Ukuvuvukala kwe-epididymis

Ukuvuvukala kwe-epididymis kubangelwa ukutheleleka okungena emgodini omude ovalwe (i-epididymis) lapho ukubunjwa kwesilisa kwenzeka khona. Lesi sifo sibonakala kubantu abaneminyaka engama-18-40 ubudala, ngokuvamile kuphela uhlelo lwezocansi oluthintekile.

Izimbangela

Isizathu esiyinhloko sesifo yisifo sofuba, esivame ukudluliswa ngokobulili. Ngesigamu amacala, i-causative agent i-chlamydia. Ezinye izimbangela ze-epididymitis ziyizinambuzane zamathumbu emathumbu, okuyizona ezibangela ukuthuthukiswa kwezifo ze-urinary tract (pyelonephritis, cystitis). Lezi zihlanganisa E. coli, klebsiel, enterococcus, pseudomonad, proteus. Ezimweni ezingavamile, lesi sifo siholela ekutheleleni okugciwane lesandulela ngculazi nesifo sofuba. Ezinye izinto ezivusa ukuthuthukiswa kwe-epididymitis zihlanganisa i-hypothermia enamandla, okuphazamisa ukujikeleza kwegazi kwe-scrotum.

Ukuvuvukala kwe-epididymis kungahlanganiswa nokuhlinzwa noma ukuhlukunyezwa. Ngakho-ke, ezimweni ezinjalo, izidakamizwa ezilwa nokuvuvukala nemithi elwa namagciwane imisiwe. Ukuma isikhathi eside kwe-catheter ku-urethra kungabangela lesi sifo ngokungena ekutheleleni okukhuphuka ngokunakekelwa okungafanele.

Izimpawu

I-hyperthermia kuze kufike ku-40 ° C, izinhlungu ezibukhali ezanda ngesikhathi sokunyakaza, i-hyperemia, i-edema ye-scrotum kusuka ohlangothini oluthintekile kubonisa ukuvuvukala kwama-epididymis . Izimpawu zalesi sifo zikhuphuka kancane kancane, ngezinhlungu zesikhashana zixilisa ekuhlungeni, i-perineum, ngezinye izikhathi ku-sacrum nasinqeni. Kungase kube khona ukuhlaselwa okusebenzayo.

Ngaphandle kokwelapha okufanele ubuhlungu kuleso sifo kungabonakala bodwa emva kwezinsuku ezingu-5. Esikhathini somsila noma emzimbeni we-appendage, ukungenwa okungafani kwakha, okuhlangene okunamandla. Ngemva kwalokho, angathatha indawo yesikhala. Lesi sici, kuhlangene nokuziphendulela ku-spermatozoa yaso, kuvame ukuholela ekusenikeni. Umphumela we-epididymitis ukuguqulwa kwesifo kusigaba esingapheliyo. Phakathi nenkathi yokuxoxwa, akusoze kube khona ukubonakaliswa kwemitholampilo, futhi ngokugqamile izimpawu zifana nokuvuvukala okukhulu kwama-epididymis. Umphumela wale nqubo ungaba ukuwohloka okunamandla kwesigungu, okuholela ekunciphiseni ama-vas deferens, futhi kuyisici esibangela ukuthuthukiswa kokungazalwa.

Izifo

Ukuvuvukala kwe-epididymis kutholakala ukuhlolwa ngokomzimba (palpation). Izindlela ezisizayo ziyi-ultrasound ne-diaphanoscopy. Awubuhlungu futhi anembile.

Ukuze uthole ukuxilongwa, izindlela zokwelapha nazo ziyasetshenziswa, ezibandakanya ukuhlaziywa okujwayelekile komchamo kanye nesiko labo ekutholeni i-pathogenic microflora, ngezinye izikhathi kwenziwa ukuhlaziywa kwe-ejaculate ngokuba khona kwezifo ezithathelwanayo.

Ukwelapha nokuvimbela

Ngokuvamile, ukwelashwa okuvame ukuthungatha izidakamizwa kufaka ukuvuvukala okungaqondakali kwe-epididymis . Ukwelashwa uma kunenkinga yokuqeda ukudla okufanele (ngaphandle kokubhema, usawoti, othosiwe), ukuqinisekisa ukuphumula kombhede oqinile. Futhi, isilinganiso esidingekayo ukunikeza ingxenye engezansi ye-trunk isikhundla esiphakeme ukuqinisekisa ukuphumula kwe-scrotum. Ukwelashwa kwezidakamizwa kunqunywe ngokwezifo ezibangele i-epididymitis. Uma isitho sinqunywe, i-autopsy iboniswa ngogesi olulandelayo lwe-abscess. Isiguli sinqunywe ukwelashwa kwe-antibacterial, izidakamizwa zokubhuka, amavithamini, ama-enzyme. Ezimweni ezimbi kakhulu, ukusebenza kokususa i-appendage kusetshenzisiwe, uma inqubo ye-purulent idlulela esigqebeni, iphinde ikhishwe. Ukwelashwa kwamafomu okungapheli kwesifo kufana nokutheleleka esigabeni esiyingozi sesifo.

Ukuvuvukala kwe-epididymis kudinga ukuvimbela, okubandakanya ekugwemeni ukutheleleka ngezifo ezithathelwanayo, i-hypothermia, i-trauma. Lapho uthola izifo, kubalulekile ukuphatha ngazo ngesikhathi esifanele.