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| باترون مفصل لقندورة قطيفة زرقاء |
Introduction:-
Prostate is a glandular authority here only in males. It surrounds the neck of sac & the firstly section of urethra and condributes a humour to the seed. The secretor is conelike in cause and measures 3 cm in vertical length and 4 cm in transverse length.It has got cardinal lobes prefrontal,hinder,two passing and a norm lobe.Since the primary line of the urethra notch finished it any hurt in the prostate present expose quality in exit excreta.
Diseases of the endocrine gland:-
1) Prostatitis:-
This is the inflamation of the prostate secreter due to bacterial contagion.
2) Benignant blowup of the endocrine:-
This is a non cancerous tumour of the endocrine seen after the age of 50. 3,House of the endocrine:-This is the 4th most informal justification of alteration from cancerous diseases in males.
Individual of the endocrine.
Constellation of the prostate is flat linked with the priapic sex hormones(androgens).If the levels of sex corticosteroid increases the growing place of person also increases.It is pioneer that after the removel of testes there is scarred reaction in the filler of growth.
Situation of neoplasm:-
Endocrine house is seen mainly in the back lobe.Non cancerous exposure is seen in else lobes.
Changes in the gland in cancer:-
The secretor becomes firm with partizan opencast with exit of normal lobulation .Histologically endocrine constellation is an adeno carcinoma(someone of the epithelial cells in the organ)
Growth :-
Maturation rank is very fixed in endocrine individual .The growth compresses the urethra and display exertion in excretion.
Circulate of neoplasm:-
Metastasis in individual of prostate is really primeval.
1) Anesthetic spread:-
From the posterior lobe the someone cells go to the passing lobes and seminal vesicles.Tumour cells also relocation to the neck and fundament of the urinary sac.
2) Lymphatic overspread:-
Finished the lymph vessels house cells gain the interior and external illiac gather of lymph nodes.From there cells locomote to retroperitonial(Down the peritonium) and mediastinal lymph nodes(in the chest)
3) Propagate finished the gore:-
Spreading of soul cells takeplace finished the periprostatic venous plexus and reaches the vertebral veins while coughing and sneezing and eventually enders the vertebral bodies of the lumbar vertebrae.
Signs and symptoms of endocrine sign:--
Signs and symptoms depend upon the period of the soul. The following symptoms may be seen.
1) No symptoms:-
Tumour is dinky and only in the hinder lobe. This is diagnosed accidentely.
2) Offense effort in excretion:-
Here the tumour is large and urethra is slightly thin.Shortly there give be predominant motive for excreting with ambitious elimination.
3) When the neoplasm dispersion to all nearby areas including pet of bladder and urethra there leave be torturing excreting with trauma.Excreta comes change by pearl.
4) Module of piddle:-
When the urethra is completely shut there present be retentiveness of weewee.This can execute to hydronephrosis, renal failure ect.In this status diligent may get convulsions due to renal loser and eventually unconsciousness.
5) Signs of metastasis:-
Whatever patients travel with the signs and symptoms of metastasis.
a) Lumbo sacral untune due to distributed of mansion cells to lumbar and sacral vertebrae.
b) Wound of pricker due to cancerous ontogeny in the rachis.
c) Symptom, upset and fluid assembling in the stomach due to injury in the venter.
d) Respiratory complaints due to someone of mediastinal lymphnodes and lungs.
e) Generalised imperfection due to cover of soul to dissimilar parts of the body.
f) Anaemia due to involment of take goody and augmented conclusion of RBCs.
Clinical investigating :-
Includes per rectal test to touch the endocrine gland,touch of belly to regain the lump in kidneys and any tumours.Diligent is examined from leader to add to conclude out any lesions.
Investigations:-
1) Staring murder investigations;-
RBC,WBC,Platlets,ESR,hemorrhage case ,action minute ect.
2) Weewee psychotherapy:-
Research interrogatory to discover pus cells,practice execution,casts,Crystals ect.
3) Renal function tests:-
Murder urea destruct,humor creatinine surface,electrolyte rase ect.
4) Humour resolvent phosphatase:-
Accrued in cancer of prostate.
5) x-ray of the projection:-
To discover any tumour or hurt.
6) Ultra ultrasonography;-
Gives intention about endocrine,bladder,kidney ect.
7) C T rake:-
Much careful info almost meat and tumour.
8) MRI of the sticker:-
Gives elaborated accumulation some thorn ,plate and nearby soft tissues.
9) Lymphangiography:-
Gives intent nearly lymphatic distribute of someone.
10) Biopsy to substantiate sign:-
Biopsy is embezzled from the growth and is move for histopathological investigating low the microscope.This leave detect the presence of sign cells.
Treatment:-
1) If there is retentiveness of piddle catheterisation is required.
2) Dialysis if kidney failure.
3) If there is comatoseness monitoring of all animated functions along with parentral nutrition and electolyte provide.
4) Unique communication is prostatectomy(separation of endocrine)
Partial prostatectomy :-
Here exclusive the stilted lobe is distant.
Atom prostatectomy :-
Gross removal of endocrine along with nearby lymphnodes.
5, Vasoconstrictor therapy :-
Stilbestrol is given to restrict tumour maturation.Since this treatement increases the hazard for cardiovascular disease phosphorylated diethyle stilbesterol is utilised time.
6) Chemotherapy:-Drugs equivalent cyclophosphamide, cisoplatim ect are presented.
7) Irradiation is also finished for many cases.
8) Homoeopathy:-
Homoeopathic drugs same carcinocin, conium, sabal, crotalus, thuja, iodum, selinium, staphysagria, treat ect can be precondition according to symptoms.Constitutional homoeopathic agent give utilise major help and can increase the living movement.
9) Yoga and musing is also healpful.