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PROSTATAkrebs

Introduction: –

Prostate gland is a glandulres organ gift only in the men. It surrounds the beginning of the blister and the first part of Urethra and those condributes an isolation to the seed. The gland is conical in the form and in the masses 3 cm in the vertical diameter and 4 cm in the transverse diameter. It has five projection/lead preceding, behind, two laterally and a middle projection/lead. Since the first part of the Urethradurchlaufs produces each possible injury in the prostate gland difficulty by it, if it leads urine.

Diseases of the Prostatadrse: –

1) Prostatitis: –

This is the inflammation of the Prostatadrse because of the bacterial infection.

2) Property-well-behaved enlargement of the prostate gland: –

This is a not cancer-like tumor of the prostate gland, those after the age of 50. 3, cancer of the prostate gland is seen: – This is 4. most common thing of the death of the malicious diseases in the men.

Cancer of the prostate gland.

Cancer of the prostate gland is connected directly with the male sex hormones (androgens). If increases the levels of the sex hormone, the growth rate of the cancer increases also. It is found that after removel the Testikel gives it significant reduction in the size of the tumor.

Place of assembly of the tumor: –

Prostatakrebs is seen main into the rear projection/lead. Not cancer-like enlargement is seen into other projection/lead.

Changes in the gland in the cancer: –

The gland becomes strong with irregular surface with loss of the normal lobulation. Histologically actual Prostatakrebs adeno a cancer ulcer (cancer of the epithelium cells in the gland)

Growth: –

Growth rate is very fast in the Prostatakrebs. The tumor squeezes the Urethra and product difficulty together in the Urination.

Spreading of the tumor: –

Metastase in the cancer of prostate gland is very early.

1) Native common: –

From the rear projection/lead the cancer cells go to the lateral projection/lead and to the fruitful Vesicles. Tumor cells move also on the beginning and the lower surface of the urine-separating blister.

2) Lymphverbreitung: –

By Lymphebehlter the cancer cells achieve the internal and external illiac group of lymph nodes. Move from the cells on retroperitonial (behind peritonium) and central skin lymph nodes (in the box)

3) Spread by the blood: –

Spreading of the cancer cells the vertebralen veins finally take place at coughing and sneezing and enders the vertebralen bodies of the lumbalen eddies by periprostatic the venous Plexus and the ranges.

Indication and symptoms of the Prostatakrebses: —

Indications and symptoms depend after the stage of the cancer. The following symptoms can be seen.

1) No symptoms: –

Tumor is small and only in the rear projection/lead. This is determined accidentely.

2) Slight difficulty in the Urination: –

Here the tumor is increased and Urethra is compressed something. There is frequent briefly urge for Urination with difficult Urination.

3) If the tumor, which is spread there to all close convenient ranges including beginning of the blister and the Urethra, is painful Urination with bleeding. Urine comes drop by drop.

4) Hold back the urine: –

If the Urethra is completely squeezed together, there is a holding back of the urine. This can lead too hydronephrosis, kidney loss ect. In this condition patient cramps can received because of the kidney loss and finally the coma.

5) Indication of the Metastase: –

Some patients come with the indications and the symptoms of the Metastase.

a) Lumbo sakrale pain because of the spreading of the cancer cells to the lumbalen and sakralen eddies.

b) Break of the thorn because of cancer-like growth in the thorn.

c) Threshold, pain and accumulation of liquid in the abdomen because of the injury in the abdomen.

d) Breathing objections because of the cancer of Mittelfelllymphnodes and of lungs.

e) General weakness because of the spreading of the cancer to the different parts of the body.

f) Anemia because of involment the marrow and the increased destruction of RBCs.

Clinical examination: –

Includes per rektale examination, in order the Prostatadrse, scanning to believe abdomens, in order to believe swelling in the kidneys and in all possible tumors. Patient is examined from head to foot, in order to find all possible injuries out.

Investigations: –

1) Blood investigations lock; –

RBC, WBC, Platlets, ESR, bleeding time, coagulating time ect.

2) Urine analysis: –

Microscopic examination, to pus the cells, mysterious blood, forms, crystals ect to determine.

3) Kidney function test: –

Blood urea level, Serumkreatininniveau, electrolyte horizontally aligned ect.

4) Sour Phosphatase of the serum: –

Increases the cancer of prostate gland.

5) X-ray of the thorn: –

To any tumor or break determine.

6) Ultra Sonography; –

Idea over prostate gland, blister, gives kidney ect.

7) Scan C-t: –

More detailed information about organs and tumor.

8) MRI of the thorn: –

Detailed information about thorn, disk and close convenient soft fabrics gives.

9) Lymphangiography: –

Idea over Lymphverbreitung of the cancer gives.

10) Biopsie to confirm to the cancer: –

Biopsie is taken by the tumor and is to send for histopathologische examination under the microscope. This determines the presence of the cancer cells.

Treatment: –

1) If it gives, holding back of the urine catheterism is necessary.
2) Dialysis if kidney loss.
3) If there is coma monitoring of all vital functions as well as parentral food and electolyte Versorgungsmaterial.
4) Specific treatment is Prostatectomy (dismantling of prostate gland)

Partial Prostatectomy: –

Here only the projection/lead concerned is removed.

Radical Prostatectomy: –

Total dismantling of prostate gland as well as close convenient lymphnodes.

5, hormone therapy: –

Stilbestrol is given, in order to reduce tumor growth. Since this treatement itself increased, the probability for cardiovascular illness phosphoryliertes diethyle is nowadays used stilbesterol.

6) Chemotherapy: – Drugs may be ect cyclophosphamide, cisoplatim given.

7) Radiotherapy took place also for some cases.

8) Homoeopathy: –

Homoeopathic drugs like carcinocin, Conium, Sabal, Crotalus, Thuja, iodum, selinium, staphysagria, sulfur ect can according to symptoms be given. Constitutional homoeopathic medicine gives large discharge and can the life span increase.

9) Yoga and meditation are also healpful.