Izibalo ziyadumaza: ama-70% amadoda atholakala ene-balanoposthitis ku-mellitus yesifo sikashukela.
Lesi sifo sithinta isikhumba nenyama (ikhanda) lesitho sowesilisa. Kukhona ukuvuvukala, ezimweni eziphambili kakhulu - izilonda namanxeba.
Nge-balanoposthitis "exubekile", isikhumba nenyama kuyathinteka, okubangelwa izizathu eziningi. Ukuthi usithola kanjani lesi sifo futhi uselaphe, lesi sihloko sizosho.
Isifo sikashukela emadodeni
Naphezu kwezimpawu ezifanayo, isifo sikashukela sivele ngendlela ehlukile kwabesilisa nabesifazane. Lesi sifo siphuma emgomeni we-endocrine lapho umzimba uqala ukukhiqiza khona amasosha omzimba emangqamuzaneni akhe e-pancreatic beta, abangela ukukhiqizwa kwe-insulin.
I-insulin yi-hormone enciphisa ushukela, ngenxa yokuthi ukugcwala kwe-glucose emzimbeni womuntu ophilile kuhla ku-3.3-5.5 mmol / l. Lapho ukukhiqizwa kwayo kumiswe ngokwengxenye noma ngokuphelele, i-hyperglycemia iyakhula. I-hormone eyodwa kuphela yehlisa izinga likashukela, kepha inyusa kakhulu - ama- “command” amahomoni, i-adrenaline, i-norepinephrine, i-glucocorticoids, i-glucagon, njll.
Kunezinhlobo ezimbili eziphambili zesifo sikashukela - i-insulini-encike (I) kanye ne-insulin-incike (II).
Ngohlobo I sikashukela, ukukhiqizwa kwe-hormone enciphisa ushukela kumisiwe ngokuphelele. Kutholakala ikakhulukazi ebuntwaneni nasebusheni, ngakho-ke, isifo sikashukela esincike ku-insulin sivame ukubizwa ngokuthi "abasha". Ukwelashwa kubandakanya imijovo ye-insulin ephoqelekile; ngaphandle kwabo, impilo yesifo sikashukela ayinakwenzeka.
Uhlobo oluzimele lwe-insulin lubonakala ngokuqedwa okuyingxenye kokukhiqizwa kwe-insulin ngenxa yokusabela okungalungile kwamaseli we-peripheral kwi-hormone. Izimbangela eziphambili zokuqhamuka kwalesi sifo ukukhuluphala kanye nesimo sofuzo. Isifo sikashukela sohlobo II sikhula kubantu abaneminyaka engama-40 kuya kwengama-5. Ukwelashwa kuhloselwe ukugcina indlela yokuphila esebenzayo nokudla kwesifo sikashukela okuqeda ukusetshenziswa kwe-carbohydrate “okusheshayo”, ukudla okuthosiwe nokunamafutha. Ezigabeni zokuqala, ungagcina ushukela ojwayelekile ngaphandle kokusebenzisa izidakamizwa.
Izimpawu eziphambili zesifo sikashukela yi-polyuria (imvamisa yokuchama) ne-polydipsia (ukoma okunzima). Ngaphandle kwalezi zimpawu, owesilisa angakhononda ngalokhu:
- ukukhathala nokungaphatheki kahle;
- ukuphulukiswa isikhathi eside kwamanxeba nokuqunjelwa;
- ukonakala kwe-visual acuity;
- ukungalali kahle, ukozela phakathi nosuku;
- ukudunwa noma ukuzwakala kwemilenze;
- ukopha kwezinsini, ukubola kwamazinyo;
- ukunciphisa umzimba ngokushesha;
- Ubuhlungu enhliziyweni;
- ikhanda kanye nesiyezi;
- ukulunywa ku-anus ne-groin;
- imivimbo yesikhumba;
- ukulahlekelwa izinwele ngokuzumayo, impandla;
- ukuvuvukala kwejwabu;
- Izinkinga zocansi.
Njengoba uzibonile izimpawu ezifanayo kuwe, kufanele uthinte uchwepheshe futhi uhlole igazi ukuze uthole ukunqwabelana kwe-glucose.
Izimpawu eziphambili ze-balanoposthitis
Isifo esivame kakhulu kwesikhumba nenyama yepenis yi-balanoposthitis (balanitis). Kunezinhlobo ezimbili ze-balanoposthitis - eyokuqala neyesekondari.
I-balanitis eyisisekelo yenzeka ngenxa yokungabheki kwenhlanzeko yomuntu siqu.
I-balanitis yesibili ivela ngenxa yezifo namagciwane (i-staphylococci, i-streptococci, njll.), Ukuphazamiseka kwe-systemic ne-endocrine (isifo sikashukela).
Kungakhathalekile ukuthi hlobo luphi lokugula, ukwelashwa kufanele kube okuhlelekile nokwasendaweni, okungukuthi, kuhloswe ikhanda nekhanda. Izindlela ezijwayelekile zokwelapha zibandakanya ukusetshenziswa kwama-antibiotic kanye nama-immunostimulating agents. Imithi esezingeni eliphezulu ifaka okhilimu, okokugcoba, izixazululo ze-antiseptic kanye nama-gels. Sizokhuluma ngabo kungekudala.
Ngokuqhubeka isikhathi eside kwesifo sikashukela, i-balanoposthitis ingaqala ukukhula, ebonakaliswa kanjena:
- Ukugeleza kwegazi okunamandla kuvela izicubu zepenis (hyperemia).
- Kukhona ukuvuvukala ijwabu, kuboniswa izibazi kanye nemifantu.
- I-glans penis ihlala njaloopha.
Ubunzima bezimpawu ze-balanitis kuya ngesimo nobude besikhathi "sokugula okumnandi". Lapho lesi sifo singasinaki kangako, yilapho zithinta kakhulu izitho zangasese zowesilisa. Isikhathi sokwelashwa sincike ekujuleni kwenhliziyo (uhlobo nohlobo lwe-pathogen). Isilinganiso sokwelashwa okujwayelekile se-balanitis esibuhlungu singamaviki ama-2-3.
Esikhathini sikashukela, i-phimosis iyingozi - isifo lapho kuncipha khona ijwabu, elingavumeli ukudalula i-glans penis. Njengomthetho, i-pathology icasulayo ukwenzeka kwe-balanoposthitis.
Lapho inqubo yokuvuvukala isiqedwa, kufanele bahlinzwe ukuvimbela ukukhula kwe-balanitis.
Ukuxilongwa kwe-balanoposthitis emadodeni
Uma uthola izimpawu ezifanayo ze-balanoposthitis, okokuqala udinga ukunaka inhlanzeko yomuntu siqu. Ukuxilongwa kwalesi sifo akubangeli bunzima.
Ukuze wenze lokhu, thintana nodokotela oyi-urologist noma we-venereologist. Uchwepheshe onolwazi angenza ukuxilongwa ngemuva kokuhlola isiguli. Uma isiguli sinesifo sikashukela, khona-ke imbangela yalesi sifo icacile. Ngakho-ke, isiguli asidingi ukuhlolwa.
Uma isiguli singenasifo sikashukela (noma singazi ngesifo saso), sithunyelwa kwezinye izivivinyo. Lokhu kungaba ukuhlolwa kwegazi okune-biochemical, ukuhlolwa kwegazi okungenalutho kwesisu ukuthola ushukela. Lapho ukhetha ukuhlaziya, uchwepheshe ubheka ijubane lokuhlolwa nokunemba kwemiphumela.
Uma ukuhlolwa kwesiguli kukhombisa ukuthi ayinayo i-hyperglycemia, khona-ke udokotela ufuna ezinye izimbangela ze-balanoposthitis. Ukuhlolwa kwenziwa owesilisa nowesilisa ahamba naye kwezocansi.
Lapho eqinisekisa ukutholakala kwesifo, udokotela unquma ukwelashwa okuhloswe ngakho ukuqeda izimpawu zokugula okuyisisekelo. Uchwepheshe ukhetha izidakamizwa ezingama-antidiabetes kanye nemithi elwa namagciwane ngokubaluleka kwendawo nangokwehlelo.
Ngokuvimbela i-balanitis nokuphindaphinda okuphindaphindiwe, kunconywa ukubheka inhlanzeko yomuntu siqu nokugwema ukuzibandakanya ocansini ngephutha.
Ukwelashwa kwezidakamizwa kwe-balanoposthitis
Udokotela unquma amanxusa e-hypoglycemic anciphisa amazinga kashukela abe ngamazinga ajwayelekile. Ngokuya ngento esetshenziswayo kanye ne-contraindication, umuthi wesifo sikashukela iMetformin, i-Glyrenorm, iDiabeteson MV, iSaksagliptin, njll.
Ngendlela emnene ye-balanitis, ama-antibiotics awabekwanga. Uma isiguli sinesifo segciwane, izifo zokukhunta, ukungasebenzi komzimba, ke ama-anti-antibiotic nawo awasetshenziswa.
Ngezansi kunezidakamizwa eziphambili ezisetshenziswa kuye ngohlobo lwesifo:
- I-Chloramphenicol, doxycycline (ibe nobubanzi besenzo).
- I-Erythromycin, Roxithromycin, Oletetrin (macrolides).
- I-Azithromycin (iqeda ukutheleleka kwe-anaerobic).
- I-Nalidixic acid, Nevigramon (i-quinolone derivatives).
- I-Biseptol (sulfonamide).
- I-Clotrimazole, i-Flucanosole (susa i-balanitis ye-veral).
- I-Nitroxoline (esuselwa ku-oxyquinoline).
- UFuragin (okuvela ku-nitrofuran).
- I-cyprolet (cephalosporins).
- I-Metronidazole (isetshenziselwa ukutheleleka kwe-ureaplasma ne-chlamydia).
Ngaphezu kwezidakamizwa ezihlelekile, kusetshenziswa ama-ejenti asendaweni. Kungaba okhilimu namafutha okugcoba:
- ama-antifungal agents - Clotrimazole, uCideide, uMiconazole, uFluconazole;
- umuthi we-antifungal ne-hormonal - Pimafukort;
- Izidakamizwa zeHormonal - i-Oxecort, iLorindel, iLokacorten, iLamisil, iDermozolon;
- ukulungiselela okuhlanganisiwe - I-Triderm, i-Levomekol.
Izisombululo ze-antiseptic zingamathuluzi asebenzayo okususa inqubo yokuvuvukala yejwabu emadodeni. Zisetshenziswa ngokuzimela ekhaya. Ethandwa kakhulu yilezi:
- I-Chlorophyllipt.
- Furatsilin.
- I-Dioxidine.
- I-Rivanol
- I-Fukortsin.
- Castelani.
- I-Miramistin.
- I-Chlorhexidine.
Izisombululo zeManganese zivame ukusetshenziswa, kepha ukunakekelwa kumele kuthathwe. Ukuchithwa kwamakristalu e-potanganum permanganate akuphelile. Ngenxa yalokhu, ukusabela kwamakhemikhali kungenzeka ngesikhumba nolwelwesi lwama-mucous, okuholela ekubukekeni kokucasuka kanye nokuqhuma.
I-Balanoposthitis inezimbangela eziningana, enye yazo uhlobo lwesifo sikashukela 1. Ngakho-ke, ukwelashwa kwalesi sifo kufanele kube okuphelele, okubandakanya ukudlala imidlalo, umsoco ofanele, ukulawula glycemic okujwayelekile kanye nokuphuza imithi.
Uchwepheshe kule vidiyo ekulesi sihloko uzokhuluma ngemigomo yokwelapha i-balanoposthitis kushukela.
