Balanoposthitis ndikutupa kwa matumba a glans mbolo ndi khungu. Zitha kuyambitsidwa ndi khungu lopatsirana kapena lopatsirana, kapena zotupa. Matenda ambiri a balanoposthitis amapezeka kuchokera kukayezetsa thupi. Ukhondo wabwino wa penile ndi njira yothandizira komanso njira yopewera balanoposthitis. 

Balanoposthitis ndi matenda ophatikizana amkati mwa glans mutu ndi khungu, ndipo ngati atenga milungu yosachepera inayi, balanoposthitis amatchedwa pachimake. Kupitirira apo, chikondi chimakhala chosatha.

Zimayambitsa

Balanoposthitis imayamba ndi matenda osavuta amkati mwa glans (balanitis) kapena kutupa kosavuta kwa khungu (posthitis).

Zomwe zimayambitsa kutupa kwa mbolo zitha kukhala zoyambira:

Opatsirana

• Candidiasis, matenda yisiti amtunduwu candida
• Chancroid, matenda omwe amayamba chifukwa cha bacillus wa Ducrey atagonana
• Kutupa kwa mkodzo chifukwa cha matenda a bakiteriya (chlamydia, Gonococcus wa Neisser) kapena matenda a parasitic (Trichomonas vaginalis)
• Matenda a virus Herpes simplex
• molluscum contagiosum, chotupa cha khungu chosaopsa
• Mphere, khungu lomwe limayamba chifukwa cha tiziromboti (Zolemba za scabiei)
• Chindoko
• Zinsinsi zomwe zatsalira kumatumbo zimatha kutenga kachilomboka ndipo zimayambitsa matenda

Zosapatsirana

• Ndere
• Lumikizanani ndi dermatitis yoyambitsidwa ndi zotulukapo kapena zosafunikira (latex from condom)
• Psoriasis, khungu lomwe limakhalapo lomwe limawoneka ngati lofiira komanso khungu lomwe limatuluka
• Seborrheic dermatitis, kutupa kwa khungu komwe kumachulukitsa kwambiri

Kutupa

• Matenda a Bowen, chotupa cha khungu
• Erythroplasia ya Queyrat, yomwe ili mu carcinoma ya mbolo

matenda

Matenda ambiri a balanoposthitis amapezeka kuchokera kukayezetsa thupi.

Dokotala ayenera kufunsa wodwalayo za momwe angagwiritsire ntchito kondomu ya latex.

Odwala ayenera kuyesedwa ngati ali ndi matenda opatsirana komanso osafalikira. Zitsanzo zochokera pamwamba pa glans zimasanthulidwa pansi pa microscope. Matendawa akabwereranso, chitsanzocho chitha kutumizidwa ku labotale kuti chikhazikitsidwe kuti chizindikire tizilombo toyambitsa matenda.

Pomaliza, kuyezetsa magazi kumachitika.

Anthu okhudzidwa

Balanoposthitis imakhudza amuna onse odulidwa komanso omwe sali. Koma vutoli ndi lovuta kwambiri kwa amuna osadulidwa chifukwa dera lotentha komanso lonyowa lomwe lili pansi pa khungu limapereka zinthu zabwino pakukula kwa tizilombo toyambitsa matenda.

Zowopsa

Balanoposthitis imakondedwa ndi:

• Matenda a shuga, zovuta zake zimaphatikizapo zomwe zingayambitse matenda.
• Phimosis, kuchepa kwachilendo kwazomwe zimalepheretsa kupezeka kwa glans. Phimosis imalepheretsa ukhondo woyenera. Zinsinsi pansi pa khungu zimatha kutenga kachilomboka ndi anaerobic bacteria, zomwe zimayambitsa kutupa.

Zizindikiro zazikulu nthawi zambiri zimawoneka patatha masiku awiri kapena atatu mutagonana:

I

Balanoposthitis imawonetsedwa koyamba ndi kutupa ndi kutupa kwa mbolo (glans ndi khungu)

Zotumphuka zilonda

Kutupa nthawi zambiri kumatsagana ndi zotupa zapamwamba, mawonekedwe ake amasiyanasiyana kutengera chifukwa: zoyera kapena zofiira, zotupa pamwamba pa mucosa, erythema, ndi zina. Nthawi zina kukwiya kumatha kuyambitsa ming'alu (ming'alu pang'ono) .

ululu

Balanoposthitis imatha kupweteka, kuyabwa komanso kuyabwa mbolo.

Pambuyo pake, zizindikilo zina zitha kuwoneka:

• Balanoposthitis imatha kuyambitsa kutuluka kwachilendo pakhungu
• Ngati sizomwe zimayambitsa, phimosis imatha kukhala yotsatizana ndi balanoposthitis monga paraphimosis (kupanikizika kwa khungu m'mbuyo)
• Inguinal lymphadenopathy: kuwonjezeka kwamatenda kukula kwa ma lymph nodes omwe ali m'mimba

Monga gawo loyamba, kusintha kwa zizindikilo kumafuna ukhondo wa mbolo (onani mutu Kupewa)

Ndiye chithandizo chimadalira chifukwa chake:

• Matenda a bakiteriya amachiritsidwa ndi maantibayotiki
• Matenda a yisiti amatha kuchiritsidwa ndi mafuta oletsa antifungal, komanso cortisone
• Kulumikizana ndi dermatitis kumathandizidwa popewa zinthu zomwe zidayambitsa kutupa

Ngati balanoposthitis sichiyankha kuchipatala, wodwalayo ayenera kufunsa katswiri (dermatologist, urologist). Nthawi zina, ndikofunikira kuchotsa khungu.

Kupewa balanoposthitis kumafuna ukhondo wa penile wabwino. Mukusamba, muyenera kuchotsera khungu lanu kuti muwulule glans (mwa anyamata ochepera zaka zitatu, musabwezeretse kwathunthu) ndikulola khungu ndi nsonga ya mbolo kutsukidwa ndikutuluka kwamadzi. Ndikofunika kukonda sopo wopanda tsabola ndi pH yopanda ndale. Nsonga ya mbolo ndi khungu lanu ziyenera kuumitsidwa popanda kuzipukuta.

Mukakodza, khungu liyenera kuchotsedwa kuti mkodzo usanyowetse. Kenako muyenera kuyanika nsonga ya mbolo musanachotsere khungu.

Kwa anthu omwe amakonda kukhala ndi balanoposthitis mutagonana, mbolo iyenera kutsukidwa atangogonana.