BPH - kuyini? Izimpawu, ekwelapheni ingozi Hyperplasia Prostatic

Ngo yesimanje imithi izifinyezo wayevame ke Okwamanje akukacaci kahle umuntu ovamile ngaphandle uju. imfundo. Esinye salezo izifinyezo kudida - BPH. Kuyini lokhu? Ukukhuluma ulimi odokotela, ke - ingozi Prostatic Hyperplasia. Kodwa abantu basibiza lula - BPH (okufana "adenoma wendlala indlala"). BPH ngokuvamile kudidaniswe izifo ezifana prostatitis. BPH - awayona ingozi, futhi ukhula ngaphandle ukubandakanywa ingxenye stromal we wendlala (ngamanye amagama - epithelium yezindlala), kanye prostatitis - hhayi ukuthi abanye, njengoba yisishiso endlaleni engasesinyeni. Bona akumelanga siphanjaniswe.

BPH. Kuyini lokhu? izibalo

Njengoba kushiwo ngenhla, BPH - isimila kungavamile ukuba ingozi. Uma-ke ku wendlala (isifinyezo ukuthi wendlala kakhulu) kwakheka Izigaxana elincane nge okwandisa urethra ngokuya cindezela.

Ngenxa yalokhu, abantu bavele ukuchama iziyaluyalu. Lesi sifo has a ukukhula kungavamile ukuba ingozi, futhi lokhu iyona eyenza ingozi Hyperplasia Prostatic umdlavuza.

BPH - omunye izifo ezivame kunawo Urology namuhla. Ngokwezibalo, buvela cishe amaphesenti angu-80 amadoda kakhulu eminyakeni yokuguga. Ngo amaphesenti angu-20 amacala, esikhundleni BPH wendlala yoma noma ukwanda.

isifo BPH avame kwenzeka e amadoda phezu 45 ubudala.

Isibalo esingaphezulu kwengxenye amadoda kokuphenduka 40-engu-50 ubudala kuchwepheshe nalesi sifo, futhi kuphela ezimweni ezingavamile, lesi sifo lizothola abasha.

Izimbangela BPH

Kuze kube manje, izimbangela esiqondile wendlala BPH ayikwazi wabonisa, njengoba nje ayiqondakali ngokuphelele. Kukholakala ukuthi lesi sifo ingenye izimpawu menopause ezingabantu.

I engcupheni kuphela ezingeni androgens egazini kanye nobudala lomuntu.

Ngokuvamile ngeminyaka ezingabantu kancane kancane ukungalingani phakathi estrogen kanye androgen, okubangela thuthuva lokulawula ukukhula kanye umsebenzi zamangqamuzana omdlavuza.

Kuyaziwa ukuthi phakathi BPH futhi wendlala ubulili babantu, ukuzikhethela, walutheka, Venereal futhi ukuvuvukala ZPO esikhishiwe kungekho uxhumano, futhi kungekho kokungaphezulu akuphazamisi ukubukeka kwalesi sifo.

pathogenesis

BPH wendlala kukhulunywa ngayo kaningi ngumgogodla ezikhungweni zomsebenzi, kodwa ngezinye izikhathi kungase wayohlasela iyizingxenye lateral. Ukukhula ingozi adenomatous Hyperplasia sincike ayanda (isimila) nezindlala paraurethral. Ngenxa yalokho siqu webele izicubu is abangenamakhaya phandle, futhi kwakhiwa emhlabeni adenoma ezikhulayo efana capsule kusukela it is.

Hyperplastic (isimila isb elinegciwane) kwamaseli wendlala izicubu futhi zivame ukukhula zibe e isiqondiso ingemuva kanye isinye, futhi lokhu ikhona yini imbangela ukufuduka phezulu emgodini kwangaphakathi kwesinye futhi ayewukela engxenyeni ezingemuva urethra.

Kukhona izinhlobo eziningana Hyperplasia Luhlobo luni lokwanda ngayinye:

• Podpuzyrnaya uhlobo BPH. Kuyini lokhu? Kulesi isifo, isimila ikhula bubheke ingemuva.
• ifomu Intravesical ka BPH. Umlando isifo libhekene ukukhula kwe-isimila kuya kwesinye.
• Retrotrigonalnaya uhlobo BPH. Ithumba kulokhu itholakala ngqo ngezansi unxantathu esinyeni womuntu.

Kaningi izinhlobo eziningana BPH kungabonakala oyedwa ngesikhathi. Lokhu kwenzeka lapho isimila likhula tinkhombandlela eziningana ngesikhathi esisodwa.

BPH Izimpawu

Izimpawu zesifo encike ngqo kwi kwasendaweni isimila, kusukela ekukhuleni kwayo kanye nosayizi, kanye degree nezinkinga lwesinye.

BPH wendlala zingahlukaniswa izigaba ezintathu:

• Ihlawulelwa, noma esigabeni sokuqala. Le ndlela lesi sifo kubonakala ukubambezeleka kokuqala ukuchama (nesifiso sokufuna njalo isiqinisekiso, ikakhulukazi ebusuku - sihloko ehlobene). Ngo BPH 1 degree wendlala inyuka ngobukhulu, uye plotnoelasticheskuyu ukungaguquguquki. imingcele bakhona okuchaza ngokucacile, futhi palpation jikelele we wendlala (futhi furrow yayo lesemkhatsini) kobuhlungu. Ngalesi nesigaba lesi sifo esinyeni urinary akhishwe ngokuphelele, futhi akukho umchamo asalile. BPH 1 degree cishe usuku olulodwa kuya ezintathu.
• Subcompensated noma isigaba sesibili. Njengoba isimila kuba ekucindezela le urethra futhi isinye ingasakwazi ukusebenza kahle futhi ngokuphelele akhishwe (nodonga lwawo nge ukushwaqa). Ngenxa BPH 2 degrees umchamo asalile livela, ngenxa okuyinto isiguli azizwa bethulula akuphelele lwesinye. Ngenxa kokucindezelwa we urethra, iziguli ukuchamela izingxenyana ezincane, futhi ngemva kwesikhashana umchamo futhi enza kungengamabomu ebekade ukujama ngaphandle (isizathu salokhu esinyeni ephelele). BPH 2 degrees is ngezinye izikhathi zihambisana izimpawu of ezingamahlalakhona ukwehluleka kwezinso (ezikhulayo kungemuva yayo).
• Asthma noma esigabeni sesithathu. Isinye kakhulu welulela ngenxa umchamo asalile, urethra namanje onomfutho futhi umchamo ikhishwe ngokoqobo dropwise, ngezinye izikhathi okuxutshwe negazi. Ngalesi BPH esiteji akuhileli ukwehluleka kwezinso (esingamahlalakhona kwezinso). Kukhona ubuthakathaka, ezinzima kwesisindo, imnyama, ukuqunjelwa, ukuntuleka kwegazi emzimbeni, nomlomo owomile.

sitholakele isifo

Isisekelo uphethwe kukhona izikhalazo ejwayelekile abesifazane, okwenza ekhethekile isikali BPH uphawu izikolo (ngesiNgisi. Mina-PSS). Ngokuyinhloko, uphethwe BPH senziwa ngemuva luhlolo basemtholampilo esiguli, futhi zindlela uphenyo:

1. Palpation (umunwe) luhlolo rectal we endlaleni engasesinyeni. Siyabonga kuye, odokotela unombono yobukhulu bomsebenzi lo wendlala yabesilisa, ukuba khona enameva phakathi ukwabelana yayo, kanye degree of ngesisa ukuze palpation.
2. Laboratory izifundo BPH. Kuyini lokhu? Okokuqala, kuba urinalysis ajwayelekile. Futhi, ukuhlaziya kwamakhemikhali kwegazi kwenziwe ngokusebenzisa enquma amazinga PSA (imele wendlala antigen athile).
3. izindlela Instrumental. Ngokuvamile kuba cystoscopy futhi ureteroscopy. Ngosizo lwabo, ungabheka patency of the urethra, share isimo wesinye esinyeni entanyeni. Ukusebenzisa lezi zindlela kungenzeka ukunquma inani umchamo asalile.
4. Ultrasound luhlolo. Libuye omunye izinhlobo izindlela wezinsimbi, ukuvumela ukubona usayizi isabelo wendlala ngamunye, isimo salo (khona amatshe, Izigaxana). Ngaphandle ezivamile TRUS ultrasound esetshenziswa has (transrectal).
5. izindlela-X-ray. urography Excretory (nge Ngokuphambene) futhi esimweni plain (ngaphandle Ngokuphambene) kungasiza ukucacisa khona BPH yezinkinga kabani ukwelashwa kwaqalwa. Ngosizo zama-X ray amatshe esinyeni nezinso.

ukwelashwa BPH

Okwamanje, kunezindlela eziningi ukwelapha izifo, ngamunye okuyinto kakhulu ngempumelelo angefani BPH. Ukwelashwa yalesi sifo ingahlukaniswa ibe izingxenye ezintathu:

• indlela Medical yokwelashwa
• ukwelashwa operative
• Okunye ukwelashwa non-tekusebenta

imithi ngokuvamile sisetshenziswa izimpawu zokuqala BPH.

Ngo kusaqalwa wendlala ukwelashwa BPH kuhloswe ukunciphisa hyperplastic wendlala izicubu ukukhula rate, ukuzungeza ngcono kwezitho zomzimba eduze, ekunciphiseni ukuvuvukala wesinye esinyeni umchamo ukuqedwa yokujama tsi, ekuqedeni ukuqunjelwa, lula ukuchama.

Ngaphezu ukusetshenziswa kwezidakamizwa isiguli Kunconywa ukulandela yokuphila yeselula, uyeke utshwala eziyingozi (okunamafutha kakhulu, okubabayo, okubabayo) ukudla, ukubhema.

Kufanele futhi ukunciphisa baphuza uketshezi engxenyeni ngosuku lwesibili, ikakhulukazi ngaphambi sokulala.

Ephambi kwezinduna izimpawu emitholampilo laboratory androgen ukuntula nayo iqondiswa yokwelapha androgen esikhundleni.

Ngokuvamile parallel ekwelapheni Hyperplasia kuyinto ekwelapheni izinkinga zalo - cystitis, prostatitis futhi pyelonephritis.

Ngezinye izikhathi (isizinda hypothermia noma utshwala), isiguli singase ukuthuthukisa acute nokugcinwa urinary. Kulokhu, isiguli kufanele esibhedlela ngokushesha futhi afeze esinyeni catheterization.

Ake sihlolisise at uhlobo ukwelashwa ngasinye.

imithi

Ezimweni eziningi, izinhlobo ezimbili imithi asetshenziselwa nokwelapha BPH:

• blocker Alpha-1-adrenergic (isib tamsulosin, doxazosin noma terazosin). Isenzo sabo kuhloswe ukuphumula kwemisipha abushelelezi wesinye esinyeni entanyeni, okuholela lula ukudlula umchamo. Le mithi kungenziwa okuqhubeka isikhathi eside noma esifushane.
• Inhibitors (blocker) 5-alpha-reductase (permikson, finasteride noma dutasteride). Le mithi ungavumeli dihydrotestosterone (ifomu eziphila abakhuthele kwe-testosterone) kwakheka emzimbeni wesiguli, kanjalo nokunciphisa endlaleni engasesinyeni.

ukwelashwa Operative

Ezimweni ezimbi kakhulu, umuthi owodwa Awukwazi ukwenza, futhi, njengoba umthetho, yiba iphendukele ukuhlinzwa. Lokhu kungase kube hyperplastic izicubu excision (prostatectomy) noma resection isamba wendlala (prostatectomy).

Zimbili izinhlobo zokuhlinza:

• Vula ukuhlinzwa (transvezikalnaya prostatectomy). Lapho kufinyelela kokungenela ebeleni izicubu sizila odongeni isinye. Lolu hlobo lo okubuhlungu kakhulu, futhi sisetshenziswa kuphela ezimweni eziphambili. ukuhlinzwa Vula inikeza ikhambi eliphelele BPH.
• ukuhlinzwa kancane koda (lapho kukhona nhlobo kokungenela kuhlinzwa). Kwenziwe ngosizo yesimanje isiqophi endoscope ubuchwepheshe, ngaphandle imbobo. Ukufinyelela wendlala ngokusebenzisa urethra.

Kunenye hlobo lokuhlinza ukuthi ngeke kuqhathaniswe ngokungaphezulu. Embolization wendlala imithambo - eyohlinzwa owenziwa ukuhlinzwa endovascular (eyenziwa urologists ngenhla) futhi ivimbekile imithambo wendlala izinhlayiya ezincane polymer ekhethekile wezokwelapha (nge Umthambo femoral). Esibhedlela kungadingeki, ukusebenza wenziwa ngaphansi izinzwa wendawo hhayi esibuhlungu.

Ngemva yimuphi hlobo lokuhlinza, kunobungozi ezincane izinkinga ngemva kokuhlinzwa, ezifana isibonelo incontinence urinary, ubuthakathaka, noma urethral stricture.

ukwelashwa Non-tekusebenta

izindlela yokufaka nabangewona tekusebenta yokwelashwa zimi kanje:

- cryosurgery;

- transurethral inaliti ablation;

- ukwelashwa nge umfutho high igxile ultrasound;

- indlela microwave yokwelapha ezishisayo wendlala noma coagulation;

- ukwethulwa stents Prostatic olugcwele esifundeni;

- ibhaluni dilatation we wendlala.

Isikhathi nasezinkingeni ezilandela ngemva kokuhlinzwa

Maye, nje kudingeka ukuhlinzwa ezinye izigaba zesifo. BPH - ukugula okungathí sina, futhi ngisho nangemva kokuhlinzwa udinga ukulandela imithetho ukuqeda lesi sifo hhayi ukuyithukuthelisa kabusha ukuvela. Amaphuzu amathathu abalulekile okufanele uqaphele le imisebenzi elandelayo - yokudla elungile, indlela yokuphila enempilo futhi uvakashelwa njalo kudokotela.

Ukudla esikhathini postoperative kubalulekile ukuze isiguli, ngoba kungaba kakhulu neqhaza ekululameni okusheshayo. Ukudla ngemuva kokuhlinzwa aqede ukudla okunamafutha, izinongo, ukudla okunosawoti futhi okubabayo, futhi-ke, utshwala. Kunconywa ukuba adle ephansi fat Ukudla okune-fibre.

Njengoba for umsebenzi, uma umsebenzi wakho akusho umthwalo njalo ngokomzimba, bese ubuyela emsebenzini ungaba kwamasonto ambalwa emva kokuhlinzwa. Lapho umsebenzi sedentary zonke isigamu sehora gaphambi Kunconywa. A yokuphila umzimba kungaba nomthelela yokujama tsi wegazi kwezitho, ebangela ukugula yashubisa kuphela. Izinsuku zokuqala ezimbalwa emva kokuhlinzwa musa noma ucabange izinsimbi!

Gwema ukubhema okungenani ngesikhathi nasezinkingeni ezilandela ngemva kokuhlinzwa (ngemva kwamasonto amabili, ukuhlinzwa), uma ungakwazi bayeke ngokuphelele umlutha. I-nicotine sithinta imithambo yegazi, futhi lokhu kuthinta kwegazi wendlala yabesilisa, lapho ukuvuvukala kungenzeka.

Abantu abaningi bacabanga ukuthi emva ukususwa BPH kufanele bayakhohlwa ukuphila ocansini. Lokhu Ukubuka iphutha, futhi owesilisa umsebenzi zocansi ngokugcwele esimweni ngemuva kwesikhathi esithile. Nokho, baqhubeka ubuhlobo bobulili akufanele ngemva kwamasonto ngaphambili kuka 4 ukuhlinzwa.

Enye yisiyalo, okuyinto kuwufanele ukunaka: uthole ngemuva isondo imoto ingaba ngaphambili kuka inyanga eyodwa ngemuva ukususwa BPH.

Ngokuvamile, ngemva kwezikhathi zokulotshwa op ihlala isikhathi esingangenyanga, ngemva kwalokho isiguli kungase kudingeke ubuyele ekuphileni ajwayelekile. Nokho, ochwepheshe batusa kakhulu indlela yokuphila enempilo ukuze uvimbele kabusha ukuvela kwalesi sifo.

Ukuchama emva kokuhlinzwa

Cishe ngokuphazima kweso ngemuva kokuphela kokusakaza operation umchamo buyaqina nokulahla kwesinye kulula. Ngemva ekususweni ipayipi kungenzeka ngenkathi ubuhlungu uma uchama, isizathu salokhu - ukudlula umchamo isilonda kuhlinzwa.

Ochwepheshe ngakususi okuvela incontinence urinary noma ukuchama esiphuthumayo ngesikhathi nasezinkingeni ezilandela ngemva kokuhlinzwa, lezi zenzakalo ngokuphelele evamile. Kunamandla wena ukhathazwa izimpawu phakathi kokugula isikhathi eside kwenkathi ukululama. Ngokuhamba kwesikhathi, bonke izinkinga eziyophela futhi uyobuyela isigqi evamile yokuphila.

Esikhathini esithile ngemva kokungenela umchamo kungenzeka amahlule. Lesi simo esiyingqayizivele sibangelwa lihlotshaniswa isilonda sisheshe siphole. Kunconywa ukuba baphuze uketshezi kakhulu ukususa kahle esinyeni. Kodwa ukopha esindayo ngokushesha kudingeka ubone onguchwepheshe.

Isibikezelo sezulu sezinsuku

Okuqhubekayo nokugcinwa urinary (uma ekwelapheni BPH is hhayi lwenziwa), ekugcineni kungabangela ezinso, lapho akhiwa amatshe kwesinye, futhi ukutheleleka kamuva. I isimo esibucayi kakhulu ukuthi ungalindela isiguli ngaphandle ukwelashwa okufanelekile - pyelonephritis. Lesi sifo okwengeziwe eshubisa ukwehluleka kwezinso.

Ngaphezu kwalokho, wendlala adenoma kungaba zisenza sibe ukukhula abulalayo - umdlavuza wendlala.

Izibikezelo nge ukwelashwa okufanele futhi ifike ngesikhathi lesi sifo sisihle kakhulu.

Prevention lokugula

Ukubhekwa kokuvinjelwa best of BPH - a kokuqondisa njalo nguchwepheshe nokwelashwa esifike prostatitis.

Kubalulekile ukudla ngendlela efanele (ukunciphisa inani ethosiwe, ukudla okunosawoti, futhi okubabayo, okubabayo ngibhema), ukuyeka ukubhema kanye notshwala. Ngokuvamile, indlela yokuphila enempilo kakhulu kunciphisa ingozi BPH.

Ngakho, manje uyazi ukuthi BPH. Izimpawu zesifo, ukwelashwa, inkathi nasezinkingeni ezilandela ngemva kokuhlinzwa ngisho nokuvinjelwa wachaza ngokuningiliziwe ngenhla.

Kunoma yikuphi, lolu lwazi kuyoba usizo. Hlala uphilile!