Benign uye yakajairika pathology, prostate adenoma inobata chikamu chimwe muzvina chevarume vari pakati pemakore makumi mashanu nemashanu ne55 uye vanopfuura mumwe muvarume vaviri vari pakati pemakore makumi matanhatu nematanhatu ne60. Ndezvipi zviratidzo? Nzira yekuongorora uye kurapa nayo? Mhinduro dzaInès Dominique, chiremba weurologist

Iyo inonziwo benign prostatic hyperplasia (BPH), prostate adenoma kuwedzera zvishoma nezvishoma mukukura kweprostate. “Kuwedzera kwevhoriyamu uku kunokonzerwa nokuwanda kwemasero eprostate ane chokuita nokukwegura” anodaro Dr Dominique.

Kuwanda kweiyi pathology inowedzera nezera uye inobata ingangoita 90% yevarume pamusoro pe80 kune akasiyana madhigirii. "Chirwere chisingaperi, chiri kuitika kwemakore akawanda, asi chisina hukama nekenza yeprostate" anowedzera urologist.  

Iyo nzira yekuvandudza prostate adenoma haina kunzwisiswa.

"Dzidziso dzinoverengeka dzakagadzirwa: maitiro ehomoni - kunyanya kuburikidza neDHT - anogona kubatanidzwa, kana kusaenzana pakati pekukura nekuparadzwa kwemasero eprostate" inoratidza Inès Dominique.

Iyo metabolic syndrome ingangove iri njodzi chaiyo, sezvo mukana wekurapwa prostate adenoma wakapetwa kaviri muvarwere vane metabolic syndrome.

Dzimwe nguva prostate adenoma haina symptomatic zvachose uye inowanikwa sezvinei panguva yekuongororwa kwekurapa kwekufungidzira. Asi kazhinji, zvinokonzeresa zviratidzo zveweti zvinokonzerwa nekutsikirirwa kweurethra neprostate isina kugadzirwa.

"Zviratidzo zveLUTS (urinary tract disorders) zvinogona kunzwiwa nemurwere" inotsanangura kunyanya chiremba weurologist.

International Continence Society (ICS) inokamura zviratidzo izvi muzvikamu zvitatu:

Kukanganisa kwechikamu chekuzadza 

"Iyi ipollakiuria, kureva kudiwa kwekuita weti nguva zhinji, iyo inogona kunge iri masikati kana husiku pamwe nekukurumidza kuita weti" anotsanangura Dr Dominique.

Kukanganiswa kwechikamu chekubvisa

"Ndiko kudikanwa kwekusunda kuita weti, kunonzi dysuria, kuomerwa kwekutanga weti kana kunyange kutsemuka uye / kana kushaya simba weti rukova" inoenderera mberi nyanzvi.

Post-voiding phase disorders

"Aya ndiwo madonhwe anonoka kana fungidziro yekusapedza kubuda dundira."

Izvo zvinoitikawo kuti prostate adenoma inokonzera kusagadzikana kwepabonde, kusanganisira iyo isina simba ejaculatory jet. 

Kuongororwa kweprostate adenoma kunobva pakubvunza murwere kuti angangove zviratidzo zveweti, kuongororwa kwemuviri nedigital rectal kuongorora uye dzimwe nguva, kana zvichidikanwa, imaging uye biology.

“Digital rectal bvunzo inoshandiswa kuona kukura uye kusimba kweprostate kuona zvakare kuti hapana gomarara reprostate. Uku kuongororwa kusingarwadzi uye kusina njodzi ” anotsanangura Dr Dominique.

Muchiitiko chekusahadzika, kuyerwa kwekuyerera kunogona kuitwa: murwere anofanira kubva aita weti mu "specialized" chimbuzi chinobvumira kuti urinary inoyerera iongororwe.

Kufungidzira kunobva pane reno-vesico-prostatic ultrasound. "Zvinoita kuti zvikwanise kuongorora huwandu hweprostate, kuona kusavapo kwekarukusheni yedundira kana bladder anomaly uye zvakare kuona kusavapo kwerenal mhedzisiro" inotsanangura nyanzvi. Iyi Ultrasound inoitawo kuti zvikwanise kutarisa kubuda chaiko kwedundira panguva yekuweta.

Chekupedzisira, biology yakavakirwa pakutemerwa kwehomoni yeprostate inodaidzwa kuti PSA - kuitira kutonga kunze kwegomarara reprostate - uye pakuongororwa kwekushanda kwetsvo kuburikidza nekuongororwa kwe creatinine.

Iyo prostate adenoma inogona kunge isina kunaka, inofanirwa kuongororwa uye kunyange kurapwa kudzivirira zvinogona kuitika.

"Benign prostatic hyperplasia inogona zvechokwadi kugadzira kuvharika kwedundira kudzivirira kubuda kwayo kwakaringana, iyo pachayo chikonzero chemarudzi akati wandei ematambudziko: Urinary tract infection (prostatitis), hematuria (kubuda ropa muweti) calculus yedundira, kuramba weti yakanyanya kana kusashanda kweitsvo " anotsanangura Dr Inès Dominique.

Chero bedzi murwere asinganzwi kusagadzikana uye asingaratidzi matambudziko, kutanga kwekurapa hakudiwi.

"Kune rimwe divi, kana murwere akanganisa padanho reweti, marapirwo emushonga echiratidzo aripo nekubudirira kwakanyanya" anosimbirira urologist.

Semushonga wekutanga, uye kana pasina contraindications, chiremba anopa alpha-blockers (Alfuzosine®, Silodosine® nezvimwewo) kuvandudza zviratidzo. Kana dzikasashanda zvakakwana, tinobva takurudzira 5-alpha-reductase inhibitors (Finasteride®, dutasteride®) iyo inoshanda nekuderedza saizi yeprostate kwenguva refu.

“Kana marapirwo emishonga akasashanda kana kuti murwere ane matambudziko kubva kuBPH, anogona kuvhiyiwa. Kupindira kwacho kunobva pakuchenesa urethra ". inotsanangura nyanzvi

Kupindira uku kunogona kuitwa kuburikidza neurethra neendoscopy nemaitiro akasiyana: "Nemagetsi akajairwa resection kana nelaser kana nebipolar enucleation" anotsanangura Dr Dominique.

Kana huwandu hweprostate hwakanyanya, kuvhiyiwa kwakavhurika kunogona kutsanangurwa, "Tiri kutaura nezve high-way adenomectomy" inotsanangura nyanzvi.

Kusvika pari zvino, hapana nhanho yekudzivirira yakaratidza kushanda mukuvandudza kweBPH.

“Kudzivirirwa kwakakosha ndekwematambudziko anobva kuBPH ayo anogona kunge akakomba uye dzimwe nguva zvachose, sechirwere cheitsvo chisingaperi. Saka zvakakosha kuti titarise varwere vane BPH kunyangwe vasina zviratidzo kuitira kuti vaone kusabuda dundira ” anotsanangura chiremba weurologist.

Hutsanana hutonga kutevedzera

Mukuwedzera, mitemo yehutsanana hwehupenyu inogona kuremekedzwa kuitira kutarisira matambudziko anogona kuitika. Kunyanya, varwere vanokurudzirwa:

• Kudzikamisa kushandiswa kwezvinwiwa manheru: soups, herbal teas, mvura, zvinwiwa
• Kuderedza zvakanyanya sezvinobvira kudyiwa kwekafeine kana doro,
• Kurwisa kuvimbiswa, nekudya kwakapfuma mumichero, miriwo, zviyo zvakakwana uye nyemba,
• Kudzidzira kurovedza muviri nguva dzose.