Ukuba unenkathazo yokucima, uxhatshazwa ngumbuthaka obuthakathaka okanye ophakathi kwamanzi, kwaye ungumuntu oneminyaka engama-50 ubudala, unokuba ne-prostatic hyperplasia (BPH) okanye i-prostate eyandisiweyo. Ukuba ufumana ezi zimpawu, yenza i-aphoyintimenti kunye ne-urologist yakho.
Ukuqoqa ngokuqhelekileyo kubalulekile ekusebenzeni komzimba ngokuqhelekileyo, kwaye i-urologist kuphela iya kukwazi ukubona ukuba kutheni izinto zingasebenzi kakuhle.
Nantsi ukuhlaselwa kwezinto ekumele uzilindele xa uya kwiofisi yegqirha.
Iinkcukacha ezifunekayo ukuze zichonge iprostate ephakanyisiweyo
Xa uya kwixesha eliqeshwe ngalo, faka ulwazi malunga neempawu zakho zangoku, kwakunye nerekhodi ebhaliweyo yeengxaki zakho zonyango ezidlulileyo.
Kufuneka uncede uvelise uluhlu olupheleleyo lwazo zonke izigulana kunye namayeza angaphezulu kwamayeza owathathayo ukuze ubone ukuba zihambelana neempawu zakho. Ezinye iziyobisi zingaphazamisa ukuchama. Amachiza angaphezulu kwe-counter-counter, njengama-allergies kunye namayeza angama-decongestant, angakukhusela ukuba ujikeleze. Ezinye iziyobisi ezingenza iimpawu zakho zibe nzima kakhulu i-opioids kunye ne-anticholinergics.
Ekugqibeleni, xelela ugqirha ukuba unembali yokusetyenziswa kotywala. Utywala lunokuphazamisa ukuchama.
Iimvavanyo ezinokuthi zifumane i-BPH
Ngamanye amaxesha ukuhlolwa kwezi zilandelayo kusetshenziselwa ukuxilonga i-BPH, kodwa akuzona zonke ezifunekayo. I-urologist yakho iya kuxubusha nawe ukuba zeziphi ezi zinto zinokukunceda kwimeko yakho.
- I-American Urological Association (AUA) I-BPH Symptom Index yinto elula ye-7, into ekhethekileyo yokukhetha imibuzo ebonakalisa indlela ezinzima ngayo iimpawu ze-prostate. Uyacelwa ukuba ulinganise ukuba kaninzi kangakanani unayo iimpawu ezahlukeneyo, njengokungagcini ngokupheleleyo i-bladder yakho, nokuba ufuna ukuchukumisa ngaphantsi kweeyure ezimbini emva kokuba ugqityiwe, kwaye nokuba uhlala uvuka ebusuku ukuvota.
- Uvavanyo lwe-Urodynamic lunceda ugqirha wakho uqokelele ulwazi oluthe ngqo malunga nendlela uhamba ngayo, njengokuba uhamba kunye nokuba ugcina umchamo. Ukuba umjelo wakho womchamo awuqhelekanga, ugqirha wakho uya kufuna ukuba unobungqina bokuthi unayo izizathu zesatomical ezichazayo oku.
- I-Uroflowmetry iyayilinganisela indlela ngokukhawuleza kwaye ngokugcwele ngayo isisu sakho, kwaye sinceda ekuphononongeni ukuba kukho nayiphi na ingxaki. Nge-BPH, iprotate yakho inokuthi iqhube ngamandla kwi-urethra, eyenza kube nzima ukuba ube nomlambo oqhubekayo. Uya kucelwa ukuba ungene kwidivaysi eyenza umlinganiselo we-urine kwaye uqikelele ixesha elikuthathayo ukuba uhanjise kunye nezinga lokuhamba. Ukunyuka kwezinga lokunyuka kungabonakalisa iBPH.
- Izifundo zokuhamba kweengcinezelo zilinganisa uxinzelelo kwi-bladder ngelixa uchama. Olu vavanyo luqwalaselwa njengenye yeendlela ezichanekileyo zokumisela ukuba unokuvinjelwa kwamanzi. I-urologist yakho iya kufaka i-catheter kwi-urethra yakho kwi-penis ibe kwisitya.
- I- post-void residual (PVR) i-urine study study measures how much urine is left in your cloth after you urinate. Ngokuqhelekileyo, ukuba le milinganiselo iphakathi kwe-100 ukuya kuma-millilitha okanye ngaphezulu, ibonisa ukuba unokuvinjelwa kwamanzi. Nangona kunjalo, lo vavanyo lunokuba yingxaki. Ukuba uxhalabile, unako ukukwazi ukuchukumisa njengoko uqhele ukwenza, kwaye uvavanyo aluvumelekanga.
Ukulawula I-Cancer Cancer
Ukuba unempawu ze-BPH, ugqirha wakho unokuvavanya umhlaza wesibeletho. Ukubaluleka kokuqala kubalulekile kuba uvavanyo olunzulu luya kuqinisekisa ukuba unayo i-BPH, imeko enobungozi, nokuba unomdlavuza wesifo seprotate, okufanelekileyo ukuba uhlolisise kwangaphambili. Iimvavanyo ezibalulekileyo zokufumana umhlaza wesibeletho zibandakanya uvavanyo lwe-digital rectal (DRE) kunye novavanyo lwe-prostate-specific antigen (PSA).
- Ukuhlolwa kwemibhalane ye-Digital (DRE) : Ngethuba lo vavanyo, i-urologist yakho iya kuziva iprotrate yakho. Uvavanyo lubonisa ukuba iprotrate yakho inzima okanye ayimfuneko, zombini leyo ingaba yimpawu zomhlaza, okanye ithambileyo, engabonakali kakhulu ukuba ibonise umdlavuza. Urologist wakho uza kufaka umunwe ogcotyiweyo kwi-rectum yakho. Ukuba ugqirha wakho uvakalelwa nantoni na engayichaza umdlavuza weprotate, unokufuna ukufumana iimvavanyo ezingaphezulu ukuze wenze uvavanyo oluchanekileyo.
- Uvavanyo lwe-Prostate-Specific Antigen (PSA) : Olu vavanyo lwegazi lwenziwa kwiprotheyini eveliswa yiiseli ze-prostate gland. Ihlala iyenziwa kwaye ihlolwe ngokubambisana ne-DRE.
Kubalulekile ukuqaphela ukuba ukufunda okuphezulu ePSA akuthethi ukuba unomdlavuza. I-PSA ephakamileyo ingaba ngumqondiso weemeko ezininzi, kuquka i-BPH, okanye i-prostatitis, ukuvuvukala kwe-prostate. Akukho bungqina bokuba i-prostatitis ne-BPH ibangela umdlavuza, kodwa kunokwenzeka ukuba umntu abe neyodwa okanye zombini kwezi meko aze aphuhlise umdlavuza weprotate.
Uvavanyo olongezelelweyo lokuSonga i-BPH
I-urologist yakho inokuthi ufumane iimvavanyo ezongezelelweyo ngaphandle kwezo zidweliswe ngasentla, ingakumbi ukuba iingxaki zakho zidibene nomdlavuza wesibeletho , umhlaza wesisu, okanye zichaphazela izintso zakho.
Ukuba Ufumanisa I-BPH
Ukuthatyathwa ndawonye, le mvavanyo iya kunceda ugqirha wakho ukuba aqinisekise ukuba unayo i-BPH kwaye ukuba uyayenza njani, indlela enzima ngayo. Ukuba unayo i-BPH, ugqirha wakho kufuneka akunike iinkcukacha malunga nokuba ukhangelele iimpawu zakho kukukhetha okufanelekileyo, nokuba ngaba unyango luyindlela engcono.
Imithombo:
UBenign Prostatic Hyperplasia: Isikhokelo seMonde. Umbutho waseUnited States.
Iingxaki zeprostate. Isizwe seSizwe sokuguga.