urethritis hauv txiv neej yog dab tsi? Qhov no yog ib qho kab mob inflammatory uas tshwm sim los ntawm qhov mob thiab kub hnyiab thaum tso zis. Yog tias tsis kho, daim ntawv mob hnyav tuaj yeem hloov mus rau qhov mob ntev, uas yog qhov txaus ntshai nrog cov teeb meem loj.
Anatomical reference
urethritis hauv txiv neej yog dab tsi? Qhov no yog o ntawm lub urethra. Txhawm rau teb cov lus nug kom ntxaws ntxiv, nws yuav tsum nkag siab txog cov txiv neej genitourinary system.
Cov urethra yog cov kwj dej tso zis. Nws yog sawv cev los ntawm ib tug hollow raj nrog ib tug khoov. Nws qhov ntev tuaj yeem sib txawv ntawm 16 txog 24 cm, thiab nws qhov dav tsis ntau tshaj 8 hli. Microbes, fungi thiab kab mob tuaj yeem nyob ntawm cov phab ntsa ntawm cov hlab ntsha, ua rau cov txheej txheem inflammatory ntawm mucosa. Vim cov yam ntxwv ntawm cov urethra, pathogenic microflora multiplies sai. Qhov no ua rau mucosal edema thiab tso zis tso zis. Raws li qhov tshwm sim, tus txiv neej niaj hnub ntsib kev mob.
Qhov laj thawj tseem ceeb
Hauv cov txiv neej thiab poj niam, tus kab mob muaj qhov tshwm sim sib txawv, vim muaj cov yam ntxwv ntawm lub cev. Hauv kev sib deev ncaj ncees, urethritis yuav luag asymptomatic. Inflammatory txheej txheem nyob rau hauv cov txiv neejib txwm nrog kev tsis xis nyob.
Qhov laj thawj tseem ceeb ntawm nws qhov tshwm sim yog kis kab mob sib deev. Hauv qhov no, kev qaug zog yog suav tias yog thawj tus tsos mob. Nws tus txiv neej tuaj yeem hnov ntau teev tom qab nkag mus ntawm cov kab mob pathogenic rau hauv lub cev. Kuj tseem muaj qhov ua rau tsis kis kab mob, tab sis lawv muaj tsawg dua. Peb tab tom tham txog kev ua xua, noj zaub mov tsis zoo thiab kev nyiam huv ntawm tus kheej.
Yog li, feem ntau ua rau urethritis hauv cov txiv neej yog:
- kab mob sib deev (herpes, ureaplasmosis, trichomoniasis, chlamydia).
- Kev ua txhaum ntawm cov txheej txheem metabolic.
- Tshuaj rau lub cev muaj tshuaj lom.
- Congestion in the pelvic organ (lawv tej zaum yuav ua rau cem quav thiab hemorrhoids).
- Kev tsis haum rau zaub mov, khoom tu tus kheej, tshuaj.
- Kev noj zaub mov tsis zoo uas muaj cov khoom qab ntsev thiab qaub.
Kev ntxhov siab, nquag hypothermia tuaj yeem ua rau mob.
Ntau yam ntawm urethritis
Hauv kev xyaum kho mob niaj hnub no, siv ntau yam kev faib tawm ntawm cov urethritis.
Nyob ntawm qhov xwm txheej tshwm sim, nws tuaj yeem kis tau thiab tsis kis. Thawj pab pawg, nyob rau hauv lem, muab faib ua hom hauv qab no:
- Tshuaj urethritis. Nws txoj kev loj hlob ua rau qee yam kab mob - gonococcus. Nyob rau tib lub sij hawm, ib tug dawb paug secretion yog pom los ntawm cov urethra. Tom qab nws dries, crusts tsim. Cov neeg mob feem ntau yws ntawm qhov mob thiab kub hnyiabpib tso zis.
- Nonspecific urethritis. Lwm cov kab mob ua rau nws tshwm sim. Raws li qhov no, cov nram qab no hom nonspecific urethritis yog txawv:
- kab mob;
- mycoplasma;
- candidiasis;
- chlamydial;
- viral;
- Trichomonas.
Tus kab mob tsis kis kab mob yog faib ua kev tsis haum tshuaj thiab tshuaj lom neeg.
Ncua yog mob, mob thiab mob urethritis rau cov txiv neej. Cov tsos mob thiab ua rau ntawm ob qhov kawg yog qhov zoo sib xws thiab mob me, tab sis txawv ntawm lub sijhawm tshwm sim. Thawj cov tsos mob ntawm torpid urethritis tshwm nyob rau hauv ob lub hlis, thiab mob - tom qab 2 lub hlis los yog ntau tshaj.
Kuj paub qhov txawv ntawm thawj thiab theem nrab urethritis. Hauv thawj kis, cov kwj dej tso zis raug cuam tshuam, qhov chaw mob tshwm sim. Daim ntawv thib ob tshwm sim tawm tsam keeb kwm yav dhau los ntawm kev nkag mus ntawm cov kab mob los ntawm lwm cov foci mus rau hauv cov urethra noj qab haus huv.
daim duab kho mob
Qhov ua rau urethritis hauv cov txiv neej txiav txim siab cov duab kho mob ntawm tus kab mob, lub sijhawm incubation. Piv txwv li, nyob rau hauv cov ntaub ntawv ntawm ib tug ua xua ntawm tus kab mob, thawj cov tsos mob tshwm sim tom qab ob peb teev, nrog rau qhov chaw mos - nyob rau hauv ob peb hnub. Raws li cov kab mob sib kis, cov tsos mob ntawm tus kab mob tshwm sim tsuas yog hli tom qab.
Tus mob urethritis yog qhov tshwm sim tam sim ntawd thiab pom cov duab pom zoo. Feem ntau, cov neeg mob muaj cov lus tsis txaus siab hauv qab no:
- khaus thiab kub hnyiab hauv cov zis;
- nce siab ntxivtso zis;
- pom impurities ntawm cov kua paug lossis cov ntshav hauv cov zis;
- clumping thiab o ntawm cov urethra vim lo;
- tsis xis nyob thaum tso zis.
Cov mob, raws li txoj cai, tseem nyob hauv qhov qub. Hauv qhov tshwj xeeb, muaj qhov kub thiab txias, tsis muaj zog hauv cov leeg, malaise, nkees.
Qee zaum tus kab mob tau muab zais, tsis muaj cov tsos mob pom tseeb. Tsis muaj kev kho mob ua rau kev hloov pauv mus rau hauv daim ntawv mob ntev ntawm tus kab mob. Dab tsi yog urethritis, txiv neej (nyob rau hauv txhua rooj plaub, feem ntau ntawm lawv) tsis txawm paub txog thaum thawj zaug mus ntsib kws kho mob. Nws muaj cov chav kawm undulating, thaum lub sij hawm ntawm kev zam txim raug hloov los ntawm exacerbations. Tsis muaj khaus nyob rau hauv cov zis, tawm me ntsis thiab mob me thaum tso zis - cov no yog tag nrho cov tsos mob. Tom qab li 7-10 hnub, lawv ploj tag.
Txoj kev kuaj mob
Dab tsi yog urethritis hauv txiv neej, tus kws kho mob tuaj yeem qhia tau. Nws yog rau tus kws kho mob tshwj xeeb uas koj yuav tsum tiv tauj thaum cov tsos mob tshwm sim. Kev kuaj mob pib nrog kev kawm txog tus neeg mob keeb kwm, kev tsis txaus siab thiab kev kuaj lub cev. Tom qab ntawd tus kws kho mob tau sau ntau qhov kev sim (zis, kab lis kev cai, urethral swab) kom paub meej qhov ua rau tus kab mob.
Hauv kev tshuaj ntsuam dav dav ntawm cov zis, tus naj npawb ntawm erythrocytes, leukocytes thiab lwm yam ntsuas tau ntsuas.
Bakposev tso zis pab txheeb xyuas qhov muaj cov kab mob pathogenic. Thaum sawv ntxov, tus txiv neej yuav tsum tso zis rau hauv lub thawv tshwj xeeb tsis muaj menyuam, uas yuav tsum tau yuav ua ntej ntawm lub tsev muag tshuaj. Tsis pub dhau ob teev ntawm nwsyuav tsum tau xa mus rau lub chaw kuaj mob. Ua ntej tus txheej txheem, qhov chaw mos thiab tes yuav tsum tau ntxuav kom huv si. Thawj thiab qhov kawg ntawm cov zis yog hla. Nws tuaj yeem muaj cov kab mob los ntawm qhov tso zis, uas tsuas yog cuam tshuam qhov tshwm sim ntawm kev tshuaj ntsuam.
Ob peb hnub ua ntej urological smear, nws raug nquahu kom tsis txhob muaj kev sib raug zoo thiab sim tsis txhob tso zis rau 2-3 teev ua ntej kuaj. Thaum lub sij hawm tus txheej txheem, tus kws kho mob tshwj xeeb thawj zaug kho lub taub hau ntawm noov nrog tshuaj tua kab mob, ces ntxig ib tug swab mus rau ib tug tob ntawm txog 1 cm. Nws xa lub resulting swab mus rau lub chaw soj nstuam, qhov twg lub ntsiab ua rau tus kab mob yog tsim.
Tsis tas li ntawd, kev tshawb fawb kho vajtse yog siv (ureteroscopy, ultrasound, urethrography). Yuav tsum yog qhov kev kuaj mob sib txawv nrog rau lwm yam kab mob ntawm thaj chaw urogenital. Piv txwv li, cystitis thiab urethritis hauv cov txiv neej muaj qhov kev nthuav qhia zoo sib xws tab sis xav tau kev kho mob sib txawv.
cov lus qhia kho mob dav dav
Yuav ua li cas kho urethritis hauv txiv neej? Cov tshuaj rau kev kho mob, lawv cov koob tshuaj yog xaiv los ntawm tus kws kho mob. Feem ntau, nws muaj peev xwm kov yeej tus kab mob hauv tsev. Tsuas yog cov ntaub ntawv nyuaj yuav tsum tau mus pw hauv tsev kho mob ntawm tus neeg mob. Cov hauv paus ntsiab lus ntawm kev kho mob raug txo raws li cov cai hauv qab no:
- ua tiav kev tsis lees paub kev sib deev, suav nrog kev sib deev ntawm qhov ncauj thiab kev ua kom zoo siab;
- exclusion of cawv;
- siv tshuaj tua kab mob;
- tom qab cov txheej txheem mob hnyav zuj zus lawm, cov kev kho hauv zos tau pom zoo;
- immunotherapy yog qhov yuav tsum tau ua.
TsiNws yog ib qho tseem ceeb kom ua raws li kev noj haus. Thaum lub sijhawm kho, koj yuav tsum txwv tsis pub noj cov txuj lom, marinades, cov khoom noj rog thiab qab ntsev. Txhawm rau ua kom cov txheej txheem kho kom zoo, koj yuav tsum ua raws li kev haus dej haus cawv. Nws raug nquahu kom haus txog li 2 litres dej ib hnub.
YAntibacterial therapy
Txhua hom kab mob urethritis raug tso tseg nrog cov tshuaj tua kab mob. Lawv raug xaiv coj mus rau hauv tus account lub causative tus neeg sawv cev ntawm tus kab mob. Yog li ntawd, ua ntej lub sij hawm teem, tus neeg mob yuav tsum xeem dhau ib tug xov tooj ntawm kev xeem ntxiv. Cov tshuaj tua kab mob dav dav tau pom zoo rau lub sijhawm mob kom tsis txhob nkim sijhawm.
Hauv tsev, kev kho mob ntawm cov urethritis uas tsis yog tshwj xeeb hauv cov txiv neej yog siv cov cephalosporins thib peb (Cefixime). Yog tias tus kab mob gonococcus pom cov tshuaj tiv thaiv, cov tshuaj tua kab mob ntawm fluoroquinolone series (Ofloxacin) raug sau tseg. Tom qab ua tiav cov kev kho mob, nyob rau hauv tsis muaj cov tsos mob ntawm pathology, ib tug provocative xeem yog ua. Nws essence boils mus rau kev txheeb xyuas cov seem pathogenic flora nyob rau hauv lub cev. Xws li kev mloog rau gonococcus yog vim qhov muaj feem ntau ntawm cov kab mob latent intracellular parasitism.
Kev kho tus kab mob uas tshwm sim tawm tsam keeb kwm ntawm kev sib deev yog siv cov tshuaj tua kab mob hauv qab no:
- Gonorrheal urethritis: Fuzidin, Cefaclor.
- Chlamydial daim ntawv ntawm tus kab mob: "Azithromycin".
- Trichomonas urethritis: Nitazol, Metronidazole.
Thaum mob urethritis hauv cov txiv neej, kev kho tshuaj tua kab mob tau hloov kho me ntsis. Cov tshuaj yog muab raws li kev daws rau hauv cov zis. Xws liinstillations tsis tuaj yeem ua tiav ntawm nws tus kheej, yuav tsum muaj kev pab ntawm cov neeg ua haujlwm kho mob. Txwv tsis pub, ib tug txiv neej tuaj yeem ua rau cov ntaub so ntswg ntawm cov urethra, uas tsuas yog ua rau qhov mob hnyav dua. Kev kho mob yuav tsum tau ntxiv nrog cov tshuaj raws li cov tshuaj hormones adrenal ("Prednisolone"). Sab nraum cov theem ntawm exacerbation, cov txheej txheem physiotherapeutic (electrophoresis, magnetotherapy) muab cov txiaj ntsig zoo.
tshuaj kho mob
Raws li kev tshuaj xyuas, urethritis hauv cov txiv neej tsis tuaj yeem kov yeej yam tsis muaj tshuaj pleev. Cov no suav nrog tshuaj pleev thiab tshuaj suppositories rau kev tswj qhov quav:
- "Indomethacin". Tus neeg sawv cev yog thov ncaj qha rau lub taub hau ntawm noov. Tom qab qee lub sijhawm, liab lossis pob liab liab tuaj yeem tshwm sim hauv thaj chaw no.
- "Hexicon". Cov tswm ciab yog siv rectally. Vim lub hauv paus mos, cov khoom nquag kis tau sai heev ntawm cov mucous daim nyias nyias, uas ua kom nws cov khoom sib txawv. Yog tias tom qab thov kev ua xua tshwm sim nyob rau hauv daim ntawv ntawm khaus thiab kub hnyiab, nws yog qhov zoo dua tsis kam noj tshuaj.
- "Diklovit". Lub qhov quav suppositories muaj anti-inflammatory thiab analgesic nyhuv. Tom qab qhov kev taw qhia, nws raug nquahu kom nyob twj ywm hauv qhov chaw supine li 30 feeb. Thov ob zaug ib hnub.
Txhim kho qhov mob, cov kws kho mob feem ntau sau tshuaj tua kab mob. Lawv muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj lossis tshuaj kho hauv zos (Chlorhexidine, Miramistin). Tom qab tso dej tawm, koj yuav tsum txwv tsis pub nkag mus rau chav dej tsawg kawg ib teev.
YImmunomodulators thiab vitamin kho
Kev kho mob hauv tsevurethritis nyob rau hauv cov txiv neej ib txwm muaj xws li vitamin kho. Nws tso cai rau koj kom tshem tawm qhov tsis txaus ntawm tus kheej cov kab kawm thiab cov zaub mov. Feem ntau, cov kws kho mob tau sau cov tshuaj multivitamin uas muaj cov ntsiab lus ntawm cov vitamins A, D, E thiab C ("piv txwv li, Pikovit"). Nws tseem yog ib qho tsim nyog los tshuaj xyuas cov khoom noj, tsom mus rau kev noj cov txiv hmab txiv ntoo tshiab thiab zaub.
Kev tiv thaiv urethritis tsuas yog ua tau nrog lub cev tsis muaj zog. Txhawm rau ntxiv dag zog rau nws, qee zaum tsis txaus noj, noj cov vitamins thiab minerals complexes. Hauv qhov no, cov kws kho mob pom zoo siv immunomodulators. Koj tuaj yeem pib noj lawv tom qab thawj cov tsos mob ntawm tus kab mob. Cov neeg sawv cev hauv qab no suav tias yog qhov ua tau zoo tshaj plaws: "Cycloferon", "Polyoxidonium", "Likopid"
pab tshuaj tshuaj ntsuab
Kev kho mob pej xeem tshuaj rau urethritis hauv cov txiv neej yog pom zoo raws li ib qho ntxiv rau kev kho tshuaj. Qhov no pab ua kom cov txheej txheem kho kom zoo thiab zam kom tsis txhob rov muaj dua yav tom ntej. Rau lub hom phiaj no, ntau yam decoctions thiab infusions ntawm tshuaj ntsuab yog siv. Lawv yooj yim los npaj hauv tsev. Cov zaub mov nrov tshaj plaws tau teev tseg hauv qab no:
- Infusion ntawm dub currant nplooj. Cov cuab yeej yog tus cwj pwm los ntawm kev hais tawm cov nyhuv antiseptic, pab txhawb kev txhawb nqa lub cev nrog cov vitamins. Txhawm rau npaj nws, koj xav tau 3 tablespoons qhuav nplooj, ncuav 250 ml ntawm boiling dej, insist kom txog thaum txias tag. Tom qab ntawd lub infusion yuav tsum tau lim. Nws raug nquahu kom noj ua ntej noj mov hauv ntu me me.
- Decoction raws li ntoo qhib tawv. Kho tau zoorelieves mob thiab kub hnyiab, uas feem ntau hnov thaum tso zis. Txhawm rau npaj nws, koj yuav tsum ncuav ib tablespoon ntawm raw cov ntaub ntawv rau hauv 250 ml ntawm boiling dej, tawm hauv ib da dej rau 20 feeb. Tom qab lub broth yuav tsum tau lim. Koj tuaj yeem nqa nws los ntawm qhov ncauj hauv ib tablespoon lossis ua si da dej.
- Infusion of cornflower. Raws li kev txheeb xyuas, nws pab kho microflora, rhuav tshem cov kab mob pathogenic. Txhawm rau npaj nws, koj yuav tsum ncuav ib tablespoon ntawm qhuav raw cov ntaub ntawv nrog ib khob ntawm boiling dej, insist rau ib teev thiab lim. Nws yog qhov zoo dua los noj cov infusion ua ntej noj mov, 50 ml txhua.
Lwm txoj kev kho mob urethritis hauv cov txiv neej yuav tsum tau pom zoo nrog tus kws kho mob. Qee cov tshuaj muaj contraindications rau tus kab mob no. Tsis tas li ntawd, yog tias muaj kev tsis haum tshuaj tshwm sim, nws yog qhov zoo dua los tsis kam kho qhov kev kho no.
Muaj Teeb Meem
Cov teeb meem feem ntau tshwm sim yog tias cov tsos mob ntawm urethritis hauv cov txiv neej tsis quav ntsej. Kev kho mob hauv tsev yam tsis tau sab laj nrog kws kho mob tuaj yeem ua rau muaj kev nyuaj siab. Los ntawm kev tsom mus rau cov kab mob ntev, cov kab mob pathogenic tuaj yeem nkag mus rau hauv lwm lub cev, ua rau pom ntawm:
- Ypyelonephritis;
- cystitis;
- orchitis;
- Yprostatitis;
- balanoposthitis.
Prostatitis (mob ntawm prostate), feem ntau ua rau pathologies ntawm lub cev xeeb tub, kev sib deev tsis zoo thiab muaj menyuam tsis taus. Yog li ntawd, urethritis yuav tsum tsis txhob raug ignored, thiab thaum nws thawj tsos mob tshwm sim, tam sim ntawdpib kho.
Txoj Kev Tiv Thaiv
Urethritis yog ib yam kab mob uas tsis zoo. Tom qab lees paub qhov kev kuaj mob, nws yuav tsum ua raws li cov lus pom zoo ntawm tus kws kho mob. Kev kho mob urethritis nyob rau hauv cov txiv neej yuav tsum tau siv sij hawm ntau thiab siv zog tshaj nws daim ntawv mob.
Puas tuaj yeem tiv thaiv qhov tshwm sim ntawm pathology? Cov kws kho mob muab cov lus pom zoo hauv qab no:
- Saib cov cai yooj yim ntawm kev tu tus kheej.
- Tsis txhob hais lus phem. Nyob rau hauv rooj plaub ntawm kev sib cuag nrog ib tug random khub, koj yuav tsum tau siv barrier contraceptives - ib lub hnab looj.
- Tsis txhob hypothermia, lub cev thiab lub siab xav ua haujlwm dhau.
- Txhob cia siab rau tus cwj pwm phem mus ib txhis.
- Tiv thaiv kom tsis txhob tso zis, thiab thaum thawj zaug ua kom lub zais zis tag.
- Sim zam kom tsis txhob siv lwm tus neeg cov khoom ntiag tug (phuam, khau, ris tsho hauv qab).
Txhua tus txiv neej yuav tsum tau kuaj los ntawm kws kho mob urologist ob zaug hauv ib xyoos. Koj tsis tuaj yeem tsis quav ntsej tus kws kho mob tshwj xeeb txawm tias tsis pom muaj teeb meem kev noj qab haus huv. Ntau cov kab mob sib kis tau muaj qhov tsis txaus ntseeg, thiab ua rau lawv tus kheej hnov txog theem siab xwb.
