I-Andrologist - ngubani na kwaye uyaphilisa - le micimbi ifanelekileyo kumadoda kunye nezibini ezijongene neengxaki zokuphulwa kwemisebenzi yesondo kunye nokuzala. Kwakhona kubalulekile ukwazi ukubahluko phakathi kwe-andrologist kunye noogqirha bezodwa ezizodwa.
Iyintoni i-andrology?
Ukuze ufumane impendulo yombuzo yintoni isifo sesifo, kufuneka uqhelane neli candelo lonyango njenge-andrology. I-andrology yanamhlanje yinkqubo yezokwelapha ephonononga impilo kunye nezifo zezitho zokuzala zamadoda, ezisemngceleni kunye ne-urology, i-sexology, i-endocrinology, ukuhlinzwa kunye ne-dermatology. Izikhokelo ze-andrology:
- ukungabi namntwana;
- zesini;
- STI;
- izifo ze-prostate;
- ukuhlinzwa ngokwesini;
- izifo ze-ecological of organism;
- ne-androgen;
- utyando lwe-urethra;
- imiba yesini;
- kunye neerrology zezingane.
Andrologue - ngubani na oku kunye nokuphilisa?
I-andrologist ngugqirha ophethe izifo zesitho zenyama yokuzala, ezi zifo zihlala zihambelana nokusilela kwe-hormonal, ukungasebenzi kwe-erectile, ukungabikho kwempilo. Ziziphi i-andrologists eziphatha ngayo amadoda:
- iprotatitis;
- iprotate adenoma;
- phimosis;
- Varicocele (iintsholongwane ze-varicose veins);
- urethritis osulelekileyo okanye ongenawosulelayo;
- isisu esinomdla okanye umdlavuza;
- i-epispadia (i-cleavage, epheleleyo okanye ekhethekileyo, izindonga ze-urethra);
- hypospadias (i-pathology of the urethra);
- ipeni (iphosakelo yecandelo langaphandle lezesondo);
- isini;
- ukuphulwa kwe-libido, ukujula;
- okanye i-orchitis (ukuvuvukala kwe-testis ngenxa yesifo esithathelwanayo-i-mumps, i-pneumonia);
- i-epididymitis (inkqubo yokuvuvukala epididymis ngenxa yokulimala, ii-STI);
- i-balanoposthitis (ukuvuvukala kwentloko okanye ijwabu);
- i-alopecia androgenic (ukulahleka kweenwele);
- wesilisa.
Ukuze uqonde ngokuchanekileyo ngubani kunye ne-andrologist kunye noko akunyangayo, kukufanelekile ukukhankanya amalungu apho lo gqirha ugxininisa, kwaye oku:
- ipeni;
- amagqabi;
- iprotate;
- uretha;
- uretha;
- epididymis;
- ureters;
- ibhanti;
- izintso.
Urologist-andrologist
I-urology yintsimi yeyeza ezikufuphi ne-andrology. Urologist uphatha izifo ze-genitourinary system kubameli bobabini, kunye ne-andrologist - ngokukhethekileyo kuphela kumadoda, ukongezelela ukuxazulula iingxaki ze-potency. Ukwamkelwa kwi-andrologist yama-urologist, amadoda aneminyaka engama-45 nangaphezulu aphakanyiswa kabini ngonyaka. I-urologist-andrologist - ngubani na ophetheyo:
- i-erectile dysfunction;
- iingxaki zokukhulelwa;
- izifo ze-prostate;
- iinkqubo ezivuthayo kwizitho zangasese, i-urinary vesti, izintso;
- ukuphazamiseka kokuhamba.
Andrologist-endocrinologist
I-andrologist-endocrinologist igxile kwizifo zesithwaba sokuzala okubangelwa yimingcipheko yemali ye-hormonal balance. I-Endocrinologist-andrologist - ngubani na kwaye uyaphilisa:
- i-adenoma yeprostate ;
- ukungabikho;
- ukuphulwa kokutshatyalaliswa kwamakhwenkwe;
- i-erectile dysfunction;
- cryptorchidism (ukuvuthwa okungavamile kwetekisi);
- i-gynecomastia (ukukhuliswa kweengcingo zentsikazi);
- I-hypogonadism yindoda (i-secretion ebuthakathaka yamahomoni wesilisa);
- ukunyanzeliswa kweprolactin;
- kuncitshiswa kwe-testosterone (ukuphuma komyeni);
- iintsholongwane ezinxulumene nesifo sengxaki ye-androgens kwizifo zesifo se-thyroid, isifo sikashukela, i-pathologies ye-pituitary kunye ne-hypothalamus, ukukhuluphala.
Ngogqirha-andrologist
Ukufuna impendulo kumbuzo - ugqirha we-andrologist - ngubani na - akubona zonke izigulana zinokukwazi ukuba kukho ubungcali obuncinci njengogqirha we-andrologist osombulula iingxaki ezithile zesintu:
- xa i-cryptorchidism yenkwenkwezi, udokotela ohlinzayo we-andrologist wenza umsebenzi, ebeka amathambo avela kwisisu esiswini esiswini;
- kususa ama-cystic formations kwizitho zangasese;
- ukugqithisa ijwabu ekunciphiseni (phimosis).
Xa udibanisa udibanise?
Amadoda amaninzi anokuba nombuzo-xa uhamba ukuya kwinqanaba, qiniseka ukuba ubhekise kule ngcali kufuneka ukuba:
- ukungabikho kwengqondo , ngakumbi-ukuba umfazi wezintlu akazange abonakalise iingxaki kwiqabane lakhe;
- ubulili obubuhlungu;
- ukubetha okanye intlungu kwisisu esezantsi, kwizitho zangasese;
- uvakalelo olubuhlungu ngexesha lokuvuthwa, ukungabikho kwamanzi okuvuthwa, ukuqhuma okanye igazi kumchamo;
- ukukhutshwa okungathandekiyo kwi-urethra;
- i-erectile dysfunction, ukunciphisa i-libido, iingxaki nge-potency;
- ama-warts, ama-papillom kunye nezinye iifom endaweni yesini;
- ukubonakala kwezinto ezibonakalayo kwi-scrotum;
- ekufikeni kwexesha lokutshatyalaliswa komntwana - ukuba iminyaka engama-13 akukho zibonakaliso ezibonakalayo;
- i-enuresis kwinkwenkwe engaphezulu kweminyaka engama-4;
- u bunzima;
- ukuphambuka ukusuka kumgangatho oqhelekileyo ngobukhulu bamathambo kunye nepeni;
- ubukho bentsholongwane yokuzalwa.
Ukwamkelwa kwe-andrologist njani?
Ukwamkelwa kokuqala kwe-andrologist kuqala ngokuqokelela i-anamnesis, uviwo kunye nokuqokelela uhlalutyo. Ukutyelela ugqirha kwakuyinkqubela phambili, kufuneka:
- Musa ukuvumela ukunyuka kwiintsuku ezimbini ngaphambi kokuba ungeniswe kwi-andrologist, ukwenzela ukuba ungadlulela kwi-seminal fluid ukuze uhlalutye.
- Ukunciphisa utywala ubuncinane iintsuku ezingama-2-3.
- Unakekele ukuhlambulula amathumbu.
- Yenza iinkqubo zokucoceka (xa ukuphazamiseka kokukhupha, izambatho ezingcolileyo zingathathwa kwi-reception).
Uviwo lwe-andrologist
Uviwo oluphambili lwe-andrologist lubandakanya isifundo sangaphandle:
- ipeni;
- isiqu;
- i-lymph nodes esesigxini;
- Iprotate (uviwo luqhutyelwa ngecala eliyi-rectum).
Ziziphi iimvavanyo eyenziwa ngu-andrologist?
Uludwe oluthile lweemvavanyo kunye neemviwo eziyimfuneko nganye yesigulane nesigulane sisigxina ngabanye, kuxhomekeke kwiingxaki eziphazamisayo indoda. Ukucacisa ukuxilongwa kwe-andrologist kunokumisela:
- iimvavanyo jikelele zomchamo negazi;
- I-smear evela kwi-urethra eya kunceda ukuchonga intsholongwane okanye ukuvuvukala;
- ukuvavanywa kwegazi ngenxa yokuzihlukanisa kwe-antigen ethile, eyimakishi yobungqina be-prostate disease;
- ukuhlolwa kwegazi ngamahomoni;
- I-ultrasound ye-pelvis encinci, i-MRI, i-CT, i-vasography ngokuchaseneyo.
Kulabo abanomdla kwiimvavanyo eziphi na i-andrologist ezichaza ukungabikho komntwana, impendulo enokuthi iyona mprogram . Ukuthatha i-ejaculate ngokuqhelekileyo kwenziwa ngokusesikweni sokuqala (ngenxa yesi sizathu, kwaye iintsuku ezimbini zokuzilahla ziyadingeka ngaphambi kokuya kugqirha). I-Spermogram inceda ukucacisa ikhono lomdaka lokuqhelisa iqanda, ukuchonga izifo zendalo, iingxaki ze-hormonal kunye nobukho bentsholongwane.
Iingcali ze-Andrologist
Emva kokucacisa umfanekiso wesimo sempilo, i-andrologist yowesilisa ikhetha ukubonisana, apho ichaza ukuqeshwa kwayo. Ngokuqhelekileyo kwisigaba sokuqala sesi sifo, isigulane sidinga ukulandela ukutya kunye nokuyeka imikhwa emibi. Ngaphandle kwexesha elifutshane lokugcinwa kwemigaqo yokuphila ngendlela enempilo, ebandakanya ukutya okunempilo, ukuphumla okwaneleyo, ukuhamba kwemoto kunye nokukhanyela utywala nokutshaya, i-index ye-spermiogram iyaphucula kakhulu, kwaye umntu uyava ukuba uphuculo olusemgangathweni.
I-urologist-andrologist inceda ukhethe ukukhulelwa komntu xa kuyimfuneko. Xa ufumanisa i-urethritis, i-balanoposthitis okanye ezinye izifo ze-bacterial nature, i-specialist imisela i-antibiotics, kwaye ukuba iifungus ifunyenwe, izidakamizwa ezinqamlekileyo ziyachongwa. Isifo esiyinkimbinkimbi njengokuba i-prostatitis idinga unyango olunzima - ukongeza kwi-antibacterial therapy, i-andrologist icwangcisa i-immunotherapy, i-physiotherapy, kunye ne-massage.
Izifo ezenzeka kwimvelaphi yokungalingani kwe-hormonal, zidinga ukuqeshwa kweziyobisi ze-hormone. I-Erectile i-dysfunction iphathwa ngokulawulwa kwamandla. Ukungabi naluphi na uhlobo oluchanekileyo lunokumiselwa kwaye unyango lwe-hormone, kunye nezikhuthazo - indlela yokonyango ixhomekeke kwizizathu zesifo. Ingenelelo yokutyikitya iboniswe kwi-phimosis, cryptorchidism, varicocele, hypospadias, adenoma, pathology zangaphandle zesitho zangasese (ukuzala okanye ukufumana). Kodwa isiluleko se-andrologist sinokugqitywa ngemfuno yokuhlinzwa ukuze kulungiswe iziphene ze-esthétique, utshintsho lwezesondo.
Iingcebiso kunye nodokotela we -rologist
Emva kokufundisisa ngokuthe ngqo kwesihloko - kunye nelologue - ngubani na kunye nokuphatha - amadoda angena kwiingcebiso ze-andrologist ezifanelekileyo.
Iingcebiso eziwusizo
- Ukuba ngummeli wesini esomeleleyo akuthethi ukuba ufanele ukunyamezela intlungu kunye nokuphazamiseka. Ukuba unengxaki kwindawo yesini, kufuneka udibanise ne-andrologist.
- Ukwandisa umsebenzi wesondo kunye nokuphepha iingxaki zempilo kunceda ukulandela imigaqo yokuphila ngendlela enempilo.
- Ixhomekeke kwimpilo yabantu kunye nokuhlambulukiswa komntu - ukuthotyelwa kwemimiselo yococeko kufuneka ibe ngumyalelo ukususela ebuntwaneni.
- Ekubeni iyona nto ibangela izifo ezininzi, kubandakanya i-prostatitis, isifo, isifo saloo kwezinye iziko, zonke izifo ezithathelwanayo kufuneka ziphathwe ngokufanelekileyo ngexesha elifanelekileyo.
- Emva kweminyaka engama-40-45, indoda kufuneka ibhekane ne-andrologist kabini ngonyaka ukuchonga iingxaki ezinokwenzeka ngexesha. Ukuxilongwa kwangaphambili kukunceda ukunyanga ngokukhawuleza nokunciphisa ubunzima beengxaki.