Feem ntau, cov txiv neej raug kuaj pom tias muaj kab mob tshwm sim los ntawm kev mob ntawm cov kab mob urethral mucosa. Tus kab mob no yog kab mob urethritis. Muaj tseeb tiag, tej zaum tus kab mob no tshwm sim rau cov poj niam. Thaum tsis kho raws sijhawm thiab raug, qhov pathology no tuaj yeem ua rau muaj ntau yam txawv txav hauv lub cev.
Etiology
Qhov tshwm sim ntawm cov kab mob urethritis yog provoked los ntawm microbes. Nyob rau hauv lub cev ntawm txhua tus neeg muaj cov kab mob, uas yog conditionally pathogenic microflora. Nyob rau hauv ib txwm muaj mob, lub xub ntiag ntawm cov kab mob no tsis muaj kab mob los yog o. Tab sis nrog kev txo qis hauv kev tiv thaiv kev ua haujlwm ntawm lub cev thiab ua rau lub cev tsis muaj zog, cov kab mob no pib ua kom muaj zog. Raws li qhov tshwm sim, lub cev tiv thaiv kab mob tsis tuaj yeem tawm tsam ntau tus kab mob pathogenic, tawm tsam ntau yam kab mob tshwm sim.
Cov kab mob nkag mus rau hauv lub cev los ntawm sab nraud tuaj yeem ua rau muaj qhov tshwm sim ntawm pathologies. Feem ntau qhov no tshwm sim thaum tsis muaj kev tiv thaiv kev sib deev. Cov kab mob no muaj xws li gonococci, chlamydia, thiabTrichomonas.
Muab hom kab mob uas ua rau muaj kev txhim kho ntawm qhov mob, cov kab mob tau muab faib ua ntau hom.
- Tsis yog kab mob urethritis. Nws tshwm sim los ntawm qhov nce ntawm cov kab mob uas muaj nyob hauv lub cev ua ntej.
- Tshuaj urethritis. Nws cov kab mob ua rau yog cov kab mob uas nkag mus rau hauv lub cev thaum sib deev.
- sib xyaw urethritis. Nws yog kev sib txuas ntawm ob qho xwm txheej tau piav qhia.
Tsis tas li ntawd, tus kab mob tau muab faib, nyob ntawm hom kev sib kis:
- thawj saib - pathogenic microflora nkag mus rau hauv lub cev los ntawm sab nraud;
- hom thib ob - tshwm sim vim kev txav ntawm cov kab mob los ntawm lwm qhov kev mob siab rau.
Yog vim li cas
Muaj ntau yam uas ua rau muaj kev pheej hmoo ntawm cov kab mob loj hlob:
- foci ntawm qhov mob nyob rau hauv lwm yam kabmob;
- caries;
- kev quav cawv;
- tawm dag zog ntau dhau lossis ntxhov siab;
- noj ntau ntsev, ntsim, zaub mov qab;
- kev raug mob rau lub urethral mucosa thaum cystoscopy lossis catheterization;
- congenital malformations ntawm cov urethra.
Tab sis txawm yog thawj qhov ua rau urethritis, nws yog ib qho tseem ceeb heev los txheeb xyuas cov kab mob hauv lub sijhawm thiab pib kho sai sai.
Symptomatics
Thawj yam mob tshwm simtshwm li ib lub lim tiam tom qab kis kab mob. Cov tsos mob feem ntau ntawm cov kab mob urethritis yog:
- khaus hauv pliaj thiab qhov chaw mos;
- mob thiab tsis xis nyob thaum muaj kev sib raug zoo vim muaj kev cuam tshuam ntau ntxiv;
- npaum tsw tsw ntxhiab;
- muaj ntshav impurities hauv cov zis thiab phev;
- liab ntawm qhov tawm ntawm cov zis mus rau sab nraud;
- kub hnyiab thiab mob thaum zais zis.
Tsis tshua muaj, cov kab mob pathology yog asymptomatic, uas cuam tshuam rau kev kuaj mob. Nyob rau hauv rooj plaub no, yuav tsum tau kuaj kuaj kom paub meej tias qhov kev kuaj mob.
Signs in txiv neej
Qhov tshwm sim ntawm pathology txawv me ntsis hauv cov neeg sawv cev ntawm kev sib deev muaj zog thiab tsis muaj zog. Yog li, cov tsos mob ntawm cov kab mob urethritis hauv cov txiv neej yog:
- mob, kub hnyiab thaum tso zis;
- Nquag tso zis nrog cov zis tsawg tsawg;
- liab thiab khaus ntawm lub taub hau ntawm noov;
- tso tawm nrog cov ntxhiab tsw, qhia txog kev txhim kho ntawm ib tus kab mob tshwj xeeb;
- tso zis nyuaj vim qhov nqaim;
- tsis xis nyob thiab txawm mob thaum muaj kev sib raug zoo;
- txo qis hauv lub suab tag nrho, qhov tsos ntawm lethargy, tsaug zog, qaug zog;
- qee zaum ua npaws.
ThaumYog tias koj ntsib cov tsos mob no, koj yuav tsum mus ntsib kws kho mob tam sim ntawd. Feem ntau cov kab mob urethritis hauv cov txiv neej ua rau nws tus kheej hnov sai heev. Cov tsos mob tsis zoo tshwm sim, raws li txoj cai, 1-2 lub lis piam tom qab kis kab mob.
Cov tsos mob ntawm poj niam
Nyob rau theem pib ntawm kev loj hlob ntawm tus kab mob hauv kev sib deev ncaj ncees, nws yuav luag tsis pom nws. Qhov no yog vim qhov tshwm sim tom qab ntawm thawj cov tsos mob ntawm tus kab mob tom qab lub sij hawm incubation, uas tej zaum yuav kav ntau lub hlis.
thawj cov tsos mob ntawm cov kab mob urethritis hauv cov poj niam feem ntau:
- mob thaum tso zis, uas tuaj yeem txiav;
- Qhov chaw mos ntawm cov hnoos qeev nrog cov ntxhiab tsw qab;
- hloov cov zis tso zis, qhov tsos ntawm impurities hauv nws.
Tag nrho cov cim no tau ua tiav los ntawm kev tshwm sim dav dav ntawm tus kab mob.
Vim cov qauv ntawm cov kab mob genitourinary, cov kab mob urethritis tsis tshua muaj nyob hauv cov poj niam dua li cov txiv neej.
Diagnosis
Tom qab thawj cov tsos mob ntawm cov kab mob urethritis tshwm sim, koj yuav tsum hu rau tus kws kho mob tam sim ntawd. Qee zaum kev sab laj nrog kws kho mob dermatologist thiab venereologist kuj tseem xav tau. Feem ntau, qhov no yog hais txog cov kab mob urethritis tshwj xeeb.
Txhawm rau kom paub tseeb tias qhov kev kuaj mob xav tau, tsuas yog kuaj tus neeg mob tsis txaus, tshwj xeeb tshaj yog thaum nws los txog rau cov kab mob asymptomatic. Yog li ntawd, ua ntej ntawm tag nrho cov, ib qho kev kuaj zis yog sau, uas yog tsim nyog los txheeb xyuasnce cov ntsiab lus ntawm leukocytes, qhia tias muaj cov txheej txheem inflammatory hauv lub cev. Kev sau zis yuav tsum tau ua thaum sawv ntxov, tam sim tom qab sawv.
Cov kev kuaj mob hauv qab no yog siv los ua cov txheej txheem kuaj mob:
- ureteroscopy;
- peb-iav qauv;
- urinalysis raws li Nechiporenko;
- PCR paug tawm txawv txav.
Yog tias pom muaj cov protein ntau thiab cov qe ntshav dawb hauv cov zis, peb tuaj yeem tham txog kev kuaj mob "cov kab mob urethritis".
Ib txoj hauv kev yuav tsum tau kuaj hauv qhov no yog ib qho swab coj los ntawm cov zis. Ib hnub ua ntej txoj kev npaj, kev sib deev yuav tsum raug cais tawm. Thiab 2 teev ua ntej kuaj pom, koj yuav tsum tso zis.
Tsis tas li ntawd, ultrasound ntawm cov urethra lossis lwm yam kabmob ntawm lub cev xeeb tub yuav xav tau.
Cov ntsiab cai dav dav rau kev kho cov kab mob urethritis
Cov neeg mob uas tau kuaj pom tus mob no raug pom zoo kom raug kho raws li tus neeg mob sab nraud. Yuav kom tau txais txiaj ntsig zoo, nws tseem ceeb heev uas yuav tsum ua raws li txhua tus kws kho mob cov lus qhia raws nraim. Yog lawm, muaj qee txoj cai ua raws. Nws raug txwv tsis pub haus cawv txawm tias tsawg kawg nkaus, hla cov txheej txheem kho mob thiab tshuaj, thiab koj yuav tsum tso tseg kev sib deev ib ntus.
Kho cov ntawv qhia zaub mov txhua hnub yog suav tias yog qhov tseem ceeb. Nws yog ib qho tsim nyog kom tsis suav cov khoom noj pickled, ntsim thiab haus luam yeeb los ntawm kev noj haus. Thiab rov qab los, koj yuav tsum haus dej kom ntau li ntau tau.
Thaum tshwj xeeb thiabnonspecific bacterial urethritis nyob rau hauv cov poj niam thiab cov txiv neej yog ib txwm nqa tawm txoj kev kho mob. Nws yuav tsum suav nrog immunomodulatory, tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob, thiab qee zaum, kho lub cev.
Kev siv tshuaj tua kab mob ib leeg, tshwj xeeb tshaj yog kev tswj hwm tus kheej, yeej yuav tsis ua rau muaj txiaj ntsig zoo. Tom qab tag nrho, cov neeg niaj hnub no feem ntau tsis kam mus rau ntau yam tshuaj tua kab mob. Yog li ntawd, kev kho tus kheej ntawm urethritis yog qhov txaus ntshai heev.
Lub sijhawm rov qab los nyob ntawm tus kheej tus yam ntxwv ntawm lub cev. Tab sis feem ntau, kev kho cov kab mob urethritis hauv cov txiv neej thiab poj niam yuav siv li 1-2 lub lis piam. Tom qab kev kho mob, kev tswj xyuas yog qhov yuav tsum tau ua. Rau tag nrho lub sijhawm ntawm kev kho mob, kev sib deev so yog qhia.
Drug therapy
Kev kho cov kab mob urethritis hauv ob tus poj niam thiab txiv neej suav nrog kev siv qee yam tshuaj. Kev kho tshuaj yog tsom feem ntau ntawm kev tawm tsam ntawm pathogenic microflora. Tom qab txiav txim siab hom kab mob thiab thawj qhov ua rau tus kab mob, tus kws kho mob tau sau cov tshuaj tsim nyog rau tus neeg mob.
Ua ntej ntawm tag nrho, cov tshuaj tua kab mob rau kev siv sab nraud yog tshuaj:
Y "Miramistin".
Kev npaj raws li nyiaj nitrate tau suav tias muaj txiaj ntsig zoo hauv kev tawm tsam cov kab mob pathogenic. Xws li cov tshuaj zoo kawg nkaus tshem tawm qhov mob thiab khaus khaus. Lawv siv los yaug cov urethra los ntawm instillation.
Tsis yogTsis tshua muaj txiaj ntsig hauv kev kho mob ntawm cov kab mob urethritis hauv cov txiv neej thiab poj niam yog cov tshuaj ntsuab raws li tshuaj ntsuab:
- "Canephron".
- Y"Fitozolin".
Tshuaj tua kab mob kuj tau sau tseg rau txoj kev kho nyuaj. Lawv raug xaiv, nyob ntawm seb hom kab mob uas kuaj pom los ntawm kev kuaj mob. Feem ntau siv:
- macrolides - "Azithromycin" thiab "Erythromycin";
- tetracyclines - "Tetracycline" thiab "Doxycycline";
- cephalosporins - "Cefazolin" thiab "Ceftriaxone";
- fluoroquinolones - "Abactal" thiab "Levofloxacin";
- Ysulfonamides.
Qhov tseeb, cov kws kho mob sim sau tshuaj nrog ntau qhov kev ua. Feem ntau, cov tshuaj npaj rau intramuscular thiab intravenous tswj yog muab:
- rau cov kab mob tshwm sim los ntawm Trichomonas, Metrogil thiab Trichopolum yog siv;
- yog tias urethritis tshwm sim vim yog kab mob gonorrhea, nyiam yog muab rau macrolides "Sumamed" thiab "Azithromycin";
- Fluoroquinolones thiab tetracyclines raug tshuaj los tua chlamydia.
Yog tias tus kab mob twb tau kuaj pom nyob rau theem siab, nws raug nquahu kom siv Monural, uas tuaj yeem tiv thaiv qhov mob hauv ob peb hnub xwb.
Lub sijhawm siv tshuaj tua kab mob yuav tsum tsis pub tshaj 10 hnub. Nyob rau tib lub sijhawm, nws tseem ceeb heev rau kev sivprobiotics uas yuav stabilize lub plab hnyuv microflora. Rau lub hom phiaj no, nws yog qhov zoo tshaj plaws los siv:
- Y"Bifidumbacterin".
- "Laktovit".
- "Lineks".
Nws raug nquahu kom siv los ua pab txhais tau tias:
- tshuaj tiv thaiv kab mob kom tshem tawm khaus thiab o - "Tavegil" thiab "Suprastin";
- vitamin complexes thiab immunostimulants los kho kev tiv thaiv thiab rov tsim cov ntaub so ntswg ntawm cov urethral mucosa - "Duovit", "Timalin", "Gepon";
- kev ua haujlwm kho lub cev - UHF, magnetotherapy, electrophoresis.
Kev siv tshuaj kho tau zoo
Kev kho mob raws sij hawm ntawm pathology nrog kev pab ntawm kev npaj tshuaj muab kev pom zoo ntawm kev rov zoo. Raws li kev txheeb cais, yuav luag 100% ntawm cov neeg mob tau kuaj pom tus kab mob urethritis, uas tau kawm txog kev kho tshuaj tsim nyog, tau tshem tawm tag nrho cov kab mob.
Qee zaum muaj qhov rov ua dua, uas feem ntau tshwm sim li 3 lub hlis tom qab kho. Tias yog vim li cas nws thiaj li tseem ceeb heev uas yuav tsum tau ua cov kev sim rau kev tshawb fawb txhua lub sijhawm no. Nws raug nquahu kom sau cov zis thiab ntshav rau STIs, nqa ib lub swab los ntawm cov zis.
Alternative Medicine
Ua ib qho ntxiv rau cov tshuaj, koj tuaj yeem siv cov tshuaj pej xeem, tom qab sab laj nrog tus kws kho mob ua ntej. Cov zaub mov zoo li no tau siv ntev los kho cov kab mob urethritis hauv cov txiv neej thiab poj niam.
- Currant tincture. Ncuavib khob ntawm qhuav nplooj nrog ob khob dej kub thiab tawm mus infuse rau ib teev. Npaj tincture yuav tsum haus ib nrab khob ua ntej noj mov. Cov tshuaj no muaj diuretic, antibacterial thiab immunomodulatory nyhuv. Tsis tas li ntawd, nws raug pom zoo kom noj currant berries es tsis txhob khoom qab zib.
- YCowberry decoction. Ncuav 2 tablespoons nplooj nrog ib liter ntawm dej kub, boil rau 5 feeb thiab tawm mus infuse rau 2-3 teev. Lim cov khoom tiav thiab faib ua 4 feem sib npaug - koj yuav tsum tau haus lawv thoob plaws ib hnub. Cov decoction no muaj cov nyhuv diuretic.
- Decoction raws li creeping wheatgrass. Ncuav 2 tablespoons crushed keeb kwm nrog ib khob dej kub. Tawm mus rau infuse rau 12 teev, ces lim. Tom qab ntawd ntxiv ib khob dej npau thiab tawm rau lwm 10 feeb. Qhov no decoction yuav tsum tau noj ib nrab khob ua ntej noj mov rau ib lub lim tiam.
- Linden decoction. Ncuav ib tablespoon ntawm qhuav paj nrog ib khob ntawm boiling dej, boil rau 10 feeb thiab tawm ib sab rau ib nrab ib teev. Lim thiab noj ua ntej pw. Cov tshuaj zoo li no yuav pab txo qhov mob hnyav thiab lwm yam kev tshwm sim tsis zoo ntawm cov kab mob urethritis.
Kev Tiv Thaiv
Txhawm rau tiv thaiv kev txhim kho ntawm cov kab mob tsis zoo, ib tus yuav tsum tsis txhob muaj kev tiv thaiv kev sib deev, nrog rau kev mus ntsib kws kho mob tsis tu ncua: rau cov poj niam - gynecologist, thiab rau cov txiv neej - venereologist. Kev siv cov hnab looj tes kom txo tau txoj kev pheej hmoo ntawm kev kis kab mob urethritis.
Lwm yam kev tiv thaiv muaj xws li:
- kev zammob hnyav hypothermia;
- kho raws sijhawm ntawm kev kis kab mob;
- no cawv;
- khaws cov zaub mov sib npaug;
- zam kev nyuaj siab thiab kev ntxhov siab hnyav;
- kho lub plawv thiab lub raum tsis xws luag;
- ua raws li cov cai yooj yim ntawm kev tu tus kheej.
Yog tias koj ua raws li cov lus qhia yooj yim no, kev pheej hmoo ntawm kab mob urethritis ntawm ob tus poj niam thiab txiv neej txo qis.
