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Epididymitis (Scrotal Pain) | Causes, Risk Factors, Signs & Symptoms, Diagnosis, Treatment
Daim Duab: Epididymitis (Scrotal Pain) | Causes, Risk Factors, Signs & Symptoms, Diagnosis, Treatment

Epididymitis yog o (mob) ntawm lub raj uas txuas lub noob qes nrog rau tus kabmob vas deferens. Txoj yas hu ua epididymis.

Epididymitis feem ntau rau cov tub hluas hnub nyoog 19 txog 35. Feem ntau nws tshwm sim los ntawm kev kis tus kab mob. Kev kis mob feem ntau pib tso zis, zis rau lub zais zis, lossis zais zis. Kab mob gonorrhea thiab mob chlamydia yog feem ntau ua rau muaj teeb meem rau tus txiv neej hluas heterosexual. Hauv cov menyuam yaus thiab cov txiv neej laus dua, nws tshwm sim ntau tshaj los ntawm E coli thiab cov kab mob zoo sib xws. Qhov no kuj muaj tseeb rau cov txiv neej uas sib deev nrog tus txiv neej.

Mycobacterium tuberculosis (TB) tuaj yeem ua rau kis tus mob sib kis. Lwm cov kab mob (xws li Ureaplasma) kuj tseem tuaj yeem ua rau tus mob.

Amiodarone yog cov tshuaj uas tiv thaiv lub plawv tsis zoo. Cov tshuaj no tseem tuaj yeem ua rau epididymitis.

Cov hauv qab no ua rau muaj kev pheej hmoo rau epididymitis:

  • Kev phais niaj hnub no
  • Cov teeb meem yav dhau los teeb meem hauv lub mob txeeb zig
  • Kev siv txoj hlab zis rau txoj hlab zis
  • Kev sib deev sib deev nrog ntau dua ib tus khub thiab tsis siv hnab looj
  • Ntug prostate

Epididymitis yuav pib nrog:


  • Tsawg kub taub hau
  • Ua daus no
  • Hnov cov qhov hnyav hauv cheeb tsam cov noob qes

Lub cheebtsam ntsuas qes yuav tau txais ntau qhov nkag siab los txhawm. Nws yuav dhau los ua qhov mob zuj zus. Kev kis mob hauv tus mob epididymis tuaj yeem sib kis yooj yim rau cov noob qes.

Lwm cov tsos mob muaj xws li:

  • Cov ntshav hauv cov phev
  • Kev tso tawm ntawm lub qhov zis (qhov qhib ntawm qhov kawg ntawm chaw mos)
  • Kev tsis xis nyob hauv qab plab lossis plab mog
  • Cov qog nyob ze rau cov noob qes

Cov tsos mob tshwm sim tsawg yog:

  • Mob lub sij hawm ejaculation
  • Mob los yog mob thaum tso zis
  • Kev mob nkees nkees heev (mob ua paug)
  • Kev sib tw, o, thiab zuaj thaj tsam ntawm thaj chaw uas cuam tshuam
  • Cov noob qes ua kom mob ntau dua qub thaum tso quav

Cov tsos mob ntawm kev mob sib kis yuav zoo ib yam li cov noob qes txhaws, uas yuav tsum tau kho sai.

Kev kuaj lub cev yuav pom ib qho xim liab, mos mos ntawm qhov chaw tiv thaiv ntawm txha caj qaum. Koj yuav muaj kev sib tw hauv thaj chaw me me ntawm cov noob qes uas qhov chaw sib txuas nrog cov kab mob sib kis. Ntau qhov chaw o tuaj yeem tsim nyob ib ncig ntawm lub qog.


Lub qog ua haujlwm nyob hauv thaj chaw ua ntshav. Kuj tseem tuaj yeem tso tawm tawm ntawm qhov qau. Txoj kev kuaj mob rau hauv lub qhov ncauj tuaj yeem qhia tias muaj mob qog nqaij lossis tawv nruj.

Cov kev ntsuas no tuaj yeem ua:

  • Ua kom tiav cov ntshav suav (CBC)
  • Doppler ultrasound
  • Kev kuaj kab mob (tshuaj tua kab mob nuclear)
  • Urinalysis thiab kev coj noj coj ua (tej zaum koj yuav xav tau muab ntau cov qauv, nrog rau kev pib kwj tawm, cov kwj hauv nruab nrab, thiab tom qab prostate zaws)
  • Kev kuaj mob mob chlamydia thiab gonorrhea

Koj tus kws kho mob yuav muab tshuaj los kho tus mob. Cov kab mob kis los ntawm kev sib deev xav tau tshuaj tua kab mob. Koj cov khub kev sib deev yuav tsum raug kho thiab. Koj yuav tsum muaj cov tshuaj loog thiab tshuaj tua kab mob.

Yog tias koj noj tshuaj amiodarone, koj yuav tsum txo qis koj li tshuaj lossis hloov koj cov tshuaj. Tham nrog koj tus kws kho mob.

Yuav kom tsis xis nyob:

  • So kom pw nrog lub hau hauv qhov av siab kom siab.
  • Siv ib qho dej khov ntim rau hauv thaj chaw mob.
  • Hnav ris tsho hauv qab nrog kev txhawb nqa ntau.

Koj yuav tsum tau nrog koj tus kws kho mob tham ntxiv kom paub tseeb tias tus kab mob tau tshem tawm mus tas li.


Epididymitis feem ntau zoo dua tuaj nrog kev siv tshuaj tua kab mob. Feem ntau tsis muaj kev sib deev ntev lossis teeb meem ntawm kev ua me nyuam hauv feem ntau. Txawm li cas los xij, tus mob yuav rov qab los.

Cov teeb meem suav nrog:

  • Qog hauv qhov nquav ntawd
  • Ntev (mob ntev) epididymitis
  • Qhib ntawm daim tawv nqaij ntawm qhov nqhuab
  • Kev tuag ntawm cov pob txha mos vim yog tsis muaj ntshav (testicular infarction)
  • Ntxiv lawm tshob

Qhov mob ceev ceev thiab hnyav hauv pob txha ntshav yog mob kub ntxhov. Koj yuav tsum tau mus ntsib kws kho mob sai li sai tau.

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm tus mob epididymitis. Mus rau chav kho mob maj nrawm lossis hu rau tus npawb xov tooj xwm ceev hauv nroog (xws li 911) yog tias koj mob sai, mob rau cov noob qes lossis mob mob tom qab raug mob.

Koj tuaj yeem tiv thaiv cov kev muaj mob yog tias koj tau kuaj thiab kho thaum ntxov.

Koj tus kws kho mob yuav muab tshuaj tua kab mob ua ntej kev phais mob. Qhov no vim tias qee qhov kev phais yuav nce qhov kev pheej hmoo rau tus mob epididymitis. Siv kev nyab xeeb kev sib deev. Zam kev deev ntau tus khub thiab siv hnab looj. Qhov no tuaj yeem pab tiv thaiv cov kab mob sib kis los ntawm kev sib kis los ntawm kev sib deev.

  • Txiv neej deev aatomy
  • Cov ntshav hauv phev
  • Txoj kev phev
  • Cov txiv neej deev

Geisler WM. Cov kab mob tshwm sim los ntawm tus mob chlamydiae. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 302.

Pontari M. Kev mob thiab mob ntawm tus txiv neej genitourinary huam: mob prostatitis thiab mob mob, orchitis, thiab epididymitis. Hauv: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein UrologyCov. 12th ed. Philadelphia, PA: Elsevier; 2021: chap 56.

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