Kuzindikira Matenda, Kupanda Phindu, ndi Kusokonekera kwa Erectile
Kotero iwe watenga sitepe yako yoyamba ndipo unapangana nthawi yoti ukachezere urologist. Pamene mukudziwa kuti ndi chinthu chomwe simungachipewe (kapena osayenera), mumakhalabe osasangalala ndi zomwe muyenera kuyembekezera.
Ngakhale kuti izi sizinali zachilendo, sizingatheke. Kawirikawiri, urology mayeso ndi abwino kwambiri ndipo kaŵirikaŵiri palibebenso zowonongeka kusiyana ndi thupi labwino lomwe mwina mwakhala mukufunsidwa kuti mutenge.
Kaya muli ndi matenda kapena mavuto a prostate wanu, pali zipangizo zisanu zogwiritsira ntchito zomwe zimagwiritsidwa ntchito mu ofesi ya urologist:
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The Physical AssessmentNgati mukuganiza kuti mungakhale ndi matenda opatsirana m'makono kapena muli ndi vuto lopweteka la erectile, dokotala wanu amayamba ndi mafunso angapo kuti azindikire zizindikiro zanu, thanzi lanu, mbiri yachipatala, ndi mankhwala ena omwe mungakhale nawo.
Mafunso awa amatsogolera ku maofesi akuyendera maonekedwe a impso, ureters, ndi chikhodzodzo (ngati mukukhala ndi vuto la mkodzo) kapena kukayezetsa mbolo ndi testis (ngati muli ndi vuto lopanda erectile kapena zizindikiro zina zokhudzana ndi mbolo kapena mapepala).
Kuyezetsa kwapadera kwina kumaphatikizapo kufufuza kwa digito (DRE) yomwe imagwiritsidwa ntchito poyesa ma prostate gland . Izi zimachitika mwa kuika chala chokulungidwa, chopukutira mu rectum. Pochita zimenezi, urologist amatha kumva kukula kwa prostate, kuyesa kulimbitsa kwake, ndikupeza mitsempha yodabwitsa yomwe ingakhaleko.
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Mayesero a MagaziOrologists amadalira mayeso angapo a magazi kuti athandize kupeza thanzi la urinary kapena kuti amvetse bwino zomwe zimayambitsa matenda ophera erectile kapena infertility. Mwa iwo:
- Mayeso a Prostate-specific antigen (PSA) angathandize kuthandizira khansa ya prostate kapena kutupa kwa prostate. PSA ndi mapuloteni omasuka kuchokera ku prostate gland omwe amatha kuwonjezeka nthawi zonse pamene kutupa.
- Mavitamini a Creatinine ndi magazi a urea nitrogen (BUN) amathandiza kuthandizira ntchito ya impso. Mlingo wapamwamba wa creatinine m'magazi ukhoza kutanthauza kuti impso sizigwira bwino ntchito. Kawirikawiri chiŵerengero cha creatinine-to-BUN chimagwiritsidwa ntchito kuthandiza kuthandizira zizindikiro zomwe zimasintha magazi ku impso, monga kuchepa kwa madzi kapena kuchepa mtima kwa mtima.
- Mayeso a Testosterone ndi ofunika poyang'ana kuchuluka kwa testosterone m'magazi poyesa kupweteka kwa erectile amuna. Poyesa kugwilitsika nchito, kusungidwa kwa ma ARV kumagwiritsidwa ntchito.
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Mayesero a MtsinjePofuna kuthandizira kudziwa chomwe chimayambitsa matenda anu, katswiri wanu wamagetsi angasankhe kupanga mitundu yosiyanasiyana yoyezetsa minofu. Mwa iwo:
- Kukonzekera kumachitika mu ofesi ya urologist ndikukufunsani kuti mulowe mu chikho chopanda kanthu. Mayeso angathe kuzindikira mabakiteriya, maselo a magazi, ndi zinthu zina zomwe sizikutanthauza kukhalapo. Mabakiteriya, maselo oyera a m'magazi, leukesterase, ndi nitrites amachititsa kuti munthu asatenge kachilomboka. Mpweya waukulu wa shuga ukhoza kuwonetsa urologist motsatira matenda a shuga. Bilirubin, maselo ofiira ofiira, ndi mapuloteni apamwamba angakhale chizindikiro choyamba cha matenda a impso.
- Miyambo ya umidzi imagwiritsidwa ntchito kuti muwone ngati pali mabakiteriya aliwonse mumtsinje. Kuyezetsa kumachitika mu labotale kuti asiye mtundu wa mabakiteriya omwe amachititsa matenda. Kuyezetsa magazi kumachitika pa kukula kwa chikhalidwe kuti tiwone ma antibayotiki omwe angaphe mabakiteriya kuti athetse matendawa.
- Mayeso 24 a minofu amasonkhanitsa mkodzo wonse womwe mumatulutsa mkati mwa maola 24 kuti muwone ngati zinthu monga sodium, potassium, mapuloteni, ndi mahomoni ndizomwe zimayembekezeredwa anthu omwe ali ndi impso zabwino. Zomwe zimachitika zingakhale zizindikiro za matenda a impso, lupus, shuga, kapena preeclampsia mimba.
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Ultrasound, X-ray, ndi Njira Zina ZojambulaPamene vuto silikuwoneka mosavuta, pali njira zosiyanasiyana zojambula zomwe tingagwiritse ntchito kuti tipeze kuona bwino mkati.
An ultrasound ndi chida chojambula chomwe chimagwiritsidwa ntchito nthawi zambiri ku ofesi ya urologist. Pogwiritsira ntchito luso lamakono lamakono, chipangizocho chimatha kuzindikira mavuto omwe amapezeka impso, chikhodzodzo, testicles, ndi prostate gland (kuphatikizapo zotupa, kansalu, miyala, impso za impso, ndi kuyenda kosavuta kwa chikhodzodzo kapena urethra).
Kuti mudziwe mmene zinthu zilili m'makina odzola, mitundu yosiyanasiyana ya X-ray ikhoza kulamulidwa. Izi zingaphatikizepo:
- Impso, ureter, ndi chikhodzodzo (KUB) X-ray kuti aone zomwe zimayambitsa kupweteka m'mimba kapena kuyesa ziwalo ndi ziwalo za dongosolo la mkodzo.
- XV ray lopatsirana (IVP) yomwe imaikidwa jekeseni m'magazi kuti itithandize kufotokozera zigawozo ndikuthandizira kuzindikira zovuta za katemera.
- Kuthamanga kwa cystourethrogram X-ray (VCUG) imachitika pamene chikhodzodzo chimadzaza ndi kutsegula chikhodzodzo ndi urethra pogwiritsa ntchito madzi apadera omwe X-ray amatha kuwonekera.
Ngati zithunzi zosavuta zowonjezereka zimafunika, njira yotchedwa tomography (yomwe imadziwikanso ndi CT scan) ingathandize kuthandizira matenda a urologic monga miyala, matumbo, ndi makoswe.
Mtundu wina wa kufufuza njira ndi cystoscopy . Imeneyi ndi njira yowonongeka kwambiri yomwe imafuna kuti mankhwala am'derali asokoneze urethra musanayambe kugwiritsa ntchito chida chaching'ono cha telescope. Ndondomekoyi ikhoza kuzindikira kuti zotupa ndi zowonjezereka za khoma lachikhodzodzo.
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Kufufuza ZamasambaPanthawi ya kusabereka kwaumuna , seminogram ( kusanthula kamuna) kumachitidwa ngati sitepe yoyamba. Kwa ichi, mupereka chitsanzo kwa ofesi ya urologist. Chitsanzocho chimatumizidwa ku labu komwe wothandizila adzawunika kuti akhale ndi umuna komanso motility ndi ubwino wa umuna.
Mayesowa amachitanso pambuyo pa vasectomy kuti azindikire ngati umunawu watha kuchotsedwa pa ejaculate.
> Chitsime
- > Kreder, J. ndi Williams, R. "Urologic ma laboratory exam." Smith's General Urology, 17th Edition. Tanagho, E. ndi McAninch, J.-Eds. 2008; New York: Hill ya McGraw.