Ubuso Bokunakekelwa Kwezempilo: Yini i-Urologist?

-Delile

• Ukubuka konke
• Yini i-urologist?
• Yini i-urology?
• Yini izidingo zemfundo noqeqesho?
• Yiziphi izimo ezelashwa yi-urologists?
• Yiziphi izinqubo ezenziwa izazi zomchamo?
• Kufanele ubone nini udokotela we-urologist?
• Q:
• A:

Ukubuka konke

Ngesikhathi sabaseGibhithe nabaseGrisi basendulo, odokotela babevame ukuhlola umbala womchamo, iphunga nokuthungwa. Baphinde babheka amagwebu, igazi nezinye izimpawu zesifo.

Namuhla, umkhakha wonke wezokwelapha ugxile empilweni yohlelo lokuchama. Ibizwa ngomchamo. Nakhu ukubuka okwenziwa ama-urologists nokuthi kufanele ucabange nini ukubona omunye walaba bachwepheshe.

Yini i-urologist?

Ama-Urologists axilonga futhi aphathe izifo zomgudu womchamo kwabesilisa nabesifazane. Baphinde baxilonge futhi belaphe noma yini ehilela umgudu wokuzala emadodeni.

Kwezinye izimo, bangahlinzwa. Isibonelo, bangasusa umdlavuza noma bavule ukuvinjelwa komgudu womchamo. Ama-Urologists asebenza ezindaweni ezahlukahlukene, kufaka phakathi izibhedlela, imitholampilo yangasese kanye nezikhungo ze-urology.

Ipheshana le-urinary uhlelo olwakha, lugcine, futhi lususe umchamo emzimbeni. Izazi ze-Urologists zingaphatha noma iyiphi ingxenye yalolu hlelo. Lokhu kufaka phakathi:

• izinso, okuyizitho ezihlunga udoti ngaphandle kwegazi ukukhiqiza umchamo
• ama-ureters, okuyizibhubhu lapho umchamo ugeleza khona usuka ezinso uye esinyeni
• isinye, okuyisikhwama esingenalutho esigcina umchamo
• urethra, okuyishubhu lapho umchamo uhamba khona kusuka esinyeni emzimbeni
• izindlala ze-adrenal, okuyizindlala ezibekwe ngaphezulu kwesinso ngasinye esikhipha ama-hormone

Ama-Urologists abuye aphathe zonke izingxenye zesistimu yokuzala yowesilisa. Lolu hlelo lwakhiwa yi:

• ipipi, okuyisitho esikhipha umchamo futhi esikhipha isidoda emzimbeni
• iProstate, okuyindlala engaphansi kwesinye enezela uketshezi esidunjini ukuze kukhiqizwe isidoda
• amasende, okuyizitho ezimbili ezi-oval ezingaphakathi kwesirhashalala ezenza i-testosterone testosterone futhi ikhiqize isidoda

Yini i-urology?

I-Urology yinkambu yezokwelapha egxile ezifweni zomgudu wokuchama kanye nepheshana lokuzala labesilisa. Amanye ama-urologists alapha izifo ezijwayelekile zomgudu womchamo. Abanye bagxile ohlotsheni oluthile lwe-urology, njenge:

• urology yabesifazane, egxile ezimeni zomgudu wokuzala nowomchamo wowesifazane
• ukungabatholi abesilisa, okugxila ezinkingeni ezivimbela owesilisa ekukhulelweni kwengane nomlingani wakhe
• i-neurourology, egxile ezinkingeni zomchamo ngenxa yezimo zesistimu yezinzwa
• urology yezingane, egxile ezinkingeni zomchamo ezinganeni
• i-urologic oncology, egxile kakhulu kumdlavuza wohlelo lokuchama, kufaka phakathi isinye, izinso, i-prostate namasende

Yini izidingo zemfundo noqeqesho?

Kufanele uthole iziqu zasekolishi zeminyaka emine bese uqeda iminyaka emine yesikole sezokwelapha. Lapho usuphothule esikoleni sobudokotela, kuzofanela udlule iminyaka emine noma emihlanu yokuqeqeshwa kwezokwelapha esibhedlela. Phakathi nalolu hlelo, olubizwa ngokuthi indawo yokuhlala, usebenza nama-urologists anolwazi futhi ufunda amakhono okuhlinza.

Abanye odokotela be-urologists banquma ukwenza ukuqeqeshwa okwengeziwe unyaka noma emibili. Lokhu kubizwa ngokuthi yinhlanganyelo. Ngalesi sikhathi, uthola amakhono endaweni ekhethekile. Lokhu kungafaka i-urologic oncology noma i-urology yabesifazane.

Ekupheleni kokuqeqeshwa kwabo, odokotela be-urologists kumele baphumelele ukuhlolwa okukhethekile kwezitifiketi zabasebenzi be-urologists. I-American Board of Urology iyabaqinisekisa lapho kuphothulwe ngempumelelo ukuhlolwa.

Yiziphi izimo ezelashwa yi-urologists?

Ama-Urologists alapha izimo ezahlukahlukene ezithinta uhlelo lokuchama nohlelo lokuzala lwabesilisa.

Emadodeni, odokotela be-urologists baphatha:

• umdlavuza wesinye, izinso, umthondo, amasende, nezindlala ze-adrenal ne-prostate
• ukukhuliswa kwendlala yesinye
• ukungasebenzi kahle kwe-erectile, noma unenkinga yokuthola noma ukugcina ukwakhiwa
• ukungazali
• i-cystitis yangaphakathi, ebizwa nangokuthi i-pain bladder syndrome ebuhlungu
• izifo zezinso
• amatshe ezinso
• i-prostatitis, okuwukuvuvukala kwendlala yesinye
• izifo ezithinta umchamo (UTIs)
• i-varicoceles, noma imithambo ekhulisiwe ku-scrotum

Kwabesifazane, odokotela be-urologists baphatha:

• ukuqhuma kwesinye, noma ukwehla kwesinye esithweni sangasese
• umdlavuza wesinye, izinso nezindlala ze-adrenal
• i-cystitis yangaphakathi
• amatshe ezinso
• isinye esisebenza ngokweqile
• Ama-UTI
• ukungabambeki komchamo

Ezinganeni, odokotela be-urologists baphatha:

• ukumanzisa embhedeni
• ukuvimba nezinye izinkinga ngesakhiwo somgudu womchamo
• amasende angafuneki

Yiziphi izinqubo ezenziwa izazi zomchamo?

Uma uvakashela udokotela womchamo, bazoqala ngokwenza okukodwa noma okuningi kwalokhu kuhlola ukuthola ukuthi unasiphi isimo:

• Ukufanekisa izivivinyo, njenge-CT scan, i-MRI scan, noma i-ultrasound, kuvumele ukuthi babone ngaphakathi komgudu wakho wokuchama.
• Bangakwazi uku-oda i-cystogram, okubandakanya ukuthatha izithombe ze-X-ray zesinye sakho.
• Udokotela wakho we-urologist angenza i-cystoscopy. Lokhu kuhilela ukusebenzisa ubukhulu obuncane obubizwa ngokuthi i-cystoscope ukubona ingaphakathi lomchamo nesinye sakho.
• Bangakwazi ukwenza ukuhlolwa komchamo osele ngemuva kokuthola ukuthi umchamo ushiya kanjani umzimba wakho ngokushesha ngesikhathi sokuchama. Kubonisa nokuthi ungakanani umchamo osele esinyeni sakho ngemuva kokuchama.
• Bangasebenzisa isampula yomchamo ukuhlola umchamo wakho kuma-bacteria abanga izifo.
• Bangakwazi ukwenza ukuhlolwa kwe-urodynamic ukukala ingcindezi nevolumu ngaphakathi kwesinye sakho.

Ama-Urologists nawo aqeqeshelwe ukwenza izinhlobo ezahlukene zokuhlinzwa. Lokhu kungafaka ukwenza:

• biopsies wesinye, izinso, noma i-prostate
• i-cystectomy, okubandakanya ukukhipha isinye, ukwelapha umdlavuza
• i-extracorporeal shock-wave lithotripsy, okubandakanya ukuhlephula amatshe ezinso ukuze bakwazi ukuwasusa kalula
• ukufakelwa izinso, okubandakanya ukufaka esikhundleni sezinso ezinesifo esikhundleni seso esinempilo
• inqubo yokuvula ukuvinjelwa
• ukulungiswa komonakalo ngenxa yokulimala
• ukulungiswa kwezitho zomchamo ezingakhekile kahle
• i-prostatectomy, okubandakanya ukususa yonke noma ingxenye yendlala yesinye ukwelapha umdlavuza wendlala yabesilisa
• inqubo yokujikijela, okubandakanya ukusebenzisa imichilo yamachibi ukusekela i-urethra nokuyigcina ivaliwe ukuphatha ukungasebenzi komchamo
• ukuthengiswa kabusha kwe-prostate transraltral, okubandakanya ukususa izicubu ezeqile kwi-prostate ekhulisiwe
• ukukhishwa kwenaliti ye-transurethral ye-prostate, okubandakanya ukususa izicubu ezeqile kwi-prostate ekhulisiwe
• i-ureteroscopy, okubandakanya ukusebenzisa ububanzi ukususa amatshe ezinso nase-ureter
• i-vasectomy yokuvikela ukukhulelwa, okubandakanya ukusika nokubopha ama-vas deferens, noma isidoda esishubhu esihamba sikhiqize isidoda

Kufanele ubone nini udokotela we-urologist?

Udokotela wakho wokunakekela oyinhloko angakuphatha ngezinkinga ezincane zomchamo, njenge-UTI. Udokotela wakho wokunakekela oyinhloko angakudlulisela ku-urologist uma izimpawu zakho zingathuthuki noma uma unesimo esidinga ukwelashwa abangakwazi ukukunikeza.

Ungadinga ukubona kokubili udokotela womchamo kanye nomunye uchwepheshe ngezimo ezithile. Isibonelo, owesilisa onomdlavuza wendlala yesinye ungabona uchwepheshe womdlavuza obizwa nge- "oncologist" kanye nodokotela we-urologist.

Wazi kanjani ukuthi sekuyisikhathi sokubona udokotela womchamo? Ukuba nanoma iyiphi yalezi zimpawu kusikisela ukuthi unenkinga emkhakheni we-urinary:

• igazi emchameni wakho
• isidingo esivamile noma esiphuthumayo sokuchama
• ubuhlungu emhlane wakho ophansi, okhalweni, noma ezinhlangothini
• ubuhlungu noma ukushisa ngesikhathi uchama
• inkinga yokuchama
• ukuvuza komchamo
• ukugeleza komchamo obuthakathaka, ukudonsa

Kufanele futhi ubone udokotela we-urologist uma uyindoda futhi uhlangabezana nalezi zimpawu:

• ukwehla kwesifiso sobulili
• iqhubu esendeni
• unenkinga yokuthola noma ukugcina ukwakhiwa

Q:

Yini engingayenza ukugcina impilo enhle yomchamo?

A:

Qiniseka ukuthi ukhipha njalo isinye futhi uphuze amanzi esikhundleni se-caffeine noma ujusi. Gwema ukubhema futhi ugcine ukudla okunosawoti omncane. Le mithetho ejwayelekile ingasiza ekuvikeleni iningi lezinkinga ezivamile zomchamo.