I-urethritis - ukuvuvukala kwe-urethra kwabesifazane (urethra), inkambo yezokwelapha ihlukanisa phakathi kwe-acute nesiguli. Ngohlobo lwe-pathogen eyabangela i-urethritis, bahlanganyela:
Okucacile (okubangelwa izifo ezithathelwana ngocansi):
- I-gonorrhea (ukutheleleka nge-gonococcal);
- I-Chlamydia (ama-pathogens - chlamydia);
- kubangelwa i-mycoplasma.
I-non-specific - ivele ngenxa ye-microflora ye-pathogenic, eyenza ukuvuvukala kwezinye izitho, kuhlanganise nokuguqulwa kwe-urethritis, okwenziwe yi-fungi kanye ne-microflora engenayo amathuba.
Izimpawu ze-urethritis
Izimpawu ezikhulunywayo ziyoba ne-urethritis ephuthumayo: ubuhlungu ngesikhathi sokuvuthwa nangemva kwayo, ukuvutha nokushisa ku-urethra, i-hyperemia kanye nokuphuma kwe-purreent kusuka e-urethra. Nge-urethritis engapheli, izimpawu zizocinywa, ngezinye izikhathi ubuhlungu endaweni yendawo ye-urethra buphumule, kodwa kaningi izimpawu ze-urethritis ziyobonakala ngokucindezela ngemva kokushukela, ubulili noma noma yiziphi ezinye izifo ezenza ukunciphisa umzimba.
Uhlelo lokuphathwa kwe-urethritis kwabesifazane
Ngemva kokuthola i-urethritis nokukhomba uhlobo lwe-pathogen elibangela, udokotela ubeka ukwelashwa okufanele. Ukuze silwe ne-pathogen edala ukuvuvukala, ukwelashwa kwe-urethritis kwabesifazane kuqala ngama-antibiotics amaningi. Kodwa bamiswa ngokuhlonipha ukuzwela kwabo kwi-microflora - ukwelashwa kwe-urethritis kwabesifazane kanye nezidakamizwa ezifanele zokulwa nezifo ezibekwe ngemuva kokuthatha isisindo emgqonyeni we-urethral, ukukhomba i-pathogen nokunquma ukuthi yiziphi izidakamizwa ezizosebenza ngokumelene nazo.
I-fluoroquinolones evame ukusetshenziswa kakhulu (i-Ofloksatsin, i-Ciprofloxacin, i-Gatifloxacin, i-Leofloxacin); ama-macrolides (i-Azithromycin, i-Clarithromycin, i- Roxithromycin); i-penicillin ye-semisynthetic (i-Amoxiclav, i-Augmentin, i- Flemoxin ). Lezi izidakamizwa, ifomu lesimo sokusetshenziswa kwalo, amaphilisi, ukwelashwa ngezinsuku ezinhlanu ukuya kwezingu-10. Ngokuvamile, i-urethritis kwabesifazane iphathwa ngemithi elwa namagciwane ngenxa yokuphathwa kwama-parenteral, ngokuvamile i-cephalosporins (ceftriaxone, cefatoxime, cefuroxime).
Nge-urethritis ebangelwa i-mycoplasma, i-imidazole derivatives (Metronidazole, Ornidazole, Tinidazole) inqunywe izinsuku ezingu-7-10. U-Candidiasis urethritis uphathwa ngezidakamizwa ezinamagciwane (Fluconazole, Terbinafine, Nizoral). Ukwelashwa kwalezi zinhlobo ze-urethritis kwabesifazane kuyinkimbinkimbi: amakhandlela asetshenziswa nalezi zidakamizwa ngaphakathi, kanye nokuphathwa kwamathebulethi. Uma ukutheleleka nge-urethritis kwenzeka ngokocansi, inkambo yokwelapha ngezidakamizwa ezihloswe ekuqedeni i-pathogen yenziwa ngesikhathi esifanayo kubo bobabili abalingani.
Ngaphandle kokudonswa kwezidakamizwa ngezidakamizwa zokulwa ne-antibacterial, ukwelashwa kwendawo ye-urethritis kuhlanganisa ukugeza okuhlala phansi kanye ne-douching ngezixazululo ze-antiseptic noma izinhlobonhlobo zamagilebhisi (i-chamomile, i-yarrow, i-calendula). Uma kunesidingo, udokotela wenza izifutho ezisezindlini ze-Protargol, i-Chlorhexidine, i-Dekasan, i-Collargol, i-Miramistin.
Kanye nokuphathwa kwezidakamizwa, i-physiotherapy inqunywe (i-vaginal electrophoresis noma indawo yesishiyagalolunye ngesisombululo se-Furadonin, ukwelashwa kwe-diadynamic endaweni ye-lumbosacral). Ukwenza ngcono ukukhulelwa komzimba kusebenza ama-immunomodulators, ama-multivitamines.
Indima ekhethekile e-urethritis inikezwa ekudleni: ngoba ukuvinjelwa kokuqeda amandla, utshwala, izinongo, ukubhema nemikhiqizo eqoshiwe akukhishwe ekudleni, ubisi kanye nokudla kwemifino kanye nenqwaba yetshezi kunconywa emini. Phakathi nesikhathi sokukhushulwa, ubulili, ukuzivocavoca, kanye ne-hypothermia ziphikisana.