Epididymitis

Epididymitis ndikutupa (kutupa) kwa chubu komwe kumalumikiza thukuta ndi vas deferens. Chitoliro chimatchedwa epididymis.

Epididymitis imafala kwambiri mwa anyamata azaka zapakati pa 19 mpaka 35. Nthawi zambiri imayamba chifukwa cha kufalikira kwa matenda a bakiteriya. Matendawa amayamba mu urethra, prostate, kapena chikhodzodzo. Gonorrhea ndi matenda a chlamydia nthawi zambiri zimayambitsa vuto mwa anyamata ogonana amuna kapena akazi okhaokha. Kwa ana ndi amuna achikulire, zimayamba chifukwa cha E coli ndi mabakiteriya ofanana. Izi ndizowona mwa abambo omwe amagonana ndi amuna.

Mycobacterium chifuwa chachikulu (TB) imatha kuyambitsa epididymitis. Mabakiteriya ena (monga Ureaplasma) amathanso kuyambitsa vutoli.

Amiodarone ndi mankhwala omwe amaletsa maphokoso amtima. Mankhwalawa amathanso kuyambitsa matenda a epididymitis.

Zotsatira zotsatirazi zimawonjezera chiwopsezo cha epididymitis:

• Opaleshoni yaposachedwa
• Mavuto am'mbuyomu mumayendedwe amkodzo
• Kugwiritsa ntchito katemera wa urethral pafupipafupi
• Kugonana ndi anthu angapo osagwiritsa ntchito kondomu
• Kukula kwa prostate

Epididymitis ingayambe ndi:

• Malungo ochepa
• Kuzizira
• Kumva kulemera m'dera la testicle

Dera la testicle limayamba kumva kukakamizidwa. Zidzakhala zopweteka pamene mkhalidwewo ukupita. Matenda omwe ali mu epididymis amatha kufalikira mosavuta.

Zizindikiro zina ndizo:

• Magazi mu umuna
• Kutuluka kuchokera mu mtsempha (kutsegula kumapeto kwa mbolo)
• Kusokonezeka m'mimba m'mimba kapena m'chiuno
• Chotuwa pafupi ndi testicle

Zizindikiro zochepa kwambiri ndi izi:

• Zowawa panthawi yopuma
• Kupweteka kapena kuwotcha pokodza
• Kutupa kowawa kwambiri (epididymis yakula)
• Matenda achikondi, otupa, komanso opweteka mbali yomwe yakhudzidwa
• Kupweteka kwa machende komwe kumakulirakulira poyenda matumbo

Zizindikiro za epididymitis zitha kukhala zofanana ndi za testicular torsion, zomwe zimafunikira chithandizo chatsopano.

Kuyesedwa kwakuthupi kudzawonetsa chotupa chofiira, chofewa mbali yomwe yakhudzidwa ndi chikondicho. Mutha kukhala ndichisoni mdera laling'ono la machende momwe epididymis imaphatikizidwa. Malo akulu otupa amatha kukula kuzungulira chotumphukacho.

Zilonda zam'mimba zimakulitsidwa. Pakhoza kutulutsanso mbolo. Kuyezetsa magazi kumatha kuwonetsa prostate wokulitsidwa kapena wofewa.

Mayesowa atha kuchitidwa:

• Kuwerengera kwathunthu kwa magazi (CBC)
• Doppler akupanga
• Kujambula kwapadera (kusanthula mankhwala a nyukiliya)
• Kuyeza kwamkati ndi chikhalidwe (mungafunikire kupereka zitsanzo zingapo, kuphatikiza koyambira koyamba, mkatikati mwa mtsinje, komanso kutikita minofu ya prostate)
• Kuyesedwa kwa chlamydia ndi chinzonono

Wothandizira zaumoyo wanu adzakupatsani mankhwala ochizira matendawa. Matenda opatsirana pogonana amafunikira maantibayotiki. Omwe mumagonana nawo ayeneranso kuthandizidwa. Mungafunike mankhwala opweteka komanso mankhwala oletsa kutupa.

Ngati mukumwa amiodarone, mungafunikire kuchepetsa mlingo wanu kapena kusintha mankhwala anu. Lankhulani ndi omwe amakupatsani.

Kuchepetsa kusapeza:

• Kupumula ndikugona ndi mikwingwirima.
• Ikani mapaketi a ayezi kudera lopweteka.
• Valani zovala zamkati ndi chithandizo china.

Muyenera kutsatira wothandizirayo kuti muwonetsetse kuti matenda achotsedweratu.

Epididymitis nthawi zambiri imachira ndi mankhwala opha tizilombo. Palibe mavuto azakugonana kapena kubereka nthawi zambiri nthawi zambiri. Komabe, vutoli limatha kubwerera.

Zovuta zimaphatikizapo:

• Abscess mu khungu
• Epididymitis yayitali (yayitali)
• Kutsegulira pakhungu la chikopa
• Imfa ya machende chifukwa chosowa magazi (testicular infarction)
• Kusabereka

Mwadzidzidzi komanso kupweteka kwambiri pamkhubo ndizadzidzidzi zamankhwala. Muyenera kuwonedwa ndi wothandizira nthawi yomweyo.

Itanani omwe akukuthandizani ngati muli ndi matenda a epididymitis. Pitani kuchipinda chodzidzimutsa kapena itanani nambala yadzidzidzi yakomweko (monga 911) ngati mwadzidzidzi, kupweteka kwa machende kapena kupweteka mutavulala.

Mutha kupewa zovuta mukapezeka ndi kuchiritsidwa msanga.

Omwe amakupatsirani akhoza kukupatsirani maantibayotiki musanachite opaleshoni. Izi ndichifukwa choti maopaleshoni ena atha kubweretsa chiopsezo ku epididymitis. Chitani zogonana motetezeka. Pewani ogonana nawo angapo ndikugwiritsa ntchito kondomu. Izi zitha kuthandiza kupewa epididymitis yoyambitsidwa ndi matenda opatsirana pogonana.

• Kutengera kwamwamuna kubereka
• Magazi mu umuna
• Njira ya umuna
• Njira yoberekera yamwamuna

Wolemba Geisler WM. Matenda omwe amabwera ndi chlamydiae. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 302.

Pontari M.Zotupa ndi zowawa za thirakiti yamphongo yamphongo: prostatitis ndi zowawa zina, orchitis, ndi epididymitis. Mu: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, olemba. Campbell-Walsh-Wein Urology. Wolemba 12. Philadelphia, PA: Elsevier; 2021: mutu 56.