ப்ரோச்டடே புற்று நோயி த்ரீத்மேன்த்ஸ்

g;uh!;nll; tsh;r;rpahy; tUk; rpWePh; milg;g[

lhf;lh;eh. Mde;jd;/ MS., FRCS (EDIN)., DIP URO (LONDON)

rpWePh; milg;g[ Vw;gl;L tajhdth;fs; kpft[k; Jd;g[Wtij ek; vy;nyhUila ,y;y';fspYk; fhz;fpnwhk;. g;uh!;nll; vd;w cWg;g[ tsh;r;rp miltJjhd; ,e;j milg;g[ Vw;gLtjw;Ff; fhuzkhFk;. g;uh!;nll; cWg;g[ Mz;fSf;F kl;Lk; jhd; ,Uf;fpwJ. ,J rpWePh; iga[k; rpWePh;g; ghija[k; nrUk; ,lj;jpy; cs;sJ. Rhjhuzkhf ,J 20 fpuhk; vila[s;sJ. 60 taJf;F nkw;gl;l Mz;fspy; _d;wpy; xUtUf;F ,jd; tsh;r;rpapdhy; bjhe;jut[fs; Vw;gLfpd;wd.

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• g;uh!;nll; cWg;gpy; vjdhy; tsh;r;rp Vw;gLfpwJ.

bl!;nlh;!;Oud; vd;w Ahh;nkhd; Mz; tpijapy; Ruf;fpwJ. g;uh!;nll; tsh;r;rpf;F ,e;j Ahh;nkhd; fhuzkhFk;. taJ mjpfkhFk; nghJ ,e;j Ahh;nkhd;Fiwe;j msnt Ruf;fpwJ. mjdhy; bl!;nlh!;gPud;. <!;l;nuh#d; rjtpfpjj;jpy; khWjy; Vw;gl;L g;uh!;l;nll; tsh;r;rpaila[k; vd;W rkPgj;jpy; fz;Lgpoj;Js;sdh;

• g;uh!;nll; tsh;r;rpapdhy; Vw;gLk; ghjpg;g[fs; vd;bdd;d?.

g;uh!;nll; tsh;r;rpaila[k; nghJ rpWePh;g; ghijapy; mJ FWf;;fpLfpwJ ,jdhy; ePh; btspnaw jil Vw;gLfpWJ. ,jdhy; rpWePh;g; igapd; rij mst[ mjpfhpj;J/ mjdhy; mjpf gykhf rpWePh;g;ig RU';fp rpWePiu btspnaw;WfpwJ. ,e;j mjpfg;goahd ntiyia rpy fhyk; tiuna bra;a ,aYk;. milg;g[ bjhlh;e;jhy; rpWePh;g; igapd; cs;nsa[s;s rijfSf;F eLtpy; Vw;gLk; ,ilbtspapy;/ cs;jir btspna brd;W igiag; nghy; epd;W(Diverticulum) tpLfpwJ.

,J rijaw;W ,Uf;Fk; igahf ,Ug;gjhy; ,jpy; te;J j';Fk; rpWePh; btspna bry;y tha;g;g[ ,y;yhky; ePhpy; fpUkp/ fy;/ g[w;W neha; Kjypad njhd;w tha;g;g[ cz;lhfpwJ nkYk; rpWePh;g; igapy; gog;goahf ePh;j';Fk; mst[k; mjpfhpf;fpwJ ,jdhy; rpWePufj;jpypUe;J tUk; FHhapy; milg;g[k;/ njf;fKk;/ Vw;gLfpwJ. ehsiltpy; rpWePufk; gGjile;Jk; nghfpwJ.

• ,e;j neha;f;fhd mwpFwpfs; ahit?

rpWePh;g; ghij milgLtjhy; ePh; bry;y fodkhf ,Ug;gnjhL/ rPWePh; KGtJk; btspnaw mjpf neuk; MFk;. Kjypy; ,utpYk; gpwF gfypYk; mjpf Kiw ePh; bry;y nehpLk;. rpWePhpy; fpUkpfs; nrh;e;jhy; ePh; bry;Yk; nghJ typ/ vhpr;ry;/ ,uj;jk; nghjy; Kjypad Vw;glyhk; . rpWePh; btspnawhky; kPjk; ,Ug;gJ mjpfkhdhy; KGtJk; btspnawpa jpUg;jp Vw;gLtjpy;iy. kPjk;700 kpy;yp ypl;lh; tiu brd;W tpl;lhy;/ KG milg;g[ Vw;gl;L tpLk;. ,jdhy; typ Vw;gl;L/ gpsh!;of; FHha; _yk; rpWePiu btspnaw;w ntz;oa mtrpak; Vw;gLk;.

rpWePh; igapy; epuk;g[k; czh;r;rp ghjpf;fg;gl;th;fSf;F/ mjpf mst[ (1 ypl;lUf;Fk;nky;) mjpfkhfj; j';fpdhYk; nehahsp;f;F typ bjhptJ ,y;iy. ,J bjhlh;e;J ePoj;jhy; jz;zPh; bjhl;o epuk;gp tpl;lhy; jhnd tHptJnghy jd;idawpahky; ePh; ngha;f; bfhz;nl ,Uf;Fk;. Mjpfkhd nrhh;t[/ ,uj;j mGj;jk;/ _r;R th';Fjy; nghd;w ghjpg;g[f;fSk; Vw;gLk;.

• ,jw;F vd;d nrhjid bra;ag;gLfpwJ?

rpWePuf tPf;fk;/ rpWePh;g; igapy; tPf;fk;/ rpWePh;g; ghijapd; Edpapy; milg;g[/ Mz; cWg;gpd; njhypy; milg;g[ cs;sjh vd;gbjy;yhk; fz;L Muhag;gLk;. nkYk; kyk; btspnaWk; ghijapd; tHpahf g;uh!;nll;od; mst[ kw;Wk; g[w;W neha;f;fhd mwpFwpfs; mjpy; cs;sjh vd;Wk; fz;lwpag;gLk;.

,uj;jj;jpy; a{hpah/ fphpahod; msitg; ghh;ggjd _yk; rpWePufk; ed;whf ntiy bra;tij mwpe;J bfhs;syhk;. tapw;Wg; ghfj;jpy; vf;!;nu vLg;gjd; _yk; rpWePufk;/ rpWePufk;/ rpWePh;g igapy; fw;fs; VjhtJ cs;sdth vd;gija[k; mwpe;J bfhs;nthk;. nkYk; my;l;uhrt[z;L !;nfd; _yk; rpWePufk;/ rpWePuff; FHha;fspd; tPf;fk;/ rpWePh;g; igapy; kPjk; ,Uf;Fk; ePhpd; mst[/ g;uh!;nll; mst[ nghd;wtw;iwa[k; mwpe;J bfhs;syhk;.

• ,jw;F vd;d rpfpr;ir bra;ayhk;?

Mgnu\d; rpwpJ fhyk; fHpj;J bra;J bfhs;gth;fSk;/ EiyaPuy;/ ,Uja ghjpg;g[ Mfpatw;why; Mgnurd; bra;a jFjp bgwhjth;fSf;Fk; khj;jpiu kw;Wk; kUe;J Kiwiaf; ifahsyhk;. khj;jpiufs; jw;fhypf epthuzj;ijj; jhd; bfhLf;Fk;. gpunrhrpd;/ nlunfhrpd;/ lhk;Ynyhrpd; nghd;w khj;jpiufis cgnahfpf;fyhk;. .,e;j khj;jpiufis ,uj;j mGj;jj;ijf; Fiwf;Fk; jd;ik bfhz;ljhFk;. Mfnt vr;rhpf;if njit. mj;Jld; lhf;lh;fspd; mwpt[iug;go khj;jpiufis rhg;gpLtJ ey;yF.

vz;nlh!;nfhgp mWit rpfpr;ir: rpWePh; milg;g[ mjpfk; cs;sth;fSk;/ jpOh; milg;g[f;F MshnthUk;/ ePh; mjpfk; nj';fpapUg;gth;fSk; mWitr; rpfpr;if _yk; g;yh!;nll; rpWrpW Jz;Lfshf btl;o vLf;fg;gLfpwJ. ,jdhy; milg;g[ mfw;wg;gLfpwJ. ,e;j mWitr; rpfpr;ir kpft[k; El;gkhdJ fj;jp bfhz;L mWj;J cliyf; fPwp ,J bra;ag;gLtJ ,y;iy. cs;SWg;g[ nehf;fp _yk; ,J bra;ag;gLtjhy; typ ,y;iy/ tLf;fhak; fpilf;fpwJ.

• g;uh!;nll; cWg;gpy; g[w;W neha; tUkh?

60 tajpw;F nky; cs;sth;fSf;F gutyhf tUtJ g;uh!;nll; g[w;Wneha;. ,jd; mwpFwpfs; nkw;go Twg;gl;Ls;sit nghd;nw ,Uf;Fk;.

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ஆண்மைக் குறை தீர்க்கும் அறுவை சிகிச்சை

(PENILE PROSTHESIS SURGERY)

ehk; vz;Ztij tpl kpft[k; gutyhfnt Mz;ikf;Fiwt[ cs;sJ. rhjhuzkhf 30 rjtPj Mz;fs; ,jdhy; ntjidg;gLfpwhh;fs;.

ahUf;F ,e;j rpfpr;ir njitg;gLk;?

uj;jf; FHhapy; milg;g[/ mjpfg;goahf rpiwfs; tHpahf uj;jk; btspnaWjy;/ ejk;g[ braypHf;fk; Kjypa gy fhuz';fshy; Mz;ik Fiwt[ Vw;gl;ltSf;F ,f;Fiwia Mgnurd; _yk; Fzg;gLj;jptplyhk;. bghJthf kdhPjpapyhd fhuzj;jhy; ,f;Fiw cs;sth;fs; kndhjj;Jt hPjpapyhd itj;jpa Kiw/ brf;!; jpugp _ykhf gadbgWth;. Mdhy; xU rpyUf;F ,k;khjphpahd itj;jpaKiwfs; bjhlh;e;J bra;Jk; gadpy;iybadpy;/ ,e;j g;uh!;jrp!; mWit rpfpr;ir bra;a ntz;oapUf;Fk;.

cgnahfg;gLj;jg;Lk; rpypz;lh; tiffs;:

,k;Kiwapy; iryh!;of; vd;w rpwg;g[ g;yh!;of;fpdhy; Md xU #ij ePskhd cUis (Prothesis) Mz; cWg;gpDs; mWit rpfpr;ir _yk; bghUj;jg;gLfpwJ.

.,jpy; ,uz;L tiffs; cs;sd. Xd;W tiaa[k; jd;ik bfhz;lJ(Malleable Prothesis) kw;bwhU tif njitg;gLk; nghJ tphptila[k; jd;ik cs;sJ. (Inflatable- Prothesis),tisa[k; jd;ik bfhz;l g;uh!;jrp!; vg;nghJk; tphptile;;j epiyapy; ,Uf;Fk;. gfy; neu';fspy; btspna bfhz;l g;uh!;jrp!; vg;nghJk; tphptile;j epiyapy; ,Uf;Fk;. gfy;neu';fspy; btspna ghh;itf;Fk; bjhpahky; kiwf;f ,aYk;. njitg;gLk; nghJ jhk;gj;jpa cwtpy; <Lglt[k; ,aYk;.

Inflatable Kiwapy; xU #ij rpypz;lh;fs; bky;ypajhf ,Uf;Fk;. ,jpypUe;J btspg;gLk; bky;ypa FHha;fs; _ykhf XU ePh;njf;fpa rpypz;lUlDk;/ xU gk;g[k; ,izf;fg;gLfpwJ. Rhjhuz epiyapy; ,Uf;Fk; nghJ Mz; cWg;g[ tpiug;gw;w epiyapy; ,Uf;Fk;/ njitg;gLk; nghJ/ gk;ig mGj;jpdhy; ePh; nj';fpa rpypz;lhpypUe;J btspnawp xU #ij rpypz;liu epuk;g[k;. ,jd; _yk; ,aw;ifapy; Vw;gLtJ nghy tpiug;g[j; jd;ikia bgw KofpwJ. Cgnahfpj;j gpwF gk;ig rpy Kiw mKf;fpdhy; kWgoa[k; rpypz;lhpy; ,Ue;J ePh; btspnawp ePh;njf;f hpry;thaiu brd;wiltjhy; tpiug;g[ Fiwe;J giHa epiyf;F te;J tpLk;

Mg;nurd; bra;a[k; Kiw:

Mz; cWg;g[k; tpiua[k; nrUkplj;jpy; njhy; fPwy; bra;J cWg;gpd; xU gf;f rpypz;lh; mZfg;gLfpwJ. mjDs; rpy fUtpfspd; cjtpahy; mjw;Fs; ,lk; cUthf;fg;gLfpwJ. rpypz;lhpd; KG ePsj;jpd; mst[ tiuaiw bra;ag;gLfpwJ. gpwF njitg;gLk; mst[ bfhz;lg;uh!;jrp!; xU gf;fjpy; bghUj;jg;gLfpwJ. kw;bwhU rpypz;lUk; Kiwg;go bghUj;jg;gLfpwJ.

Inflatable type lg;uh!;jrp!pypUe;J ,uz;L FHha;fs; btspg;gLfpd;wd. gk;g[ tpiuapd; mog;ghfj;jpYk;/ ePh; bfhz;l rpypz;lh; tapw;wpd; mo ghfj;jpy; bghUj;jg;gl;L g;uh!;jrpy; ,Ue;J btspg;gLk; FHha;fSld; ,izf;fg;gLfpwJ.

Mg;nurd; bra;j ,lk; ed;F Mwpa gpwF/ MW thu';fs; fHpj;j gpd; jhk;gj;jpa cwtpy; <Lglyhk;.

Mz;Fwpapy; tist[ Vw;gLjy;:

Rhjhuz epiyapy; khw;wk; VJk; fpilahJ/ Mdhy; tpiug;g[ Vw;gLk; nghJ eLg;ghfj;jpy; tise;J jiyfPH; epiyapy; cs;s v vGj;J nghy MfptpLk;. xU rpyUf;F nky; gf;fj;jpy; tise;J v nghy njhw;wkspf;Fk;. Mz; Fwpapy; cs;s rpypz;lUf;Fk;/ rpWePh;g; ghijapd; ePsj;jpw;Fk; tpj;jpahrk; ,Ug;gjhy; ,e;j FiwghL njhd;WfpwJ. tist[ rpwpjst[ ,Ue;jhy; mjw;F itj;jpak; njit ,y;iy. Mdhy; 40* ofphpf;Fnky; brd;why; jhk;gj;jpa cwtpyl fodk; Vw;gLk;. ,f;Fiwia rpaps mwpa mWitr; rpfpr;ir Kiwapd; _yk; rhp bra;J tplyhk;.

fha;g;g[ld; tist[ Vw;gLjy; (PEYRONIE’S DISEASE)

xU rpyUf;F Mz; cWg;gpd; nky; g[wj;jpy; my;yJ fPH;;g;g[wj;jpy; fha;e;jJnghy jog;ghf ,Uf;Fk;. rhjhuz epiyapy; tist[ ,Uf;fhJ. tpiug;g[ Vw;gLk; nghJ cWg;g[ nky; nehf;fp my;yJ fPH;nehf;fp tisa[k;. ,jdhy; clYwt[ bfhs;tjpy; rpukk; Vw;gLk;. Muk;g epiyapy; itj;jpak; njitapy;iy. kUe;Jfs; VJk; gad; mspf;fhJ. tist[ mjpfkhf ,Ue;jhy; ,ij mWit rpfpr;ir _yk; rhp bra;J tplyhk;. ,e;j mWit rpfpr;ir Mz;/bgz; ,UtUf;Fk; jpUg;jp Vw;gLtJ epr;rak;.

Mz;ikf; Fiwt[ - etPd itj;jpa Kiw

 cyfk; KGtJk; gutp ,Ug;gJ fhjy;. ,f;fhjypd; xU gFjp jhd; clYwt[ vd;gJ. clYwt[ vd;gJ kdpj th;f;fj;ij bgUf;FtJ kl;Lkpd;wp/ mJ ,UtUf;Fk; kdjpUg;jpiaa[k; jd;dk;gpf;ifa[k; xUtiubahUth; mjpfkhf nerpg;gjw;Fk; Cd;Wnfhyhf mikfpwJ. Mz;ikf; Fiwt[ ,Ug;gpd;/ ,e;j ,y;yw ,d;gj;ij mDgtpf;f Koahky; jtpg;g[ Vw;gLfpwJ.

fhuzk; ahJ?

 Mz;ikf; Fiwt[ ehk; vd;Dtij tpl kpft[k; gutyhf fhzg;gLfpwJ. rhjhuzkhf 30% Mz;fs; ,jdhy; ghjpf;fg;gLfpwhh;fs;. rh;f;fiu tpahjpapdUf;F 50% tiu ,f;Fiw Vw;glyhk;. Kd;bgy;yhk; ,jw;bfy;yhk; kdk; jhd; fhuzk; vd;W epidj;J te;njhk;. ,J xU jtwhd fUj;jhFk;. etPd tp";"hd Muhr;rpapd; _yk; Mz;ikf; Fiwt[ vjdhy; tpisfpwJ vd;gij jplkhf mwpa KofpwJ. 85 rjtPjj;jpdUf;Fk; gy ghjpg;g[fshy; ,J Vw;gLfpwJ. Mz; cWg;g[f;F bry;Yk; ,uj;j mst[ Fiwjy;/ euk;g[ braypaf;fk;/ rh;f;fiu tpahjp/ tpgj;jpdhy; ,Lg;bgYk;g[ Kwpt[/ jz;Ltl ghjpg;g[ /Ahh;nkhd; Fiwt[ / cWg;gpypUe;J uj;jk; btspnaWjy;/ cWg;gpy; tPf;fk; (PEYRONIE’S DISEASE) vd gy fhuz';fs; cs;sd. ntiyapy; FHg;gk;/ ntiy khw;wk;/ FLk;gj; bjhy;iy/ beU';fpa cwtpdh; ,Hg;g[ Kjypa fhuz';fspdhYk; Mz;ik Fiwt[ Vw;gLk;. ,e;j ghjpg;g[ jw;fhypfkhd xd;W jhd;. ,J 15% rjtpfpj Mz;fis ghjpf;ff;TLk;.

ahUf;F Vw;glyhk;?

Mz;ikf; Fiwt[ ,s tajpdUf;Fk;/ eL tajpdUf;Fk;/ KjpnahUf;Fk; Vw;gLfpwJ. ,jdhy; kdpjdpd; Rakhpahij ghjpf;fg;gLfpwJ. ,jid ahhplKk; brhy;y ,ayhky; cs;sf; Fkwy; Vw;gLfpwJ. ,jdhy; kd miyr;ry;/ epk;kjpapd;ik/ nkYk; ntiyfspy; ftdf;Fiwt[ Vw;gLfpwJ. rpyUf;F ,Jnt tpthfuj;J Vw;glt[k; fhuzkhfpwJ. rpy jk;gjpapdUf;Fk; jpUzkhfp gy Mz;Lfs; MfpapUe;Jk; jhk;gjpjpw cwnt ,y;yhky; Jd;gg;gLfpwhh;fs;. ,jid btspna brhy;y Koahky; Jzpe;J kUj;Jt cjtpia ehlhky; jdpikapy; Jd;g[Wfpwhh;fs;. rpy jpUkzkhfhj Mz;fSk;/ j';fSf;F Mz;ikf;Fiwt[ ,Uf;Fnkh vd;w gaj;jpdhy; jpUkzk; bra;J bfhs;shky; ,Ue;J tUfpwhh;fs;.

itj;jpa Kiwfs;

1. kUe;J Kiw:

rpy;ldhgps;/ lhlhdhgps; nghd;w kUe;Jfs; cWg;gpw;F bry;Yk; uj;j msit mjpfjpg;gjhy; gyUf;Fk; kpft[k; gad;gLfpwJ. ,jid kUj;Jthpd; Mnyhridg;go Kiwg;go gad;gLj;j ntz;Lk;.

2. Crp kUe;J rpfpr;ir Kiw: (INJECTION THERAPHY)

bky;ypa Crp _yk; Mz; cWg;gpy; kUe;J brYj;jg;gLfpwJ. ,jdhy; uj;jf; FHha; tphptile;J mjpf uj;jk; cs;brd;W tpiug;g[ Vw;gLfpwJ. nkYk; cWg;gpypUe;J uj;jk; btspnaWtijj; jLg;gjhy; tpiug;g[ epiyahf epw;fpwJ. kUe;jpd; mst[ xt;bthUtUf;Fk; khWgLk;. ,k;Kiwapy; jhnd Crp nghl;Lf; bfhs;sg; gapw;rp mspf;fg;gLfpwJ. fw;Wf; bfhz;l gpwF jhnd/ clYwt[ bfhs;tjw;F 10 epkpl';fs; Kd;g[ Crp nghl;L bfhs;syhk;. ,k;Kiwapy; gyh; gad; bgw;W tUfpwhh;fs;.

3.Ahh;nkhd; Crp kUe;Jfs; nghl;Lf; bfhs;tjhy; gad; cz;lh?

Ahh;nkhd; mst[ Fiwe;J ,Ug;gjhy; Mz;ikf; Fiwt[ Vw;glyhk;. ,g;go Vw;gLtJ xU rpyUf;nf/ mg;go Fiwe;J ,Ug;gth;fSf;F Crp kUe;jpd; _yk; bl!;nlh!;Oud; kUe;ijr; brUj;jpdhy; gad; cz;L. kw;wth;fSf;F ,e;j Ahh;nkhd; Crp nghLtjpdhy; xU gaDk; ,y;iy.

4. mWit rpfpr;ir (PENILE THERAPHY) Kiw:

,k;Kiwapy; mWit rpfprpir _yk; iryh!;of; bghUshy; bra;ag;gl;l xU #ij braw;if cUisf;F gf;fj;jpw;F xd;whf Mz; cWg;gpDs; bghUj;jg;gLfpwJ. mWit rpfpr;irf;Fg; gpwF Mz; cWg;g[ tpiug;g[j; jd;ik bgWtjhy; clYwt[ bfhs;tJ vspjhfpwJ. ,jdhy; nehahspf;Fk; mtuJ Jizt[ahUf;Fk; jpUg;jp Vw;gLtJ cWjp. Cyfk; KGtjpYk; gy;yhapuk; kf;fs; ,jdhy; gad; bgw;Ws;shh;fs;.

• Mz;fs; Ra ,d;gj;jpy; <LgLtJ ,aw;ifna. epr;rakhf ,jdhy; xU ghjpg;g[k; Vw;glhJ. ,utpy; tpe;J btspg;gLtjhy; xU Fiwa[k; Vw;glhJ.
• nghijg; bghUs; cl;bfhs;Stjhy; nkhfk; mjpfkhFnk jtpu/ Mz;ikf; Fiwt[ jPuhJ. jtpu mjpfkhf cl;bfhz;lhy;/ fy;yPuy; bfl;Lg; nghFk;
• Mz;ik Fiwt[ guk;giu tpahjp my;y.
  
  
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