Sawubona! Namuhla, sizoxoxa ngesihloko esibaluleke kakhulu kwabesilisa, kodwa esivame ukungakhulunywa ngaso: i -Prostate Gland . Kubalulekile ukuhlala unolwazi ngale gland ngoba njengoba ukhula, ungase ubhekane nezinguquko ezahlukahlukene kuyo. Ukuqonda lezi zinguquko kusenesikhathi kungenza ukuphatha noma yiziphi izinkinga ezingaba khona kube lula kakhulu.
Ngakho-ke, iyini ngempela i-Prostate Gland?
Kalula nje, i-prostate gland iyisitho esincane ngaphakathi kwesimiso sokuzala sabesilisa . I-prostate enempilo ngokuvamile ilingana ne-walnut futhi inesisindo esingamagremu angu-30. Abanye baqhathanisa ubukhulu bayo nesimo sayo ne-chestnut.
Ungase uzibuze ukuthi ikuphi. Cabanga nje ihlezi ngqo ngaphansi kwesinye sakho naphambi kwe-rectum yakho . Into ebalulekile okufanele uyikhumbule ukuthi i-urethra yakho—ipayipi elikhipha umchamo emzimbeni wakho—idlula phakathi nendawo ye-prostate gland, njengotshani oludlula eswidini.
I-prostate yakhiwe ngama -lobes amahlanu : i-anterior, i-posterior, ama-lateral lobes amabili, kanye ne-median lobe. Lawa enziwe ngezicubu ezixhumanisayo kanye nezindlala, futhi yonke indlala ihlanganiswe nezicubu ezixhumanisayo ezinwebekayo ezibizwa ngokuthi i -prostatic fascia .
Iyiphi indima edlalwa yi-Prostate Gland empilweni yabesilisa?
Ake sibheke ukuthi le ndlala encane yenzani ngempela. Nansi imisebenzi yayo eyinhloko:
- Umsebenzi wayo oyinhloko ukufaka uketshezi esidodeni sakho (ejaculate) , uketshezi olumhlophe olukhishwa ngesikhathi sokuvuthwa. Lolu ketshezi lukhethekile kakhulu; luqukethe ama-enzyme , i-zinc, ne-citric acid . Lezi zingxenye zisiza ukondla amangqamuzana esidoda, zenze kube lula ukunyakaza kwawo, futhi zithambise i -urethra .
- Ngaphezu kwalokho, uma ufika esikhathini sokuvuthwa komzimba, imisipha engaphakathi kwe-prostate isiza ukuhambisa isidoda sidlule e-urethra bese siphuma emzimbeni.
Ingabe abesifazane bane-Prostate Gland?
Cha, abesifazane abanayo i-prostate gland. Kodwa-ke, kungenzeka ukuthi wake wezwa "nge-prostate yabesifazane." Lokhu empeleni kubhekisela kuma- Skene's glands , atholakala kuzo zombili izinhlangothi ze-urethra yabesifazane. Abacwaningi bakholelwa ukuthi uketshezi olukhishwa yilezi zindlala lungasiza ekusebenzeni komchamo kanye nokuhlanzeka. Ezinye izinkolelo-mbono ziphakamisa nokuthi lezi zindlala zihlobene noketshezi olukhishwa ngesikhathi sokuvuthwa kwabesifazane.
Ingabe indlala ye-prostate iyakhula njengoba ikhula?
Yebo, lokhu kuvamile kwabesilisa abaningi. Ngokuvamile, kwabesilisa abangaphezu kweminyaka engama-40, i-prostate iqala ukukhula kancane kancane. Ngokwezokwelapha, lokhu kwaziwa ngokuthi i-Benign Prostatic Hyperplasia , noma i-BPH ngamafuphi.
Into ebaluleke kakhulu okufanele uyikhumbule ukuthi i-BPH ayiwona umdlavuza. Ngaphezu kwalokho, lesi simo asiyinyusi ingozi yokuba nomdlavuza wendlala.
I-prostate eyayingangosayizi we-walnut ingagcina ikhule ibe ngangosayizi welamula. Lokhu kuyingxenye evamile yokuguga kwabesilisa abaningi. Kodwa-ke, njengoba ikhula, ingafaka ingcindezi ku-urethra, okuholela ekungakhululeki okuthile, esizoxoxa ngakho maduze.
Yiziphi izimo zezokwelapha ezivamile ezihambisana ne-prostate?
Kunezimo ezimbalwa eziyinhloko okufanele uziqaphele mayelana ne-prostate.
1. Umdlavuza Wendlala Yesitho Sangasese
Lona umdlavuza wesibili ovame kakhulu kwabesilisa . Ukuhlala unolwazi kubalulekile ngoba, uma utholakala kusenesikhathi, amathuba okwelashwa ngempumelelo aphezulu kakhulu.
2. I-Prostatitis
Lokhu kubhekisela ekuvuvukeni noma ekuvuvukeni kwendlala yesinye. Kunezinhlobo ezine eziyinhloko:
- I-Prostatitis Ebangelwa Yibhaktheriya Ebukhali:Ukutheleleka ngamagciwane okungazelelwe.
- I-Chronic Bacterial Prostatitis: Ukutheleleka kwebhaktheriya okuphindaphindiwe isikhathi eside.
- I-Chronic Pelvic Pain Syndrome (CPPS): Ubuhlungu endaweni ye-prostate ngaphandle kokutheleleka ngamagciwane.
- I-Prostatitis Evuvukalayo Engenazimpawu: Ukuvuvukala kukhona ngaphandle kwezimpawu ezibonakalayo; kuvame ukutholakala kwezinye izivivinyo zezokwelapha.
I-Prostatitis iyinkinga evamile yomgudu womchamo kwabesilisa abangaphansi kweminyaka engu-50 kanti eyesithathu ivame kakhulu kulabo abaneminyaka engaphezu kwengu-50.
3. I-Benign Prostatic Hyperplasia (BPH)
Njengoba sishilo, lokhu ukukhula kwe-prostate okungenalo umdlavuza, okungavimba i-urethra futhi kubangele ubunzima bokuchama. Kuvame kakhulu njengoba amadoda ekhula.
Yiziphi izimpawu eziyisixwayiso zezinkinga ze-prostate?
Uma ubhekene nezinkinga nge-prostate yakho, ungase uqaphele lezi zimpawu:
- Ubuhlungu epenis, emasendeni , noma ku-perineum (indawo ephakathi kwe-scrotum kanye ne-anus).
- Isidingo somchamo njalo.
- Ubuhlungu ngesikhathi sokuchama (i-Dysuria) noma ubuhlungu ngesikhathi sokuphuma komchamo.
- Umchamo obuthakathaka noma ukugeleza kwamanzi.
- Ubunzima bokuqala ukugeleza komchamo.
- Ukuvuka njalo ebusuku ukuze uchame.
- Ukungasebenzi kahle kwe-Erectile (ED).
- Igazi emchameni noma esidoda (iHematospermia).
- Ubuhlungu esiswini esingezansi, ezinqeni, noma emhlane (lokhu kungenzeka ikakhulukazi uma isimo somdlavuza sesisabalele).
Uma uhlangabezana nanoma yiziphi noma eziningana zalezi zimpawu, ungesabi noma ube namahloni okubona udokotela ukuze akunike iseluleko. Nakuba kungezona zonke izimpawu ezibonisa isimo esibucayi, ukuhlolwa kubalulekile ukuze ube nokuthula kwengqondo nempilo.
Impilo ye-prostate ihlolwa kanjani?
Odokotela basebenzisa izindlela ezimbalwa ezijwayelekile ukuhlola impilo ye-prostate yakho:
1. Ukuhlolwa Kwe-Digital Rectal (DRE)
Phakathi nalokhu kuhlolwa, udokotela wakho uzofaka umunwe ogcotshwe ngegilavu e-rectum yakho ukuze abambe ngobumnene i-prostate gland. Lokhu kumvumela ukuthi ahlole usayizi we-gland, ukuma kwayo, ukuqina kwayo, futhi ahlole noma yiziphi izigaxa noma ukungalingani okungavamile . Nakuba kungase kuzwakale kungakhululekile kancane, kuyinqubo esheshayo, ebalulekile, futhi evamile ethatha imizuzu embalwa kuphela.
2. Ukuhlolwa Kwegazi Kwe-Prostate-Specific Antigen (PSA)
I-PSA iyiprotheni ekhiqizwa ngokwemvelo yi-prostate gland. Uma amazinga akho e-PSA ephakeme kunokuvamile , kungaba yisibonakaliso somdlavuza we-prostate. Kodwa-ke, amazinga e-PSA angakhuphuka ngenxa yezimo ezifana ne-BPH, i-prostatitis, noma ngisho nomsebenzi wocansi wamuva. Ngenxa yalesi sizathu, odokotela abaze bathembele ekuhlolweni kwe-PSA kuphela; ihlala ihlolwa kanye ne-DRE.
3. Ukuhlolwa kwe-biopsy
Uma imiphumela yakho ye-DRE noma ye-PSA iphakamisa okuthile okukhathazayo, udokotela wakho angase akuncome ukuthi kwenziwe i -biopsy . Phakathi nale nqubo, eqondiswa yi-ultrasound scan, kusetshenziswa inaliti encane ukuqoqa amasampula amancane ezicubu ezivela ku-prostate. Lawa masampula abe esehlolwa elabhorethri ngaphansi kwe-microscope ukuhlola ukuthi akhona yini amangqamuzana omdlavuza .
Yiziphi izindlela zokwelapha izifo ze-prostate?
Ukwelashwa kuklanyelwe isimo esithile esitholwe; ayikho indlela eyodwa efanela bonke.
Ngomdlavuza Wendlala Yesitho Sangasese Sowesilisa:
- Ukuqapha Okusebenzayo: Uma umdlavuza ukhula kancane futhi ungenangozi enkulu, udokotela wakho angase akuncome ukuthi uwuqaphe eduze ngokuhlolwa okuvamile (i-PSA, i-DRE, i-biopsy) kunokuqhubeka nokuhlinzwa noma ezinye izindlela zokwelapha ngokushesha.
- Ukwelashwa nge-Brachy: Lolu uhlobo lokuhlinzwa kwangaphakathiukwelashwa ngemisebe lapho "imbewu" encane enemisebe ifakwa khona ngqo endlaleni ye-prostate.
- Ukwelashwa Okugxile: Ukwelashwa okuqondiswe ngqo endaweni yomdlavuza, njenge-High-Intensity Focused Ultrasound (HIFU), i-Cryotherapy (amaseli aqandisayo), i-Laser Ablation, noma i-Photodynamic Therapy (PDT).
- Ukususwa kwe-prostate: Inqubo yokuhlinzwa yokususa yonke noma ingxenye ye-prostate gland.
Nge-Prostatitis:
- Imithi: Imithi yokukhulula imisipha ezungeze isinyi kanye ne-prostate (isib. ama-Alpha-blockers), ukuqeda ubuhlungu , noma ama-antibiotic uma imbangela iwukutheleleka ngamagciwane.
- Ukulawulwa Kokucindezeleka: Ukucindezeleka ngezinye izikhathi kungandisa izimpawu; ukwelulekwa noma ukwelashwa kungaba usizo kakhulu.
- Ukuzivocavoca: Ukuzivocavoca phansi kwe-pelvic kuvame ukunconywa ukuze kuthuthukiswe izimpawu.
Nge-Benign Prostatic Hyperplasia (BPH):
- Imithi: Imithi evimba ama-hormone anegalelo ekukhuleni kwe-prostate (isib., ama-5-alpha reductase inhibitors) noma lawo athuthukisa ukugeleza komchamo (isib., ama-Alpha-blockers).
- Ukuhlinzwa: Izinqubo zokususa izicubu ezivimbayo (isb., i-TURP – Ukususwa Kwe-Prostate Nge-Transurethral).
- Ukwelashwa Ngomusi Wamanzi: Inqubo engangenisi kakhulu kusetshenziswa umusi wamanzi ukunciphisa izicubu ze-prostate ezivimba i-urethra.
Ngingayigcina kanjani i-prostate yami iphilile?
Ukunakekela impilo yakho ye-prostate kubalulekile. Nazi ezinye izinyathelo zokuqapha ongazithatha:
- Hlela ukuhlolwa njalo. Ngokuvamile kunconywa ukuthi uqale uneminyaka engu-50. Kodwa-ke, uma unomlando womndeni (isb., ubaba noma umfowenu) womdlavuza wendlala, kufanele ucabangele ukuqala kusenesikhathi, mhlawumbe phakathi kweminyaka engu-40-45. Xoxa ngalokhu nodokotela wakho eNirogi Lanka.
- Hlala umatasa ngokomzimba. Ukuvivinya umzimba njalo kuye kwabonakala kunciphisa ingozi yokuba ne-BPH.
- Yidla ukudla okunempilo. Faka imifino eminingi, izithelo, namaprotheni anempilo (inhlanzi, inkukhu engenamafutha, amantongomane). Nciphisa ukudla kwakho inyama ebomvu, ukudla okucutshunguliwe, kanye nezinto ezinamafutha amaningi.
- Gwema imikhiqizo kagwayi. Ukubhema kuhlotshaniswa nengozi eyengeziwe yomdlavuza wendlala yesitho sangasese sowesifazane.
Ingabe izithasiselo ze-prostate ziyasiza ngempela?
Ungase ubone izithasiselo ezahlukahlukene ezithengiswa ngempilo ye-prostate, njengeSaw Palmetto. Kodwa-ke, iningi lalezi zithasiselo alilawulwa ngokuqinile noma alivunyelwe yiziphathimandla zezempilo ezinkulu njenge-FDA. Ubufakazi besayensi obusekela ukusebenza kwazo bulinganiselwe. Nakuba abanye abantu bengase bazizwe sengathi ziyasiza, kuncane idatha yezokwelapha efakazela ukuthi zinikeza izinzuzo ezibalulekile empilweni ye-prostate yesikhathi eside.
Cabanga kabili ngaphambi kokuthatha izithasiselo ngaphandle kweseluleko sochwepheshe. Njalo xhumana nodokotela wakho eNirogi Lanka ngaphambi kokuqala noma yiluphi uhlobo olusha lwezithasiselo.
Ungaphila ngaphandle kwe-prostate gland?
Yebo, ungakwazi. Ezimweni ezifana nomdlavuza wendlala, ukususwa ngokuhlinzwa (i-Prostatectomy) ngezinye izikhathi kuyadingeka. Nakuba ungaphila impilo ephelele ngemva kwale nqubo, imiphumela emibi evamile ingafaka phakathi i-Erectile Dysfunction (ED) kanye ne-Urinary Incontinence . Ngenhlanhla, kunezindlela eziningi zokwelapha ezisebenzayo ezitholakalayo zokulawula le miphumela emibi.
Ngingakwazi yini ukuhlola i-prostate yami?
Awukwazi ukuhlola i-prostate yakho kahle wedwa. Nakuba ungase uzizwe izingxenye zesifunda ngaphandle noma nge-rectally, lokhu akuyona ithuluzi lokuxilonga.
Indlela elula yokuzwa indawo ye-perineal (isikhala esiphakathi kwe-scrotum ne-anus) ukucindezela kancane; noma kunjalo, le ndawo iqukethe kakhulu imizwa nemithambo yegazi. I-prostate enempilo kufanele izwakale iqinile kodwa ifana nerabha.
Akukhuthazwa ukuzama ukuzihlola nge-rectal, ngoba awukwazi ukufinyelela noma ukuhlola i-gland kahle.
Okubalulekile: Ukuzihlola akuthathi indawo yokuhlola kochwepheshe. I-DRE eyenziwa udokotela yiyona ndlela kuphela enembile yokuhlola impilo yakho ye-prostate. Uma unenkinga noma izimpawu, sicela uvakashele udokotela ngokushesha. Uma uzwa ubuhlungu obukhulu, ubunzima bokuchama, noma igazi emchameni wakho, funa izinsizakalo eziphuthumayo esibhedlela esiseduze nawe ngokushesha.
Imicabango yokugcina: Okudingeka ukukhumbule…
I-prostate iyisitho esincane kodwa esibalulekile. Izinguquko njengoba ukhula, njenge-BPH, zivame ukwenzeka, futhi asikho isidingo sokwesaba.
Nokho, ungazinaki izimpawu eziyisixwayiso. Uma ubona izimpawu ezingavamile, xhumana nodokotela ngokushesha.
Uma usuneminyaka engu-50—noma ngaphambi kwalokho uma unomlando womndeni—yenza ukuhlolwa njalo kube umkhuba.
Ngokudla ukudla okunempilo, ukuvivinya umzimba njalo , nokugwema ukubhema, ungavikela hhayi impilo yakho ye-prostate kuphela kodwa nenhlalakahle yomzimba wakho wonke nge-Nirogi Lanka.
Uma kuvela noma yikuphi ukukhathazeka, sicela ukhululeke ukukhuluma ngokukhululekile nangokuzethemba nodokotela wakho. Bakulungele ngokugcwele ukukusekela futhi bakulungele ukukusiza.
