Prostara girman prostate

Prostate wata gland ce da ke samar da wani ruwa wanda ke dauke da maniyyi yayin inzali. Glandan prostate suna kewaye mafitsara, bututun da fitsari ke bi ta jiki.

Anara girman prostate yana nufin gland ya girma. Enara girman ƙwai yana faruwa ga kusan dukkan maza yayin da suka tsufa.

Enara girma prostate galibi ana kiransa hyperplasia mai saurin haɗari (BPH). Ba cutar kansa ba ce, kuma ba ta ɗaukaka haɗarin ku na cutar sankarar prostate ba.

Ba a san ainihin abin da ya sa fadada prostate din ba. Abubuwan da ke da alaƙa da tsufa da canje-canje a cikin ƙwayoyin ƙwayoyin cuta na iya samun rawa a cikin haɓakar gland, da kuma matakan testosterone. Maza maza da aka cire ƙwarjinsu tun suna ƙuruciya (alal misali, sakamakon cutar kansa) ba sa kamuwa da cutar BPH.

Hakanan, idan aka cire kwayar halittar bayan da namiji ya kamu da BPH, to prostate din yakan fara raguwa da girma. Koyaya, wannan ba ingantaccen magani bane don faɗaɗa prostate.

Wasu bayanai game da fadada prostate:

• Yiwuwar yiwuwar haɓaka ƙwarjin prostate yana ƙaruwa da shekaru.
• BPH ya zama ruwan dare gama gari cewa an faɗi cewa duk maza za su sami haɓakar prostate idan sun daɗe sosai.
• Amountananan adadin fadada prostate yana cikin maza da yawa sama da shekaru 40. Fiye da 90% na maza sama da shekaru 80 suna da yanayin.
• Babu wasu abubuwan haɗari da aka gano, banda ciwon ƙwayoyin cuta na yau da kullun.

Kasa da rabin duk maza masu cutar BPH suna da alamun cutar. Kwayar cutar na iya haɗawa da:

• Dribbling a karshen yin fitsari
• Rashin iya urinate (riƙe fitsari)
• Rashin cika fitsarinku mara kyau
• Rashin nutsuwa
• Ana bukatar yin fitsari sau 2 ko sama da haka a kowane dare
• Jin zafi tare da fitsari ko fitsarin jini (waɗannan na iya nuna kamuwa da cuta)
• Sannu a hankali ko jinkirta farawar fitsarin
• Takaita don yin fitsari
• Urgearfi da kwatsam don yin fitsari
• Raunin fitsari mara rauni

Mai ba ku kiwon lafiya zai yi tambayoyi game da tarihin lafiyar ku. Hakanan za a yi gwajin dubura na dubura don jin glandar prostate. Sauran gwaje-gwaje na iya haɗawa da:

• Yawan fitsari
• Gwajin fitsari da ya rage bayan-wofi don ganin yawan fitsarin da ya rage a cikin fitsarin bayan bayan fitsarin
• Karatuttukan-matsa lamba don auna matsa lamba a cikin mafitsara yayin da kuke fitsari
• Fitsari don bincika jini ko kamuwa da cuta
• Al'adar fitsari don bincika kamuwa da cuta
• Gwajin takamaiman antigen (PSA) gwajin jini don binciko kansar prostate
• Cystoscopy
• Jinin urea nitrogen (BUN) da gwajin creatinine

Ana iya tambayarka ku cika fom don kimanta yadda mummunan alamunku suke da kuma yadda suke shafar rayuwar ku ta yau da kullun. Mai ba da sabis ɗinku na iya amfani da wannan maki don yin hukunci idan yanayinku yana daɗa muni a kan lokaci.

Maganin da kuka zaba zai dogara ne akan yadda cututtukanku suke da kyau da kuma yadda suke damun ku. Mai ba ku sabis zai kuma yi la'akari da wasu matsalolin kiwon lafiyar da kuke da su.

Zaɓuɓɓukan jiyya sun haɗa da "jira mai kyau," canje-canje na rayuwa, magunguna, ko tiyata.

Idan ka wuce shekaru 60, akwai yiwuwar ka kamu da cutar. Amma da yawa daga cikin maza da ke da karuwancin prostate suna da ƙananan alamun alamun. Matakan kulawa da kai kan isa sau da yawa don sa ku ji daɗi.

Idan kuna da BPH, yakamata ku riƙa yin gwaji kowace shekara don kula da alamunku kuma ku duba ko kuna buƙatar canje-canje a magani.

KULAWA DA KAI

Don m bayyanar cututtuka:

• Fitsari a lokacin da abin ya fara damunka. Har ila yau, je gidan wanka a kan wani jadawalin lokaci, koda kuwa ba ka jin bukatar yin fitsari.
• Guji shan barasa da maganin kafeyin, musamman bayan cin abincin dare.
• KADA KA sha ruwa mai yawa a lokaci guda. Yada ruwa a rana. Guji shan ruwa a cikin awanni 2 na bacci.
• Gwada KADA a sha kan-kan-kandi magunguna da sinus wadanda suke dauke da kayan maye ko kuma maganin antihistamines. Wadannan kwayoyi na iya kara alamun BPH.
• Kasance dumi da motsa jiki a koda yaushe. Yanayin sanyi da rashin motsa jiki na iya kara haifar da bayyanar cututtuka.
• Rage damuwa. Tashin hankali da tashin hankali na iya haifar da yawan fitsari.

MAGUNGUNA

Masu toshewar Alpha-1 nau'ikan magunguna ne wadanda suma ake amfani dasu don magance cutar hawan jini. Wadannan magunguna suna shakatawa tsokoki na wuyan mafitsara da prostate. Wannan yana bada damar yin fitsari cikin sauki. Yawancin mutane da ke ɗaukar masu toshe alpha-1 suna lura da ci gaba a cikin alamun su, yawanci a tsakanin kwanaki 3 zuwa 7 bayan fara magani.

Finasteride da dutasteride ƙananan matakan hormones da aka samar ta prostate. Wadannan kwayoyi kuma suna rage girman gland, suna kara yawan fitsarin, kuma suna rage alamun BPH. Wataƙila kuna buƙatar shan waɗannan magunguna na tsawon watanni 3 zuwa 6 kafin ku lura da alamun bayyanar da ke samun sauƙi. Abubuwan da ke iya illa sun haɗa da raguwar motsawar jima'i da rashin ƙarfi.

Ana iya ba da maganin rigakafi don magance cututtukan ƙwayar cuta na yau da kullum (kumburi na prostate), wanda na iya faruwa tare da BPH. Kwayar cutar BPH ta inganta a cikin wasu maza bayan kwaskwarima na rigakafi.

Yi hankali da kwayoyi waɗanda zasu iya sa alamunku su daɗa muni:

SAW PALMETTO

Yawancin ganye an gwada don magance haɓakar prostate. Yawancin maza suna amfani da dabino don sauƙaƙe bayyanar cututtuka. Wasu nazarin sun nuna cewa zai iya taimakawa tare da bayyanar cututtuka, amma sakamakon yana hade, kuma ana buƙatar ƙarin bincike. Idan kayi amfani da dabino kuma kayi tunanin yana aiki, tambayi likitanka idan har yanzu zaka ci gaba.

Tiyata

Ana iya bada shawarar yin aikin tiyata idan kuna:

• Rashin nutsuwa
• Maimaita jini a cikin fitsari
• Rashin iya cika zubar da fitsari (riƙewar fitsari)
• Maimaita cututtukan urinary
• Rage aikin koda
• Duwatsu masu mafitsara
• Kwayar cututtukan jiki ba ta amsa magunguna

Zaɓin abin da aka ba da shawarar yin aikin tiyata galibi ya dogara ne da tsananin alamun alamunku da girman surar glandon ku. Yawancin maza waɗanda ke yin aikin tiyata suna da ci gaba a cikin saurin fitsari da alamomi.

Ragewar juzu'i na prostate (TURP): Wannan shine mafi yawanci kuma mafi tabbatar da magani na tiyata don BPH. TURP ana yin ta ta hanyar saka yanki ta cikin azzakari da cire guntun feshin ta hanyar yanki.

Ananan prostatectomy: Hanya ce don cire ɓangaren cikin gland na prostate. Ana yin sa ta hanyar yankewar tiyata a cikin cikin ka na ciki. Wannan magani galibi ana yin sa ne akan maza waɗanda suke da manya-manyan ƙwayoyin cuta.

Sauran hanyoyin da basu da saurin mamayewa suna amfani da zafi ko laser don lalata ƙwayar prostate. Wata hanya mara saurin mamayewa tana aiki ta hanyar "tofar da" prostate a bude ba tare da cire ko lalata kayan kyallen takarda ba. Babu wanda aka tabbatar ya fi TURP kyau. Mutanen da suka karɓi waɗannan hanyoyin suna iya buƙatar sake tiyata bayan shekaru 5 ko 10. Koyaya, waɗannan hanyoyin na iya zama zaɓi don:

• Menananan samari (yawancin hanyoyin da ba su da haɗari suna ɗauke da haɗarin rashin ƙarfi da rashin kwanciyar hankali fiye da TURP, kodayake haɗarin TURP ba shi da yawa)
• Tsoffin mutane
• Mutanen da ke da mummunan yanayin lafiya, gami da ciwon sukari da ba shi da iko, cirrhosis, shaye-shaye, hauka, da huhu mai tsanani, koda, ko cututtukan zuciya
• Mazaje masu shan magungunan rage jini
• Maza waɗanda ke cikin haɗarin haɗarin tiyata

Wasu maza na iya samun taimako don shiga cikin ƙungiyar tallafi ta BPH.

Maza maza da ke da cutar BPH na dogon lokaci tare da saurin bayyanar cututtuka na iya ci gaba:

• Kwatsam rashin yin fitsari
• Cututtukan fitsari
• Duwatsu na fitsari
• Lalacewa ga koda
• Jini a cikin fitsari

BPH na iya dawowa kan lokaci, koda bayan tiyata.

Kira mai ba da sabis kai tsaye idan kana da:

• Kadan fitsari kamar yadda aka saba
• Zazzabi ko sanyi
• Baya, gefe, ko ciwon ciki
• Jini ko fitsari a cikin fitsarinku

Hakanan kira idan:

• Maziyyarka ba ta jin komai fanko bayan ka yi fitsari.
• Kuna shan magunguna wadanda zasu iya haifar da matsalolin fitsari, kamar su diuretics, antihistamines, antidepressants, ko sedatives. KADA KA daina ko canza magungunan ka ba tare da yin magana da mai baka ba.
• Kun gwada matakan kula da kai har tsawon watanni 2 kuma alamomin basu inganta ba.

BPH; Cutar hyperplasia mai rauni (hypertrophy); Prostate - ya faɗaɗa

• Prostara girman prostate - abin da za a tambayi likitanka
• Rushewar ƙwayar ƙwayar ƙwayar cuta - ƙananan haɗari - fitarwa
• Ragewar juzu'i na prostate - fitarwa

• Jikin haihuwa na namiji
• BPH
• Tsarin transurethral na prostate (TURP) - Jerin

Andersson KE, Wein AJ. Gudanar da magani na ƙananan ƙwayoyin fitsari da ɓarnar fanko. A cikin: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: babi na 79.

Tallafa HE, Dahm P, Kohler TS, Lerner LB, et al. Gudanar da tiyata na ƙananan cututtukan urinary wanda aka danganta da hyperplasia mai saurin rauni: Kwaskwarimar Jagorar AUA 2019. J Urol. 2019; 202 (3): 592-598. PMID: 31059668 www.ncbi.nlm.nih.gov/pubmed/31059668.

McNicholas TA, Speakman MJ, Kirby RS. Kimantawa da rashin kulawa na rashin ciwon hawan jini. A cikin: Wein AJ, Kavoussi LR, Partin AW, Peters CA eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: babi na 104.

Cibiyar Nazarin Ciwon Suga ta Duniya da Cutar Kula da Lafiya da Koda. Enara ƙwanƙwasa (hyperplasia mara kyau) www.niddk.nih.gov/health-information/urologic-diseases/prostate-problems/prostate-enlargement-benign-prostatic-hyperplasia. An sabunta Satumba 2014. An shiga Agusta 7, 2019.

Sandhu JS, Breyer B, Comiter C, et al. Rashin kwanciyar hankali bayan maganin prostate: JAGORA na AUA / SUFU. J Urol. 2019; 202 (2): 369-378. PMID: 31059663 www.ncbi.nlm.nih.gov/pubmed/31059663.

Terrone C, Billia M. Magungunan kiwon lafiya na maganin LUTS / BPH: haɗin haɗin gwiwa. A cikin: Morgia G, ed. Ananan cututtukan cututtukan fitsari da Hyperplasia mara kyau. Cambridge, MA: Elsevier Makarantar Ilimin; 2018: babi na 11.