Cov kab mob benign thiab ntau heev, prostate adenoma cuam tshuam rau ib feem peb ntawm cov txiv neej ntawm 55 thiab 60 xyoo thiab ntau tshaj ib tug ntawm ob tug txiv neej ntawm 66 thiab 70 xyoo. Cov tsos mob yog dab tsi? Yuav kuaj thiab kho li cas? Cov lus teb ntawm Inès Dominique, urologist

Kuj hu ua benign prostatic hyperplasia (BPH), prostate adenoma yog maj mam nce hauv prostate loj. "Qhov kev nce hauv ntim no tau tshwm sim los ntawm kev loj hlob ntawm prostate hlwb txuas rau kev laus" hais tias Dr Dominique.

Qhov zaus ntawm cov kab mob no nce nrog lub hnub nyoog thiab cuam tshuam ze li ntawm 90% ntawm cov txiv neej tshaj 80 mus rau qhov sib txawv. "Nws yog ib qho mob pathology, hloov zuj zus mus ntau xyoo, tab sis qhov uas tsis txuas rau prostate cancer." ntxiv rau urologist.  

Lub mechanism ntawm kev loj hlob ntawm prostate adenoma yog tsis to taub.

"Muaj ntau txoj kev xav tau tsim: hormonal mechanisms - tshwj xeeb tshaj yog ntawm DHT - tuaj yeem koom nrog, lossis qhov tsis sib xws ntawm kev loj hlob thiab kev puas tsuaj ntawm cov qog prostate" qhia Inès Dominique.

Txawm li cas los xij, cov kab mob metabolic yuav yog qhov txaus ntshai tiag tiag, txij li qhov tshwm sim ntawm kev kho rau prostate adenoma yog ob npaug rau cov neeg mob metabolic syndrome.

Qee lub sij hawm tus prostate adenoma yog asymptomatic kiag li thiab pom tshwm sim thaum lub sij hawm kuaj mob. Tab sis feem ntau, nws ua rau cov tsos mob tshwm sim los ntawm compression ntawm cov urethra los ntawm qhov txawv txav prostate.

"Cov tsos mob ntawm LUTS (mob plab hnyuv) tuaj yeem hnov ​​​​los ntawm tus neeg mob" piav qhia tshwj xeeb ntawm urologist.

Lub International Continence Society (ICS) faib cov tsos mob no ua peb pawg:

Kev tsis haum ntawm lub sijhawm filling 

"Qhov no yog pollakiuria, uas yog qhov yuav tsum tau tso zis ntau zaus, uas tuaj yeem yog nruab hnub lossis hmo ntuj nrog rau cov xwm txheej tso zis" piav qhia Dr Dominique.

Kev puas tsuaj ntawm lub sijhawm khoob

"Nws yog qhov yuav tsum tau thawb kom tso zis, hu ua dysuria, qhov nyuaj ntawm kev pib tso zis lossis txawm tias ntuav thiab / lossis cov zis tsis muaj zog" txuas ntxiv tus kws tshaj lij.

Post-voiding theem mob

"Cov no yog cov tee lig los yog lub tswv yim ntawm kev ua tsis tiav ntawm lub zais zis."

Nws kuj tshwm sim tias prostate adenoma ua rau kev sib deev tsis ua haujlwm, suav nrog lub dav hlau tsis muaj zog ejaculatory. 

Kev kuaj mob ntawm prostate adenoma yog nyob ntawm kev nug tus neeg mob txog cov tsos mob tshwm sim ntawm cov zis, kuaj lub cev nrog kev kuaj lub qhov quav thiab qee zaum, yog tias tsim nyog, kev tshuaj xyuas thiab biology.

"Kev kuaj mob lub qhov quav digital yog siv los ntsuas qhov loj thiab qhov sib xws ntawm prostate kom paub meej tias tsis muaj mob qog noj ntshav prostate. Qhov no yog qhov kev kuaj mob tsis muaj mob thiab tsis muaj kev pheej hmoo ” piav txog Dr Dominique.

Yog tias muaj kev tsis ntseeg, kev ntsuas dej ntws tuaj yeem ua tau: tus neeg mob yuav tsum tso zis rau hauv lub "specialized" chav dej uas tso cai rau kev ntsuas cov zis.

Kev tshuaj xyuas yog ua raws li reno-vesico-prostatic ultrasound. "Nws ua rau nws muaj peev xwm los ntsuas qhov ntim ntawm prostate, txhawm rau txheeb xyuas qhov tsis muaj lub zais zis calculus lossis zais zis anomaly thiab tseem tuaj yeem txheeb xyuas qhov tsis muaj lub raum rov tshwm sim." piav qhia tus kws tshaj lij. Qhov no ultrasound kuj ua rau nws muaj peev xwm los xyuas qhov tseeb ntawm lub zais zis thaum tso zis.

Thaum kawg, biology yog ua raws li kev txiav txim siab ntawm prostate hormone hu ua PSA - txhawm rau txiav txim siab txog kev mob qog noj ntshav prostate - thiab ntawm kev soj ntsuam ntawm lub raum ua haujlwm los ntawm kev tshuaj xyuas ntawm creatinine.

Lub prostate adenoma tej zaum yuav yog benign, nws yuav tsum tau saib xyuas thiab txawm kho kom tsis txhob muaj teeb meem tshwm sim.

"Benign prostatic hyperplasia tiag tiag tuaj yeem tsim lub zais zis thaiv kev tiv thaiv kom tsis txhob muaj qhov khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob. piav txog Dr Inès Dominique.

Tsuav tus neeg mob tsis xis nyob thiab tsis muaj teeb meem, kev pib kho tsis tsim nyog.

"Ntawm qhov tod tes, yog tias tus neeg mob tsis yooj yim ntawm qhov tso zis, cov tshuaj kho mob tshwm sim nrog kev ua haujlwm zoo heev" insists tus urologist.

Raws li kev kho thawj kab, thiab thaum tsis muaj contraindications, tus kws kho mob muab alpha-blockers (Alfuzosine®, Silodosine® thiab lwm yam) los txhim kho cov tsos mob. Yog tias lawv tsis muaj txiaj ntsig txaus, peb mam li qhia 5-alpha-reductase inhibitors (Finasteride®, dutasteride®) uas ua los ntawm kev txo qhov loj ntawm prostate mus ntev.

"Yog tias kev kho tshuaj tsis zoo lossis tus neeg mob muaj teeb meem los ntawm BPH, kev tswj kev phais yuav raug muab. Cov kev cuam tshuam yog ua raws li kev tshem tawm ntawm cov zis " qhia tus kws tshaj lij

Cov kev cuam tshuam no tuaj yeem ua los ntawm cov urethra los ntawm endoscopy nrog ntau hom kev kawm: "Los ntawm cov pa hluav taws xob resection lossis los ntawm laser lossis los ntawm bipolar enucleation" piav txog Dr Dominique.

Yog tias qhov ntim ntawm prostate loj heev, qhib kev phais yuav raug npaj, "Peb tab tom tham txog txoj kev loj adenomectomy" qhia tus kws tshaj lij.

Txog tam sim no, tsis muaj kev tiv thaiv kev tiv thaiv tau ua pov thawj zoo rau kev txhim kho BPH.

"Qhov kev tiv thaiv tseem ceeb tshaj plaws yog qhov teeb meem ntawm BPH uas tuaj yeem ua rau hnyav thiab qee zaum mus tas li, xws li mob raum mob. Nws yog yog li ntawd tseem ceeb heev rau tib zoo saib xyuas cov neeg mob uas BPH txawm tias thaum lawv yog cov uas tsis-symptomatic nyob rau hauv kev txiav txim mus ntes cov neeg pluag zais zis muab nchuav " piav qhia urologist.

Kev cai tu cev kom ua raws

Tsis tas li ntawd, cov cai ntawm kev nyiam huv ntawm lub neej tuaj yeem raug hwm txhawm rau txhawm rau cia siab tias yuav muaj teeb meem tshwm sim. Tshwj xeeb, cov neeg mob raug pom zoo:

• Txhawm rau txwv kev haus dej thaum yav tsaus ntuj: kua zaub, tshuaj ntsuab tshuaj yej, dej, dej qab zib
• Txhawm rau txo kom ntau li ntau tau kom tau txais caffeine lossis cawv,
• Txhawm rau tiv thaiv cem quav, nrog rau kev noj zaub mov nplua nuj nyob hauv txiv hmab txiv ntoo, zaub, tag nrho cov nplej thiab legumes,
• Yuav xyaum ua lub cev tsis tu ncua.