Lipalo-palo lia nyahamisa: 70% ea banna ba fumanoa ba e-na le balanoposthitis ho lefu la tsoekere.
Boloetse bona bo ama letlalo le nama (hlooho) ea botoneng. Ho na le ho ruruha, maemong a hatetseng pele - ulcers le maqeba.
Ka "balanoposthitis" e tsoakiloeng, letlalo le nama lia ameha, e bakoang ke mabaka a 'maloa. Sehlooho sena se tla bua ka mokhoa oa ho fumana le ho phekola lefu lena.
Lefu la tsoekere ho banna
Leha ho na le matšoao a tšoanang, lefu la tsoekere le iponahatsa ka tsela e fapaneng ho ba batona le ba batšehali. Boloetse bona bo hlaha ka lebaka la pherekano ea endocrine, eo 'mele o qalang ho hlahisa li-antibodies ho lisele tsa eona tsa pancreatic beta, tse ikarabellang tlhahisong ea insulin.
Insulin ke hormone e fokotsang tsoekere, ka lebaka leo khatello ea tsoekere maling a motho ea phetseng hantle e maemong a 3,3-5,5 mmol / l. Ha tlhahiso ea eona e emisitsoe ka karolo e itseng kapa e emisitsoe ka ho felletseng, hyperglycemia ea hlaha. Ke hormone e le 'ngoe feela e theolelang tsoekere ka bongata, empa e eketsa lihormone tsa eona "taelo", adrenaline, norepinephrine, glucocorticoids, glucagon, jj.
Ho na le mefuta ea bohlokoa ea lefu la tsoekere - insulin-led (I) le non-insulin-wate (II).
Ka mofuta oa lefu la tsoekere, tlhahiso ea 'mele e fokotsang tsoekere e emisitsoe ka botlalo. E fumanoa haholo bongoaneng le bohlankaneng, ka hona, lefu la tsoekere le itšetlehileng ka insulin hangata le bitsoa "nyane". Phekolo e kenyelletsa liente tsa insulin tse tlamang; kantle ho tsona, bophelo ba lefu la tsoekere ha bo khonehe.
Mofuta o ikemetseng oa insulin o khetholloa ke ho khaotsa ho fokolang ha tlhahiso ea insulin ka lebaka la karabelo e sa lokelang ea lisele tsa pherekano ho li-hormone. Lisosa tse kholo tsa kholo ea lefu lena ke botena le boteng ba lefutso. Lefu la tsoekere la Mofuta oa II le hlaha ho batho ba lilemo tse 40-45. Phekolo e reretsoe ho boloka bophelo bo mafolofolo le lijo tse nang le lefu la tsoekere tse felisang tšebeliso ea lik'habohaedreite tse "potlakileng", lijo tse halikiloeng le tse mafura. Mehatong ea pele, o ka boloka tsoekere e tloaelehileng ntle le kalafo ea lithethefatsi.
Matšoao a sehlooho a lefu la tsoekere ke polyuria (khafetsa ho ntša metsi khafetsa) le polydipsia (lenyora le matla). Ntle le matšoao ana, monna a ka tletleba ka:
- mokhathala le ho teneha;
- pholiso ea nako e telele ea maqeba le likotsi;
- ho senyeha ha pono ea pono;
- boroko bo bobe, ho otsela motšehare;
- ho opeloa ke maoto le matsoho;
- ho hlatsa ka meno, ho bola ha meno
- ho fokotsa boima ba 'mele kapele;
- bohloko bo ka pelong;
- hlooho e bohloko le ho tsekela;
- ho hlohlona le koena;
- makhopho a letlalo;
- ho senyeha ha moriri ka tšohanyetso, letheba;
- ho ruruha ha letlalo la letlalo;
- mathata a thobalano.
Kaha u hlokometse matšoao a tšoanang ho uena, ho hlokahala hore u ikopanye le setsebi 'me u hlahlobe mali ho bona hore na tsoekere e ngata hakae.
Matšoao a mantlha a balanoposthitis
Boloetse bo atileng haholo ba letlalo le nama ea botoneng ke balanoposthitis (balanitis). Ho na le mefuta e 'meli ea balanoposthitis - ea mantlha le ea bobeli.
Balanitis ea mantlha e etsahala ka lebaka la ho se hloeke ha bohloeki.
Balanitis ea bobeli e hlaha ka lebaka la ts'oaetso le vaerase (staphylococci, streptococci, jj.), Mathata a systemic le endocrine (lefu la tsoekere mellitus).
Ho sa tsotelehe mofuta oa bokuli, kalafo e lokela ho ba e hlophisehileng le ea lehae, ke hore, e reretsoe hlooho le botoneng. Mekhoa e mengata ea kalafo e kenyelletsa tšebeliso ea li-antibiotic le immunostimulating agents. Meriana ea sehlooho e kenyelletsa litlolo, litlolo, tharollo ea antiseptic le li-gels. Re tla bua ka bona nakoana kamora moo.
Ka tsoelo-pele ea nako e telele ea lefu la tsoekere, balanoposthitis e ka hlaha, e bonahatsoang ka tsela e latelang:
- Phallo e matla ea mali e hlaha liseleng tsa botoneng (hyperemia).
- Ho na le ho ruruha ha letlalo la 'mele, ho bonahatsoang ke maqeba le mapetso.
- Bokooa ba glans bo lula bo tsoa mali.
Botebo ba matšoao a balanitis ho latela sebopeho le nako ea "lefu le monate". Ha bokuli bo ntse bo hlokomoloha lefu lena haholoanyane, bo ile ba ama litho tsa botona le ho feta. Nako ea kalafo e itšetlehile ka ho teba ha Psychology (sebopeho le mofuta oa pathogen). Nako e tloaelehileng ea kalafo bakeng sa balanitis e mpe haholo ke libeke tse 2-3.
Ho lefu la tsoekere, phimosis e kotsi - lefu leo ho lona ho fokotseha letlalo le ka mpeng, le sa lumeleng ho pepesa botoneng ba glans. Ha e le molao, psychology e halefisa ketsahalo ea balanoposthitis.
Ha ts'oaetso ea ts'oaetso e felisoa, ba tlameha ho etsoa opereishene ho thibela kholo ea balanitis.
Lefu la tšoaetso ea balanoposthitis ho banna
Haeba u fumana matšoao a tšoanang a balanoposthitis, pele ho tsohle o hloka ho ela hloko bohloeki ba hau. Ho tseba lefu lena ha ho bake mathata.
Ho etsa sena, ikopanye le ngaka kapa urologist. Setsebi se nang le boiphihlelo se ka etsa tlhahlobo ea maikutlo ka mor'a ho hlahloba mokuli. Haeba mokuli a tšoeroe ke lefu la tsoekere, joale sesosa sa lefu lena se hlakile hang-hang. Ka hona, mokuli ha a hloke ho hlahlojoa.
Haeba mokuli a se na lefu la tsoekere (kapa a sa tsebe ka lefu la hae), o romeloa bakeng sa tlhatlhobo e eketsehileng. Ena e ka ba tlhahlobo ea mali a biochemical, tlhahlobo ea mali e se nang letho ea mala ho bona tsoekere. Ha u khetha tlhahlobo, setsebi se lebisa tlhokomelo ho lebelo la tlhatlhobo le ho nepahala ha sephetho.
Haeba liteko tsa mokuli li bonts'a hore ha a na hyperglycemia, ngaka e batla lisosa tse ling tsa balanoposthitis. Tlhahlobo e etsoa ke monna le molekane oa hae oa thobalano.
Ha a netefatsa lefu leo, ngaka e fana ka kalafo e reretsoeng ho felisa matšoao a lefu lena le tlasa lefu lena. Setsebi se khetha lithethefatsi tsa antidiabetes le lithibela-mafu tsa bohlokoa ba lehae le tsamaiso.
Bakeng sa thibelo ea balanitis le ho oela hape khafetsa, ho khothalletsoa ho beha leihlo bohloeki le ho qoba likamano tsa thobalano ka phoso.
Phekolo ea lithethefatsi bakeng sa balanoposthitis
Ngaka e fana ka lipilisi tsa "hypoglycemic" tse fokotsang tekanyo ea tsoekere maemong a tloaelehileng. Ho latela setheo se sebetsang le li-contraindication, lithethefatsi tsa lefu la tsoekere Metformin, Glyrenorm, Diabeteson MV, Saksagliptin, jj.
Ka foromo e bonolo ea balanitis, lithibela-mafu ha li fuoe. Haeba mokuli a e-na le lefu la vaerase, tšoaetso ea fungal, allergy, joale li-antibi tse thibelang meriana le tsona ha li sebelisoe.
Ka tlase ke litlhare tse ka sehloohong tse sebelisoang ho latela mofuta oa lefu lena:
- Chloramphenicol, doxycycline (e na le pono e fapaneng ea ketso).
- Erythromycin, Roxithromycin, Oletetrin (macrolides).
- Azithromycin (e felisa tšoaetso ea anaerobic).
- Asidiididi acid, Nevigramon (li-quinolone derivatives).
- Biseptol (sulfonamide).
- Clotrimazole, Flucanosole (tlosa 'nete ea balanitis).
- Nitroxoline (e tsoang ho oxyquinoline).
- Furagin (e tsoang ho nitrofuran).
- Cyprolet (cephalosporins).
- Metronidazole (e sebelisetsoang tšoaetso ea ureaplasma le chlamydia).
Ntle le lithethefatsi tsa systemic, ho sebelisoa li-agents tsa lehae. E ka ba litlolo le litlolo:
- li-antifungal agents - Clotrimazole, Candide, Miconazole, Fluconazole;
- lithethefatsi tsa antifungal le lihormone - Pimafukort;
- Lithethefatsi tsa Hormonal - Oxecort, Lorindel, Lokacorten, Lamisil, Dermozolon;
- litokisetso tse kopaneng - Triderm, Levomekol.
Litharollo tsa antiseptic ke lisebelisoa tse sebetsang tsa ho tlosa ts'ebetso ea ho ruruha ea letlalo la setho sa botona ho banna. Li sebelisoa ka boithatelo lapeng. Tse tummeng haholo ke:
- Chlorophyllipt.
- Furatsilin.
- Dioxidine.
- Rivanol
- Fukortsin.
- Castelani.
- Miramistin.
- Chlorhexidine.
Hangata litharollo tsa Manganese li sebelisoa, empa tlhokomelo e lokela ho nkuoa. Ho felisoa ha likristale tsa potasiamo permanganate ha ho felle. Ka lebaka leo, liphetoho tsa lik'hemik'hale li khonahala ka letlalo le membrane ea mucous, e lebisang ponahalong ea ho teneha le makhopho.
Balanoposthitis e na le lisosa tse 'maloa, e' ngoe ea eona ke lefu la tsoekere la mofuta oa 1. Ka hona, kalafo ea lefu lena e lokela ho ba e akaretsang, e kenyeletsang ho bapala lipapali, phepo e nepahetseng, taolo ea glycemic khafetsa le ho sebelisa meriana.
Setsebi sa video sa sengoloa sena se tla bua ka melao-motheo ea ho phekola balanoposthitis ho lefu la tsoekere.
