Ziwerengerozi ndizokhumudwitsa: 70% ya amuna amapezeka ndi balanoposthitis mu shuga mellitus.
Matendawa amakhudza khungu ndi mnofu (mutu) wa mbolo. Pali kutupa, m'malo opita patsogolo kwambiri - zilonda ndi mabala.
Ndi "osakanikirana" balanoposthitis, khungu ndi thupi zimakhudzidwa, zomwe zimayambitsidwa ndi zifukwa zingapo. Momwe mungadziwire ndi kuthandizira matendawa, nkhaniyi ifotokoza.
Matenda a shuga mwa amuna
Ngakhale ali ndi zofanana, matenda ashuga amawonekera mosiyanasiyana mwa amuna ndi akazi. Matendawa amabwera chifukwa cha vuto la endocrine lomwe thupi limayamba kupanga ma antibodies ake kuma cell awo a pancreatic beta, omwe ali ndi vuto lopanga insulin.
Insulin ndi timadzi timene timachepetsa shuga. Akamapanga pang'ono kapena kusiyiratu, ubongo wa m'magazi umayamba. Homoni imodzi yokha imachepetsa shuga, koma imachulukitsa - "kulamula" mahomoni, adrenaline, norepinephrine, glucocorticoids, glucagon, ndi zina zambiri.
Pali mitundu iwiri yayikulu ya matenda ashuga - insulini-wodalira (I) komanso osadalira insulini (II).
Mtundu woyamba wa shuga, kupanga mahomoni ochepetsa shuga amasiya. Amapezeka makamaka ali mwana komanso unyamata, chifukwa chake matenda a shuga omwe amadalira insulin nthawi zambiri amatchedwa "achichepere". Chithandizo chimaphatikizira jakisoni wa insulin; popanda iwo, moyo wa odwala matenda ashuga ndiwosatheka.
Mtundu wodziyimira pawokha wa insulin umadziwika ndi kuperewera pang'ono kwa kupanga kwa insulin chifukwa cha zotsatira zoyipa za maselo otumphukira ku mahomoni. Zomwe zimayambitsa kukula kwa matendawa ndi kunenepa kwambiri komanso chibadwa cha majini. Matenda a shuga a Mtundu Wachiwiri amakula mwa anthu azaka za 40-45. Mankhwalawa cholinga chake ndicho kukhala ndi moyo wogwira ntchito komanso zakudya za anthu odwala matenda ashuga zomwe zimachotsa kumwa "chakudya chofulumira", mafuta okazinga komanso mafuta. M'migawo yoyambirira, mutha kukhalabe ndi shuga osakhala ndi mankhwala.
Zizindikiro zazikulu za matenda ashuga ndi polyuria (pafupipafupi pokodza) ndi polydipsia (ludzu lalikulu). Kuphatikiza pa zizindikirozi, bambo angadandaule za:
- kutopa ndi kukwiya;
- kuchiritsa kwa nthawi yayitali mabala ndi zipsera;
- kuwonongeka mu mawonekedwe acuity;
- kugona tulo, kugona tulo masana;
- kumva kugwedezeka kwa miyendo;
- magazi m`kamwa, mano kuwola;
- kuwonda msanga;
- kupweteka mumtima;
- kupweteka mutu komanso chizungulire;
- kuyabwa mu anus ndi groin;
- zotupa pakhungu;
- kuchepa kwa tsitsi mwadzidzidzi, dazi;
- kutupa kwa khungu.
- mavuto azakugonana.
Popeza mwazindikira zizindikiro zomwezi mwa inu nokha, muyenera kulumikizana ndi katswiri ndikuyezetsa magazi kuti mudziwe kuchuluka kwa shuga.
Zizindikiro zazikulu za balanoposthitis
Matenda ofala kwambiri pakhungu ndi mnofu wa mbolo ndi balanoposthitis (balanitis). Pali mitundu iwiri ya balanoposthitis - yoyamba komanso yachiwiri.
Balanitis yoyamba imachitika chifukwa chosayang'anira ukhondo.
Balanitis yachiwiri imawoneka ngati chifukwa cha matenda ndi ma virus (staphylococci, streptococci, etc.), matenda a systemic and endocrine (shuga mellitus).
Mosasamala mtundu wamatenda, chithandizo chimayenera kukhala chadongosolo komanso chakunja, ndiye kuti, chimayang'ana kumutu ndi mbolo. Njira zambiri zochizira zimagwiritsa ntchito maantibayotiki komanso othandizira olimbitsa thupi. Mankhwala apamwamba amaphatikiza mafuta, mafuta odzola, mayankho a antiseptic ndi ma gels. Tilankhula za iwo mtsogolo.
Ndikupitilira shuga kwa nthawi yayitali, balanoposthitis imayamba, yomwe imawonetsedwa motere:
- Kutuluka kwamphamvu kwa magazi kumaonekera m'matumbo a mbolo (hyperemia).
- Pali kutupa kwa khungu la khungu, kuwonetsedwa ndi zipsera ndi ming'alu.
- Mbolo za glans nthawi zonse zimatuluka.
Kukula kwa zizindikiro za balanitis kumatengera mtundu ndi kutalika kwa "matenda okoma". Mukamanyalanyaza matendawa, zimakhudza kwambiri maliseche amuna. Kutalika kwa mankhwalawa kumatengera kuuma kwa matenda (mawonekedwe ndi mtundu wa pathogen). Ambiri mankhwala akuti pachimake balanitis ndi masabata 2-3.
Mu matenda a shuga, phimosis ndiyowopsa - matenda omwe kupendekera kwa khungu kumachitika, zomwe sizimalola kuvumbula mbolo ya glans. Monga lamulo, matenda amakhumudwitsa amapezeka a balanoposthitis.
Njira yotupa ikachotsedwa, amayenera kuchitidwa opaleshoni kuti aletse kukula kwa balanitis.
Matenda a balanoposthitis mwa amuna
Ngati mukupezeka ndi zofanana ndi balanoposthitis, choyambirira muyenera kulabadira zaukhondo. Kuzindikira matendawa sikuyambitsa zovuta zilizonse.
Kuti muchite izi, lemberanani ndi urologist kapena venereologist. Katswiri wodziwa bwino amatha kupanga matenda atasanthula wodwalayo. Ngati wodwala akudwala matenda ashuga, ndiye kuti matendawo amayambika nthawi yomweyo. Chifukwa chake, wodwalayo safunikira kuyesedwa.
Ngati wodwalayo alibe matenda a shuga (kapena sakudziwa za matenda ake), amatumizidwa kukayesedwa. Izi zitha kukhala kuyesa kwamwazi m'magazi, kuyezetsa magazi m'mimba kopanda magazi kuti muone shuga. Mukamasankha kusanthula, katswiriyo amayang'ana kuthamanga kwa mayeso ndi kulondola kwa zotsatira zake.
Ngati mayeso a wodwalayo atawonetsa kuti alibe hyperglycemia, ndiye kuti dokotalayo akuyang'ana zifukwa zina za balanoposthitis. Kuunikaku kumachitika ndi onse mwamuna ndi mnzake wogonana.
Potsimikizira za matendawa, dokotalayo amapereka mankhwala omwe cholinga chake ndi kuthetseratu zomwe zimayambitsa matenda. Katswiri amasankha mankhwala antidiabetic ndi maantibayotiki ofunika kwanthawi zonse.
Pofuna kupewa balanitis komanso kubwereza bwereza, tikulimbikitsidwa kuwunika ukhondo komanso kupewa kugonana mwangozi.
Mankhwala osokoneza bongo a balanoposthitis
Dokotalayo amapereka mankhwala othandizira kuti achepetse shuga kuti akhale opanda vuto lililonse. Kutengera ndi yogwira mankhwala ndi contraindication, mankhwala a shuga a Metformin, Glyrenorm, Diabeteson MV, Saksagliptin, ndi zina zotere.
Ndi mtundu wofatsa wa balanitis, maantibayotiki saikidwa. Ngati wodwala ali ndi matenda osokoneza bongo, matenda oyamba ndi fungus, ziwengo, ndiye kuti mankhwala othandizira sagwiritsidwanso ntchito.
Pansipa pali mankhwala akuluakulu omwe amagwiritsidwa ntchito kutengera mtundu wa matendawa:
- Chloramphenicol, doxycycline (amakhala ndi zochita zambiri).
- Erythromycin, Roxithromycin, Oletetrin (macrolides).
- Azithromycin (amathetsa matenda a anaerobic).
- Nalidixic acid, Nevigramon (zotengera za quinolone).
- Biseptol (sulfonamide).
- Clotrimazole, Flucanosole (chotsani masamba ogwirizana).
- Nitroxoline (yochokera ku oxyquinoline).
- Furagin (wochokera ku nitrofuran).
- Cyprolet (cephalosporins).
- Metronidazole (wogwiritsidwa ntchito ngati matenda a ureaplasma ndi chlamydia).
Kuphatikiza pa mankhwala achilengedwe, othandizira am'deralo amagwiritsidwa ntchito. Imatha kukhala zonunkhira komanso mafuta:
- othandizira antifungal - Clotrimazole, Candide, Miconazole, Fluconazole;
- mankhwala antifungal ndi mahomoni - Pimafukort;
- Mankhwala a Hormonal - Oxycort, Lorindel, Lokacorten, Lamisil, Dermozolon;
- kukonzekera kophatikiza - Triderm, Levomekol.
Malangizo a antiseptic ndi zida zabwino zothandizira kuthetseratu kwa khungu la amuna. Amagwiritsidwa ntchito palokha kunyumba. Zotchuka kwambiri ndi:
- Chlorophyllipt.
- Furatsilin.
- Dioxidine.
- Rivanol
- Fukortsin.
- Castelani.
- Miramistin.
- Chlorhexidine.
Mayankho a Manganese amagwiritsidwa ntchito nthawi zambiri, koma chisamaliro chiyenera kuchitidwa. Kuwonongeka kwa makhristali a potaziyamu permanganate sikokwanira. Zotsatira zake, kutembenuka kwamankhwala kumatheka ndi khungu ndi mucous membrane, zomwe zimatsogolera kukuwoneka ngati kukwiya komanso zotupa.
Balanoposthitis ali ndi zifukwa zingapo, chimodzi mwazomwezi ndi matenda ashuga 1. Chifukwa chake, chithandizo cha matendawa chikuyenera kukhala chokwanira, chomwe chimaphatikizapo kusewera masewera, zakudya zoyenera, kuwongolera glycemic komanso kumwa mankhwala.
Katswiri mu kanema mu nkhaniyi adzalankhula za mfundo zochizira balanoposthitis mu shuga.
