Sibutsetelo
I-Balanitis ukuvuvukala okuthinta ikhanda lepenis (glans penis). Uma ijwabu (ukuthwala) lihlushwa, libizwa ngokuthi i-balanoposthitis. I-Balanitis ne-balanoposthitis ivela ikakhulu kubantu abangasokile.
Okuvamile kakhulu emadodeni angaphezu kweminyaka engama-40 ubudala, nakuba kungathinta abesilisa banoma yibuphi ubudala, i-balanitis yisimo esithinta amaphesenti angaba ngu-11 amadoda amadala namaphesenti amathathu ezingane.
I-Balanitis ivame ukubonakala ngendawo ebomvu noma ebomvu i-shiny, kepha ingabonisa njenge-patch ephuzi ne-pinpoint spotting.
Izimpawu
Uma kwenzeka kuphela kubantu abangasokile, i-balanitis ingabangela izimpawu ezilandelayo:
- Ukubomvu kwe-penis ye-glans
- Ukuvuvukala nokuzwela kwekhanda le-penile
- Ukukhishwa kusuka epenis (okuthiwa i-smegma engase ibe yiphunga elimnandi)
- Ukungabi namandla
- Ukuvuthwa okubuhlungu
- Ukuhlukumeza umchamo odlula
- Ukungakwazi ukuhoxisa ijwabu (phimosis)
- Ukuhluleka ukubuyisa ijwabu phezu kwe-glans penis (i-paraphimosis)
Izimbangela
Izimbangela eziqondile ze-balanitis aziwa ngokuqinisekile. Ukungcola okubi kungabangela ukuqoqwa kwe-smegma (isakhi samaseli afile kanye namafutha omzimba ezithombeni zobulili) okunciphisa i-aeration futhi icasula isikhumba senhloko ye-penile, ekugcineni kubangele ukuvuvukala nokuvuvukala.
Abanikezwayo abangabonakala ku-balanitis bahlanganisa:
- Ukuhlanzeka okungcolile kumuntu ongasokile (imbangela evame kakhulu)
- Isifo sikashukela (imbangela enkulu ye-balanitis evamile)
- Ukugqwala
- I-Friction
- Impendulo ekutheleleni
- Amakhemikhali nama- spermicides ngamakhondomu
- Amaspuni enomlilo noma ama-gel
- Ama-deteter nama-softeners amathenda
- Akuyona insipho yokuhlanza kahle uma ugeza
- Ukuphendula okwenziwe okwelashwa eminye imithi
- Umdlavuza we-Penile (imbangela engavamile ye-balanitis)
Izifo
Izifo, kungakhathaliseki ukuthi i-viral, ibhaktheriya noma i-fungal ingabangela ukuba i-balanitis ikhule.
Ukutheleleka okuvamile kwe-fungal okungabangela i-balanitis i- candida , eyabangela ukuhlushwa .
Amanye amagciwane kanye nezilwane ezingabangela i-balanitis zihlanganisa i-HPV (i-papillomavirus yabantu), i-strep, i- gonorrhea , i- chlamydia , ne- syphilis .
I-HPV
Ezinye izifundo ziye zaphakamisa umbuzo ngokuphathelene nokuxhumana okukhona phakathi kwe- papillomavirus yomuntu (i-HPV) ne-balanitis engapheli ne-balanoposthitis, nakuba i-HPV ingaboniswa ngokucacile njengesizathu nokucwaninga okwengeziwe kuyadingeka.
Izinkinga
Yize kungavamile, ukuhlukunyezwa okubi kakhulu kwe-balanitis yi- phimosis (ukungakwazi ukukhipha isikhumba esivela ku-glans penis) noma i-paraphimosis (ukungakwazi ukubuyisela isifuba ukumboza i-glans penis). Ezinye izinkinga ezingavamile ezingase zikhule nge-balanitis ne-balanoposthitis zihlanganisa:
- Cellulitis , ukutheleleka kwebhaktheriya emigqeni ejulile yesikhumba
- Ukugonywa kwe-penis syndrome, isimo lapho i-penis ingcwatshwe khona ngaphansi kwezingulube zesikhumba (ngokuvamile ehambisana nokukhuluphala)
- I-stenosis ye-Meatal, ukululaza okungavamile kokuvulwa kwesiphithiphithi
- I-Balanitis xerotica obliterans, i-dermatitis engapheli ye-glans ipenis nejwabu
- Ukuthuka
- Ukunciphisa kwegazi kwehlisa ipenisi ye-glans
- Ingozi eyengeziwe yomdlavuza we-penile
Ukwelapha
Uma uthola izimpawu nezimpawu ze-balanitis, kufanele ufune usizo lwezokwelapha. Ngokuya ngezimbangela ezingase zibe yi-balanitis, njengokutheleleka kwe-bacterial noma fungal, udokotela wakho angase anikeze amaphilisi noma ama-anti-antibiotic, noma ukhilimu olwa-fungal.
Ezimweni ezinye izifo zesikhumba , udokotela wakho angabeka ukhilimu we-steroid.
Ezimweni eziningi, i-balanitis ne-balanoposthitis futhi ilawulwe ngemithi. Ezimweni ezingavamile futhi ezinzima, ukusoka kunganconywa, njenge-phimosis noma i-paraphimosis.
Imithombo:
U-Edwards, uSara. I-Balanitis ne-balanoposthitis: ukubuyekezwa. I-Genitourinary Medicine. June 1996. 72 (3): 155-9.
Wikström A, von Krogh G, Hedblad MA, Syrjänen S. Papillomavirus-ehlobene ne-balanoposthitis. I-Genitourin Medicine. June 1994. 70 (3): 175-81.