Asc, Doctor. Salaan ka dib Dhanbaalkaygii hore ee aan kuugu soo bandhigay dhibaatadda iga haysatay Tuubadda Kaadi Mareenka, Ama Caabuqa. Kaadida oo igu gubta ama i xanuujisah waxay calaamad u ahayd in ay jirto caabuq kaadi mareenka ah taasoo ka imaan karta caabuq kaadi heysta, caabuq xariga kaadida ama caabuq kilyaha ah.
Balse Arintaas si aan u ogaado ayaan waxaan u tagay Dhakhtar, Wuxuuna ii diray Sedex baaritaan.
1- Kaadi.
2- Manidda Ama Shahwada.
3- Cumputer, ( Abdominal Ultrasound)
Natiijadiina waxay soo baxday sidaan Hoos ku xusan.
SEMEN ANALYSIS:
PHYSICAL EXAMINATION:
Color Gray-whitish
Volume 3.0 3 – 5 Ml
PH Alkaline
Liquefaction Time 45.0 15 – 30 Minutes
MICROSCOPIC EXAM:
Motility *** After 1 hr. ****** After2 hr. ***
Motile 70 (Normal>60) 60 (Normal>50%) %
Rapid Active Progressive 05 00 %
Moderate Active Progressive 30 25 %
Sluggish 35 35 %
Non-Motile 30 40 %
Count 89.0 20 – 150 Million
Viable Sperms after 1 hr. 80 %
Dead Sperms after 1 hr. 20 %
MORPHOLOGY :
Normal Forms 80 (Normal >60%) %
Abnormal Forms 20 %
Double Heads 03 %
Too Large Heads 10 %
Ragged Heads 02 %
Too Small Heads 00 %
Double Tails 03 %
Droplets 02 %
Testicular 4 – 5 /HPF
Pus-cells 3 – 4 /HPF
R B C 0 – 1 /HPF
Others: Agglutinated Spermatozoa (+)
URINE ANALYSIS
Macroscopic Exam:
Test Result
Appearance Slightly Turbid
Color Yellow
SP. GRAVITY 1.030
PH Acidic
Hemoglobin Negative
Protein Negative
Glucose Negative
Acetone Negative
Urobilinogen Normal
Nitrite Negative
Leukocyte Negative
MICROSCOPIC EXAM:
R. B. C 0 - 1 /HPF
Pus Cells(W.B.C) 0 - 2 /HPF
Epithelial Cells Nil
Schist Some Not seen
Heamatobium ova
Cast:
Cast Not seen
Crystals Acidic Urine
Amorphous Urate (+)
Abdominal Ultrasound:
Liver: Normal size and parenchymal echogenicity. No focal lesion. PV. HV and IVC are normal. Intra/extra hepatic biliary ducts are not dilated.
Gall Bladder: Normal wall thickness and free lumen.
Pancreas: Normal in size and echotexture. No focal lesion or calcification.
Spleen: Normal in size and echotexture.
Kidneys: Normal in site, size (RK: x cm, LK: x cm), parenchymal echogenicity and thickness (RK: mm, LK: mm). No stone or backpressure and no cystic or solid mass lesion seen.
Retropertoneum:Normal large vessels with no lymphadenopathy detected.
UB: Distended, lucent content with normal wall thickness and no mass or stone seen
Prostate: Normal in size and echogenicity. No focal lesion or calcification. Post voiding residual urine is ml.
Impression: Liver, G.B, spleen and kidneys are normal. U.B is full with mild thick wall = 4 mm. prostate is normal size = 32 x 35 x 36 mm, Volume = 22 ml with plaques of calcification. PVRU = 27 ml.
Marka Doctor Natiijadaasi markay sidaas soo baxaday, lkn wali waxaan dareemayaa in ay i xannuunayso tuubada Kaadi mareenka. Su'aasha meesha ku jirta yaa marka wxay tahya.
1- Wali caabuq majiraa?
2- huduuse jiro natiijadaas baaritaanka ah ka dib maxaa Xal ah?
Illaaahay Ayaa Xannuunka iyo Caafimaadkaba Haya,
Meesha Dawadu ku jirtana isaga Ayaa garanaaya.
Wabillaaahi Towfiiq