Ƙananan alamu, tabbatattun alamun cutar za a iya kula da su a asibiti a lokacin gwajin likita na shekara -shekara.

magunguna

Haruffan haruffa. Masu toshewar alfa suna taimakawa kwantar da jijiyoyin ƙwayoyin tsoka a cikin prostate da wuyan mafitsara. Wannan yana inganta kumburin mafitsara tare da kowane fitsari, yana rage yawan sha'awar yin fitsari. Iyalan alpha blocker sun haɗa da tamsulosin (Flomax®), terazosin (Hytrin®), doxazosin (Cardura®) da alfuzosin (Xatral®). Matsayin tasirin su kwatankwacinsu ne. Ana jin fa'idar da sauri, bayan kwana 1 ko 2 na jiyya. Wasu daga cikin waɗannan magunguna da farko an yi amfani da su don magance hauhawar jini, amma tamsulosin da alfuzosin musamman suna maganin hyperplasia prostatic mara kyau.

Wasu daga cikin waɗannan magunguna na iya haifar da dizziness, gajiya, ko hawan jini. Ƙananan hawan jini kuma na iya faruwa idan ana amfani da masu toshe alfa a lokaci guda kamar magungunan ɓarna (sildenafil, vardenafil, ko tadalafil). Tattauna da likitansa.

5-alpha-reductase masu hanawa. Waɗannan nau'ikan magunguna, waɗanda finasteride (Proscar®) da dutasteride (Avodart®) wani ɓangare ne, suna rage samar da dihydrotestosterone. 5-alpha-reductase shine hormone wanda ke canza testosterone zuwa metabolite mai aiki, dihydrotestosterone. Ana lura da mafi girman tasirin magani 3 zuwa 6 watanni bayan fara maganin. Akwai raguwa a ƙarar prostate kusan 25 zuwa 30%. Waɗannan magungunan suna haifar da lalacewar erectile a cikin kusan 4% na mazan da ke ɗaukar su. Ƙari, ana amfani da su tare da masu hana alpha.

Notes. Finasteride yana rage haɗarin kamuwa da cutar sankara ta prostate, bisa ga babban binciken da aka gudanar a 2003 (Gwajin rigakafin cutar sankara)⁷. Abin ban mamaki, a cikin wannan binciken, masu binciken sun lura da wata ƙungiya tsakanin shan finasteride da ɗan gano sau da yawa na mummunan nau'in cutar kansa ta prostate. Tunanin da aka yi na cewa finasteride yana ƙara haɗarin mummunan cutar kansa ta prostate. Yanzu an sani cewa an sami sauƙaƙe gano wannan nau'in cutar kansa ta yadda girman prostate ya ragu. Ƙananan prostate yana taimakawa gano ƙwayoyin cuta.

Muhimman. Tabbatar cewa likitan da ke fassara fassarar prostate antigen gwajin jini (PSA) yana sane da magani tare da finasteride, wanda ke rage matakan PSA. Don neman ƙarin bayani game da wannan gwajin gwajin, duba takaddar gaskiya ta prostate.

Haɗa maganin. Jiyya ta ƙunshi ɗaukar mai hana alpha da mai hana 5-alpha-reductase a lokaci guda. Haɗuwa da nau'ikan magunguna 2 zai fi inganci fiye da ɗayansu a rage jinkirin cutar da inganta alamunta.

Binciko

Idan jiyya na miyagun ƙwayoyi bai kawo ci gaba ba, ana iya la'akari da aikin tiyata. Daga shekaru 60, 10 zuwa 30% na marasa lafiya suna komawa zuwa aikin tiyata don sauƙaƙe alamun cututtukan hyperplasia mara kyau. Yin tiyata na iya zama dole idan akwai rikitarwa.

Canjin transurethral na prostate ko TURP. Wannan shi ne tsoma bakin da aka fi yi akai -akai, saboda kyakkyawan tasirinsa. Ana gabatar da kayan aikin endoscopic ta hanyar urethra zuwa mafitsara. Yana ba da damar warkar da sassan hyperplasied na prostate. Hakanan ana iya aiwatar da wannan aikin ta amfani da laser.

Kusan kashi 80% na maza da aka yi wa wannan aikin to suna da bege kawowa : maimakon a fitar da maniyyi, an kai maniyyin cikin mafitsara. Aikin Erectile ya kasance al'ada.

Notes. Bayan TURP, wasu, ƙananan hanyoyin ɓarna na iya lalata ƙwayar prostate mai yawa: microwaves (TUMT), mitar rediyo (TUNA) ko duban dan tayi. Zaɓin hanyar ya dogara da wasu abubuwa akan adadin nama da za a cire. Wani lokaci ana sanya bututu na bakin ciki a cikin fitsari don a buɗe wannan bututun. Ana yin aikin ne a ƙarƙashin maganin ciwon daji na yanki ko na gaba ɗaya, kuma yana ɗaukar kimanin mintuna 90. Daga 10% zuwa 15% na marasa lafiya da aka yiwa aiki na iya yin tiyata ta biyu a cikin shekaru 10 na aikin.

Juyin juyi na prostate ko ITUP. Ayyukan da aka nuna don hauhawar hauhawar jini shine ƙara faɗaɗa fitsari ta hanyar yin ƙananan ramuka a wuyan mafitsara, maimakon rage girman prostate. Wannan aikin yana inganta fitsari. Yana ɗauke da ƙananan haɗarin rikitarwa. An tabbatar da ingancinsa na dogon lokaci.

Bude tiyata. Lokacin da prostate yayi girma (80 zuwa 100 g) ko rikitarwa na buƙatar sa (maimaita lokutan riƙe fitsari, lalacewar koda, da sauransu), ana iya nuna tiyata a buɗe. Wannan aikin tiyata na yau da kullun ana yin shi ne a ƙarƙashin maganin sa barci kuma ya haɗa da yin huda a cikin ƙananan ciki don cire ɓangaren glandar prostate. Wannan hanyar na iya haifar da juzu'i na retrograde, kamar yadda lamarin yake tare da jujjuyawar transurethral. Wani mawuyacin sakamako na aikin shine rashin fitsari.