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ADENOMAI GADUDI PROSTATA

adenomaADENOMAI GADUDI PROSTATA (Adenoma glandula prostatica), omosi gayrisaratonii gadudi prostata (gadudi zermasona). Ba A. faqat mardoni az 50- sola bolo giriftor meshavand. A. sust inkishof meyobad. Avvalin alomati kalon shudani gadudi prostata shabona zud-zud peshob kardan ast. Dar asnoi A. peshob bazur va be yagon khel fishor merezad (hangomi rosto peshob kardan, bemor poyhoyashro tar mekunad) va ba atrof posh mekhurad. Bo guzashti zamon alomathoi bemori avj megirand va peshob faqat dar natijai sakht zur zadan qatra – qatra meoyad. Agar bemori tabobat karda nashavad, mumkin ast ikhroji peshob tamoman qat gardad. Dar mavridi khele davomnok budani A. peshob beikhtiyor va ohista merezad, ammo bemor his namekunad, ki masona (peshobdon) kholi shudaast. Binobar ikhtiloli peshobroni dar boftahoi gurda tagyiroti ziyod (vase shu- dani havzakhoi gurda, gazak va g.) ruy doda (nig. Pielonefrit), boisi paydo shudani sang megardad (nig. Bemorii sangi peshob). A. dar ibtido harchand bezarar boshad ham, minbad mumkin ast ba omosi saratoni tabdil yobad. Az in ru, barobari zohir shudani alomathoi avvalini bemori, hatman ba dukhtur murochiat karda, tavsiyahoi uro purra ichro namudan zarur ast (rioyai qoidahoi behdosht, parhez va g.). Organizmro boyad az sarmo (khususan poyhoro) ehtiyot kard. Kori medayu rudahoro ba ni- zom darovarda, muntazam bo varzish mashgul shudan lozim (har ruz 1 – 1,5 soat pesh az kor va badi on). Piyoda gashtan ham manfiati kalon dorad. Dar natichai muddati daroz ikhroch nashudani peshob, masona sakht tarang shuda, boisi qabzi shadidi peshob megardad. Dar surati paydo shudani alomathoi avvalini A. bemor boyad ba dukhturi urolog murochiat namoyad. Az istemoli gizohoi tezu tund, qalamfur, khardal, konservaho, khurokvorii dudkhurda va sharob parhez kardan lozim. Istemoli mahsuloti shiri (gayr az shir, ki boi- si damishi shikam megardad) va sabzavot mufid ast. Taomhoi gushtinro boyad dar nimai yakumi ruz tanovul kard; bad az soati 6-i begoh kamtar khurok khurdan lozim ast (behtarash 2 – 3 soat pesh az khob khurok istemol nakuned). Muolichai A. chand namud meboshad. Peshtar onro faqat bo rohi charrohi tabobat mekardand. Solhoi okhir usuli ba doru muolicha kardani on daryoft shudaast. Doruro muddati tuloni istemol namudan lozim meoyad (mas., proskar, finasterid, prosterid, prazozin, tamsu- lozin, omnik va g.). Vale be tavsiyai dukhtur onhoro kor farmudan choiz nest. A.-ro ba tavassuti asbobhoi makhsusi optiki, afkanishoti lazeri, energiyai elektr (TUR), sarmo (kriodestruktsiya) va garmi (termoablatsiya, termoterapiya) niz muolicha mekunand. Dar Tochikiston baroi tabobati A. asosan az usuli charrohi istifoda meshavad. Natichai muolicha, odatan, khub ast. Hangomi kuhna shudani bemori du marotiba charrohi mekunand: avval ba masona nosur guzoshta, badi chand moh gadudro burida dur mesozand. Bemore, ki ba masonaash nosur guzoshtaand, ba nigohubin muhtoch ast. Dar sharoiti khona lulai rezinii takhliya (drenaj)-ro ruze 2 marotiba bo obi garm shustan lozim. Peshobgirakro niz bo obi garm nagz meshuyand va baroi dezinfeksiya va bartaraf namudani bui peshob bo 50 ml mahluli 0,1%-i permanganati kaliy pur mekunand. Hangomi dar zeri nof his kardani dard, peshobronii dardnok va tar shudani bandina betakhir ba dukhtur murochiat kardan zarur ast.
Ad.: Lopatkin N.A., Dobrokachestvennaya gi- perplaziya predstatelnoy jelezi, M., 1997; Qodiri T.R., Muntakhabi darshoi peshobshinosi, D., 2000; Tiktinskiy O.L., Kalinina S.N., Zabo- levaniya predstatelnoy jelezi, Sankt-Peterburg, 2006. T. R. Qodiri.

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