Ho Sebetsana le Mathata a Urinary ho Sebetsano ea ho Kopanela Liphate ka Botona le Botšehali
Ho na le lithethefatsi tse ngata tse sebelisetsoang ho sebelisoa ha lithethefatsi, tse khethehileng tsa bongaka tse sebetsanang le maloetse a banna le a basali a moriana hammoho le tsamaiso ea banna ea ho ikatisa. Lithethefatsi li ka senyeha ka mekhoa ea bona ea liketso le mesebetsi ea likokoana-hloko eo ba e batlang.
Lihlopha tse tloaelehileng ka ho fetisisa tse behiloeng tsa lithethefatsi ha urolo e kenyelletsa:
- Alpha blockers e sebetsang ka mesifa e khatholohang molala oa senya ho ntlafatsa ho phalla ha metsi
- 5-alpha inhibitors e thibelang tlhahiso ea hormone e itseng ea banna e amanang le ho atolosoa ha prostate
- Anticholinergics e fokotsang thibelo ea senya le ho eketsa bokhoni ba senya ho batho ba nang le senya e feteletseng
Lithethefatsi li ka sebelisoa ka boeona kapa ka bongaka bo kopanetsoeng. Lik'hamphani tse ling tsa meriana li boetse li bōpile lithethefatsi tse peli ka bonngoe tse kang Duodart tse kopanyang li-alpha blocker le 5-alpha inhibitor.
Alpha Blockers
Alpha blockers, eo hape e bitsoang li-alpha-adrenergic, e sebelisetsoa ho sebetsana le ho eketsoa ha prostate gland (e bitsoang benign prostatic hyperplasia, kapa BPH ) e se nang kankere. Ba etsa joalo ka ho thibela hormone norepinephrine hore e se ke ea thibela mesifa le methapo ea mali. Ka ho etsa joalo, lithethefatsi li ka ntlafatsa ho phalla ha metsing ho banna ba baholo ba nang le mathata a sefate.
Alpha blockers e amoheloang bakeng sa phekolo ea BPH e kenyelletsa:
- Cardura kapa Cardura XL (doxazosin)
- Flomax (tamsulosin)
- Hydrin (terazosin)
- Uroxatral (alfuzosin)
Li-alpha blockers tse ling li fumaneha ka mekhoa e khutšoanyane le e sebetsang nako e telele. Lithethefatsi tse khutšoanyane li sebetsa kapele, empa liphello tsa tsona li qetella lihora tse 'maloa feela. Liphetolelo tsa nako e telele li nka nako e telele ho sebetsa, empa liphello tsa tsona li tšoarella nako e telele. Khetho ea ho thehoa haholo e itšetlehile ka boima ba BPH.
Ho bua ka mokhoa o pharaletseng, li-alpha blockers li ka baka moferefere, hlooho ea hlooho ea mali, tlhaselo ea postural hypotension (khatello e tlaase ea mali ha u ema), kapa ho khutlisetsa metsi mokhoeng oa metsi (boemo boo peo e kenngoang ka har'a senya).
5-Alpha Inhibitors
5-alpha inhibitors, e tsejoang hape e le 5-alpha reductase inhibitors, e sebetsang ka ho thibela phetoho ea testosterone ho dihydrotestosterone, hormone e kopantsoeng le BPH le bohlopho ba banna. Li-5-alpha inhibitors li laeloa bakeng sa phekolo e sa foleng ea BPH 'me e nka likhoeli tse tšeletseng pele liphello li utloahala ka botlalo.
5-alpha inhibitors tse amohelehang bakeng sa phekolo ea BPH ke:
- Khothalletsa hore u bala Avodart (dutasteride)
- Propecia kapa Proscar (e fokolang le e phahameng ka tekanyo ea lichelete, ka ho latellana)
Joaloka sehlopha sa lithethefatsi, li-5-alpha inhibitors li ka baka tahlehelo ea libido, ho hloka matla, kapa ho tsosolosa ho khutla.
Anticholinergics
Lithethefatsi tsa anticholinergic li thibela tšebetso ea k'hemik'hale ea methapo ea lik'hemik'hale, e tsejoang e le acetylcholine, e romellang lipontšo ho bokong e hlahisang li-contraction tse sa tloaelehang. Ka ho etsa joalo, lithethefatsi li ka fokotsa matšoao a senya le ho feta moo batho ba ikutloang eka ba hloka ho ntša metsi esita le ha senya se sa tletse.
Har'a li-anticholinergics tseo hona joale li amoheloang bakeng sa ho phekoloa kankere ea senya ke:
- Detrol (tolterodine)
- Enablex (darifenacin)
- Oxytrol kapa Ditropan XL (oxybutynin)
- Regurin le Sanctura (trospium chloride)
- Toviaz (fesoterodine)
- Vesicare (solifenacin)
Anticholinergics e ka baka molomo o omeletseng, ho patoa, pono e fosahetseng le ho otloa ha pelo (tachycardia).
Lithethefatsi Tse Ling Tse Sebelisitsoeng Urology
E le ho khetheha ho kopanyelletsa mokhoa oa ho ntša metsi le oa banna, litsebi tsa urologists li itšetlehile ka lihlomo tsa meriana ho sebetsana le maemo a kang a kankere ea tšoelesa ea prostate , tšoaetso ea urinary (UTIs), erectile dysfunction (ED) , hypogonadism (tlhahiso e tlase ea testosterone) , le lefu la Peyronie (boemo bo khetholloang ka ho koaloa ho bohloko, ho utloisa bohloko).
E le hore u fumane setsebi sa lipalo tsa lefutso se tšoanelehang haufi le uena, ikopanye le k'hamphani ea inshorense bakeng sa lethathamo la bafani ba amohelehang kapa u botse ngaka ea hau ea tlhokomelo ea mantlha bakeng sa phallo. U ka hlahloba lintlha tsa boitsebiso ba urologist le setifikeiti ka US Board of Medical Specialties (ABMS) le liwebsaete tse fapa-fapaneng tsa ho hlahloba lingaka .
> Mohloli:
> Hanno, P .; Guzzo, T .; Malkowicz, P. et al. (2014) Penn Clinical Manual of Urology: Setsebi sa Inthanete (Moq. Oa Bobeli) Philadelphia, Pennsylvania: Saunders. ISBN-13: 978-1455753.