Madoda, ingabe ninezinkinga ezifana nokutheleleka komgudu womchamo kanye nokugcinwa komchamo njengoba nikhula? Ake sixoxe nge-Benign Prostatic Hyperplasia (BPH)

Njengoba ukhula, uzithola uvuka kaningi ebusuku ukuze uchame? Noma kufanele ulinde isikhashana ukuze uchame? Ingabe ngezinye izikhathi uzizwa sengathi unomchamo omningi ngisho nangemva kokuqeda ukuchama? Lokhu kungahlobene nezinguquko ezincane ku-prostate gland eziba khona amadoda amaningi njengoba ekhula. Namuhla, sizoxoxa ngalesi simo esibizwa ngokuthi i-benign prostatic hyperplasia (BPH).

Iyini le BPH (Benign Prostatic Hyperplasia)?

Kalula nje, i-Benign Prostatic Hyperplasia (BPH) iwukukhula kwendlala yakho ye-prostate. I-prostate iyindlala encane, enobukhulu obufana ne-walnut etholakala ngaphansi kwesinye naphambi kwe-rectum. Ubuwazi ukuthi ingxenye ye-urethra idlula kule ndlala?

Le urethra iyipayipi elithwala umchamo nesidoda liphume emzimbeni. Ngakho-ke, cabanga, njengoba le ndlala ye-prostate ikhula, leyo urethra engikhulume ngayo iqala ukuqina. Yilapho indlela yokuphuma komchamo ivaleka khona, futhi indlela yokuphuma kwesidoda nayo ingavimbeka.

Into ebalulekile ukuthi i-BPH ayiwona umdlavuza. Kodwa-ke, izimpawu ze-BPH ngezinye izikhathi zingafana nezesimo esibucayi kakhulu, njengomdlavuza wendlala, ngakho-ke kubalulekile ukuqaphela lokho futhi.

Ingabe ukuba ne-BPH kwandisa ingozi yokuba nomdlavuza wendlala?

Lona umbuzo abantu abaningi abawubuzayo. Ngokocwaningo lwamanje, ukuba ne-BPH akukhulisi ingozi yakho yokuthola umdlavuza wendlala. Kodwa-ke, njengoba ngishilo ngaphambili, izimpawu ze-BPH kanye nomdlavuza wendlala zifana kakhulu. Ngakho-ke, uma une-BPH, ungase ube nomdlavuza wendlala ngesikhathi esifanayo ungazi.

Yingakho kubalulekile ukuthi wonke umuntu one-prostate, ikakhulukazi labo abaneminyaka ephakathi kuka-55 no-69, ahlolwe i-prostate okungenani kanye ngonyaka. Lokhu kungasiza ekutholeni umdlavuza kusenesikhathi. Uma ungumuntu omnyama noma unomlando womndeni womdlavuza we-prostate, usengozini enkulu kancane. Kulabo abane-prostate, kungcono ukuqala ukuhlolwa lapho uneminyaka engu-40.

Ubani othinteka kakhulu yilesi simo se-BPH? Sivame kangakanani?

I-BPH iyinkinga evamile kakhulu ye-prostate phakathi kwabesilisa. Eqinisweni, cishe wonke umuntu one-prostate gland uzobona izinga elithile lokukhula kwe-prostate gland yakhe njengoba ekhula.

Lokhu kuvame kakhulu kangangokuthi, lapho beneminyaka engu-60, cishe amaphesenti angu-50 amadoda azobonisa izimpawu ezithile ze-BPH.Futhi lapho beneminyaka engu-85, leli nani liyanda lifinyelele cishe ku-90%. Kodwa-ke, akubona bonke laba bantu abadinga ukwelashwa. Cishe ingxenye yalabo abane-BPH kuphela edinga ukwelashwa ngezimpawu zabo.

Yiziphi izimpawu eziyisixwayiso ze-BPH?

Njengoba ngishilo ekuqaleni, i-urethra itholakala eduze kwe-prostate gland. Ngakho-ke lapho i-prostate gland ikhula ngenxa ye-BPH, iqala ukuvimba i-urethra. Ngakho-ke, izimpawu zokuqala ze-BPH zifaka:

• Ukucotha noma ukuconsa komchamo lapho uchama .
• Ubunzima bokuqala ukuchama, kudingeke ulinde isikhashana.
• Ukungakwazi ukulawula umchamo kanye nokuvuza okuthile (ukungakwazi ukuzibamba).
• Isidingo esiphuthumayo nesinamandla sokuchama (`(okuphuthumayo)`). Cishe akubekezeleleki.
• Ukuvuka njalo ebusuku ukuze uchame.
• Ukuzizwa sengathi isinyi asikaphumi ngokuphelele ngisho nangemva kokuchama.
• Ubuhlungu ngemva kokukhipha isisu noma lapho uchama.
• Ukushintsha kombala womchamo.
• Iphunga elingavamile emchameni.

Uma unesinye noma ngaphezulu salezi zimpawu, kuwumqondo omuhle ukubona udokotela.

Kwenzekani uma indlala ye-prostate ikhuliswa futhi ingelashwa?

Uma ungatholi ukwelashwa, i-BPH ingabangela ukuvaleka okwengeziwe kwe-urethra. Izimpawu zakho zingase zibe zimbi kakhulu. Hhayi lokho kuphela, kodwa ungase ube nezinye izinkinga, njenge:

• Ukutheleleka Komgudu Womchamo (UTI).
• Amatshe esinyini.
• Igazi emchameni (i-hematuria).
• Ukulimala kwezinso. Lokhu kwenzeka lapho umchamo uqala ukugeleza usuka kwesinyeni uye ezinso. Lo monakalo ubangelwa ukucindezela okukhulu ezinso.

Ngakho-ke, uma unezimpawu, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngaphandle kokuzishaya indiva.

Kungani i-BPH ivela? Ziyini izimbangela?

Eqinisweni, odokotela nabacwaningi abakakazi kahle ukuthi yini ebangela i-BPH. Kodwa-ke, kunezici eziningana okucatshangwa ukuthi zibangela lokhu.

Enye inkolelo-mbono ukuthi njengoba ukhula, amazinga omzimba wakho e-hormone ebizwa ngokuthi i-testosterone ayancipha. Ngesikhathi esifanayo, amazinga akho e-hormone ebizwa ngokuthi i-estrogen ahlala efana. Kucatshangwa ukuthi izinguquko kula ma-hormone zingabangela ukukhula kwamangqamuzana e-prostate. Kodwa-ke, ngezinye izikhathi, amadoda athatha i-testosterone ngaphezu kokuyithatha nawo angaba ne-BPH.

Futhi, amadoda amadala anamazinga aphezulu e-hormone ebizwa ngokuthi i-dihydrotestosterone (DHT).Le DHT iwuhlobo lwe-testosterone olunamandla kakhulu. Kukholelwa futhi ukuthi ikhulisa usayizi wendlala ye-prostate.

Ingabe i-BPH iyathelelana?

Cha, i-BPH ayisona isifo esithelelanayo. Awukwazi ukuyidlulisela komunye umuntu.

Hlobo luni lodokotela olapha i-BPH?

Uma udokotela wakho esola ukuthi une-BPH, uzokudlulisela kudokotela wezifo zomchamo, udokotela ogxile ezifweni zohlelo lomchamo. Laba odokotela baqeqeshwe ngokukhethekile ukwelapha lezi zinhlobo zezifo zohlelo lwakho lomchamo.

Wazi kanjani ukuthi une-BPH?

Uma uya kudokotela, uzoqala ngokukubuza ngomlando wakho wezokwelapha, akubuze imibuzo, bese enza ukuhlolwa ngokomzimba. Njengengxenye yalokhu kuhlolwa ngokomzimba , kwenziwa ukuhlolwa kwe-digital rectal (DRE) .

Phakathi nalokhu "Ukuhlolwa Kwe-Digital Rectal", udokotela ufaka umunwe ogqokwe ngeglavu ngokucophelela e-rectum yakho bese ezwa imiphetho kanye nobuso be-prostate gland. Lokhu kungakunikeza umbono ngobukhulu be-prostate gland futhi kutholakale noma yiziphi izindawo eziqinile, njengezigaxa ezingaba umdlavuza.

Ngaphezu kwalokho, udokotela wakho angase enze nokuhlolwa okufana nalokhu:

• Uhlu lwemibuzo lokuhlola ukuthi izimpawu zakho zimbi kangakanani.
• Ukuhlolwa kokugeleza komchamo kulinganisa ijubane lomchamo wakho.
• Ukuhlolwa kokubona ukuthi kusele umchamo ongakanani esinyeni ngemva kokuqeda ukuchama.
• I-cystoscopy iwukuhlolwa kokuhlola ngaphakathi kwesinye. Lokhu kuhilela ukufaka ipayipi elinekhamera encane nge-urethra.

Ingabe i-BPH ingalapheka ngokuphelele?

Akukho ukwelashwa okuqondile kwe-BPH, kodwa kunezindlela zokwelapha ezisebenzayo ezingasiza ekulawuleni izimpawu zakho.

Ngakho-ke iphathwa kanjani i-BPH?

Uma unezimpawu ezincane, ungase ungadingi ukwelashwa. Udokotela wakho angase akuncome indlela "yokulinda ngokuqapha". Lokhu kusho ukuthi ubona udokotela wakho njalo ukuqinisekisa ukuthi i-BPH yakho ayibi yimbi kakhulu.

Kodwa uma izimpawu zimbi kakhulu, kunezindlela zokwelapha ezinjengalezi:

Imithi

Imithi evame ukunqunywa isebenza ngokukhulula imisipha yendlala ye-prostate, okunciphisa ingcindezi ku-urethra. Ezinye izibonelo zifaka:

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

Eminye imithi inciphisa ukukhiqizwa kwe-hormone i-DHT (i-Dihydrotestosterone) engikhulume ngayo ekuqaleni. Lokhu kunganciphisa izinga lokukhula kwe-prostate gland. Le mithi iwusizo kakhulu kwabesilisa abane-prostate enkulu kakhulu. Izibonelo:

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

Ngezinye izikhathi udokotela wakho angase akunikeze inhlanganisela yemithi emibili ukusiza ukulawula izimpawu zakho nokwenza kube lula ukuchama. Isibonelo yi-Dutasteride kanye ne-Tamsulosin (Jalyn®).

Ngemva kokuqala ukuthatha umuthi, kungathatha noma yikuphi kusukela evikini elilodwa kuya kwayisishiyagalombili ukuthi izimpawu zakho ziphele.

Ukuhlinzwa

Kunezinhlobo ezahlukene zokuhlinzwa ukuze kususwe izingxenye zendlala yesinye ezivimba i-urethra. Ezinye zazo yilezi:

• Ukususwa Kwendlala Yesitho Esisebenzisa Umchamo (i-TURP): Kule nqubo, udokotela wakho womchamo ufaka ithuluzi elikhethekile (i-resectoscope) nge-urethra yakho ukuze abone futhi asuse noma yiziphi izingxenye ezisele zendlala yakho yesitho.
• Ukusika I-Transurethral ye-Prostate (TUIP): Kule nqubo, udokotela wenza izimbobo ezimbili ezincane ku-prostate nalapho i-urethra ixhumana khona nesinye (intamo yesinye) ukuze kwandiswe i-urethra futhi kube lula ukuchama.
• I-Transurethral Electrovaporization: Kule nqubo, udokotela usebenzisa i-electrode ukushisa izicubu ze-prostate, okwenza amangqamuzana e-prostate akhulisiwe aphele.
• Ukwelashwa Nge-Laser ye-GreenLight™: Kule nqubo, udokotela usebenzisa umsebe we-laser okhethekile ukuze ashise futhi asuse izicubu ze-prostate ezikhulisiwe. Lokhu kubizwa nangokuthi i-Photoselective Vaporization of the Prostate (PVP).
• I-Aquablation®: Kule nqubo, udokotela usebenzisa amajethi amanzi anomfutho ophezulu ukususa izicubu ze-prostate.

Ngemva kokuhlinzwa, ungabuyela emisebenzini evamile zingakapheli izinsuku ezimbalwa noma isonto.

Ukwelashwa Okungangeni Kakhulu

Ukwelashwa okusha kwe-BPH akuhlaseli kakhulu kunokuhlinzwa, okusho umonakalo omncane ezicutshini ezinempilo. Iningi lalokhu kwelashwa livame ukwenziwa njengezinqubo zokulaliswa esibhedlela. Lokhu kusho ukuthi ungaya ekhaya ngalolo suku. Futhi kushibhile, kunemiphumela emibi embalwa, futhi kungakusiza ukuthi ululame ngokushesha. Kodwa-ke, ngenxa yokuthi lokhu kwelashwa kusha, akukabi nolwazi oluningi mayelana nemiphumela noma izinkinga zakho zesikhathi eside.

Ezinye izibonelo:

• Ukuphakanyiswa Kwe-Urethral Yesitho Sangasese Sowesilisa (i-UroLift®):Le nqubo ihilela ukuhlukanisa indlala ye-prostate ekhulisiwe nokwandisa i-urethra. Lokhu kwenza kube lula ukuchama. Udokotela ufaka idivayisi ekhethekile (`(UroLift®)`) phezulu kwe-urethra iye kwindlala ye-prostate. Uma isifikile odongeni oluseceleni lwe-prostate, kufakwa izimila ezincane eziningana (`(izimila)`) bese zidonswa ukuze kuvulwe i-urethra. Kuye ngobukhulu be-prostate, kungafakwa izimila ezimbili kuya kweziyisithupha ezinjalo.
• Ukwelashwa kwe-Rezūm™: Kule nqubo, udokotela ufaka idivayisi e-urethra bese eyihambisa e-prostate gland. Bese kufakwa inaliti e-prostate gland. Inaliti ikhipha umusi, ophenduka amanzi. Ukushisa kula manzi kubhubhisa amangqamuzana e-prostate. Amangqamuzana afile aphinde amuncwa ngumzimba, okwenza i-prostate gland inciphe.

Imiphumela emibi evame kakhulu yalezi zindlela zokwelapha isidingo sokuchama kakhulu kunokujwayelekile kanye nokungakhululeki noma ukushisa kuze kube yilapho indlala ye-prostate iphola.

Ngemva kwalokhu kwelashwa okungangenisi kakhulu, ungabuyela emisebenzini evamile zingakapheli izinsuku ezimbalwa. Kufanele ubone ukuthuthuka okukhulu ezimpawini zakho zingakapheli amasonto amathathu kuya kwayisithupha.

Yikuphi ukwelashwa okungcono kakhulu kwe-BPH?

Ukuhlinzwa kwe-TURP kuyindlela yokwelapha ephumelela kakhulu ezimweni eziningi ze-BPH.

Kodwa-ke, kulabo abaneminyaka engaphezu kwengu-65 ubudala, imithi kanye nokwelashwa okungangenisi kakhulu yikona okungcono kakhulu. Lokhu kungenxa yokuthi abantu asebekhulile banamathuba amaningi okuba nezinkinga ngemva kokuhlinzwa futhi kungase kuthathe isikhathi eside ukululama.

Yikuphi ukudla okuhle nokubi okufanele ukudle uma une-BPH?

Izithelo, imifino, namafutha anempilo kungaba kuhle empilweni yakho ye-prostate. Kungumqondo omuhle ukulandela ukudla kwaseMedithera noma ukwengeza okulandelayo ekudleni kwakho:

• Amajikijolo
• I-broccoli
• Izithelo ze-citrus
• Amantongomane
• Utamatisi
• I-Turmeric

Imikhuba emibi yokudla ingenza isimo sakho se-BPH sibe sibi kakhulu. Uma une-BPH, kuwumqondo omuhle ukugwema ukudla okucutshunguliwe, ukudla okunoshukela omningi nama-carbohydrate. Futhi, nciphisa okulandelayo:

• Utshwala
• I-caffeine (njengetiye, ikhofi)
• Ubisi
• Inyama ebomvu
• I-Sodium (usawoti)

Ingabe indlala ye-prostate ekhulisiwe ingabuyela esimweni sayo esijwayelekile?

Abanye abantu abane-BPH encane izimpawu zabo ziyaphela ngaphandle kokwelashwa. Kodwa uma izimpawu zakho zingathuthuki ngenkathi usesendleleni "yokulinda ngokuqapha", wena nodokotela wakho kufanele niqale ukukhuluma ngezindlela zokwelapha.

Yini okufanele ngiyilindele uma ngine-BPH?

Umbono wabantu abane-BPH muhle kakhulu.Nakuba kungekho ukwelashwa kwe-BPH, kunezindlela zokwelapha ezingasiza ukulawula izimpawu zakho. Izimpawu ezincane zingase zingadingi ukwelashwa nhlobo. Amacala anzima kakhulu angase asizwe ngemithi, ukuhlinzwa, kanye nokwelashwa okungangenisi kakhulu.

Ungayinciphisa kanjani ingozi yokuthola i-BPH?

Indlela engcono kakhulu yokunciphisa ingozi yakho yokuthola i-BPH ukwenza izinguquko endleleni yokuphila nokuphuza izithasiselo ezithile ukuze ulondoloze impilo ye-prostate yakho kanye nenhliziyo.

Ukuzivocavoca okungenani imizuzu engama-30 ngosuku kungasiza ekuvimbeleni i-BPH futhi kwehlise ijubane lokukhula kwendlala yesinye. Kubalulekile futhi ukugcina amazinga e-cholesterol ajwayelekile, umfutho wegazi, kanye namazinga kashukela egazini.

Lezi zithako zemithi zingasiza ekunciphiseni ingozi yokuthola i-BPH:

• I-Beta-sitosterol: Lesi yi-micronutrient etholakala ezitshalweni. Ingasiza ukugcina inhliziyo iphilile.
• I-Pygeum africanum: Lokhu kuyisithako semifino esivela emagxolweni esihlahla se-cherry sase-Afrika. Kungasiza ekunciphiseni indlala ye-prostate.
• Imbewu yeflakisi: Imbewu yeflakisi icebile nge-fiber yokudla kanye nama-omega-3 fatty acids. Ingasiza ekunciphiseni i-cholesterol.
• Uwoyela wembewu yethanga: Lona uwoyela okhishwe embewini yethanga. Ungasiza ekunciphiseni indlala ye-prostate.

Kodwa khumbula, kufanele ukhulume nodokotela wakho njalo ngaphambi kokuqala noma yiziphi izithasiselo ezintsha, njengoba zingase zingasebenzi kahle neminye imithi noma izithasiselo ozithathayo njengamanje.

Kufanele ngimbone nini udokotela?

Uma unezinye zalezi zimpawu, shayela udokotela wakho ngokushesha:

• Ubuhlungu esiswini esingezansi noma endaweni yokuzala lapho uchama.
• Ubunzima bokuchama noma ukungakwazi nhlobo ukuchama.
• Ukuthola umkhuhlane noma ukuzizwa ubanda ngesikhathi uchama.
• Igazi emchameni.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Nazi ezinye imibuzo ongayibuza udokotela wakho:

• Ubona kanjani ngempela ukuthi ngine-BPH?
• Uma ngingenayo i-BPH, yisiphi esinye isimo engingaba naso?
• Yini engingayenza ukuze nginciphise ukukhula kwe-prostate yami?
• Ingabe ngidinga ukwelashwa?
• Yikuphi ukwelashwa okungcono kakhulu kimi?
• Yiziphi izithasiselo zokudla okunempilo ozincomayo?
• Ingabe lezi zithako zokudla ziyasebenzisana neminye imithi noma izithako engizisebenzisayo njengamanje?
• Ingabe kufanele ngibone udokotela wezifo zomchamo?

Uyini umehluko phakathi komdlavuza we-prostate kanye ne-BPH?

Umdlavuza we-prostate uhlobo oluvamile lomdlavuza oluvela endlaleni ye-prostate. Ezigabeni zawo zokuqala, umdlavuza we-prostate awuvamile ukubangela izimpawu. Kodwa-ke, njengoba ukhula, ungabangela izimpawu eziningi ezifanayo neze-BPH. Isibonelo, ukugeleza komchamo okubuthakathaka, ubuhlungu ngesikhathi sokuphuma komchamo noma ukuchama, kanye nesidingo sokuchama njalo. Umdlavuza we-prostate ungasakazekela emathanjeni akho, kuma-lymph node, noma kwezinye izingxenye zomzimba wakho. Izinketho zokwelapha zifaka phakathi ukwelashwa ngemisebe kanye nokuhlinzwa.

Izimpawu ze-BPH zifana nezomdlavuza wendlala yesitho sangasese sowesilisa. Kodwa-ke, i-BPH ayiwona umdlavuza, futhi ayikhulisi ingozi yokuba nomdlavuza. Ayisabalali kwezinye izingxenye zomzimba. Izindlela zokwelapha zifaka phakathi imithi, ukuhlinzwa, kanye nezinqubo ezingangenisi kakhulu.

Uyini umehluko phakathi kwe-BPH kanye ne-Benign Prostatic Enlargement (BPE)?

I-Benign Prostatic Hyperplasia (BPH) yigama lesimo esibangela ukuba indlala yakho ye-prostate ikhule.

Igama elithi `Benign Prostatic Enlargement (BPE)` lisho odokotela abalisebenzisa ukuchaza indlala ye-prostate ekhuphukile ngenxa ye-BPH. Kalula nje, i-BPH iyimbangela, kanti i-BPE ingumphumela wendlala ye-prostate ekhuphukile.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-prostate ekhulisiwe, eyaziwa nangokuthi i-BPH, iyisimo esivame kakhulu kwabesilisa. I-BPH ivame ukuqala ukukhula cishe eminyakeni engu-55. Uma unezimpawu ze-BPH ezincane, wena nodokotela wakho ningaqapha izimpawu zakho ngokwenza ukuhlolwa njalo. Kodwa uma i-BPH ithinta impilo yakho, kunezindlela zokwelapha ezisebenzayo ezingasiza ekunciphiseni i-prostate yakho.

Uma unezimpawu ze-BPH, qiniseka ukuthi ukhuluma nodokotela. Ndawonye, ​​ninganquma ukuthi iyiphi indlela engcono kakhulu yokwenza. Ungakhathazeki, kunezixazululo ezinhle!

` I-prostate ekhulisiwe, i-BPH, i-prostate, izinkinga zomchamo, impilo yamadoda, umdlavuza we-prostate, izimpawu zomchamo