Bao quy dau bi do co sao khong co phai nen cat

Bao da quy dau bi do la trieu chung cua nhung benh ly nam khoa nguy hai. Benh nhan tuyet doi khong nen coi nhe truoc hien tuong nay co nguy co nguy hiem den he thong day than kinh cam thay, lo sao cung nhu nhung co quan sinh con.

Bao da quy dau bi do la boi vi dau?

Hien tuong bao da quy dau bi do co nguy co la nhung ton thuong nhat thoi khong dang quan ngai, Tuy thuoc vao nguyen do sinh san hay benh ly ma co cach can thiep hop ly. Nguyen do sinh san co nguy co la do:

• dang may rau "lam chuyen ay" tinh duc manh, tu thay the "lam chuyen ay" khong an toan hay dung qua nhieu nhung dang khang sinh kich duc, do choi tinh duc.
• "lam chuyen ay" tinh duc khong phong chong an toan, khong rua ray sach se co quan sinh san, dong can nuoc giai cung nhu bua sinh duc.
• Ngua ngay, tay do boi vi nhiem vi rut, nam, trung roi,…ky sinh o nep gap bao da quy dau.

Nhung benh ly bao da quy dau xay ra da dang bao gom co:

Chung dai bao quy dau hep

Bai dau duong vat cao, hep bao quy dau la nhung benh ly pho bien o dang may rau truong thanh. Nhung ma Neu bao da quy dau bi do, om chat dung dau duong vat trong moi truong hop se dan toi nhieu bien chung nguy hai. Hien tuong nay se tao dieu kien ?e bua sinh duc, nam cung nhu vi rut sinh soi hinh thanh nhung o nhiem trung, tay do cung nhu moc mun nhot.

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cach dieu tri:

• Cach thuc lon (tuot) bao da quy dau duoc dung cho nhung benh nhan bi hep dau duong vat nhe, tre nho hay tre vi thanh nien, phoi hop xoa khang sinh mo steroid ?e suy giam ma sat cung nhu noi long nhung mo.
• Cach cat bao da quy dau duoc thuc hien khi lon bao da quy dau khong dem lai hieu qua, dang may rau truong thanh cung nhu co trieu chung viem bao quy dau bien chung.

Viem bao quy dau

Viem bao quy dau la nguyen do co ban khien cho bao da quy dau bi do. Trong so do nhung nguyen do chu yeu dan toi nhiem trung bao gom su tan cong cua vi rut, nam men, vi rut HPV hay trung roi trichomonas. Trieu chung nay co nguy co xay ra o moi doi tuong, bao gom ca nguoi truong thanh cung nhu tre so sinh.

Benh nhan co nguy co nhan thay qua nhung trieu chung nhu su thay cua nhung dom trang nho o dau duong vat cung nhu mat trong bao da quy dau, bao da quy dau bi do, ngua ngay du doi, dau duong vat phinh to, tieu tien kho…

cach dieu tri:

• Thuoc/kem co steroid hay khang sinh mo co khang sinh dung cho nhiem khuan/trung roi.
• Khang sinh chong nam dung cho nam Candide giup cho suy giam nhe trieu chung cung nhu dieu tri nguon lay.
• dang may rau khong dung sua tam xong hay dung dich rua ray co nong cap do pH qua cao hay thap.
• Co nguy co dung xa phong tranh dang nhe, khong mui, nuoc tra xanh hay nuoc muoi tinh sinh san.

Benh lau

Benh lau la benh ly lay qua nhung con duong tinh duc xay ra o dang may rau cung nhu chi em boi vi vi rut gram am song cau khuan dan toi. Khi bi benh lau o dang may rau, "cau nho" hay bao da quy dau bi do cung nhu ra dich mu mau trang, kem theo dau don nhuc, tieu son nghiem trong.

Nhung trieu chung viem bao quy dau boi vi benh lau bao gom:

• Bao da quy dau bi tay do, be mat dau duong vat cang bong cung nhu lo sao phinh to, co nguy co kem theo dich mu hay khong.
• Nhung trieu chung benh viem nieu dao nhu dau don bung sau, benh dai buot, tieu co mu, tieu son, tieu ra mau…

cach dieu tri:

Tren thuc te van khong co cach dieu tri benh lau dac hieu, Hien gio nhung chuyen gia thuong hay dung khang sinh ceftriaxone (Rocephin), Spectinomycine (trobicin) ?e suy giam nhe trieu chung cua benh.

Voi nhung truong hop benh lau nang hon dung Ceftriaxone cong voi azithromycin hay doxycycline.

Benh mong ga

Benh mong ga boi vi vi rut human papilloma (HPV) dan toi, ?o cung chinh la benh ly lay qua nhung con duong tinh duc pho bien o dang may rau.

Benh mong ga khong kho lay cung nhu dieu tri mat di nhieu thoi diem, gia thanh. Boi vi the ?e phong chong nguy co bi benh mong ga, dang may rau can phai chu dong bao ve chinh minh truoc kha nang lay HPV lay qua nhung con duong tinh duc.

cach dieu tri:

• ?ot dien;
• dieu tri voi tia laser.
• Tiem khang sinh interferon.
• Thu thuat cat di voi cach cat lanh hay cryo.

Viem bao quy dau boi vi Vi khuan Candida

Bao da quy dau bi do cung co nguy co xuat phat Khoang nam Candida dan toi. Viem bao quy dau boi vi Vi khuan Candida cung la mot dang pho bien cua viem bao quy dau lo dang may rau. Voi dang may rau "lam chuyen ay" tinh duc khong duoc bao ve, rua ray co quan sinh san chua dung cach la nhung doi tuong co nguy co mac benh ly nay.

cach dieu tri:

?e dieu tri nam Candida dan toi viem bao quy dau, benh nhan duoc dung khang sinh co corticosteroid. Cu the nhu nhom Hydrocortison, prednisolon, betamethason… Ben canh do cho them dieu tri voi clotrimazol, nystatin, miconazol… .

Mun sinh duc

Mun sinh duc boi vi vi rut co ten herpes simplex (herpes simplex vi rut – HSV) dan toi cung la nguyen do khien cho bao da quy dau bi do, ngua ngay cung nhu dau rat. Benh co nguy co tai dien nhieu lan trong nam, boi vi vi rut herpes co suc ton tai manh me, chung tru ngu trong nguoi nguoi cung nhu dan toi nhung dot troi day khi co dieu kien hop ly.

cach dieu tri:

Mun sinh duc co nguy co khong con nua theo thoi diem nhung ma benh se luu lai nhung ton thuong nhat dinh den co quan sinh san.

Mun sinh duc duoc dieu tri voi ky thuat gia tang he mien dich nuot gen, hay dung nhung dang khang sinh theo chi dinh. Voi cach phoi hop cham soc, tang cuong mien dich thien nhien ma so lan tai phat cung suy giam dan ?i den.

Nhiem trung loet dang tam dau duong vat

Ngoai trieu chung bao da quy dau bi do cung nhu phinh to, kem theo do co nguy co thay them nhung not ban do. Hien tuong ngay cang nang hon khi nhung not ban nay tien trien to cung nhu Lay rong ra, dan toi lo loet o cho bao da quy dau.

cach dieu tri:

• Phoi hop dung khang sinh chong viem nhiem, steroid giai quyet chung nhiem khuan/trung roi.
• dieu tri ngoai khoa hop ly phoi hop cat bao da quy dau ?e phong tranh tai nhiem.

Bao da quy dau bi do co sao khong?

Khoang nhung nguyen do Vua roi ma nhan dinh, bao da quy dau bi do la trieu chung nguy hai ma dang may rau can phai canh giac. Neu nguyen do boi vi benh ly, chu yeu la hien tuong viem nhiem dan toi nhiem trung thi viec dieu tri cham cham co nguy co khien cho benh lay rong hon.

Tham chi la khi nhung vi rut, nam dan toi benh tan cong sau vao he thong sinh con. Nhat la biu, ong dan tinh,… Neu nhung co quan nay bi mac benh se nguy hiem den kha nang sinh tinh, suy giam chat luong cung nhu luong tinh trung.

Cach suy giam tay do bao da quy dau tai nha

• Dung tui chuom lanh, hay khan nhung nuoc lanh ?e chuom cho bi tay do 10 – 15 phut, thuc hien 2 lan hang ngay.
• Xoa kem hydrocortison 1% hay khang sinh mo ?e suy giam ngua ngay, suy giam phinh to do.
• Dung bang gac tiet trung hay lat vai sach se boc dung dau duong vat bi do, ?e khong nen nhung ma sat cung nhu suy giam kich ung.
• Dung diphenhydramine (Benadryl) hay cetirizine (Zyrtec) cho nhung truong hop ngua ngay, gai boi vi di ung.

Chu y khi cham soc bao da quy dau bi do dung cach

Benh nhan dung dung dang khang sinh dieu tri dung benh bao da quy dau

• Rua ray cho kin sach se, dung cach: neu nhu cho kin duoc rua ray voi nuoc muoi tinh thuong xuyen, hien tuong viem nhiem, ngua ngay, man do se gia tang dau cung nhu khong con nua.
• Khong "lam chuyen ay" tinh duc khi bi benh: Kieng hoat dong tinh duc cung suy giam nhung ton thuong, tray xuoc phat sinh them.
• Tuyet doi khong nen gai: Trong bat ky truong hop nao, hien tuong viem nhiem cung deu tro nen nghiem trong hon khi ban dung tay, hay bat ky can thiep nao ?e gai.
• Co nguy co khong mac quan lot: Neu benh nhan chi tai nha thi viec mac quan lot la khong can thiet. Voi cach nay "cau nho" se duoc kho thoang cung nhu it ma sat hon voi do.
• Khong tu y dung thuoc: benh nhan tuyet doi khong dung khang sinh khi chua tham kham tham kham.
• Tuan thu chi dan cua chuyen gia chuyen khoa: benh nhan tuyet doi khong tu “chua benh” tai nha, can phai tuan thu chi dan dieu tri cung nhu chi dinh dung khang sinh cua chuyen gia.

Hi vong noi dung da cung cap day du nhung kien thuc ban doc tim hieu ve thac mac bao da quy dau bi do cung nhu cach dieu tri. Mac du voi bat ky nguyen do nao thi viec giu gin rua ray cho kin sach se cung nhu tham kham kip thoi van dong nhiem vu can thiet ?e ngan ngua nhung bien chung nguy hai hon cua hien tuong nay.