Daaweynta Dhibaatooyinka Kaadi Ba'an ee Qalitaanka Lamaanaha
Waxaa jira daroogo badan oo loo isticmaalo urolojiga , takhasuska caafimaadka ee la tacaala cudurrada haweenka iyo haweenada haweenka kaadida iyo sidoo kale habka taranka ragga. Daawooyinka waa la jebin karaa farsamadoodii ficilka iyo hawlaha bayoolajiga ay bartilmaameedsanayaan.
Darajooyinka ugu badan ee daawooyinka loo isticmaalo kaadimareenka waxaa ka mid ah:
- Alpha blockers kuwaas oo ka shaqeynaya adigoo ku riixaya muruqyada qoorta kaadiheysta si loo hagaajiyo socodka kaadida
- 5-alfa celiyeyaasha oo xannibaya soo saarida hormoon gaar ah oo la xidhiidha ballaarinta prostate
- Anticholinergics oo yaraynaysa qanjirada kaadiheysta iyo kordhinta awoodda kaadiheysta ee dadka qaba kaadiheysta firfircoon
Daawooyinka waxaa loo isticmaali karaa iyaga laftooda ama daaweyn isku dhafan. Shirkadaha daawooyinka qaarkood ayaa sidoo kale abuuray daawooyinka laba-is-leh sida Duodart oo isku-dar ah xargaha alfa ee leh 5-alpha inhibitor.
Alpha Blockers
Alpha Blockers, oo sidoo kale loo yaqaan 'antagonists' alpha-adrenergic, ayaa loo isticmaalaa urin si loo daaweeyo xuubka weyn ee qanjirka ' prostate hyperplasia', ama BPH ). Waxay sidaas sameeyaan iyagoo ka hortagaya hormoonnada norepinephrine oo ka soo jeeda muruqyada saxda ah iyo maraakiibta dhiigga. Marka sidaas la sameeyo, daroogadu waxay hagaajin kartaa socodka kaadida ee ragga waayeelka leh dhibaatooyinka qanjirka 'prostate'.
Alpha blockers hadda la ansixiyey ee daaweynta BPH waxaa ka mid ah:
- Cardura ama Cardura XL (doxazosin)
- Flomax (tamsulosin)
- Hydrin (terazosin)
- Uroxatral (alfuzosin)
Qaar ka mid ah xayiraadaha xayawaanaadka ah ayaa lagu heli karaa qaababka gaaban iyo kuwa muddada fog. Daroogooyinka yar-yar ayaa si dhakhso ah u shaqeeya, laakiin saameyntooda waxay soconayaan dhowr saacadood. Wicitaanada mudada dheer socon kara waxay qaadan karaan waqti dheer si ay u shaqeeyaan, laakiin saameyntooda ayaa sii dheeraataa. Xulashada qaabeynta waxay inta badan ku xiran tahay darnaanta BPH.
Afkaarta xayeysiinta, xakameyntu waxay keeni kartaa madax-wareer, madax-xanuun, hypotension post (cadaadiska dhiigga yar markaad istaagto), ama dib-u-soo-saarto dheecaan (xaalad ah shahwada lagu buufiyo kaadiheysta).
5-Alpha Inhibitors
5-alfa-celiyeyaasha, oo sidoo kale loo yaqaan 5-alpha reductase inhibitors, waxay ka shaqeeyaan ka hortagga beddelidda testosterone si dihydrotestosterone, hormoon la xidhiidha labada BPH iyo xayawaanka ragga labadaba. 5-alfa-celiyeyaasha waxaa lagu qoraa daaweynta dabadheer ee BPH waxayna qaadan kartaa ilaa lix bilood kahor inta aaney saameyntu si buuxda u dareemin.
5-alfa-celiyeyaasha hadda loo ansixiyey daaweynta BPH waa:
- Avodart (dutasteride)
- Propecia ama Proscar (finasteride yar-yar iyo sareeya), siday u kala horreeyaan)
Fasalka daroogada, 5-alfa-celiyeyaasha waxay sababi karaan in lumiyo libido, aan laheyn, ama dheecaan laga qaado.
Anticholinergics
Dawooyinka anticholinergic waxay shaqeeyaan xannibista ficilka neurotransmitter kiimikada, oo loo yaqaan 'acetylcholine', kaas oo u dira calaamadaha maskaxda oo kiciya shuban aan caadi ahayn. Marka sidaas la sameeyo, daroogadu waxay yareyn kartaa calaamadaha kaadiheysta firfircoon ee dadka ay dareemaan inay u baahan yihiin inay kaadiyaan xitaa marka uusan kaadiheystu buuxin.
Ka mid ah anticholinergics ee hadda la ansixiyey daaweynta kaadiheysta firfircooni waa:
- Detrol (tolterodine)
- Enablex (darifenacin)
- Oxytrol ama Ditropan XL (oxybutynin)
- Regurin iyo Sanctura (trospium chloride)
- Toviaz (fesoterodine)
- Vesicare (solifenacin)
Anticholinergics waxay sababi kartaa af qallalan, calool-gal, aragti cillad ah, iyo garaaca wadnaha oo degdeg ah (tachycardia).
Daawooyinka kale ee loo isticmaalo Urolojiga
Sida takhasuska ku xeeldheer labada habdhiska taranka iyo ragga labadaba, ururrada waxay ku tiirsan yihiin armaajo daawo si loogu daaweeyo xaaladaha ugu badan ee loo yaqaano kansarka qanjidhka kaadimareenka , cudurada kaadi-mareenka (UTIs), cillad maskaxeed (ED) , hypogonadism (wax soo saar yar oo testosterone ah) , iyo cudurka Peyronie (xaalad lagu garto cirro, kacsi xanuun leh).
Si aad u heshid aqoonyahanka xirfadlaha ah ee kuugu dhow, la xiriir shirkadaada caymiska si aad u hesho liiska bixiyeyaasha la ansixiyey ama weydii dhakhtarkaaga koowaad si aad u gudbisid. Waxaad ka hubin kartaa shahaadooyinka aqoon yaqaanka ee aqoon yahanada iyo shahaadada iyada oo loo marayo Guddiga Takhasuska Caafimaadka ee Muusikada (ABMS) iyo bogag dhakhtareed oo kala duwan.
> Isha:
> Hanno, P .; Guzzo, T .; Malkowicz, P. et al. (2014) Buug-gacmeedka Qalitaanka ee Cudurrada: Cilmi-baarista Internetka (Second Ed.) Philadelphia, Pennsylvania: Saunders. ISBN-13: 978-1455753.