Cov txiv neej genitourinary system suav nrog ob qhov sib txawv, ua haujlwm thiab cov qauv morphologically. Hauv txhua tus ntawm lawv muaj qee yam kabmob uas ua haujlwm qee yam. Tom ntej no, peb yuav txiav txim siab nyob rau hauv kom meej ntxiv dab tsi yog tus qauv ntawm tus txiv neej genitourinary system. Kab lus yuav piav qhia txog cov dej num uas nws ua, nrog rau qee yam ntawm pathologies.
cov ntaub ntawv dav dav
Lub cev muaj cov kabmob uas tsim thiab tom qab ntawd tso zis. Qhov no yog ib qho ntawm cov qauv uas twb muaj lawm. Qhov thib ob yog poj niam txiv neej. Nws yog lub luag haujlwm rau kev ua me nyuam. Cov qauv ntawm cov txiv neej genitourinary system zoo ib yam li poj niam ib feem ntawm lub luag hauj lwm rau ntxuav cov ntshav los ntawm cov co toxins. Hauv cheeb tsam no muaj 2 lub raum. Cov kabmob no yog cov noob taum. Lawv nyob rau tib theem nrog lub lumbar (sab sauv) vertebrae. Ntxiv rau lub raum, lub raum pelvis, ureters, zais zis thiab urethra koom nrog hauv kev ua kom cov ntshav.
Tesicles
Cov txiv neej genitourinary system suav nrog cov kab ke ua ke no lub luag haujlwm rau kev tsim cov spermatozoa thiab cov tshuaj hormone testosterone. Li noattraction yog tsim. Cov tshuaj hormones tseem cuam tshuam rau kev tsim cov yam ntxwv ntawm kev sib deev. Lub cev yog tsim nyob rau hauv lub sij hawm prenatal. Thaum pib, lawv tsim nyob rau hauv lub plab kab noj hniav (nws sab sauv). Tom qab ntawd maj mam cov kabmob mus rau hauv lub scrotum. Lub peev xwm txav tau, txawm li cas los xij, tseem nyob nrog lawv thoob plaws hauv lawv lub neej. Qhov no yog ua tau vim cov leeg nqaij contractions. Qhov peev xwm no muab kev tiv thaiv txhim khu kev qha tiv thaiv qhov tshwm sim tam sim ntawm kev hloov pauv kub thiab lub cev overvoltage. Qee qhov xwm txheej, qhov kev xeeb tub xeeb tub tsis ua tiav los ntawm lub sijhawm yug. Qhov xwm txheej no tuaj yeem kho tau los ntawm txoj kev phais. Yog tias koj tsis cuam tshuam thiab kho ua ntej hnub nyoog tsib xyoos, ces qhov no yog fraught nrog infertility. Cov tawv nqaij receptacle ntawm testicles yog lub scrotum. Nws muab kev tiv thaiv tiv thaiv kev raug mob. Nyob rau hauv lub epididymis, nthuav tawm nyob rau hauv daim ntawv ntawm ib tug me me kwj dej, spermatozoa nyob. Ntawm no lawv txuas ntxiv lawv txoj kev loj hlob thiab maj mam tau txais qhov tsim nyog txav mus los.
Urethra (vas deferens)
Qhov kev tsim no yog kev txuas ntxiv ntawm epididymis. Nrog rau cov hlab ntsha loj-caliber, cov ducts tsim ib txoj hlab spermatic, uas muaj qhov ntev ntev. Nws los ntawm lub scrotum, mus raws lub inguinal quav rau hauv lub plab kab noj hniav mus rau lub hauv paus ntawm lub prostate. Hauv thaj tsam ntawm cov qog prostate, txoj hlua nthuav dav, dhau mus rau hauv lub ampoule. Nyob rau hauv cheeb tsam no, spermatozoa accumulates mus txog rau thaum pib ntawm ejaculation.
Prostate
Lub cev no tab tom ua haujlwm tawm qhov zais cia tshwj xeeb. Nws pab phevkhaws koj txoj haujlwm. Hauv cov qog prostate, ntxiv rau, cov vas deferens thiab cov urethra koom ua ke. Vim tias qhov siab ntawm elasticity ntawm cov leeg ntiv nplhaib nyob ntawm qhov hluav taws xob ntawm prostate, kev nkag mus ntawm cov phev mus rau hauv lub zais zis thaum lub sij hawm ejaculation yog tsis suav nrog. Tib yam muaj tseeb rau lwm tus txheej txheem. Thaum ejaculation, zis tsis nkag mus rau hauv cov zis.
Lwm cov khoom xyaw
Cov txiv neej genitourinary system suav nrog cov hlwv hauv lub cev. Cov no yog cov qog me me uas tsim cov kua dej uas muaj nyob hauv cov phev thiab ua rau li 95% ntawm nws cov ntim tag nrho. Cov kab mob muaj cov kab mob excretory. Lawv koom siab nrog cov vas deferens. Cooper lub caj pas tsim cov roj nplua nyeem uas pab txhawb kev txav ntawm cov phev thaum muaj kev sib deev. Qhov no yog ib tug general anatomy ntawm cov txiv neej genitourinary system. Nrog rau qhov nro ntawm cov leeg ntawm perineum, tag nrho ejaculation yog nqa tawm.
Qee kab mob ntawm cov kab mob genitourinary hauv cov txiv neej
Cov kab mob no:
- YProstate adenoma.
- Scrotal swelling.
- Kab mob ntawm cov kab mob genitourinary hauv cov txiv neej (piv txwv li balanoposthitis).
- YHydrocele (dropsy ntawm testicular membranes).
- Cavernite.
- Cyst ntawm spermatic qaum.
- Cryptozoospermia.
- Short bridle.
- Hypospadias.
- Kev tsis muaj menyuam.
Aspermia Aspermia
Nov yog daim ntawv teev npe. Cov no tsis yog txhua yam kab mob ntawm cov kab mob genitourinary hauv cov txiv neej. Qee qhov pathologiesvim muaj ntau yam. Cia peb saib qee qhov hauv qab no.
Lub ntsiab lus tseem ceeb
Kab mob ntawm cov kab mob genitourinary hauv cov txiv neej yog suav tias yog qhov ua rau muaj ntau yam pathologies. Lawv, nyob rau hauv lem, muab faib mus rau hauv uas tsis yog tshwj xeeb thiab tshwj xeeb. Cov yav tas muaj xws li streptococci, staphylococci, E. coli, kab mob (herpes, mob ua pa kab mob, influenza, cytomegalovirus, shingles), chlamydia, mycoplasmas thiab lwm yam. Ntawm cov kab mob tshwj xeeb, Trichomonas, gonococcus, daj ntseg treponema, Mycobacterium tuberculosis yog qhov txawv. Tag nrho cov kab mob no provoke urethritis, prostatitis, o ntawm lub genitourinary system nyob rau hauv cov txiv neej thiab lwm yam pathologies.
Oncology
Qhov no kuj yuav tsum tau hais. Cov kab mob ntawm cov kab mob genitourinary hauv cov txiv neej yog tshwm sim los ntawm kev tsis txaus ntseeg hauv kev sib deev ntawm cov tshuaj hormones. Cov teeb meem no, nyob rau hauv lem, yog provoked los ntawm lub hnub nyoog kev hloov. Ntawm lwm yam uas ua rau muaj kev pheej hmoo ntawm kev txhim kho oncological pathologies, nws yuav tsum tau muab sau tseg tias caj ces predisposition, ib tug loj npaum li cas ntawm cov tsiaj noj rog. Feem ntau, cov qog malignant raug kuaj pom hauv cov neeg sawv cev ntawm haiv neeg Negroid. Nrog rau qhov no, nws yuav tsum raug sau tseg tias cov xwm txheej saum toj no, nrog rau kev haus luam yeeb, kev sib deev, ntshav qab zib, ntshav siab, thiab lub siab puas tsuaj tsis yog vim li cas prostate adenoma tsim.
Lwm yam kab mob
Yam uas ua rau cov qog qog ntshav - cryptorchidism, raug mob, hluav taws xob (ionizing thiabmicrowave), phimosis thiab cov txheej txheem mob ntev. Cov tom kawg yuav tsum suav nrog congestion vim txo qis lossis nce kev sib deev. Hauv qhov no, tom kawg tuaj yeem nrog kev cuam tshuam ntawm kev ua, haus luam yeeb, haus cawv. Pathology ntawm lwm cov qauv thiab cov kabmob tuaj yeem ua rau cov kab mob ntawm cov kab mob genitourinary hauv cov txiv neej. Cov no suav nrog kev kub siab, atherosclerosis, ntshav qab zib (qab zib), kev nyuaj siab, neuroses, rog, raug mob thiab qhov txhab ntawm tus txha caj qaum thiab qaum. Kev txo qis kev sib deev kuj tuaj yeem tshwm sim los ntawm kev noj tshuaj ntau.
Urinary system ntawm tus txiv neej: cov tsos mob ntawm pathologies
Cov cim qhia txog kev ua txhaum cai ntawm cov qauv kev ua ub no tau muab faib los ntawm cov kws tshaj lij ua ntau pawg.
Thawj pab pawg yuav tsum suav nrog kev hloov pauv ntawm qhov chaw mos sab nraud, kuaj pom thaum palpation thiab kuaj. Yog li, piv txwv li, thaum lub sij hawm kev ntsuam xyuas nws yog ib qho yooj yim mus nrhiav tau micropenia (qhov luaj li cas ntawm lub cev nyob rau hauv ib tug erect lub xeev yog tsawg tshaj li 9 cm), megalopenis (raws li ib tug tshwm sim ntawm hyperactivity nyob rau hauv lub adrenal cortex), pathological noov o (tawm tsam cov kev mob tshwm sim). keeb kwm ntawm priapism, yog tias palpation nrog mob, ces qhov kev raug mob yuav zoo li), curvature ntawm lub cev (nrog rau qhov mob, Peyronie's syndrome yog ua tau). Hauv kev kuaj mob, kuj tseem tuaj yeem pom qhov hloov pauv ntawm qhov loj ntawm lub scrotum. Qhov nce, tshwj xeeb, yog ob sab thiab unilateral. Yog tias mob tshwm sim thaum palpation, qhov tshwm sim ntawm cov txheej txheem inflammatory nyob rau hauv cov qe ntshav los yog lawv cov appendages yuav tsum tau muab rau hauv tus account. Yog tias tsis muaj qhov mob, qhov no yuav qhia tau tias muaj hydrocele lossis elephantiasis. NtawmQhov tsis muaj ob lub noob qes nyob rau hauv lub scrotum, cryptorchidism lossis agenesis yog qhov zoo.
Cov tsos mob tom ntej yog qhov tshwm sim dav dav. Cov no suav nrog, piv txwv li, ua npaws. Hauv qhov xwm txheej no, muaj qhov kub thiab txias tiv thaiv keeb kwm yav dhau ntawm cov txheej txheem inflammatory. Cov cim qhia muaj xws li poob phaus (raws li cov qog nqaij hlav malignant), gynecomastia (tej zaum yuav tshwm sim los ntawm kev kho tshuaj estrogen rau prostate cancer). Cov tsos mob tshwm sim tom ntej no yog mob. Tawm tsam keeb kwm yav dhau los ntawm qee yam pathologies, nws tuaj yeem nyob hauv thaj tsam hauv pliaj (hauv cov kab mob sab nraud thiab perineum). Nyob rau hauv mob urethritis, mob nrog rau cov txheej txheem ntawm tso zis. Raws li txoj cai, nws yog mob thiab muaj tus cwj pwm ntse. Tawm tsam keeb kwm ntawm fibrous induration, mob mob thiab curvature ntawm noov raug nthuav tawm. Lwm qhov tshwm sim ntawm pathologies yog ib qho teeb meem hauv cov txheej txheem tso zis. Tshwj xeeb, thaum hmo ntuj, cov neeg mob muaj kev txhawj xeeb txog kev ntuav ntuav (tawm tsam keeb kwm ntawm cov qog prostate), incontinence (nrog adenoma), nyuaj hauv kev khoob, polyuria. Lwm cov tsos mob yog kev hloov ntawm pob tshab thiab xim ntawm cov zis. Tej zaum nws yuav ua huab. Raws li txoj cai, xws li ib tug tshwm sim yog yam ntxwv ntawm inflammatory pathologies. Tawm tsam keeb kwm ntawm malignant neoplasms, ntshav yuav tshwm sim thaum lub sij hawm nchuav. Tsis tas li ntawd, cov tsos mob yog suav tias yog ib qho kev hloov ntawm phev los yog pathological tawm ntawm cov zis. Pus tshwm nrog urethritis. Muaj qhov tsis tu ncua lossis nquag tso cov phev los ntawm cov urethra yam tsis muaj ejaculation, orgasm, erection (spermatorrhea). Nrog pathologiesprostate caj pas feem ntau tshwm tom qab defecation los yog tso zis, zais cia ntawm lub prostate, tab sis tsis muaj ib tug admixture ntawm spermatozoa (prostorrhea).
Sperm hloov
Hauv 1 ml ntawm ejaculate, feem ntau muaj tsawg kawg yog 20 lab spermatozoa. Ntau tshaj li ib nrab ntawm lawv yog mobile. Thaum lub vas deferens raug thaiv, tsis muaj ejaculation thaum sib deev - aspermatism. Nrog rau qhov tsis txaus (tsawg dua 20 lab), oligozoospermia raug kuaj pom. Cov kab mob no tuaj yeem txhim kho vim yog kis kab mob, cryptorchidism, hypoplasia lossis kev txhim kho ntawm cov noob qes. Provoking yam yog nicotine, tshuaj thiab cawv. Nyob rau hauv cov ntaub ntawv ntawm ib tug me me ntawm motile spermatozoa, asthenozoospermia yog kuaj, nyob rau hauv lub xub ntiag ntawm cov kab mob hlwb nrog tsis txaus morphology, teratozoospermia yog kuaj. Thaum tsis muaj spermatozoa hauv ejaculate tawm tsam keeb kwm ntawm varicocele, atrophy ntawm seminiferous tubules, thiab o, azoospermia raug kuaj pom. Nyob rau hauv lub xub ntiag ntawm tus naj npawb ntawm spermatozoa (tab sis tsis muaj kev txav mus los) thiab nyob rau hauv qhov tsis muaj peev xwm ntawm lawv cov kev kho, ib tug hais txog necrospermia. Tawm tsam keeb kwm ntawm mob qog noj ntshav prostate, vesiculitis, hemospermia raug kuaj pom. Hauv qhov no, ntshav pom muaj nyob hauv cov phev.
Diagnosis
Nyob rau hauv lub xub ntiag ntawm inflammatory pathologies, ob peb cov kev tshawb fawb tau sau. Ib tug ntawm lawv yog kuaj ntshav. Tawm tsam keeb kwm ntawm o, yuav muaj kev nce ntxiv ntawm leukocytes, nce ESR. Urinalysis yuav nthuav tawm cov kab mob uas ua rau pathologies. Hauv kev kuaj mob ntawm cov kab mob prostate, ib qho chaw tshwj xeeb yog nyob ntawm digital transrectalkawm. Thaum lub sij hawm cov txheej txheem no, qhov luaj li cas ntawm lub caj pas, nws contours, lub xub ntiag / tsis muaj foci ntawm softening / compaction yog txiav txim. Nrog rau qhov no, tus kws kho mob tshwj xeeb tau txais qhov zais cia ntawm prostate, uas kuj tau tshawb xyuas tom qab. Txoj kev endoscopic tso cai rau koj los tshuaj xyuas cov mucous ntawm cov urethra. MRI, CT, X-ray txoj kev tshawb fawb tau dav siv. Ultrasound ntawm lub genitourinary system nyob rau hauv cov txiv neej tso cai rau koj mus kuaj mob pathological hloov nyob rau hauv lub prostate, noob qes thiab nws appendages. Kev txheeb xyuas ntawm erectile kawg yog ua los ntawm kev kuaj kev sib deev, kev sim tshuaj hormones, gonadotropic compounds. Cov hlab ntsha ntawm noov kuj raug kuaj, cavernosography, electromyography yog ua. Kev kuaj mob raws sij hawm thiab raug tso cai rau kev kho mob ntawm cov kab mob genitourinary hauv cov txiv neej zoo tshaj plaws.
Kev kho mob thiab kev tiv thaiv
Yuav tsum hais li cas ntawm no? Kev kho mob ntawm cov kab mob genitourinary hauv cov txiv neej yog xaiv nruj me ntsis ntawm tus kheej hauv txhua kis. Kev kho mob yog tsom rau kev tshem tawm qhov ua rau thiab txo qhov tshwm sim ntawm pathology. Rau qhov mob hnyav, tus kws kho mob tshwj xeeb tuaj yeem sau tshuaj analgesics lossis antispasmodics. Thaum muaj kab mob, tus kws kho mob yuav pom zoo kom siv tshuaj tua kab mob. Cov tshuaj raug xaiv raws li cov txiaj ntsig ntawm kev ntsuam xyuas uas txheeb xyuas cov kab mob thiab nws qhov rhiab heev. Qee zaum, kev phais yuav tsum tau ua. Raws li kev tiv thaiv, yam tsis zoo yuav tsum raug cais tawm ntawm lub neej txhua hnub, suav nrogsuav nrog cov pab txhawb rau kev txhim kho oncology (microwave radiation, piv txwv li). Nws yog ib qho tsim nyog los kho koj cov kev tswj hwm, tso tseg cov cwj pwm tsis zoo, tshem tawm cov kab mob ntawm lwm lub cev thiab lub cev. Tom qab 40 xyoo, kev soj ntsuam kev tiv thaiv txhua xyoo raug pom zoo, suav nrog kev sim thiab ntsuas ntsuas ntsuas.
