Ukunyangwa kweengxaki ze-Urinary kwi-Sexual Dysfunction
Kukho izidakamizwa ezininzi ezisetyenziswa kwi- urology , i-specialty yezokwelapha ejongene nezifo zesigxina samadoda kunye nesisigxina somchamo kunye nesistim sokuzala. Amachiza angaphulwa yindlela yokusebenza kunye nomsebenzi wezinto eziphilayo ezijolise kuzo.
Iiklasi eziqhelekileyo eziqhelekileyo zezidakamizwa kwi-urology ziquka:
- I-block blockers esebenzayo ngokuzikhupha izihlunu kwintamo yebladder ukuphucula ukuhamba kwamanzi
- I-5-alpha inhibitors ezivimbela ukuveliswa kwehomoni ethile yesintu ehambelana ne-prostate
- I-Anticholinergics eyancitshitshisa iincwadana ze- bladder kunye nokwandisa amandla omzimba wabantu abanesisindo esingaphezulu
Iziyobisi zingasetyenziselwa ngokwazo okanye ngoxilongo oluhlangeneyo. Ezinye iinkampani zonyango ziye zadala izidakamizwa ezimbini ngeyodwa njengeDuodart edibanisa i-blocker ye-alpha kunye ne-alpha-alpha inhibitor.
Alpha Blockers
I-Alpha blockers, ebizwa ngokuba yi-alpha-adrenergic antagonistists, isetyenziselwa urolo ukuphatha ukwanda kwe-prostate gland (engaziwa ngumhlaza wesifo) (obizwa ngokuba yi- benign prostatic hyperplasia, okanye i-BPH ). Bakwenza oko ngokukhusela ihomoni ye-norepinephrin ekunqumeni imiqobo ethile elula kunye nemithambo yegazi. Ngokwenza njalo, isilwanyana sinokuphucula ukuhamba kwamanzi kumadoda amadala aneengxaki zeprotate.
I-blockers e-Alpha njengamanje ivunyiwe ukunyangwa kwe-BPH iquka:
- I-Cardura okanye iKhadira XL (doxazosin)
- Flomax (tamsulosin)
- Hydrin (terazosin)
- Uroxatral (alfuzosin)
Ezinye i-blockers ze-alpha zifumaneka kwiifom zokwenza okufutshane kunye nexesha elide. Iziyobisi ezincinane zisebenza ngokukhawuleza, kodwa iziphumo zabo ziphela nje iiyure ezimbalwa. Iinguqulelo ezenzileyo zingaphatha ixesha elide ukuba zisebenze, kodwa iziphumo zazo zihlala zide. Ukhetho lokuqulunqwa luxhomekeka kakhulu kwi-BPH.
Ukuthetha ngokubanzi, i-block blockers ingabangela ukuxakeka, isisu, i-postural hypotension (uxinzelelo oluphantsi lwegazi xa ume), okanye ukubuyiswa kwe-ejaculation (imeko apho idiza ifakwe kwi-bladder).
5-Alpha Inhibitors
I-5-alpha inhibitors, eyaziwayo njenge-5-alpha reductase inhibitors, isebenza ngokuthintela ukuguqulwa kwe testosterone kwi-dihydrotestosterone, i-hormone ehambelana ne-BPH kunye ne-baldness yamadoda. I-5-alpha inhibitors inqunywe ukunyanga okungapheli kwe-BPH kwaye inokuthatha inyanga ukuya ezintandathu ngaphambi kokuba imiphumo ivezwe ngokupheleleyo.
I-5-alpha inhibitors njengamanje ivunyiwe ukunyangwa kwe-BPH yile:
- Avodart (dutasteride)
- Propecia okanye iPscar (i-low-and-high-dose-finasteride dose) ngokulandelanayo)
Njengomgangatho weziyobisi, i-5-alpha inhibitors ingabangela ukulahleka kwe-libido, ukungabi namandla, okanye ukubuyiswa kwakhona kwe-ejaculation.
Anticholinergics
Umsebenzi weziyobisi we-Anticholinergic uvimbela isenzo se-chemical neurotransmitter, esibizwa ngokuthi yi-acetylcholine, esithumelayo imiqondiso engqondweni eyenza ukuhlukana okungaqhelekiyo kwe-bladder. Ngokwenza njalo, isilwanyana sinokunciphisa iimpawu zesifo esingenakunyakalala apho abantu bacinga ukuba kufuneka bakhuphe nangona i-vestile ingagcwele.
Phakathi kwe-anticholinergics okwangoku ivunyiwe ukuba unyango lwe-bladder engasebenzi kakhulu:
- Detrol (tolterodine)
- Inablex (darifenacin)
- I-Oxytrol okanye i-Ditropan XL (i-oxybutynin)
- I-Regurin neSanctura (trospium chloride)
- Toviaz (fesoterodine)
- I-Vesicare (solifenacin)
I-Anticholinergics inokubangela umlomo owomileyo, ukuzithemba, umboniso ongeyonto, kunye nentliziyo ephuthumayo (tachycardia).
Ezinye iziyobisi ezisebenzisiweyo kwi-Urology
Njengeengcali ezibandakanya zombini umzila wokuzala, i-urologists ithembele kwi-armory yemithi yokunyanga iimeko ezifana nokufana nomhlaza wesifo seprotate , izifo zogcino (uritis), i-UTIs), i- erectile i-dysfunction (ED) , i-hypogonadism (umgangatho ophantsi we-testosterone) , kunye nesifo se-Peyronie (imeko ebonakaliswe ngophakamiso, olubuhlungu).
Ukufumana i-urologist efanelekileyo ekufuphi kuwe, qhagamshelana nenkampani yakho yomshuwalense ukuba uluhlu lwababoneleli abavunyiweyo okanye ubuze ugqirha wakho wokunakekela ugqirha. Ungaqwalasela iziqinisekiso ze-urologist kunye nesitifiketi ngokusebenzisa iBhodi yaseMerika yezoNyango zezoNyango (ABMS) kunye neewebhusayithi ezahlukeneyo zokuphonononga ugqirha .
> Umthombo:
> Hanno, P .; Guzzo, T; Malkowicz, P. et al. (2014) I- Penn Clinic Manual of Urology: I-Expert Online (Okwesibini Ed.) Philadelphia, Pennsylvania: Saunders. I-ISBN-13: 978-1455753.