Kuchengetedza Zvinetso zveUriina Kuita Zvepabonde Zvisina Kuita
Kune mishonga yakawanda inoshandiswa muuropi , chirongwa chezvokurapa chinosangana nezvirwere zvevarume nevakadzikadzi urinary tract pamwe chete nehutachiona hwekubereka. Mishonga iyi inogona kuputsika nemararamiro avo ekuita uye yehupenyu inoshandiswa.
Makirasi anonyanya kupiwa anonyanya kushandiswa emishonga muchirongwa urology anosanganisira:
- Alpha blockers iyo inoshanda kuburikidza nekudzikama kwemisungo pamutsipa wekanyara kuti uvandudze urinary kutenderera
- 5-alpha inhibitor iyo inodzivisa kukanganisa kwehomoni yakadaro inosangana ne prostate kuwedzera
- Anticholinergics iyo inopedza zvinyorwa zvisingabatanidzi uye inowedzera chikwata chevanhu vane chikwata chinopfurikidza
Zvinodhaka zvinogona kushandiswa pachega kana muhutano hunobatanidza. Mamwe makambani emishonga akave akagadzira madhizimisi maviri-mu-umwe seDuodart iyo inosanganisira alpha blocker ne 5-alpha inhibitor.
Alpha Blockers
Alpha blockers, iyo inonziwo alpha-adrenergic antagonists, inoshandiswa muuroroti kurapa kusina kenza kuwedzera kwe prostate gland (inozivikanwa se benign prostatic hyperplasia, kana BPH ). Vanodaro nokudzivirira hormone norepinephrine kubva pakuvhara dzimwe misoro inotapira nemidzi yeropa. Nokuita kudaro, mishonga inogona kuvandudza urinary flow in varume vakuru vane zvinetso zveprostate.
Alpha blockers ikozvino yakagamuchirwa kuitira kurapwa kweBPH dzinosanganisira:
- Cardura kana Cardura XL (doxazosin)
- Flomax (tamsulosin)
- Hydrin (terazosin)
- Uroxatral (alfuzosin)
Zvimwe zveAlf blockers zvinowanikwa mune pfupi-uye kwenguva refu-formulation formulations. Zvinodhaka zviduku zvinoshanda nokukurumidza, asi zvinokanganisa zvinopedza maawa mashoma. Nguva yakareba-kuita zvinyorwa zvingatora nguva yakareba kuti ishande, asi zvigumisiro zvayo zvinopera kwenguva refu. Chisarudzo chekugadzirisa chinonyanya kutarisana nekuoma kweBPH.
Kunyanya kutaura, alpha blockers zvinogona kukonzera mutsipa, misoro yepamusoro, postural hypotension (kuderera kwemuviri wepamusoro apo iwe unomira), kana kuti kudzorerazve ejaculation (mamiriro apo chirume chinoshandiswa muchokuta).
5-Alpha Inhibitors
5-alpha inhibitors, inozivikanwawo se-5-alpha reductase inhibitors, inoshanda nekudzivirira kutendeuka kwe testosterone ku dihydrotestosterone, hormone inobatanidza neBPH yose uye mhando yevarume. 5-alpha inhibitor inorayirwa kuti isarambe ichirapa yeBPH uye inogona kutora kusvika kumwedzi mitanhatu isati yasvika.
5-alpha inhibitors zvino inogamuchirwa kurapwa kweBPH ndeiyi:
- Avodart (dutasteride)
- Propecia kana Proscar (pasi-uye-high-dose finasteride, zvichienderana)
Sechirwere chechirwere, 5-alpha inhibitor inogona kukonzera kurasikirwa kwe libido, kusava nesimba, kana kudzorerazve kuchinja.
Anticholinergics
Anticholinergic zvinodhaka basa rinovhara chiito chemakemikari neurotransmitter, inozivikanwa saacetylcholine, iyo inotumira zviratidzo kuuropi izvo zvinoita kuti zvipfeko zvisingawanzoitiki. Nokuita kudaro, chirwere ichi chinogona kuderedza zviratidzo zvekunyanya kushanda mukati umo vanhu vanonzwa sokuti vanoda kurinha kunyange kana chirwere chisina kuzadza.
Pakati pe anticholinergics ikozvino yakagamuchirwa kuti kurapwa kwechirwere chisina kumira ndei:
- Detrol (tolterodine)
- Enablex (darifenacin)
- Oxytrol kana Ditropan XL (oxybutynin)
- Regurin uye Sanctura (trospium chloride)
- Toviaz (fesoterodine)
- Vesicare (solifenacin)
Anticholinergics inogona kukonzera muromo wakaoma, kuvhiringidzika, kutadza kuona, uye kukurumidza kwemoyo (tachycardia).
Dzimwe Mishonga Inoshandiswa MuUrology
Sezvimwe zvinhu zvakasiyana-siyana zvinosanganisira urinary uye chirume chekubereka vana, urologists vanovimba nechirongwa chemishonga yekurapa mamiriro ekunze sekenza yeprotate , urinary tract infections (UTIs), erectile dysfunction (ED) , hypogonadism (kuderera kwekuberekwa kwe testosterone) , uye chirwere chePeyronie (chiitiko chinoratidzwa nemakumbo, akaora mwoyo).
Kuti uwane urologist anoziva pedyo newe, taura nekambani yako ye inshuwarisi kune urongwa hwevabvumirwe vanobvumirwa kana kumbira chiremba wako wekunyanya kutarisira kuti utumire. Iwe unogona kutarisa zvidzidzo zveurologist uye chiyeuchidzo kuburikidza neAmerican Board of Medical Specialties (ABMS) uye mawebhusayithi akasiyana-siyana ekuongorora zvechiremba .
> Kwakabva:
> Hanno, P .; Guzzo, T .; Malkowicz, P. et al. (2014) Penn Clinical Manual yeUrology: Expert Online (Second Ed.) Philadelphia, Pennsylvania: Saunders. ISBN-13: 978-1455753.