Hoʻonui prostate - ma hope o ka mālama
Ua haʻi aku kāu mea mālama ola iā ʻoe he nui kāu gland prostate. Eia kekahi mau mea e ʻike e pili ana i kāu kūlana.
ʻO ka prostate kahi gland e hana i ka wai e halihali i ka sperm i ka wā o ka ejaculation. Hoʻopuni ia i ka paipu e puka ai ka mimi mai ke kino (ka urethra).
ʻO ka prostate hoʻonui ʻia ʻo ia ka ulu nui ʻana o ka gland. Ke ulu nei ke gland, hiki iā ia ke ālai i ka urethra a hana i nā pilikia, e like me:
- ʻAʻole hiki ke hoʻopau piha i kāu ʻōpū
- Pono e mimi i ʻelua a ʻoi mau manawa i kēlā me kēia pō
- Hoʻomoe a lohi paha ka hoʻomaka ʻana o ke kahawai urinary a dribbling i ka hopena
- Ke kau nei i ka mimiki a nāwaliwali ke kahawai mimi
- Ikaika me ka wikiwiki e koi aku i ka mimiki a i ʻole ka nalo ʻana o ka kaʻi mimi
Hiki i nā hoʻololi aʻe ke kōkua iā ʻoe e kaohi i nā ʻōuli:
- 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 makemake 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 ka lā. Hōʻalo i ka inu ʻana i nā wai i loko o 2 mau hola o ka hiamoe.
- 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.
Loaʻa paha i kāu kauka olakino iā ʻoe e lawe i kahi lāʻau i kapa ʻia alpha-1- blocker. ʻIke ka hapa nui o ka poʻe i kēia mau lāʻau kōkua i kā lākou hōʻailona. ʻOi aku ka maikaʻi o nā ʻōuli ma hope koke o ka hoʻomaka ʻana i ka lāʻau. Pono ʻoe e ʻai i kēia lāʻau i kēlā me kēia lā. Nui nā lāʻau i kēia papa, e like me terazosin (Hytrin), doxazosin (Cardura), tamsulosin (Flomax), alfusozin (Uroxatrol), a me silodosin (Rapaflo).
- ʻO nā hopena ʻē aʻe e pili pū me ka ihu ihu, ʻeha poʻo, ʻālohilohi ke kū ʻoe i luna, a nāwaliwali hoʻi. Hoʻomaopopo paha ʻoe i ka semen liʻiliʻi ke lele aʻe ʻoe. ʻAʻole kēia he pilikia olakino akā makemake ʻole kekahi mau kāne i ke ʻano o kona manaʻo.
- E noi i kāu mea hāʻawi ma mua o ka lawe ʻana i sildenafil (Viagra), vardenafil (Levitra), a me tadalafil (Cialis) me nā alpha-1- blockers no ka mea hiki i kekahi manawa ke launa pū.
Hiki ke kuhikuhi ʻia nā lāʻau ʻē aʻe e like me finasteride a i ʻole dutasteride. Kōkua kēia mau lāʻau i ka hoʻoliʻiliʻi o ka prostate ma kahi o ka manawa a kōkua me nā ʻōuli.
- Pono ʻoe e lawe i kēia mau lāʻau i kēlā me kēia lā no 3 a 6 mau mahina ma mua o ka hoʻomaikaʻi ʻana o kāu mau ʻōuli.
- ʻO nā hopena ʻē aʻe e pili ana me ka liʻiliʻi o ka hoihoi i ka moekolohe a me ka liʻiliʻi o ka semen ke ʻoe ejaculate.
E makaʻala i nā lāʻau e hōʻino ai i kāu mau ʻōuli.
- E hoʻāʻo i ka lawe ʻole i nā lāʻau anuanu a me nā sinus i loaʻa nā decongestants a i ʻole nā antihistamines.Hiki iā lākou ke hōʻeha i kāu mau ʻōuli.
- Makemake paha nā kāne e inu nei i nā wai a i ʻole nā diuretics e kamaʻilio me kā lākou mea hāʻawi e pili ana i ka hōʻemi ʻana i nā mea hana a i ʻole ka hoʻololi ʻana i kekahi ʻano lāʻau.
- ʻO nā lāʻau ʻē aʻe e hōʻino paha i nā ʻōuli kekahi antidepressants a me nā lāʻau i hoʻohana ʻia e mālama i ka spasticity.
Ua hoʻāʻo ʻia nā mea kanu a me nā mea hoʻopihapiha he nui no ka mālama ʻana i kahi prostate hoʻonui ʻia.
- Ua hoʻohana ʻia ʻo Saw palmetto e miliona o nā kāne e hōʻoluʻolu i nā hōʻailona BPH. ʻAʻole maopopo inā maikaʻi kēia lāʻau i ka hoʻokuʻu ʻana i nā hōʻailona a me nā ʻōuli o ka BPH.
- E kamaʻilio me kāu mea hoʻolako e pili ana i nā mea kanu a me nā mea hoʻopihapiha āu e lawe nei.
- ʻO ka manawa pinepine, ʻaʻole pono nā mea hana i nā lāʻau lapaʻau a me nā mea hoʻopihapihaʻai pono e ʻae ʻia mai ka FDA e kūʻai aku i kā lākou huahana.
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 hiki ai i nā pilikia urinary. Hoʻopili paha kēia i nā diuretics, antihistamines, antidepressants, a i ʻole nā mea hoʻohiamoe. Mai kū a hoʻololi paha i kāu mau lāʻau me ka ʻole e kamaʻilio mua me kāu kauka.
- Ua hoʻāʻo ʻoe i nā kaʻina mālama pono pilikino a ʻaʻole maikaʻi maikaʻi kāu mau ʻōuli.
BPH - mālama pono iā ʻoe iho; Benign prostatic hypertrophy - mālama pono iā ia iho; ʻO Benpl prostatic hyperplasia - mālama pono iā ʻoe iho
- BPH
Aronson JK. ʻO Finasteride. I: Aronson JK, hoʻoponopono. Nā hopena a Meyler o nā lāʻau. 16th ed. Waltham, MA: Elsevier; 2016: 314-320.
Kaplan SA. ʻO Benpl prostatic hyperplasia a me prostatitis. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 120.
McVary KT, Roehrborn CG, Avins AL, et al. Hoʻohou i ke alakaʻi AUA e pili ana i ka mālama ʻana i ka hyperplasia prostatic benign. J Urol. 2011; 185 (5): 1793-1803. PMID: 21420124 www.ncbi.nlm.nih.gov/pubmed/21420124.
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.
Samarinas M, Gravas S. ʻO ka pilina ma waena o ka palaho a me LUTS / BPH. I: Morgia G, ed. Nā Hōʻailona Urinary Tract Low a me Benign Prostatic Hyperplasia. Cambridge, MA: Elsevier Academic Press; 2018: chap 3.
- ʻO Prostate hoʻonui ʻia (BPH)