Kwayoyin cuta masu kyau da na yau da kullun, adenoma prostate yana shafar kwata na maza tsakanin 55 zuwa 60 da sama da ɗaya cikin maza biyu tsakanin 66 zuwa 70. Menene alamun cutar? Yadda za a gane da kuma bi da shi? Amsoshin Inès Dominique, likitan urologist

Har ila yau ana kiranta hyperplasia prostatic benign (BPH), adenoma prostate shine karuwa a hankali a cikin girman prostate. "Wannan karuwar girma yana haifar da yaduwar ƙwayoyin prostate da ke da alaƙa da tsufa" in ji Dr Dominique.

Yawan wannan cututtukan yana ƙaruwa da shekaru kuma yana shafar kusan 90% na maza sama da 80 zuwa digiri daban -daban. "Cutar cuta ce ta yau da kullun, tana haɓaka shekaru da yawa, amma wacce ba ta da alaƙa da cutar kansa ta prostate" in ji likitan urologist.  

Ba a fahimci tsarin ci gaban adenoma prostate ba.

"An ƙirƙiri ra'ayoyi da yawa: hanyoyin hormonal - musamman ta hanyar DHT - na iya kasancewa, ko rashin daidaituwa tsakanin haɓaka da lalata ƙwayoyin prostate" yana nuna Inès Dominique.

Ciwon na rayuwa zai zama ainihin haɗarin haɗari, tunda yuwuwar yin magani don adenoma na prostate ya ninka a cikin marasa lafiya da ke fama da ciwon na rayuwa.

Wani lokaci adenoma prostate gaba ɗaya asymptomatic ne kuma an gano shi ba zato ba tsammani yayin gwajin hoton likita. Amma galibi, yana haifar da alamun fitsarin da ke haifar da matsewar urethra ta prostate mara kyau.

"Alamun LUTS (cututtukan urinary tract) mai haƙuri na iya jin su" ya bayyana musamman likitan urologist.

International Continence Society (ICS) ta raba waɗannan alamun zuwa kashi uku:

Rashin lafiya na lokacin cikawa 

Dr Dominique ya ce "Wannan pollakiuria ne, wato buƙatar yin fitsari sau da yawa, wanda zai iya kasancewa dare da rana har ma da abubuwan gaggawa."

Rashin lafiya na lokacin ɓacewa

“Buƙatar turawa ne don yin fitsari, wanda ake kira dysuria, wahalar fara fitsari ko ma raunin fitsari mai rauni da / ko raunin raunin” ya ci gaba da ƙwararre.

Rikicin lokaci na ɓacewa

"Waɗannan sune ƙarshen saukarwa ko tunanin rashin cika mafitsara."

Hakanan yana faruwa cewa adenoma na prostate yana haifar da lalacewar jima'i, gami da raunin jigilar maniyyi. 

Binciken adenoma na prostate ya dogara ne akan tambayar majiyyaci alamun kamuwa da fitsari, gwajin jiki tare da duban duban dijital kuma wani lokacin, idan ya cancanta, hoto da ilmin halitta.

“Ana amfani da jarrabawar dubura ta dijital don tantance girman da daidaiton prostate don kuma tabbatar da cewa babu wata cutar kansa ta prostate. Wannan jarrabawa ce mara zafi kuma ba ta da hadari ” yayi bayanin Dr Dominique.

Idan akwai shakku, ana iya auna ma'aunin kwarara: dole ne mai haƙuri ya yi fitsari a bayan gida "na musamman" wanda ke ba da damar tantance fitsari.

Hoto ya dogara ne akan duban dan tayi na vesico-prostatic. "Yana ba da damar tantance ƙimar prostate, don tabbatar da rashin lissafin mafitsara ko rashin lafiyar mafitsara da kuma tabbatar da rashin raunin koda." ya bayyana gwani. Wannan duban dan tayi kuma yana ba da damar duba madaidaicin fanko na mafitsara yayin fitsari.

A ƙarshe, ilmin halitta ya dogara ne akan ƙaddarar hormone prostate da ake kira PSA - don kawar da yuwuwar cutar kansa ta prostate - kuma akan gwajin aikin koda ta hanyar nazarin creatinine.

Adenoma na prostate na iya zama mara kyau, dole ne a sanya ido kuma har ma a bi da shi don hana yiwuwar rikitarwa.

"Hawan jini mai kumburin hanji na iya haifar da toshewar mafitsara wanda ke hana zubar da shi yadda yakamata, da kansa shine sanadin ire -iren matsaloli daban -daban: kamuwa da fitsari (prostatitis), hematuria (zub da jini a cikin fitsari) ƙididdigar mafitsara, riƙe fitsari mai ƙarfi ko gazawar koda" yayi bayanin Dr Inès Dominique.

Muddin mai haƙuri bai ji daɗi ba kuma bai gabatar da rikitarwa ba, fara magani ba lallai ba ne.

"A gefe guda kuma, idan mara lafiya ba shi da matsala a matakin fitsari, magungunan magunguna na alamomi suna da inganci sosai" nace likitan urologist.

A matsayin magani na farko, kuma idan babu contraindications, likita yana ba da alpha-blockers (Alfuzosine®, Silodosine® da sauransu) don inganta alamun. Idan ba su da isasshen tasiri, to muna ba da shawarar masu hana 5-alpha-reductase (Finasteride®, dutasteride®) waɗanda ke aiki ta rage girman prostate a cikin dogon lokaci.

"Idan magungunan magunguna ba su da tasiri ko mara lafiya yana da rikitarwa daga BPH, ana iya ba da aikin tiyata. Daga nan ne hanyoyin shiga tsakani ya dogara ne kan share fitsari ” ya ƙayyade gwani

Ana iya yin waɗannan ayyukan ta hanyar urethra ta hanyar endoscopy tare da dabaru daban -daban: "Ta hanyar fitowar wutar lantarki ta al'ada ko ta hanyar laser ko ta hanyar bipolar enucleation" yayi bayanin Dr Dominique.

Idan girman prostate ya yi yawa, ana iya ba da shawarar tiyata, "Muna magana ne game da babbar hanyar adenomectomy" ya ƙayyade gwani.

Ya zuwa yanzu, babu wani matakin rigakafin da ya tabbatar da tasiri ga ci gaban BPH.

“Mafi mahimmancin rigakafin shine na rikitarwa daga BPH wanda zai iya zama mai mahimmanci kuma wani lokacin dindindin, kamar cututtukan koda na kullum. Don haka yana da mahimmanci a kula da marasa lafiya a hankali tare da BPH koda kuwa ba alamun cutar bane don gano ɓoyayen mafitsara ” yayi bayanin likitan urologist.

Ka'idojin tsabta su bi

Bugu da ƙari, ana iya mutunta ƙa'idodin tsabtace rayuwa don hango yiwuwar rikitarwa. Musamman, ana ba da shawarar marasa lafiya:

• Don iyakance amfani da ruwa a maraice: miya, teas na ganye, ruwa, abin sha
• Don rage yawan amfani da maganin kafeyin ko barasa,
• Don yaƙar maƙarƙashiya, tare da abinci mai wadataccen 'ya'yan itatuwa, kayan marmari, hatsi gabaɗaya da legumes,
• Don yin aikin motsa jiki na yau da kullun.