Ukuchonga izifo, ukungenzi lutho, kunye ne-Erectile Dysfunction
Ngoko uthathe isinyathelo sakho sokuqala waza wenza i-aphoyintimenti ukutyelela i-urologist. Ngelixa uyazi ukuba yinto ongenakukuphepha (okanye ubuncinane akufanelekanga), usenakuziva ukhululekile malunga noko ukulindele.
Nangona le miva ayiqhelekanga, ayifanelekanga. Ngokuqhelekileyo, uvavanyo lwe-urology luhle kakhulu kwaye kaninzi alukho evasive kunokwenyama jikelele onokucelwa ukuba uthathe.
Enoba ujongene nosulelo okanye ufumana iingxaki ngeprotrate yakho, kukho izixhobo zokuxilonga ezi-5 eziqhelekileyo ezisetyenziswa kwiofisi ye-urologist:
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Ukuhlolwa kweMveloUkuba ucinga ukuba unakho ukusuleleka kwe- urinary okanye unobungozi bokungasebenzi, i-urologist yakho iya kuqala ngoluhlu lwemibuzo ukuvavanya iimpawu zakho, impilo yangoku, imbali yonyango kunye nayiphi na imichiza onokuyithatha.
Le mibuzo iya kukhokelela kwi-ofisi yokuhlola i-intso, i-ureters, kunye ne-bladder (ukuba unemiba ye-urinary) okanye uviwo lwe-penis kunye ne-testis (ukuba unobungozi obukhulu be-erectile okanye ezinye iimpawu ezinxulumene nepenis okanye amathambo).
Ezinye iimviwo zenyama zibandakanya uvavanyo lwe- digital rectal (DRE) olusetyenziswa ukuhlolisisa ngesandla iprotate gland . Oku kwenziwa ngokufaka umlenze ogcotyiweyo, ogqityiweyo kwi-rectum. Ngokwenza njalo, urologist unokuva ubukhulu beprotrate, ukuvavanya ukuqina kwayo, kwaye ufumanise nayiphi na iigunyuli ezingavamile ezikhoyo.
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Uvavanyo lweGaziI-urologists incike kwiimvavanyo ezininzi zegazi ukukunceda ukucacisa impilo ye-urinary system okanye ukubhekisa bhetele izizathu zesifo sokungasebenzi kwe-erectile okanye ukungabikho komntwana. Phakathi kwabo:
- Iimvavanyo ze-prostate-specific antigen (PSA) ziyakunceda ekufumaneni umdlavuza wesifo seprotate okanye ukuvuvukala komhlaza we-prostate. I-PSA yiprotheyini ekhutshwe kwi-prostate gland engakhula naliphi na ukuvutha.
- I-Creatinine kunye negazi le-urea nitrogen (BUN) uvavanyo lunceda ukuhlola umsebenzi wezintso. Umgangatho ophezulu wokudalila egazini kunokuthetha ukuba iintso azisebenzi kakuhle. Umlinganiselo we-creatinine-to-BUN uvame ukusetyenziswa ukukunceda ukuxilongwa kweemeko eziguqula ukuhamba kwegazi kwizintso, ezifana nokudambisa amanzi okanye ukungaphumeleli kwentliziyo.
- Uvavanyo lwe-Testosterone lubalulekile ekuhloleni amanqanaba e-testosterone egazini xa uvavanya ukungasebenzi kwe-erectile yesilisa. Ukuvavanya ukungabikho komntwana, ibhetri yezinye iimvavanyo zegazi zisetyenzisiweyo.
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Uvavanyo lweeUniUkukunceda ukufumanisa imbangela yeempawu zakho, i-urologist yakho inokukhetha ukulawula iintlobo ezahlukeneyo zokuhlalutya umchamo. Phakathi kwabo:
- I- urinalysis yenziwa kwiofisi ye-urologist kwaye idinga ukuba ungene kwikomityi enyumba. Uvavanyo luyakwazi ukubona iibhaktheriya, iiseli zegazi kunye nezinye izinto ezingasetyenziselwa ukuba zilapho. Iibhaktheriya, amaseli egazi ezimhlophe, i-leukesterase, kunye ne-nitrites zicebisa ukusuleleka kwe-urinary tract tract. Iqondo eliphezulu le-glucose lingayichaza i-urologist kwindlela yesifo sikashukela. I-Bilirubin, iibomvu zegazi ezibomvu, kunye neqondo eliphezulu leprotheni lingabonakalisa okokuqala isifo sesifo.
- Iidolophu eziqhelekileyo zisetyenziselwa ukubona ukuba kukho naziphi iibhaktheriya kwisampuli somchamo. Uvavanyo luyenziwa kwibhubhoratri ukwenzela ukuhlukanisa uhlobo lweebhaktheriya ezenza usulelo. Ukuvavanywa kwentshukumo kuqhutyelwa ekukhuleni kwekcubeko ukubona ukuba yiyiphi i-antibiotics eya kubakho ukubulala ibhaktheriya ukucima intsholongwane.
- Iiyure ezingama-24 zeemvini ziqokelela yonke umchamo owugxothayo kwixesha leeyure ezingama-24 ukujonga ukuba izinto ezinjenge-sodium, potassium, iiprotheni kunye nama-hormone zikwimeko eqhelekileyo kulindeleke kubantu abanezintso eziphilileyo. Iziganeko zingabonakalisa isifo sesifo, i-lupus, isifo sikashukela okanye i-preeclampsia xa ukhulelwa.
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I-Ultrasound, i-X-ray, kunye nezinye iindlela zobuGcisaXa ingxaki ingabonakali lula, kukho iindlela ezahlukeneyo zokucatshulwa esingazisebenzisa ukukunceda ukufumana ingcamango engcono ngaphakathi.
I- ultrasound yisisombululo sokucabangela esisetyenziswa rhoqo kwiofisi ye-urologist. Ukusebenzisa iteknoloji ye-sonic high-frequency, idivaysi iyakwazi ukubona iingxaki ezinxulumene neentso, i-bladder, i-testicles kunye ne-prostate gland (kubandakanywa nezicubu, ama-cysts, amatye, ukukhuliswa kweentso, kunye nokuhamba okungaqhelekanga kwesibindi okanye i-urethra).
Ukuxilongwa kweemeko zendlela yokucoca, iindidi ezahlukeneyo ze-X-ray zinokuyalelwa. Ezi ziquka:
- Izinso, ureter, kunye nesibindi (KUB) I-X-ray ukuhlola izizathu zesisu esiswini okanye ukuvavanya izakhiwo kunye nezitho zohlelo lwe-urinary.
- I-pyelogram X-ray (IVP) apho idayi ifakwe kwigazi ukuze ikwazi ukucacisa izakhiwo kunye nokunceda ukufumanisa iziphazamiso zephepha lokucoca.
- I-cystourethrogram yokuvota i-X-ray (i-VCUG) yenziwa ngelixa i-vestile igcwalisa kwaye igxininisa ukuyihlola i-vestile kunye ne-urethra usebenzisa i-radiophile ekhethiweyo ekhethwe yi-X-ray.
Xa kukho imifanekiso engacatshulwayo, into ebizwa ngokuba yi- computer ebizwa ngokuthi i- tomography (eyaziwa ngokuba yi-CT scan) inokukunceda ukuxilonga izifo ze-urologic ezifana namatye, i-tumors kunye ne-cysts.
Olunye uhlobo lwendlela yokuhlola i- cystoscopy . Le yinkqubo encinci kakhulu enomdaka efuna i-anesthétic yangaphakathi ukuba idibanise i-urethra phambi kokuba ithuluzi elinjenge-telescope elincinci lifakwe kwi-bladder. Le nqubo ingabonakala ibone iimvumi kunye nezinye izinto ezingavumelekanga zodongeni lwebladder.
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Uhlalutyo lwemihlaKwiimeko zokungabikho kwamadoda, i- seminogram ( uhlalutyo lwesambuko ) lwenziwa njengenyathelo lokuqala. Ngenxa yoko, uya kunika isampula kwi-ofisi yakho ye-urologist. Isampuli ithunyelwa kwibhabhi apho ochwephesha uza kuwuphonononga khona ubukhona besidoda kunye nomoya kunye nomgangatho wesidoda.
Olu vavanyo luqhutyelwa emva kwe- vasectomy ukuchonga ukuba isityalo siphumelele ngokuphumelelayo kwi-ejaculate.
> Umthombo
- > Kreder, J. noWilliam, R. "Uviwo lwe-urological laboratory." USmith's General Urology, 17th Edition. Tanagho, E. noMcAninch, J.-Eds. 2008; ENew York: McGraw-Hill.