Prostate hoʻonui

ʻO ka prostate kahi gland e hana i kekahi o ka wai e lawe i ka sperm i ka wā ejaculation. Hoʻopuni ke gland prostate i ka urethra, ka paipu e puka ai ka mimi mai ke kino.

ʻO ka prostate hoʻonui ʻia ʻo ia ka ulu nui ʻana o ka gland. Loaʻa ka hoʻonui ʻana o ka Prostate i nā kāne āpau i ko lākou ʻelemakule ʻana.

Kāhea ʻia kahi prostate hoʻonui nui ʻia benpl prostatic hyperplasia (BPH). ʻAʻole ia he maʻi ʻaʻai, a ʻaʻole ia e hāpai i kou makaʻu no ka maʻi ʻaʻai prostate.

ʻAʻole ʻike ʻia ke kumu maoli o ka hoʻonui ʻana i ka prostate. Hiki i nā mea i hoʻopili ʻia i ka ʻelemakule a me nā loli i nā hunaola o nā testicle ke kuleana i ka ulu ʻana o ka gland, a me nā pae testosterone. ʻO nā kāne i wehe ʻia i kā lākou testicle i ka wā ʻōpio (e laʻa me ka hopena o ka maʻi ʻaʻai testicular) ʻaʻole hoʻomohala iā BPH.

Eia kekahi, inā hemo ka testicle ma hope o ka hoʻomohala ʻana o kahi kāne i ka BPH, hoʻomaka ka prostate e emi i ka nui. Eia naʻe, ʻaʻole kēia kahi lapaʻau maʻamau no ka prostate hoʻonui ʻia.

ʻO kekahi mau ʻike e pili ana i ka hoʻonui ʻana i ka prostate:

• Hoʻonui ka likelihood o ka hoʻomohala ʻana i kahi prostate hoʻonui ʻia me ka makahiki.
• He mea maʻamau ka BPH i ʻōlelo ʻia e loaʻa i nā kāne āpau ka prostate hoʻonui ʻia inā ola lōʻihi lākou.
• Aia kahi liʻiliʻi o ka hoʻonui ʻana i ka prostate ma nā kāne he nui ma mua o 40 mau makahiki. Ma mua o 90% o nā kāne ma mua o 80 mau makahiki i loaʻa i kēia ʻano.
• ʻAʻole ʻike ʻia nā kumu pilikia, ʻē aʻe ma mua o ka loaʻa ʻana o nā testicle.

Ma mua o ka hapalua o nā kāne āpau me ka BPH i loaʻa nā ʻōuli o ka maʻi. Pākuʻi ʻia paha nā ʻōuli:

• Dribbling ma ka hopena o ka mimi
• Ka hiki ʻole ke mimi (ka mimi paʻa)
• Hoʻopau piha ʻole i kou ʻōpū
• Hoʻomau ʻole
• Pono i ka mimi he 2 a ʻoi paha nā manawa i kēlā me kēia pō
• Pain me urination a me ke koko mimi (kēia mau paha kuhikuhi maʻiʻaʻai)
• Hoʻomoe a lohi paha ka hoʻomaka ʻana o ke kahawai urinary
• Hoʻopili i ka mimi
• Ikaika me ka wikiwiki e koi aku i ka mimi
• Kahawai mimi nāwaliwali

E nīnau ana kāu mea mālama ola i nā nīnau e pili ana i kāu mōʻaukala. E hana pū ʻia kahi hoʻokolohua hoʻohaʻahaʻa kikoho e ʻike i ka gland prostate. Hiki i nā hoʻokolohua ʻē aʻe ke:

• Ka helu kahe o ka mimi
• ʻO ka hoʻāʻo urine koena hope ʻole e ʻike ai i ka nui o ka mimi i koe i loko o kāu pēpē ma hope o kou mimiki ʻana
• ʻO nā haʻawina kaomi kaomi e ana i ka kaomi i loko o ka puhū i kou mimi ʻana
• ʻO Urinalysis e nānā i ke koko a i ʻole ka maʻi
• ʻO ka moʻomeheu mimi e nānā i ka maʻi
• ʻO ka antigen kikoʻī Prostate-kikoʻī (PSA) e hōʻoia ai i ka maʻi ʻaʻai prostate
• Cystoscopy
• ʻO ka nitrogen urea koko (BUN) a me nā hoʻokolohua creatinine

E noi ʻia paha ʻoe e hoʻopihapiha i kahi palapala e helu i ka maikaʻi ʻole o kāu mau hōʻailona a pehea ka hopena i kou ola i kēlā me kēia lā. Hiki i kāu mea hāʻawi ke hoʻohana i kēia helu e hoʻokolokolo ai inā e hōʻeha ana kāu ʻano i ka holo ʻana o ka manawa.

ʻO ke ʻano āu e koho ai ma muli o ka maikaʻi ʻole o kāu mau hōʻailona a me ka nui o ka hoʻopilikia ʻana iā ʻoe. E noʻonoʻo pū kāu mea hāʻawi i nā pilikia olakino ʻē aʻe āu.

ʻO nā koho lapaʻau me "ke kali kiaʻi," nā loli nohona, nā lāʻau, a i ʻole ke ʻoki kino.

Inā ʻoi aku ʻoe ma luna o 60, hiki ke loaʻa iā ʻoe nā ʻōuli. Akā ʻo nā kāne he nui me ka prostate hoʻonui ʻia he mau ʻōuli liʻiliʻi wale nō. Lawa pinepine nā papa hana mālama pono iā ʻoe iho e hoʻomaikaʻi ai.

Inā loaʻa iā ʻoe ka BPH, pono ʻoe i kahi hōʻike makahiki e nānā i kāu mau hōʻailona a ʻike inā pono ʻoe i nā loli i ka mālama ʻana.

MALAMA KOKE

No nā ʻōuli akahai:

• Urihi ke kiʻi mua ʻoe i ka makemake. Eia kekahi, e hele i ka lua i ka lua i ka manawa kau, ʻoiai inā ʻaʻole ʻoe e pono e mimi.
• Hōʻalo i ka waiʻona a me ka caffeine, keu hoʻi ma hope o kaʻaina
• MAI inu nui i ka wai i ka manawa hoʻokahi. E hohola i nā wai i ke ao. Hōʻalo i ka inu ʻana i nā wai i loko o 2 mau hola o ka hiamoe.
• E hoʻāʻo i ka lawe ʻole i nā lāʻau anuanu a me nā sinus i loaʻa nā decongestants a i ʻole nā ​​antihistamines. Hiki i kēia mau lāʻau ke hoʻonui i nā hōʻailona BPH.
• E mālama i ka mehana a me ka hoʻoikaika kino mau. ʻO ke ani anuanu a me ka nele o ka hoʻoikaika kino e hōʻeha paha i nā ʻōuli.
• E hōʻemi i ke koʻikoʻi. Hiki ke hoʻoweliweli a me ka hoʻopilikia i ka urination pinepine.

NA LAAU LAPAAU

ʻO ka papaʻa Alpha-1 kahi papa o nā lāʻau i hoʻohana ʻia e mālama i ke kahe kiʻekiʻe. Hoʻomaha kēia mau lāʻau i nā mākala o ka ʻāʻī bladder a me ka prostate. ʻAe kēia i ka urination maʻalahi. ʻO ka hapa nui o ka poʻe e lawe i nā alpha-1 blockers e ʻike i ka hoʻomaikaʻi ʻana i kā lākou mau hōʻailona, ​​ma waena o 3 a 7 mau lā ma hope o ka hoʻomaka ʻana o ka lāʻau.

ʻO Finasteride a me dutasteride haʻahaʻa pae o nā hormoni i hana ʻia e ka prostate. Hoʻoemi kēia mau lāʻau i ka nui o ke gland, hoʻonui i ke kahe o ka mimi, a hoʻemi i nā hōʻailona o ka BPH. Pono ʻoe e lawe i kēia mau lāʻau no 3 a 6 mau mahina ma mua o kou ʻike ʻana i nā ʻōuli e hoʻomaikaʻi ana. Hiki i nā hopena ʻē aʻe ke hōʻemi i ka hoʻokuke wahine a me ka impotence.

Hiki ke kauoha ʻia nā lāʻau antibiotic e mālama i ka prostatitis mau (ka palahu o ka prostate), i hiki ke hana ʻia me BPH. Hoʻonui ka maikaʻi o nā ʻōuli o ka BPH i kekahi mau kāne ma hope o ka papa antibiotic.

E makaʻala i nā lāʻau e hōʻino ai i kāu mau ʻōuli.

Saw PALMETTO

Ua hoʻāʻo ʻia nā mea kanu he nui no ka mālama ʻana i kahi prostate hoʻonui ʻia. Hoʻohana nā kāne he nui i ka ʻike palmetto e hōʻoluʻolu i nā ʻōuli. Ua hōʻike ʻia kekahi mau noiʻi e kōkua paha ia me nā ʻōuli, akā ua huikau nā hopena, a ʻoi aku ka nui o ka noiʻi. Inā ʻoe e hoʻohana i ka palmetto saw a manaʻo e holo, e nīnau i kāu kauka inā pono ʻoe e lawe.

NA MEA HANA

Paipai ʻia ke kahakaha Prostate inā loaʻa iā ʻoe:

• Hoʻomau ʻole
• Ke koko hou i ka mimi
• Ka hiki ʻole ke hoʻopau piha i ka pākeke (ka mālama mimi)
• Nā maʻi maʻi urinary hou
• Ke hoʻemi nei i ka hana o ka hakuʻala
• Pōhaku Bladder
• ʻO nā hōʻailona Bothersome e pane ʻole ana i nā lāʻau

ʻO ke koho a nā ʻōnaehana ʻoki e koi pinepine ʻia ai i ke koʻikoʻi o kāu mau ʻōuli a me ka nui a me ke ʻano o kāu gland prostate. ʻO ka hapa nui o nā kāne i loaʻa i ke kāpili prostate i ka hoʻomaikaʻi ʻana i nā helu kahe o ka mimi a me nā hōʻailona.

ʻO ka transurethral resection o ka prostate (TURP): ʻO kēia ka lāʻau lapaʻau maʻamau a hōʻoia ʻia loa no ka BPH. Hana ʻia ʻo TURP e ka hoʻokomo ʻana i kahi ākea ma o ka peni a hoʻoneʻe i ka ʻāpana prostate ma kēlā ʻāpana.

ʻO ka prostatectomy maʻalahi: He hana ia e wehe i ka ʻaoʻao i loko o ka gland prostate. Hana ʻia ia ma o kahi ʻoki ʻoki ʻana i kou ʻōpū o lalo. Hana pinepine pinepine ʻia kēia hana i nā kāne i loaʻa nā gland prostate nui loa.

Hoʻohana nā kaʻina hana hoʻemi ʻemi ʻē aʻe i ka wela a i ʻole ka laser e hōʻino ai i kaʻiʻo prostate. Hana ʻia kahi hana ʻē aʻe liʻiliʻi e ka "ʻoki" ʻana i ka prostate me ka wehe ʻole a hoʻopau ʻana paha i nā mea. ʻAʻohe mea i hōʻike ʻia ʻoi aku ka maikaʻi ma mua o TURP. ʻO ka poʻe i loaʻa kēia mau kaʻina hana e pono hou ana i ka ʻoki ʻana ma hope o 5 a 10 mau makahiki paha. Eia nō naʻe, he koho paha kēia mau kaʻina hana no:

• ʻO nā kāne ʻōpio (ʻo ka hapa nui o nā kaʻina hana hoʻoliʻiliʻi e lawe i kahi makaʻu haʻahaʻa no ka impotence a me ka incontinence ma mua o TURP, ʻoiai ʻaʻole kiʻekiʻe loa ka pilikia me TURP)
• Kanaka makua
• ʻO nā kānaka me nā kūlana olakino koʻikoʻi, e like me ka maʻi kō ʻole i kāohi ʻia, ka cirrhosis, ka wai ʻona, psychosis, a me nā māmā nui, nā konā, a me nā maʻi puʻuwai
• ʻO nā kāne e inu nei i nā lāʻau hoʻoliʻiliʻi koko
• ʻO nā kāne i kahi ʻē aʻe i ka nui o ka makaʻu o ka lāʻau

Hiki paha i kekahi mau kāne ke kōkua i ke komo ʻana i kahi hui kākoʻo BPH.

ʻO nā kāne i loaʻa ka BPH no ka manawa lōʻihi me nā ʻōuli hōʻino hōʻino e ulu paha:

• Hiki ʻole ke mimi koke
• Nā maʻi maʻi urinary
• Pōhaku mimi
• Poino i nā puʻupaʻa
• Koko i ka mimi

Hiki paha i ka BPH ke hoʻi i ka manawa, ʻoiai ma hope o ke kaʻi ʻana.

Kāhea koke i kāu mea hāʻawi inā loaʻa iā ʻoe:

• ʻOi aku ka mīmī ma mua o ka maʻamau
• Fiva a i ʻole haʻalulu
• Paʻi kua, ʻaoʻao, a ʻeha ʻōpū paha
• Koko a i ʻole pā i loko o kou mimi

Kāhea pū inā:

• ʻAʻole manaʻo iki kāu pēpē ma hope o kou mimiki ʻana.
• Lawe ʻoe i nā lāʻau e kumu ai i nā pilikia urinary, e like me diuretics, antihistamines, antidepressants, a i ʻole sedatives. Mai kū a hoʻololi paha i kāu mau lāʻau me ke kamaʻilio ʻole ʻana me kāu mea hāʻawi.
• Ua hoʻāʻo ʻoe i nā kaʻina hana pilikino no 2 mau mahina a ʻaʻole i hoʻomaikaʻi ʻia nā ʻōuli.

BPH; ʻO Benpl prostatic hyperplasia (hypertrophy); Prostate - hoʻonui ʻia

• Hoʻonui prostate - he aha e nīnau aku ai i kāu kauka
• ʻO ka Prostate resection - minimally invasive - hoʻokuʻu
• Transurethral resection o ka prostate - hoʻokuʻu

• Anatomia hānau kāne
• BPH
• ʻO ka transurethral resection o ka prostate (TURP) - Series

Andersson KE, Wein AJ. Ka mālama ʻana i ka lāʻau Pharmacologic o ka waiho ʻana o ka urinary tract pūnaewele a me ka hoʻopau ʻana i ka holomua. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 79.

Hanai HE, Dahm P, Kohler TS, Lerner LB, et al. Hoʻokele ʻoki lāʻau o nā ʻōuli urinary haʻahaʻa i pili i ka hyperplasia prostatic maikaʻi: AUA Alakaʻi Hoʻololi 2019. J Urol. 2019; ; 202 (3): 592-598. PMID: 31059668 www.ncbi.nlm.nih.gov/pubmed/31059668.

McNicholas TA, Speakman MJ, Kirby RS. ʻO ka loiloi a me ka hoʻokele nonsurgical o hyperplasia prostatic maikaʻi. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 104.

Pūnaewele Institute of Diabetes a me Digestive a me nā maʻi maʻi puʻuwai. Hoʻonui ka Prostate (hyperplasia prostatic maikaʻi). www.niddk.nih.gov/health-information/urologic-diseases/prostate-problems/prostate-enlargement-benign-prostatic-hyperplasia. Hoʻohou ʻia Kepakemapa 2014. Loaʻa iā ʻAukake 7, 2019.

Sandhu JS, Breyer B, Comiter C, et al. Hoʻomaha ʻole ma hope o ka mālama ʻana i ka prostate: AUA / SUFU Kuhi. J Urol. 2019; 202 (2): 369-378. PMID: 31059663 www.ncbi.nlm.nih.gov/pubmed/31059663.

ʻO Terrone C, Billia M. Nā ʻano olakino o ka mālama ʻana iā LUTS / BPH: nā hoʻoponopono hoʻohui pū. I: Morgia G, ed. Nā Hōʻailona Urinary Tract Low a me Benign Prostatic Hyperplasia. Cambridge, MA: Elsevier Academic Press; 2018: chap 11.