How to use drugs for BPH grade 3?

Drug treatment of benign prostatic hyperplasia. Antiandrogen drugs The most widely used of these drugs is progesterone. After using antiandrogen drugs for a period of time, it can improve symptoms and urine flow rate, reduce residual urine and make prostate smaller. ① Diethylstilbestrol was taken orally, 2 ~ 3 mg per day for 4 weeks, and the course of treatment was 1. Long-term use will increase cardiovascular complications, nausea and vomiting, male breast development, impotence and other side effects. ② Usage of Megestrol acetate: 40 mg, three times a day. Inhibition of 5-α reductase activity can reduce the level of testosterone in plasma. ③ Usage of flunitramine: 250 mg each time, 3 times a day, 3 months as 1 course of treatment. It can reduce the prostate volume and residual urine volume of patients. Side effects include male breast development, nausea and vomiting, and abnormal liver function. Second, the α receptor blocker prostate is a kind of glandular tissue, but it has a large number of smooth muscles and contains a large number of α adrenergic receptors. When the patient's sympathetic nerve is excited, it can cause the smooth muscle of prostate to contract and cause dynamic obstruction. α -blockers can relieve the symptoms of urinary tract obstruction and help patients with acute urinary retention to pull out the urinary catheter as soon as possible. Commonly used drugs are: ① phenoxybenzamine 10 mg, 2-3 times a day, for 2 weeks. Side effects are usually dizziness, impaired vision and postural hypotension. ② Usage of phentolamine: 10 mg slow intravenous drip. Similar to phenoxybenzamine, it can be used for acute urinary retention because of its quick onset and short action time. The side effects are the same as those of phenoxybenzamine. ③ The first dose of prazosin was 0.5mg, and no response was changed to 65,438+0 mg, three times a day. It can cause postural hypotension and has no effect on sexual function. ④ Usage of Gaoteling: the first dose 1 mg, the second 2 mg, and before going to bed 1 time. As a selective α -receptor inhibitor, it is mainly used to relieve bladder neck obstruction and improve urination. This product has few side effects and generally does not cause dizziness and postural hypotension. 3.5-α reductase inhibitor This product can block the transformation of testosterone to dihydrotestosterone by inhibiting 5-α reductase, thus blocking the continued hyperplasia of prostate. Clinical observation has confirmed the efficacy. The commonly used medicine is borrelidin, 5mg each time, once a day 1 time, and the course of treatment is at least 6 months. This product has basically no side effects, and a few patients can cause sexual dysfunction. According to different types of diet and health care, different treatments can be selected: bladder damp-heat: clinical manifestations include short and reddish urine, poor dripping, or obstruction, less abdominal distension, restlessness, loose stool or secret knot, red tongue, yellow and greasy fur, and slippery pulse. Formula of winter melon and coix seed soup: 350g of winter melon, 50g of coix seed and proper amount of sugar. Method: cut the wax gourd into pieces, boil it with coix seed and season it with sugar. Efficacy: clearing heat and promoting diuresis. Usage: replace tea with soup. Deficiency of middle qi: the clinical manifestations are unfavorable urination, or lower qi and proctoptosis, mental fatigue, shortness of breath, laziness in speaking, and pale tongue. Disease care diet should be light and easy to digest, eat more fruits and vegetables, eat less spicy and irritating items, and drink less or give up alcohol to reduce the chance of prostate congestion. Do not hold your urine for a long time, so as not to damage the detrusor function. Ride a bicycle as little as possible to reduce the pressure on the prostate, so as not to aggravate the condition. Timely treatment of urogenital tract infection and active prevention of urinary retention. For sexual life, whether it is indulgence or abstinence, you can't rely on age and health. You should keep a good mood, avoid anxiety and anger, and avoid overwork. Moderate physical activity helps to strengthen the body's resistance and improve the local blood circulation of the prostate. At present, the prevention of benign prostatic hyperplasia is divided into three levels: 1. Primary prevention? That is, among people without prostate diseases, vigorously carry out health education and mobilize the whole society to pay attention to men's health. Paying attention to men's health should start with the prostate, so as to raise the masses' awareness of the importance of prostate health. "Prostate disease is difficult to treat, but it can be cured and not terrible. What is terrible is the indifference and ignorance of the whole society to this potential threat. " Of course, health education should run through the whole process of prevention and treatment of prostate diseases, so as to prevent diseases and promote rehabilitation. 2. Secondary prevention? In other words, after getting prostate disease, we should treat it as soon as possible and treat it thoroughly, leaving no sequelae and complications. 3. tertiary prevention? That is, how to maintain the function of the disease after organic changes. For example, the prostate has swollen to the second degree, and it is unrealistic to say that drug treatment can eliminate it and restore it to its normal size. However, it should be helped to restore urination function, make it unobstructed and natural, and maintain normal renal function.