BPH - He aha ka mea? Symptoms, lapaʻau o benign prostatic hyperplasia

Ma kēia lapaau pinepine hoʻohana hua h ÷ ailona, ka mea, ua ole loa i ka awelike kanaka me ka meli. ka hoʻonaʻauao. One ia i hookahuli ai i hua h ÷ ailona - BPH. He aha ka mea? Olelo ana i ka'ōlelo o nā kauka, ia - benign prostatic hyperplasia. Akā, kahea aku na kanaka ia simpler - BPH (ka Lolina "adenoma prostate gland"). BPH ua pinepine pioloke me ka maʻi e like me prostatitis. BPH - e benign, a me ka mea, ua ulu me ka komo o ka stromal ke keʻena o ka prostate (i loko o nā hua'ōlelo - glandular epithelium), a me ka prostatitis - ole mea 'ē aʻe, me ka li nui o ka prostate gland. Ka mea, e ole e pioloke.

BPH. He aha ka mea? 'ikepili helu

E like me ka olelo ma luna, BPH - benignʻeho. Inā ka mea, i loko o ka prostate (ailona i loa prostate) hana uuku nodules i me ka mahuahua increasingly oOeEIAOO urethra.

No ka mea, o keia, na kanaka hōʻike urination kāna hana. Kēia maʻi i ka ulu benign, a me keia mea ai kā benign prostatic hyperplasia mai ka maʻi 'aʻai.

BPH - kekahi o na maʻi loa, he pono ole i ka urology i keia la. Wahi a ka 'ikepili helu, eia kahi mea akaka ma ka aneane 80 pakeneka o na kanaka i ka wa elemakule. I ka 20 pakeneka o ka hoopii, ma kahi o ka BPH prostate atrophy a me ka uku paneʻe.

BPH maʻi loa pinepine ia lŘlŘ i loko o nā kānaka ma luna o ka 45 o kona mau makahiki.

More ma mua o ka hapalua o na kanaka, mai ka 40-i 50-makahiki-kahiko popoiwi a hiki i ka hoʻomalu me kēia maʻi, a me wale i ka pohihihi keia hihia, i ka maʻi ke loaa i ka uʻi.

Kumu o ka BPH

I ka lā, hiki ole ke hōʻike i ka kiko'ī kumu o ka prostate BPH, e like me ka mea i wale i maopopo hoomaopopo. Ua Ua manaoio aku i ka maʻi o kekahi o na symptoms o menopause i loko o nā kānaka.

Na wale kamepiula kumumea i ka pae ana o androgens i loko o ke koko, a me ka kanaka i ka makahiki.

IeAUPIIe, IAa IO me ka makahiki i loko o nā kānaka i nā imbalance ma waena o estrogen a me ka androgen, e kauoha ana ka haunaele o ka ulu hooponopono a me ka hana o ka maʻi 'aʻai keena.

Ua ua ike ia ma waena o BPH a me ka prostate kanaka moe haʻawina, kohoʻia, lama, venereal a me ka hoʻoʻino E neʻe i ZPO ole pilina, a me kekahi o na luna, aole i pili i ke ano o ka maʻi.

pathogenesis

BPH prostate pinepineʻia i loko o ka kikowaena hapa o ia, akā, i kekahi manawa, ka mea hiki ke paʻa a me ka kīloi paʻewa lobes. Ulu benign adenomatous hyperplasia e kaukaʻi ma ka hoʻonuiʻana (ʻeho) paraurethral glands. Nolaila iho umauma'aʻaʻa ua hoʻoneʻe waho, a ua hanaʻia a puni ka ulu adenoma e like mea hōʻikeʻikeʻuʻuku mai ia.

Hyperplastic (a laila iho mailoko oʻeho) o ka prostate'aʻaʻa aeee i kamaʻilioʻana, e ulu ana ma ka olelo o ka rectum, a me ka bladder, a me keia mea i ke kumu i luna pohupani hale o ka pā lua o ka bladder, a hooloihiia mai ka mea hope loa o ka urethra.

He nui na ano o ka hyperplasia no 'ano o ka ulu ana:

• Podpuzyrnaya ano o BPH. He aha ka mea? Ma keia maʻi, i kaʻeho ulu i ka rectum.
• Intravesical ano o BPH. I ka moolelo o ka maʻi ua wehewehe aku ma ka ulu o kaʻeho no ka bladder.
• Retrotrigonalnaya ano o BPH. Kaʻeho ma keia hihia ua aia 'ana ma lalo o ka triangle kanaka bladder.

Muli o kona kulana pinepine kekahi mau ano o ka BPH hiki ke ike i loko o kekahi kanaka i kekahi manawa. Kēia ka hana i ka wa a kaʻeho ulu i loko o kekahi mau kuhikuhi i kekahi manawa.

BPH Symptoms

Symptoms o ka maʻi e pono e kaukaʻi ma kaʻeho IIeEeAIEUAA, mai kona ulu a me ka nui, e like me ka degere o dysfunction o ka bladder.

BPH prostate hiki ke maheleia i ekolu kahua o ka hoʻonaʻauao.

• Compensated, a me ka mea mua ke kahua. Kēia palapala no ka maʻi ua hoikeia 'ole' ana i ka hoʻomaka 'ana o ka urination (pinepine koi aku ia i ka hoohiolo nei, o ka oi aku i ka po - Related kumuhana). Ma BPH o 1 ka papahelu prostate, piʻi pū me ka nui, ka mea, ua plotnoelasticheskuyu hana mau. Kona palena i maopopo ho'ākāka 'ana hoʻii, a me ka nui palpation o ka prostate (a me kona Median auwaha) painless. Ma keia kahua o ka maʻi i ka urinary bladder nui loa kahe aku la ia, a loaʻa kaʻaʻohe koena mimi. BPH 1 ka papahelu hiki mau mai kekahi i ekolu.
• Subcompensated a me ka lua o ke kahua. E like me kaʻeho ia mea increasingly mole ka urethra, a me ka bladder mea ole hou hiki ke hana pono a pau kahe aku la ia (kona paia me ka hanaʻia naʻe). E like me ka hopena o ka BPH 2 degere koena mimi akaka, ma muli o ia i ka hoʻomanawanui Kahalaopuna kāpili emptying o ka bladder. Ma muli o ka mīkini'opihia o ka urethra, e hoomanawanui i hemo o ka liʻiliʻi'āpana, a me ka hope o ka manawa o ka mimi a me ka hana kaʻikeʻole hoʻomaka e ku mai (ke kumu no keia o ka piha bladder). BPH 2 degere ua i kekahi manawa pu ma symptoms o ka maʻiʻaʻa puʻuwai 'ole (ulu ma kona kāʻei kua).
• Asthma a me ke kolu o ke kahua. Bladder ikaika'Ō akula ma muli o ke koena mimi, urethra nō'opihia a me ka mimi ua hookuu literally dropwise, i kekahi manawa, i kawili pu ia me ke koko. Ma kēia kahua BPH entailsʻaʻa puʻuwai ka hoʻokō 'ole (ʻaʻa puʻuwai insufficiency). Aia mea no hoi i ka nawaliwali, loa ke kaupaonaʻana poho, ilihune ikaika loa ka makemake, constipation, anaemia, maloo waha.

ʻike, no ka maʻi

Ke kumu no kaʻike, e typical hoopii o na wahine, no ka mea, i ka hana me ka unahiʻole BPH symptomʻai (ma ka 'ōlelo Pelekānia. I-PSS). Holo nōhie, ua i ma hope o ka lapaʻau ninaninau o ke ahonui, a me na ano o ka hoʻokolokolo 'ana i ka BPHʻike,:

1. Palpation (manamana lima) rectal ninaninau o ka prostate gland. Mahalo iā ia, kauka i ka manaʻo o ka nui a me ka hana mau ana o ka prostate, o ka alo ana o barbs ma waena o kona puu, e like me ke degere o ka palupalu, e palpation.
2. Keʻena hoʻokolohua haʻawina o BPH. He aha ka mea? Mua o nā mea a pau, ka mea, o ka ninau urinalysis. Nō hoʻi, biochemical Ka Ikepili o ke koko lawe ma i ho oholo PSA pae (ku nei no ka prostate kekahi antigen).
3. Instrumental ki ina hana like. Loa pinepine ia mea cystoscopy a me ka ureteroscopy. Me kā lākou kōkua, e hiki ke kaha i ka patency o ka urethra, ka moku'āina kaʻana like ana o ka prostate a me ka bladder'ā'ī. E ho ohana i kēia mau kaʻina hana ia mea hiki e hooholo i ka nui o ke koena mimi.
4. Ultrasound ninaninau. Ua mea no hoi kekahi o na ano o vocal ki ina hana, hiki e ike i ka nui o kēlā me kēia kaʻana like 'ana o ka prostate, kona kūlana (alo aku o nā pōhaku, nodules). Ma wahoʻike mau TRUS ultrasound hoʻohana i (transrectal).
5. X-Ray ki ina hana like. Excretory urography (me ka Akä naÿe) a me ka papu radiography (me Akä naÿe) ke kōkua ho oholo i ke alo o ka BPH complications nona ka iapaau ana i ka hoʻomaka 'ana. Me ke kōkua o ke X-na kukuna nō i nā pōhaku i loko o ka bladder a me nā puʻupaʻa.

BPH lapaʻau

Currently, he nui na aoao e hana lakou i na mai, kela mea keia mea o ka i mea nui mana ma kahua o ka hoʻonaʻauao likeʻole o ka BPH. Iapaau ana o keia maʻi hiki ke maheleia i ekolu māhele:

• Lapaʻau hana o ka lapaau
• Operative lapaʻau
• Other ole-hana ana lapaʻau

Lāʻau lapaʻau ua ana pili i ka hoailona mua o ka BPH.

Ma nā kahua o ka hoʻonaʻauao kakahiaka nui o ka prostate BPH lapaʻau ua pahuna ma hoemi hyperplastic prostate'aʻaʻa ulu ana, iaono? Ienoai holo ma e pili nā loko, hoemi li nui o ka prostate a me ka bladder mimi hoʻopau o ka stagnation, ke kāpaeʻana constipation, e pono ai urination.

Ma waho aʻeo ia i ka hoʻohana 'ana i ai' o ka hoʻomanawanui ua waiho e hahai i ka lawe lima Aloha Hawaii, e haawi i ka waiʻona a me nā palapala (nui ka waʻa, spicy, spicy) ka ai, e uwahi ana.

Ua E hoi emi i ka loliʻai ana i loko o ka lua o ka hapalua o ka lā, o ka oi aku ma mua bedtime.

Ma ke alo o ka lapaʻau a me keʻena hoʻokolohua na hoailona o ka androgen deficiency ua i lawelawe androgen hope Inc.

Pinepine ma laua me ka iapaau ana o ka hyperplasia o ka iapaau ana o kona complications - cystitis, prostatitis a me ka pyelonephritis.

I kekahi manawa, (ma ke kāʻei kua o ka hypothermia a ka waiʻona), i ka hoʻomanawanui i hoʻomōhala huʻi urinary ka mālama. Ma keia hihia, ke hoʻomanawanui e e hospitalized koke, a lawe mai bladder catheterization.

E ka lawe i ka pilina nana ma kēlā me kēia 'ano o ka nohoʻana.

ka lapaʻauʻia

Ma ka hapanui o hoopii, e hoʻohana 'ia nā' ano o nā lāʻau lapaʻau ai 'no ka hana maikaʻi BPH:

• Alpha-1-adrenergic blockers (e laʻa me, tamsulosin, doxazosin a terazosin). Kā lākou hana ua pahuna i hoʻomaha o ka'ōlohelohe Muscle o ka prostate a me ka bladder ai, e hiki aku ai i ka facilitation o ka hooholo ia o ka mimi. Mau ai 'hiki e hoʻolōʻihiʻia a pōkole.
• Nā mea kūpale (blockers) o ka 5-Alpha-reductase (permikson, finasteride a dutasteride). Mau ai 'mai e ae dihydrotestosterone (biologicallyʻeleu ano o ka testosterone) i hanaʻia i loko o ke kino o ka hoomanawanui, ma laila ka hōʻemiʻana i ka prostate gland.

Operative lapaʻau

I loa hoopii, he hookahi ka lapaʻauʻia hiki ole ke hana, a me, like me ka rula, i e, Kamuela, eʻoki kino. Kēia paha ia i ka hyperplastic'aʻaʻa excision (prostatectomy) a huina resection o ka prostate (prostatectomy).

Aia he mau ke ano o kaʻoki kino:

• Openʻoki kino (transvezikalnaya prostatectomy). I ka ua 'uao komo i ka umauma'aʻaʻa loaa ma ka bladder pa. ua kēiaʻano o ka loa traumatic, a noi wale i ka holomua hihia. Openʻoki kino hoʻolako piha hoolaia o BPH.
• Minimally invasiveʻoki kino (ma a aohe mea kokoke iʻoki lāʻau lapaʻau 'uao). Haliia mai la mawaho me ke kōkua o kēia wikiō endoscope enehana, me ka incision. Komo i ka prostate ma ka urethra.

Aia o kekahi ano o kaʻoki kino i ole e hoohalikeia me ka luna hiki. Embolization prostate arteries - ka hana a ua lawe mai endovascularʻoki kino (lawe urologists ma luna) a ua puka liiiU arteries prostate liʻiliʻi (particles) kūikawā 'inikua pīlali (Via ka femoral artery). Hospitalization ua i koi 'ia, ua hana i ka hana ma lalo o kūloko anesthesia a me ka ole traumatic.

Ma hope o kekahiʻano o kaʻoki kino, he mea he uuku kamepiula o complications, e like me ka hoʻohālike urinary incontinence, impotence, a urethral stricture.

Ole-hana ana lapaʻau

E nā 'ole-hana ana ano o ka hana e like penei:

- cryosurgery;

- transurethral kui kele ma ablation;

- lapaʻau me kiʻekiʻe pinepine 'ʻeleu ultrasound;

- he ano o ka hawewe thermal Inc o prostate paha coagulation;

- i ka hoike o prostatic stents hou i loko o ka māhele 'āina;

- hoʻonui dilatation o ka prostate.

Ka postoperative manawa

Auwe, e ponoʻoki kino ma kekahi kuʻina o ka maʻi. BPH - he mea maʻi, a hiki ma hope o kaʻoki kino e pono e hahai i kekahi rula, e pakele no ka mai a me ka ole, e hoʻonāukiuki i ka hou-muli. Ka manaʻo nui ekolu ia oe e malama i ka kēia mau hana - o ka pololeiʻai, he olakino Aloha Hawaii a me ka maʻamau kipa i ke kauka.

ʻai i loko o ka postoperative au meaʻano nui no ka hoomanawanui, no ka mea, hiki me ka nui loa he hoʻonui i ka kokololio ke ola. ʻai ma hope oʻoki kino eliminates momoma ai, ai mea ala kahi, a me ka palemo iho spicy ka ai, a, o ka papa, ka waiʻona. ? Aeiiaiaiaaia eʻai haʻahaʻa-momonaʻai waiwai ma ka puluniu.

Like no ka hana, ina kou oihana, aole ia i imply pinepine physical haawe ana, a laila, e hoʻi i ka wahiʻoihana hiki i ka mau o ka pule ma hope o ka hana. I ka sedentary hana kela hapalua-hora mehana-i paipai. A sedentary Aloha Hawaii ke hoʻonui i ka stagnation o ke koko ma nā nā loko, ma o na la maʻi wale exacerbated. Ka mua mau lā ma hope oʻoki kino mai,ʻaʻole i manaʻo e pili ana i ke kaupaonaʻana punohu!

Pale e uwahi ana ma ka liʻiliʻi loa i loko o ka postoperative wā (elua pule ma hope o kaʻoki kino), ina oe hiki ole hoʻokanaka 'ino loa. Nicotine i loli ai i na moku ke koko, a me keia e loli ai i ka prostate holo, ai ka hoʻoʻino kaʻina kānāwai.

He nui nā poʻe manaʻo i ma hope o ka wehe 'ana o BPH E hoopoina e pili ana i ke keka ola. Kēia nānaina He kuhihewa, a ua maopopo hoihoi hou kane moe hana ma hope o kekahi mau manawa. Eia naʻe, o Keoni aʻikeʻia e e ole mua o 4 pule ma hope oʻoki kino.

Kekahi'āpana o ka'ōlelo aʻo, i mea waiwai ka uku noonoo ana i: kiʻi ma hope o ka huila o ke kaʻa hiki ia i mua ma mua o kekahi mahina ma hope o ka wehe 'ana o BPH.

I mau, me ka lāʻau kū-operative manawa mau e pili ana i ka malama, ma hope i ka hoʻomanawanui i i, e hoʻi ai i ka ninau ola. Eia naʻe, mākaukau ikaika waiho aku i ke ola i ke Aloha Hawaii e pale aku i ka hou-muli o ka maʻi.

Urination ma hope oʻoki kino

Kokoke koke ma hope o ka hana mimi kahe lilo ikaika a me ka emptying o ka bladder ka uuku. Ma hope o ana o ka catheter kānāwai ana eha ka wā mimi, i ke kumu no keia - ka hooholo ia o ka mimiʻoki lāʻau lapaʻau eha.

Poe akamai i mai i hookaawale ia i ka hanana o urinary incontinence a me kaʻenaʻena urination i loko o ka postoperative wā, kēia mauʻike manaʻo e pono maʻamau. Ke ikaika oe i bothered e symptoms i ka maʻi, i ka lōʻihi o ka wā o kou ola. Over manawa, i nā pilikia a pau, e nalo, a oe e hoʻi ai i ka maʻamau pāpana o ke ola.

Kekahi manawa ma hope o ka piʻiʻana i loko o ka mimi i e koko clots. O kŰia ua pili ia me ke hooeha ho'ōla. ? Aeiiaiaiaaia e inu i ka loli i ka pono holoiʻia ia i ka bladder. Akā, kaumaha kahe ana ke koko koke Pono e ike i ka hoʻomalu.

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Ana urinary ka mālama (ina ka iapaau ana o BPH 'ole' ia), e ho'ōla hiki i hakuʻala pōhaku, ma a ka bladder nā pōhaku e hana, a me ka hope maʻiʻaʻai. Ka loa nui complication i ke kali i ka hoʻomanawanui me ka pono lapaʻau - pyelonephritis. Kēia maʻi hou aggravatesʻaʻa puʻuwai ole.

Eia hou kekahi, prostate adenoma ke haawi ala i ka ulu malignant - prostate Ka maʻi 'aʻai.

Kēla me kūpono a me ka 'eleu lapaau ana o ka maʻi o loa maikaʻi.

Kāohiʻana o ka maʻi

Ka pono Kāohiʻana o ka BPH - he mau hooponopono ma ka hoʻomalu a me ka 'eleu hana o ka prostatitis.

Ua mea i ke kumukuai, eʻai i ka akau (e emi i ke dala o ka palai, palemo iho ai, a me ka spicy, spicy a paka), e haawi i pūnuku puhi a me ka waiʻona. Ma mau, he olakino Aloha Hawaii me ka nui loa ho'ēmi i kā ka pilikia o BPH.

No laila, e oe i mea BPH. Symptoms o ka maʻi, lapaʻau, postoperative manawa, a hiki Kāohiʻana i ho'ākāka 'ia i loko o au mamuli luna.

Ma kekahi hihia, uaʻike nō e maikaʻi kēia. E hoʻokaʻaʻike ola!