一(yi)、左邊睪丸隱(yin)隱(yin)作痛怎么回事
1、睪(gao)(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)隱(yin)(yin)痛(tong)(tong)(tong)可能(neng)是(shi)睪(gao)(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)炎:睪(gao)(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)炎除了睪(gao)(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)隱(yin)(yin)痛(tong)(tong)(tong)外(wai)還(huan)(huan)(huan)常見以(yi)下(xia)(xia)癥狀,睪(gao)(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)疼痛(tong)(tong)(tong)并向(xiang)腹(fu)股(gu)溝(gou)放射,有(you)明顯(xian)(xian)(xian)的(de)下(xia)(xia)墜感覺,并伴有(you)高熱、惡心、嘔(ou)吐、白細胞(bao)升(sheng)高等,同(tong)時睪(gao)(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)腫大(da)、壓痛(tong)(tong)(tong)非(fei)常明顯(xian)(xian)(xian),陰囊(nang)皮膚紅(hong)腫。發現這種情況(kuang),需(xu)要及時到醫院(yuan)診治。2、睪(gao)(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)隱(yin)(yin)痛(tong)(tong)(tong)可能(neng)是(shi)附(fu)睪(gao)(gao)(gao)(gao)(gao)(gao)炎:睪(gao)(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)隱(yin)(yin)痛(tong)(tong)(tong)若為附(fu)睪(gao)(gao)(gao)(gao)(gao)(gao)炎,您(nin)看您(nin)是(shi)還(huan)(huan)(huan)有(you)其(qi)他癥狀,如陰囊(nang)脹(zhang)痛(tong)(tong)(tong),沉(chen)墜感,下(xia)(xia)腹(fu)部(bu)及腹(fu)股(gu)溝(gou)部(bu)有(you)牽扯(che)痛(tong)(tong)(tong),站(zhan)立或行走時加劇(ju)。患側附(fu)睪(gao)(gao)(gao)(gao)(gao)(gao)腫大(da),有(you)明顯(xian)(xian)(xian)壓痛(tong)(tong)(tong)。炎癥范圍較(jiao)大(da)時,附(fu)睪(gao)(gao)(gao)(gao)(gao)(gao)和睪(gao)(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)均(jun)有(you)腫脹(zhang),兩者界限觸摸不(bu)清(qing),稱為附(fu)睪(gao)(gao)(gao)(gao)(gao)(gao)睪(gao)(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)炎。患側的(de)精(jing)索增粗,亦有(you)壓痛(tong)(tong)(tong)。一(yi)(yi)般情況(kuang)下(xia)(xia),急(ji)性(xing)(xing)癥狀可于一(yi)(yi)周后(hou)逐漸消退(tui)。3、慢性(xing)(xing)前(qian)(qian)列(lie)(lie)腺(xian)(xian)炎:慢性(xing)(xing)前(qian)(qian)列(lie)(lie)腺(xian)(xian)炎由急(ji)性(xing)(xing)前(qian)(qian)列(lie)(lie)腺(xian)(xian)炎轉變而來。慢性(xing)(xing)前(qian)(qian)列(lie)(lie)腺(xian)(xian)炎的(de)疼痛(tong)(tong)(tong)并不(bu)止局限在(zai)尿道和會陰、睪(gao)(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)隱(yin)(yin)痛(tong)(tong)(tong),還(huan)(huan)(huan)會向(xiang)其(qi)附(fu)近放射,以(yi)下(xia)(xia)腰(yao)痛(tong)(tong)(tong)最為多見。另外(wai),陰莖、精(jing)索、睪(gao)(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)陰囊(nang)、小腹(fu)、腹(fu)股(gu)溝(gou)區、大(da)腿、直腸等處均(jun)可受累。在(zai)對(dui)左邊睪(gao)(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)隱(yin)(yin)隱(yin)(yin)作痛(tong)(tong)(tong)怎么回事認識后(hou),治療男(nan)(nan)性(xing)(xing)左邊睪(gao)(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)隱(yin)(yin)隱(yin)(yin)作痛(tong)(tong)(tong)的(de)時候,男(nan)(nan)性(xing)(xing)要注意(yi)一(yi)(yi)定要積極配合,而且治療過程中,男(nan)(nan)性(xing)(xing)不(bu)能(neng)有(you)性(xing)(xing)生(sheng)活,否則對(dui)疾病治療沒(mei)有(you)任(ren)何幫助的(de),這點男(nan)(nan)性(xing)(xing)也是(shi)需(xu)要進行注意(yi)。
二、睪丸炎疾病具有哪些危害(hai)
睪(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)炎(yan)(yan)疾(ji)病(bing)(bing)是(shi)我們生(sheng)(sheng)活(huo)(huo)當中(zhong)很常(chang)見的(de)疾(ji)病(bing)(bing),出(chu)現了這樣的(de)疾(ji)病(bing)(bing)會(hui)給(gei)患者帶去健(jian)康危害(hai),只(zhi)要(yao)(yao)我們患者重(zhong)視(shi)做(zuo)好積極的(de)治(zhi)(zhi)療和護理才能(neng)夠(gou)減少一(yi)些(xie)危害(hai)發生(sheng)(sheng),那么說(shuo)到這里(li)人們一(yi)定想要(yao)(yao)了解睪(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)炎(yan)(yan)疾(ji)病(bing)(bing)的(de)危害(hai)以(yi)及治(zhi)(zhi)療方法(fa)有什么?下面一(yi)起來(lai)(lai)(lai)看小(xiao)編的(de)介紹(shao)。專家指出(chu),睪(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)炎(yan)(yan)的(de)發生(sheng)(sheng)對男性(xing)身體造(zao)成的(de)影響主要(yao)(yao)有以(yi)下幾(ji)點(dian):1、精損(sun)腎(shen)虧(kui):睪(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)炎(yan)(yan)若久治(zhi)(zhi)不愈易(yi)造(zao)成精損(sun)腎(shen)虧(kui)、元(yuan)氣耗損(sun)、肢體嚴(yan)寒、腰酸背疼(teng)、提早衰老(lao)。2、影響睪(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)正常(chang)功能(neng):睪(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)炎(yan)(yan)患者的(de)精子(zi)活(huo)(huo)力異常(chang),會(hui)出(chu)現質量和數量下降的(de)情況(kuang),從而(er)無法(fa)完(wan)成受孕(yun),治(zhi)(zhi)療睪(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)炎(yan)(yan)是(shi)治(zhi)(zhi)療精子(zi)活(huo)(huo)力低的(de)重(zhong)要(yao)(yao)前提。3、喪失生(sheng)(sheng)育(yu)能(neng)力:睪(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)炎(yan)(yan)還可(ke)導(dao)(dao)致死(si)精,無精,喪失生(sheng)(sheng)育(yu)能(neng)力,并且(qie)將炎(yan)(yan)性(xing)病(bing)(bing)菌(jun)傳染給(gei)配偶(ou),造(zao)成婦科(ke)疾(ji)病(bing)(bing),給(gei)妻子(zi)健(jian)康帶來(lai)(lai)(lai)巨大傷害(hai)。4、誘(you)發并發癥:睪(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)炎(yan)(yan)易(yi)誘(you)發各(ge)種嚴(yan)重(zhong)疾(ji)病(bing)(bing),如精索靜脈曲張、前列腺(xian)炎(yan)(yan),內分泌疾(ji)病(bing)(bing)、腎(shen)炎(yan)(yan)等腎(shen)臟疾(ji)病(bing)(bing)、泌尿感(gan)染疾(ji)病(bing)(bing)、惡(e)性(xing)腫(zhong)瘤(liu)等,嚴(yan)重(zhong)威脅男人生(sheng)(sheng)命。5、可(ke)致性(xing)功能(neng)喪失:睪(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)炎(yan)(yan)可(ke)導(dao)(dao)致男性(xing)性(xing)功能(neng)下降,甚至(zhi)完(wan)全(quan)喪失性(xing)功能(neng),給(gei)夫妻生(sheng)(sheng)活(huo)(huo)帶來(lai)(lai)(lai)困難。
三、睪(gao)丸(wan)炎如何進行治療呢(ni)
1、一(yi)般多(duo)用藥(yao)物治療(liao)關于(yu)急(ji)性(xing)附(fu)睪(gao)(gao)(gao)炎(yan)(yan)的(de)治療(liao),一(yi)般多(duo)用藥(yao)物治療(liao),常(chang)(chang)規應用抗生素,口服和靜脈皆(jie)可(ke)應用,但治療(liao)效果常(chang)(chang)常(chang)(chang)不佳。急(ji)性(xing)炎(yan)(yan)癥(zheng)(zheng)后呈(cheng)現(xian)(xian)(xian)慢(man)性(xing)過(guo)程(cheng),遺(yi)留有附(fu)睪(gao)(gao)(gao)慢(man)性(xing)炎(yan)(yan)癥(zheng)(zheng)結(jie)節呈(cheng)現(xian)(xian)(xian)癥(zheng)(zheng)狀,給病(bing)員(yuan)造(zao)成(cheng)很大痛苦。對于(yu)慢(man)性(xing)附(fu)睪(gao)(gao)(gao)結(jie)節炎(yan)(yan)癥(zheng)(zheng)癥(zheng)(zheng)狀明顯者(zhe)需(xu)手(shou)術(shu)切(qie)除。一(yi)般情況病(bing)員(yuan)無(wu)進一(yi)步治療(liao)要(yao)求者(zhe)可(ke)不做處理(li)。2、手(shou)術(shu)治療(liao)手(shou)術(shu)的(de)目的(de)在于(yu)松解精(jing)(jing)囊鞘(qiao)(qiao)膜,避(bi)免(mian)睪(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)的(de)壞死和萎(wei)縮。另一(yi)方面(mian)主(zhu)張(zhang)在急(ji)性(xing)期行附(fu)睪(gao)(gao)(gao)切(qie)除,使(shi)病(bing)損早日(ri)愈合,消(xiao)除以(yi)后的(de)慢(man)性(xing)期的(de)曠日(ri)持久(jiu)的(de)附(fu)睪(gao)(gao)(gao)炎(yan)(yan)性(xing)腫(zhong)塊(kuai),造(zao)成(cheng)精(jing)(jing)神上的(de)痛苦和折(zhe)磨以(yi)及經濟損失。手(shou)術(shu)治療(liao)的(de)理(li)由急(ji)行附(fu)睪(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)炎(yan)(yan)于(yu)患在后附(fu)睪(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)炎(yan)(yan)極度體(ti)(ti)積(ji)增(zeng)(zeng)大,這(zhe)種炎(yan)(yan)性(xing)包塊(kuai)有時體(ti)(ti)積(ji)達到(dao)超過(guo)睪(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)的(de)體(ti)(ti)積(ji)。臨床醫師常(chang)(chang)誤診(zhen)為是(shi)急(ji)性(xing)睪(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)腫(zhong)大。在手(shou)術(shu)中發現(xian)(xian)(xian)有睪(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)呈(cheng)現(xian)(xian)(xian)褐色(se),黑色(se),蒼白,睪(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)壞死而需(xu)作睪(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)切(qie)除。同時也有附(fu)睪(gao)(gao)(gao)的(de)腫(zhong)脹(zhang),增(zeng)(zeng)大,附(fu)睪(gao)(gao)(gao)內(nei)有炎(yan)(yan)性(xing)滲出膿(nong)液(ye)(ye)。需(xu)作附(fu)睪(gao)(gao)(gao)切(qie)除。并(bing)出現(xian)(xian)(xian)精(jing)(jing)囊腫(zhong)脹(zhang),睪(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)鞘(qiao)(qiao)膜炎(yan)(yan)性(xing)積(ji)液(ye)(ye)。精(jing)(jing)囊鞘(qiao)(qiao)膜增(zeng)(zeng)粗增(zeng)(zeng)厚(hou)。由于(yu)精(jing)(jing)囊鞘(qiao)(qiao)膜的(de)增(zeng)(zeng)厚(hou)腫(zhong)脹(zhang),可(ke)壓(ya)迫睪(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)附(fu)睪(gao)(gao)(gao)的(de)動(dong)脈,睪(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)附(fu)睪(gao)(gao)(gao)血(xue)循環(huan)減少,嚴(yan)重者(zhe)引起(qi)睪(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)缺血(xue)性(xing)壞死,睪(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)的(de)實(shi)質中曲精(jing)(jing)精(jing)(jing)管發生精(jing)(jing)組織受損,造(zao)成(cheng)睪(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)萎(wei)縮。
四、睪丸炎的表現癥(zheng)狀具(ju)有(you)哪些呢
睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)炎(yan)(yan)(yan)這(zhe)(zhe)樣的(de)(de)(de)(de)疾病(bing)(bing)發生之后(hou)對(dui)于男(nan)性(xing)(xing)(xing)健康(kang)是有(you)(you)著很(hen)大危害(hai)性(xing)(xing)(xing)的(de)(de)(de)(de),希望(wang)人(ren)(ren)們能夠(gou)做到(dao)(dao)早發現(xian)(xian)(xian)早治(zhi)療(liao)(liao),可(ke)是有(you)(you)很(hen)多(duo)人(ren)(ren)對(dui)睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)炎(yan)(yan)(yan)這(zhe)(zhe)樣的(de)(de)(de)(de)疾病(bing)(bing)癥(zheng)狀表(biao)(biao)現(xian)(xian)(xian)都不(bu)了(le)(le)(le)解(jie)(jie),更何談去預防和治(zhi)療(liao)(liao)疾病(bing)(bing)呢(ni),下(xia)(xia)(xia)面我(wo)們一(yi)(yi)起來了(le)(le)(le)解(jie)(jie)睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)炎(yan)(yan)(yan)疾病(bing)(bing)的(de)(de)(de)(de)癥(zheng)狀表(biao)(biao)現(xian)(xian)(xian)到(dao)(dao)底(di)有(you)(you)什么?睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)炎(yan)(yan)(yan)的(de)(de)(de)(de)患(huan)(huan)病(bing)(bing)癥(zheng)狀是十分(fen)明(ming)顯(xian)的(de)(de)(de)(de),最常(chang)(chang)見(jian)的(de)(de)(de)(de)癥(zheng)狀就是疼(teng)(teng)痛,所以(yi)(yi)如(ru)果睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)出(chu)現(xian)(xian)(xian)了(le)(le)(le)莫名(ming)其(qi)妙的(de)(de)(de)(de)疼(teng)(teng)痛感(gan)(gan)(gan)的(de)(de)(de)(de)時(shi)候就要注意了(le)(le)(le),因為很(hen)有(you)(you)可(ke)能就是睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)炎(yan)(yan)(yan)在作祟,睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)炎(yan)(yan)(yan)是由各種致病(bing)(bing)因素(su)(su)引(yin)起的(de)(de)(de)(de),睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)炎(yan)(yan)(yan)性(xing)(xing)(xing)病(bing)(bing)變可(ke)分(fen)為非特異(yi)性(xing)(xing)(xing)、病(bing)(bing)毒性(xing)(xing)(xing)、霉(mei)菌(jun)性(xing)(xing)(xing)、螺(luo)旋體性(xing)(xing)(xing)、寄生蟲性(xing)(xing)(xing)、損傷(shang)性(xing)(xing)(xing)、化(hua)學(xue)性(xing)(xing)(xing)等類型。睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)炎(yan)(yan)(yan)的(de)(de)(de)(de)癥(zheng)狀主要是以(yi)(yi)睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)的(de)(de)(de)(de)疼(teng)(teng)痛為最典型癥(zheng)狀,但疼(teng)(teng)痛一(yi)(yi)般(ban)有(you)(you)兩(liang)個(ge)方面的(de)(de)(de)(de)特點(dian)(dian),首先是非常(chang)(chang)明(ming)顯(xian)的(de)(de)(de)(de)劇(ju)烈(lie)疼(teng)(teng)痛,以(yi)(yi)及(ji)隱痛的(de)(de)(de)(de)特點(dian)(dian),臨床(chuang)上,主要是以(yi)(yi)前(qian)者(zhe)(zhe)為最常(chang)(chang)見(jian),因此,在出(chu)現(xian)(xian)(xian)疼(teng)(teng)痛時(shi),一(yi)(yi)定(ding)要注意及(ji)時(shi)確診。下(xia)(xia)(xia)面就男(nan)性(xing)(xing)(xing)睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)炎(yan)(yan)(yan)的(de)(de)(de)(de)主要癥(zheng)狀表(biao)(biao)現(xian)(xian)(xian)進行總結:1、睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)炎(yan)(yan)(yan)的(de)(de)(de)(de)出(chu)現(xian)(xian)(xian),患(huan)(huan)者(zhe)(zhe)就會(hui)出(chu)現(xian)(xian)(xian)睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)腫(zhong)(zhong)脹(zhang),隨著病(bing)(bing)菌(jun)的(de)(de)(de)(de)刺激患(huan)(huan)者(zhe)(zhe)還(huan)會(hui)感(gan)(gan)(gan)到(dao)(dao)睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)疼(teng)(teng)痛,并(bing)(bing)且發熱(re)(re),并(bing)(bing)且伴(ban)有(you)(you)寒顫。2、睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)炎(yan)(yan)(yan)不(bu)僅僅是睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)炎(yan)(yan)(yan)疼(teng)(teng)痛和腫(zhong)(zhong)脹(zhang),還(huan)會(hui)有(you)(you)很(hen)多(duo)的(de)(de)(de)(de)全(quan)身癥(zheng)狀,比如(ru)患(huan)(huan)者(zhe)(zhe)會(hui)感(gan)(gan)(gan)覺到(dao)(dao)高(gao)熱(re)(re)、寒戰、惡心、嘔吐,局部表(biao)(biao)現(xian)(xian)(xian)為睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)疼(teng)(teng)痛,有(you)(you)時(shi)呈劇(ju)痛,并(bing)(bing)向腹(fu)股(gu)溝(gou)放射,陰(yin)(yin)(yin)囊皮(pi)膚(fu)紅腫(zhong)(zhong),睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)腫(zhong)(zhong)大明(ming)顯(xian)并(bing)(bing)有(you)(you)觸痛。3、當男(nan)性(xing)(xing)(xing)出(chu)現(xian)(xian)(xian)了(le)(le)(le)睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)腫(zhong)(zhong)脹(zhang),病(bing)(bing)菌(jun)的(de)(de)(de)(de)刺激不(bu)斷的(de)(de)(de)(de)加劇(ju)會(hui)出(chu)現(xian)(xian)(xian)化(hua)膿(nong),膜(mo)上去就有(you)(you)積膿(nong)的(de)(de)(de)(de)感(gan)(gan)(gan)覺。男(nan)性(xing)(xing)(xing)睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)炎(yan)(yan)(yan)患(huan)(huan)者(zhe)(zhe)會(hui)伴(ban)有(you)(you)陰(yin)(yin)(yin)囊皮(pi)膚(fu)紅腫(zhong)(zhong)和陰(yin)(yin)(yin)囊內鞘膜(mo)積液,并(bing)(bing)有(you)(you)陰(yin)(yin)(yin)囊、大腿根部以(yi)(yi)及(ji)腹(fu)股(gu)溝(gou)區域放射痛等癥(zheng)狀。睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)炎(yan)(yan)(yan)患(huan)(huan)者(zhe)(zhe)要多(duo)臥(wo)床(chuang)休息(xi),將陰(yin)(yin)(yin)囊托起,局部熱(re)(re)敷。陰(yin)(yin)(yin)囊皮(pi)膚(fu)腫(zhong)(zhong)脹(zhang)明(ming)顯(xian),用(yong)(yong)50%硫(liu)酸鎂溶液濕(shi)熱(re)(re)敷,以(yi)(yi)利(li)炎(yan)(yan)(yan)癥(zheng)消退。疼(teng)(teng)痛劇(ju)烈(lie)時(shi)用(yong)(yong)止(zhi)痛藥(yao)效果不(bu)佳者(zhe)(zhe),可(ke)作患(huan)(huan)側(ce)精索(suo)封閉。全(quan)身用(yong)(yong)藥(yao)應選(xuan)廣(guang)譜或對(dui)革(ge)蘭陰(yin)(yin)(yin)性(xing)(xing)(xing)菌(jun)敏感(gan)(gan)(gan)的(de)(de)(de)(de)抗生素(su)(su),如(ru)青霉(mei)素(su)(su)、慶大霉(mei)素(su)(su)及(ji)各種頭孢菌(jun)素(su)(su)等。絕大多(duo)數情況下(xia)(xia)(xia),睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)炎(yan)(yan)(yan)的(de)(de)(de)(de)癥(zheng)狀都是非常(chang)(chang)明(ming)顯(xian)的(de)(de)(de)(de),并(bing)(bing)且需要注意的(de)(de)(de)(de)一(yi)(yi)點(dian)(dian)是,若是睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)一(yi)(yi)旦出(chu)現(xian)(xian)(xian)疼(teng)(teng)痛,一(yi)(yi)般(ban)都是由于睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)炎(yan)(yan)(yan)而(er)引(yin)起,要知道的(de)(de)(de)(de)是,睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)炎(yan)(yan)(yan)對(dui)患(huan)(huan)者(zhe)(zhe)的(de)(de)(de)(de)身體影響非常(chang)(chang)大,若是治(zhi)療(liao)(liao)不(bu)及(ji)時(shi),很(hen)可(ke)能引(yin)起不(bu)育(yu)的(de)(de)(de)(de)出(chu)現(xian)(xian)(xian)。綜上所述,人(ren)(ren)們對(dui)于睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)炎(yan)(yan)(yan)疾病(bing)(bing)的(de)(de)(de)(de)癥(zheng)狀表(biao)(biao)現(xian)(xian)(xian)已經有(you)(you)了(le)(le)(le)了(le)(le)(le)解(jie)(jie),了(le)(le)(le)解(jie)(jie)了(le)(le)(le)這(zhe)(zhe)些癥(zheng)狀表(biao)(biao)現(xian)(xian)(xian)才能夠(gou)幫助(zhu)患(huan)(huan)者(zhe)(zhe)在患(huan)(huan)有(you)(you)疾病(bing)(bing)的(de)(de)(de)(de)時(shi)候能夠(gou)早一(yi)(yi)些發現(xian)(xian)(xian)早一(yi)(yi)些做好治(zhi)療(liao)(liao),這(zhe)(zhe)樣的(de)(de)(de)(de)疾病(bing)(bing)發生之后(hou)危害(hai)性(xing)(xing)(xing)比較嚴重,也(ye)希望(wang)人(ren)(ren)們能夠(gou)做好對(dui)睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)(wan)炎(yan)(yan)(yan)疾病(bing)(bing)的(de)(de)(de)(de)預防。
左側睪(gao)(gao)(gao)丸(wan)突然疼(teng)痛(tong)(tong)(tong),首先要(yao)排除(chu)碰(peng)撞、外傷所致。其次考慮(lv)如下可(ke)(ke)能(neng):1、精索靜脈曲張,一(yi)般表(biao)現為曲張的(de)一(yi)側陰(yin)囊會(hui)陰(yin)部有(you)墜脹(zhang),嚴重者可(ke)(ke)以(yi)(yi)有(you)疼(teng)痛(tong)(tong)(tong)。一(yi)般疼(teng)痛(tong)(tong)(tong)可(ke)(ke)忍受,以(yi)(yi)前有(you)過發(fa)作。疼(teng)痛(tong)(tong)(tong)或(huo)有(you)精子質量的(de)影(ying)響,需(xu)要(yao)考慮(lv)手術(shu)。2、附睪(gao)(gao)(gao)-睪(gao)(gao)(gao)丸(wan)炎(yan),可(ke)(ke)表(biao)現為一(yi)側的(de)睪(gao)(gao)(gao)丸(wan)紅腫,疼(teng)痛(tong)(tong)(tong),嚴重的(de)可(ke)(ke)以(yi)(yi)伴有(you)發(fa)熱,和抵抗力(li)下降有(you)關。可(ke)(ke)急性起病(bing),需(xu)要(yao)抗感染治(zhi)療。3、睪(gao)(gao)(gao)丸(wan)扭轉(zhuan), 一(yi)般急性起病(bing),劇烈疼(teng)痛(tong)(tong)(tong),用手托舉睪(gao)(gao)(gao)丸(wan)疼(teng)痛(tong)(tong)(tong)會(hui)加重。耽誤時間(jian)長(chang)了,可(ke)(ke)以(yi)(yi)導致睪(gao)(gao)(gao)丸(wan)壞(huai)死。需(xu)急診手術(shu)。所以(yi)(yi)若有(you)睪(gao)(gao)(gao)丸(wan)疼(teng)痛(tong)(tong)(tong),有(you)條件(jian)建議盡早去正規醫院看泌尿(niao)外科(ke)或(huo)急診科(ke),彩(cai)超檢查明確病(bing)因好(hao)對癥治(zhi)療。
請具體說明一下情況,還有什么不正常的現象嗎?
如果只是疼(teng)(teng)痛(tong),而且是走路(lu)的(de)時候加(jia)劇疼(teng)(teng)痛(tong),平(ping)躺的(de)時候會有較大緩(huan)解(jie)的(de),那(nei)其實就(jiu)是簡單(dan)的(de)睪丸(wan)損傷(shang),本(ben)人(ren)上個(ge)月(yue)剛(gang)剛(gang)經(jing)歷過,檢查之后,沒有任何問題,醫(yi)生開了點散(san)瘀止痛(tong)的(de)藥物(wu),過7-10天就(jiu)會緩(huan)解(jie),如果還有其他的(de)不(bu)良反應,請(qing)及時就(jiu)醫(yi)。
病因及常見疾病
1.炎癥
睪丸炎是睪丸疼痛的常見原因。引起睪丸炎的原因非常多,如流行性腮腺炎患者,可并發睪丸炎,出現睪丸疼痛、腫大;淋病是目前發病率較高的性傳播疾病,嚴重時可引起睪丸炎,出現睪丸疼痛、腫大;慢性前列腺炎也可引起睪丸疼痛,表現為單側疼痛,多為鈍痛或牽拉痛,呈持續性,前列腺液顯微鏡檢查可見大量白細胞,患者多為青壯年,老年人少見。
2.扭轉
睪丸扭轉是陰囊內常見急癥之一。自新生兒至70歲老人都可發生,65%發生于12~19歲,一般發病前幾小時有劇烈活動,或睪丸受過外力。睡眠或安靜時突然發生睪丸劇烈疼痛是本病的首發癥狀,也是其主要診斷依據之一。部分病例伴有惡心嘔吐、陰囊腫脹、觸痛明顯。
3.損傷
睪丸在陰囊內的活動性較大,且有堅韌的白膜保護,發生閉合性損傷的機會較小。睪丸損傷大多與遭受暴力、車禍等有關。受傷后睪丸劇烈疼痛伴惡心、嘔吐,甚至發生昏厥或休克。體檢時有睪丸腫脹、輪廓不清或陰囊瘀血,壓痛明顯,B超和CT不但有助于本病的診斷,而且可明確睪丸損傷的部位和范圍。
4.缺血
睪丸缺血性疼痛多見于老年人,疼痛較劇烈,活動時加重,休息時緩解。前列腺液鏡檢正常,常因為睪丸動脈硬化致動脈狹窄。睪丸動脈粥樣硬化往往是全身性血管病變的局部表現,多為單側病變,左側較右側多見。
鑒別診斷
不同原因引起的睪丸疼痛癥狀有所不同。
1.感染導致
患者睪丸疼痛較劇烈,甚至如刀割樣,還會伴有發熱惡寒等全身癥狀,此時陰囊又紅又腫,觸碰睪丸則疼痛更加明顯。
(1)結核感染:多伴有泌尿系統或其他部位的結核病史,表現為睪丸隱隱作痛、小腹有墜脹感并伴有陰囊腫脹,嚴重時會流出膿液。用手觸及這些病變部位時,有凹凸不平的結節,質硬,并常與陰囊皮膚粘連。
(2)前列腺炎:引起的睪丸疼痛多伴有會陰部墜脹不舒服的感覺,還會有尿頻、尿急、尿痛、排尿困難等癥狀。
2.非感染導致
慢性睪丸疼痛也可能系精索靜脈曲張所致,或由其他部位的疼痛放射而來。
治療原則
在確定其病因的基礎上,可進行病因治療;一時查不出原因,則可做鎮靜和止痛的對癥治療。必要時可采用精索普魯卡因封閉的局部治療。
1.一般治療
臥床休息,局部熱敷及抬高陰囊,做提肛等,適當加強體育運動。
2.藥物治療
抗生素(su)對(dui)病(bing)毒性(xing)睪(gao)丸炎無效,但可(ke)(ke)以預防繼發性(xing)感染。細菌性(xing)睪(gao)丸炎患者可(ke)(ke)口服氟呱酸或泰利必(bi)妥,或靜(jing)滴(di)(di)青(qing)霉(mei)(mei)素(su)。青(qing)霉(mei)(mei)素(su)過敏者可(ke)(ke)用乳(ru)酸環沙星注射(she)液靜(jing)滴(di)(di),也可(ke)(ke)肌注慶大霉(mei)(mei)素(su)。
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