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{]XymibpsS ]pXpshfn¨§Ä
tUmÎÀ ssZhs¯t¸msebmWv. km´z\¯nsâ ssIIfmWhcptSXv. B ssIIfpsS kv]Ài¯n NneÀ¡v tcmKw kpJs¸Sp¶p. tUmÎdpsS apJ¯p \n¶p {]XymibpsS IncWw tcmKnsb kv]Àin¡p¶p. tcmKn¡v Bizmkw e`n¡p¶p. kz´w NnInÕm\p`h§fn NneXp tUmÎdpsS a\knepw Xo{hambn \ne\n¡p¶pWvSmIpw. tUmÎÀamÀ X§Ä¡pWvSmIp¶ A\p`h§Ä ]¦phbv¡p¶ ]wànbn FdWmIpfw kvs]jenÌv Bip]{Xnbnse {]apJ bqtdmfPnÌpw emt{]mkvtIm¸nIv kÀP\pamb tUm.BÀ. hnPb³ Xsâ A\p`h§Ä ]¦phbv¡p¶p...

aq{Xmib kw_Ôamb tcmKw _m[n¨v \nch[n t]cmWv Hmtcm Znhkhpw F¯p¶Xv. CXn \hPmXinip¡Ä DWvSmIpw. sNdp¸¡mcpw {]mbambhcpw DWvSmIpw. AhÀ A\p`hn¡p¶ thZ\bpsS ImTn\yw B apJ§fn \n¶pXs¶ hmbns¨Sp¡mw. F{Xbpw thKw Cu thZ\ amän¯ctWsb¶p ]dªp Icbp¶ tcmKnbpsS ssZ\yXbv¡p ap¶n ]et¸mgpw tUmÎdpsS I®pIÄ \ndbmdpWvSv.

acp¶ns\m¸w ssZhs¯ Iq«p]nSn¨mWv tUmÎÀ Hmtcm NphSpw apt¶m«p hbv¡p¶Xv. ImcWw A]qÀh tcmK¯nsâ ]nSnbnÂs¸« tcmKnIÄ Iq«¯n DWvSmhpw. Nnet¸mÄ aWn¡qdpItfmfw \ofp¶ ikv{X{Inb Bhiyambn ht¶¡pw. tcmKn¡v Bizmk¯nsâ ssI¯ncn\mfw ]IÀ¶p \ÂIp¶Xns\m¸w bmsXmcp ssI¸ngbpw kw`hn¡msX AhcpsS AkpJw t`Zam¡tWsb¶ {]mÀY\bpambmWv tUmÎdpsS Hmtcm Znhkhpw ]pecp¶Xv.

\hPmXiniphn\p aq¶mw\mÄ kÀPdn

BdphÀjw aps¼mcp Xn¦fmgvN. kabw cmhnse 9.30. \Kc¯nse Hcp Bip]{Xnbn {]khw \S¶ bphXnbpsS Ipªn\v aq{XXSkw. B Bip]{Xnbnse ssK\t¡mfPnÌv Fs¶ hnhcw Adnbn¨p. GXm\pw \nanj§Ä¡Iw _Ôp¡Ä Ipªpambn kvs]jenÌv Bip] {Xnbn F¯psa¶v Adnbn¨p. thWvS XbmsdSp¸pIfpambn R§Ä Im¯p\n¶p. 20 an\nän\Iw AhÀ Bw_pe³kn Ipªpambn Bip]{Xnbn F¯n. hWvSnbn \n¶pw Ipªpambn Cd§p¶Xn\nSbn Ahsâ Aѳ \ndI®pItfmsS Ft¶mSp ]dªpþ "tUmÎtd, R§fpsS Ipªv...'B bphmhnsâ tXmfn X«n Bizkn¸n¨n«p Rm³ sFknbp hnte¡v sN¶p.

Ipªns\ ]cntim[n¨p. {]khw \S¶n«v aWn¡qdp Ifmbncn¡p¶p . F¶n«pw Ipªn\v aq{Xw t]mbn«nÃ. Cu AhØ XpSÀ¶m A]ISamsW¶p a\knem¡n aq{Xw t]mIm\mbn ASnb´ncambn Ipªn\v Syq_v C«p. hnZKv[amb \nco£W¯n\mbn Ipªns\ sFknbphnte¡p amän.

Hcp InUv\n am{XapÅ Ip«n

XpSÀ¶p InUv\nbpsS {]hÀ¯\w t\m¡p¶Xn\mbpÅ ]cntim[\IÄ \S¯n. ]cntim[\m^ew sR«n¡p¶Xmbncp¶p. knSn kvIm\nwKn Ipªn\v Hcp InUv\n am{Xta DWvSmbncp¶pÅpsh¶p IsWvS¯n. aq{X\mfnbn P·\m Xs¶ Hcp ]mS DWvSmbncp¶p. F¦nepw aq{Xk©nbnte¡p cWvSp aq{X¡pgepIfpw Xpd¶ncp¶p. CXn Hcp aq{X¡pgen\mWp XSkw DÅsX¶pw IsWvS¯n.

het¯ InUv\n CSt¯ InUv\nbn H«nt¨À¶ncn¡p¶p. ]t£ CSt¯ InUv\n bYmØm\¯p Xs¶bpWvSv. aq{X¡pgepw AtX ZnibnemWpÅXv. AXy]qÀhambn kw`hn¡p¶ HchØbmWnXv. Crossed Fused Ectopia F¶mWv CXns\ sshZyimkv{X¯n ]dbp¶Xv. ASnb´cambn Fs´¦nepw sNt¿WvS AhØbmWv IpªntâXv.

Ipªn\pthWvSnbpÅ k¦S§Ä

Ipªnsâ AhØsb¡pdn¨p _Ôp¡tfmSp ]dbWw. Ip«nbpsS AÑs\ Rm³ Fsâ apdnbnte¡p hnfn¸n¨p. AÑ\pw At±l¯nsâ cWvSp ktlmZc·mcpw Fs¶ ImWm\mbn F¯n. \ndI®pIfpambn Fsâ ap¶nencn¡p¶ AhtcmSv Rm³ Imcy§Ä Xnc¡n. FdWmIpf¯p Xs¶bpff AbmÄ Hmt«mss{UhdmWv. `mcy ho«½bpw. AhcpsS BZy IpªmWv Ch³. aIsâ AhØsb¡pdn¨v ]dªt¸mÄ AhcpsS apJ¯p\n¶p `oXnbpsS \ng F\n¡p hmbns¨Sp¡m\mbn. "Ipªnsâ A½tbmSv H¶pw ]dªn«nÃ. Ipªns\ Ct§m«p sImWvSph¶t¸mÄ AhÄ¡v Ft´m kwibapWvSv. tUmÎsd Fsâ Ipªns\ c£n¡tW'sb¶p ]dªv B sNdp¸¡mc³ hoWvSpw Icbm³ XpS§n. R§fm Ignbmhp¶Xp sN¿mw, FÃmw ssZh\nÝbw t]msesb¶p ]dªv Ahsc Rm³ Ab¨p.

ssZhw H¸w\n¶ Hm¸tdj³

Ipªnsâ Hm¸tdjsâ XobXn \nÝbn¨p. aq{X\mfnbnse ]mS Xpd¡pIbmWv BZyambn sNt¿WvSXv. ikv{X{Inbbv¡p cWvSpaWn¡qÀ thWvSnh¶p. P\n¨n«p aq¶p Znhkw am{Xw {]mbapÅ B Ipªnsâ aq{X\mfnbnse ]mS hnPbIcambn R§Ä \o¡wsNbvXp. cWvSmgvNbv¡p tijw ASp¯ Hm¸tdj\pÅ XobXnbpw \nÝbn¨p. CSs¯ InUv\nbpsS Xmsg aq{X¡pgepambn tbmPn¡p¶nSs¯ t»m¡v \o¡w sN¿pIbmWv C\n thWvSXv. (Vesico Uretric Junction Obstruction VUJ) F¶mWv CXns\ ]dbp¶Xv. aq¶p aWn¡qÀ \oWvS ikv{X{InbbneqsS Cu XSkhpw \o¡wsNbvXp.

]n¶oSv \mep amk§Ä¡p tijamWv ASp¯ Hm¸tdj³ \S¶Xv. aq{X¡pgen\p apIÄ `mK¯pff XSkw \o¡pIbmWv CXneqsS sNbvXXv. \mep aWn¡qÀ \oWvS emt{]mkvtIm¸nIv ikv{X{InbbneqsS hnPbIcambn XSkw \o¡wsNbvXp. Bdp amk¯n\pffn aq¶v Hm¸tdj\pIfmWv B Ipªn\p sNbvXXv.

ssZhm\p{Kl¯m FÃmw ip`ambn \S¶p. Ct¸mÄ B Ipªn\v Bdp hbkmbn. B IpSpw_w CSbv¡nsS Fs¶ ImWm³ hcmdpWvSv.

A\nb{´nXamb aq{Xwt]mIÂ

Bdp hÀjw ap¼mWv AÑ\½amÀ B s]¬Ip«nbpambn Fsâ ASp¯p h¶Xv. ae¸pd¯p \n¶mWv AhÀ hcp¶Xv. A\nb{´nXambn aq{Xw t]mIp¶XmWv aIfpsS AkpJw. P·\mbpÅXmWv. B ]Xn\mepImcnbpsS apJw ¾m\ambncp¶p. BtcmSpw A[nIw kwkmcn¡mdnÃ. ¢mkn t]mIm³ aSn. \nÀ_Ôn¨v ¢mkn Ab¨m Xs¶ Hcp aqebn HXp§n¡qSpw.

]T\¯n Xosc {i²n¡m³ Ignbp¶nÃ. aIfpsS tcmKhnhc§Ä A½ ]dªpXpS§n. \m«nse Bip]{XnbnepÅ tUmÎsd ImWn¨ hnhcw Ip«nbpsS Aѳ ]dªp. ]cntim[\bpsS dnt¸mÀ«pIÄ Fsâ tai¸pd¯p h¨p. InUv\nbnte¡pÅ [a\nIÄ Cc«n¡p¶ (Double Moiety) AhØbmWv. F¶m Cu [a\nIÄ ss{Ut\Pnte¡p Xs¶bmWv Xpd¡p¶Xv. Hcphis¯ InUv\nbn am{XamWv Cu {]iv\sa¶p IcpXn AXv ikv{X{Inb sNbvX hnhc§Ä NmÀ«nepWvSmbncp¶p. ikv{X{Inb sNbvXn«pw ]cnlmcapWvSmbnÃ. X§fpsS aIÄ¡p hnhmlPohnXw Akm[yamsW¶ Nn´ B amXm]nXm¡sf Ae«nbncp¶p. Ip«n¡v BÀ¯hw DWvSmbXns\¯pSÀ¶v Ahkm\ {]Xo£sb¶ \nebnemWv Fsâ ASp¯psImWvSph¶Xv.

amXm]nXm¡Ä Ft¶mSp tcmKhnhc§Ä ]dbpt¼mgpw AhÄ XeXmgv¯n Htc Ccp¸mWv. Fsâ tNmZy§Äs¡ms¡ adp]Sn ]dbmsX Xebm«n. kvIm³ sN¿m³ Rm³ \nÀtZin¨p. kvIm\nwKn\p tijw dnk«pambn AhÀ FâSp¯p h¶p. Rm³ kwibn¨Xpt]mse atä his¯ InUv\nbpw CtX AhØbn Xs¶bmbncp¶p. Rm³ AhtcmSp tcmKhnhcw ]dªp. ikv{X{Inb sNbvXv CXn\p ]cnlmcw ImWmsa¶p Rm³ Ahsc Adnbn¨p. F§s\sb¦nepw aIfpsS tcmKw t`Zam¡n¯cWsa¶v B A½ IcªpsImWvSmWp ]dªXv.

\mep aWn¡qÀ \oWvS IotlmÄ Hm¸tdj\neqsS Cu {]iv\¯n\p ]cnlmcw IsWvS¯n. amk§Ä¡p tijw AhÀ Fs¶ ImWm³ h¶p. a[pc]elmc§fpambn«mWp h¶Xv. CsXm¶pw thWvS, F¶m Ignbmhp¶Xv Rm³ sNbvXp A{Xam{Xwþ Fsâ hm¡pIÄ tI«v B A½ ]dªpþ "CÃ, tUmÎÀ¡v F´p X¶mepw R§Ä¡p aXnbmhnÃ. R§sS ssZhamWv Xm¦Ä. C¶p R§sS aIÄ¡v FhnsSbpw t]mImw. AhÄ Nncn¨p XpS§n. R§sS hnjasams¡ amdn. \n§Ä¡p \qdp ]pWyw In«pw.' AhÀ \µn ]dªp.

Ipd¨p hÀj§Ä¡p tijw Fs¶ ImWm³ B AÑ\pw aIfpsa¯n. \¶mbn kwkmcn¡p¶ Hcp Ip«nbmbn AhÄ amdnbncp¶p. AhfpsS hnhmlw £Wn¡m\mbn«mWp h¶Xv. C¶hÄ hnhmlnXbmWv. a¡fpw `À¯mhpsam¯v kpJambn Ignbp¶p.

t{]mtÌäv Im³kÀ _m[nXsâ PohnXw

Znhkhpw Iptd tcmKnIsfbmWp ImWmdpÅXv. ]t£ B Fgp]XpImcsâ apJw Ct¸mgpw Fsâ ap¶nepWvSv. A©p hÀjw ap¼mWv cma³ Fs¶ ImWm\mbn Bip]{Xnbn F¯nbXv. \à BtcmKyhm³. ]cntim[\IsfÃmw amkw IqSpt¼mÄ \S¯p¶bmfmWv. FtÌän Znhkhpw \me©p aWn¡qÀ \S¡mdpWvSv. Ft¸mgpw aq{Xw Hgn¡m³ tXm¶p¶Xmbncp¶p cmasâ AkpJw.

Prostate Specific Antigen(PSA) ]cntim[n¡m³ Rm³ \nÀtZin¨p. km[mcWKXnbn ]nknFbpsS Afhv 4 \mt\m {Kmw/anen BWv. ]t£ Ct±l¯n\v AXv 9 \mt\m {Kmw/anen bmbncp¶p. km¼nfpIÄ tiJcn¨p _tbm]vkn¡b¨p. he¯p hi¯p Im³kÀ skÃpIÄ DWvSmbncp¶p.

aq{Xk©nbpsSbpw aq{X\mfnbpsSbpw CSbnepÅ ]pcpj{KÙnbmWv t{]mtÌäv {KÙn. CXv hepXmIpt¼mÄ aq{X\mfnsb sRcp¡pw. Im³kÀ CÃmsXbpw t{]mtÌäv {KÙn hepXmImw. Benign Prostate Hyper Plasia F¶mWv CXns\ ]dbp¶Xv. aq{XXSkw, Ft¸mgpw aq{Xw Hgn¡Wsa¶ tXm¶Â, cm{Xn ]eXhW aq{Xsamgn¡m\mbn Fgpt¶Â¡pI, càw IeÀ¶ aq{Xw Hgn¡pI F¶nhbmWv e£Ww.

cmasâ icoc¯n \n¶v t{]mtÌäv {KÙn DS³ \o¡w sN¿Wsa¶v Rm³ \nÀtZin¨p. Bdp aWn¡qÀ \oWvS IotlmÄ kÀPdnbneqsS t{]mtÌäv {KÙn \o¡w sNbvXp. bqdn\dn »mUdpw aq{X\mfnbpw hoWvSpw Xp¶n tbmPn¸n¨p. C¶v At±lw BtcmKyhm\mbn Pohn¡p¶p.

koa taml³emÂ

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