Orchitis

Orchitis ndikutupa (kutupa) kwa limodzi kapena awiri mwa machende.

Orchitis imatha chifukwa cha matenda. Mitundu yambiri ya mabakiteriya ndi ma virus imatha kubweretsa vutoli.

Vuto lofala kwambiri lomwe limayambitsa orchitis ndimanofu. Nthawi zambiri zimachitika mwa anyamata mutatha msinkhu. Orchitis nthawi zambiri imayamba pakadutsa masiku 4 mpaka 6 pakayamba ntchofu.

Orchitis amathanso kuchitika limodzi ndi matenda a prostate kapena epididymis.

Orchitis imatha chifukwa cha matenda opatsirana pogonana, monga gonorrhea kapena chlamydia. Mlingo wa orchitis wopatsirana pogonana kapena epididymitis ndiwokwera kwambiri mwa amuna azaka 19 mpaka 35.

Zowopsa za orchitis yopatsirana pogonana ndi monga:

• Makhalidwe oopsa achiwerewere
• Ogonana angapo
• Mbiri ya chizonono kapena matenda ena opatsirana pogonana
• Wogonana ndi matenda opatsirana pogonana

Zowopsa za orchitis osati chifukwa cha matenda opatsirana pogonana ndizo:

• Kukhala okalamba kuposa zaka 45
• Kugwiritsa ntchito katemera wa Foley kwakanthawi
• Osatemera katemera
• Mavuto a thirakiti omwe analipo pobadwa (kobadwa nako)
• Matenda obwerezabwereza amkodzo
• Opaleshoni ya thirakiti (opaleshoni ya genitourinary)
• BPH (prostatic hyperplasia) - prostate wokulitsa
• Urethral okhwimitsa (amawononga mkodzo)

Zizindikiro zake ndi izi:

• Kupweteka kwa machende
• Magazi mu umuna
• Kutuluka kuchokera ku mbolo
• Malungo
• Kupweteka kwa m'mimba
• Zowawa zogonana kapena kutulutsa umuna
• Ululu wokodza (dysuria)
• Kutupa kwambiri
• Tender, malo otupa obowa mbali yomwe yakhudzidwa
• Chikondi, kutupa, kumverera kwakukulu machende

Kuyezetsa thupi kumatha kuwonetsa:

• Kukulitsa kapena kutentha kwa prostate
• Zilonda zam'mimba zomwe zimakulitsa m'dera la groin (inguinal) mbali yomwe yakhudzidwa
• Tenda lokulitsa lachikondi ndi lokulitsa mbali yomwe yakhudzidwa
• Kufiira kapena kukoma kwa khungu

Mayeso atha kuphatikiza:

• Kuwerengera kwathunthu kwa magazi (CBC)
• Testicular ultrasound
• Kuyesa kuyesa chlamydia ndi chinzonono (urethral smear)
• Kupenda kwamadzi
• Chikhalidwe cha mkodzo (nsomba zoyera) - chitha kufuna mitundu ingapo, kuphatikiza koyambira koyamba, pakati, komanso kutikita minofu ya prostate

Chithandizo chingaphatikizepo:

• Maantibayotiki, ngati matendawa amayamba chifukwa cha bakiteriya. (Pankhani ya gonorrhea kapena chlamydia, ogonana nawonso ayenera kuthandizidwa.)
• Mankhwala oletsa kutupa.
• Mankhwala opweteka.
• Mpumulo wa bedi wokhala ndi chikwangwani chokwera komanso mapaketi a ayezi amagwiritsidwa ntchito m'derali.

Kupeza chithandizo choyenera cha mankhwala a orchitis oyambitsidwa ndi mabakiteriya nthawi zambiri kumalola kuti nyamayo ipezenso bwino.

Mudzafunikiranso kuyesedwa kuti muchepetse khansa ya machende ngati machendewo sanabwerere mwakale atalandira chithandizo.

Ziphuphu za orchitis sizingachiritsidwe, ndipo zotsatira zake zimatha kusiyanasiyana. Amuna omwe adadwalapo orpsis amatha kukhala osabala.

Anyamata ena omwe amatenga orchitis yoyambitsidwa ndi ntchentche amatha kuchepa machende (testicular atrophy).

Orchitis amathanso kuyambitsa kusabereka.

Mavuto ena omwe angakhalepo ndi awa:

• Matenda a epididymitis
• Imfa ya minyewa (testicular infarction)
• Fistula pakhungu la scrotum (cutaneous scrotal fistula)
• Kutupa kwambiri

Kupweteka kwambiri m'matumbo kapena machende kumatha kubwera chifukwa chokhotakhota mitsempha yama testicular (torsion). Izi ndizadzidzidzi zachipatala zomwe zimafuna kuchitidwa opaleshoni mwachangu.

Thupi lotupa lopweteka pang'ono kapena lopanda ululu lingakhale chizindikiro cha khansa ya testicular. Ngati ndi choncho, muyenera kukhala ndi testicular ultrasound.

Onaninso omwe amakuthandizani pa zaumoyo ngati ali ndi vuto la machende.

Pezani thandizo lachipatala mwadzidzidzi ngati mukumva kupweteka mwadzidzidzi.

Zinthu zomwe mungachite kuti muthetse vutoli ndi monga:

• Tetezani katemerayu.
• Khalani ndi machitidwe otetezeka ogonana kuti muchepetse chiopsezo chanu cha matenda opatsirana pogonana.

Epididymo - orchitis; Matenda a testis

• Kutengera kwamwamuna kubereka
• Njira yoberekera yamwamuna

Mason WH. Ziphuphu. Mu: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, olemba. Nelson Textbook of Pediatrics. Wolemba 20th. Philadelphia, PA: Elsevier; 2016: chap 248.

McGowan CC, Krieger J. Prostatitis, epididymitis, ndi orchitis. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Mfundo za Bennett ndi Kuchita kwa Matenda Opatsirana, Kusinthidwa. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: mutu 112.

Nickel JC. Kutupa ndi zowawa za thirakiti yamphongo yamphongo: prostatitis ndi zowawa zina, orchitis, ndi epididymitis. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 13.