Prostate ka badhna koi bimari nahi, umar ke saath hone wala ek aam badlav hai. Dikkat tab shuru hoti hai jab badhi hui prostate peshab ke raste ko dabane lagti hai. Zyadatar logon ko sirf dawa se aaram mil jaata hai. Operation kuch hi logon mein zaroori hota hai, aur woh faisla prostate ke size se nahi, balki complication se tay hota hai.
Prostate hai kya?
Prostate ek chhoti si granthi hai jo bladder ke neeche hoti hai aur peshab ki nali ko chaaron taraf se ghere rehti hai. Umar badhne ke saath ye dheere dheere badhti hai. Kyunki peshab ki nali iske beech se hokar guzarti hai, prostate badhne par nali dab jaati hai aur bladder ko zor lagakar peshab nikalna padta hai.
Saalon tak zor lagane se bladder ki maanspeshi moti aur sanvedansheel ho jaati hai. Isi wajah se do tarah ki taklif ek saath hoti hai: peshab nikalne mein dikkat, aur baar baar peshab aana.
Prostate badhne ke lakshan kya hote hain?
Sabse pehle peshab ki dhaar patli aur kamzor ho jaati hai, peshab shuru hone mein der lagti hai, aur raat mein ek se zyada baar uthna padta hai. Kai logon ko lagta hai bladder poora khaali nahi hua.
Rukavat ke lakshan
- Peshab ki dhaar kamzor, patli ya do hisson mein bant jaana
- Peshab shuru hone mein der lagna, khada intezaar karna
- Zor lagana padna
- Dhaar ka beech beech mein ruk jaana
- Aakhir mein boond boond girna, aur poora khaali na hone ka ehsaas
Bladder ke lakshan
- Raat mein baar baar uthna. Aksar yahi wajah hoti hai jiski wajah se mareez aakhirkaar doctor ke paas aata hai, kyunki neend kharab ho jaati hai
- Din mein baar baar peshab aana
- Achanak tez hajat lagna jise rok paana mushkil ho
- Kabhi kabhi toilet tak pahunchne se pehle hi nikal jaana
Agar peshab bilkul band ho jaye aur pet ke nichle hisse mein dard ho aur woh phoola hua lage, to usi din hospital jaayein. Ise acute retention kehte hain, isme turant catheter lagana padta hai. Ghar par intezaar karne se ye theek nahi hota.
Kya prostate badhna cancer hai?
Nahi. Prostate ka badhna (BPH) cancer nahi hai, aur ye aage chalkar cancer mein badalta bhi nahi hai. Ye do alag cheezein hain.
Lekin ek baat imaandari se samajh lena zaroori hai: dono ke lakshan mil sakte hain. Shuruaati prostate cancer mein aksar koi lakshan hota hi nahi, aur jab hota hai to BPH jaisa lag sakta hai. Isliye jaanch mein PSA blood test aur examination kiya jaata hai. Isliye nahi ki cancer ka shak hai, balki isliye ki bina jaanch ke ye maan lena surakshit nahi hai.
Kaunsi jaanch hoti hai?
| Jaanch | Kya pata chalta hai |
|---|---|
| Lakshan score (IPSS) | Chhota sa questionnaire, jisse taklif ko ek number mein badla ja sake aur baad mein sudhaar naapa ja sake |
| Peshab ki jaanch | Infection hai ya nahi |
| Ultrasound KUB | Prostate ka size, bladder ki deewar, pathri, aur peshab ke baad kitna peshab bacha reh gaya |
| Creatinine | Kidney par dabav ka asar pada hai ya nahi |
| PSA | Cancer ko alag karne mein madad karne wala blood test |
| Uroflowmetry | Peshab ki dhaar ki asli speed |
Kya bina operation ke ilaj ho sakta hai?
Haan, bahut se mareezon mein. Ilaj prostate ke size se nahi, balki isse tay hota hai ki taklif rozmarra ki zindagi ko kitna pareshan kar rahi hai.
1. Aadaton mein badlav
- Paani din mein zyada piyein, aur sone se do teen ghante pehle kam kar dein
- Chai, coffee aur sharab kam karein, ye bladder ko uksate hain
- Peshab rok kar der tak na baithein
- Peshab karne ke baad aadha minute ruk kar dobara koshish karein
- Sardi zukam ki kuch dawaiyan peshab rok sakti hain, doctor ko apni saari dawaiyan dikhayein
2. Dawaiyan
- Alpha blockers prostate aur bladder neck ki maanspeshi ko dheela karti hain, jisse dhaar khulti hai. Asar kuch dinon se hafton mein dikhta hai.
- 5-alpha reductase inhibitors prostate ko kuch mahinon mein chhota karti hain. Badi prostate mein zyada faydemand hain aur aage chalkar operation ki zaroorat ka khatra kam karti hain.
- Kai baar dono dawaiyan saath di jaati hain.
Dawa doctor ki salah se hi shuru karein. Medical store se apne aap dawa lena theek nahi, kyunki bina jaanch ke ye pata nahi chalta ki bladder khaali ho bhi raha hai ya nahi.
Operation kab zaroori hota hai?
Operation prostate ke size se tay nahi hota. Ye tab zaroori hota hai jab dawa kaam karna band kar de, ya inme se koi complication ho jaye:
- Peshab bilkul band ho jaana aur catheter lagana padna, khaaskar agar ye baar baar ho
- Baar baar peshab ka infection
- Bladder mein pathri ban jaana
- Prostate se baar baar peshab mein khoon aana
- Kidney par dabav aana aur creatinine badhna
- Peshab ke baad kaafi zyada peshab bache rehna
- Dawa ke baavjood taklif itni ki zindagi mushkil ho jaye
Operation kaise hota hai?
Sabhi aam operation peshab ke apne raste se doorbeen dwara hote hain. Bahar koi chira nahi lagta.
TURP
Doorbeen se prostate ka andar ka rukavat daalne wala hissa chhote chhote tukdon mein nikala jaata hai. TURP kai dashkon se ho raha hai aur aaj bhi wahi maapdand hai jisse naye tarikon ki tulna ki jaati hai, kyunki iske lambe samay ke nateeje sabse achhe tarike se darj hain. Nikala gaya tissue jaanch ke liye bheja jaata hai.
Bipolar TURP / TURIS
Wahi operation, lekin nayi technology ke saath, jisme purane tareeke ka ek khatra (paani ka shareer mein zyada absorb hona) nahi rehta.
Laser (HoLEP aur doosre)
Laser se prostate ka andar ka hissa ya to jala kar hataya jaata hai ya poora chhilka utaar kar nikala jaata hai. Bahut badi prostate mein, aur un mareezon mein jinki khoon patla karne wali dawa band nahi ki ja sakti, laser khaas taur par upyogi hai. Khoon aam taur par kam behta hai aur catheter jaldi nikal jaata hai.
Ek baat pehle se jaan lena zaroori hai. Prostate ke operation ke baad aksar veerya peeche bladder ki taraf chala jaata hai (retrograde ejaculation). Ye ek aam aur apekshit parinaam hai, complication nahi. Isse mardana taakat par asar nahi padta, lekin bachche paida karne ki kshamta par asar pad sakta hai. Isliye operation se pehle apne surgeon se iske baare mein zaroor baat karein.
Operation ke baad kya hota hai?
- Kuch samay ke liye catheter lagta hai, jo aksar discharge se pehle ya thoda baad nikal jaata hai
- Kuch din se kuch hafton tak jalan aur baar baar hajat lagna, kyunki andar ka ghaav bhar raha hota hai
- Kuch hafton tak beech beech mein peshab mein halka khoon aana normal hai. Zyada khoon aana normal nahi hai, turant dikhayein
- Kuch hafton tak bhaari saamaan uthana, zor lagana aur lambi yatra se bachein
- Paani theek se piyein aur kabz na hone dein, dono se khoon aana kam hota hai
Har mareez ka samay alag hota hai. Aapke apne case ke liye jo samay aapke surgeon ne bataya hai, wahi sahi hai.
Doctor ko kab dikhayein
Agar raat mein ek se zyada baar peshab ke liye uthna pad raha hai, agar pichhle saal bhar mein dhaar saaf taur par kamzor hui hai, agar kabhi peshab bilkul band hua hai, ya peshab mein khoon aaya hai, to urologist ko dikhayein. Jaldi dikhane ka sabse bada fayda yahi hai ki us waqt tak aksar sirf dawa se kaam ban jaata hai.
Dr. Vijay Bora, MBBS, MS (Gold Medalist), MCh Urology (IMS-BHU), Agra mein 28+ saal ke anubhav wale senior urologist hain, aur Pushpanjali Hospital & Research Centre mein Urology vibhag ke adhyaksh hain. Poora profile →
Ye lekh sirf aam jaankari ke liye hai, medical salah nahi hai. Ilaj ka faisla jaanch aur examination ke baad hi liya ja sakta hai. Emergency mein turant nazdeeki hospital jaayein.