanyo lokujonga ngaphakathi kwesinyi. Oku kuquka ukufaka ityhubhu enekhamera encinci kwi-urethra.

Ngaba i-BPH inganyangeka ngokupheleleyo?

Akukho ndlela ithile yonyango lwe-BPH, kodwa kukho unyango olusebenzayo olunokukunceda ukulawula iimpawu zakho.

Ngoko ke inyangwa njani i-BPH?

Ukuba uneempawu ezingephi, usenokungadingi naluphi na unyango. Ugqirha wakho unokucebisa indlela "yokulinda ngononophelo". Oku kuthetha ukuba ubona ugqirha wakho rhoqo ukuqinisekisa ukuba i-BPH yakho ayibi mandundu.

Kodwa ukuba iimpawu zinzima ngakumbi, kukho iindlela zonyango ezifana nezi:

Amayeza

Amayeza aqhelekileyo anikwayo asebenza ngokukhulula izihlunu kwi-prostate gland, nto leyo enciphisa uxinzelelo kwi-urethra. Eminye imizekelo ibandakanya:

• I-Tamsulosin (iTamsulosin-Flomax®)
• I-Terazosin `(Terazosin - Hytrin®)`
• I-Doxazosin `(Doxazosin - Cardura®)`
• I-Alfuzosin `(Alfuzosin - Uroxatral®)`
• I-Silodosin (iSilodosin - iRapaflo®)

Amanye amayeza anciphisa ukuveliswa kwehomoni i-DHT (i-Dihydrotestosterone) endikhankanyileyo ngaphambili. Oku kungayicothisa isantya sokwanda kwe-prostate gland. La mayeza aluncedo ngakumbi kumadoda ane-prostate enkulu kakhulu. Imizekelo:

• I-Finasteride (i-Finasteride - Proscar®)
• I-Dutasteride (iDutasteride-Avodart®)

Ngamanye amaxesha ugqirha wakho angakunika indibaniselwano yamayeza amabini ukunceda ukulawula iimpawu zakho nokwenza kube lula ukuchama. Umzekelo yiDutasteride kunye neTamsulosin (Jalyn®).

Emva kokuba uqalile ukusebenzisa amayeza, kungathatha naphi na ukusuka kwiveki enye ukuya kwezisibhozo ukuba iimpawu zakho ziphele.

Utyando

Kukho iintlobo ezahlukeneyo zotyando lokususa iindawo zeprostate ezivala i-urethra. Ezinye zazo zezi:

• Ukususwa kweProstate ngeTransurethral (TURP): Kule nkqubo, ugqirha wakho womchamo ufaka isixhobo esikhethekileyo (resectoscope) kwi-urethra yakho ukuze abone kwaye asuse naziphi na iindawo eziseleyo ze-prostate gland yakho.
• Ukusika i-Prostate nge-Transurethral (TUIP): Kule nkqubo, ugqirha wenza imingxunya emibini emincinci kwi-prostate nalapho i-urethra idibana khona nesinye (intamo yesinyi) ukuze kwandiswe i-urethra kwaye kube lula ukuchama.
• I-Transurethral Electrovaporization: Kule nkqubo, ugqirha usebenzisa i-electrode ukufudumeza izicubu zeprostate, nto leyo ebangela ukuba iiseli zeprostate ezikhulisiweyo zitshise.
• Unyango lweLaser lweGreenLight™: Kule nkqubo, ugqirha usebenzisa umqadi welaser okhethekileyo ukufutha nokususa izicubu zeprostate ezandisiweyo. Oku kukwabizwa ngokuba yiPhotoselective Vaporization of the Prostate (PVP).
• I-Aquablation®: Kule nkqubo, ugqirha usebenzisa iijethi zamanzi ezinoxinzelelo oluphezulu ukususa izicubu zeprostate.

Emva kotyando, ungabuyela kwimisebenzi yakho yesiqhelo kwiintsuku ezimbalwa okanye iveki.

Unyango Olungenabungozi Kancinci

Unyango olutsha lwe-BPH alunazo izihlunu ezininzi njengotyando, nto leyo ethetha ukuba lungadala umonakalo omncinci kwizicwili eziphilileyo. Uninzi lwale nyango lunokwenziwa njengeenkqubo zokulaliswa ngaphandle. Oku kuthetha ukuba ungaya ekhaya ngaloo mini. Kwakhona azibizi kakhulu, zineziphumo ebezingalindelekanga ezimbalwa, kwaye zinokukunceda uphile ngokukhawuleza. Nangona kunjalo, ngenxa yokuba olu nyango lutsha, akukho lwazi lungako okwangoku malunga neziphumo okanye iingxaki zalo zexesha elide.

Eminye imizekelo:

• Ukuphakanyiswa kwe-Urethral yeProstatic (UroLift®):Le nkqubo ibandakanya ukwahlula i-prostate gland ekhulisiweyo kunye nokwandisa i-urethra. Oku kwenza kube lula ukuchama. Ugqirha ufaka isixhobo esikhethekileyo (`(UroLift®)`) phezulu kwi-urethra ukuya kwi-prostate gland. Nje ukuba ifikelele eludongeni lwecala le-prostate, kufakwa ii-implants ezincinci ezininzi (`(implants)`) kwaye zitsalwe ukuze kuvulwe i-urethra. Ngokuxhomekeke kubukhulu be-prostate, ii-implants ezimbini ukuya kwezintandathu ezinjalo zinokufakwa.
• Unyango lweRezūm™: Kule nkqubo, ugqirha ufaka isixhobo kwi-urethra aze asihambise kwi-prostate gland. Emva koko, kufakwa inaliti kwi-prostate gland. Inaliti ikhupha umphunga, ojika ube ngamanzi. Ubushushu obukula manzi butshabalalisa iiseli ze-prostate. Iiseli ezifileyo ziphinda zifunxwe ngumzimba, nto leyo ebangela ukuba i-prostate gland inciphe.

Iziphumo ebezingalindelekanga eziqhelekileyo zezi ndlela zonyango kukufuna ukuchama ngaphezu kwesiqhelo kunye nokungonwabi okanye ukutsha de i-prostate gland iphole.

Emva kolu nyango lungenazo izihlunu kangako, ungabuyela kwimisebenzi yakho eqhelekileyo kwiintsuku ezimbalwa. Kuya kufuneka ubone ukuphucuka okukhulu kwiimpawu zakho kwiiveki ezintathu ukuya kwezintandathu.

Yeyiphi eyona ndlela ilungileyo yonyango lwe-BPH?

Utyando lwe-TURP lolona nyango lusebenzayo kwiimeko ezininzi ze-BPH.

Nangona kunjalo, kwabo bangaphezulu kweminyaka engama-65 ubudala, amayeza kunye nonyango olungenazo iindlela zokungenelela zezona zilungileyo. Oku kungenxa yokuba abantu abadala banokuba neengxaki emva kotyando kwaye banokuthatha ixesha elide ukuba baphile.

Zeziphi ukutya ezilungileyo nezingalunganga onokuzitya ukuba une-BPH?

Iziqhamo, imifuno, kunye namafutha asempilweni anokuba luncedo kwimpilo yeprostate yakho. Kungcono ukulandela ukutya kwaseMedithera okanye ukongeza oku kulandelayo ekutyeni kwakho:

• Amaqunube
• Ibrokholi
• Iziqhamo zeCitrus
• Amantongomane
• Iitumato
• I-Turmeric

Imikhwa emibi yokutya ingenza imeko yakho ye-BPH ibe mandundu. Ukuba une-BPH, licebo elihle ukuphepha ukutya okucutshungulweyo, ukutya okuneswekile eninzi kunye neecarbohydrate. Kwakhona, yeka oku kulandelayo:

• Utywala
• I-Caffeine (njengeti, ikofu)
• Ubisi
• Inyama ebomvu
• Isodiyam (ityuwa)

Ngaba i-prostate gland ekhulisiweyo ingabuyela kwimeko yesiqhelo?

Abanye abantu abane-BPH encinci iimpawu zabo ziyaphela ngaphandle konyango. Kodwa ukuba iimpawu zakho aziphucuki ngelixa usekwindlela "yokulinda ngononophelo", wena nogqirha wakho kufuneka niqale ukuthetha ngeendlela zonyango.

Yintoni endimele ndiyilindele ukuba ndine-BPH?

Imbono yabantu abane-BPH ilungile kakhulu.Nangona kungekho nyango lwe-BPH, kukho unyango olunokukunceda ukulawula iimpawu zakho. Iimpawu ezincinci zisenokungadingi nyango konke konke. Amatyala anzima ngakumbi anokunyangwa ngamayeza, utyando, kunye nonyango olungenalo unyango.

Ungayinciphisa njani ingozi yokuba ne-BPH?

Eyona ndlela ilungileyo yokunciphisa umngcipheko wakho wokuba ne-BPH kukwenza utshintsho kwindlela ophila ngayo kwaye uthathe izongezo ezithile ukugcina impilo ye-prostate yakho kunye nentliziyo yakho.

Ukuzilolonga ubuncinane imizuzu engama-30 ngosuku kunokunceda ukuthintela i-BPH kunye nokucothisa ukukhula kwe-prostate gland. Kubalulekile nokugcina amanqanaba e-cholesterol aqhelekileyo, uxinzelelo lwegazi, kunye namanqanaba eswekile egazini.

Ezi zongezo zemifuno zinokunceda ekunciphiseni umngcipheko wokufumana i-BPH:

• I-Beta-sitosterol: Esi sisondlo esincinci esifumaneka kwizityalo. Sinokunceda ukugcina intliziyo isempilweni.
• I-Pygeum africanum: Le yincindi yemifuno evela kwixolo lomthi we-cherry wase-Afrika. Inokunceda ukunciphisa i-prostate gland.
• Imbewu yeflakisi: Imbewu yeflakisi ityebile kwifayibha yokutya kunye ne-omega-3 fatty acids. Inokunceda ekunciphiseni i-cholesterol.
• Ioyile yembewu yethanga: Le yioyile ethathwe kwimbewu yethanga. Inokunceda ukunciphisa indlala ye-prostate.

Kodwa khumbula, kufuneka uthethe nogqirha wakho rhoqo ngaphambi kokuba uqalise naziphi na izongezo ezintsha, kuba zinokusebenzisana kakubi nezinye amayeza okanye izongezo ozisebenzisayo okwangoku.

Ndifanele ndimbone nini ugqirha?

Ukuba unayo nayiphi na kwezi mpawu, fowunela ugqirha wakho ngokukhawuleza:

• Intlungu ezantsi kwesisu okanye kwindawo yesini xa uchama.
• Ubunzima bokuchama okanye ukungakwazi ukuchama konke konke.
• Ukuba nomkhuhlane okanye ukuziva ubanda xa uchama.
• Igazi kumchamo.

Ndingayibuza yiphi imibuzo ugqirha wam?

Nantsi eminye imibuzo onokuyibuza ugqirha wakho:

• Uyabona njani kanye kanye ukuba ndine-BPH?
• Ukuba andinayo i-BPH, yeyiphi enye imeko endinokuba nayo?
• Ndingenza ntoni ukunciphisa ukwanda kweprostate yam?
• Ngaba ndifuna unyango?
• Yeyiphi indlela engcono yonyango kum?
• Zeziphi izongezo zesondlo ozicebisayo?
• Ngaba ezi zongezo ziyasebenzisana nezinye amayeza okanye izongezo endizisebenzisayo ngoku?
• Ngaba kufuneka ndidibane nogqirha wezifo zomchamo?

Yintoni umahluko phakathi komhlaza weprostate kunye ne-BPH?

Umhlaza weprostate luhlobo oluqhelekileyo lomhlaza oluvela kwi-prostate gland. Kwinqanaba lokuqala, umhlaza weprostate awufane ubangele iimpawu. Nangona kunjalo, njengoko ukhula, unokubangela iimpawu ezininzi ezifanayo neze-BPH. Umzekelo, umchamo obuthathaka, iintlungu ngexesha lokukhupha umchamo okanye ukuchama, kunye nesidingo sokuchama rhoqo. Umhlaza weprostate unokusasazeka emathanjeni akho, kwii-lymph nodes, okanye kwezinye iindawo zomzimba wakho. Iindlela zonyango ziquka unyango lwe-radiation kunye notyando.

Iimpawu ze-BPH ziyafana nezo zomhlaza we-prostate. Nangona kunjalo, i-BPH ayingomhlaza, kwaye ayinyusi umngcipheko wokuba nomhlaza. Ayisasazeki kwamanye amalungu omzimba. Iindlela zonyango ziquka amayeza, utyando, kunye neenkqubo ezingafunekiyo.

Yintoni umahluko phakathi kwe-BPH kunye ne-Benign Prostatic Enlargement (BPE)?

I-Benign Prostatic Hyperplasia (BPH) ligama lemeko ebangela ukuba i-prostate gland yakho ikhule.

`Ukwanda kweprostate okungabonakaliyo (BPE)` ligama elisetyenziswa ngoogqirha ukuchaza indlala yeprostate ekhulisiweyo ngenxa ye-BPH. Ngamafutshane, i-BPH yimbangela, kwaye i-BPE sisiphumo sendlala yeprostate ekhulisiweyo.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-prostate ekhulisiweyo, eyaziwa ngokuba yi-BPH, yimeko eqhelekileyo kumadoda. I-BPH idla ngokuqala ukukhula malunga neminyaka engama-55 ubudala. Ukuba uneempawu ze-BPH ezincinci, wena kunye nogqirha wakho ninokujonga iimpawu zakho ngokwenza uvavanyo rhoqo. Kodwa ukuba i-BPH ichaphazela ubomi bakho, kukho unyango olusebenzayo olunokunceda ukunciphisa i-prostate.

Ukuba uneempawu ze-BPH, qiniseka ukuba uthetha nogqirha. Kunye, ninokugqiba ukuba yeyiphi indlela efanelekileyo yokuthatha amanyathelo. Ungakhathazeki, kukho izisombululo ezilungileyo!

` I-prostate ekhulisiweyo, i-BPH, i-prostate, iingxaki zomchamo, impilo yamadoda, umhlaza we-prostate, iimpawu zomchamo