I-Orchitis

I-Orchitis ukuvuvukala (ukuvuvukala) kowodwa noma womabili amasende.

I-Orchitis ingabangelwa ukutheleleka. Izinhlobo eziningi zamagciwane namagciwane zingadala lesi simo.

Igciwane elivame kakhulu elidala i-orchitis yimumpa. Ngokuvamile kwenzeka kubafana ngemuva kokuthomba. I-Orchitis ivame ukukhula ezinsukwini ezine kuya kwezingu-6 ngemuva kokuqala kokugquma.

I-Orchitis nayo ingenzeka kanye nokutheleleka kwe-prostate noma i-epididymis.

I-Orchitis ingabangelwa ukutheleleka ngocansi (STI), njenge-gonorrhea noma i-chlamydia. Izinga le-orchitis yocansi noma i-epididymitis liphezulu emadodeni aneminyaka engu-19 kuye kwengama-35.

Izici zobungozi be-orchitis yocansi ifaka:

• Ukuziphatha kocansi okuyingozi kakhulu
• Abalingani abaningi bezocansi
• Umlando womuntu siqu we-gonorrhea noma enye i-STI
• Umlingani ocansini ophethwe i-STI

Izici zobungozi be-orchitis hhayi ngenxa ye-STI zifaka:

• Ukuba mdala kuneminyaka yobudala engama-45
• Ukusetshenziswa kwesikhathi eside kwe-catheter ye-Foley
• Ukungagonyelwa imvukuzane
• Izinkinga zomgudu womchamo owawukhona ngesikhathi sokuzalwa (ukuzalwa)
• Ukuphindaphindwa kwezifo zomgudu womchamo
• Ukuhlinzwa kwepheshana le-urinary (ukuhlinzwa kwe-genitourinary)
• I-BPH (i-benign prostatic hyperplasia) - i-prostate ekhulisiwe
• Ukuqina kwe-Urethral (ukusikeka ngaphakathi kwe-urinary tract)

Izimpawu zifaka:

• Ubuhlungu esendeni
• Igazi esidunjini
• Ukukhishwa epeni
• Imfiva
• Ubuhlungu besisu
• Ubuhlungu ngokuya ocansini noma nge-ejaculation
• Ubuhlungu ngokuchama (i-dysuria)
• Ukuvuvukala kwescrotal
• Ithenda, indawo evuvukele yezinhlungu ohlangothini oluthintekile
• Ithenda, ukuvuvukala, umuzwa osindayo esendeni

Ukuhlolwa ngokomzimba kungakhombisa:

• Indlala ye-prostate ekhulisiwe noma ethambile
• Ama-lymph node akhulisiwe endaweni ye-groin (inguinal) ohlangothini oluthintekile
• Ithenda nethenda elikhulisiwe ohlangothini oluthintekile
• Ububomvu noma ubumnene besikhwama

Ukuhlolwa kungafaka:

• Qedela ukubalwa kwegazi (CBC)
• I-ultrasound yamasende
• Uvivinyo lokuhlola i-chlamydia ne-gonorrhea (i-urethral smear)
• Ukuhlolwa komchamo
• Isiko le-Urine (ukubamba okuhlanzekile) - kungadinga amasampula amaningana, kufaka phakathi ukusakazwa kokuqala, i-middleream, nangemva kokubhucungwa kwe-prostate

Ukwelashwa kungafaka:

• Ama-antibiotic, uma ukutheleleka kubangelwa amagciwane. (Endabeni ye-gonorrhea noma i-chlamydia, abalingani ocansini nabo kufanele baphathwe.)
• Imithi elwa nokuvuvukala.
• Imithi yezinhlungu.
• Ukuphumula kombhede ngamaphakethe we-scrotum aphakanyisiwe namaphakethe e-ice asetshenziswa kule ndawo.

Ukuthola ukuxilongwa nokwelashwa okulungile kwe-orchitis okubangelwa amagciwane kungavumela kakhulu ukuthi isende lilulame kahle.

Uzodinga ukuhlolwa okwengeziwe ukukhipha umdlavuza wamasende uma isende lingabuyeli ngokuphelele kokujwayelekile ngemuva kokwelashwa.

Izimpumputhe ze-orchitis azikwazi ukwelashwa, futhi umphumela ungahluka. Abesilisa abake baba ne-mumps orchitis bangaba yinyumba.

Abanye abafana abathola i-orchitis ebangelwa omunyu bayoba nokuncipha kwamasende (testicular atrophy).

I-Orchitis nayo ingadala ukungabi nenzalo.

Ezinye izinkinga ezingaba khona zifaka:

• I-epididymitis engapheli
• Ukufa kwezicubu zesende (i-testicular infarction)
• I-Fistula esikhumbeni se-scrotum (i-cutaneous scrotal fistula)
• Ithumba le-scrotal

Ubuhlungu obunzima ku-scrotum noma emasendeni bungadalwa ukusonteka kwemithambo yegazi (testor). Lesi yisimo esiphuthumayo sezokwelapha esidinga ukuhlinzwa ngokushesha.

Isende elivuvukile elinobuhlungu obuncane noma obungenabuhlungu kungaba uphawu lomdlavuza wamasende. Uma kunjalo, kufanele ube ne-testicular ultrasound.

Bheka umhlinzeki wakho wezokunakekelwa kwempilo ukuze ahlolwe uma unezinkinga zesende.

Thola usizo oluphuthumayo lwezokwelapha uma unezinhlungu ezingazelelwe esendeni.

Izinto ongazenza ukuvimbela inkinga zifaka:

• Gomela imvukuzane.
• Zijwayeze ukuziphatha okuphephile kwezocansi ukunciphisa ingozi yakho yezifo zocansi.

Epididymo - orchitis; Ukutheleleka kweTestis

• I-anatomy yokuzala yowesilisa
• Uhlelo lokuzala lwabesilisa

UMason WH. Izimpumputhe. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ama-eds. Incwadi kaNelson Yezingane. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2016: isahluko 248.

IMcGowan CC, iKrieger J. Prostatitis, i-epididymitis, ne-orchitis. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases, uHlelo Olubuyekeziwe. Umhlaka 8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 112.

I-Nickel JC. Izimo zokuvuvukala nezinhlungu zethambo lobulili labesilisa: i-prostatitis nezimo ezihlobene nobuhlungu, i-orchitis, ne-epididymitis. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 13.