Uyini i-Orchitis? Izimpawu, Izimbangela, Nokwelapha

I-Orchitis iwukuvuvukala kwelinye noma womabili ama-testicles okuholela ebuhlungwini, ekuqabukeni, nasekubuhlungwini. Leli simo ngokuvamile liqala lapho ibhaktheriya noma ama-virus ngena ema-testicles, liholela ekuthelelekeni nasezimpawini ezingathandeki ezingathinta amadoda anobulili obubili.

Nakuba i-orchitis ingase ibe yinto ebangela ukukhathazeka, iyisimo esingelapheka esiphendula kahle ekunakekelweni okufanele kwezokwelapha. Ukuqonda izimpawu nokuthola ukwelashwa okusheshayo kungakusiza ukuthi uphulukiswe ngokushesha futhi uvikele ukuphazamiseka.

Uyini i-orchitis?

I-Orchitis ivela lapho ama-testicles akho eqala ukuvuvukala ngenxa yokutheleleka noma ezinye izimbangela. Ukuvuvukala kwenza ama-testicles akho aqabuke, abe buhlungu, futhi ngokuvamile kube buhlungu kakhulu.

Cabanga ngakho njengengxenye yomzimba wakho ethola ukuvuvukala lapho ilwa nokutheleleka. Ama-testicles akho aphendula kubhaktheriya eyingozi noma ama-virus ngokwandisa ukugcwala kwegazi nomsebenzi wokulwa nezifo endaweni. Le ndlela yemvelo yokuzivimbela iholela ekuqabukeni nasebuhlungwini obuvamile.

Izigameko eziningi ze-orchitis zibangelwa ukutheleleka ngamabhaktheriya, nakuba ukutheleleka ngama-virus kungase futhi kuqalise leli simo. Izindaba ezinhle ukuthi ngokwelashwa okufanele, amadoda amaningi aphulukiswa ngokuphelele ngaphandle kwemiphumela ehlala njalo.

Ziyini izinhlobo ze-orchitis?

Kunezinhlobo ezimbili eziyinhloko ze-orchitis, ezihlukaniswe yilokho okubangela ukuvuvukala. I-Orchitis yebhaktheriya iyindlela evamile futhi ngokuvamile ivela njengophawu lwezinye izifo.

I-Orchitis yebhaktheriya ngokuvamile iqala lapho ibhaktheriya evela ezifweni zokutheleleka kwesistimu yomchamo noma ezifweni zokutheleleka ngocansi isakazeka ema-testicles. Lolu hlobo ngokuvamile luthinta i-testicle elilodwa ngaphezu kolunye futhi luqala kancane kancane izinsuku eziningi.

I-Orchitis yama-virus ayivamile kodwa ingase ibe khona kanye nezifo zama-virus ezifana ne-mumps. Le ndlela ngezinye izikhathi ithonya womabili ama-testicles futhi ingase iqale ngokushesha kunaleyo yebhaktheriya.

Ziyini izimpawu ze-orchitis?

Izimpawu ze-orchitis zingase ziqale kancane kancane noma ziqale ngokushesha, kuye ngesizathu esiyimbangela. Ukuqaphela lezi zimpawu ngokushesha kungakusiza ukuthi uthole ukwelashwa ngaphambi kokuba leli simo libi.

Izimpawu ezivamile ongazihlangabezana nazo zihlanganisa:

• Ubuhlungu obukhulu kwelinye noma womabili ama-testicles okungase kuhambele e-groin yakho
• Ukuqabuka okubonakalayo nokubuhlungu kwi-testicle ethintekile
• Ubomvu nokushisa e-scrotum
• Ukuqabuka nokuthanda ukubanda, ikakhulukazi ngezifo zebhaktheriya
• Ukuphazamiseka kokugabha ngenxa yobuhlungu obukhulu
• Ubuhlungu bokuthamba noma ukwanda kokuthamba
• Ukuphuma kwelungu lesilisa uma kukhona ukutheleleka ngocansi

Amanye amadoda abhekana nokuphumula nokubukeka kungekuhle. Ubuhlungu buvame ukuba bukhulu uma uthinta noma uthinta, okwenza imisebenzi yansuku zonke ingabi lula.

Lezi zimpawu zingathinta kakhulu ikhwalithi yokuphila kwakho, kodwa khumbula ukuthi ukwelashwa okuphumelelayo kukhona ukunikeza impumuzo nokulungisa ukutheleleka okubangelayo.

Yini ebangela i-orchitis?

I-Orchitis ivela lapho ibhaktheriya eyingozi noma ama-virus efika ema-testicles akho futhi ebangela ukutheleleka. Ukuqonda ukuthi lokhu kwenzeka kanjani kungakusiza ukuthi uqonde izimbangela zengozi futhi uthathe izinyathelo zokuvimbela.

Izimbangela zebhaktheriya ezivamile zihlanganisa:

• Izifo zokutheleleka ngocansi ezifana ne-chlamydia ne-gonorrhea
• Izifo zokutheleleka kwesistimu yomchamo ezisakazeka e-bladder noma e-prostate
• I-Epididymitis (ukuvuvukala kompompi ogcina isperm) oluya kwi-testicle
• Izifo ezihambisana negazi ezihamba ngegazi lakho

Izimbangela zama-virus azivamile kodwa zingase zihlanganise:

• I-Mumps virus, ikakhulukazi kumadoda angagonywanga
• I-Epstein-Barr virus (ebangela i-mononucleosis)
• I-Cytomegalovirus ezimweni ezingavamile

Ngezinye izikhathi i-orchitis ingase iqale ngezimbangela ezingathinteki njengezimo zokulwa nezifo noma ukulimala ema-testicles. Noma kunjalo, lezi zimbangela azivamile kakhulu kunamabhaktheriya noma ama-virus.

Ziyini izimbangela zengozi ze-orchitis?

Izici ezithile zingandisa amathuba akho okuthola i-orchitis. Ukuqaphela lezi zici zengozi kungakusiza ukuthi uthathe izinyathelo zokuvimbela futhi ufuna ukwelashwa okusheshayo uma kudingeka.

Izici eziyinhloko zengozi zihlanganisa:

• Ukuba semisebenzini yocansi ngaphandle kokusebenzisa ukuvikelwa
• Ukuba nabalingani abaningi bocansi noma umlingani onezifo zokutheleleka ngocansi
• Umlando wezifo zokutheleleka kwesistimu yomchamo noma izinkinga ze-prostate
• Ukungaqonywa yi-mumps
• Ukuba ne-catheter noma izinqubo zakamuva zokuthamba
• Ukungahambisani komzimba kwesistimu yomchamo
• Isimo sokulwa nezifo esenza ukutheleleka kube lula

Ubudala busebenza futhi, nge-orchitis yebhaktheriya evame kakhulu kumadoda asebenzayo ngocansi angaphansi kweminyaka engu-35 nalabo abangaphezu kweminyaka engu-55. Amadoda kulawo maqembu eminyaka kufanele aqaphele ngokukhethekile izimpawu nezici zengozi.

Ukuba nanoma yiluphi lwezi zici zengozi akusho ukuthi uzoba ne-orchitis, kodwa kusho ukuthi kufanele uqaphele kakhulu izimpawu nokukhathalela okuvimbelayo.

Nini okumele ubona udokotela nge-orchitis?

Kufanele ubona udokotela ngokushesha uma uhlangabezana nobuhlungu noma ukuqabuka okukhulu kwe-testicle. Lezi zimpawu zidinga ukunakekelwa okusheshayo kwezokwelapha ukuze kuvinjwe izimo ezingathi sína futhi kuqalwe ukwelashwa okufanele.

Funani ukunakekelwa okusheshayo kwezokwelapha uma una:

• Ubuhlungu obukhulu ngokushesha kwelinye noma womabili ama-testicles
• Ukuqabuka kwe-testicle ngokuqabuka nokubanda
• Ukuphazamiseka nokugabha kanye nobuhlungu be-testicle
• Izimpawu zokutheleleka njengokuqabuka, ubuhlungu bomzimba, noma ukubukeka kungekuhle
• Ubuhlungu bokuthamba noma ukuphuma okungavamile

Ungalindi ukubona uma izimpawu ziphulukana zodwa. Ukwelashwa okusheshayo akunikezi nje kuphela impumuzo esheshayo kodwa futhi kuvimbela ukuphazamiseka okungenzeka njengokwakheka kwe-abscess noma izinkinga zokuzala.

Ngisho noma izimpawu zakho zibonakala zingenamandla, kufanele ubone umhlinzeki wezinsizakalo zezempilo ukuze uthole ukuxilongwa nokwelashwa okufanele. Okungase kubonakale njengokungakhululeki okuncane kungase kubonise ukutheleleka okudingayo ukunakekelwa kwezokwelapha.

Ziyini izinkinga ezingase zenzeke nge-orchitis?

Nakuba izigameko eziningi ze-orchitis ziyaphela ngokuphelele ngokwelashwa okufanele, izigameko ezingelapheki noma ezinzima zingase ziholele ekuphukeni. Ukuqonda lezi zinkinga ezingase zenzeke kugcizelela ukubaluleka kokufuna ukunakekelwa okusheshayo kwezokwelapha.

Izinkinga ezingase zenzeke zihlanganisa:

• I-Orchitis ehlala njalo ngebuhlungu nokuvuvukala okuhlala njalo
• I-Testicular abscess edinga ukususwa ngokuhlinzwa
• I-Testicular atrophy (ukuhlanza) ezimweni ezinzima
• Izinkinga zokuzala uma womabili ama-testicles ethinteka kakhulu
• I-Chronic pain syndrome ezimweni ezingavamile

Ingozi yalezi zinkinga incintisana kakhulu lapho i-orchitis ixilongwa futhi ilapheka ngokushesha. Amadoda amaningi athola ukwelashwa okufanele ngama-antibiotic aphulukana ngokuphelele ngaphandle kwanoma yimiphi imiphumela ende.

Izinkinga zokuzala azivamile futhi ngokuvamile zenzeka kuphela lapho womabili ama-testicles ethinteka kakhulu noma lapho ukwelashwa kulibaziseka kakhulu. Ngisho nalapho, ukungabi namandla okuphelele akukho okuvamile.

I-Orchitis ixilongwa kanjani?

Udokotela wakho uzoxilonga i-orchitis ngokuhlanganiswa kokuhlolwa komzimba, umlando wezokwelapha, nokulingwa kwelebhu. Inqubo yokuxilonga ikusiza ukuthi ubone imbangela futhi uqondise ukwelashwa okufanele.

Okokuqala, udokotela wakho uzokubuza ngezimpawu zakho, umlando wocansi, nanoma yimiphi imitholampilo yakamuva. Bese benza ukuhlolwa komzimba kwama-testicles akho, bahlole ukuqabuka, ubuhlungu, nezinye izimpawu zokuvuvukala.

Ukuhlolwa kwelebhu ngokuvamile kuhlanganisa:

• Ukuhlolwa komchamo ukuhlola ibhaktheriya nezimpawu zokutheleleka
• Ukuhlolwa kwegazi ukuthola izimpawu zokutheleleka nokukhipha ezinye izimo
• Ukuhlolwa kwezifo zokutheleleka ngocansi uma kudingeka
• Isithombe se-ultrasound ukuthola ama-testicles nokukhipha ezinye izimo

I-Ultrasound ikusiza kakhulu ngoba ingakwahlukanisa i-orchitis kwezinye izimo ezingathi sína njenge-testicular torsion, edinga ukuhlinzwa okusheshayo. Lesi sithombe siphinde sisize udokotela wakho ukuthi ahlole ubukhulu bokuvuvukala.

Ukwelashwa kwe-orchitis yini?

Ukwelashwa kwe-orchitis kugxile ekususeni ukutheleleka okubangelayo nokuphatha izimpawu zakho. Indlela ethile ixhomeke ekutheni imbangela iyebhaktheriya noma yama-virus.

Nge-orchitis yebhaktheriya, udokotela wakho uzokunikeza ama-antibiotic ngokusekelwe kubhaktheriya abecabanga noma abaqinisekisiwe. Izinketho zama-antibiotic ezivamile zihlanganisa i-fluoroquinolones noma i-doxycycline, ngokuvamile ithathwa izinsuku ezingu-10-14.

I-Orchitis yama-virus ayiphenduli kuma-antibiotic, ngakho ukwelashwa kugxile ekulawuleni izimpawu ngenkathi umzimba wakho ulwa nokutheleleka ngokwemvelo. Lokhu ngokuvamile kuhlanganisa ukuphumula, imithi yokuhlanza ubuhlungu, nokunakekelwa okusekela.

Kungakhathaliseki imbangela, ukulawula izimpawu ngokuvamile kuhlanganisa:

• Imithi yokunciphisa ubuhlungu ethenywa ngaphandle kokubhalwa kwelungu lokuthola imithi njenge-ibuprofen noma i-acetaminophen
• Ama-ice packs afakwe e-scrotum imizuzu engu-15-20 izikhathi eziningi ngosuku
• Ukusekela i-scrotum nge-underwear ehambisanayo noma abasekeli bezemidlalo
• Ukuphumula nokugwema imisebenzi enzima
• Ukuhlala unamanzi

Amadoda amaningi aqala ukuzizwa kahle ezinsukwini ezimbalwa zokuqala kokwelashwa, nakuba ukululama okuphelele kungathatha amasonto amaningana. Kubalulekile ukuthatha wonke ama-antibiotic abhalwe ngisho noma uzizwa kahle.

Indlela yokwelapha ekhaya ngesikhathi se-orchitis?

Izinyathelo zokunakekelwa ekhaya zingasiza kakhulu ekulawuleni izimpawu ze-orchitis nokusekela ukululama kwakho kanye nokwelashwa kwezokwelapha. Lezi zinyathelo ezilula zingakunikeza impumuzo enkulu ngenkathi umzimba wakho uyahlanza.

Ukulawula ubuhlungu nokuqabuka kusebenza kangcono ngokuhlanganiswa kwezindlela:

• Faka ama-ice packs agqunywe ngetawuli elincane imizuzu engu-15-20 njalo ngemizuzu embalwa
• Gqoka i-underwear ehambisanayo noma sebenzisa ukusekela i-scrotum ukuze unciphise ubuhlungu
• Thatha imithi yokunciphisa ubuhlungu ethenywa ngaphandle kokubhalwa kwelungu lokuthola imithi njengoba uqondiswe udokotela wakho
• Phumula ngezinyawo zakho eziphakanyisiwe uma kungenzeka ukuze unciphise ukuqabuka
• Gwema ukuphakamisa izinto ezinzima noma imisebenzi enzima kuze kube yilapho izimpawu ziphulukana

Hlala unamanzi ngokuphuza amanzi amaningi, okusiza umzimba wakho ukuba ulwe nokutheleleka nokusekela ukululama. Gwema utshwala, olukhubaza ukululama nemithi ethile.

Qapha izimpawu zakho ngokucophelela futhi uxhumane nodokotela wakho uma ubuhlungu bukhulu, uqabuka, noma uqaphela noma yikuphi ukuguquka okukhathazayo. Amadoda amaningi athola ukuthi ukuhlanganisa lezi zinyathelo zasekhaya nokwelashwa okubhaliwe kunikeza imiphumela emihle kakhulu.

I-Orchitis ingavimbeka kanjani?

Izimo eziningi ze-orchitis zingavimbeka ngezinyathelo ezilula zokuphila nokukhathalela impilo. Ukuthatha lezi zinyathelo zokuvimbela kunganciphisa kakhulu ingozi yakho yokuthola leli simo elibuhlungu.

Imikhuba yempilo yocansi yakha isisekelo sokuvimbela:

• Sebenzisa ukuvikelwa njalo ngesikhathi semisebenzi yocansi
• Ncipha isamba sabalingani bocansi
• Hlola njalo izifo zokutheleleka ngocansi
• Qinisekisa ukuthi abalingani bahlolwe futhi balapheke uma kudingeka
• Qeda yonke imithi ebhalwe nganoma yiziphi izifo zokutheleleka ngocansi

Izinyathelo zokukhathalela impilo ziphinde zidlale indima ebalulekile:

• Hlala ugcine ukugonywa, ikakhulukazi i-MMR (i-measles, i-mumps, i-rubella)
• Sebenzisa ukuhlanzeka okuhle kokuthamba futhi ulungise izifo zokutheleleka kwesistimu yomchamo ngokushesha
• Hlala unamanzi ukuze usekele impilo yesistimu yomchamo
• Funani ukwelashwa okusheshayo nganoma yiziphi izimpawu zezifo zokutheleleka kwesistimu yomchamo

Nakuba ungakwazi ukuvimbela zonke izimo ze-orchitis, lezi zinyathelo zinciphisa kakhulu ingozi yakho futhi zikhuthaza impilo yokuzala ngokujwayelekile.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela ukuvakasha kwakho kudokotela kungakusiza ukuqinisekisa ukuthi uthola ukuxilongwa okuchane kakhulu nelenani lokwelapha eliphumelelayo. Ukuthatha imizuzu embalwa ukuhlela imicabango yakho nolwazi ngaphambi kokwenza i-aphoyintimenti kwenza i-aphoyintimenti ibe yiyona ephumelelayo.

Ngaphambi kwe-aphoyintimenti yakho, bhala phansi:

• Lapho izimpawu zakho zaqala nokuthi ziguquke kanjani
• Yonke imithi kanye nezinye izinto ozithatha njengamanje
• Umlindo wocansi wakho nanoma yibaphi abalingani bakamuva
• Noma yiziphi izifo, izinqubo, noma ukulimala kwakamuva
• Imibuzo ofuna ukuyibuza udokotela wakho

Lungela ukuxoxa ngezindaba ezinzima ngokukhululekile nangokwethembeka. Udokotela wakho udinga ulwazi oluphelele ukunikeza ukunakekelwa okuhle kakhulu, futhi konke okukushoyo kuyimfihlo.

Cabanga ukuletha umngani noma ilungu lomndeni othembekile ukusekela, ikakhulukazi uma uzizwa ukhathazekile nge-aphoyintimenti. Ukuba nomuntu onaye kungakusiza ukuba ukhumbule ulwazi olukhulu futhi unikeze induduzo yothando.

Iyini into ebalulekile nge-orchitis?

I-Orchitis iyisimo esingelapheka esiphendula kahle ekunakekelweni okusheshayo kwezokwelapha. Nakuba izimpawu zingase zibe yinto ekhathazayo futhi zingabi lula, amadoda amaningi aphulukana ngokuphelele ngokwelashwa okufanele nokukhathalela okusekela.

Into ebaluleke kakhulu okumele uyikhumbule ukungalibali ukufuna ukunakekelwa kwezokwelapha uma uhlangabezana nobuhlungu noma ukuqabuka kwe-testicle. Ukutholwa nokwelashwa okusheshayo kuvimbela ukuphazamiseka futhi kunikeza impumuzo esheshayo ezimpawini ezingathandeki.

Ngokunakekelwa okufanele kwezokwelapha, izinyathelo zokuvimbela, nokunakekelwa kwempilo yakho yocansi neyesistimu yomchamo, ungalawula i-orchitis futhi unciphise ingozi yezigameko zesikhathi esizayo. Khumbula ukuthi leli simo livame kakhulu kunokuba ucabanga, futhi abahlinzeki bezinsizakalo zezempilo balungele ukukusiza ngokuxilongwa nokwelashwa.

Imibuzo evamile ebuzwa nge-orchitis

Q1. Ingabe i-orchitis ingathinta ukukhiqiza izingane ngokuhlala njalo?

Izimo eziningi ze-orchitis azibangeli izinkinga zokuzala ezihlala njalo, ikakhulukazi lapho ilapheka ngokushesha. Izinkinga zokuzala azivamile futhi ngokuvamile zenzeka kuphela lapho womabili ama-testicles ethinteka kakhulu noma ukwelashwa kulibaziseka kakhulu. Ngisho nalapho, ukungabi namandla okuphelele akukho okuvamile, futhi amadoda amaningi agcina enokuzala okujwayelekile.

Q2. Kuthatha isikhathi esingakanani ukululama e-orchitis?

Amadoda amaningi aqala ukuzizwa kahle ezinsukwini ezingu-2-3 zokuqala kokwelashwa ngama-antibiotic nge-orchitis yebhaktheriya. Ukwelulama okuphelele ngokuvamile kuthatha isonto eli-1-2, nakuba ukuqabuka nobuhlungu kungase kuhlale isikhathi eside kancane. I-Orchitis yama-virus ingase ithathe isikhathi eside ukululama ngoba idinga isistimu yakho yokulwa nezifo ukuze isuse ukutheleleka ngokwemvelo.

Q3. Ingabe i-orchitis iyadluliseleka kubalingani bocansi?

I-Orchitis ngokwayo ayidluliseleki, kodwa ukutheleleka okubangelayo kungadluliselwa kubalingani bocansi. Uma i-orchitis yakho ibingelwa yisifo sokutheleleka ngocansi, umlingani wakho kufanele ahlolwe futhi alapheke futhi. Kufanele ugweme imisebenzi yocansi kuze kube yilapho uqede ukwelashwa futhi udokotela wakho aqinisekisa ukuthi ukutheleleka kuhlanzekile.

Q4. Ngingasebenzisa yini noma ngidlale imidlalo nge-orchitis?

Kufanele ugweme imisebenzi enzima, ukuphakamisa izinto ezinzima, nemidlalo yokuxhumana kuze kube yilapho izimpawu zakho ziphulukana futhi udokotela wakho enikeza imvume. Imisebenzi elula njengokuhamba ngokuvamile ilungile, kodwa lalela umzimba wakho futhi uphumule uma kudingeka. Ukubuyela emisebenzini ephelele ngokushesha kakhulu kungase kube buhlungu izimpawu futhi kulibazise ukululama.

Q5. Uyini umehluko phakathi kwe-orchitis ne-testicular torsion?

I-Testicular torsion iholela ebuhlungwini obukhulu ngokushesha okufana ne-orchitis kodwa iyisimo esidinga ukuhlinzwa okusheshayo. I-Torsion ngokuvamile iholela ebuhlungwini obukhulu obuqala ngokushesha, kuyilapho ubuhlungu be-orchitis ngokuvamile buqala kancane kancane. Uma una ubuhlungu obukhulu be-testicle ngokushesha, funani ukunakekelwa kwezokwelapha okusheshayo ngokushesha ukuze kuvinjwe i-torsion.