Ukuqabuka kwe-Epididymitis? Izimpawu, Izimbangela, Nokwelashwa

I-Epididymitis iwukuvuvukala kwe-epididymis, iyona ipayipi egubekile ngemuva kwesisu ngasinye futhi igcina isidoda. Lesi simo esivamile sithinta amadoda azo zonke izinsuku futhi singabangela ukungakhululeki okukhulu, kodwa ngokwelashwa okufanele, abantu abaningi bayaphila ngokuphelele ngaphandle kwezinkinga ezihlala njalo.

I-epididymis idlala indima ebalulekile ekuzalaneni kwamadoda ngokuvumela isidoda ukuba sivuthwe futhi sifumane ikhono lokubhukuda. Uma leli payipi liqala ukuvuvukala, lingabangela ubuhlungu, ukukhula, nezinye izimpawu ezingakhululeki ezingase zikukhathaze ekuqaleni.

Ziyini izimpawu ze-epididymitis?

Isimpawu esivamile kakhulu yukuqala kancane kancane kobuhlungu kwesisu esisodwa esingase sisabalale endaweni ezungeze. Lobu buhlungu ngokuvamile bukhula emahoreni ambalwa noma ezinsukwini, kunokuba buqale ngokuzumayo njengombane.

Ungase uqaphele lezi zimpawu njengoba umzimba wakho uphendula ekukhuleni:

• Ukukhula nokuhlungu kwesisu esithintekile
• Ukuzizwa okufudumele noma ubomvu esikhwameni sesisu
• Ubuhlungu obukhula uma uhamba noma uhleli
• Ukungakhululeki ngesikhathi sokuthamba noma ukuya esikhwameni
• Ukuphuma kwesisu
• Igazi esidodeni sakho
• Ukuqhuma nomkhuhlane ezimweni ezinzima kakhulu
• Isibopho noma ukukhula ongakwazi ukuzizwa ku-epididymis

Ubuhlungu ngokuvamile buzwakala njengokuhlungu okuthambile okuqala kancane, nakuba amanye amadoda akubiza ngokuthi kuyabhoboka noma kuyabhoboka. Ukuhamba noma umsebenzi womzimba ngokuvamile kwenza ukungakhululeki kube kubi kakhulu, kuyilapho ukuphumula kungase kunikeze impumuzo ethile.

Ziyini izinhlobo ze-epididymitis?

Odokotela bahlukanisa i-epididymitis ngokusekelwe ekutheni izimpawu zihlala isikhathi esingakanani nokuthi yini ebangela ukuvuvukala. Ukuqonda lezi zinhlobo kusiza ekutholeni indlela yokwelapha engcono kakhulu yesimo sakho esithile.

I-epididymitis ebukhali ivela ngokushesha futhi ihlala isikhathi esingaphansi kwamasonto ayisithupha. Lona uhlobo oluvamile futhi ngokuvamile luphendula kahle ekwelapheni ngama-antibiotic uma kubangelwa ukutheleleka ngamabhaktheriya.

I-epididymitis eqhubekayo ihlala isikhathi esingaphezu kwamasonto ayisithupha noma iqhubeka ibuya njalo. Lolu hlobo lungaba nzima ukulwelapha futhi lungadinga izindlela ezahlukene zokuphatha izimpawu ngokuphumelelayo.

Ngokusekelwe embangelweni oyisisekelo, i-epididymitis ingahlelwa njengokutheleleka noma okungekho kutheleleka. Izinhlobo ezithathelwanayo zivela kumabhaktheriya noma ezinye izinto eziphilayo, kuyilapho izimo ezingathintekayo zingase zivela ekulimala komzimba, imithi ethile, noma izimo zokuziphatha komzimba.

Yini ebangela i-epididymitis?

Ukutheleleka ngamabhaktheriya kubangela izimo eziningi ze-epididymitis, nakuba amabhaktheriya athile ahlukahluka kuye ngobudala bakho nezici ezingozi. Kumadoda asebenza ngokobulili angaphansi kweminyaka engu-35, ukutheleleka okuthathwa ngokobulili kuyizimbangela ezivamile kakhulu.

Izici eziningi zingabangela lesi simo esingakhululeki:

• Ukutheleleka okuthathwa ngokobulili njenge-chlamydia ne-gonorrhea
• Ukutheleleka kwezinso okuya ku-epididymis
• Ukutheleleka ngamabhaktheriya kusuka ku-E. coli noma ezinye izinto eziphilayo ezisengutsheni
• Ukutheleleka ngama-viral, nakuba lokhu kungavamile
• Urin okugeleza emuva ku-epididymis
• Ukulimala komzimba endaweni yesisu
• Imithi ethile yenhliziyo njenge-amiodarone
• Isifo sohlanga olukhulu ezimweni ezingavamile
• Izimo zokuziphatha komzimba ezithinta uhlelo lokuzala

Emadodeni amadala, izinkinga zokuthamba ngokuvamile zidlala indima. I-prostate enkulu ingavimba ukugeleza kwe-urin, idale izimo ezivumela amabhaktheriya ukuba azale futhi aye ku-epididymis.

Ngezinye izikhathi, imbangela eqondile ihlala ingacaci ngisho nangemva kokuhlolwa okuphelele. Lokhu akusho ukuthi ukwelashwa kuzobe kungasebenzi kahle, kodwa kungase kudinge indlela ehlukile egxile ekulawuleni izimpawu.

Nini okufanele ubona udokotela nge-epididymitis?

Kufanele uxhumane nodokotela uma uhlushwa ubuhlungu obuhlala njalo noma ukukhula kwesisu, ikakhulukazi uma izimpawu zibe zimbi ngokuhamba kwesikhathi. Ukwelashwa okusheshayo kuvimbela izinkinga futhi kukusiza uzizwe ukhulu ngokushesha.

Funani usizo lwezokwelapha ngokushesha uma uthola izimpawu ezinkulu. Ukuqhuma okuphezulu, ubuhlungu obukhulu, noma isicanucanu nokuhlanza kanye nokungakhululeki kwesisu kudinga ukuhlolwa okusheshayo.

Ungalindi uma uqaphela ukuphuma kwesisu noma igazi e-urin noma esidodeni sakho. Lezi zimpawu zibonisa ukutheleleka okukhulu okudingayo ukwelashwa ngama-antibiotic ngokushesha.

Xhumana nodokotela wakho phakathi namahora angu-24 uma ukuhamba kuqala ukuba nzima ngenxa yobuhlungu noma uma ungakwazi ukuthola isikhundla esikhululekile. Lezi zimpawu zibonisa ukuvuvukala okukhulu okuphendula kangcono ekungeneni okusheshayo.

Ziyini izici ezingozi ze-epididymitis?

Izici ezithile zikhuphula amathuba akho okuthola i-epididymitis, nakuba ukuba nezici ezingozi akusho ukuthi uzothola lesi simo. Ukuqonda lezi zici kukusiza uthathe izinyathelo zokuvikela uma kungenzeka.

Ubungozi bakho bungase bube phezulu uma uhlushwa yinoma yiziphi lezi zimo:

• Ukuba usebenza ngokobulili, ikakhulukazi nabalingani abaningi
• Ukuba nobulili obungavikelekile nabalingani abatheleleke
• Umlando wokutheleleka okuthathwa ngokobulili
• Ukutheleleka kwezinso noma izinkinga zesibopho
• I-prostate enkulu
• Izindlela zokwelapha ezihilela indlela yokuthamba
• Ukusebenzisa i-catheter yokuphuma
• Ukungaqondakali komzimba ohlelweni lokuphuma
• Ukusebenzisa imithi ethile yenhliziyo
• Ukuphakamisa okukhulu noma ukucindezela komzimba muva nje

Ubudala buphinde budlale indima ezimisweni zengozi. Amadoda angaphansi kweminyaka engu-35 abhekene nengozi enkulu evela ekuthathweni kokutheleleka ngokobulili, kuyilapho amadoda amadala ngokuvamile athola i-epididymitis evela ezinkingeni zokuthamba.

Ukuba nohlelo lokuphepha olubuthakathaka oluvela ekuguleni noma emithini kungakwenza ube sengozini yokutheleleka okuholela ku-epididymitis. Kodwa-ke, amadoda anempilo nawo angathuthukisa lesi simo.

Ziyini izinkinga ezingase zenzeke nge-epididymitis?

Amadoda amaningi aphulukana ne-epididymitis ngaphandle kwezinkinga ezihlala njalo uma ethola ukwelashwa okufanele. Kodwa-ke, izimo ezingaphathwe noma ezinzima ngezinye izikhathi zingabangela izinkinga ezithinta impilo yakho nokuzala.

Nazi izinkinga ezingase zenzeke okufanele uzikhathaze ngazo:

• Ubuhlungu obuhlala njalo obuhlala njalo ngisho nangemva kokwelashwa
• Ukwenziwa kwesibopho okudingayo ukususwa ngokusebenza
• Ukunciphisa kwesisu esithintekile
• Ukulimala okuvimba indlela yesidoda
• Izinkinga zokuzala noma ukungabi nakho ukuzala
• Ukubhebhetheka kokutheleleka kwezinye izingxenye zohlelo lokuzala
• Izimo eziphindaphindayo ze-epididymitis
• I-gangrene ezimweni ezinkulu kakhulu, ezingaphathwe

Izinkinga zokuzala zingevamile kodwa zingase zenzeke uma ukulimala kuvimba ipayipi elikhulu lesidoda. Lokhu kungenzeka kakhulu ngokutheleleka okukhulu noma izimo eziphindaphindayo ze-epididymitis.

Izindaba ezinhle ukuthi ukwelashwa okusheshayo kunciphisa kakhulu ubungozi bezinkinga. Amadoda amaningi aqala ama-antibiotic ezinsukwini ezimbalwa zokuqala zezimpawu aphulukana ngokuphelele ngaphandle kwanoma yimiphi imiphumela ehlala njalo.

I-epididymitis ingavikeleka kanjani?

Ungathatha izinyathelo eziningi zokunciphisa ubungozi bakho bokuthola i-epididymitis, ikakhulukazi ngokuvikela ukutheleleka okuvamile okubangela. Ukuqapha ubulili obuvikelekile nokuhlanzeka okuhle kuyisisekelo sokuvimbela.

Qaphela ubulili obuvikelekile ngokusebenzisa ama-condom ngokuqhubekayo nangokuqondile nayo yonke imilingani. Lokhu kuvikela ukutheleleka okuthathwa ngokobulili okuholela njalo ku-epididymitis emadodeni amancane.

Gcina ukuhlanzeka komuntu siqu okuhle, ikakhulukazi endaweni yesisu. Ukugeza njalo kusiza ukuvimbela ukwakheka kwamabhaktheriya okungase kube yimbangela yokutheleleka kwezinso.

Hlala unomthelela futhi uthambile njalo ukuze uthole amabhaktheriya ohlelweni lwakho lokuphuma. Ungagcini i-urin isikhathi eside uma uzizwa udinga ukuya.

Uma une-prostate enkulu noma ezinye izinkinga zokuthamba, sebenzisana nodokotela wakho ukuze ulawule lezi zimo ngokuphumelelayo. Ukwelashwa okufanele kunciphisa ubungozi bakho bokuthola izinkinga ezihlobene.

Cabanga ngokulinganisela abalingani futhi ube nezingxoxo ezivulekile mayelana nempilo yokobulili nokucinga. Ukucinga okuvamile kwe-STI kokubili wena nabalingani bakho kusiza ekutholeni ukutheleleka ngaphambi kokuba kubangele izinkinga.

I-epididymitis ihlonishwa kanjani?

Udokotela wakho uzoqala ngokubuza ngezimpawu zakho nomlando wakho wezokwelapha, bese enza ukuhlolwa komzimba wendawo yesisu yakho. Lo mhlanganiso ngokuvamile unikeza ulwazi olufanele ukwenza ukuxilongwa okuchaneka.

Ngesikhathi sokuhlolwa komzimba, udokotela wakho uzothinta ngobumnene izisu zakho nezingxenye ezizungezile ukuhlola ukukhula, ukuhlungu, nezinhlanzi. Bangase futhi bahlole isisu sakho futhi bahlole ama-lymph nodes amakhulu.

Izivivinyo eziningi zingasiza ekuqinisekiseni ukuxilongwa nokubona imbangela oyisisekelo. Udokotela wakho angase akukhuthaze ukuhlolwa kwe-urin ukuhlola amabhaktheriya noma izimpawu zokutheleleka.

Izivivinyo zegazi zingase ziyalwe uma uneqhuma noma ezinye izimpawu zokutheleleka okukhulu. Lezi zihloko zisiza ekuqondeni ukuthi ukutheleleka kuye kwanda ngaphandle kwe-epididymis.

I-ultrasound yesikhwame sakho sesisu ingakwazi ukukhipha ezinye izimo njenge-testicular torsion, edinga ukuhlinzwa okusheshayo. Lolu hlolo olungenasizungu lusebenzisa amaza omsindo ukwenza izithombe zezakhiwo zakho zangaphakathi.

Uma usebenza ngokobulili, udokotela wakho angase ahlole ukutheleleka okuthathwa ngokobulili ngezibonelo ze-urin noma ama-swabs. Ukuqonda amabhaktheriya athile kusiza ekuholeni ekwelapheni okuphumelelayo.

Ukuphathwa kwe-epididymitis yini?

Ukuphathwa kwe-epididymitis ngokuvamile kuhilela ama-antibiotic ukuze alwe nokutheleleka okusekelwe, kanye nokunakekelwa okusekela ukulawula ubuhlungu nokukhula. Amadoda amaningi aqala ukuzizwa ekhululekile ezinsukwini ezimbalwa zokuqala kokwelashwa.

Udokotela wakho uzobhala ama-antibiotic ngokusekelwe embangelweni okungenzeka wokutheleleka kwakho. Ngakolunye uhlangothi, ungase uthole ama-antibiotic ahlukile kunokutheleleka okuhlobene nezinso.

Ukuphathwa kwama-antibiotic avamile kuhlanganisa:

• I-Doxycycline ye-epididymitis ehlobene ne-chlamydia
• I-Ceftriaxone injection kanye ne-doxycycline ye-gonorrhea
• I-Fluoroquinolones yamabhaktheriya ezinso
• I-Trimethoprim-sulfamethoxazole njengendlela ehlukile

Thatha lonke uhlelo lwakho lwama-antibiotic ngokuqondile njengoba kubhalwe, ngisho noma uqala ukuzizwa ukhulu. Ukumisa ngokushesha kungabangela ukwelashwa okungaphelele nokungaqondakali okungenzeka.

Ukulawula ubuhlungu ngokuvamile kuhlanganisa imithi yokuthengwa ngaphandle njenge-ibuprofen noma i-acetaminophen. Lezi ziphinde zisize ekuthambiseni ukuvuvukala nokukhula.

Udokotela wakho angase akhuthaze ukuphumula embhedeni usuku noma amabili okuqala, ikakhulukazi uma ukuhamba kubangela ubuhlungu. Ukuphakamisa isikhwama sakho sesisu ngetawuli ngenkathi ulele kungase kunikeze impumuzo eyengeziwe.

Indlela yokuphatha i-epididymitis ekhaya?

Ukukhathalela ekhaya kudlala indima ebalulekile ekuphileni kwakho kanye nokwelashwa kwezokwelapha. Izindlela ezilula zokunethezeka zinganciphisa kakhulu ubuhlungu bakho futhi zikusize uphulukane ngokushesha.

Faka ama-ice packs endaweni ethintekile imizuzu engu-15-20 izikhathi eziningi ngosuku phakathi kwamahora angu-48 okuqala. Phinda ufake i-ice ngendwangu efinyelela ukuvikela isikhumba sakho ekuxhumaneni ngqo.

Gqoka izingubo zangaphansi ezisekelayo noma usebenzise ukusekela isikhwama sesisu ukuze unciphise ukuhamba futhi unikeze impumuzo. Lokhu kusiza ekuthambiseni ubuhlungu uma uhamba noma uhamba.

Phumula ngangokunokwenzeka, ikakhulukazi phakathi kwamahora ambalwa okuqala kokwelashwa. Gwema ukuphakamisa okukhulu, ukuzivocavoca okunzima, noma imisebenzi eyenza ubuhlungu bakho bube kubi.

Hlala unomthelela ngokunisela amanzi amaningi usuku lonke. Lokhu kusiza umzimba wakho ukulwa nokutheleleka futhi kunganciphisa ukungakhululeki kokuthamba.

Thatha imithi yakho ebhaliwe ngokuqondile njengoba kuqondiswe, kuhlanganise nezinciphise ubuhlungu nama-antibiotic. Beka izikhumbuzo uma kudingeka ukuqinisekisa ukuthi awuphuthelwa izilinganiso.

Gwema ubulili kuze kube yilapho udokotela wakho ekukhulula futhi izimpawu zakho ziphelile ngokuphelele. Lokhu kuvimbela ukusabalala kokutheleleka futhi kuvumela ukwelashwa okufanele.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela i-aphoyintimenti yakho kukusiza ukwenza kakhulu isikhathi sakho nodokotela futhi kuqinisekisa ukuthi uthola ukunakekelwa okudingayo. Woza ulungele ukuxoxa ngezimpawu zakho ngokuningiliziwe.

Bhala phansi ukuthi izimpawu zakho ziqalile nini nokuthi ziguquke kanjani ngokuhamba kwesikhathi. Qaphela ukuthi yini ezenzayo ibe ngcono noma ibe kubi, futhi linganisa izinga lobuhlungu bakho ngesilinganiso esingu-1 kuya ku-10.

Bala yonke imithi oyithatha njengamanje, kuhlanganise nemithi yokuthengwa ngaphandle nama-supplements. Imithi ethile ingase ibe nomthelela ku-epididymitis noma ihlangane nokuphathwa.

Lungela ukuxoxa ngomlando wakho wokobulili ngokwethembeka, kuhlanganise nabalingani bakamuva nanoma yikuphi ukutheleleka okuthathwa ngokobulili okudlule. Lolu lwazi lusiza udokotela wakho ukukhetha ukwelashwa okulungile.

Letha uhlu lwemibuzo ofuna ukuyibuza udokotela wakho. Ungase ufune ukwazi ngesikhathi sokwelashwa, nini okufanele ulindele ukuthuthuka, noma izimpawu zezinkinga.

Cabanga ngokuletha umngani othembekile noma ilungu lomndeni lokusekela, ikakhulukazi uma uzizwa ukhathazekile nge-aphoyintimenti noma ukuhlolwa.

Iyini into ebalulekile mayelana ne-epididymitis?

I-Epididymitis yisimo esingaphatheka esithinta amadoda amaningi, futhi akufanele uzizwe uhluphekile ngokufuna ukunakekelwa. Ngokwelashwa okufanele kwama-antibiotic, izimo eziningi ziyaphela ngokuphelele phakathi kwamasonto ambalwa.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukwelashwa okusheshayo kuholela emiphumeleni emihle nezinkinga ezincane. Ungayinaki ubuhlungu besisu obuhlala njalo noma ulinde izimpawu zibe zimbi.

Ukuvimbela ngokusebenzisa ubulili obuvikelekile nokuhlanzeka okuhle kunciphisa kakhulu ubungozi bakho bokuthola i-epididymitis. Ukukhathalela kwezokwelapha okuvamile kwezimo eziyisisekelo njengezinkinga ze-prostate kuphinde kusize.

Uma uxilongwe nge-epididymitis, ukulandela uhlelo lwakho lokwelapha ngokuphelele kukunika ithuba elihle kakhulu lokuphulukana ngokuphelele. Amadoda amaningi abuyela emisebenzini evamile ngaphandle kwanoma yimiphi imiphumela ehlala njalo.

Imibuzo evamile ebuzwa mayelana ne-epididymitis

Ingabe i-epididymitis ingathinta ukuzala?

I-Epididymitis ayivamile ukuthinta ukuzala uma iwelashwa ngokushesha nangokufanele. Kodwa-ke, izimo ezinkulu noma ezingaphathwe ngezinye izikhathi zingabangela ukulimala okuvimba indlela yesidoda. Kungakho ukwelashwa okusheshayo kubalulekile kakhulu ekuvikeleni impilo yakho yokuzala.

I-epididymitis ithatha isikhathi esingakanani ukuphulukana?

Amadoda amaningi aqala ukuzizwa ekhululekile ezinsukwini ezingu-2-3 zokuqala zokuqala ama-antibiotic, ngokuthuthuka okukhulu ngesonto elilodwa. Ukuphela kokwelashwa ngokuvamile kuthatha amasonto angu-2-4, nakuba izimo eziqhubekayo zingase zithathe isikhathi eside ukuxazulula ngokuphelele.

Ingabe i-epididymitis iyathukutheleka?

I-Epididymitis ngokwayo ayithukutheleki, kodwa ukutheleleka okusekelwe okubangela kungadluliselwa ngokuxhumana ngokobulili. Uma isimo sakho sibangelwa ukutheleleka okuthathwa ngokobulili, umlingani wakho kufanele futhi ahlolwe futhi aphathwe.

Ingabe i-epididymitis ingabuya ngemva kokwelashwa?

I-epididymitis ephindaphindayo ingase ibe khona, ikakhulukazi uma imbangela oyisisekelo ingaxazululwanga ngokuphelele noma uma ubuyela ekuthelelekeni okufanayo. Ukulandela amasu okuvimbela nokuphelelisa lonke uhlelo lwakho lokwelashwa kunciphisa ubungozi bokuphindaphinda.

Uyini umehluko phakathi kwe-epididymitis ne-testicular torsion?

I-Testicular torsion ibangela ubuhlungu obuzumayo, obukhulu futhi kuyisimo sezimo eziphuthumayo esidinga ukuhlinzwa okusheshayo. I-Epididymitis ngokuvamile ivela kancane kancane emahoreni noma ezinsukwini futhi iphendula ekwelapheni ngama-antibiotic. Uma ungaqiniseki, funani usizo lwezokwelapha ngokushesha njengoba i-testicular torsion ingabangela umonakalo ophakade uma ingaphathwe ngokushesha.