Ingabe nawe uzwa ubuhlungu emasendeni akho? Ake sixoxe nge-epididymitis!

Ingabe ngezinye izikhathi uzizwa uphatheke kabi, udabukile, noma udabukile ngaphakathi noma eduze kwamasende akho? Mhlawumbe ngisho nokuvuvukala okuncane. Kuvamile ukuzizwa ukhathazekile kancane uma uzizwa into efana nale. Kodwa ungakhathazeki, namuhla sizokhuluma ngesimo esingabangela lezi zimpawu. Leso yi-epididymitis.

Okokuqala, iyini i-epididymis?

Kulungile, ake ucabange ukuthi sinama-testicle amabili emzimbeni wethu wesilisa. Ngemuva kwala ma-testicle ngalinye, phezulu, kukhona ipayipi elincane kakhulu, eligoqekile. Yilokho okubizwa ngokuthi i-'epididymis' kwisayensi yezokwelapha. Lokhu kwenza umsebenzi obaluleke kakhulu. Okusho ukuthi, kugcina isidoda esikhiqizwa ama-testicle isikhashana, kuwasize avuthwe, bese ewakhipha njengengxenye yoketshezi lwesidoda. Kalula nje, lokhu kufana nokuma okubalulekile ohambweni lwesidoda.

Ngakho-ke iyini i-epididymitis?

Nansi ingxenye ye-epididymis esikhulume ngayo ekuqaleni evuvukala ngesizathu esithile, okuyilokho esikubiza ngokuthi 'i-epididymitis'. Uma ucabanga ngokuvuvukala, cishe ukhumbula izimpawu ezifana nokuvuvukala, ukubomvu, ubuhlungu, futhi ngezinye izikhathi umuzwa wokufudumala. Ngakho-ke lapho lesi simo 'se-epididymitis' sivela, ungase uzwe ubuhlungu nokungakhululeki esikhumbeni sakho, emasendeni akho, noma ngqo endaweni lapho 'i-epididymis' ikhona khona.

Ukuvuvukala noma kuphi emzimbeni kuhlale kungakhululeki. Kuba kubi nakakhulu uma kwenzeka endaweni ebucayi njengale. Kodwa khumbula, lokhu kuvuvukala empeleni kuyisibonakaliso esivela emzimbeni wethu kithi, sithi, "Kukhona okungahambi kahle lapha, thola iseluleko sezokwelapha."

Ingabe zikhona izinhlobo ze-epididymitis?

Yebo, singakhuluma kakhulu ngezinhlobo ezimbili ze-epididymitis:

1. I-Acute Epididymitis: Kulesi simo, izimpawu ziqala ngokuzumayo futhi zikhula kancane kancane. Esikhathini esiningi, lesi simo se-'Acute Epididymitis' sibangelwa ukutheleleka ngamagciwane .

2. I-Epididymitis Engapheli: Kulesi simo, ungase ube nobuhlungu noma ukungakhululeki emasendeni akho amasonto ayisithupha noma ngaphezulu. Ngezinye izikhathi ubuhlungu bungase buphele bese buphinde bubuye. Kodwa-ke, izimpawu zivame ukuba zimbi kakhulu kunasesimweni 'se-Acute'.

Ziyini izimpawu ze-epididymitis?

Umuntu one-epididymitis angase abe nesinye noma ngaphezulu kwalezi zimpawu ezilandelayo:

• Ubuhlungu be-scrotal: Lobuhlungu ngezinye izikhathi bungasakazeka embotsheni. Bungaba kolunye uhlangothi noma kuzo zombili izinhlangothi. Kwabanye abantu, lokhu kumane nje ukungakhululeki okuncane, kanti kwabanye, kungaba nzima kakhulu.
• Ukuvuvukala kwama-testicle: Ama-testicle angase azwakale evuvukile uma ethintwa.
• Umkhuhlane kanye nokubanda: Umkhuhlane ungabangelwa ukutheleleka.
• Ubuhlungu noma ukushisa lapho uchama (i-Dysuria): Lokhu kungenzeka uma ukutheleleka sekusakazekele emgudwini womchamo.
• Igazi esidodeni (iHematospermia): Lokhu akwenzeki kuwo wonke umuntu, kodwa abanye abantu bayakubona.

Yiziphi izimbangela eziyinhloko ze-epididymitis?

Umbuzo obaluleke kakhulu. `I-Acute Epididymitis` (uhlobo oluzumayo) luvame ukubangelwa ukutheleleka ngamagciwane .

• Uma ungaphansi kweminyaka engama-35 ubudala: Lokhu kungenzeka kakhulu ngenxa yezifo ezithathelwana ngocansi (STIs) , njenge-gonorrhea kanye ne-chlamydia. Lokhu kungasakazeka ngocansi olungavikelekile.
• Uma uneminyaka engaphezu kwengu-35 ubudala: Imbangela evame kakhulu yilapho umchamo onegciwane ubuyela emuva nge-urethra bese ukhuphuka ngentambo yesidoda uye e-epididymis. Lokhu kubangelwa kakhulu yibhaktheriya ebizwa ngokuthi i-E. coli. Amadoda alala namadoda nawo asengozini enkulu yokuthola i-epididymitis ngenxa yamagciwane amathumbu afana ne-E. coli.

Ezinye izifo

I-epididymitis ingabangelwa yigciwane le-mumps futhi, ngokungavamile, isifo sofuba.

Ezinye izimbangela ezingathelelani

Lezi zimbalwa kancane, kodwa kuhle ukuzazi:

• Uma kukhona okuvimbekile e-urethra yakho.
• Ukutheleleka kwendlala yesinye (`i-Prostatitis`).
• Uma usebenzisa i-catheter yomchamo, isibonelo i-catheter ye-Foley.
• Ukulimala endaweni yembobo.
• I-Amiodarone umuthi osetshenziselwa ukwelapha izinkinga zesigqi senhliziyo.

Ungakwazi yini ukuba ne-epididymitis ngaphandle kokuba nesifo esithathelwana ngocansi (STI)?

Yebo, kungenzeka. I-Epididymitis ingabangelwa nayizifo ezingezona eze-STD. Isibonelo, izifo ze-prostate (i-prostatitis) noma izifo zomgudu womchamo (i-UTI) esixoxe ngazo ekuqaleni zingasakazeka futhi zithinte i-epididymis.

Ingabe i-epididymitis iyathelelana?

Lokhu kuyadida kancane. Odokotela ababheki i-epididymitis njengesifo esithathelwana ngocansi (STI). Kodwa-ke, uma imbangela ye-epididymitis kuyi-STI (isb., i-Chlamydia, i-Gonorrhea), khona-ke leyo-STI ingadluliselwa ngocansi. Ngakho-ke, uma udokotela ekutshela ukuthi une-epididymitis, kubalulekile ukuthola ukuthi yini ngempela eyibangele. Uma imbangela kuyi-STI, kubaluleke kakhulu ukwazisa abalingani bakho bocansi futhi ubahlole nabo.

Ubani othinteka kakhulu yilesi simo?

I-Epididymitis yisifo esithinta amadoda. Singavela kunoma yimuphi ubudala.

Yiziphi izinkinga ezingaba khona uma zingelashwa?

Uma ingelashwa kahle , i-epididymitis ingadala ezinye izinkinga.

• Ithumba lingavela esikhumbeni samabele. Lokhu kusho ukuthi ubomvu buyaqoqana bese bukha iqhubu.
• Ukuvuvukala kanye nokutheleleka kungabangela isikhumba se-scrotal ukuba sivuvuke futhi sibe buhlungu.
• Akuvamile kakhulu, i-epididymitis ingadala nezinkinga ezihlobene nokungabi nabantwana kwabesilisa.

Yingakho kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha nje lapho izimpawu ziqala ukubonakala. Lokhu kungasiza ekuvimbeleni izinkinga ezinjengalezi.

I-epididymitis itholakala kanjani? (Ukuxilongwa)

Uma ubona udokotela, bazoqala bakubuze ngezimpawu zakho. Bese behlola i-scrotum yakho ukuze bahlole ukuthi kukhona yini ukuthamba noma amaqhubu. Ngaphezu kwalokho, bangenza lezi zivivinyo ezilandelayo:

• Ukuhlolwa Komchamo: Isampula yomchamo wakho iyahlolwa ukuthi ayinawo yini amagciwane.
• Ukuhlolwa kwegazi: Kuthathwa isampula yegazi bese kuhlolwa izimpawu zokutheleleka.
• Ukuhlolwa kwe-bacterium swab: Ngezinye izikhathi, kufakwa i-swab encane (njenge-cotton swab) e-urethra yakho bese isampula ethathwe lapho ihlolwa amagciwane e-STI (amagciwane noma amagciwane).
• I-Ultrasound: Kwezinye izimo, i-ultrasound ye-scrotum ingasiza ekuqinisekiseni ukuba khona kwe-epididymitis.

Iphathwa kanjani i-epididymitis?

Ukwelashwa kwe-epididymitis kuncike embangela.

I-epididymitis ebangelwa ukutheleleka ngamagciwane

Uma imbangela kuyibhaktheriya, ukwelashwa ngama-antibiotic . Imithi evame kakhulu ukunikezwa yile:

• I- Doxycycline (i-Doxycycline)
• `I-Ciprofloxacin`
• 'I-Levofloxacin'
• "I-Trimethoprim-sulfamethoxazole"

Iningi labantu lidinga ukuthatha la ma-antibiotic isonto elilodwa noma amabili kuphela. Kodwa-ke, ezimweni ezingavamile, kungadingeka ukuthi athathwe isikhathi eside. Kubaluleke kakhulu ukuthatha umuthi isikhathi sonke udokotela wakho akunike sona.

I-Epididymitis ebangelwa isifo sofuba

Uma imbangela kuyisifo sofuba, udokotela angase anikeze imithi efana nale:

• ``Isoniazid-pyrazinamide-rifampin''
• `I-Ethambutol`
• I-Rifapentine

Le mithi yokulwa nesifo sofuba kufanele ithathwe isikhathi eside sezinyanga eziyisithupha kuya kweziyisishiyagalolunye.

Kwezinye izimo ezinzima kakhulu, kungase kudingeke ukuhlinzwa ukuze kususwe i-epididymis eyodwa noma zombili (i-epididymectomy) noma i-testicles eyodwa noma zombili (i-orchiectomy). Kodwa-ke, lokhu akuvamile kakhulu.

I-epididymitis ebangelwa umuthi i-Amiodarone

Uma kutholakala ukuthi i-epididymitis yakho ibangelwa umuthi we-heart rhythm Amiodarone, udokotela wakho angase anciphise umthamo wakho noma akunikeze omunye umuthi. Ungalokothi uyeke ukuthatha umuthi noma ushintshe umthamo ngaphandle kokubonisana nodokotela wakho kuqala.

I-Epididymitis ebangelwa ezinye izimbangela

Uma i-epididymitis yakho ibangelwa imbangela engathelelani, ukwelashwa kungase kuhluke. Udokotela wakho uzochaza lokhu kuwe futhi akunikeze iseluleko sokuthi unganciphisa kanjani ukungakhululeki.

Ingabe i-epididymitis iba ngcono ngokwayo?

I-epididymitis ivame ukubangelwa ukutheleleka ngamagciwane. I-epididymitis ebangelwa amagciwane ayilulami ngokwayo. Ngakho-ke, kubalulekile ukubona udokotela ngokushesha nje lapho izimpawu ziqala, ukuthola ukwelashwa okufanele, nokuvimbela izinkinga esikhulume ngazo ukuthi zingaveli.

Ingabe ukukhipha isidoda kunomthelela ku-epididymitis?

Ukukhishela ngaphandle kokukhipha isisu akwenzi i-epididymitis ibe yimbi kakhulu. Kodwa-ke, kwabanye abantu, ubuhlungu bungakhula phakathi nalesi sikhathi. Kungcono ukugwema ukuya ocansini kuze kube yilapho udokotela wakho ethi, "Kulungile, kulungile." Kuwukuhlakanipha futhi ukugwema ukushaya indlwabu kuze kube yilapho ukwelashwa kwakho sekuqediwe.

Ngingayelapha yini i-epididymitis ekhaya?

Ezimweni eziningi, awukwazi ukwelapha i-epididymitis ekhaya. Kubalulekile ukubona udokotela ukuze uthole ukuxilongwa okunembile kanye nokwelashwa okufanele. Kodwa-ke, ungenza okulandelayo ukuze unciphise ukungakhululeki okubangelwa izimpawu ze-epididymitis:

• Ukuphumula: Gwema ukuzikhandla umzimba wakho ngangokunokwenzeka.
• Phakamisa i-scrotum: Uma ulele, ungasebenzisa into efana nomcamelo omncane ukugcina i-scrotum iphakeme kancane.
• Faka iphakethe leqhwa: Ukusebenzisa iphakethe leqhwa endaweni yakho yama-scrotum noma embotsheni kungasiza ekunciphiseni ubuhlungu nokuvuvukala. Kodwa-ke, ungalifaki ngqo esikhumbeni sakho; lisonge ngendwangu.
• Gqoka izingubo zangaphansi eziqinile: Ukugqoka izingubo zangaphansi eziqinile noma i-athletic supporter kungasiza ekunciphiseni ukuvuvukala, ukunciphisa ukunyakaza kwamasende, nokunciphisa ubuhlungu.
• Phuza uketshezi oluningi: Ukuphuza uketshezi oluningi, ikakhulukazi amanzi, kuyasiza ekwelapheni izifo.
• Thatha imithi yokubulala izinhlungu: Ungathatha imithi yokubulala izinhlungu efana ne-'NSAIDS' (imithi elwa nokuvuvukala engeyona eye-steroidal) (isib. i-Ibuprofen). Kodwa-ke, le mithi ayisebenzi kuwo wonke umuntu, ngakho-ke kungcono ukubuza udokotela.

Kuthatha isikhathi esingakanani ukuthi i-epididymitis iphole?

Kuya ngokuthi yini ebangele i-epididymitis.

• Uma kuyisifo esibangelwa amagciwane:Esikhathini esiningi, uzoqala ukuzizwa ungcono ezinsukwini ezimbalwa ngemuva kokuqala ama-antibiotic. Kodwa-ke, kungathatha amasonto ambalwa ukuthi ukuvuvukala kuphele ngokuphelele. Ngezinye izikhathi, ungase ube nokungakhululeki noma ukuvuvukala okuncane amasonto noma ngisho nezinyanga ngemuva kokuphela kwenkambo yama-antibiotic.
• Uma kungenxa yesifo sofuba: Kungathatha cishe izinyanga eziyisishiyagalolunye ukululama ngemithi.
• Uma kungenxa ye-'Amiodarone': Uzoqala ukuzizwa ukhululekile ngokushesha ngemva kokunciphisa umthamo walowo muthi noma ukuwuyeka.
• Uma uhlinzwa (okungavamile kakhulu): Ngemva kokuhlinzwa, ukuvuvukala kungandisa ubuhlungu kancane. Kungathatha amasonto ambalwa ukuphola. Kodwa lokhu akusho ukuthi ukuhlinzwa kube yimpumelelo.

Ingabe i-epididymitis ingavinjelwa?

Nakuba kungenakuvinjelwa ngokuphelele, ungenza okulandelayo ukuze unciphise ingozi yakho:

• Sebenzisa izindlela zokuzivikela, njengekhondomu, ngesikhathi socansi. Lena yindlela engcono kakhulu yokuzivikela ezifweni zocansi.
• Geza izandla zakho kahle ngensipho njalo.
• Mboza umlomo wakho uma ukhwehlela futhi uthimula (ukuze uzivikele ezintweni ezifana ne-mumps).
• Thola imijovo ngesikhathi.

Yini okufanele ngiyilindele uma ngine-epididymitis?

Ezimweni eziningi, udokotela wakho uzokunikeza imithi yokulwa namagciwane ukuze elaphe ukutheleleka futhi anciphise izimpawu zakho. Bazokunikeza namathiphu okuthi ungakunciphisa kanjani ukungakhululeki kwakho ekhaya. Nakuba i-epididymitis ingaba buhlungu, ngokuvamile ayibangeli izinkinga zesikhathi eside, ikakhulukazi uma yelashwa ngokushesha. Ngakho-ke bonana nodokotela ngokushesha nje lapho ubona izimpawu.

I-epididymitis ihlala isikhathi esingakanani?

Iningi labantu abathola ukwelashwa liqala ukuthuthuka zingakapheli izinsuku ezintathu, kodwa kungathatha amasonto, noma ngisho nezinyanga, ukuthi izimpawu ziphele ngokuphelele.

Into ebaluleke kakhulu ukuqeda yonke inkambo yama-antibiotic anikezwe udokotela wakho, noma ngabe uzizwa ungcono. Uma ungazizwa ungcono, i-epididymitis ingabuya futhi kube nzima kakhulu ukwelapha.

Uma izimpawu ziphinde zibuya, qiniseka ukuthi ubona udokotela. Lokhu kuzosiza ekususeni ezinye izimo ezingase zithinte amasende (njengomdlavuza wamasende). Nakuba umdlavuza wamasende ungavamile ukubangela ubuhlungu noma ukuvuvukala, kubalulekile ukuhlolwa njalo ngudokotela.

Kufanele ngimbone nini udokotela?

Uma unezimpawu ze-epididymitis, bona udokotela ngokushesha. Uma udokotela wakho ethola ukuthi ukutheleleka kwakho kubangelwa yi-STI, yazisa abalingani bakho bocansi bamuva bese ubacela ukuthi babone udokotela futhi bathole ukwelashwa.

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Uma uzwa ubuhlungu obungazelelwe, obukhulu be-testicular, iya ekamelweni eliphuthumayo eliseduze ngokushesha. Noma shayela u-911. Lokhu kungaba yisimo esibi njenge-Testicular Torsion esidinga ukwelashwa ngokushesha.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma udokotela wakho ethi une-epididymitis, ungambuza imibuzo ethile ukuze uthole okwengeziwe:

• Yini ebangela lokhu kimi?
• Yimaphi ama-antibiotic owancomayo?
• Ingabe ngidinga ukwenza izivivinyo ezengeziwe?
• Kuzongithatha isikhathi esingakanani ukuthi ngilulame?
• Kufanele ngiyeke ukwenza ucansi isikhathi esingakanani?
• Ingabe umlingani wami wocansi kufanele ahlolwe izifo ezithathelwana ngocansi?

Yiziphi ezinye izimo ezingadidaniswa ne-epididymitis?

Izimpawu zalezi zimo zingafana neze-epididymitis:

• Ukutheleleka kwamasende (`Orchitis`)
• Ukugoba kwamasende - Lesi yisimo esiphuthumayo!
• Isimila samasende
• Umdlavuza wamasende

Uyini umehluko phakathi kwe-Epididymitis ne-Orchitis?

I-Epididymitis ukuvuvukala kwepayipi elibizwa ngokuthi i-epididymis, esikhulume ngalo ngaphambili, elitholakala ngemuva kwesende. I-Orchitis ukuvuvukala nokuvuvukala kwesende uqobo. Ngezinye izikhathi zombili lezi zimo zingenzeka ndawonye. Kuleso simo, odokotela bakubiza ngokuthi i-epididymo-orchitis.

Ekugcineni, umyalezo okufanele uwuthathe uye ekhaya:

Ukuzwa ubuhlungu noma ukungakhululeki emasendeni akho kungaba yinto ehlazisayo ukukhuluma ngakho. Kodwa-ke, kubalulekile ukubona udokotela ngokushesha bese uhlolwa. Odokotela bayakhathalela impilo yakho kanye nenhlalakahle yakho yengqondo, ngakho ungesabi ukukhuluma nabo ngezinto ezikukhathazayo.

Khumbula, thatha umuthi udokotela wakho awunikezayo ngesikhathi. Futhi, landela imiyalelo enikeziwe. Khona-ke ungalulama ngokushesha. Lesi yisimo esingelashwa kahle ezimweni eziningi, ngakho ungesabi, kodwa ungasinaki futhi!

I-epididymitis , ubuhlungu bamasende, izifo ezibangelwa amagciwane, izifo ezithathelwana ngocansi, ama-antibiotic, impilo yamadoda, izifo zomgudu womchamo