Orchitis

Orchitis o le fulafula (mumu) o le tasi pe o uma o le testicle.

Orchitis ono mafua mai i se siama. Tele ituaiga o siama ma siama e mafai ona mafua ai lenei tulaga.

O le siama e sili ona taatele e mafua ai le orchitis o mumps. E masani ona tupu i tama pe a maeʻa le matua. E masani ona tupu le Orchitis ile 4 ile 6 aso pe a amata le mumps.

Orchitis mafai foi ona tupu faʻatasi ma faʻamaʻi o le prostate poʻo le epididymis.

O le Orchitis atonu e mafua mai i faʻamaʻi pipisi mai feusuaiga (STI), pei o le gonorrhea poʻo le chlamydia. O le fua faatatau o feusuaʻiga feaveaʻi orchitis po o epididymitis e maualuga i alii tausaga 19 i le 35.

Mea lamatia mo feusuaʻiga feaveaʻi aofia ai:

• Faʻafeusuaiga e sili ona aʻafia
• Tele paga feusuaiga
• Talaaga o le tagata lava ia o le gonorrhea poʻo se isi STI
• Paʻaga feusuaʻi ma le faʻamaonia STI

O mea e ono aʻafia mo le orchitis e le mafua mai ile STI e aofia ai:

• Matua i le 45 tausaga
• Faʻaaoga umi o le Foley catheter
• Le tui puipuia e faasaga i mumps
• Faʻafitauli o le auala urinary na i ai i le fanau mai (fanau mai)
• Faʻateleina faʻamaʻi o le urinary tract
• Taotoga o le auala urinary (genitourinary taotoga)
• BPH (benign prostatic hyperplasia) - faʻateleina prostate
• Faʻamamaina Urethral (maʻila i totonu urinary tract)

Faʻailoga aofia ai:

• Tiga i le fualaʻau
• Toto i le suavai
• Faʻateʻa ese mai penis
• Fiva
• Tiga Groin
• Paʻu ma feusuaʻiga poʻo ejaculation
• Paʻu ma urination (disuria)
• Fula fulafula
• Agamalu, fulafula itu oona i itu afaina
• Agamalu, fulafula, mamafa lagona i le fualaʻau

E ono faʻaalia se suʻega faʻaletino:

• Faʻateleina pe faʻalava gland prostate
• Malu ma faʻalauteleina lymph nodes i le 'oʻona (inguinal) vaega i le itu aʻafia
• Agamalu ma faʻalauteleina testicle i le itu aʻafia
• Mumu poʻo le agamalu o scrotum

O suʻega e mafai ona aofia ai:

• Faitau atoa le toto (CBC)
• Faʻapitoa ultrasound
• Suʻega e siaki ai le chlamydia ma le gonorrhea (urethral smear)
• Urinalysis
• Urine culture (mama mama) - atonu e manaʻomia ni nai faʻataʻitaʻiga, e aofia ai le amataga vaitafe, ogatotonu, ma pe a maeʻa le faʻamalosi o le prostate

Togafitiga ono aofia ai:

• Antibiotics, pe a fai o le siama e mafua mai siama. (I le tulaga o gonorrhea po chlamydia, paaga feusuaʻi tatau foi ona togafitia.)
• Vailaau e tetee ai le namu.
• Paʻu vailaʻau.
• Moega malolo ma siitia scrotum ma aisa teuina i luga o le eria.

Mauaina o le saʻo faʻamaoniga ma togafitiga mo orchitis mafua mai siama mafai ona masani ona faʻatagaina le testicle ia toe faʻaleleia masani.

Oe o le a manaʻomia nisi faʻataʻitaʻiga e faʻateʻa testicular kanesa pe a fai o le testicle e le toe foʻi atoatoa i le masani pe a uma togafitiga.

Mumps orchitis e le mafai ona togafitia, ma o le taunuʻuga e mafai ona fesuiaʻi. O tamaloloa na maua i mumps orchitis e mafai ona faʻamamaina.

O nisi tama e maua i le orchitis e mafua mai i mumps o le a faʻavaivaia le toto (testicular atrophy).

Orchitis mafai foi mafua mafua infertility.

Isi faʻafitauli ono ono aofia ai:

• Faʻamaʻi mataʻutia
• Oti o le toto suka (testicular infarction)
• Fistula i luga o le paʻu o le scrotum (cutaneous scrotal fistula)
• Ua leai se togi

Ogaoga tiga i le scrotum poʻo testicle mafai ona mafua mai mimiloina o le testicular toto toto (torsion). Ole faʻalavelave faʻafuaseʻi lea e manaʻomia vave se taotoga.

O le fulafula fualaʻau e laititi pe leai foi tiga atonu o se faʻailoga o le kanesa faʻapitoa. Afai o le tulaga lea, oe tatau ona i ai se testicular ultrasound.

Vaʻai lau tausi soifua maloloina mo se suʻega peʻa iai sau faʻafitauli o le vaʻai.

Maua se fesoasoani faʻafomaʻi pe a iai ni ou tiga faʻafuaseʻi i le fualaʻau.

Mea e mafai ona e faia e puipuia ai le faʻafitauli aofia ai:

• Tuʻu tui puipui i mumps
• Faʻataʻitaʻi le saogalemu o amioga tau feusuaʻiga e faʻaititia ai lou ono maua e STI.

Epididymo - orchitis; Tamai pipisi

• Anatosi fanaua fanautama
• Tane faʻatupu faiga

Mason WH. Mumps I: Kliegman RM, Stanton BF, St.Geme JW, Schor NF, eds. Nelson Tusitusiga o Pediatrics. 20 ed. Filatelefia, PA: Elsevier; 2016: mata 248.

McGowan CC, Krieger J. Prostatitis, epididymitis, ma le orchitis. I totonu: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, ma Bennett's Mataupu Faavae ma Faʻataʻitaʻiga o Faamaʻi pipisi, Faʻafouina Lomiga. 8th ed. Filatelefaia, PA: Elsevier Saunders; 2015: mata 112.

Nickel JC. Faʻafitauli ma tiga tulaga o le tama tane genitourinary tract: prostatitis ma fesoʻotaʻiga tiga tulaga, orchitis, ma epididymitis. I le: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th lomiga. Filatelefia, PA: Elsevier; 2016: mata 13.