Orchitis

ʻO ka orchitis ka pehu (ka mumū) o hoʻokahi a ʻelua paha o nā testicle.

Hoʻokumu ʻia paha ʻo Orchitis e kahi maʻi. Hiki i nā ʻano bacteria a me nā virus ke kumu i kēia ʻano.

ʻO ka maʻi hoʻomaʻamaʻa maʻamau e kumu ai ka orchitis he mumps. Kū pinepine ia i nā keikikāne ma hope o ka ʻōpio. Hoʻokumu pinepine ʻo Orchitis i ka 4 a i ka 6 mau lā ma hope o ka hoʻomaka ʻana o ka mumps.

Hiki paha i ka Orchitis me nā maʻi o ka prostate a i ʻole epididymis.

Hoʻokumu ʻia paha ʻo Orchitis e kahi maʻi i lawe ʻia i ka moekolohe (STI), e like me gonorrhea a i ʻole chlamydia. ʻOi aku ka nui o ka orchitis i hoʻouna ʻia i ka moekolohe a i ʻole epididymitis i nā kāne mai 19 a 35 mau makahiki.

Nā kumuhana kūpilikiʻi no ka orchitis hoʻoili moekolohe me:

• Nā hana moekolohe kiʻekiʻe
• Nā hoa moekolohe he nui
• ʻO ka moʻolelo pilikino o gonorrhea a i ʻole STI ʻē aʻe
• ʻO ka hoa kolohe me kahi STI i ʻike ʻia

ʻAʻole nā ​​kumu pilikia no ka orchitis ma muli o kahi STI:

• Ma mua o 45 mau makahiki
• Hoʻohana lōʻihi o kahi catheter Foley
• ʻAʻole ka lāʻau ʻana i nā mū
• Nā pilikia o ka maʻi urinary i loaʻa i ka wā hānau (congenital)
• Nā maʻi maʻi urinary hou
• ʻOki o ka urinary tract (genitourinaryʻoki kino)
• BPH (hyperplasia prostatic maikaʻi) - prostate hoʻonui ʻia
• Urethral stressure (scarring i loko o urinary tract)

ʻO nā hōʻailona me:

• ʻEha ma ka lepa
• Koko i ka mānoanoa
• Hoʻokuʻu ʻia mai ka peni
• Fiva
• ʻEha Groin
• Pain me ka moekolohe a i ʻole ka ejaculation
• Pain me urination (dysuria)
• Huʻi ʻōpala
• Mālama, ʻāpana pehu i ka ʻaoʻao i hoʻopilikia ʻia
• Mālie, pehu, kaumaha i ka manaʻo

E hōʻike paha kahi hōʻike kino:

• Hoʻonui a palupalu paha i ka gland prostate
• Mālama a hoʻonui ʻia nā lymph node i ke kaha (inguinal) ma ka ʻaoʻao i hoʻopili ʻia
• Mālama a hoʻonui ʻia ka mea hōʻike manaʻo ma ka ʻaoʻao i hoʻopili ʻia
• ʻO kaʻulaʻula a palupalu paha o ka scrotum

E komo pū paha nā hoʻāʻo:

• Helu piha koko (CBC)
• ʻO ke ultrasound testicular
• Hōʻaia nā kānana no chlamydia a me gonorrhea (urethral smear)
• Urinalysis
• ʻO ka moʻomeheu mimi (hopu maemae) - pono paha i mau laʻana, e like me ke kahawai mua, waena, a ma hope o ka massage prostate

Hiki ke hoʻopili ʻia i ka mālama ʻana:

• Nā Antibiotics, inā pili ka maʻi i ka maʻi bacteria. (I ka hihia o gonorrhea a chlamydia paha, pono e mālama pū ʻia nā hoa kolohe.)
• Nā lāʻau anti-inflammatory.
• Nā lāʻau ʻeha.
• Hoʻomaha hoʻomaha moe me ka scrotum i hoʻokiʻekiʻe ʻia a hoʻopili ʻia nā ʻeke hau i kahi.

ʻO ka loaʻa ʻana o ka diagnose kūpono a me ka mālama ʻana no ka orchitis i hoʻokumu ʻia e nā bacteria hiki ke ʻae pinepine i ka testicle e hoʻi maʻamau.

Pono ʻoe i ka hoʻāʻo hou ʻana e kāpae i ka maʻi ʻaʻai testicular inā ʻaʻole hoʻi e hoʻi hou ka testicle i ka maʻamau ma hope o ka mālama ʻana.

ʻAʻole hiki ke mālama ʻia i ka orchitis mumps, a hiki ke hoʻololi i ka hopena. ʻO nā kāne i loaʻa i ka orchitis mumps hiki ke lilo i sterile.

ʻO kekahi mau keikikāne e loaʻa i ka orchitis e hoʻokumu ʻia e nā mumps e hōʻemi ana i nā testicle (atricular testophy).

Hoʻokumu pū paha ʻo Orchitis i ka infertility.

ʻO nā pilikia kūpono ʻē aʻe e pili pū me:

• Epididymitis maʻi
• Ka make ʻana o nā ʻaʻa testicle (infarction testicular)
• Fistula ma ka ʻili o ka scrotum (cutaneous scrotal fistula)
• Holo kaʻaila

Hiki ke hōʻeha ʻia ka ʻeha koʻikoʻi i ka scrotum a i ʻole nā ​​testicle e ka wili ʻana o nā kīʻaha koko testicular (torsion). He ulia pōpilikia kēia e pono ai ke ʻoki koke.

ʻO kahi testicle pehu me ka ʻeha a i ʻole ʻole ʻeha paha he hōʻailona ia o ka maʻi ʻaʻai testicular. Inā kēia ka hihia, pono ʻoe e loaʻa kahi ultrasound testicular.

E ʻike i kāu kahu mālama ola no kahi hōʻike inā loaʻa iā ʻoe kahi pilikia testicle.

E kiʻi i ke kōkua olakino pilikia inā loaʻa koke iā ʻoe ka ʻeha o ka maʻi.

Nā mea hiki iā ʻoe ke hana e pale i ka pilikia me:

• E hōʻalo i nā lāʻau lapaʻau
• E hoʻomaʻamaʻa i nā ʻano moe kolohe e hōʻemi i kou makaʻi no STI.

Epididymo - orchitis; Maʻi maʻi Testis

• Anatomia hānau kāne
• ʻŌnaehana hānau kāne

Mason WH. Puʻupuʻu. I: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 20 ouk. Piladelapia, PA: Elsevier; 2016: chap 248.

ʻO McGowan CC, Krieger J. Prostatitis, epididymitis, a me orchitis. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principal a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpikipiki, Hoʻopuka Hou. 8th ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 112.

Nickel JC. Nā kūlana hōʻeha a me nā ʻeha o ke kāne genitourinary tract: prostatitis a me nā ʻano ʻeha e pili ana, orchitis, a me epididymitis. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 13.