పౌరుష గ్రంథి: కూర్పుల మధ్య తేడాలు

పంక్తి 78:
ప్రొస్టేటైటిస్ (Prostatitis) అనగా పౌరుష గ్రంధి వాపు లేదా ఇంఫెక్షన్. ఇందులో నాలుగు వివిధ రూపాలు ఉన్నాయి. స్వల్పకాలిక ప్రోస్టెటైటిక్ మరియు బాక్టీరియల్ ప్రోస్టెటైటిస్ (category I and II) రెండు సూక్ష్మజీవనాశకాల వైద్యం ద్వారా నయం చేయవచ్చును. దీర్ఘకాలిక ప్రోస్టేటైటిస్ (category III) వలన కటిప్రాంతంలో నిప్పి చాలాకాలంగా బాధిస్తుంది. ఇది సుమారు 95% కేసులలో కనిపిస్తుంది. <ref>{{cite web |url=http://ProstatitisSurgery.com|title=Video post-op interviews with prostatitis surgery patients |accessdate= |work=}}</ref>, <ref name="cpcom">{{cite web|url=http://www.chronicprostatitis.com/meds.html|title=Pharmacological treatment options for prostatitis/chronic pelvic pain syndrome|accessdate=2006-12-11|year=2006}}</ref>
 
===పౌరుష గ్రంధి పెరగడం===
[[Benign prostatic hyperplasia]] (BPH) occurs in older men;<ref name="pmid">{{cite journal |author=Verhamme KM, Dieleman JP, Bleumink GS, ''et al.'' |title=Incidence and prevalence of lower urinary tract symptoms suggestive of benign prostatic hyperplasia in primary care--the Triumph project |journal=Eur. Urol. |volume=42 |issue=4 |pages=323–8 |year=2002| doi = 10.1016/S0302-2838(02)00354-8 |pmid=12361895}}</ref> the prostate often enlarges to the point where urination becomes difficult. Symptoms include needing to [[urination|urinate]] often (frequency) or taking a while to get started (hesitancy). If the prostate grows too large, it may constrict the urethra and impede the flow of urine, making urination difficult and painful and, in extreme cases, completely impossible.
 
BPH can be treated with medication, a [[minimally invasive procedure]] or, in extreme cases, surgery that removes the prostate. Minimally invasive procedures include [[transurethral needle ablation of the prostate]] (TUNA) and [[transurethral microwave thermotherapy]] (TUMT).<ref>{{Cite journal | last = Christensen| first = TL| last2 = Andriole| first2 = GL| title = Benign Prostatic Hyperplasia: Current Treatment Strategies| journal = Consultant| volume = 49| issue = 2| date = February 2009| year = 2009| url = http://www.consultantlive.com/display/article/10162/1376744}}</ref> These outpatient procedures may be followed by the insertion of a temporary [[prostatic stent]], to allow normal voluntary urination, without exacerbating irritative symptoms.<ref name="pmid18374395">{{cite journal |author=Dineen MK, Shore ND, Lumerman JH, Saslawsky MJ, Corica AP |title=Use of a Temporary Prostatic Stent After Transurethral Microwave Thermotherapy Reduced Voiding Symptoms and Bother Without Exacerbating Irritative Symptoms |journal=J. Urol. |volume=71 |issue=5 |pages=873–877 |year=2008 |pmid=18374395 |doi=10.1016/j.urology.2007.12.015}}</ref>
 
The surgery most often used in such cases is called transurethral resection of the prostate (TURP or TUR). In TURP, an instrument is inserted through the urethra to remove prostate tissue that is pressing against the upper part of the urethra and restricting the flow of urine. TURP results in the removal of mostly transitional zone tissue in a patient with BPH. Older men often have ''corpora amylacea''<ref>{{cite web |url=http://w3.ouhsc.edu/histology/Glass%20slides/33_09.jpg |title=Slide 33: Prostate, at ouhsc.edu |accessdate= |work=}}</ref> ([[amyloid]]), dense accumulations of calcified proteinaceous material, in the ducts of their prostates. The corpora amylacea may obstruct the lumens of the prostatic ducts, and may underlie some cases of BPH.
 
Urinary frequency due to bladder spasm, common in older men, may be confused with prostatic hyperplasia.
[[Epidemiology|Statistical observations]] suggest that a diet low in [[dietary fat|fat]] and [[red meat]] and high in [[protein]] and [[vegetables]], as well as regular [[alcohol consumption]], could protect against BPH.<ref name="pmid18263602">{{cite journal |author=Kristal AR, Arnold KB, Schenk JM, ''et al.'' |title=Dietary patterns, supplement use, and the risk of symptomatic benign prostatic hyperplasia: results from the prostate cancer prevention trial |journal=Am. J. Epidemiol. |volume=167 |issue=8 |pages=925–34 |year=2008 |month=April |pmid=18263602 |doi=10.1093/aje/kwm389 |url=http://aje.oxfordjournals.org/cgi/pmidlookup?view=long&pmid=18263602}}</ref>
 
 
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