Qhov mob thiab o ntawm cov noob qes tuaj yeem tshwm sim los ntawm ntau yam, los ntawm kev kis tus kab mob los yog kab mob mus rau qhov raug mob. Qhov ua rau qhov mob thiab o yog qhov tseem ceeb heev vim tias kev kho mob sib txawv nyob ntawm qhov ua rau. Qhov mob ntawm qhov hnoos qeev feem ntau yog tshwm sim los ntawm qhov tawv nqaij ntawm qhov sib tw, qhov mob ntawm cov noob qes (orchitis) los ntawm kev kis tus kab mob nrog rau mob qog noj ntshav (mumps), lossis kab mob sib kis nrog cov kab mob epididymis lossis epididymo-orchitis. Txawm li cas los xij, feem ntau yuav ua rau tsis mob qog noj ntshav vim mob qog noj ntshav feem ntau tsis mob. Thaum qhov mob qog noj ntshav tshwm sim, muaj ntau yam uas koj tuaj yeem ua los kho nws.
Kauj ruam
Txoj Kev 1 ntawm 3: Tshem Tawm Sai
Kauj Ruam 1. Siv tshuaj kho mob
Cov tshuaj kho mob xws li ibuprofen, paracetamol, lossis tshuaj aspirin tuaj yeem siv los daws qhov mob thiab o. Cov tshuaj no ua haujlwm los ntawm kev txwv kev tsim cov tshuaj prostaglandin (uas ua rau mob). Cov tshuaj pom zoo rau txhua ntawm cov tshuaj no muaj raws li hauv qab no:
- Ibuprofen (lossis zoo ib yam), ntsiav tshuaj 200-400 mg, nrog lossis tam sim tom qab noj mov, txog peb zaug txhua hnub.
- Tshuaj aspirin, 300 mg ntsiav tshuaj, txog plaub zaug txhua hnub.
- Paracetamol, ntsiav tshuaj 500 mg ntau tshaj peb zaug ib hnub.
- Tsis txhob sib tov cov tshuaj no. Kev siv tshuaj ntau dhau tuaj yeem ua rau muaj kev phiv loj.
Kauj Ruam 2. Ncaj koj lub nraub qaum
Txog thaum koj tau txais kev pab kho mob, pw ntawm koj nraub qaum, thiab txhawb nqa cov noob qes kom yooj yim los pab daws qhov mob lub cev thiab mob.
Koj tseem tuaj yeem hnav cov ntawv txhawb nqa xws li lub pluaj jock. Kev siv cov cuab yeej no tuaj yeem pab daws qhov mob ntawm qhov hnoos qeev los ntawm kev tiv thaiv thaj tsam ntawm kev sib txhuam nrog koj txhais taw, mob los ntawm kev txav mus los, thiab kev sib cuag sab nraud uas tuaj yeem ua rau khaus
Kauj Ruam 3. Ua kom txias txias
Yog tias qhov mob thiab o tshwm sim tam sim ntawd, siv qhov txias txias los tso lub pob khov lossis lub hnab khov rau ntawm cov noob qes kom pab daws tau nws.
- Ua ntawv thov kom txias yog ib kauj ruam tseem ceeb vim tias yog qhov o loj heev, nws tuaj yeem txuas ntxiv lub sijhawm cov noob qes tuaj yeem muaj sia nyob yam tsis muaj ntshav txaus.
- Qhwv ib lub voos khov nab kuab los yog lub hnab khov nab kuab hauv daim ntaub qhuav ua ntej siv daim ntaub qhwv kom tiv thaiv kom tsis txhob khov.
Kauj Ruam 4. So thiab tsis txhob ua haujlwm hnyav
Muab sijhawm rau cov noob qej kom zoo ib yam los ntawm kev zam kev ua ub no uas tuaj yeem ua rau qhov mob thiab o tuaj zuj zus. Tsis txhob nqa khoom hnyav, khiav, thiab lwm yam kis las uas muaj zog.
Yog tias koj tsis tuaj yeem so tag nrho, hnav ris tsho hauv qab thiab/lossis cov hlua kuj tseem tuaj yeem pab tau
Txoj Kev 2 ntawm 3: Saib Xyuas Cov tsos mob
Kauj Ruam 1. Paub qhov xwm txheej txaus ntshai
Muaj ntau qhov xwm txheej txaus ntshai rau ob qho kab mob thiab kis kab mob uas ua rau mob qog noj ntshav. Cov teeb meem no muaj xws li:
- Kev sib deev
- Kev tawm dag zog lub cev hnyav xws li caij luv thij lossis caij maus taus
- Zaum ntev heev zoo li thaum mus ncig ntev lossis tsav tsheb loj
- Keeb kwm ntawm mob qog noj ntshav lossis mob tso zis
- Benign prostate enlargement lossis prostate phais, feem ntau yog cov txiv neej laus
- Lub cev tsis xws luag xws li lub cev nqaij daim tawv tom qab, uas tshwm sim hauv cov txiv neej ua ntej yug
Kauj Ruam 2. Txheeb xyuas qhov raug mob
Qhov mob ntawm qhov hnoos qeev los ntawm kev raug mob hu ua testicular torsion ua rau mob hauv cov noob qes thiab cov kab mob epididymis (lub raj nyob hauv qab ntawm lub noob qes). Txawm li cas los xij, kom paub tseeb, xav tau kev tshuaj xyuas lub cev kom ntxaws. Yog tias koj raug mob rau koj cov noob qes, tshwj xeeb tshaj yog cov qau torsion vim sib ntswg, mus ntsib koj tus kws kho mob vim qhov no tuaj yeem txaus ntshai rau cov noob qes.
- Tus kws kho mob tuaj yeem tshuaj xyuas Cremasteric reflex, uas tsis tshwm sim yog tias cov noob qes raug mob. Qhov no yog ua tiav los ntawm kev txav rauj rau ntawm tus ncej puab sab hauv uas yuav ua rau cov noob qes noj qab nyob zoo kom sawv los npog rau hauv lub hnab ntim quav.
- Torsion torsion feem ntau tshwm li mob sai.
Kauj Ruam 3. Txheeb xyuas qhov mob vim kis mob
Hnub nyoog ua lub luag haujlwm tseem ceeb hauv kev tshuaj xyuas kab mob. Cov kab mob uas ua rau mob qog noj ntshav suav nrog kev kis kab mob ntawm cov noob qes thiab epididymis. Nws tshwm sim los ntawm cov kab mob nce los ntawm lub qhov quav, feem ntau yog txiv neej hnub nyoog tshaj 35 xyoos thiab tsawg dua 14 xyoos. Rau cov txiv neej hnub nyoog 15 txog 35 xyoos, lub hauv paus tseem ceeb ntawm kev kis kab mob feem ntau yog kis kab mob sib kis xws li Chlamydia thiab Gonorrhea. Thaum ib feem raug kov thaum kuaj, koj yuav hnov mob. Koj tus kws kho mob tuaj yeem tshuaj xyuas seb puas nce koj cov noob qes tuaj yeem daws koj qhov mob, uas yog hu ua Prehn tus cim.
- Kev kho tus kab mob yuav pab daws qhov mob thiab tiv thaiv kev kis mob tsis zoo thiab muaj peev xwm ua rau sepsis.
- Cremasteric reflex tseem yuav tshwm sim thaum mob los ntawm kev kis kab mob.
Kauj Ruam 4. Txheeb xyuas kab mob orchitis
Orchitis, uas yog tshwm sim los ntawm kev kis tus kab mob, ua rau mob sai thiab o tuaj hauv cov noob qes. Mob hnyav thiab o yuav tshwm sim hauv cov noob qes. Orchitis tshwm sim los ntawm tus kab mob qhua pias orchitis virus (kev kis tus kab mob uas tshwm sim ntau zuj zus vim tsis tau txhaj tshuaj MMR thaum muaj hnub nyoog 11 hlis). Kwv yees li 20-30% ntawm cov menyuam yaus uas muaj kab mob qog noj ntshav yuav mob qog noj ntshav. Mumps orchitis feem ntau tshwm sim ib lub lim tiam tom qab pib mob parotitis, uas yog o ntawm lub qog parotid hauv qab lub puab tsaig.
Tsis muaj tshuaj kho tus kab mob qhua pias orchitis, tab sis nws tuaj yeem ua rau muaj menyuam tsis taus. Tib txoj hauv kev los daws qhov no yog los ntawm kev muab kev saib xyuas txhawb nqa, xws li cov tshuaj tua kab mob thiab txias txias
Kauj Ruam 5. Txheeb xyuas kab mob sib kis (STIs)
Hauv kev sib deev kis los ntawm kev sib deev, cov tsos mob tshwm sim yog mob hauv cov noob qes uas tuaj yeem nrog qhov kub hnyiab thaum tso zis. Qhov pib ntawm cov tsos mob no tshwm sim maj mam thiab siv sijhawm ob peb lub lis piam los xav. Qhov mob qhov quav kuj tseem tuaj yeem cuam tshuam nrog cov tsos mob xeev siab thiab ntuav, nrog rau mob plab. Cremasteric reflex tshwm sim ib txwm muaj tus kab mob no.
- Kev kuaj mob ultrasound yuav qhia txog vascularity ntau ntxiv, hnab ntim kab mob, lossis tsim tawm.
- Koj kuj tseem yuav pom lwm cov tsos mob xws li tso zis lossis ntshav hauv cov zis.
Kauj Ruam 6. Saib xyuas cov tsos mob ntawm epididymo-orchitis
Qhov mob los ntawm kev kis tus kab mob no tuaj yeem tshwm sim sai, hauv ib hnub. Cov kab mob epididymis thiab cov noob qhe swell sai thiab ua rau loj, liab, thiab mob heev. Tus kab mob no tseem yuav ua rau mob hnyav.
Koj kuj tseem yuav muaj lwm yam kab mob xws li mob hauv cov kab mob tso zis lossis kis kab mob hauv lub qhov zis
Kauj Ruam 7. Khiav kuaj sim
Kev kuaj hauv chaw kuaj ntshav muaj txiaj ntsig zoo txhawm rau kuaj pom tus kab mob. Koj tus kws kho mob yuav kuaj kab mob xws li E. coli hauv koj cov zis. Yog tias koj muaj kev sib deev, koj tus kws kho mob tuaj yeem kuaj mob Chlamydia lossis Gonorrhea hauv cov zis tso zis nrog cov tshuaj multiplex polymerase chain reaction (M-PCR).
Kev kuaj mob ultrasound feem ntau ua tiav hauv txhua kis mob ntawm qhov mob thiab qhov o txhawm rau txiav txim siab yog tias muaj teeb meem loj dua
Txoj Kev 3 ntawm 3: Tiv Thaiv Nrog Mob Mob
Kauj Ruam 1. Kho kab mob
Cov txiv neej ntawm txhua lub hnub nyoog tuaj yeem tsim tus kab mob uas ua rau mob qog noj ntshav, los ntawm E. coli lossis lwm yam kab mob. Lub caij no, rau cov txiv neej laus, benign prostate enlargement plays lub luag haujlwm tseem ceeb hauv qhov tshwm sim ntawm tus kab mob no. Cov kab mob uas tau sau rau hauv cov qog prostate yuav txwv tsis pub tshem tawm cov zis los ntawm lub zais zis. Vim li ntawd, kab mob E. coli lossis lwm yam kab mob hauv lub plab tuaj yeem rov tshwm sim dua thiab ua rau kis mob.
- Kev kho mob kom kov yeej qhov no suav nrog muab Bactrim DS lossis tshuaj tua kab mob quinolone. Lub sijhawm kho yog kwv yees li 10 hnub, tshwj tsis yog muaj teeb meem prostate concomitant, uas xav tau kev kho mob ntev dua.
- Feem ntau, Prehn tus cim tuaj yeem txo cov tsos mob ntawm kev kis kab mob. Mob khaub thuas tuaj yeem pab tau.
- Koj tuaj yeem daws qhov mob nrog Panadol, Motrin, lossis muaj zog (sau tseg) tshuaj yeeb rau ob peb hnub.
Kauj Ruam 2. Kho kab mob sib kis
Tus kab mob no tuaj yeem kho nrog tshuaj tua kab mob. Koj tus kws kho mob yuav sau ntawv ceftriaxone tom qab azithromycin lossis doxycycline. Cov tsos mob yuav tsum txhim kho hauv 24-48 teev. Thaum tos kom cov tshuaj tua kab mob siv tau, koj tuaj yeem thov kom txias thiab txhawb nqa cov noob qes kom pab daws qhov mob. Koj kuj tseem tuaj yeem siv tshuaj tua kab mob, tshwj xeeb tshaj yog thawj ob peb hnub.
Kauj Ruam 3. Kho qhov hnoos qeev
Kev raug mob rau cov noob qes vim kev sib tw ua rau lub noob qes tsis tau txais cov ntshav txaus. Qhov no feem ntau tshwm sim tom qab ntau hom kev raug mob, xws li poob ntawm lub tsheb kauj vab thiab ua rau lub puab tais. Kev raug mob hnyav heev tuaj yeem ua rau cov phev ducts sib tw thiab xav tau kev phais. Txhua xyoo, qhov kev raug mob no cuam tshuam txog 3.8% ntawm 100,000 tus txiv neej hnub nyoog qis dua 18 xyoo.
- Kev kuaj pom ntxov ntawm cov qog ntshav uas nyob hauv qhov hnoos qeev thiab qhov tsis muaj Cremasteric reflex yog txaus los txiav txim siab phais. Cov txheej txheem no tuaj yeem pab tiv thaiv orchidectomy, uas yog kev phais tshem cov noob qes.
- Txawm tias raug mob me me tuaj yeem ua rau o, mob, kub cev, thiab nce ntxiv thiab xav kom tso zis.
- Lub sijhawm ncua ntawm kev raug mob thiab phais yog li 4-8 teev. Qhov no yuav tiv thaiv kev puas tsuaj loj rau cov phev cov phev uas yuav tsum tau kho tam sim ntawd txhawm rau tiv thaiv kev tshem tawm ntawm cov noob qes. Txawm hais tias kho sai, qhov nruab nrab feem pua ntawm orchidectomy yog 42%. Lub caij no, kev ncua sijhawm kuaj mob tuaj yeem ua rau orchidectomy thiab tej zaum muaj menyuam tsis taus.
