Ubuso boKhathalelo lwezeMpilo: Yintoni iUrologist?

Umxholo

• Ushwankathelo
• Yintoni ugqirha womchamo?
• Yintoni urology?
• Zithini iimfuno zoqeqesho noqeqesho?
• Zeziphi iimeko ezinyangwa zii-urologists?
• Zeziphi iinkqubo ezenziwa ziiurologist?
• Ufanele umbone nini ugqirha womchamo?
• Q:
• A:

Ushwankathelo

Ngexesha lamaYiputa kunye namaGrike amandulo, oogqirha babedla ngokuhlola umbala womchamo, ivumba, noburhabaxa. Baye bajonga amaqamza, igazi kunye nezinye iimpawu zesifo.

Namhlanje, icandelo lonke leyeza lijolise kwimpilo yenkqubo yokuchama. Ibizwa ngokuba ngumchamo. Nanku ukujonga okwenziwa zii-urologists kwaye kufanelekile nini ukuba ubone enye yezi ngcali.

Yintoni ugqirha womchamo?

I-Urologists ichonga kwaye inyanga izifo zomchamo kumadoda nabasetyhini. Baye baxilonge kwaye baphathe nantoni na ebandakanya ukuzala emadodeni.

Ngamanye amaxesha banokwenza utyando. Umzekelo, banokuwususa umhlaza okanye bavule ukuvalwa kwendlela yokuchama. I-Urologists isebenza ngeendlela ezahlukeneyo, kubandakanya izibhedlele, iiklinikhi zabucala kunye namaziko e-urology.

Iphepha lokuchama yinkqubo eyenza, igcine, kwaye isuse umchamo emzimbeni. Iingcali zonyango zinganyanga nayiphi na inkqubo yale nkqubo. Oku kubandakanya:

• izintso, ezingamalungu acoca inkunkuma ngaphandle kwegazi ukuvelisa umchamo
• ii-ureters, eziyimibhobho ophuma kuyo umchamo ukusuka kwizintso ukuya kwisinyi
• isinyi, esingumngxuma ongaphantsi ogcina umchamo
• urethra, leyo ityhubhu ehamba ngayo umchamo kwisinyi ngaphandle komzimba
• amadlala adrenal, amadlala abekwe ngaphezulu kwezintso nganye ekhupha iihomoni

I-Urologists ikwanyanga onke amalungu enkqubo yokuzala. Le nkqubo yenziwe yile:

• Ilungu lobudoda, elililungu elikhupha umchamo kwaye likhupha isidoda emzimbeni
• iprostate, eli lidlala elingaphantsi kwesinyi elongeza ulwelo kwisidoda ukuvelisa incindi
• amasende, angamalungu amabini okweqanda ngaphakathi kwisingxobo samatyhalarha enza ihomoni testosterone kunye nokuvelisa isidoda

Yintoni urology?

I-Urology yintsimi yamayeza egxile kwizifo zendlela yokuchama kunye neendlela zokuzala zamadoda. Abanye oochwepheshe bezonyango banyanga izifo ngokubanzi zendlela yokuchama. Abanye bagxile kuhlobo oluthile lwe-urology, enje:

• urology yabasetyhini, egxile kwiimeko zendlela yokuzala kunye nokuchama komfazi
• ukungachumi okwindoda, egxile kwiingxaki ezithintela indoda ukuba ikhawule umntwana kunye neqabane lakhe
• i-neurourology, egxile kwiingxaki zomchamo ngenxa yeemeko zenkqubo yemithambo-luvo
• urology yabantwana, egxile kwiingxaki zomchamo ebantwaneni
• I-urologic oncology, egxile kumhlaza womchamo, kubandakanya isinyi, izintso, iprostate, kunye namasende

Zithini iimfuno zoqeqesho noqeqesho?

Kuya kufuneka ufumane isidanga seminyaka emine yasekholejini emva koko ugqibe iminyaka emine yesikolo sezonyango. Nje ukuba uphumelele kwisikolo sobugqirha, kuya kufuneka udlule kwiminyaka emine okanye emihlanu yoqeqesho lonyango esibhedlele. Ngexesha lale nkqubo, ibizwa ngokuba yindawo yokuhlala, usebenza kunye neeurologists ezinamava kwaye ufunda nezakhono zotyando.

Abanye oochwephesha bathatha isigqibo sokwenza unyaka okanye emibini yoqeqesho olongezelelweyo. Oku kubizwa ngokuba bubudlelane. Ngeli xesha, ufumana izakhono kwindawo ekhethekileyo. Oku kunokubandakanya i-urologic oncology okanye i-urology yabasetyhini.

Ekupheleni koqeqesho lwabo, ii-urologists kufuneka ziphumelele kuvavanyo olukhethekileyo lweeurologists. IBhodi yaseMelika yeUrology iyabaqinisekisa bakugqiba ukubhala uviwo ngempumelelo.

Zeziphi iimeko ezinyangwa zii-urologists?

I-Urologists iphatha iimeko ezahlukeneyo ezichaphazela inkqubo yokuchama kunye nenkqubo yokuzala kwamadoda.

Emadodeni, ii-urologists ziphatha:

• Umhlaza wesinyi, izintso, ipenisi, amasende, kunye neadrenal kunye nedlala lobudoda
• ukwandiswa kwe-prostate gland
• ukungasebenzi kakuhle kwe-erectile, okanye ingxaki yokufumana okanye yokugcina ulwakhiwo
• ukungachumi
• i-cystitis yangaphakathi, ekwabizwa ngokuba sisifo esibuhlungu sesinyi
• izifo zezintso
• amatye ezintso
• Prostatitis, kukudumba kwedlala lendlala
• Usulelo lwe-urinary tract (UTIs)
• varicoceles, okanye imithambo eyandisiweyo kwisingxobo samatyhalarha

Kwabafazi, ii-urologists ziphatha:

• Isinyi sanda, okanye ukuhla kwesinyi kwilungu lobufazi
• Umhlaza wesinyi, izintso kunye namadlala eadrenal
• cystitis yangaphakathi
• amatye ezintso
• isinyi kakhulu
• UTI
• ukungabikho komchamo

Kubantwana, ii-urologists ziphatha:

• ukumanzisa ebhedini
• ukuvaleka kunye nezinye iingxaki kulwakhiwo lomchamo
• amasende angafunwanga

Zeziphi iinkqubo ezenziwa ziiurologist?

Xa undwendwela ugqirha womchamo, baya kuqala ngokwenza olunye okanye nangaphezulu kwezi mvavanyo ukuze bafumanise ukuba yeyiphi imeko onayo:

• Ukulinganisa iimvavanyo, ezinje nge-CT scan, i-MRI scan, okanye i-ultrasound, vumela ukuba babone ngaphakathi kwiphepha lakho lokuchama.
• Banoku-odola icystogram, ebandakanya ukuthatha imifanekiso yeX-ray yesinyi sakho.
• Ugqirha wakho womchamo unokwenza i-cystoscopy. Oku kubandakanya ukusebenzisa ubume obuncinci obubizwa ngokuba yi-cystoscope ukubona ngaphakathi kwe-urethra yakho kunye nesinyi.
• Banokwenza uvavanyo lomchamo olushiyekileyo emva kokungafumani nto ukuze bafumane ukuba umchamo ukhawuleza kangakanani ukushiya umzimba wakho ngexesha lokuchama. Ikwabonisa ukuba ungakanani umchamo oshiyekileyo kwisinyi sakho emva kokuba uchamile.
• Banokusebenzisa isampulu yomchamo ukujonga umchamo wakho kwiibhaktheriya ezibangela usulelo.
• Banokwenza uvavanyo lwe-urodynamic ukulinganisa uxinzelelo kunye nevolumu ngaphakathi kwesinyi sakho.

IiUrologists zikwaqeqeshelwe ukwenza iintlobo ezahlukeneyo zotyando. Oku kunokubandakanya ukwenza:

• biopsies yesinyi, izintso, okanye iprostate
• icystectomy, ebandakanya ukususa isinyi, ukunyanga umhlaza
• I-extracorporeal shock-wave lithotripsy, ebandakanya ukwaphula amatye ezintso ukuze bakwazi ukuwasusa ngokulula
• ukufakelwa kwezintso, kubandakanya ukubuyisela endaweni yezintso ezinesifo kwaye kuphilile
• Inkqubo yokuvula ukucinywa
• ukulungiswa komonakalo ngenxa yokwenzakala
• ukulungiswa kwamalungu omchamo angabunjwanga kakuhle
• iProstatectomy, ebandakanya ukususa yonke okanye inxenye yelungu leprostate ukunyanga umhlaza wedlala lobudoda
• Inkqubo yokulingisa, ebandakanya ukusebenzisa imicu yemigca ukuxhasa urethra kunye nokuyigcina ivaliwe ukunyanga ukungasebenzi komchamo
• ukuthengiswa ngokutsha kweprostate, okubandakanya ukususa izicwili ezingaphezulu kwiprostate eyandisiweyo
• inaliti yokutshintsha kwenaliti yeprostate, ebandakanya ukususa izicwili ezingaphezulu kwiprostate eyandisiweyo
• ureteroscopy, ebandakanya ukusebenzisa indawo yokususa amatye kwizintso kunye ne-ureter
• i-vasectomy yokuthintela ukukhulelwa, okubandakanya ukusika nokudibanisa i-vas deferens, okanye ityhubhu yesidoda ehamba ngayo ukuvelisa incindi

Ufanele umbone nini ugqirha womchamo?

Ugqirha wakho wokunyamekela unokukunyanga kwiingxaki zokuchama kancinci, ezinje nge-UTI. Ugqirha wakho wokhathalelo oluphambili unokukuthumela kugqirha womchamo ukuba iimpawu zakho aziphucuki okanye ukuba unemeko efuna unyango abangakwaziyo ukukunika.

Kuya kufuneka ubone i-urologist kunye nenye ingcali kwiimeko ezithile. Umzekelo, indoda enomhlaza wedlala lobudoda inokubona ingcali yomhlaza ebizwa ngokuba yi "oncologist" kunye ne-urologist.

Wazi njani xa ilixesha lokuba ubone ugqirha? Ukuba nazo naziphi na kwezi mpawu zibonisa ukuba unengxaki kwiphepha lokuchama:

• igazi kumchamo wakho
• Ukuchama rhoqo okanye ngokungxamisekileyo
• iintlungu kumqolo wakho osezantsi, isinqe, okanye amacala
• intlungu okanye ukutshisa ngexesha lokuchama
• ingxaki yokuchama
• Ukuvuza komchamo
• ukuhamba komchamo obuthathaka, ukuqhuba

Kuya kufuneka ubone ugqirha womchamo ukuba uyindoda kwaye ufumana ezi mpawu:

• Ukunciphisa umnqweno wesondo
• iqhuma kumasende
• unengxaki yokufumana okanye ukugcina ulwakhiwo

Q:

Ndingenza ntoni ukugcina impilo yam yomchamo?

Isigulana esingaziwayo

A:

Qiniseka ukuba uhlala ukhupha isinyi sakho kwaye usele amanzi endaweni yecaffeine okanye ijusi. Gwema ukutshaya kwaye ugcine ukutya okunetyuwa encinci. Le mithetho ngokubanzi inokunceda ukuthintela uninzi lwemiba eqhelekileyo yomchamo.

UFara Bellows, MD iimpendulo zimele izimvo zeengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.