I-Epididymitis

I-Epididymitis ukuvuvukala (ukuvuvukala) kweshubhu elihlanganisa isende ne-vas deferens. Ishubhu libizwa ngokuthi i-epididymis.

I-Epididymitis ivame kakhulu ezinsizweni ezineminyaka yobudala eyi-19 kuya kwengama-35. Imvamisa idalwa ukusabalala kwesifo esivela kubhaktheriya. Ukutheleleka kuvame ukuqala ku-urethra, prostate, noma esinyeni. Ukutheleleka nge-gonorrhea kanye ne-chlamydia kuvame ukuba yimbangela yenkinga emadodeni amancane abesilisa abesilisa nabesifazane. Ezinganeni nakumadoda amadala, kuvame ukubangelwa yi- E coli namagciwane afanayo. Lokhu kuyiqiniso nakwabesilisa abalala nabesilisa.

Isifo sofuba iMycobacterium (TB) kungadala i-epididymitis. Amanye amabhaktheriya (njenge-Ureaplasma) nawo angadala isimo.

I-Amiodarone ngumuthi ovimbela isigqi senhliziyo esingajwayelekile. Lo muthi ungadala ne-epididymitis.

Lokhu okulandelayo kwandisa ingozi ye-epididymitis:

• Ukuhlinzwa kwakamuva
• Izinkinga zesakhiwo esedlule kumgudu womchamo
• Ukusetshenziswa njalo kwe-catheter ye-urethral
• Ukuya ocansini nabalingani abangaphezu koyedwa futhi ungasebenzisi amakhondomu
• I-prostate ekhulisiwe

I-Epididymitis ingaqala ngo:

• Umkhuhlane ophansi
• Amakhaza
• Ukuzizwa kusinda endaweni yesende

Indawo yamasende izozwela kakhulu ekucindezelweni. Kuzoba buhlungu njengoba isimo siqhubeka. Ukutheleleka ku-epididymis kungasakazeka kalula esendeni.

Ezinye izimpawu zifaka:

• Igazi esidunjini
• Ukukhishwa ku-urethra (ukuvulwa ekugcineni kwepenisi)
• Ukungakhululeki esiswini esingezansi noma okhalweni
• Isigaxa eduze kwesende

Izimpawu ezingavamile kakhulu yilezi:

• Ubuhlungu ngesikhathi sokukhishwa
• Ubuhlungu noma ukushisa ngesikhathi uchama
• Ukuvuvukala okubuhlungu (i-epididymis ikhulisiwe)
• Indawo yethenda, evuvukile, futhi ebuhlungu ohlangothini oluthintekile
• Ubuhlungu besende obuya buba bukhulu ngesikhathi sokunyakaza kwamathumbu

Izimpawu ze-epididymitis zingafana nalezo ze-testicular torsion, edinga ukwelashwa okuvelayo.

Ukuhlolwa ngokomzimba kuzokhombisa isigaxa esibomvu, sethenda ohlangothini oluthintekile lwesikhwama. Ungaba nobumnene endaweni encane yesende lapho kufakwa khona i-epididymis. Indawo enkulu yokuvuvukala ingahle izungeze isigaxa.

Ama-lymph node endaweni ye-groin angakhuliswa. Kungabuye kube nokukhishwa kupipi. Ukuhlolwa kwe-rectal kungakhombisa i-prostate ekhulisiwe noma yethenda.

Lezi zivivinyo zingenziwa:

• Qedela ukubalwa kwegazi (CBC)
• I-Doppler ultrasound
• Iskena sokuhlola (ukuskena kwemithi yenuzi)
• Ukuhlolwa komchamo namasiko (kungadingeka ukuthi unikeze ama-specimens amaningi, kufaka phakathi ukusakazwa kokuqala, ukusakazwa kwaphakathi, nangemva kokubhucungwa kwe-prostate)
• Ukuhlolwa kwe-chlamydia ne-gonorrhea

Umhlinzeki wakho wezokunakekelwa kwempilo uzokunika umuthi wokwelapha ukutheleleka. Izifo ezithathelwana ngocansi zidinga ama-antibiotic. Ozakwenu ocansini nabo kufanele baphathwe. Ungadinga imithi yezinhlungu nemithi elwa nokuvuvukala.

Uma uthatha i-amiodarone, kungadingeka ukuthi wehlise umthamo wakho noma ushintshe umuthi wakho. Khuluma nomhlinzeki wakho.

Ukunciphisa ukungakhululeki:

• Ukuphumula ulele phansi ne-scrotum iphakanyisiwe.
• Faka amaphakethe eqhwa endaweni ebuhlungu.
• Gqoka izingubo zangaphansi ngokuxhaswa okwengeziwe.

Uzodinga ukulandelela nomhlinzeki wakho ukuze uqiniseke ukuthi ukutheleleka kususwe ngokuphelele.

I-Epididymitis ivame ukuba ngcono ngokwelashwa kwama-antibiotic. Azikho izinkinga zesikhathi eside zocansi noma zokuzala ezimeni eziningi. Noma kunjalo, isimo singabuya.

Izinkinga zifaka:

• Ithumba esikhunjeni
• I-epididymitis yesikhathi eside (engapheli)
• Ukuvulwa esikhunjeni se-scrotum
• Ukufa kwezicubu zamasende ngenxa yokushoda kwegazi (i-testicular infarction)
• Ukungabi nenzalo

Ubuhlungu obungazelelwe futhi obunzima esikhwameni yisimo esiphuthumayo sezokwelapha. Udinga ukubonwa ngumhlinzeki ngokushesha.

Shayela umhlinzeki wakho uma unezimpawu ze-epididymitis. Iya egumbini labezimo eziphuthumayo noma ushayele inombolo yendawo ephuthumayo (efana ne-911) uma unobuhlungu obungazelelwe, obukhulu besende noma ubuhlungu ngemuva kokulimala.

Ungazivimbela izinkinga uma uthola ukuthi usheshe welashwa futhi welashwa.

Umhlinzeki wakho anganikeza ama-antibiotic ngaphambi kokuhlinzwa. Lokhu kungenxa yokuthi okunye ukuhlinzwa kungaphakamisa ingozi ye-epididymitis. Zijwayeze ukwenza ucansi oluphephile. Gwema abalingani ocansini abaningi futhi usebenzise amakhondomu. Lokhu kungasiza ukuvimbela i-epididymitis ebangelwa izifo ezithathelwana ngocansi.

• I-anatomy yokuzala yowesilisa
• Igazi kusidoda
• Indlela yesidoda
• Uhlelo lokuzala lwabesilisa

UGeisler WM. Izifo ezibangelwa i-chlamydiae. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 302.

I-Pontari M. Izimo zokuvuvukala nobuhlungu bendlela yesilisa yofuzo: i-prostatitis nezimo ezihlobene nobuhlungu, i-orchitis, ne-epididymitis. Ku: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, ama-eds. ICampbell-Walsh-Wein Urology. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 56.