Urethritis feem ntau suav hais tias yog txiv neej kab mob, tab sis nws tsis yog. Tus kab mob kuj tuaj yeem cuam tshuam rau kev sib deev ncaj ncees. Hmoov zoo, o ntawm cov urethra hauv cov poj niam tsis muaj kev phom sij rau tus neeg mob, thiab nrog kev kho mob raws sijhawm, nws yuav tsis ua rau muaj teeb meem. Tab sis tseem, tus kab mob tuaj yeem ua rau muaj kev cuam tshuam ntau heev, uas txhais tau hais tias nws yog ib qho tseem ceeb heev uas yuav tau kuaj xyuas qhov teeb meem raws sij hawm thiab tshem tawm nws.
Cia peb xav txog dab tsi yog qhov mob ntawm cov urethra hauv cov poj niam, cov tsos mob, kev kho mob (nrog rau cov tshuaj thiab lwm yam) ntawm pathology, nws ua rau thiab txoj kev tiv thaiv.
cov ntaub ntawv dav dav
Ua ntej xav txog cov tsos mob ntawm qhov mob ntawm cov urethra hauv cov poj niam, koj yuav tsum paub koj tus kheej nrog cov ntaub ntawv yooj yim txog cov qauv ntawm cov kab mob genitourinary ntawm kev sib deev ncaj ncees. Lub urethra yog ib lub cev uas yog ib txoj hlab nqaim uas tso zis tawm ntawm lub cev.
Kev mob ntawm cov urethra hauv cov poj niam hauv kev kho mob hu ua urethritis. Feem ntau, qhov teeb meem tshwm sim nyob rau hauv lub xub ntiag ntawm kis kab mob los yog inflammatory kab mob ntawm lub genitourinary system, txawm hais tias muaj lwm yam ua rau, uas peb yuav tham hauv qab no.
Lub sijhawm pib ntawm tus kabmob tuaj yeem mus txog 30-60 hnub.
Thaum tsis kho raws sijhawm, o ntawm qhov qhib sab nraud ntawm cov zis hauv cov poj niam ua rau cystitis, uas yog qhov nyuaj rau kho. Txhawm rau tiv thaiv cov teeb meem zoo li no, koj yuav tsum ua tib zoo saib xyuas koj txoj kev noj qab haus huv thiab nrhiav kev pab los ntawm cov kws tshaj lij raws sijhawm.
Nyob hauv daim duab, qhov mob ntawm cov urethra hauv cov poj niam tuaj yeem piav qhia raws li hauv qab no.
Dab tsi paub txog tus kab mob hauv nqe lus nug? Qee tus ntseeg tias qhov mob ntawm cov urethra thiab cyst hauv cov poj niam yog ib qho thiab tib yam. Txawm hais tias qhov zoo sib xws ntawm qee yam uas ua rau muaj qhov tshwm sim ntawm pathologies, cov no yog cov kab mob sib txawv kiag li, thiab koj yuav tsum tsis txhob cuam tshuam rau ib leeg.
Ua rau kab mob
Kab mob ntawm cov urethral mucosa hauv cov poj niam tuaj yeem tshwm sim los ntawm ntau yam. Yuav pib nrog, nws tsim nyog sau cia tias muaj ob pawg tseem ceeb ntawm tus kab mob:
- Tsis muaj kab mob urethritis.
- kab mob urethritis.
Tsis kis kab mob ntawm cov urethra tuaj yeem tshwm sim vim:
- kev tsis haum;
- raug mob thaum lub sijhawm kho mob lossis kuaj mob;
- anatomical nta ntawm cov qauv ntawm lub cevCov kab mob genitourinary.
Kab mob urethritis muaj nws cov kev faib tawm ntxiv. Nws muab faib ua:
- Specific.
- Non-specific.
Qhov laj thawj ntawm kev txhim kho thawj hom kab mob urethritis yog kis kab mob STDs (cov kab mob sib deev). Hauv qhov no, cov kab mob tuaj yeem yog:
- chlamydia;
- mycoplasma;
- Trichomonas;
- gonococci;
- Yureaplasma;
- lwm cov kab mob uas ua rau muaj ntau yam kab mob sib kis.
Cov kab mob tsis tshwj xeeb tuaj yeem ua rau nws tus kheej hnov nrog kev tsim tawm ntawm cov kab mob uas tsis zoo (fungi, E. coli, streptococci, staphylococci, thiab lwm yam) hauv cov urethra.
Nws tsis yog qhov tsis yooj yim rau qhov tsis muaj kab mob urethritis yuav nyuaj los ntawm kev sib ntxiv ntawm tus kab mob thiab tig mus ua tus kis.
Risk factors
Qhov kev pheej hmoo ntawm kev tsim cov kab mob ntawm cov urethra hauv cov poj niam ua rau muaj kev cuam tshuam rau keeb kwm yav dhau los ntawm:
- Local los yog hypothermia. Nyob rau hauv qhov kev cuam tshuam ntawm txias, cov hlab ntsha nqaim, thiab stagnation tshwm sim nyob rau hauv lub plab mog, uas pab mus rau tsub zuj zuj ntawm pathogens.
- Ntau yam gynecological thiab genitourinary pathologies. Cov no suav nrog, piv txwv li, cystitis, pyelonephritis, vaginitis thiab lwm yam kab mob. Nyob rau hauv lawv lub xub ntiag, qhov txo qis hauv kev tiv thaiv hauv zos tau pom, uas ua rau muaj kev loj hlob sai ntawm cov teeb meem microflora. Txij li thaum lub urethra nyob ze heev rau lwm yam kabmob ntawm lub genitourinary system, kis kab mob nyob rau hauv ib tug luv luv lub sij hawm yuav ua tau.nkag mus rau nws thiab.
- Txuag kev tiv thaiv thiab tsis muaj zog ntawm lub xeev kev noj qab haus huv. Raws li qhov tshwm sim ntawm kev ntxhov siab, kev ua haujlwm dhau, kev yug menyuam, kev pub niam mis, kev mob, kev coj khaub ncaws, hormonal tsis ua haujlwm yuav tshwm sim, tiv thaiv kev kis kab mob.
- khoom noj tsis raug. Cov zaub mov kib, ntsim, qaub thiab qab ntsev tuaj yeem hloov cov zis zoo. Cov tom kawg yuav ua rau lub urethra thiab provoke kev loj hlob ntawm o nyob rau hauv nws.
Pab txhawb rau qhov tshwm sim ntawm tus kab mob thiab pib ua ntej ntawm kev sib deev. Tshwj xeeb, qhov no siv tau rau cov xwm txheej uas txwv tsis pub siv tshuaj tiv thaiv kab mob (condoms) thiab tsis raug siv.
Symptoms
Nyob rau hauv cov poj niam, cov tsos mob ntawm o ntawm lub urethra yuav luag tsis pom los yog tag nrho. Raws li cov ntaub ntawv txheeb cais, cov duab zoo sib xws tau pom hauv 50% ntawm cov neeg mob. Hauv txhua kis, qee cov tsos mob tshwj xeeb yuav tshwm sim, suav nrog:
- tsis xis nyob thaum tso zis;
- pom qhov txawv txav ntawm qhov tso zis;
- nquag tso zis;
- mob tsis zoo nyob rau thaj tsam pubic;
- khaus ntawm qhov chaw mos thiab qhov chaw mos, uas feem ntau yuav mob zuj zus ua ntej pib kev coj khaub ncaws;
- liab ntawm cov urethra thiab ib puag ncig cov ntaub so ntswg;
- xav zoo li koj lub zais zis tsis tau tso tseg kiag;
- mob thaum sib deev.
Qee zaum, qhov mob ntawm cov urethra tuaj yeem nrog cov tsos mobntshav impurities hauv cov zis. Raws li txoj cai, cov duab zoo li no qhia txog cov kab mob siab heev lossis kev txhim kho ntawm cov teeb meem.
Nws tsim nyog sau cia tias tsis tas yuav tsum muaj tag nrho cov cim qhia ntawm tus kab mob ib zaug. Feem ntau muaj kev hloov pauv ntawm ob peb daim xwb. Thiab cov theem ntev ntawm pathology feem ntau yog asymptomatic.
Diagnosis
Kev mob ntawm cov zis hauv cov poj niam uas nws cov tsos mob zoo ib yam li lwm yam kab mob ntawm cov kab mob genitourinary (cystitis, pyelonephritis thiab lwm yam). Yog li ntawd, thaum lub sij hawm kuaj mob, tus kws kho mob tshwj xeeb yuav tsum coj mus rau hauv tus account tsis tsuas yog tus neeg mob qhov kev tsis txaus siab, tab sis kuj cov txiaj ntsig ntawm ntau yam kev tshawb fawb ntxiv. Feem ntau, tus poj niam raug tshuaj:
- kuaj mob urological;
- swabbing urethra;
- dav dav urinalysis thiab iav qauv;
- suav ntshav tag;
- sowing ib smear txhawm rau kuaj cov kab mob kab mob hauv nws thiab txiav txim siab lawv qhov rhiab heev rau cov tshuaj tua kab mob;
- PCR kawm;
- Ultrasound ntawm lub plab pelvic;
- urethrography thiab ureteroscopy (nyob rau hauv cov kab mob hnyav, cov kev tshawb fawb no yuav raug txwv).
Tom qab kev kuaj mob zaum kawg, tus kws kho mob tshwj xeeb yuav qhia koj yuav ua li cas kho cov kab mob urethra rau tus poj niam, sau cov tshuaj thiab cov txheej txheem tsim nyog.
kev kho mob
Thaum kuaj pom cov tsos mob ntawm qhov mob ntawm cov zis, cov poj niam tuaj yeem kho tau hauv tsev. Tus kws kho mob tshwj xeeb yuav muab tshuaj rau tus neeg mob ob peb pawg tshuaj ib zaug.
Kev kho mob ntawm cov urethra hauv cov poj niam nrog tshuaj pib nrogkev siv cov tshuaj tua kab mob dav dav uas tuaj yeem cuam tshuam rau feem ntau cov kab mob ntawm tus kab mob. Feem ntau siv:
- Norfloxacin;
- Nolicin
- YPefloxacin;
- "Amoxiclav";
- Azithromycin;
- "Doxycycline";
- YCiprofloxacin.
Feem ntau nws txaus siv ib hom tshuaj tua kab mob xwb. Tsuas yog qee zaus nws tsim nyog los muab tshuaj ntawm ob lossis ntau pawg ib zaug (macrolides, cephalosporins, sulfonamides, fluoroquinolones).
Raws li txoj cai, kev kho tshuaj tua kab mob yog muab los kho cov kab mob uas tsis yog yam tshwj xeeb. Txhawm rau tshem tawm cov urethritis tshwj xeeb, feem ntau siv lwm cov tshuaj, uas yuav txawv nyob ntawm seb hom kab mob pathogenic. Piv txwv li, yog tias cov tsos mob ntawm tus kab mob tshwm sim los ntawm tus kab mob gonorrhea, tus neeg mob yuav raug tshuaj:
- Erythromycin;
- "Oletetrin";
- Cefuroxime;
- "Cefakor";
- "Spectinomycin";
- Rifampicin;
- YCefriaxone.
Thaum kis tus kab mob Trichomonas, tshuaj xws li:
- suppositories "Iodovidone";
- "Imorazol";
- "Metronidazole";
- "Ornidazole";
- "Chlorhexidine";
- "Benzydamine".
Yog tias qhov tsos mob ntawm tus kab mob cuam tshuam nrog kev tsim tawm ntawm cov kab mob Candida, nws yuav tsum siv txoj kev los rhuav tshem nws:
- "Nystatin";
- "Levorin";
- "Amphoglucamine";
- "Natamycin";
- YClotrimazole.
Tshem tawm cov tsos mob ntawm tus kab mob urethritis yuav pab:
- "Aciclovir";
- YPenciclovir;
- Ganciclovir;
- Ribavirin;
- Famciclovir.
Kev mob ntawm cov urethra, uas yog tshwm sim los ntawm chlamydia thiab mycoplasma, yog kho nrog cov tshuaj tua kab mob dav dav, uas tau tham saum toj no.
Los ntawm txoj kev, cov tshuaj tua kab mob tau muab rau txhua tus neeg mob thaum pib kho. Qhov no tso cai rau koj los tiv thaiv kev loj hlob ntawm tus kab mob mus rau hauv daim ntawv ntev. Tsuas yog tom qab tau txais cov txiaj ntsig kev xeem, tus kws kho mob, yog tias tsim nyog, yuav kho qhov kev kho mob yav dhau los.
txhawm rau txhawm rau rov ua kom lub plab hnyuv microflora thiab ua kom lub cev tiv thaiv ntau yam kab mob, tus neeg mob tau muab tshuaj immunostimulants. Cov no tuaj yeem txhais tau tias xws li:
- Timalin;
- Y"Cycloferon";
- Gepon;
- Ribomunil;
- "Phlogenzim".
Xwb, PP thiab B vitamins kuj tau siv, nrog rau ntau yam antioxidants.
Yog tias muaj cov tsos mob ntawm kev ua xua, tshuaj tiv thaiv kab mob (Tavegil, Loratadin, Suprastin).
tshuaj kho mob
Kev kho mob ntawm cov urethra hauv cov poj niam tsis xaus nrog kev siv tshuaj. Nws yog ib qho tseem ceeb sib npaug rau kev kho hauv zos, piv txwv li, sitz da dej. Yuav kom ua tiav cov txiaj ntsig zoo dua, siv ntau yamtshuaj tua kab mob (potassium permanganate "Chlorhexidine") los yog decoctions ntawm cov nroj tsuag tshuaj (chamomile, calendula, yarrow)
Nws tseem tuaj yeem siv tampons nrog tshuaj pleev (Clotrimazole, Synthomycin, Econazole) lossis nqus cov tshuaj rau hauv cov zis (Miramistin, Collargol, Protargol, Chlorhexidine).
Lwm cov lus pom zoo
Kev kho kom tiav, tus neeg mob yuav tsum ua raws li qee qhov kev pom zoo ntxiv:
- Saib cov cai ntawm kev nyiam huv thiab kev sib deev so rau tag nrho lub sijhawm kho.
- Tsis txhob hypothermia.
- Nyob rau ntawm kev noj zaub mov tshwj xeeb. Qhov kawg txhais tau hais tias qhov txo qis lossis ua tiav kev cais tawm los ntawm kev noj zaub mov muaj rog dhau, ntsim, qaub thiab qab ntsev, cawv.
- Haus yam tsawg 1.5 litres dej ntshiab (ib hnub). Qhov no yuav pab tshem tawm cov kab mob los ntawm qhov tso zis.
Kev kho mob urethritis ntev
Thaum tsis muaj sijhawm kho thiab kho kom raug, theem mob ntawm tus kab mob sai sai. Hauv qhov no, cov tsos mob ntawm tus kab mob tuaj yeem ua rau pom tsis pom lossis ploj tag. Lub caij no, cov kab mob pathogenic txuas ntxiv mus ntxiv rau hauv lub cev thiab ua rau muaj teeb meem loj.
Kev kho mob tseem ceeb ntawm kev mob ntev ntawm cov urethra hauv cov poj niam yog tib yam li thaum lub sijhawm mob hnyav ntawm cov kab mob. Qhov sib txawv yuav tsuas yog nyob rau lub sijhawm siv. Kev kho mob ntawm tus kab mob no feem ntau kav ob peb lub lis piam. Hauv qhov no, ntxiv rau kev ua raws li kev kho mob dav dav, nws yuav tsum tau sivLwm txoj hauv kev:
- kho lub cev;
- laser kho;
- magnetic therapy;
- ultrasound;
- electrophoresis.
Tib lub sijhawm, nws yog ib qho tseem ceeb kom tshem tawm txhua yam uas tuaj yeem txo kev tiv thaiv, thiab ua kom lub zog ntawm kev so thiab kev ua haujlwm zoo.
Tom qab kev kho mob tas mus li, yuav tsum tau rov kuaj xyuas kom paub tseeb tias tsis muaj kab mob hauv lub cev.
Kev nyuaj siab
Nws twb tau hais ua ntej lawm tias nrog lub sijhawm pib kho, qhov mob ntawm cov zis tsis ua rau muaj kev phom sij loj rau tus poj niam. Tab sis yog tias tus neeg mob tsis maj mus nrhiav kev pab los ntawm tus kws kho mob tshwj xeeb thiab txiav txim siab tias tus kab mob yuav "tawm mus rau nws tus kheej", qhov no yuav ua rau muaj teeb meem loj thiab txaus ntshai, suav nrog:
- cystitis;
- vulvovaginitis;
- colpitis;
- adnexitis;
- endometritis;
- Ypyelonephritis;
- cev xeeb tub, thaiv cov hlab ntsha hauv plab, tsis muaj menyuam, mob pelvic nquag (tom qab chlamydial urethritis).
Kev Tiv Thaiv
Kev zam qhov mob ntawm cov urethra tsis yooj yim li nws yuav zoo li thaum xub thawj siab ib muag. Tsuas yog ua raws li kev tiv thaiv yooj yim:
- Zam kev ntxhov siab hnyav thiab ntxhov siab.
- Ua tib zoo saib xyuas qhov zoo thiab lub sijhawm pw tsaug zog.
- Tsis txhob hypothermia (hnav khaub ncaws rau huab cua, tsis txhob zaum hauv qhov txias).
- Saib cov cai ntawm kev nyiam huv huv.
- Ua tib zoo saib xyuas "pojniam" noj qab haus huv thaum lub sijhawm ntawdhu ua hormonal bursts. Cov tom kawg raug pom thaum cev xeeb tub, lactation, ua poj niam, cev xeeb tub, tom qab rho menyuam lossis tshem tawm cov tshuaj hormonal, thiab lwm yam.
- Kuaj xyuas koj cov zaub mov. Nws yuav tsum muaj tsawg li tsawg tau (thiab qhov zoo tshaj plaws, tsis muaj kiag li) cov khoom lag luam nrog GMOs lossis lwm yam tshuaj ntxiv thiab cov tshuaj tua kab mob. Tsis txhob siv cov hmoov nplej, qab zib, ntsim, qaub, ntsev.
- Rau lub neej kev sib deev, nws yog qhov zoo tshaj kom muaj ib tus khub mus tas li.
- Tsis txhob hnov qab txog ntau txoj hauv kev los txhawb kev tiv thaiv tag nrho.
Nws yog ib qho tseem ceeb rau cov poj niam kom nco ntsoov qhov tshwm sim ntawm cov kab mob tsis kho ntawm cov kab mob genitourinary. Nws yog ib qho tseem ceeb uas yuav tsum tau ua tib zoo saib xyuas koj txoj kev noj qab haus huv thiab tsis txhob tsis kam kuaj kev tiv thaiv ntawm gynecologist ob zaug hauv ib xyoos.
