ʻO Epididymitis

ʻO Epididymitis ka pehu (mumū) o ka paipu e hoʻopili i ka testicle me nā vas deferens. Kapa ʻia ka paipu ʻo epididymis.

ʻO ka Epididymitis ka mea maʻamau i nā kāne ʻōpio 19 a 35 mau makahiki. Hoʻokumu pinepine ʻia e ka hoʻolaha ʻana o kahi maʻi bacteria. Hoʻomaka pinepine ka maʻi maʻi i ka urethra, ka prostate, a i ʻole ka ʻai. ʻO ka maʻi a me ka maʻi chorrydia ka pinepine o ke kumu o ka pilikia i nā kāne heterosexual ʻōpio. I nā keiki a me nā kāne ʻelemākule, hana pinepine ʻia e E coli a me nā koʻohune like. Pēlā nō hoʻi i nā kāne i moe kolohe me nā kāne.

Mycobacterium tuberculosis (TB) hiki ke kumu i ka epididymitis. ʻO nā bacteria ʻē aʻe (e like me Ureaplasma) hiki ke kumu i ke ʻano.

ʻO Amiodarone kahi lāʻau e pale ai i nā puʻuwai puʻuwai abnormal. Hiki i kēia lāʻau ke kumu i ka epididymitis.

Hoʻonui ka mea aʻe i ka makaʻu no ka epididymitis:

• ʻOki kino hou
• Nā pilikia kūkulu i hala aku nei i ka mana urinary
• Hoʻohana mau o kahi catheter urethral
• Moekolohe moekolohe me nā mea ʻoi aku ma mua o hoʻokahi a me ka hoʻohana ʻole ʻana i nā condom
• Prostate hoʻonui

E hoʻomaka paha ʻo Epididymitis me:

• Kaha wela
• ʻO Chills
• Ke kaumaha o ka naʻau ma ka wahi testicle

E maʻalahi ka ʻaoʻao testicle i ke kaomi. E lilo ia i mea ʻeha ke hele a ke kūlana. Hiki ke laha maʻalahi kahi maʻi i ka epididymis i ka testicle.

ʻO nā ʻōuli ʻē aʻe e like me:

• Koko i ka mānoanoa
• Hoʻokuʻu ʻia mai ka urethra (ka wehe ma ka hope o ka peni)
• Ka hōʻoluʻolu ʻole i ka ʻōpū o lalo a i ʻole ke pelvis
• ʻO Lump kokoke i ka hōʻike

ʻO nā ʻōuli liʻiliʻi ʻoi aku ka:

• ʻEha i ka wā o ka ejaculation
• Paʻi a puhi paha i ka wā urination
• Huʻi scrotal ʻeha (hoʻonui ʻia ka epididymis)
• Mālama, pehu, a ʻeha ʻeha ʻeha ma ka ʻaoʻao i hoʻopilikia ʻia
• ʻO ka ʻeha testicle e ʻoi aku ka maikaʻi i ka wā o ka ʻōpū

E like paha nā ʻōuli o ka epididymitis me nā mea o ka testicle torsion, kahi e koi ai i ka lāʻau lapaʻau.

E hōʻike ka hōʻike kino i kahi ʻulaʻula, palupalu ma ka ʻaoʻao i hoʻopili ʻia o ka scrotum. Loaʻa paha iā ʻoe ke aloha ma kahi wahi liʻiliʻi o ka testicle kahi i hoʻopili ʻia ai ka epididymis. Hiki i kahi ākea nui o ka pehu ke hoʻomohala a puni ka puʻupuʻu.

Hiki ke hoʻonui ʻia nā lymph node ma ka ʻeha. Hiki ke hoʻokuʻu ʻia mai ka peni. Hōʻike kahi hōʻike hoʻokolokolo i kahi prostate hoʻonui a palupalu paha.

Hana ʻia paha kēia mau hoʻāʻo:

• Helu piha koko (CBC)
• ʻO ultrasound Doppler
• Hōʻike testicular (scan lāʻau lapaʻau nukelea)
• Urinalysis a me ka moʻomeheu (pono ʻoe e hāʻawi i kekahi mau hiʻohiʻona, e like me ke kahawai mua, waena waena, a ma hope o ka massage prostate)
• Nā ho'āʻo no chlamydia a me gonorrhea

E kauoha aku kāu mea mālama ola i ka lāʻau e mālama ai i ka maʻi. Pono nā maʻi i hoʻoili ʻia i ka moekolohe i nā antibiotic. Pono e mālama ʻia kāu mau hoa moe kolohe. Pono ʻoe i nā lāʻau ʻeha a me nā lāʻau anti-inflammatory.

Inā ʻoe e lawe amiodarone, pono ʻoe e hoʻohaʻahaʻa i kāu lāʻau a hoʻololi paha i kāu lāʻau. E kamaʻilio me kāu mea hāʻawi.

I mea e hōʻoluʻolu ai:

• Hoʻomaha hoʻomaha i lalo me ka scrotum i hoʻokiʻekiʻe ʻia.
• E noi i nā ʻeke hau i kahi ʻeha.
• E komo i ka lole o loko me ke kākoʻo hou aku.

Pono ʻoe e hāhai me kāu mea hoʻolako e hōʻoia i ka holoi holoʻokoʻa o ka maʻi.

ʻOi aku ka maikaʻi o ka Epididymitis me ka lāʻau antibiotic. ʻAʻole pilikia lōʻihi ka moekolohe a hānau paha i ka hapanui o nā hihia. Eia naʻe, hoʻi paha ke ʻano.

Komo pū nā pilikia:

• Loaʻa i ka scrotum
• Lōʻihi (wā lōʻihi) epididymitis
• Wehe i ka ʻili o ka scrotum
• Ka make ʻana o nā ʻaʻa testicular ma muli o ka nele o ke koko (infarction testicular)
• Hoʻoipo

ʻO ka ʻeha hōʻeha a koʻikoʻi loa i ka scrotum kahi pilikia olakino. Pono ʻoe e ʻike ʻia e kahi mea hoʻolako i kēia manawa.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka epididymitis. E hele i ka lumi pilikia a kāhea paha i ka helu kūloko kūloko (e like me 911) inā loaʻa iā ʻoe ka ʻeha o ka testicle ʻeha a ʻeha paha ma hope o kahi ʻeha.

Hiki iā ʻoe ke pale i nā pilikia inā ʻike ʻia ʻoe a mālama mua ʻia.

Kākau paha kāu mea hāʻawi i nā lāʻau antibiotic ma mua o kahi ʻoki. ʻO kēia no ka hiki i kekahi mau ʻoki ʻana ke hāpai i ka makaʻu no ka epididymitis. Hoʻomaʻamaʻa i ka moekolohe palekana. Hōʻalo i nā hoa moekolohe he nui a hoʻohana i nā condom. Hiki paha i kēia ke kōkua i ke pale ʻana i nā epididymitis i hoʻokumu ʻia e nā maʻi hoʻoili kolohe.

• Anatomia hānau kāne
• Koko i ka mānoanoa
• Ke ala o ka sperm
• ʻŌnaehana hānau kāne

ʻO Geisler WM. Nā maʻi i hoʻokumu ʻia e chlamydiae. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 302.

ʻO Pontari M. Nā hana hōʻeha a me nā ʻeha o ka male genitourinary tract: prostatitis a me nā ʻano ʻeha e pili ana, orchitis, a me epididymitis. I: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Piladelapia, PA: Elsevier; 2021: chap 56.