Chipatara Chakanakisisa Chiri Pedyo neni Chennaimufananidzo
Urology
Dhipatimendi reUrology rakatsaurirwa kupa mamiriro-e-the-art ekurapa uye yekuvhiya kutarisirwa mune zvese zvikamu zvevakuru uye zvevana urology. Isu tinopa manejimendi anotungamirwa nemurwere we kenza uye zvirwere zvemudumbu zvisina njodzi nekubatanidza nekushandisa hunyanzvi hwedu hwakabatana. Nzvimbo iyi inoita mabasa ekuvhiya epamusoro anosanganisira nzira dzemazuva ano dzekuvhiya nekugadzirazve. Chikwata chedu chevanachiremba vane ruzivo rwakakura chinotsigirwa nemidziyo yekurapa yepamusoro-soro, kufamba kwemakombiyuta, uye michina yekufungidzira. Nzvimbo dzeUrology neAndrology kuApollo Hospitals dzinopa masevhisi ekuongorora nekuvhiya ezvirwere zvese zvegenitourinary uye dzinobata nematambudziko ekuvhiya ane chekuita neitsvo, ureter, dundira reweti, prostate, urethra, penis nemates, kusabereka uye kusashanda zvakanaka kwenhengo dzekubereka. Zvirwere zvakajairika senge kukura kweprostate, matombo eweti, chirwere che stricture, maragnancies ane chekuita nenhengo dzataurwa pamusoro apa zvinobatwa nedhipatimendi reUrology neAndrology. Nzvimbo dzehunyanzvi dzinosanganisira Renal Transplantation, Uro-oncology (kenza yeweti), Reconstructive Urology, Endo-urology yezvirwere zvematombo (kusanganisira Flexible Ureteroscopy, Percutaneous Nephrolithotomy neLaparoscopic Nephrectomy), Neuro-Urology ine urodynamic facility, Andrology yekurapa kusabereka kwevarume uye kusashanda zvakanaka kwenhengo dzekubereka (kusanganisira kuvhiya kweprosthetic), Female Urology nePaediatric Urology. Kunze kwebasa rekiriniki, sangano iri rine chirongwa chekudzidzisa chedzidzo nguva dzose. Tiri kuita kosi yeDNB inotenderwa. Kune mabhuku anowanikwa nguva dzose mumagazini enyika nepasi rose kubva kubasa rekiriniki resangano iri. Vazhinji vevanopa mazano vanokokwa kuti vape hurukuro sevadzidzisi mumisangano nemisangano yakasiyana-siyana yenyika nepasi rose. Tinorongawo maworkshop nemisangano yakasiyana-siyana muchipatara nguva dzose.
Andrology
Izwi rekuti Andrology rinoreva kudzidza nezvemurume (Andro = murume; logy = kudzidza nezve). Zvisinei, mukurapa, vanachiremba veAndro vanachiremba vanotarisira hutano hwepabonde hwemunhu. Kune mapoka maviri makuru eAndrology - Kusabereka uye Kusasimba (ikozvino kunozivikanwa sekusashanda zvakanaka kwepabonde). Vanhu vazhinji vanonyara kuenda kumakiriniki e'bonde' akasarudzika. Ndicho chikonzero nei, kuIndraprastha Apollo Hospitals, Delhi tinopa sevhisi yakabatana yeurology uye andrology. Pamwe mupiro wakakosha wekurapa (kureva kushandiswa kwemishonga kurapa kusagadzikana pabonde) wave wekuti wakabvisa dambudziko iri muimba yekurara ndokuriisa muimba yekutandarira. Vanhu vava kuona kuti kusagadzikana pabonde chirwere chakafanana nechero chimwe chirwere mumuviri uye kuti kurapwa kwave kuwanikwa muzviitiko zvese. KuIndraprastha Apollo Hospitals nzira yesainzi inoshandiswa kuona rudzi uye hukuru hwedambudziko. Pakurapa, mhando dzakasiyana-siyana kubva pakupa mazano kusvika pakurapwa kwekurapa kusvika pakurapwa kwekuvhiyiwa (kusanganisira penile prosthesis) inowanikwa pasi pedenga rimwe chete. Saka kurapwa kwakagadzirirwa vanhu vanogona kupihwa kuvarwere vane kusagadzikana pabonde. Kusashanda zvakanaka kwepabonde kwevarume nevakadzi kunorapwa nenzira yakasiyana. Zvipatara zveIndraprastha Apollo zvaivewo muzinda weAndrology India kusvika nguva pfupi yadarika. Zvine chekuitawo nekutsvaga kwekutanga mune iyi nyanzvi itsva. Vadzidzisi vane mazita anozivikanwa pasi rose.
TURP maitiro muDelhi
TURP maitiro muDelhi inoitwa negajeti inonzi resectoscope. Izvi zvinopfuudzwa pamwe neurethra yako kusvika yasvika paprostate yako, uye zvinoreva kuti hapana kucheka kunoitwa paganda rako. Mukuita kweTURP, denderedzwa rewaya rinobva radziirwa kubvisa chikamu cheprostate yako. Silinda nhete inonzi catheter inobva yaiswa muurethra yako kuti ibvise zvidimbu zveprostate.
Kuvhiyiwa kweTURP muDelhi
A transurethral resection of the prostate (TURP) kuvhiyiwa kunosanganisira kubvisa chikamu cheprostate. Iyo prostate iri pakati penhengo uye dundira, uye inokomberedza urethra. Muchiitiko chekuti prostate inowedzera, inogona kuisa kushushikana padundira uye urethra. Izvi zvinogona kukonzera mhedzisiro inokanganisa pee. Kuti uwane kuvhiyiwa kwakanakisa kweTURP muDelhi bata Apollo Hospitals Delhi.
- Kunyatsotarisirwa kwezvirwere zveweti yematombo
- Lithotripsy
- Percutaneous renal surgery (PCM)
- Intra-renal kuvhiyiwa kwedombo neinochinjika scopes uye laser lithotripsy
- Endourology
- Minimally Invasive surgery (Keyhole kana laparoscopic operation)
- Laparoscopic Donor nephrectomy
- Laser yekuvhiya prostatic
- Urodynamics
- Kutadza
- Infertility
- Urological Cancers
- Mukadzi Urology
- Urology yevana
- Reconstructive urology
Kunyatsotarisirwa kwezvirwere zveweti yematombo
Chirwere chematombo idambudziko rakajairika munyika yose. Matombo anogona kutungamirwa ne lithotripsy uye kana angangoda akasiyana endurological maitiro ekubvisa matombo pasina kuvhiyiwa kwakavhurika.
Lithotripsy
Nzira yekurapa itsvo uye ureteric matombo pasina kuvhiyiwa, uchishandisa yazvino Dornier lithotriptor-Delta modhi. Imwe yemichina yakanakisa iripo kune chinangwa. Zvese zviri zviviri x-ray & Ultrasound zvinodzora zviripo pamushini uyu. Kumisikidzwa, kutarisisa uye kuendesa kwemafungu ekuvhundutsa zvese zvinodzorwa neyepamberi komputa system ine chengetedzo yekucheka-kubvisa kudzivirira kukuvadzwa nekukanganisa kwevanhu. Varwere havadi chero kugara muchipatara uye vanogona kuenda kumba zuva rimwe chetero.
Percutaneous renal surgery (PCM)
Pano 1 cm gomba rinogadzirwa muitsvo kubvisa matombo mushure mekupwanya kuita zvidimbu zvidiki. Pane kurwadziwa kudiki uye kusagadzikana uye varwere vanogona kuenda kumba mumaawa makumi mana nemasere. Kunyange matombo akakura uye nyanga dzenondo anogona kuchengetedzwa zvakachengeteka neiyi modhi. Vamwe vevarwere vangangodawo rubatsiro rwe lithotripsy kuti vabvise dombo rakazara.
Intra-renal kuvhiyiwa kwedombo neinochinjika scopes uye laser lithotripsy
Pano zvinochinjika scopes zvinopfuudzwa kuburikidza urethra (kubva painodarika weti) uye matombo anobviswa mushure mekupwanyika kuita zvidimbu zvidiki nelaser. Pano zvakare varwere vanogona kuburitswa mukati memaawa makumi maviri nemana kusvika makumi mana nemasere.
Endourology
Ese maficha eEndourology (kuvhiya kuburikidza neteresikopu, iyo isingade yakavhurika maitiro) inosanganisira kurapwa kweprostate (TURP), gomarara redundiro (TURBT), urethral strictures, itsvo uye ureteric matombo (PCNL & URS) aripo. Intracorporeal Lithotripsy (kutsemuka kwematombo uchishandisa endoscopes) uchishandisa pneumatic lithotripsy inowanikwawo.
Minimally Invasive surgery (Keyhole kana laparoscopic operation)
Yakawanda yekuvhiyiwa kweurological inogona kuitwa nekuvhiya keyhole. Kuvhiya kwakawanda kweitsvo kungave kwechirwere chechirwere kana kenza kunogona kuitwa zvakachengeteka nelaparoscopically. Nenzira imwechete kuvhiya kwegomarara reurological sekenza yeprostate kana ureteric cancer zvakare inogona kuitwa pasina kucheka dumbu. Chipatara cheApollo chinopa marudzi ese ekuvhiya kwelaparoscopic yeurological chirwere. Mubairo mukuru kurwadza kushoma, vanga diki kana kusave nevanga, kubuda nekukurumidza uye kukurumidza kudzoka kubasa.
Laparoscopic Donor nephrectomy
Iye zvino mupi anogona kupa imwe yeitsvo kune vaanoda pasina kurwadziwa kwakanyanya uye kusagadzikana. Kunyangwe kuchekwa kweitsvo hakuonekwe uye mupi anogona kuenda kumba mumazuva maviri kana matatu.
Laser yekuvhiya prostatic
Varume mushure memakore makumi mashanu vanotambura nematambudziko eweti sekuenda kuchimbuzi nguva zhinji, kusadzora weti kana kutadza kubuda weti nezvimwe. Imhaka yekuwedzera kweprostate, iyo inogona kubviswa zvakachengeteka ne endoscopic nzira. Chipatara cheApollo parizvino chave nenzvimbo yekubvisa idzi gland nekuvhiya laser.
Urodynamics
Michina yehurodynamic yepamberi yepamberi paApollo, iyo inoongorora marudzi ese ekusagadzikana uye kuomerwa nekuburitsa weti kuitira kuti kurapa kwakakodzera. Michina iyi inosanganisirawo 'EMG' zvivakwa zvinofanirwa kuongororwa weti uye matambudziko emudumbu echipiri kune musana wekukuvadzwa sitiroko, parkinsonism uye kumwe kusagadzikana kwetsinga. Murabhoritari iyi ine zvivakwa zvakagadziridzwa zvemhando yese yezvidzidzo zvinosanganisira uroflownmetry, kuzadza uye kubvisa cystometry, urethral pressure profile studies (UPP) uye VCUG (pamwe neEMG uye cavernosometry).
Kutadza
Dambudziko revanhu vakuru vanopfuura 10% rinogona kuongororwa zvizere uye kurapwa. Indraprastha Apollo inopa nzvimbo dzakakosha dzekurapa ne ...
Infertility
Apollo inopa huwandu hwakakwana hwezvivakwa zvekuferefeta kushaya mbereko kwevarume. Ongororo yekushaya mbereko yevakadzi nenyanzvi dzevakadzi vane dzidziso yakakosha mukusabereka inopihwa zvakare. Kurapa kunofambiswa nechikamu chekubatsira kubata pamuviri uye nerabhoritari ye'IVF'.
Urological Cancers
Vanachiremba vekuvhiya vakanyatsodzidziswa uye oncologists kuIndraprastha Apollo vane backup yezvese maturusi ekuferefeta anosanganisira MRI & CT scans uye ultrasound kusanganisira TRUS inopa yakazara uro-oncology sevhisi. Inenge 50% yekenza inogona kutarisirwa zvakachengeteka nekuvhiyiwa kwelaparoscopically (Keyhole surgery)
Mukadzi Urology
Urinary incontinence (kubuda kweweti) nemamwe matambudziko eweti sekuchimbidza (kuenda kuchimbuzi nguva nenguva) uye kusagadzikana (kubuda weti nekukosora nekuseka kana kusvusvudzira) zvinogona kuongororwa nekurapwa nenzira dzisinganyanyi kupindira.
Urology yevana
Vana vanotambura nezvinetso zvakasiyana-siyana zveurological, izvo zvinoda kuongororwa. Mazhinji edambudziko zvakare anogona kugadziriswa ne endoscopic uye laparoscopic nzira.
Reconstructive urology
Kuvhiya kwakawanda kweurological senge pyeloplasty, urethral stricture kuvhiya, hypospedias kuvhiyiwa uye kumwe kurwara kwekuzvarwa kunovakwazve semazuva ese. Kumwe kuvhiyiwa kwekuvaka uku kunoitwa nekuvhiya buri rekiyi.
Urology neAndrology specialty ine zvese zvinodiwa zvinosanganisira urodynamics muchina, lithotripsy, Laser muchina, flexible laparoscopic zviridzwa etc. Chipatara chine nyanzvi dzakadzidziswa kubatsira muhofisi uye mavhiya.
1
Chii chinonzi benign prostatic hyperplasia?
Benign prostatic hyperplasia (BPH) chirwere chinokanganisa prostate gland muvarume. Prostate igland inowanikwa pakati pedundira (panochengeterwa weti) uye urethra (chubhu inopfuura nepapo). Sezvo varume vachikura, prostate gland inokura zvishoma nezvishoma (kana kuwedzera). Sezvo prostate inokura, inogona kudzvanya pane weti uye kuita kuti kuyerera kweweti kuve kunonoke uye kushoma nesimba. “Benign” zvinoreva kukura hakukonzerwi negomarara kana utachiona. "Hyperplasia" zvinoreva kuwedzera.
2
Ndezvipi zviratidzo zveBPH?
Zviratidzo zvakawanda zveBPH zvinotanga zvishoma nezvishoma. Chimwe chiratidzo ndechekuda kumuka kakawanda husiku kuti uite weti. Chimwe chiratidzo ndechekuda kubvisa weti mudundira kakawanda masikati. Zvimwe zviratidzo zvinosanganisira kuoma kutanga kuyerera kweweti uye kudonha kwemvura mushure mekunge weti yapera. Hukuru nesimba reweti zvinogona kudzikira. Zviratidzo izvi zvinogona kukonzerwa nezvimwe zvinhu kunze kweBPH. Zvinogona kunge zviri zviratidzo zvezvirwere zvakakomba, zvakaita sehutachiona hwedundira kana kenza yedundira. Udza chiremba wako kana uine chimwe chezviratidzo izvi, kuitira kuti asarudze kuti ndeapi bvunzo dzekushandisa kuti awane chikonzero chingavepo.
3
Chiremba wangu acharapa sei BPH yangu?
Prostates yakura haidi hazvo kurapwa. Sarudzo dzinosanganisira mishonga & nzira dzakasiyana dzekuvhiya.
4
Mikana yangu yekubatwa nekenza yeprostate ndeipi?
Gomarara reprostate ndiro gomarara rinonyanya kupararira pakati pevarume uye yechipiri iri kukonzera kufa kwegomarara pagore, zvichitevera gomarara remapapu. Mumwe muvarume gumi achabatwa negomarara reprostate. Zvinopfuura 10 muzana yekenza yekenza yeprostate inowanikwa muvarume vanopfuura makore 70. Varume vatema vari muboka repamusoro-soro uye vanomiririra zviitiko zve65 pavarume ve270. Pamusoro pezvo, kenza yeprostate ine hukama hwemhuri hwakasimba pane ese makuru egomarara.
5
Ndezvipi zviratidzo zvekenza yeprostate?
Kazhinji, matanho ekutanga ekenza yeprostate haakonzeri chero zviratidzo zvakananga. Asi, mune dzimwe nguva, varume vane kenza yeprostate vanogona kuratidza zviratidzo zvekuwedzera kweprostate kana izvo nekuda kwechirwere chakapararira chinosanganisira ropa muweti, kurwadziwa kwebhonzo nezvimwe:
6
Mikana yekupona ndeyei?
Gomarara reprostate rinogona kurapika zvakanyanya kana raonekwa richitanga. Mumwe muvarume vanomwe voga voga vanobatwa negomarara reprostate anofa nechirwere ichi. Mumatanho epamusoro echirwere, data nyowani kubva kumakiriniki maviri akakura maedzo anoratidza kuti chemotherapy inowedzera kupona pakati pevarume vakatadza kurapwa kwehomoni. Chiremba wako anogona kukupa nhungamiro chaiyo inoenderana nechokwadi uye mamiriro enyaya yako.
7
Ndivanachiremba vorudzii vandinofanira kuenda kunoongororwa kenza yeprostate?
Kuongororwa gomarara reprostate inzira iri nyore. Nepo vamwe vanogona kutanga nekushanya kune urologist. Urologist ichakwanisa kukubatsira kuti udzidze zvakawanda nezve maitiro ekuongorora.
8
Chiremba achaedza mhando dzipi?
Ongororo yekutanga inoitwa navanachiremba vazhinji ndeiyi:
- PSA bvunzo. Prostate specific antigen (PSA) ienzyme inogadzirwa muprostate inowanikwa museminal fluid uye muropa. Kuyera mwero wePSA, bhodhoro diki reropa rinotorwa rotumirwa kurabhoritari kuti rinoongororwa. PSA yakakwirira muropa hairevi hazvo kenza yeprostate, sezvo PSA ichigonawo kusimudzwa neutachiona kana kuti zvimwe zvirwere zveprostate. Varume vazhinji vane PSA yakakwira havana cancer yeprostate.
- Iyo digital rectal bvunzo (DRE) inofanirwa kuitwa pamwe chete nePSA bvunzo. Iyo DRE inoitwa nachiremba anozopinza chigunwe chegirovhosi mukati merectum kuti anzwe peripheral zone yeprostate panoitika gomarara reprostate. Chiremba achange achitarisa kuoma kweprostate kana kuti maitiro asina kukwana kana mapundu anobva ku prostate - zvose zvinogona kuratidza dambudziko. Iyo DRE inonyanya kubatsira nekuti bvunzo yePSA inogona kupotsa kusvika makumi maviri neshanu muzana ekenza, uye DRE inogona kubata mamwe aya.
9
Kenza yeprostate inowanzo shandiswa sei?
Kune nzira dzakasiyana dzekurapa kenza yeprostate dzinosanganisira:
- Kuvhiyiwa kubvisa prostate yese, kurapwa nemwaranzi kuuraya masero ekenza ari mukati neakapoteredza prostate
- Kurapa kwekushaikwa kwemahormone kumisa kugadzirwa kwemahormone anobatsira masero ekenza yeprostate kukura
- Kurapa nemakemikari (chemotherapy) kudzivirira masero ekenza kuti asapararire uye asawande
- Kuongororwa kwakasimba uye/kana kumirira kwakaringana uko varwere vanoramba vachiteverwa zvakasimba. Imwe kana kupfuura yenzira idzi dzekurapa inogona kushandiswa navanachiremba vako panguva dzakasiyana siyana dzechirwere. Pane zvinhu zvakasiyana-siyana zvichaongororwa nachiremba wako kuti aone nzira yakanakisisa yekurapa.
10
Ko kana kenza yangu yeprostate ikawedzera kana kuti ikadzoka mushure mekunge ndawana kurapwa kwekutanga?
Nekuyera huwandu hwechinhu chinonzi prostate-specific antigen muropa, chiremba wako anogona kuyera kufambira mberi kwechirwere. Kana uri kurapwa kenza yeprostate uye huwandu hwePSA yako huchiramba huchikwira, chingave chiratidzo chekuti kurapwa kwako hakusi kushanda uye ungangoda kufunga nezvekurapa kwakasimba. Varume vazhinji vane kenza inodzoka mushure mekurapwa kwemuno kana kuti vakaonekwa vaine chirwere chakanyanya vanorapwa ne hormone therapy. Zvisinei, pane imwe nguva, hormone therapy inogona kumira kushanda uye mazinga ePSA anozotanga kukwira zvakare. Panguva ino zvakakosha kutsvaga mazano kubva kuna chiremba we oncologist anogona kushanda nevamwe vese vechikwata chako chehutano kuti asarudze kurapwa kwakanakira iwe padanho iri rechirwere.
11
Ndeapi mishonga mitsva iripo yekurapa kenza yeprostate yakakwira?
Munguva pfupi yapfuura akawanda ekuwedzera mahomoni & matsva eChemotherapy sarudzo dzave kuwanikwa.
12
Kusashanda zvakanaka kwepabonde kunorapwa sei?
Kuti erectile dysfunction inorapwa sei zvinoenderana nekuti chii chirikukonzeresa. Mushure mekunge chiremba wako akutarisa nezvematambudziko ekurapa uye mishonga inogona kukonzera erectile dysfunction, anogona kuita kuti iwe uedze mushonga wekubatsira ne erectile dysfunction. Mimwe yemishonga iyi inobayiwa munhengo yako. Mimwe mishonga inotorwa nemuromo. Haasi munhu wese anogona kushandisa mishonga iyi. Chiremba wako achakubatsira kusarudza kana uchikwanisa kuzviedza.
13
Ndezvipi zvimwe zvandingasarudza?
Kana mishonga isina kukunakira, unogona zvakare kuedza kushandisa vacuum pombi michina, kana kuti unogona kuvhiyiwa. Chiremba wako anogona kukutumira kune urologist kuti utaure nezve idzi sarudzo.
14
Ndingaziva sei kuti ndeipi nzira yekurapa kusakwanisa kusununguka yakandinakira?
Chisarudzo pamusoro pechisarudzo chekurapa chinofanira kukurukurwa nachiremba wako. Sarudzo yako yekurapa ichaenderana nezvaunoda iwe uye mamiriro ehupfumi. Mese iwe nemumwe wako munofanira kunge makasununguka nesarudzo yenyu.
15
Zvakakosha here kuti mumwe wangu wepabonde avepowo muhurukuro pamusoro pekushaya kwangu simba?
Anobatsira chiremba kunzwisisa dambudziko uye anofanira kubvumirana nesarudzo yekurapa.
16
Pane imwe yenzira idzi dzekurapa dzinogona here kudzora kushaya simba kwemuviri?
Kushaya simba kwakawanda hakuchinjiki. Kunyange zvazvo pasina kana imwe yenzira nhatu dzokurapa dzinodzora kusava nesimba kwemurume, dzinopa mhinduro kuchinetso chacho.
17
Tariro kuburikidza nekutsvakurudza
Kufambira mberi mumasuppositories, jekiseni remishonga, maimplants, uye vacuum zvishandiso zvakawedzera sarudzo dzevarume vari kutsvaga kurapwa kweED. Kufambira mberi uku kwakabatsirawo kuwedzera huwandu hwevarume vari kutsvaga kurapwa. Gene therapy yeED yave kuedzwa munzvimbo dzinoverengeka uye inogona kupa yenguva refu yekurapa nzira yeED.
18
Pfungwa dzekurangarira
- Erectile dysfunction (ED) ndiko kudzokororwa kusakwanisa kuwana kana kuchengetedza erection yakasimba zvakakwana kuita zvepabonde.
- ED inobata 15 kusvika ku30 mamiriyoni eAmerica varume.
- ED kazhinji ine chikonzero chemuviri.
- ED inorapika pamazera ese.
- Kurapa kunosanganisira psychotherapy, kurapa kwezvinodhaka, vacuum zvishandiso, uye kuvhiyiwa.
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1
Ndezvipi zviratidzo zvekuvapo kwematombo eitsvo?
Kuonekwa kwezviratidzo kunoenderana nenzvimbo, saizi, uye chimiro chedombo. Kazhinji hazvina zviratidzo. Anonzi matombo asinganyanyi kutaurwa. Zviratidzo zvakajairika ndeizvi:
- Kamwe kamwe, kurwadziwa kwakanyanya - kutanga mumativi uye kuenda kumagiro. Kazhinji, inotsanangurwa se ureteric colic uye chiuno kumarwadzo ekugomera
- Nausea uye Kurutsa
- Ropa Muweti
- Kuwedzera kwehuwandu hweWeti
- Kunzwa kupisa pakubvisa weti
- Utachiona muWeti
2
Ndivanaani vane hunhu hwakakura kumatombo eitsvo?
- Vanhu vanowanzogadzira matombo vane zvimwe zvinhu zvakafanana
- Avo vanogara munzvimbo dzinopisa, dzakadai senzvimbo dzinopisa
- Nhoroondo yakanaka yemhuri yechirwere chematombo mumhuri yekutanga yehama yeropa
- Inoderedza kunwa mvura, izvo zvinoderedza kubuda kweweti, uye zvinogadzira weti yakawandisa
Zvinhu zvakasiyana-siyana zvinoita basa mukuumbwa kwedombo reitsvo mumunhu anobatwa. Izvi zvinhu kudya, kunwa mvura, kubuda weti, mamiriro ekunze, basa, uye nhaka, radical uye mhuri kwakabva.
3
Chii Chandinofanira Kuita Kana Ndapfuura Dombo Muweti?
Kana ukawana dombo, uuye naro kuna chiremba wako kuti aongororwe. Mhando yedombo yaunayo, ichasarudza chirongwa chekudya uye chekudzivirira chiremba wako anokurudzira. Iwe unogona kuda kumwe kuongororwa uye X-ray mune ramangwana kuti uone kuti matombo matsva haaite.
4
ESWL yakachengeteka here?
ESWL inzira yakachengeteka zvachose mune dzinenge dzose nyaya
5
Pachava nemarwadzo mushure mekuita?
Panogona kunge paine kurwadziwa kunorwadza munzvimbo yekurapwa mushure mekuita kwemaawa mashoma. Uyezve pachava nekurwadziwa kwecolic nekuda kwekupfuura kwematombo ematombo. Izvi zvinowanzopindura kumushonga.
6
Zvinogoneka here kurapwa kuvarwere vane chirwere cheshuga, BP, chirwere chemwoyo kana kuti itsvo dzakakundikana?
Hongu ESWL isarudzo yakachengeteka yekurapa chirwere chematombo. Zvisinei, munhu anofanira kuchengetedza chirwere ichi pasi pesimba kana achirapa lithotripsy.
7
Ndingadzivirira sei matombo emuweti?
Nhanho yekutanga yakanaka yekudzivirira ndeyekunwa zvimwe zvinwiwa - mvura ndiyo yakanyanya kunaka. Kana uchigadzira matombo, unofanira kuedza kunwa zvinwiwa zvakaringana zuva rese kuti uburitse marita maviri eweti mumaawa makumi maviri nemana ega ega. Vanhu vanogadzira matombo ecalcium vaiwanzoudzwa kuti vadzivise zvigadzirwa zvemukaka uye zvimwe zvekudya zvine yakakwira calcium. Zvisinei, zvidzidzo zvenguva pfupi zvakaratidza kuti zvokudya zvakakwirira mu calcium, kusanganisira zvekudya zvemukaka, zvinobatsira kudzivirira matombo e calcium. Kutora calcium mufomu yepiritsi, zvisinei, kunogona kuwedzera njodzi yekugadzira matombo. Vakadzi vanotora vhitamini D nemapiritsi ecalcium mumashure memenopausal kudzivirira osteoporosis, kunyanya vane nhoroondo yemhuri yematombo, vanofanirwa kungwarira.
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Dombo rangu harina kupera here? Ndinoda kuvhiyiwa here?
Kazhinji, iwe unoda kupindira kwekuvhiya kana matombo ako akakura zvakakwana kuti avhare weti kuyerera, kana achigona kukuvadza itsvo dzako kana ari kukonzera zviratidzo izvo mushonga usingabatsire.
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1
Chii chinonzi urinary incontinence?
Urinary incontinence ndiko kutadza kubata weti zvichikonzera kurasikirwa nekuita weti. Kurasika kweweti kunogona kubva pakudonha kudiki kweweti kusvika pakunyorova zvakanyanya. Ichi chirwere chinokanganisa zvakanyanya kunaka kwehupenyu nekukanganisa basa, kufamba, kutandara kwevanhu uye kuita zvepabonde.
2
Ndechipi chiitiko cheurinary incontinence?
Chikamu che10% chevanhu vanopfuura makore makumi matanhatu nemashanu vane incontinence yeweti. Maererano nefungidziro yeWorld Health Organisation, kune varwere vane mamirioni mazana maviri pasi rose vane zviratidzo zvekutadza weti yemurume kana yechikadzi. Zvisinei, sezvo mamiriro aya akabatanidzwa nekunyara, kunyara uye kunyarara, chimiro chaicho hachizivikanwi.
3
Ko weti incontinence chikamu chisingadzivisiki chekuchembera here?
Nekuchembera, chido chekuita weti chinogona kuitika kakawanda uye zvakaoma kudzora: zvisinei, kusagadzikana kunogona kukanganisa varume nevakadzi vezera rose uye haisi mhinduro yakajairika pakukwegura.
4
Chiitiko chekusagadzikana kweurinary chakafanana here muvarume nevakadzi?
Aiwa, vakadzi vanosangana nekusazvidzora kaviri kakawanda kupfuura varume. Kubata pamuviri uye kuberekwa-mwana, kuenda kumwedzi uye chimiro chemukadzi weti weti zvinopa mutsauko uyu. Zvisinei, vose vakadzi nevarume vanogona kuva vasina kugadzikana kubva kune sitiroko, multiple sclerosis uye mamwe matambudziko emuviri ane chokuita nekukwegura.
5
Ndezvipi zvinhu zvinokonzera kusakwanisa kudzora weti?
Zvikonzero zveurinary incontinence zvinosiyana, asi zvinosanganisira:
- Kuberekwa
- Kubereka
- kufutisa
- Kusvitsa
- Sodya fodya
- Prostate kuwedzera uye/kana kuvhiyiwa
- Hysterectomy
- Radiation therapy kune pelvis
- chirwere cheshuga
- Chirwere chePalinson
- Kukuvara musana
- Cerebral vascular tsaona
- Dementia.
6
Pane here mhando dzakasiyana dzeurinary incontinence?
Kune mhando nhatu huru dzekusagona kudzora weti:
- Kurudzira kusagadzikana
- Stress incontinence
- Kufashukira dundira
7
Chii chinonzi urge incontinence?
Kukurudzira incontinence kana detrusor pamusoro pekuita idambudziko rakajairika rinowedzera muhuwandu uye kuomarara nekukura. Mumamiriro ezvinhu aya, murwere anowanzo rasikirwa weti pasina zvikonzero zvinonzwisisika apo kamwe-kamwe anonzwa kudiwa kana kuda kuita weti. Mukusazvidzora, dundira rinobuda nokusazvidira panguva yokurara, pashure pokunwa mvura shomanene, kana kuti paunenge uchibata mvura kana kuti kunyange pakuinzwa ichimhanya (sepaapo mumwe munhu ari kugeza kana kugeza ndiro).
8
Chii chinokonzera urge incontinence?
Chikonzero chinonyanya kukonzera kukurumidza kusagadzikana hakuna kufanira uye nekusazvidira kubvongodza dundira. Uku kuzvimba kusingaite kunogona kuitika nekuda kwekuzvimba kana kushatirwa mukati medundira kana kuti zvimwe zvirwere zvetsinga zvinokanganisa kudzora kutundira kwedundira.
- Urinary tract infections
- kenza
- Chirwere chePalinson
- Chirwere cheAlzheimer
- Mimwe mishonga yakadai seye hypnotics kana narcotics
- Kukuvara (zvakadai sezvinoitika panguva yekuvhiyiwa)
- Benign prostatic hyperplasia (BPH).
Kukurudzira incontinence kunogonawo kuitika kana kufamba kwakashata (somuenzaniso, kune varwere vane arthritis), zvichiita kuti zvive zvakaoma kuvarwere kusvika kuchimbuzi munguva. Ichi chirwere dzimwe nguva chinodaidzwa kuti "functional" incontinence.
9
Chii chinonzi stress incontinence?
Stress incontinence ndiyo yakajairika nzira yekusagadzikana muvarwere vakura. Zvinokonzerwa nekusashanda zvakanaka kweurethral sphincter izvo zvinoita kuti weti ibude kubva dundira kana intra-abdominal pressure ichiwedzera, sepanguva yekuseka, kukosora kana kuhotsira.
10
Chii chinokonzera kusagadzikana kwekusagadzikana?
Kuchinja kwemuviri kunokonzerwa nenhumbu, kuzvara uye kuenda kumwedzi ndizvo zvinowanzokonzera kusagadzikana kwekusagadzikana kwepfungwa. Ndiyo nzira inonyanyozivikanwa yekushaya simba mumadzimai uye inorapika. Mamwe mamhasuru, anozivikanwa se "pelvic floor muscles" anotsigira dundira. Kana mhasuru idzi dzikapera simba, dundira rinogona kufamba richidzika, richisunda zvishoma kubva pasi pepelvis rakananga kusikarudzi. Izvi zvinodzivirira mamhasuru anowanzo manikidza urethra kuvharika kubva pakudzvinya zvakasimba sezvaanofanira kuita. Nekuda kweizvozvo, weti inogona kudonhedza muurethra panguva yekushushikana kwemuviri. Stress incontinence inoitikawo kana mhasuru dzinoita kudzvinya dzapera simba. Stress incontinence inogona kuwedzera mukati mevhiki isati yasvika kumwedzi. Panguva iyoyo, kuderedzwa kweesrogen mazinga anogona kukonzera kuderera kwemuscular pressure yakatenderedza urethra, zvichiwedzera mikana yekudonha. Chiitiko chekusagadzikana kwepfungwa kunowedzera mushure mekuenda kumwedzi. Stress incontinence inogonawo kuitika nekuda kwezvinodhaka, Kuvhiya trauma kana kukuvara kwemwaranzi.
11
Chii chinonzi overflow incontinence?
Overflow bladder inowanzoonekwa kune varume vakuru. Urinary incontinence nekuda kwekufashukira dundira inowanzoitika muvarume nekuda kwekuwanda kwekuvharisa prostate gland kukura. Muchiitiko ichi weti inoungana mudundira kusvikira uwandu hwedundira hwasvika. Inobva yadonhedza nemu urethra ne "kufashukira", kazhinji ichiratidza sekudonha. Zvisinei, kuwedzera kwemukati-mudumbu kudzvinyirira, kunoitika panguva yekukosora uye kuhotsira, kunogonawo kukonzera kurasikirwa kweweti, kuitira kuti kuputika kwekusagadzikana kunogona kuvhiringidzwa nekunetseka kusagadzikana.
12
Chii chinokonzera overflow incontinence?
Kufashukira dundira incontinence kunoitika nekuda kwe:
- Vhiki tsandanyama dzedundira dzinokonzerwa nekukuvara kwetsinga kubva kuchirwere cheshuga kana zvimwe zvirwere (semuenzaniso, mamota, radiation, kuvhiyiwa)
- Kuvharirwa weti kubuda kunze, senge izvo zvinokonzerwa nekuwedzera kweprostate uye weti matombo
- Under active bladder contractions inokonzerwa nemimwe mishonga. Mishonga iyi inotungamirira mukuchengetedza weti ine distension yedundira.
13
Pane mamwe marudzi ekusagadzikana here?
Kana kushushikana uye kukurudzira kusagadzikana kunoitika pamwe chete, dzimwe nguva kunonzi "musanganiswa incontinence". Izvi zvinowanzoitika muvakadzi. "Nguva pfupi" kana kusagadzikana kwechinguva kunogona kukonzerwa nemishonga, zvirwere zveurinary tract, kukanganiswa kwepfungwa, kurambidzwa kufamba uye kuvharwa kwakanyanya, izvo zvinogona kusundira kurwisana neurinary tract uye kuvhara kubuda.
14
Pane here kurapwa kweurinary incontinence?
Mhando dzakawanda dzekusagadzikana kweweti dzinogona kurapwa zvinobudirira uye zviratidzo zvakavandudzwa rudzi rwekusagadzikana huripo hunotarwa. Mune vamwe varwere, kusagadzikana kunowanzovandudzwa nekuderedza uremu. Vanosvuta vane chikosoro chisingaperi vane matambudziko mashoma pavanorega kusvuta (uye kurega kukosora). Mimwe mishonga yakajairika inogonawo kuwedzera mamiriro acho ezvinhu.
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