When talking about “Prostate” (Prostate) Many people know that it is a tubular gland that exists only in males. But if asked where it is or what function Believe that many people may not know deeply, especially with the female gender that may I never knew because it was a distant matter. However, the prostate is very important when it comes to reproductive age. It also plays a more active role when the male is older, so regardless of gender, it should be known and understood. In the prostate at the same time to keep care of each other and not overlook health problems that are closer than you think
The prostate is a part of the male reproductive system. Located under the bladder Anus tube anterior It is the part that covers the upper urethra. Is responsible for the formation of fluids and lubricants. The sperm are healthy and ready to perform the function of reproduction. When the male is 25 years old, the prostate is fully grown, weighing approximately 20 grams, 4 cm wide, 3 cm long and 2 cm thick, which varies with age, ie, when getting older. The prostate is likely to increase in size as well. Until becoming a popular disease at menopause Often inevitable Benign Prostatic Hyperplasia (BPH)
Dr. Damrongphan Watthanachot, MD. The director of the Urology Center, Bangkok Hospital, revealed that the risk of enlarged prostate is often related to age. From statistics in Thailand found that Males aged 40 years and over have an average of 1 in 4 or 25% chance of developing prostate disease, and the risk increases with increasing age. Currently, there is no exact cause of what it came from. But there are indications that the disease is related to testosterone. Because when males reach the age of 40 years, the testosterone. (Testosterone) will have a lower amount. Because it is converted to dihydrotestosterone (DHT), DHT is an important hormone that makes the prostate gland enlarge until it squeezes the urethra. And affect the body There are two main groups of disorders: 1. Feeling irritative (irritative) causing urination more frequently. Can’t keep for less than 2 hours per time And urinating frequently both during the day and night 2. Stuck (obstructive) is urinating immediately. It takes a while or has to push and feel like something is blocking. The urinary catheter is lightened, intermittent, unable to pass, and eventually unable to urinate Which in 1 patient can occur together with both symptoms Or only one of these groups can be born If found to have these symptoms continue for a long time until the annoyance. Or causing the loss of quality of life Should see a doctor immediately
“Less to more” every step
Because the prostate is an organ in the body. Men may therefore be concerned during the diagnosis process. Which, Dr. Damrongphan confirmed that “There are many methods of testing for an enlarged prostate gland and it is not always necessary to have an internal examination. Which the examination principle will start from ascending So as not to disturb the feelings or create The inconvenience for the examined person “
Diagnosis starts with a simple method.Enlarged Prostate Symptom Score (The international Prostate Symptom Score: IPSS Score) for estimating frequency. And the frequency of the indications and taken into account the score Classify the syndrome by severity – mild, moderate, and severe – to assess whether symptoms interfere with the patient’s lifestyle. Or should be treated, how will later beUrine flow rate test (Uroflowmetry: UFM) is the best test method. Because it makes it clear that urine is abnormal By allowing the patient to urinate into the machine To measure various results in a graph such as the amount of urine that comes out, strength, urine continuity, etc., and useAbdominal ultrasound machineIn addition, to see how much urine is residual, all of which can diagnose enlarged prostate with more than 80% accuracy, but if there is a need to know The apparent size of the prostate The doctor will choose to use palpation to measure the size of the prostate through the rectum. Along with checking for symptoms of other diseases as well, such as checking the risk of prostate cancer With skin palpation Touch of abnormally stiff glands And looking at the blood PSA (Prostate-Specific Antigen), etc. Each disease does not. Relevance But may cause symptoms together
As for treatment as well To start from ascending is starting from watching the symptoms first that there are many symptoms. How much before treatment If the patient has not a very large prostate gland. Will start by taking a type of medicine Alpha blocker Or drug to loosen the smooth muscles of the prostate To help loosen the prostate gland Not squeezing too much Widened urethra Makes the urine more fluid Force to urinate less Which must eat continuously for 4 – 6 weeks with minor side effects such as dizziness, fatigue, nasal congestion, etc., and if the patient has a prostate gland larger than 40 grams or more must use drugs. 5 alpha-reductase inhibitor Which is a drug that will inhibit the enzyme 5 alpha-reductase It has the effect of making the prostate gland smaller by approximately 20% in approximately 6-12 months because this drug inhibits dihydrotestosterone may have side effects. Due to a decrease in hormones such as a decrease in demand and sexual performance, which in some cases necessary These two types of drugs must be used simultaneously. Statistically, 1 in 4 people who take the drug have a better chance and can reduce Two quarters of the drug continued to be taken for a long time, and one last portion that didn’t improve requires admission. Additional treatment as wellSaw Palmetto Herbal Medicine Or some people prefer to choose surgery byUsing a telescope (Transurethral Resection of the Prostate: TUR-P) to partially or completely scrape off the prostate gland as appropriate for each case. This method has a recovery period of 2-6 weeks – 3 months, it will heal and live as usual, however, there may be some side effects, for example, 2-3 days after surgery there may be a little bleeding. But not so much that he had to add more blood at all And after about 1 year of surgery, the area of the tissue that was removed There may be a 10% chance of cystic fibrosis in all patients, including a decrease in sexual sensation. And there may be less ejaculation of semen as well. Due to the partial flow of semen Will flow back through the surgery channel
Distant disease with a (not) secret
Although benign prostatic hyperplasia is an imminent matter and seems inevitable. But we can create good health The prostate is not difficult. By practicing proper urinary excretion That whether it is an individual or a patient, it should be known To be adapted to use in daily life The doctor has recommended an interesting trick that To train the body of The bowel movement is correct Is very important Because an enlarged prostate is directly related to urinating Therefore, the behavior should be changed from now on: not holding too much urine. Should keep fit and go Urine output with relaxation Because good urination must come from brain commands Not from extraction Must use ideas and commands from the brain down to let us relax Urethral sphincter The bladder will squeeze. Then release urine To spend time in the bathroom Stay until you are sure that the urine is gone. Don’t be in a hurry Including the pelvic floor exercises should be trained frequently in order to better control the work of the urinary muscles, in addition, should drink 6-8 glasses of clean water per day or 1,500 – 2,000 cc, reduce caffeine and alcohol consumption. Because it will cause more urine Cut down on high-fat foods Cut down on salty and sweet foods. Increase your prostate-healthy veggies, such as tomatoes, unflavored roasted pumpkin seeds, carrots, and pumpkin, and be sure to keep an eye on urinary abnormalities. Once a year as well as for the sex. The doctor said you can have it normally, don’t worry, but it should be a good fit and share it with your partner.
“An enlarged prostate disease Despite the disease in males But the behavior has changed It affects your partner as well Therefore, the family members should keep an eye on each other what is wrong. “ Dr. Damrongphan concluded.
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