Prostatitis - iintsholongwane

Iprostatitis kukudumba kwedlala lendlala. Le ngxaki inokubangelwa kukusulelwa ziintsholongwane. Nangona kunjalo, esi ayisosizathu siqhelekileyo.

Acute prostatitis iqala ngokukhawuleza. Ixesha elide (elingapheliyo) leprostatitis lihlala iinyanga ezintathu okanye nangaphezulu.

Ukuqhubekeka kokucaphuka kweprostate okungabangelwa yintsholongwane kuthiwa yiprostatitis enganyangekiyo yebacteria.

Naziphi na iintsholongwane ezinokubangela ukosuleleka kwendlela yokuchama kunokubangela isifo sebacteria.

Usulelo olusasazeka ngokudibana ngokwesondo kunokubangela i-prostatitis. Ezi ziquka i-chlamydia kunye ne-gonorrhea. Izifo ezosulela ngokwabelana ngesondo kunokwenzeka ukuba zivele:

• Izenzo ezithile zesondo, ezinjengokwabelana ngesondo ezimpundwini unganxibanga ikhondom
• Ukuba namaqabane amaninzi owabelana nawo ngesondo

Kumadoda angaphezu kweminyaka engama-35, E coli kunye nezinye iibhaktheriya eziqhelekileyo zihlala zibangela i-prostatitis. Olu hlobo lwe-prostatitis lunokuqala kwi:

• I-Epididymis, ityhubhu encinci ehlala ngaphezulu kovavanyo.
• I-Urethra, ityhubhu ehambisa umchamo kwisinyi sakho nangaphandle kwepenisi.

I-acute prostatitis inokubangelwa yingxaki ye-urethra okanye ye-Prostate, enje nge:

• Ukuvaleka okunciphisa okanye okuthintela ukuphuma komchamo kwisinyi
• I-Foreskin yelungu lobudoda elingenakubuyiselwa umva (i-phimosis)
• Ukwenzakala kwendawo phakathi kwesikram kunye ne-anus (perineum)
• I-catheter ye-Urinary, i-cystoscopy, okanye i-prostate biopsy (ukususa isiqwenga sezicubu ukujonga umhlaza)

Amadoda aneminyaka yobudala engama-50 okanye nangaphezulu ane-Prostate eyandisiweyo anengozi ephezulu ye-prostatitis. Idlala lengqula linokuvaleka. Oku kwenza ukuba kube lula ukuba iibhaktheriya zikhule. Iimpawu zesifo esinganyangekiyo seprostatitis zinokufana neempawu zedlala leprostate elandisiweyo.

Iimpawu zingaqala ngokukhawuleza, kwaye zinokubandakanya:

• Ukugodola
• Ifiva
• Ukuhluza ulusu
• Ukuthamba kwesisu esezantsi
• Ubuhlungu bomzimba

Iimpawu zesifo esinganyangekiyo se-prostatitis ziyafana, kodwa hayi ngokuqatha. Bahlala beqala kancinci kancinci. Abanye abantu abanazimpawu phakathi kweziqendu ze-prostatitis.

Iimpawu ze-Urinary zibandakanya:

• Igazi kumchamo
• Ukutsha okanye iintlungu ngokuchama
• Kunzima ukuqala ukuchama okanye ukukhupha isinyi
• Umchamo onuka kakubi
• Umjelo womchamo obuthathaka

Ezinye iimpawu ezinokuthi zenzeke ngale meko:

• Ubuhlungu okanye ukuqaqanjelwa sisisu ngaphezulu kwethambo le-pubic, kumqolo ongezantsi, kwindawo phakathi kwamalungu angasese kunye ne-anus, okanye kumasende
• Intlungu nge-ejaculation okanye ngegazi kwi-semen
• Ubuhlungu ngokuhamba kwamathumbu

Ukuba i-prostatitis yenzeka nosulelo ngaphakathi okanye ngaphakathi kwamasende (i-epididymitis okanye i-orchitis), unokuba nazo neempawu zelo meko.

Ngexesha lovavanyo lomzimba, umboneleli wakho wezempilo unokufumana:

• I-lymph nodes ezandisiweyo okanye zethenda kwi-groin yakho
• Ulwelo olukhutshwe kwi-urethra yakho
• Isikhalazo esidumbileyo okanye sethenda

Umboneleli unokwenza uvavanyo lwe-digital rectal ukuvavanya i-prostate yakho. Ngexesha lovavanyo, umboneleli ufaka i-lubricated, iigloves ngomnwe kwi-rectum yakho. Uviwo kufuneka lwenziwe ngobunono ukunciphisa umngcipheko wokusasaza iibhaktheriya kumjelo wegazi.

Uvavanyo lunokubonisa ukuba iprostate yile:

• Inkulu kwaye ithambile (isifo esinganyangekiyo sedlala lobudoda)
• Ukudumba, okanye ithenda (enesifo esosulelayo seprostate)

Iisampulu zomchamo zinokuqokelelwa kuvavanyo lomchamo kunye nenkcubeko yomchamo.

Iprostatitis inokuchaphazela iziphumo ze-prostate-specific antigen (PSA), uvavanyo lwegazi ukuvavanya umhlaza wedlala lobudoda.

Amayeza okubulala iintsholongwane ahlala esetyenziselwa ukunyanga usuleleko lweprostate.

• Kwi-prostatitis ebukhali, uya kuthatha i-antibiotics iiveki ezi-2 ukuya kwezi-6.
• Kwi-prostatitis engapheliyo, uya kuthatha i-antibiotics ubuncinci iiveki ezi-2 ukuya kwezi-6. Ngenxa yokuba usulelo lungabuya, kuya kufuneka uthathe amayeza ukuya kuthi ga kwiiveki ezili-12.

Rhoqo, usulelo aluyi kuphela, kwanasemva kokuthatha ixesha elide ii-antibiotics. Iimpawu zakho zinokubuya xa uyeka iyeza.

Ukuba i-prostate gland yakho edumbileyo yenza ukuba kube nzima ukukhupha isinyi sakho, unokufuna ityhubhu ukuze uyikhuphe. Umbhobho unokufakwa ngesisu sakho (i-catheter ye-suprapubic) okanye ngepenisi yakho (i-catheter yokuhlala).

Ukunyamekela i-prostatitis ekhaya:

• Ukuchama rhoqo nangokupheleleyo.
• Thatha iibhafu ezishushu ukuthomalalisa iintlungu.
• Thatha izinto zokuthambisa izitulo ukwenza intshukumo yamathumbu ikhululeke ngakumbi.
• Ziphephe izinto ezicaphukisa isinyi sakho, ezinje ngotywala, ukutya okune-caffeine neziselo, iijusi ze-sitrasi, kunye nokutya okushushu okanye okuqholiweyo.
• Sela amanzi angaphezulu (ama-64 ukuya kuma-128 eeunun okanye iilitha ezi-2 ukuya kwezi-4 ngosuku) ukuze uchame rhoqo kwaye uncede ukukhupha iibhaktheriya kwisinyi sakho.

Tshekishwa ngumboneleli wakho emva kokuba ugqibile ukuthatha unyango lwakho lwe-antibiotic ukuqinisekisa ukuba usulelo alusekho.

I-acute prostatitis kufuneka ihambe kunye neyeza kunye notshintsho oluncinci kwindlela otya ngayo nakwindlela oziphatha ngayo.

Inokubuya okanye ijike ibe yi-prostatitis engapheliyo.

Iingxaki zinokubandakanya:

• Ithumba
• Ukungakwazi ukuchama (ukugcinwa komchamo)
• Ukusasazeka kwebhaktheriya ukusuka kwiprotrate ukuya kwigazi (sepsis)
• Ubuhlungu obungapheliyo okanye ukungonwabi
• Ukungakwazi ukulala ngesondo (ukungasebenzi kakuhle ngokwesondo)

Fowunela umnikezeli wakho ukuba unempawu ze-prostatitis.

Ayizizo zonke iintlobo zeprostatitis ezinokuthintelwa. Ziqhelise indlela yokuziphatha ekhuselekileyo ngokwesondo.

Prostatitis engapheliyo - ibhaktiriya; I-prostatitis efanelekileyo

• I-anatomy yokuzala eyindoda

Umnxeba JC. Iimeko zokudumba kunye neentlungu zendlela yobudoda yesini: iprostatitis kunye neemeko ezinxulumene nentlungu, i-orchitis, kunye ne-epididymitis. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 13.

UNicolle LE. Usulelo lwe-Urinary tract. Ku: Lerma EV, Sparks MA, Topf JM, ii-eds. Iimfihlo zeNephrology. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2019: isahluko 46.

McGowan CC. Prostatitis, epididymitis, kunye ne-orchitis. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. UMandell, uDouglas, kunye neMigaqo kunye nokuSebenza kwezifo ezosulelayo zeBennett. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahluko 110.

ISebe lezeMpilo laseMelika kunye neenkonzo zoLuntu; IZiko leLizwe leSwekile kunye neZifo zeDigestive kunye neZintso. Prostatitis: ukudumba kweprostate. www.niddk.nih.gov/health-information/urologic-diseases/prostate-problems/prostatitis-inflammation-prostate. Ukuhlaziywa ngoJulayi 2014. Ifikeleleke ngo-Agasti 7, 2019.