Uma unenkathazo yokuchama, uhlushwa ukugeleza kwamanzi okubuthakathaka noma okuphakathi, futhi ungumuntu oneminyaka engaphezu kwengu-50, ungaba ne-benign prostatic hyperplasia (BPH) noma i-prostate ekhulisiwe. Uma uhlangabezana nalezi zimpawu, yenza i-aphoyintimenti ne-urologist yakho.
Ukuvuthwa okujwayelekile kubalulekile ekusebenzeni komzimba okuvamile, futhi kuphela urologist uzokwazi ukuthola ukuthi kungani izinto zingasebenzi kahle.
Nakhu ukuhlaselwa okuzokwenzeka lapho uya ehhovisi likadokotela.
Ukwaziswa Okudingekayo Ukuthola I-Prostate Ekhulisiwe
Uma uya endaweni yakho yokuqokwa, ulethe ulwazi ngezibonakaliso zakho zamanje, kanye nerekhodi ebhaliwe ngezinkinga zakho zezokwelapha ezedlule.
Kumele futhi ulethe uhlu oluphelele lwazo zonke izidakamizwa nemithi eminingi ozithathayo ukuze ubone ukuthi zihlobene yini nezimpawu zakho. Imithi ethile ingaphazamisa ukuchama. Imithi yokwelapha ngokweqile, njengokungezwani komzimba kanye nemithi ye-decongestant, ingakuvimbela ukuthi ungadli. Ezinye izidakamizwa ezingenza izimpawu zakho zibe nzima kakhulu i-opioids ne-anticholinergics.
Ekugcineni, tshela udokotela wakho uma unomlando wokusetshenziswa kotshwala. Utshwala nalo lungaphazamisa ukuchama.
Izivivinyo ezingabhekana ne-BPH
Izivivinyo ezilandelayo ngezinye izikhathi zisetshenziselwa ukuhlola i-BPH, kodwa akuzona zonke ezidingekayo njalo. Isazi sakho se-urologist sizoxoxa nawe ukuthi iyiphi yalezi zingase zibe usizo kuwe.
- I-American Urological Association (AUA) BPH Symptom Index yinto elula engu-7, i-multiple question choice ebonisa ukuthi kangakanani izimpawu zakho zesifo se-prostate. Uzocelwa ukuba ulinganise ukuthi uvame kangakanani ukuba nezibonakaliso ezihlukahlukene, njengokungafani ngokugcwele isikhumba sakho, kungakhathaliseki ukuthi udinga ukuchama amahora angaphansi kwamahora amabili ngemuva kokuvuthwa, nokuthi ngabe uvame ukuvuka ebusuku ukuvota.
- Ukuhlolwa kwe-Urodynamic kusiza udokotela wakho ukuba abuthe imininingwane ecacile yokuthi uhamba kanjani, njengokugeleza nokuthi ugcina umchamo. Uma ukusakaza kwakho komchamo kungavamile, udokotela wakho kuzodingeka akhombe ukuthi unezizathu ezenzakalelayo ezichaza lokhu.
- I-Uroflowmetry iyalinganisa ukuthi i-empties yakho isheshe isheshe futhi iphelele kangakanani, futhi iyasiza ukuhlola ukuthi kukhona yini ukuvimbela. Nge-BPH, i-prostate yakho ingase iqhubekele ngamandla ku-urethra, okwenze kube nzima kuwe ukuba ube nomchamo oqhubekayo we-urine. Uzocelwa ukuthi ungene kudivayisi ekala umkhiqizo we-urine bese unquma isikhathi esikuthathayo ukuze uchama futhi izinga lokugeleza. Ukunciphisa izinga lokugeleza kungase kube uphawu lwe-BPH.
- Izifundo zokugeleza kwengcindezi zilinganisa ukucindezela esiqandisini ngenkathi uchama. Lokhu kuhlolwa kubhekwa njengenye yezindlela ezinembile kakhulu yokunquma ukuthi unokuvinjelwa kwamagino. Isigungu sakho se-urologist sizofaka i-catheter ku-urethra yakho e-penis bese ingena kwesinye.
- Ukutadisha umchamo we-Post-void residual (PVR) wokuhlola umchamo kuthatha ukuthi umchamo ushiywe kanjani esikhwameni sakho ngemuva kokuchama. Ngokuvamile, uma lesi silinganiso siphakathi kwama-milliliters angu-100 kuya kwangu-200 noma ngaphezulu, kusikisela ukuthi unokuvinjelwa kwamanzi. Noma kunjalo, lokhu kuhlolwa kungabangela inkinga. Uma ukhathazekile, ngeke ukwazi ukuvota njengoba uvame ukukwenza, futhi ukuhlolwa kungase kungabi neqiniso.
Ukulawula I-Cancer Prostate
Uma unezimpawu ze-BPH, udokotela wakho angase avivinye umdlavuza we-prostate. Ukuhlolwa kokuqala kubalulekile ngoba ukuhlola okuphelele kuphela okuzocaca ukuthi unayo yini i-BPH, isimo esibucayi, noma ngabe unomdlavuza we-prostate, okungcono kakhulu ukuthi uhlolwe ekuqaleni. Ukuhlolwa okubalulekile kokuthola umdlavuza we-prostate kufaka ukuhlolwa kwe-digital rectal (DRE) nokuhlolwa kwe-prostate-specific antigen (PSA).
- Ukuhlolwa kwama-rectal (DRE) : Phakathi nalesi sivivinyo, udokotela wakho we-urologist uzozizwa nge-prostate yakho. Ukuhlolwa kubonisa ukuthi i-prostate yakho yinkimbinkimbi noma ayizinzile, zombili zazo ezingaba izibonakaliso zomdlavuza, noma ezithambile, okungekho amathuba okukhombisa umdlavuza. Isazi sakho se-urologist sizofaka umunwe ogqamile ogqwetshiwe ku-rectum yakho. Uma udokotela wakho ezwa noma yini engase ikhombise umdlavuza wesibeletho, kungase kudingeke ukuba ube nokuhlolwa okwengeziwe ukuze uthole ukuxilongwa okunembile.
- Ukuhlolwa kwe-Prostate-Specific Antigen (PSA) : Ukuhlolwa kwegazi kulinganisa amaprotheni akhiqizwa ngamaseli we-prostate gland. Kuhlale kwenziwa futhi kuhlolwe ngokubambisana ne-DRE.
Kubalulekile ukuqaphela ukuthi ukufunda okuphakeme kwe-PSA kuphela akusho ukuthi unomdlavuza. I-PSA ephakeme ingaba isibonakaliso semibandela eminingi, kuhlanganise ne-BPH, noma i-prostatitis, ukuvuvukala kwe-prostate. Abukho ubufakazi bokuthi i-prostatitis ne-BPH ibangela umdlavuza, kodwa kungenzeka ukuba indoda ibe neyodwa noma zombili lezi zimo futhi ithuthukise umdlavuza wesi-prostate.
Izivivinyo ezengeziwe zokuqaphela i-BPH
Isazi sakho se-urologist kungenzeka ukuthi ube nokuhlolwa okungeziwe ngaphandle kwalezo ezibalwe ngenhla, ikakhulukazi uma izinkinga zakho zingase zihlobene nomdlavuza wesifo sofuba , umdlavuza wesisu, noma uthinta izinso zakho.
Uma Uxilongwa Nge-BPH
Ukuhlanganiswa, lezi zivivinyo zizosiza udokotela wakho ukuba anqume ukuthi unayo i-BPH futhi uma wenza kanjalo, ukuthi kunzima kangakanani. Uma une-BPH, udokotela wakho kufanele akunike ulwazi ngolwazi lokuthi kungakhathaliseki ukuthi ukuqapha izimpawu zakho kuyindlela enengqondo, noma ngabe ukwelashwa kuyindlela engcono.
Imithombo:
I-Benign Prostatic Hyperplasia: Isiqondiso Somguli. I-American Urological Association.
Izinkinga ze-Prostate. I-National Institute of Aging.