ọdịnaya
Epididymitis bụ ọnya mkpali nke nhazi pụrụ iche nke dị ka tube dị warara dị n'elu na n'azụ testicle ma na-eje ozi iji kwalite na chara spermatozoa - epididymis (epididyms).
Ọrịa epididymitis a na-ahụkarị na ụmụ nwoke dị afọ 19-35. Pathology n'oge a bụ ihe na-akpatakarị ụlọ ọgwụ. Obere obere oge, a na-edekọ ọrịa ahụ na ndị agadi, na epididymitis ọ fọrọ nke nta ka ọ bụrụ na ọ dịghị eme ụmụaka.
Ụdị na ihe kpatara epididymitis
Ọrịa ahụ nwere ike inwe ọtụtụ ihe kpatara ya, ma na-efe efe (n'ihi mmetụta nje nke nje, nje bacteria, fungi), na ndị na-adịghị efe efe. Bacterial epididymitis bụ nke a na-ahụkarị. A kwenyere na n'ime ndị na-eto eto (15 - 35 afọ), ọrịa na-ebutekarị ọrịa na-ebute site ná mmekọahụ (STIs), dị ka chlamydia, gonorrhea, wdg. N'ime ndị agadi na ụmụaka, nsogbu ahụ na-ejikọta ya na microorganisms nke na-emekarị ka ọ na-akpata. ọrịa nke usoro urinary (dịka ọmụmaatụ, enterobacteria). Ihe na-akpata epididymitis nwekwara ike ịbụ kpọmkwem pathologies, dị ka ụkwara nta (tuberculous epididymitis), wdg.
Mgbe ụfọdụ, a conditionally pathogenic (mgbe niile dị na ahụ, ma ọ bụghị na-emekarị na-eduga ọrịa) ero nke genus Candida na-aghọ causative gị n'ụlọnga nke pathology, mgbe ahụ, ha na-ekwu banyere candidal epididymitis. N'okwu a, iji ọgwụ nje eme ihe na-enweghị isi, mbelata nke mgbochi, nwere ike ịkpalite mmepe nke ọrịa ahụ.
Ikekwe omume nke usoro pathological na epididymis megide ndabere nke: • mumps ("mumps") - mbufụt nke parotid glands; • angina; • influenza; • ọrịa oyi; • karịsịa na-efe efe nke akụkụ ahụ dị nso - urethritis (ọrịa na-egbu egbu nke kanaal urinary), vesiculitis (seminal vesicles), prostatitis (prostate gland), wdg.
Mgbe ụfọdụ, ọrịa ahụ na-abanyekwa n'ime ngwa ngwa n'ihi ụfọdụ nhazi: endoscopy, catheterization, bougienage of the urethra (usoro nchọpụta nke a na-eme site na iwebata ngwá ọrụ pụrụ iche - bougie).
Epididymitis na-adịghị efe efe, dịka ọmụmaatụ, nwere ike ime: • mgbe ejiri ọgwụ dịka Amiodarone maka arrhythmias na-agwọ ya; • mgbe sterilized site na mwepụ / ligation nke vas deferens (n'ihi nchịkọta nke spermatozoa na-adịghị edozi) - granulomatous epididymitis.
E nwere nnukwu (ogologo oge nke ọrịa anaghị agafe 6 izu) na-adịghị ala ala epididymitis, nke e ji a kasị ọnya nke abụọ appendages, na-emekarị na-amalite na tuberculous ọnya, syphilis (ogologo ọnwa isii).
Dabere n'ịdị njọ nke ngosipụta, a na-ekewa epididymitis dị nro, agafeghị oke na nke siri ike.
Ihe kpatara nsogbu
Ebe ọ bụ na epididymitis na-abụkarị ihe sitere na STIs, isi ihe dị ize ndụ maka mmepe nke pathology bụ mmekọahụ na-enweghị nchebe. Oge ndị ọzọ na-akpali akpali: • mmerụ ahụ nke pelvis, perineum, scrotum, gụnyere n'ihi ịwa ahụ (adenomectomy, wdg); • anomalies na mmepe nke usoro urogenital; • nsogbu nhazi usoro nke urinary tract ( etuto, hyperplasia prostate, wdg); • usoro ịwa ahụ na nso nso a na akụkụ urinary; • ọgwụgwọ ọgwụgwọ - mkpali eletriki (mgbe multidirectional contractions nke vas deferens na-eme, nke nwere ike ịkpasu "ịṅụ" microbes site na urethra), ntinye ọgwụ n'ime urethra, catheterization, ịhịa aka n'ahụ, wdg; • hyperplasia prostate; • hemorrhoid; • ibuli ibu, nrụgide anụ ahụ; • nkwụsịtụ coitus ugboro ugboro, erection na-enweghị mmekọahụ; • mbelata na nchekwa nke ahụ n'ihi ọrịa ọrịa siri ike (ọrịa shuga, AIDS, wdg), hypothermia, oke ọkụ, wdg.
Mgbaàmà nke epididymitis
Mmalite nke ọrịa ahụ na-egosipụta onwe ya dị ka mgbaàmà siri ike, nke, na enweghị ọgwụgwọ zuru oke, na-akawanye njọ. Site na epididymitis, enwere ike inwe: • mgbu na-adịghị ala ala n'otu akụkụ nke scrotum / na testicle nwere ike ịgbasa na ukwu, sacrum, perineum, ala azụ; • mgbu dị nkọ na mpaghara emetụtara; • mgbu pelvic; • ọbara ọbara, ụbara okpomọkụ mpaghara nke scrotum; • ọzịza / mmụba nke nha, induration nke ihe mgbakwunye; • nhazi nke etuto dị na scrotum; • oyi na ahụ ọkụ (ruo ogo 39); • mmebi ahụike n'ozuzu (adịghị ike, enweghị agụụ, isi ọwụwa); • mmụba na ọnụ ọgụgụ lymph inguinal; • mgbu n'oge urination, nsị; • mmụba mmamịrị, mkpali mberede; • mgbu n'oge mmekọahụ na ejaculation; • ọdịdị ọbara na semen; • ọpụpụ site na amụ.
Otu akara nrịbama nke achọpụtara bụ na elu scrotal nwere ike ibute enyemaka mgbaàmà (akara Pren dị mma).
N'ime ọrịa na-adịghị ala ala nke ọrịa ahụ, ihe ịrịba ama nke nsogbu ahụ nwere ike ịpụta nke ọma, ma ọnya na ịba ụba nke scrotum, na-abụkarịkwa mmamịrị na-aga n'ihu.
Ihe dị mkpa! Ihe mgbu dị ukwuu na testicles bụ ihe ngosi maka nlekọta ahụike ozugbo!
Ụzọ maka ịchọpụta na ịchọpụta ọrịa
Usoro nyocha nke mbụ n'ime nchọpụta nchoputa bụ nyocha nke dọkịta nke akụkụ ahụ emetụtara nke testicle, lymph nodes na ukwu. Ọ bụrụ na a na-enyo enyo epididymitis n'ihi mmụba nke prostate, a na-eme nyocha nke ike.
Ọzọkwa, a na-eji ụzọ ụlọ nyocha: • smear site na urethra maka nyocha microscopic na ikewapụ ihe na-akpata STI; • nchọpụta PCR (nchọpụta nke pathogen site na polymerase chain reaction); • nyocha ụlọ ọgwụ na biochemical nke ọbara; • urinalysis (n'ozuzu, "3-cup test" na urination na-esochi na iko 3, ọmụmụ omenala, wdg); • nyocha nke mmiri ọmụmụ seminal.
Nchọpụta ngwá ọrụ gụnyere ihe ndị a: • Ultrasound nke scrotum iji chọpụta ọnya, ọkwa nke mbufụt, usoro tumor, nyocha nke ọsọ ọsọ ọbara (ọmụmụ Doppler); • nyocha nke nuklia, bụ nke a na-agbanye ntakịrị ihe na-eme redio na-enyocha ọbara na-agba na testicles site na iji ngwá ọrụ pụrụ iche (na-enye ohere ịchọta epididymitis, testicular torsion); • cystourethroscopy - mmeghe site na urethra nke ngwa anya, cystoscope, iji nyochaa elu dị n'ime akụkụ ahụ.
A naghị ejikarị tomography gbakọọ na onyonyo resonance magnetik.
Ọgwụgwọ nke epididymitis
A na-eme ọgwụgwọ epididymitis nke ọma n'okpuru nlekọta nke ọkachamara - urologist. Mgbe nyocha ahụ gasịrị, a na-edepụta usoro ọgwụgwọ nje nje, ogologo oge, ruo otu ọnwa ma ọ bụ karịa.
A na-ahọrọ nkwadebe na-eburu n'uche uche nke microorganism pathogenic, ma ọ bụrụ na ụdị ọrịa ahụ enweghị ike ịmepụta, mgbe ahụ, a na-eji ihe na-eme ihe na-eme ihe na-egbuke egbuke. Isi ọgwụ na-ahọrọ maka epididymitis, karịsịa na ọnụnọ nke pathologies ndị ọzọ sitere na usoro urogenital na ndị na-eto eto, bụ ọgwụ nje nke otu fluoroquinolone. Tetracyclines, penicillins, macrolides, cephalosporins, sulfa ọgwụ nwekwara ike inye ya. N'ọnọdụ ebe ọrịa na-akpata site na STI, a na-achọ usoro ọgwụgwọ nke onye mmekọ nwoke na nwanyị na-enwe n'otu oge.
Ọzọkwa, iji belata usoro mkpali na mgbu mgbu, dọkịta na-atụ aro ọgwụ ndị na-abụghị steroidal anti-inflammatory (dị ka indomethacin, nimesil, diclofenac, wdg), na nnukwu mgbu, a na-eme ihe mgbochi novocaine nke eriri spermatic. Enwere ike ịkwado ya: • ịṅụ vitamin; • physiotherapy; • enzymatic, absorbable (lidase) na nkwadebe ndị ọzọ.
Site na ọrịa dị nro nke ọrịa ahụ, a naghị achọ ụlọ ọgwụ, ma ọ bụrụ na ọnọdụ ahụ na-akawanye njọ (okpomọkụ na-ebili n'elu ogo 39, ngosipụta nke ịṅụbiga mmanya ókè, mmụba dị ukwuu na ngwa ngwa), a na-eziga onye ọrịa ahụ n'ụlọ ọgwụ. Ọ bụrụ na enweghị mmetụta, enwere ike ịchọ ọgwụ nje dị iche. Ọ bụrụ na ọrịa ahụ na-adịgide adịgide, karịsịa na ọnyá abụọ, a na-enyo enyo maka ụdị tuberculous nke pathology. N'ọnọdụ dị otú ahụ, a na-achọrọ onye ọkachamara n'ihe banyere phthisiourologist na, mgbe nkwenye nke nchoputa ahụ, nhọpụta nke ọgwụ mgbochi ụkwara nta.
A na-eme ọgwụgwọ nke ụdị na-adịghị ala ala n'otu ụzọ ahụ, mana ọ na-ewe ogologo oge.
Na mgbakwunye na ịṅụ ọgwụ, onye ọrịa ahụ ga-agbaso iwu ndị a: • debe ezumike ụra; • iji nye ọnọdụ dị elu nke scrotum, dịka ọmụmaatụ, site na akwa towel gbagọrọ agbagọ n'ime ihe mkpuchi; • ewepu ibuli ibu; • debe izu ike zuru oke nke mmekọahụ; • ewepu oriri nke ose, nri abụba; • hụ na ị ga-eri mmiri zuru oke; • tinye compresses / ice dị jụụ na scrotum iji belata mbufụt; • na-eyi suspensorium - bandeeji pụrụ iche na-akwado scrotum, nke na-eme ka ihe fọdụrụ nke scrotum, na-egbochi ya ịma jijiji mgbe ị na-eje ije; • yikwasị mkpirisi mkpirisi na-agbanwe nke ọma, ogwe igwu mmiri (enwere ike iji ya ruo mgbe mgbaàmà mgbu na-apụ n'anya).
Ka ọnọdụ ahụ na-akawanye mma, a na-ahapụ mmega ahụ nkịtị nke ìhè: ịga ije, ịgba ọsọ, ewezuga ịgba ígwè. Ọ dị mkpa iji zere hypothermia izugbe na mpaghara n'oge usoro ọgwụgwọ na na njedebe ya.
Mgbe ịmechara usoro ọgwụgwọ ọgwụ nje, mgbe ihe dị ka izu 3 gachara, ị ga-agakwuru dọkịta maka nyocha ọzọ (mmamịrị, ejaculate) iji gosi na mkpochapụ zuru oke nke ọrịa ahụ.
Enwere ike iji ọgwụ ọdịnala mee ihe dị ka mgbakwunye na usoro ọgwụgwọ bụ isi yana naanị mgbe ikike nke dọkịta na-aga. Ndị na-agwọ ọrịa ọdịnala na epididymitis na-akwado iji decoctions sitere na: • akwukwo lingonberry, okooko osisi tansy, horsetail; • akwụkwọ nettle, mint, ifuru linden na nkwadebe ahịhịa ndị ọzọ.
Site na mmepe nke mgbagwoju anya dị otú ahụ dị ka purulent abscess, a na-eme oghere ịwa ahụ nke suppuration. N'ọnọdụ ndị siri ike, ọ nwere ike ịdị mkpa iwepụ akụkụ ma ọ bụ ihe niile emetụtara. Na mgbakwunye, a na-amalite ọrụ ahụ: • iji dozie nsogbu anụ ahụ nke na-ebute mmepe nke epididymitis; • ọ bụrụ na a na-enyo enyo torsion / mgbakwunye testicular (hydatids) nke epididymis; • n'ọnọdụ ụfọdụ na ụkwara nta epididymitis.
Nsogbu
Dị ka a na-achị, a na-emeso epididymitis nke ọma na ọgwụ nje bacteria. Otú ọ dị, na enweghị ọgwụgwọ zuru oke, nsogbu ndị a nwere ike ịmalite: • mgbanwe nke pathology na ụdị na-adịghị ala ala; • ihe omume nke ọnya abụọ; • orchiepididymitis - mgbasa nke usoro mkpali na testicle; • abscess testicular (purulent, oke mbufụt nke anụ ahụ nke akụkụ ahụ); • mmepe nke adhesions n'etiti testicle na scrotum; • infarction testicular (necrosis anụ ahụ) n'ihi nkwụsị ọbara; • atrophy (mbelata na akụkụ volumetric, na-esote mmebi nke mmepụta spam na mbelata mmepụta testosterone) nke testicles; • nguzobe nke fistulas (ọwa mmiri pathological dị warara na mwepu purulent) na scrotum; • Ịmụghị nwa bụ ihe si na mbelata nke mmepụta spam na nguzobe nke ihe mgbochi na ọganihu nkịtị nke ikpeazụ.
Mgbochi nke epididymitis
Usoro ndị bụ isi iji gbochie epididymitis gụnyere: • ibi ndụ dị mma; • mmekọahụ dị mma; • iwu ndụ mmekọahụ; • nchọpụta oge na mkpochapụ nke ọrịa urinary na-emekarị; • mgbochi nke mmerụ ahụ na testicles (yiri ngwá ọrụ nchebe mgbe ị na-eme egwuregwu na-emerụ ahụ); • idebe ihe achọrọ nke ịdị ọcha onwe onye; • mwepu nke ikpo oke ọkụ, hypothermia; • mgbochi/ọgwụgwọ zuru oke nke ọrịa na-efe efe (gụnyere ịgba ọgwụ mgbochi ọrịa mumps), wdg.