Imithi Evunyelwe ye-Benign Prostatic Hyperplasia
I-prostate ekhulisiwe, eyaziwa ngokuthi i-benign prostatic hyperplasia (BPH) ithinta ikakhulukazi amadoda angaphezu kuka-50. Nakuba lesi simo singabhekwa njengokusongela ukuphila, kungabangela izinkinga ukuchama. Imithi iyatholakala ukuphatha uhla lwe-BPH, uma lidingeka, elinganciphisa ukuvuvukala ngisho nokuguqula ukukhuliswa kwamacala amaningi.
Ukwazi Isikhathi Esifanele Ukuqala
Yize kungase kubonakale kunengqondo ukuphatha uma kutholakala ukuxilongwa, ubufakazi bubonisa ukuthi kungenzeka ukuthi akudingekile.
Ngokusho kwamaNational Institutes of Diabetes, i-Digestive, ne-Kidney Disorders (NIDDKD), abaningi besilisa abathathu abane-BHP bazobona izimpawu zabo zixazulula ngaphandle kokwelashwa noma yini. Ngenxa yalokho, ochwepheshe abaningi bazokukhuthaza ukuba uthathe indlela yokulinda nokubona futhi ungasheshi ukwelashwa.
Ukwelashwa kuvame ukuqala lapho izimpawu zesifo se-prostate ziphumela ekuphumeni kwe-urinary noma ukutheleleka okuvuthiwe noma okuphindaphindiwe kokugoma. Kungase futhi kuqalwe lapho umvuthwandaba wokuvuthwa kanye / noma ukuphazamiseka ngokomzimba kwesandulela ngculazi kungathinteka kakhulu ekuphileni kwansuku zonke.
Kunezinhlobo eziningana zezidakamizwa ezinendlela ezahlukene zezenzo ezingasetshenziswa ukuphatha noma ukunciphisa izimpawu ze-BPH:
I-Alpha Blockers
I-Alpha blockers isebenza ngokuphumula imisipha ye-prostate kanye nentamo yesinye. Ngenkathi ama-blockers e-alpha asebenza ngamaphesenti angaba ngu-75 amacala, ngokuvamile ahlinzeka ngokukhululeka okuncane futhi, njengalokhu, ngokuvamile avunyelwe amadoda anezimpawu ezinzima.
I-US Food and Drug Administration (i-FDA) yase-United States ivume izivimbela eziyisithupha ze-alpha emakethe yase-US:
- I-Cardura (doxazosin)
- I-Flomax (i-tamsulosin)
- I-Hytrin (i-terazosin)
- Rapaflo (i-silodosin)
- I-minipress (prazosin)
- Uroxatral (alfuzosin)
Uma unqunywe i-blocker ye-alpha, lindela ukuhlolwa phakathi kwamasonto ambalwa okuqala ukuhlola imiphumela emibi kanye nezimpawu zokuthuthukisa.
Iningi labesilisa abane-BPH eliphansi lizoqala ukuzwa imiphumela emihle phakathi kwezinsuku ezimbili kuya kwezinsuku ezimbili.
Imiphumela emibi evamile ingafaka phakathi ikhanda, isizungu, isisu esithukuthele, ukukhathala, ukucinana kwesono, nokucindezela kwegazi okuphansi. Ukungasebenzi kahle kwe-Erectile nokungabi namandla nakho kungenzeka.
I-Enzyme Inhibitors ye-5-Alpha Reductase
I-5-alpha reductase enzyme inhibitors isebenza ngokunciphisa i-prostate gland futhi iphumelela kakhulu emadodeni agcina i-prostate. Nakuba kungathatha isikhathi sokuba izidakamizwa zisebenze ngokugcwele (kusukela ezinyangeni ezintathu kuya kweziyisithupha ngokulinganisa), zingasiza ngokuvamile amadoda ukuba agweme isidingo sokuhlinzwa .
Ama-inhibitors amabili e-5-alpha reductase ahlukene avunyelwe yi-FDA:
- I-Proscar noma i-Propecia (i-finasteride)
- I-Avodart (i-dutasteride)
Imiphumela emibi ingabandakanya i-libido ephansi, ukungabi namandla, nokukhiqizwa kwe-semen enciphise. (I-Proscar nePropecia nayo isetshenziselwa ukuphatha imidwebo yamaphethini wesilisa .)
Ukwelashwa Kwezidakamizwa Zokuhlanganiswa
Abakhethiweyo abakhulu bezokwelapha ukuhlanganiswa kukhona amadoda ane-prostate eyandisiwe namazinga aphezulu e-PSA . I-blocker ye-alpha ehlangene ne-5-alpha-reductase inhibitor inikeza inzuzo ngokuphumula i-prostate gland ngenkathi kancane kancane ukunciphisa usayizi wayo.
Ucwaningo olunzulu oluqhutshwa ngo-2006 lubonise ukuthi ukwelashwa okuhlangene kwaholela ekunciphiseni ngamaphesenti angama-66 empawu ze-BPH uma kuqhathaniswa namaphesenti angu-34 nge-alpha-blocker namaphesenti angu-39 nge-inhibitor engu-5-alpha-reductase yedwa.
I-downside kuphela ingase ibe ukuthi ukwelashwa okuhlanganisiwe kudlulisela umsebenzisi emibikweni emibili yezidakamizwa. Ukubonisana ngokucophelela nomchwepheshe oqeqeshiwe kunconywa ukuba uhlole izinzuzo nemiphumela yokwelapha.
Ukushisa Okushisayo (Hyperthermia)
Ukwelapha okushisa (hyperthermia) yindlela yokwelashwa okwelashwa okuvame ukusetshenziselwa ukugwema ukuhlinzwa. Le nqubo ihilela ukungena kwedivaysi encane, eguquguqukayo e-urethra ukuletha ukushisa ngqo kwi-prostate gland. Ingasebenzisa ubuchwepheshe be-microwave, laser, noma i-electro-vaporization futhi iboniswe ukuthi i-74.9% ephumelelayo ekunciphiseni i-gland ekhulisiwe.
Njengenqubo engavamile, i-hyperthermia kufanele isetshenziswe kuphela emadodeni lapho izidakamizwa zokwelashwa ezihlulekile. I-anesthesia yendawo isetshenziselwa futhi ilulame ngokuvamile ithatha izinsuku ezimbalwa.
Ukwelapha okushisa ekhaya kungenziwa njengesivumelwano semithi. Lokhu kungenziwa ngokusebenzisa i-pad yokushisa noma ibhodlela elishisayo ngqo endaweni ukuze ukwandise ukugeleza kwegazi nokunciphisa ubuhlungu nokuvuvukala.
Alternative Therapies
Ukusetshenziswa kweminye imithi yokwelapha ye-prostate sekuye kwadume kakhulu emhlabeni jikelele. I-extract plant esetshenzisiwe kunazo zonke yile- saw palmetto (i- Serenoa repens ).
Ngenkathi isifundo se-1996 esivela eMnyangweni Wezilwane Zase-United States sichaza ukuthi i-palmetto yayinempumelelo njengoba i-finasteride ekunciphiseni ubukhulu be-prostate ekhulisiwe, isifundo se-2006 eshicilelwe eNew England Journal of Medicine ngokuqondile siphikisana nokuthola lokho.
> Imithombo
- > Bent, S .; Kane, C .; Shinohara, K .; et al. "Wabona i-Palmetto ye-Benign Prostatic Hyperplasia." I-New England Journal of Medicine. 2006; 354-557-566.
- > Presti, J .; Kane, C .; Shinohara, k .; noCarroll, uP. "Isahluko 22: Ama-Neoplasms we-prostate gland." Ku: Tanagho no-McAninch, ama-eds. U-Smith noTanagho's General Urology edition 18. ENew York: McGraw-Hill; 2012.