BPH - He aha ka mea? Benign prostatic hyperplasia

Eia naʻe, i ke ehuehu o na kanaka o ka oʻo elemakule he nui me ka meaʻawaʻawa loa pilikia i BPH. He aha ka mea? He aha ke kumu no ia i ka maʻi? Like loa me ka mea hiki e weliweli? He aha kūlana kanaka i loaʻa? Kēia 'ike ka hoihoi i loko o na mea he nui o ka ikaika ke keka. Ma hope o nā mea a pau, i ka koke ia e ka maʻi ua diagnosed, i ka hiki pono o ka mea, e pakele no ka mea, e pale aku pilikia loa a me kaʻawaʻawa loa hopena.

He aha ka BPH?

Wahi a ka 'ikepili helu, ma kahi o 50% o nā kānaka ma luna o nā makahiki he kanalimaʻalo i ka maʻi i kapaia o BPH. He aha ka mea? Hiki au somehow loaʻa 'ole' ūlōlohi mai ana i ka Holomua o ka maʻi? Mau nīnūnē e loa nui, a ola no na kanaka. Ma hope o nā mea a pau, ma ka mea, he nui loa nā mea maʻi i noho malie i ko lakou mau pilikia e pili ana i like loa me ka maʻi, aole ia e hele i loko o ka oi nui palapala.

Inā 'oe e hoihoi i loko o ka adenoma, e hoʻomaka ana me ka mea e e olelo mai la ia i ka inoa mea iki mai o ka lā. Ma kēia lāʻau increasingly hoʻohana i ka manawa "benign prostatic hyperplasia" e kapa ana i ka maʻi. Ke kaʻina hana o ka? Acaeoey o ka maʻi hoʻomaka me ka ho okumu i loko o nā nā'aʻaʻa o ka prostate uuku nodules (kekahi manawa i ka pono he mau), ka mea i nā (a me kekahi manawa, e hele koke aku) maoli. E loli iki ana i ka nui, ka prostate hoʻomaka e oOeEIAOO i ka urinary wahi, hikiʻole i ka maʻamau pele o ka mimi - keia kŰia mea ole wale kaʻawaʻawa loa, akā, i loa pilikia, e like me ka hopena ma luna o ka pau ana o ka excretory nenoaiu. I mea, o kaʻeho mea he hyperplastic (ke kāʻeʻe) paraurethral gland.

Ma ke ala, i ka adenoma - he benignʻeho, a, hoʻowahāwahā i ka manawa kūpono o ka ulu kokololio, 'aʻole e haawi metastases i loko o nā nā loko. No laila, i ka maʻi a me ka pono hoʻokokoke pono amenable i ka Inc. Ka papa kuhikuhiE meaʻaneʻi - e hai i ka hōʻailona o, a, e kōkua mai i ka hoʻomalu imi.

I ka papa kuhikuhiE kumu o ka maʻi

Koke ia mea kumukuai 'ana i kumumanaʻo i kńnaka i no këia i keʻano papa hana o ka? Acaeoey a me ke kumu o keia maʻi. Kekahi mea i kekahi: keʻano o ka adenomas ua pili me ka makahiki-pili nā loli i loko o ke kino. No ka laʻana, e diagnosed ui kanaka adenoma Ua loa pohihihi keia. Akā, ma hope o 70 makahiki, ma kahi o 75% o na kanaka e ae, mai kekahi ai kekahi kahua o ka maʻi.

Hyperplasia me hormonal loli, fluctuations ma ka nui o ka ke keka hormones i inevitably hana ana i poe oo hoi hou pili. Ma ka lokomaikai o keia kumumanaʻo ua hoao aku au ia ia e ka mea i waena o neutered paha castrated kāne hihia o ka hyperplasia i i kakau.

Aia nō 'ē aʻe,ʻauhau'ēʻaʻe aʻe e hiki i ka maʻi i kapaia o BPH. He aha nō kēia mau kumu? Mua o nā mea a pau, kauka i aku nei au, i kekahi loli ma ka I Aloha Hawaii a me ka hewaʻano (uiki, ka waiʻona hainā a me ka lāʻau 'ino) hoomahuahua i ka pilikia o ka hyperplasia. 'Ākena Makaʻu nō hoʻi nā kūpono no kou kino, ikaika stress, kaumaha psycho-mea naʻau stress, i ka hopena maikaʻi 'ole o ka mea mawaho kaiapuni. O ka holo ana, ma ke ana ia lakou iho, i kēia mau kumumea ka hoʻonāukiukiʻana i keʻano o nā adenomas hiki ole. Aka hoi, ka mea, somehow lakou aloha ia i ka endocrine'ōnaehana, loli ka nui o hormones, a, me, ke i ole hōʻeleu i ka ulu ana o na adenomas.

Aia ka speculation ia i wahiʻaneʻi ka kekahi aaiaoe hooilina. Eia naʻe, pololei e hooiaio ai o keia kuhiakau mea,ʻaʻole like paʻakikī e ike ai i ko ole paha hyperplasia ua pili me ka hereditary paha ia lŘlŘ me ka poe oo hoi.

He aha i na symptoms o ka maʻi ua pu e?

I loko nō o ka mea i ka adenoma - he benignʻeho, ka maʻi i e okoa. No ka laʻana, kekahi kanaka hyperplasia e ulu lohi, i ka hoʻokuʻuʻole i ia lakou iho ikeia no 20-30 makahiki. Ma nā nā mea maʻi, ma ka mea ku ole, ua heʻeho ulu i ka pilikia nui no 1-3 makahiki. I mea no ke aha la kela kanaka keia kanaka e e akahele ua hoʻonānā no kekahi loli ma ke ola.

O ka holo ana, eia kekahi symptoms mea i emi iho prostate adenoma. He aha nō kēia mau hōʻailona? Ma ka hapanui o hoopii, e like me ka maʻi ua pu ma ka ulu pilikia me ka urination a me ka moe dysfunction.

Ma nā kahua o ka hoʻonaʻauao loiloi mua o ka hyperplasia hiki e hoike ia ka ho'ēmiʻana o ka mokulele hēkī o ka mimi. I ka wā e hiki mai, he mea ai-kapaia "ka ipu" makemake, i ka wa a ke kanaka i ka makemake e mimi, akā, i ka mea e hiki mai ana. E like me ka maʻi progresses ka hoʻomanawanui hoʻomaka e lākou e ala hou mai i ka po, (kekahi manawa, i ka 4 manawa) e ninini i ka bladder. I ka wā e hiki mai, e hoomaka ana na kanaka, e hai i ka mea pono, e ninini i ka ke kanana nei i ka hoʻohana i ka abdominal nāʻiʻo.

Pinepine aku i ke kāʻei kua o ka hyperplasia malama liu mimi ka wā o ka bladder aʻole i ninini loa, a me na koena o ka mimi passively hope, haalele mau kiko ma ka huihui.

Ua mea waiwai 'ana i kumumanaʻo ua pinepine ka adenoma ua pili me ka maʻi prostatitis (li nui o ka prostate'aʻaʻa). Ma na hoopii, a me nā symptoms e hoi nui kou manaʻo e pili ana i ka eha ka wā mimi, a me ka manawa o ka exacerbation - nawaliwali, kuni. Inā e hai ia symptoms ia mea maikaʻi, e kukakuka lakou i ka hoʻomalu, a undergoʻike.

Hiki complications o adenoma

O ka papa, i ka wa e kaawale aku o ka lapaʻau prostatic maʻi hiki i complications, a he pilikia loa. He nui na kanaka e hōʻike i ke alo o ke koko ma ka mimi. Ka hanana o ia ka symptom hou pili i ka loli i loko o na aa koko o ka bladder'ā'ī, e like me ka pono i mahuahua ke koko, i loko o nā ipu o nā pelvis.

Ikaika mahuahua ana a me ka nani o ka prostate i alakai i ka piha 'ano o ka urinary Canal, a me ka nānā aku o ka huʻi urinary ka mālama. Oia ka moku'āina o loa pilikia, e like me ka mea i i poino i ka bladder, a me nā konāhua malfunction. Eia hou kekahi, ia mea loa ola.

Ka loa, he pono ole complications nā adenoma a me ka hoʻoʻino maʻi. Ma ke ala, li nui hiki hoʻomōhala ole wale i loko o nā nā'aʻaʻa o ka prostate (prostatitis), akā, i pili i kekahi hapa o ka excretory nenoaiu. Nā mea maʻi pinepine e ae mai urethritis, cystitis, pyelonephritis, epididymitis a me ka 'ole. D. Incidentally, maʻi li nui o nā puʻupaʻa i loko o ka wa e kaawale aku o ka' eleu lapaʻau ke alakai i kaʻaʻa puʻuwai ole.

Hoikehonua, ano o kaʻike,

E hoʻomaka, ke kauka e ho'āʻo e ohi i ka piha 'inikua mōʻaukala, hoʻomaka he anamanaʻo, e noi aku e pili ana i symptoms keia manawa. Ma hope, e like me ka rula, e e kikohoʻe ninaninau o ka prostate gland, i mea ma kahi loihi i ka loa a me ka poe noonoo ole ho'āmana iaoia o kaʻike,. Ma hope o lomilomi ka prostate ma keʻena hoʻokolohua Ka Ikepili Eia kekahi laʻana ia gland secretions.

Ma waho ia mea e pono swab o ka urethra, i kokua e hooholo i ke alo o ka maʻiʻaʻai. Inā 'oe hāʻupu aʻe i ka adenoma' ole kekahi 'ē prostate mai lawe ultrasound, a kokua i ka hooholo i ka kiko'ī ka nui o ka prostate, i ke alo o ka pohaku, e like me ka hookupaa aku, ina paha he mea stagnation.

No ka pololeiʻike, ka nui a me ka uroflowmetry - he hulina ao, a kokua i ka hooholo i ka mämä holo o ka mimi kahawai, e like me ka emptying o ka bladder a me kekahi'ē aʻe nui aʻe.

An nui hapa o diagnosing i PSA no prostate adenoma. Kēia like kōkua e kuhikuhi i loko o ke koko i kapa prostate-kekahi antigens, a mea he ano oncomarkers. Kēia Ka Ikepili kōkua e huai ae i ke alo o ka malignant kaʻina. Ma ke ala, na kanaka kahiko 50 makahiki a 'oi ua paipai mai ka manawa i ka manawa e lawe i kēia Ka Ikepili me ke kāohi ana.

Pehea e hana i adenoma? I ka papa kuhikuhiE ano o ka Inc

I kēia lā, loaʻa nō kekahi mau aoao, e hana e like me ka maʻi. Incidentally, i kaʻike, kaʻina mea e pono ai,ʻaʻole wale e huai ae i ka pilikia, akā, no hoi, e hooholo i ka loa e pono Inc no ka maʻi "BPH". Nā Papahana O Ka lapaʻau hiki e kekahi makeʻe kulana aʻoki lāʻau lapaʻau.

I ka kuʻina kakahiaka nui o ka maʻi kaʻina hana hiki ke hoopaaia ko ai ka meheu o ia me ke kōkua o nā ai '. Akā, hou, makeʻe kulana lapaʻau e ka hailonaʻana wale nō ka hana no kekahi mau makahiki (paha makahiki), akā,ʻaʻole hiki loa hoʻopau i kaʻeho ua mua ikea.

He ka loa ka hoʻokōʻoki lāʻau lapaʻau lapaʻau o adenoma, no ka mea, e kokua i ka koke koho i nā pilikia a pau. No hoi, he nui na kanaka e imi ana i kōkua mea ia ma ke kahua o ka maʻi, ka wā makeʻe kulana Inc, aole ia i hana pono.

ka lapaʻauʻia

Hou, ka mea e e mai la oia i ka ka lapaʻauʻia kōkua wale nō i loko o ka kakahiaka kahua o ka hoʻonaʻauao. O ka holo ana, keʻano o ka ai 'i ia i loko o kekahi Inc, akā, oi pinepine - ma ka hui pu ana, me kaʻoki kino.

Mua o nā mea a pau e hoomanawanui i koi 'ia nā mea kūpale o 5-Alpha reductase inhibitor (e laʻa me, "Proscar") a me ka, alpha blockers (nani maikai, noonoo iho la "Okas" ai' "Omnic"). Ikaika ma luna o ke ano o ka prostate gland a me ka endocrine'ōnaehana e loli ai'ōnaehana paleʻea stimulants (e like, "reoferon" a me ka "Pyrogenalum"). Ma ke alo o ka li nui a anal o ka maʻiʻaʻai mea OAXA? Eaia antibacterial konohiki, e laʻa me, antibiotics gentamicin pae ole cephalosporin.

Hoʻomanawanui iki mai no hoi i hoakaka ia lapaʻauʻia i ka hoʻoikaika 'ana i ke koko holo keʻano o ka hanaʻana i loko o ka prostate, a hoʻopau stagnation. Ka loa mahaloia ma kahi loihi o ka lāʻau "Trental".

A me ka lawe ai 'ana i nā mea maʻi, a waiho aku i kaʻai akau, heʻeleu Aloha Hawaii, manaʻo kino (Kegel eiiieaena no na kanaka).

Endoscopic ohe.

Eia naʻe, ma kekahi hihia, me kaʻoki lāʻau lapaʻau 'uao mea hiki ole ke hana. ʻoki lāʻau lapaʻau lapaʻau o BPH ua hoike mai ia ma ka mea i kēia hihia.

• huʻi urinary ka mālama ;
• ʻaʻa puʻuwai ole e mai ai ma luna o ke kāʻei kua o ka adenomas;
• i ke alo o nā pōhaku i loko o ka bladder;
• nui diverticula o ka bladder;
• ka ikaika imua o ke koko i loko o ka mimi;
• recurrent maʻiʻaʻai o ka excretory nenoaiu.

Wale i kekahi kauka hoʻoholo ka 'ano o ka hana, e e lawe mai. Ma ke alo o AUR mua cystostomy ua hana i loko o a ke kahuna lapaau e pono surgically hana i mea mawaho fistula bladder me ka puka i loko o ka pubic wahi. He nui nā mea maʻi ke ku imua o ke 'ākeʻakeʻa. Aka hoi, ka mea, ua pono, e like me ma mua ana o ka prostate 'ole ka hana' ē aʻe manipulations e loa nui ka maʻamau pele o ka mimi, e hoihoi, a pana aku au i Kāohiʻana o infectious ka maʻi. Ma ke ala, ka mea, ua hoao aku au ia ia i ka postoperative complications i loko o nā mea maʻi i akaaka malu cystostomy, i hoʻomaka ai ka emi pinepine ia.

I ka lā, he nui na minimally invasive ke kaʻina hana a me endoscopic ana, a i mālama 'ia ma ka urinary'āpana, waiho ole nā palapū kaumaha a me ka scars. No ka laʻana, kekahi nā mea maʻi i kau ai kapaʻia stents i loko o ka urethra, a pale aku constriction o kona lumen. Ua normalizes ka pele o ka mimi, akā, auwe, 'aʻole e pau ana ka hana prostate ulu kaʻina. Ma ke ala, ua stents pono e e hoʻololi pinepine.

He aha, alaila, ua hiki ke wehe prostate adenoma? Hana transurethral resection mea i keia la noʻonoʻo i ka hae gula. Kauka hoʻohana endoscopic mea lawe aku oe i kekahi hapa o ka prostate ma ka urethra. Eia kekahi, transurethral incision mea hiki ma i ka prostate ua i wehe, akā, wale ua okioki i ka mea e wehe i puʻe mai ka urinary Canal.

'Ano hou i ke kaʻina hana ua manaoia kukunaʻoki kino o ka prostate adenoma. Ke kumukuai o ka mea maluna o ka wahi, akā, e like me ka papa hana i ka helu o ka mea nui pono. Ma kekahi, kukuna ablation mea nui wikiwiki, emi pinepine pu ma complications a minimizes ka wale o ka maʻiʻaʻai o nā'aʻaʻa.

Ma ke alo o ka uukuʻeho transurethral hawewe Inc hiki ke lawe mai. Iloko o ke kaʻina hana, ke kauka inserts he kūikawā mea hana ma ka urinary Canal, ma hope i pepehi prostate'aʻaʻa ma ka wela ua loaʻa mai nā nā uila aʻa lolo. Kēiaʻano hana i kekahi o kona kulana hanohano, a kokoke hewa ole, akā, Eia naʻe, 'aʻole no ka kela mea keia mea.

I ka pomaikai o keʻoki kino hilinaʻi nui like nui ma luna o ka physiological ano o ke ahonui a me ke kahua o ka maʻi, a me ke kauka o ka makahiki. Wahi a ka 'ikepili helu, ma kahi o 25% o ka hoʻomanawanuiʻana kaulana i ke alo o ka mea ia symptoms (urinary kulu, hoʻopōʻino micturition, nonoi aku nei ka po,) a hiki ma hope o resection.

Prostate adenoma:ʻoki kino

Ma ka hapanui o na hihia, ke hoʻoponopono i ka pilikia a me ka prostate mea hiki ma ka mea o minimally invasive 'ana i kūpono. Akā, ma kekahi hihia, e hoomanawanui i hōʻike i ka ai-kapaia'ano'ē prostatectomy. Uaʻoki kino ua hana loa pinepine i loko o ke alo o ka malignantʻeho. Adenoma ka mea, ua kuhikuhi wale i ka hihia wā 'ē aʻe kāu kiʻina hana mai i hana, a no ka mea ke kumu hiki ole ke pili.

'ano'ē prostatectomy komo ai i ka piha ana o ka prostate gland, a me kekahi manawa kokoke'aʻaʻa. Ka hana pono i ka pololei incision i loko o ka abdomen a perineal wahi. Maoli ai, keia hana Ua oi pilikia ma ka hua'ōlelo o complications. No ka laʻana, iloko o ka wehe 'ia ka loa oluolu e hopu i nā aʻalolo alakai i ka penis, i mea fraught me ka' aʻe 'ana o potency. Eia hou, i ka pilikia o ka ulu infectious ka maʻi.

maʻi Kāohi

Eia naʻe, i kēia mau maʻi o ka prostate ka loa, he pono ole. I mea no ke aha la he nui loa na kanaka i hoihoi i ka ninau e pili ana paha ia mea hiki somehow, e mālama iā lākou iho, mai ka maʻi, a ma ka liʻiliʻi loa emi i ka likelihood o complications.

Kāohiʻana o ka BPH - he olakino Aloha Hawaii. I mau, na kanaka ma ka adulthood (a ole wale) e e oi pono ma hope o kaʻai. No ka laʻana, ka meaʻai pono e noho hou hua a me ka lau, akā, e e hoemi i ka nui o ka holoholona kumuʻiʻo me ka elemakule. Loa hainā a me ka spicyʻai pinepine hiki aku ai i ka constipation, a stimulates i ka ulu ana o kaʻeho kaʻina. A hopena maikaʻi ma luna o ola kino a me ka palaiʻai. Eia hou kekahi, poe akamai i waiho aku i ka pale aku ka waiʻona, a me nā huahana caffeine (kope, kokoleka, cola, ikehu). I liʻiliʻi loa 1-2 manawa o ka makahiki e lawe multivitamin eiiieaenu, e like me ka mea e mau loa e hiki ana i ka mea māhuaola mai ai.

A mea nui loa o ka Kāohi mea physical haʻawina. Mākou E mai poina e pili ana i kauoha aku la i like hiki komo i ka hale haʻuki. Hiki nō ke hoʻohana i kekahi Oihana Hoʻonaʻauao hoounauna, a hiki ina he hana pono e hele ana. Helu inactivity - he ololi i negatively e loli ai i ka hana o ke kino, hormonal kāʻei kua, a laila, hiki ke hoʻoulu i ke kūpono 'ana o ka maʻi.