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Q1。幾天前,我在排尿,突然感覺好像有什麼東西進入我的陰莖,引起了非常嚴重的灼熱感。小便結束後,我發現自己在流血。我的醫生開了抗生素,出血和燒灼感減輕了,但現在症狀似乎又回來了。您對這可能是什麼以及我應該如何進行治療有任何想法?<br />—加利福尼亞州阿爾薩蘭<br />您所描述的稱為終末血尿,或在尿流末端流血。如果出血和灼熱是由尿路感染引起的,則抗生素是合適的。某些尿路感染,包括膀胱感染,前列腺感染和尿道炎(尿道炎症,即從膀胱通向外部的陰莖管),可導致尿液或尿道尖端出現血液。這種症狀的複發應使主治醫師懷疑是不是由於感染引起的出血,感染未得到充分治療,還是相同或另一種生物引起了復發性感染。<br /><br /><br /><br /><br />適當使用培養物(在實驗室的培養皿中放置一些尿液以查看生物體是否生長,如果有的話,哪種培養物)可以指導抗生素治療,是完全根除尿路感染的最佳方法。如果實際上您沒有記錄到的培養陽性感染,則需要調查其他血尿原因。 [https://0rz.tw/create?url=https%3A%2F%2Fcastmass3.bladejournal.com%2Fpost%2F2020%2F12%2F01%2F%25EF%25BB%25BF%25E5%25A5%25B3%25E6%2580%25A7%25E9%25A0%25AD%25E9%25AB%25AE%25E8%25AD%25B7%25E7%2590%2586-%25E5%25A6%2582%25E6%259E%259C%25E8%2584%25AB%25E9%25AB%25AE%25E6%2598%25AF%25E8%2584%25AB%25E9%25AB%25AE%25E7%2597%2587%25EF%25BC%258C%25E7%2582%25BA%25E4%25BB%2580%25E9%25BA%25BC%25E7%25B1%25B3%25E8%25AB%25BE%25E5%259C%25B0%25E7%2588%25BE%25E5%258F%25AF%25E8%2583%25BD%25E7%2584%25A1%25E6%25BF%259F%25E6%2596%25BC%25E4%25BA%258B 脫髮] ,其向下進入膀胱或尿道。膀胱,尿道或上尿路腫瘤;以及血管(血管)畸形。這些潛在的血液來源應進行調查。男性泌尿道出血的最常見原因是前列腺腫大,但這是一種排除診斷,只有在排除了更嚴重的原因後才能接受。<br />Q2。我是25歲的健康男性。在最近一次泌尿科醫師的訪問中,我的尿液中發現了微量的血液,但是沒有感染的跡象。我去洗手間時看不到任何血跡。醫生送我去做CT掃描,一切恢復正常。我真的很擔心更糟糕的原因。我可以做?還是血液會不時地出現在尿液中?<br />通過尿液分析發現尿液中的微量血液可能是嚴重潛在疾病的徵兆,而在低危人群(年齡小於40歲,無吸煙史或其他危險因素)中,發現嚴重尿毒症的可能性問題很低。泌尿科醫生正確地將您發送給您,以對您的上尿路進行成像。請放心,像您這樣的患者錯過某些潛在的膀胱疾病的可能性非常低。尿液中的血液也可能是醫學腎臟疾病的徵兆,通常由腎臟科醫生評估。<br />一旦排除了任何重大的潛在疾病,建議通常不要擔心。如您所建議,血液確實會不時地出現在尿液中。它可能與感染,創傷(包括運動引起的某種形式的創傷,其中膀胱因自身塌陷並導致出血),結石和其他異常原因有關。<br />一些患者需要對膀胱進行更詳細的評估,這需要通過膀胱鏡進行。如果該人超過40歲,患有膀胱癌的危險因素(吸煙,化學暴露,放射線)或尿液中實際上可見血液,則可能表明這一點。在此過程中,將一台小型望遠鏡插入尿道中並用於可視化膀胱。<br />在Everyday Health Men's Health Center中了解更多信息。<br /><br />
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