Balanoposthitis yog ib qho o ntawm ob sab hauv cov tawv nqaij thiab tawv taub hau. Nws tuaj yeem tshwm sim los ntawm kev sib kis lossis tsis kis kab mob ntawm daim tawv nqaij, lossis los ntawm cov qog. Feem ntau ntawm balanoposthitis tau kuaj pom los ntawm kev kuaj lub cev. Kev tu cev qau zoo yog ob qho kev kho mob thiab ib txoj hauv kev los tiv thaiv balanoposthitis. 

Balanoposthitis yog kev sib kis ntawm kab mob ntawm lub taub hau thiab tawv taub hau, thiab yog tias nws kav ntev dua plaub lub lis piam, balanoposthitis hu ua mob hnyav. Dhau qhov ntawd, txoj kev hlub dhau mus ntev.

Ua rau

Balanoposthitis tuaj yeem pib nrog kev kis kab mob yooj yim ntawm daim tawv nqaij ntawm lub qhov muag (balanitis) lossis yooj yim o ntawm cov tawv nqaij (posthitis).

Qhov ua rau mob ntawm tus noov tuaj yeem yog keeb kwm:

Kis tau

• Candidiasis, kis kab mob ntawm cov genus candida
• Chancroid, tus mob tshwm sim los ntawm Ducrey's bacillus cog lus thaum ua kev sib deev
• Kev ua paug ntawm qhov zis vim muaj kab mob kis (chlamydia, Neisser's gonococcus) lossis kab mob parasitic (Trichomonas vaginalis)
• Tus kab mob kis tau Herpes simplex
• Molluscum sib kis, cov qog nqaij hlav benign
• Scabies, kab mob ntawm daim tawv nqaij tshwm sim los ntawm kab kab mite (Sarcopts kab mob)
• mob syphilis
• Kev tso zis tso rau hauv qab tawv taub hau tuaj yeem kis tus kab mob thiab ua rau posthitis

Tsis kis kab mob

• Muaj Ntawv Tso Cai
• Tiv tauj kab mob dermatitis tshwm sim los ntawm kev ua xua lossis ua xua (cov yas los ntawm cov hnab yas)
• Psoriasis, ib qho mob ntawm daim tawv nqaij uas tshwm sim li liab thiab ua rau tawv nqaij tawg
• Seborrheic dermatitis, o ntawm thaj tsam ntawm daim tawv nqaij nrog ntom ntom siab ntawm cov qog sebaceous

Tumor

• Bowen tus kab mob, qog nqaij tawv
• Queyrat's erythroplasia, ib qho mob qog noj ntshav hauv qhov chaw mos

diagnostic

Feem ntau ntawm balanoposthitis tau kuaj pom los ntawm kev kuaj lub cev.

Tus kws kho mob yuav tsum nug tus neeg mob txog qhov ua tau siv cov hnab looj yas looj.

Cov neeg mob yuav tsum raug kuaj rau qhov ua rau kis mob thiab tsis ua rau kis mob. Cov qauv los ntawm cov nplaim hluav taws xob tau tshuaj xyuas hauv lub tshuab tsom iav. Yog tias tus kab mob rov tshwm sim, cov qauv tuaj yeem xa mus rau lub chaw sim rau kev tsim kom pom cov kab mob uas tiv taus.

Thaum kawg, yuav tsum kuaj ntshav qab zib.

Cov neeg txhawj xeeb

Balanoposthitis cuam tshuam rau ob tus txiv neej txiav plaub hau ib yam li cov uas tsis yog. Tab sis qhov xwm txheej muaj teeb meem ntau dua rau cov txiv neej tsis tau txiav plaub hau vim thaj chaw kub thiab av noo nyob rau hauv daim tawv nqaij ua rau pom kev zoo rau kev loj hlob ntawm cov kab mob sib kis.

Risk yam tseem ceeb

Balanoposthitis tau nyiam los ntawm:

• Ntshav qab zib mellitus, cov teeb meem uas suav nrog kev mob siab rau kis mob.
• Phimosis, qhov txawv txav ntawm qhov preputial orifice uas tiv thaiv qhov pom ntawm qhov muag. Phimosis tiv thaiv kev nyiam huv. Kev zais hauv qab tawv taub hau tuaj yeem kis tus kab mob anaerobic, ua rau mob.

Cov tsos mob tseem ceeb feem ntau tshwm sim ob lossis peb hnub tom qab sib deev:

I

Balanoposthitis thawj zaug tshwm sim los ntawm qhov o thiab o ntawm qhov chaw mos (glans thiab tawv taub hau)

Cov tsos mob sab nrauv

Qhov mob feem ntau yog los ntawm qhov txhab, qhov pom ntawm qhov sib txawv nyob ntawm qhov ua rau: dawb lossis liab me ntsis, erosions ntawm qhov mucosa, erythema, thiab lwm yam. .

mob

Balanoposthitis tuaj yeem ua rau mob, khaus thiab khaus hauv chaw mos.

Tom qab ntawd, lwm cov tsos mob tuaj yeem tshwm sim:

• Balanoposthitis tuaj yeem ua rau muaj qhov txawv txav ntawm cov tawv taub hau
• Yog tias nws tsis yog qhov ua rau, phimosis tuaj yeem sib txuas ua ke mus rau balanoposthitis zoo li paraphimosis (kev sib zog ntawm cov tawv taub hau nyob hauv txoj haujlwm thim rov qab)
• Inguinal lymphadenopathy: pathological nce hauv qhov loj me ntawm cov qog ntshav nyob hauv puab tais

Ua thawj kauj ruam, kev txhim kho cov tsos mob xav tau kev nyiam huv ntawm tus qau (saib tshooj Kev Tiv Thaiv)

Tom qab ntawd kev kho mob nyob ntawm qhov ua rau:

• Kab mob kis tau kho nrog tshuaj tua kab mob
• Kev kis tus kab mob tuaj yeem kho nrog cov tshuaj tua kab mob fungal, thiab tej zaum yog cortisone
• Tiv tauj dermatitis yog kho los ntawm kev zam cov khoom uas ua rau mob

Yog tias tus kab mob balanoposthitis tsis teb rau qhov kev kho mob, tus neeg mob yuav tsum sab laj nrog kws tshaj lij (kws kho mob tawv nqaij, urologist). Hauv qee kis, nws yog qhov yuav tsum tau tshem tawm cov tawv taub hau.

Kev tiv thaiv ntawm balanoposthitis xav tau kev tu cev zoo. Hauv da dej, koj yuav tsum ua tib zoo thim cov tawv taub hau kom nthuav tawm qhov glans (hauv cov tub hluas hnub nyoog qis dua 3 xyoos, tsis txhob thim rov qab nws kiag li) thiab cia cov tawv taub hau thiab qhov taub ntawm qhov chaw mos kom huv los ntawm cov dej ntws. Nws yog ib qho tsim nyog yuav nyiam cov xab npum uas tsis muaj ntxhiab nrog pH nruab nrab. Qhov taub ntawm qhov chaw mos thiab qhov tawv taub hau yuav tsum qhuav kom tsis txhob txhuam lawv.

Thaum tso zis, daim tawv nqaij yuav tsum tau muab tshem tawm kom cov zis tsis ntub nws. Tom qab ntawd koj yuav tsum tau qhuav qhov taub ntawm qhov chaw mos ua ntej hloov daim tawv taub hau.

Rau cov tib neeg uas muaj tus kab mob balanoposthitis tom qab sib deev, yuav tsum tau muab cov qau tawm tam sim ntawd tom qab sib deev.