Daawooyinka la Oggolaaday ee loogu talagalay Benign Prostatic Hyperplasia
Qanjo barar ah, oo loo yaqaan 'benign prostatic hyperplasia' (BPH) ayaa badanaa saameeya raga ka weyn 50 jir. Iyadoo xaaladda aan loo tixgelinin nafta halis gelinaysa, waxay keeni kartaa dhibaatooyin kaadida. Daawooyinka waa la heli karaa si loogu daaweeyo qiyaasta BPH, marka loo baahdo, taas oo yareyn karta bararka iyo xitaa dib-u-kicinta xaaladaha badan.
Ogaanshaha Wakhti Xaq u Leeyahay
Inkastoo ay u muuqato in ay macquul tahay in lagu daaweeyo cudurka lagu ogaado, caddayntu waxay inta badan soo jeedinaysaa in aan loo baahnayn.
Sida laga soo xigtay Machadka Qaranka ee Sonkorowga, Neefsashada, iyo Nabarada Kelyaha (NIDDKD), sida mid ka mid ah saddexdii nin ee leh BHP waxay arki doonaan calaamadahooda xallilaad la'aan iyadoon wax daawo ah la siin. Sidaa oo kale, takhasusleeyaashu waxay kuugu dhiiri gelinayaan inaad qaadato habka sugitaanka oo aan loo eegin daaweynta.
Daaweynta waxaa caadi ahaan la bilaabaa marka calaamadaha qanjirada 'prostate' ay ka dhalan karto mid ka mid ah dhiig karka ama kaadida ama cudurada kaadimareenka. Waxaa sidoo kale laga yaabaa in la bilaabo marka jiritaanka kaadida iyo / ama naafo jirka ah ee ballaarinta prostate ay si xun u saameynayso nolol maalmeedka.
Waxaa jira dhawr nooc oo daawooyin leh habab kala duwan oo ficil ah oo loo isticmaali karo in lagu daaweeyo ama la yareeyo calaamadaha BPH:
Alpha Blockers
Alpha blockers waxay u shaqeeyaan iyagoo dejiya muruqyada qanjirka 'prostate' iyo qoorta. In kasta oo xayiraadaha xayawaanku ay shaqeynayaan qiyaastii boqolkiiba 75 kiisaska, waxay caadi ahaan bixiyaan gargaar fudud oo sidan ah, sida caadiga ah, ayaa sida caadiga ah loogu talagalay ragga leh calaamado fudud.
Maamulka Mareykanka ee Cuntada iyo Maandooriyaha (FDA) ayaa ansaxiyay lix lixda xayawaan ee Maraykanka ah:
- Cardura (doxazosin)
- Flomax (tamsulosin)
- Hytrin (terazosin)
- Rapaflo (silodosin)
- Minipress (prazosin)
- Uroxatral (alfuzosin)
Haddii laguu qoro xakameeyaha, waxaad filan kartaa in la kormeero inta lagu jiro dhowrka toddobaad ee hore si loo hubiyo saameynaha iyo calaamadaha hagaajinta.
Inta badan ragga yar ee ku jira BPH ayaa bilaabi doona in ay dareemaan saameynta wanaagsan mudo ah hal ilaa laba maalmood.
Waxyeellooyinka caadiga ah waxaa ka mid noqon kara madax-xanuun, madax-wareer, calool xanuun, daal, cirridka sanka, iyo cadaadiska dhiigga oo hooseeya. Sidoo kale cillad la'aanta iyo tabar darri la'aanta ayaa dhici karta.
5-Alpha Reductase Enzyme Inhibitors
5-alfa reductase enzyme inhibitor waxay shaqeyneysaa qanjirada qanjirka 'prostate' waxayna ugu fiican tahay ragga ay prostateka si weyn u ballaariyeen. Inkastoo ay qaadan karto waqti daawooyinka ay qaadaan saameyn buuxda (laga bilaabo seddex illaa lix bilood celcelis ahaan), waxay badanaa ku caawin karaan ragga inay ka fogaadaan baahida qaliinka .
Labo ka mid ah 5-alfa reductase inhibitor kala duwan ayaa ansixiyay FDA:
- Proscar ama Propecia (finasteride)
- Avodart (dutasteride)
Dhibaatooyinka kale waxaa ka mid noqon kara libido yar, awood la'aan, iyo wax soo saarka hooseeya. (Proscar iyo Propecia waxaa sidoo kale loo adeegsadaa in lagu daaweeyo xayawaanka ragga .
Isku-darka Daroogada
Mushaharka ugu wanaagsan ee daaweynta isku dhafan waa ragga qaba qanjidhka 'prostate' iyo heerarka sarreeya ee PSA . Alfa-blocker oo lagu daro 5-alpha-reductase inhibitor wuxuu bixiyaa faa'iido adoo nasinaya qanjirka 'prostate' inta u dhexeysa si tartiib tartiib ah u yareeyo cabbirka.
Daraasad ballaadhan oo la sameeyey 2006 ayaa muujisay in daaweynta isku dhafan ay keentay in 66% hoos u dhaca calaamadaha BPH marka la barbar dhigo boqolkiiba 34 oo leh alfa-blocker iyo 39 boqolkiiba oo leh 5-alpha-reductase inhibitor oo keliya.
Halista kaliya ayaa noqon karta in daaweynta isku dhafan ay u keento isticmaalaha isticmaalka daawooyinka labadaba. La-talin taxaddar leh oo leh khabiir takhasus leh ayaa lagula talinayaa inuu miisaamo faa'iidooyinka iyo cawaaqibta daaweynta.
Heer Therapy (Hyperthermia)
Daaweynta kuleylka (hyperthermia) waa daaweyn bukaan socod ah oo mararka qaarkood loo isticmaalo in laga fogaado qalliin. Nidaamka waxaa loola jeedaa gelinta qalab khafiif ah, qalab jilicsan oo loo galiyo kaadi mareenka si toos ah loogu wareejiyo qanjirka 'prostate'. Waxay adeegsan kartaa tiknoolajiyada microwave, laser, ama tiknoolajiyada korontada oo lagu muujiyay in ay noqdaan 74.9 boqolkiiba oo waxtar leh si loo yareeyo qanjirada weyn.
Sida habka loo yaqaan 'hyperthermia', waa in loo isticmaalo kaliya ragga oo daaweyntu ay ku fashilmeen. Suuxdinta goobta ayaa la isticmaalaa oo dib u soo kabashada waxay caadi ahaan qaadataa dhowr maalmood.
Daaweynta kuleylka ee guriga ku salaysan waxaa loo samayn karaa iyada oo loo marayo daaweyn. Tan waxaa lagu sameyn karaa adoo isticmaalaya daboolka kuleylka ama dhalada kuleylka si toos ah aagga si aad u kordhiso socodka dhiigga iyo yareynta xanuunka iyo bararka.
Daaweynta Kale
Isticmaalka daaweyn kale oo loogu talagalay caafimaadka sanbabada ayaa noqday mid aad u caan ah dunida oo dhan. Isticmaalka dhirta ugu ballaaran ee loo isticmaalo waa tan of palmetto sawir ( Serenoa repens ).
Inkastoo 1996-kii ay ka soo baxday Wasaaradda Arimaha Bulshada ee Mareykanka waxay soo jeedisay in sawir-gacmeedku uu ahaa mid waxtar leh sida finasterid yaraynta yaraynta qanjirka 'prostate', 2006 daraasad 2006 lagu daabacay Wargayska New England Journal of Medicine wuxuu si toos ah uga soo horjeeday natiijooyinka.
> Isha
- > Bent, S .; Kane, C .; Shinohara, K .; et al. "Sawirka Palmetto ee Benign Prostatic Hyperplasia." Somali Journal of Medicine. 2006; 354-557-566.
- > Presti, J .; Kane, C .; Shinohara, k .; iyo Carroll, P. "Cutubka 22aad: Neefsocodka qanjirka 'prostate'." In: Tanagho iyo McAninch, eds. Smith iyo Tanagho ee Urolojiga Guud ee 18aad. New York: McGraw-Hill; 2012.