Ubuhlungu besende

Ubuhlungu be-testicle abukhathazeki kwelinye noma kumasende womabili. Ubuhlungu bungadlulela esiswini esingezansi.

Amasende azwela kakhulu. Ngisho nokulimala okuncane kungadala ubuhlungu. Kwezinye izimo, ubuhlungu besisu bungenzeka ngaphambi kobuhlungu be-testicle.

Izimbangela ezivamile zobuhlungu besende zifaka:

• Ukulimala.
• Ukutheleleka noma ukuvuvukala kwamathambo wesidoda (i-epididymitis) noma amasende (orchitis).
• Ukusonteka kwamasende okunganqamula ukunikezwa kwegazi (amasende okuqina). Kuvame kakhulu ezinsizweni eziphakathi kweminyaka eyi-10 nengu-20 ubudala. Kuyisimo esiphuthumayo sezokwelapha esidinga ukwelashwa ngokushesha okukhulu. Uma ukuhlinzwa kwenziwa kungakapheli amahora amane, amasende amaningi angagcinwa.

Ubuhlungu obumnene bungabangelwa ukuqoqwa koketshezi esikhwameni, njenge:

• Imithambo ekhulisiwe ku-scrotum (varicocele).
• I-cyst ku-epididymis evame ukuqukethe amaseli wesidoda afile (i-spermatocele).
• Uketshezi oluzungeze isende (i-hydrocele).
• Ubuhlungu emasendeni bungabangelwa i-hernia noma itshe lezinso.
• Umdlavuza wamasende cishe awubuhlungu ngaso sonke isikhathi. Kepha noma isiphi isigaxa samasende kufanele sihlolwe ngumhlinzeki wakho wokunakekelwa kwezempilo, noma ngabe bukhona ubuhlungu noma cha.

Izimbangela ezingezona eziphuthumayo zobuhlungu besende, njengokulimala okuncane nokuqoqwa kuketshezi, kungahle kuphathwe ngokunakekelwa kwasekhaya. Izinyathelo ezilandelayo zinganciphisa ukungakhululeki nokuvuvukala:

• Nikeza ukuxhaswa kwesikhwama ngokugqoka umsekeli wezemidlalo.
• Faka iqhwa esikhwameni.
• Thatha okugeza okufudumele uma kunezimpawu zokuvuvukala.
• Ngenkathi ulele, faka ithawula eligoqiwe ngaphansi kwesikhwama sakho.
• Zama ukudambisa izinhlungu ngaphezulu kwekhawunta, njenge-acetaminophen noma ibuprofen. UNGANIKI izingane i-aspirin.

Thatha ama-antibiotic umhlinzeki wakho wokunakekelwa kwezempilo akunikeza uma ubuhlungu bubangelwa ukutheleleka. Izinyathelo zokuzivikela okufanele uzithathe:

• Vimbela ukulimala ngokugqoka umsekeli wezemidlalo ngesikhathi semidlalo yokuxhumana.
• Landela imikhuba yocansi ephephile. Uma kutholakala ukuthi une-chlamydia noma enye i-STD, bonke abalingani bakho bezocansi kudingeka bahlolwe ukuze babone ukuthi banegciwane yini.
• Qiniseka ukuthi izingane zithole umuthi wokugoma we-MMR (mumps, isimungumungwane, ne-rubella).

Ngokungazelelwe, ubuhlungu obukhulu besende budinga ukunakekelwa kwezokwelapha ngokushesha.

Shayela umhlinzeki wakho khona manjalo noma uye egumbini lezimo eziphuthumayo uma:

• Ubuhlungu bakho bukhulu noma ngokuzumayo.
• Ube nokulimala noma ukuhlukumezeka esikhumbeni, futhi usenobuhlungu noma ukuvuvukala ngemuva kwehora eli-1.
• Ubuhlungu bakho buhambisana nesicanucanu noma ukuhlanza.

Shayela umhlinzeki wakho ngokushesha uma:

• Uzwa isigaxa esikhwameni.
• Unomkhuhlane.
• I-scrotum yakho ifudumele, ithenda lapho uyithinta, noma ibomvu.
• Uke waxhumana nomuntu onomgogodla.

Umhlinzeki wakho uzokwenza ukuhlolwa kwe-groin yakho, amasende, nesisu. Umhlinzeki wakho uzokubuza imibuzo ngobuhlungu obufana:

• Unezinhlungu zesende isikhathi esingakanani? Ingabe iqale ngokuzumayo noma kancane?
• Ingabe uhlangothi olulodwa luphakeme kunokujwayelekile?
• Ubuzwa kuphi ubuhlungu? Ngasohlangothini olulodwa noma zombili?
• Bubi kangakanani ubuhlungu? Ingabe ihlala njalo noma ifika idlule?
• Ingabe ubuhlungu bufinyelela esiswini sakho noma emuva?
• Ingabe uke walimala?
• Wake waba nokutheleleka okusakazwa ngokuxhumana ngocansi?
• Ingabe unakho ukukhishwa kwe-urethral?
• Ngabe unezinye izimpawu ezinjengokuvuvukala, ububomvu, ushintsho kumbala womchamo wakho, umkhuhlane, noma ukwehla kwesisindo okungalindelekile?

Ukuhlolwa okulandelayo kungenziwa:

• I-Ultrasound yamasende
• Amasiko wokuchama kanye nomchamo
• Ukuhlolwa kwezimfihlo ze-prostate
• Ukuhlolwa kwe-CT noma okunye ukuhlolwa kwe-imaging
• Ukuhlolwa komchamo ngezifo ezithathelwana ngocansi

Ubuhlungu - isende; I-Orchalgia; I-Epididymitis; I-Orchitis

• I-anatomy yokuzala yowesilisa

IMatsumoto AM, i-Anawalt BD. Ukuphazamiseka kwamasende. Ku: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 19.

IMcGowan CC. I-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. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 110.

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.