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سلام دکتر خسته نباشید من ۳۵ سال سن دارم از سه سال قبل موقع ادرار شاهد دو شاخه شدن ادرار بودم که به دکتر مراجعه کردم و گفتن در سن شما بیماری پروستات نداریم و چیزی نیست تا ۶ ماه پیش ی دفعه تکرر ادرار گرفتم و خونریزی داشتم که جنتامایسین که خوب نشد امیکاسین دادن و سونو گرافی کردم که پروستات ۱۰cc بود ولی مشکل تکرر ادرار رفع نشد و هر از چند گاهی عفونت دوباره برمیگشت و ی ماه سیپرو دادن که باز خوب نشد و اخر کار سیستوسکپی کردم که فایلش رو میفرستم گفتن پروستات جلو مثانه رو از داخل گرفته و تنگ کرده و باید عمل تورپ کنید که با مشورت دکترای دیگه اونایی که ندیدن همگی گفتن نه انجام نده مشکل شما عصبی هست و الان تامسولوسیون مصرف میکنم بهتر شده ولی باز عفونت میگیرم و ادارام خوب خالی نمیشه و جدیدا پخش میشه دیگه از دوشاخه شدن بدتر شده و روی اعصابم تاثیر بدی گذاشته همش نگرانم نارسایی کلیه بگیرم و هی سونو میگیرم و ازمایش کراتینین میدم خسته شدم از درد و جدیدا کمر درد شدید دارم جوری که نمیتونم کار کنم و نمیتونم مدت ی رب به بعد تو ماشین بشینم به نظر شما چیکار کنم ایا مشکل عصبی میتونه باعث جمع شدن پروستات و گردن مثانه بشه ایا عمل تورپ تو این سن کار درستیه ممنون میشم راهنمایی کنید عمل سیستوسکپی رو بیمارستان میلاد پیش دکتر سام زاده انجام دادم البته دکتر خیلی رفتم که از حوصله شما توضیح دادنش قطعا خارجه
پاسخ دکتر
با سلام تعجب اور است كه چطور چنين پزشكى عمل TURP تى يو ار پى را براى شما توصيه كرده است ولى خوشبختانه انجام نشد، اولين قدم درمانى شما كنترل بر اضطراب و نگرانى كه حاصل درمان غير علمى شما بوده بنابراين١- تامسولوزين را ادامه دهيد موقع خواب يك عدد٢- عمل جنسى داشته باشيد ٣- روزى دو بار در اب گرم بشينيد ٤- شياف ايندومتاسين ١٠٠ميلى روزى يك عدد استعمال شود
` + ""; let html_anchor;return { c() { html_tag = new HtmlTagHydration(false); html_anchor = empty(); this.h(); }, l(nodes) { html_tag = claim_html_tag(nodes, false); html_anchor = empty(); this.h(); }, h() { html_tag.a = html_anchor; }, m(target, anchor) { html_tag.m(raw_value, target, anchor); insert_hydration(target, html_anchor, anchor); }, p(ctx, dirty) { if (dirty & /*seo*/ 4 && raw_value !== (raw_value = `` + "")) html_tag.p(raw_value); }, d(detaching) { if (detaching) { detach(html_anchor); html_tag.d(); } } }; }// (85:6) {#each ticket.chats as chat, index} function create_each_block(ctx) { let chatitem; let current;chatitem = new ChatItem({ props: { vendor: /*vendor*/ ctx[1], text: /*chat*/ ctx[9].text, audio: /*chat*/ ctx[9].audio, type: /*chat*/ ctx[9].mode, image: /*chat*/ ctx[9].mode == 'answer' ? /*vendor*/ ctx[1].image : null } });return { c() { create_component(chatitem.$$.fragment); }, l(nodes) { claim_component(chatitem.$$.fragment, nodes); }, m(target, anchor) { mount_component(chatitem, target, anchor); current = true; }, p(ctx, dirty) { const chatitem_changes = {}; if (dirty & /*vendor*/ 2) chatitem_changes.vendor = /*vendor*/ ctx[1]; if (dirty & /*ticket*/ 1) chatitem_changes.text = /*chat*/ ctx[9].text; if (dirty & /*ticket*/ 1) chatitem_changes.audio = /*chat*/ ctx[9].audio; if (dirty & /*ticket*/ 1) chatitem_changes.type = /*chat*/ ctx[9].mode;if (dirty & /*ticket, vendor*/ 3) chatitem_changes.image = /*chat*/ ctx[9].mode == 'answer' ? /*vendor*/ ctx[1].image : null;chatitem.$set(chatitem_changes); }, i(local) { if (current) return; transition_in(chatitem.$$.fragment, local); current = true; }, o(local) { transition_out(chatitem.$$.fragment, local); current = false; }, d(detaching) { destroy_component(chatitem, detaching); } }; }function create_fragment(ctx) { let title_value; let meta0; let meta0_content_value; let meta1; let meta2; let meta3; let meta3_content_value; let meta4; let meta4_content_value; let meta5; let meta5_content_value; let meta6; let meta6_content_value; let if_block1_anchor; let t0; let global; let t1; let div14; let div13; let div5; let h1; let t2_value = /*ticket*/ ctx[0].title + ""; let t2; let t3; let div4; let div0; let vote0; let t4; let div1; let vote1; let t5; let div2; let seen0; let t6; let div3; let date0; let t7; let div6; let t8; let div12; let div11; let div7; let vote2; let t9; let div8; let vote3; let t10; let div9; let seen1; let t11; let div10; let date1; let current; document.title = title_value = /*seo*/ ctx[2].title; let if_block0 = /*seo*/ ctx[2].canonical && create_if_block_1(ctx); let if_block1 = /*seo*/ ctx[2].jsonLd && create_if_block(ctx); global = new Global({});vote0 = new Vote({ props: { type: "like", active: /*vote*/ ctx[3] == 'like', count: /*ticket*/ ctx[0].likes || 0 } });vote0.$on("click", /*click_handler*/ ctx[5]);vote1 = new Vote({ props: { type: "dislike", active: /*vote*/ ctx[3] == 'dislike', count: /*ticket*/ ctx[0].dislikes || 0 } });vote1.$on("click", /*click_handler_1*/ ctx[6]);seen0 = new Seen({ props: { count: /*ticket*/ ctx[0].views ? /*ticket*/ ctx[0].views + 1 : 0 } });date0 = new Date$1({ props: { date: /*ticket*/ ctx[0].created_at } });let each_value = ensure_array_like(/*ticket*/ ctx[0].chats); let each_blocks = [];for (let i = 0; i < each_value.length; i += 1) { each_blocks[i] = create_each_block(get_each_context(ctx, each_value, i)); }const out = i => transition_out(each_blocks[i], 1, 1, () => { each_blocks[i] = null; });vote2 = new Vote({ props: { type: "like", active: /*vote*/ ctx[3] == 'like', count: /*ticket*/ ctx[0].likes || 0 } });vote2.$on("click", /*click_handler_2*/ ctx[7]);vote3 = new Vote({ props: { type: "dislike", active: /*vote*/ ctx[3] == 'dislike', count: /*ticket*/ ctx[0].dislikes || 0 } });vote3.$on("click", /*click_handler_3*/ ctx[8]);seen1 = new Seen({ props: { count: /*ticket*/ ctx[0].views ? /*ticket*/ ctx[0].views + 1 : 0 } });date1 = new Date$1({ props: { date: /*ticket*/ ctx[0].created_at } });return { c() { meta0 = element("meta"); if (if_block0) if_block0.c(); meta1 = element("meta"); meta2 = element("meta"); meta3 = element("meta"); meta4 = element("meta"); meta5 = element("meta"); meta6 = element("meta"); if (if_block1) if_block1.c(); if_block1_anchor = empty(); t0 = space(); create_component(global.$$.fragment); t1 = space(); div14 = element("div"); div13 = element("div"); div5 = element("div"); h1 = element("h1"); t2 = text(t2_value); t3 = space(); div4 = element("div"); div0 = element("div"); create_component(vote0.$$.fragment); t4 = space(); div1 = element("div"); create_component(vote1.$$.fragment); t5 = space(); div2 = element("div"); create_component(seen0.$$.fragment); t6 = space(); div3 = element("div"); create_component(date0.$$.fragment); t7 = space(); div6 = element("div");for (let i = 0; i < each_blocks.length; i += 1) { each_blocks[i].c(); }t8 = space(); div12 = element("div"); div11 = element("div"); div7 = element("div"); create_component(vote2.$$.fragment); t9 = space(); div8 = element("div"); create_component(vote3.$$.fragment); t10 = space(); div9 = element("div"); create_component(seen1.$$.fragment); t11 = space(); div10 = element("div"); create_component(date1.$$.fragment); this.h(); }, l(nodes) { const head_nodes = head_selector('svelte-1qjgh7f', document.head); meta0 = claim_element(head_nodes, "META", { name: true, content: true }); if (if_block0) if_block0.l(head_nodes); meta1 = claim_element(head_nodes, "META", { property: true, content: true }); meta2 = claim_element(head_nodes, "META", { property: true, content: true }); meta3 = claim_element(head_nodes, "META", { property: true, content: true }); meta4 = claim_element(head_nodes, "META", { property: true, content: true }); meta5 = claim_element(head_nodes, "META", { property: true, content: true }); meta6 = claim_element(head_nodes, "META", { property: true, content: true }); if (if_block1) if_block1.l(head_nodes); if_block1_anchor = empty(); head_nodes.forEach(detach); t0 = claim_space(nodes); claim_component(global.$$.fragment, nodes); t1 = claim_space(nodes); div14 = claim_element(nodes, "DIV", { class: true }); var div14_nodes = children(div14); div13 = claim_element(div14_nodes, "DIV", {}); var div13_nodes = children(div13); div5 = claim_element(div13_nodes, "DIV", { class: true }); var div5_nodes = children(div5); h1 = claim_element(div5_nodes, "H1", { class: true }); var h1_nodes = children(h1); t2 = claim_text(h1_nodes, t2_value); h1_nodes.forEach(detach); t3 = claim_space(div5_nodes); div4 = claim_element(div5_nodes, "DIV", { class: true }); var div4_nodes = children(div4); div0 = claim_element(div4_nodes, "DIV", {}); var div0_nodes = children(div0); claim_component(vote0.$$.fragment, div0_nodes); div0_nodes.forEach(detach); t4 = claim_space(div4_nodes); div1 = claim_element(div4_nodes, "DIV", {}); var div1_nodes = children(div1); claim_component(vote1.$$.fragment, div1_nodes); div1_nodes.forEach(detach); t5 = claim_space(div4_nodes); div2 = claim_element(div4_nodes, "DIV", {}); var div2_nodes = children(div2); claim_component(seen0.$$.fragment, div2_nodes); div2_nodes.forEach(detach); t6 = claim_space(div4_nodes); div3 = claim_element(div4_nodes, "DIV", {}); var div3_nodes = children(div3); claim_component(date0.$$.fragment, div3_nodes); div3_nodes.forEach(detach); div4_nodes.forEach(detach); div5_nodes.forEach(detach); t7 = claim_space(div13_nodes); div6 = claim_element(div13_nodes, "DIV", { class: true }); var div6_nodes = children(div6);for (let i = 0; i < each_blocks.length; i += 1) { each_blocks[i].l(div6_nodes); }div6_nodes.forEach(detach); t8 = claim_space(div13_nodes); div12 = claim_element(div13_nodes, "DIV", { class: true }); var div12_nodes = children(div12); div11 = claim_element(div12_nodes, "DIV", { class: true }); var div11_nodes = children(div11); div7 = claim_element(div11_nodes, "DIV", {}); var div7_nodes = children(div7); claim_component(vote2.$$.fragment, div7_nodes); div7_nodes.forEach(detach); t9 = claim_space(div11_nodes); div8 = claim_element(div11_nodes, "DIV", {}); var div8_nodes = children(div8); claim_component(vote3.$$.fragment, div8_nodes); div8_nodes.forEach(detach); t10 = claim_space(div11_nodes); div9 = claim_element(div11_nodes, "DIV", {}); var div9_nodes = children(div9); claim_component(seen1.$$.fragment, div9_nodes); div9_nodes.forEach(detach); t11 = claim_space(div11_nodes); div10 = claim_element(div11_nodes, "DIV", {}); var div10_nodes = children(div10); claim_component(date1.$$.fragment, div10_nodes); div10_nodes.forEach(detach); div11_nodes.forEach(detach); div12_nodes.forEach(detach); div13_nodes.forEach(detach); div14_nodes.forEach(detach); this.h(); }, h() { attr(meta0, "name", "description"); attr(meta0, "content", meta0_content_value = /*seo*/ ctx[2].description); attr(meta1, "property", "og:locale"); attr(meta1, "content", "fa_IR"); attr(meta2, "property", "og:type"); attr(meta2, "content", "article"); attr(meta3, "property", "og:title"); attr(meta3, "content", meta3_content_value = /*seo*/ ctx[2].title); attr(meta4, "property", "og:description"); attr(meta4, "content", meta4_content_value = /*seo*/ ctx[2].description); attr(meta5, "property", "og:site_name"); attr(meta5, "content", meta5_content_value = /*vendor*/ ctx[1].title); attr(meta6, "property", "article:modified_time"); attr(meta6, "content", meta6_content_value = /*ticket*/ ctx[0].updated_at); attr(h1, "class", "svelte-zoxz24"); attr(div4, "class", "custom-list hidden md:flex svelte-zoxz24"); attr(div5, "class", "ticket-header svelte-zoxz24"); attr(div6, "class", "chat-wrapper svelte-zoxz24"); attr(div11, "class", "custom-list md:hidden svelte-zoxz24"); attr(div12, "class", "ticket-footer svelte-zoxz24"); attr(div14, "class", "ticket-wrapper svelte-zoxz24"); }, m(target, anchor) { append_hydration(document.head, meta0); if (if_block0) if_block0.m(document.head, null); append_hydration(document.head, meta1); append_hydration(document.head, meta2); append_hydration(document.head, meta3); append_hydration(document.head, meta4); append_hydration(document.head, meta5); append_hydration(document.head, meta6); if (if_block1) if_block1.m(document.head, null); append_hydration(document.head, if_block1_anchor); insert_hydration(target, t0, anchor); mount_component(global, target, anchor); insert_hydration(target, t1, anchor); insert_hydration(target, div14, anchor); append_hydration(div14, div13); append_hydration(div13, div5); append_hydration(div5, h1); append_hydration(h1, t2); append_hydration(div5, t3); append_hydration(div5, div4); append_hydration(div4, div0); mount_component(vote0, div0, null); append_hydration(div4, t4); append_hydration(div4, div1); mount_component(vote1, div1, null); append_hydration(div4, t5); append_hydration(div4, div2); mount_component(seen0, div2, null); append_hydration(div4, t6); append_hydration(div4, div3); mount_component(date0, div3, null); append_hydration(div13, t7); append_hydration(div13, div6);for (let i = 0; i < each_blocks.length; i += 1) { if (each_blocks[i]) { each_blocks[i].m(div6, null); } }append_hydration(div13, t8); append_hydration(div13, div12); append_hydration(div12, div11); append_hydration(div11, div7); mount_component(vote2, div7, null); append_hydration(div11, t9); append_hydration(div11, div8); mount_component(vote3, div8, null); append_hydration(div11, t10); append_hydration(div11, div9); mount_component(seen1, div9, null); append_hydration(div11, t11); append_hydration(div11, div10); mount_component(date1, div10, null); current = true; }, p(ctx, [dirty]) { if ((!current || dirty & /*seo*/ 4) && title_value !== (title_value = /*seo*/ ctx[2].title)) { document.title = title_value; }if (!current || dirty & /*seo*/ 4 && meta0_content_value !== (meta0_content_value = /*seo*/ ctx[2].description)) { attr(meta0, "content", meta0_content_value); }if (/*seo*/ ctx[2].canonical) { if (if_block0) { if_block0.p(ctx, dirty); } else { if_block0 = create_if_block_1(ctx); if_block0.c(); if_block0.m(meta1.parentNode, meta1); } } else if (if_block0) { if_block0.d(1); if_block0 = null; }if (!current || dirty & /*seo*/ 4 && meta3_content_value !== (meta3_content_value = /*seo*/ ctx[2].title)) { attr(meta3, "content", meta3_content_value); }if (!current || dirty & /*seo*/ 4 && meta4_content_value !== (meta4_content_value = /*seo*/ ctx[2].description)) { attr(meta4, "content", meta4_content_value); }if (!current || dirty & /*vendor*/ 2 && meta5_content_value !== (meta5_content_value = /*vendor*/ ctx[1].title)) { attr(meta5, "content", meta5_content_value); }if (!current || dirty & /*ticket*/ 1 && meta6_content_value !== (meta6_content_value = /*ticket*/ ctx[0].updated_at)) { attr(meta6, "content", meta6_content_value); }if (/*seo*/ ctx[2].jsonLd) { if (if_block1) { if_block1.p(ctx, dirty); } else { if_block1 = create_if_block(ctx); if_block1.c(); if_block1.m(if_block1_anchor.parentNode, if_block1_anchor); } } else if (if_block1) { if_block1.d(1); if_block1 = null; }if ((!current || dirty & /*ticket*/ 1) && t2_value !== (t2_value = /*ticket*/ ctx[0].title + "")) set_data(t2, t2_value); const vote0_changes = {}; if (dirty & /*vote*/ 8) vote0_changes.active = /*vote*/ ctx[3] == 'like'; if (dirty & /*ticket*/ 1) vote0_changes.count = /*ticket*/ ctx[0].likes || 0; vote0.$set(vote0_changes); const vote1_changes = {}; if (dirty & /*vote*/ 8) vote1_changes.active = /*vote*/ ctx[3] == 'dislike'; if (dirty & /*ticket*/ 1) vote1_changes.count = /*ticket*/ ctx[0].dislikes || 0; vote1.$set(vote1_changes); const seen0_changes = {};if (dirty & /*ticket*/ 1) seen0_changes.count = /*ticket*/ ctx[0].views ? /*ticket*/ ctx[0].views + 1 : 0;seen0.$set(seen0_changes); const date0_changes = {}; if (dirty & /*ticket*/ 1) date0_changes.date = /*ticket*/ ctx[0].created_at; date0.$set(date0_changes);if (dirty & /*vendor, ticket*/ 3) { each_value = ensure_array_like(/*ticket*/ ctx[0].chats); let i;for (i = 0; i < each_value.length; i += 1) { const child_ctx = get_each_context(ctx, each_value, i);if (each_blocks[i]) { each_blocks[i].p(child_ctx, dirty); transition_in(each_blocks[i], 1); } else { each_blocks[i] = create_each_block(child_ctx); each_blocks[i].c(); transition_in(each_blocks[i], 1); each_blocks[i].m(div6, null); } }group_outros();for (i = each_value.length; i < each_blocks.length; i += 1) { out(i); }check_outros(); }const vote2_changes = {}; if (dirty & /*vote*/ 8) vote2_changes.active = /*vote*/ ctx[3] == 'like'; if (dirty & /*ticket*/ 1) vote2_changes.count = /*ticket*/ ctx[0].likes || 0; vote2.$set(vote2_changes); const vote3_changes = {}; if (dirty & /*vote*/ 8) vote3_changes.active = /*vote*/ ctx[3] == 'dislike'; if (dirty & /*ticket*/ 1) vote3_changes.count = /*ticket*/ ctx[0].dislikes || 0; vote3.$set(vote3_changes); const seen1_changes = {};if (dirty & /*ticket*/ 1) seen1_changes.count = /*ticket*/ ctx[0].views ? /*ticket*/ ctx[0].views + 1 : 0;seen1.$set(seen1_changes); const date1_changes = {}; if (dirty & /*ticket*/ 1) date1_changes.date = /*ticket*/ ctx[0].created_at; date1.$set(date1_changes); }, i(local) { if (current) return; transition_in(global.$$.fragment, local); transition_in(vote0.$$.fragment, local); transition_in(vote1.$$.fragment, local); transition_in(seen0.$$.fragment, local); transition_in(date0.$$.fragment, local);for (let i = 0; i < each_value.length; i += 1) { transition_in(each_blocks[i]); }transition_in(vote2.$$.fragment, local); transition_in(vote3.$$.fragment, local); transition_in(seen1.$$.fragment, local); transition_in(date1.$$.fragment, local); current = true; }, o(local) { transition_out(global.$$.fragment, local); transition_out(vote0.$$.fragment, local); transition_out(vote1.$$.fragment, local); transition_out(seen0.$$.fragment, local); transition_out(date0.$$.fragment, local); each_blocks = each_blocks.filter(Boolean);for (let i = 0; i < each_blocks.length; i += 1) { transition_out(each_blocks[i]); }transition_out(vote2.$$.fragment, local); transition_out(vote3.$$.fragment, local); transition_out(seen1.$$.fragment, local); transition_out(date1.$$.fragment, local); current = false; }, d(detaching) { if (detaching) { detach(t0); detach(t1); detach(div14); }detach(meta0); if (if_block0) if_block0.d(detaching); detach(meta1); detach(meta2); detach(meta3); detach(meta4); detach(meta5); detach(meta6); if (if_block1) if_block1.d(detaching); detach(if_block1_anchor); destroy_component(global, detaching); destroy_component(vote0); destroy_component(vote1); destroy_component(seen0); destroy_component(date0); destroy_each(each_blocks, detaching); destroy_component(vote2); destroy_component(vote3); destroy_component(seen1); destroy_component(date1); } }; }const API_URL = 'https://qa.e-monshi.ir/api';function instance($$self, $$props, $$invalidate) { let { ticket } = $$props; let { vendor } = $$props; let { seo } = $$props;// const API_URL = 'http://localhost:3333' let vote = '';onMount(() => { $$invalidate(3, vote = localStorage.getItem(`ticket_${ticket.id}_vote`) || ''); });const onVote = async type => { if (vote != '') return; $$invalidate(3, vote = type); localStorage.setItem(`ticket_${ticket.id}_vote`, vote);let res = await fetch(`${API_URL}/plugin/tickets/${ticket.id}/vote`, { credentials: 'include', method: 'post', headers: { 'Content-Type': 'application/json', 'x-api-key': vendor.api_key }, body: JSON.stringify({ vote }) }).then(res => res.json());$$invalidate(0, ticket.likes = res.likes, ticket); $$invalidate(0, ticket.dislikes = res.dislikes, ticket); };const click_handler = () => onVote('like'); const click_handler_1 = () => onVote('dislike'); const click_handler_2 = () => onVote('like'); const click_handler_3 = () => onVote('dislike');$$self.$$set = $$props => { if ('ticket' in $$props) $$invalidate(0, ticket = $$props.ticket); if ('vendor' in $$props) $$invalidate(1, vendor = $$props.vendor); if ('seo' in $$props) $$invalidate(2, seo = $$props.seo); };return [ ticket, vendor, seo, vote, onVote, click_handler, click_handler_1, click_handler_2, click_handler_3 ]; }class Show extends SvelteComponent { constructor(options) { super(); init(this, options, instance, create_fragment, safe_not_equal, { ticket: 0, vendor: 1, seo: 2 }); } }return Show;})();