Archive for December 2012

Video Cara Jelqing

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Video Cara Jelqing

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Video Cara Memeriksa Kesihatan Buah Zakar

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Kanser Prostat

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PROSTATE CANCER

Introduction:-

Prostate is a glandular organ present only in males. It surrounds the neck of bladder & the first part of urethra and condributes a secretion to the semen. The gland is conical in shape and measures 3 cm in vertical diameter and 4 cm in transverse diameter.It has got five lobes anterior,posterior,two lateral and a median lobe.Since the first part of the urethra pass through it any lesion in the prostate will produce difficulty in passing urine.

download-4Diseases of the prostate gland:-

1) Prostatitis:-

This is the inflamation of the prostate gland due to bacterial infection.

2) Benign enlargement of the prostate:-

This is a non cancerous tumour of the prostate seen after the age of 50. 3,Cancer of the prostate:-This is the 4th most common cause of death from malignant diseases in males.

Cancer of the prostate.

Cancer of the prostate is directly linked with the male sex hormones(androgens).If the levels of sex hormone increases the growth rate of cancer also increases.It is found that after the removel of testes there is marked reduction in the size of tumour.

Site of tumour:-

Prostate cancer is seen mainly in the posterior lobe.Non cancerous enlargement is seen in other lobes.

Changes in the gland in cancer:-

The gland becomes hard with irregular surface with loss of normal lobulation .Histologically prostate cancer is an adeno carcinoma(cancer of the epithelial cells in the gland)

Growth :-

Growth rate is very fast in prostate cancer .The tumour compresses the urethra and produce difficulty in urination.

Spread of tumour:-

Metastasis in cancer of prostate is very early.

1) Local spread:-

From the posterior lobe the cancer cells go to the lateral lobes and seminal vesicles.Tumour cells also move to the neck and base of the urinary bladder.

2) Lymphatic spread:-

Through the lymph vessels cancer cells reach the internal and external illiac group of lymph nodes.From there cells move to retroperitonial(Behind the peritonium) and mediastinal lymph nodes(in the chest)

3) Spread through the blood:-

Spread of cancer cells takeplace through the periprostatic venous plexus and reaches the vertebral veins while coughing and sneezing and finally enders the vertebral bodies of the lumbar vertebrae.

Signs and symptoms of prostate cancer:–

Signs and symptoms depend upon the stage of the cancer. The following symptoms may be seen.

1) No symptoms:-

Tumour is small and only in the posterior lobe. This is diagnosed accidentely.

2) Slight difficulty in urination:-

Here the tumour is enlarged and urethra is slightly compressed.Shortly there will be frequent urge for urination with difficult urination.

3) When the tumour spread to all nearby areas including neck of bladder and urethra there will be painful urination with bleeding.Urine comes drop by drop.

4) Retention of urine:-

When the urethra is completely compressed there will be retention of urine.This can lead to hydronephrosis, renal failure ect.In this condition patient may get convulsions due to renal failure and finally coma.

5) Signs of metastasis:-

Some patients come with the signs and symptoms of metastasis.

a) Lumbo sacral pain due to spread of cancer cells to lumbar and sacral vertebrae.

b) Fracture of spine due to cancerous growth in the spine.

c) Swelling, pain and fluid collection in the abdomen due to lesion in the abdomen.

d) Respiratory complaints due to cancer of mediastinal lymphnodes and lungs.

e) General weakness due to spread of cancer to different parts of the body.

f) Anaemia due to involment of bone marrow and increased destruction of RBCs.

Clinical examination :-

Includes per rectal examination to feel the prostate gland,palpation of abdomen to feel the swelling in kidneys and any tumours.Patient is examined from head to foot to find out any lesions.

Investigations:-

1) Complete blood investigations;-

RBC,WBC,Platlets,ESR,bleeding time ,clotting time ect.

2) Urine analysis:-

Microscopic examination to detect pus cells,occult blood,casts,Crystals ect.

3) Renal function tests:-

Blood urea level,serum creatinine level,electrolyte level ect.

4) Serum acid phosphatase:-

Increased in cancer of prostate.

5) x-ray of the spine:-

To detect any tumour or fracture.

6) Ultra sonography;-

Gives idea about prostate,bladder,kidney ect.

7) C T scan:-

More detailed information about organs and tumour.

8) MRI of the spine:-

Gives detailed information about spine ,disc and nearby soft tissues.

9) Lymphangiography:-

Gives idea about lymphatic spread of cancer.

10) Biopsy to confirm cancer:-

Biopsy is taken from the tumour and is send for histopathological examination under the microscope.This will detect the presence of cancer cells.

Treatment:-

1) If there is retention of urine catheterisation is needed.
2) Dialysis if kidney failure.
3) If there is coma monitoring of all vital functions along with parentral nutrition and electolyte supply.
4) Specific treatment is prostatectomy(removal of prostate)

Partial prostatectomy :-

Here only the affected lobe is removed.

Radical prostatectomy :-

Total removal of prostate along with nearby lymphnodes.

5, Hormone therapy :-

Stilbestrol is given to reduce tumour growth.Since this treatement increases the chance for cardiovascular disease phosphorylated diethyle stilbesterol is used nowadays.

6) Chemotherapy:-Drugs like cyclophosphamide, cisoplatim ect are given.

7) Radiotherapy is also done for some cases.

8) Homoeopathy:-

Homoeopathic drugs like carcinocin, conium, sabal, crotalus, thuja, iodum, selinium, staphysagria, sulphur ect can be given according to symptoms.Constitutional homoeopathic medicine will give great relief and can increase the life span.

9) Yoga and meditation is also healpful.

Kenali Jenis Zakar

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Sebagai seorang perempuan yang telah dewasa perlulah untuk mengetahui mengenai kekuatan dan jenis jenis zakar lelaki idamannya. Jika tidak kepuasan dalam bersenggama agak sukar untuk dicapai atau diperolehi. Ini adalah penting untuk mengekalkan ikatan perkahwinan dan kesejahteraan dalam rumahtangga hingga ke akhir hayat nanti.

Berikut ini kategori jenis zakar atau penis lelaki dan kekuatan daya tahannya :

terungZakar Jenis Terong

• Penis membesar tetapi tidak mengeras.
• Memerlukan rangsangan seksual yang panjang dan lama agar penis dapat berereksi
• Ereksi penis tidak dapat bertahan lama.

Zakar Jenis Timun

• Penis mengeras, tetapi tidak cukup untuk penetrasi.
• Penis bereaksi hanya terhadap rangsangan seksual tertentu.
• Jangkamasa ereksi penis hanya beberapa minit saja.

Zakar Jenis Lobak

• Penis berereksi cukup keras untuk penetrasi.
• Penis cukup cepat bereaksi terhadap rangsangan seksual.
• Jangkamasa ereksi penis tidak terlalu lama.

Zakar Jenis Pisang

• Frekuensi ereksi cukup keras untuk penetrasi.
• Penis cepat bereaksi terhadap rangsangan seksual.
• Mampu mempertahankan ereksi yang keras hingga selesai berhubungan intim
• Penis mampu berereksi lagi dengan cepat setelah mencapai orgasme

Namun, hasil kajian ini tidak dapat menyebutkan kualiti, jangkamasa dan berapa kali penis boleh bereksi sepanjang malam. Hal ini perlulah dipandu uji.

Kerandut buah Zakar tak seimbang, Batang Bengkok

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KERANDUT TAK SEIMBANG, ALAT SULIT BENGKOK
Soalan

KEDUDUKAN buah zakar saya tidak seimbang di mana bahagian sebelah kanan terletak di bawah dan sebelah kiri ke atas sikit. Selain itu zakar saya bengkok ke kanan.

Adakah ia sesuatu yang normal? Jika tidak, bagaimana untuk menyembuhkannya?

AMAT
Kelantan

Jawapan
download-6KEDUDUKAN buah zakar tidak seimbang adalah sesuatu yang normal. Kebanyakan lelaki memiliki buah zakar kiri yang sedikit ke bawah berbanding kanan dan kurang satu peratus lelaki mempunyai buah zakar seimbang.

Bagaimanapun, ada juga ketidakseimbangan yang terlalu ketara. Ia berlaku akibat angin pasang (hernia), air pasang (hidrosel), pembuluh darah buah zakar berpintal (varikosel) atau terdapat ketumbuhan cista.

Jika ini berlaku, lelaki berkenaan perlu segera berjumpa doktor untuk mendapatkan rawatan.

Kedudukan zakar yang bengkok juga perkara biasa terutama apabila ia menegang. Jika sebaliknya berlaku, besar kemungkinan terdapat masalah seperti kekerasan sebahagian zakar yang menyebabkannya tertarik oleh tisu yang keras itu.

Kadang-kadang zakar tertolak oleh buah zakar yang tertekan akibat angin pasang. Apabila angin pasang itu disembuhkan melalui pembedahan, kedudukan zakar akan kembali kepada kedudukan biasa.

Semua masalah yang saya jelaskan tadi dapat dikesan jika seseorang lelaki itu melakukan pemeriksaan sendiri terhadap buah zakar dan zakarnya. Amalan ini sebenarnya penting untuk kebaikan anggota tubuh dan jika boleh lakukannya sekali dalam sebulan.

Cara melakukannya dengan berdiri di depan cermin. Kemudian sentuh buah zakar dengan jari serta ibu jari. Jika ada sesuatu yang luar biasa, segeralah berjumpa doktor.

Jadilah lelaki yang cemerlang dan lakukan pemeriksaan sendiri untuk kesejahteraan anggota sulit anda. Jangan malu berjumpa doktor.

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