Nā Hana Lapaʻau Kuʻuna no ka Prostate Hoʻonui

Anter

• Nā koho lapaʻau BPH
• Pākuʻi Alpha no BPH
• 5-alpha reductase nā mea kūpale no BPH
• Lāʻau lapaʻau combo
• Kū i ka wela
• Lapaʻau TUNA
• Ke kiʻi nei i ka wai wela
• Nā koho ʻoki kino
• ʻOki kino kukuna
• E wehe i ka prostatectomy maʻalahi
• Kōkua ka mālama ʻana iā ʻoe iho

ʻIke iā BPH

Inā makemake nā huakaʻi i ka lumi hoʻomaha i nā kuʻi hikiwawe a i ʻole kahakaha ʻia e ka paʻakikī urination, e hoʻonui ʻia kāu prostate. ʻAʻole ʻoe hoʻokahi - ua kuhi ka Urology Care Foundation he 50 pākēneka o nā kāne i ko lākou 50s i hoʻonui i ka prostate. ʻO ka prostate ka gland e hana i ka wai e lawe i ka sperm. Ulu nui aʻe me ka makahiki. ʻO kahi prostate hoʻonui ʻia, a i ʻole hyperplasia prostatic benign (BPH), hiki ke pale i ka urethra mai ka lawe ʻana i ka mimi mai ka pūpū a i waho o ka peni.

E hoʻomau i ka heluhelu e aʻo e pili ana i nā kuʻuna maʻamau no BPH.

Nā koho lapaʻau BPH

Mai haʻalele iā ʻoe iho e noho me BPH. Hiki i ke kuhikuhi ʻana i kāu mau hōʻailona i kēia manawa ke kōkua iā ʻoe e hōʻalo i nā pilikia ma hope. Hiki i ka BPH i hoʻomaʻamaʻa ʻole ʻia ke alakaʻi i nā maʻi urinary tract, ka paʻa ʻana o ka urinary (ʻaʻole hiki iā ʻoe ke hele iki), a me nā pōhaku a me nā pohā. I nā hihia koʻikoʻi hiki ke alakaʻi i ka hōʻino ʻana o ka hakuʻala.

ʻO nā koho lapaʻau me nā lāʻau a me ke ʻoki. E noʻonoʻo ʻoe a me kāu kauka i kekahi mau mea ke loiloi ʻoe i kēia mau koho. Aia kēia mau mea i:

• pehea ka hoʻopilikia o kāu mau hōʻailona i kou ola
• ka nui o kāu prostate
• kou mau makahiki
• kou olakino holoʻokoʻa
• nā kūlana olakino ʻē aʻe

Pākuʻi Alpha no BPH

Hana kēia papa o nā lāʻau i ka hoʻomaha ʻana i nā ʻāʻī o ka ʻuhā bladder a me nā olonā i ka prostate. ʻOi aku ka maʻalahi o ka hoʻomaha ʻana i ka mākala i ka mimi. Hiki iā ʻoe ke manaʻo i ka hoʻonui ʻana o ka kahe mimi a me kahi pono liʻiliʻi e mimi pinepine ai i loko o hoʻokahi lā a ʻelua paha inā ʻoe e lawe i kahi alpha blocker no BPH. Pākuʻi ʻia nā Alpha blockers:

• alfuzosin (Uroxatral)
• doxazosin (Cardura)
• silodosin (Rapaflo)
• tamsulosin (Flomax)
• terazosin (Hytrin)

5-alpha reductase nā mea kūpale no BPH

ʻO kēia ʻano lāʻau e hoʻoliʻiliʻi i ka nui o ka gland prostate ma o ka pale ʻana i nā homone e hoʻoulu ai i ka ulu o kāu gland prostate. ʻO Dutasteride (Avodart) a me finasteride (Proscar) ʻelua mau ʻano o nā mea hoʻohālua ʻo 5-alpha reductase. Pono ʻoe e kali ʻekolu a ʻeono mau mahina no ka hoʻomaha ʻana o ka ʻōuli me nā mea hoʻopā ʻo 5-alpha reductase.

Lāʻau lapaʻau combo

Lawe i ka hui ʻana o ka alpha blocker a me kahi mea hōʻoki 5-alpha reductase e hāʻawi i ke kōkua ʻoi aku ka nui o nā hōʻailona ma mua o ka lawe ʻana i kekahi o kēia mau lāʻau. Paipai pinepine ʻia ka hoʻohuihui hoʻohui ʻana ke hana ʻole kahi mea alalai blocker a i ʻole 5-alpha reductase inhibitor nona iho. ʻO nā hui maʻamau a nā kauka i kau ai ʻo finasteride a me doxazosin a i ʻole dutasteride a me tamsulosin (Jalyn). Hiki mai ka hui dutasteride a me tamsulosin i ʻelua mau lāʻau i hoʻohui ʻia i hoʻokahi papa.

Kū i ka wela

Aia kekahi mau koho ʻoki hōʻemi liʻiliʻi ke lawa ʻole ka lāʻau lapaʻau e hōʻoluʻolu ai i nā hōʻailona BPH. Hoʻopili kēia mau kaʻina hana i ka transurethral microwave thermotherapy (TUMT). Hoʻopau nā Microwaves i kaʻiʻo prostate me ka wela i kēia kaʻina hana o waho.

ʻAʻole hoola ʻo TUMT iā BPH. ʻOkiʻoki ke kaʻina hana i ke alapine urinary, maʻalahi ka mimi, a hoʻemi i ke kahe nāwaliwali. ʻAʻole ia e hoʻonā i ka pilikia o ka ninini piha ʻana o ka ʻai.

Lapaʻau TUNA

Kū ʻo TUNA i ka haʻalele ʻana i ka nila. ʻO nā nalu lekiō ʻoi loa, lawe ʻia ma o nā nila kuʻi, kuni i kahi ʻāpana o ka prostate i kēia kaʻina hana. Nā hualoaʻa ʻo TUNA i ka kahe mimi ʻoi aku ka maikaʻi a hoʻomaha i nā hōʻailona BPH me ka liʻiliʻi o nā pilikia ma mua o ke kahakaha invasive.

Hiki i kēia kaʻina hana waho ke hana i kahi ʻā ʻana. Hiki ke mālama ʻia ka sensation ma o ka hoʻohana ʻana i kahi anesthetic e ālai ai i nā aʻalolo i loko a puni ka prostate.

Ke kiʻi nei i ka wai wela

Hāʻawi ʻia ka wai wela ma o ka catheter i kahi baluna hoʻomaʻamaʻa e noho ana ma waenakonu o ka prostate i ka thermotherapy i hoʻokomo ʻia e ka wai. Hoʻomehana kēia kaʻina hana kamepiula i kahi i wehewehe ʻia o ka prostate ʻoiai pale ʻia nā mea pili kokoke. Hoʻopau ka wela i kaʻiʻo pilikia. Hoʻopau ʻia ke kiko ma o ka mimi a i ʻole reabsorbed i loko o ke kino.

Nā koho ʻoki kino

ʻO ke kīʻaha invasive no ka BPH me kahi ʻoki transurethral, ​​kahi e koi ʻole ai i kahi ʻoki ākea a i ʻole kahi ʻoki kūwaho. Wahi a ka National Institutes of Health, transurethral resection of the prostate is the first choice of surgeries for BPH. Hōʻalo ke kaukoki i nāʻiʻo prostate e pale ana i ka urethra e hoʻohana ana i kahi resectoscope i hoʻokomo ʻia ma o ka peni i ka wā o TURP.

ʻO kekahi ʻano hana he incision transurethral o ka prostate (TUIP). I ka wā o TUIP, hana ka mea ʻokiʻoki i nā ʻokiʻoki i ka ʻāʻī o ka pūpū a me ka prostate. Mālama kēia i ka hoʻonui i ka urethra a hoʻonui i ke kahe o ka mimi.

ʻOki kino kukuna

ʻO ke kahakaha laser no ka BPH e pili ana i ka hoʻokomo ʻana i kahi ākea ma o ka piko penis i loko o ka urethra. Lawe ʻia kahi kukuna ma waena o ka laulā e hoʻoneʻe i kaʻiʻo prostate ma ka hoʻopau ʻana (hoʻoheheʻe ʻana) a i ʻole enucleation (ʻoki). Hoʻomaʻemaʻe ka laser i kaʻiʻo prostate nui i ka vaporization photoselective o ka prostate (PVP).

Kūlike ka Holmium laser ablation o ka prostate (HoLAP), akā hoʻohana ʻia kahi ʻano kukuna ʻokoʻa. Hoʻohana ke kauka i ʻelua mea kani no ka Holmium kukuna enucleation o ka prostate (HoLEP): kahi laser e ʻoki a hemo i nā mea kikoʻī a me kahi morcellator e ʻokiʻoki i nā kikoʻī i nā ʻāpana liʻiliʻi i hemo ʻia.

E wehe i ka prostatectomy maʻalahi

E koi ʻia paha kahi ʻoki wehe i nā hihia paʻakikī o kahi prostate hoʻonui nui ʻia, hōʻino ʻia i ka maʻi ʻaʻa, a i ʻole nā ​​pilikia ʻē aʻe. I ka prostatectomy māmā maʻalahi, hana ka mea lapaʻau i kahi ʻokiʻoki ma lalo o ka piko a i ʻole nā ​​ʻoki liʻiliʻi i loko o ka ʻōpū ma o ka laparoscopy. ʻAʻole like me ka prostatectomy no ka maʻi ʻaʻai prostate ke hoʻoneʻe ʻia ke gland prostate āpau, i ka prostatectomy maʻalahi hāmama ka mea lapaʻau i kahi ʻāpana o ka prostate e ālai ana i ka kahe mimi.

Kōkua ka mālama ʻana iā ʻoe iho

ʻAʻole pono nā kāne āpau me ka BPH i ka lāʻau a i ʻole ke ʻoki kino. Hiki i kēia mau ʻanuʻu ke kōkua iā ʻoe e hoʻokele i nā ʻōuli mālie:

• Hana i nā hoʻoikaika hoʻoikaika pelvic.
• Noho mau.
• E hoʻemi i ka loaʻa ʻana o ka wai ʻona a me ka caffeine.
• E hakahaka i ka nui o kāu inu ma mua o ka inu ʻana i ka nui i ka manawa hoʻokahi.
• Urencing ke kū mai ka makemake - mai kali.
• Hōʻalo i nā decongestants a me nā antihistamines.

E kamaʻilio me kāu kauka e pili ana i ke ala lapaʻau e kūpono i kāu mau pono.