Kutupa epididymis ndi

Kutupa mafuta dzira chifukwa cha matenda amene igwera mu njira yaitali yokhota kumapeto (epididymis), imene mapangidwe umuna. Matendawa ndi wofala amuna zaka 18-40, kawirikawiri yekha amakhudza ziwalo zoberekera.

zifukwa

Wochititsa matenda ndi matenda zambiri opatsirana pogonana. Mu theka milandu tizilomboto izi ndi mauka. Zina ndi epididymitis matumbo tizilombo kuti ndi chifukwa matenda a njira ya mkodzo thirakiti (pyelonephritis, cystitis). Zikuphatikizapo E. coli, klebsielu, Enterococcus, Pseudomonas, Proteus. Nthawi zina, matenda amatsogolera tizilombo ndi TB. zinthu zina zomwe imautsa chitukuko cha epididymitis, amatanthauza hypothermia lakuthwa, amene amaswa makope scrotum.

epididymis kutupa likhoza kulumikizidwa ndi opaleshoni kapena kupwetekedwa mtima. Choncho, Zikatero, mankhwala mankhwala odana ndi yotupa ndi mankhwala. Wautali catheter mu mkodzo mwina kuyambitsa pakutchulidwa matendawa kudzera mwa matenda ndi kukwera ndi chisamaliro pachithunzichi.

zizindikiro

Hyperthermia 40 ° C, kupweteka kwambiri zachilengedwe zimene nakweza pa kayendedwe, hyperemia, edema scrotum ndi akhudzidwa dzanja zimaonetsa kutupa mafuta testis. Zizindikiro za matenda pang'onopang'ono kuwonjezera nthawi ululu yochokera kwa groin, perineum, nthawizina mu rump ndi tinsalu. Mwina maonekedwe a zotakasika hydrocele.

Popanda mankhwalawa a ululu matenda mwina zokha paokha patapita masiku 5. Mchira dera kapena mafuta a thupi aumbike ndi kusalola inhomogeneous lomwe lili ndi kapangidwe wandiweyani. Pambuyo pake akhoza m'malo ndi chilonda. Chinthu ichi, pamodzi ndi kudzikonda mokwiya kuti umuna zawo zambiri kumayambitsa osabereka. Epididymitis zotsatira ndi kusintha kwa matenda pa gawo aakulu. Panthawi chikhululukiro lili pafupi mawonetseredwe palibe matenda ndi zizindikiro pa exacerbation ofanana pachimake kutupa epididymis. Zotsatira za ndondomeko izi zingakhale alibe fibrotic wa limba, imbaenda ku kuchepetsa wa vas njira, komanso chinthu n'zothandiza chitukuko osabereka.

diagnostics

Kutupa epididymis matenda kudzera Kupenda thupi (palpation). njira wothandiza ndi akupanga kuona ndi transillumination. Iwo sabweretsa chisoni, ndi zolondola.

Njira yodziwira zasayansi amagwiritsidwa ntchito, monga urinalysis ndi kufesa izo kudziwa microflora tizilombo, nthawi zina ejaculate ndi kusanthula pamaso pa matenda opatsirana.

Kuchiza ndi kupewa

Nthawi zambiri outpatient mankhwala pansi wopepuka kutupa kwa epididymis testicle. Chithandizo ngati inalowa matendawo ndi kuika kudya bwino (kupatulapo kusuta, mchere, wokazinga), kuonetsetsa okhwima bedi zina. Ngati muyeso kutero kupereka thupi m'munsi lokwezeka kwa wakhazikika pa scrotum. mankhwala Kwalamulidwa malinga ndi matenda amene anachititsa epididymitis. Pamene suppuration thupi kutsegula asonyeza, kenako kukhetsa ndi abscess. Wodwala akapatsidwa mankhwala opha tizilombo, mankhwala absorbable, mavitamini, ndi michere. Zikavuta, opaleshoni ntchito kuchotsa epididymis ndi, tinganene purulent ndondomeko mu dzira, nawonso yonse. Chithandizo cha matenda aakulu chikugwirizana ndi mankhwala pa gawo pachimake cha matenda.

Kutupa epididymis amafuna kupewa, zomwe ndi kupewa kugonjetsedwa matenda opatsirana, hypothermia, kuvulala. Pozindikiritsa matenda ayenera nthawi kuwachitira.