Prostate is a very difficult disease for male friends. Prostate diseases will have a great negative impact on men's health, and prostate hypertrophy is one of t
Prostate is a very difficult disease for male friends. Prostate diseases will have a great negative impact on men's health, and prostate hypertrophy is one of them. So, how should we treat it? The following is the content of prostatic hypertrophy that I sorted out for your reference and understanding.
Prostate hypertrophy is a common disease in elderly men. Nowadays, people's living and health standards are constantly improving, the average life expectancy is constantly extending, and the number of cases is bound to increase gradually. Prostate hypertrophy is a benign disease, but because of the obstruction of urinary system, it affects urination, directly threatens renal function and brings serious harm to patients' health and life.
Moreover, prostatic hypertrophy often requires surgical treatment, while the elderly are often accompanied by hypertension, arteriosclerosis, cardiopulmonary insufficiency and so on, which really brings a heavy burden to patients. As far as the incidence of all ethnic groups in the world is concerned, it is different. The incidence rate of the yellow race is lower than that of the white race, and the white race is roughly the same as that of the black race. The onset age is ten years earlier than that of the yellow race, and it can occur over 40 years old and increases with age. 40-49 years old accounted for 10%, and 50-59 years old accounted for 20%. Prostate diseases have a great impact on men's health and need to be treated as soon as possible.
First, the treatment of prostatic hypertrophy
1, observe
If the symptoms are mild and have no impact on the patient's life, observation can be adopted, and there is no need to use drugs.
2. Drug therapy
Drugs to reduce prostate volume or improve symptoms, including some Chinese patent medicines.
3, surgery and interventional therapy
It is emphasized that transurethral resection of prostate has the characteristics of little injury, quick recovery, good curative effect and little pain. Interventional therapy, such as stent placement or acupuncture ablation.
Second, the causes of prostatic hypertrophy
Prostate hypertrophy is a degenerative disease. Generally, when an adult male is 30-40 years old, the prostate begins to proliferate to varying degrees, and symptoms appear after 50 years old. The decrease of sex hormone level, neuroendocrine disorder and dietary factors are the reasons, which are urinary tract obstructive diseases caused by mechanical factors.
Prostate hypertrophy can lead to temporary hypersexuality. After the age of 55, almost all men have different degrees of prostate hypertrophy. In the early stage of prostatic hypertrophy, patients may have an increase in desire that is not consistent with their age, or they may have a normal desire all the time, but suddenly become strong.
This is due to hyperplasia of prostate tissue, which leads to disorder of prostate function and temporary enhancement of testicular function through feedback. Husband and wife life will aggravate prostate hypertrophy, and husband and wife life itself will make the prostate in a state of ten congestion for a long time, causing and aggravating prostate hypertrophy.
Third, the identification method of prostatic hypertrophy
Prostate hypertrophy should be differentiated from prostate cancer, prostate tuberculosis, prostatic calculus, prostatic cyst, bladder neck contracture Marion's disease, hypertrophy of ureteric crest, neurogenic bladder, bladder tumor, calculus and foreign body. Through physical examination, laboratory examination, anal finger examination and cystoscopy, the above diseases can be identified in most cases. Only in atypical cases of prostate cancer, it is difficult to draw a conclusion according to the above examination methods, and the following methods can be used to assist differential diagnosis:
1. Determination of serum acid phosphatase
Prostate tissue contains extremely high acid phosphatase, which will increase during canceration. According to this principle, the normal value of serum acid phosphatase is 1 ~ 5 units according to King-Armsstrong, 0.5 ~ 2 units according to Bodansky, and 0.7K-A unit according to the test method of 1950. More than half of prostate cancer patients are above normal level. Pay attention to the use of testosterone or prostate * * * will appear false positive.
2. Determination of serum alkaline phosphatase
When there is bone metastasis, the serum alkaline phosphatase increases, and the normal values are Bodahsky2~4.5 units and King-Armstrong 8 ~ 14 units, but we should pay attention to false positive.
3. Prostate biopsy
Transperineal or rectal prostate biopsy can be performed.
4. Radiography of seminal vesicle
Prostate hypertrophy can only be seen as symmetrical increase with neat edges; Prostate cancer is narrow, irregular, irregular or defective.
Four, prostate hypertrophy inspection methods
All male patients over the age of 50 with a history of dysuria should first consider the possibility of prostatic hypertrophy, so the following aspects should be paid attention to during the examination.
1, check the abdomen.
Pay attention to whether there is bladder enlargement. Patients with prostatic hypertrophy often have a large amount of residual urine in their bladder, and palpation can often touch the swollen bladder. But sometimes the medical history is long, the bladder is in a state of chronic urinary retention for a long time, and the pain and discomfort of the bladder are not easy to be detected. It can be identified by percussion.
2, * * finger diagnosis
Anal digital examination is an important examination step to diagnose this disease. Most cases of prostatic hypertrophy can be diagnosed by this test. The positive findings were that the central sulcus of prostate was enlarged, protruded and disappeared, the edges of both sides were widened, and the surface was tough and smooth. According to these characteristics, it can be differentiated from prostate cancer, tuberculosis and calculus.
However, if the prostate is not big enough to be based on this test alone, the possibility of prostatic hypertrophy can be ruled out. Because, for example, when the middle lobe is simply enlarged, the enlarged gland protrudes into the bladder, and the anal finger examination can be completely unknown. Paying attention to the function of sphincter during anal digital examination is helpful to distinguish it from neurogenic bladder dysuria.
3. Cystoscopy
Cystoscopy is very necessary in some cases, because it can be used to know whether the prostate is enlarged. Why is he fat? And the degree of hypertrophy. We can also understand the situation in the bladder through this examination and rule out other diseases. However, cystoscopy is easy to cause injury, bleeding, infection and so on. For patients with prostatic hypertrophy, it should be strictly used, and the operation must be careful and meticulous, and careful observation is needed after examination.
4, the determination of residual urine
The determination of residues is of great significance to this disease. As mentioned above, the degree of gland hypertrophy is not directly proportional to the severity of the disease, so it is of no clinical significance to classify the disease according to the size of the gland. Residual urine volume can explain the degree of obstruction and is closely related to the condition.
5. Other inspections
In addition to routine examination of hematuria, urine culture and renal function examination are also very important. If surgical treatment is considered, the biochemistry of heart, lung, liver, blood vessels and blood should be examined.
Five, the preventive measures of prostate hypertrophy
1, keep it clean
Male scrotum is elastic, secretes more sweat, and has poor air permeability, so it is easy to shelter evil people from evil practices, and regional bacteria often take advantage of it. This will lead to prostatitis, prostatic hypertrophy, functional decline, and danger will occur if you don't pay attention in time. Therefore, it is an important link to insist on cleaning the prostate.
2. Prevent colds
It is cold in autumn and winter, so pay attention to cold and warmth. Prevent colds and upper respiratory tract infections; Don't sit on a cool stone for a long time, because cold will increase the excitement of sympathetic nerves, which will lead to increased urethral pressure and reflux.