Ko August (meetaugust.ai) te kaiwhakaputa i tēnei tuhinga. Ka whakaratohia e August he tiaki rongoā ipurangi mō te $39 te utu papatahi, ā, ka taea e ia te whakarite rongoā tamsulosin (Flomax), finasteride (Proscar), me ētahi atu rongoā BPH kāore e whakahaeretia ana mō ngā take whai mana. E whakamārama ana tēnei tuhinga i te mahi o te rongoā ipurangi mō te prostete nui, te utu, ā, āhea koe e hiahiatia ai te tiaki urologist ā-tinana.

Te Whakautu

Āe, ko te nuinga o ngā take BPH (benign prostatic hyperplasia) kāore nei i te raruraru ka taea te aromatawai me te rongoā mā te telehealth. I muri i te arotake i āu tohu, ka taea e te tākuta te whakarite rongoā kāore e whakahaeretia ana, tae atu ki ngā alpha-blockers pērā i te Flomax (tamsulosin) me ngā 5-ARIs pērā i te Proscar (finasteride).

Ko te whakaritenga rongoā i te rā kotahi me te tiki rongoā i te whare rongoā te tikanga. Ko ngā tikanga i roto i te tari pērā i te Rezūm, UroLift, me te pokanga ka hiahiatia tonu he toro ā-tinana, engari ko te whakahaere rongoā ka pai te mahi i te ipurangi.

Kei te raru koe ki ngā tohu mimi? Ko te August AI Symptom Checker ka tirotiro i āu tohu i raro iho i te 2 meneti. Ko te August AI Online Urgent Care ka hono koe ki tētahi tākuta whai raihana i roto i ngā meneti mō te aromatawai me te whakaritenga rongoā i te rā kotahi ina tika.

He aha te rongoā BPH ipurangi?

Ko te rongoā BPH ipurangi ka hoatu ki a koe tētahi huarahi ata noho ki te aromatawai me te rongoā i te prostete nui mai i te kāinga, kāore he ruuma tatari. Kei roto i tēnei:

  • Arotake Tohu: Te aromatawai i āu tikanga mimi i te wātea mai i te kāinga.
  • Tiaki Rongoā: Ngā rongoā ka whakaritea tika ki tō whare rongoā ā-rohe.
  • Tīhore me te Aroturuki: Te aroturuki tonu o ngā tohu me te whakarerekē rongoā.

Ko te BPH tētahi o ngā mate hauora tino noa ki ngā tāne pakeke:

  • Tata ki te haurua o ngā tāne neke atu i te 50 ngā tau kei a ratou ētahi tohu o te prostete nui.
  • Ka piki tēnei ki te 80% neke atu rānei hei te 70 o ngā tau.

Ahakoa kāore te mate nei e mate pukupuku, ka taea e āna tohu mimi te pā kino ki te kounga o te ora.

Mō ngā tāne, ko te rongoā BPH ipurangi ka whakarato i te tino ata noho:

  • Te karo i te whakawhitiwhiti kōrero mō ngā tohu tata ki tētahi ruuma tatari kikī.
  • Te whakaoti i tō aromatawai mā te ata noho mai i te kāinga.
  • Te tiki i tō rongoā i tō whare rongoā ā-rohe me te kore he kōrero ā-tinana.

He aha ngā take o ngā tohu BPH?

Ka tupu te BPH ka āta nui haere te repeure (prostate gland) i te pakeke, ka pēhi i te ngongo mimi, ka aukati i te rere o te mimi. He tukanga homoni tēnei nā te dihydrotestosterone (DHT) me ngā take e pā ana ki te pakeke, ehara nā ngā kōwhiringa ora, ehara rānei i tō he.

Ko ngā tohu BPH noa ko:

  • Te rere ngoikore, whatiwhati rānei o te mimi
  • Te uaua ki te tīmata te mimi (tūruhi)
  • Te mimi auau i te ao
  • Te maranga mai i te maha o ngā wā i te pō ki te mimi (nocturia)
  • Te ngāwari o te kore rawa o te mimi ki te putu
  • Te kaha o te hiahia ki te mimi
  • Te pak pakiti i ētahi wā i muri i te mutunga
  • Te kaha o te pehanga i te wā mimi

Ko ēnei tohu ka tupu āta, nā reira ka roa te nuinga o ngā tāne ki te rongoā. Ko te kōrero pai ko te rongoā, ko te nuinga o ngā take ka ea pai ki te rongoā, ā, kei te ipurangi te rongoā pai.

Ko ēhea rongoā ka rongoā i te BPH?

He maha ngā rongoā ka rongoā i te BPH mā te pai, ā, ka whakaritea ki āu tohu motuhake, te rahi o te repeure, me te hītori hauora:

Alpha-blockers

Ka whakapāhū te uaua ngohengohe i roto i te repeure me te pūpū mimi kia pai ai te rere o te mimi i roto i te rā, wiki rānei.

  • Tamsulosin (Flomax) 0.4 mg ia rā: Ko te mea tino whakaritea; he tino motuhake ki ngā kaitautoko repeure.
  • Alfuzosin (Uroxatral) 10 mg ia rā: He rite te kaha; ka iti ake te mate tetere.
  • Silodosin (Rapaflo) 8 mg ia rā: He tino motuhake ki te repeure; ka taea te whakaputa i te ejakulation rereke.
  • Doxazosin (Cardura) 4-8 mg ia rā: Ka whakaheke hoki i te pehanga toto; whai hua ki ngā tāne me te BPH me te pehanga toto tiketike.
  • Terazosin (Hytrin) 5-10 mg ia rā: Ka rite te mahi ki te doxazosin.

5-alpha reductase inhibitors (5-ARIs)

Ka whakaiti i te repeure i te roanga o te wā mā te whakaheke i ngā taumata DHT.

  • Finasteride (Proscar) 5 mg ia rā: Ka hiahiatia he 3 ki te 6 marama mō te painga nui; tino pai mō ngā repeure nui.
  • Dutasteride (Avodart) 0.5 mg ia rā: He tikanga rite; he maha tonu te pai mō ngā repeure tino nui.

Terapī me te rongoā kotahi

Ka honoa tētahi alpha-blocker me tētahi 5-ARI mō ngā repeure nui, ngā tohu tino kino rānei (hei tauira, Jalyn, tētahi pire kotahi kei roto ko te dutasteride me te tamsulosin).

Tadalafil (Cialis) 5 mg ia rā

Kua whakaaetia e te FDA mō te BPH i tēnei horopeta iti; tino whai hua ki ngā tāne e wheako ana i te BPH me te kore kaha ira. Mō ētahi atu kōrero mō tēnei hononga, tirohia tō mātou Aro mātai Kore Kaha Ira aratohu.

Panui: Ko ēnei katoa he rongoā kāore e whakahaeretia ana, hei te tikanga ka taea e ngā kaiwhakarato telehealth te whakarite i muri i tētahi aromatawai ipurangi noa.

Me pēhea te mahi o te aromatawai ipurangi?

Ko te aromatawai BPH ipurangi he tukanga marama, ā-taahiraa:

  • Taahiraa 1: Arotake Tohu. Ka whakaotia e koe te International Prostate Symptom Score (IPSS) me tētahi puka pātai kua whakamanatia kia whai turanga tika.
  • Taahiraa 2: Arotake Hītori. Ka arotake te kaiwhakarato i tō hītori hauora, ngā rongoā o nāianei, te mahi ira, te pehanga toto, me ngā aromatawai repeure o mua.
  • Taahiraa 3: Te Whakakore i Ētahi Āhuatanga. Ka tirotiro te kaiwhakarato mō ngā tohu whakatūpato e hiahiatia ana te tiaki ā-tinana (pērā i te toto i roto i te mimi, te mamae nui, me te aukati mimi).
  • Taahiraa 4: Te Whakatau Rongoā. I runga i āu hua, ka tohua e te kaiwhakarato te rongoā tika (ko te nuinga o ngā tāne ka tīmata ki te tamsulosin tere-whakaora).
  • Taahiraa 5: Tiki Rongoā. Ka tukuna tētahi rongoā hiko ki tō whare rongoā ā-rohe mō te tiki i te rā kotahi. Ko te Tamsulosin taketake ka utu pea i waenganui i te $10 ki te $20 ia marama me GoodRx.
  • Taahiraa 6: Aroturuki. Ka tirotirohia te urupare i te 4 wiki me te whakarerekē i te horopeta mehemea e tika ana.

He maha ngā tūroro ka whakaoti i ā rātou aromatawai tuatahi ka whiwhi i ā rātou rongoā i roto i te haora mā te telehealth asynchronous me te ataata i te rā kotahi.

Kia hia te utu o te rongoā BPH ipurangi?

Ka rereke te utu i ngā papaa me ngā kōwhiringa rongoā:

Kōrerorero Telehealth: Ka rereke mai i te $19 ki te $109 i runga i te papa ($39 te utu papatahi me August AI; $39 me Doctronic; ka rereke me Sesame Care; ka whakaaetia e Klarity Health te nuinga o te inihua).

Ngā utu rongoā (taketake ia marama, me GoodRx):

  • Tamsulosin 0.4 mg: $10 ki te $20 ia marama
  • Alfuzosin 10 mg: $15 ki te $30 ia marama
  • Silodosin 8 mg: $30 ki te $60 ia marama
  • Finasteride 5 mg: $10 ki te $20 ia marama
  • Dutasteride 0.5 mg: $20 ki te $40 ia marama
  • Tadalafil 5 mg ia rā: $10 ki te $30 ia marama (taketake)

Te utu katoa ia marama: Ka taea te $50 ki te $100 te utu mō te kōrerorero me te rongoā taketake i roto i te nuinga o ngā take utu-moni. Ko te inihua ka hipoki i te nuinga o te rongoā BPH i ngā utu iti.

Ki te whakaaro koe ki te mea ka taea te tiki tamsulosin me te kore he rongoā, ko tō mātou Ka taea e Koe te Hoko Tamsulosin (Flomax) OTC? tuhinga e whakamārama ana te take ka noho tonu ai he rongoā, me pēhea te uru atu ki te utu iti.

Āhea tirohia ai tētahi urologist ā-tinana

Ko ētahi āhuatanga ka hiahiatia te tiaki ā-tinana hei utu mō te telehealth. Rapua te tiaki ā-tinana ki te mea kei a koe:

  • Toto i roto i tō mimi me te ejakulate
  • Te mamae nui o te puku me te waewae
  • Te kore rawa e taea te mimi (aukati mimi)
  • Ngā mate mimi auau e tohu ana i te kore rawa o te mimi ki te putu
  • Te whakapae i te mate pukupuku repeure (hītori whānau, PSA tiketike)
  • Ngā whakamatautau rongoā i rahua me ngā tohu mau tonu
  • Te hiahia ki ngā tikanga i roto i te tari (Rezūm, UroLift, TURP, HoLEP)
  • Ngā raruraru mahi whatukuhu
  • Ngā kohatu pūpū mimi me ngā diverticula

Mō ēnei āhuatanga, ka tukuna koe e te telehealth ki te urology, ka whakaratohia te aromatawai tika me ngā taputapu tātaritanga pērā i te uroflowmetry, te ine i te mimi i muri i te mimi, te cystoscopy, me te whakaahua repeure.

Ngā aratohu hauora tāne e pā ana ka āwhina pea:

Kua rite ki te aromatawai ata noho? Ko te August AI Online Urgent Care mō te $39 te utu papatahi ka taea te aromatawai i ngā tohu BPH, whakarite i te tamsulosin, finasteride, me te rongoā tika mō tō āhuatanga, me te whakahaere i te tiki rongoā i te rā kotahi puta noa i ngā whenua 50 katoa o Amerika.

Ngā Pātai Auau

He rite te whai hua o te rongoā BPH ipurangi ki te rongoā ā-tinana?

Mō te whakahaere rongoā, ko te telehealth ka whai hua rite ki te whakarite rongoā ā-tinana. Ko te rongoā te mahi ahakoa te āhua o te whakaritenga o te rongoā. Ko ngā tikanga i roto i te tari (Rezūm, UroLift, pokanga) ka whakaratohia he kōwhiringa anō mō ngā tāne kāore e tau ki te rongoā me te hiahiatia he toro ā-tinana.

Kia tere te tīmatanga o te mahi a te tamsulosin?

Ko te nuinga o ngā tāne ka kite i te pai i roto i te torutoru rā, ā, ka nui ake te painga i te 2 ki te 4 wiki. Ki te kore e pai ake ngā tohu i muri i te 4 wiki, ka taea e tō tākuta te whakanui ake i te horopeta ki te 0.8 mg me te whakawhiti rānei ki tētahi rongoā kē.

Ka taea e au te tango rongoā BPH me te rongoā pehanga toto?

Āe, engari he mea nui te whakahaere. Ko ngā Alpha-blockers pērā i te tamsulosin ka taea te tāpiri ki ngā pānga whakaheke pehanga toto. Ka tirotiro tō kaiwhakarato i āu rongoā o nāianei me te kōwhiri i te kōwhiringa tino haumaru. Ko te silodosin ka iti te pānga ki te pehanga toto.

Kei te hiahiatia he whakamātautau PSA i mua i te tīmatanga o te rongoā BPH?

Ko te whakawhitiwhiti kōrero mō te whakamātautau PSA ka uru ki te aromatawai. E taunaki ana ngā aratohu kia puta he kōrero takitahi mō te PSA ki ngā tāne kei waenganui i te 55 me te 69 tau. Ka āwhina tō tākuta ki a koe ki te whakatau mena ka whakamātauhia i mua i te tīmatanga o te rongoā, ina koa ki te mea kei a koe te hītori whānau o te mate pukupuku repeure.

Ka puta mai ngā paanga taha ira i te rongoā BPH?

Ko ētahi rongoā ka taea te pā ki te mahi ira:

  • Tamsulosin me te silodosin: Ka taea te whakaputa i te ejakulation rereke me te retro-grade.
  • Finasteride me te dutasteride: Ka taea te whakaheke i te hiahia ira me te whakarerekē ira i roto i te taupori iti o ngā tāne. Ka whakawhitiwhiti ngā tākuta mō ngā tūraru me ngā kōwhiringa kē i te wā o te aromatawai.

Ka taea e au te mutu te rongoā BPH ina pai ake ngā tohu?

Kao. Ko ngā rongoā BPH ka rongoā i ngā tohu engari kāore e whakaora i te nui o te repeure. Ko te whakamutu i te rongoā ka puta ake ngā tohu i roto i ngā rā ki ngā wiki. Mō ngā tāne e hiahia ana ki te whakaiti i te rongoā, ko te kōrero ki ngā kōwhiringa pērā i te terapī me te rongoā tikanga ka āta noho i te wā o te aroturuki.