Tshem tawm ntawm prostate: qhov tshwm sim rau txiv neej txoj kev noj qab haus huv, lub sijhawm rov ua haujlwm

Cov txheej txheem:

Tshem tawm ntawm prostate: qhov tshwm sim rau txiv neej txoj kev noj qab haus huv, lub sijhawm rov ua haujlwm
Tshem tawm ntawm prostate: qhov tshwm sim rau txiv neej txoj kev noj qab haus huv, lub sijhawm rov ua haujlwm

Video: Tshem tawm ntawm prostate: qhov tshwm sim rau txiv neej txoj kev noj qab haus huv, lub sijhawm rov ua haujlwm

Video: Tshem tawm ntawm prostate: qhov tshwm sim rau txiv neej txoj kev noj qab haus huv, lub sijhawm rov ua haujlwm
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Anonim

Tus txiv neej prostate yog dab tsi? Lub caj pas prostate, los yog prostate, yog ib feem ntawm cov txiv neej lub cev. Ob peb kab mob hem nws ib zaug. Nws yog siv los tshem tawm cov kab mob no uas ua phem rau txiv neej txoj kev noj qab haus huv nrog kev kho mob thiab kev phais. Ntxiv mus, qhov kev xaiv nyob ntawm qhov tshwm sim ntawm tus kab mob.

Cov qog prostate raug tshem tawm los ntawm txoj kev ua haujlwm. Adenoma thiab mob qog noj ntshav yog qhov qhia tau rau kev phais.

Xav txog hauv kab lus no cov txheej txheem xws li tshem tawm prostate. Cov txiaj ntsig tseem yuav piav qhia.

Cov kab mob prostate yog dab tsi?

prostate tshem tawm qhov tshwm sim
prostate tshem tawm qhov tshwm sim

Ib lub npe tsis siv rau hyperplasia yog prostate adenoma. Qhov xwm ntawm tus kab mob no yog benign. Hauv qhov no, cov nodules yog tsim, uas loj hlob dhau sijhawm. Adenoma, los yog hyperplasia, yog ib qho ntawm cov kab mob ntau tshaj plaws. Lub hnub nyoog nruab nrab ntawm cov txiv neej cuam tshuam yog 45-50 xyoo.

Tab sis tseem ceeb kom nkag siab qhov ntawdib tug benign xwm tsis txhais hais tias ib tug guarantee tias nws yuav tsis tig mus rau hauv ib tug malignant tsim. Prostate adenoma yog ib qho yooj yim mus kuaj. Ua li no, nws yog txaus kom dhau ib qho kev ntsuam xyuas los txiav txim seb tus prostate tshwj xeeb antigen (PSA), uas yog tsim los ntawm glandular cov ntaub so ntswg hlwb.

Thiab yog nws mob qog noj ntshav?

Tau kawg, kuj tseem muaj peev xwm ntawm oncology. Lub prostate tshwj xeeb antigen pom nyob rau hauv txoj kev tshawb no kuj tseem qhia tau tias mob qog noj ntshav. Tom qab ntawd, nws yuav tsim nyog los tshem tawm cov prostate ib nrab los yog tag nrho. Qhov cuam tshuam rau txiv neej txoj kev noj qab haus huv yuav tau tham tom qab.

erection tom qab tshem tawm prostate
erection tom qab tshem tawm prostate

Yog tias kuaj pom oncology, tsuas yog phais yuav tsis txaus. Feem ntau, nws yuav tsim nyog los ua kev kho mob uas tuaj yeem rhuav tshem cov qog nqaij hlav hauv lub cev. Qhov kev xaiv ntawm txoj kev kho mob nyob ntawm ntau yam nyob rau theem ntawm tus kab mob. Feem ntau cov prostate raug tshem tawm (tag nrho los yog ib feem), thiab tom qab qhov kev pab cuam phais no raug sau tseg:

  • xov tooj cua;
  • chemotherapy;
  • Yhormone therapy.

Surgery: hom

Yog tias tsim nyog, tshem cov prostate. Qhov tshwm sim ntawm qhov no tuaj yeem loj heev. Xav paub ntau ntxiv tom qab.

Muaj ntau hom kev phais mob. Feem ntau suav nrog:

  1. Kev txiav txim siab. Ua ntej, lawv nkag mus rau hauv cov zis, tom qab ntawd cov ntaub so ntswg glandular yog vertically incised, tom qab ntawd nws tuaj yeem nthuav dav lumen.
  2. Transurethral resection ntawm prostate. Ib qho cuab yeej tshwj xeeb tau muab tso rau hauv cov zis, nrog kev pab ntawm cov qog nqaij hlav tawm.
  3. Radical prostatectomy. Nws yog txoj hauv kev tseem ceeb ntawm kev kho mob rau kev tshem tawm tsis yog cov qog nqaij hlav xwb. Tsis tas li ntawd, cov tshuaj ntsiav, cov hlab ntsha hauv lub cev, cov qog nqaij hlav iliac raug tshem tawm (qhov no yog txiav txim los ntawm tus kws kho mob).

YProstate phais

Qhov qhia txog kev phais yog qhov muaj cov qog, tab sis tsis muaj kev sib kis thoob plaws hauv lub cev. Yog hais tias qhov teeb meem no hnyav heev, ces tsuas yog kev kho mob palliative yog siv rau (qhov no yog kev txhawb nqa kev kho mob los ua kom lub neej ntev ntawm tus neeg mob).

YContraindications

Yuav tsum tau tshuaj loog dav dav los ua qhov kev cuam tshuam. Txhawm rau kom tsis txhob muaj teeb meem, contraindications yuav tsum raug coj mus rau hauv tus account:

  • hnub nyoog laus, uas tshwm sim ntawm 70;
  • muaj kab mob plawv;
  • muaj mob inflammatory (mob) kab mob.
kev kho mob tom qab tshem tawm prostate
kev kho mob tom qab tshem tawm prostate

Muaj Teeb Meem

Txawm tias ua tiav (nrog rau oncology) lossis ib nrab (nrog adenoma) tshem tawm ntawm prostate tau ua tiav ntawm qib siab tshaj plaws, qhov tshwm sim tsis suav nrog. Nws tsis yog ib txwm ua tau kom zam tau cov teeb meem hauv qab no:

  1. Sclerosis ntawm lub zais zis caj dab.
  2. Kev muaj PSA hauv cov ntshav. Nrog mob qog noj ntshav prostate, PSA hauv cov ntshav ntawm tus txiv neej nce zuj zus, yog li ntawd, nws yog qhov kev kuaj mob tseem ceeb thaum hu rau lub tsev kho mob.
  3. Cov teeb meem dav dav hauv lub sijhawm postoperative: o,qaug zog, suppuration.
  4. Kev tso zis. Feem ntau tshwm sim. Txhua yam tuaj yeem ua rau tso zis tso zis, piv txwv li, cov ntshav txhaws tawm tom qab kev phais, lossis kev hloov pauv ntawm lub cev hauv cov kwj dej. Nws yog qhov tseeb tias qhov tshwm sim zoo li no tsis muaj kev nyab xeeb rau tus txiv neej. Qhov no tuaj yeem ua rau o, mob raum tsis ua haujlwm, o ntawm lub zais zis lossis ob lub raum, thiab cov ntshav hauv cov zis. Yog hais tias tus prostate raug tshem tawm, lub txim rau lub cev yog heev unpleasant.
  5. Tshuaj, tso zis tsis pom kev. Hauv 10-12% ntawm cov neeg mob tom qab kev cuam tshuam, cov zis tuaj yeem ua rau tsis tuaj yeem los yog tsis tuaj yeem. Qee zaum qhov ua rau muaj teeb meem yog tias cov qog nqaij hlav tsis tau raug tshem tawm tag nrho. Nws yog ib qho tseem ceeb rau kev kho incontinence nyob rau hauv cov ntaub ntawv no, ib tug thib ob ua hauj lwm yuav tsum tau. Yog tias koj muaj urinary incontinence tom qab phais, mus ntsib koj tus kws kho mob tam sim ntawd.
  6. txheej txheem mob. Qhov ua rau ntawm qhov tshwm sim yog ib qho kab mob los yog ib tus neeg cov tshuaj tiv thaiv ntawm lub cev. Cov cim tseem ceeb ntawm o yuav mob, ua npaws, ua daus no, tsw ntxhiab tsw thiab purulent tawm. Yuav tsum tau mus rau tom tsev kho mob sai li sai tau rau kev kho mob.
  7. Pain Syndrome. Txog li ib lub lim tiam, qhov siab tshaj plaws ntawm 10 hnub tom qab kev phais, ib tus neeg feem ntau yuav hnov mob. Yog tias lub sijhawm dhau mus, tab sis qhov mob tseem nyob, koj yuav tsum mus ntsib koj tus kws kho mob thiab pib kho tom qab tshem tawm prostate.
  8. Tsis muaj phev lossis retrograde ejaculation (ua tiav / ib nrab). Qhov kev tshwm sim no yog feem ntau. ATlub zais zis puv nrog phev. Yog tias koj dhau zis rau kev tshuaj ntsuam, nws tuaj yeem kuaj pom.
  9. Ntxiv rau, muaj qhov tseem ceeb thiab tsis xav tau qhov tshwm sim tom qab tshem tawm ntawm prostate, uas txhua tus txiv neej ntshai - kev ua txhaum ntawm potency. Tab sis tsis tas yuav ntshai, nws tshwm sim tsis tshua muaj thiab tsuas yog tom qab theem ntawm oncology, qhov tseem ceeb ntawm no yog los cawm tib neeg txoj sia. Kev zam kuj tshwm sim, tab sis yog tias tag nrho cov kws kho mob cov lus pom zoo tau ua raws thiab nrog cov txheej txheem kev npaj muaj peev xwm rau kev ua haujlwm, qhov kev pheej hmoo tuaj yeem raug txo. Nws yog ib qho tseem ceeb kom tsis txhob kuaj pom PSA hauv kev kuaj ntshav tom qab tshem tawm prostate.
dab tsi yog prostate nyob rau hauv cov txiv neej
dab tsi yog prostate nyob rau hauv cov txiv neej

Qhov tshwm sim rau txiv neej txoj kev noj qab haus huv yuav txawv.

Txoj Kev Tsim Nyog Ntxiv

Qhov tshwm sim tuaj yeem yog:

  1. Ntau yam kev tsis haum (pob liab, liab, kub hnyiab, o, anaphylactic shock).
  2. Sepsis.
  3. Kev tsis txaus siab txog kev txiav tawm tag nrho ntawm cov qog.
phais tshem tawm prostate
phais tshem tawm prostate

Kev poob ntshav hnyav kuj tseem tuaj yeem ua tau thaum lub prostate raug tshem tawm. Qhov no tsis yog ib qho tshwm sim heev, tab sis hom teeb meem no tuaj yeem tshwm sim. Yuav tsum tau txhaj ntshav los kho qhov xwm txheej.

Muaj peev xwm haus dej cawv thaum lub sijhawm hloov pauv hloov pauv. Yog vim li cas rau qhov no yog qhov dej ntawm cov urethra thaum lub sijhawm ua haujlwm nrog tshuaj tua kab mob.

Yuav ua li cas yog tias muaj teeb meem tshwm sim?

Yog tias muaj qhov tsis zoo ntawm lub cev tshwm sim, qhov no yuav tsum tsis txhob suav hais tias yog tus qauv, tab sis koj yuav tsum mus ntsib kws kho mob tam sim ntawd. Tseem ceebnkag siab tias txawm tias nrog oncology tom qab tshem tawm cov qog, tus txiv neej muaj txoj hauv kev los ua lub neej tag nrho rau tsawg kawg 10 xyoo. Tab sis yog tias theem ntawm mob qog noj ntshav tom qab, ces txoj kev loj hlob ntawm cov teeb meem tsis tuaj yeem zam tau. Tshwj xeeb tshaj yog thaum nrhiav PSA hauv kev kuaj ntshav lossis metastases uas twb muaj lawm. Tom qab ntawd kev khaws cia ntawm lub cev ua haujlwm ntawm cov txiv neej tsis zoo li yuav tham txog. Thaum tus mob qog noj ntshav nyob rau theem kawg, thiab cov metastases twb tau loj hlob mus rau hauv tib neeg cov lymphatic system, qhov kev sib tw yuav yog ua kom lub neej ntev ntawm tus neeg mob.

Yuav ua li cas rau kev rov zoo tom qab phais?

Ntau tus neeg txhawj xeeb tshaj plaws txog kev tswj lub peev xwm ntawm kev sib deev tom qab phais, vim lawv tsis paub meej tias tus txiv neej yog dab tsi.

Txoj kev kho kom rov qab muaj zog npaum li cas nyob ntawm?

txiv neej prostate phais
txiv neej prostate phais

Muaj ntau ntau yam:

  1. Los ntawm lub hnub nyoog ntawm tus neeg mob. Thaum nws laus lawm, nws tsis tshua muaj peev xwm rov qab ua haujlwm ntawm kev sib deev. Ntxiv nrog rau hnub nyoog, cov xwm txheej ntawm lub cev ua lub luag haujlwm tseem ceeb. Kev tsim ntawm testosterone yog maj mam txo, uas ua rau muaj kev sib deev tsis zoo thiab txo qis zog. Erection tom qab tshem tawm prostate tsis zoo, qee zaum ploj tag nrho.
  2. Los ntawm cov hlab ntsha ntawm qhov chaw mos. Ib qho erection kuj tuaj yeem tshwm sim yam tsis muaj lub caj pas prostate, yog tias cov ntshav ntws thiab kev ncaj ncees ntawm cov hlab ntsha tau khaws cia. Tab sis txawm hais tias muaj kev ua txhaum ntawm cov hlab ntsha, tam sim no muaj ntau txoj hauv kev uas yuav ua kom lub cev puv nrog cov ntshav, uas yog, erection tshwm sim tsis muaj.kev ntshaw deev. Muaj cov tshuaj tshwj xeeb thiab txhaj tshuaj rau qhov no.
  3. Txiv neej cov tshuaj hormones tsis tuaj yeem ua tiav vim yog mob qog noj ntshav prostate. Qhov no ua rau muaj kev puas tsuaj rau tib neeg txoj kev noj qab haus huv.

Nws yog ib txwm ua haujlwm ntawm kev sib deev tsis ua haujlwm tam sim tom qab ua haujlwm. Nrog rau theem pib ntawm kev mob qog noj ntshav, nws muaj peev xwm kho tau kev noj qab haus huv thiab kev sib deev ua haujlwm hauv ib xyoos lossis ob xyoos tom qab kev phais. Nyob rau lub sijhawm no, lub cev yuav rov ua dua tshiab, cov keeb kwm hormonal yuav txhim kho, thiab lwm yam txheej txheem tseem ceeb yuav rov qab los tag nrho. Koj tsis tas yuav muaj prostate rau qhov no. Rau cov txiv neej, kev ua haujlwm yuav tsum tsis txhob ua rau ntshai.

tshem tawm ntawm prostate lub txim rau lub cev
tshem tawm ntawm prostate lub txim rau lub cev

Zoo kawg

Yog tias koj muaj erection ua ntej tshem tawm ntawm prostate, nws yuav nyob twj ywm tom qab nws. Qhov tseem ceeb tshaj plaws yog kom muaj kev kho kom zoo, tom qab ntawd potency tuaj yeem tsis tsuas yog rov qab los, tab sis kuj txhim kho. Nws yog ib qho tseem ceeb kom nkag siab tias qhov kev tshem tawm ntawm prostate (peb tshuaj xyuas qhov tshwm sim hauv kev nthuav dav) tsis yog kab lus rau tus txiv neej! Yuav tsum mus!

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