Orchitis

Orchitis (or-KIE-tis) ke kuhikuhi nei i ka maʻi a i ʻole ka pehu a me ka huhū, i kapa ʻia ʻo ka mumū, o kekahi a i ʻole nā ​​testicle ʻelua. ʻO nā maʻi ka mea maʻamau o ka orchitis. ʻO kēia mau mea e komo pū ana i nā maʻi i hoʻoili ʻia ma ka moekolohe (STIs) a me ka maʻi me ka maʻi mumps. Hoʻopili pinepine ʻia ka orchitis me ka maʻi o ka epididymis, ʻo ia ka paipa ʻōwili ma hope o ka testicle e mālama a lawe i ka sperm. ʻO ka maʻi o ka epididymis i kapa ʻia ʻo epididymitis. Me ka orchitis, kapa ʻia ka ʻano he epididymo-orchitis. Hiki i ka orchitis ke hoʻoulu i ka ʻeha a me ka pehu. Hoʻōla pinepine ʻia me nā lole kākoʻo, nā pūʻolo anuanu, nā lāʻau i kapa ʻia he anti-inflammatory a, i kekahi mau manawa, nā lāʻau i kapa ʻia he antibiotics. Akā hiki ke lilo i mau pule a i ʻole mau mahina paha no ka palupalu ʻana i ka scrotum e nalowale. ʻAʻole pinepine, hiki i ka orchitis nui ke hoʻopilikia i ka hiki ke loaʻa nā keiki, i kapa ʻia ʻo ka hānau keiki. Hana pinepine ʻia kēia i nā poʻe i loaʻa ka maʻi i ka wā kamaliʻi a i ʻole nā ​​makahiki ʻōpio.

Hōʻailona o ka Orchitis e hele pinepine mai koke mai. Hiki iā lākou ke komo pū me: ʻO ka pehu ʻana o kekahi a i ʻole nā ​​testicle ʻelua. ʻO ka ʻeha mai ka māmā a i ka nui loa. ʻO ka maʻi wela. ʻO ka nausea a me ka luaʻi. Ke manaʻo nei i ka maʻi, i kapa ʻia ʻo malaise. No ka ʻeha a i ʻole ka pehu ʻana i kou scrotum e hele koke mai, e ʻike koke i kāu limahana mālama ola. He nui nā kūlana e hiki ke hoʻokumu i ka ʻeha testicle. He nui ka poʻe e hele aku ma luna o lākou iho. Akā, pono kekahi i ka mālama koke. ʻO kekahi o ia mau kūlana e pili ana i ka wili ʻana o ke kaula spermatic, i kapa ʻia ʻo testicular torsion. ʻO ka ʻeha o kēia mea e like paha me ka ʻeha o ka orchitis. Hiki i kāu limahana mālama ola ke hana i nā hoʻokolohua e ʻike ai i ke kūlana e hoʻokumu ana i kou ʻeha.

No ka ʻeha a i ʻole ka pehu ma kou ʻeke waimaka e hele koke mai ana, e ʻike koke i kāu kauka lapaʻau. He nui nā kūlana e hiki ke hoʻoulu i ka ʻeha o ka hua. He nui ka poʻe e hele aku ma luna o lākou iho. Akā, pono kekahi i ka mālama koke. ʻO kekahi o ia mau kūlana e pili ana i ka wili ʻana o ke kaula spermatic, i kapa ʻia ʻo ka testicular torsion. ʻO ka ʻeha o kēia mea e like paha me ka ʻeha o ka orchitis. Hiki i kāu kauka lapaʻau ke hana i nā hoʻokolohua e ʻike ai i ke kūlana e hoʻoulu ana i kou ʻeha.

Hiki i ka maʻi o ka mea hoʻomaʻi a i ʻole ka bacteria ke kumu i ka orchitis. I kekahi manawa, ʻaʻole hiki ke loaʻa ke kumu.

ʻO ka hapa nui, pili ka orchitis bacterial me ka epididymitis a i ʻole ka hopena o ka epididymitis. ʻO ka maʻi o ka urethra a i ʻole ka bladder e pālahalaha ana i ka epididymis ka mea e hoʻokumu pinepine ai i ka epididymitis. I kekahi manawa, ʻo ka STI ke kumu. Akā, he kumu liʻiliʻi kēia o ka orchitis i nā mākua.

ʻO ka mea hoʻomaʻi mumps ka mea e hoʻokumu pinepine ai i ka orchitis viral. Kokoke i ka hapakolu o nā kānaka i hānau ʻia me ke kāne i loaʻa i ka mumps ma hope o ka pubescence e loaʻa i ka orchitis. Hana pinepine ʻia kēia ma 4 a 7 mau lā ma hope o ka hoʻomaka ʻana o ka mumps. Mahalo i nā lāʻau hoʻoponopono maʻamau no nā keiki no ka mumps, ua emi pinepine ka mumps orchitis ma mua o ka wā ma mua.

ʻO nā kumu e hoʻonui ai i ka pilikia o ka orchitis, ʻo ia nā kūlana i mālama ʻole ʻia e kāohi ana i ke ala mimi. ʻO kēia mau mea e komo pū ana ka hoʻonui ʻana o ka prostate a i ʻole ka ʻili ʻeha ma ka urethra, i kapa ʻia ʻo urethral stricture.

Hoʻonui pū nā kaʻina hana ma o ka urethra i ka pilikia o ka orchitis. ʻO kēia mau mea e komo pū ana ka loaʻa ʻana o ka paipa, i kapa ʻia ʻo catheter, a i ʻole ka scope ma ke kōpū mimi.

ʻO ka mea nui loa e pili ana i ka mumps orchitis, ʻo ia ka loaʻa ʻole o ka lāʻau mumps.

ʻO nā hana moekolohe e alakaʻi ai i nā STIs e hoʻokau iā ʻoe i ka pilikia o ka sexually transmitted orchitis. ʻO kēlā mau hana e komo pū ana:

• ʻOi aku ma mua o hoʻokahi hoa moekolohe.
• Moekolohe me ka hoa i loaʻa ka STI.
• Moekolohe me ka ʻole o ka condom.
• Mōʻaukala pilikino o ka STI.

I ka hapanui o nā manawa, e ola ka orchitis me ka mālama kākoʻo. Hiki i kekahi mau pule a i ʻole mau mahina ma mua o ka nalowale ʻana o ka ʻeha a me ka pehu. I nā manawa kūikawā, ʻo nā pilikia o ka orchitis e komo pū ai:

• Ka atrophy testicular. Ma hope o kekahi manawa, hiki i ka orchitis ke hana i ka emi ʻana o ka nui o ka hua manu i pilikia.
• Ka abscess scrotal. E piha ka ʻiʻo maʻi i ka pus.
• Ka infertility. I kekahi manawa, hiki i ka orchitis ke hana i ka hiki ʻole iā ʻoe ke loaʻa ke keiki, i kapa ʻia ʻo ka infertility. A i ʻole paha e hana i ka liʻiliʻi o ka testosterone e ke kino, kahi kūlana i kapa ʻia ʻo hypogonadism. Akā, ʻoi aku ka emi iki o kēia mau mea inā pili wale ka orchitis i hoʻokahi hua manu.

No ke kōkua ʻana i ka pale ʻana i ka orchitis:

• Kiʻi i ka lāʻau pale mai ka mumps, ʻo ia ka mea maʻamau loa e hoʻokumu ai i ka viral orchitis.
• Hoʻomaʻamaʻa i ka moekolohe palekana e kōkua ai i ka pale ʻana mai nā STIs e hiki ke hoʻokumu i ka bacterial orchitis.
• E kamaʻilio me kāu kauka lapaʻau inā pilikia ʻoe i ka mimi. Hiki paha kēlā ke ʻōlelo ua loaʻa iā ʻoe kahi āpau a i ʻole ke kūlana ʻē aʻe e hiki ke alakaʻi i ka orchitis.

Hoʻomaka kāu limahana mālama ola me kāu mōʻaukala lapaʻau a me kahi hōʻoia kino. E nānā ka hōʻoia no nā lymph nodes i hoʻonui ʻia i loko o kou ʻūhā a me kahi testicle i hoʻonui ʻia ma ka ʻaoʻao i pilikia. Loaʻa paha iā ʻoe kahi hōʻoia rectal e nānā ai no ka hoʻonui ʻana o ka prostate a i ʻole ka palupalu.

Loaʻa paha nā ho'okolohua:

• STI screen. Inā loaʻa iā ʻoe ka hoʻokuʻu mai kou urethra, e kau kāu limahana ola i kahi swab lahilahi i ka hopena o kou penis e kiʻi i kahi laʻana o ka hoʻokuʻu. E hele ka laʻana i kahi lumi hoʻokolohua e nānā ʻia no ka gonorrhea a me ka chlamydia. Hana ʻia kekahi mau pale STI me ka ho'okolohua mimi.
• Ho'okolohua mimi. E hele kahi laʻana o kou mimi i kahi lumi hoʻokolohua no ke aʻo ʻana. Hiki i ka ho'okolohua ke kāpae i ka maʻi bacteria.
• Ultrasound. ʻO kēia hoʻokolohua kiʻi e ʻimi i ke kumu o ka ʻeha testicular. Hiki i ka ultrasound me ke kala Doppler ke hōʻike inā emi iho ka kahe koko i kou mau testicles ma mua o ka mea e pono ai. Hiki paha kēia ke ʻōlelo ua loaʻa iā ʻoe ka torsion. Kūleʻa kahe koko kiʻekiʻe ma mua o ka maʻamau e hōʻoia i ka ʻike o ka orchitis.