V\u00f4i H\u00f3a Tuy\u1ebfn Ti\u1ec1n Li\u1ec7t:<\/p>\n\n\n\n
N\u1ed1t v\u00f4i n\u00f3 n\u1eb1m trong c\u00e1c \u1ed1ng d\u1eabn tuy\u1ebfn ti\u1ec1n li\u1ec7t v\u00e0 c\u01a1 ch\u1ebf h\u00ecnh th\u00e0nh n\u1ed1t v\u00f4i h\u00f3a ch\u01b0a r\u00f5 r\u00e0ng. Tuy nhi\u00ean c\u00f3 gi\u1ea3 thuy\u1ebft cho r\u1eb1ng do t\u1eafc ngh\u1ebdn c\u00e1c \u1ed1ng d\u1eabn tuy\u1ebfn ti\u1ec1n li\u1ec7t, tuy\u1ebfn ti\u1ec1n li\u1ec7t ph\u00ec \u0111\u1ea1i ho\u1eb7c do vi\u00eam m\u1ea1n t\u00ednh do s\u1ef1 l\u1eafng \u0111\u1ecdng c\u00e1c ch\u1ea5t c\u00f3 trong tinh d\u1ecbch s\u1ebd g\u00e2y ra s\u1ecfi tuy\u1ebfn ti\u1ec1n li\u1ec7t nguy\u00ean ph\u00e1t, s\u1ecfi th\u1ee9 ph\u00e1t \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh do s\u1ef1 tr\u00e0o ng\u01b0\u1ee3c n\u01b0\u1edbc ti\u1ec3u c\u00f9ng v\u1edbi vi khu\u1ea9n ch\u00fang c\u00f3 th\u1ec3 h\u00ecnh th\u00e0nh m\u00e0ng sinh h\u1ecdc v\u00e0 \u0111\u01b0\u1ee3c bao b\u1ecdc b\u1ecfi ch\u00ednh s\u1ecfi ti\u1ec1n li\u1ec7t tuy\u1ebfn. T\u1ef7 l\u1ec7 xu\u1ea5t hi\u1ec7n s\u1ecfi tuy\u1ebfn ti\u1ec1n li\u1ec7t \u1edf b\u1ec7nh nh\u00e2n ph\u00ec \u0111\u1ea1i ho\u1eb7c vi\u00eam tuy\u1ebfn ti\u1ec1n li\u1ec7t nhi\u1ec1u h\u01a1n \u1edf ng\u01b0\u1eddi c\u00f3 tuy\u1ebfn ti\u1ec1n li\u1ec7t b\u00ecnh th\u01b0\u1eddng.<\/p>\n\n\n\n
\u0110\u1eb7c bi\u1ec7t khi ng\u01b0\u1eddi ta ph\u00e2n t\u00edch th\u00e0nh ph\u1ea7n s\u1ecfi tuy\u1ebfn ti\u1ec1n li\u1ec7t th\u00ec th\u1ea5y trong th\u00e0nh ph\u1ea7n ph\u1ea7n l\u1edbn nh\u1eefng th\u00e0nh ph\u1ea7n \u0111\u00f3 ch\u00ednh l\u00e0 c\u1ee7a \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u, ch\u00ednh th\u1ebf n\u00ean \u0111\u00e2y \u0111\u01b0\u1ee3c coi nh\u01b0 s\u1ef1 tr\u00e0o ng\u01b0\u1ee3c n\u01b0\u1edbc ti\u1ec3u v\u00e0o trong tuy\u1ebfn ti\u1ec1n li\u1ec7t \u0111\u1ecdng l\u1ea1i v\u00e0 th\u00e0nh s\u1ecfi l\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh.<\/p>\n\n\n\n
Trong tinh d\u1ecbch ch\u1ee9a axit xitric, axit amin t\u1ef1 do, fructose, enzym, phosphorylcholine, prostaglandin, kali v\u00e0 k\u1ebdm. Magie v\u00e0 canxi..<\/p>\n\n\n\n
45 \u0111\u1ebfn 80% ch\u1ea5t l\u1ecfng \u0111\u01b0\u1ee3c t\u1ea1o ra b\u1edfi c\u00e1c t\u00fai tinh.<\/p>\n\n\n\n
13 \u0111\u1ebfn 33% do tuy\u1ebfn ti\u1ec1n li\u1ec7t.<\/p>\n\n\n\n
5% t\u1eeb tinh ho\u00e0n v\u00e0 m\u00e0o tinh ho\u00e0n.<\/p>\n\n\n\n
2 \u2013 5% t\u1eeb c\u00e1c tuy\u1ebfn Bulbourethral v\u00e0 ni\u1ec7u \u0111\u1ea1o.<\/p>\n\n\n\n
\u0110\u1eb7c \u0110i\u1ec3m Tinh D\u1ecbch:<\/p>\n\n\n\n
Tinh d\u1ecbch b\u00ecnh th\u01b0\u1eddng c\u00f3 nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m nh\u1ea5t \u0111\u1ecbnh. C\u00e1c t\u00ednh ch\u1ea5t n\u00e0y g\u1ed3m: h\u00ecnh d\u1ea1ng, th\u1ec3 t\u00edch, m\u00f9i, v.v.<\/p>\n\n\n\n
Ph\u00e2n t\u00edch tinh d\u1ecbch bao g\u1ed3m : M\u00e0u s\u1eafc, Th\u1ec3 t\u00edch, \u0110\u1ed9 nh\u1edbt<\/p>\n\n\n\n
+) Tinh d\u1ecbch b\u00ecnh th\u01b0\u1eddng c\u00f3 m\u00e0u tr\u1eafng x\u00e1m<\/p>\n\n\n\n
+) Th\u1ec3 t\u00edch: L\u01b0\u1ee3ng tinh d\u1ecbch th\u00f4ng th\u01b0\u1eddng m\u1ed7i l\u1ea7n xu\u1ea5t tinh l\u00e0 kho\u1ea3ng 2 \u0111\u1ebfn 3 ml ho\u1eb7c h\u01a1n. Tinh tr\u00f9ng chi\u1ebfm kho\u1ea3ng 10% th\u1ec3 t\u00edch tinh d\u1ecbch.<\/p>\n\n\n\n
+) M\u00f9i: Tinh d\u1ecbch c\u00f3 m\u00f9i clo ho\u1eb7c m\u00f9i tanh l\u00e0 b\u00ecnh th\u01b0\u1eddng.<\/p>\n\n\n\n
+) V\u1ecb: Tinh d\u1ecbch c\u00f3 v\u1ecb h\u01a1i ng\u1ecdt do ch\u1ee9a nhi\u1ec1u \u0111\u01b0\u1eddng fructose. M\u00f9i v\u1ecb c\u1ee7a tinh d\u1ecbch c\u00f3 xu h\u01b0\u1edbng thay \u0111\u1ed5i m\u1ed9t ch\u00fat \u1edf m\u1ed7i ng\u01b0\u1eddi v\u00e0 c\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng.<\/p>\n\n\n\n
A) B\u1ec7nh s\u1ecfi tuy\u1ebfn ti\u1ec1n li\u1ec7t c\u00f3 m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n ch\u00ednh d\u1eabn \u0111\u1ebfn b\u1ec7nh nh\u01b0 sau:<\/p>\n\n\n\n
– Do s\u1ef1 tr\u00e0o ng\u01b0\u1ee3c n\u01b0\u1edbc ti\u1ec3u v\u00e0o trong tuy\u1ebfn ti\u1ec1n li\u1ec7t.<\/p>\n\n\n\n
– Do ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t: Khi c\u01a1 quan n\u00e0y b\u1ecb ph\u00ecnh to, c\u00e1c ch\u1ea5t d\u1ecbch ti\u1ebft trong tuy\u1ebfn b\u1ecb \u1ee9 tr\u1ec7, g\u00e2y t\u00ecnh tr\u1ea1ng t\u1ea1o n\u00ean c\u00e1c m\u00f4 s\u1ecfi.<\/p>\n\n\n\n
– Do vi\u00eam nhi\u1ec5m tuy\u1ebfn ti\u1ec1n li\u1ec7t: Khi b\u1ecb vi\u00eam, \u1ed1ng tuy\u1ebfn ti\u1ec1n li\u1ec7t b\u1ecb co l\u1ea1i, g\u00e2y kh\u00f3 kh\u0103n cho c\u00e1c ch\u1ea5t d\u1ecbch tho\u00e1t ra ngo\u00e0i, t\u00edch t\u1ee5 l\u1ea1i t\u1eeb \u0111\u00f3 h\u00ecnh th\u00e0nh ra s\u1ecfi.<\/p>\n\n\n\n
– Do tu\u1ed5i t\u00e1c cao: Khi cao tu\u1ed5i, tuy\u1ebfn ti\u1ec1n li\u1ec7t b\u1ecb l\u00e3o h\u00f3a, ph\u00ecnh to ra n\u00ean nguy c\u01a1 h\u00ecnh th\u00e0nh s\u1ecfi l\u00e0 r\u1ea5t l\u1edbn.<\/p>\n\n\n\n
– Do l\u1eafng \u0111\u1ecdng nhi\u1ec1u canxi: Canxi khi l\u1eafng \u0111\u1ecdng qu\u00e1 nhi\u1ec1u, g\u00e2y n\u00ean t\u00ecnh tr\u1ea1ng v\u00f4i h\u00f3a, \u1ee9 t\u1eafc \u1edf tuy\u1ebfn ti\u1ec1n li\u1ec7t d\u1eabn \u0111\u1ebfn nguy c\u01a1 vi\u00eam nhi\u1ec5m.<\/p>\n\n\n\n
B) Tri\u1ec7u ch\u1ee9ng:<\/p>\n\n\n\n
– B\u1ec7nh n\u00e0y th\u00f4ng th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng n\u00ean kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c bi\u1ec7t. Tuy nhi\u00ean h\u1ea7u h\u1ebft n\u00f3 k\u00e8m theo t\u00ecnh tr\u1ea1ng vi\u00eam tuy\u1ebfn ti\u1ec1n li\u1ec7t m\u1ea1n t\u00ednh, do \u0111\u00f3 trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u1ea7n ph\u1ea3i \u0111i\u1ec1u tr\u1ecb. \u1ede m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p g\u00e2y \u0111au v\u00f9ng ch\u1eadu m\u1ea1n t\u00ednh, t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ti\u1ec3u s\u1ebd \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i khoa b\u1eb1ng ph\u1eabu thu\u1eadt n\u1ed9i soi c\u1eaft u tuy\u1ebfn ti\u1ec1n li\u1ec7t k\u00e8m lo\u1ea1i b\u1ecf s\u1ecfi.<\/p>\n\n\n\n
– B\u1ec7nh c\u0169ng c\u00f3 th\u1ec3 c\u00f3 nh\u1eefng bi\u1ec3u hi\u1ec7n b\u1ea5t th\u01b0\u1eddng nh\u01b0ng kh\u00f4ng \u0111i\u1ec3n h\u00ecnh nh\u01b0 sau:<\/p>\n\n\n\n
+ Xu\u1ea5t tinh s\u1edbm.<\/p>\n\n\n\n
+ R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c: N\u1ebfu b\u1ecb m\u1eafc s\u1ecfi tuy\u1ebfn ti\u1ec1n li\u1ec7t qu\u00e1 l\u00e2u kh\u00f4ng \u0111i\u1ec1u tr\u1ecb ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c.<\/p>\n\n\n\n
+ \u0110au r\u00e1t khi ti\u1ec3u ti\u1ec7n.<\/p>\n\n\n\n
+ Ti\u1ec3u kh\u00f3.<\/p>\n\n\n\n
+ Ti\u1ec3u bu\u1ed1t, th\u1eadm ch\u00ed l\u00e0 b\u00ed ti\u1ec3u .<\/p>\n\n\n\n
+ Ch\u00e1n \u0103n, m\u1ec7t m\u1ecfi, c\u01a1 th\u1ec3 suy nh\u01b0\u1ee3c.<\/p>\n\n\n\n
– Ch\u1ea9n \u0111o\u00e1n s\u1ecfi tuy\u1ebfn ti\u1ec1n li\u1ec7t th\u01b0\u1eddng t\u00ecnh c\u1edd qua si\u00eau \u00e2m, CT scanner, ho\u1eb7c trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt n\u1ed9i soi c\u1eaft \u0111\u1ed1t u tuy\u1ebfn ti\u1ec1n li\u1ec7t qua \u0111\u01b0\u1eddng ni\u1ec7u \u0111\u1ea1o<\/p>\n\n\n\n
C) \u0110i\u1ec1u tr\u1ecb:<\/p>\n\n\n\n
T\u00e2y Y:<\/p>\n\n\n\n
– V\u1edbi tr\u01b0\u1eddng h\u1ee3p s\u1ecfi b\u00e9, \u00edt, ch\u01b0a g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng vi\u00eam nhi\u1ec5m n\u1eb7ng th\u00ec n\u00ean th\u01b0\u1eddng xuy\u00ean massage ph\u1ea7n b\u1ee5ng d\u01b0\u1edbi, ph\u00eda tr\u00ean b\u1ed9 ph\u1eadn sinh d\u1ee5c v\u00e0 hai b\u00ean. Bi\u1ec7n ph\u00e1p n\u00e0y gi\u00fap th\u01b0 gi\u00e3n, l\u00e0m tan s\u1ecfi v\u00e0 \u0111\u1ea9y s\u1ecfi ra theo \u0111\u01b0\u1eddng n\u01b0\u1edbc ti\u1ec3u. V\u1edbi tr\u01b0\u1eddng h\u1ee3p s\u1ecfi to, nhi\u1ec1u v\u00e0 xu\u1ea5t hi\u1ec7n t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m th\u00ec n\u00ean s\u1eed d\u1ee5ng bi\u1ec7n ph\u00e1p ngo\u1ea1i khoa \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u0103n b\u1ec7nh n\u00e0y:<\/p>\n\n\n\n
– Th\u1ef1c hi\u1ec7n l\u1ea5y s\u1ecfi ra kh\u1ecfi tuy\u1ebfn ti\u1ec1n li\u1ec7t b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p m\u1ed5.<\/p>\n\n\n\n
– C\u1eaft b\u1ecf \u0111o\u1ea1n ti\u1ec1n li\u1ec7t tuy\u1ebfn \u0111i qua ni\u1ec7u \u0111\u1ea1o.<\/p>\n\n\n\n
– N\u1ebfu \u0111\u00e3 vi\u00eam nhi\u1ec5m n\u1eb7ng th\u00ec c\u1ea7n ph\u1ea3i c\u1eaft b\u1ecf c\u1ea3 tuy\u1ebfn ti\u1ec1n li\u1ec7t v\u00e0 s\u1ecfi.<\/p>\n\n\n\n
– B\u1ec7nh s\u1ecfi ti\u1ec1n li\u1ec7t tuy\u1ebfn n\u1ebfu \u0111\u1ec3 l\u00e2u s\u1ebd r\u1ea5t nguy hi\u1ec3m v\u00e0 d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng v\u00f4 sinh \u2013 hi\u1ebfm mu\u1ed9n. V\u00ec th\u1ebf, ph\u00f2ng b\u1ec7nh h\u01a1n ch\u1eefa b\u1ec7nh, nam gi\u1edbi c\u1ea7n ph\u1ea3i ph\u00f2ng tr\u00e1nh c\u0103n b\u1ec7nh n\u00e0y t\u1eeb tr\u01b0\u1edbc khi n\u00f3 h\u00ecnh th\u00e0nh.<\/p>\n\n\n\n
\u0110\u00f4ng Y:<\/p>\n\n\n\n
T\u1eeb x\u01b0a c\u00e1c th\u1ea7y \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb B\u1eb1ng nh\u1eefng b\u00e0i thu\u1ed1c d\u00e2n gian hay b\u00e0i c\u1ed5 ph\u01b0\u01a1ng \u0111i\u1ec1u tr\u1ecb r\u1ea5t hi\u1ec7u qu\u1ea3.<\/p>\n\n\n\n
Ph\u00f2ng kh\u00e1m \u0110\u00f4ng Y Sinh Long \u0110\u01b0\u1eddng c\u0169ng \u0111ang v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng b\u00e0i thu\u1ed1c d\u00e2n gian gia gi\u1ea3m k\u1ebft h\u1ee3p 5 v\u1ecb thu\u1ed1c nam qu\u00fd hi\u1ebfm c\u1ee7a y s\u01b0 truy\u1ec1n l\u1ea1i r\u1ea5t hi\u1ec7u qu\u1ea3, k\u1ebft h\u1ee3p v\u1edbi ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng h\u1ee3p l\u00fd, t\u1eadp luy\u1ec7n th\u1ec3 d\u1ee5c \u0111\u1ec1u \u0111\u1eb7n s\u1ebd \u0111\u1ea1t k\u1ebft qu\u1ea3 t\u1ed1t.<\/p>\n\n\n\n