Kuongorora zvirwere, kusafa, uye Erectile Dysfunction
Saka iwe watora danho rako rokutanga uye wakagadzirira kushanyira urologist. Paunenge uchiziva kuti chinhu chausingagoni kudzivisa (kana zvichida haufaniri hako), iwe unonzwa usiri kushamisika pamusoro pezvaunotarisira.
Kunyange zvazvo manzwiro aya ariwo asina kujairika, ivo havakwanisi. Kazhinji kutaura, urology miedzo yakanyatsonaka uye kazhinji haisizve evasive pane inowanzoita iwe unogona kunge wakabvunzwa kutora.
Pasinei nokuti uri kutarisana nehutachiona kana uine matambudziko neprostate yako, pane zvishandiso zvishanu zvekutsvaga zvinowanzoshandiswa muhofisi yeurorosi:
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The Physical ExamKana iwe uchifunga kuti unogona kuva nehutachiona hwehutachiona kana uine erectile dysfunction, urologist yako inotanga nemhando dzemibvunzo kuti uongorore zviratidzo zvako, hutano huripo, nhoroondo yezvechiremba, uye chero mishonga iwe unogona kutora.
Iyi mibvunzo inotungamirira kune in-office kuongorora mumuviri weitsvo, ureters, uye chidimbu (kana uri nehutano hwemashoko) kana kuongorora penis uye testis (kana iwe uine erectile kusagadzikana kana zvimwe zviratidzo zvine chokuita nepense kana matete).
Zvimwe zviongorori zvemuviri zvinosanganisira kuongorora kwema digital rectal (DRE) inoshandiswa kuongorora maitiro e prostate gland . Izvi zvinoitwa nekuisa muto wakanyorova, wakagadzirwa mukati mutsva. Nokuita kudaro, urologist anogona kubva anzwa ukuru hweprostate, kuongorora kusimba kwayo, uye kuona chero mushure mekunyanya kushandiswa kungavepo.
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Dambudziko reRopaUrologists vanotendesa kuongororwa kwakawanda kweropa kuti vabatsire kuziva hutano hwekuvhenekera kana kuti kujekesa zviri nani zvinokonzera varume erectile kusagadzikana kana kusapera. Pakati pavo:
- Zvirwere zveprostate-specific antigen (PSA) zvinogona kubatsira mukuonekwa kwekenza yeprotate kana kusina kenza kuvhiringidza kweprostate. PSA iprotini yakabudiswa kubva ku prostate gland iyo inogona kuwedzera nguva dzose apo kune kupisa.
- Creatinine uye ropa urea nitrogen (BUN) miedzo inobatsira kuongorora maitiro epvo. Nhamba yepamusoro ye creatinine muropa inogona kureva kuti itsvo haisi kushanda zvakanaka. Chikamu che creatinine-to-BUN chinowanzoshandiswa kubatsira kubatsira kuongorora mamiriro ezvinhu anoshandura ropa richiyerera kusvika kune itsvo, zvakadai sekupera mvura kana kufara kwemoyo.
- Testosterone miedzo yakakosha pakuongorora mazinga e testosterone muropa kana kuongorora varume erectile kudzvinyirira. Kuti uongorore kusapera, bhati reimwe kuongorora ropa rinoshandiswa.
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Urine MiedzoKuti ubatsire kutsvaga chikonzero chezviratidzo zvako, wako urologist angasarudza kuronga zvakasiyana-siyana urine kuongorora kuongororwa. Pakati pavo:
- Kushandura kunoitwa muhofisi yeurologist uye kunoda kuti iwe urinate mukapu isina kuchena. Muedzo unogona kuona mabhakitiriya, masero eropa, nezvimwe zvinhu zvisingatauri kuvapo. Mabhakiteriya, masero emachena eropa, leukesterase, uye nitrites zvinoratidza hutachiona hwehutachiona hwehutachiona. Nhamba yepamusoro yeglucose inogona kureva urologist mune chinokonzera chirwere cheshuga. Bilirubin, masero matsvuku eropa, uye mapuroteni akakwirira angave chiratidzo chekutanga chepfungwa yepso.
- Urine tsika dzinoshandiswa kuona kana kune mabhakitiriya mune urinho samuenzaniso. Muedzo unoitwa mu laboratori kuti iparadzise rudzi rwebhakitiriya rinokonzera utachiona. Kushushikana miedzo kunoitwa pakukura kwetsika kuona kuti ma antibiotic angangouraya mabhakitiriya kuti abvise chirwere chacho.
- Maminetsi makumi maviri nemasere ekuedzwa anounganidza urinini iwe unodzinga mukati memawa makumi maviri nemana kuti uone kana zvinhu zvakadai sodium, potasium, mapuroteni, uye mahomoni zviri mukati mehutano hunotarisirwa kuvanhu vane mafungiro ane utano. Zvimwe zvinogona kunge zvinoratidza zvirwere zvepyoyo, lupus, chirwere cheshuga, kana preeclampsia pamuviri.
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Ultrasound, X-rays, uye Dzimwe Mifananidzo YokufananidzaKana dambudziko risingaoneke nyore, pane maitiro akasiyana-siyana ekufungidzira atingashandisa kubatsira kubatsira kuona mukati.
An ultrasound ndiro shanduro yekufungidzira inonyanya kushandiswa muhofisi yeurorosi. Kushandisa high-frequency sonic teknolojia, chigadzirwa chacho chinogona kuona zvinetso zvakabatana neitsvo, chikafu, testicles, uye prostate gland (kusanganisira matumbo, cysts, mabwe, kuwedzerwa kwetsvo, uye kufamba kusina kukodzera kwechidzitiro kana urethra).
Kuti uongorore mamiriro ehutakiti, urusiyano hwakasiyana hunogona kurairwa. Izvi zvinogona kusanganisira:
- Iropi, ureter, uye bladder (KUB) X-ray kuti aongorore zvinokonzera kurwadziwa kwepamuviri kana kuti kuongorora zvivako uye nhengo dzehutano hwehuyo.
- Intravenous pyelogram X-ray (IVP) iyo dhayi inopindwa muropa kuitira kuti ijekese zvivako uye kubatsira kubvisa kushungurudzwa kwebhuku remuguta.
- Kutora cystourethrogram X-ray (VCUG) inoitwa apo chikafu ichizadza uye chine simba kuti chiongorore chidimbu uye urethra uchishandisa mvura yakasviba yeropaopa iyo X-ray inogona kuisa pachena.
Apo chinonyanya kufungidzira kufungidzirwa chinodiwa, imwe nzira inonzi computerized tomography (inozivikanwawo seT CT scan) inogona kubatsira kuongorora zvirwere zveurologic zvakadai sematombo, matumire, uye ma cysts.
Imwe nzira yekuongorora inonzi cystoscopy . Iyi ndiyo nzira inonyanya kuparadza iyo inoda kuti anesthetic yekune imwe nzvimbo inopedze urethra pamberi pediki teresikopu-sechiridzwa ichiiswa muchechi. Iyi nzira inogona kuratidzira kuona zvirume uye zvimwe zvisingakanganisi zvesvingo.
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Semen AnalysisMuzviitiko zvekusava nemurume, seminogram ( kuongorora semasese ) inoitwa sechitamba chekutanga. Nokuda kweizvi, iwe uchapa muenzaniso kuhofisi yako yeurogi. Muenzaniso wacho unobva watumirwa kubasa apo unyanzvi achazviongorora nokuda kwekuvapo kwemuviri uyewo motility uye kunaka kwehuta.
Uyu muedzo unoitwawo mushure mevasectomy kuti uone kana chirume chacho chakabudirira kubviswa kubva kuEjaculate.
> Source
- > Kreder, J. naWilliam, R. "Urologic laboratory exam." Smith's General Urology, 17th Edition. Tanagho, E. uye McAninch, J.-Eds. 2008; New York: McGraw-Hill.