Ntug prostate

Cov prostate yog ib lub caj pas uas ua rau qee cov kua dej uas nqa phev thaum lub sij hawm ejaculation. Cov mob prostate nyob ib ncig ntawm lub qhov zis, txoj hlab uas tso zis tawm ntawm lub cev.

Kev mob loj dua txhais tau tias lub qog tau loj dua qub. Qhov mob qog ntshav yuav tshwm sim rau yuav luag txhua tus txiv neej thaum lawv laus dua.

Cov mob prostate feem ntau hu ua benign prostatic hyperplasia (BPH). Nws tsis yog mob cancer, thiab nws tsis nce koj txoj kev pheej hmoo rau tus mob prostate.

Qhov tseeb ua rau kom muaj prostate enlargement yog tsis paub. Qhov tseeb ua rau kev laus thiab kev hloov pauv hauv cov keeb ntawm cov noob qes yuav muaj lub luag haujlwm hauv kev loj hlob ntawm lub qog, nrog rau qib testosterone. Tus txiv neej uas tau tshem tawm cov noob qes thaum nws tseem hluas (piv txwv li, qhov mob tshwm sim los ntawm noob qes) tsis mob BPH.

Tsis tas li, yog tias cov noob qes yuav raug tshem tawm tom qab tus txiv neej muaj BPH, tus mob prostate pib ntsws zuj zus. Txawm li cas los xij, qhov no tsis yog ib qho qauv kho rau tus mob prostate.

Qee qhov tseeb hais txog kev mob prostate:

• Qhov ntxim nyiam ntawm kev tsim tus mob prostate nce nrog lub hnub nyoog.
• BPH yog muaj ntau heev li uas nws tau hais tias txhua tus txiv neej yuav muaj kev ua mob prostate yog tias lawv nyob ntev txaus.
• Qhov mob qog ntau ntxiv rau ntau tus txiv neej hnub nyoog 40. Ntau dua 90% ntawm cov txiv neej hnub nyoog 80 muaj qhov mob.
• Tsis muaj kev phom sij qhia tau tias yog dab tsi, uas tsis yog lub noob qes-ua haujlwm.

Tsawg dua ib nrab ntawm txhua tus txiv neej nrog BPH muaj tsos mob ntawm tus kab mob. Cov tsos mob tuaj yeem suav nrog:

• Qaug rau qhov kawg ntawm tso zis
• Cev tsis taus tso zis (tso zis cia)
• Tiav tsis puv ntawm koj lub zais zis
• Kev tswj tsis tau
• Yuav tsum tau tso zis 2 lossis ntau zaus nyob hauv ib hmos
• Mob nrog tso zis los yog tso zis ntshav (cov no tuaj yeem qhia tus kab mob)
• Qeeb lossis qeeb pib tso zis
• Straining mus tso zis
• Ua kom mob hnyav thiab cia li tso zis
• Cov hlab zis ntws tawm

Koj tus kws kho mob yuav nug txog koj li keeb kwm kev kho mob. Kev kuaj digital tawm ntawm lub qhov ncauj kuj tseem yuav ua kom hnov ​​qab lub qog ua kua ntshav. Lwm yam kev ntsuam xyuas yuav suav nrog:

• Cov zis txaus txaus
• Tso zis tom qab kuaj zis mus kuaj saib tso zis ntau npaum li cas nyob hauv koj lub zais zis tom qab koj tso zis
• Kev tshawb nrhiav qhov siab-txaus los ntsuas qhov siab nyob hauv lub zais zis raws li koj tso zis
• Urinalysis kuaj xyuas ntshav lossis kis kab mob
• Zis cov kab lis kev cai txhawm rau kuaj xyuas tus kab mob
• Prostate-antigen (PSA) kev ntsuam xyuas ntshav mus kuaj seb puas mob prostate
• Cystoscopy
• Ntshav urea nitrogen (BUN) thiab kev sim ntshav creatinine

Koj yuav raug hais kom ua ib daim foos los ntsuas seb koj cov tsos mob tsis zoo thiab nws cuam tshuam ntau npaum li cas hauv koj lub neej. Koj tus kws kho mob tuaj yeem siv cov qhab nia no los txiav txim yog tias koj tus mob pheej muaj mob ntau dua sijhawm.

Cov kev kho koj xaiv yuav ua raws li koj qhov kev mob uas tsis zoo thiab nws cuam tshuam rau koj ntau npaum li cas. Koj tus kws khomob yuav suav nrog lwm yam teebmeem kev khomob uas koj muaj.

Cov kev kho mob muaj xws li "saib ntsoov tos," pauv kev ua neej, tshuaj noj, lossis phais.

Yog tias koj muaj 60 xyoo, koj muaj feem ntau cov tsos mob. Tab sis feem coob ntawm cov txiv neej uas muaj prostate muaj tsuas yog cov tsos mob me. Cov kauj ruam saib xyuas tus kheej yeej ntau txaus kom koj tus mob zoo.

Yog tias koj muaj BPH, koj yuav tsum kuaj ib xyoos ib zaug los saib xyuas koj cov tsos mob thiab saib seb koj puas xav tau hloov pauv ntawm kev kho.

SELF-CARE

Rau cov tsos mob me:

• Tso zis thaum koj xub tau mob. Thiab, mus rau chav dej raws sij hawm, txawm hais tias koj tsis xav tias yuav tso zis.
• Tsis txhob haus dej cawv thiab khoom qab zib, tshwj xeeb yog tom qab noj hmo.
• TSIS TXHOB haus dej ntau rau hauv lub sijhawm. Kis tawm cov kua hauv nruab hnub. Zam txhob haus dej ntau hauv 2 teev thaum mus pw.
• TSIS TXHOB noj cov tshuaj txias uas muaj ntau tshaj li qhov tsim txom uas muaj qhov tsis haum lossis tshuaj antihistamines. Cov tshuaj no tuaj yeem nce BPH cov tsos mob.
• Ua kom sov thiab ua kom tawm dag zog tas li. Huab cua txias thiab tsis muaj kev tawm dag zog lub cev yuav ua rau cov tsos mob tsis zoo.
• Txo kev ntxhov siab. Mob leeg thiab nro tuaj yeem ua kom tso zis ntau dua.

COV TSHUAJ KHO MOB

Alpha-1 blockers yog chav kawm ntawm cov tshuaj uas tseem siv los kho ntshav siab. Cov tshuaj no so cov leeg nqaij ntawm lub caj dab thiab lub prostate. Qhov no tso cai kom tso zis yooj yim dua. Cov neeg feem ntau uas noj alpha-1 blockers pom kev txhim kho hauv lawv cov tsos mob, feem ntau tsis pub dhau 3 txog 7 hnub tom qab pib siv tshuaj.

Finasteride thiab dutasteride qis dua cov tshuaj hormones ua los ntawm cov prostate. Cov tshuaj no tseem ua rau txo lub qog, ua kom tso zis ntws tsawg, thiab txo cov tsos mob ntawm BPH. Koj yuav tsum tau noj cov tshuaj no li 3 rau 6 lub hlis ua ntej koj pom cov tsos mob zoo zuj zus. Cov kev mob tshwm sim muaj xws li deev tsav tsawg dua thiab tsis muaj zog.

Cov tshuaj tua kab mob yuav raug kho los kho tus mob prostatitis (ua mob rau lub prostate), uas yuav tshwm sim nrog BPH. BPH cov tsos mob tau zoo tuaj ntawm qee tus txiv neej tom qab siv tshuaj tua kab mob.

Saib xyuas cov tshuaj uas yuav ua rau koj cov tsos mob loj dua:

PAS PALMETTO

Ntau cov tshuaj ntsuab tau sim rau kev kho tus mob prostate. Ntau tus txiv neej siv pom palmetto txhawm rau muaj kev ntxhov siab yooj yim. Qee qhov kev tshawb fawb pom tau tias nws yuav pab nrog cov tsos mob, tab sis cov txiaj ntsig tau sib xyaw, thiab kev tshawb fawb ntxiv yog xav tau. Yog tias koj siv saw palmetto thiab xav tias nws ua haujlwm, nug koj tus kws kho mob yog tias koj tseem yuav tsum noj nws.

NTU

Kev phais mob qog ntshav yuav raug pom zoo yog tias koj muaj:

• Kev tswj tsis tau
• Rov ua ntshav hauv cov zis
• Cev tsis taus tso zis (tso zis cia)
• Mob txeeb zig ua mob txeeb zig
• Kev ua rau lub raum tsis zoo
• Lub pob zeb tso zis
• Cov tsos mob thawm lub siab tsis teb rau cov tshuaj

Cov kev xaiv ntawm cov txheej txheem phais mob uas pom zoo no feem ntau ua raws li qhov mob hnyav ntawm koj cov tsos mob thiab qhov loj thiab cov duab ntawm koj lub qog prostate. Feem ntau ntawm cov txiv neej uas tau phais mob prostate muaj kev txhim kho hauv cov zis txaus thiab cov tsos mob.

Transurethral resection ntawm prostate (TURP): Qhov no yog qhov ntau thiab feem ntau muaj kev phais mob kho mob rau BPH. TURP yog ua los ntawm kev nkag mus ib ntu los ntawm tus qau thiab tshem tawm cov prostate los ntawm ib qho.

Txoj kev prostatectomy yooj yooj yim: Nws yog txheej txheem tshem tawm sab hauv ntawm cov qog ua kua ntshav. Nws yog ua los ntawm kev phais mob hauv koj lub plab qis. Qhov kev kho mob no feem ntau ua rau tus txiv neej uas muaj qog prostate rau.

Lwm cov txheej txheem tsis tshua siv los siv cov cua sov lossis lub laser ua kom puas cov ntaub so ntswg prostate. Lwm qhov txheej txheem tsawg dua ua haujlwm los ntawm "zawm" lub qog qhib tsis muaj hle lossis rhuav tshem cov ntaub so ntswg. Tsis muaj leej twg muaj pov thawj zoo dua TURP. Cov neeg tau txais cov kev kho mob no feem ntau yuav tsum tau phais dua tom qab 5 lossis 10 xyoo. Txawm li cas los xij, cov txheej txheem no yuav yog kev xaiv rau:

• Cov txiv neej hluas (muaj ntau cov txheej txheem uas tsis muaj zog coj tau qhov kev pheej hmoo tsawg dua ntawm qhov tsis muaj zog thiab tsis tuaj yeem zoo dua li TURP, txawm hais tias qhov kev pheej hmoo nrog TURP tsis loj heev)
• Qub neeg
• Cov neeg muaj mob loj, suav nrog kev tsis tuaj yeem tswj ntshav qab zib, mob qog, cawv, mob hlwb, thiab mob ntsws hnyav, raum, lossis mob plawv
• Cov txiv neej uas noj tshuaj pab kho cov ntshav
• Tus txiv neej uas txwv tsis pub muaj kev pheej hmoo phais mob ntxiv

Qee tus txiv neej yuav pom tau tias nws muaj txiaj ntsig los koom nrog hauv pab pawg BPH.

Tus txiv neej uas muaj BPH ntev nrog cov mob qeeb qeeb yuav tshwm sim:

• Dheev tsis tuaj yeem tso zis
• Mob txeeb zig
• Cov kab mob tawm hauv pob zeb
• Kev puas tsuaj rau lub raum
• Cov ntshav hauv cov zis

BPH yuav rov qab los lub sijhawm, txawm tias tom qab phais mob.

Hu rau koj tus kws khomob sai sai yog tias koj muaj:

• Tsawg dua zis dua li ib txwm
• Ua npaws lossis ua daus no
• Sab nraub qaum, sab, lossis mob plab
• Ntshav lossis kua paug hauv koj cov zis

Kuj tseem hu yog:

• Koj lub zais zis yuav tsis zoo li tsis muaj dab tsi tom qab koj tso zis.
• Koj noj tshuaj uas ua rau mob tso zis, xws li diuretics, antihistamines, txo tshuaj tiv thaiv kab mob, los yog ua kom loog. TSIS TXHOB txiav lossis hloov koj cov tshuaj yam tsis tau tham nrog koj tus kws kho mob.
• Koj tau sim cov kauj ruam saib xyuas tus kheej rau 2 lub hlis thiab cov tsos mob tsis tau zoo dua.

BPH; Benign prostatic hyperplasia (hypertrophy); Prostate - mob

• Ntug loj ntxiv - yuav ua li cas nug koj tus kws kho mob
• Prostate rov qab txais - tsawg minasally tus - paug
• Transurethral resection ntawm lub prostate - tawm

• Txiv neej deev aatomy
• BPH
• Cov phais mob ntu ntu ntawm prostate (TURP) - Series

Andersson KE, Wein AJ. Pharmacologic kev tswj cov tshuaj tiv thaiv tso zis tsawg dua thiab lub cev tsis ua haujlwm. Hauv: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh UrologyCov. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 79.

Foster HE, Dahm P, Kohler TS, Lerner LB, li al. Kev tswj hwm phais mob ntshav tsawg dua cov tau teeb meem tshwm sim los ntawm kev ua rau lub cev ntuag ntshav qis: AUA Cov Lus Qhia Kho Tshiab 2019. J UrolCov. 2019; ; 202 (3): 592-598. PMID: 31059668 www.ncbi.nlm.nih.gov/pubmed/31059668.

McNicholas TA, Speakman MJ, Kirby RS. Kev soj ntsuam thiab kev saib xyuas qhov tsis zoo ntawm benign prostatic hyperplasia. Hauv: Wein AJ, Kavoussi LR, Partin AW, Peters CA eds. Campbell-Walsh UrologyCov. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 104.

Koom lub koom haum ntshav qab zib thiab lub plab thiab lub raum mob lub vev xaib. Qhov mob txhab ntshav (benign prostatic hyperplasia). www.niddk.nih.gov/ health-information/urologic-diseases/prostate-problems/prostate-enlargement-benign-prostatic-hyperplasia. Hloov kho Cuaj Hlis 2014. Nkag mus rau Lub Yim Hli 7, 2019.

Sandhu JS, Breyer B, Comiter C, li al. Kev ceev tsis meej tom qab kev kho tus mob prostate: AUA / SUFU Cov Lus Qhia. J UrolCov. 2019; 202 (2): 369-378. PMID: 31059663 www.ncbi.nlm.nih.gov/pubmed/31059663.

Terrone C, Billia M. Kho mob ntawm kev kho mob LUTS / BPH: kev kho mob sib xyaw. Hauv: Morgia G, ed. Kev Kho Mob Zis Qis Sab hauv Cov Kab Mob hauv Nruab Nrab thiab Benign Prostatic HyperplasiaCov. Cambridge, MA: Elsevier Kev Kawm Txuj Ci; 2018: chap 11.