Epididymitis

ʻO ka epididymitis (ep-ih-did-uh-MY-tis) ka mumū ʻana o ka paipa ʻōwili, i kapa ʻia ʻo ka epididymis, ma hope o ka hua. Mālama a lawe mai ka epididymis i ka wai sperm. Hiki i nā kāne o kēlā me kēia makahiki ke loaʻa i ka epididymitis. ʻO ka epididymitis pinepine loa ka maʻi bacteria, me nā maʻi moekolohe (STIs), e like me ka gonorrhea a i ʻole ka chlamydia. I kekahi manawa, e mumū pū kekahi hua - kahi kūlana i kapa ʻia ʻo ka epididymo-orchitis. Hoʻōla pinepine ʻia ka epididymitis me nā lāʻau antibiotic a me nā hana e hoʻomaha ai i ka ʻeha.

Hōʻailona o ka epididymitis paha: ʻO ka ʻeha a me ka palupalu o ka hua manu, ma ka ʻaoʻao hoʻokahi, e hiki mai ana me ka lohi pinepine ʻO ka ʻeha i ka wā e mimi ai ʻO ka makemake wikiwiki a pinepine paha e mimi He wai mai ka penis He ʻeha a i ʻole ka ʻoluʻolu ʻole ma ka ʻōpū haʻahaʻa a i ʻole ka wahi pelvic Ke koko i loko o ka wai mani ʻOi aku ka liʻiliʻi, ka maʻi wela ʻO ka epididymitis e lōʻihi ana ma mua o ʻeono pule a i ʻole e hana hou ana i manaʻo ʻia he maʻi maʻi. Hiki mai paha nā hōʻailona o ka epididymitis maʻi me ka lohi. I kekahi manawa ʻaʻole hiki ke loaʻa ke kumu o ka epididymitis maʻi. Mai hoʻowahāwahā i ka ʻeha a i ʻole ka pehu o ka scrotum. Hiki i kēia ke hana ʻia e nā kūlana he nui. Pono kekahi o lākou i ka mālama koke e pale aku i ka pōʻino mau loa. Inā loaʻa iā ʻoe ka ʻeha nui ma ka scrotum, e ʻimi i ka mālama pilikia. Inā loaʻa iā ʻoe ka wai mai kāu penis a i ʻole ka ʻeha i ka wā e mimi ai, e ʻike i ka mea mālama ola.

Mai hoʻowahāwahā i ka ʻeha a i ʻole ka pehu o ka ʻeke wai. Hiki i kēia ke loaʻa mai nā ʻano maʻi like ʻole. Pono kekahi o lākou i ka lāʻau lapaʻau koke e pale aku ai i ka pōʻino mau loa. Inā loaʻa iā ʻoe ka ʻeha nui i ka ʻeke wai, e ʻimi i ka mālama pilikia. Inā loaʻa iā ʻoe ka wai e kahe mai kou ʻano a i ʻole ka ʻeha ke mimi ʻoe, e ʻike i ka mea mālama ola.

Nā kumu o ka epididymitis:

• STIs. ʻO ka gonorrhea a me ka chlamydia nā kumu maʻamau loa o ka epididymitis i nā kāne ʻōpio, moe kolohe.
• Nā maʻi ʻē aʻe. Hiki i nā bacteria mai kahi maʻi o ke ala mimi a i ʻole ka prostate ke pālahalaha mai kahi maʻi i ka epididymis. Eia kekahi, hiki i nā maʻi viral, e like me ka maʻi mumps, ke hoʻopuka i ka epididymitis.
• Urine i loko o ka epididymis. Hana ʻia kēia kūlana i ka wā e kahe ai ka mimi i hope i loko o ka epididymis, e hoʻonāukiuki ana i nā kemika. Hiki paha ke hopena o ka hāpai kaumaha a i ʻole ka hoʻoikaika.
• Trauma. Hiki i kahi hōʻeha i ka ʻūhā ke hoʻopuka i ka epididymitis.
• Tuberculosis. I nā manawa kakaikahi, hiki i ka maʻi tuberculosis ke hoʻopuka i ka epididymitis.

ʻO kekahi mau hana moekolohe e hiki ai ke alakaʻi i nā STI e hoʻopilikia iā ʻoe i ka epididymitis i hoʻoili ʻia ma ka moekolohe, me ka loaʻa ʻana o:

• Moekolohe me kahi hoa i loaʻa iā ia kahi STI
• Moekolohe me ka ʻole o ka condom
• Moekolohe anal
• Mōʻaukala o nā STI

ʻO nā mea pilikia no ka epididymitis ʻaʻole i hoʻoili ʻia ma ka moekolohe, ʻo ia:

• Loaʻa kahi maʻi prostate a i ʻole maʻi urinary tract
• Hana ʻia kahi kaʻina hana lapaʻau e pili ana i ka urinary tract, e like me ka hoʻokomo ʻana i kahi catheter urinary a i ʻole scope i loko o ka penis
• Kahi penis ʻaʻole i ʻoki ʻia
• Kahi ʻokoʻa i ke ʻano maʻamau o ka urinary tract
• Hoʻonui ʻia ka prostate, ka mea e hoʻonui ai i ka pilikia o nā maʻi bladder a me ka epididymitis
• ʻO nā kūlana olakino ʻē aʻe e hoʻonāwaliwali ai i ka ʻōnaehana pale kino, e like me ka HIV

Nā pilikia o ka epididymitis e komo pū ai:

• Ka maʻi piha i ka pus, i kapa ʻia he abscess, ma ka scrotum
• Ka hōʻiliʻili o ka wai a puni ka testicle, i kapa ʻia he hydrocele
• Epididymo-orchitis, inā pālahalaha ka maʻi mai ka epididymis a i kahi testicle
• I nā manawa kakaikahi, ka emi ʻana o ka hānau keiki

No ke kōkua ʻana i ka pale ʻana mai nā maʻi moekolohe i hiki ke hoʻoulu i ka epididymitis, e hana i ka moekolohe palekana. Inā loaʻa iā ʻoe nā maʻi maʻi mimi pinepine a i ʻole nā ​​kumu pilikia ʻē aʻe no ka epididymitis, hiki i kāu mea mālama ola ke kamaʻilio pū me ʻoe e pili ana i nā ala ʻē aʻe e hiki ai iā ʻoe ke kōkua i ka pale ʻana i ke kūlana.

No ka hōʻoia ʻana i ka epididymitis, e kamaʻilio kou mea mālama ola me ʻoe e pili ana i kou mau hōʻailona a e nānā i kou ʻūhā. Hoʻopili kēia i ka nānā ʻana i nā lymph nodes nui i kou ʻūhā a me kahi hua nui ma ka ʻaoʻao i pilikia. Hiki nō hoʻi i kāu mea hoʻolako ke hana i kahi nānā rectal e nānā i ka nui a i ʻole ka palahalaha o ka prostate.

Hiki i nā hoʻokolohua ke komo pū me:

• Nānā STI. Hoʻohana ʻia kahi swab lahilahi i hoʻokomo ʻia i ka hopena o kou penis e hōʻiliʻili i kahi laʻana o kekahi wai e loaʻa paha iā ʻoe. E nānā ʻia ka laʻana ma ka hale hana no ka gonorrhea a me ka chlamydia.
• Nā hoʻokolohua mimi a me ke koko. Hiki ke hoʻouna ʻia nā laʻana o kou mimi a me ke koko i ka hale hana no ka hoʻokolohua pū kekahi.
• Ultrasound. Hoʻohana kēia hoʻokolohua kiʻi i nā nalu kani e hana i nā kiʻi o kou mau hua. Hiki i ka hoʻokolohua ke hōʻike inā loaʻa iā ʻoe ka testicular torsion. ʻO ka testicular torsion kahi wili ʻana o ka hua e hiki ke ʻoki i ke kahe koko. Inā hōʻike ka ultrasound me ke kala Doppler i ka emi ʻana o ke kahe koko i ka hua ma mua o ka maʻamau, ua wili ʻia ka hua. Inā kiʻekiʻe ke kahe koko ma mua o ka maʻamau, hiki kēia ke kōkua i ka hōʻoia ʻana ua loaʻa iā ʻoe ka epididymitis.

Hoʻoponopono no ka epididymitis pinepine e komo pū ana i nā lāʻau antibiotic a me nā hana hōʻoluʻolu. I kekahi manawa, pono paha ka ʻoki kino. Nā lāʻau Antibiotic Pono nā lāʻau antibiotic e mālama i ka maʻi bacterial epididymitis a me ka epididymo-orchitis—ka maʻi ʻino epididymitis i pālahalaha i ka hua. Inā ʻo ke kumu o ka maʻi bacterial he STI, pono nō hoʻi ka mālama ʻana i nā hoa moe. E lawe i nā lāʻau antibiotic āpau i kuhikuhi ʻia e kāu mea mālama ola, ʻoiai inā e hoʻomaʻemaʻe koke nā hōʻailona. Kūleʻa kēia i ka hōʻoia ʻana ua pau ka maʻi. Nā hana hōʻoluʻolu E hoʻomaka ʻoe e ʻike i ka maikaʻi ma hope o 2 a 3 mau lā ma ka lāʻau antibiotic, akā pono paha kekahi mau pule no ka ʻeha a me ka pehu e nalowale. ʻO ka hoʻomaha ʻana, ke kākoʻo ʻana i ka scrotum me kahi mea kākoʻo haʻuki, ke kau ʻana i nā ʻeke hau a me ka lawe ʻana i nā lāʻau ʻeha e kōkua i ka hoʻomaha ʻana i ka ʻoluʻolu ʻole. Makemake paha kāu mea mālama ola e ʻike iā ʻoe ma kahi kipa hahai e nānā inā ua pau ka maʻi a ua hoʻomaikaʻi nā hōʻailona. ʻOki kino Inā ua hana ʻia kahi abscess, pono paha ʻoe i ka ʻoki kino e hoʻokahe ai. I kekahi manawa, pono e wehe ʻia ka epididymis āpau a i ʻole hapa ma ke ʻoki kino. ʻO kēia ʻoki kino ka epididymectomy. Hiki ke hana ʻia ka hoʻoponopono ʻoki kino i ka wā e alakaʻi ai nā pilikia kumu me ka anatomy o ke ala mimi i ka epididymitis. Noi i kahi manawa kūpono