Ndekọ ọnụ ọgụgụ ahụ na-akụda mmụọ: 70% nke ụmụ nwoke na-achọpụta ọrịa balanoposthitis na ọrịa shuga mellitus.
Ọrịa ahụ metụtara anụ ahụ na anụ ahụ (isi) nke amụ. Enwere ọnya afọ, n’ọnọdụ ndị ọzọ dị elu - ọnya na ọnya.
Site na "balanoposthitis" agakọ, anụ ahụ na anụ ahụ na-emetụta, nke ọtụtụ ihe kpatara ya. Otu esi achọpụta ọrịa na ịgwọ ọrịa, isiokwu a ga-ekwupụta.
Ọrịa shuga n’ime ụmụ nwoke
N’agbanyeghi udiri oria a, oria shuga gosiputara onwe ya di iche na nwoke. Ọrịa a na - ebute site na nkwarụ endocrine nke ahụ nke ahụ malitere imepụta ọgwụ mgbochi anụ ahụ na mkpụrụ ndụ beta nke pancreatic ya, bụ ndị na - ahụ maka mmepụta insulin.
Insulin bu homonụ nke na - ewetara shuga, n’ihi nke nnweta glucose n’arụ ahụike nwere oke 3.3-5.5 mmol / l. Mgbe ejiri mepụta ihe ya ma ọ bụ akwụsị kpamkpam, hyperglycemia na-amalite. Naanị otu homonụ na-agbadata ọkwa shuga, mana ọ na-aba ụba nke ukwuu - "iwu" homonụ, adrenaline, norepinephrine, glucocorticoids, glucagon, wdg.
Enwere ụdị oria abụọ dị mkpa - insulin-dependance (I) yana ndị na - abụghị insulin.
N’arụ ọrịa shuga m, a na-akwụsị imepụta hormone nke belata shuga. Achọpụtara ya tumadi na nwata na oge uto, yabụ, ọrịa shuga na-agbanye insulin na-akpọkarị “ndị na-eto eto”. Ọ bụrụ na ha enweghị ya, ndụ mamịrị anaghị ekwe omume.
A na-eji ụdị insulin nọọrọ onwe ya na-eme ka amịpụta mmebi nke insulin ahụ n'ihi mmeghachi omume na-adịghị mma nke mkpụrụ ndụ na-emetụta hormone. Isi ihe na-ebute mmepe nke ọrịa bụ oke ibu na ịkọwapụta mkpụrụ ndụ ihe nketa. Ọrịa shuga IIdị nke Abụọ na-ebilite n’etiti ndị mmadụ afọ 40-45. Emere ọgwụgwọ a ka ọ dịgidere na-ebi ndụ ike yana nri mamịrị na-ewepụ ihe oriri nke carbohydrates ngwa ngwa, nri eghe na abụba. Na mbido, ị nwere ike ijikwa shuga nkịtị n’enweghị ọgwụ ọgwụ.
Ihe mgbaàmà kachasị nke ọrịa shuga bụ polyuria (urination ugboro ugboro) na polydipsia (akpịrị ịkpọ nkụ). Na mgbakwunye na mgbaàmà ndị a, nwoke nwere ike mee mkpesa banyere:
- ike ọgwụgwụ na mgbakasị ahụ;
- ogologo oge ọgwụgwọ ọnya na ọnya;
- nsogbu na visual acuity;
- ụra efu, ura ehihie;
- nchikota nke ukwu aka;
- goms na-agba ọbara, ire ere ezé;
- ida oke ngwa ngwa;
- ihe mgbu n’obi;
- isi ọwụwa na anya isi;
- itching na ike ma ukwu;
- akpukpo anụ;
- ntutu isi na mberede, isi nkwọcha;
- ẹphe eme ẹphe;
- nsogbu nwoke na nwanyị.
N'ịchọpụta ụdị mgbaàmà ndị a n'ime onwe gị, ịkwesịrị ịkpọtụrụ ọkachamara ma mee nyocha ọbara iji chọpụta oke glucose.
Isi ihe mgbaàmà nke balanoposthitis
Ọrịa nkịtị na anụ ahụ na amụ bụ balanoposthitis (balanitis). Enwere ụdị balanoposthitis abụọ - nke mbụ na nke abụọ.
Nleba anya nke mbu bu nke anaghi elele idebe onwe ya anya.
Secondary balanitis pụtara n’ihi ọrịa na nje (staphylococci, streptococci, wdg), nsogbu systemic na endocrine (ọrịa shuga mellitus).
N'agbanyeghị ụdị ọrịa, ọgwụgwọ kwesịrị ịbụ systemic na mpaghara, ya bụ, ebumnuche n'isi na amụ. Generalzọ usoro ọgwụgwọ ọrịa gụnyere ọgwụ nje na ọgwụ immunostimulating. Ogwu di iche-iche tinyere mmanu mmanu, mmanu mmanu, ogwu na ahu. Anyị ga-ekwu maka ha obere oge ka oge na-aga.
Site n'ọrịa shuga na-enwe ogologo oge, ọrịa balanoposthitis nwere ike ịmalite, nke gosipụtara dịka ndị a:
- Ọbara ọbara siri ike na-apụta na anụ ahụ nke amụ (hyperemia).
- Enwere ọnụnọ nke ọnya, nke gosipụtara na ọnya na cracks.
- The amụ glans amụ na-acha ọcha mgbe niile.
Ogo nke mgbaama nguzozi sitere na okike na oge nke "oria di uto". Ọ bụrụ na a na-eleghara ọrịa ahụ anya, otú ahụ ka ọ na-emetụta akụkụ ahụ nke nwoke. Ogologo oge ọgwụgwọ na-adabere n'ịdị ogo nke pathology (ụdị na ụdị pathogen). Nkezi oge ọgwụgwọ maka oke balanitis bụ izu ụka asaa.
Na ọrịa shuga, phimosis dị ize ndụ - ọrịa nke na-eme mkpọchi nke ọnya a na-eme, nke na-anaghị ekwe ka ekpughe amụ glans. Dịka iwu, pathology na-akpalite omume nke balanoposthitis.
Mgbe ekpochapụrụ usoro mkpali ahụ, ha ga-emerịrị ịwa ahụ iji gbochie mmepe nke balanitis.
Nchoputa nke balanoposthitis na nwoke
Y’oburu na achota udiri oria a nke balanoposthitis, nke mbu ikwesiri ilebara nnoo onwe gi anya. Nchoputa nke oria a adighi akpata nsogbu obula.
Iji mee nke a, kpọtụrụ onye urologist ma ọ bụ venereologist. Ọkachamara ọkachamara nwere ike ime nchọpụta nyocha mgbe nyochachara onye ọrịa ahụ. Ọ bụrụ na ọrịa ahụ na-arịa ọrịa shuga, mgbe ahụ ihe kpatara ọrịa ahụ doro anya ozugbo. Ya mere, ekwesighi ime nnwale.
Ọ bụrụ na onye ọrịa ahụ enweghị ọrịa shuga (ma ọ bụ na ọ maghị banyere ọrịa ya), a na-eziga ya maka nyocha ọzọ. Nke a nwere ike ịbụ nyocha nke ọbara sitere na mmiri, nyocha ọbara nke afọ na -agaghị achọpụta glucose. Mgbe ị na-ahọrọ nyocha, ọkachamara ahụ lekwasịrị anya na ọsọ nke nyocha na izi ezi nke nsonaazụ ahụ.
Ọ bụrụ na nyocha nke onye ọrịa ahụ gosipụtara na ọ nweghị hyperglycemia, mgbe ahụ dọkịta ahụ na-achọ ihe ndị ọzọ na-akpata ọrịa balanoposthitis. A na-enyocha nwoke ahụ ma nwoke na nwanyị.
Mgbe ikwenye nchoputa ya, dibia edeputara ogwu nke kwesiri iji kpochapu akara nke oria n’okpuru. Ọkachamara ahụ na-ahọrọ ọgwụ antidiabetic na ọgwụ mgbochi nke mkpa mpaghara na usoro.
Maka igbochi balanitis na nlọghachi ugboro ugboro, a na-atụ aro ka akpachapụ anya gbasara onwe ya ma zere inwe mmekọahụ na mberede.
Ọgwụ ọgwụ maka balanoposthitis
Dọkịta nyere ndị ọrụ hypoglycemic ọgwụ na-agbadata ogo shuga na ọkwa nkịtị. Dabere na ihe na-arụ ọrụ na contraindications, enwere ike inye ọgwụ ọgwụ Metformin, Glyrenorm, Diabeton MV, Saksagliptin, wdg.
Site n'ụdị balanitis dị nro, ọ bụghị ọgwụ ọgwụ mgbochi ka edepụtara. Ọ bụrụ na onye ọrịa ahụ nwere ọrịa nje, nje fungal, allergies, mgbe ahụ ejighịkwa ọgwụ nje.
N'okpuru ebe a bụ ọgwụ ndị isi na-eji na-adabere n'ụdị ọrịa ahụ:
- Chloramphenicol, doxycycline (nwere ụdị ọrụ dị iche iche).
- Erythromycin, Roxithromycin, Oletetrin (macrolides).
- Azithromycin (kpochapu oria anaerobic).
- Nalidixic acid, Nevigramon (ihe dị iche iche quinolone).
- Biseptol (sulfonamide).
- Clotrimazole, Flucanosole (kpochapụrụ balanitis).
- Nitroxoline (usoro sitere na oxyquinoline).
- Furagin (ihe sitere na nitrofuran).
- Cyprolet (cephalosporins).
- Metronidazole (ejiri maka ureaplasma na ọrịa chlamydia).
Na mgbakwunye na ọgwụ systemic, a na-eji ndị nnọchianya mpaghara. Ọ nwere ike ịbụ ude na mmanụ:
- Ndị ọrụ antifungal - Clotrimazole, Candide, Miconazole, Fluconazole;
- ọgwụ antifungal na ọgwụ homonụ - Pimafukort;
- Ọgwụ Hormonal - Oxycort, Lorindel, Lokacorten, Lamisil, Dermozolon;
- jikọtara ọnụ nkwadebe - Triderm, Levomekol.
Ngwọta ọgwụ antiseptik bụ ngwaọrụ dị irè iji kpochapụ mmekpa ahụ nke apịtị n'ime ụmụ nwoke. A na-eji ha eme ihe n’ụlọ naanị ha. Ndị kasị ewu ewu bụ:
- Chlorophyllipt.
- Furatsilin.
- Dioxidine.
- Rivanol
- Fukortsin.
- Castelani.
- Miramistin.
- Chlorhexidine.
A na-ejikarị ngwọta manganese, mana a ga-akpachapụ anya. Mgbasa nke kristal nke potassium permanganate ezughi ezu. N'ihi nke a, mmeghachi omume kemịkalụ na akpụkpọ ahụ na mucous akpụkpọ ahụ, nke na-eduga n'ọdịdị iwe na rashes.
Balanoposthitis nwere ọtụtụ ihe kpatara ya, otu n'ime ha bụ ọrịa shuga 1. Ya mere, ọgwụgwọ nke ọrịa a kwesịrị ịbụ nke zuru oke, nke gụnyere igwu egwuregwu, nri kwesịrị ekwesị, njikwa glycemic mgbe niile na ị medicationsụ ọgwụ.
Ọkachamara na vidiyo dị n'isiokwu a ga-ekwu maka ụkpụrụ nke ịgwọ ọrịa balanoposthitis na ọrịa shuga.
