Epididymitis

I-Epididymitis kukudumba (ukudumba) kwetyhubhu edibanisa ityhalarha kunye ne-vas deferens. Umbhobho ubizwa ngokuba yi-epididymis.

I-Epididymitis ixhaphake kakhulu kubantu abancinci abaneminyaka eli-19 ukuya kwengama-35. Ixhaphake kakhulu kukusasazeka kwintsholongwane. Usulelo luhlala luqala kwi-urethra, iprotrate, okanye i-bladder. I-Gonorrhea kunye ne-chlamydia izifo zihlala zingunobangela wengxaki kumadoda amancinci angatshatanga. Kubantwana nakumadoda amadala, ixhaphake kakhulu ngenxa E coli kunye neebhaktiriya ezifanayo. Oku kuyinyani nakumadoda abelana ngesondo namadoda.

Isifo sephepha seMicobacterium (TB) kunokubangela i-epididymitis. Ezinye iibacteria (ezinje ngeUreaplasma) zinokubangela imeko.

I-Amiodarone liyeza elithintela ukubetha kwentliziyo ngendlela engaqhelekanga. Eli yeza kunokubangela epididymitis.

Oku kulandelayo kwandisa umngcipheko we-epididymitis:

• Utyando lwamva nje
• Iingxaki zesakhiwo esidlulileyo kwindawo yokuchama
• Ukusetyenziswa rhoqo kwe-catheter ye-urethral
• Ukwabelana ngesondo namaqabane angaphezu kwelinye kwaye ungasebenzisi iikhondom
• Iprostate eyandisiweyo

I-Epididymitis ingaqala ngo:

• Umkhuhlane ophantsi
• Ukugodola
• Ukuziva ubunzima kwindawo yamatyhalarha

Indawo yamatyhalarha iya kuba novakalelo ngakumbi kuxinzelelo. Kuya kuba buhlungu njengoko imeko iqhubeka. Usulelo kwi-epididymis lunokusasazeka ngokulula kwi-testicle.

Ezinye iimpawu zibandakanya:

• Igazi kwisidoda
• Ukukhutshwa kwi-urethra (ukuvulwa ekupheleni kwepenisi)
• Ukuphazamiseka kwisisu esisezantsi okanye isinqe
• Isigaxa kufutshane netyhalarha

Iimpawu eziqhelekileyo zezi:

• Intlungu ngexesha lokunyuka
• Intlungu okanye ukutshisa ngexesha lokuchama
• Ukudumba okubuhlungu (i-epididymis iyandiswa)
• Ithenda, ukudumba, kunye nendawo ebuhlungu yokuqaqamba kwicala elichaphazelekayo
• Intlungu yamatyhalarha iba mandundu ngexesha lokuhamba kwamathumbu

Iimpawu ze-epididymitis zinokufana nezo ze-testicular torsion, efuna unyango olukhulayo.

Uvavanyo lomzimba luya kubonisa iqhuma elibomvu, ithenda kwicala elichaphazelekayo lesikram. Unokuba nobumnene kwindawo encinci yetestamente apho kufakwa khona i-epididymis. Indawo enkulu yokudumba inokukhula ijikeleze iqhuma.

Ii-lymph node kwindawo ye-groin zinokwandiswa. Kukho ukukhutshwa kwilungu lobudoda. Uvavanyo lwe-rectal lunokubonisa ukwandiswa kweprostate.

Olu vavanyo lunokwenziwa:

• Gcwalisa ubalo lwegazi (CBC)
• I-Doppler ultrasound
• Ukuvavanywa kovavanyo (amayeza enyukliya)
• Ukuvavanywa komchamo kunye nenkcubeko (kungafuneka unike iisampulu ezininzi, kubandakanya umsinga wokuqala, umsinga ophakathi, nasemva kokuthanjiswa kweprotate)
• Uvavanyo lwe-chlamydia kunye ne-gonorrhea

Umboneleli wakho wokhathalelo lwempilo uyakukuyalela amayeza ukunyanga usulelo. Izifo ezosulela ngokwabelana ngesondo zifuna i-antibiotics. Amaqabane akho owabelana nawo ngesondo nawo kufuneka anyangwe. Ungadinga amayeza entlungu kunye namayeza alwa nokudumba.

Ukuba uthatha i-amiodarone, unokufuna ukunciphisa idosi yakho okanye utshintshe iyeza lakho. Thetha nomboneleli wakho.

Ukunciphisa ukungakhululeki:

• Ukuphumla ulele phantsi kunye neprototum iphakanyisiwe.
• Faka ipakethe yomkhenkce kwindawo ebuhlungu.
• Nxiba impahla yangaphantsi ngenkxaso engaphezulu.

Uya kudinga ukulandelela umboneleli wakho ukuqinisekisa ukuba usulelo luye lwasuswa ngokupheleleyo.

I-Epididymitis ihlala ibangcono ngonyango lwe-antibiotic. Akukho ngxaki yexesha elide yesondo okanye yokuzala kwiimeko ezininzi. Nangona kunjalo, imeko inokubuyela.

Iingxaki zibandakanya:

• Ithumba kwisikram
• Ixesha elide (elingapheliyo) i-epididymitis
• Ukuvula kulusu lwe-scrotum
• Ukusweleka kwethishu yamatyhalarha ngenxa yokunqongophala kwegazi
• Ukungachumi

Intlungu ekhawulezileyo kunye neyobuhlungu kwisingxobo samatyhalari ingxamisekileyo kwezonyango. Kuya kufuneka ubonwe ngumboneleli kwangoko.

Tsalela umnikezeli wakho ukuba unempawu ze-epididymitis. Yiya kwigumbi likaxakeka okanye fowunela inombolo yongxamiseko yendawo (enje nge-911) ukuba unequbuliso, iintlungu zamatyhalarha okanye iintlungu emva kokonzakala.

Unokuthintela iingxaki ukuba ufunyaniswe kwaye uphathwe kwangoko.

Umboneleli wakho unokumisela amayeza okubulala iintsholongwane ngaphambi kotyando. Kungenxa yokuba olunye utyando lunokuphakamisa umngcipheko we-epididymitis. Ziqhelise ngesondo elikhuselekileyo. Thintela amaqabane amaninzi owabelana nawo ngesondo kwaye usebenzise iikhondom. Oku kunokunceda ukukhusela i-epididymitis ebangelwa zizifo ezidluliselwa ngeentlobano zesini.

• I-anatomy yokuzala eyindoda
• Igazi kwisidoda
• Indlela yendlela yesidoda
• Inkqubo yokuzala eyindoda

IGeisler WM. Izifo ezibangelwa yi-chlamydiae. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 302.

I-Pontari M. Iimeko zokuvuvukala kunye neentlungu zendlela yesilisa: Ku: UPartin AW, uDmochowski RR, uKavoussi LR, uPeter CA, ii-eds. ICampbell-Walsh-Wein Urology. Umhla we-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 56.