Zamkatimu
Epididymitis ndi chotupa chotupa cha mapangidwe apadera omwe amawoneka ngati chubu chopapatiza chomwe chili pamwamba ndi kumbuyo kwa testicle ndipo chimathandiza kulimbikitsa ndi kucha spermatozoa - epididymis (epididymis).
Ambiri epididymitis amuna zaka 19 - 35 zaka. Pathology m'badwo uno ndi chifukwa chofala chachipatala. Penapake zochepa kawirikawiri, matenda olembedwa okalamba, ndi epididymitis pafupifupi konse kumachitika ana.
Mitundu ndi zomwe zimayambitsa epididymitis
Matendawa amatha kukhala ndi zifukwa zosiyanasiyana, zonse zopatsirana (chifukwa cha ma virus, mabakiteriya, bowa), komanso osapatsirana. Bakiteriya epididymitis ndi yofala kwambiri. Amakhulupirira kuti mwa achinyamata (15 - 35 zaka), matendawa nthawi zambiri amakwiya ndi matenda opatsirana pogonana (matenda opatsirana pogonana), monga mauka, chinzonono, ndi zina zotero. matenda a kwamikodzo dongosolo (mwachitsanzo, enterobacteria). Chifukwa epididymitis angakhalenso enieni pathologies, monga chifuwa chachikulu (TB epididymitis), etc.
Nthawi zina matenda opatsirana (omwe amapezeka nthawi zonse m'thupi, koma osatsogolera ku matenda) bowa wamtundu wa Candida amakhala woyambitsa matenda, ndiye amalankhula za epididymitis. Pankhaniyi, kugwiritsa ntchito mopanda nzeru kwa maantibayotiki, kuchepa kwa chitetezo chokwanira, kumatha kuyambitsa matendawa.
Mwinanso kupezeka kwa njira ya pathological mu epididymis motsutsana ndi maziko a: • mumps ("mumps") - kutupa kwa parotid glands; • angina; • chimfine; • chibayo; • makamaka nthawi zambiri matenda a ziwalo zapafupi - urethritis (kutupa matenda a mkodzo), vesiculitis (seminal vesicles), prostatitis (prostate gland), etc.
Nthawi zina matendawa amalowanso muzowonjezera chifukwa cha zinthu zina: endoscopy, catheterization, bougienage of urethra (njira yodziwira matenda yomwe imachitika poyambitsa chida chapadera - bougie).
Epididymitis yosapatsirana, mwachitsanzo, imatha kuchitika: • ikagwiritsidwa ntchito ndi mankhwala monga Amiodarone chifukwa cha arrhythmias; • mutatha kutsekereza pochotsa / kugwirizanitsa vas deferens (chifukwa cha kudzikundikira kwa spermatozoa osatulutsidwa) - granulomatous epididymitis.
Pali pachimake (nthawi ya matenda si upambana 6 milungu) ndi matenda epididymitis, amene yodziwika ndi chotupa cha zonse appendages, nthawi zambiri akufotokozera ndi TB zotupa, chindoko (nthawi pa miyezi isanu ndi umodzi).
Kutengera kuopsa kwa mawonetseredwe, epididymitis yofatsa, yocheperako komanso yovuta imasiyanitsidwa.
Zowopsa
Popeza epididymitis nthawi zambiri imayamba chifukwa cha matenda opatsirana pogonana, chiopsezo chachikulu cha chitukuko cha matenda ndikugonana mosadziteteza. Nthawi zina zokopa: • Kuvulala kwa pelvis, perineum, scrotum, kuphatikizapo chifukwa cha opaleshoni (adenomectomy, etc.); • anomalies mu chitukuko cha urogenital dongosolo; • kusokonezeka kwa dongosolo la mkodzo (zotupa, prostate hyperplasia, etc.); • posachedwapa opaleshoni ziwalo mkodzo; • kugwiritsira ntchito mankhwala - kukondoweza kwa magetsi (pamene ma multidirectional contractions a vas deferens amachitika, omwe angayambitse "kuyamwa" kwa tizilombo toyambitsa matenda kuchokera ku mkodzo), kulowetsedwa kwa mankhwala mu urethra, catheterization, massage, etc.; • Prostate hyperplasia; • zotupa; • kukweza zolemera, kupsinjika kwa thupi; • pafupipafupi coitus interruptus, erections popanda kugonana; • kuchepa kwa chitetezo cha thupi chifukwa cha matenda aakulu (shuga, AIDS, etc.), hypothermia, kutenthedwa, ndi zina zotero.
Zizindikiro za epididymitis
Kuyamba kwa matendawa kumadziwonetsera ngati zizindikiro zoopsa, zomwe, popanda chithandizo chokwanira, zimakhala zovuta kwambiri. Ndi epididymitis, pakhoza kukhala: • kupweteka kwapang'onopang'ono mbali imodzi ya scrotum / mu testicle ndi zotheka cheza ku groin, sacrum, perineum, m'munsi kumbuyo; • kupweteka kwambiri m'dera lomwe lakhudzidwa; • ululu wa m'chiuno; • redness, kuwonjezeka kutentha kwa m'deralo kwa scrotum; • kutupa / kuwonjezeka kwa kukula, kutsekemera kwa zowonjezera; • chotupa ngati mapangidwe mu scrotum; • kuzizira ndi kutentha thupi (mpaka madigiri 39); • kuwonongeka kwakukulu kwa thanzi (kufooka, kusowa kwa njala, mutu); • kuwonjezeka kwa inguinal lymph nodes; • ululu pa pokodza, defecation; • kuwonjezeka pokodza, kukhumba mwadzidzidzi; • ululu panthawi yogonana ndi kutulutsa umuna; • maonekedwe a magazi mu umuna; • Kutuluka kwa mbolo.
Chizindikiro chodziwika bwino ndi chakuti kukwera kwa scrotal kungayambitse mpumulo wazizindikiro (chizindikiro cha Pren chabwino).
Mu matenda aakulu, zizindikiro za vuto zingakhale zochepa kutchulidwa, koma kuwawa ndi kukulitsa scrotum, komanso nthawi zambiri kukodza pafupipafupi, kumapitiriza.
Zofunika! Kupweteka kwakukulu kwa machende ndi chizindikiro cha chithandizo chamankhwala mwamsanga!
Njira zodziwira ndi kuzindikira matenda
Choyamba matenda muyeso kupanga matenda ndi kufufuza dokotala wa bwanji mbali ya testicle, mwanabele mu groin. Ngati epididymitis chifukwa cha kukula kwa prostate akukayikiridwa, kuyezetsa kwa rectal kumachitika.
Kupitilira apo, njira za labotale zimagwiritsidwa ntchito: • Pakani kuchokera mkodzo kuti mufufuze pang'onopang'ono ndikupatula chomwe chimayambitsa matenda opatsirana pogonana; • Kuzindikira kwa PCR (kuzindikira tizilombo toyambitsa matenda ndi polymerase chain reaction); • kusanthula kwamagazi ndi zamankhwala am'magazi; • urinalysis (zambiri, "mayeso a chikho cha 3" ndi kukodza motsatizana mu makapu a 3, maphunziro a chikhalidwe, etc.); • kusanthula madzimadzi a seminal.
Kuyeza kwa zida kumaphatikizapo izi: • Ultrasound ya scrotum kuti mudziwe zilonda, siteji ya kutupa, njira zotupa, kuyesa kuthamanga kwa magazi (Doppler study); • kuwunika kwa nyukiliya, komwe kumatulutsa kachulukidwe kakang'ono ka radioactive ndi kutuluka kwa magazi mu testicles kumayang'aniridwa pogwiritsa ntchito zipangizo zapadera (amalola kuti azindikire epididymitis, testicular torsion); • cystourethroscopy - kuyambika kudzera mu mkodzo wa chida cha kuwala, cystoscope, kufufuza malo amkati mwa chiwalo.
Computed tomography ndi maginito resonance imaging sagwiritsidwa ntchito kwambiri.
Chithandizo cha epididymitis
Chithandizo cha epididymitis chikuchitika mosamalitsa moyang'aniridwa ndi katswiri - urologist. Pambuyo pakuwunika, chizindikiritso cha tizilombo toyambitsa matenda, nthawi yayitali, mpaka mwezi umodzi kapena kuposerapo, njira ya mankhwala opha maantibayotiki imayikidwa.
Kukonzekera kumasankhidwa poganizira kukhudzika kwa tizilombo toyambitsa matenda, ngati mtundu wa tizilombo toyambitsa matenda sungathe kukhazikitsidwa, ndiye kuti antibacterial antibacterial wothandizira amagwiritsidwa ntchito. Mankhwala akuluakulu osankhidwa a epididymitis, makamaka pamaso pa matenda ena a urogenital system ndi achinyamata, ndi maantibayotiki a gulu la fluoroquinolone. Tetracyclines, penicillins, macrolides, cephalosporins, mankhwala a sulfa akhoza kuperekedwanso. Nthawi yomwe matendawa amayamba chifukwa cha matenda opatsirana pogonana, njira imodzi yoperekera chithandizo ndi wokondedwa wa wodwalayo imafunika.
Komanso, kuti athetse kutupa ndi kuchepetsa ululu, dokotala amalimbikitsa mankhwala osagwiritsa ntchito steroidal anti-inflammatory (monga indomethacin, nimesil, diclofenac, etc.), ndi ululu waukulu, kutsekeka kwa novocaine kwa chingwe cha spermatic kumachitika. Akhozanso kulimbikitsidwa: • kumwa mavitamini; • physiotherapy; • enzymatic, absorbable (lidase) ndi zokonzekera zina.
Ndi matenda ofatsa, kugonekedwa m'chipatala sikufunika, koma ngati vutoli likuipiraipira (kutentha kumakwera pamwamba pa madigiri 39, kuledzera kwakukulu, kuwonjezeka kwakukulu kwa zowonjezera), wodwalayo amatumizidwa ku chipatala. Ngati palibe zotsatira, maantibayotiki ena angafunike. Ngati matendawa ndi kulimbikira, makamaka ndi m`mbali zotupa, pali kukayikira za tuberculous chikhalidwe cha matenda. Zikatero, kukaonana ndi phthisiourologist kumafunika ndipo, pakutsimikizira za matendawa, kuyika mankhwala oletsa chifuwa chachikulu cha TB.
Chithandizo cha mawonekedwe aakulu akuchitika mofanana, koma amatenga nthawi yaitali.
Kuwonjezera pa kumwa mankhwala, wodwalayo ayenera kutsatira malamulo awa: • kuyang'anira kupuma; • kupereka malo okwera a scrotum, mwachitsanzo, pogwiritsa ntchito thaulo lopindidwa kukhala chogudubuza; • kusiya kunyamula katundu wolemetsa; • kusunga mpumulo wogonana mosamalitsa; • kusiya kudya zokometsera, zakudya zamafuta; • onetsetsani kuti mumamwa madzi okwanira; • Ikani zoziziritsa kukhosi / ayezi ku scrotum kuti muchepetse kutupa; • kuvala suspensorium - bandeji yapadera yothandizira scrotum, yomwe imatsimikizira kuti scrotum yonse, imalepheretsa kugwedezeka poyenda; • kuvala zazifupi zolimba zotanuka, makungwa osambira (angagwiritsidwe ntchito mpaka zizindikiro za ululu zitatha).
Pamene mkhalidwewo ukuyenda bwino, zolimbitsa thupi zopepuka zimaloledwa: kuyenda, kuthamanga, kupatula kupalasa njinga. Ndikofunika kupewa hypothermia wamba komanso wamba panthawi yamankhwala komanso kumapeto kwake.
Mukamaliza mankhwala opha maantibayotiki, patatha pafupifupi milungu itatu, muyenera kufunsa dokotala kuti muyesenso (mkodzo, ejaculate) kuti mutsimikizire kutheratu kwa matendawa.
Mankhwala achikhalidwe angagwiritsidwe ntchito ngati chowonjezera pa chithandizo chachikulu chamankhwala ndipo pokhapokha chilolezo cha dokotala wopezekapo. Asing'anga omwe ali ndi epididymitis amalimbikitsa kugwiritsa ntchito decoctions kuchokera ku: • tsamba la lingonberry, maluwa a tansy, horsetail; • masamba a nettle, timbewu tonunkhira, maluwa a linden ndi mankhwala ena a zitsamba.
Ndi chitukuko cha zovuta zotere monga purulent abscess, kutsegula opaleshoni ya suppuration kumachitika. Pazovuta kwambiri, pangafunike kuchotsa gawo kapena zonse zomwe zakhudzidwa. Kuonjezera apo, ntchitoyi ikugwiritsidwa ntchito: • kukonza zolakwika zakuthupi zomwe zimayambitsa chitukuko cha epididymitis; • Ngati akuganiziridwa kuti testicular torsion/attachment (hydatids) ya epididymis; • Nthawi zina ndi tuberculous epididymitis.
Mavuto
Monga lamulo, epididymitis imathandizidwa bwino ndi mankhwala oletsa antibacterial. Komabe, ngati palibe chithandizo chokwanira, zovuta zotsatirazi zingayambike: • kusintha kwa matendawa kukhala mawonekedwe aakulu; • kuchitika kwa zilonda zapawiri; • orchiepididymitis - kufalikira kwa njira yotupa ku testicle; • testicular abscess (purulent, yochepa kutupa kwa zimakhala za limba); • kukula kwa adhesions pakati pa testicle ndi scrotum; • testicular infarction (tissue necrosis) chifukwa cha kuchepa kwa magazi; • atrophy (kuchepa kwa miyeso ya volumetric, kutsatiridwa ndi kuphwanya kupanga umuna ndi kuchepa kwa testosterone kupanga) machende; • mapangidwe fistula (zopapatiza pathological ngalande ndi purulent kumaliseche) mu scrotum; • Kusabereka kumachitika chifukwa cha kuchepa kwa umuna komanso kupangika kwa zolepheretsa kuti umuna usamayende bwino.
Kupewa epididymitis
Njira zazikulu zopewera epididymitis ndi izi: • Kukhala ndi moyo wathanzi; • kugonana kotetezeka; • analamula moyo wogonana; • kudziwika nthawi yake ndi kuthetsa matenda mobwerezabwereza mkodzo thirakiti; • kupewa kuvulala kwa machende (kuvala zida zodzitetezera pochita masewera owopsa); • Kutsata zofunikira paukhondo; • kupatula kutenthedwa, hypothermia; • kupewa/kuchiza kokwanira kwa matenda opatsirana (kuphatikizapo katemera wa mumps), ndi zina zotero.