Tom qab hnub nyoog 40 xyoo, cov txiv neej yuav ntsib qee yam teeb meem nrog kev noj qab haus huv ntawm cov kab mob genitourinary. Ntawm lawv, kws kho mob feem ntau hais txog prostatitis thiab prostate adenoma. Dab tsi yog nws, dab tsi yog cov kab mob txaus ntshai, nrog rau cov txheej txheem thiab cov txheej txheem ntawm kev kho mob pathology tau piav qhia hauv kab lus.
Definition
Prostatic hyperplasia lossis prostate adenoma yog ib qho benign neoplasm. Nws loj hlob los ntawm cov hlwb ntawm cov qog lossis cov stromal tivthaiv ntawm prostate. Txawm hais tias qhov kev tsim tuaj yeem hu ua qog, nws tsis muaj dab tsi ua rau mob qog noj ntshav, txij li cov qog nqaij hlav tsis koom nrog nws cov tsim thiab kev loj hlob. Thiab tus adenoma nws tus kheej tsis nquag kis mus rau cov kab mob nyob ze. Txawm li cas los xij, hyperplasia tuaj yeem ua rau muaj kev puas tsuaj loj rau tus txiv neej lub neej zoo.
Hidden Danger
Yog tias BPH tsis kho sai, lwm yam teeb meem urological yuav tshwm sim, xws li:
- urolithiasis;
- tsis muaj peev xwm tso zis ntawm nws tus kheej thiab yuav tsum tau nruab ib lub tso zis tso zis;
- lub raum tsis ua haujlwm vim tso zis tsis txaus;
- kis kab mob thiab inflammatory urological kab mob;
- hydronephrosis, uas ua rau nyuaj rau kev tso zis.
Cov txheej txheem pathological no tuaj yeem ua rau muaj kev kho mob hnyav dua li kev kho mob prostate adenoma.
Kev tshwm sim
Ua ntej pib kho tus mob prostatitis thiab prostate adenoma hauv cov txiv neej, nws yuav tsum nkag siab tias vim li cas cov kab mob no tshwm sim. Lawv tuaj yeem raug provoked los ntawm tej yam xws li:
- kev sib deev lub neej tsis ruaj khov;
- ntau zaus ntxhov siab;
- overweight;
- mob lossis kis kab mob ntawm cov zis thiab qhov chaw mos;
- malnutrition;
- tus cwj pwm phem.
Ua ntej pib kho BPH hauv cov txiv neej, nws yog ib qho tseem ceeb uas yuav tsum tsis suav nrog cov laj thawj no, vim tias qhov no tsuas yog kho tau zoo.
Symptoms of disease
Cov txiv neej cov teeb meem urological feem ntau muaj qhov tshwm sim zoo sib xws, yog li lawv yuav tsum tau ua tib zoo txheeb xyuas ua ntej pib kho BPH. Muaj plaub theem tseem ceeb ntawm tus kab mob:
- Nyiaj pab. Nrog nws, ib tug txiv neej xav tias xav tau kev pab txawm tias lub zais zis.
- Lub subcompensated theem yog tus cwj pwm los ntawm ib ntus tso zis thaum mus rau chav dej thiab mob thaum ua li ntawd.
- Theem decompensated tuaj yeem ua rau nws nyuaj dua lossis tsis tuaj yeem tso zis.
- Terminal theem manifestingib qho kev loj hlob ntawm lub raum tsis ua haujlwm, ua rau muaj qhov nce ntawm nitrogen hauv cov ntshav thiab cuam tshuam hauv dej thiab electrolyte tshuav nyiaj li cas. Nyob rau theem no, muaj kev pheej hmoo ntawm kev tuag los ntawm uremia.
Tsis tas li ntawd, ib tug txiv neej yuav ntsib cov tsos mob ntawm tus kab mob hauv qab no:
- mob thiab kub hnyiab thaum tso zis;
- ntev mus rau chav dej;
- tso zis tsis muaj zog;
- nquag mus rau chav dej, txawm tias lub zais zis khoob;
- ejaculation mob;
- tso zis tawm;
- nce kev chim siab;
- tsis zoo tag nrho;
- teeb meem plab hnyuv (cem quav, raws plab).
Cov kev tshwm sim no yuav tsum tau mus kho mob tam sim rau kev kho mob ntawm prostate adenoma.
Diagnosis
Qee qhov kev tshawb fawb yuav tsum tau kuaj xyuas tus kab mob urological. Tsuas yog tom qab ntawd, tus kws kho mob tshwj xeeb tuaj yeem sau cov kev kho mob uas tsim nyog rau prostatitis thiab prostate adenoma. Cov kev kuaj mob hauv qab no yog siv:
- Kev kuaj ntshav dav dav thiab biochemical uas qhia tias muaj cov txheej txheem inflammatory thiab muab cov ntaub ntawv hais txog cov kua dej.
- Kev tshawb fawb soj ntsuam ntawm cov zis uas qhia txog cov tshuaj muaj pes tsawg leeg ntawm cov kua hauv lub cev.
- Kev kuaj lub qhov quav los ntawm palpation. Tib lub sijhawm, tus kws kho mob muaj lub sijhawm los sojntsuam cov neoplasm.
- Pneumocystography - X-ray kuaj ntawm lub zais zis nrog sau nws nrog roj raws lisib piv.
- Cystography - ua X-rays nrog lub zais zis nrog cov kua sib txawv, uas tuaj yeem tuaj yeem los ntawm ob lub raum lossis nrog kev pabcuam sab nraud.
- Kev kuaj mob ultrasound ntawm lub genitourinary system.
- Uroflowmetry - ntsuas tus nqi tso zis thiab tom qab ntawd sib piv cov txiaj ntsig nrog cov qauv uas twb muaj lawm.
Magnetic resonance imaging tej zaum yuav xav tau nyob rau hauv qee kis.
YKev kho mob ntawm pathology
Raws li cov txiaj ntsig tau los ntawm kev tshawb fawb, tus kws kho mob urologist tau sau cov kev kho mob tsim nyog. Thaum pib, koj tuaj yeem tau txais los ntawm kev kho mob ntawm prostate adenoma hauv cov txiv neej nrog tshuaj:
- Alpha-blockers xav tau los so lub zais zis thiab ua kom tso zis zoo li qub. Cov no suav nrog cov tshuaj xws li Silodosin, Dalfaz, Omnic, Setegis, Ornam, Adenorm.
- Txhawm rau txo cov qog nqaij hlav thiab nres cov qog loj hlob, 5-alpha inhibitors - "Finasteride", "Finasteride" yog siv. Lawv kuj pab tswj cov tshuaj hormones.
- Yog tias qhov ua rau ntawm cov kab mob pathology yog ib qho kev kis kab mob, tom qab ntawd cov txheej txheem tshuaj tua kab mob raug sau tseg. Feem ntau, cov tshuaj xws li "Gentamicin", "Cephalosporins" yog siv rau cov laj thawj no.
- Nyob rau hauv cov txheej txheem inflammatory, cov tshuaj yuav tsum tau muajCov tshuaj tiv thaiv kab mob - Voltaren, Diclofenac, Dicloberl.
- Rau qhov mob uas tuaj yeem tshwm sim hauv cov txiv neej, siv cov tshuaj antispasmodics thiab tshuaj kho mob - Papaverine, Spazmalgon, No-shpa, Ibuprofen, Buskopan.
Ntxiv rau, cov tshuaj homeopathic suav hais tias yog kev kho mob zoo rau prostate adenoma, uas tau muab los ntawm kws kho mob nrog rau kev kho ib txwm siv. Vitamin complexes kuj tseem yuav xav tau los tswj lub cev tiv thaiv kab mob.
Surgery
Thaum cov tshuaj rau kev kho mob ntawm prostate adenoma tsis muaj qhov tsim nyog, kev phais yuav raug sau tseg. Nws yog qhia nyob rau hauv cov ntaub ntawv ntawm kev loj hlob sai ntawm neoplasm thiab siab nyob rau hauv lub cev, nrog rau cov hlab ntsha. Kev phais tuaj yeem ua tau raws li hauv qab no:
- Cryodestruction - ib txoj kev kho mob ntawm prostate adenoma, uas cov qog tau khov los ntawm kev raug cov kua nitrogen. Cov qog nqaij hlav muaj cov kua dej ntau, yog li qhov kev kho no zoo.
- Laser enucleation txo qhov loj ntawm cov qog vim yog laser raug. Cov txheej txheem yog ua los ntawm kev siv lub endoscope nrog lub laser, yog li nws yog suav hais tias yog qhov tsawg kawg nkaus invasive. Kev rov qab los kuj yog sai sai.
- Thermotherapy yog ua los ntawm kev nthuav tawm cov qog mus rau qhov kub siab.
- Transurethral resection tso caiphais tshem tawm cov qog los ntawm kev cais nws ntawm cov nqaij mos prostate noj qab nyob zoo. Lub luag haujlwm ntawm lub cev yog khaws cia.
- Kev kho Microwave, uas cov ntaub so ntswg prostate tau kub txog 44 degrees. Hauv qhov no, kev puas tsuaj ntawm cov ntaub so ntswg neoplasm tshwm sim.
- Balloon dilatation txhawb kev nthuav dav ntawm lumen ntawm cov hlab ntsha, ua kom cov ntshav ntws zoo ib yam, nrog rau kev nce hauv cov zis. Kev ua haujlwm yog qhov cuam tshuam tsawg heev, vim tias lub zais pa nkag mus rau hauv cov zis, ua rau muaj mob me me rau cov ntaub so ntswg ib puag ncig. Hmoov tsis zoo, cov txheej txheem tsis zoo rau cov adenomas loj lossis cov duab txawv txawv.
- Prostate artery embolization muab occlusion ntawm cov ntshav hlab ntsha ntawm prostate. Raws li qhov tshwm sim, cov qog txo qis hauv qhov loj.
- Qhib adenomectomy yog kev phais mob kom tshem tawm cov qog los ntawm excising nws los ntawm cov nqaij mos incision. Nws yog siv rau cov neoplasms loj, nrog rau thaum nws tsis tuaj yeem siv lwm txoj kev kho mob.
Kev kho mob zoo tshaj plaws rau prostate adenoma yog txiav txim siab los ntawm tus kws kho mob uas tuaj koom raws li kev tshawb fawb soj ntsuam, nrog rau suav nrog cov kab mob sib kis.
Txoj kev ua neeg
Txawm hais tias qhov kev kho mob zoo tshaj plaws rau BPH yog tshuaj thiab phais, tshuaj ntsuab kho mob tseem nrov. Txawm li cas los xij, nws yuav tsum nco ntsoov tias ua ntej pib nws yuav tsum tau sab laj nrog tus kws kho mob urologist, thiab kev kho mob yuav tsum tsis txhob hloov los ntawm lwm txoj hauv kev. Lawv tsuas tuaj yeem ntxiv cov kev kho mob classical.
Decoctions thiab tinctures rau kev kho mob ntawm pathology:
- 1 tbsp l. hazel bark thiab 1 tbsp. l. parsley paus, ncuav 1 liter dej kub thiab tawm rau 50-60 feeb. Tom qab ntawd, cov dej tiav lawm yuav tsum tau siv txhua hnub es tsis txhob dej zoo tib yam.
- 1 tbsp l. Licorice paus ncuav 0.5 liv dej thiab ua noj rau 10 feeb, ces lim. Koj yuav tsum tau siv lub resulting kua rau 3 tbsp. l. ua ntej txhua pluas noj. Kev kho decoction yog ob lub lis piam.
- 25 grams ntawm tws txiv ntseej plhaub ncuav 250 ml ntawm cawv. Insist nyob rau hauv ib qho chaw tsaus rau 10 hnub. Tom qab ntawd noj 40 tee ib hnub ntawm lub plab khoob.
- 1,5 tbsp. l. qhuav asparagus yuav tsum tau nchuav nrog 250 ml ntawm dej kub thiab infused rau ib teev. Tom qab ntawd lim thiab haus 100 ml 3 zaug hauv ib hnub.
- 2 tsp comfrey cov hauv paus hniav yog nchuav nrog dej npau npau (2 khob) thiab infused rau 40 feeb. Haus cov kua npaj 1 khob 3 zaug ib hnub twg. Lub sijhawm kho yog 3 lub lis piam.
Ntxiv rau, lwm txoj kev kho mob ntawm prostate adenoma suav nrog kev siv cov khoom xws li taub taub taub, dos (ntau ntau), licorice hauv paus, zaub ntug hauv paus, beetroot, taub dag thiab kua txiv kab ntxwv.
Decoctions thiab infusions ntawm urological collections raws li cov nroj tsuag tshuaj no kuj pab tau:
- pob kws silk;
- Potentilla erect;
- burdock cag;
- Icelandic moss;
- sprigs ntawm mistletoe;
- paj thiab berries ntawm hawthorn.
Rau tus mob prostate adenoma, txoj kev kho mob kuj tseem koom nrog sitz da dej raws li cov zaub mov nram qab no:
- 200 grams ntawm oat straw yuav tsum tau nchuav rau hauv 5 liv dej thiab boil rau 15 feeb. Tom qab ntawd, lub broth yuav tsum tau lim thiab ncuav rau hauv ib da dej ntawm dej. Qhov kub ntawm cov kua yuav tsum yog 37-38 degrees. Lub sij hawm siv hauv da dej no txawv ntawm 10 mus rau 15 feeb.
- 100 g ntawm horsetail yuav tsum tau muab tso rau hauv 3 liv dej npau. Tom qab ntawd ntxiv cov infusion rau hauv dej da dej. Lub sijhawm ntawm cov txheej txheem kuj yog 15 feeb.
tshuaj ntsuab xws li chamomile, hlua, ntoo qhib tawv kuj muaj cov khoom zoo.
Qee zaum, kev siv cov tshuaj enemas thiab suppositories raug tso cai:
- Suppositories los ntawm propolis extract yog nkag mus rau hauv lub qhov quav thaum hmo ntuj. Lub sijhawm kho yog 30 hnub, tom qab ntawd so rau ib hlis, thiab rov kho dua.
- Microclysters nrog ntim ntawm 50 ml los ntawm infusions ntawm chamomile officinalis, sage nrog ntxiv ntawm 30 tee ntawm cawv daws ntawm propolis;
- 100 g ntawm kev hlub paj crushed rau ib tug hmoov, ncuav 1 liter ntawm txiv roj roj thiab tawm rau 2 lub lis piam. 1 tsp dilute lub resulting roj infusion nrog 50 ml ntawm dej sov thiab tuav, ces txhaj rau hauv lub qhov quav. Kev kho mob kav 15 hnub.
Kev kho tus kheej siv pej xeem txoj kev yuav tsum tau ua raws li kev saib xyuas ntawm tus kws tshaj lij, vim tias kev tsis haum rau txhua yam khoom xyaw ntuj tuaj yeem tshwm sim.
Txoj kev mob tshwm sim
Tshuaj xyuas txog kev kho mob adenomaprostate muaj ntau haiv neeg, qee qhov qhia txog kev rov ua kom tiav, thaum lwm tus ntsib qee qhov teeb meem. Lawv tuaj yeem muab faib ua ob pawg raws cai - ntxov thiab nyob deb. Cov teeb meem thaum ntxov muaj xws li:
- Ntshav thaum phais. Txij li thaum lub prostate tau noj los ntawm ntau cov hlab ntsha, muaj kev pheej hmoo ntawm kev puas tsuaj rau lawv. Hauv qhov no, nws yog ib qho tsim nyog los kho lub qhov txhab thiab them nyiaj rau kev poob ntshav nrog kev tso ntshav.
- Postoperative urinary tract infections xws li cystitis, urethritis, epididymitis. Hauv qhov no, cov tshuaj tsim nyog tau sau tseg.
- Dej intoxication ntawm lub cev, uas yog tus cwj pwm los ntawm kev nce siab ntawm cov kua dej hauv cov hlwb ntawm lub cev. Tus mob no txaus ntshai vim qhov tshwm sim ntawm o ntawm lub hlwb lossis lwm yam kabmob tseem ceeb.
- Kev tso zis tso quav - teeb meem ua rau lub zais zis tag.
- Txo cov qib sodium.
Cov teeb meem qeeb lossis qeeb suav nrog cov txheej txheem hauv qab no:
- erectile kawg;
- urinary incontinence;
- nplawm nti ntawm cov urethra uas tuaj yeem cuam tshuam rau cov zis ntws;
- khaws cia cov tsos mob ntawm prostate adenoma;
- qhov pom ntawm cov pob zeb hauv lub zais zis (pob zeb);
- retrograde ejaculation (tso cov phev mus rau hauv lub zais zis);
- recurrence of tus kab mob.
txhawm rau tiv thaiv qhov tshwm sim ntawm qhov tshwm sim ntawm kev kho mob ntawm prostate adenoma, tus neeg mob xav tau kev sab laj nrog tus kws kho mob urologist txawm tias tom qab ua tiav.kev kho mob.
tshem tawm Adenoma thiab potency
Ib qho ntawm qhov tshwm sim ntawm kev phais mob ntawm prostate adenoma hauv cov txiv neej tuaj yeem ua rau muaj kev cuam tshuam tsis zoo rau lub zog. Yog li ntawd, nws kuj yog ib qho nyuaj rau cov kws kho mob kom khaws cov haujlwm ntawm lub cev thiab kev sib deev, tsis hais tus neeg mob hnub nyoog li cas.
Kev ua haujlwm tsis zoo tuaj yeem tshwm sim tom qab qhib kev ua haujlwm kom tshem tawm cov kab mob pathological, vim tias muaj qhov tshwm sim ntau ntawm kev raug mob rau cov paj hlwb thiab cov qauv ncig ncig ntawm qhov chaw mos. Cov txheej txheem niaj hnub ntawm kev soj ntsuam nrog cov kab mob pathology tsis tshua muaj kev puas tsuaj rau kev tswj hwm kev sib deev.
Nws tseem ceeb heev uas yuav tsum ua raws li tag nrho cov lus qhia ntawm urologist hauv lub sijhawm tom qab phais. Tsis tas li ntawd, nws raug nquahu kom ua cov gymnastics tshwj xeeb, uas yog tsom rau kev ntxiv dag zog rau cov leeg ntawm lub plab me me thiab perineum.
Post-op rov kho dua
Qhov tshwm sim ntawm qhov tshwm sim ntawm kev kho mob (kev phais) ntawm prostate adenoma tuaj yeem tiv thaiv tau yog tias cov lus pom zoo kho mob tau ua raws thaum lub sijhawm kho. Nws lub sijhawm yog nyob ntawm hom kev cuam tshuam tau ua, nrog rau cov kab mob sib kis thiab hnub nyoog ntawm tus neeg mob. Feem ntau, lub sij hawm no yog los ntawm 3 mus rau 12 lub hlis.
Lub sijhawm no, koj yuav tsum ua raws li cov lus pom zoo hauv qab no:
- nqa qhov hnyav yog txwv nruj rau ob peb lub lis piam tom qab ua haujlwm;
- yuav tsum ua raws li kev noj haus uas tsis suav cov rog, kib, qab ntsev thiab haus luam yeeb;
- yuav tsum tau noj tshuaj tiv thaivcem quav;
- kev zam los ntawm kev sib deev rau 4-5 lub lis piam tom qab kev phais;
- txiav luam yeeb thiab haus cawv;
- tsis kam mus da dej thiab saunas, thiab hloov da dej nrog da dej.
Nrog rau qhov kev tshwm sim ntawm cov txheej txheem niaj hnub ntawm kev phais mob, qhov tshwm sim ntawm cov teeb meem tau pom zoo txo qis, vim qhov kev nyiam raug muab rau cov txheej txheem uas tsis tshua muaj kev puas tsuaj. Txawm li cas los xij, nws tseem yuav tsum tau mus ntsib kws kho mob urologist thaum lub sij hawm kho kom zoo kom tsis txhob muaj teeb meem tshwm sim.
Kev Tiv Thaiv
Tom qab 40, ib tug txiv neej muaj kev pheej hmoo ntawm prostatitis thiab prostate adenoma. Txhawm rau zam qhov tshwm sim ntawm neoplasms, koj yuav tsum ua raws li cov lus qhia no rau kev tiv thaiv:
- txiav luam yeeb thiab haus cawv;
- ua ib ce muaj zog;
- mus ntsib kws kho mob urologist tsawg kawg ib xyoos ib zaug, txawm tias tsis muaj kev tsis txaus siab;
- khaws cov khoom noj kom raug (tsis txhob muaj rog, qab ntsev dhau los lossis haus luam yeeb, muab qhov nyiam rau cov zaub mov yooj yim digestible);
- tswj qhov hnyav raws li cov txiv neej rog rog muaj kev pheej hmoo;
- muaj lub neej sib deev tsis tu ncua.
Yog tias cov lus pom zoo no ua raws, txoj hauv kev ntawm kev tsim prostate adenoma yuav txo qis.
