Sawubona! Namuhla sizokhuluma ngento ebaluleke kakhulu kini madoda, kodwa mhlawumbe engakhulunywa kakhulu ngayo. Leyo yi
-prostate gland , noma njengoba ibizwa ngesiNgisi
(i-Prostate Gland) . Ikakhulukazi ngobudala, izinguquko
ezahlukahlukene zingavela kule prostate gland, ngakho-ke kubaluleke kakhulu ukuthi uqaphele. Ngoba, uma wazi kusengaphambili, izinkinga eziningi zingaxazululwa kalula.
Ngakho-ke, iyini le ndlala ye-prostate?
Kalula nje, i-prostate gland
iyindlala encane ohlelweni lokuzala lwabesilisa . Uma sikhuluma iqiniso, i-prostate gland enempilo ivame ukuba
cishe ngobukhulu be-walnut . Abanye abantu bayiqhathanisa ne-chestnut. Inesisindo esingamagremu angu-30. Ngakho-ke ikuphi, ungase uzibuze? Cabanga nje, le ndlala encane itholakala
ngaphansi kwesinyi sakho, naphambi kwe-rectum yakho . Enye into ebalulekile ukuthi ipayipi elithwala umchamo wakho,
i-urethra , lidlula kwi-prostate gland. Lifana nepayipi elidlula endwangu. I-prostate gland yakhiwe
ngezigaba ezinhlanu, noma ama-lobes : ama-lobes angaphambili, angemuva, asemaceleni, kanye ne-lobe ephakathi. Lezi zakhiwe ngezicubu ezixhumeneyo kanye nezicubu ezixhumeneyo. Yonke indlala imbozwe ungqimba oluncane lwezicubu ezixhumeneyo ezibizwa ngokuthi
i-prostatic fascia .
Iyiphi inkonzo enikezwa yi-prostate gland kumuntu wesilisa?
Kulungile, manje ake sibone ukuthi kwenzekani ngale ndlala encane. Nansi into ebaluleke kakhulu:
- Umsebenzi wayo oyinhloko ukwengeza uketshezi olwengeziwe esidodeni sakho (isidoda/isidoda) , uketshezi olumhlophe oluphuma endodeni yakho uma ukhipha isidoda. Lolu ketshezi lukhethekile kakhulu. Luqukethe ama-enzyme , i-zinc, ne-citric acid . Lokhu kusiza ukondla amangqamuzana esidoda, kuwasize anyakaze kangcono, futhi kuthambise i-urethra .
- Akukhona lokho kuphela, uma uvukile, imisipha yendlala ye-prostate nayo iyasiza ekuphusheni isidoda siphume nge-urethra.
Ingabe abesifazane nabo bane-prostate gland?
Cha.
Abesifazane abanayo i-prostate gland. Kodwa-ke, kungenzeka ukuthi uke wezwa ngento ebizwa ngokuthi "i-female prostate." Okushoyo ngempela ukuthi
Izindlala zikaSkene. Lezi zindlala zikaSkene zitholakala kuzo zombili izinhlangothi ze-urethra yabesifazane. Abacwaningi bezokwelapha bakholelwa ukuthi uketshezi olukhishwa yilezi zindlala lungasiza enkambisweni yokuchama nokuhlanzeka. Ezinye izinkolelo-mbono zithi lezi zindlala zihilelekile oketshezini olukhishwa ngesikhathi somjikelezo wokuya esikhathini kowesifazane. Ingabe indlala ye-prostate iyakhula njengoba ikhula?
Yebo, lokhu kuyinto eyenzeka kwabesilisa abaningi. Ngokuvamile, kwabesilisa abaningi abaneminyaka engaphezu kwengu-40, indlala ye-prostate iqala ukukhula kancane kancane. Lokhu kubizwa ngezokwelapha ngokuthi 'i-Benign Prostatic Hyperplasia' , noma i-BPH ngamafuphi. Into ebalulekile ukuthi i-BPH ayiyona umdlavuza, futhi ayinyusi ingozi yakho yokuba nomdlavuza wendlala yesinye.
Indlala ye-prostate, eyayicishe ibe usayizi we-walnut, ngezinye izikhathi ingakhula ibe usayizi welamula. Lesi yisimo esivamile amadoda amaningi abhekana naso njengoba ekhula. Kodwa-ke, uma ikhula, ingabangela ukungakhululeki ngokuvimba i-urethra. Sizoxoxa ngalokho kafushane. Yiziphi izimo ezivamile ezingase zenzeke ezihlobene nendlala ye-prostate?
Kunezimo eziningana ezinkulu zezokwelapha okuxoxwa ngazo mayelana ne-prostate gland. 1. Umdlavuza Wendlala Yesitho Sangasese
Lolu uhlobo lwesibili oluvame kakhulu lomdlavuza kwabesilisa . Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu. Uma lutholakala kusenesikhathi, cishe lungelashwa ngempumelelo. 2. I-Prostatitis
Lokhu ukuvuvukala kwendlala yesinye. Kunezinhlobo ezine eziyinhloko zalokhu:- I-Acute Bacterial Prostatitis : Isimo esenzeka ngokuzumayo futhi esibangelwa ukutheleleka ngamagciwane.
- I-Chronic Bacterial Prostatitis: Ukutheleleka kwebhaktheriya okuphindaphindiwe isikhathi eside.
- I-Chronic Pelvic Pain Syndrome (CPPS): Kulesi simo, ubuhlungu bungenzeka endlaleni ye-prostate ngisho noma kungekho ukutheleleka ngamagciwane.
- I-Prostatitis Evuvukalayo Engenazimpawu: Kulesi simo, kukhona ukuvuvukala kodwa azikho izimpawu ezenzekayo. Kutholakala kuphela ngesikhathi sokuhlolwa okunye.
I-Prostatitis yisifo esivame kakhulu somgudu womchamo kwabesilisa abangaphansi kweminyaka engu-50 , futhi sesithathu sivame kakhulu kwabesilisa abaneminyaka engaphezu kwengu-50. 3. I-Benign Prostatic Hyperplasia (BPH)
Sesikhulume ngalokhu ngaphambili. Ukukhula okungekuhle kwendlala ye-prostate kungabangela ukuthi i-urethra iqine, okwenza kube nzima ukuchama . Njengoba ukhula,Lesi simo siyenzeka kwabesilisa abaningi. Yiziphi izimpawu eziyisixwayiso ezingabona izinkinga ze-prostate?
Uma kunenkinga nge-prostate gland yakho, ungase ubone izimpawu ezifana nalezi:- Ubuhlungu epenis, emasendeni , noma e-perineum (indawo ephakathi kwamasende kanye ne-anus).
- Isidingo sokuchama njalo.
- Ukuchama okubuhlungu (i-Dysuria) noma ubuhlungu ngesikhathi sokuphuma komchamo.
- Ukugeleza komchamo kancane, noma ukugeleza komchamo.
- Ubunzima bokuqala ukuchama.
- Ukuvuka njalo ebusuku ukuze uchame.
- Ukungasebenzi kahle kocansi ( Ukungasebenzi kahle kwe-Erectile / ED).
- Igazi emchameni noma esidoda (iHematospermia).
- Ukuzwa ubuhlungu esiswini esingezansi, ezinqeni, noma esifubeni (lokhu kungenzeka ikakhulukazi uma umdlavuza ususakazeke).
Uma unesinye noma ngaphezulu salezi zimpawu, kungcono ukubona udokotela ukuze akunike iseluleko ngaphandle kokwesaba noma ukuhlazeka. Akuzona zonke lezi zimpawu eziyizimpawu zokugula okukhulu, kodwa kubalulekile ukuthi uhlolwe.
Ungayihlola kanjani impilo yendlala yesinye?
Kunezindlela eziningana eziyinhloko odokotela abazisebenzisayo ukuhlola impilo ye-prostate: 1. Ukuhlolwa Kwe-Digital Rectal (DRE)
Kulokhu, udokotela ufaka umunwe ogcotshwe ngegilavu e-rectum yakho bese ezwa i-prostate gland. Lokhu kungahlola usayizi, ukuma, ukuqina, kanye nokuba khona kwanoma yiziphi izigaxa . Nakuba lokhu kungase kubonakale kungakhululekile kancane, kuwukuhlolwa okubaluleke kakhulu okuthatha imizuzu embalwa nje. 2. Ukuhlolwa kwegazi kwe-Prostate-Specific Antigen (PSA)
I-PSA iyiprotheni ekhiqizwa ngokwemvelo yi-prostate gland. Uma izinga lakho le-PSA liphakeme kunokujwayelekile , kungaba uphawu lomdlavuza we-prostate. Kodwa-ke, amazinga e-PSA angakhuphuka nasezimweni ze-BPH, i-prostatitis, noma izenzo zobulili zakamuva. Ngakho-ke, amazinga e-PSA kuphela akuyona yodwa into ebangela ukuxilongwa, kodwa acatshangelwa kanye ne-DRE. 3. Ukuhlolwa kwe-biopsy
Uma kukhona okusolisayo ngezinga le-DRE noma le-PSA, udokotela wakho angase akuncome ukuthi kwenziwe i -biopsy . Lokhu kuhilela ukuthatha isampula encane yezicubu ezivela ku-prostate gland, ngokuvamile ngosizo lwe-ultrasound scan.Isampula yezicubu ihlolwa ngaphansi kwe-microscope elabhorethri ukuze kubonakale ukuthi kukhona yini amangqamuzana omdlavuza . Yiziphi izindlela zokwelapha izifo ze-prostate?
Ukwelashwa kuncike esifweni esithinta indlala yesinye. Asikho ikhambi elifanela bonke. Ngomdlavuza we-prostate:
- Ukuqapha Okusebenzayo: Uma umdlavuza usesigabeni esinobungozi obuphansi, esikhula kancane, umdlavuza uqashwa ngokuhlolwa okuvamile (i-PSA, i-DRE, i-biopsy) ngaphandle kokuhlinzwa noma olunye ukwelashwa.
- Ukwelashwa nge-Brachytherapy: Lokhu ukwelashwa ngemisebe yangaphakathi. Imbewu encane enemisebe ifakwa ngaphakathi kwe-prostate gland.
- Ukwelashwa Okugxile: Ukwelashwa okugxile kuphela endaweni yomdlavuza wendlala yesitho sangasese sowesilisa. Izibonelo: I-High-Intensity Focused Ultrasound (HIFU), I-Cryotherapy (ukuqandisa), I-Laser Ablation, I-Photodynamic Therapy (PDT).
- Ukususwa kwe-prostate: Ukuhlinzwa kokususwa kwayo yonke noma ingxenye yayo yonke i-prostate gland.
Nge-Prostatitis:
- Imithi: Imithi ephumuza imisipha ezungeze isinyi kanye ne-prostate (isib., ama-Alpha-blockers), ama-painkillers , kanye nama-antibiotic uma kukhona ukutheleleka ngamagciwane.
- Ukulawula ukucindezeleka: Ngezinye izikhathi ukucindezeleka kungandisa lezi zimpawu, ngakho izinto ezifana nokwelulekwa zingasiza.
- Ukuzivocavoca: Ukuzivocavoca phansi kwe-pelvic kuyazuzisa kwabanye abantu.
Nge-benign prostatic hyperplasia (BPH):
- Imithi: Imithi enciphisa ukukhiqizwa kwama-hormone athinta ukukhula kwe-prostate (isib. ama-5-alpha reductase inhibitors) noma imithi elula ukugeleza komchamo (isib. ama-Alpha-blockers).
- Ukuhlinzwa: Ukuhlinzwa kokususa izicubu ze-prostate ezivimbela ukugeleza komchamo (isib. i-TURP - Ukususwa Kwe-Prostate Nge-Transurethral).
- Ukwelashwa Ngomusi Wamanzi: Idivayisi ifakwa nge-urethra bese umusi wamanzi uthunyelwa endlaleni ye-prostate, ubhubhise amangqamuzana angaphezulu futhi unciphise indlala.
Ngingayigcina kanjani i-prostate yami iphilile?
Ukunakekela impilo yakho ye-prostate kubaluleke kakhulu. Nazi ezinye izinto ongayenza ukuze usize:- Hlola i-prostate yakho njalo .Ngokuvamile kungcono ukuqala ngemva kweminyaka engu-50. Kodwa uma othile emndenini wakho (njengobaba wakho noma umfowenu) eke waba nomdlavuza wendlala, kuwukuhlakanipha ukuqala ukuhlolwa kusenesikhathi, mhlawumbe useneminyaka engu-40-45. Khuluma nodokotela wakho ngalokhu.
- Vivinya umzimba njalo. Kutholakale ukuthi abantu abakhuthele ngokomzimba basengozini encane yokuthola i-BPH.
- Yidla ukudla okunempilo. Faka imifino eminingi, izithelo, namaprotheni anempilo (inhlanzi, inkukhu, amantongomane) ekudleni kwakho. Nciphisa inyama ebomvu, ukudla okucutshunguliwe, kanye nokudla okunamafutha amaningi.
- Gwema ukusebenzisa imikhiqizo kagwayi. Ukubhema kungandisa ingozi yomdlavuza wendlala yesitho sangasese sowesilisa.
Ingabe izithasiselo zilungele i-prostate?
Kungenzeka ukuthi uqaphele ukuthi kunezithako eziningi ezithengiswayo emakethe kulezi zinsuku ezithi zilungele impilo ye-prostate. Isibonelo, i-Saw Palmetto. Kodwa-ke, eziningi zalezi zithako azikahlolwa futhi zavunyelwa ngokuqinile yizikhungo ezifana ne-US Food and Drug Administration (FDA). Ngakho-ke, akukho datha yesayensi eningi ngokusebenza kwazo. Nakuba zingase zibe nenzuzo encane kwabanye abantu, kunzima ukucabanga ukuthi abantu abaningi bazozuza kakhulu kuzo noma bathuthukise impilo yabo ye-prostate. Ngakho-ke, cabanga kabili ngokusebenzisa izithasiselo ezinjalo ngaphandle kweseluleko sezokwelapha. Kuwukuhlakanipha ukukhuluma nodokotela wakho bese ucela iseluleko sakhe.
Kungenzeka yini ukuphila ngaphandle kwe-prostate gland?
Yebo, ungakwazi. Isibonelo, esimweni esifana nomdlavuza wendlala, odokotela bangase banqume ukususa yonke indlala ngokuhlinzwa (i-prostatectomy) . Lokhu kungaba yingozi empilweni. Kodwa-ke, imiphumela emibi emibili evame kakhulu yokususwa kwendlala ukungasebenzi kahle kwe-erectile (ED) kanye nokungakwazi ukuzibamba komchamo . Kunezindlela ezahlukene zokwelapha lezi. Ngingayizwa yini i-prostate yami?
Awukwazi ukuyizwa i-prostate ngqo ngaphakathi komzimba wakho. Kodwa-ke, ungayizwa ngaphandle ngezinga elithile, noma ungayizwa nge-rectum yakho. Indlela elula yokuyizwa ngaphandle ukuzwa i-perineum yakho (indawo ephakathi kwe-scrotum yakho ne-anus yakho) ngemuva, eduze kwe-anus yakho . Le ndawo inezinzwa eziningi nemithambo yegazi, kanye nezicubu ezincane kakhulu. I-prostate enempilo kufanele izwakale ithambile futhi ifana nerabha. Uma ufaka umunwe wakho cishe ngamasentimitha amabili e-anus yakho, ungayizwa endaweni ephakathi kwepenisi yakho ne-anus yakho. Kufanele futhi izwakale ithambile futhi ifana nerabha. Uma uthinta i-prostate yakho ngale ndlela, ungase uzizwe unesifiso sokuchama ngokuzumayo. Kodwa, khumbula lokhu: Awukwazi ukunquma ngokunembile impilo ye-prostate yakho ngokwenza lokhu kuzihlola.Ukuhlolwa kwe-DRE okwenziwa udokotela kuyindlela enembe kakhulu. Uma unemibuzo noma ukungabaza, qiniseka ukuthi ubona udokotela. Angaphendula imibuzo yakho futhi ahlole ngokunembile impilo ye-prostate yakho.
Okokugcina, ezinye izinto ezibalulekile okufanele uzikhumbule...
Indlala ye-prostate iyisitho esincane kodwa esibaluleke kakhulu emzimbeni wethu wesilisa. Kujwayelekile ukuthi ishintshe ngokukhula futhi ibe nkulu kancane (BPH). Akukho okufanele ukwesabe. Kodwa-ke, uma izimpawu eziyisixwayiso esixoxe ngazo zivela, ungazinaki . Bona udokotela ngokushesha bese ucela iseluleko. Kungumkhuba omuhle kakhulu ukuba nokuhlolwa njalo kwezokwelapha (Ukuhlolwa) ngemva kweminyaka engu-50, noma ngisho nangaphambi kwalokho uma kunomlando womndeni womdlavuza we-prostate. Ukudla okunempilo, ukuvivinya umzimba njalo , nokugwema ukubhema kungavikela impilo ye-prostate yakho kuphela, kodwa nomzimba wakho wonke. Kungakhathaliseki ukuthi unayiphi inkinga, khuluma nodokotela wakho ngaphandle kokwesaba noma amahloni. Ukulungele ukukusiza.
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