Loaʻa iā ʻoe kekahi ʻeha i loko o kou mau testicles? E kamaʻilio kākou e pili ana i ka epididymitis!

Ke manaʻo nei ʻoe i kekahi manawa i kahi ʻano huhū iki, ʻeha, a ʻeha paha i loko a puni paha o kou mau testicles? Malia paha he pehu iki. He mea maʻamau ka manaʻo hopohopo iki ke manaʻo ʻoe i kahi mea e like me kēia. Akā, mai hopohopo, i kēia lā e kamaʻilio mākou e pili ana i kahi maʻi e hiki ai ke hoʻoulu i kēia mau hōʻailona. ʻO ia ka epididymitis.

ʻO ka mea mua, he aha ka epididymis?

ʻAe, i kēia manawa e noʻonoʻo ʻoe he ʻelua mau testicle i loko o ko kākou kino kāne. Ma hope o kēlā me kēia o kēia mau testicle, ma luna, aia kahi ʻōmole lahilahi a ʻōwili ʻia. ʻO ia ka mea i kapa ʻia ʻo 'epididymis' i ka ʻepekema lapaʻau. Hana kēia i kahi hana koʻikoʻi loa. ʻO ia hoʻi, mālama ia i ka sperm i hana ʻia e nā testicle no kekahi manawa, kōkua iā lākou e oʻo, a laila lawe iā lākou i waho ma ke ʻano he ʻāpana o ka wai seminal. I ka ʻōlelo maʻalahi, ua like kēia me kahi kū koʻikoʻi ma ka huakaʻi a ka sperm.

No laila he aha ka epididymitis?

Eia ka ʻāpana o ka epididymis a mākou i kamaʻilio ai ma mua e lilo i pehu no kekahi kumu, ʻo ia ka mea a mākou e kapa nei ʻo 'epididymitis'. Ke noʻonoʻo ʻoe i ka pehu, hoʻomanaʻo paha ʻoe i nā hōʻailona e like me ka pehu ʻana, ka ʻulaʻula, ka ʻeha, a i kekahi manawa he manaʻo mehana. No laila, ke kū mai kēia ʻano 'epididymitis', hiki iā ʻoe ke ʻike i ka ʻeha a me ka ʻoluʻolu ʻole i loko o kou scrotum, i loko o kou mau testicles, a i ʻole ma kahi o ka 'epididymis'.

He mea ʻoluʻolu ʻole ka mumū ma nā wahi āpau o ke kino. ʻOi aku ka ʻino ke hana ʻia ma kahi ʻāpana koʻikoʻi e like me kēia. Akā e hoʻomanaʻo, ʻo kēia mumū he hōʻailona ia mai ko mākou kino iā mākou, e ʻōlelo ana, "Aia kekahi mea hewa ma ʻaneʻi, e kiʻi i ke aʻo lapaʻau."

Aia kekahi mau ʻano o ka epididymitis?

ʻAe, hiki iā mākou ke kamaʻilio nui e pili ana i ʻelua ʻano epididymitis:

1. ʻEpididymitis ʻĀkiu: I kēia hihia, hoʻomaka koke nā hōʻailona a piʻi mālie. ʻO ka hapa nui o ka manawa, ua hoʻokumu ʻia kēia maʻi 'Epididymitis ʻĀkiu' e kahi maʻi bacteria .

2. ʻO ka Epididymitis Mau Loa: I kēia hihia, hiki iā ʻoe ke loaʻa ka ʻeha a i ʻole ka ʻoluʻolu ʻole i loko o kou mau testicles no ʻeono pule a ʻoi aku paha. I kekahi manawa e emi iho ka ʻeha a laila hoʻi hou mai. Eia nō naʻe, ʻoi aku ka liʻiliʻi o nā hōʻailona ma mua o ke kūlana 'Acute'.

He aha nā hōʻailona o ka epididymitis?

Hiki i kekahi kanaka me ka epididymitis ke loaʻa i hoʻokahi a ʻoi aku paha o nā hōʻailona penei:

• ʻEha scrotal: Hiki i kēia ʻeha ke pālahalaha i kekahi manawa i ka ʻūhā. Hiki ke loaʻa ma kekahi ʻaoʻao a i ʻole ma nā ʻaoʻao ʻelua. No kekahi poʻe, he ʻoluʻolu iki wale nō kēia, a no kekahi poʻe, hiki ke koʻikoʻi.
• Ka pehu ʻana o nā testicles: Hiki i nā testicles ke pehu i ka wā e hoʻopā ʻia ai.
• Kuni a me nā ʻūlū: Hiki ke hana ʻia ke kuni e kahi maʻi.
• ʻEha a wela paha i ka wā e mimi ai (Dysuria): Hiki ke hana kēia inā ua pālahalaha ka maʻi i ke ala mimi.
• Koko i loko o ka semen (Hematospermia): ʻAʻole kēia e hana i nā kānaka a pau, akā hiki i kekahi poʻe ke ʻike.

He aha nā kumu nui o ka epididymitis?

He nīnau koʻikoʻi loa. ʻO ka 'Acute Epididymitis' (ke ʻano koke) ka mea i hoʻoulu pinepine ʻia e kahi maʻi bacteria .

• Inā ʻoe ma lalo o 35 mau makahiki: ʻO ka mea paha kēia ma muli o nā maʻi i laha ma ke ʻano moekolohe (STIs) , e like me ka gonorrhea a me ka chlamydia. Hiki ke laha kēia mau mea ma o ka moekolohe pale ʻole.
• Inā ʻoi aku ʻoe ma mua o 35 mau makahiki: ʻO ke kumu maʻamau ka wā e hele ai ka mimi i loaʻa i ka maʻi i hope ma o ka urethra a hele i luna i ke kaula spermatic i ka epididymis. ʻO ke kumu nui o kēia he bacteria i kapa ʻia ʻo E. coli. ʻO nā kāne e moe kolohe me nā kāne e loaʻa pū kekahi i ka pilikia o ka hoʻomohala ʻana i ka epididymitis ma muli o nā bacteria ʻōpū e like me E. coli.

Nā maʻi ʻē aʻe

Hiki ke hana ʻia ka epididymitis e ka maʻi mumps a, kākaʻikahi loa, ka maʻi tuberculosis.

Nā kumu ʻē aʻe ʻaʻole i hoʻopili ʻia

He emi iki kēia mau mea, akā maikaʻi ke ʻike:

• Inā he mea pale kou i loko o kou urethra.
• ʻO kahi maʻi o ka ʻōpū prostate ('Prostatitis').
• Inā ʻoe e hoʻohana i kahi catheter urinary, no ka laʻana he catheter Foley.
• He ʻeha ma ka ʻāpana ʻūhā.
• ʻO Amiodarone kahi lāʻau lapaʻau i hoʻohana ʻia no ka mālama ʻana i nā maʻi o ka puʻuwai.

Hiki iā ʻoe ke hoʻomohala i ka epididymitis me ka loaʻa ʻole o ka maʻi i hoʻouna ʻia ma ke ʻano moekolohe (STI)?

ʻAe, hiki nō. Hiki ke hana ʻia ka epididymitis e nā maʻi ʻaʻole STD. No ka laʻana, hiki i nā maʻi prostate (prostatitis) a i ʻole nā ​​maʻi urinary tract (UTI) a mākou i kūkākūkā ai ma mua ke laha a hoʻopilikia i ka epididymis.

He maʻi laha anei ka epididymitis?

He mea huikau iki kēia. ʻAʻole manaʻo nā kauka i ka epididymitis ponoʻī he maʻi i laha ma ke ʻano moekolohe (STI). Eia nō naʻe, inā he STI ke kumu o ka epididymitis (e.g., Chlamydia, Gonorrhea), a laila hiki ke laha ma ke ʻano moekolohe kēlā STI. No laila, inā haʻi aku ke kauka iā ʻoe he epididymitis kou, he mea nui e ʻike pono i ke kumu. Inā he STI ke kumu, he mea nui loa e hoʻomaopopo i kāu mau hoa moe a hoʻāʻo pū iā lākou.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?

He maʻi ka epididymitis e pili ana i nā kāne. Hiki ke loaʻa i kēlā me kēia makahiki.

He aha nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia?

Inā ʻaʻole i mālama pono ʻia , hiki i ka epididymitis ke alakaʻi i kekahi mau pilikia.

• Hiki ke ulu kahi abscess i loko o ka scrotum. ʻO ke ʻano kēia, hōʻiliʻili ka pus a hana i puʻupuʻu.
• Hiki i ka pehu ʻana a me ka maʻi ke hoʻoulu i ka ʻili scrotal e pehu a ʻeha.
• ʻO ka mea pinepine ʻole, hiki i ka epididymitis ke hana i nā pilikia e pili ana i ka hānau ʻole ʻana o ke kāne.

ʻO ia ke kumu he mea nui e ʻimi i ke kōkua lapaʻau i ka wā e hoʻomaka ai nā hōʻailona. Hiki i kēia ke kōkua i ka pale ʻana i nā pilikia e like me kēia.

Pehea e ʻike ʻia ai ka epididymitis? (Diagnosis)

Ke ʻike ʻoe i ke kauka, e nīnau mua lākou iā ʻoe e pili ana i kāu mau hōʻailona. A laila e nānā lākou i kou scrotum e nānā i kekahi ʻano palupalu a i ʻole nā ​​puʻupuʻu. Eia kekahi, hiki iā lākou ke hana i kēia mau hoʻokolohua:

• Urinalysis: Nānā ʻia kahi laʻana o kāu mimi no ka bacteria.
• Nā hoʻāʻo koko: Lawe ʻia kahi hāpana koko a nānā ʻia no nā hōʻailona o ka maʻi.
• Nā hoʻāʻo swab bacteria: I kekahi manawa, hoʻokomo ʻia kahi swab liʻiliʻi (e like me ka swab pulupulu) i loko o kou urethra a hoʻāʻo ʻia kahi hāpana i lawe ʻia mai laila no nā pathogens STI (bacteria a i ʻole nā ​​​​virus).
• Ultrasound: I kekahi mau hihia, hiki i ka ultrasound o ka scrotum ke kōkua i ka hōʻoia ʻana i ke alo o ka epididymitis.

Pehea e mālama ʻia ai ka epididymitis?

ʻO ke ʻano o ka mālama ʻana i ka epididymitis e pili ana i ke kumu.

ʻO ka epididymitis i hoʻokumu ʻia e kahi maʻi bacteria

Inā he bacteria ke kumu, ʻo ka lāʻau lapaʻau he antibiotics . ʻO nā lāʻau lapaʻau i kuhikuhi pinepine ʻia:

• ʻO Doxycycline (Doxycycline)
• ʻO Ciprofloxacin
• ʻO Levofloxacin
• ʻO ka lāʻau lapaʻau ʻo Trimethoprim-sulfamethoxazole

Pono ka hapa nui o nā kānaka e lawe i kēia mau lāʻau antibiotic no hoʻokahi a ʻelua paha pule. Eia nō naʻe, i nā hihia kakaikahi, pono paha lākou e lawe ʻia no ka manawa lōʻihi. He mea nui loa ka lawe ʻana i ka lāʻau lapaʻau no ka lōʻihi o ka manawa a kāu kauka i kuhikuhi ai.

ʻO ka Epididymitis i hoʻokumu ʻia e ka maʻi puʻupuʻu

Inā he maʻi puʻupuʻu ke kumu, hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau e like me kēia:

• ʻO ka lāʻau lapaʻau ʻIsoniazid pyrazinamide rifampin
• ʻEthambutol
• ʻO ka Rifapentine

Pono e lawe ʻia kēia mau lāʻau anti-tuberculosis no kahi manawa lōʻihi o ʻeono a ʻeiwa mahina.

I kekahi mau hihia koʻikoʻi, pono paha ke ʻoki ʻana e wehe i hoʻokahi a i ʻole nā ​​epididymis ʻelua (epididymectomy) a i ʻole hoʻokahi a i ʻole nā ​​testicles ʻelua (orchiectomy). Eia nō naʻe, he mea kākaʻikahi loa kēia.

ʻO ka epididymitis i hoʻokumu ʻia e ka lāʻau lapaʻau ʻo Amiodarone

Inā ua hoʻoholo ʻia ua hoʻokumu ʻia kāu epididymitis e ka lāʻau lapaʻau puʻuwai ʻo Amiodarone, hiki i kāu kauka ke hōʻemi i kāu mahele lāʻau a kuhikuhi paha i kahi lāʻau lapaʻau ʻē aʻe. Mai ho'ōki i ka lawe ʻana i kahi lāʻau a hoʻololi paha i ka mahele me ka ʻole o ka nīnau mua ʻana i kāu kauka.

ʻO ka epididymitis ma muli o nā kumu ʻē aʻe

Inā kumu ʻole ka maʻi o kou epididymitis, ʻokoʻa paha ke ʻano o ka lāʻau. E wehewehe kāu kauka i kēia iā ʻoe a e aʻo iā ʻoe pehea e hōʻemi ai i ka ʻeha.

E hoʻomaikaʻi anei ka epididymitis iā ia iho?

Hoʻokumu pinepine ʻia ka epididymitis e kahi maʻi bacteria. ʻAʻole e hoʻōla wale ʻia ka epididymitis i hoʻokumu ʻia e ka bacteria. No laila, he mea nui e ʻike i ke kauka i ka wā e hoʻomaka ai nā hōʻailona, ​​​​e loaʻa ka lāʻau kūpono, a pale i ka ulu ʻana o nā pilikia a mākou i kamaʻilio ai.

He hopena anei ka ejaculation i ka epididymitis?

ʻAʻole hoʻonui ka ejaculation i ka epididymitis. Eia nō naʻe, no kekahi poʻe, hiki ke hoʻonui ʻia ka ʻeha i kēia manawa. ʻOi aku ka maikaʻi o ka pale ʻana i ka moekolohe a hiki i ka ʻōlelo ʻana a kāu kauka, "ʻAe, ua maikaʻi kēlā." He mea naʻauao nō hoʻi e pale i ka masturbation a hiki i ka pau ʻana o kāu lāʻau lapaʻau.

Hiki iaʻu ke mālama i ka epididymitis ma ka home?

I ka hapanui o nā hihia, ʻaʻole hiki iā ʻoe ke mālama i ka epididymitis ma ka home. He mea nui e ʻike i ke kauka no kahi hōʻoia pololei a me ka lāʻau kūpono. Eia nō naʻe, hiki iā ʻoe ke hana i kēia mau mea e hōʻemi ai i ka ʻoluʻolu ʻole i hoʻokumu ʻia e nā hōʻailona o ka epididymitis:

• Hoʻomaha: E pale i ke kaumaha ʻana i kou kino i ka hiki.
• E hoʻokiʻekiʻe i ka scrotum: I ka wā e hiamoe ana, hiki iā ʻoe ke hoʻohana i kahi mea e like me ka uluna liʻiliʻi e hoʻokiʻekiʻe iki i ka scrotum.
• E hoʻopili i kahi ʻeke hau: ʻO ke kau ʻana i kahi ʻeke hau i kou scrotum a i ʻole ka ʻāpana groin hiki ke kōkua i ka hōʻemi ʻana i ka ʻeha a me ka pehu. Eia naʻe, mai hoʻopili pololei i ka hau i kou ʻili; e wahī iā ia i loko o kahi lole.
• E komo i nā lole komo paʻa: ʻO ke komo ʻana i nā lole komo paʻa a i ʻole ke kākoʻo haʻuki e hiki ke kōkua i ka hōʻemi ʻana i ka pehu ʻana, hoʻemi i ka neʻe ʻana o ka testicular, a hoʻemi i ka ʻeha.
• Inu i nā wai he nui: ʻO ka inu ʻana i nā wai he nui, ʻoiai ka wai, e kōkua i ka ho'ōla ʻana i nā maʻi.
• E lawe i nā lāʻau ʻeha: Hiki iā ʻoe ke lawe i nā lāʻau ʻeha e like me `NSAIDS` (Nonsteroidal anti-inflammatory drugs) (e.g. Ibuprofen). Eia naʻe, ʻaʻole hana kēia mau lāʻau no nā kānaka a pau, no laila ʻoi aku ka maikaʻi o ke nīnau ʻana i ke kauka.

Pehea ka lōʻihi o ka ho'ōla ʻana o ka epididymitis?

Aia nō ia i ke kumu o ka epididymitis.

• Inā he maʻi bacteria ia:I ka hapa nui o ka manawa, e hoʻomaka ʻoe e ʻoluʻolu i loko o kekahi mau lā o ka hoʻomaka ʻana i nā antibiotics. Eia nō naʻe, hiki ke hala i kekahi mau pule no ka emi loa ʻana o ka pehu. I kekahi manawa, loaʻa paha iā ʻoe kekahi ʻoluʻolu ʻole a pehu iki paha no nā pule a i ʻole nā ​​mahina ma hope o ka pau ʻana o ka lawe ʻana i nā antibiotics.
• Inā ma muli o ka maʻi puʻupuʻu: Hiki ke hala ma kahi o ʻeiwa mahina e ho'ōla ai me ka lāʻau lapaʻau.
• Inā ma muli o 'Amiodarone': E hoʻomaka koke ʻoe e ʻike i ka hōʻoluʻolu ma hope o ka hōʻemi ʻana i ka nui o kēlā lāʻau lapaʻau a i ʻole ka hoʻōki ʻana.
• Inā hana ʻoe i ke ʻoki kino (kākaʻikahi loa): Ma hope o ke ʻoki kino, hiki i ka pehu ke hoʻonui iki i ka ʻeha. Hiki ke hala kekahi mau pule e ho'ōla ai. Akā, ʻaʻole kēia manaʻo ua hāʻule ka ʻoki kino.

Hiki ke pale ʻia ka epididymitis?

ʻOiai ʻaʻole hiki ke pale loa ʻia, hiki iā ʻoe ke hana i kēia mau mea e hōʻemi ai i kou pilikia:

• E hoʻohana i nā ʻano palekana, e like me nā condom, i ka wā moe kolohe. ʻO kēia ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai nā maʻi STI.
• E holoi mau i kou mau lima me ke kopa.
• E uhi i kou waha i ka wā e ʻū ai a i ke kunu ʻana (e pale iā ʻoe iho mai nā mea e like me ka ʻūpā).
• E kiʻi i nā lāʻau pale i ka manawa kūpono.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka epididymitis?

I ka hapanui o nā hihia, e kuhikuhi kāu kauka i nā lāʻau antibiotic e mālama i ka maʻi a hōʻemi i kāu mau hōʻailona. E hāʻawi pū lākou iā ʻoe i nā ʻōlelo aʻoaʻo no ka hoʻomaha ʻana i kou ʻeha ma ka home. ʻOiai hiki i ka epididymitis ke ʻeha, ʻaʻole ia e hoʻoulu i nā pilikia lōʻihi, ʻoiai inā mālama koke ʻia. No laila e ʻike koke i ke kauka ke ʻike ʻoe i nā hōʻailona.

Pehea ka lōʻihi o ka epididymitis?

Hoʻomaka ka hapa nui o ka poʻe i loaʻa ka lāʻau lapaʻau e hoʻomaikaʻi i loko o ʻekolu lā, akā hiki ke hala i nā hebedoma, a i ʻole nā ​​​​mahina, no ka nalo loa ʻana o nā hōʻailona.

ʻO ka mea nui loa, ʻo ia ka hoʻopau ʻana i ka papa holoʻokoʻa o nā lāʻau antibiotic i kuhikuhi ʻia e kāu kauka, ʻoiai inā ʻoe e manaʻo maikaʻi ana. Inā ʻaʻole ʻoe, hiki i ka epididymitis ke hoʻi hou mai a ʻoi aku ka paʻakikī o ka mālama ʻana.

Inā hoʻi hou mai nā hōʻailona, ​​e ʻike pono i ke kauka. E kōkua kēia i ka pale ʻana i nā kūlana ʻē aʻe e hoʻopilikia paha i nā testicles (e like me ke kanesa testicular). ʻOiai ʻaʻole pinepine ka maʻi kanesa testicular i ka ʻeha a i ʻole ka pehu ʻana, he mea nui e loaʻa nā nānā lapaʻau maʻamau.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o nā hōʻailona o ka epididymitis, e ʻike koke i ke kauka. Inā hoʻoholo kāu kauka ua hoʻokumu ʻia kāu maʻi e kahi STI, e hoʻomaopopo i kāu mau hoa moe kolohe hou a e ʻike lākou i ke kauka a loaʻa ka lāʻau lapaʻau.

Āhea wau e hele ai i kahi Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe ka ʻeha testicular koke a koʻikoʻi, e hele koke i ka lumi pilikia kokoke loa. A i ʻole e kelepona i ka 911. He kūlana koʻikoʻi paha kēia e like me ka Testicular Torsion e pono ai ka mālama koke ʻia.

He aha nā nīnau āu e nīnau ai i ke kauka?

Inā ʻōlelo kāu kauka he epididymitis kou, hiki iā ʻoe ke nīnau iā lākou i kekahi mau nīnau e ʻike hou aku:

• He aha ke kumu o kēia iaʻu?
• He aha nā lāʻau antibiotic āu e ʻōlelo nei?
• Pono anei au e hana i nā hoʻokolohua hou aku?
• Pehea ka lōʻihi o koʻu ola ʻana?
• Pehea ka lōʻihi e pono ai iaʻu ke kāpae i ka moekolohe?
• Pono anei kaʻu(mau) hoa moe e hoʻāʻo ʻia no nā STI?

He aha nā maʻi ʻē aʻe e hiki ke huikau me ka epididymitis?

Hiki ke like nā hōʻailona o kēia mau kūlana me nā hōʻailona o ka epididymitis:

• ʻO ka maʻi ʻōpū (ʻOrchitis)
• ʻO ka torsion testicular - He pilikia kēia!
• ʻO ka puʻupuʻu testicular
• Ka maʻi ʻaʻai testicular

He aha ka ʻokoʻa ma waena o ka Epididymitis a me ka Orchitis?

ʻO ka Epididymitis ka mumū o ka ʻōmole i kapa ʻia ʻo epididymis, a mākou i kamaʻilio ai ma mua, aia ma hope o ka testicle. ʻO ka Orchitis ka pehu a me ka mumū o ka testicle ponoʻī. I kekahi manawa hiki ke hui pū ʻia kēia mau kūlana ʻelua. I kēlā hihia, kapa nā kauka iā ia he epididymo-orchitis.

ʻO ka mea hope loa, leka lawe i ka home:

Hiki ke hilahila iki ke kamaʻilio e pili ana i ka ʻeha a i ʻole ka ʻoluʻolu ʻole i loko o kou mau testicles. Eia nō naʻe, he mea nui e ʻike koke i ke kauka a nānā ʻia. Mālama nā kauka i kou olakino a me kou noʻonoʻo pono, no laila mai makaʻu e kamaʻilio me lākou e pili ana i kou mau hopohopo.

E hoʻomanaʻo, e lawe pololei i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai, i ka manawa kūpono. Eia kekahi, e hahai i nā kuhikuhi i hāʻawi ʻia. A laila hiki iā ʻoe ke ho'ōla koke. He kūlana kēia e hiki ke mālama maikaʻi ʻia i ka hapa nui o nā hihia, no laila mai hopohopo, akā mai hoʻowahāwahā pū kekahi!

ʻEpididymitis , ʻeha testicular, nā maʻi bacteria, nā STD, nā antibiotics, ke olakino kāne, nā maʻi ʻōpū mimi