က်န္းမာေရးနဲ႔ေဆးပညာ ေမးလိုတာရွိပါက

ဒီဘေလာ့ခ္ထဲကစာေတြကို တျခားေနရာမွာ ကြ်န္ေတာ့္ခြင့္ျပဳခ်က္မပါဘဲ ကူးယူျပီး မတင္ဘို႔ စည္းကမ္း သတ္မွတ္ထားပါတယ္။

က်န္းမာေရး နဲ႔ ေဆးပညာ ေမးလိုတာရွိပါက
• ျဖစ္တဲ့သူရဲ႕ အသက္၊ က်ား-မ ေျပာပါ။ ေရာဂါလကၡဏာ ၁-၂-၃။ တခုတိုင္းက ဘယ္ေလာက္ ၾကာျပီ။
• လိုအပ္ရင္ က်န္းမာေရးရာဇဝင္၊ ဓါတ္မွန္၊ (အာလ္ထြာေဆာင္း)၊ ေဆးစစ္ခ်က္၊ လိုအပ္ရင္ အိမ္ေထာင္၊ ကေလး၊ ရွိ-မရွိ။ ေနတဲ့တိုင္းျပည္၊ ျမိဳ႕ထည့္ေရးပါ။ လူနာမည္၊ ေနရပ္လိပ္စာအတိအက် ကိစၥမရွိပါ။
• ေဆးနာမည္ေရးရင္ Trade name ကုမၸဏီကေပးတဲ့နာမည္သာမက Generic name ေဆးနာမည္ ထည့္ေရးပါ။
• ေဆးစာ၊ ေဆးစစ္ခ်က္၊ ေဝဒနာေတြကို စကန္လုပ္ျပီးျဖစ္ျဖစ္၊ ဓါတ္ပံုရိုက္လို႔ျဖစ္ျဖစ္ ပို႔ႏိုင္ပါတယ္။ ဓါတ္ပံုကို ခြင့္မယူဘဲ အသံုးမခ်ပါ။
• အိမ္ေထာင္ေရးနဲ႔ လိင္ပိုင္းဆိုင္ရာေမးခြန္းေတြကို Facebook ကေန မေမးပါနဲ႔ မေျဖပါ။ တိုက္ရိုက္သာေမးပါ။
• အီးေမးလ္ အခက္အခဲရွိလို႔ Facebook message မွာျဖစ္ျဖစ္ Chat box မွာျဖစ္ျဖစ္ေရးရင္လဲ အားသလား၊ ေမးလို႔ရလား ေရးမေနဘဲ၊ တခါတည္း ေမးခြန္းသာေရးလိုက္ပါ။
• Facebook Comment ကေနေမးတာ-ေျဖတာ အဆင္မေျပပါ။
စာရွည္ေရးမရပါ။ သူမ်ားေတြကို အေႏွာင့္အယွက္ျဖစ္ႏိုင္ပါတယ္။
• နာမ္စားသံုးတာမွာ ကိုယ္ကိုယ္ကို ‘သား’၊ ‘သမီး’ လို႔ သံုးရင္ ေမးတဲ့သူရဲ႕ သားသမီးလား ထင္မွတ္မွားႏိုင္တာသတိျပဳပါ။
• SMS အေရးအသားမ်ိဳးကို မဖတ္ပါ။ ျမန္မာစကားကို အဂၤလိပ္စာလံုးနဲ႔ေရးတာကို မဖတ္ပါ။
• ဘေလာ့ခ္ နဲ႔ ေဖ့စ္ဘြတ္မွာ အေမး-အေျဖေတြကိုသံုးတဲ့အခါ ေမးတဲ့သူရဲ႕ ကိုယ္ေရး အခ်က္အလက္ေတြ မပါေစရပါ။
• ဖုန္းဆက္ျပီးေမးရင္ Time zone မတူတာေရာ၊ အသံထြက္ လြဲႏိုင္တာေရာေၾကာင့္ အဆင္မေျပပါ။ ကြ်န္ေတာ့္မွာ Viber မရွိပါ။ ေဖ့စ္ဘြတ္ ဖုန္း-ဗီဒီယို အဆင္မေျပပါ။ Skype ကိုေတာ့ ႏိုင္ငံေရးနဲ႔ မိသားစုအတြက္သာသံုးပါတယ္။
drswe01@gmail.com ကို (အီးေမးလ္) ပို႔ပါ။

(ဘေလာ့ခ္) ေတြထဲ ဝင္ဖတ္ဘို႔ အၾကံျပဳပါတယ္။
- http://dts-medicaleducation.blogspot.in/ ေဆးပညာစာမ်ား
- http://yamuna-online-clinic.blogspot.in ယမုန္နာ ေဆးခန္း
- http://my-sayawun-life.blogspot.in/ ဆရာဝန္ဘဝ အမွတ္ရတာေတြ
- http://dts-political-page.blogspot.in/ ႏိုင္ငံေရး စာမ်က္ႏွာ
- http://www.facebook.com/pages/Dr-Tint-Swe/490031307758025?skip_nax_wizard=true ေဖ့စ္ဘြတ္
- https://tintswe.wordpress.com/ Dr. Tint Swe ေဒါက္တာတင့္ေဆြ ေဆးပညာစာမ်ား

Wednesday, August 4, 2010

Q and A August 2010 (4)

1. Small Penis က်ားအဂၤါ ငယ္ေနသလား
2. Bone implant အရိုးက်ိဳးလို႔
3. Penis pain ပန္းမွာနာေနတာ
4. I cannot finish for urine
5. ကြ်န္မ မ်က္လုံးေတြ ဝါေနပါတယ္

Aug 13, 2010 at 7:58 AM,
Dear Sir
Let me introduce myself I'm KS from Malaysia. I candidly would like to ask you about my penis size because I did feel my penis size is small and may not satisfy myself. If possible I would like to get full size so please give me your suggestion. I can read Myanmar but may not type because I never learn before.

Don't worry! Please read this one. Then if you have questions, ask me. I am sure you are OK.
Penis enlargement က်ားအဂၤါ ၾကီးေစျခင္း ကိုဖတ္ပါ။

Aug 13, 2010 at 11:07 AM,
I am 27 yrs old and work as an Accountant. I had operation for my fractured wrist because I fell down in the kitchen. They put metal implant to join my wrist. May I know that implant can last how long? It is possible to put forever. Actually, I don’t want to take out that one because very scared for second surgery. Let say if I put forever, is there any side effects. Please advise me.

First of all, I am not a bone specialist. But I am a patient for bone fractures. I broke my left wrist and right knee. Not like you I have a metal pate in my knee.

All foreign bodies must be removed from body. This is the rule. For bone fracture, when bone healed it has to be removed. It can be after 6 months or years. Your doctor may tell you when. For me it has been over 6 years and yet to remove. It hurts sometimes. I have been finding a good day for second operation since a couple of years ago.

For you, I think you can keep as long as you feel good with that. But the orthopedist will give you better alternative.

13-8-2010

Aug 14, 2010 at 10:39 PM,
I am 25 yrs. I am wondering of my problem. I read everyday your Blog post and appreciate for all your attempts for those who are in need. I have also the same problem like others. I am virgin and have intercourse with my girlfriend the first time but after the act my penis got pain: first at the tip and then the shaft inside of penis. Even I couldn't pass out urine. It is just like acidic urine [as I had read from your post]. My urine was so hot while going to urinate and I cannot finish it. The pain is after the act not during the act. Because of the pain I couldn`t used underwear and my penis is untouchable with anything. It is so painful. My penis swells and is painful. Is it of infection from my girlfriend or because of myself got some infection? It took more then 4-5 days. I did not consult with any professional because of shyness. I need some advice from you because in your post I found those who had the same problem like me. I hope you can help me to fine some resolution. I really feel shy to consult with others but Sir only with you I share my problem. I drink alcohol and smoke too.

I got some relevant points: (1) Pain after intercourse, (2) Acidic urine, and (3) Swelling of painful penis.

It could be an infection. Whoever started it is treatable, don't worry. It could be sexually transmitted or non-STD. Many women are common for urinary tract infections.

Take Doxycycine 100 mg 2 times a day for 7-10 days for non-SID.

Or Gonorrhea take Ciprofloxacin 500 mg or Ofloxacin 400 mg or Cefixime 400 mg once. If not relieved, take Ciprofloxacin 500 mg two times a day for 5-7 days.

For pain, take Ibuprofen one tablet 2-3 times day with meal. To reduce acidity of urine take Antacid tablet 2-3 times a day. It is better to take pain killer along with Antacid. Eat food as I wrote in Acidic Urine article. You will be OK.

If she also has painful urination, pain over lower abdomen and discharge from vagina, advise her to take the same. Pain for first experience of intercourse does not need any medication. Condom usage is advised.
14-8-2010

Aug 15, 2010 at 4:10 PM
I am a female. I have problem concerning with urination. I usually got pain while going for urine, it is so hot and even I cannot finish for urine. I used get it usually. Is it acidic urine or because of some infection in urinary? Why does it happen to me very often? plz give me some suggestion.

It looks an infection. Please read
Acidic Urine ဆီးပူ ေနရင္
Urinary tract infections ဆီးလမ္း (လိင္လမ္း) ပိုးဝင္ျခင္း

You are right some women are common and got repeated infection of that area.

Take medicine and eat/avoid food as written in the articles. Sometimes some women need culture and sensitivity test if the infection did not respond to treatment. Then choose the correct medicine. But it is rare.

Be advised to wear cotton underwear. Clean the area every time of bathroom with clean water. The hand must move from front to behind not opposite. Ask me if you need more info. Be healthy and happy!

Professionally I need to know more of your condition. I mean, your age, marital status, history of contact with a partner, what are current complaints. However, I will prescribe possible medication.
• Cotrimoxazole 1 tablet 2 times a day for 4-5 days or Amoxacilin 500 mg 2 times a day for 4-5 days or Ciprofloxacin 500 mg 2 times a day for 4-5 days
• Take Antacid tablet which is usually and commonly taken for stomach pain 1 tablet 3 times a day to reduce acidity
• Take Spasmogin or Buscopan 1 tablet 2-3 times a day to suppress pain
• Drink panty of water and orange and/or fresh lime juice
• Don’t wait if you want to pass urine

15-8-2010
6:15 PM

Aug 8, 2010 at 9:36 AM
ကြ်န္မအသက္ ၃၈ ရွိပါျပီ။ ကြ်န္မ မ်က္လုံးေတြ ဝါေနပါတယ္။ အသည္းေရာင္ အသားဝါ လကၡဏာ လုံးဝမရွိပါဘူး။ မ်က္စိေတြလည္း ခဏခဏ ကိုက္တယ္။ မ်က္လုံး အဆံနားမွာလည္း နည္းနည္း မ်က္သား တက္သလို ျဖစ္ပါတယ္။ မ်က္စဥ္းလည္း ေန႔တိုင္းခပ္ပါတယ္။ တစ္ခ်ဳိ႕ကေတာ႔ မ်က္သားျခစ္ျပစ္သင့္တယ္လို႔ ေျပာပါတယ္။ ဘာျဖစ္ႏိုင္လည္း ေက်းဇူးျပဳျပီး ေျဖၾကားေပးပါရွင့္။

ေရာဂါလကၡဏာေတြ ေရာေထြးေနတယ္။ မ်က္လံုးဝါတာဟာ Jaundice အသားဝါ ဟုတ္-မဟုတ္ ၾကည့္ရမယ္။ ဆီးလဲ ဝါမယ္၊ လွ်ာေအာက္မွာလည္း ဝါေနမယ္၊ အစားအေသာက္ပ်က္မယ္၊ အားယုတ္မယ္၊ ရင္ေခါင္း၊ ဒါမွမဟုတ္ ဗိုက္ ညာဘက္ အထက္နားက နာမယ္ဆိုရင္ အသဲေရာင္ အသားဝါကို သံသယ ရွိႏိုင္တယ္။ မ်က္စိ ဝါ-မဝါကို အလင္းေရာင္ ေကာင္းေကာင္းမွာ ေသျခာၾကည့္ပါ။ Dirty sclera ေလ၊ အမံႈေတြေၾကာင့္ ညစ္ေနတာနဲ႔ ခြဲရမယ္။

မ်က္သား Pterygium ဆိုတာ မ်က္လံုးရဲ႕ အျဖဴေရာင္အပိုင္း၊ (ႏွာေခါင္းဘက္က တပိုင္း၊ နားထင္ဘက္က တပိုင္း) မွာ အရင္က မရွိတဲ့ ထူျပီး၊ နီေနတဲ့ အသားေတြ တက္လာေခၚတယ္။ တက္လာတာကလည္း အျပင္ပိုင္းကေန မ်က္စိ အလည္ေခါင္ဆီ ဦးတည္ျပီး၊ တရိဂံပံုျဖစ္တယ္။ ၾကာရင္ မ်က္စိ အနက္ေရာင္အဝိုင္းဆီ ေရာက္ျပီး၊ အနက္ဝိုင္းေပၚအထိ တက္တက္လာတယ္။ အဲဒီအဆင့္ဆိုရင္ ခြဲဘို႔သင့္တယ္။ မခက္ပါဘူး။ ထံုေဆးေလးနဲ႔ လႊာထုတ္-ခ်ဳပ္ေပးတာ၊ အျပင္လူနာ အေနနဲ႔ လုပ္လို႔ရတာပါ။ ၅ ရက္ေနရင္ ခ်ဳပ္ၾကိဳးေလး တေခ်ာင္း ျဖဳတ္မယ္။ နဂိုအေနျဖစ္ဘို႔ေတာ့ ရက္နဲနဲလိုတယ္။

မ်က္စိ ကိုက္တာ ၂ မ်ိဳးျဖစ္ႏိုင္တယ္။ ဆိုးရင္ Galucoma ေရတိမ္၊ မ်က္ရိုးပါကိုက္မယ္ မ်က္လံုးက တင္းေနမယ္။ လက္နဲ႔ ဖိစမ္းရင္ မျဖစ္တဲ့ဘက္ထက္ တင္းေတာင့္ခံေနတာ သိတယ္။ မ်က္စိမံႈတာ သိပ္ျမန္တယ္။ မနက္နဲ႔ ညေန မတူဘူး။ အေရးေပၚ ျဖစ္တယ္။ ခြဲရတယ္။ ေနာက္တခုက မ်က္မွန္စမ္းဘို႔ လိုတာေၾကာင့္ ကိုက္ႏိုင္တယ္။ တျခား အေၾကာင္းခံေတြလည္း ေခါင္းထဲ ထည့္ရအံုးတယ္။ ေသြးတိုး စစ္ပါ။

မ်က္စဥ္းက ဘယ္လိုအမ်ိဳးအစားလဲ။ မ်က္ေစ့က်ိမ္းလို႔ မ်က္ဝတ္ထြက္လို႔ ခပ္တာက ပိုးေသမဲ့ ေဆးပါတယ္။ Gentamycin, Cipro စတာမ်ိဳး။ (ဗက္တီးရီးယား) မဟုတ္ရင္ မိႈေဆး၊ (ေကာ္တီဇံုး) ပါတဲ့မ်က္စဥ္း။

Dr. တင့္ေဆြ
၈-၈-၂ဝ၁ဝ