Hōʻalo ka helu helu: kahi o 70% o nā kāne e nānā ana i ka balanoposthitis ma ka maʻi mellitus.
Hoʻomaʻi ka maʻi i ka ʻili a me ke kino (poʻo) o ke kao. Aia ka mumū, i nā hanana holomua hou - nā ʻeha a me nā hōʻeha.
Me ka "balanoposthitis" i hui ʻia, ua pā ʻia ka ʻili a me ka ʻiʻo, nā mea ma nā kumu he nui. Pehea e hoʻokolohua ai a mālama i ka maʻi, e haʻi aku kēia ʻatikala.
ʻO ka maʻi maʻi i ka kāne
ʻOiai ke ʻano like ʻana i ka maʻi maʻi, e hōʻike like ka maʻi diabetes i nā kāne a me nā wahine. Hoʻonui ʻia ka maʻi mai kahi maʻi endocrine i hoʻomaka ai ke kino e hana i ka antibodies i kāna huakaʻi beta pancreatic, nona ke kuleana o ka insulin.
ʻO ka insulin ka hanina gula hoʻohaʻahaʻa, ma muli o ke kaila o ka glucose i ke kino o ka mea olakino ma ke ʻano o 3.3-5.5 mmol / l. Ke hoʻokaʻawale a ʻokoʻa paha kāna hana ʻana, ulu ka hyperglycemia. Hoʻokahi wale no ka hormone hoʻohaʻahaʻa i ka nui o ke kō, akā e hoʻonui i ka nui - ka "kauoha" hormon, adrenaline, norepinephrine, glucocorticoids, glucagon, etc.
ʻElua mau papa nui o ka maʻi maʻi - ke hilinaʻi nei o insulin (I) a me ke ʻano ole-insulin (II).
I ke ʻano type diabetes type, pau ka hana ʻana o ka hoʻohaʻahaʻa hē gula. Ua hōʻike ʻia ka mea maʻamau i ka wā kamaliʻi a me nā wā'ōpiopio, no laila, kapa ʻia ka maʻi diabetes i kū ʻia i ka "ʻōpio". Hoʻomaʻamaʻa ka mālama i nā inikini insulin kauoha, me ka ʻole o lākou, ʻaʻole hiki ke ola o kahi maʻi maʻi.
Hōʻike ʻia kahi ʻano kūʻokoʻa o ka insulin e ka ʻāpana hoʻokaʻawale o ka hana ʻana o ka insulin ma muli o ke ʻano kūpono ʻole o nā aila peripheral i kahi hormone. ʻO nā kumu nui o ka hoʻomohala ʻana i ka maʻi ʻōlapa a me kahi predisposition genetic. Hoʻololi ka type II maʻi i nā kānaka 40-45 mau makahiki. Mālama ka mālama ʻia i ka mālama ʻana i kahi ola olakino a me ka papa maʻi hānai no ka hoʻopau ʻana i ka ʻai ʻana i nā palaka me ka "wikiwiki", i paʻi me ka momona. I ka wā mua, hiki iā ʻoe ke mālama i kahi pae maʻamau o ke kō me ka wai ʻole.
ʻO nā hōʻailona nui o ka maʻi diabetes (poly urination pinepine) a me polydipsia (make wai nui). I ka hoʻohuiʻana i kēia mau hōʻailona, hiki i ke kāne ke hoʻopiʻi e pili ana i:
- luhi a me ka huhū;
- hoʻōla lōʻihi i nā hōʻeha a me nā mae;
- pau ka hele ʻana o ke kikoo ʻike;
- hiamoe hiamoe, ke hiamoe nei i ke ao;
- ke nānā ʻana a i ʻole ka ʻāʻī ʻana o nā wāwae;
- kaomi huehae, ʻaʻe niho;
- Kaumaha wikiwiki;
- ʻeha ma ka naʻau;
- nā kuʻuna a me ka maʻi lahilahi;
- ʻeha i ka ʻuʻuku a me ke kuolo;
- nā pulu ʻili;
- lilo ka lauoho hina, palu;
- e hōʻeha ʻia o ka ʻula;
- nā pilikia pili kino.
I ka ʻike ʻana i nā hōʻailona like ʻole i loko ou, pono ʻoe e hoʻopili i kahi loea a lawe i kahi ʻano koko e hoʻoholo ai i ka neʻe o ka glucose.
ʻO nā hōʻailona nui o ka balanoposthitis
ʻO ka maʻi maʻamau loa o ka ʻili a me ka ʻiʻo o ka peni ka balanoposthitis (balanitis). ʻElua mau ʻano o ka balanoposthitis - ka mua a me ka lua.
ʻO ka pale kaulima ma mua ke ʻano o ka mālama ʻana i ka mālama kūʻokoʻa ponoʻī.
Hōʻike ʻia ka balanitis o ka lua ma ke ʻano o nā hopena a me nā maʻi (staphylococci, streptococci, etc.), nā mea kūlohelohe a me ka endocrine (diabetes mellitus).
ʻOiai e pili ana i ke ʻano o ka maʻi, pono ka ʻōnaehana o ka maʻi a me nā kūloko, ʻo ia hoʻi, e pili ana i ke poʻo a me ka penis. ʻO nā ʻōnaehana maʻamau o ka lāʻau e pili ana i ka hoʻohana ʻana i nā mea hoʻohui a me nā immunostimulate. ʻO nā lāʻau lapaʻau Topical ka waiʻala, kaʻaila, nā hopena antiseptic a me nā hōʻiliʻili. E kamaʻilio hou mākou e pili ana iā lākou ma hope.
Me ka holomua o ka maʻi maʻamau, e ulu paha ka balanoposthitis, i hōʻike ʻia penei:
- Ka ʻike ʻia ka kahe koko ikaika ma ke kiko o ke koʻi (hyperemia).
- Aia ka ʻaole o ka palupalu, i hōʻike ʻia e nā lāʻau a me nā pā.
- E kū mau ka hae o nā kūloko.
ʻO ka hōʻeha nui o nā hōʻailona balanitis e pili ana i ke ʻano a me ka lōʻihi o ka "maʻi ʻeha". ʻO ka haʻalele iki ʻole i ka maʻi, ua pili ka hopena i nā kino kāne kāne. Pili ka lōʻihi o ka lapaʻau i ka paʻakikī o ke auwele (ke ʻano a me ke ʻano o ka pathogen). ʻO ka ʻōlelo maʻamau no ka balanitis maʻa he 2-3 mau pule.
I ka maʻi maʻamau, pōpilikia ka phimosis - kahi maʻi kahi i ʻoki ʻia ai ka ʻōmole i ke ʻano, ʻaʻole ia e ʻae i ka pīpī. Ma ke ʻano he kānāwai, hoʻonāukiuki ka ʻatikala i ka loaʻa ʻana o ka balanoposthitis.
Ke hoʻopau ʻia nā hana hoʻonāukiuki, pono lākou e hana i ka hana i mea e pale ai i ka hoʻomohala ʻana o ka balanitis.
ʻO ka hoʻomohala ʻana o ka balanoposthitis i nā kāne
Inā loaʻa ʻoe i nā hōʻailona like o ka balanoposthitis, ʻo ka mea nui i nā mea āpau e pono ai e mālama i nā hana kūlohelohe pilikino. ʻAʻole ia he pilikia i ka hoʻokō ʻana o ka maʻi.
No ka hana i kēia, e kelepona i ka urologist a i ʻole venereologist. Hiki i kahi mea akamai loea ke hana i kahi maʻi ma hope o ka hoʻomaikaʻi ʻana i ka mea maʻi. Inā loaʻa ka mea maʻi i ka maʻi maʻi maʻi, a laila e hoʻomaopopo koke ka kumu o ka maʻi. No laila, ʻaʻole pono e hoʻāʻo ka maʻi maʻi.
Inā loaʻa ʻole ka mea maʻi i ka maʻi maʻi (a ʻike ʻole paha ia e pili ana i kāna maʻi), ua hoʻouna ʻia ʻia no nā hoʻokolokolo hou. Hiki paha kēia i kahi hoʻokahe koko biochemical, he ʻike wai ʻole o ka ʻōpū mākaukau e ʻike ai i ka glucose. Ke koho ʻana i kahi loiloi, kau ʻo ka mea loea i ka wikiwiki o ka hoʻokolokolo a me ka pololei o nā hopena.
Inā hōʻike nā hoʻokolohua o ka mea maʻi ʻaʻole i loaʻa iā hyperglycemia, a laila ke ʻimi nei ke kauka i nā kumu ʻē aʻe o ka balanoposthitis. ʻO ke hoʻokolokolo ʻia e ke kāne a me kāna kāne kāne.
Ke hōʻoia nei i ka hoʻomohala ʻana, kuhikuhi ke kauka i kahi lāʻau lapaʻau e manaʻo ana e kāpae i nā hōʻailona o ka papa lalo. Ke koho nei ka loea i nā lāʻau antidiabetic a me nā hopena o ka mea nui a me ka ʻōnaehana nui.
No ka paleʻana i ka balanitis a me nā ala i hoʻi hou ʻia, ʻōlelo ʻia ke nānā i ka mālama ʻana i ka pilikino pilikino a pale aku i ka moekolohe.
Ke lapaʻau lāʻau no ka balanoposthitis
Kūkulu ke kauka i nā māka hypoglycemic e hoʻohaʻahaʻa i nā kiʻekiʻe o ke kō i ke pae maʻamau. Wahi a ka mea ikaika a me nā contraindications, hiki ke kuhikuhi ʻia i ka lāʻau maʻi diabetes Metformin, Glyrenorm, Diabeton MV, Saksagliptin, etc.
Me kahi ʻano mole o ka balanitis, ʻaʻole i kuhikuhi ʻia nā lāʻau lapaʻau. Inā loaʻa i ka mea maʻi ka maʻi maʻi, nā maʻi holupa, nā maʻi kūʻiʻo, a laila ʻaʻole no hoʻi nā ʻāpana o ka antibiotic.
Aia ma lalo iho nā lāʻau lapaʻau nui e hoʻohana ʻia ma ke ʻano o ke ʻano o ka maʻi.
- ʻO Chloramphenicol, doxycycline (loaʻa i ka laulā ākea kahi nui o ka hana).
- Erythromycin, Roxithromycin, Oletetrin (macrolides).
- ʻO Azithromycin (e hoʻopau ana i ka maʻi anaerobic).
- Nalidixic acid, Nevigramon (quinolone derivatives).
- Biseptol (sulfonamide).
- Clotrimazole, Flucanosole (kāpae i ka balanitis candidal).
- Nitroxoline (kahi derivative o oxyquinoline).
- Furagin (kahi derivative o nitrofuran).
- Kouolet (cephalosporins).
- ʻO ka Metronidazole (hoʻohana ʻia no ka maʻi ureaplasma a me nā maʻi chlamydia).
I ka hoʻohuiʻana i nā lāʻau lapaʻau, hoʻohana ʻia nā mea hana kūloko. Hiki i nā meaʻala a me nā poni:
- nā hui antifungal - Clotrimazole, Candide, Miconazole, Fluconazole;
- antifungal a me nā lāʻau lapaʻau - Pimafukort;
- Nā lāʻau maʻi - Oxycort, Lorindel, Lokacorten, Lamisil, Dermozolon;
- Hoʻomohui hui - Triderm, Levomekol.
ʻO nā hopena antiseptic he mau mea hana e hoʻopau ai i ke kaʻina huhū o ka foreskin i nā kāne. Hoʻohana ʻia lākou e kūʻokoʻa ma ka home. ʻO nā mea kaulana loa:
- Chlorophyllipt.
- Furatsilin.
- Hoʻolālā.
- Rivanol
- Kahakau.
- Castelani.
- Miramistin.
- Chlorhexidine.
Hoʻohana pinepine ʻia nā hoʻonā ʻai, akā pono e mālama ʻia ka mālama. ʻO ka pau ʻana o ke aniani o ka potassium permanganate ʻaʻole mākaʻi. Ma muli o kēia hopena, hiki i nā hopena kemu ke hu a me ka membrane a me ka mucous membrane, kahi e hiki ai i nā hiʻohiʻona o nā irrit a me nā rashes.
He nui nā kumu o ka Balanoposthitis, kekahi o ka maʻi maʻamau ʻo ka maʻi 1. No laila, e holo pono ka mālama ʻana o kēia maʻi, ka mea e komo ai i ka haʻuki, ke ʻano kūpono, ka mana glycemic maʻamau a lawe i nā lāʻau lapaʻau.
E kamaʻilio ka mea loea i ke wikiō ma kēia ʻatikala e pili ana i nā loina o ka mālama ʻana i ka balanoposthitis ma ka maʻi maʻi maʻi maʻi.
