Amachiza avumelekileyo kwi-Benign Prostatic Hyperplasia
I-prostate eyandisiweyo, eyaziwa ngokuba yi-benign prostatic hyperplasia (BPH) ibangela kakhulu amadoda angaphezu kwe-50. Nangona imeko ingabonwa njengosongelo lobomi, ingabangela iingxaki zokuqubha. Amachiza afumaneka ukunyanga i-BPH, xa kufuneka, oku kunokunciphisa ukuvuvukala nokuze kwandiswe ukulungiswa kwiimeko ezininzi.
Ukwazi ixesha elifanelekileyo lokuqala
Nangona kubonakala kunengqondo ukunyanga kwi-diagnostic, ubungqina obuninzi bubonisa ukuba akunakufuneka.
Ngokutsho kweZizwe zeSizwe zeSwekile, i-Digestive, ne-Disney Disorders (i-NIDDKD), ininzi kwindoda emithathu ene-BHP iya kubona iimpawu zabo zixazulula ngaphandle kwanaluphi na unyango. Ngaloo ndlela, ezininzi iingcali ziyakukukhuthaza ukuba uthathe indlela yokulinda nokujonga kwaye ungakhanjethi unyango.
Unyango luqala ngokuqala xa iimpawu ze-prostate zandiswe kubangelwa i-urinary tract bleeding or serious or infringement infections. Ikwaqala kwakhona xa ixesha lokugungqa kunye / okanye ukuphazamiseka ngokomzimba kwindlovu yokukhulisa inempembelelo engathintekiyo kwimpilo yemihla ngemihla.
Kukho iintlobo ezininzi zezilwanyana ngeendlela ezahlukeneyo zokusetyenziswa ezingasetyenziswa ukuphatha okanye ukunciphisa iimpawu ze-BPH:
Alpha Blockers
I-Alpha blockers isebenza ngokuphucula izihlunu zeprotate kunye nentamo ye-bladder. Nangona i-block blockers isebenza ngokumalunga nama-75 ekhulwini amatyala, ngokuqhelekileyo ukubonelela ngokukhawuleza kwaye, ngoko kunjalo, zihlala zigcinwe kubantu abaneempawu ezinzima.
I-US Food Management and Drug Administration (i-FDA) ivume iimpawu zentengiso ye-alpha kwi-market ye-US:
- I-Cardura (doxazosin)
- Flomax (tamsulosin)
- Hytrin (terazosin)
- Rapaflo (silodosin)
- I-minipress (prazosin)
- Uroxatral (alfuzosin)
Ukuba unqunywe i-blocker ye-alpha, lindela ukubekwa iliso kwiiveki ezimbalwa zokuqala ukujonga imiphumo emibi kunye nempawu zokuphucula.
Ininzi yamadoda ane-BPH elula iya kuqala ukuva iimiphumo emihle kwisithuba esinye ukuya kweentsuku ezimbini.
Iziphumo eziqhelekileyo ezichaphazelekayo zingabandakanya intloko, isisu, isisu sisisindo, ukhathala, ukuxinana kwe-sinus kunye nokunyanzeliswa kwegazi. I-Erectile disys function and impotence iyakwenzeka.
5-Alpha Reductase Inzyme Inhibitors
I-5-alpha yokunciphisa i-enzyme inhibitors isebenza ngokunciphisa i-prostate gland kwaye iphumelele kakhulu kwindoda ene-prostate yanda kakhulu. Nangona kungathatha ixesha lokuba iziyobisi zithathe igalelo elipheleleyo (ukususela kwiinyanga ezintathu ukuya ezintandathu ngokulinganayo), banokukunceda amadoda ukuba agweme imfuneko yokuhlinzwa .
Ezimbini ezahlukeneyo-alpha reductase inhibitors zivunyiwe yi-FDA:
- Proscar okanye Propecia (i-finasteride)
- Avodart (dutasteride)
Imiphumo emibi ingabandakanya i-libido ephantsi, ukungabi namandla, kunye nokunciphisa ukuveliswa kwembewu. (I-Proscar kunye nePropecia nazo zisetyenziswe ngokubanzi ekuphatheni imodeli yamadoda .)
Ulwaphulo lweMithi
Abagqwesileyo abagqwesileyo kwipilisi yokudibanisa ngamadoda anesicathulo esandisiweyo kunye namazinga aphezulu ePSA . I-blocker ye-alpha kunye ne-5-alpha-reductase inhibitor inikeza inzuzo ngokuziphucula i-prostate gland ngeli gama ngokunciphisa ubukhulu bayo.
Uphononongo olwenziwe ngo-2006 lwabonisa ukuba unyango oluhlanganisiweyo lubangele ukunciphisa ama-66 kweempawu zeBPH xa kuthelekiswa nama-34 ekhulwini kunye ne-alpha-blocker kunye ne-39 ekhulwini nge-5-alpha-reductase inhibitor yodwa.
Umgca wecala nje kuphela ukuba ulwalamano oludibeneyo lubonisa ukuba umsebenzisi abe nemiphumo emibi kwizibini zombini. Ukuthintana ngokucokisekileyo kunye neengcali eziqeqeshelwayo kucetyiswa ukuba zilinganise izibonelelo kunye nemiphumo yonyango.
Utyando lweHuat (Hyperthermia)
Ukunyanga okunyanga (hyperthermia) yonyango lwangaphantsi kwesinye ixesha elisetyenziswa ukukhusela ukuhlinzwa. Inkqubo ibandakanya ukufakwa kwesixhobo esincinci, esitshintshileyo kwi-urethra ukuhambisa ubushushu ngqo kwi-prostate gland. Ingasebenzisa i-microwave, i-laser, okanye iteknoloji ye-electro-vaporization kwaye iboniswe ukuba i-74.9 yeepesenti esebenzayo ekunciphiseni i-gland eyandisiweyo.
Njengeenkqubo ezingenayo ininzi, i-hyperthermia kufuneka isetyenziswe kuphela kwindoda apho izidakamizwa zonyango ziye zahluleka. I-anesthesia yendawo isetyenziselwa kwaye ukubuyiswa kuthatha iintsuku ezimbalwa.
Ulwaphulo lwe-heat-based based based home that can be done as an adjection to therapy. Oku kunokwenziwa ngokusebenzisa i-pad yokufudumala okanye ibhotile yamanzi ashushu ngqo kuloo ndawo ukunyusa ukuhamba kwegazi nokunciphisa intlungu nokuvuvukala.
Zonyango
Ukusetyenziswa kwezinye iindlela zokwelapha ze-prostate impilo kuye kwaziwa kakhulu emhlabeni jikelele. I-extract plant esetyenzisiweyo kakhulu yile ye- saw palmetto (i- Serenoa repens ).
Nangona uphando luka-1996 oluvela kwiSebe laseMelika leMfuyo yeMfuyo licebise ukuba i-palmetto yayinempumelelo njenge-finasteride ekunciphiseni ubungakanani be-prostate eyandisiweyo, uphando olwenziwa ngo-2006 olupapashwe kwi-New England Journal of Medicine ngokuchanekileyo luphikisana neziphumo.
> Imithombo
- > Bent, S .; Kane, C; Shinohara, K .; okqhubekayo. "Yabona iPalmetto yeBenign Prostatic Hyperplasia." I-New England Journal of Medicine. 2006; 354-557-566.
- > Presti, J .; Kane, C; Shinohara, k .; kunye noCarroll, P. "Isahluko 22: Iipopoplasms of prostate gland." Ku: Tanagho kunye noMcAninch, ii-eds. I- 18 ye- Urology ye- 18 ye- Urology General . ENew York: i-McGraw-Hill; 2012.