Izivivinyo Ezinhlanu Ezivamile Zama-Urology

Ukubona izifo, ukungenzi lutho, kanye nokusetshenziswa komzimba okungeyona erectile

Ngakho uthathe isinyathelo sakho sokuqala futhi wenza i-aphoyintimenti ukuvakashela urologist. Ngenkathi wazi ukuthi kuyinto ongeke uyigweme (noma okungenani akufanele), usazizwa ungakhathazekile ngalokho okumele ukwenze.

Nakuba le mizwa ingavamile, ayinakufanelekile. Ngokuvamile, ukuhlolwa kwe-urology kuhle kakhulu futhi ngokuvamile akuyona into evasayo kunokujwayelekile ngokomzimba okungenzeka ucele ukuba uthathe.

Kungakhathaliseki ukuthi ubhekene nokutheleleka noma uhlangabezana nezinkinga nge-prostate yakho, kunama-5 amathuluzi okuxilonga asetshenziswe kakhulu ehhovisi le-urologist:

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Ukuhlolwa Kwemvelo

Uma ucabanga ukuthi ungase ube nokutheleleka kwamagciwane noma uhlangabezana nokukhubazeka kwe-erectile, i-urologist yakho izoqala ngochungechunge lwemibuzo yokuhlola izimpawu zakho, impilo yamanje, umlando wezokwelapha, nanoma imiphi imithi ongayithatha.

Le mibuzo iholele ekuhloleni kwe-in-office yezinso, ama-ureters, nesambiso (uma unenkinga ye-urinary) noma ukuhlolwa kwe-penis ne-testis (uma une-erectile ukungasebenzi noma ezinye izimpawu ezihlobene ne-penis noma amasongo).

Ezinye izivivinyo zomzimba zihlanganisa ukuhlolwa kwe- digital rectal (DRE) okusetshenziselwa ukuhlola ngesandla ngesifo se-prostate gland . Lokhu kwenziwa ngokufaka umunwe oqoshiwe, ogqwetshiwe ngaphakathi kwe-rectum. Ngokwenza kanjalo, i-urologist ingazizwa ubukhulu be-prostate, ihlole ukuqina kwayo, futhi ithole noma yikuphi ukuqhuma okungavamile okungenzeka kubekhona.

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Izivivinyo zegazi

I-urologists incike ekuhlolweni kwegazi eziningana ukusiza ukunquma impilo ye-urinary system noma ukuveza kangcono izimbangela zesifo somzimba e-erectile noma ukungasebenzi. Phakathi kwazo:

• Ukuhlolwa kwe-Prostate-specific antigen (PSA) kungasiza ekutholeni umdlavuza wesifo sofuba noma ukuvuvukala okungenayo umdlavuza we-prostate. I-PSA yiprotheni ekhishwe ku-prostate gland engakhula noma nini lapho kuvuvukala khona.
• Ukuhlolwa kwe- Creatinine negazi i-urea nitrogen (BUN) kusiza ukuhlola umsebenzi wezinso. Izinga eliphezulu le-creinine egazini lingasho ukuthi izinso azisebenzi kahle. Umklamo we-creatinine-to-BUN uvame ukusetshenziselwa ukusiza ukuxilonga izimo eziguqula ukugeleza kwegazi ezintsheni, njengokungcolisa amanzi noma ukuhluleka kwenhliziyo.
• Izivivinyo ze-Testosterone zibalulekile ekuhloleni amazinga e-testosterone egazini lapho ehlola ukukhubazeka kwesilisa erectile. Ukuze uhlole ukungasebenzi, ibhetri lezinye izivivinyo zegazi lisetshenziswa.

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Ukuhlolwa kwe-Urine

Ukuze usize ukuxilonga imbangela yezibonakaliso zakho, urologist wakho angakhetha ukuhlela izinhlobo ezahlukene zokuhlaziywa komchamo. Phakathi kwazo:

• I- urinalysis yenziwa ehhovisi le-urologist futhi idinga ukuba ugijime ekomitini eliyinyumba. Isivivinyo singakwazi ukuthola amabhaktheriya, amaseli egazi, nezinye izinto ezingahlosiwe ukuba khona. Amabhaktheriya, amangqamuzana egazi amhlophe, i-leukesterase, ne-nitrites abonisa ukutheleleka kwamagciwane. Izinga eliphakeme le-glucose lingase libheke urologist ngokuqondisa nesifo sikashukela. I-Bilirubin, amangqamuzana egazi abomvu, nezinga eliphezulu lamaprotheni lingase libe yisibonakaliso sokuqala sezinso zezinso.
• Ama-urine amasiko asetshenziselwa ukubona ukuthi kukhona yini ama-bacteria esampula yomchamo. Isivivinyo senziwa ebhokisithri ukuze sihlukanise uhlobo lwebhaktheriya obangela ukutheleleka. Ukuhlolwa kokuzwela kuyenziwa ekukhuleni kwamasiko ukuze ubone ukuthi yimaphi ama-antibiotic ayobabulala kakhulu amabhaktheriya ukuze asuse ukutheleleka.
• Ukuhlolwa kwamaminithi amahora angu-24 kuqoqa wonke umchamo owuxosha phakathi nesikhathi samahora angu-24 ukuhlola ukuthi izinto ezifana ne-sodium, potassium, amaprotheni nama-hormone zingaphakathi ebangeni elijwayelekile elilindelwe kubantu abanezinso ezinempilo. Ukuphindaphinda kungase kubonise isifo sezinso, i-lupus, isifo sikashukela, noma i-preeclampsia ekukhulelwe.

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I-Ultrasound, i-X-ray, namanye ama-Imaging Techniques

Uma inkinga ingabonakali kalula, kunezindlela ezihlukahlukene zokucabanga ezingasetshenziswa ukuze kusize ukuthola umbono ongcono ngaphakathi.

I- ultrasound iyithuluzi lokucabanga elivame ukusetshenziswa kakhulu ehhovisi le-urologist. Ukusebenzisa ubuchwepheshe be-sonic high-frequency, idivayisi ingathola izinkinga ezihlobene nezinso, isambatho, izicathulo, kanye ne-prostate gland (kubandakanya izicubu, ama-cysts, amatshe, ukukhuliswa kwezinso, nokunyakaza okungavamile kwesigqila noma i-urethra).

Ukuhlola izimo ze-urinary tract, izinhlobo ezahlukene ze-X-ray zingalawulwa. Lezi zingabandakanya:

• Isolo, ureterter, kanye nesibindi (KUB) X-ray ukuhlola izimbangela zesisu esiswini noma ukuhlola izakhiwo kanye nezitho zesistimu ye-urinary.
• I-X-ray ye-pyelogram ye-ptogramme (IVP) lapho idayi ifakwe khona egazini ukuze kusize ukucacisa izakhiwo nokusiza ukukhomba ukuphazamiseka komgudu wamanzi.
• I-cystourethrogram yama-X-ray (Voxourethrogram) ye-void yenziwa ngenkathi isifiso sigcwalisa futhi igxila ukuhlola isisindo kanye nesisu ngokusebenzisa uketshezi olukhethekile lwe-radiopaque okuyinto i-X-ray ekwazi ukuyiqokomisa.

Uma kudingeka ukucabanga okucabangelayo, inqubo ebizwa nge- tomography yekhompyutha (eyaziwa nangokuthi i-CT scan) ingasiza ekuxilongeni izinkinga ze-urologic ezifana namatshe, izicubu, nama-cysts.

Olunye uhlobo lwenqubo yokuhlola i- cystoscopy . Lena inqubo encane kakhulu evumayo edinga ukuhlinzekwa kwezinsizakalo zendawo ukuze kuphazamise urethra ngaphambi kokuba ithuluzi elincane le-telescope lifakwe esikhwameni. Le nqubo ingabonakala iveza izicubu kanye nezinye izinto ezingavamile zodonga lwesibindi.

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Ukuhlaziywa kobuhlungu

Ezimweni zokungabi nabesilisa, i- seminogram ( ukuhlaziywa kwesilisa) kwenziwa njengesinyathelo sokuqala. Ngenxa yalokhu, uzohlinzeka isampula ehhovisi lakho le-urologist. Isampula sithunyelwa ebhodini lapho ochwepheshe ezoyihlola khona ukuba khona kwesidoda kanye ne-motility nekhwalithi yesidoda.

Lokhu kuhlolwa kuqhutshwa ngemuva kwe- vasectomy ukuze kunqume ukuthi isidoda siphumelele ngempumelelo ku-ejaculate.

> Umthombo

• > Kreder, J. noWilliam, R. "Ukuhlolwa kwe-laboratory urologic." U-Smith's General Urology, u-17th Edition. Tanagho, E. noMcAninch, J.-Eds. 2008; ENew York: McGraw-Hill.