Balanoposthitis yog ib yam kab mob urological, uas yog tus cwj pwm los ntawm ib txhij inflammatory txheej txheem ntawm cov qog noov nyob rau hauv cov txiv neej (balanitis) thiab tej thaj chaw ntawm lub foreskin (posthitis). Qhov tseeb, cov no yog ob yam kab mob, tab sis feem ntau lawv tshwm sim ib txhij, thiab lawv tau ua ke raws li lub npe dav dav - balanoposthitis. Cov neeg mob qee zaum hu tus kab mob no balanoposthitis ntawm foreskin. Nws tshwm sim hauv cov txiv neej laus thiab menyuam yaus. Balanoposthitis hauv cov menyuam yaus feem ntau kuaj pom thaum muaj hnub nyoog 3 txog 7.
Yog vim li cas
Ntawm qhov ua rau yog qhov kis ntawm tus kab mob thiab tsis kis. Kab mob balanoposthitis feem ntau tshwm sim los ntawm kev sib deev kis kab mob (STIs), uas suav nrog:
- Syphilis.
- kab mob gonorrhea.
- Ntsuab herpes.
- Candidiasis.
- Human papillomavirus (HPV).
- Y Gardnerellosis.
- YMycoplasmosis.
- Chlamydia.
- Trichomoniasis.
- Kev kis kab mob ntawm cov menyuam yaus (urethritis, cystitis, prostatitis).
- Cov kab mob tsis tshwj xeeb (E. coli, staphylococcus aureus, streptococcus).
Tsis kis kab mob ua rau balanoposthitis suav nrog:
- Irritative balanoposthitis - tshwm sim los ntawm ib qho kev txhawb nqa, xws li tshuab lossis tshuaj (thermal).
- Lichen planus.
- Psoriasis.
- Cov kab mob tsis tshua muaj (Behçet's disease, Queyre's erythroplasia, xerotic obliterans balanoposthitis, Zoon's plasma cell balanitis).
Predisposing factors
Ntxiv rau qhov pom tseeb ua rau tus neeg ua haujlwm ntawm cov kab mob no, muaj lwm yam uas ua rau nws txoj kev loj hlob. Cov no suav nrog:
- Kev ua txhaum ntawm tus kheej huv si.
- Phimosis (ua rau lub foreskin nqaim).
- kab mob tiv thaiv kab mob thiab kev tsis haum tshuaj.
- Kev sib deev.
Symptoms
Kev kho tus mob balanoposthitis hauv cov txiv neej feem ntau tsis ua teeb meem nrog kev kuaj mob kom raug. Cov tsos mob ntawm tus kab mob nyob ntawm qhov hnyav ntawm cov kab mob thiab qhov tshwm sim los yog tsis muaj teeb meem. Muaj ob hom kab mob no: mob thiab mob ntev. Daim ntawv mob hnyav, nyob ntawm cov tsos mob, tuaj yeem tshwm sim los ntawm peb hom balanoposthitis. Yog li, lawv paub qhov txawv ntawm qhov yooj yim balanoposthitis, erosive thiab gangrenous.
YSimple balanoposthitis
Nov yog hom mob me me ntawm tus kab mob no. Kev kho mob ntawm balanoposthitis nyob rau hauv cov txiv neej nyob rau hauv cov ntaub ntawv no feem ntau yuav siv sij hawm 5-7 hnub. Cov tsos mob ntawm tus kab mob balanoposthitis yooj yim yog:
- Kub thiab khaus khaus. Feem ntau tshwm sim thawj zaug. Cov kev tsis xis nyob no yuav ua rau hnyav dua los ntawm kev rub cov ris tsho hauv qab, kov lub foreskin thiab glans, thiab tso zis.
- Lub taub hau (nrog rau lub foreskin) yog liab - cov tsos mob ntawm o tuaj yeem nyob rau hauv daim ntawv foci, sib cais los ntawm ib leeg lossis ua ke ua ib pab.
- o thiab wrinkling ntawm lub taub hau thiab foreskin yog pom, piv txwv li maceration ntawm daim tawv nqaij tshwm sim - qhov no yog bursting, loosening ntawm cov ntaub so ntswg los ntawm lawv impregnation nrog intercellular kua.
- Erosions ntawm lub taub hau thiab foreskin. Qhov no tej zaum yuav yog ib qho chaw ntawm lub foreskin los yog ntau erosions, feem ntau ua ke rau hauv ib pawg.
- Ntau zaus muaj paug tawm ntawm cov zis.
YErosive balanoposthitis
Hom kab mob balanoposthitis no yog tus cwj pwm los ntawm kev tsim ntawm ntau yam erosions ntawm lub taub hau thiab foreskin. Ua ntej, kev loj hlob o dawb tshwm nyob rau hauv ib qho chaw. Dawb nyias zaj duab xis ntawm nws yog cov tuag hlwb ntawm lub epithelium. Tom qab qee lub sijhawm, cov yeeb yaj kiab no tawg, thiab qhov mob hnyav heev (qhov chaw liab) tshwm. Tom qab kev puas tsuaj zoo li no kho, tsis muaj ib qho chaw nyob.
YGangrenous balanoposthitis
Daim ntawv ntawm tus kab mob no hnyav heev thiab yog tus yam ntxwv, ntxiv rau qhov mob hauv zos, thiabTej yam tshwm sim ntawm intoxication, xws li: kub taub hau, qaug zog thiab malaise. Mob heev los ntshav thiab purulent ulcers yog pom ntawm lub taub hau thiab foreskin ntawm noov. Vim lub edema, phimosis tshwm sim, piv txwv li nws yog tsis yooj yim sua kom nthuav tawm lub taub hau ntawm noov. Tom qab zawm cov kab mob, cov caws pliav tseem nyob. Lawv kuj tuaj yeem ua rau phimosis, vim tias cov nti no yog cov kab mob sib txuas uas tsis tuaj yeem ncab. Tsis tas li ntawd, perforations yuav nyob twj ywm ntawm lub foreskin tom qab rwj tau zoo.
Cov tsos mob ntawm balanoposthitis hauv qee tus kab mob STIs
| STI uas ua rau balanoposthitis | yam ntxwv tsos mob |
| Gonorrheal | Muaj cov cim qhia ntawm cov kab mob balanoposthitis yooj yim, uas ua ke nrog cov kab mob urethritis. |
| Chlamydia | Feem ntau, tsuas yog cov cim qhia ntawm balanitis tshwm sim, piv txwv li foci ntawm o (liab me ntsis) tsuas muaj nyob ntawm lub taub hau ntawm noov, lawv txawv los ntawm qhov pom tseeb ntawm contours. |
| Trichomonas | Ntau zaus tshwm sim raws li urethritis. Nws yog qhov txawv los ntawm qhov muaj cov paug tawm ntawm cov xim daj lossis xim dawb, uas muaj lub cim foamy. Cov secretions sib sau ntawm lub taub hau thiab foreskin. Lawv muaj ntxhiab tsw phem heev. Lub taub hau ntawm noov tej zaum yuav o tag nrho thiab liab, los yog tej zaum yuav muaj ib tug cais foci ntawm o. |
| Candidiasis | thawj cov cim qhia yog khaus thiab kub hnyiab, uas tom qab ntawd hloov mus ua mob. Nrog rau kev kawm ntxiv ntawm tus kab mob, cov quav hniav tshwm ntawm lub taub hauxim dawb, uas zoo li curdled lumps thiab yooj yim tshem tawm. Qhov no yog li cas candidal balanoposthitis manifests nws tus kheej nyob rau hauv cov txiv neej. Kev kho mob yog nrog cov tshuaj tua kab mob. |
| Lub taub hau ntawm noov thiab lub foreskin yog npog nrog ntau npuas nrog pob tshab dej ntsiab lus. Cov npuas no tawg, thiab cov pob liab liab liab tshwm nyob rau hauv lawv qhov chaw. Tom qab zawm cov mob no, cov hnub nyoog me ntsis tseem nyob. Hom kab mob balanoposthitis no, raws li txoj cai, ua tiav nyob rau hauv daim ntawv ntev nrog lub sij hawm ntawm exacerbation thiab remission. | |
| Syphilitic | Nrog rau hom kab mob balanoposthitis ntawm daim tawv nqaij ntawm lub taub hau thiab foreskin, ib tug tawv chancre yog tsim - mob tsis mob uas tshwm sim ntawm qhov chaw ntawm tus kab mob thawj zaug nyob rau hauv thawj lub sij hawm ntawm syphilis. |
| Gardnerella | Nco txog qhov yooj yim balanoposthitis, tab sis nrog cov tsos mob tsis zoo. Yog tias tus neeg mob lub cev tsis muaj zog, ces hom balanoposthitis no ploj mus yam tsis muaj kev kho mob li ntawm 2-3 hnub. Kev kho mob ntawm balanoposthitis hauv cov txiv neej hauv qhov no tuaj yeem raug tshem tawm. |
| Papillomavirus | Tshuaj raws li qhov chaw mos. Tej zaum yuav cuam tshuam rau lwm qhov hauv lub cev. |
Qee cov cim qhia ntawm balanoposthitis nrog qhov tsis sib kis ntawm qhov tshwm sim
| Type of balanoposthitis | yam ntxwv tsos mob |
| Rau lichen planus | Raws li txoj cai, hauv thaj tsam ntawm lub caj dab ntawm qhov chaw mos, cais lossis ua ke hauvpawg ntawm nodules uas muaj ib tug tsis meej pem. Lawv muaj cov nplai dawb ntawm lawv qhov chaw. Cov nodules kuj tshwm sim rau lwm qhov ntawm lub cev. |
| Balanoposthitis nrog psoriasis | Kab mob tshwm sim ntawm ib feem ntawm lub cev, nrog rau qhov noov. Hom kab mob balanoposthitis no yog cov tsos mob ntawm cov pob liab liab uas muaj cov nplai me me. |
| Nrog ntshav qab zib | Cov tsos mob ntawm hom kab mob balanoposthitis yog nyob ntawm qhov hnyav ntawm ntshav qab zib thiab hnub nyoog ntawm tus neeg mob. Cov tsos mob tshwm sim yog: liab ntawm lub taub hau thiab foreskin, mob nyob rau hauv cov cheeb tsam no. Tej zaum yuav muaj dryness, tawg thiab ulceration ntawm cov cheeb tsam no, nrog rau lawv los ntshav. Tom qab kho cov kab nrib pleb, caws pliav. |
Txhim kho balanoposthitis hauv cov tub
Kab mob balanoposthitis xyaum tsis tshwm sim thaum menyuam yaus. Feem ntau ua rau tus mob no nyob rau hauv cov menyuam yaus yog:
- Kev ua txhaum cai ntawm kev tu tus kheej.
- Qhov tso tawm ntawm cov smegma ntau dhau uas sib sau nruab nrab ntawm lub taub hau ntawm qhov chaw mos thiab lub foreskin, tsim cov av rau cov kab mob.
- Phimosis.
- Hypertrophic phimosis lossis overdeveloped foreskin.
Kev kho mob balanoposthitis hauv cov txiv neej. Tshuaj
Ua ntej tshaj plaws, yuav tsum tsim kom muaj qhov ua rau muaj tus kabmob. Nws tsis pom zoo kom kho tus kheej. Nws yog ib qho tsim nyog yuav tau hu rau tus kws kho mob urologist lossis kws kho mob dermatologist (venereologist). Kev kho mob ntawm balanoposthitis nyob rau hauv cov txiv neej yog feem ntau nqa tawm tshwj xeeb, nyob ntawm seblos ntawm cov kab mob. Tib lub sijhawm, nws yuav tsum ua tib zoo ua raws li tag nrho cov lus pom zoo ntawm tus kws kho mob.
Yog li, yog tias tus kab mob candidal balanoposthitis tau tsim hauv cov txiv neej, kev kho mob yuav tsum tau nqa tawm siv cov tshuaj tua kab mob. Nyob rau tib lub sijhawm, cov tshuaj tiv thaiv kab mob hauv zos "Mikogal", "Miconazole", "Terbinafine", "Candide", "Clotrimazole", "Omoconazole", thiab lwm yam. Cov tshuaj pleev yog rubbed rau hauv qhov chaw cuam tshuam 2 zaug hauv ib hnub. Ua ntej tus txheej txheem, nws yog ib qho tsim nyog yuav tsum tau ua tib zoo tu cev ntawm qhov chaw mos (ntxuav nrog xab npum thiab dej). Qhov kev kho no feem ntau kav li 3-4 lub lis piam.
Feem ntau siv cov tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob thaum kho balanoposthitis hauv cov txiv neej. Kev npaj "Locasalen", "Lorinden", "Locacorten" raws li flumatozone pivallate yog cov tshuaj muaj zog uas ib txhij muaj cov tshuaj tiv thaiv thiab tiv thaiv kev ua xua. Kev kho mob nrog cov tshuaj no kuj tau ua raws li tus kws kho mob saib xyuas.
"Levomekol" - tshuaj pleev. Nqe
Cov tshuaj no muaj ob yam khoom xyaw: levomycetin (chloramphenicol) thiab methyluracil. Thawj yog cov tshuaj tua kab mob dav dav thiab muaj peev xwm ua kom puas cov kab mob. Cov khoom thib ob txhawb kev tsim kho ntawm cov ntaub so ntswg puas tsuaj. Tshuaj pleev "Levomikol" yog tshuaj rau txhua hom balanoposthitis.
zoo heev rau balanoposthitistshuaj "Levomekol" (tshuaj pleev). Nws tus nqi yog tsawg, nyob rau hauv 100 rubles. Yog li ntawd, kev kho mob yog siv rau txhua hom kab mob no.
Cov ntaub qhwv nrog tshuaj pleev yog siv rau qhov chaw puas thaum hmo ntuj tom qab kev tu cev ntawm qhov chaw mos. Cov txheej txheem no ua tiav hauv 5 hnub. Kev kho mob yuav tsum tau ua raws li kev saib xyuas kev kho mob.
Hauv balanoposthitis tshwm sim los ntawm STIs, kev kho tshwj xeeb yog siv los rhuav tshem cov kab mob.
