ʻO ka maʻi maʻamau a maʻamau, pili ka prostate adenoma i ka hapaha o nā kāne ma waena o 55 a me 60 mau makahiki a ʻoi aku ma mua o hoʻokahi o nā kāne ʻelua ma waena o 66 a 70 mau makahiki. He aha nā hōʻailona? Pehea e ʻike ai a mālama ʻia? ʻO nā pane a Inès Dominique, urologist

Ua kapa ʻia ʻo benign prostatic hyperplasia (BPH), ʻo ka prostate adenoma kahi piʻi mālie o ka nui prostate. "ʻO kēia piʻi ʻana o ka nui ka hopena ma muli o ka hoʻonui ʻana o nā cell prostate i pili i ka ʻelemakule" wahi a Kauka Dominique.

Hoʻonui ka pinepine o kēia pathology me ka makahiki a pili i ka 90% o nā kāne ma luna o 80 i nā ʻano like ʻole. "He maʻi maʻi maʻi ia, e ulu ana i nā makahiki he nui, akā ʻaʻole pili i ka maʻi prostate." hoʻohui i ka urologist.  

ʻAʻole maopopo i ke ʻano o ka ulu ʻana o ka prostate adenoma.

"Ua hoʻomohala ʻia kekahi mau manaʻo: nā hana hormonal - ʻoi aku ma o DHT - hiki ke komo, a i ʻole kahi kaulike ma waena o ka ulu ʻana a me ka luku ʻana o nā pūnaewele prostate" hōʻike iā Inès Dominique.

ʻO ka metabolic syndrome naʻe he kumu pilikia maoli, no ka mea, ua pāpālua ʻia ka hiki ke mālama ʻia no ka prostate adenoma i nā maʻi me ka metabolic syndrome.

I kekahi manawa, ʻaʻohe asymptomatic ka prostate adenoma a ʻike ʻia i ka wā o ka hoʻokolokolo kiʻi lāʻau. Akā ʻo ka pinepine, ke kumu ia i nā hōʻailona urinary ma muli o ke kaomi ʻana o ka urethra e ka prostate abnormally developly.

"Hiki ke ʻike ʻia nā hōʻailona o LUTS (maʻi ʻāpana urinary) e ka mea maʻi" wehewehe i ka urologist.

Hoʻokaʻawale ka International Continence Society (ICS) i kēia mau hōʻailona i ʻekolu mau ʻāpana:

Nā pilikia o ka manawa hoʻopiha 

"ʻO pollakiuria kēia, ʻo ia hoʻi ka pono e hele pinepine i ka mimi, hiki ke ao a i ka pō a me nā pilikia ulia urination" wehewehe ʻo Dr Dominique.

Nā pilikia o ka manawa hoʻokaʻawale

"ʻO ia ka mea e koi ai i ka mimi, i kapa ʻia ʻo dysuria, ka paʻakikī i ka hoʻomaka ʻana i ka mimi a i ʻole kahi kahe mimi puʻupuʻu a / a nāwaliwali paha" hoʻomau ka loea.

Nā maʻi ma hope o ka hemo ʻana

"ʻO kēia nā hāʻule hope a i ʻole ka manaʻo o ka hoʻopau ʻole ʻana o ka ʻōpū."

Hiki nō hoʻi i ka prostate adenoma ke kumu o ka moe kolohe, me ka nawaliwali o ka ejaculatory jet. 

Hoʻokumu ʻia ka ʻike o ka prostate adenoma ma ka nīnau ʻana i ka mea maʻi no nā hōʻailona urinary hiki ke hoʻopaʻa ʻia, ka hoʻokolokolo kino me ka hoʻokolokolo rectal digital a i kekahi manawa, inā pono, imaging a me biology.

"Hoʻohana ʻia ka hoʻokolohua rectal digital e loiloi i ka nui a me ke kūlike o ka prostate e hōʻoia pū ʻia ʻaʻohe maʻi prostate pili. He hōʻike hōʻeha ʻole kēia a me ka pilikia ʻole " wehewehe ʻo Dr Dominique.

Inā kānalua, hiki ke hana ʻia ke ana kahe: pono ka mea maʻi e mimi i loko o kahi lua "kūikawā" e hiki ai ke loiloi i ke kahe ʻana o ka mimi.

Hoʻokumu ʻia ke kiʻi i ka ultrasound reno-vesico-prostatic. "Hiki iā ia ke loiloi i ka nui o ka prostate, e hōʻoia i ka loaʻa ʻole o ka calculus bladder a i ʻole anomaly bladder a me ka hōʻoia ʻana i ka nele o nā hopena renal" wehewehe ka loea. Hiki i kēia ultrasound ke nānā i ka hoʻokuʻu pololei ʻana o ka ʻōpū i ka wā mimi.

ʻO ka mea hope loa, hoʻokumu ʻia ka biology ma ka hoʻoholo ʻana o ka hormone prostate i kapa ʻia ʻo PSA - i mea e hoʻoholo ai i ka maʻi maʻi prostate - a ma kahi hoʻokolohua o ka hana renal ma o ka nānā ʻana o ka creatinine.

ʻAʻole maikaʻi paha ka prostate adenoma, pono ke nānā ʻia a mālama ʻia i mea e pale ai i nā pilikia.

"Hiki i ka hyperplasia prostatic maikaʻi ke hana i kahi keakea o ka ʻōpū e pale ana i kona hoʻokuʻu ʻia ʻana, ʻo ia ke kumu o nā ʻano pilikia: Urinary tract infection (prostatitis), hematuria (ke koko i loko o ka mimi) calculus bladder, ka paʻa ʻana o ka mimi a i ʻole ka hōʻino ʻole ʻana. wehewehe ʻo Dr Inès Dominique.

ʻOiai ʻaʻole ʻoluʻolu ka mea maʻi a ʻaʻohe pilikia, ʻaʻole pono ka hoʻomaka ʻana o ka lāʻau.

"Ma ka ʻaoʻao ʻē aʻe, inā pilikia ka mea maʻi ma ka pae urinary, aia nā lāʻau lapaʻau hōʻailona me ka maikaʻi loa" koi aku i ka urologist.

Ma ke ʻano he lāʻau lapaʻau mua, a me ka ʻole o nā contraindications, hāʻawi ke kauka i nā alpha-blockers (Alfuzosine®, Silodosine® etc.) e hoʻomaikaʻi i nā hōʻailona. Inā ʻaʻole lawa ka maikaʻi, a laila hoʻolaha mākou i ka 5-alpha-reductase inhibitors (Finasteride®, dutasteride®) e hana ana ma ka hoʻemi ʻana i ka nui o ka prostate i ka wā lōʻihi.

"Inā ʻaʻole maikaʻi nā lāʻau lapaʻau a i ʻole nā ​​​​pilikia o ka mea maʻi mai ka BPH, hiki ke hāʻawi ʻia ka hoʻokele ʻoki. Hoʻokumu ʻia nā hana i ka hoʻomaʻemaʻe ʻana o ka urethra " kuhikuhi i ka loea

Hiki ke hana ʻia kēia mau hana ma o ka urethra e ka endoscopy me nā ʻano hana like ʻole: "Ma ka wehe ʻana i ka uila maʻamau a i ʻole ma ka laser a i ʻole ma ka bipolar enucleation" wehewehe ʻo Dr Dominique.

Inā ʻoi aku ka nui o ka nui o ka prostate, hiki ke noi ʻia ke ʻoki wehe. "Ke kamaʻilio nei mākou e pili ana i ka adenomectomy kiʻekiʻe" kuhikuhi i ka loea.

I kēia manawa,ʻaʻohe mea pale i hōʻoia i ka maikaʻi no ka uluʻana o BPH.

"ʻO ka pale koʻikoʻi ʻo ia ka hoʻopiʻi mai ka BPH hiki ke koʻikoʻi a i kekahi manawa mau loa, e like me ka maʻi maʻi maʻi maʻi. No laila he mea nui e nānā pono i nā poʻe maʻi me ka BPH ʻoiai ʻaʻole lākou he hōʻailona i mea e ʻike ai i ka nele o ka ʻōpū o ka ʻōpū. wehewehe ka urologist.

Lula ka maemae e ukali ai

Eia kekahi, hiki ke mālama ʻia nā lula o ka maʻemaʻe o ke ola i mea e manaʻo ai i nā pilikia. ʻO ka mea nui, ua ʻōlelo ʻia nā mea maʻi:

• E kaupalena i ka hoʻohana ʻana i nā wai i ke ahiahi: nā sopa, nā mea kanu lāʻau, ka wai, nā mea inu
• E hoʻemi i ka nui o ka lawe ʻana i ka caffeine a i ʻole ka waiʻona,
• No ka hakakā ʻana i ka constipation, me ka ʻai nui i nā huaʻai, nā mea kanu, nā kīʻaha piha a me nā legumes,
• E hoʻomaʻamaʻa i ka hana kino mau.