Mena kei te raruraru koe, kei te raruraru koe i te rereke ngoikore o te urinary, me te mea he tangata neke atu i te 50 tau, ka taea e koe te whai i te hyperplasia mate pukupuku (BPH), te wahine prostate nui ranei. Mena ka wheakohia e koe enei tohu, me whakarite he hui ki to urologist.
Ko te urupare noa he mea nui ki te mahi tinana noa, a ka taea e te urologist te whakatau i te aha e kore e tika ana nga mea.
Anei he rere i runga i te mea e tatari ana ka haere koe ki te tari a te taote.
Ko nga korero e hiahiatia ana ki te whakamatau i tetahi kaakete nui
Ina haere koe ki to waitohu, kawea mai nga korero mo o tohu o te wa, me te tuhi tuhi o nga raruraru hauora o mua.
Me kawe mai hoki he raupapa katoa o nga whakamahinga me nga maimoatanga-ki-counter ka whakamahia e koe ki te kite mehemea e pa ana ki o tohu. Ko etahi o nga raau taero ka awhina i te urupare. Ka taea e nga maimoatanga-kore-counter, penei i te mate kai me nga rongoa whakahirahira, te aukati i a koe mai i te horoinga. Ko etahi atu raau taero e kaha ana ki te whakaatu i nga tohu ka nui atu te kaha o nga opioids me nga anticholinergics.
Hei whakamutunga, korero ki to taakuta mēnā kei a koe he hitori o te whakamahinga waipiro. Ka taea hoki e te waipiro te awhina i te urination.
Nga whakamatautau e taea ana te tirotiro i te BPH
Ko nga whakamatautau e whai ake nei ka whakamahia hei whakamatautau i te BPH, engari kaore i te katoa nga waa e tika ana. Ka körerohia e tö urologist ko wai o ënei e äwhina i a koe.
- Ko te Urological Association o Amerika (AUA) BPH Symptom Index he mea noa 7-waahanga, he maha o nga waahana whiriwhiri e whakaatu ana i te kaha o to tohu tohu whakamataku. Ka tonoa koe ki te whakaatu i te maha o nga tohu o te nuinga o nga tohu, penei me te kore e tino tohatoha ana i to pukupuku, mehemea ka hiahia koe kia neke atu i te rua nga haora i muri i to tainga whakamutunga, me te mea kei te ara ake koe i te po ki te urinate.
- Ko nga whakamātautau urodynamic ka awhina i to taakuta ki te kohikohi i nga korero motuhake mo te pai o taau e pini ana, penei me te rere me te pupuri i te urine. Mena he rereke te wai o te urine, me whai tohu to taakuta mehemea kei a koe etahi take whaitake e whakamarama ana i tenei.
- Ma te Uroflowmetry e whakarite te tere o te pukupuku o te pukupuku, a ka awhina ano hoki ia ki te aromatawai mehemea he raruraru. Ki te BPH, kei te pupuhi tonu to panuku ki te urethra, he mea uaua ki a koe kia mau tonu te rere o te urine. Ka tonohia koe ki te whakauru ki roto i tetahi taputapu e whakatau ana i te putanga urine me te whakatau i te wa e kii ai koe ki te urinate me te tere o te rere. Ko te rere o te rere haere he tohu mo te BPH.
- Ka rangahauhia te rere o te taraiwa i roto i te pukupuku i te wa e ngoikore ana koe. Ko tenei whakamatautau kei te whakaarohia ko tetahi o nga huarahi tino tika ki te whakatau mehemea kei a koe te taraihanga urinary. Ka whakauruhia e to urologist he pungarehu ki roto ki to kiri i roto i te kiri me te pukupuku.
- Ko te ako mo te urine o te Tohu Tohu (PVR) ka whakatauhia te rahi o te urine i roto i to pukupuku i muri i to urinate. I te nuinga o te waa, mehemea kei waenganui i te 100 ki te 200 milliliters neke atu ranei, e tohu ana kei a koe he whakato urinary. Engari, ka taea e tenei whakamatautau te raruraru. Mena e manukanuka ana koe, kaore pea e taea e koe te huri i runga i ta koe e mahi ai, a kaore pea i te tika te whakamatautau.
Ko te Whakahaere i te Maakupuku Pukupuku
Mena kei a koe nga tohu o te BPH, ka taea ano e to taakuta te whakamatautau mo te mate pukupuku mate pukupuku. He mea nui te whakamatautau wawe na te mea he whakamatautau matawhānui ka whakatau mehemea kei a koe te BPH, he ahua kino tena, he mate pukupuku ranei koe, he mea pai ki te whakamatautau wawe. Ko nga whakamatautau nui mo te taatai i te mate pukupuku a te mate pukupuku he whakamatautau tautuhi mamati (DRE) me te whakamatautau-aukati-taatai (PSA).
- Te whakamātautau rectal (DRE) : I te wa o tenei whakamatautau, ka mohio tou urologist ki to panuku. Ko te whakamātautau kei te whakaatu he pakeke ranei, he whakaheke ranei o to rewharewha, ko enei tohu he tohu pukupuku, he ngohe ranei, he iti rawa pea te tohu mate pukupuku. Ka tohua e to kai-urologist tetahi ringaringa kapi ki to tautuhi. Mena ka whakaarohia e to taakuta tetahi mea e whakaatu ana i te mate pukupuku mate pukupuku, ka hiahia pea koe ki te whai i etahi atu whakamatautau kia pai ai te taatai.
- Test Antigen (PSA) Whakatairanga : Ko tenei whakamātautau toto he pūmua e hua mai ana i nga pūtau o te reta. Kei te mahi tonu me te aromatawai i te taha o te DRE.
He mea nui kia mohio ko te korero nui o te PSA anake e kore e tohu he mate pukupuku koe. Ka taea e te PSA teitei te tohu tohu o etahi ahuatanga, tae atu ki te BPH, te prostatitis ranei, te mumura o te rewharewha. Kaore he taunakitanga e mate ana te mate pukupuku me te BPH, engari ka taea e te tangata kia kotahi, kia rua ranei o enei tikanga, me te whakawhanake mate pukupuku mate pukupuku ano hoki.
Nga Titiro Tetahi mo te Tatauranga BPH
Ka taea e to kai-urologist te whakamatau i etahi atu whakamatautau i tua atu i nga waahanga o runga ake nei, mehemea he raruraru o tou raruraru ki te mate pukupuku mate pukupuku , te pukupuku mate pukupuku, ranei e pa ana ki nga whatukuhu.
Mena kua kitea koe ki te BPH
Ka tohaina, ka awhina enei whakamatautau i to taakuta kia mohio mehemea kei a koe te BPH me te mahi koe, he pehea te kino. Mena kei a koe te BPH, me tuku e to taakuta he korero ki a koe mehemea ko te aro turuki i to tohu ko te waahanga whaitake, mehemea ko te maimoatanga he pai ake.
Kaupapa:
Piripiripia Penehi Panui: Te Aratohu a te Patient. American Association Urological.
Nga Raranga Tae. National Institute of Age.