Ngati muli ndi vuto la kukodza, mumakhala ndi vuto lochepa lakumidzi, ndipo ndinu munthu wopitirira zaka 50, mukhoza kukhala ndi benign prostatic hyperplasia (BPH), kapena prostate yowonjezera. Ngati mukukumana ndi zizindikiro izi, pangani nthawi yanu ndi a urologist wanu.
Kukonza kawirikawiri ndikofunikira kuti thupi likhale logwira ntchito, ndipo katswiri wa uroji amatha kudziwa chifukwa chake zinthu sizigwira ntchito bwino.
Pano pali zovuta zomwe muyenera kuyembekezera mukapita ku ofesi ya dokotala.
Zomwe Zifunikira Kuti Muzindikire Prostate Yowonjezereka
Mukapita ku msonkhano wanu, bweretsani zidziwitso zokhudzana ndi zizindikiro zanu, komanso zolembedwa za mavuto anu azachipatala.
Muyeneranso kulemba mndandanda wathunthu wa mankhwala ndi mankhwala omwe mumagwiritsa ntchito kuti muwone ngati akugwirizana ndi zizindikiro zanu. Mankhwala ena angasokoneze kukodza. Mankhwala osokoneza bongo, monga mankhwala ozunguza thupi komanso mankhwala osakanikirana, angakulepheretseni kukodza. Mankhwala ena omwe amachititsa kuti zizindikiro zanu zikhale zovuta ndi opioids ndi anticholinergics.
Pomaliza, uzani dokotala ngati muli ndi mbiri ya kumwa mowa. Mowa ukhozanso kusokoneza kukodza.
Mayesero Amene Amatha Kuzindikira BPH
Mayesero otsatirawa nthawi zina amagwiritsidwa ntchito kuti azindikire BPH, koma sikuti zonsezi ndi zofunika nthawi zonse. Katswiri wanu wa zamagetsi adzakambirana ndi inu zomwe zingakhale zothandiza kwa inu.
- Bungwe la American Urological Association (AUA) BPH Symptom Index ndi funso losavuta la mitundu 7, yomwe imasonyeza momwe zizindikiro zanu za prostate zimakhalira. Mudzafunsidwa kuti muone ngati nthawi zambiri mumakhala ndi zizindikiro zosiyanasiyana, monga kusatulutsa chikhodzodzo chanu, ngakhale kuti mumayenera kukodza maola osachepera awiri mutatha kukodza, komanso ngati mumadzuka nthawi zambiri usiku.
- Kuyezetsa kwa Urodynamic kumathandiza dokotala kuti asonkhanitse zenizeni zokhudza momwe mukukwera bwino, monga kuyenda ndi ngati mumasunga mkodzo. Ngati mkodzo wanu uli wodabwitsa, dokotala wanu ayenera kudziwa ngati muli ndi zifukwa zina zomwe zimafotokozera izi.
- Uroflowmetry ndiyeso momwe mazira anu amathandizira mofulumira komanso mokwanira, komanso zimathandizira kuti muone ngati pali chopinga chilichonse. Ndi BPH, prostate yanu ingakhale ikugwedezeka kwambiri pa urethra, zimakupangitsa kukhala kovuta kuti mukhale ndi mkodzo wambiri. Mudzafunsidwa kuti mulowe mu chipangizo chomwe chimayesa mkodzo ndikuwonetsera nthawi yomwe imakutengerani kukodza ndi mlingo wa kutuluka. Kuchuluka kwa kuchepa kwake kungakhale chizindikiro cha BPH.
- Maphunziro othamanga kwambiri amayesa kupanikizika mu chikhodzodzo pamene mukukota. Mayesowa amachitidwa kuti ndi imodzi mwa njira zolondola zodziwira ngati muli ndi kutseka kwa mkodzo. Katswiri wanu wamagetsi adzaika kathete mu urethra wanu mbolo ndi chikhodzodzo.
- Phunziro lachisanu (PVR) lokhazikika (Post-void residual) (PVR) limayeza momwe mkodzo umasiyamo mu chikhodzodzo mukatha kukodza. Kawirikawiri, ngati muyeso uwu uli pakati pa 100 mpaka 200 milliliters kapena apamwamba, izo zimasonyeza kuti muli ndi kutseka kwa mkodzo. Komabe, mayesowa angakhale ovuta. Ngati muli ndi nkhawa, simungathe kukodza ngati momwe mumachitira, ndipo mayesero sangakhale olondola.
Kulamulira Khansa ya Prostate
Ngati muli ndi zizindikiro za BPH, dokotala wanu akhoza kuyesa kansa ya prostate. Kufufuza koyambirira n'kofunika chifukwa kokha kufufuza kwakukulu kungakuthandizeni kudziwa ngati muli ndi BPH, yomwe ili ndi matenda osokoneza bongo, kapena ngati muli ndi khansara ya prostate, yomwe ndi yabwino kuti mudziwe msanga. Kuyesera kofunika kuti tipeze kansa ya prostate kumaphatikizapo kufufuza koyezetsa magazi (DRE) ndi prostate-specific antigen (PSA).
- Kuyezetsa magazi m'thupi (DRE) : Pakati pa mayesowa, dokotala wanu wamagetsi adzawona prostate yanu. Kuyezetsa kukuwonetsa ngati prostate yanu ndi yovuta kapena yosakanikirana, zonsezi zikhoza kukhala zizindikiro za khansara, kapena zofewa, zomwe sizingatheke kuti ziwonetse khansa. Katswiri wanu wa zamagetsi adzaika chala chojambulidwa m'makina anu. Ngati dokotala wanu akumva chilichonse chimene chingasonyeze khansa ya prostate, mungafunikire kukhala ndi mayesero ambiri kuti mudziwe bwinobwino.
- Mayeso a Prostate-Specific Antigen (PSA) : Mayeso a magazi amenewa amachititsa mapuloteni opangidwa ndi maselo a prostate gland. Nthawi zonse zimagwiridwa ndikuyang'aniridwa mogwirizana ndi DRE.
Ndikofunika kuzindikira kuti kuwerenga kwa PSA yekha sikukutanthauza kuti muli ndi khansa. PSA yokwezeka ingakhale chizindikiro cha zinthu zambiri, monga BPH, kapena prostatitis, kutupa kwa prostate. Palibe umboni wakuti prostatitis ndi BPH zimayambitsa khansara, koma n'zotheka kuti munthu akhale ndi chimodzi kapena zonsezi ndi kukhazikitsa kansa ya prostate.
Ziyeso Zowonjezera Zowunikira BPH
Katswiri wanu wamagetsi angakhale ndi mayesero ena kupatulapo omwe atchulidwa pamwambapa, makamaka ngati mavuto anu angakhale okhudzana ndi kansa ya prostate , khansara ya chikhodzodzo, kapena akukhudza impso zanu.
Ngati Mukudziwika ndi BPH
Kuphatikizidwa pamodzi, mayeserowa amathandiza dokotala kudziwa ngati muli ndi BPH ndipo ngati mukutero, ndizovuta bwanji. Ngati muli ndi BPH, dokotala wanu akuyenera kukupatsani chidziwitso ngati kungoyang'anitsitsa zizindikiro zanu ndi njira yabwino, kapena ngati chithandizo chili chabwino.
Zotsatira:
Benign Prostatic Hyperplasia: Buku Lopirira. American Urological Association.
Matenda a Prostate. National Institute of Aging.