I-Orchitis

I-Orchitis kukudumba (ukudumba) kwelinye okanye omabini amasende.

I-Orchitis inokubangelwa lusulelo. Iindidi ezininzi zebacteria kunye neentsholongwane zinokubangela le meko.

Eyona ntsholongwane ixhaphakileyo ebangela i-orchitis ngoqwilikana. Rhoqo kwenzeka emakhwenkweni emva kokufikisa. I-Orchitis ihlala ikhula kwiintsuku ezi-4 ukuya kwezi-6 emva kokuqala koqwilikana.

I-Orchitis inokwenzeka kunye nosulelo lweprostate okanye lwe-epididymis.

I-Orchitis inokubangelwa sisifo esosulela ngokwabelana ngesondo, njenge-gonorrhea okanye i-chlamydia. Ireyithi ye-orchitis edluliselwa ngesondo okanye i-epididymitis iphezulu kumadoda aneminyaka eyi-19 ukuya kuma-35.

Imiba yomngcipheko we-orchitis edluliselwa ngesondo ibandakanya:

• Ukuziphatha okuhle ngokwesondo
• Amaqabane amaninzi ezesondo
• Imbali yobuqu yegonorrhea okanye enye i-STI
• Iqabane lokwabelana ngesondo kunye ne-STI efunyenweyo

Imiba yomngcipheko we-orchitis hayi ngenxa ye-STI ibandakanya:

• Ukuba mdala kuneminyaka eyi-45
• Ukusetyenziswa kwexesha elide kwecatheter kaFoley
• Ukungagonyelwa uqwilikana
• Iingxaki zendlela yokuchama eyayikho ngexesha lokuzalwa (ngokuzalwa)
• Ukuphindaphindeka kosulelo lomchamo
• Utyando lwe-urinary tract (utyando lwe-genitourinary)
• I-BPH (i-benign prostatic hyperplasia) -i-Prostate eyandisiweyo
• Ukunyanzelwa kwe-urethral (ukonakala ngaphakathi kwitrektara)

Iimpawu zibandakanya:

• Intlungu kumatyhalarha
• Igazi kwisidoda
• Ukukhutshwa kwilungu lobudoda
• Ifiva
• Intlungu yentlungu
• Intlungu ngokulalana okanye ukudumba
• Ubuhlungu ngokuchama (dysuria)
• Ukudumba okungathethekiyo
• Ithenda, indawo yokudumba edumbileyo kwicala elichaphazelekayo
• Ithenda, ukudumba, imvakalelo enzima kwityhalarha

Uvavanyo lomzimba lunokubonisa:

• I-Prostate gland eyandisiweyo okanye ethembekileyo
• Ithenda kunye nokwandiswa kwee-lymph node kwindawo ye-groin (inguinal) kwicala elichaphazelekayo
• Ithenda kunye ne-testicle eyandisiweyo kwicala elichaphazelekayo
• Ubomvu okanye ukuthamba kwesikram

Uvavanyo lunokubandakanya:

• Gcwalisa ubalo lwegazi (CBC)
• Uvavanyo lwe-ultrasound
• Uvavanyo lokukhusela i-chlamydia kunye ne-gonorrhea (urethral smear)
• Uhlalutyo lomchamo
• Inkcubeko ye-Urine (ukubamba okucocekileyo)-inokufuna iisampulu ezininzi, kubandakanya ukusasazeka kokuqala, phakathi, nasemva kokuthanjiswa kweprotate

Unyango lunokubandakanya:

• Iintsholongwane, ukuba usulelo lubangelwa ziintsholongwane. (Kwimeko yegonorrhea okanye i-chlamydia, amaqabane ezesondo nawo kufuneka anyangwe.)
• Amayeza anti-ukudumba.
• Amayeza entlungu.
• Ukuphumla kwebhedi kunye neeproteum eziphakanyisiweyo kunye neepakethe zomkhenkce ezifakwe kuloo ndawo.

Ukufumana isifo esichanekileyo kunye nonyango lwe-orchitis ebangelwa ziibhaktheriya zihlala zivumela ityhalarha ukuba libuyise ngokwesiqhelo.

Uya kudinga olunye uvavanyo ukuze ulawule umhlaza wamatyhalarha ukuba ityhalarha alibuyeli kwimeko yesiqhelo emva konyango.

Ukuqubuka kwe-orchitis akunakunyangwa, kwaye iziphumo ziyahluka. Amadoda ane-mumps orchitis anokuba yinyumba.

Amanye amakhwenkwe afumana i-orchitis ebangelwa ngoxinzelelo kuya kuncipha kwamasende (testicular atrophy).

I-Orchitis inokubangela ukungachumi.

Ezinye iingxaki ezinokubakho zibandakanya:

• Epidymymitis engapheliyo
• Ukufa kwamathambo wamatyhalarha (ityhalarha infarction)
• I-Fistula kulusu lwe-scrotum (i-cutaneous fistula)
• Ithumba elibukhali

Intlungu ebuhlungu kwi-scrotum okanye kumatyhalarha kunokubangelwa kukujijwa kwemithambo yegazi yamatyhalarha (torsion). Olu ngxamiseko lonyango olufuna utyando kwangoko.

Ityhalarha elidumbileyo elinentlungu encinci okanye engenazo kwaphela linokuba luphawu lomhlaza wamatyhalarha. Ukuba ngaba kunjalo, kuya kufuneka ube ne-testicular ultrasound.

Jonga umboneleli wakho wezempilo kuvavanyo ukuba unengxaki yamatyhalarha.

Fumana uncedo lonyango olungxamisekileyo ukuba uneentlungu ngequbuliso kwityhalarha.

Izinto onokuzenza ukuthintela ingxaki zibandakanya:

• Gonyelwa uqwilikana.
• Ziqhelanise nokuziphatha okukhuselekileyo kwezesondo ukunciphisa umngcipheko wee-STIs.

Epididymo - orchitis; Usulelo Testis

• I-anatomy yokuzala eyindoda
• Inkqubo yokuzala eyindoda

Mason WH. Uqhekeko. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla we-20. IPhiladelphia, PA: Elsevier; I-2016: isahluko 248.

IMcGowan CC, uKrieger J. Prostatitis, i-epididymitis, kunye ne-orchitis. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. UMandell, uDouglas, kunye neMigaqo yeBennett kunye nokuSebenza kwezifo ezosulelayo, uHlelo oluHlaziyiweyo. Ngomhla we-8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahl. 112.

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.