Urethritis

Urethritis kuzvimba (kuzvimba uye kutsamwa) kweiyo urethra. Urethra ndiyo chubhu inotakura weti kubva mumuviri.

Ose mabhakitiriya uye hutachiona hunogona kukonzera urethritis. Mimwe yebhakitiriya inokonzera mamiriro aya inosanganisira E coli, chlamydia, uye gonorrhea. Aya mabhakitiriya anokonzeresa hutachiona hwehutachiona uye zvimwe zvirwere zvepabonde. Zvinokonzera hutachiona hutachiona hwehepe simplex uye cytomegalovirus.

Zvimwe zvikonzero zvinosanganisira:

• Kukuvadza
• Kunzwisisa kumakemikari anoshandiswa mu spermicides, jellies ekudzivirira kubata pamuviri, kana furo

Dzimwe nguva chikonzero chacho hachizivikanwe.

Ngozi dze urethritis dzinosanganisira:

• Kuva mukadzi
• Kuva murume, makore makumi maviri kusvika makumi matatu nemashanu
• Kuva nevakawanda pabonde
• Hunhu hune njodzi pabonde (senge varume vane hupombwe hwemashure pasina kondomu)
• Nhoroondo yezvirwere zvepabonde

Mune varume:

• Ropa mune weti kana urume
• Kupisa kurwadziwa uchiita weti (dysuria)
• Kubuda kubva peni
• Fivhiri (zvisingawanzoitika)
• Kakawanda kana kukurumidza kuita weti
• Kuchema, unyoro, kana kuzvimba muurume
• Yakawedzera lymph node munzvimbo yekugomera
• Marwadzo nekusangana pabonde kana kubuda ejaculation

Mune vakadzi:

• Marwadzo emudumbu
• Kusvira kurwadziwa uchiita weti
• Fivha uye kutonhora
• Kakawanda kana kukurumidza kuita weti
• Kurwadziwa kwepamuviri
• Marwadzo nekusangana pabonde
• Kusangana nemukadzi

Anokuchengetedza hutano achakuongorora. Muvanhurume, bvunzo dzinosanganisira dumbu, dundira nzvimbo, mboro, uye chikosoro. Iko kuongorora kwepanyama kunogona kuratidza:

• Kubuda kubva panhengo yemurume
• Tender uye yakawedzera lymph node munzvimbo yekugomera
• Tender uye yakazvimba sikarudzi

Iyo digital rectal bvunzo ichaitwawo.

Vakadzi vanozoita bvunzo dzemudumbu uye dzechiuno. Iye mupi anoongorora:

• Kubuda kubva murethra
• Hunyoro hwezasi dumbu
• Unyoro hweiyo urethra

Mupiki wako anogona kutarisa mudundira rako uchishandisa chubhu ine kamera pamagumo. Izvi zvinonzi cystoscopy.

Iyi bvunzo inotevera inogona kuitwa:

• Yakazara kuverenga ropa (CBC)
• C-inoshanda mapuroteni bvunzo
• Pelvic ultrasound (vakadzi chete)
• Kuedzwa kwepamuviri (vakadzi chete)
• Urinalysis uye weti tsika
• Kuyedzwa kwegonorrhea, chlamydia, uye zvimwe zvirwere zvepabonde (STI)
• Urethral swab

Zvinangwa zvekurapa ndezvekuti:

• Bvisa chinokonzera hutachiona
• Kuvandudza zviratidzo
• Kudzivirira kupararira kwehutachiona

Kana uine hutachiona hwehutachiona, iwe unozopihwa maantibioti.

Unogona kutora marwadzo ekudzoreredza marwadzo emuviri uye zvigadzirwa zvekurwadziwa kwekurota, pamwe nemishonga inorwisa mabhakitiriya.

Vanhu vane urethritis vari kurapwa vanofanirwa kudzivirira bonde, kana kushandisa makondomu panguva yepabonde. Mumwe wako wepabonde anofanirawo kurapwa kana mamiriro acho ari kukonzerwa nehutachiona.

Urethritis inokonzerwa nekushungurudzika kana makemikari anogumbura inorapwa nekudzivirira sosi yekukuvara kana kutsamwa.

Urethritis isinga bude mushure mekurapa mabhakitiriya uye inogara kweanopfuura mavhiki matanhatu inonzi isingaperi urethritis. Mishonga inorwisa mabhakitiriya yakasiyana inogona kushandiswa kurapa dambudziko iri.

Neye chaiyo kuongororwa uye kurapwa, urethritis kazhinji inowaka pasina mamwe matambudziko.

Nekudaro, urethritis inogona kutungamira kukuvara kwenguva refu kune iyo urethra uye turu turu inonzi urethral kuomarara. Inogona zvakare kukonzera kukuvara kune dzimwe nhengo dze weti mune vese varume nevakadzi. Mumadzimai, hutachiona hunogona kukonzeresa kumatambudziko ekubereka kana ikapararira muchiuno.

Varume vane urethritis vari mungozi kune zvinotevera:

• Dundira hutachiona (cystitis)
• Epididymitis
• Utachiona mumachende (orchitis)
• Utachiona hweprostate (prostatitis)

Mushure mehutachiona hwakakomba, iyo urethra inogona kuve nemavanga uye yozoita shoma.

Vakadzi vane urethritis vari panjodzi yeinotevera:

• Dundira hutachiona (cystitis)
• Cervicitis
• Chirwere chinoputira chirwere (PID - hutachiona hwechibereko chechibereko, fallopian machubhu, kana ovari)

Fonera mupiki wako kana iwe uine zviratidzo zveurethritis.

Zvinhu zvaunogona kuita kubatsira kudzivirira urethritis zvinosanganisira:

• Chengetedza nzvimbo yakatenderedza kuvhurwa kwerethra yakachena.
• Tevera maitiro epabonde akachengeteka. Iva nemumwe chete wepabonde chete (monogamy) uye shandisa makondomu.

Urethral chirwere; NGU; Asiri-gonococcal urethritis

• Yechikadzi weti turakiti
• Varume urinary turakiti

Babu TM, Urban MA, Augenbraun MH. Urethritis. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 107.

Swygard H, Cohen MS. Svika kune murwere nehutachiona hwehutachiona. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 269.