Masifunde ngakumbi ngeengxaki zeprostate (i-prostatitis) ezihlupha amadoda.

Ngaba nawe uvakalelwa kukuba kufuneka uchame rhoqo? Kodwa xa usiya kuchama, akuhambi kakuhle? Okanye ngaba ufumana ukutsha kunye nentlungu xa uchama, kunye nentlungu esezantsi kwesisu? Ezi ziingxaki ezininzi kuthi madoda, kodwa siyathandabuza ukuthetha ngazo. Unobangela wezi mpawu ezininzi unokuba kukudumba kwe-prostate gland. Ngokwezonyango sibiza oku ngokuba yiProstatitis. Ngoko ke ungakhathazeki, siza kuthetha ngayo yonke into ngale nto ngokulula nangokucacileyo namhlanje.

Ngamafutshane, yintoni i-prostatitis?

Kulungile, masiqale sijonge ukuba yintoni i-prostate gland. Yi-gland enobukhulu be-walnut efumaneka kumadoda kuphela. Ifumaneka ngaphantsi kwesinyi sakho. I-urethra, ityhubhu ekhupha umchamo kunye nesidoda emzimbeni wakho, idlula kwi-prostate gland.

Ngoku, iProstatitis kuxa i-prostate gland yakho kunye nezicubu ezingqongileyo zivuvukala okanye zivuvukala ngesizathu esithile. Cinga ngayo njengethonsili evuvukileyo emqaleni wakho. Oku kuvuvukala kunokubangela uxinzelelo kwi-urethra edlula kwi-prostate. Yiloo nto ibangela izinto ezinje ngobunzima bokuchama kunye nentlungu.

Ngaba kukho iintlobo ezahlukeneyo ze-prostatitis?

Ewe, olu asilohlobo olunye lwesifo kuphela. Kukho iintlobo ezine eziphambili. Ezinye zibangelwa zizifo ezibangelwa ziintsholongwane, kwaye ezinye azinasizathu sithile. Ukwazi ezi ntlobo zine kubaluleke kakhulu kuwe nakugqirha wakho ukuze nikunyange.

Ixhaphake kangakanani le meko?

Ixhaphake kakhulu kunokuba ucinga. Ngokwezibalo, malunga nendoda enye kwababini (50%) iya kuba neempawu ze-prostatitis ngaxa lithile ebomini bayo . Le yingxaki eqhelekileyo yomgudu womchamo kumadoda angaphantsi kweminyaka engama-50. Ikwayeyesithathu imeko eqhelekileyo kumadoda angaphezulu kweminyaka engama-50. Ngoko ke, le ayisiyongxaki kuwe kuphela.

Ziziphi iimpawu eziphambili zoku?

Iimpawu zingahluka ngokuxhomekeke kuhlobo lwe-prostatitis onayo, kodwa kukho ezinye iimpawu eziqhelekileyo. Ukuba unenye okanye ngaphezulu kwezi, qiniseka ukuba ubona ugqirha.

• Intlungu ezantsi kwesisu, kwizitho zangasese, okanye kwindawo ephakathi kwe-scrotum kunye ne-anus. Le ntlungu ngamanye amaxesha inokusasazeka iye kumqolo ongezantsi.
• Ukufuna ukuchama rhoqo.
• Intlungu okanye ukutsha xa uchama (Dysuria).
• Ukuhamba komchamo okukhawulezileyo, ukuyeka nokuqala kwakhona.
• Igazi kumchamo (iHematuria).
• Igazi kwi-semen (iHematospermia).
• Intlungu ngexesha lokwabelana ngesondo.
• Intlungu ngexesha lokukhupha isisu.
• Ukungasebenzi kakuhle kwe-erectile.

Kutheni i-prostatitis isenzeka? Zithini izizathu?

Isizathu siyahluka ngokuxhomekeke kuhlobo esixoxe ngalo ngaphambili. Ngamanye amaxesha isizathu siyabonakala, kodwa kwiintlobo ezifana neCPPS, kunzima ukufumana isizathu esiqinisekileyo.

Izinto ezinokubangela usulelo olungengolwebhaktiriya (CPPS)

Oku akubangelwa ziintsholongwane, kodwa ezi zinto zicingelwa ukuba zezona zinto zinegalelo:

• Izifo ezizikhusela ngokwazo - Oku kuthetha ukuba inkqubo yomzimba yokuzikhusela ihlasela iiseli zayo.
• Ukonakala kwemisipha yomgangatho we-pelvic.
• Iingxaki okanye ukudumba kwimithambo-luvo kwindawo ye-pelvic.
• Uxinzelelo oluqatha.

Izizathu zeentlobo ezibangelwa zizifo ezibangelwa ziibhaktheriya

Ezi zibangelwa ziintsholongwane ezingena kwi-prostate gland. Ezi ntsholongwane zinokungena nge-urethra.

• Usulelo lwesinyi okanye amatye omchamo.
• Izifo ezidluliselwa ngesondo (iiSTI).
• Ukusetyenziswa kwe-catheter.
• Ukuthatha isiqwenga sesicwili kwi-prostate gland ukuze sihlolwe (i-prostate biopsy).
• Usulelo oluqhelekileyo lwendlela yomchamo (UTIs).
• Ukwenzakala kwindawo ye-pelvic.

Ngubani osengozini enkulu yokuphuhlisa oku?

Izinto ezithile zinokunyusa umngcipheko wakho.

• Ukuba unezifo zomchamo ezixhaphakileyo.
• Ukuba sele ukhe waba ne-prostatitis.
• Ukuba kukho isiphene esizalwa naso kwinkqubo yomchamo.
• Ukuba uneminyaka engaphezu kwama-50 ubudala kwaye une-prostate gland ekhulisiweyo (i-benign prostatic hyperplasia).
• Ukuba kubekho ingozi okanye umonakalo wemithambo-luvo kwindawo ye-pelvic.

Ngaba oku kungabangela ezinye iingxaki? Ngaba kukho ithuba lokuba nomhlaza?

Lo ngumbuzo abantu abaninzi abawoyikayo. Okokuqala, i-prostatitis ayingomhlaza. Kwaye ayinyusi umngcipheko wokuba nomhlaza we-prostate. Ngoko ke musa ukuyoyika.

Nangona kunjalo, xa i-prostate gland idumba ngenxa ye-prostatitis, inqanaba leprotheni ebizwa ngokuba yi-PSA (i-Prostate-specific antigen) egazini linokunyuka. Ekubeni amanqanaba e-PSA enyuka nakwi-prostate cancer, ngamanye amaxesha ezi meko zimbini zinokubhideka. Nangona kunjalo, ugqirha uya kwenza olunye uvavanyo ukuze afumanise ukuba kutheni inqanaba le-PSA liphakanyisiwe.

Iingxaki, ingakumbi ukuba i-Acute Bacterial Prostatitis inzima, zinokukhokelela kwi- sepsis , imeko esongela ubomi apho usulelo lusasazeka emzimbeni wonke. Yiyo loo nto kubalulekile ukuya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngokukhawuleza ukuba uneengxaki ezinkulu zomchamo kunye nomkhuhlane.

Ugqirha uyifumana njani le nto?

Xa usiya kugqirha wakho, uya kumamela ngenyameko iimpawu zakho. Emva koko uya kwenza uvavanyo lomzimba. Kunokwenziwa iimvavanyo ezininzi ukuqinisekisa ukuba unesifo.

• Uvavanyo lweDijithali lweRectal (DRE): Kolu vavanyo, ugqirha ufaka umnwe ogqunywe iglavu kwirectum yakho aze ayive iprostate gland. Oku kunokunceda ekufumaniseni ukuba idumbile okanye ithambile. Nangona oku kungabonakala ngathi luvavanyo olunzima, kubaluleke kakhulu ekuxilongeni imeko.
• Uhlalutyo lomchamo: Ukujonga iintsholongwane okanye usulelo kumchamo.
• Uvavanyo lwegazi: Oku kunceda ekulinganiseni inqanaba le-PSA ebesithethe ngalo ngaphambili.
• I-Cystoscopy: Kule nto, kufakwa ityhubhu encinci enekhamera eqhotyoshelweyo nge-urethra ukuze kuhlolwe ingaphakathi lesinyi kunye ne-urethra.
• I-Transrectal Ultrasound: Isebenzisa amaza esandi ukuthatha umfanekiso we-prostate gland nokujonga iingxaki, ezifana neethumba.

Kaloku, zeziphi iindlela zonyango zoku ngoku?

Unyango luxhomekeke kuhlobo lwe-prostatitis onayo. Akukho nyango lufanayo olufanele bonke.

Unyango lwezifo ezibangelwa ziintsholongwane

Ukuba unentsholongwane (eyingozi okanye engapheliyo), ugqirha wakho uya kukunika amayeza okubulala iintsholongwane .

• I-acute bacterial prostatitis idla ngokufuna iiveki ezi-2 ukuya kwezi-4 zee-antibiotics. Kwezinye iimeko ezinzima, kunokufuneka uhlale esibhedlele kwaye ufumane amayeza ngemithambo yegazi (IV).
• I-prostatitis yebhaktiriya engapheliyo inzima kancinci ukunyanga. Kusenokufuneka uthathe amayeza okubulala iintsholongwane ixesha elide, ukusuka kwiiveki ezi-4 ukuya kwezili-12.

Unyango lweSifo seNtlungu esingapheliyo (i-CPPS)

Ngenxa yokuba olu ayilosulelo lwebhaktiriya, unyango lwahlukile. Konke malunga nokulawula iimpawu zakho. Ugqirha wakho unokucebisa enye okanye ezingaphezulu kwezi zilandelayo:

• Amayeza akunceda ukhuphe umchamo lula (umz. iTamsulosin).
• Amayeza okunciphisa iintlungu.
• Ukunika iingcebiso okanye amayeza okunciphisa uxinzelelo.
• Unyango lomzimba phantsi kwepelvic (ukuzilolonga ukuqinisa nokukhulula izihlunu zommandla wepelvic).
• Izinto ezifana nokuhlala emanzini afudumeleyo (iibhafu ze-sitz).

Zeziphi izinto esinokuzenza ekhaya?

Kubalulekile ukubona ugqirha ukuze ufumane unyango. Ukongeza, ungazama ezi zinto ekhaya ukulawula iimpawu. Kodwa khumbula ukuba ezi zinto zongezwa kwiingcebiso zonyango .

• Sela amanzi amaninzi. Oku kuya kukunceda ukuba uchame rhoqo kwaye kukhuphe iintsholongwane emzimbeni wakho.
• Sela amayeza okubulala iintlungu (njengoko kuyalelwe ngugqirha) afana neparacetamol okanye ibuprofen xa ufuna ukudumba nentlungu.
• Musa ukutya okuneziqholo, okune-asidi, ikofu, kunye notywala . Ezi zinto zinokunyusa ukudumba komchamo.
• Ukufaka ibhotile yamanzi ashushu esiswini okanye emqolo wakho kunokunceda ekunciphiseni iintlungu.
• Xa uziva iintlungu, hlala phantsi kumqamelo onomngxuma phakathi (umqamelo wedonathi).
• Ziphephe izinto ezibangela intlungu, ezifana nokukhwela ibhayisekile, okwethutyana.

Ufanele uye nini kugqirha?

Ukuba unezinye zeempawu ezilandelayo, qiniseka ukuba ubona ugqirha ngokukhawuleza.

• Ukuba kukho igazi kumchamo okanye kwimbewu yesidoda.
• Ukuba unengxaki yokuchama, okanye ukuba awukwazi ukuchama konke konke.
• Ukuba unentlungu ebuhlungu xa uchama.
• Ukuba unentlungu enganyamezelekiyo esiswini sakho esisezantsi kunye nomkhuhlane.
• Ukuba kukho intlungu ngexesha lokwabelana ngesondo okanye ukukhupha umchamo.