Mishonga Yakagamuchirwa yeBenign Prostatic Hyperplasia
An prostate yakakura, inozivikanwa se benign prostatic hyperplasia (BPH) inonyanya kubata vanhu vanopfuura 50. Kunyange zvazvo chirwere chacho chisingafungi kuti chinopisa upenyu, chinogona kukonzera matambudziko pakugunzva. Mishonga inowanika kurapa chirwere cheBPH, kana zvichidikanwa, chinogona kuderedza kupisa uye kunyange kugadzirisa kuwedzera muzviitiko zvakawanda.
Kuziva Nguva Yakakodzera Kutanga
Kunyange zvazvo zvingaita sezvine musoro kugadzirisa paunorwara, uchapupu hukuru hunoratidza kuti zvingasava zvakafanira.
Maererano neNational Institutes of Diabetes, Digestive, uye Kidney Disorders (NIDDKD), vazhinji vari mumwe chete muvarume vatatu vane BHP vachaona zviratidzo zvavo zvisarudzo pasina chero kurapwa chero kupi zvako. Sezvo akadaro, nyanzvi dzakawanda dzichakukurudzira iwe kutora kurindira-uye-kuona nzira uye usakurumidza kupinda mushonga.
Mishonga inowanzotangwa apo zviratidzo zve prostate kuwedzera kwekupedzisira kana urinary tract eropa kana kuti yakakomba kana kuti inowanzoitika zvirwere zvekuvhenekera. Inogonawo kutangwa apo nguva yakawanda yekudhonza uye / kana kushaya muviri kweprotate kuwedzera kukuvadza kunopesana nekugara kwezuva nezuva.
Kune marudzi akawanda emishonga nemishonga yakasiyana-siyana yekuita iyo inogona kushandiswa kurapa kana kuderedza zviratidzo zveBPH:
Alpha Blockers
Alpha inogadzirisa basa nekuzorodza mishonga yeprostate uye shanje yemutsipa. Kunyange zvazvo alpha blockers inoshanda mumapfumbamwe makumi manomwe ematatu ematambudziko, inowanzopa rubatsiro runononoka uye, saizvozvowo, inowanzochengeterwa varume vane zviratidzo zvakaoma.
IU.S. Food and Drug Administration (FDA) yakagamuchira nhamba dzemadhora matanhatu emushamba weAmerica:
- Cardura (doxazosin)
- Flomax (tamsulosin)
- Hytrin (terazosin)
- Rapaflo (silodosin)
- Minipress (prazosin)
- Uroxatral (alfuzosin)
Kana iwe wakanyorerwa e-alpha blocker, tarisira kuongororwa mumavhiki mashomanana okutanga kuti uongorore madhara uye zviratidzo zvekuvandudza.
Ruzhinji rwevarume vane BPH runyoro runotanga kunzwa manzwiro akanaka mukati memamwe mazuva maviri.
Zvinokonzerwa nemagumisiro anowanzogona kusanganisira misoro, chizivi, kushungurudzika mudumbu, kuneta, kusanganiswa kwe sinus, uye kuderedza ropa. Erectile kusagadzikana uye kusava nesimba kunogonawo kuitika.
5-Alpha Reductase Enzyme Inhibitors
5-alpha reductase enzyme inhibitors inoshanda nekuderedza prostate gland uye inonyanya kushanda kune varume vane prostate yakawedzerwa zvikuru. Kunyange zvazvo zvingatora nguva yemishonga yekuita zvakakwana (kubva pamwedzi mitatu kusvika kumitanhatu paavhareji), vanogona kubatsira varume kuti varege kudiwa kwekuvhiyiwa .
Zvimwe zvakasiyana-siyana 5-alpha reductase inhibitors zvakagamuchirwa neDFA:
- Proscar kana Propecia (finasteride)
- Avodart (dutasteride)
Migumisiro inogona kusanganisira yakaderera libido, kusava nesimba, uye kuderedza mbeu yekugadzira. (Proscar uye Propecia zvinowanzoshandiswawo kubata mazamu evarume .)
Kusanganiswa kweDrug Therapy
Vaya vanonyanya kutsvaga kubatana pamwe chete nevarume vane prostate yakakura uye yakakwirira yePSA . An alpha blocker yakabatanidzwa ne 5-alpha-reductase inhibitor inopa kubatsirwa nokuzorodza prostate gland zvishoma nezvishoma kuderedza kukosha kwayo.
Chidzidzo chikuru chakaitwa muna 2006 chakaratidza kuti kurapwa kwakakonzera kuti 66% kuderedzwa kwezviratidzo zveBPH zvichienzaniswa ne 34 muzana ne alpha-blocker uye 39 muzana ne 5-alpha-reductase inhibitor chete.
Izvozvo zvinogona kunge zvisingabatanidzi kuti mushonga unobatanidza unoita kuti munhu ave nemigumisiro yemishonga yose. Kubvunzurudza nekunyatsogadziriswa neyanyanzvi unyanzvi kunorudzirwa kuti uone kubatsirwa nemigumisiro yekurapa.
Heat Therapy (Hyperthermia)
Hush therapy (hyperthermia) chirwere chinopedzisira chiripo chinoshandiswa kurega kuvhiyiwa. Nzira yacho inosanganisira kuiswa kwechiganda chakaonda, chinoshandiswa pakuchinja mukati mekurerera kuti upe kupisa zvakananga ku prostate gland. Inogona kushandisa microwave, laser, kana electro-vaporization teknolojia uye yakaratidzwa kuva 74.9 muzana inoshanda mukuderedza gland yakakura.
Sezvo imwe nzira inopisa, hyperthermia inofanira kungoshandiswa chete kune varume vane mishonga yemishonga yakakundikana. Local anesthesia inoshandiswa uye kugadziriswa inotora mazuva mashomanana.
Mishonga inokonzerwa nehutano hwekumba inogona kuitwa sechirevo chemishonga. Izvi zvinogona kuitwa kuburikidza kushandisa pfuti inopisa kana mvura inotonhorera zvakananga munzvimbo yacho kuwedzera kubuda kweropa uye kuderedza marwadzo nekuputika.
Alternative Therapies
Kushandiswa kwemamwe maitiro ekurapa kwehutano hweprostate kwave kwakakurumbira zvikuru munyika yose. Iyo yakanyanya kushandiswa yakasimwa michero ndiyo ye saw palmetto ( Serenoa repens ).
Kunyange zvazvo kudzidza muna 1996 kubva muDhipatimendi reVeteran Affairs reUnited States rakaratidza kuti palmetto yakave yakagadziriswa semafasitadhi mukuderedza ukuru hwe prostate yakawedzerwa, svondo ra2006 rakabudiswa muNew England Journal of Medicine rinopesana zvakananga nezvakawanikwa.
> Sources
- > Bent, S ;; Kane, C .; Shinohara, K .; et al. "Vakaona Palmetto yeBenign Prostatic Hyperplasia." New England Journal of Medicine. 2006; 354-557-566.
- > Presti, J .; Kane, C .; Shinohara, k .; uye Carroll, P. "Chitsauko 22: Neoplasms ye prostate gland." Mune: Tanagho naMcAninch, eds. Smith naTanagho's General Urology 18th edition. New York: McGraw-Hill; 2012.