Orchiepididymitis yog ib tus txiv neej mob urological mob hnyav ntawm kev sib kis etiology, uas cov txheej txheem mob hnyav cuam tshuam rau cov qe ntshav thiab kis mus rau nws cov epididymis. Feem ntau, tus kab mob no tshwm sim nyob rau hauv cov txiv neej laus laus uas muaj hnub nyoog 16 txog 40 xyoo (thaum lub sij hawm muaj kev sib deev hnyav). Txawm li cas los xij, qee zaum orchiepididymitis tshwm sim hauv cov neeg laus. Nws yog ib qho tseem ceeb kom paub tias yam tshuaj tua kab mob rau kev kho mob orchiepididymitis zoo dua li lwm tus.
Yog vim li cas
Epididymo-orchitis feem ntau tshwm sim los ntawm kev mob ntawm ib lub noob qes (epididymitis) lossis vim yog mob ntawm epididymis (orchitis). Cov kab mob ua rau muaj ntau haiv neeg, tab sis ntau zaus tus kab mob no tshwm sim vim muaj yam xws li:
- lub cev puas tsuaj rau cov noob qes lossis scrotum;
- txo qis kev tiv thaiv;
- hypothermia;
- hypercooling ntawm lub cev;
- nce lossis txo qis kev sib deev;
- kev nyuaj siab, kev nyuaj siab ntxhov plawv;
- kab mob sib kis, kis kab mob thiab tsis kisxwm.
Rau cov txiv neej hnub nyoog qis dua 35, cov laj thawj ib txwm yog:
- kis nrog trichomoniasis, mumps, mycoplasmosis, ureaplasmosis, chlamydia;
- mob ntshav qab zib hauv puab tais, stagnation ntawm cov ntshav hauv plab, tsis muaj kev tiv thaiv kev sib deev;
- kab mob ntev ntawm cov kab mob genitourinary hauv keeb kwm - balanoposthitis, cystitis, urethritis - cov kab mob nkag mus rau hauv cov hlab ntsha lossis vas deferens thiab kis rau cov noob qes lossis epididymis;
- vim muaj teeb meem ntawm cov kab mob xws li angina pectoris, mob ntsws, mob syphilis, tuberculosis, cryptococcosis;
- ua tsis raug zais zis catheterization;
- hypovitaminosis;
- tom qab kev phais prostate.
Cov tsos mob hnyav
Cov cim ntawm daim ntawv mob hnyav:
- nyob rau thaj tsam ntawm cov qog nqaij hlav thiab cov epidermis, muaj qhov mob hnyav, ua rau mob hnyav;
- mob ntawm palpation lossis kov lub scrotum;
- o thiab o ntawm lub scrotum, ua raws li reddening ntawm cov ntaub so ntswg;
- -zawm ntawm cov scrotum;
- nce qhov loj ntawm lub scrotum;
- nce hauv lub cev kub txog 38-39 degrees.
Cov tsos mob ntev
Cov cim ntawm daim ntawv mob ntev:
- mob hauv cov qe ntshav, uas tshwm sim ib ntus, ua kom hnyav thaum lub cev ua haujlwm ntawm tus neeg;
- hloov pauv hauv lub cev kub ib ntus yam tsis muaj laj thawj (tuaj yeem nce mus txog 40 degrees);
- yog qhov ua rau tus kab mob yog tuberculosislo, daim tawv nqaij ntawm scrotum yuav tsim fistulas (fistulas);
- scrotum loj zuj zus thiab cov ntaub so ntswg thickening;
- kev tiv thaiv kev tiv thaiv;
- hormonal imbalance - impaired testosterone ntau lawm;
- erectile kawg;
- tsim cov phlegmon ntawm scrotum;
- kev tsis muaj menyuam vim muaj kev cuam tshuam ntawm lub cev xeeb tub thaum lub sijhawm tsim cov phev;
- cuam tshuam ntawm cov hlab ntsha, uas tuaj yeem ua rau lub plawv nres;
- txhim kho qog tsim;
- kev cuam tshuam ntawm cov zis.
Diagnosis
Kev kuaj mob muaj xws li hauv qab no:
- Sib tham nrog tus kws kho mob. Tus kws kho mob, siv daim ntawv ntsuam xyuas, sau cov ntaub ntawv ntawm kev loj hlob ntawm tus kab mob, raws li tus neeg mob qhov kev tsis txaus siab. Kev saib xyuas tshwj xeeb yog kos rau qhov xwm txheej thiab cov yam ntxwv ntawm tus txiv neej lub neej kev sib deev, uas yog qhov tseem ceeb rau kev txheeb xyuas kev sib raug zoo ntawm orchiepididymitis thiab kab mob venereal. Cov ntaub ntawv pov thawj ntawm kev raug mob scrotal tsis ntev los no lossis kev phais kuj tseem ua lub luag haujlwm tseem ceeb hauv kev kuaj mob.
- Kev tshuaj xyuas. Tus kws kho mob urologist tshuaj xyuas thaj tsam ntawm qhov raug iab liam. Nrog unilateral orchiepididymitis, cov tsos ntawm scrotum yuav skewed mus rau sab mob vim edema. Cov xim ntawm cov noob qes dhau los ua ntshav-liab, thiab daim tawv nqaij kub rau qhov kov.
- Kev ntsuas. Kev kuaj ntshav thiab biochemical kuaj ntshav thiab zis yuav tsum kuaj xyuas cov txheej txheem inflammatory hauv lub cev. Txhawm rau txheeb xyuas cov kab mob pathogenic, koj yuav tsum xeem dhau kev kuaj kab mob bacteriological ntawm smear los ntawm cov zis.
- Ib yam yuav tsum tau kuaj pom ntawm orchiepididymitis yog kev pub ntshav rau kev muaj kab mob sib kis (PCR, ELISA), uas feem ntau ua rau tus kab mob.
- Ultrasound ntawm lub scrotum - yog ib txoj kev tshawb fawb pab, raug tshuaj kom kuaj tau tus hernia, dropsy ntawm cov noob qes lossis qog.
- Ureteroscopy - yog sau kom meej qhov ua rau ntawm kev loj hlob ntawm tus kab mob.
Kev kho mob orchiepididymitis hauv txiv neej
Txij li thaum orchiepididymitis pib ua cov txheej txheem inflammatory provoked los ntawm ntau yam kab mob thiab cov kab mob, nws feem ntau nyuaj los ntawm cov tsos mob (ua npaws, ua daus no, mob ntxiv). Yog li ntawd, feem ntau tus kws kho mob tuaj koom muab kev kho mob hauv tsev kho mob.
Raws li tau hais los saum no, qhov ua rau orchiepididymitis yog ib qho kab mob ntawm cov txiv neej qhov chaw mos, thiab kev kho mob yog ua raws li tus qauv, feem ntau lees txais tswv yim:
Yog tias nws tsis paub meej tias tus kab mob twg ua rau qhov mob, broad-spectrum tshuaj tua kab mob tau muab tshuaj los kho cov tsos mob ntawm orchiepididymitis:
- tshuaj tua kab mob ntawm pawg penicillin ("Amoxiclav", "Ospamox");
- tetracyclines;
- Ycephalosporins.
Yog tias, nrog kev pab los ntawm kev tshawb nrhiav kev kuaj mob, nws tuaj yeem txiav txim siab yam kab mob kis tau zoo, ces cov tshuaj tua kab mob nqaim tau raug sau tseg, piv txwv li, cov tshuaj tua kab mob twg zoo dua rau kev kho mob orchiepididymitis:
- "Rifampicin", "Chloramphenicol", "Myokamicin", "Clindamycin";
- ampicillins ("Ampik", "Docillin", "Dedompil");
- pab pawg ntawm aminoglycosides ("Geramycin", "Gentostep");
- pab pawg ntawm cov tshuaj tua kab mob macrolide ("Clabax");
- tshuaj tua kab mob ntawm pawg azalide thiab fluoroquinol ("Sumamed", "Oflocid", "Ofloksin").
Txoj cai kho mob
Thaum kho orchiepididymitis nrog tshuaj tua kab mob, muaj ntau txoj cai thiab kev ceev faj uas tsis tau soj ntsuam yog tias tus txiv neej noj tshuaj, uas yog:
- Tus kws kho mob txiav txim siab txog kev xaiv cov tshuaj tua kab mob rau kev kho mob orchiepididymitis (nws ntau npaum li cas), suav nrog cov kab mob sib kis tau txheeb xyuas thaum sau cov anamnesis. Tsis tas li ntawd, kev tswj tsis tau ntawm cov tshuaj tua kab mob tuaj yeem ua rau muaj tus kab mob exacerbation. Tsis tas li ntawd, muaj kev txwv, nrog rau txhua yam kev mob tshwm sim.
- Vim tias orchiepididymitis feem ntau tshwm sim tawm tsam keeb kwm ntawm kev sib deev, tus kws kho mob tshwj xeeb muab tus khub ntawm tus txiv neej muaj mob mus kuaj mob thiab, yog tias tsim nyog, tau txais kev kho tshwj xeeb.
- Raws li txoj cai, hauv kev kho tshuaj, koj yuav tsum paub tias cov tshuaj tua kab mob twg rau kev kho mob orchiepididymitis yog qhov zoo tshaj plaws. Tus kws kho mob feem ntau hloov cov pab pawg thiab hom tshuaj tua kab mob. Nws nyob ntawmYuav ua li cas zoo npaum li cas cov tshuaj tau sau tseg yav dhau los, qhov txheej txheem rov qab mus li cas. Nrog kev kho tus kheej, nws yuav luag tsis tuaj yeem ua nws tsim nyog.
- Thaum tab tom kho mob orchiepididymitis, lub neej kev sib deev tsis suav nrog.
Siv nyiaj hauv zos
Nws yuav tsum tau muab sau tseg tias kev siv tshuaj npaj tshuaj ntawm cov tshuaj hauv zos hauv zos (cov tshuaj pleev, cream, gels lossis tshuaj tsuag) rau orchiepididymitis tsis pom zoo los ntawm cov kws tshaj lij. Qhov no yog vim lub fact tias daim tawv nqaij ntawm lub scrotum yog heev rhiab heev thiab siv cov tshuaj tiv thaiv inflammatory txheej txheem yuav ua rau irritation. Tsis tas li ntawd, daim tawv nqaij ntawm lub scrotum, lub cev ntawm lub testis thiab nws cov appendages yog tsis soldered ua ke, uas zoo heev complicates kev nkag ntawm cov tshuaj tivthaiv rau qhov chaw ntawm o. Ntxiv nrog rau kev kho mob nrog tshuaj tua kab mob, rau kev kho mob tag nrho ntawm orchiepididymitis, cov tshuaj siv los txhim kho kev ua haujlwm ntawm tus neeg lub cev tiv thaiv kab mob (lub npe hu ua immunomodulators) - qhov no tso cai rau lub cev tawm tsam tus kab mob ntau dua. Rau lub hom phiaj no, ntau yam vitamin complexes kuj tau sau.
Tshem tawm puffiness, cov tsos mob ntawm o, mob yuav pab cov tshuaj uas tsis yog-steroidal xws li "Olfen", "Diclofenac" thiab lawv cov analogues. Nyob rau hauv cov ntaub ntawv hais tias qhov mob tshwm sim, tus kws kho mob tuaj koom pom zoo kom ib tug xov tooj ntawm cov tshuaj kho mob, xws li Ketanol.
kev kho neeg zoo
Ua ntej koj pib kho orchiepididymitis pej xeem tshuaj, xyuas kom koj muajtsis muaj qhov ua xua rau cov khoom uas tsim cov khoom.
tshuaj ntsuab tshuaj yej, tshuaj ntsuab thiab infusions tuaj yeem muaj txiaj ntsig zoo. Tshuaj ntsuab tshuaj yej muaj txiaj ntsig. Nov yog qee qhov ntawm lawv:
- Infusion raws li nplooj lingonberry, tansy paj thiab horsetail. Noj tag nrho cov khoom xyaw nyob rau hauv sib npaug proportions, chop, ncuav boiling dej nyob rau hauv ib lub ntim ntawm 1 khob thiab insist rau ib nrab ib teev. Txhawm rau kom tau txais txiaj ntsig zoo, noj 1 khob 3 zaug hauv ib hnub ua ntej noj mov.
- Herbal collection. Tsib teaspoons ntawm anise, parsley, dandelion, brew 0.5 liv dej kub thiab tawm rau tsawg kawg 30 feeb. Ua tib yam li cov dej haus yav dhau los.
- Tea nrog tshuaj ntsuab. Sib tov 4 teaspoons ntawm pob kws stigmas nrog ib tug sib tov ntawm tshuaj ntsuab (5 teaspoons txhua): sawv hips, wheatgrass paus, St. John's wort, mint, parsley thiab currant nplooj. Ncuav tag nrho cov khoom xyaw nrog ib liter ntawm boiling dej, tawm rau 30 feeb. Tom qab cov kua zaub txias lawm, lim thiab haus txhua hnub hauv qhov sib npaug me me.
Bee khoom
Txhawm rau txo cov tsos mob ntawm tus kab mob, koj tuaj yeem npaj cov tshuaj pleev tshwj xeeb raws li ib qho nqaij qaib yolk, 30 ml ntawm cov roj zaub thiab 20 g ntawm beeswax. Txhawm rau npaj qhov kev npaj, yaj cov quav ciab hauv dej da dej, ntxiv boiled yolk thiab roj rau nws. Koj yuav tsum khaws cov tshuaj pleev no rau hauv lub tub yees, thiab hauv nruab nrab ntawm compresses siv rau thaj tsam scrotum. Tau kawg, tsis txhob hnov qab sab laj nrog koj tus kws kho mob ua ntej pib txoj kev kho uas tsis yog ib txwm siv.
Txhais tau
Txhua yam txheej txheem pathological ntawm tus txiv neej qhov chaw mos, txawm tias nws yog kab mob sib kis los yog ua kom pom tseeb ntawm qhov mob, yuav tsum tau kho raws sijhawm thiab ua tiav cov tshuaj, nrog rau lwm hom kev kho mob. Orchiepididymitis, uas yog ib qho mob ntawm tus txiv neej testicle thiab epididymis, tsis muaj kev zam. Kev ncua sij hawm mus ntsib tus kws kho mob tshwj xeeb, tsis quav ntsej cov lus pom zoo kho mob, tus cwj pwm tsis zoo rau tus kab mob no tuaj yeem ua rau muaj kev nyuaj siab thiab qee zaum cuam tshuam tsis tau.
Qhov feem ntau tsis zoo thiab kwv yees qhov tshwm sim thaum tsis muaj kev kho mob txaus rau orchiepididymitis yog:
- Tus mob orchiepididymitis tuaj yeem hloov mus rau hauv daim ntawv ntev nrog txhua yam tsos mob thiab mob uas ua rau tus txiv neej tsis xis nyob ntau.
- Vim li ntawd, kev ua neej zoo ntawm kev sib deev, theem ntawm lub zog txo qis.
- Ib qho txheej txheem tsis kho mob hauv zos hauv vas deferens tuaj yeem ua rau muaj qhov caws pliav thiab adhesions hauv cov kabmob no, uas yav tom ntej yuav ua rau muaj kev cuam tshuam.
- Thaum lub noob qes ua rau mob, caws pliav lossis pob txha nruj tuaj yeem tsim, uas yuav cuam tshuam rau kev tso cov phev.
- Tag nrho cov txheej txheem pathological no, yog tias tus kab mob kis tau thaum tseem hluas, tuaj yeem ua rau txiv neej muaj menyuam tsis taus.
- Cov teeb meem hnyav uas xav tau kev kho mob xwm txheej ceev suav nrog cov kab mob xws li fistulas thiab abscesses hauv lub cev ntawm lub scrotum, testicular infarction, ua tiav kev cuam tshuam ntawm vas deferens, thiab kev loj hlob ntawm qog nqaij hlav cancer.
Kev Tiv Thaiv
Txawm tias muaj kev phom sij ntawm cov kab mob xws li orchiepididymitis, nws txoj kev tiv thaiv yog qhov yooj yim heev. Qhov no yog, ua ntej ntawm tag nrho cov, kev siv cov cuab yeej tiv thaiv tus kheej (condom) thaum muaj kev sib deev nrog tus khub tsis tau lees paub, kev ua raws li kev ntsuas tshuaj tua kab mob txhim khu kev qha thaum kuaj urological. Tsis tas li ntawd, cov txiv neej yuav tsum tau sim kom tsis txhob muaj kev kub ntxhov, kev raug mob ntawm qhov chaw mos, thiab nrhiav kev pab kho mob ntawm qhov tsis txaus ntseeg ntawm tus kab mob.
