Ingabe ngezinye izikhathi uzizwa ubuhlungu esiswini sakho esingezansi noma endaweni yakho yangasese? Ingabe uzizwa ungavamile, ubuhlungu, noma unesifiso sokuchama njalo ? Ungamane nje ungazinaki lezi. Lezi kungaba izimpawu zesimo esibizwa ngokuthi i-prostatitis . Namuhla, sizoxoxa ngalokhu ngendlela elula ongayiqonda.

⚡ Interactive Clinical Tool

⚖️

BMI Calculator

Know your body mass index (BMI) and weight classification

Open Interactive Calculator →

Kuyini i-prostatitis? Ikuphi i-prostate yakho?

Kalula nje, i-prostatitis ukuvuvukala, ukuvuvukala, noma ubuhlungu be -prostate gland yakho. Manje cishe uzibuza ukuthi iyini i-prostate nokuthi ikuphi, akunjalo? Cabanga ngakho, i-prostate gland itholakala ngaphansi kwesinyi sendoda, okuyilapho umchamo uqoqana khona, futhi phambi kwe-rectum. Ukuze kube sobala, i-urethra yakho - ipayipi elithwala umchamo nesidoda liphuma emzimbeni - lidlula kwi-prostate gland. Liyisitho esilingana ne-walnut encane. Ngakho-ke, okwenzekayo kwi-prostatitis ukuthi i-prostate gland kanye nezicubu ezizungezile ziyavuvukala, zibe buhlungu, futhi zithambile. Ngezinye izikhathi kubangelwa izifo ezibangelwa amagciwane ezifana nokutheleleka kwe-urinary tract (UTIs) , kodwa ngezinye izikhathi kungenzeka ngaphandle kwesizathu esibonakalayo. Kodwa ungakhathazeki, kunezindlela ezinhle zokwelapha.

Zikhona yini izinhlobo ze-prostatitis? Ziyini?

Yebo, kunezinhlobo ezine eziyinhloko ze-prostatitis. Ake sibheke ukuthi ziyini.

1. I-Acute Bacterial Prostatitis - Leyo efika ngokuzumayo!

Lesi yisimo esiphuthumayo nesinzima esibangelwa ukutheleleka ngamagciwane. Izimpawu zingase zihlanganise umkhuhlane, ukubanda , kanye nobuhlungu obukhulu lapho uchama , ukuchama njalo, noma ubunzima bokuchama . Lesi simo sidinga ukunakekelwa kwezokwelapha okusheshayo, okuhlanganisa nama-antibiotic . "Acute" kusho ukuthi siqala ngokuzumayo.

2. I-Chronic Bacterial Prostatitis - Iqala kancane kancane futhi iphele ngokuhamba kwesikhathi!

Lolu hlobo lubangelwa futhi ukutheleleka ngamagciwane. Kodwa-ke, ngokungafani nohlobo olubukhali okukhulunywe ngalo ngenhla, izimpawu zalolu hlobo zivela kancane kancane . Kuthatha isikhathi eside ukwelapha. Ngokungafani ne-acute bacterial prostatitis, umkhuhlane kanye nokubanda akuvamile ukubonwa kulolu hlobo. Kodwa-ke, izimpawu ezifana nobuhlungu ngesikhathi sokuchama kanye nobunzima bokuchama zingase zibe khona.

3. I-Chronic Pelvic Pain Syndrome (CPPS) - Lena yiyo evame kakhulu!

Lolu olunye uhlobo lwe-prostatitis.Uhlobo oluvame kakhulu. Ngokusho kwezinye izifundo, lesi simo sithinta indoda eyodwa kwabathathu. Njengoba igama lisho, sibangela ubuhlungu obungapheli ethangeni lakho, indawo ephakathi kwe-anus yakho ne-scrotum (perineum), kanye nezitho zangasese. Lobuhlungu bungahlala izinyanga, ngisho neminyaka. Okubalulekile, abubangelwa ukutheleleka ngamagciwane.

4. I-Prostatitis Evuvukalayo Engenazimpawu - Ayikho inkinga, azikho izimpawu!

Lokhu ukuvuvukala kwendlala yesinye, okusho ukuthi ivuvukile, kodwa akubanga zimpawu . Ungathola ngalesi simo kuphela uma uhlolwa esinye isimo. Lolu hlobo aludingi ukwelashwa okukhethekile, futhi alusona isifo.

Sivame kangakanani lesi simo esibizwa ngokuthi i-prostatitis?

Kuvamile kakhulu kunalokho ongakucabanga. Amadoda angaphezu kwezigidi ezimbili avakashela odokotela bawo minyaka yonke enezimpawu ze-prostatitis. Kulinganiselwa ukuthi cishe amaphesenti angama-50 amadoda azobhekana nezimpawu zalesi simo ngesikhathi esithile empilweni yawo . Kuyinkinga evamile kakhulu yomgudu womchamo phakathi kwamadoda angaphansi kweminyaka engama-50. Futhi kuyinkinga yesithathu evame kakhulu phakathi kwamadoda aneminyaka engaphezu kwengama-50.

Ziyini izimpawu ze-prostatitis? Ingabe nawe unazo lezi zimpawu?

Izimpawu zingahluka kuye ngohlobo kanye nembangela ye-prostatitis. Uma uzwa ubuhlungu esiswini sakho esingezansi, ezithweni zangasese, noma ushintsho endleleni yakho yokuchama , kufanele nakanjani ubone udokotela. Abantu abane-prostatitis evuvukalayo abangabonakali bangase bangabi nazimpawu. Kunezimpawu eziningana ezivamile ezibonakala kuzo zonke izinhlobo ezintathu:

Ubuhlungu esiswini sakho esingezansi, ezithweni zangasese, noma endaweni ephakathi kwe-anus yakho kanye ne-scrotum (perineum) . Lobuhlungu bungasakazeka nasemhlane wakho ongezansi.
Isidingo sokuchama njalo.
Ukuchama okubuhlungu (odokotela bakubiza lokhu ngokuthi i-dysuria) .
Uma uchama , umfudlana uyayeka esikhundleni sokugeleza njalo.
Igazi emchameni (lokhu kubizwa ngokuthi i-Hematuria) .
Igazi esidodeni (lokhu kubizwa ngokuthi i-Hematospermia ).
Ukuzwa ubuhlungu ngesikhathi socansi (lokhu kubizwa ngokuthi i-Dyspareunia) .
Ukuzwa ubuhlungu lapho ukhipha isidoda .
Ukuvuka kocansi , okungukuthi, ubunzima bokuvuka. (Lokhu kungaba (Futhi kubizwa ngokuthi i-Erectile Dysfunction .

Abantu abane-acute bacterial prostatitis bangase babe nezimpawu ezifana nomkhuhlane, njengomkhuhlane , izinhlungu zomzimba, kanye nokubanda .

Kungani kwenzeka i-prostatitis? Ziyini izimbangela?

Izinhlobo ezahlukene ze-prostatitis zinezimbangela ezahlukene. Ngezinye izikhathi imbangela eqondile ayaziwa, kodwa ngezinye izikhathi kusobala ukuthi ibangelwa ukutheleleka ngamagciwane.

Izinto ezingabangela i-CPPS kanye ne-prostatitis engenazimpawu

Nazi ezinye zezici ezingathinta izinhlobo ezimbili ze-chronic pelvic pain syndrome (CPPS) noma i-asymptomatic inflammatory prostatitis:

Izifo ezizenzakalelayo . Lezi yizifo lapho amasosha omzimba wethu ehlasela khona amangqamuzana ethu.
Ukulimala kwemisipha yephansi le-pelvic.
Ukutheleleka noma ukuvuvukala kwemizwa endaweni ye-pelvic .
Ukucindezeleka okukhulu.

Into ebalulekile ukuthi lezi zinhlobo ezimbili azibangelwa amagciwane.

Izimbangela ze-prostatitis ezibangelwa amagciwane

Lezi zinhlobo ezimbili (i-acute kanye ne-chronic bacterial prostatitis) zibangelwa ukutheleleka ngamagciwane. Amabhaktheriya angangena ku-prostate nge-urethra yakho. Noma, kungenzeka futhi lapho umchamo wakho ugeleza emuva (okuthiwa i-vesicoureteral reflux ). Ezinye izici ezingaba nomthelela ku-bacterial prostatitis zifaka:

Ukutheleleka kwesinye noma amatshe esinyeni.
Izifo Ezithathelwana Ngocansi ( ama-STI ).
Ukusebenzisa i-catheter yomchamo ( ipayipi elikhipha umchamo esinyeni).
I-biopsy ye-prostate.
Amatshe e-prostate.
Ukugcinwa komchamo noma ukuvaleka kwendlela yomchamo.
Ukutheleleka okuvamile komgudu womchamo (UTIs).
Ukulimala endaweni yakho ye-pelvic .

Ubani osengozini enkulu yokuthola i-prostatitis?

Ezinye izinto ezibangela i-bacterial prostatitis zifaka:

Ukuba nezifo zomgudu womchamo ezivame ukwenzeka (UTIs) , noma usanda kuba nezifo zesinye.
Njengoba ngike ngaba ne -prostatitis .
Unesimo esingavamile emgudwini wakho womchamo .
Ukusebenzisa i-catheter .

Abantu abaye balimale kakhulu noma balimala endaweni ye-pelvic banamathuba amaningi okuthola i-chronic pelvic pain syndrome (CPPS). Futhi, labo abaneminyaka engaphezu kwengu-50 kanye nalabo abanezimo ezifana ne- benign prostatic hyperplasia (BPH) basengozini enkulu yokuthola zonke izinhlobo ze-prostatitis.

Ingabe i-prostatitis ingabangela ezinye izinkinga?

Abantu abane-acute bacterial prostatitis bangaba nesimo esibizwa ngokuthi i-sepsis . Lokhu ukutheleleka okusongela impilo, okunamandla okusakazeka emzimbeni wonke . Kudinga ukunakekelwa kwezokwelapha okusheshayo. Ezinye izinkinga zifaka:

Ukungasebenzi kahle kocansi.
Ukusabalala kokuvuvukala kwezinye izitho eduze kwendlala ye-prostate.

Izinto ezinjalo zingenzeka.

Ingabe i-prostatitis ingumdlavuza we-prostate?

Cha, i-prostatitis ayiyona umdlavuza . Ayikhulisi ingozi yokuba nomdlavuza wendlala.

Kodwa-ke, ukuvuvukala okubangelwa yi-prostatitis ngezinye izikhathi kungabangela amazinga akho egazi le-Prostate-Specific Antigen (PSA) akhuphuke - njengomdlavuza we-prostate. Ngakho-ke, kungase kudingeke ukuhlolwa okwengeziwe ukuze kutholakale imbangela eqondile yamazinga aphezulu e-PSA.

Udokotela uyixilonga kanjani i-prostatitis? (Ukuxilongwa)

Udokotela wakho uzobuza ngezimpawu zakho bese enza ukuhlolwa ngokomzimba. Ukuhlolwa okulula okusetshenziselwa ukuxilonga i-prostatitis yile:

Ukuhlolwa Kwe-Digital Rectal (DRE): Kulesi sivivinyo, udokotela wakho ufaka umunwe ogcotshwe ngegilavu e-rectum yakho (ngemvume yakho) ukuze azwe noma yikuphi ukuthamba noma ukuvuvukala kwe-prostate gland yakho. Phakathi nalesi sivivinyo, udokotela wakho angase futhi ahlikihle i-prostate yakho ngobumnene ukuze aqoqe isampula yesidoda.
Ukuhlolwa komchamo: Lokhu kuhlola amagciwane emchameni nasezifweni zomgudu womchamo (UTIs).
Ukuhlolwa kwegazi:Lokhu kulinganisa izinga le-PSA, iphrotheni ekhiqizwa yi-prostate gland. Uma izinga le-PSA liphezulu, kungenzeka ukuthi libangelwa yi-prostatitis, i-benign prostatic hyperplasia (BPH), noma umdlavuza we-prostate.

Kukhona nokuhlolwa okuyinkimbinkimbi kancane, okusho ukuthi kukhona okufakwe emzimbeni:

I-Cystoscopy: Lokhu kungahlola ezinye izinkinga emgudwini womchamo, kodwa akusetshenziselwa ukuxilonga i-prostatitis ngqo. Udokotela usebenzisa i-cystoscope (ithubhu elikhanyisiwe elingangepensela elinomfanekiso noma ilensi) ukuze abheke ngaphakathi kwesinye sakho kanye ne-urethra.
I-Ultrasound Eqondile: Lokhu kuhlolwa kungenziwa kubantu abane-prostatitis ebukhali yamagciwane noma i-prostatitis engamahlalakhona engaphenduli kuma-antibiotic. Kungabheka ukukhubazeka, amathumba, noma amatshe endlaleni ye-prostate.
Ukuhlolwa kwe-Urodynamic: Lokhu kuhlolwa kulinganisa izinto ezifana nokusebenza kwezinzwa nemisipha, ingcindezi ngaphakathi naseduze kwesinye, kanye nesilinganiso sokugeleza komchamo.

Iphathwa kanjani i-Prostatitis?

Ukwelashwa kwe-prostatitis kuyahlukahluka kuye ngembangela nohlobo. I-prostatitis evuvukalayo engabonakali ayidingi ukwelashwa.

Ukwelashwa kwe-CPPS - Indlela ye-UPOINT

Odokotela basebenzisa indlela ebizwa ngokuthi i-UPOINT ukwelapha abantu abane-chronic pelvic pain syndrome (CPPS). Ihlukanisa izimpawu zibe yizigaba eziyisithupha futhi isebenzisa izindlela zokwelapha eziningana ngesikhathi esisodwa ukwelapha izimpawu zakho kuphela. Kuthiwa cishe abantu abangu-80% abane-CPPS bangelapheka kusetshenziswa indlela ye-UPOINT. Le ndlela igxile kulezi zimpawu kanye nokwelashwa:

Umchamo: Imithi efana ne -Tamsulosin (Flomax®) kanye ne-Alfuzosin (Uroxatral®) ikhulula imisipha ezungeze i-prostate kanye nesinye, okwenza kube lula ukuthi umchamo ugeleze.
Ukuxhumana nabantu ngokwengqondo: Ukulawula ukucindezeleka kungasiza. Abanye abantu bayazuza ngokwelulekwa noma ngemithi yezimo ezinjengokukhathazeka , ukucindezeleka, kanye nokubhubhisa, okuvamile kubantu abanobuhlungu obungapheli.
Isitho: Izithasiselo ze -Quercetin kanye ne-bee pollen zingase zinikeze impumuzo ku-prostate evuvukele futhi ekhuphukile.
Ukutheleleka: Abanye odokotela basebenzisa ama-antibiotic njengengxenye yokwelapha i-CPPS.
I-Neurologic: I-Amitriptyline (Elavil®)Ama-painkiller afana ne -Gabapentin (Gralise®) kanye ne-phenytoin (Galise®) aqeda ubuhlungu obuhlobene nemizwa (ubuhlungu be-neurogenic). Lobuhlungu bungafaka phakathi i-fibromyalgia noma ubuhlungu obuvela emilenzeni, ezingalweni nasemhlane.
Ukuthamba: Ukwelashwa ngokomzimba kwe-pelvic floor kungafaka phakathi ukukhululwa kwe-myofascial (ukuhlikihla okuthambile ukuze kukhululeke imisipha eqinile ye-pelvic floor). Lokhu kwelashwa kunganciphisa noma kuqede ukuqaqamba kwemisipha.

Ukwelashwa kwe-prostatitis ebangelwa amagciwane

I-bacterial prostatitis ingelashwa ngama -antibiotic ukubulala amagciwane. Abantu abane-acute bacterial prostatitis bangadinga ukuthatha ama-antibiotic izinsuku ezingu-14 kuya kwezingu-30. Abanye abantu bangadinga futhi ukuthi ama-antibiotic anikezwe nge-intravenously (IV) esibhedlela. Uma kukhona ithumba ku-prostate, kungadingeka lisuswe ngokuhlinzwa, kodwa lokhu akuvamile. I-bacterial prostatitis engapheli inzima kakhulu ukwelapha. Iningi labantu lidinga ukuthatha ama-antibiotic amasonto amane kuya kwayishumi nambili. Uma lokhu kungasebenzi futhi izimpawu zibuya, udokotela wakho angancoma ukuthi uqhubeke nokuthatha ama-antibiotic anomthamo ophansi ukuvimbela ukutheleleka ukuthi kubuye.

Yini ongayenza ukuze ulawule izimpawu ze-prostatitis ekhaya?

Kufanele nakanjani ubone udokotela ngaphambi kokwelapha i-prostatitis ekhaya wedwa.

Noma kunjalo, udokotela wakho angase ancome ezinye izinto ongazenza ekhaya ukusiza ukulawula izimpawu zakho. Lokhu kufaka phakathi:

Phuza amanzi amaningi kanye noketshezi (gcina umzimba ungaphelelwa amanzi emzimbeni).
Ukusebenzisa imithi yobuhlungu (i-OTC - etholakala ekhemisi ngaphandle kwemithi kadokotela) njenge- ibuprofen ukunciphisa ukuvuvukala nokungakhululeki.
Gwema ukudla okubabayo, okune-asidi kanye neziphuzo, kanye neziphuzo eziqukethe i-caffeine kanye notshwala (lokhu kungenza umzimba uphelelwe amanzi).
Ukuze unciphise ubuhlungu , zama ukugeza ngamanzi afudumele (sitz baths) noma ubeke i-heating pad emhlane wakho ongezansi.
Ukwenza izivivinyo zeKegel noma ukuvivinya umzimba ukuze kusizwe imisipha yephansi le-pelvic.
Ukuhlala emcamelweni ofana nedonathi uma uzwa ubuhlungu.
Ukugwema imisebenzi eyandisa ubuhlungu bakho (isibonelo, ukugibela ibhayisikili).

Ingabe i-prostatitis izolulama ngokwayo?

Uma i-prostatitis ibangelwa ukutheleleka ngamagciwane, ngeke iziphelele yodwa. Kuzodingeka uthathe imithi yokuqeda ukutheleleka.Kodwa-ke, uma une-CPPS noma i-prostatitis engeyona eyamagciwane, ukuvuvukala nobuhlungu kungase kuphele ngaphandle kwemithi. Udokotela wakho uzokutshela ukuthi yini ongayilindela ngokusekelwe ezimpawini zakho.

Ingabe ukuphuza amanzi amaningi kulungele i-prostatitis?

Ukuphuza uketshezi oluningi kuzokusiza ukuthi uchame kaningi, okuzosiza ekukhipheni amagciwane emzimbeni wakho. Kodwa-ke, ungaphuzi nje amanzi amaningi esikhundleni sokufuna usizo lwezokwelapha. Udokotela wakho uzoncoma ukuthi kufanele uphuze uketshezi olungakanani usuku ngalunye uma une-prostatitis.

Yisiphi isiphuzo esingcono kakhulu se-prostatitis?

Ukuhlala unamanzi emzimbeni akugcini nje ngokuhle empilweni yakho ye-prostate, kodwa futhi nasempilweni yakho iyonke. Amanzi, itiye eliluhlaza, kanye neziphuzo ezingenayo i-caffeine kuyizinketho ezinhle zokuhlala unamanzi emzimbeni. Uma unemibuzo ethile mayelana nokuthi yini okufanele uyidle futhi uyiphuze ngemva kokuxilongwa kwe-prostatitis, kungcono ukubuza udokotela wakho.

Ingabe i-prostatitis ingavinjelwa?

Ukutheleleka komgudu womchamo (UTIs) kungelashwa ngokushesha ukuvimbela ukutheleleka ukuthi kungasabalali ku-prostate. Uma uhlanganyela ocansini, sebenzisa ikhondomu njalo uma uya ocansini. Ukwenza ucansi oluphephile kungasiza ekuvimbeleni i-prostatitis, ebangelwa izifo ezithathelwana ngocansi (STIs). Bona udokotela uma uzwa ubuhlungu endaweni ephakathi kwe-anus yakho ne-scrotum (perineum), noma uma ubona ushintsho endleleni ochama ngayo . Uma une-prostatitis, lokhu kungasiza ekuvimbeleni ukuthi ibe yimbi kakhulu.

Yini okufanele uyilindele uma une-prostatitis?

Nakuba lokhu kungabangela izimpawu ezingathandeki, izindaba ezinhle ukuthi i-prostatitis ivame ukwelapheka ngokwelashwa okufanele . Akuvamile ukuzwa ubuhlungu endunu nasezithweni zangasese, noma izinguquko endleleni ochama ngayo . Kufanele uhlale ufuna ukwelashwa kwalezi zimpawu. Amacala amaningi e-bacterial prostatitis angelapheka ngama-antibiotic. Nakuba kungaba nzima ukwelapha, abantu abaningi abane-CPPS bathola impumuzo ezimpawini zabo besebenzisa indlela ye-UPOINT. Uma ungatholi impumuzo ekwelashweni, sebenzisana nodokotela wakho kuze kube yilapho wenza kanjalo. Bazoqinisekisa ukuthi i-prostatitis yakho ayithinti ikhwalithi yempilo yakho.

Kufanele ngimbone nini udokotela?

Bona udokotela uma uhlangabezana nalezi zinto:

Uma kukhona igazi emchameni wakho noma esidoda .
Uma unenkinga yokuchama .
Ukuchama njaloUma kufanele, noma uma ngokuzumayo uba nesifiso esinamandla sokuchama .
Uma uzwa ubuhlungu lapho uchama .
Uma kukhona ubuhlungu ngesikhathi sokuphuma kocansi noma ngesikhathi socansi .

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungabuza udokotela wakho le mibuzo:

Uhlobo luni lwe-prostatitis enginalo?
Yikuphi ukwelashwa okungcono kakhulu kwalolu hlobo lwe-prostatitis?
Ziyini izingozi nemiphumela emibi yokwelashwa?
Ngingakuvimbela kanjani ukuthi i-prostatitis ingaphinde ivele?
Uhlobo luni lokunakekelwa okulandelayo engizodinga ngemva kokwelashwa?
Ingabe kufanele ngiqaphele izimpawu zezinkinga?

I-Prostatitis yisimo esivamile, ngezinye izikhathi esibuhlungu, esingathinta noma yimuphi umuntu wesilisa wanoma yimuphi ubudala. Ngeshwa, kunokudideka okukhulu ngalesi simo, njengoba singaba nezimbangela nezinhlobo eziningi. Akukho ukwelashwa "okulinganayo" kwe-prostatitis. Yingakho kubalulekile ukuthola ukuthi uhlobo luni onalo bese ulandela uhlelo lokwelashwa lukadokotela wakho.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, manje usuqonda kangcono lokho esikhulume ngakho namuhla, i-prostatitis. I-Prostatitis akuyona into okufanele uyesabe, kodwa ngokuqinisekile kuyinto okufanele uyikhathalele.

Khumbula, izinto ezifana nobuhlungu besisu esingezansi kanye nobunzima bokuchama akuvamile. Uma unezimpawu ezinjalo , ungesabi, futhi ubone udokotela ngokushesha. Ngokuthola ukuxilongwa okufanele kanye nokwelashwa, ungalawula lesi simo kahle. Ungesabi ukuxoxa ngezinkinga zakho nodokotela wakho. Impilo yakho ibaluleke kakhulu kuwe!