Matenda owopsa komanso ofala kwambiri, prostate adenoma imakhudza gawo limodzi mwa magawo anayi a amuna azaka zapakati pa 55 ndi 60 komanso opitilira m'modzi mwa amuna awiri azaka zapakati pa 66 ndi 70. Kodi zizindikiro zake ndi zotani? Momwe mungazindikire ndikuchiza? Mayankho a Inès Dominique, katswiri wa urologist

Komanso amatchedwa benign prostatic hyperplasia (BPH), prostate adenoma imakula pang'onopang'ono kukula kwa prostate. “Kuwonjezeka kumeneku kumabwera chifukwa cha kuchuluka kwa maselo a prostate ogwirizana ndi ukalamba” akutero Dr Dominique.

Kuchuluka kwa matendawa kumawonjezeka ndi zaka ndipo kumakhudza pafupifupi 90% ya amuna opitilira 80 mpaka mosiyanasiyana. "Ndi matenda osachiritsika, omwe amachitika kwa zaka zambiri, koma osakhudzana ndi khansa ya prostate" akuwonjezera urologist.  

Limagwirira wa chitukuko cha prostate adenoma bwino bwino.

"Ziphunzitso zingapo zapangidwa: njira za mahomoni - makamaka kudzera pa DHT - zikhoza kuphatikizidwa, kapena kusalinganika pakati pa kukula ndi kuwonongeka kwa maselo a prostate" akuwonetsa Inès Dominique.

Komabe, kagayidwe kake kangakhale koyambitsa ngozi, chifukwa mwayi wolandira chithandizo cha prostate adenoma umachulukira kawiri mwa odwala omwe ali ndi metabolic syndrome.

Nthawi zina prostate adenoma imakhala yopanda zizindikiro ndipo imapezeka mwangozi pakuyesa kwachipatala. Koma nthawi zambiri, zimayambitsa zizindikiro za mkodzo chifukwa cha kukanikiza kwa mkodzo ndi prostate yomwe imakula molakwika.

"Zizindikiro za LUTS (matenda a mkodzo) angamvedwe ndi wodwalayo" akufotokoza makamaka katswiri wa urologist.

International Continence Society (ICS) imagawa zizindikiro izi m'magulu atatu:

Kusokonezeka kwa gawo lodzaza 

"Iyi ndi pollakiuria, yomwe ndi kufunikira kokodza pafupipafupi, komwe kumatha kukhala usana kapena usiku komanso mwadzidzidzi pakukodza" akufotokoza Dr Dominique.

Kusokonezeka kwa gawo lochotsa

"Ndiko kufunikira kokankhira kukodza, komwe kumatchedwa dysuria, vuto loyambitsa kukodza kapena kutulutsa mkodzo komanso / kapena kufooka kwa mkodzo" akupitiriza katswiriyu.

Matenda a post-voiding phase

"Awa ndi madontho mochedwa kapena kuwonetsa kusakwanira kwa chikhodzodzo."

Zimachitikanso kuti prostate adenoma imayambitsa vuto la kugonana, kuphatikizapo kufooka kwa umuna. 

The matenda a prostate adenoma zachokera kufunsa wodwalayo zizindikiro zotheka mkodzo, thupi kuyezetsa ndi digito thumbo kuyezetsa ndipo nthawi zina, ngati n`koyenera, kujambula ndi zamoyo.

"Kuyeza kwa digito kumagwiritsidwa ntchito poyesa kukula ndi kusasinthasintha kwa prostate kuwonetsetsanso kuti palibe khansa ya prostate yogwirizana nayo. Uku ndikuwunika kosapweteka komanso kopanda chiopsezo ” akufotokoza Dr Dominique.

Ngati mukukayikira, kuyeza koyenda kungathe kuchitidwa: wodwalayo ayenera kukodza m'chimbudzi "chapadera" chomwe chimalola kuti mkodzo uyesedwe.

Kujambula kumatengera reno-vesico-prostatic ultrasound. "Zimatheketsa kuwunika kuchuluka kwa prostate, kutsimikizira kusakhalapo kwa calculus ya chikhodzodzo kapena kusokonezeka kwa chikhodzodzo komanso kutsimikizira kusakhalapo kwa aimpso" akufotokoza katswiriyu. Ultrasound iyi imapangitsanso kuyang'ana koyenera kwa chikhodzodzo pakukodza.

Potsirizira pake, biology imachokera ku kutsimikiza kwa hormone ya prostate yotchedwa PSA - pofuna kuthetsa khansara ya prostate - komanso kuyesa ntchito yaimpso pogwiritsa ntchito creatinine.

Prostate adenoma ikhoza kukhala yabwino, iyenera kuyang'aniridwa komanso kuthandizidwa kuti apewe zovuta zomwe zingatheke.

"Benign prostatic hyperplasia ingapangitsedi kutsekeka kwa chikhodzodzo cholepheretsa kutuluka kwake koyenera, komweko komwe kumayambitsa mitundu ingapo ya zovuta: matenda a mkodzo (prostatitis), hematuria (kutuluka magazi mu mkodzo) calculus ya chikhodzodzo, kusunga mkodzo kapena kulephera kwa impso " akufotokoza Dr Inès Dominique.

Malingana ngati wodwalayo sakumva kukhumudwa ndipo alibe mavuto, kuyambitsa chithandizo sikofunikira.

Komano, ngati wodwala akuvutika ndi vuto la mkodzo, chithandizo chamankhwala chazizindikiro chimakhala bwino kwambiri” amaumirira urologist.

Monga chithandizo choyamba, komanso ngati palibe zotsutsana, dokotala amapereka alpha-blockers (Alfuzosine®, Silodosine® etc.) kuti athetse zizindikirozo. Ngati sizikugwira ntchito mokwanira, timapangira 5-alpha-reductase inhibitors (Finasteride®, dutasteride®) zomwe zimagwira ntchito pochepetsa kukula kwa prostate kwa nthawi yayitali.

“Ngati chithandizo chamankhwala sichikugwira ntchito kapena wodwala ali ndi vuto la BPH, chithandizo cha opaleshoni chingaperekedwe. Zochitazo zimatengera kuchotsedwa kwa mkodzo ". amatchula katswiri

Izi zitha kuchitika kudzera mu mkodzo ndi endoscopy ndi njira zosiyanasiyana: "Pogwiritsa ntchito magetsi wamba kapena laser kapena bipolar enucleation" akufotokoza Dr Dominique.

Ngati kuchuluka kwa prostate kuli kwakukulu, opaleshoni yotsegula ikhoza kuperekedwa, "Tikulankhula za adenomectomy yapamwamba" amatchula katswiri.

Pakadali pano, palibe njira yodzitetezera yomwe yatsimikizira kuti imathandizira pakukula kwa BPH.

“Chofunika kwambiri chopewera ndi matenda obwera chifukwa cha BPH omwe amakhala oopsa komanso nthawi zina osatha, monga matenda a impso. Chifukwa chake ndikofunikira kuyang'anira mosamala odwala omwe ali ndi BPH ngakhale atakhala kuti alibe chizindikiro kuti muzindikire kuti chikhodzodzo sichikutuluka ” akufotokoza urologist.

Malamulo aukhondo oti atsatire

Kuonjezera apo, malamulo a ukhondo wa moyo akhoza kulemekezedwa pofuna kuyembekezera zovuta zomwe zingatheke. Makamaka, odwala akulimbikitsidwa:

• Kuchepetsa kumwa zakumwa madzulo: supu, tiyi wamasamba, madzi, zakumwa
• Kuchepetsa momwe mungathere kumwa caffeine kapena mowa,
• Kulimbana ndi kudzimbidwa, ndi zakudya zokhala ndi zipatso, ndiwo zamasamba, mbewu zonse ndi nyemba,
• Kuchita masewera olimbitsa thupi nthawi zonse.