BPH - ndichiyani? Otchedwa benign prostatic hyperplasia

Mwatsoka, anthu ambiri a zaka okhwima akukumana ndi vuto ngati zosasangalatsa monga BPH. Ndi chiyani icho? Kodi chimayambitsa matenda amenewa? Monga momwe n'koopsa? Kodi mankwala zilipo? Mfundozi ndi chidwi ambiri kugonana wamphamvu. Ndipotu, mwamsanga adzakhala nthendayo matenda, zimakhalanso zosavuta kuchotsa izo, kupewa zotsatira zowawa ndi zosasangalatsa.

BPH ndi chiyani?

Malinga ndi kafukufuku, pafupifupi 50% ya anthu pa zaka makumi asanu anakumana ndi matenda lotchedwa BPH. Ndi chiyani icho? Kodi ine mwanjira kupewa kapena m'mbuyo kupitirira kwa matenda? nkhani zimenezi zili zofunika kwambiri ndi chopweteka amuna. Ndipotu zoona, odwala ambiri ali chete za mavuto awo bola ngati matenda sizimapita mu mawonekedwe lalikulu.

Ngati mukufuna adenoma chimene, kuyamba ndi kuyamba ayenera kuti dzina ndi pang'ono akale. Mu mankhwala amakono kunadetsa ntchito mawu akuti "otchedwa benign prostatic hyperplasia" kutanthauza matenda. Njira ya chitukuko cha matenda ikuyamba ndi mapangidwe mu zimakhala za Prostate tinatake tozungulira yaing'ono (nthawi zina zochepa chabe), amene pang'onopang'ono (ndipo nthawi zina m'malo mofulumira) kumawonjezera. Mwa kusinthasintha kukula, prostate akuyamba compress njira ya mkodzo, kuteteza otaya yachibadwa ya mkodzo - zodabwitsazi si wosasangalala, komanso woopsa kwambiri, monga yaikulu lonse la dongosolo excretory. Ndipotu, chotupacho ndi hyperplastic (atachuluka) paraurethral England.

Mwa njira, adenoma - mtima wabwino chotupa, amene, ngakhale kuti akhoza kukula mofulumira, sapereka metastases ku ziwalo zina. Choncho matenda ndi kumanja kufikako mwangwiro amenable mankhwala. Chinthu chachikulu apa - muzindikire machenjezo, ndipo pofuna thandizo kwa katswiri.

The chikuchititsa mavuto a matenda

Mwakucimbidza Dziwani kuti asayansi mukuphunzira njira ya chitukuko ndi zifukwa matenda. Chinthu chimodzi chili: kuoneka adenomas amagwirizana ndi kusintha obwera ndi ukalamba mu thupi. Mwachitsanzo, achinyamata ndi matendawa adenoma ali osowa kwambiri. Koma patapita zaka 70, pafupifupi 75% ya anthu amadwala limodzi kapena gawo lina la matenda.

Hyperplasia kugwirizana ndi kusintha m'thupi, kusinthasintha mu mlingo wa mahomoni kugonana amatipeza kumachitika nthawi ukalamba. Mokomera chiphunzitso chimenechi chimadziwika ndi chakuti mwa milandu neutered kapena wofulidwa wamwamuna wa hyperplasia sanali m'kaundula.

Pali zina, zinthu mozungulira zimene zingachititse matenda otchedwa BPH. zifukwa zimenezi? Choyamba, madokotala kunena, kuti asinthe moyo ndi makhalidwe oipa (fodya, uchidakwa ndi mankhwala osokoneza bongo) azitaya hyperplasia. Zifukwa mulinso zakudya zosayenera, nkhawa katundu psycho-maganizo nkhawa, ndi kungasokoneze chilengedwe kunja. Ndithudi, mwa iwo okha, mfundozi imautsa maonekedwe a adenomas sindingakhoze. Komabe, zikhoza bwanji dongosolo endocrine, bwanji mlingo wa mahomoni, amene moyenera, zikhoza kapena imathandizira kukula kwa adenomas alipo.

Pali nkhambakamwa kuti zikuchitika pano ndi ena majini. Mwatsoka, kutsimikizira molondola amanena si kovuta kudziwa kapena hyperplasia amagwirizana ndi cholowa kapena amapezeka ndi ukalamba.

Kodi zizindikiro za matenda limodzi ndi?

Ngakhale kuti adenoma - mtima wabwino chotupa matenda angakhale osiyana. Mwachitsanzo, anthu ena hyperplasia angathe pang'onopang'ono, zimavuta okha kwa zaka 20-30. Odwala ena, m'malo mwake, ndi chotupa limakula ndi kukula yovuta kwa zaka 1-3. N'chifukwa chake munthu aliyense ayenera kuyang'aniridwa kusintha kulikonse thanzi.

Kumene, pali zizindikiro zina zomwe Prostate adenoma. ndi zizindikiro zotani? Nthawi zambiri, matenda otere limodzi ndi kukula mavuto ndi pokodza ndi kukanika kugonana.

Mu masiteji koyamba hyperplasia akhoza kutchulidwa kuchepetsa wa ndege ya mkodzo. M'tsogolo, pali otchedwa "kanthu" Zilakolako munthu amakhala ndi chilakolako kukodza, koma kanthu atatulukamo. Monga matenda ili m'kati wodwala wayamba kudzuka usiku (nthawi zina mpaka 4) kulowa chikhodzodzo. Mtsogolo, amuna ayamba kuona kuti ayenera kulowa mavuto ntchito minofu m'mimba.

Nthawi zambiri ndi maziko a hyperplasia anati kutayikira mkodzo pamene chikhodzodzo si tidzikhuthule kwathunthu, ndipo zotsala za mkodzo ankangokhala kutsatira, kusiya mawanga pa kabudula wa.

Dziwani kuti nthawi zambiri adenoma amagwirizana ndi prostatitis aakulu (kutupa prostate minofu). Zikatero, pamodzi ndi zizindikiro zina akuda nkhawa ululu pamene akukodza komanso mu nthawi exacerbation - kufooka, malungo. Ngati inu mungazindikire zizindikiro ngati ndi bwino kukaonana ndi katswiri ndi kubatizidwa matenda.

zosokonezeka mwina adenoma

Ndithudi, pakalibe zimenezi matenda Prostatic angayambitse mavuto ndi woopsa kwambiri. Amuna ambiri lipoti kukhalapo kwa magazi mu mkodzo. Nthawi imeneyi chizindikiro kugwirizana ndi kusintha mu mitsempha ya khosi chikhodzodzo, komanso kuthamanga magazi ziwiya mafupa a chiuno ndi.

Amphamvu kuchuluka kapena kutupa prostate kungayambitse alipo lathunthu la ngalande mkodzo ndi maonekedwe a njira ya mkodzo posungira pachimake. Chotero boma ndi woopsa kwambiri, chifukwa angayambitse kuwonongeka kwa chikhodzodzo, ndi impso wonongeka. Komanso, ndi zopweteka kwambiri.

The mavuto ambiri monga adenoma ndi matenda yotupa. Mwa njira, kutupa angathe osati zimakhala za Prostate (prostatitis), komanso bwanji mbali iliyonse ya dongosolo excretory. Odwala zambiri amadwala urethritis, cystitis, pyelonephritis, epididymitis ndi T. D. Zodabwitsa ndizakuti, aakulu kutupa kwa impso, pakalibe chithandizo yake kungachititse kuti kulephera aimpso.

njira zamakono za matenda

Kuyamba, dokotala adzayesa kusonkhanitsa mbiri wathunthu zachipatala, kuchititsa kafukufuku, kufunsa za zizindikiro pano. Kenako, monga ulamuliro, ayenera kukhala digito mosamala prostate, ndilo kuposa njira kwambiri ophweka ndi Kufikika matenda. Pambuyo kutikita prostate pa zasayansi kusanthula zitsanzo anatengedwa secretions England.

Kuwonjezera m'pofunika swab a mkodzo, chimene chimathandiza kuona pamaso pa matenda. Ngati mukukayikira kuti adenoma kapena aliyense matenda ena Prostate anagwira ultrasound, amene amathandiza kudziwa kukula yeniyeni ya prostate, pamaso pa miyala, komanso kukhazikitsa ngati pali stagnation.

Kuti matenda molondola n'kofunika ndi uroflowmetry - kuphunzira mabuku, amene amathandiza kudziwa liwiro la mtsinje mkodzo, komanso Ndikudzikhuthula kwa chikhodzodzo ndi ena zinthu zina zofunika.

Mbali yofunika ya Kupeza Vuto ndi PSA kwa Prostate adenoma. phunziro ili Zimathandizanso kudziwa m'magazi otchedwa Prostate pokha antigens, ndiwo mtundu oncomarkers. kusanthula Izi zimathandiza kudziwa pamaso pa ndondomeko zilonda. Mwa njira, amuna zaka 50 ndi kuposerapo tikulimbikitsidwa nthawi kutenga kusanthula izi ngati muyeso njira.

Mmene angakhalire ndi adenoma? The mitundu ikuluikulu ya mankhwala

Masiku ano, pali njira zingapo pofuna kuchiza matenda. Zodabwitsa ndizakuti, ndondomeko matenda n'kofunika osati kudziwa vuto, komanso kudziwa mankhwala abwino kwambiri chifukwa matenda "BPH". Njira mankhwala akhoza kukhala mwina ndiwofatsa kapena opaleshoni.

Mu magawo oyambirira a ndondomeko matenda kusiyidwa kapena mochedwa mothandizidwa ndi mankhwala. Koma, mobwerezanso, chithandizo ndiwofatsa kokha kulepheletsa ntchito kwa zaka zingapo (kapena makumi), koma simungathe kwathunthu kuthetsa chotupa kale anaonekera.

Ndi zothandiza kwambiri mankhwala opaleshoni ya adenoma, chifukwa amathandiza mwamsanga kukonza mavuto onse. Komanso anthu ambiri akufuna thandizo ndi kale pa siteji ya matenda, pamene mankhwala ndiwofatsa sizimatanthauza.

mankhwala

Kachiwiri, ayenera kuti mankhwala kumathandiza yekha mu magawo oyambirira. Kumene, zosiyanasiyana mankhwala ntchito mankhwala alionse, koma nthawi zambiri - osakaniza opaleshoni.

Choyamba odwala onse Kwalamulidwa zoletsa 5-Alpha reductase woletsa (mwachitsanzo, "Proscar") ndi Alpha blockers (wabwino ankaona "Okas" mankhwala "Omnic"). Ndithu pa mkhalidwe wa prostate ndi endocrine dongosolo amakhudza ogalamutsa m'thupi (mwachitsanzo, "reoferon" ndi "Pyrogenalum"). Pamaso kutupa kapena malowedwe a matenda ndi kuvomerezedwa phwando wothandizila antibacterial, mwachitsanzo, mankhwala gentamicin gulu kapena cephalosporin.

Odwala komanso mankhwala kuti kusintha magazi njira makope prostate ndi kuthetsa stagnation. Wotchuka kwambiri kuposa ndi mankhwala "Trental".

Pamodzi ndi kumwa mankhwala odwala ndi khalidwe zakudya chabwino, moyo yogwira, kokoka yeniyeni (Kegel zovuta amuna).

mankhwala Endoscopic

Mwatsoka, zina, popanda opaleshoni Simungathe kutero. Opaleshoni mankhwala a BPH zikusonyezedwa milandu zotsatirazi:

• pachimake mkodzo posungira ;
• aimpso kulephera zimene zinachitika pa maziko a adenomas;
• pamaso pa miyala chikhodzodzo;
• chachikulu diverticula a chikhodzodzo;
• kukhalapo nthawi zonse mu mkodzo mukhale magazi;
• matenda kobwereza a dongosolo excretory.

Only dokotala amasankha zimene mtundu wa ntchito idzachitike. Mu kukhalapo kwa AUR cystostomy woyamba imagwiridwa imene dokotala opaleshoni amalenga akunja fistula chikhodzodzo ndi dzenje mu malo ena obisika. odwala ambiri kupewa kusokonezedwa amenewa. Komabe, ndikofunikira, monga kale kuchotsa prostate kapena kuchita mwai zina zofunika kwambiri kubwezeretsa otaya yachibadwa ya mkodzo ndi kuthera kupewa matenda opatsirana. Mwa njira, izo imatsimikizirika kuti mavuto postoperative odwala amene anakumana cystostomy, zimachitika kwambiri kamodzikamodzi.

Pakali pano, pali zambiri njira asang'ambe ndi ntchito endoscopic, yomwe imachitika kudzera thirakiti mkodzo, wosasiya anavulala kwambiri ndi zipsera. Mwachitsanzo, odwala ena zimayikidwa wotchedwa stents mu mkodzo ndi, amene kupewa constriction wa lumen ake. Iwo normalizes otaya mkodzo, koma, kalanga, si kulepheretsanso Prostate kukula. Mwa njira, stents amenewa ayenera kusinthidwa kawirikawiri.

Nanga angathe kuchotsa Prostate adenoma? Opaleshoni transurethral resection ndi lero ankaona golide muyezo. Doctor ntchito zida endoscopic amachotsa mbali ya prostate kudzera mkodzo ndi. Komanso, transurethral ang'ambe thupilo n'zotheka amene Prostate kuchotsedwa, koma chabe Kadulidwa kuti kuchotsa kuthamanga kwa ngalande mkodzo.

Mwachilungamo ndondomeko yatsopano imatengedwa Opaleshoni a Prostate adenoma. Kusungabe pang'ono apamwamba, koma njira umenewu m'njira zambiri zofunika. Makamaka, laser ablation ndi zambiri mofulumira, kamodzikamodzi limodzi ndi mavuto ndi minimizes mwayi wa matenda a zimakhala.

Pamaso pa yaing'ono chotupa transurethral mayikirowevu mankhwala akhoza kuchitika. Pa ndondomeko, dokotala amaika chida chapadera kudzera m'njira ya mkodzo, pambuyo amene wawononga Prostate minofu ndi kutentha opangidwa kuchokera maelekitirodi lapansi. Njira imeneyi umakopa kwambiri ndi pafupifupi vuto lililonse, koma, mwatsoka, si aliyense.

Bwino opaleshoni zimatengera zambiri pa makhalidwe thupi la wodwalayo ndipo siteji ya matenda, ndi Choyenereza dokotala. Malinga ndi kafukufuku, pafupifupi 25% ya odwala taonera pamaso pa zizindikiro zofanana (mkodzo kutayikira, mkhutu micturition, analimbikitsa usiku) ngakhale pambuyo resection.

Prostate adenoma: opaleshoni

Nthawi zambiri, vuto ndi Prostate ndi kudzera njira asang'ambe. Koma nthawi zina, odwala anasonyeza otchedwa kwakukulu prostatectomy. opaleshoni Izi anachita zambiri mu kukhalapo kwa chotupa chotupa. Adenoma izo Kwalamulidwa pokha pokha njira zina sizikugwira ntchito, kapena pazifukwa zosiyanasiyana sangathe ntchito.

Kwakukulu prostatectomy kumatanthauza kuchotsedwa kwathunthu ku prostate, ndi minofu zina pafupi. Ndondomeko kumafuna ang'ambe thupilo mwachindunji m'dera pamimba kapena perineal. Mwachibadwa, ntchito imeneyi ndi woopsa kwambiri mu mawu matendawo. Mwachitsanzo, pamene kuchotsa izo zosavuta kugwira misempha zikubweretsa mbolo, ndilo zinadzala ndi kuyan'anila za potency. Kuwonjezera pamenepo, ngozi kukhala matenda opatsirana.

kupewa matenda

Mwatsoka, matenda awa a prostate ndi ofanana kwambiri. N'chifukwa chake anthu ambiri amachita chidwi ndi mafunso ngati n'zotheka mwanjira kudziteteza ku matenda, kapena kuchepetsa mosavuta zosokonezeka.

Kupewa BPH - moyo wathanzi. Makamaka, anthu akula (osati) adzakhala kwambiri kudya zakudya. Mwachitsanzo, zakudya Payenera kukhala watsopano zipatso ndi ndiwo zamasamba, koma kuchuluka kwa nyama mapuloteni ndi zaka ayenera kuchepetsedwa. nkhanza kwambiri ndi zakudya zokometsera zambiri kumayambitsa kudzimbidwa, amene kumapangitsa kukula kwa ndondomeko chotupa. A kungasokoneze thanzi ndi zakudya yokazinga. Komanso akatswiri amalangiza kupewa kumwa mowa ndi tiyi kapena khofi mankhwala (khofi, chocolate, kola, mphamvu). Osachepera 1-2 nthawi chaka ayenera kutenga maofesi multivitamin, monga Sizotheka kuti zakudya zonse zofunikira kwa chakudya.

A mbali yofunika kwambiri ya kapewedwe ndi masewera olimbitsa thupi. Tisaiwale za nawuza monga mwayi zotheka ochitira masewera a. Mukhoza kugwiritsa ntchito zolimbitsa aliyense zotheka, ngakhale izo akuyenda basi. Wongokhala - ndi chimene zoipa zokhudza ntchito za thupi, mahomoni maziko choncho ungawonjeze chitukuko cha matenda.