保護攝護腺 別憋尿Protection of the prostate do not Bieniao

保護攝護腺 別憋尿 【徐谷楨】上了年紀的男性，可能排尿時尿流變慢、尿柱變小，要等久一點才會尿完；尿到最後還會滴滴答答無法很乾脆地結束，或是尿完不久又會想再尿一次；晚上起床數次，尤其是冬天的夜裡，床都還沒睡暖，又起床尿尿，影響生活品質。 這可能就是攝護腺的問題，好發於男性「五十而知天命」的年紀，屬於典型的長壽病。病人因為攝護腺肥大，壓迫到尿道，因此排尿很慢，也有人可能發生膀胱結石、血尿，嚴重的話還會因為沒注意導致腎功能變差，最後甚至要洗腎。 根據統計，50幾歲的男性約有35%到50%攝護腺肥大，隨著年齡升高，比率也愈高，到了70歲或80歲，大概八成的男性有這種現象。 台大醫院泌尿科醫師闕士傑提醒，上班時間雖然忙，也不要輕易憋尿，假設腎功能恰巧不好，憋尿將加速腎衰竭。另外，現在有許多人愛騎自行車，如果座墊沒有選好，壓力區一直在會陰部的話，長期刺激之下，也有可能造成攝臒腺的炎症反應。就有公司主管平常頻尿，上班不能專心辦公，騎自行車之後，這種症狀更明顯。 闕士傑說，泌尿系統出問題不見得症狀會很明顯，可能一大早沒事，但傍晚卻痛得要命，或者尿結石的人，大結石不一定會痛，但有些小結石卻讓人很痛。 闕士傑強調，泌尿問題在醫治上的最高原則都是保護腎臟功能，因為腎臟功能一旦被破壞就不會恢復。如果病人患有尿結石，但沒有症狀，比如沒有血尿，也沒有感染，無大礙的話，讓病人與它「和平共存」即可，醫師不見得要深入治療，以免影響病人的腎功能。 關士傑說，攝護腺癌是美國男性癌症發生率第一名。就算有攝護腺問題，有些人也沒有症狀，排尿也很順暢。建議50歲以上的男性，最好每年可以去醫院健檢，尤其是有家族史者，可以做攝護腺的篩檢。很多攝護腺癌的病人都是在健檢才發現異狀。早期診斷，治療效果好。 攝護腺位於肛門和直腸後面，所以醫生會對病人先做肛診指診，用超音波檢查，攝護腺很大的話，會大得像雞蛋。同時，醫師也會用儀器測量病人的排尿速度。 若需要手術，目前的主流是微創手術，只會產生很小傷口甚至沒有傷口。如果採電刀切除或銩雷射手術，可以進行化驗是否有攝護腺癌。 闕士傑強調，即使攝護腺癌轉移、擴散，在正確藥物使用下也還有三到五年的存活率，而且生活品質不差。 2008-11-19 Protection of the prostate do not Bieniao Xu Gu-ching】 【older men, may slow flow when urinating, urinary smaller column, for a long time to wait a little urine will be finished; urine will be the last tick is not simply an end to, or urine End Soon Will want a urine; night to get up several times, especially in the winter night, all Haimo Shui warm bed, get up and uric affect the quality of life. This may be the prostate, men made good "knowledge of the fiftieth fate," the older, typical of the disease and longevity. Because the patient prostatic hyperplasia, to the oppression of the urethra, the urine is very slow, and who may have bladder stones, hematuria, serious attention not because it will lead to deterioration of renal function, or even to the last dialysis. According to statistics, the 50-year-old male of about 35% to 50% of benign prostatic hyperplasia, and increased with age, the higher the rate, by the age of 70 or 80 years old, about 80 percent of men have this phenomenon. National Taiwan University Hospital urologist to remind Shih-Chieh Chueh, although the busy working hours, and do not easily Bieniao, assuming that happens to poor kidney function, kidney failure Bieniao will accelerate. In addition, there are many people love to ride a bike, if not choose the right seat, the pressure in the perineal area has been the case, to stimulate long-term, may also be caused by inflammation of the prostate gland Yue response. There's usually in charge of urinary frequency, can not concentrate on office work, riding a bike after the more obvious symptoms. Shih-Chieh Chueh said that the symptoms of urinary system problems may not be obvious, early in the morning may be all right, but the pain was worse in the evening, or urinary stones, large stones will not necessarily hurt, but some small stones are very painful one. Shih-Chieh Chueh stressed that the urinary problems in the treatment of the highest principle of protecting kidney function, as kidney function is damaged will not resume. If a patient suffering from urinary stones, but no symptoms, such as no hematuria, no infection, will not cause illness, with patients so that it "peaceful coexistence" can be, the physician should not necessarily an in-depth treatment, so as not to affect the patient's renal function. Guan Shijie said that the prostate cancer for men in the United States the incidence of first place. Even if there is prostate problems, some people have no symptoms, voiding very smooth. Recommended for men over the age of 50, the best annual health check can go to the hospital, especially those who have a family history, can do the prostate screening. Many prostate cancer patients who are in the health check found Yizhuang. Early diagnosis and effective treatment. Prostate is located behind the anus and rectum, so doctors will Patients attending first anal examination, ultrasound, much prostate, will be large as eggs. At the same time, doctors will use the instruments measuring the speed of the patient's urine. If the need for surgery, is currently the mainstream of minimally invasive surgery, had only minor wounds or no wounds. If the removal of mining electric knife or thulium laser surgery, can be tested whether prostate cancer. Shih-Chieh Chueh stressed that even if prostate cancer metastasis, the spread of drug use on the right also have three to five years of survival, and quality of life, not bad at all. 2008-11-19 View more information, see the World Journal reported that e-ePaper.

瀏覽更多新聞，請看世界日報電子報 ePaper。