Ingabe i-epididymitis ibangela ukungabi nabantwana futhi yiziphi izinketho zokwelashwa

Uma kuba nokuvuvukala okungalindelekile endaweni yamalungu esitho sangasese sowesilisa, kungaba yimbangela yangempela yokukhathazeka, ikakhulukazi uma kuyinto efana ne-epididymitis. Pho, iyini le nto ngempela? I-epididymis iyithumbu eligoqiwe elincane kakhulu elisemuva kwazo zombili izende eligcina futhi elithwala isidoda. Uma leli thumbu livuvukala, okubizwa nge-epididymitis, lingadala ukungakhululeki okukhulu futhi kwesinye isikhathi liholele ezinkingeni zokuzala zesikhathi eside. Kodwa umbuzo omkhulu uthi: ingabe i-epididymitis ibanga ukungazali? Ake sikuhlakaze sibone ukuthi ukungazali okubangelwa i-epididymitis kungenzeka kanjani nalokho ongakwenza ngakho empeleni.

Kuyini Empeleni Ukuthi I-Epididymitis?

Kulungile, i-epididymitis empeleni ukuvuvukala kwaleya payipi encane ebizwa nge-epididymis. Lokhu kungenzeka ngenxa yokutheleleka ngebhaktheriya—njenge-E. coli noma izifo ezithathelwana ngobulili (STIs) ezifana ne-chlamydia noma i-gonorrhea. Izimpawu ezivamile? Cabanga ngobuhlungu eskruthini (scrotum), ukuvuvukala, ubuhlungu lapho uchama, mhlawumbe nomkhuhlane. Imvamisa kwenzeka kubafana nabesilisa abaneminyaka ephakathi kuka-14 no-35, kodwa iqiniso ukuthi, ingehlela noma ubani kunoma iyiphi iminyaka.

Nansi ingxenye eyinkimbinkimbi: Uma ungayelashwa kusenesikhathi, i-epididymitis ingaphenduka into yesikhathi eside. Ukuvuvukala okungapheli kungaphazamisa ikhwalithi yesidoda noma kubangele izicubu ezilimele ezivimba indlela yesidoda. Futhi uma lokho kwenzeka, kungaqiniseka ukuthi kuphazamisa ukukhiqiza kwakho [1].

Uma ukhathazekile ngezinye izifo ezingathinta i-epididymis, njengokuthi i-epididymal cyst, bheka le ndatshana eningiliziwe mayelana nezimbangela zayo, ukwelashwa, nezingcuphe ezingenzeka.

Ingabe I-Epididymitis Ngempela Iholela Ekungazaleni?

Ngakho-ke, ingabe i-epididymitis ibanga ukungazali? Ingakwazi, ikakhulukazi uma ingelashwa kahle noma uma igcina isiphenduke inkinga engapheli. Nansi indlela engase iphaze ngayo ukukhiqiza kwakho:

• Ikhwalithi Embi Yesidoda: Ukuvuvukala okungapheli kungaphazamisa indlela isidoda esihamba ngayo, okuyinto ebaluleke kakhulu uma uzama ukukhulelwa ngokwemvelo. Kungenza futhi nesimo (shape) sesidoda sishintshe, okwenza sibe buthaka ekukhiqizeni umbungu ngokuvundisa iqanda [2].
• Ukuvinjelwa: Uma ukuvuvukala kuholela ekwakhekeni kwezicubu ezilimele (scar tissue), kungavimba i-epididymis. Futhi uma lokho kwenzeka, isidoda asikwazi ukuhlanganiswa nesidoda esiketshezini (semen) uma uchama ngokuchama okuqabulayo, okusho amathuba ambalwa okukhulelwa komntwana [3].
• Izinkinga Zempendulo Yokuzivikela: Ngezinye izikhathi, ukuvuvukala okungapheli kubangela uhlelo lokuzivikela emzimbeni ukuthi lwenze ama-antibody ahlasele isidoda, okunganciphisa inzalo.
• Kodwa nansi izindaba ezinhle: ukungakhuleli okubangelwa i-epididymitis akusho ukuthi kuzokwenzeka ngaso sonke isikhathi. Amadoda amaningi athola ukwelashwa angabi nazinkinga zesikhathi eside. Konke kumayelana nokuyibamba kusenesikhathi nokuthola ukunakekelwa okufanele.

Uwelashwa Kanjani Umkhuhlane we-Epididymitis?

Izindaba ezinhle ukuthi i-epididymitis ngokuvamile iyelapheka kalula uma uyibamba kusenesikhathi. Odokotela bavame ukubhala ama-antibiotic ukuze balwe nokutheleleka—izinto ezifana ne-doxycycline noma i-ciprofloxacin zivamile. Uma unobuhlungu noma ukuvuvukala, bangase baphinde batusa nemithi yokulwa nokuvuvukala efana ne-ibuprofen ukuze ikusize ngalokho [4].

Ngezikhathi ezingavamile, ezinzima kakhulu, bangase kudingeke ukuthi bahlinze bese besusa i-epididymis, kodwa lokho akwenzeka njalo.

Kukhona futhi ezinye izinto zendlela yokuphila ongazenza ukuze ugcine ukungakhuleli okubangelwa i-epididymitis kungenzeki:

• Gcina Isisindo Esinempilo: Amakhilogremu engeziwe angathinta impilo yesidoda, ngakho ukudla kahle nokuzivocavoca kungabangani bakho lapha.
• Yehlisa Ukubhema Notshwala: Kokubili lokhu kungaphazamisa ikhwalithi yesidoda, ngakho ukunciphisa kungase kube usizo kuphela.
• Imikhuba Yokwenza Ucansi Oluphephile: Ukusebenzisa ukuvikelwa kungavimba izifo ezithathelwana ngocansi ezingaholela ku-epididymitis kusenesikhathi.

Ithiphu Eyinhloko: Ukugqoka izingubo zangaphansi ezisekelayo kungasiza ukunciphisa ubuhlungu nokuvimbela ukulimala okwengeziwe uma ubhekene ne-epididymitis.

Uma unentshisekelo yokufunda okwengeziwe ngendlela i-epididymis ne-vas deferens ezisebenzisana ngayo ekuthuthweni kwesidoda nasekukhiqizeni inzalo, bheka le ndatshana eningiliziwe.

Kwenzekani Uma Ukungakhuleli Kwenzeka?

Uma ukhathazekile ukuthi ukungakhuleli okubangelwa i-epididymitis kungase kube inkinga, ungaxhamazeli. Kukhona izinketho ezikhona zabambisene abafuna ukukhulelwa:

• Ubuchwepheshe Bokuzala Obusizwa (ART): Uma ukukhulelwa ngokwemvelo kungasebenzi ngenxa yokuvinjelwa, izindlela ezifana ne-IVF (in vitro fertilization) zingasiza. Lokhu kubandakanya ukuthola isidoda ngqo kumatesthi noma ku-epididymis bese kusinjova ngqo eqandeni [5].
• Amasu Okukhipha Isidoda: Emadodeni angakwazi ukufafaza isidoda ngokwemvelo, kukhona izindlela zokukhipha isidoda ngqo ezivinini.

Imicabango yokugcina

Manje, masibuyele embuzweni omkhulu: ingabe i-epididymitis ibangela ukungazali? Impendulo wukuthi ingakwenza lokho, ikakhulukazi uma uyiziba noma ungayelashwa ngendlela efanele. Kodwa ngakolunye uhlangothi, uma kuthathwa izinyathelo ngokushesha futhi kunakekelwa kahle, amadoda amaningi awabi nezinkinga zesikhathi eside nhlobo. Okubalulekile wukwazi izimpawu, uye ukuhlolwa kusenesikhathi, bese uqhubeka nokwelashwa.

Uma ucabangela ukuzama ukukhulelwa, kungase kube usizo futhi ukubheka ama-supplement asekelayo impilo yokuzala. Izithako ezinjenge-Folic Acid, Myo-Inositol, ne-CoQ10 zaziwa ngokuthuthukisa ikhwalithi yesidoda neqanda, okungasiza ohambweni lokukhulelwa. Ukuthatha izinyathelo kusenesikhathi kuhlala kuyisinqumo esihle uma kukhulunywa ngokuzala.

Imibuzo evame ukubuzwa

Ingabe i-epididymitis ingabangela ukungazali unomphela?

Akuphoqelekile. Nakuba i-epididymitis engapheli noma engelashwanga ingaholela ezinkingeni zokuzala ngenxa yokwakheka kwamaxeba, ukwelashwa kusenesikhathi kuvamise ukuvikela noma yimiphi imonakalo ehlala isikhathi eside.

Yiziphi izimpawu zokuqala ze-epididymitis?

Ubungqabavu nobuvuvukalo esikhwameni sobudoda yizona zimpawu ezivame kakhulu, kuhambisane nobuhlungu uma uchama futhi ngezinye izikhathi umkhuhlane. Uma lokhu kuvela, kubalulekile ukubona udokotela.

Izikhombo

1. Haidl G, Allam JP, Schuppe HC. I-epididymitis engapheli: umthelela kumapharamitha esidoda nezinketho zokwelapha. Andrologia. Available at: https://pubmed.ncbi.nlm.nih.gov/18336457/
2. Sharma R, Agarwal A, Rohra VK, Assidi M, Abu-Elmagd M, Turki RF. Imithelela yokwanda kweminyaka yobaba kwekhwalithi yesidoda, imiphumela yokuzala kanye nezingozi ze-epigenetic ezihambisana nalokho ezinganeni. Reprod Biol Endocrinol. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4455614/
3. Henkel R, Offor U, Fisher D. Indima yokutheleleka namaseli amhlophe egazini ekungazaleni kwabesilisa. Andrologia. Available at: https://onlinelibrary.wiley.com/doi/full/10.1111/and.13743
4. Banyra O, Shulyak A. I-epididymo-orchitis ebukhali: izigaba nokwelashwa. Cent European J Urol. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3921787/
5. Lewin J, Lukaszewski T, Sangster P, Williamson E, McEleny K, Al Wattar BH, Yasmin E. Imiphumela yokuzala ngemva kokukhipha isidoda ngokuhlinzwa kwababambisene abanesizathu sobudoda sokungabi nenzalo ngokugcwele: ucwaningo lobuyekezo lweminyaka eyi-10 lweqoqo likazwelonke. Fertil Steril. Available at: https://pubmed.ncbi.nlm.nih.gov/36592648/