Urethritis

Urethritis ke ho ruruha (ho ruruha le ho teneha) ha urethra. Moroto ke phaephe e tsamaisang moroto o tsoang 'meleng.

Likokoana-hloko ka bobeli le livaerase li ka baka urethritis. Tse ling tsa libaktheria tse bakang boemo bona li kenyelletsa E coli, chlamydia le qhoshola. Libaktheria tsena li boetse li baka tšoaetso ea mosese le mafu a mang a tšoaetsanoang ka thobalano. Lisosa tsa vaerase ke vaerase ea herpes simplex le cytomegalovirus.

Lisosa tse ling li kenyelletsa:

• Kotsi
• Ho nahanela lik'hemik'hale tse sebelisoang ho spermicides, jellies ea thibelo ea bokhachane, kapa foam

Ka linako tse ling sesosa ha se tsejoe.

Likotsi tsa urethritis li kenyelletsa:

• Ho ba motho e motshehadi
• Ho ba monna, lilemo tse 20 ho isa ho 35
• Ho ba le balekane ba bangata ba thobalano
• Boitšoaro bo phahameng ba thobalano (joalo ka banna ba kenang thobalano e kenang ka morao ntle le khohlopo)
• Nalane ea mafu a likobo

Ho banna:

• Mali ka morong kapa semeneng
• Ho chesa bohloko ha u ntse u ntša metsi (dysuria)
• Ho qhibiliha botoneng
• Feberu (e sa tloaelehang)
• Ho ntša metsi khafetsa kapa ka potlako
• Ho hlohlona, ​​bonolo, kapa ho ruruha botoneng
• Lymph nodes tse atolositsoeng sebakeng sa lithollo
• Bohloko bo bakoang ke thobalano kapa ho ntsha peo

Basali:

• Bohloko ba mpeng
• Ho chesa bohloko ha u ntse u ntša metsi
• Feberu le ho bata
• Ho ntša metsi khafetsa kapa ka potlako
• Bohloko ba 'mele
• Bohloko ka thobalano
• Ho tsoa ha mosali

Mofani oa tlhokomelo ea bophelo o tla u hlahloba. Ho banna, tlhatlhobo e tla kenyelletsa mpa, sebaka sa senya, botoneng le scrotum. Tlhahlobo ea 'mele e ka bonts'a:

• A tsoa ka botoneng
• Li-lymph node tse bonolo le tse atolositsoeng sebakeng sa lithollo
• Botoneng bo bonolo le bo ruruhileng

Ho tla etsoa tlhahlobo ea maqhubu a dijithale.

Basali ba tla ba le liteko tsa mpeng le pelvic. Mofani o tla hlahloba:

• Ho tsoa ho urethra
• Bonolo ba mpa e ka tlase
• Bonolo ba urethra

Mofani oa hau a ka sheba ka har'a senya a sebelisa tube e nang le kh'amera qetellong. Sena se bitsoa cystoscopy.

Liteko tse latelang li ka etsoa:

• Palo e felletseng ea mali (CBC)
• Teko ea protheine ea C-e sebetsang
• Pelvic ultrasound (basali feela)
• Teko ea bokhachane (basali feela)
• Litloaelo tsa urinalysis le urine
• Liteko tsa mafu a likobo, mafu a likobo le mafu a mang a likobo
• Urethral swab

Morero oa kalafo ke ho:

• Tlosa sesosa sa tšoaetso
• Ntlafatsa matšoao
• Thibela ho ata ha tšoaetso

Haeba u na le tšoaetso ea baktheria, u tla fuoa lithibela-mafu.

U ka nka bohloko bo kokobetsang bohloko bo akaretsang ba 'mele le lihlahisoa bakeng sa bohloko ba sebaka sa ho ntša metsi le lithibela-mafu.

Batho ba nang le urethritis ba alafshoang ba lokela ho qoba thobalano, kapa ho sebelisa likhohlopo nakong ea thobalano. Molekane oa hau oa thobalano le eena o lokela ho phekoloa haeba boemo bo bakoa ke tšoaetso.

Urethritis e bakoang ke ts'oaetso kapa lik'hemik'hale tse silafatsang e phekoloa ka ho qoba mohloli oa kotsi kapa ho halefa.

Urethritis e sa hlakoleng kamora kalafo ea lithibela-mafu mme e nka bonyane libeke tse 6 e bitsoa urethritis e sa foleng. Ho ka sebelisoa lithibela-mafu tse fapaneng ho sebetsana le bothata bona.

Ka tlhahlobo e nepahetseng le kalafo, urethritis hangata e hlakola ntle le mathata a mang.

Leha ho le joalo, urethritis e ka lebisa tšenyo ea nako e telele mokokotlong le lisele tse bohale tse bitsoang urethral stricture. E ka baka tšenyo le ho litho tse ling tsa ho ntša metsi ho banna le basali. Basali, ts'oaetso e ka lebisa mathateng a ho ba le matla a ho beleha haeba e ka namela pelvis.

Banna ba nang le urethritis ba kotsing ea ho latela tse latelang:

• Tšoaetso ea senya (cystitis)
• Epididymitis
• Ho tšoaetsoa ke li-testicles (orchitis)
• Tšoaetso ea prostate (prostatitis)

Kamora tšoaetso e matla, urethra e ka ba le mabali ebe ea fokotseha.

Basali ba nang le urethritis ba kotsing ea ho latela tse latelang:

• Tšoaetso ea senya (cystitis)
• Cervicitis
• Lefu la ho ruruha ha 'mele (PID - tšoaetso ea lesela la popelo, methapo ea popelo, kapa mae a bomme)

Bitsa mofani oa hau haeba u na le matšoao a urethritis.

Lintho tseo u ka li etsang ho thusa ho qoba urethritis li kenyelletsa:

• Boloka sebaka se potileng pulo ea urethra se hloekile.
• Latela mekhoa e sireletsehileng ea thobalano. E-ba le molekane a le mong feela oa thobalano (molekane a le mong) 'me le sebelise likhohlopo.

Lefu la Urethral; NGU; Urethritis e seng ea gonococcal

• Mosali pampitšana ea mosese
• Mokhoa oa banna oa ho ntša metsi

Babu TM, Urban MA, Augenbraun MH. Urethritis. Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases. La 9th. Philadelphia, PA: Elsevier; 2020: khaolo ea 107.

Swygard H, MS oa Cohen. Atamela mokuli ea nang le tšoaetso ea thobalano. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 269.