Mankhwala Ovomerezedwa a Benign Prostatic Hyperplasia
Prothate yotambasulidwa, yotchedwa benign prostatic hyperplasia (BPH) imakhudza kwambiri amuna oposa 50. Ngakhale kuti vutoli silikuwoneka kuti likupha moyo, limatha kuyambitsa mavuto. Mankhwala amapezeka kuti azisamalira BPH, ngati pakufunika, zomwe zingachepetse kutentha komanso kusintha nthawi zambiri.
Kudziwa Nthawi Yoyenera Yoyambira
Ngakhale zingakhale zomveka kuchiza matendawa, umboni umasonyeza kuti mwina sizingakhale zofunikira.
Malingana ndi National Institutes of Diabetes, Digestive, ndi Impso Disorders (NIDDKD), ambiri mwa amuna atatu omwe ali ndi BHP adzawona zizindikiro zawo zitasankha popanda chithandizo chirichonse. Momwemonso, akatswiri ambiri amakulimbikitsani kuti muyambe kudikirira ndikusafulumira kuchipatala.
Chithandizochi chimayambira pamene zizindikiro za kuwonjezeka kwa prostate zimayambitsa magazi kumtunda kapena matenda oopsa a mkodzo. Zingathenso kuyambitsidwa pamene nthawi yambiri ya kukodza ndi / kapena kuwonongeka kwa thupi la prostate kukulitsa kumakhudza kwambiri moyo wa tsiku ndi tsiku.
Pali mitundu yambiri ya mankhwala omwe ali ndi njira zosiyanasiyana zomwe angagwiritsidwe ntchito pofuna kuchepetsa kapena kuchepetsa zizindikiro za BPH:
Alpha Blockers
Alpha imathandiza kugwira ntchito yochepetsera minofu ya prostate ndi khosi la chikhodzodzo. Ngakhale kuti alpha blockers ali ndi mphamvu pafupifupi 75 peresenti ya milandu, iwo amapereka mpumulo wokhazikika ndipo, motero, nthawi zambiri amasungidwa amuna omwe ali ndi zizindikiro zovuta.
Dongosolo la US Food and Drug Administration (FDA) lavomereza zigawo zisanu ndi chimodzi zamalonda ku msika wa US:
- Cardura (doxazosin)
- Flomax (tamsulosin)
- Hytrin (terazosin)
- Rapaflo (silodosin)
- Minipress (prazosin)
- Uroxatral (alfuzosin)
Ngati mwalembedwanso ndi alpha blocker, yesetsani kuyang'aniridwa mu masabata angapo oyambirira kuti muwone zotsatira zake ndi zizindikiro za kusintha.
Ambiri mwa amuna omwe ali ndi BPH wofatsa adzayamba kumva zotsatira zabwino mkati mwa masiku awiri kapena awiri.
Zotsatira zoyipa zimaphatikizapo mutu, chizungulire, kupwetekedwa m'mimba, kutopa, kusokonezeka kwa sinus, ndi kutsika kwa magazi. Kusokonekera kwa Erectile komanso kusowa mphamvu kumatha kuchitika.
5-Alpha Reductase Enzyme Inhibitors
5-alpha reductase enzyme inhibitors amagwira ntchito mwa kuchepa prostate gland ndipo amagwira ntchito kwambiri mwa amuna omwe prostate akufutukuka kwambiri. Ngakhale zingatenge nthawi kuti mankhwalawa agwire ntchito bwino (kuyambira miyezi itatu mpaka sikisi pafupipafupi), nthawi zambiri amathandiza abambo kupewa kupezeka kwa opaleshoni .
Awiri-alpha-reductase inhibitors awiri adavomerezedwa ndi FDA:
- Proscar kapena Propecia (finasteride)
- Kuthamanga (dutasteride)
Zotsatirapo zingaphatikizepo zochepa za libido, kusowa mphamvu, komanso kutsika kwa mbeu. (Proscar ndi Propecia zimagwiritsidwanso ntchito popanga tsitsi la amuna .)
Njira Yothandizira Mankhwala Osakaniza
Otsatira kwambiri omwe amaphatikizidwa ndi mankhwalawa ndi amuna omwe ali ndi prostate yowonjezera komanso ma PSA apamwamba . Chombo chopangidwa ndi alpha limodzi ndi 5-alpha-reductase inhibitor chimapindulitsa potulutsa prostate gland pang'onopang'ono kuchepetsa kukula kwake.
Kuphunzira kwakukulu komwe kunachitika mu 2006 kunasonyeza kuti mankhwala ophatikizanawa amachititsa kuti 66 peresenti kuchepetsa zizindikiro za BPH poyerekeza ndi 34 peresenti yokhala ndi alpha-blocker ndi 39 peresenti yokhala ndi 5-alpha-reductase inhibitor yekha.
Chokhachokhacho chikhoza kukhala chithandizo chophatikizachi chimapangitsa wogwiritsa ntchito zotsatira za mankhwala onsewa. Kulankhulana mosamala ndi katswiri wodziwa bwino akulimbikitsidwa kuti aone zotsatira ndi zotsatira za mankhwala.
Kutentha Kwambiri (Hyperthermia)
Mankhwala otentha (hyperthermia) ndi mankhwala opatsirana omwe nthawi zina amagwiritsidwa ntchito popewera opaleshoni. Njirayi imaphatikizapo kulowetsedwa kwa chipangizo chochepa kwambiri chomwe chimapangidwira kutentha kwa prostate gland. Angagwiritse ntchito zipangizo zamakono za microwave, laser, kapena electro-vaporization ndipo zawonetsedwa kuti ndi 74.9 peresenti yogwira ntchito pochepetsa gland lokulitsa.
Monga njira yowonjezera, hyperthermia iyenera kugwiritsidwa ntchito kwa amuna omwe mankhwala osokoneza bongo alephera. Anesthésia ya m'deralo imagwiritsidwa ntchito ndi kuchira kumatenga masiku angapo.
Mankhwala othandiza kutentha kumudzi angapangidwe ngati kulongosola mankhwala. Izi zikhoza kuchitika pogwiritsa ntchito botolo la kutentha kapena botolo la madzi otentha kumalo komwe kumawonjezera kuuluka kwa magazi ndi kuchepetsa kupweteka ndi kutupa.
Njira Zochiritsira Zina
Kugwiritsa ntchito njira zochiritsira zosagwiritsira ntchito mankhwala a prostate kwakhala kotchuka kwambiri padziko lonse lapansi. Chinthu chogwiritsidwa ntchito kwambiri popanga chomera ndi cha saw palmetto ( Serenoa repens ).
Ngakhale kuti maphunziro a 1996 ochokera ku Dipatimenti Yachiwawa Yakale ku United States adanena kuti palmetto inali yothandiza kwambiri monga kuchepetsa nyamakazi pochepetsa kukula kwa prostate yowonjezereka, kafukufuku wa 2006 wofalitsidwa ku New England Journal of Medicine mwachindunji anatsutsana ndi zomwe anapezazo.
> Zosowa
- > Bent, S .; Kane, C .; Shinohara, K .; et al. "Anawona Palmetto kwa Benign Prostatic Hyperplasia." New England Journal of Medicine. 2006; 354-557-566.
- > Presti, J ;; Kane, C .; Shinohara, k .; ndi Carroll, P. "Mutu 22: Maopopu a prostate gland." Mu: Tanagho ndi McAninch, eds. Smith ndi Tanagho's General Urology 18th edition. New York: Hill ya McGraw; 2012.