Meriana e Amoheletsoeng bakeng sa Benign Prostatic Hyperplasia
Lefu la prostate le atolositsoeng, le tsejoang e le benign prostatic hyperplasia (BPH) haholo-holo le ama banna ho feta 50. Le hoja boemo bo sa nkoa e le kotsing ea bophelo, bo ka baka mathata ka ho tloha. Meriana e fumaneha bakeng sa ho tšoara lihlahisoa tsa BPH, ha ho hlokahala, tse ka fokotsang ho ruruha esita le ho fokotsa ho ntlafatsa maemong a mangata.
Ho Tseba Nako e Nepahetseng ea ho Qala
Le hoja ho ka 'na ha bonahala eka ho na le ntho e utloahalang ho phekola ha u hlahlojoa, bopaki bo boholo bo bontša hore ho ka' na ha se ke ha hlokahala.
Ho ea ka Mekhatlo ea Sechaba ea lefu la tsoekere, Digestive le Kidney Disorders (NIDDKD), ba bangata ho e mong ho banna ba bararo ba nang le BHP ba tla bona matšoao a bona a rarolla ntle le phekolo leha e le efe. Ka tsela eo, litsebi tse ngata li tla u khothalletsa hore u nke mokhoa oa ho ema le ho bona 'me u se ke ua potlakela ho ea kalafo.
Kalafo e atisa ho qala ha matšoao a phaello ea prostate a fella ka ho tsoa mali kapa ho tšoaetsoa mafu a tebileng kapa a tloaelehileng a ho ntša metsi. E ka 'na ea boela ea qaloa ha nako e ngata ea ho tlohela le / kapa khatello ea' mele ea khanya ea prostate e ama bophelo ba letsatsi ka leng.
Ho na le mefuta e 'maloa ea lithethefatsi le mekhoa e fapaneng ea liketso e ka sebelisoang ho phekola kapa ho fokotsa matšoao a BPH:
Alpha Blockers
Alpha blockers mosebetsi ka ho phomola mesifa ea prostate le molala oa senya. Le hoja li-alpha blockers li atleha hoo e ka bang karolo ea 75 lekholong ea linyeoe, li atisa ho fana ka phomolo e itekanetseng feela, 'me, joalo ka eona, hangata e boloketsoe banna ba nang le matšoao a maholo.
Tsamaiso ea US Food and Drug Administration (FDA) e amohetse li-alpha blockers tse tšeletseng bakeng sa maraka a US:
- Cardura (doxazosin)
- Flomax (tamsulosin)
- Hytrin (terazosin)
- Rapaflo (silodosin)
- Minipress (prazosin)
- Uroxatral (alfuzosin)
Haeba o ngotsoe ka alpha blocker, lebella ho hlahlojoa libeke tse seng kae tse qalang ho hlahloba litla-morao le matšoao a ntlafatso.
Bongata ba banna ba nang le BPH e bonolo ba tla qala ho utloa liphello tse ntle ka matsatsi a le mong ho isa ho a mabeli.
Litla-morao tse tloaelehileng li ka kenyelletsa hlooho, ho ba le botenya, ho sithabela mala, ho khathala, ho ferekana ha sinus le khatello e tlase ea mali. Ho se sebetse ha Erectile le ho hloka matla ho ka boela ha etsahala.
Enzyme Inhibitors ea Alpha-5 Alpha
5-alpha reductase enzyme inhibitors e sebetsa ka ho senya prostate gland 'me e atleha ka ho fetisisa ho banna bao prostate e kenyelletsoeng haholo. Le hoja ho ka nka nako hore lithethefatsi li sebetse ka botlalo (ho tloha likhoeling tse tharo ho isa ho tse tšeletseng ka karolelano), hangata li ka thusa banna ho qoba tlhoko ea ho buuoa .
Tse peli tse fapaneng tsa 5-alpha reductase inhibitors li amohetsoe ke FDA:
- Proscar kapa Propecia (finasteride)
- Khothalletsa hore u bala Avodart (dutasteride)
Litla-morao li ka kenyeletsa libido tse tlaase, ho hloka matla le ho fokotsa tlhahiso ea semen. (Proscar le Propecia le tsona li atisa ho sebelisoa ho tšoara litelu tsa banna .)
Phekolo ea Meriana e Kopaneng
Batho ba khabane ka ho fetisisa bakeng sa phekolo ea meriana ke banna ba nang le prostate e atolositsoeng le maemo a phahameng a PSA . An alpha blocker hammoho le 5-alpha-reductase inhibitor e fana ka molemo ka ho khatholla prostate gland ha butle-butle ho fokotsa boholo ba eona.
Phuputso e kholo e ileng ea etsoa ka 2006 e bontšitse hore phekolo e kopantsoeng e bile le ho fokotseha ha karolo ea 66% ea matšoao a BPH ha ho bapisoa le karolo ea 34 lekholong ka se-alpha-block le 39 lekholong ka 5-alpha-reductase inhibitor feela.
Phoso feela e ka 'na ea e-ba hore phekolo e kopanetsoeng e pepesa moetsi litlamorao tsa lithethefatsi tseo tse peli. Ho buisana ka hloko le setsebi se nang le tsebo ho buelloa ho hlahloba melemo le liphello tsa phekolo.
Heat Therapy (Hyperthermia)
Phekolo ea ho futhumatsa (hyperthermia) ke phekolo ea mokuli eo ka linako tse ling e sebelisetsoang ho qoba ho buuoa. Tsamaiso ena e kenyelletsa ho kenngoa ha sesebelisoa se fokolang, se feto-fetohang habonolo ka mokokotlo ho fana ka mocheso ka ho toba ho sefate sa prostate. E ka sebelisa theknoloji ea microwave, laser, kapa ea electro-vaporization mme e bontšitsoe hore ke karolo ea 74,9 lekholong e atlehang ho fokotsa sekhahla se atolositsoeng.
Joaloka mekhoa e mengata ea tšohanyetso, hyperthermia e lokela ho sebelisoa feela ho banna bao litla-morao tsa lithethefatsi li hlōlehileng. Ho sebelisoa anesthesia sebakeng seo le ho fola hangata ho nka matsatsi a seng makae.
Meriana ea mofuthu e thehiloeng malapeng e ka etsoa e le ho abela meriana. Sena se ka etsoa ka ho sebelisa setlolo sa ho futhumatsa kapa botlolo ea metsi a chesang ka ho toba sebakeng seo ho eketsa tšollo ea mali le ho fokotsa bohloko le ho ruruha.
Mefuta e meng ea phekolo
Tšebeliso ea litsela tse ling tsa phekolo ea prostate e fetohile e tummeng haholo lefatšeng ka bophara. Semela se sebelisoang ka ho fetisisa se sebelisitsoeng ka ho fetisisa ke sa saw palmetto ( Serenoa repens ).
Le hoja phuputso ea 1996 e tsoang Lefapheng la Maqheku la Maqheku a United States, e ile ea fana ka maikutlo a hore pale ea palmetto e ne e atlehile ho fokotsa boholo ba prostate, e leng phuputso ea 2006 e phatlalalitsoeng New England Journal of Medicine ka ho toba e hanyetsanang le se fumanoeng.
> Mohloli
- > Bent, S .; Kane, C .; Shinohara, K .; et al. "O bone Palmetto bakeng sa Benign Prostatic Hyperplasia." New England Journal of Medicine. 2006; 354-557-566.
- > Presti, J .; Kane, C .; Shinohara, k .; le Carroll, P. "Khaolo ea 22: Neoplasms ea prostate gland." Ka: Tanagho le McAninch, eds. Smith le Tanagho's General Urology edition ea 18. New York: Hill ea McGraw; 2012.