BPH - kuyini? Benign Hyperplasia Prostatic

Ngeshwa, abantu abaningi abangalawuleki ubudala ovuthiwe ibhekene enjalo inkinga ezingemnandi njengoba BPH. Kuyini lokhu? Yini ebangela izifo ezifana? Ngokwazi kungaba yingozi? Yini zokwelashwa ziyatholakala? Lolu lwazi unesithakazelo eziningi ucansi namandla. Phela, ngokushesha ingabe isifo sitholakale, kubalula ayibulale, yokugwema imiphumela eyingozi futhi singathandeki.

Kuyini BPH?

Ngokwezibalo, cishe ngo-50% yabantu phezu engamashumi amahlanu sibhekene nesifo esibizwa ngokuthi BPH. Kuyini lokhu? Can I ngandlela-thile ukugwema noma ukwehlisa ukuqhubeka kwesifo? Lezi zinkinga ibalulekile kakhulu futhi kubuhlungu amadoda. Phela, eqinisweni, iziguli eziningi uthula ngezinkinga zabo nje lesi sifo akungeni ifomu emibi nakakhulu.

Uma unesithakazelo kulokho adenoma, ukuqala kufanele kusho ukuthi igama kancane iphelelwe yisikhathi. Ngo inqubo yokwelapha yesimanje ngokuya zisebenzisa igama elivamile elithi "ingozi Hyperplasia Prostatic" ukuze sibhekisele isifo. Inqubo ukuthuthukiswa lesi sifo iqala ukwakheka kwezicubu we wendlala Izigaxana ezincane (ngezinye izikhathi ukuthi ezimbalwa), lowo ekugcineni (futhi ngezinye izikhathi kunalokho ngokushesha) kwandisa. Ngu obuhlukahlukene ubukhulu, lo wendlala iqala cindezela isiteshi urinary, ekuvimbeleni ukugeleza umchamo - lesi simanga akuyona kuphela ezingemnandi, kodwa futhi iyingozi kakhulu umthelela lonke kohlelo excretory. Eqinisweni, isimila kuyinto hyperplastic (yene) ndlala paraurethral.

By endleleni, le adenoma - isimila kungavamile ukuba ingozi, okuyinto, yize sokwanda okusheshayo, akukuniki metastases kwezinye izitho. Ngakho lesi sifo nge ilungelo asondele kahle amenable yokwelapha. Into esemqoka lapha - azibone izimpawu isixwayiso, futhi bafune usizo onguchwepheshe.

Ziyini izimbangela eziyinhloko zalokhu yesifo

Ngokushesha kuyafaneleka ukuthi ososayensi basaqhubeka ukutadisha indlela yentuthuko kanye ebangela lesi sifo. Iyodwa into esiqiniseka ngayo: ukubukeka adenomas lihlotshaniswa izinguquko ezihlobene nokukhula emzimbeni. Ngokwesibonelo, adenoma intsha uxilongwe kukalutshwana kakhulu. Kodwa ngemva kweminyaka engu-70, ama-75% amadoda uphethwe isifo esisodwa noma kwenye nesigaba lesi sifo.

Hyperplasia ahlobene nezinguquko hormone, ekushintshashintsheni izinga lama-hormone ocansini ukuthi nakanjani zenzeka ngesikhathi sokuguga. Esivuna lo mbono lufakazelwa yokuthi phakathi neutered noma wawungabavumeli amacala abesilisa Hyperplasia awazange kubhaliswe.

Zikhona nezinye izici ezingaqondile, ukuthi kungabangela isifo okuthiwa BPH. Yiziphi lezi zizathu? Okokuqala, odokotela bathi, ukuthi noma ukushintsha indlela yabo yokuphila futhi imikhuba emibi (ukubhema, ukusebenzisa kabi utshwala nezidakamizwa) kwandisa ingozi yokungenwa Hyperplasia. Izinto ezibangela futhi zihlanganisa nokungondleki kahle, ukucindezeleka njalo, nengokomfanekiso psycho-ngokomzwelo, umthelela ongemuhle imvelo bangaphandle. Yiqiniso, bebodwa, lezi zici avuse ukubukeka adenomas bengayi. Noma kunjalo, ngandlela-thile kuphazamise uhlelo endocrine, kuthinte izinga lama-hormone, okuyinto, ngokufanele, kungabangela noma ukusheshisa ukukhula adenomas ekhona.

Kukhona kokuqagela ukuthi senzeka Lapha kuboniswe ezinye yofuzo. Ngeshwa, isiqinisekiso olunembile lo mbono akuyona njengoba kunzima ukunquma yini noma cha Hyperplasia lihlotshaniswa lezinceku noma kwenzeka nokuguga.

Ayini izimpawu zesifo kuhambisana?

Naphezu kweqiniso lokuthi adenoma - isimila kungavamile ukuba ingozi, lesi sifo zingase zihluke. Ngokwesibonelo, amanye amadoda Hyperplasia kungenzeka zikhula kancane, abavumi atiwe iminyaka 20-30. Ngamanye iziguli, kunalokho, kwadingeka ukuthi unesimila ikhula usayizi ezibucayi iminyaka 1-3. Yingakho wonke umuntu kufanele ziqashwe ngokucophelela ngoba yiluphi ushintsho oluzwayo empilweni.

Yiqiniso, zikhona izimpawu ezithile agcwele wendlala adenoma. Yiziphi ezinye zalezi zimpawu? Ezimweni eziningi, leso sifo kuhambisana ezikhulayo nezinkinga nge ukuchama futhi nezinkinga zobulili.

Ezigabeni kokuqala Hyperplasia ingashiwo wokwehla indiza umchamo. Esikhathini esizayo, kukhona okuthiwa izifiso "ezingenalutho", lapho indoda unesifiso zishobinge, kodwa lutho uyaphuma. Njengoba isifo siqhubeka isiguli siqala baphaphame ebusuku (izikhathi ngezinye izikhathi kuze 4) ukuba athululele esinyeni. Esikhathini esizayo, amadoda sebeqala uqaphela ukuthi badinga ukuba athululele uhlobo ukusebenzisa imisipha besisu.

Ngokuvamile ngokumelene isizinda Hyperplasia waphawula ukuvuza umchamo lapho isinye akusho uthulule ngokuphelele, futhi izinsalela umchamo zibukele ulandele, kusale namachashaza zangaphansi.

Kuyaphawuleka ukuthi ngokuvamile adenoma lihlotshaniswa prostatitis okungamahlalakhona (ukuvuvukala izicubu wendlala). Ezimweni ezinjalo, kanye nezinye izimpawu nazo exinwe ubuhlungu uma uchama, futhi ngezikhathi exacerbation - ubuthakathaka, imfiva. Uma uqaphela izimpawu ezinjalo kungcono uthintane onguchwepheshe futhi ibhekane uphethwe.

yezinkinga olungenzeka adenoma

Yiqiniso, ngokungabi bikho ezifana ukwelashwa kwezifo Prostatic kungadala yezinkinga ngempela yingozi. Amadoda amaningi ukubika khona igazi umchamo. Okuvela kuyo uphawu enjalo ahlobene nezinguquko e ngemithambo entanyeni esinyeni, kanye lenyuka blood pressure izitsha ukhalo.

ukwanda Strong noma ukuvuvukala wendlala kungaholela ilanga lifiphale ephelele umsele urinary futhi ukubukeka acute nokugcinwa urinary. isimo okunjalo kuyingozi kakhulu, njengoba kungase kubangele ukulimala isinye, nezinso ukungasebenzi. Ngaphezu kwalokho, kuba buhlungu kakhulu.

Yezinkinga ezivamile zihlanganisa adenoma futhi Izifo ukuvuvukala. By the way, ukuvuvukala ingaqala hhayi kuphela izicubu wendlala (prostatitis), kodwa futhi kuthinte iyiphi ingxenye uhlelo excretory. Iziguli ngokuvamile uhlushwa urethritis, cystitis, pyelonephritis, epididymitis futhi t. D. Phela, ukuvuvukala njalo izinso ngokungabi bikho ukwelashwa esifike ngesikhathi kungaholela ukwehluleka kwezinso.

izindlela zesimanje uphethwe

Ukuze uqale, udokotela izozama ukuqoqa umlando yezokwelapha ephelele, ukuqhuba ucwaningo, ukubuza izimpawu samanje. Kamuva, njengoba umthetho, kufanele kube luhlolo digital endlaleni engasesinyeni, okuyinto iyona ndlela elula kakhulu futhi kufinyeleleke ukuxilongwa. Ngemva massage lo wendlala at ukuhlaziywa amasampula laboratory kuthathwe uketshezi indlala.

Ngaphandle-ke kuyinto swab edingekayo urethra, esiza ukucacisa khona ukutheleleka. Uma usola ukuthi adenoma nanoma yiziphi ezinye izifo wendlala eyenziwa ultrasound, esiza ukucacisa ubukhulu esiqondile wendlala yabesilisa, khona amatshe, kanye ukuthola ukuthi ngabe kukhona engalulami.

Ukuze uthole ukusazi ngokunembile isifo esikuphethe kubalulekile futhi uroflowmetry - isifundo esibanzi, esiza lunquma isivinini ukusakaza umchamo, kanye bethulula kwesinye namanye izici ezibalulekile.

Ingxenye ebalulekile yokuphikelela ekuxilongweni a PSA I-wendlala adenoma. Lolu cwaningo kuyabaveza egazini okuthiwa wendlala eqondene antigen, okuyizinto oncomarkers uhlobo. Lokhu kuhlaziya kusisiza ukuba sibone khona inqubo ebulalayo. By the way, amadoda abaneminyaka engu-50 nangaphezulu Kunconywa ngezikhathi ezithile ukuthatha leli ukuhlaziywa njengoba isilinganiso izifo.

Indlela yokwelapha adenoma? Izinhlobo ezinkulu zokwelapha izici

Namuhla, zikhona izindlela eziningana ukwelapha izifo ezinjalo. Phela, inqubo ukuxilongwa kuyadingeka hhayi kuphela ukuthola inkinga, kodwa futhi ukucacisa yokwelapha ezifanele kakhulu isifo "BPH". Izindlela zokwelapha kungase kube into noma olandelanayo noma kuhlinzwa.

Ngo kusaqalwa inqubo isifo kungenziwa wayeka noma behlisa ijubane ngosizo izidakamizwa. Kodwa, futhi, ukwelashwa ngoludala ngeke kuphela ukuhlehlisa ukusebenza iminyaka embalwa (noma kusekude ngamashumi eminyaka), kodwa awukwazi ngokuphelele ukuqeda isimila ubonakele kakade.

Kuyinto ukwelashwa okuphumelelayo kakhulu kuhlinzwa ka adenoma, ngoba kuyakusiza ukuba silungise ngokushesha zonke izinkinga. Ngaphezu kwalokho, amadoda amaningi efuna usizo isivele ngesikhathi nesigaba lesi sifo, lapho ukwelashwa ngoludala akwenzi mqondo.

imithi

Nalapha futhi, kufanele kusho ukuthi imithi esiza kuphela kusaqalwa. Yiqiniso, ezihlukahlukene izidakamizwa asetshenziswa ukwelapha okuthile, kodwa kaningi - lihambisana ukuhlinzwa.

Okokuqala iziguli ebekiwe inhibitor 5-alpha reductase inhibitor (isb, "Proscar") futhi-alpha blocker (kuhle kubhekwe "Okas" izidakamizwa "Omnic"). Kahle ku isimo wendlala indlala futhi endocrine uhlelo kuthinta izinto ezisigcina mzimba (isib, "reoferon" futhi "Pyrogenalum"). Ephambi kwezinduna yisihlungu noma awe Ukungena ukutheleleka Kuphoqelekile reception ejenti elwa namagciwane, isib, imithi elwa namagciwane gentamicin iqembu noma cephalosporin.

Iziguli futhi anikeze isiguli imithi ukuthi ngcono kwegazi izinqubo wesinye ukuqeda yokujama tsi. Ethandwa kakhulu kude Isidakamizwa "Trental".

Kanye noma ukusebenzisa izidakamizwa iziguli futhi uncome Ukudla ilungelo, yokuphila asebenzayo, izivivinyo ezithile (Kegel eziyinkimbinkimbi yamadoda).

ukwelashwa endoscopic

Ngeshwa, kwezinye izimo, ngaphandle kokungenela kuhlinzwa kuyinto engenakwenzeka ukwenza. ukuphathwa Steel ka BPH okuboniswe kulezi zimo ezilandelayo:

• acute nokugcinwa urinary ;
• ukwehluleka kwezinso enzeke ku isizinda adenomas;
• khona amatshe esinyeni;
• diverticula enkulu isinye;
• khona njalo igazi umchamo;
• ukutheleleka yansukuzonke kohlelo excretory.

udokotela kuphela onquma lokho hlobo lomsebenzi oyokwenziwa. Phambi ka Aur cystostomy lokuqala wenziwa lapho udokotela surgically lidale yangaphandle fistula esinyeni imbobo endaweni pubic. Iziguli eziningi simelane nokugxambukela. Noma kunjalo, kubalulekile, njengasekuqaleni ekususweni wendlala noma nokwenza ezinye manipulations kubaluleke kakhulu ukubuyisela ukugeleza umchamo futhi bachitha nokuvinjelwa kwezifo ezithathelwanayo. By endleleni, it is wafakazela ukuthi ngenxa yezinkinga nasezinkingeni ezilandela ngemva kokuhlinzwa ezigulini kwavele cystostomy, anizikhokheli njalo.

Kuze kube manje, kukhona abaningi izinqubo kancane koda futhi imisebenzi endoscopic, okuyinto iqhutshwa adlule ngomgudu womchamo engashiyanga balimale kanzima izibazi. Ngokwesibonelo, ezinye iziguli ifakwa kangaka okuthiwa stents e le urethra, okuyinto ukuvimbela constriction we Isikhala sayo esingaphakathi zayo. It normalizes ukugeleza umchamo, kodwa-ke ngeshwa, akagcini inqubo wendlala ukukhula. By the way, stents ezinjalo kufanele ngokuvamile washintsha.

Khona-ke, uyakwazi ekususeni wendlala adenoma? Ukusebenza resection transurethral namuhla ibhekwa njengempophoma standard igolide. Doctor usebenzisa amathuluzi endoscopic kususa ingxenye wendlala ngokusebenzisa urethra. Ngaphezu kwalokho, imbobo transurethral kungenzeka lapho wendlala singasuki kinid, kodwa nje inqanyulwa ukuze ususe ingcindezi evela umsele urinary.

Ngiphephile inqubo entsha kubhekwa ukuhlinzwa laser we wendlala adenoma. Intengo ke kancane ephakeme, kodwa indlela enjalo ine eziningi eziwusizo ezibalulekile. Ikakhulukazi, laser ablation lungaphezu ngokushesha, kancane njalo ephelezelwa yezinkinga kwehlisa amathuba okutheleleka kwezicubu.

Ephambi kwezinduna encane isimila transurethral yokwelapha microwave kungaba kwenziwe. Ngesikhathi inqubo, udokotela ifaka insimbi ekhethekile ngokusebenzisa komsele urinary, ngemva kwalokho ebhubhisa wendlala izicubu ukushisa ekhiqizwa kusukela electrode. Le nqubo futhi zithandwa kakhulu futhi cishe ayinangozi, kodwa, ngeshwa, alulona olwawo wonke umuntu.

Impumelelo ukuhlinzwa kuncike kakhulu izici bokuphila isiguli kanye nesigaba lesi sifo, futhi ziqu kadokotela. Ngokwezibalo, mayelana 25% eziguli kuphawulwe khona izimpawu ezifanayo (ukuvuza urinary, micturition kahle, akhuthaza ebusuku) ngisho nangemva resection.

adenoma Zendlala Yesinye: ukuhlinzwa

Ezimweni eziningi, ukuxazulula inkinga wendlala yabesilisa kwenzeke esebenzisa amasu kancane koda. Kodwa kwezinye izimo, iziguli yabonisa okubizwa ngokuthi prostatectomy olukhulu. Lokhu kuhlinza wenziwa kaningi khona isimila esibulalayo. Adenoma it is kunqunyiwe ezimweni lapho ezinye izindlela azisebenzi, noma ngenxa yanoma yisiphi isizathu ayikwazi ukusetshenziswa.

prostatectomy Radical kuhilela nokususwa ngokuphelele endlaleni engasesinyeni, nezicubu ngezinye izikhathi eseduze. Inqubo kudinga imbobo ngqo esiswini noma isizalo ndawo. Njengoba ungacabanga, lokhu operation kuyingozi ngaphezu ngokuya ukuxakeka. Ngokwesibonelo, ngesikhathi nokususwa kulula kakhulu ukubamba imizwa okuholela wenduku, okuyinto igcwele ukwephula potency. Ngaphezu kwalokho, ingozi yokuba nezifo ezithathelwanayo.

ekuvimbeleni izifo

Ngeshwa, lezi yezifo wendlala kuvamile kakhulu. Yingakho amadoda abaningi banesithakazelo imibuzo ephathelene nokuthi kungenzeka ngandlela-thile ukuze bazivikele sifo, noma okungenani banciphise amathuba ukuxakeka.

Ukuvimbela BPH - indlela yokuphila enempilo. Ikakhulukazi, amadoda lapho isikhulile (hhayi kuphela) kufanele eduze balandele yokudla. Ngokwesibonelo, ukudla kufanele kube izithelo samanje nemifino eminingi, kodwa inani amaprotheni isilwane ngeminyaka kumele kungancipha. lokuhlukumeza okukhulu nokudla okunongwe kakhulu ngokuvamile kuholela ukuqunjelwa, ekhuthaza ukukhula inqubo lwesimila. A nomthelela omubi empilweni futhi ukudla okuthosiwe. Ngaphezu kwalokho, ochwepheshe batusa ukugwema utshwala kanye caffeine imikhiqizo (ikhofi, ushokoledi, Cola, amandla). Okungenani 1-2 izikhathi ngonyaka kufanele bathathe izakhiwo multivitamin, njengoba ngaso sonke isikhathi ukuthi uthola zonke izakhi ezidingekayo kusukela ukudla.

Ingxenye ebaluleke kakhulu lokuvikela umzimba. Akufanele sibakhohlwe mayelana ukushaja nokufinyelela kungenzeka ejimini. Ungasebenzisa umsebenzi nokwenzeka, ngisho noma uhamba nje. Ukungawuvivinyi umzimba - into Uphatha kabi umsebenzi umzimba, ingemuva hormone futhi ngaleso sizathu angaphendula sikhuthaze ukuthuthukiswa lesi sifo.