Ukuqonda i-Urethritis Nezindlela Zokukuvimbela
I-urethra enomsindo noma ukukhishwa e-urethra ivame ukuvela esimweni sezokwelapha okuthiwa i- urethritis . Akuyona isifo ngokwayo kodwa isibonakaliso sokutheleleka.
Ukuqonda i-Urethritis
I-urethritis ukuvuvukala kwe-urethra, ithubhu ephethe umchamo kusuka kwesisu kuya ngaphandle komzimba. Kunezizathu eziningi zokuthi kungani i-urethra yomuntu ingase ivuke.
Isizathu esivame kakhulu sokugulisa i-urethritis yisifo esithathelwana ngocansi, ngokuvamile i- Neisseria gonorrhoeae noma i-Chlamydia trachomatis, ebangela i-gonorrhea ne- chlamydia ngokulandelana.
Ezinye izimbangela ze-urethritis ezithathelwanayo zihlanganisa izinhlobo ze- Trichomonas , i- Mycoplasma genitalium , namagciwane anjenge- adenovirus noma i- herpes simplex virus (HSV).
I-urethritis nayo ingabangelwa amabhaktheriya ahlala ngaphakathi komlomo womlingani wobulili, i-rectum, noma i-vagin (isibonelo, i-bacterial vaginosis) edluliselwa kumuntu wesilisa ngesikhathi socansi olungalondekile.
Ngokuvamile, i-urethritis ingabangelwa ukungqubuzana ngokweqile ngesikhathi sokushaya indlwabu noma ukulala ngokocansi noma ukusabela okweqile ukuze isobho noma amaseli.
I-HIV ne-Urethritis
Ukuba negciwane lesandulela ngculaza kanye ne-urethritis engalashwa kungaqhubeka nokwandisa ingozi yokudluliswa kwe-HIV. Lokhu kungenxa yokuthi noma yikuphi ukuvuvukala kwe-urethra kudonsela amangqamuzana omzimba kusayithi lokutheleleka kwinqubo ebizwa ngokuthi ukuchithwa .
Lokhu, futhi, kudonsela i-HIV kusayithi, njengoba ihlose ngokukhethekile lezi zamasosha omzimba okufanayo ukutheleleka.
Ngokwenza njalo, ukuhlushwa kwegciwane lesandulela ngculaza emathisheni okugcoba kungase kube phezulu kakhulu kunegazi lomuntu. Lokhu kuyiqiniso nakwebanye abantu mayelana nokwelapha ngezidambisigciwane nemithwalo engavumeleki yegciwane .
Ngakho-ke, ukwelapha i-urethritis kubaluleke nakakhulu kubantu abanegciwane lesandulela ngculazi, njengokugwema kocansi olungalondekile ngesikhathi sesiqephu se-urethritis.
Ukwengeza, noma yikuphi abantu abathintekayo abanesandulela ngculazi kufanele banikezwe ukwelapha ngokushesha kwe-antiretroviral , kungakhathaliseki ukuthi bayabonakalisa yini uphawu noma cha. Lokhu akugcini nje ukwehlisa ingozi yokutheleleka kwangaphambili, kunciphisa amathuba okuba nezinkinga ezihambisana nokuqhubekela kwesifo.
Izimpawu Ze-Urethritis
Enye noma zonke lezi zimpawu zingase zibe khona esimweni se-urethritis, kufaka phakathi:
- Ukukhishwa kwe-urethral okufana ne-pus-like, okungasuswa ngokubamba ipeni
- Ukubamba noma ukukhipha ipeni noma i-urethra
- Ukuhlungu noma ukuvutha ngenkathi uchama (ngokuvamile eduze kokuvulwa kwe-urethra)
- Ukuvuvukala kwe-lymph nodes endaweni yokulima
Kubalulekile ukuqaphela ukuthi i-urethritis ingalingisa ezinye izimo zezokwelapha emadodeni, njengokuvuvukala kwe-prostate, ama-testicles, noma i-scrotum. Kungabuye kubonakale njengokutheleleka komgudu wamagciwane . Kubalulekile ukufuna ukunakekelwa kanye nokwelulekwa kudokotela ukuqinisekisa ukuthi kufanele uhlolwe kahle futhi uphathe kanjani ukwelashwa.
Ukuxilongwa Nokuphathwa Kwe-Urethritis
Ukusebenzisa i-nucleic acid test amplification, noma i-NAAT, umchamo womuntu uzohlolwa nge-gonorrhea noma i-chlamydia. Ngaphezu kwalokho, ukukhishwa kwe-urethra kuyosuswa futhi kuhlolwe ngaphansi kwe-microscope.
Uma ukutheleleka kutholakala ukuthi ukhona, udokotela uzokunikeza imithi elwa namagciwane.
Uma ukuxilongwa kungacacile, ezinye izivivinyo zingenziwa (isibonelo, ukuhlola i- Trichomonas ) kanye / noma udokotela anganquma ukuphatha le ndoda namagciwane, ikakhulukazi uma esengozini enkulu yokutheleleka.
Ngezinye izikhathi umuntu angathunyelwa ku-urologist ukuthola ukuhlolwa okungeziwe. Futhi, udokotela angase ahlole ezinye izifo ezithathelwana ngocansi, njenge-HIV, i-syphilis, noma i- hepatitis B.
Ngokusho kwamaCentral for Disease Control and Prevention, kubalulekile ukuthi amadoda ahlolwe nge-urethritis, ngenxa ye-chlamydia, i-gonorrhea, noma i-trichomonas, abuyele ekuqokweni okulandelwayo emva kwezinyanga ezintathu ngemuva kokuqeda ukwelashwa kwama-antibiotic.
Phakathi nalesi sikhundla sokuqokwa, indoda izohlolwa ngokuphindaphindiwe kwe-urethritis, ngenxa yamanani aphezulu okutheleleka kabusha.
Ngaphezu kwalokho, bonke abalingani bomuntu ocansini kufanele babhekiselwe ekuhloleni nasekwelapha. Okokugcina, ubulili kufanele kugwenywe kuze kube yilapho umuntu nomlingani wakhe bephathwa ngendlela efanele.
Izwi elivela
Kunezinyathelo zokuqapha ezinganciphisa ingozi yokuthola i-urethritis noma, ngokuhlukile, ikusize ululame kusuka ekugqithweni kwe-urethritis. Isibonelo, kubalulekile ukuthi usebenzise njalo amakhondomu ozocansini, abesilisa nabangqingili bomlomo. Lokhu kusiza ukuvimbela izifo ezithathelwana ngocansi ezifana ne-chlamydia, i-gonorrhea ne-HIV.
Uma uhlakulela i-urethritis, qiniseka ukuthi ulahla ucansi uze uqede inkambo yakho yonke yokwelapha kanye nezimpawu zakho, njengokungeniswa kwipenisi yakho, uye waxazululwa. Khumbula futhi, thatha ama-antibiotic wakho njengoba ushiwo kuze kube yilapho inkambo igcwaliswa-futhi uma uqala ukwelashwa, qinisekisa ukuthi ozakwethu bakholelwa futhi baphathwa.
> Imithombo:
> Bachmann L et al. Intuthuko ekuqondeni nasekwelapheni urethritis wesilisa. I-Dis Infect Dis. 2015 Dec 15; 61 Suppl 8: S763-9.
> Brill JR. Ukuxilongwa nokuphathwa kwe-urethritis emadodeni. Am Fam Physician . 2010 Apr 1; 81 (7): 873-78.
> Amasevisi Okulawula Nokuvimbela Izifo. Imikhombandlela Yokugula Ngezifo zobulili zika-2015: Izifo ezivezwe yi-urethritis ne-cervicitis.