Orchitis ni iki? Ibimenyetso, Impamvu, n'Umuti

Orchitis ni ububabare bw’umutwe umwe cyangwa bombi butera ububabare, kubyimba, no kubabara. Iyi ndwara isanzwe ibaho iyo udukoko cyangwa virusi binjiye mu mitwe, bigatera indwara n’ibimenyetso bituma umuntu atabona amahoro, bikaba bishobora kugera ku bagabo b’imyaka yose.

Nubwo orchitis ishobora gutera ubwoba, ni indwara ivurwa neza kandi ivurwa neza n’ubuvuzi bukwiye. Gusobanukirwa ibimenyetso no kuvurwa vuba bishobora kugufasha gukira vuba no kwirinda ingaruka.

Orchitis ni iki?

Orchitis ibaho iyo imitwe yawe ibyimbye kubera indwara cyangwa izindi mpamvu. Kubyimba bituma imitwe yawe ibyimba, ikababara, kandi akenshi bituma umuntu atabona amahoro.

Tekereza kuri uwo mubiri wawe uwo ari wo wose uhindagurika iyo urwanya indwara. Imitwe yawe isubiza udukoko cyangwa virusi mbi kongera amaraso n’imikorere y’ubwirinzi muri ako gace. Uburyo bwo kwirinda bw’umubiri butera kubyimba no kubabara bisanzwe.

Urugero rwinshi rwa orchitis ruterwa n’indwara ziterwa na bagiteri, nubwo indwara ziterwa na virusi nazo zishobora gutera iyi ndwara. Inkuru nziza ni uko, ukoresheje ubuvuzi bukwiye, abagabo benshi barakira batagize ingaruka ziramba.

Ni ubuhe bwoko bwa orchitis?

Hari ubwoko bubiri nyamukuru bwa orchitis, bwagabanyijemo ibice bitewe n’icyo giterwa na kubyimba. Orchitis iterwa na bagiteri ni yo ndwara isanzwe kandi ikunze kubaho nk’ingaruka z’izindi ndwara.

Orchitis iterwa na bagiteri ikunze gutangira iyo bagiteri zivuye mu ndwara z’inzira y’umusarani cyangwa izandura mu mibonano mpuzabitsina zikwirakwira mu mitwe. Ubu bwoko busanzwe bugira ingaruka ku mutwe umwe kurusha undi kandi busanzwe butinda gutera mu minsi mike.

Orchitis iterwa na virusi ni nke ariko ishobora kubaho hamwe n’indwara ziterwa na virusi nka mumps. Iyi ndwara rimwe na rimwe igira ingaruka ku mitwe yombi kandi ishobora gutera vuba kurusha orchitis iterwa na bagiteri.

Ni ibihe bimenyetso bya orchitis?

Ibimenyetso bya orchitis bishobora gutinda cyangwa kugaragara vuba, bitewe n’impamvu yabyo. Kumenya ibi bimenyetso hakiri kare bishobora kugufasha kubona ubuvuzi mbere y’uko iyi ndwara ikomeza.

Ibimenyetso bisanzwe ushobora kugira harimo:

• Ububabare bukomeye mu mutwe umwe cyangwa bombi bushobora gukwirakwira mu kibuno
• Kubyimbagana no kubabara mu mutwe ubangamiwe
• Urubura n’ubushyuhe mu gitsina
• Umuhumetso n’imbeho, cyane cyane mu ndwara ziterwa na bagiteri
• Isesemi no kuruka kubera ububabare bukabije
• Kubabara mu gihe cyo kwinjira cyangwa kwiyongera kenshi kw’inkari
• Ibisohora mu gitsina niba hari indwara yandura mu mibonano mpuzabitsina

Bamwe mu bagabo bagira kandi umunaniro n’ibyishimo byo kuba barwaye. Ububabare bukunze kwiyongera iyo umuntu yimutse cyangwa akoreweho, bigatuma ibikorwa bya buri munsi bibagora.

Ibi bimenyetso bishobora kugira ingaruka ku mibereho yawe, ariko ujye wibuka ko ubuvuzi buhamye buhari kugira ngo bugufashe kandi bugikemure indwara.

Ni iki giterwa na orchitis?

Orchitis iterwa n’udukoko cyangwa virusi zangiza zigera mu mitwe yawe zikatera indwara. Gusobanukirwa uko ibi bibaho bishobora kugufasha kumenya ibyago no gufata ingamba zo kwirinda.

Impamvu zisanzwe ziterwa na bagiteri harimo:

• Indwara zandura mu mibonano mpuzabitsina nka chlamydia na gonorrhea
• Indwara z’inzira y’umusarani zikwirakwira kuva mu kibuno cyangwa mu kibuno
• Epididymitis (kubyimba kw’umuyoboro ubitse intanga ngabo) bikwirakwira mu mutwe
• Indwara ziterwa n’amaraso zinyura mu maraso yawe

Impamvu ziterwa na virusi ni nke ariko zishobora kuba harimo:

• Virusi ya mumps, cyane cyane mu bagabo batarakingiwe
• Virusi ya Epstein-Barr (iterwa na mononucleosis)
• Cytomegalovirus mu bihe bitoroshye

Rimwe na rimwe orchitis ishobora guterwa n’impamvu zitandura nka autoimmune cyangwa imvune mu mitwe. Ariko, izi mpamvu ni nke cyane kurusha indwara ziterwa na bagiteri cyangwa virusi.

Ni ibihe byago bya orchitis?

Ibintu bimwe bishobora kongera amahirwe yawe yo kurwara orchitis. Kumenya ibi byago bishobora kugufasha gufata ingamba zo kwirinda no gushaka ubuvuzi hakiri kare igihe bikenewe.

Ibyago bikomeye harimo:

• Kuba ufite imibonano mpuzabitsina ukoresheje uburyo bwo kwirinda
• Kugira abafatanyabikorwa benshi cyangwa umufatanyabikorwa ufite indwara zandura mu mibonano mpuzabitsina
• Amateka y’indwara z’inzira y’umusarani cyangwa ibibazo by’umwijima
• Kutaringirirwa mumps
• Kugira catheter cyangwa ibyabaye vuba mu nzira y’umusarani
• Uburwayi butari bwo mu nzira y’umusarani
• Uburwayi bw’umubiri bufasha indwara kuba nyinshi

Imyaka igira uruhare, orchitis iterwa na bagiteri ikaba isanzwe mu bagabo bakora imibonano mpuzabitsina bari munsi y’imyaka 35 n’abarengeje 55. Abagabo bari muri ibyo byiciro bagomba kwitondera cyane ibimenyetso n’ibyago.

Kugira ibyago ibyo ari byo byose ntibivuze ko uzahita urwara orchitis, ariko bivuze ko ugomba kwitondera cyane ibimenyetso n’ubuvuzi bwo kwirinda.

Ni ryari ukwiye kubona muganga kubera orchitis?

Ugomba kubona muganga ako kanya niba ufite ububabare bukomeye cyangwa kubyimba mu mutwe. Ibi bimenyetso bisaba ubuvuzi bwihuse kugira ngo hamenyekane indwara zikomeye kandi hatangwe ubuvuzi bukwiye.

Shaka ubuvuzi bwihuse niba ufite:

• Ububabare butunguranye, bukabije mu mutwe umwe cyangwa bombi
• Kubyimbagana kw’imitwe hamwe n’umuriro n’imbeho
• Isesemi no kuruka hamwe n’ububabare mu mutwe
• Ibimenyetso by’indwara nka fièvre, kubabara umubiri, cyangwa kumva nabi
• Kubabara mu gihe cyo kwinjira cyangwa ibindi bisohora

Ntutegereze kureba niba ibimenyetso bizagenda ubwabyo. Ubuvuzi bwihuse ntibutanga ubuvuzi bwihuse gusa ahubwo bukwirinda ingaruka zishoboka nko gukora ibyondo cyangwa ibibazo byo kubyara.

Ndetse niba ibimenyetso byawe bigaragara ko ari bike, birakwiye kugisha inama umuganga kugira ngo amenye neza indwara kandi atange ubuvuzi bukwiye. Icyo gishobora kugaragara nk’ububabare buke gishobora kugaragaza indwara isaba ubuvuzi.

Ni izihe ngaruka zishoboka za orchitis?

Nubwo ubuvuzi bwinshi bwa orchitis bukikemura neza ukoresheje ubuvuzi bukwiye, indwara zitavuwe cyangwa zikomeye zishobora gutera ingaruka. Gusobanukirwa ibyo bibazo bishoboka byerekana akamaro ko gushaka ubuvuzi bwihuse.

Ingaruka zishoboka harimo:

• Orchitis ihoraho ifite ububabare buhoraho no kubyimba
• Ibyondo by’imitwe bisaba kubagwa
• Kubura imitwe (kubyimba) mu bihe bikomeye
• Ibibazo byo kubyara niba imitwe yombi yabangamiwe cyane
• Ububabare buhoraho mu bihe bitoroshye

Ibyago by’izi ngaruka ni bike cyane iyo orchitis imenyekanye kandi ivuwe hakiri kare. Abagabo benshi babona ubuvuzi bukwiye bwa antibiyotike barakira neza batagize ingaruka ziramba.

Ibibazo byo kubyara ni bike kandi bisanzwe bibaho iyo imitwe yombi yabangamiwe cyane cyangwa iyo ubuvuzi butinze cyane. Nubwo bimeze bityo, kudapfa kubyara ni bike.

Orchitis imenyekanwa gute?

Muganga wawe azamenya orchitis akoresheje isuzuma ry’umubiri, amateka y’ubuzima, n’ibizamini bya laboratoire. Igikorwa cyo gupima gifasha kumenya impamvu yabyo no kuyobora ubuvuzi bukwiye.

Mbere ya byose, muganga wawe azakubaza ibibazo ku bimenyetso byawe, amateka y’imibonano mpuzabitsina, n’izindi ndwara uheruka kugira. Nyuma yaho, azakora isuzuma ry’umubiri w’imitwe yawe, akareba kubyimba, kubabara, n’ibindi bimenyetso byo kubyimba.

Ibizamini bya laboratoire bisanzwe birimo:

• Ibizamini by’inkari kugira ngo harebwe bagiteri n’ibimenyetso by’indwara
• Ibizamini by’amaraso kugira ngo harebwe ibimenyetso by’indwara kandi harebwe izindi ndwara
• Ibizamini by’indwara zandura mu mibonano mpuzabitsina niba bikenewe
• Isuzuma rya ultrasound kugira ngo harebwe imitwe kandi harebwe izindi ndwara

Ultrasound ifasha cyane kuko ishobora gutandukanya orchitis n’izindi ndwara zikomeye nka testicular torsion, isaba kubagwa vuba. Iyi shusho ifasha muganga wawe gusuzuma uburemere bw’ububyimba.

Ubuvuzi bwa orchitis ni buhe?

Ubuvuzi bwa orchitis bugamije gukuraho indwara kandi bugacunga ibimenyetso byawe. Uburyo bwihariye biterwa n’aho impamvu ari bagiteri cyangwa virusi.

Kubera orchitis iterwa na bagiteri, muganga wawe azakwandikira antibiyotike hashingiwe ku bagiteri bakekwaho cyangwa bemejwe. Antibiyotike zisanzwe zikoreshwa harimo fluoroquinolones cyangwa doxycycline, zisanzwe zifatwa mu minsi 10-14.

Orchitis iterwa na virusi ntishobora kuvurwa na antibiyotike, bityo ubuvuzi bugamije gucunga ibimenyetso mu gihe umubiri wawe urwanya indwara. Ibi bisanzwe birimo kuruhuka, imiti igabanya ububabare, no kwitaho.

Uko impamvu yaba iri kose, gucunga ibimenyetso bisanzwe birimo:

• Imiti igabanya ububabare iboneka mu maduka nka ibuprofen cyangwa acetaminophen
• Ibisate by’amazi bikonjesha bishyirwa ku gitsina mu minota 15-20 inshuro nyinshi buri munsi
• Inkunga y’igitsina ikoresheje imyenda y’imbere cyangwa imyenda y’imikino
• Kuruhuka no kwirinda ibikorwa bikomeye
• Kunywa amazi ahagije

Abagabo benshi batangira kumva barushaho kumererwa neza mu minsi mike nyuma yo gutangira ubuvuzi, nubwo gukira burundu bishobora gutwara ibyumweru bike. Ni ngombwa gufata antibiyotike zose zandikiwe nubwo wumva wamererwa neza.

Uko wakwitaho iwawe mu gihe ufite orchitis

Uburyo bwo kwitaho iwawe bushobora gufasha cyane gucunga ibimenyetso bya orchitis no gufasha gukira hamwe n’ubuvuzi. Ibi bintu byoroshye bishobora kugufasha cyane mu gihe umubiri wawe ukirinda.

Guhangana n’ububabare no kubyimba bikora neza hamwe n’uburyo butandukanye:

• Shyiraho ibisate by’amazi bikonjesha bifunze mu ruziba rworoshye mu minota 15-20 buri saha
• Kwambara imyenda y’imbere cyangwa gukoresha inkunga y’igitsina kugira ngo ugabanye ububabare
• Fata imiti igabanya ububabare iboneka mu maduka nk’uko muganga wawe yabikugennye
• Ruhukira amaguru yawe ari hejuru igihe bishoboka kugira ngo ugabanye kubyimba
• Kwima ibikorwa bikomeye kugeza ibimenyetso bigabanutse

Kunywa amazi ahagije, bituma umubiri wawe urwanya indwara kandi ugatera gukira. Kwima inzoga, bishobora kubangamira gukira n’imiti imwe.

Kwitondera ibimenyetso byawe kandi uhamagare muganga wawe niba ububabare buzamuka, umuriro ukaza, cyangwa ukabona impinduka ziteye impungenge. Abagabo benshi basanga guhuza ibi bintu byo mu rugo hamwe n’ubuvuzi bwatanzwe ari byo byiza.

Orchitis ishobora kwirindwa gute?

Indwara nyinshi za orchitis zishobora kwirindwa binyuze mu mibereho myiza n’imyitwarire myiza y’ubuzima. Gufata izi ngamba zo kwirinda bishobora kugabanya cyane ibyago byo kurwara iyi ndwara ibabaza.

Imikorere y’ubuzima bw’imibonano mpuzabitsina igira uruhare mu kwirinda:

• Koresha uburyo bwo kwirinda buhoraho mu gihe cy’imibonano mpuzabitsina
• Kugabanya umubare w’abafatanyabikorwa
• Kwisuzumisha indwara zandura mu mibonano mpuzabitsina buri gihe
• Kumenya ko abafatanyabikorwa basuzumwa kandi bavurwa niba bikenewe
• Gusoza ubuvuzi bwose bwatanzwe kubera indwara zandura mu mibonano mpuzabitsina

Uburyo bwo kwitaho ubuzima rusange bugira uruhare:

• Kuba uzi neza gukingirwa, cyane cyane MMR (igituntu, mumps, rubella)
• Kwitaho isuku y’inzira y’umusarani no kuvura indwara z’inzira y’umusarani vuba
• Kunywa amazi ahagije kugira ngo ufashe ubuzima bw’inzira y’umusarani
• Gushaka ubuvuzi bwihuse kubera ibimenyetso by’indwara z’inzira y’umusarani

Nubwo udashobora kwirinda orchitis yose, izi ngamba zigabanya cyane ibyago byawe kandi zikongerera ubuzima bw’imyororokere.

Uko wakwitegura gusura muganga wawe

Kwitoza gusura muganga wawe bishobora kugufasha kubona ubuvuzi bwiza kandi buhamye. Gufata iminota mike kugira ngo utegure ibitekerezo byawe n’amakuru mbere bizatuma inama iba myiza.

Mbere y’inama yawe, andika:

• Igihe ibimenyetso byawe byatangiye n’uko byahindutse
• Imiti yose n’ibindi byongerwamo ufashe ubu
• Amateka yawe y’imibonano mpuzabitsina n’abafatanyabikorwa uheruka kugira
• Indwara, ibyabaye, cyangwa imvune uheruka kugira
• Ibibazo ushaka kubabaza muganga wawe

Tegura kuganira ku ngingo zikomeye ubanza uvuga ukuri. Muganga wawe akeneye amakuru yuzuye kugira ngo aguhe ubuvuzi bwiza, kandi ibintu byose uvuga ni ibanga.

Tekereza kuzana inshuti cyangwa umuryango wawe kugira ngo bagufashe, cyane cyane niba uhangayitse kubera iyi nama. Kugira umuntu uri kumwe bishobora kugufasha kwibuka amakuru akomeye no guhumurizwa.

Icyo ugomba kumenya cyane kuri orchitis

Orchitis ni indwara ivurwa neza kandi ivurwa neza n’ubuvuzi bwihuse. Nubwo ibimenyetso bishobora gutera impungenge kandi bikababaje, abagabo benshi barakira neza ukoresheje ubuvuzi bukwiye no kwitaho.

Ikintu cy’ingenzi cyo kwibuka ni ukutinda gushaka ubuvuzi niba ufite ububabare cyangwa kubyimba mu mutwe. Kumenya indwara hakiri kare no kuyivura byirinda ingaruka kandi bigatanga ubuvuzi bwihuse bw’ibimenyetso bituma umuntu atabona amahoro.

Ukoresheje ubuvuzi bukwiye, ingamba zo kwirinda, no kwita ku buzima bw’imibonano mpuzabitsina n’inzira y’umusarani, ushobora gucunga orchitis neza kandi ugabanya ibyago byo kurwara mu gihe kizaza. Wibuke ko iyi ndwara isanzwe kurusha uko ushobora kubitekereza, kandi abaganga bafite ubushobozi bwo kugufasha mu gupima no kuvura.

Ibibazo byakunda kubazwa kuri orchitis

Q1. Orchitis ishobora kugira ingaruka ku kubyara burundu?

Ubuvuzi bwinshi bwa orchitis ntibutera ibibazo byo kubyara burundu, cyane cyane iyo bivuwe vuba. Ibibazo byo kubyara ni bike kandi bisanzwe bibaho iyo imitwe yombi yabangamiwe cyane cyangwa iyo ubuvuzi butinze cyane. Nubwo bimeze bityo, kudapfa kubyara ni bike, kandi abagabo benshi bakomeza kubyara uko bisanzwe.

Q2. Ni igihe kingana iki gikenewe kugira ngo umuntu akire orchitis?

Abagabo benshi batangira kumva barushaho kumererwa neza mu minsi 2-3 nyuma yo gutangira ubuvuzi bwa antibiyotike kubera orchitis iterwa na bagiteri. Gukira burundu bisanzwe bitwara ibyumweru 1-2, nubwo kubyimba no kubabara bishobora gukomeza gato igihe kirekire. Orchitis iterwa na virusi ishobora gutinda gukira kuko isaba ko umubiri wawe ukuraho indwara ubwabyo.

Q3. Orchitis yandura abafatanyabikorwa mu mibonano mpuzabitsina?

Orchitis ubwayo ntiyandura, ariko indwara ziterwa na yo zishobora kwandura abafatanyabikorwa mu mibonano mpuzabitsina. Niba orchitis yawe iterwa n’indwara yandura mu mibonano mpuzabitsina, umufatanyabikorwa wawe agomba kwisuzumisha kandi agakurikiranwa. Ugomba kwirinda imibonano mpuzabitsina kugeza ubuvuzi bwawe burangiye kandi muganga wawe yemeje ko indwara yavuyeho.

Q4. Nshobora gukora imyitozo ngororamubiri cyangwa gukina siporo mfite orchitis?

Ugomba kwirinda ibikorwa bikomeye, imirimo ikomeye, na siporo zikubiyemo guhura kugeza ibimenyetso byawe bigabanutse kandi muganga wawe akwemereye. Ibikorwa byoroshye nko kugenda bisanzwe byiza, ariko utege amatwi umubiri wawe kandi uruhuke igihe bikenewe. Gusubira mu bikorwa byuzuye vuba bishobora kongera ibimenyetso no gutinda gukira.

Q5. Ni uwuhe ubutandukani hagati ya orchitis na testicular torsion?

Testicular torsion itera ububabare butunguranye, bukabije bumera nk’ubwa orchitis ariko ni ubuvuzi bw’ubuganga bukeneye ubuvuzi bwihuse. Torsion isanzwe itera ububabare bukabije butunguranye cyane, mu gihe ububabare bwa orchitis busanzwe butinda gutera. Niba ufite ububabare butunguranye, bukabije mu mutwe, shaka ubuvuzi bwihuse ako kanya kugira ngo harebwe torsion.