BPH - abin da yake da shi? Alamun, magani na benign prostatic hyperplasia

A zamani magani sau da yawa amfani abbreviations, shi ba share da talakawan mutum ba tare da zuma. ilimi. Wata irin wannan m abbreviations - BPH. Mene ne wannan? Magana da harshen da likitoci, shi - benign prostatic hyperplasia. Amma mutane suna kiran shi sauki - BPH (da bambance-bambancen "adenoma prostate gland shine yake"). BPH ne sau da yawa a gauraye da cututtuka kamar prostatitis. BPH - ne benign, kuma shi ne na girma ba tare da hannu na stromal bangaren na prostate (a cikin wasu kalmomi - glandular epithelium), da kuma prostatitis - ba cewa wasu, kamar yadda wani kumburi da prostate gland shine yake. Su ba za a gauraye.

BPH. Mene ne wannan? statistics

Kamar yadda aka ambata a sama, BPH - benign ƙari. Idan shi a cikin prostate (raguwa cewa mafi prostate) kafa kananan nodules cewa tare da kara ƙara damfara mafitsara.

Saboda wannan, maza bayyana urination cuta. Wannan cuta na da kirki girma, da kuma wannan shi ne abin da ya bambanta benign prostatic hyperplasia daga ciwon daji.

BPH - daya daga cikin na kowa cututtuka a urology yau. Bisa kididdigar da, shi ya bayyana a kusan kashi 80 cikin dari na maza a cikin tsufa. A kashi 20 cikin dari na lokuta, maimakon BPH prostate atrophy ko karuwa.

BPH cuta mafi sau da yawa yakan faru a cikin maza a kan shekaru 45 da haihuwa.

Fiye da rabin mutanen daga 40-zuwa 50-shekara jujjũyãwar zuwa wani gwani tare da wannan cuta, da kuma kawai a rare lokuta, cutar za a iya cimma matasa.

Sanadin BPH

Don kwanan wata, ainihin Sanadin prostate BPH ba za a iya nuna, kamar yadda suke kawai ba cikakken gane. An yi imani da cewa cutar ne daya daga cikin cututtuka da menopause a cikin maza.

The kawai hadarin dalilai ne matakin na androgens a cikin jini da mutum ta shekaru.

Yawancin lokaci da shekaru a maza hankali da rashin daidaituwa tsakanin estrogen da androgen, haddasa disturbances na ci gaba da iko da kuma aiki na ciwon daji Kwayoyin.

An sani cewa tsakanin BPH da prostate mutum jima'i aiki, fuskantarwa, addictions, venereal da kuma kumburi hijira ZPO ba connection, kuma babu wani daga cikin sama ba zai tasiri bayyanar cutar.

pathogenesis

BPH prostate sau da yawa bayyana a cikin tsakiyar ɓangare na shi, amma wani lokacin shi iya kama da kaikaice lobes. Girmancin benign adenomatous hyperplasia dogara a kan yaduwa (ƙari) paraurethral gland. Saboda haka nasu nono nama yana gudun hijira waje, kuma an kafa a kusa da girma adenoma kamar kwantena daga gare ta.

Hyperplastic (Ina nufin kamuwa da ciwon daji) na prostate nama Kwayoyin kuma ayan girma a cikin shugabanci na cikin dubura da kuma mafitsara, da kuma wannan ne dalilin zuwa gaba hijirar na ciki rami na mafitsara da kuma tsawon kwanakinka da raya ɓangare na mafitsara.

Akwai da dama siffofin hyperplasia da irin ci gaban da:

• Podpuzyrnaya nau'i na BPH. Mene ne wannan? A wannan cuta, da ciwon daji ke tsiro zuwa ga dubura.
• Intravesical nau'i na BPH. A tarihin cutar halin ci gaban da ƙari ga mafitsara.
• Retrotrigonalnaya nau'i na BPH. A ƙari a cikin wannan yanayin da ake located kai tsaye a kasa cikin alwatika mutum mafitsara.

Popular sau da yawa dama siffofin BPH za a iya gani a mutum daya a lokaci guda. Wannan ya faru a lokacin da ƙari tsiro a inda da dama a lokaci daya.

BPH Alamun

Alamun cutar sun kai tsaye dogara a kan ƙari sarrafawa, daga ta girma da kuma size, kazalika da mataki na tabarbarewa daga cikin mafitsara.

BPH prostate za a iya raba uku, saukarwa:

• Cika, ko da mataki na farko. Wannan nau'i na cutar da ake bayyana jinkiri farkon urination (m tura zuwa žata, musamman da dare - shafi topic). A BPH na 1 digiri prostate ƙaruwa a size, shi ya plotnoelasticheskuyu daidaito. Its suna iyaka a fili delineated, kuma a general palpation na prostate (da kuma ta tsakãtsaki kwarin kunya) m. A wannan mataki da cutar da urinary mafitsara more gaba daya wofintar, da kuma da akwai wani saura fitsari. BPH 1 mataki na iya wuce daga daya zuwa uku.
• Subcompensated ko mataki na biyu. Kamar yadda ƙari shi ne ƙara matse mafitsara da kuma mafitsara ya daina iya aiki yadda ya kamata da kuma gaba daya wofintar (bangon da thicken). A sakamakon BPH 2 digiri saura fitsari bayyana, saboda abin da mãsu haƙuri ji bai cika emptying na mafitsara. Saboda matsawa daga mafitsara, da marasa lafiya urinate a cikin kananan rabo, kuma bayan wani lokaci da fitsari, kuma ya aikata saninsa fara tsayawa daga (dalilin wannan ne cikakken mafitsara). BPH 2 digiri ne, wani lokacin tare da bayyanar cututtuka na kullum na koda gazawar (girma a kan ta baya).
• Asma ko uku mataki. Mafitsara karfi da miƙa saboda saura fitsari, mafitsara har yanzu matsa da fitsari da aka saki a zahiri dropwise, wani lokacin, gauraye da jini. A wannan mataki BPH entails na koda gazawar (koda insufficiency). Akwai kuma wani rauni, mai tsanani nauyi asara, matalauta ci, maƙarƙashiya, anemia, bushe baki.

ganewar asali da cutar

Dalili ga ganewar asali ne na hali gunaguni na mata, ga abin da musamman sikelin BPH alama scores (cikin Turanci. I-PSS). Amma, da BPH ganewar asali da aka yi bayan da wani asibiti jarrabawa na haƙuri, da kuma irin hanyoyin da bincike:

1. Palpation (yatsa) rectal jarrabawa na prostate gland shine yake. Godiya ga shi, likitoci da wani tunani na size da kuma daidaito na prostate, na gaban barbs tsakanin ta hannun jari, kazalika da mataki na tausayi ga palpation.
2. Laboratory da karatu na BPH. Mene ne wannan? Da farko, shi ne saba urinalysis. Har ila yau, biochemical bincike na jini za'ayi ta hanyar abin da sanin PSA matakan (tsaye ga prostate takamaiman antigen).
3. Instrumental hanyoyin. Mafi sau da yawa shi ne cystoscopy da ureteroscopy. Tare da su taimako, za ka iya duba da patency na mafitsara, da jihar rabo daga cikin mafitsara da kuma mafitsara wuyansa. Amfani da wadannan hanyoyin shi ne mai yiwuwa a ƙayyade yawan saura fitsari.
4. Duban jarrabawa. Shi ne kuma daya daga cikin iri na instrumental hanyoyin, barin ganin girman kowane rabo na prostate, ta Halin (gaban duwatsu, nodules). Bayan al'ada TRUS duban dan tayi amfani da (transrectal).
5. X-ray hanyoyin. Excretory urography (tare da bambanci) da kuma bayyana radiography (ba tare da bambanci) iya taimaka ƙayyade gaban BPH rikitarwa wanda magani aka fara. Da taimakon X-haskoki su da duwatsu a cikin mafitsara da kuma kodan.

BPH magani

A halin yanzu, akwai mutane da yawa hanyoyin da za a bi da cututtuka, wanda kowannensu yana da tasiri sosai a daban-daban matakai na BPH. Jiyya da wannan cuta za a iya raba sassa uku:

• Medical Hanyar magani
• gudanar da magani
• Sauran wadanda ba na sarrafawa magani

Drug magani mafi yawa ana amfani da a farko alamun BPH.

A farkon matakai na prostate BPH magani ne da nufin rage hyperplastic prostate nama girma kudi, inganta wurare dabam dabam a cikin m gabobin, Munã rage kumburi da prostate da kuma mafitsara fitsari kawar da stagnation, kawar da maƙarƙashiya, gudanarwa da urination.

Bugu da kari ga yin amfani da kwayoyi da haƙuri bada shawarar a bi mobile salon, ba up barasa da kuma cutarwa (ma m, na yaji, yaji) abinci, shan taba.

Ya kamata kuma rage m ci a cikin biyu da rabi na rana, musamman kafin lokacin kwanta barci.

A gaban na asibiti da kuma awon ãyõyin androgen rashi ne ma gudanar androgen maye far.

Sau da yawa a layi daya tare da lura da hyperplasia ne lura da ta rikitarwa - cystitis, prostatitis da pyelonephritis.

Wani lokaci (a bango na hypothermia ko barasa), da mãsu haƙuri iya ci gaba m urinary riƙewa. A wannan yanayin, da mãsu haƙuri ya kamata a asibiti nan da nan da kuma gudanar da mafitsara catheterization.

Bari mu dauki wani kusa look at kowane irin magani.

magani

A mafi yawan lokuta, iri biyu magani kwayoyi suna amfani ga zalunta BPH:

• Alpha-1-adrenergic blockers (msl, tamsulosin, doxazosin ko terazosin). Su mataki ne da nufin shakatawa na m tsoka na prostate kuma mafitsara wuyansa, wadda take kaiwa zuwa wani gudanarwa na da nassi na fitsari. Wadannan kwayoyi za a iya yi tsawo ko gajere.
• Hanawa (blockers) na 5-alpha-reductase (permikson, finasteride ko dutasteride). Wadannan kwayoyi ba da damar dihydrotestosterone (Ta ilimin aiki nau'i na testosterone) kafa a jikin haƙuri, game da shi, da ragewa da prostate gland shine yake.

gudanar da magani

A tsanani lokuta, guda magani ba zai iya yi, da kuma, kamar yadda mai mulkin, dole koma ga tiyata. Wannan na iya zama hyperplastic nama excision (prostatectomy) ko total resection na prostate (prostatectomy).

Akwai iri biyu tiyata:

• Open tiyata (transvezikalnaya prostatectomy). A lokacin da irin shiga tsakani samun nono nama samu ta hanyar mafitsara bango. Wannan irin mafi zafi, da kuma aka yi amfani da kawai a ci-gaba lokuta. Open tiyata samar da cikakken magani na BPH.
• Minimally cin zali tiyata (a cikinsa akwai kusan babu m baki). Da za'ayi tare da taimakon zamani video endoscope fasahar, ba tare da wani incision. Damar yin amfani da prostate ta cikin mafitsara.

Akwai wani irin tiyata cewa ba za a iya kwatanta ta da sama. Embolization prostate arteries - wani aiki wanda yana da za'ayi endovascular tiyata (kwashe urologists sama) da kuma an gidan ya toshe arteries prostate kananan barbashi musamman likita polymer (via da femoral jijiya). Arin ba a bukata, da aiki da aka yi a karkashin maganin sa barci da kuma ba hankali.

Bayan wani irin tiyata, akwai kananan hadarin rikitarwa, kamar misali urinary incontinence, rashin ƙarfi, ko urethral stricture.

Non-sarrafawa magani

Don hada da maras aiki da hanyoyin da magani ne kamar haka:

- cryosurgery.

- transurethral allura ablation.

- magani tare da babban tsanani mayar da hankali duban dan tayi.

- da hanyar da obin na lantarki thermal far na prostate ko coagulation.

- gabatarwar prostatic stents takaita a cikin yankin.

- balan-balan dilatation na prostate.

A postoperative zamani

Alas, kawai bukatar tiyata a wasu matakai na cutar. BPH - rashin lafiya mai tsanani, da kuma ko da bayan tiyata kana bukatar ka bi wasu sharudda zuwa rabu da cutar da kuma ba su tsokane da sake-fitowan. The uku babban maki da ya kamata ka tsayar da wadannan ayyuka - a daidai rage cin abinci, wani lafiya salon da kuma na yau da kullum ziyara ga likita.

rage cin abinci a cikin postoperative zamani ne da muhimmanci ga mãsu haƙuri, domin zai iya muhimmanci taimakawa ga m dawo. Rage cin abinci bayan tiyata gusar da m abinci, da kayan yaji, m da kuma abinci mai kayan yaji, da kuma, ba shakka, barasa. An shawarar ci low-mai rage cin abinci mai arziki a zare.

Amma ga aikin, idan ka sana'a ba nufa m jiki kaya, to, ku koma zuwa wurin aiki na iya samun wani mako biyu bayan da aiki. Lokacin da masu zama a gida aiki kowane rabin awa dumi-up shawarar. A sedentary salon iya taimakawa wajen stagnation na jini a cikin gabobin, haddasa rashin lafiya kawai ya dada tabarbare shi. Na farko 'yan kwanaki bayan tiyata ba ko tunani game da nauyi dagawa!

Kauce wa shan taba a kalla a lokacin postoperative zamani (makonni biyu bayan da tiyata), idan ba za ka iya daina buri gaba daya. Nicotine rinjayar jini, kuma wannan yana rinjayar da prostate wurare dabam dabam, inda da kumburi tsari na iya faruwa.

Mutane da yawa zaton cewa bayan kau da BPH kamata manta game da jima'i rayuwa. Wannan ra'ayi ne kuskure, da kuma namiji jima'i aiki ne cikakken mayar bayan wani lokaci. Duk da haka, komawarsu saduwa da juna da bai kamata ba a baya fiye da 4 makonni bayan tiyata.

Wani yanki na shawara, wanda yake shi ne daraja biya da hankali ga: samun a baya da dabaran a mota na iya zama babu a baya fiye da wata daya bayan da kau da BPH.

A general, da post-gudanar da zamani yana da wata guda, bayan da haƙuri iya yi komawa zuwa saba rayuwa. Duk da haka, masana bayar da shawarar karfi da lafiya salon a hana sake zargin da cutar.

Urination bayan tiyata

Kusan nan da nan bayan da aiki fitsari rafi zama karfi da kuma emptying na mafitsara ne sauki. Bayan kau da catheter na iya faruwa yayin da zafi a lokacin da yana yin fitsari, dalilin wannan - da nassi daga fitsari m rauni.

Masana sun kada ka ware da ya faru na urinary incontinence ko gaggawa urination a lokacin postoperative zamani, wadannan mamaki suna daidai al'ada. A karfi kana dame ta bayyanar cututtuka a lokacin rashin lafiya, da ya fi tsayi a lokaci na dawo. A tsawon lokaci, duk da matsalolin da za su bace da kuma za ka koma ga al'ada kari na rayuwa.

Wasu lokaci bayan da baki a cikin fitsari iya zama jini clots. Wannan sabon abu da ake dangantawa da rauni warkar. An shawarar sha da yawa m ya kamata kurkura cikin mafitsara. Amma nauyi na jini nan da nan bukatar ganin wani gwani.

kintace

Cigaba da urinary riƙewa (idan magani na BPH ba a yi), ƙarshe zai iya sa koda duwatsu, a cikin abin da mafitsara duwatsu suna kafa, kuma daga baya kamuwa da cuta. A mafi tsanani wahala da za su iya sa ran haƙuri ba tare da ta dace magani - pyelonephritis. Wannan cuta kara aggravates na koda gazawar.

Bugu da kari, prostate adenoma iya bayar da Yunƙurin zuwa m girma - prostate ciwon daji.

Kintace tare da isasshen kuma dace magani da cuta ne sosai m.

Rigakafin rashin lafiya

A mafi kyau rigakafin BPH - na yau da kullum dubawa da wani gwani kuma dace magani daga prostatitis.

Shi ne ma daraja ci dama (don rage adadin soyayyen, m abinci, kuma yaji, yaji da kuma kyafaffen), daina shan taba da kuma shan barasa. A general, mai lafiya salon muhimmanci rage hadarin BPH.

Saboda haka, yanzu ka san abin da BPH. Bayyanar cututtuka da cutar, magani, postoperative lokaci da kuma ko da rigakafin da aka bayyana a cikin daki-daki, a sama.

A cikin wani hali, wannan ilimi zai zama da amfani. Zauna lafiya!