Andrologue - ungubani, obani futhi nini kufanele uye kunchwepheshe?

I-Andrologist - ukuthi ngubani nokuthi uyaphila - lezi zindaba zifanelekile kubantu namabhangqwana abhekene nezinkinga ngokuphulwa kwemisebenzi yocansi nokuzala. Kubuye kubaluleke kakhulu ukwazi umehluko phakathi kwe-andrologist kanye nodokotela obuchwepheshe obuhlobene.

Kuyini i-andrology?

Ukuze uthole impendulo yombuzo ukuthi yisiphi isifo se-andrological, kudingeka ujwayelane naleso sigaba semithi njenge-andrology. I-andrology yanamuhla iyisiqondiso sezokwelashwa esihlolisisa impilo nezifo zezingxenye zokuzala zamadoda, ezisemngceleni nge-urology, sexology, endocrinology, ukuhlinzwa kanye nesimiso semvelo. Izikhombisi-ndlela ze-andrology:

• ukungabi nabesilisa;
• ukungasebenzi kocansi;
• I-STI;
• izifo ze-prostate;
• ukuhlinzwa ngokocansi;
• izifo ezingokwemvelo zezitho zokuzala;
• ukulahlekelwa kwe-androgen;
• ukuhlinzwa kwe-urethra;
• izinkinga zobulili;
• andrology yezingane.

Andrologue - ngubani lo futhi yini ephilisa?

I-andrologist udokotela ophethe izifo zesitho zomzimba zesilisa, lezi zifo ngokuvamile zihlotshaniswa nokuhluleka kwe-hormonal, ukungasebenzi kwe-erectile, ukungasebenzi. Yiziphi izazi ze-andrologists ezingamadoda:

• i-prostatitis;
• i-prostate adenoma;
• i-phimosis;
• Varicocele (testicular varicose veins);
• urethritis esithathelwanayo noma engenasifo;
• isisu esinomzimba noma umdlavuza;
• epispadia (cleavage, ephelele noma eyingxenye, izindonga ze-urethra);
• hypospadias (i-pathology of the urethra);
• ipeni elilindelekile (iphutha langaphandle kwezingxenye zobulili);
• ukuthandana;
• ukwephulwa kwe-libido, ukujula;
• i-orchitis (ukuvuvukala kwe-testis ngenxa yesifo esithathelwanayo - izimpungushe, isibhamu);
• i-epididymitis (inqubo yokuvuvukala ema-epididymis ngenxa yokulimala, ama-STIs);
• i-balanoposthitis (ukuvuvukala kwekhanda noma ijwabu);
• i-alopecia androgenic (ukulahlekelwa izinwele);
• owesilisa wesilisa.

Ukuze uqonde ngokunembile ukuthi ubani ongu-andrologist nokuthi uyaphila, kufaneleka ukukhuluma ngezigameko ezikugcizelele kulo dokotela, futhi lokhu:

• ipeni;
• amacici;
• i-prostate;
• urethra;
• urethra;
• i-epididymis;
• ureters;
• isisindo;
• izinso.

Urologist-andrologist

I-urology iyinkambu yemithi eseduze ne-andrology. Urologist uphatha izifo zesimiso se-genitourinary kwabameleli bobulili bobabili, isazi se-andrologist - ngokukhethekile kuphela emadodeni, ngokungezelela ukuxazulula izinkinga ze-potency. Ukwamukelwa ku-andrologist we-urologist, amadoda angama-45 nangaphezulu anconywa kabili ngonyaka. I-urologist-andrologist - ngubani futhi ophatha:

• ukungasebenzi kahle kwe-erectile;
• izinkinga zokukhulelwa;
• izifo ze-prostate;
• izinqubo zokuvuvukala ezithombeni zobulili, isambatho sokuvuthwa, izinso;
• ukuphazamiseka kokuvuthwa.

I-Andrologist-i-endocrinologist

I-andrologist-endocrinologist igxile kwizifo zesimiso sokuzala owesilisa ezibangelwa ukungasebenzi kwemali ye-hormonal. I-endocrinologist-andrologist - obani nokuthi uyaphila:

• i-adenoma ye-prostate ;
• ukungabi namuntu;
• ukwephulwa kokushona kubafana;
• ukungasebenzi kahle kwe-erectile;
• cryptorchidism (ukuvuthwa okungavamile kwesilwane);
• i-gynecomastia (ukukhuliswa kwezilonda ezincelisayo);
• i-hypogonadism yesilisa (ukucinwa kwamandla ama-hormone wesilisa);
• ukuxoshwa kweprolactin;
• ukwehla kwe-testosterone (ukukhishwa kwesikhashana kwesilisa);
• i-pathologies ehambisana nesifo sohlobo lwe-androgens ezifweni ze-gland yegciwane, isifo sikashukela, i-pathologies ye-pituitary ne-hypothalamus, ukukhuluphala.

Udokotela ohlinzayo-odokotela wezinkanyezi

Ukufuna impendulo yombuzo - udokotela we-andrologist - obani - akuzona zonke iziguli ezingazi ukuthi kunomqondo omncane njengophethiloli we-andrologist oxazulula izinkinga ezithile zesilisa:

• lapho i-cryptorchidism yomfana, udokotela ohlinzayo we-andrologist enza lo msebenzi, ebeka amathemikhali emgodini wesisu esiswini;
• kususa ama-cystic ama-genitals;
• ukuphuza ijwabu ekunciphiseni kwayo (phimosis).

Uma uxhumane naye ungaxhumeki kuphi?

Amadoda amaningi angase abe nombuzo - lapho uzoya khona, qiniseka ukuthi ubheke kulo mchwepheshe kufanele abe:

• ukungabi nalutho , ikakhulukazi - uma isazi somzimba singabonakali izinkinga kumlingani;
• ubulili obubuhlungu;
• ukushaywa noma ubuhlungu esiswini esingaphansi, ezithombeni zobulili;
• ukuzwa okubuhlungu ngesikhathi sokuvuthwa, ukungahambisani namagciwane, i-pus noma igazi emcimbini;
• ukukhishwa okungathandeki kusuka e-urethra;
• ukungasebenzi kahle kwe-erectile, kwehlisa libido, izinkinga nge-potency;
• ama-warts, ama-papillomas nezinye izimo endaweni yokuzala;
• ukubukeka kwezinto ezibonakalayo ku-scrotum;
• ukukhulelwa kwentsha - uma sekuyiminyaka engu-13 ayikho izimpawu ezibonakalayo;
• u-enuresis kumfana oneminyaka engaphezu kwengu-4;
• ukukhuluphala;
• ukuphambuka okuvela esimweni esilinganiselwe ngobukhulu bezintendana kanye ne-penis;
• ukutholakala kwesifo sokubeletha.

Ukwamukelwa kwe-andrologist kanjani?

Ukutholwa kokuqala kwe-andrologist kuqala ngokuqoqwa kwe-anamnesis, ukuhlolwa nokuqoqwa kokuhlaziywa. Ukuvakashela udokotela kwakuphumelela kakhulu, udinga:

1. Ungavumeli u-ejaculation kungakapheli izinsuku ezimbili ngaphambi kokungeniswa ku-andrologist, ukuze ukwazi ukudlula uketshezi lwamaminerali ukuhlaziywa.
2. Nciphisa utshwala okungenani izinsuku ezingu-2-3.
3. Qaphela ukuhlanza amathumbu.
4. Yenza izinqubo zokuhlanzeka (uma ukuphazamisa ukukhishwa, izingubo ezingcolile zingathathwa ukuze zamukeleke).

Ukuhlolwa kwe-andrologist

Ukuhlolwa okuyisisekelo kwe-andrologist kufaka isifundo sangaphandle:

• ipeni;
• i-scrotum;
• Ama-lymph nodes ase-groin;
• i-prostate (ukuhlolwa kwenziwa nge-rectum).

Yiziphi izivivinyo ummeli we-andrologist akhetha?

Uhlu oluthile lwezivivinyo kanye nokuhlolwa okudingekile kwe-arrologist ngayinye yesiguli kunquma ngabanye, kuye ngezinkinga ezikhathaza le ndoda. Ukucacisa ukuthi i-andrologist ixilongwa ingaqoka kanjani:

• ukuhlolwa okujwayelekile komchamo negazi;
• I-smear evela e-urethra ezosiza ukukhomba ukutheleleka noma ukuvuvukala;
• ukuhlolwa kwegazi ukuhlukaniswa kwe-antigen ethile, okuyimpawu yokuba nesifo se-prostate;
• ukuhlolwa kwegazi ngamahomoni;
• I-ultrasound ye-pelvis encane, i-MRI, i-CT, i-vasography ngokuhlukile.

Kulabo abanesithakazelo ukuthi yiziphi izivivinyo i-andrologist ebeka ukuthi i-infertility, impendulo kungenzeka kakhulu yi- spermogram . Ukuthatha i-ejaculate kuvame ukuthathwa ekuvunyelweni okuyisisekelo (ngenxa yalesi sizathu, futhi izinsuku ezimbili zokuziyeka ziyadingeka ngaphambi kokuya kudokotela). I-Spermogram isisiza ukuthi sinqume ikhono lomdlwane lokutshala iqanda, ukukhomba izifo zendalo, izinkinga ze-hormonal kanye nokutholakala kocansi olusakazekayo.

Ukubonisana kwe-Andrologist

Ngemva kokucacisa isithombe sesimo sempilo, i-arrologist wesilisa imisa ukubonisana, lapho ichaza khona ukuqokwa kwayo. Ngokuvamile esigabeni sokuqala sesifo, isiguli sidinga kuphela ukulandela ukudla nokuyeka imikhuba emibi. Ngisho nangesikhathi esifushane sokugcinwa kwemigomo yokuphila okunempilo, okubandakanya izinga lokudla okunempilo, ukuphumula okwanele, ukuhamba kwemoto nokunqatshwa kotshwala nokubhema, inkomba ye-spermiogram iyathuthuka kakhulu, futhi lo muntu uzizwa ngcono ekwenzeni amandla.

Udokotela we-urologist-andrologist usiza ukukhetha ukukhulelwa kwezingane uma kudingeka. Lapho uthola i-urethritis, i-balanoposthitis noma ezinye izifo zesifo sebhaktheriya, isazi sichaza ama-antibiotics, futhi uma kutholakala ukhunta, izidakamizwa ze-antifungal zinqunywe. Isifo esinzima kangaka njenge-prostatitis sidinga ukwelashwa okuyinkimbinkimbi - ngaphezu kokuthekisana kwama-antibacterial, i-andrologist ibeka i-immunotherapy, i-physiotherapy ne-massage.

Izifo ezenzeka ngemuva kwekungalingani kwe-hormonal, zidinga ukuqokwa kwezidakamizwa ze-hormonal. Ukukhubazeka kwe-Erectile kuphathwa nge-regulency regulators. Ukungabi nalutho kungacelwa futhi ukwelashwa kwe-hormone, nokuvuselela - indlela yokwelashwa incike ezimbangela zesifo. Ukungenelela kokuhlinzwa kukhonjiswe nge-phimosis, cryptorchidism, varicocele, hypospadias, i-adenoma, i-pathology yezitho zangasese zobulili zangasese (ezitholile noma ezitholakalayo). Kodwa iseluleko se-andrologist singanqunywa futhi ngesidingo sokuhlinzwa ukuze silungise amaphutha okuhlola, ukushintsha kocansi.

Amathiphu nodokotela we -rologist

Ngemva kokucwaninga ngokujulile isihloko - futhi -rologue - ukuthi ungubani nokuthi uthatha kanjani - amadoda angangena esilulekweni esihle kakhulu se-andrologist.

Izincomo eziwusizo

1. Ukumelela ubulili obunamandla akusho ukuthi kufanele ukhuthazele ubuhlungu nokuphazamiseka. Uma unenkinga endaweni yesisu, kudingeka wenze i-aphoyintimenti ne-andrologist.
2. Ukwandisa umsebenzi wobulili nokugwema izinkinga zempilo kusiza ukulandela imithetho yokuphila enempilo.
3. Kuxhomeke empilweni yabantu kanye nokuthi umuntu uhlanzekile kanjani - ukuhambisana nemithetho eyisisekelo yokuhlanzeka kumele kube yinto edingekile kusukela ebuntwaneni.
4. Njengoba imbangela enkulu yezifo eziningi, kuhlanganise ne-prostatitis, isifo, isifo esivela kwezinye izitho, zonke izifo ezithathelwanayo kufanele ziphathwe ngesikhathi esifanele futhi ngokuphelele.
5. Emva kweminyaka engama-40-45, indoda kufanele ivakashele i-andrologist kabili ngonyaka ukukhomba izinkinga ezingenzeka ngesikhathi. Ukuxilongwa kwangaphambili kunomthelela ekwelapheni okusheshayo nokunciphisa izinkinga ezingenzeka.