Kuchiza Mavuto Amtendere Kugonana kwa Amuna Kapena Amuna
Pali mankhwala ochuluka omwe amagwiritsidwa ntchito mu urology , wapadera wa zamankhwala omwe amachititsa matenda a amuna ndi akazi omwe amapezeka m'mitsempha komanso ubereki wamwamuna. Mankhwalawa akhoza kuthyoledwa ndi kayendedwe kabwino ka ntchito zawo komanso zamoyo zomwe iwo amagwira.
Makala omwe amalembedwa kawirikawiri a mankhwala mu urology ndi awa:
- Alpha blockers yomwe imagwira ntchito ndi kutulutsa minofu pamtsempha wa khola kuti muyambe kuyendetsa mkodzo
- 5-alpha inhibitors omwe amalepheretsa kupanga mtundu wina wamphongo wamwamuna wokhudzana ndi kukula kwa prostate
- Anticholinergics yomwe imachepetsanso chikhodzodzo cha chikhodzodzo ndikuwonjezera chikhodzodzo kwa anthu okhala ndi chikhodzodzo chopitirira muyeso
Mankhwalawa angagwiritsidwe ntchito paokha kapena mankhwala othandizira. Makampani ena ogwira ntchito zamalonda apanga mankhwala awiri-inodzi monga Duodart omwe akuphatikizapo blocker ya alpha ndi 5-alpha inhibitor.
Alpha Blockers
Alpha blockers, omwe amatchedwanso alpha-adrenergic antagonists, amagwiritsidwa ntchito mu urology kuti athetse khansa yopanda khansa ya prostate gland (yotchedwa benign prostatic hyperplasia, kapena BPH ). Amachita zimenezi poletsa mahomoni norepinephrine kuti asamayende mitsempha ndi mitsempha yambiri. Pochita zimenezi, mankhwalawa amatha kuyambitsa mkodzo mwa amuna akulu omwe ali ndi mavuto a prostate.
Alpha blockers omwe akuvomerezedwa kuti azitsata BPH ndi awa:
- Cardura kapena Cardura XL (doxazosin)
- Flomax (tamsulosin)
- Hydrin (terazosin)
- Uroxatral (alfuzosin)
Zina mwazithunzi za alfabata zimapezeka mwachidule komanso nthawi yaitali. Mankhwala osokoneza bongo amatha msanga, koma zotsatira zake zimangotha maola angapo. Machitidwe a nthawi yaitali angatenge nthawi yaitali kuti agwire ntchito, koma zotsatira zake zatha nthawi yaitali. Kusankhidwa kotchulidwa makamaka kumadalira kulemera kwa BPH.
Mwachidule, alpha blockers zingayambitse chizungulire, kumutu kwa mutu, postural hypotension (kuchepa kwa magazi pamene mumayima), kapena kubwezeretsanso kutsekemera (momwe mimba imatulutsira m'chikhodzodzo).
5-Alpha Inhibitors
5-alpha inhibitors, omwe amadziŵikanso kuti 5-alpha reductase inhibitors, amagwira ntchito poletsa kutembenuka kwa testosterone ku dihydrotestosterone, hormone yomwe imagwirizanitsidwa ndi BPH ndi mithunzi ya amuna. 5-alpha inhibitors amalamulidwa kuti azitha kuchipatala kwa BPH ndipo akhoza kutenga miyezi isanu ndi umodzi zisanachitike.
5-alpha inhibitors omwe amavomerezedwa kuti azitsata BPH ndi awa:
- Kuthamanga (dutasteride)
- Propecia kapena Proscar (yochepa ndi yapamwamba-mlingo wachangu, mwachindunji)
Monga kalasi ya mankhwala, 5-alpha inhibitors angayambitse kutayika kwa libido, kusowa mphamvu, kapena kubwezeretsanso kukwera.
Anticholinergics
Mankhwala oletsa anticholinergic amagwira ntchito yoteteza khungu la mankhwala, lomwe limatchedwa acetylcholine, lomwe limatumiza ubongo ku ubongo umene umayambitsa njira zosaoneka bwino za chikhodzodzo. Pochita izi, mankhwalawa amachepetsa zizindikiro za chikhodzodzo chopitirira muyeso momwe anthu amamverera ngati akuyenera kukodza ngakhale pamene chikhodzodzo sichidzadzaza.
Pakati pa anticholinergics pakali pano amavomerezedwa kuti chithandizo cha chikhodzodzo chofooka ndi:
- Detrol (tolterodine)
- Enablex (darifenacin)
- Oxytrol kapena Ditropan XL (oxybutynin)
- Regurin ndi Sanctura (trospium chloride)
- Toviaz (fesoterodine)
- Vesicare (solifenacin)
Anticholinergics ikhoza kuyambitsa mkamwa wouma, kudzimbidwa, kusamvetsetsa, komanso kugunda kwa mtima (tachycardia).
Mankhwala Ena Amagwiritsidwa Ntchito Urology
Monga zapamwamba zokhudzana ndi ubongo ndi abambo, abambo a urologists amadalira mankhwala omwe amachititsa kuti azikhala ndi khansa ya prostate , matenda opatsirana m'makina (UTIs), erectile dysfunction (ED) , hypogonadism (low production of testosterone) , ndi matenda a Peyronie (chikhalidwe chomwe chimadziwika ndi kuphulika, kupweteka).
Kuti mupeze orologist oyenerera pafupi ndi inu, funsani kampani yanu ya inshuwalansi kuti muwerenge mndandanda wa ovomerezeka omwe akuthandizani kapena funsani dokotala wanu woyang'anira chisamaliro. Mukhoza kufufuza zidziwitso za urologist kudzera ku American Board of Medical Specialties (ABMS) ndi malo osiyanasiyana owonetsera udokotala .
> Chitsime:
> Hanno, P .; Guzzo, T .; Malkowicz, P. et al. (2014) Penn Clinical Manual of Urology: Expert Online (Wachiwiri Ed.) Philadelphia, Pennsylvania: Saunders. ISBN-13: 978-1455753.