前列腺增生 憋尿是大忌benign prostatic hyperplasia avoid urinary retention

前列腺增生 憋尿是大忌 節制性生活、忌久坐、慎用藥物以及合理食療 　男性年齡增長，前列腺增生難以避免。栗子代表一般的前列腺，正常大小的前列腺不影響排尿（圖左），但若大如蘋果（圖右），解尿就困難了。 【新華網】前列腺增生（攝護腺肥大）多發生於50歲以上老年男性。據廣州日報報導，歐美國家統計，在老年男性中其發病率高達80%以上。專家指出：防止前列腺頻繁充血水腫是抵禦腎衰、泌尿系統感染、結石和急性尿瀦留等併發症來襲的重要關卡，而落實到日常生活中則需要患者掌控多門「功課」：節制性生活、忌憋尿、忌久坐、慎用藥物以及合理食療。 老人常見病例 廣州中山大學附屬第二醫院副院長、泌尿外科主任黃健教授表示：「前列腺增生是老年男性常見病，屬於老年性退行性病變，年滿五旬就容易發生。」據了解，50歲年齡段男性發病率約為45%~50%；60歲發病率接近50%~60%；70歲則達到60%~70%……黃健教授說：「具體會不會發病、何時發病因人而異，但大多數人會隨著年齡遞增而發病，而增生的速度則有快慢不同，所以被視為慢性進展性疾病。」。 黃健教授表示，前列腺增生症狀表現為：早期主要是排尿次數增多，尤其是夜尿多，排尿困難，後期可出現急性尿瀦留、尿失禁、血尿，甚至因尿路梗阻而造成腎功能衰竭、酸中毒等。 須預防併發症 「對於已經患有前列腺增生的人群而言，我們認為預防併發症的發生是關鍵，而其中首當其衝就應預防急性尿瀦留。」黃健教授稱，前列腺增生屬於良性疾病，不會產生轉移，但其症狀麻煩，且很可能進一步引發膀胱病變、上尿路病變等。」日常生活質量稍打折扣很多病人還能忍耐，但臨床無數前列腺增生患者都曾發作急性尿瀦留併發症，這意味要插尿管治療。」黃健教授表示，插尿管後起碼應停留一兩周才能從患者身上撤除，病情嚴重者甚至要接受手術。 另一大威脅就是腎損害的發生。前列腺增生「老病號」輕則可能患上腎結石、重則可能引起腎衰竭。「由於前列腺恰好位於膀胱出口處，圍繞著尿道的特殊位置，一旦發生增生，便會從四面八方壓迫尿道，使膀胱內的尿液排出受阻，引起泌尿/廿統的一系列病變。」黃健教授說，一旦整個泌尿道的阻塞發生之後，感染和結石的合併症就會尾隨而來。泌尿道的梗阻使得細菌容易繁殖，結石、感染都容易滋生，最嚴重者可能引發腎衰竭需要進行腎移植挽救。 忌酒忌辛辣 生活中如何防止以上諸類併發症的發生？專家指出，已經患上前列腺增生的患者，性生活不宜過度頻繁，最好有規律地適當進行。「雖然很無奈，但對於病人控制病情發展卻很有效，因為生殖器太過興奮、充血會加劇前列腺肥大和排尿困難。」黃健教授說。 他還提醒，經常憋尿是前列腺增生患者日常生活大忌。「憋尿會使膀胱充盈脹大，導致排尿無力，引起局部壓力增大和血流不暢，加重前列腺肥大的症狀。」他還表示，患者千萬不要憋尿，應做到一有尿意就立即排出。 此外，前列腺增生患者應盡量忌酒、忌辛辣食品。雖然辛辣食品不是導致前列腺增生的病因，但酒、辣椒等都可能對前列腺和尿道產生一定刺激，甚至可能引起血管擴張、促使前列腺和膀胱頸充血、水腫，造成前列腺的抵抗力降低。 久坐是另一大忌，因為久坐勢必導致患者的前列腺血流不暢。黃健教授建議，前列腺增生患者每次坐的時間最好以一個小時為上限，超過時間就應起身活動一刻鐘左右，然後再繼續，這樣能有效緩解前列腺充血。 張詩軍教授則指出，前列腺增生患者應控制憤怒、憂鬱等負面情緒發生。保持心態平和也能防止前列腺充血，同時每日適當多飲水可以一定程度延緩排尿困難症狀。 2008-08-26 BPH is Taiji Bieniao Moderation of life, bogey sedentary, anti-drug and a reasonable diet Men age, it is difficult to avoid benign prostatic hyperplasia. Chestnuts on behalf of the general prostate, the normal size of the prostate does not affect urination (left), but large as Apple (right), of urine on the difficult. [-] BPH (benign prostatic hyperplasia) occurred in more than elderly men over the age of 50. According to Guangzhou Daily reported, Europe and the United States statistics, in elderly men in their incidence rate as high as 80 percent. Experts pointed out that: prevent prostate frequent congestion and edema is to resist renal failure, urinary tract infections, stones and complications such as acute urinary retention incoming important points, and into the daily life of patients need more control of the door "homework": control of life, Bieniao bogey, bogey sedentary, anti-drug and a reasonable diet. Common cases of the elderly Second Affiliated Hospital of Zhongshan University in Guangzhou, vice president, Professor Huang Jian, director of urology, said: "BPH is a common disease in elderly men, a degenerative disease of old age, the age of the Pentecostal-prone." It is understood that the 50-year-old age group Male incidence rate is about 45 percent to 50 percent incidence rate of 60-year-old nearly 50% to 60% 70-year-old reached 60% ~ 70%…… Professor Huang Jian said: "The specific disease will, when the disease from person to person, and Vary, but most people will increase with age and disease, while the rate of proliferation are different speed, so be regarded as progress of chronic diseases. ". Professor Huang Jian said that the symptoms of benign prostatic hyperplasia: Early is the growing number of urination, especially nocturnal enuresis, urinary difficulties, there may be late acute urinary retention, urinary incontinence, urine, or even because of urinary obstruction caused by kidney failure, Acidosis, and so on. Need to prevent complications "For the already suffering from benign prostatic hyperplasia crowd, we believe that the prevention of the occurrence of complications is the key, which should bear the brunt on the prevention of acute urinary retention." Professor Huang Jian, a benign prostatic hyperplasia disease, will not transfer, but Its symptoms trouble, and is likely to trigger further bladder disease, urinary tract diseases, and so on. "Slightly reduced the quality of daily life of many patients can be patient, but of countless patients with benign prostatic hyperplasia attacks have complications of acute urinary retention, which means that treatment should be inserted catheter. "Professor Huang Jian said that the catheter inserted after at least 12 weeks to stay on the removal from the patient, serious illness or even surgery. Another major threat is that the incidence of kidney damage. BPH "old sick," ranging from likely suffering from kidney stones, weight may cause kidney failure. "As happens in the prostate exit of the bladder, urethra around the location of the special case of proliferation, it will urethral pressure from all sides, so that the urine from the bladder obstruction, the cause of urinary / 20 Commission a series of diseases." Professor Huang Jian That, once the obstruction in the urinary tract, infection and complication will be the stones from behind. Urinary tract obstruction makes the bacteria easy to breed, stones, infections are easy to breed, the most severe cases, renal failure may trigger the need for kidney transplantation to save. Jijiu bogey spicy Life above all how to prevent complications in type » Experts point out that had the patients suffering from benign prostatic hyperplasia, sexual life should not be excessively frequent, the best regularly proper conduct. "Although very helpless, but the development of disease control for patients is very effective, because the genital too excited, congestive would aggravate BPH and urinary difficulties." Professor Huang Jian said. He also reminded, is often Bieniao daily life of patients with benign prostatic hyperplasia Taiji. "Bieniao filling the bladder will swell, resulting in inability to urinate, increased pressure from local and poor blood flow, increase the symptoms of BPH." He also said that patients should not Bieniao, there should be a urine from the Italian immediately . In addition, patients with benign prostatic hyperplasia should be Jijiu, bogey spicy food. Although spicy food is not leading to the cause of benign prostatic hyperplasia, but the wine, pepper and so on prostate and urethra may have a certain boost, and may even cause vascular expansion, to the prostate and bladder neck congestion, swelling, caused by prostate reduce the resistance. Sedentary is another Taiji, is bound to lead sedentary patients with prostate blood flow sluggish. Professor Huang Jian proposal, patients with benign prostatic hyperplasia the best time for each ride to a maximum of one hour, over time they should get up activities around a quarter of an hour, and then continue, so the prostate can effectively alleviate congestion. Professor Zhang Shijun, points out that patients with benign prostatic hyperplasia should be controlled anger, depression and other negative emotions occur. Maintain calm attitude can also prevent prostate congestion, at the same time every day due to some extent the water can delay the symptoms of dysuria. 2008-08-26 For more information, see World Journal News ePaper.

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