Talking about prostate diseases with male friends (65438+February 5, 2002)
Wang Bingzhong, chief physician, chief surgeon of Qinghai Red Cross Hospital, graduated from Qinghai Medical College, and is currently the director of urology. He has been engaged in general surgery and urology for a long time, and has made great breakthroughs in the diagnosis of senile prostatic hyperplasia, urinary tract infection and sexually transmitted diseases. And in the treatment of traditional Chinese medicine. (Left)
Deputy Chief Physician Duo Jie is currently the director of Qinghai Institute of Tibetan Medicine. He is good at clinical and scientific research and development of Tibetan medicine, and has in-depth research on the efficacy and mechanism of Tibetan medicine 70-flavor Pearl Pills, the mineral elements of Tibetan medicine 70-flavor Pearl Pills, and the Tibetan medicine information system. He has published more than ten papers and three monographs. (right)
Hello, audience friends! This is CCTV's live program "The Road to Health". Today we are going to talk about some problems.
Moderator: Is it normal for the elderly to have frequent urination and urgency?
Wang Bingzhong: This view is wrong. There is a folk saying: fifty-three a year, the crotch tide will not dry up. This reflects the pain of male patients, often a manifestation of benign prostatic hyperplasia, but also a common and frequently-occurring disease.
Moderator: How do Tibetan doctors know this phenomenon?
Duoji: Tibetan medicine has long known prostate diseases similar to benign prostatic hyperplasia. Tibetan medicine believes that prostatic hyperplasia is a disease caused by senile diarrhea.
Moderator: How does Chinese medicine treat this disease?
Wang Bingzhong: Chinese medicine believes that prostatic hyperplasia belongs to the category of stranguria and is a common disease.
Moderator: How does modern medicine treat prostate diseases?
Wang Bingzhong: First, let's look at a picture. The prostate is located under the bladder and connected with the urethra, which passes through the prostate.
Moderator: What are the functions of prostate?
Dorje: Prostate has the following three functions: 1, semen composition 2, micturition control 3 and endocrine function.
Moderator: When will there be prostatic hyperplasia?
Wang Bingzhong: As the picture shows, gonadotropin secreted by pituitary gland urges testis to produce a hormone called testosterone. Testosterone can stimulate prostatic epithelial hyperplasia through circulation, which is called dihydrotestosterone.
Dorje: In the 1960s, some authoritative urologists in China made some investigations. The object of investigation is some eunuchs of the previous dynasty. It turns out that these eunuchs can't touch the prostate at all, and a few can touch it very, very small, which also shows the connection between testis and prostate.
Moderator: Let's look at the situation of several patients: Patient A: "This disease has a great impact on the body. Can't sleep well at night. Usually get up four or five times at night, and seven or eight times more. If you can't sleep well, you will lose your spirit when you go to work the next day. And mental stress. Once the phenomenon of urinating occurs, the first thing is that the body and mind are very nervous, the body is also very painful, and the mood is also very upset. It also brings inconvenience to daily activities. For example, when talking about where to visit relatives and friends or participate in social activities, you must first find the toilet, and the psychological pressure will come if you can't find the toilet. " Patient B: "I am 42 years old. I suffered from prostatitis caused by urethritis more than ten years ago, and later caused prostatic hyperplasia and hypertrophy. Illness brings a lot of inconvenience to life and work. Frequent urination and urgency at night. There is always an urgent need to go to the bathroom during work and meetings during the day. Urine is dark yellow and often stinks. "
Wang Bingzhong: Under the action of hormones, prostatic hyperplasia will block the urethra and cause dysuria. Normal prostate and urethra are unobstructed. Because of urethral contraction after prostatic hyperplasia, it causes frequent micturition, urgency, nocturia, thinner urinary line, weakness and other clinical symptoms.
Moderator: What kind of serious consequences will the above symptoms have if they are not treated in time?
Wang Bingzhong: If BPH is not treated in time, urinary retention will occur repeatedly, which will cause ureteral reflux for a long time. When it returns to the kidney, it will cause renal function crisis, uremia and even life-threatening. In addition, it will also affect men's sexual function.
Moderator: How to find prostate hypertrophy early?
Wang Bingzhong: Early diagnosis of prostate is very easy. A normal prostate is the size of a chestnut (under the finger), which can be detected by finger diagnosis. If it feels as big as pigeon eggs, it has been swollen; If it is as big as an egg, it is twice as swollen; If it is as big as a duck egg, one third of it is swollen; If it is very big, or even bigger, it is called the fourth swelling.
Moderator: Is it true that the louder the volume, the more serious the symptoms will be and the more it will affect the quality of life?
Wang Bingzhong: The main symptom of BPH is urethral compression, which does not mean that the bigger the prostate, the more serious the symptoms. There are often some patients with BPH, BPH is very small, but the incidence of urinary retention is high, the urinary line is narrowed, and the symptoms of waiting for urine are also very serious. This is because the site of his hyperplasia is right in the urethra. Prostate tissue far away from urethral hyperplasia, even if prostate hyperplasia is very large, will not affect urinary retention.
Moderator: What are the means to treat benign prostatic hyperplasia?
Wang Bingzhong: There are many ways to treat BPH, including western medicine, Chinese medicine and Tibetan medicine. Traditional Chinese medicine treatment focuses on promoting blood circulation and removing blood stasis. Western medicine treatment includes drug therapy, physical therapy and surgical treatment. Drug therapy mainly uses а receptor blockers and anti-testosterone drugs. Physical therapy includes physical therapy and massage. The surgical treatment is vaporization of prostate.
Moderator: What are the characteristics of Tibetan medicine in treating benign prostatic hyperplasia?
Dorje: Tibetan medicine treatment has the following three characteristics: 1, and the uniqueness of the theoretical system of Tibetan medicine. 2. Tibetan medicinal materials are taken from medicinal materials grown in the unique natural environment of Qinghai-Tibet Plateau. 3. The treatment of Tibetan medicine is also unique.
Moderator: What is the clinical effect of using Tibetan medicine to treat benign prostatic hyperplasia?
Wang Bingzhong: Tibetan medicine is a method to treat benign prostatic hyperplasia, and the effect is positive. There are irreplaceable functions of other drugs, which can also improve men's own functions and improve their quality of life.
Moderator: Can BPH be prevented?
Wang Bingzhong: The prone age of BPH is over 45 years old. People of this age should pay attention to prevention. First of all, be careful not to eat spicy food, drink too much, ride a bike for a long time, sit on a hard bench or sit in a wet place for a long time. In addition, don't hold your urine often, and pay attention to anti-infection treatment once urinary tract infection occurs. Proper physical exercise can also prevent prostate hyperplasia.
Moderator: What other problems need attention in the treatment?
Wang Bingzhong: If the symptoms can't be relieved after conservative treatment by western medicine, Chinese medicine and Tibetan medicine, you should have surgery. This can prevent the disease from getting worse.
Moderator: Mr. Wang from Beijing is 63 years old this year. I have been suffering from prostatic hyperplasia for more than 6 years. Now I am taking Jinhe Qianliebao. In recent days, my stomach sometimes hurts because of improper diet. Can I take other drugs while taking Qianliebao?
Dorje: Tibetan medicine has few side effects. Jinhe Qianliebao is a holistic drug, which can be used in combination with other drugs, but it cannot be used in combination with some special situations, such as hypertension and cardiovascular and cerebrovascular diseases.
Moderator: Ms. He is 44 years old and comes from Shandong. My husband is 48 years old this year. Physical examination found mild prostatic hyperplasia, but no obvious symptoms. Do you need treatment?
Wang Bingzhong: If you have mild prostatic hyperplasia without any symptoms, you should be careful not to catch a cold or get a urinary tract infection. At the same time, you can also take some Tibetan medicines such as Jinhe Qianlie Bora for health care.
Moderator: Mr. Xu from Wuhan is 66 years old this year. I have suffered from chronic prostatitis for many years. I have received many treatments, but none of them have been cured. Can prostatitis become cancerous if it is not cured in time?
Wang Bingzhong: At present, there are few reports that prostatitis becomes cancerous if it is not cured. There is no need to worry too much about it becoming prostate cancer. Prostatitis can be cured by anti-inflammatory treatment and comprehensive treatment of traditional Chinese and western medicine, and there is no incurable situation.
Moderator: Mr. Liu from Hebei Province, 62 years old, my sexual function has obviously declined. After examination by the hospital, it is prostatic hyperplasia. Is sexual dysfunction caused by prostatic hyperplasia?
Dorje: Prostatic hyperplasia is not directly related to sexual dysfunction.
Wang Bingzhong: Prostatic hyperplasia is so serious that I can't even urinate, and I have no sexual needs and desires psychologically. Once the benign prostatic hyperplasia is cured, the problems of possibility and function are solved.
Moderator: Mr. Huang Chifeng, 4 1 year old. My father is 80 years old. He suffered from prostatic hypertrophy and had a catheter inserted. Can I pull out the catheter when I take Tibetan medicine?
Dorje: In this case, taking drugs alone will not be very effective. At this time, comprehensive treatment should be taken. After treatment, if the effect is not good, we should consider surgery.
Moderator: What should Mr. Zhao in Beijing pay attention to when taking medicine? What food does eating contribute to the recovery of prostate? My stomach is not good. Does long-term use have an effect on the stomach?
Wang Bingzhong: You can't eat anything irritating and spicy while taking Tibetan medicine. You shouldn't drink too much. You should eat more light and digestible food. Eating Tibetan medicine will not have adverse effects on the stomach.
Moderator: Mr. Li from Shanghai, I have been married for ten years and have been suffering from prostate disease for seven or eight years. I've been in therapy, and I haven't been cured. I want a child, and my wife can't conceive it. I went to the hospital for examination. The doctor said that the sperm survival rate is low. Is sperm survival rate directly related to prostate?
Wang Bingzhong: There are many reasons for the low sperm survival rate, such as varicocele, low prostatic fluid volume or a large number of inflammatory cells. First of all, we must make a clear diagnosis, and then carry out targeted treatment.
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