Almost any infectious disease can cause the development of inflammation of the appendage of eggs - epididimitis, and it, in turn, sometimes leads to infertility. Important at the first signs of illness to consult a doctor. All the details about the epididid read in the article.
Content
Epididiment - inflammation of the appendage of eggs. Sometimes epidididimitis is a complication of a common infectious disease - influenza, pneumonia, angina or some other. But most often epididimitis occurs in chronic inflammatory disease of the urinary organs - urethritis, prostatitis, vesiculite. The emergence of epididimitis often contributes to the injury of scrotum, crotch, pelvis, as well as all those factors that contribute to the blood of blood in a small pelvis. Most often, epidididitis proceeds sharply, but chronic inflammation of the appendage of eggs is also found.
A special type of epididiment is the emergence of this disease after sterilization - dressing or removal of seed-handing ducts. At the same time, the spermatozoa formed in the testicles do not have time to dissipate, accumulate in the appendens and cause inflammation.
The disease begins acutely with the appearance of pain in one half of the scrotum and its increase. Pain can spread in groin, crotch, sometimes even in the sacrifices and lower back, is sharply intensified when moving. The scrotum on the side of the lesion increases, her skin bluses, loses its folds due to edema. At the same time, the patient increases the body temperature to 38-39°C, the general symptoms of inflammatory disease appear - weakness, headache, loss of appetite, etc. The appendage of eggs increases, becomes dense, sharply painful when touched him.
In the absence of treatment in a few days, the inflammatory process in the appendat of the egg can lead to its suppuration. In this case, the patient's condition deteriorates sharply, the body temperature increases, the skin of the scrotum becomes glossy, sharply painful when touched. Another complication of epididimitis is the transition of inflammation on the testicle, the development of acute orchitis. With a long flow of the inflammatory process in its final, a connecting tissue can be ruled out, which will result in the obstruction of the appendage of eggs for spermatozoa. With bilateral epididit, it will cause infertility.
With light shapes of epididimitis, patients are treated at home, hospitalization is carried out only when there is a possibility of developing the complications of the disease. Sick epididiment must observe a strict bed. To ensure immobility of the scrotum, it is given a fixed sublime position (with the help of a rolled towel). For the period of treatment it is necessary to comply with a diet that excludes acute and fried food. During acute inflammation, the local application of cold is needed - a cold compress on the scrotum or ice (session duration of 1-2 hours, a break for at least 30 minutes).
The disease must be treated, which led to the development of epididimitis. Antibiotics, enzymes, resorption drugs, vitamins are also prescribed. When a sharp inflammatory process in the appendage of eggs subside, use thermal procedures for scrotum, physiotherapy.
In the development of suppuration, the appendage of the egg is operational - opening and drainage of the ulotnik, in severe cases - removal of the appendage.
Chronic epidididimitis more often develops with specific inflammatory diseases (syphilis, tuberculosis) or after sterilization of a man. It is manifested by a constant or periodically arising pain in the testicle, especially when walking. Pain can give in groin, sacrons, lower back. Temperature of the body regularly rises to 37°WITH. The appendage of eggs to the touch is dense, painful, with sealing sites.
Chronic epidididimitis more often than acute, happens bilateral and has a much greater chance to lead to infertility.
Treatment of chronic epididimitis is fundamentally the same as acute, but more long-term, with a large focus on local treatment, physiotherapeutic procedures. With the unsuccessfulness of conservative therapy and the development of complications, they resort to epididimectomy - operational removal of appendages of eggs.
Epididiment Prevention Measures
Prevention consists in the treatment of chronic inflammatory diseases of the urinary organs, primarily chronic urethritis and prostatitis. In other cases, it is necessary to carefully listen to their feelings, especially if it happened to move the total infectious disease (acute pneumonia, angina) or get injured scrotum, and with the slightest suspicion of the appearance of epididimitis immediately seek help from the urologist.
