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Ïðîáëåìû ñ ìî÷åèñïóñêàíèåì
Äîáðûé äåíü!
Ìóæ÷èíà 35 ëåò, ðîñò 191, âåñ 63,5 êã.  àíàìíåçå: ÑÐÊ, óäâîåíèå ×ËÑ ëåâîé ïî÷êè.  äåêàáðå 2023 ã. ïåðåíåñ ñòðåïòîêîêêîâûé òîíçèëëèò (ÀÒ 10 äíåé, V-pen MEGA). Ñ íà÷àëà íîâîãî ãîäà îòìå÷àþ íàðàñòàþùóþ ïðîáëåìó ñ ìî÷åèñïóñêàíèåì - ïðè æåëàíèè è ïîçûâàõ ê ìî÷åèñïóñêàíèþ íå âñåãäà óäàåòñÿ ñïðàâèòü íóæäó. Èíîãäà íåîáõîäèìî êîíöåíòðèðîâàòüñÿ íåñêîëüêî ìèíóò, èíîãäà ïðîöåññ âîîáùå íå ñëó÷àåòñÿ, ÷òî î÷åíü ñêàçûâàåòñÿ íà êà÷åñòâå æèçíè. Òàêæå ìî÷à èäåò áåç "íàïîðà" ïðè íàòóæèâàíèè. Èíîãäà ïðåðûâèñòî. Áîëè, ðåçè ïðè ìî÷åèñïóñêàíèè íåò. ÓÇÈ è ïðèåì âðà÷à ïëàíîâî. Èç ïðîâåäåííîé äèàãíîñòèêè: àíàëèç êðîâè, ìî÷è. Àíàëèç ìî÷è: Àëüáóìèí, àöåòîí, áàêòåðèè, ãëþêîçà, ãåìîãëîáèí, íèòðèòû - îòðèö. Ýïèòåëèé 0.1 E6/l Ýðèòðîöèòû 9.7 E6/l Êèñëîòíîñòü 7,5 Ëåéêîöèòû 0.7 E6/l Ëåéêîöèòû (kval) + Îòíîñèòåëüíàÿ ïëîòíîñòü 1,019 Êðîâü: Ñ-ðåêò áåëîê 4.0 mg/l Êàëèé 4.0 mmol/l Êðåàòèíèí 95.0 umol/l Íàòðèé 141.0 mmol/l Pt-GFRe >89/18-39V Ïîäñêàæèòå, ïîæàëóéñòà, ÷åì ìîæåò áûòü âûçâàíî òàêîå ñîñòîÿíèå? Êàêèå äîïîëíèòåëüíûå èññëåäîâàíèÿ ìîæíî ïðîâåñòè? Êàê èñïðàâèòü ñèòóàöèþ? |
#2
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Öèòàòà:
Àíàëèç ìî÷è è êðîâè, ëèøü íà÷àëî îáñëåäîâàíèÿ. Ïëàí îáñëåäîâàíèÿ, íàçíà÷àåò î÷íûé ñïåöèàëèñò.
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doctor Ðolonsky israel Ñíèìêè ñìîòðþ òîëüêî â ïðÿìîì ïîêàçå.,áåç íåîáõîäèìîñòè ñêà÷èâàíèÿ. Ïðîñüáà ïîêàçûâàòü ñíèìêè â ïðàâèëüíîì ïîëîæåíèè. |
#3
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Äîáðûé äåíü!
Çàïèñàí íà ÓÇÈ â áëèæàéøåå âðåìÿ, æäó ïðèåìà. Ñåãîäíÿ ñäàë àíàëèç êðîâè PSA. Ðåçóëüòàò: PSA 5,7 ug/l, Ñâîáîäíûé PSA 8,6 % Ïî ïîëó÷åííûì äàííûì óæå ìîæíî ñäåëàòü êàêèå-ëèáî âûâîäû ëèáî áåç ÓÇÈ äèàãíîñòèêè íåöåëåñîîáðàçíî? Ñïàñèáî! |
#4
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Äîáðûé äåíü!
Â÷åðà áûëî âûïîëíåíî ÓÇÈ èññëåäîâàíèå. Ðåçóëüòàòû íàïðàâëåíû ëå÷àùåìó âðà÷ó. Ñî ñëîâ âðà÷à, ïðîâîäèâøåãî èññëåäîâàíèÿ, íèêàêèõ îòêëîíåíèé ëèáî ÷åãî-íèáóäü íåîáû÷íîãî â õîäå èññëåäîâàíèÿ íå óñòàíîâëåíî. Ìî÷åâîé ïóçûðü îïîðîæíÿåòñÿ ïðàêòè÷åñêè ïîëíîñòüþ, îñòàòî÷íàÿ ìî÷à 11 ìë. Âûñêàçàíî ïðåäïîëîæåíèå î ôóíêöèîíàëüíîì ðàññòðîéñòâå. Ëå÷àùèé âðà÷ ñî ìíîé åù¸ íå ñâÿçûâàëñÿ. Ðåçóëüòàòû ÓÇÈ íåäîñòóïíû. Êàêèå âàðèàíòû âîçìîæíû â ïëàíå äàëüíåéøåé äèàãíîñòèêè? |
#5
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Öèòàòà:
2-Öèñòîìåòðèÿ 3-Óðîäèíàìè÷åñêîå èññëåäîâàíèå Íó, å åñëè äîñòóïíî êîìïëåêñíîå, â ÷åì ñîìíåâàþñü, òî âûïîëíèòå åãî [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
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doctor Ðolonsky israel Ñíèìêè ñìîòðþ òîëüêî â ïðÿìîì ïîêàçå.,áåç íåîáõîäèìîñòè ñêà÷èâàíèÿ. Ïðîñüáà ïîêàçûâàòü ñíèìêè â ïðàâèëüíîì ïîëîæåíèè. |
#6
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Áîëüøîå ñïàñèáî çà îòâåò!
Ìîæåòå ëè Âû íàïèñàòü íàçâàíèå äàííûõ èññëåäîâàíèé íà àíãëèéñêîì ÿçûêå? Áîþñü îøèáèòüñÿ ñ èíòåðïðåòàöèåé. Îáñóæó ñ ëå÷àùèì âðà÷îì. |
#7
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Îáñóäèòå ýòó òåìó.
Urodynamic testing is any procedure that looks at how well parts of the lower urinary tract—the bladder, sphincters, and urethra—work to store and release urine. Most urodynamic tests focus on how well your bladder can hold and empty urine. -Cystometry measures the amount of urine in the bladder. That figure is compared with the bladder pressure and how full you think your bladder is. The result tells your healthcare provider about muscle function, mechanics, and nerve response of the bladder and urinary tract. -Uroflowmetry measures the flow of urine. It tracks how fast urine flows, how much flows out, and how long it takes. It's a diagnostic test to assess how well the urinary tract functions. Your doctor may suggest uroflowmetry if you have trouble urinating, or have a slow stream.
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doctor Ðolonsky israel Ñíèìêè ñìîòðþ òîëüêî â ïðÿìîì ïîêàçå.,áåç íåîáõîäèìîñòè ñêà÷èâàíèÿ. Ïðîñüáà ïîêàçûâàòü ñíèìêè â ïðàâèëüíîì ïîëîæåíèè. |
#8
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Áëàãîäàðþ!
Îáÿçàòåëüíî îáñóæó ñ âðà÷îì. Åù¸ èíòåðåñóåò, ìîæåò ëè ñòðåññ âûçûâàòü ïîäîáíîå ðàññòðîéñòâî ìî÷åèñïóñêàíèÿ? |
#9
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Äîáðûé äåíü, óâàæàåìûå êîíñóëüòàíòû!
Ïîëó÷åííûå ðåçóëüòàòû ÓÇÈ èíòåðïðåòèðîâàíû ëå÷àùèé âðà÷îì â ñîâîêóïíîñòè ñ ðåçóëüòàòàìè àíàëèçîâ è ïàëüöåâîãî èññëåäîâàíèÿ. Ïðè ïàëüïèðîâàíèè îáíàðóæåíî îäíî óïëîòíåíèå, ÿ íå ìîãó ñêàçàòü ïðî áîëåçíåííûå îùóùåíèÿ âî âðåìÿ ïðîöåäóðû, ïîñêîëüêó îíà âûïîëíÿëèñü âïåðâûå. Èñïûòûâàë áîëüøå äèñêîìôîðò è äàâëåíèå, ÷åì áîëåçíåííûå îùóùåíèÿ (íå çíàþ áûëè ëè îíè?). Âðà÷îì çàêëþ÷åíî, ÷òî äëÿ äàííîãî âîçðàñòà è âñåãî âûøåïåðå÷èñëåííîãî íàõîäêè íå ïðåäñòàâëÿþò îïàñíîñòè. Íî äàíî íàïðàâëåíèå â óðîëîãåñêîå îòäåëåíèÿ äëÿ îöåíêè. Åñòü ëè ó Âàñ ïðåäïîëîæåíèå, ÷òî çà óïëîòíåíèå ýòî ìîæåò áûòü? |
#10
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Öèòàòà:
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doctor Ðolonsky israel Ñíèìêè ñìîòðþ òîëüêî â ïðÿìîì ïîêàçå.,áåç íåîáõîäèìîñòè ñêà÷èâàíèÿ. Ïðîñüáà ïîêàçûâàòü ñíèìêè â ïðàâèëüíîì ïîëîæåíèè. |
#11
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Êîíå÷íî æå, íåò. Ïðåêðàñíî ïîíèìàþ, ÷òî î÷íûé îñìîòð âñ¸ ðåøàåò.
Íî, êàê ãîâîðèòñÿ îäíà ãîëîâà õîðîøî, à äâå - ëó÷øå, è, âîçìîæíî, ó Âàñ ëèáî ó äðóãèõ ñïåöèàëèñòîâ åñòü êàêèå-íèáóäü ïðåäïîëîæåíèÿ, ðåêîìåíäàöèè êîòîðûå ÿ ñìîãó âûíåñòè äëÿ îáñóæäåíèÿ ïðè âèçèòå ê óçêîïðîôèëüíîìó ñïåöèàëèñòó. Êàê, íàïðèìåð, âûøå ïðåäëîæåííûå äîïîëíèòåëüíûå èññëåäîâàíèÿ. |
#12
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Äîáðûé äåíü!
 ïðîäîëæåíèå òåìû. Ïî íàçíà÷åíèþ âðà÷à ïîâòîðíî 12.3.2024 ñäàí àíàëèç íà PSA. Ðåçóëüòàò: P -PSA 3,4 ug/l; PSA-SUH 12,9%. Íàïîìíþ ïðåäûäóùèé ðåçóëüòàò îò 7.2.2024 PSA 5,7 ug/l, Ñâîáîäíûé PSA 8,6 %. À òàêæå âûïîëíåí flow-test [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Ìîæíî ëè â ñîâîêóïíîñòè ñ ïðîâåäåííûì èññëåäîâàíèåì ñäåëàòü êàêèå-íèáóäü âûâîäû î ïðè÷èíàõ ïðîáëåì ñ ìî÷åèñïóñêàíèåì? |