{"id":886,"date":"2014-09-05T10:37:50","date_gmt":"2014-09-05T08:37:50","guid":{"rendered":"http:\/\/semmelweis.hu\/urologia\/?p=886"},"modified":"2015-08-25T16:18:00","modified_gmt":"2015-08-25T14:18:00","slug":"heveny-mellekhere-gyulladas","status":"publish","type":"post","link":"https:\/\/semmelweis.hu\/urologia\/2014\/09\/05\/heveny-mellekhere-gyulladas\/","title":{"rendered":"Heveny mell\u00e9khere gyullad\u00e1s"},"content":{"rendered":"<p><strong>Betegs\u00e9g meghat\u00e1roz\u00e1s:<\/strong>A mell\u00e9kher\u00e9ben kialakul\u00f3 heveny gyullad\u00e1sos folyamat, amelyet bakteri\u00e1lis fert\u0151z\u00e9s okoz. A k\u00f3rokoz\u00f3k legt\u00f6bbsz\u00f6r a h\u00fagycs\u0151b\u0151l ker\u00fclnek a mell\u00e9kher\u00e9be \u2013 \u00fan. felsz\u00e1ll\u00f3 fert\u0151z\u00e9s r\u00e9v\u00e9n, de szexu\u00e1lis \u00faton terjed\u0151 k\u00f3rokoz\u00f3k \u00e9s a mumps-v\u00edrus is okozhatja.<\/p>\n<p><strong>El\u0151fordul\u00e1s, hajlamos\u00edt\u00f3 t\u00e9nyez\u0151k (rizik\u00f3 faktorok<\/strong>): Hajlamos\u00edt\u00f3 t\u00e9nyez\u0151i lehetnek a h\u00fagy\u00fati fert\u0151z\u00e9sek, eszk\u00f6z\u00f6s urol\u00f3giai vizsg\u00e1latok \u00e9s m\u0171t\u00e9tek, h\u00fagycs\u0151i idegentest (pl. kat\u00e9ter), szexu\u00e1lis promiszkuit\u00e1s. Az immunrendszer cs\u00f6kkent m\u0171k\u00f6d\u00e9s\u00e9vel j\u00e1r\u00f3 \u00e1llapotokban (cukorbetegs\u00e9g, transzplant\u00e1lt betegek) a betegs\u00e9g gyakrabban fordul el\u0151.<\/p>\n<p><strong>T\u00fcnetek, panaszok: <\/strong>A mell\u00e9khere megnagyobbodott, kifejezetten \u00e9rz\u00e9keny, t\u00f6m\u00f6tt tapintat\u00fa. A here is \u00e9rintett lehet. Az \u00e9rintett oldali herezacsk\u00f3-f\u00e9l duzzadt, v\u00e9rb\u0151, feszes lehet. A l\u00e1gy\u00e9kt\u00e1j\u00e9k is \u00e9rz\u00e9kenny\u00e9 v\u00e1lhat. Sokszor l\u00e1zzal t\u00e1rsul.<\/p>\n<p><strong>Felismer\u00e9s: <\/strong>Felismer\u00e9se alapvet\u0151en fizik\u00e1lis vizsg\u00e1lattal t\u00f6rt\u00e9nik. A herezacsk\u00f3 ultrahang vizsg\u00e1lat\u00e1val igazolhat\u00f3 a kisz\u00e9lesedett \u00e9s fokozott kering\u00e9st mutat\u00f3 mell\u00e9khere, esetleg t\u00e1lyog jelenl\u00e9te. Az ultrahang vizsg\u00e1latnak nagy szerepe van a hasonl\u00f3 t\u00fcnetekkel j\u00e1r\u00f3 k\u00f3rk\u00e9pekt\u0151l val\u00f3 elk\u00fcl\u00f6n\u00edt\u00e9sben (pl.: herecsavarod\u00e1s, heredaganat). A laborvizsg\u00e1latok nem specifikusak, a gyullad\u00e1sos \u00e9rt\u00e9kek \u00e1ltal\u00e1ban emelkedettek. A vizeletben \u00e9s\/vagy ond\u00f3ban genny \u00e9s bakt\u00e9rium mutathat\u00f3 ki.<\/p>\n<p><strong>Fajt\u00e1k, t\u00edpusok, fokozatok: <\/strong>K\u00f3rokoz\u00f3k alapj\u00e1n szexu\u00e1lis (jellemz\u0151 k\u00f3rokoz\u00f3ja a Chlamydia trachomatis) \u00e9s nem szexu\u00e1lis \u00faton terjed\u0151 (Gram-negat\u00edv h\u00fagy\u00fati bakt\u00e9riumokt\u00f3l) mell\u00e9khere gyullad\u00e1st k\u00fcl\u00f6nb\u00f6ztet\u00fcnk meg.<\/p>\n<p><strong>\u00a0Nem m\u0171t\u00e9ti \/ konzervat\u00edv kezel\u00e9s: <\/strong>Kezel\u00e9se els\u0151dlegesen konzervat\u00edv. Alapja a k\u00f3rokoz\u00f3 alapj\u00e1n megv\u00e1lasztott antibiotikus kezel\u00e9s. Chlamydia eset\u00e9n Doxycyclin adand\u00f3 \u00e9s a szexu\u00e1lis partner is kezelend\u0151. Gyan\u00edtott h\u00fagy\u00fati k\u00f3rokoz\u00f3 eset\u00e9n fluorokinolon az els\u0151k\u00e9nt v\u00e1lasztand\u00f3. A kezel\u00e9st l\u00e1z- \u00e9s f\u00e1jdalomcsillap\u00edt\u00f3val, gyullad\u00e1scs\u00f6kkent\u0151vel eg\u00e9sz\u00edtj\u00fck ki. A herezacsk\u00f3 polcol\u00e1sa, -jegel\u00e9se \u00e9s \u00e1gynyugalom javasolt.<\/p>\n<p><strong>M\u0171t\u00e9ti kezel\u00e9s: <\/strong>Gy\u00f3gyszeres kezel\u00e9s mellett nem javul\u00f3 vagy t\u00e1lyogk\u00e9pz\u0151d\u00e9ssel j\u00e1r\u00f3 form\u00e1ban a mell\u00e9khere elt\u00e1vol\u00edt\u00e1sa v\u00e1lhat sz\u00fcks\u00e9gess\u00e9.<\/p>\n<p><strong>Megel\u0151z\u00e9s: <\/strong>Kiemelend\u0151 a h\u00fagy\u00fati fert\u0151z\u00e9sek \u00e9s szexu\u00e1lisan terjed\u0151 betegs\u00e9gek megfelel\u0151 \u00e9s id\u0151ben t\u00f6rt\u00e9n\u0151 kezel\u00e9se, h\u00fagy\u00fati eszk\u00f6z\u00f6s vizsg\u00e1latokn\u00e1l \u00e9s m\u0171t\u00e9tekn\u00e9l megfelel\u0151 fert\u0151tlen\u00edt\u00e9s \u00e9s el\u0151k\u00e9sz\u00edt\u00e9s, sz\u00fcks\u00e9g eset\u00e9n antibiotikum-profilaxis.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Betegs\u00e9g meghat\u00e1roz\u00e1s:A mell\u00e9kher\u00e9ben kialakul\u00f3 heveny gyullad\u00e1sos folyamat, amelyet bakteri\u00e1lis fert\u0151z\u00e9s okoz. A k\u00f3rokoz\u00f3k legt\u00f6bbsz\u00f6r a h\u00fagycs\u0151b\u0151l ker\u00fclnek a mell\u00e9kher\u00e9be \u2013 \u00fan. felsz\u00e1ll\u00f3 fert\u0151z\u00e9s r\u00e9v\u00e9n, de szexu\u00e1lis \u00faton terjed\u0151 k\u00f3rokoz\u00f3k \u00e9s a mumps-v\u00edrus is okozhatja. El\u0151fordul\u00e1s, hajlamos\u00edt\u00f3 t\u00e9nyez\u0151k (rizik\u00f3 faktorok): Hajlamos\u00edt\u00f3 t\u00e9nyez\u0151i lehetnek a h\u00fagy\u00fati fert\u0151z\u00e9sek, eszk\u00f6z\u00f6s urol\u00f3giai vizsg\u00e1latok \u00e9s m\u0171t\u00e9tek, h\u00fagycs\u0151i idegentest (pl. kat\u00e9ter), szexu\u00e1lis &hellip;<\/p>\n","protected":false},"author":316,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[782],"tags":[1150,860],"class_list":["post-886","post","type-post","status-publish","format-standard","hentry","category-enciklopedia","tag-epididymitis-acuta-hu","tag-here-hu"],"acf":[],"_links":{"self":[{"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/posts\/886","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/users\/316"}],"replies":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/comments?post=886"}],"version-history":[{"count":2,"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/posts\/886\/revisions"}],"predecessor-version":[{"id":1056,"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/posts\/886\/revisions\/1056"}],"wp:attachment":[{"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/media?parent=886"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/categories?post=886"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/tags?post=886"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}