Urethritis

ʻO Urethritis ka puhū (pehu a me ka ukiuki) o ka urethra. ʻO ka urethra ka paipu e lawe i ka mimi mai ke kino.

Hiki i nā bacteria a me nā virus ke hana i ka urethritis. Kekahi o nā koʻohune i kumu i kēia ʻano pū E coli, chlamydia, a me gonorrhea. Hoʻokumu pū kēia mau bacteria i nā maʻi urinary tract a me kekahi mau maʻi i lawe ʻia i ka moekolohe. ʻO nā kumu Viral ka maʻi herpes simplex a me ka cytomegalovirus.

Nā kumu ʻē aʻe e:

• ʻEhaʻeha
• ʻIke i nā kemika i hoʻohana ʻia i nā spermicides, nā jellies contraceptive, a i ʻole nā ​​hua hua

I kekahi manawa ʻaʻole maopopo ke kumu.

Nā pilikia no ka urethritis pū:

• ʻO ka wahine
• Ke kāne, 20 a 35 mau makahiki
• Loaʻa nā hoa kolohe he nui
• Hana moekolohe hilahila kiʻekiʻe (e like me nā kāne e komo i ka moekolohe anal me ka ʻole o ka condom)
• Mōʻaukala o nā maʻi i lawe ʻia i ka moekolohe

I nā kāne:

• Koko i ka mimi a i ʻole ka semen
• ʻO ka ʻā ʻana i ke ʻeha ʻoiai e mimiki (disuria)
• Hoʻokuʻu ʻia mai ka peni
• Fever (pohihihi)
• Urination pinepine a i ʻole urgent
• Ka ʻume, palupalu, a ʻōhū paha i ka peni
• Hoʻonui ʻia nā lymph node ma ka ʻeha
• Pain me ka moekolohe a i ʻole ka ejaculation

I nā wahine:

• Abdominal eha
• Ke ʻā nei i ka ʻeha ʻoiai e mimiki ana
• Fiva a me nā anuanu
• Urination pinepine a i ʻole urgent
• ʻEha pelvis
• ʻEha me ka launa pū
• Hoʻokuʻu hoʻokuʻu

E nānā ka mea mālama ola iā ʻoe. I nā kāne, e hoʻopili ka hōʻike i ka ʻōpū, ka wahi o ka maʻi ʻai, ka peni, a me ka scrotum. Hōʻike paha ka hoʻokolohua kino:

• Hoʻokuʻu ʻia mai ka peni
• Mālama a hoʻonui ʻia nā lymph node ma kahi o ke ana
• Pālolo palupalu a pehu hoʻi

E hoʻokō ʻia kahi hoʻokolohua hoʻokolohua pololei.

E loaʻa nā wahine i nā hoʻokolohua ʻōpū a me nā pelvic. E nānā ka mea hāʻawi no:

• Hoʻokuʻu mai ka urethra
• Ka palupalu o ka ʻōpū o lalo
• ʻO ka mālie o ka urethra

Nānā paha kāu mea hāʻawi i loko o kāu kōlepa e hoʻohana ana i kahi paipu me kahi kāmela ma ka hopena. Kapa ʻia kēia cystoscopy.

E hana ʻia paha kēia mau hoʻāʻo:

• Helu piha koko (CBC)
• Hōʻike protein C-reactive
• Pelvic ultrasound (nā wahine wale nō)
• Hōʻike hāpai (nā wahine wale nō)
• ʻO ka moʻomeheu urinalysis a me ka mimi
• Nā hoʻāʻo no ka gonorrhea, chlamydia, a me nā maʻi i loaʻa i ka moekolohe (STI)
• Kāwele Urethral

ʻO nā pahuhopu o ka mālama ʻana i:

• E hoʻopau i ke kumu o ka maʻi
• Hoʻonui i nā hōʻailona
• Kāohi i ka hoʻolaha ʻana o ka maʻi

Inā loaʻa ʻoe i ka maʻi ʻaʻa, e hāʻawi ʻia iā ʻoe nā lāʻau ʻaloʻalo.

Hiki iā ʻoe ke lawe i nā mea ʻeha ʻelua no ka ʻeha o ke kino āpau a me nā huahana no ka ʻeha urinary localized wahi, a me nā antibiotic.

ʻO ka poʻe me ka urethritis e mālama ʻia nei e hōʻalo i ka moekolohe, a hoʻohana i nā condom i ka wā o ka wahine. Pono e mālama ʻia kāu hoapili inā pili ke ʻano i kahi maʻi.

Mālama ʻia ʻo Urethritis e ka trauma a i ʻole nā ​​mea hoʻoweliweli ʻino e ka hōʻalo ʻana i ke kumu o ka hōʻeha a i ʻole ka huhū.

ʻO Urethritis e hoʻomaʻemaʻe ʻole ma hope o ka mālama ʻana i nā lāʻau antibiotic a mau no 6 mau pule i kapa ʻia he urethritis maʻi mau. Hiki ke hoʻohana ʻia nā lāʻau ʻokoʻa ʻē aʻe e mālama i kēia pilikia.

Me ka hōʻoia pololei a me ka mālama ʻana, hoʻomaʻemaʻe pinepine ka urethritis me ka ʻole o nā pilikia hou.

Eia nō naʻe, hiki i ka urethritis ke alakaʻi i ka hōʻino wā lōʻihi i ka urethra a me nā kiko maka i kapa ʻia ʻo ka urethral strikure. Hiki iā ia ke hōʻino i nā mea urinary ʻē aʻe i nā kāne a me nā wahine. I nā wahine, hiki i ka maʻi ke alakaʻi i nā pilikia o ka momona inā pālahalaha ʻia i ka pelvis.

Kūpono nā kāne me ka urethritis no kēia mau mea:

• Pākuʻi maʻi (cystitis)
• ʻO Epididymitis
• ʻO ka maʻi i nā testicle (orchitis)
• ʻO ka maʻi Prostate (prostatitis)

Ma hope o ka maʻi maʻi nui, hiki i ka urethra ke lilo i scarred a laila pākī.

Kūpono nā wahine me ka urethritis no kēia mau mea:

• Pākuʻi maʻi (cystitis)
• Cervicitis
• ʻO ka maʻi pelvic inflammatory (PID - kahi maʻi o ka uhi ʻana o ka uterus, nā paipu fallopian, a i ʻole nā ​​ovaries)

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka urethritis.

Nā mea hiki iā ʻoe ke hana e kōkua i ka pale ʻana i ka urethritis:

• E mālama i ka wahi a puni i ka wehe o ka urethra maʻemaʻe.
• E hāhai i nā hana moekolohe maikaʻi ʻole. E loaʻa i hoʻokahi hoa kolohe wale nō (monogamy) a hoʻohana i nā condom.

Urethral maʻi maʻi; NGU; Urethritis non-gonococcal

• ʻĀpana mimi wahine
• ʻĀpana mimi kāne

Babu TM, Urban MA, Augenbraun MH. Urethritis. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 107.

Swygard H, Cohen MS. E hoʻokokoke aku i ka mea maʻi me kahi maʻi i hoʻouna ʻia i ka moekolohe. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 269.