Isifo samathambo

I-urrethritis ukuvuvukala (ukuvuvukala nokucasula) kwe-urethra. I-urethra yishubhu elithwala umchamo emzimbeni.

Womabili amabhaktheriya namagciwane angadala urethritis. Amanye amabhaktheriya abangela lesi simo afaka phakathi E coli, i-chlamydia, ne-gonorrhea. Lawa mabhaktheriya abuye abangele ukutheleleka komgudu womchamo kanye nezinye izifo ezithathelwana ngocansi. Izimbangela zegciwane yigciwane le-herpes simplex kanye ne-cytomegalovirus.

Ezinye izimbangela zifaka:

• Ukulimala
• Ukuzwela kumakhemikhali asetshenziswa kuma-spermicides, ama-jellies wokuvimbela inzalo, noma amagwebu

Kwesinye isikhathi imbangela ayaziwa.

Izingozi ze-urethritis zifaka:

• Ukuba ngowesifazane
• Ukuba ngowesilisa, uneminyaka engama-20 kuya kwengama-35
• Ukuba nabalingani abaningi ocansini
• Ukuziphatha kocansi okuyingozi kakhulu (njengamadoda angena ocansini lwendunu ngaphandle kwekhondomu)
• Umlando wezifo zocansi

Emadodeni:

• Igazi kumchamo noma isidoda
• Ukushisa izinhlungu ngenkathi uchama (dysuria)
• Ukukhishwa epeni
• Umkhuhlane (onqabile)
• Ukuchama njalo noma okuphuthumayo
• Ukulunywa, isisa, noma ukuvuvukala kwepipi
• Ama-lymph node akhulisiwe endaweni ye-groin
• Ubuhlungu ngokuya ocansini noma nge-ejaculation

Kwabesifazane:

• Ubuhlungu besisu
• Ukushisa izinhlungu ngenkathi uchama
• Umkhuhlane namakhaza
• Ukuchama njalo noma okuphuthumayo
• Ubuhlungu be-pelvic
• Ubuhlungu ngokuya ocansini
• Ukukhishwa kwesitho sangasese sowesifazane

Umhlinzeki wezokunakekelwa kwempilo uzokuhlola. Emadodeni, ukuhlolwa kuzobandakanya isisu, indawo yesinye, ipipi, ne-scrotum. Ukuhlolwa komzimba kungakhombisa:

• Kukhishwe epipi
• Ama-lymph node akhulisiwe endaweni yezinhlungu
• Umthondo wethenda uvuvukile

Ukuhlolwa kwamakholomu edijithali nakho kuzokwenziwa.

Abesifazane bazoba nezivivinyo zesisu nezomgogodla. Umhlinzeki uzohlola:

• Ukukhishwa kusuka ku-urethra
• Ubumnene besisu esingezansi
• Ubumnene be-urethra

Umhlinzeki wakho angabheka esinyeni sakho esebenzisa ishubhu enekhamera ekugcineni. Lokhu kubizwa nge-cystoscopy.

Ukuhlolwa okulandelayo kungenziwa:

• Qedela ukubalwa kwegazi (CBC)
• Ukuhlolwa kwamaprotheni asebenzayo ngo-C
• I-pelvic ultrasound (abesifazane kuphela)
• Ukuhlolwa kokukhulelwa (abesifazane kuphela)
• Amasiko wokuchama kanye nomchamo
• Ukuhlolwa kwe-gonorrhea, i-chlamydia, nezinye izifo ezithathelwana ngocansi (STI)
• I-swab ye-Urethral

Izinhloso zokwelashwa uku:

• Susa imbangela yokutheleleka
• Thuthukisa izimpawu
• Vimbela ukusabalala kwesifo

Uma unegciwane, uzonikezwa ama-antibiotic.

Ungathatha kokubili ukudambisa izinhlungu kobuhlungu bomzimba jikelele kanye nemikhiqizo yezinhlungu zasemgodini, kanye nama-antibiotic.

Abantu abane-urethritis abaphathwayo kufanele bagweme ukuya ocansini, noma basebenzise amakhondomu ngesikhathi socansi. Umlingani wakho ocansini naye kufanele alashwe uma isimo sibangelwa ukutheleleka.

I-urthritis ebangelwa ukuhlukumezeka noma okucasulayo kwamakhemikhali iphathwa ngokugwema umthombo wokulimala noma wokucasuka.

I-urthritis engacaci ngemuva kokwelashwa kwama-antibiotic futhi ihlala okungenani amasonto ayisithupha ibizwa nge-urethritis engapheli. Ama-antibiotic ahlukahlukene angasetshenziswa ukuphatha le nkinga.

Ngokuxilongwa nokwelashwa okulungile, i-urethritis ivame ukusula ngaphandle kwezinkinga ezengeziwe.

Kodwa-ke, i-urethritis ingaholela ekulimaleni kwesikhathi eside kwe-urethra kanye nezicubu ezibomvu ezibizwa ngokuthi yi-urethral stricture. Kungadala nokulimala kwezinye izitho zomchamo kwabesilisa nabesifazane. Kwabesifazane, ukutheleleka kungaholela ezinkingeni zokuzala uma kusakazeka okhalweni.

Amadoda ane-urethritis asengozini yalokhu okulandelayo:

• Ukutheleleka kwesinye (cystitis)
• I-Epididymitis
• Ukutheleleka emasendeni (orchitis)
• Ukutheleleka kwe-prostate (prostatitis)

Ngemuva kokutheleleka okunzima, i-urethra ingaba nesibazi bese incipha.

Abesifazane abane-urethritis basengozini yalokhu okulandelayo:

• Ukutheleleka kwesinye (cystitis)
• I-Cervicitis
• Isifo sokuvuvukala kwesisu (i-PID - ukutheleleka kolwelwesi lwesibeletho, amashubhu e-fallopian, noma ama-ovari)

Shayela umhlinzeki wakho uma unezimpawu ze-urethritis.

Izinto ongazenza ukusiza ukugwema i-urethritis zifaka:

• Gcina indawo ezungeze ukuvuleka kwe-urethra ihlanzekile.
• Landela imikhuba yocansi ephephile. Yiba nomlingani oyedwa ocansini kuphela (indoda eyodwa) bese nisebenzisa amakhondomu.

Isifo se-Urethral; NGU; I-urethritis engeyona i-gonococcal

• Umgudu womchamo wabesifazane
• Umgudu womchamo wabesilisa

IBabu TM, i-Urban MA, i-Augenbraun MH. Isifo samathambo. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 107.

I-Swygard H, i-Cohen MS. Sondela esigulini ngesifo esithathelwana ngocansi. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 269.