Contents
ʻO ka epididymitis kahi maʻi ʻeha o kahi hoʻokumu kūikawā e like me kahi paipu haiki aia ma luna a ma hope o ka testicle a lawelawe e hoʻoikaika a hoʻopala i ka spermatozoa - ka epididymis (epididymis).
ʻO ka epididymitis maʻamau i nā kāne 19 - 35 makahiki. ʻO ka pathology i kēia makahiki ke kumu maʻamau o ka hale maʻi. ʻO ka liʻiliʻi pinepine, hoʻopaʻa ʻia ka maʻi i ka poʻe ʻelemakule, a ʻaneʻane ʻaʻole loaʻa ka epididymitis i nā keiki.
Nā ʻano a me nā kumu o ka epididymitis
Hiki i ka maʻi ke loaʻa i nā kumu like ʻole, nā maʻi maʻi (ma muli o nā hopena pathogenic o nā maʻi, bacteria, fungi), a me nā maʻi ʻole. ʻO ka epididymitis bacteria ka mea maʻamau. Manaʻo ʻia i ka poʻe ʻōpio (15 - 35 mau makahiki), ua hoʻonāukiuki pinepine ʻia ka maʻi e nā maʻi i lawe ʻia e ke kāne (STI), e like me chlamydia, gonorrhea, etc. nā maʻi o ka ʻōnaehana urinary (no ka laʻana, enterobacteria). ʻO ke kumu o ka epididymitis hiki ke lilo i mau pathologies kikoʻī, e like me ka tuberculosis (tuberculous epididymitis), etc.
I kekahi manawa he pathogenic conditionally (keia mau i loko o ke kino, akā, 'aʻole maʻamau e alakaʻi i ka maʻi) fungus o ka genus Candida lilo i ka causative agent o ka pathology, a laila, olelo lakou no ka candidal epididymitis. I kēia hihia, ʻo ka hoʻohana pono ʻole o nā antibiotics, ka emi ʻana o ka pale ʻana, hiki ke hoʻonāukiuki i ka ulu ʻana o ka maʻi.
Malia paha ka hanana o kahi kaʻina hana pathological i loko o ka epididymis e kū'ē i ke kua o: • mumps ("mumps") - ka mumū o ka parotid glands; • angina; • ka maʻi maʻi maʻi; • pneumonia; • ʻoi aku ka pinepine o nā maʻi maʻi o nā ʻōpū kokoke - urethritis (ka maʻi inflammatory o ka canal urinary), vesiculitis (seminal vesicles), prostatitis (prostate gland), etc.
I kekahi manawa komo ka maʻi i loko o ka appendage ma muli o kekahi mau manipulations: endoscopy, catheterization, bougienage o ka urethra (kahi hana diagnostic i hana ʻia ma ka hoʻokomo ʻana i kahi mea hana kūikawā - he bougie).
ʻO ka epididymitis non-infectious, no ka laʻana, hiki ke loaʻa: • ke mālama ʻia me kahi lāʻau e like me Amiodarone no ka arrhythmias; • ma hope o ka sterilization ma ka wehe / ligation o nā vas deferens (ma muli o ka hōʻiliʻili o ka spermatozoa unresorbed) - granulomatous epididymitis.
Aia nā acute (ʻo ka lōʻihi o ka maʻi ʻaʻole iʻoi aku ma mua o 6 mau pule) a me ka epididymitis maʻi, kahi i hōʻike ʻia e kahi lesion nui o nā appendages ʻelua, ulu pinepine me nā maʻi tuberculous, syphilis (lōʻihi ma mua o ʻeono mahina).
Ma muli o ke koʻikoʻi o nā hōʻike, ʻike ʻia ka epididymitis haʻahaʻa, haʻahaʻa a koʻikoʻi.
NāʻAha Nino
No ka mea ʻo ka epididymitis ka hopena pinepine o nā STI, ʻo ke kumu koʻikoʻi koʻikoʻi no ka hoʻomohala ʻana o ka pathology ʻo ia ka wahine pale ʻole. Nā manawa hoʻonāukiuki'ē aʻe: • nāʻeha o ke pelvis, perineum, scrotum, me ka hopena o ka hanaʻana (adenomectomy, etc.); • nā anomalies i ka hoʻomohala ʻana o ka ʻōnaehana urogenital; • nā maʻi o ke kino o ka urinary tract (ke koko, prostate hyperplasia, etc.); • nā hana ʻokiʻoki hou i nā ʻano mimi; • nā hana lapaʻau - ka hoʻouluʻana i ka uila (i ka wā e hiki mai ai nā'āpana multidirectional o nā vas deferens, hiki ke hoʻoulu i ka "momi" o nā microbes mai ka urethra), ka hoʻokomoʻana i nā lāʻau i ka urethra, catheterization, massages, etc.; • ka hyperplasia prostate; • ka hemorrhoids; • ka hāpai ʻana i ke kaumaha, ke kaumaha kino; • ka hoʻopaʻapaʻa pinepine ʻana o ka coitus interruptus, ke kūkulu ʻana me ka moe ʻole; • ka emi ʻana o nā pale o ke kino ma muli o kahi pathology koʻikoʻi (diabetes, AIDS, etc.), hypothermia, overheating, etc.
Nā hōʻailona o ka epididymitis
ʻO ka hoʻomaka ʻana o ka maʻi e hōʻike iā ia iho he mau hōʻailona koʻikoʻi, ʻo ia ka mea, me ka ʻole o ka lāʻau lapaʻau kūpono, e ulu aʻe. Me ka epididymitis, hiki ke loaʻa: • ʻeha ʻeha ma kekahi ʻaoʻao o ka scrotum / i loko o ka testicle me ka hiki ke hoʻomālamalama ʻia i ka ʻāʻī, sacrum, perineum, ke kua lalo; • ka ʻeha ʻoi ma ka wahi i hoʻopilikia ʻia; • kaʻeha pelvic; • kaʻulaʻula, hoʻonui i ka mahana kūloko o ka scrotum; • ka pehu / hoʻonui i ka nui, induration o ka appendage; • ka hoʻokumu ʻana e like me ka tumo i loko o ka scrotum; • ke anu a me ke kuni (a hiki i 39 degere); • ka pōʻino maʻamau o ke olakino (nāwaliwali, nele i ka ʻai, nā poʻo); • ka piʻiʻana o nā lymph nodes inguinal; • eha i ka wā mimi, defecation; • hoʻonui i ka mimi, koi koke; • kaʻeha i ka wā o ka moekolohe a me ka ejaculation; • keʻano o ke koko i loko o ka hua; • ka hoʻokuʻu ʻana mai ka penis.
ʻO kahi hōʻailona diagnostics kikoʻī ʻo ka piʻi ʻana o ka scrotal hiki ke alakaʻi i ka hōʻoluʻolu o nā hōʻailona (hōʻailona Pren maikaʻi).
I ka wā mau o ka maʻi, hiki ke emi iki nā hōʻailona o ka pilikia, akā mau ka ʻeha a me ka hoʻonui ʻana o ka scrotum, a me ka mimi pinepine.
Mea nui! ʻO ka ʻeha nui o ka ʻāʻī he hōʻailona ia no ka mālama olakino koke!
Nā ʻano no ka ʻike ʻana a me ka ʻike ʻana i kahi maʻi
ʻO ke ana hoʻomaʻamaʻa mua i ka hana ʻana i kahi hōʻailona, ʻo ia ka nānā ʻana o ke kauka i ka ʻaoʻao i hoʻopilikia ʻia o ka testicle, nā lymph nodes ma ka ʻāʻī. Inā manaʻo ʻia ka epididymitis ma muli o ka hoʻonui ʻana i ka prostate, e hana ʻia kahi hoʻokolohua rectal.
Eia hou, ua hoʻohana ʻia nā ʻano hana hoʻokolohua: • ka hamo mai ka urethra no ka nānā ʻana i ka microscopic a me ka hoʻokaʻawale ʻana i ka mea kumu o nā STI; • ʻO nā diagnostics PCR (ka ʻike ʻana i ka pathogen e ka hopena o ke kaulahao polymerase); • ka nānā 'ana i ke koko a me ka biochemical; • urinalysis (general, "3-cup test" me ka mimi ʻana i nā kīʻaha 3, ka moʻomeheu moʻomeheu, etc.); • ka nānā 'ana i ka wai seminal.
ʻO ka diagnostics instrumental e pili ana i kēia: • Ultrasound o ka scrotum no ka hoʻoholo ʻana i nā ʻeha, ka pae o ka mumū, nā kaʻina tumor, ka loiloi i ka wikiwiki o ke kahe koko (Doppler study); • ka nānā 'ana i ka nuklea, kahi i ho'okomo 'ia ai ka li'ili'i o ka mea radioactive a nānā 'ia ke kahe o ke koko i loko o nā mea hana kūikawā (e 'ae ai i ka hō'ike 'ana i ka epididymitis, testicular torsion); • cystourethroscopy - ka hoʻokomo ʻana ma o ka urethra o kahi mea ʻike maka, kahi cystoscope, e nānā i nā ʻili o loko o ke kino.
ʻAʻole maʻamau ka hoʻohana ʻana i ka tomography computed a me ka magnetic resonance imaging.
Ka mālama ʻana i ka epididymitis
Hana ʻia ka mālama ʻana i ka epididymitis ma lalo o ka mākaʻikaʻi o kahi loea - he urologist. Ma hope o ka hoʻokolokolo ʻana, ʻike ʻia ka pathogen, kahi lōʻihi, a hiki i hoʻokahi mahina a ʻoi aku paha, ua kuhikuhi ʻia ke ʻano o ka lāʻau antibiotic.
Hoʻomākaukau ʻia nā mea hoʻomākaukau e noʻonoʻo i ka naʻau o ka microorganism pathogenic, inā ʻaʻole hiki ke hoʻokumu ʻia ke ʻano o ka pathogen, a laila hoʻohana ʻia kahi mea hana antibacterial ākea ākea. ʻO nā lāʻau lapaʻau nui i koho ʻia no ka epididymitis, ʻoi aku hoʻi i ke alo o nā pathologies ʻē aʻe mai ka ʻōnaehana urogenital a me nā poʻe ʻōpio, he antibiotics o ka hui fluoroquinolone. Hiki ke kuhikuhi ʻia nā Tetracyclines, penicillins, macrolides, cephalosporins, sulfa drugs. I ke kūlana kahi i hoʻokumu ʻia ai ka maʻi e kahi STI, pono ka hele like ʻana o ka lāʻau lapaʻau e ka hoa moe kolohe o ka mea maʻi.
Eia kekahi, no ka hoʻokuʻuʻana i ke kaʻina hana inflammatory a me ka hōʻehaʻeha, ua'ōlelo ke kauka i nā lāʻau anti-inflammatory non-steroidal (e like me indomethacin, nimesil, diclofenac, a me nā mea'ē aʻe), me kaʻeha nui, ua hanaʻia kahi novocaine blockade o ke kaula spermatic. Hiki ke ʻōlelo ʻia: • lawe i nā huaora; • physiotherapy; • enzymatic, absorbable (lidase) a me nā mea hoʻomākaukau ʻē aʻe.
Me ka haʻahaʻa haʻahaʻa o ka maʻi, ʻaʻole koi ʻia ka hale maʻi, akā inā e piʻi ka maʻi (piʻi ka mahana ma luna o 39 degere, nā hōʻike ʻona nui, kahi piʻi nui o ka appendage), hoʻouna ʻia ka mea maʻi i ka haukapila. Inā ʻaʻohe hopena, pono paha kahi lāʻau antibiotic ʻē aʻe. Inā hoʻomau ka maʻi, ʻoi aku hoʻi me nā maʻi bilateral, aia kahi kānalua o ke ʻano tuberculous o ka pathology. I kēlā ʻano kūlana, pono ke kūkākūkā me kahi phthisiourologist a, ma ka hōʻoia ʻana o ka maʻi, ke koho ʻana i nā lāʻau anti-tuberculosis kūikawā.
Hana ʻia ka mālama ʻana i ke ʻano maʻi ma ke ʻano like, akā lōʻihi ka lōʻihi.
Ma waho aʻe o ka lawe ʻana i ka lāʻau lapaʻau, pono ka mea maʻi e mālama i kēia mau lula: • mālama i ka hoʻomaha moe; e hāʻawi i kahi kūlana kiʻekiʻe o ka scrotum, no ka laʻana, ma ke kāwele i wili ʻia i loko o kahi ʻōwili; • wehe i ka hapai kaumaha; • mālama pono i ka hoʻomaha moe kolohe; • hoʻokuʻu i kaʻaiʻana i nā meaʻai momona, momona; • hōʻoia i ka lawe ʻana i ka wai; • hoʻopili i nā mea hoʻomāmā/hau i ka scrotum e hoʻopau i ka mumū; • hoʻokomo i kahi suspensorium - kahi kāʻei kūikawā e kākoʻo ana i ka scrotum, e hōʻoiaʻiʻo ana i ke koena o ka scrotum, e pale i ka haʻalulu i ka wā e hele ai; • hoʻohana i nā puʻupuʻu lohi paʻa, nā ʻauʻau (hiki ke hoʻohana a pau nā hōʻailona ʻeha).
I ka hoʻomaikaʻi ʻana o ke kūlana, ʻae ʻia ka hana kino maʻamau maʻamau: hele wāwae, holo, koe wale nō ke kaʻa. He mea nui e pale aku i ka hypothermia maʻamau a kūloko i ka wā mālama a ma ka hopena.
Ma hope o ka pau ʻana o ka papa o ka antibiotic therapy, ma hope o 3 mau pule, pono ʻoe e nīnau i ke kauka no ka hoʻāʻo hou ʻana (urine, ejaculate) i mea e hōʻoia ai i ka hoʻopau piha ʻana o ka maʻi.
Hiki ke hoʻohana wale ʻia ka lāʻau kuʻuna ma ke ʻano he mea hoʻohui i ka papa therapeutic koʻikoʻi a ma hope wale nō o ka ʻae ʻana o ke kauka hele. Paipai nā mea ho'ōla kahiko me ka epididymitis e hoʻohana i nā decoctions mai: • lau lingonberry, pua tansy, horsetail; • nā lau ʻupena, ka mint, ka pua linden a me nā mea kanu lāʻau ʻē aʻe.
Me ka hoʻomohala ʻana o ia ʻano hoʻopiʻi e like me ka abscess purulent, hana ʻia kahi wehe ʻana o ka suppuration. I nā kūlana koʻikoʻi, pono paha e wehe i kahi hapa a i ʻole nā mea āpau i hoʻopili ʻia. Eia hou, ua hoʻohana ʻia ka hana i: • e hoʻoponopono i nā anomalies kino i kumu e ulu ai ka epididymitis; • i ka hihia i manaʻo ʻia he torsion testicular / hoʻopili (hydatids) o ka epididymis; • i kekahi mau kūlana me ka epididymitis tuberculous.
Nā pilikia
E like me ke kānāwai, mālama maikaʻi ʻia ka epididymitis me nā lāʻau antibacterial. Eia naʻe, i ka loaʻa ʻole o ka lāʻau lapaʻau kūpono, hiki ke hoʻomohala ʻia nā pilikia penei: • ka hoʻololi ʻana o ka pathology i kahi ʻano maʻi; • ka hiki ʻana mai o kahi lesion bilateral; • orchiepididymitis - ka hoʻolahaʻana o ke kaʻina hana inflammatory i ka testicle; • testicular abscess (purulent, liʻiliʻi ka mumū o nā ʻiʻo o ke kino); • ka ulu ʻana o nā adhesions ma waena o ka testicle a me ka scrotum; • ka maʻi o ka testicular (tissue necrosis) ma muli o ka hāʻawi ʻana i ke koko; • atrophy (ka emi ʻana o ka nui volumetric, a ma hope o ka uhaki ʻana i ka hana sperm a me ka emi ʻana o ka hana testosterone) o nā testicles; • ka hoʻokumu ʻana o nā fistulas (nā kahawai pathological liʻiliʻi me ka purulent discharge) i loko o ka scrotum; • ʻO ka infertility ka hopena o ka emi ʻana o ka sperm production a me ka hoʻokumu ʻana i nā mea keʻakeʻa i ka holomua maʻamau o ka hope.
Kāohi i ka epididymitis
ʻO nā mea nui e pale aku ai i ka epididymitis: • ke ola olakino; • ka wahine palekana; • kauoha i ke ola moe kolohe; • kaʻike manawa a me ka hoʻopauʻana i nā maʻi maʻi urinary tract; • ka pale ʻana i ka hōʻeha ʻana i nā testicles (e hoʻohana ana i nā mea pale i ka wā e hoʻomaʻamaʻa ai i nā haʻuki traumatic); • ka mālama ʻana i nā koi o ka hoʻomaʻemaʻe pilikino; • ka hoʻokuʻu ʻia ʻana o ka overheating, hypothermia; • ka pale ʻana/ka lāʻau lapaʻau kūpono i nā maʻi ʻeha (me ka hoʻopaʻa ʻana i nā mumps), etc.