

Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
ʻO ka benign prostatic hyperplasia (BPH) ka ulu ʻana o kou gland prostate ma mua o ka maʻamau i kou mau makahiki. Hana kēia ulu ʻana ʻaʻohe kanesa i ka hapa nui o nā kāne ma mua o 50 mau makahiki a hiki ke hoʻopilikia a ʻoluʻolu ʻole paha i ka mimi ʻana.
E noʻonoʻo i kou prostate e like me kahi gland nui o ka walnut e noho ana ma lalo o kou bladder a puni kahi hapa o kou urethra. I ka wā e ulu nui ai, hiki iā ia ke kāomi i kēia paipu a hoʻopilikia i ka hoʻopau ʻana i kou bladder. ʻO ka ʻoiaʻiʻo maikaʻi, he mea maʻamau loa ka BPH a hiki ke mālama ʻia.
ʻO ka benign prostatic hyperplasia ʻo ia ka ulu ʻana o kou gland prostate ma muli o ka hoʻonui ʻana o nā cell. Hōʻike mai ka huaʻōlelo “benign” ʻaʻole kanesa kēia ulu ʻana, a ʻo ka “hyperplasia” he nui wale nō nā cell ma mua o ka maʻamau.
E ulu kūlohelohe ana kou prostate i kou ola, akā e wikiwiki ana kēia ulu ʻana ma hope o 40 mau makahiki. Ma 60 mau makahiki, ʻaneʻane ka hapalua o nā kāne he nui ka nui o ka prostate. Ma 85 mau makahiki, e piʻi ana kēia helu i ka 90%.
Hiki i ka prostate nui ke kāomi i kou urethra a me ka bladder. Hana kēia kaomi i nā hōʻailona mimi e lawe mai ana i ka hapa nui o nā kāne e ʻike i kā lākou kauka. ʻOiai hiki i ka BPH ke hoʻopilikia, ʻaʻole ia e hoʻonui i kou pilikia o ka prostate cancer.
E ulu mālie ana nā hōʻailona BPH a pili i nā loli i ke ʻano o kou mimi ʻana. Hiki iā ʻoe ke ʻike i kēia mau loli e hana mālie ana i nā mahina a i ʻole nā makahiki, ʻo ia ka mea maʻamau loa no kēia kūlana.
ʻO nā hōʻailona maʻamau loa āu e ʻike ai:
ʻIke kekahi mau kāne i nā hōʻailona ʻaʻole maʻamau. Hiki i kēia ke komo pū me ke koko i loko o ka mimi, nā maʻi ʻino o ka bladder e hoʻi hou mai ana, a i ʻole ka hiki ʻole ke mimi. Inā ʻike ʻoe i ke koko a i ʻole ʻaʻole hiki ke mimi, he mea nui e ʻike koke i ke kauka.
E hoʻomanaʻo ʻaʻole mau ka nui o ka hōʻailona e kūlike me ka nui o ka prostate. Loaʻa i kekahi mau kāne me nā prostate nui loa nā hōʻailona māmā, ʻoiai ʻike kekahi me nā ulu liʻiliʻi i ka nui o ka hoʻopilikia.
ʻAʻole maopopo loa ke kumu pololei o ka BPH, akā pili kokoke ia i ka ulu ʻana a me nā loli hormone i loko o kou kino. I kou ulu ʻana, e loli ana ke kaulike o nā hormones e like me ka testosterone a me ka estrogen i nā ʻano e hoʻoikaika ai i ka ulu ʻana o nā cell prostate.
Nui nā mea e hoʻonui ai i ka ulu ʻana o ka prostate:
He mea hoihoi, ʻaʻole e ulu ka BPH i nā kāne i lawe ʻia ko lākou testicles ma mua o ka wā ʻōpio. Hōʻike kēia i ka nui o nā hormones kāne i ka ulu ʻana o ka prostate. Eia naʻe, ʻo ka ulu ʻana maʻamau a me nā mea genetic ka mea nui loa i hiki ʻole iā ʻoe ke kaohi.
Pono ʻoe e noʻonoʻo e ʻike i ke kauka i ka wā e hoʻomaka ai nā hōʻailona mimi ke hoʻopilikia i kou ola i kēlā me kēia lā a i ʻole ka hiamoe. Nui nā kāne e kali lōʻihi ma mua o ko lākou pono no ka manaʻo ʻana he ʻāpana maʻamau kēia mau loli o ka ulu ʻana.
Ua hiki mai ka manawa e hana i kahi kūkā inā ʻike ʻoe i kekahi o kēia mau kūlana:
E ʻimi i ka mālama lapaʻau koke inā ʻaʻole hiki iā ʻoe ke mimi, ʻike i ke koko i loko o kou mimi, a i ʻole he ʻeha nui o ka bladder. Hiki i kēia mau hōʻailona ke hōʻike i nā pilikia e pono ai ka nānā koke.
E hoʻomanaʻo he nui nā lapaʻau maikaʻi no ka BPH. Hiki i kāu kauka ke kōkua iā ʻoe e loaʻa ka hoʻomaha a hoʻomaikaʻi i kou ola, no laila mai kānalua e kūkākūkā i kēia mau hōʻailona.
ʻOiai ʻaʻole weliweli ka BPH iho, hiki i ka waiho ʻana i nā hōʻailona nui me ka mālama ʻole ke alakaʻi i nā pilikia. ʻAʻole ʻike ka hapa nui o nā kāne me ka BPH i kēia mau pilikia, ʻoi aku hoʻi i ka wā e hana pū ai lākou me kā lākou kauka e hoʻokele i nā hōʻailona.
ʻO nā pilikia hiki ke loaʻa āu e ʻike ai:
ʻO ka ʻoiaʻiʻo maikaʻi, hiki ke pale ʻia kēia mau pilikia me ka mālama kūpono. Hiki i kāu kauka ke nānā i kou kūlana a hāʻawi i nā lapaʻau ma mua o ka ulu ʻana o nā pilikia. Pale ka hapa nui o nā kāne e noho mau ana me kā lākou mea mālama ola i nā pilikia koʻikoʻi loa.
Inā ʻike ʻoe i nā loli koke i nā hōʻailona a i ʻole nā pilikia hou e like me ka mahana, ka ʻeha nui, a i ʻole ka hiki ʻole ke mimi, e kelepona koke i kāu kauka. Hiki i ka hoʻoponopono koke ke pale aku i nā pilikia mai ka lilo ʻana i mea koʻikoʻi.
ʻAʻole hiki iā ʻoe ke pale loa i ka BPH no ka mea ʻo ka ulu ʻana a me nā mea genetic nā kumu nui, akā hiki iā ʻoe ke lawe i nā ʻanuʻu e hiki ke hoʻemi i kou pilikia a hoʻomāmā paha i ka holomua o nā hōʻailona. Kākoʻo kēia mau koho ola i ke olakino prostate holoʻokoʻa.
ʻO nā hana e kōkua paha:
Manaʻo kekahi mau noiʻi e hiki i nā meaʻai momona i nā antioxidants, e like me nā tōmato a me ka ti ʻōmaʻomaʻo, ke kākoʻo i ke olakino prostate. Eia naʻe, ʻaʻohe meaʻai a i ʻole mea hoʻohui hoʻokahi e hiki ke pale loa i ka BPH.
ʻO ka hana pale nui loa ka noho ʻana i ka ʻike i nā loli i kou mau hana mimi a kūkākūkā pū me kāu kauka i nā nānā maʻamau. Hiki i ka ʻike mua a me ka mālama ke pale i nā hōʻailona mai ka lilo ʻana i mea koʻikoʻi.
Hoʻomaka ka hōʻoia ʻana o ka BPH me kāu kauka e nīnau ana i kou mau hōʻailona a hana i kahi nānā kino. Makemake lākou e hoʻomaopopo pehea kou mau hōʻailona mimi e hoʻopilikia ai i kou ola i kēlā me kēia lā a kāpae i nā kūlana ʻē aʻe me nā hōʻailona like.
E hoʻomaka paha kāu kauka me kēia mau ho'āʻo maʻamau:
Inā hōʻike nā ho'āʻo mua i ka BPH, hiki i kāu kauka ke hāʻawi i nā ho'āʻo hou aku. Hiki i kēia ke komo pū me ka ultrasound e ana i ka nui o kou prostate, nā ho'āʻo e nānā i ka maikaʻi o kou hoʻopau ʻana i kou bladder, a i ʻole nā haʻawina mimi e ana i ka ikaika o ke kahawai.
I kekahi mau hihia, hiki i kāu kauka ke hoʻouna aku iā ʻoe i kahi urologist no nā ho'āʻo kūikawā. Hana pinepine ʻia kēia i ka wā e koʻikoʻi ai nā hōʻailona, ʻaʻole pane i ka mālama mua, a i ʻole i ka wā e pono ai ke kāpae i nā kūlana ʻē aʻe.
Pili ka lapaʻau BPH i ka nui o ka hoʻopilikia ʻana o kou mau hōʻailona a me ka nui o ko lākou hoʻopilikia ʻana i kou ola. E hana pū kāu kauka me ʻoe e loaʻa ka ʻano e hāʻawi iā ʻoe i ka hoʻomaha maikaʻi loa me nā hopena ʻaoʻao liʻiliʻi loa.
ʻO nā koho lapaʻau mai nā loli ola a hiki i nā lāʻau lapaʻau a hiki i nā kaʻina hana:
Hoʻomaka ka nui o nā kāne me nā lāʻau lapaʻau, hiki ke hoʻomaikaʻi nui i nā hōʻailona i loko o nā pule a i nā mahina. E nānā kāu kauka i ka maikaʻi o ka hana ʻana o ka mālama a hoʻoponopono i kāu hoʻolālā e like me ka pono.
Hāʻawi nā mālama hou e like me ka wai vapor therapy a me ka prostate artery embolization i nā koho liʻiliʻi ma mua o ka ʻoki kino maʻamau. Hiki i kēia mau kaʻina hana ke hāʻawi i ka hoʻomaha lōʻihi me nā manawa ho'ōla pōkole.
Hiki i nā loli ola maʻalahi ke hoʻomaikaʻi pinepine i nā hōʻailona BPH a hana maikaʻi pū me ka mālama lapaʻau. Kūkulu kēia mau hana i ka hoʻemi ʻana i ka huhū o ka bladder a me ka maʻalahi a me ka ʻoluʻolu o ka mimi ʻana.
ʻO nā hana i kēlā me kēia lā e kōkua ai:
Hiki nō hoʻi ke kōkua nā ʻenehana hoʻomaʻamaʻa bladder. E ho'āʻo e hoʻonohonoho i nā manawa lumipaku a hoʻonui mālie i ka manawa ma waena o nā huakaʻi. Hiki i kēia ke kōkua i ka hoʻomaʻamaʻa hou ʻana i kou bladder e paʻa i ka mimi nui me ka ʻoluʻolu.
E mālama i kou mau hōʻailona i loko o kahi diary, e hoʻomaopopo ana i nā mea e hoʻomaikaʻi ai a i ʻole e hoʻoino ai iā lākou. Hāʻawi kēia ʻike i kāu kauka i nā ʻike waiwai i kou kūlana a hōʻike inā ke hana nei nā hana hoʻokele home.
Ke hoʻomākaukau nei no kāu kūkā e kōkua iā ʻoe e hoʻohana nui i kou manawa me ke kauka a hōʻoia iā ʻoe e loaʻa ka ʻike a me ke kōkua āu e pono ai. ʻO ka hoʻomākaukau maikaʻi e alakaʻi i ka kamaʻilio maikaʻi a me ka hoʻolālā mālama maikaʻi.
Ma mua o kāu kipa, e hōʻiliʻili i kēia ʻike nui:
E noʻonoʻo e mālama i kahi diary bladder no kekahi mau lā ma mua o kāu kūkā. E hoʻopaʻa i ka wā āu e mimi ai, ka nui e puka mai ana, a me kekahi wikiwiki a i ʻole paʻakikī āu e ʻike ai. Hāʻawi kēia i kāu kauka i nā ʻike waiwai i kou kūlana.
Mai hilahila e kūkākūkā i nā hōʻailona mimi a i ʻole moekolohe. Ua kōkua kāu kauka i nā kāne he nui me kēia mau pilikia like a makemake e loaʻa ka hopena maikaʻi loa no kou kūlana.
ʻO ka BPH kahi kūlana maʻamau, ʻaʻohe kanesa e hoʻopilikia ana i ka hapa nui o nā kāne i ko lākou ulu ʻana, akā hiki ke mālama ʻia loa i ka wā e hoʻopilikia ai nā hōʻailona. ʻO ke kī ka ʻike ʻana i ka wā e hoʻopilikia ai nā loli mimi i kou ola a ʻimi i ke kōkua.
E hoʻomanaʻo he nui nā koho lapaʻau āu e loaʻa ai, mai nā loli ola maʻalahi a hiki i nā lāʻau lapaʻau a hiki i nā kaʻina hana. Loaʻa i ka hapa nui o nā kāne ka hoʻomaha nui me ke ala kūpono, a ke hoʻomau nei nā mālama e hoʻomaikaʻi me ka holomua ʻana o ka ʻenehana lapaʻau.
Mai ʻae i ka hilahila a i ʻole ka manaʻo ʻana he “ʻāpana wale nō o ka ulu ʻana” nā hōʻailona e pale aku iā ʻoe mai ka loaʻa ʻana o ke kōkua. Aia kāu kauka e kākoʻo iā ʻoe i ka loaʻa ʻana o nā hopena e hana no kou ola a me kou makemake.
E noho ikaika e pili ana i kou olakino prostate ma o ka mālama ʻana i nā nānā maʻamau, ka noho ʻana i kahi ola olakino, a me ka kamaʻilio ākea me kāu mea mālama ola e pili ana i nā loli āu e ʻike ai.
ʻAʻole, ʻaʻole e hoʻonui ka BPH i kou pilikia o ka loaʻa ʻana o ka prostate cancer. He mau kūlana kaʻawale loa kēia, ʻoiai ke hoʻopilikia nei lāua ʻelua i ka gland prostate. Eia naʻe, hiki iā ʻoe ke loaʻa i ka BPH a me ka prostate cancer i ka manawa hoʻokahi, ʻo ia ke kumu e noho mau ai nā nānā maʻamau i kou ulu ʻana.
ʻAʻole pinepine ka BPH iho e hoʻopilikia pololei i ka hana moekolohe, akā hiki i kekahi mau mālama ke loaʻa nā hopena ʻaoʻao moekolohe. Loaʻa pinepine ʻole nā pilikia moekolohe i nā mea pale alpha, ʻoiai hiki i nā mea pale 5-alpha reductase ke hoʻemi i ka libido a i ʻole ke kumu i ka erectile dysfunction i kahi hapa liʻiliʻi o nā kāne. E kūkākūkā i kēia mau hopohopo me kāu kauka e loaʻa nā mālama e hana maikaʻi loa no kou kūlana.
E ulu mālie ana nā hōʻailona BPH ma nā mahina a i ʻole nā makahiki. ʻIke ka hapa nui o nā kāne i nā loli mālie a ʻaʻole paha e ʻike i ka nui o ka holomua o ko lākou mau hōʻailona a hiki i ka wā e hoʻopilikia nui ai i ke ola i kēlā me kēia lā. ʻAʻole maʻamau nā loli koke i nā hōʻailona mimi a pono e loiloi koke ʻia e ke kauka.
ʻOiai ʻaʻohe meaʻai kūikawā e hiki ke ho'ōla i ka BPH, hiki i kekahi mau loli ke kōkua i ka hoʻokele ʻana i nā hōʻailona. Hiki i ka palena ʻana i ka caffeine a me ka waiʻona, ʻoi aku hoʻi i ke ahiahi, ke hoʻemi i ka mimi i ka pō. Manaʻo kekahi mau noiʻi e hiki i nā meaʻai momona i nā hua, nā mea kanu, a me nā momona olakino ke kākoʻo i ke olakino prostate, ʻoiai pono nā noiʻi hou aku e hōʻoia i nā ʻōlelo aʻoaʻo meaʻai kūikawā.
ʻAʻole pono mau ka ʻoki kino, ʻoiai no ka BPH koʻikoʻi. Loaʻa i nā kāne he nui ka hoʻomaha me nā lāʻau lapaʻau a i ʻole nā kaʻina hana liʻiliʻi hou. Manaʻo pinepine ʻia ka ʻoki kino i ka wā ʻaʻole hana nā lāʻau lapaʻau, hoʻopilikia nui nā hōʻailona i ke ola, a i ʻole nā pilikia e like me ka mālama ʻana o ka mimi. E ʻimi kāu kauka i nā koho āpau ma mua o ka hāʻawi ʻana i ka ʻoki kino.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.