Isifo samathambo

I-urethritis kukukrala (ukudumba kunye nokucaphuka) kwe-urethra. I-urethra yityhubhu ehambisa umchamo emzimbeni.

Zombini iibacteria kunye neentsholongwane zinokubangela urethritis. Ezinye zeentsholongwane ezibangela le meko zibandakanya Ewe, chlamydia, kunye ukuvuza ngaphantsi. Ezi bhaktheriya zikwabangela usulelo lomchamo kunye nezinye izifo ezidluliselwa ngesondo. Unobangela wentsholongwane yintsholongwane ye-herpes simplex kunye necytomegalovirus.

Ezinye izizathu zibandakanya:

• Ukwenzakala
• Ubuntununtunu kwiikhemikhali ezisetyenziswa kwi-spermicides, jellies zokuthintela ukukhulelwa, okanye kumagwebu

Ngamanye amaxesha unobangela awaziwa.

Iingozi ze-urethritis zibandakanya:

• Ukuba ngumfazi
• Ukuba yindoda, uneminyaka engama-20 ukuya kwengama-35
• Ukuba namaqabane amaninzi owabelana nawo ngesondo
• Ukuziphatha ngokwesondo okusemngciphekweni omkhulu (njengamadoda angena ngesondo ezimpundwini ngaphandle kwekhondom)
• Imbali yezifo ezosulela ngokwabelana ngesondo

Kumadoda:

• Igazi kumchamo okanye kwisidoda
• Ukutsha kweentlungu ngelixa uchama (dysuria)
• Ukukhutshwa kwilungu lobudoda
• Umkhuhlane (unqabile)
• Ukuchama rhoqo okanye ngokungxamisekileyo
• Ukurhawuzelela, ukuthamba, okanye ukudumba kwilungu lobudoda
• Ukwandiswa kwee-lymph node kwindawo ye-groin
• Intlungu ngokulalana okanye ukudumba

Kwabasetyhini:

• Intlungu zesisu
• Ukutsha kweentlungu ngelixa uchama
• Umkhuhlane kunye nokubanda
• Ukuchama rhoqo okanye ngokungxamisekileyo
• Intlungu yePelvic
• Intlungu ngokulalana
• Ukukhutshwa kwilungu lobufazi

Umboneleli wezempilo uyakukuvavanya. Emadodeni, uviwo luya kubandakanya isisu, indawo yesinyi, ipenisi kunye ne-scrotum. Uvavanyo lomzimba lunokubonisa:

• Ukukhutshwa kwilungu lobudoda
• Ithenda kunye nokwandiswa kwee-lymph node kwindawo ye-groin
• Ithenda kunye nokudumba kwelungu lobudoda

Uvavanyo lwe-digital rectal luya kwenziwa.

Abasetyhini baya kuba neemviwo zesisu kunye ne-pelvic. Umboneleli uya kujonga:

• Ukukhutshwa kwi-urethra
• Ukuthantamisa kwesisu esisezantsi
• Ukuthantamisa kwe-urethra

Umboneleli wakho unokujonga kwisinyi sakho usebenzisa ityhubhu enekhamera esiphelweni. Oku kubizwa ngokuba yi-cystoscopy.

Olu vavanyo lulandelayo lunokwenziwa:

• Gcwalisa ubalo lwegazi (CBC)
• Uvavanyo lweprotheni esebenzayo yeC
• I-pelvic ultrasound (abafazi kuphela)
• Uvavanyo lokukhulelwa (abasetyhini kuphela)
• Uhlalutyo lomchamo kunye neenkcubeko zomchamo
• Uvavanyo lwe-gonorrhea, chlamydia, kunye nezinye izifo ezosulela ngokwabelana ngesondo (STI)
• I-swab yaseUrethral

Iinjongo zonyango zezi:

• Lahla unobangela wosulelo
• Ukuphucula iimpawu
• Thintela ukusasazeka kosulelo

Ukuba unentsholongwane yebhaktiriya, uya kunikwa i-antibiotics.

Unokuthatha zombini iintlungu zokuthomalalisa iintlungu zomzimba ngokubanzi kunye neemveliso zentlungu yendawo yokuchama, kunye ne-antibiotics.

Abantu abane-urethritis abaphathwa kufuneka baphephe isondo, okanye basebenzise iikhondom ngexesha lokwabelana ngesondo. Iqabane lakho owabelana nalo ngesondo kufuneka nalo liphathwe ukuba imeko ibangelwa lusulelo.

I-urethritis ebangelwa kukuqaqanjelwa okanye kukucaphuka yimichiza inyangwa ngokuphepha umthombo wenzakalo okanye wokucaphuka.

I-urethritis engacacanga emva konyango lwe-antibiotic kwaye ihlala iiveki ezintandathu ubuncinci ibizwa ngokuba yi-urethritis engapheliyo. Kusetyenziswa ii-antibiotics ezahlukeneyo ukunyanga le ngxaki.

Ngokuchongwa ngokuchanekileyo kunye nonyango, i-urethritis ihlala icoca ngaphandle kwengxaki.

Nangona kunjalo, i-urethritis inokukhokelela kumonakalo wexesha elide kwi-urethra kunye nakwizicubu ezibomvu ezibizwa ngokuba kukuqiniswa kwe-urethral. Inokubangela nokonzakala kwamanye amalungu omchamo kumadoda nabasetyhini. Kwabasetyhini, usulelo lunokukhokelela kwiingxaki zokuchuma ukuba lunwenwela kwi-pelvis.

Amadoda ane-urethritis asemngciphekweni woku kulandelayo:

• Usulelo lwesinyi (cystitis)
• Epididymitis
• Usulelo kumatyhalarha (orchitis)
• Usulelo lweprostate (prostatitis)

Emva kosulelo olukhulu, i-urethra inokuba nebala emva koko icuthwe.

Abasetyhini abane-urethritis basengozini yoku kulandelayo:

• Usulelo lwesinyi (cystitis)
• Cervicitis
• Isifo sokudumba kwepelvic (i-PID-usulelo lwesibeleko, iityhubhu, okanye ii-ovari)

Fowunela umboneleli wakho ukuba uneempawu ze-urethritis.

Izinto onokuzenza ukunceda ukunqanda urethritis zibandakanya:

• Gcina indawo ejikeleze ukuvulwa kwerethra icocekile.
• Landela iindlela ezikhuselekileyo zesini. Yiba neqabane elinye lokwabelana ngesondo kuphela (umfazi omnye) kwaye usebenzise iikhondom.

Isifo seUrethral; NGU; I-urethritis engeyo-gonococcal

• Iphecana lomchamo labasetyhini
• Indoda yokuchama

I-Babu TM, i-Urban MA, iAugenbraun MH. Isifo samathambo. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahl. 107.

ISygard H, iCohen MS. Sondela kwisigulana ngesifo esosulela ngokwabelana ngesondo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 269.