Ukuqina Kwe-Prostate Engalimi: Izimpawu, Izimbangela, Nokwelashwa

Ukuqina kwe-prostate engalimi (BPH) kwenzeka lapho i-gland yakho ye-prostate ikhula ngaphezu kokujwayelekile njengoba ugoduka. Lokhu kukhula okungekho umdlavuza kwenzeka kubantu abaningi abadlula iminyaka engama-50 futhi kungenza ukuthamba kube nzima noma kungabi nesihluku.

Cabanga nge-prostate yakho njenge-gland enjengomnqumo ohlala ngaphansi kwesisu sakho futhi uqongelela ingxenye ye-urethra yakho. Uma ikhula, ingacindezela leli payipi futhi ithinte ukuthi ungayigcwalisa kangcono kanjani isisu sakho. Izindaba ezinhle ukuthi i-BPH ivamile kakhulu futhi iyakwelashwa.

Iyini i-hyperplasia ye-prostate engalimi?

I-hyperplasia ye-prostate engalimi isho ukuthi i-gland yakho ye-prostate ikhulile ngenxa yokwanda kwamaselula. Igama elithi "engalimi" lisitshela ukuthi lokhu kukhula akuyona umdlavuza, futhi i- "hyperplasia" isho nje amaseli amaningi kunokujwayelekile.

I-prostate yakho ikhula ngokwemvelo ekuphileni kwakho konke, kodwa lokhu kukhula kusheshisa ngemuva kweminyaka engama-40. Ngonyaka wama-60, cishe ingxenye yabantu abesilisa banezinga elithile lokuqina kwe-prostate. Ngonyaka wama-85, le nombolo iyakhuphuka iye cishe ku-90%.

I-prostate enkulu ingacindezela i-urethra yakho nesisu sakho. Lokhu kuqinisa kudala izimpawu zokuthamba eziletha abantu abesilisa abaningi ukubona udokotela wabo. Nakuba i-BPH ingakhathaza, ayikhuphuli ingozi yakho yomdlavuza we-prostate.

Ziyini izimpawu zokuqina kwe-prostate engalimi?

Izimpawu ze-BPH zikhula kancane kancane futhi zigxile ezinguqukweni zendlela othambe ngayo. Ungase uqaphele lezi zinguquko zenzeka kancane kancane ezinyangeni noma eminyakeni eminingi, okuyinto evamile ngokuphelele kule meko.

Izimpawu ezivamile ongazihlangabezana nazo zihlanganisa:

• Ubunzima bokuqala ukuthamba, ngisho noma isisu sakho sizizwa sigcwele
• Umgogodla ophansi noma oqhekekile wokuphuma komchamo omisa futhi uqale
• Ukuzizwa sengathi awukwazi ukuyigcwalisa ngokuphelele isisu sakho
• Ukudinga ukuthamba njalo, ikakhulukazi ebusuku
• Isidingo esisheshayo, esiphuthumayo sokuthamba okunzima ukulilibazisa
• Ukuqhekeza ekupheleni kokuthamba
• Ukuzinyathela noma ukucindezela ukuqala ukuphuma komchamo

Abanye abantu abesilisa nabo bahlangabezana nezimpawu ezingavamile. Lezi zingase zihlanganise igazi lomchamo, ukutheleleka kwesisu okuqhubeka kubuyela, noma ukungakwazi ukuthamba ngokuphelele. Uma uqaphela igazi noma awukwazi ukuthamba nhlobo, kubalulekile ukubona udokotela ngokushesha.

Khumbula ukuthi ubukhulu bezimpawu akuhambisani njalo nobukhulu be-prostate. Abanye abantu abesilisa abane-prostate ezinkulu kakhulu banezimpawu ezilula, kanti abanye abane-enlargement encane bazizwa bekhulu.

Ziyini izimbangela zokuqina kwe-prostate engalimi?

Imbangela eqondile ye-BPH ayiqondakali ngokuphelele, kodwa ihlobene eduze nobudala nokuhluka kwe-hormone emzimbeni wakho. Njengoba ugoduka, ukulingana kwe-hormone njenge-testosterone ne-estrogen kushintsha ngezindlela ezingase zikhuthaze ukukhula kwamaselula e-prostate.

Izici eziningana zifaka isandla ekuqineni kwe-prostate:

• Ukuhluka kwe-hormone okuhlobene nobudala, ikakhulukazi okuhilela i-testosterone ne-dihydrotestosterone (DHT)
• Umlando womndeni we-BPH, okubonisa ukuthi izici zofuzo zidlalela indima
• Ukukhula kwamaselula okwenzeka ngokwemvelo njengengxenye yokuguga
• Ukuvuvukala e-tissue ye-prostate ngokuhamba kwesikhathi

Ngokuthakazelisayo, abantu abesilisa abasusa ama-testicles abo ngaphambi kokuthomba abakhulumi i-BPH. Lokhu kubonisa ukuthi ama-hormone esilisa abaluleke kangakanani ekuqineni kwe-prostate. Noma kunjalo, ukuguga okujwayelekile nezici zofuzo kubonakala sengathi yizona izici ezinkulu zengozi ongenakuzilawula.

Nini okufanele ubona udokotela ngokuqina kwe-prostate engalimi?

Kufanele ucabangele ukubona udokotela lapho izimpawu zokuthamba ziqala ukuthinta impilo yakho yansuku zonke noma ubuthongo. Abantu abaningi abesilisa balinda isikhathi eside kunokufanele ngoba bacabanga ukuthi lezi zinguquko yingxenye nje yokuqina.

Sekuyisikhathi sokuhlela i-aphoyintimenti uma uhlangabezana nanoma yiziphi lezi zimo:

• Ukuphaphama izikhathi eziningi ebusuku ngalunye ukuthamba
• Ukugwema imisebenzi noma uhambo ngenxa yokukhathazeka nge-bathroom
• Ukuzizwa sengathi isisu sakho asiligcwalisi ngokuphelele
• Ukuba nomgogodla ophansi womchamo noma ubunzima bokuqala
• Ukutheleleka kwe-urinary tract okuqhubeka kubuyela

Funani ukunakekelwa kwezokwelapha ngokushesha uma ungakwazi ukuthamba ngokuphelele, ubona igazi lomchamo, noma unezinhlungu ezinkulu zesisu. Lezi zimpawu zingase zibonise izinkinga ezidinga ukunakekelwa okusheshayo.

Khumbula ukuthi ukwelashwa okuphumelelayo kukhona kwe-BPH. Udokotela wakho angakusiza uthole impumuzo futhi uthuthukise ikhwalithi yempilo yakho, ngakho ungangabazi ukuxoxa ngalezi zimpawu.

Ziyini izici zengozi zokuqina kwe-prostate engalimi?

Izici eziningana zingandisa amathuba akho okuthola i-BPH, nakuba ezinye zilawulwa wena kanti ezinye azilawulwa. Ukuqonda lezi zici zengozi kungakusiza wazi ukuthi yini okulindeleke nokuthi nini kufanele uqaphele izimpawu.

Izici ezinkulu zengozi zihlanganisa:

• Ubudala obungaphezu kweminyaka engama-40, ingozi ikhuphuka kakhulu ngemuva kweminyaka engama-50
• Umlando womndeni we-BPH noma izinkinga ze-prostate
• Ukuba sisisindo esingaphezu kwesisindo noma ukukhuluphala
• Ukungaqeqeshwa komzimba njalo
• I-type 2 diabetes nesifo senhliziyo
• Imithi ethile njenge-beta blockers

Izici zokuphila nazo zidlalela indima. Abantu abesilisa abagcina isisindo esinempilo, baqeqesha umzimba njalo, futhi badla ukudla okulinganiselayo bangase babe nengozi ephansi yokuthola izimpawu ze-BPH ezinkulu. Noma kunjalo, ubudala nezici zofuzo zihlala zibikezela kakhulu.

Uma unezici eziningi zengozi, akusho ukuthi uzokuthola izimpawu ezinkulu ngokuqinisekile. Abantu abesilisa abaningi abanezici zengozi bane-BPH elula engathinti impilo yabo kakhulu.

Ziyini izinkinga ezingase zenzeke ngokuqina kwe-prostate engalimi?

Nakuba i-BPH ngokwayo ingabi yingozi, ukushiya izimpawu ezinkulu zingaphathwa ngezinye izikhathi kungase kube nezinkinga. Abantu abesilisa abaningi abane-BPH abazilangabezani nalezi zinkinga, ikakhulukazi lapho basebenzisana nodoketela wabo ukulawula izimpawu.

Izinkinga ezingase zenzeke okufanele uzazi zihlanganisa:

• Ukuvalwa komchamo, lapho ungakwazi ukuyigcwalisa ngokuphelele isisu sakho noma nhlobo
• Ukutheleleka okuqhubeka kwe-urinary tract ngenxa yokungagcwaliswa ngokuphelele kwesisu
• Amatshe esisu akha lapho umchamo uhlala isikhathi eside kakhulu esiswini
• Ukonakala kwesisu ngenxa yomchamo obuyela emuva ocindezela izisu
• Ukonakala kwemisipha yesisu ngenxa yokusebenza nzima ukuphuma komchamo

Izindaba ezinhle ukuthi lezi zinkinga zingavikeleka ngokwelashwa okuhle. Udokotela wakho angalawula isimo sakho futhi anikeze ukwelashwa ngaphambi kokuba izinkinga zenzeke. Abantu abesilisa abaningi abahlala bexhumana nodokotela wabo baqeda izinkinga ezinkulu ngokuphelele.

Uma uqaphela izinguquko eziphuthumayo ezimpawu noma izinkinga ezintsha njengobushushu, ubuhlungu obukhulu, noma ukungakwazi ukuthamba, xhumana nodokotela wakho ngokushesha. Ukungenelela kwangaphambi kwesikhathi kungavimbela izinkinga ezibe nzima.

Ukuqina kwe-prostate engalimi kungavikeleka kanjani?

Awukwazi ukuvimbela ngokuphelele i-BPH njengoba ubudala nezici zofuzo yizona izimbangela eziyinhloko, kodwa ungathatha izinyathelo ezingase zunciphisa ingozi yakho noma zithambise ukukhula kwezimpawu. Lezi zinketho zokuphila zisekela impilo ye-prostate ngokujwayelekile.

Amasu angase asize ahlanganisa:

• Ukugcina isisindo esinempilo ngokudla okulinganiselayo nokuqeqeshwa komzimba njalo
• Ukuhlala usebenza ngemisebenzi efana nokuhamba, ukubhukuda, noma ukujika ibhayisikili
• Ukudla ukudla okunamafutha amaningi, imifino, namafutha anempilo
• Ukulinganisela utshwala ne-caffeine, ikakhulukazi ebusuku
• Ukulawula izimo njenge-diabetes nesifo senhliziyo
• Ukungahlali ugcine umchamo isikhathi eside lapho uzizwa ufuna ukuthamba

Ezinye izifundo zikhomba ukuthi ukudla okunama-antioxidants amaningi, njengamatamatisi neti ye-green, kungase kusekele impilo ye-prostate. Noma kunjalo, ayikho ukudla okukodwa noma isikhumulo esingavimbela i-BPH ngokuphelele.

Isu le-prevention elibaluleke kunazo zonke ukuba uqaphele izinguquko zemikhuba yakho yokuthamba futhi uxoxe ngazo nodokotela wakho ngesikhathi sokuhlola okujwayelekile. Ukutholakala kwangaphambi kwesikhathi nokwelashwa kungavimbela izimpawu ezibe nzima.

Ukuqina kwe-prostate engalimi kunqunywa kanjani?

Ukuqina kwe-BPH kuqala ngodokotela wakho ebuza ngezimpawu zakho futhi enze ukuhlolwa komzimba. Bazofuna ukuqonda ukuthi izimpawu zakho zokuthamba zithinta kanjani impilo yakho yansuku zonke futhi zikhiphe ezinye izimo ezinezimpawu ezifanayo.

Udokotela wakho cishe uzoqala ngalezi zivivinyo eziyisisekelo:

• Imibuzo yomlando wezokwelapha ngezimpawu zakho nomlando womndeni
• Ukuhlolwa komzimba okuhlanganisa ukuhlolwa kwe-digital rectal ukuzwa i-prostate yakho
• Ivivinyo lomchamo ukuhlola ukutheleleka noma igazi
• Ivivinyo legazi ukuqapha amazinga e-prostate-specific antigen (PSA)
• Imibuzo ngobunzima bezimpawu nethonya empilweni yakho

Uma izivivinyo zokuqala zikhomba i-BPH, udokotela wakho angase ancome ukuhlolwa okuqhubekayo. Lezi zingase zihlanganise i-ultrasound ukuqapha ubukhulu be-prostate yakho, izivivinyo zokuhlola ukuthi uyigcwalisa kangcono kanjani isisu sakho, noma izifundo zokuphuma komchamo ukuqapha amandla omgogodla.

Kwezinye izimo, udokotela wakho angase akuthumele ku-urologist ukuze enze ukuhlolwa okukhethekile. Lokhu ngokuvamile kwenzeka lapho izimpawu zinkulu, zingaphenduli ekwelapheni okuqala, noma lapho ezinye izimo kudingeka zikhishiwe.

Iyini ukwelashwa kwe-hyperplasia ye-prostate engalimi?

Ukwelashwa kwe-BPH kuncike ekutheni izimpawu zakho zikukhathaza kangakanani nokuthi zithinta kangakanani ikhwalithi yempilo yakho. Udokotela wakho uzohlala nawe ukuthola indlela ekunika impumuzo engcono kakhulu ngezinhlangothi ezimbalwa.

Izinketho zokwelashwa zihluka kusuka ekuhlaleni kwempilo kuye emithi kuye ezinqubweni:

• Ukulindelwa okuqaphayo izimpawu ezilula ezingakukhathazi kakhulu
• I-alpha blockers njenge-tamsulosin ukuphumula imisipha ye-prostate nesisu
• I-5-alpha reductase inhibitors njenge-finasteride ukunciphisa i-prostate
• Ukwelashwa okuhlangene usebenzisa womabili uhlobo lwemithi
• Izinqubo ezingena kakhulu njenge-laser therapy noma ukwelashwa ngomusi
• Ukuhlinzwa kwezimo ezinkulu ezingaphenduli kwezinye izindlela zokwelapha

Abantu abesilisa abaningi baqala ngemithi, engathuthukisa izimpawu ngokuphawulekayo phakathi kwamasonto kuya ezinyangeni. Udokotela wakho uzoqapha ukuthi ukwelashwa kusebenza kangcono kanjani futhi alungise uhlelo lwakho njengoba kudingeka.

Ukwelashwa okusha njenge-water vapor therapy ne-prostate artery embolization kunikeza izinketho ezingena kakhulu kunokuhlinzwa okujwayelekile. Lezi zinqubo zingase zinikeze impumuzo ehlala njalo ngezikhathi zokubuyela emuva ezimfushane.

Indlela yokuphatha ukuqina kwe-prostate engalimi ekhaya?

Ukuhluka kwempilo okulula ngokuvamile kungathuthukisa izimpawu ze-BPH futhi kusebenze kahle kanye nokwelashwa kwezokwelapha. La masu agxile ekuthambiseni ukuvuvukala kwesisu nokwenza ukuthamba kube lula futhi kube nesihluku.

Imikhuba yansuku zonke engasiza ihlanganisa:

• Ukuthamba lapho uzizwa ufuna ukuthamba kunokulinda
• Ukuthamba kabili ngokulinda okwesikhashana ngemuva kokuthamba, bese uzama futhi
• Ukulinganisela amanzi ngaphambi kokulala ukuze unciphise uhambo lwe-bathroom ebusuku
• Ukugwema utshwala ne-caffeine, ikakhulukazi ntambama nakuhlwa
• Ukuhlala ufudumala, njengoba isimo sezulu esibandayo singenza izimpawu zibe zimbi
• Ukuqeqesha umzimba njalo ukuthuthukisa impilo jikelele nokujikeleza kwegazi

Amasu okuqeqesha isisu nawo angasiza. Zama ukuhlela ukuhamba kwe-bathroom futhi wandise isikhathi phakathi kwama-trip. Lokhu kungasiza ukuqeqesha isisu sakho ukuba sigcine umchamo omningi ngokunethezeka.

Gcina ulandelela izimpawu zakho encwadini, uqaphele ukuthi yini eyenza zibe ngcono noma zimbi. Lolu lwazi lusiza udokotela wakho alungise uhlelo lwakho lokwelashwa futhi lubonise ukuthi amasu okuphatha ekhaya asebenza yini.

Kufanele uzilungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela i-aphoyintimenti yakho kukusiza wenze okuningi ngesikhathi sakho nodokotela futhi kuqinisekise ukuthi uthola ulwazi nosizo olulukudingayo. Ukulungiselela okuhle kuholela ekuxhumaneni okuhle nokwenza uhlelo lokwelashwa lube lusebenzayo.

Ngaphambi kokuya kwakho, buza lolu lwazi olubalulekile:

• Uhlu lwemithi yonke, izikhumulo, namavithamini owathathayo
• Umlando womndeni wezinkinga ze-prostate noma ezinye izinkinga zokuthamba
• Amanothi ngezimpawu zakho, kuhlanganise ukuthi zaqala nini nokuthi zenzeka kangaki
• Imibuzo ngezinketho zokwelashwa nokuthi yini okulindeleke
• Noma yikuphi ukukhathazeka ngezinhlangothi zokwelashwa ezingase zibe khona

Cabanga ukugcina idayari yesisu izinsuku ezimbalwa ngaphambi kwe-aphoyintimenti yakho. Bhala lapho uthamba khona, ukuthi kuphuma kangakanani, nanoma yiluphi uvalo noma ubunzima obuhlangabezana nalo. Lokhu kunikeza udokotela wakho ukuqonda okuyigugu ngesimo sakho.

Ungajabuli ukuxoxa ngezimpawu zokuthamba noma zobulili. Udokotela wakho usizile abantu abesilisa abaningi abanezi zinkinga ezifanayo futhi ufuna ukuthola isisombululo esingcono kakhulu sesimo sakho.

Iyini into ebaluleke kakhulu ngokuqina kwe-prostate engalimi?

I-BPH iyisimo esivamile, esingelona umdlavuza esithinta abantu abesilisa abaningi njengoba begugile, kodwa siyakwelashwa kakhulu lapho izimpawu ziqala ukukhathaza. Okubalulekile ukuqaphela ukuthi nini izinguquko zokuthamba zithinta ikhwalithi yempilo yakho futhi ucele usizo.

Khumbula ukuthi unezinketho eziningi zokwelashwa ezitholakalayo, kusuka ekuhlaleni kwempilo okulula kuye emithi kuye ezinqubweni. Abantu abesilisa abaningi bathola impumuzo enkulu ngendlela efanele, futhi ukwelashwa kuqhubeka nokuthuthuka ngokuthuthuka kwezobuchwepheshe bezobuchwepheshe.

Ungavumeli ukuhlanya noma ukucatshangelwa ukuthi izimpawu "yingxenye nje yokuqina" kukuvimbele ukuthola usizo. Udokotela wakho ulapho ukusekela ekufuneni izisombululo ezisebenza ngendlela yakho yokuphila nezintandokazi zakho.

Hlala uqaphile ngempilo yakho ye-prostate ngokugcina ukuhlolwa okujwayelekile, ukuphila impilo enempilo, nokuxhumana ngokukhululekile nodokotela wakho mayelana nanoma yiziphi izinguquko oziqaphelayo.

Imibuzo evamile ebuzwa ngokuqina kwe-prostate engalimi

Ingabe i-BPH ikhuphula ingozi yami yomdlavuza we-prostate?

Cha, ukuba ne-BPH akukhuphuli ingozi yakho yokuthola umdlavuza we-prostate. Lezi yizimo ezihlukile ngokuphelele, ngisho noma zombili zithinta i-gland ye-prostate. Noma kunjalo, ungaba ne-BPH nomdlavuza we-prostate ngesikhathi esifanayo, kungakho ukuhlolwa okujwayelekile kuhlala kubalulekile njengoba ugoduka.

Ingabe i-BPH izoshaya impilo yami yobulili?

I-BPH ngokwayo ngokuvamile ayithinti ngokuqondile umsebenzi wobulili, kodwa ezinye izindlela zokwelapha zingase zibe nemiphumela emibi yobulili. I-alpha blockers ayivamile ukubangela izinkinga zobulili, kanti i-5-alpha reductase inhibitors ngezinye izikhathi inganciphisa i-libido noma ibe yimbangela ye-erectile dysfunction kwiphesenti elincane lamadoda. Xoxani ngalezi zinkathazo nodokotela wakho ukuthola ukwelashwa okusebenza kangcono kakhulu sesimo sakho.

Izimpawu ze-BPH zikhula ngokushesha kangakanani?

Izimpawu ze-BPH ngokuvamile zikhula kancane kancane ezinyangeni noma eminyakeni eminingi. Abantu abesilisa abaningi baqaphela izinguquko kancane kancane futhi bangase bangazi ukuthi izimpawu zabo ziye zakhula kangakanani kuze kube yilapho zithinta kakhulu impilo yansuku zonke. Izingozi eziphuthumayo ezimpawu zokuthamba azivamile futhi kufanele ziqashwe udokotela ngokushesha.

Ingabe izinguquko zokudla zingasiza ngezimpawu ze-BPH?

Nakuba ayikho ukudla okuthile okungaphilisa i-BPH, izinguquko ezithile zingasiza ekulawuleni izimpawu. Ukulinganisela i-caffeine notshwala, ikakhulukazi ebusuku, kunganciphisa ukuthamba ebusuku. Ezinye izifundo zikhomba ukuthi ukudla okunamafutha amaningi, imifino, namafutha anempilo kungase kusekele impilo ye-prostate, nakuba kudingeka ucwaningo olwengeziwe ukuqinisekisa iziphakamiso ezithile zokudla.

Ingabe ukuhlinzwa kudingeka njalo kwe-BPH enkulu?

Ukuhlinzwa akuyona njalo into edingekayo, ngisho nase-BPH enkulu. Abantu abesilisa abaningi bathola impumuzo ngemithi noma izinqubo ezintsha ezingena kakhulu. Ukuhlinzwa ngokuvamile kucabangelwa lapho imithi ingasebenzi, izimpawu zithinta kakhulu ikhwalithi yempilo, noma izinkinga njengokuvalwa komchamo zenzeke. Udokotela wakho uzoqala zonke izinketho ngaphambi kokuncoma ukuhlinzwa.