Matenda a m'mimba

Urethritis ndikutupa (kutupa ndi kukwiya) kwa mtsempha wa mkodzo. Urethra ndi chubu chomwe chimanyamula mkodzo m'thupi.

Mabakiteriya onse ndi ma virus amatha kuyambitsa urethritis. Ena mwa mabakiteriya omwe amayambitsa vutoli ndi awa E coli, chlamydia, ndi chinzonono. Mabakiteriyawa amayambitsanso matenda amkodzo komanso matenda ena opatsirana pogonana. Zomwe zimayambitsa matenda ndi kachilombo ka herpes simplex ndi cytomegalovirus.

Zina mwa zifukwa zake ndi izi:

• Kuvulala
• Kuzindikira mankhwala omwe amagwiritsidwa ntchito mu spermicides, jellies oletsa kulera, kapena thovu

Nthawi zina chifukwa chake sichidziwika.

Zowopsa za urethritis ndi monga:

• Kukhala wamkazi
• Kukhala wamwamuna, wazaka 20 mpaka 35
• Kukhala ndi zibwenzi zambiri
• Khalidwe logonana lomwe lili pachiwopsezo chachikulu (monga amuna omwe amalowerera kugonana kumatako opanda kondomu)
• Mbiri ya matenda opatsirana pogonana

Mwa amuna:

• Magazi mkodzo kapena umuna
• Kupweteka kopweteka mukakodza (dysuria)
• Kutuluka kuchokera ku mbolo
• Malungo (osowa)
• Kukodza pafupipafupi kapena mwachangu
• Kuyabwa, kukoma, kapena kutupa kwa mbolo
• Zowonjezera ma lymph nodes m'dera la groin
• Zowawa zogonana kapena kutulutsa umuna

Kwa akazi:

• Kupweteka m'mimba
• Kupweteka kopweteka mukakodza
• Malungo ndi kuzizira
• Kukodza pafupipafupi kapena mwachangu
• Kupweteka kwa m'mimba
• Ululu wogonana
• Kutulutsa kumaliseche

Wothandizira zaumoyo adzakufunsani. Amuna, mayeso adzaphatikizapo mimba, malo a chikhodzodzo, mbolo, ndi minyewa. Kuyezetsa thupi kumatha kuwonetsa:

• Kutuluka kuchokera ku mbolo
• Zilonda zam'mimba zimakulitsa m'dera laphokoso
• Mbolo yachikondi komanso yotupa

Kuyeza kwamakina a digito kudzachitidwanso.

Azimayi azikhala ndi mayeso am'mimba ndi m'chiuno. Wothandizira adzayang'ana:

• Kutuluka kuchokera mkodzo
• Chikondi cha pamunsi pamimba
• Chikondi cha urethra

Wopereka wanu atha kuyang'ana chikhodzodzo chanu pogwiritsa ntchito chubu chokhala ndi kamera kumapeto. Izi zimatchedwa cystoscopy.

Mayesero otsatirawa akhoza kuchitika:

• Kuwerengera kwathunthu kwa magazi (CBC)
• Mayeso othandizira mapuloteni a C
• Pelvic ultrasound (akazi okha)
• Mayeso apakati (azimayi okha)
• Kukonda kwamitsinje ndi zikhalidwe za mkodzo
• Kuyesera kwa gonorrhea, chlamydia, ndi matenda ena opatsirana pogonana (STI)
• Urethral swab

Zolinga zamankhwala ndi:

• Chotsani zomwe zimayambitsa matenda
• Sinthani zizindikilo
• Pewani kufalikira kwa matenda

Ngati muli ndi matenda a bakiteriya, mudzapatsidwa maantibayotiki.

Mutha kutenga zowawa zonse zakumva kupweteka kwakuthupi ndi zopangira zowawa kwamikodzo, komanso maantibayotiki.

Anthu omwe ali ndi urethritis omwe akuchiritsidwa ayenera kupewa kugonana, kapena kugwiritsa ntchito kondomu nthawi yogonana. Wokondedwa wanu ayenera kuthandizidwanso ngati vutoli limayambitsidwa ndi matenda.

Matenda a m'mimba omwe amayamba chifukwa cha zoopsa kapena zopweteka zamankhwala amathandizidwa popewa gwero lakuvulala kapena kukwiya.

Matenda a m'mimba omwe sawonekera pambuyo poti amalandira maantibayotiki ndipo amatha milungu isanu ndi umodzi amatchedwa urethritis. Maantibayotiki osiyanasiyana angagwiritsidwe ntchito kuthana ndi vutoli.

Ndi matenda olondola ndi chithandizo, urethritis nthawi zambiri imatha popanda zovuta zina.

Komabe, urethritis imatha kubweretsa kuwonongeka kwa nthawi yayitali ku mtsempha wa mitsempha ndi zilonda zam'mutu zotchedwa urethral stricture. Zitha kupanganso kuwonongeka kwa ziwalo zina zamikodzo mwa abambo ndi amai. Kwa amayi, kachilomboka kangayambitse mavuto a chonde ngati atafalikira m'chiuno.

Amuna omwe ali ndi urethritis ali pachiwopsezo cha zotsatirazi:

• Chikhodzodzo matenda (cystitis)
• Epididymitis
• Matenda m'matenda (orchitis)
• Matenda a Prostate (prostatitis)

Pambuyo pa matenda akulu, mtsempha wa mkodzo ukhoza kukhala ndi zipsera kenako ndikuchepetsa.

Amayi omwe ali ndi urethritis ali pachiwopsezo cha zotsatirazi:

• Chikhodzodzo matenda (cystitis)
• Cervicitis
• Matenda otupa m'mimba (PID - matenda opangira chiberekero, machubu, kapena thumba losunga mazira)

Itanani omwe akukuthandizani ngati muli ndi zizindikiro za urethritis.

Zomwe mungachite kuti mupewe urethritis ndizo:

• Sungani malo oyandikana ndi potsekula kwa mkodzo kuti ukhale woyera.
• Tsatirani njira zogonana zotetezeka. Khalani ndi bwenzi limodzi lokha logonana nalo limodzi ndipo mugwiritse ntchito kondomu.

Matenda a Urethral; NGU; Urethritis yopanda gonococcal

• Thirakiti lachikazi
• Njira yamkodzo wamwamuna

Babu TM, Urban MA, Augenbraun MH. Urethritis. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: mutu 107.

Swygard H, Cohen MS. Yandikirani kwa wodwala yemwe ali ndi matenda opatsirana pogonana. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 269.