{"id":888,"date":"2014-09-05T10:38:19","date_gmt":"2014-09-05T08:38:19","guid":{"rendered":"http:\/\/semmelweis.hu\/urologia\/?p=888"},"modified":"2015-08-25T16:18:00","modified_gmt":"2015-08-25T14:18:00","slug":"idult-mellekhere-gyulladas","status":"publish","type":"post","link":"https:\/\/semmelweis.hu\/urologia\/2014\/09\/05\/idult-mellekhere-gyulladas\/","title":{"rendered":"Id\u00fclt mell\u00e9khere gyullad\u00e1s"},"content":{"rendered":"<p><strong>Betegs\u00e9g meghat\u00e1roz\u00e1s: <\/strong>A mell\u00e9khere r\u00e9gebb \u00f3ta fenn\u00e1ll\u00f3 vagy vissza-visszat\u00e9r\u0151 bakteri\u00e1lis fert\u0151z\u00e9se r\u00e9v\u00e9n kialakul\u00f3 id\u00fclt gyullad\u00e1sos folyamat, amelynek sor\u00e1n a mell\u00e9khere visszaford\u00edthatatlan k\u00f6t\u0151sz\u00f6veti \u00e1talakul\u00e1son, hegesed\u00e9sen megy \u00e1t.<\/p>\n<p><strong>El\u0151fordul\u00e1s, hajlamos\u00edt\u00f3 t\u00e9nyez\u0151k (rizik\u00f3 faktorok): A <\/strong>pubert\u00e1s ut\u00e1n jelentkezik. Hajlamos\u00edt\u00f3 t\u00e9nyez\u0151k\u00e9nt szerepelhetnek a h\u00fagy\u00fati fert\u0151z\u00e9sek, a promiszkuit\u00e1s, idegentest visel\u00e9se a h\u00fagycs\u0151ben, a h\u00fagycs\u00f6v\u00f6n kereszt\u00fcl v\u00e9gzett m\u0171t\u00e9tek, a herezacsk\u00f3t \u00e9rt s\u00e9r\u00fcl\u00e9sek, cukorbetegs\u00e9g, immunol\u00f3giailag legyeng\u00fclt \u00e1llapotok.<\/p>\n<p><strong>T\u00fcnetek, panaszok: <\/strong>A herezacsk\u00f3ban megnagyobbodott, t\u00f6m\u00f6tt, sokszor \u00e9rz\u00e9keny mell\u00e9khere tapinthat\u00f3. El\u0151fordulhat h\u00fagycs\u0151-v\u00e1lad\u00e9koz\u00e1s, gyakori, s\u00fcrget\u0151 vizel\u00e9si inger, \u201ecs\u00edp\u0151s\u201d vizelet. A l\u00e1gy\u00e9k t\u00e1j\u00e9ka \u00e9rz\u00e9keny lehet, gennyvizel\u00e9s, h\u00fagycs\u0151foly\u00e1s figyelhet\u0151 meg. Az ond\u00f3vezet\u00e9k ment\u00e9n kisug\u00e1rz\u00f3 f\u00e1jdalom jelentkezhet. Ultrahangon inhomog\u00e9n, kisz\u00e9lesedett mell\u00e9khere l\u00e1tszik. L\u00e1z nem jellemz\u0151.<\/p>\n<p><strong>Felismer\u00e9s: <\/strong>A diagn\u00f3zis fel\u00e1ll\u00edt\u00e1s\u00e1hoz fizik\u00e1lis- \u00e9s labor-vizsg\u00e1latot, vizelet\u00fcled\u00e9k-vizsg\u00e1latot \u00e9s\/vagy vizeletteny\u00e9szt\u00e9st v\u00e9gz\u00fcnk, a here ultrahang-vizsg\u00e1lat\u00e1val.<\/p>\n<p><strong>Fajt\u00e1k, t\u00edpusok, fokozatok &#8211; <\/strong>T\u00f6bb t\u00edpusra oszthat\u00f3:<\/p>\n<ul>\n<li>szexu\u00e1lisan terjed\u0151 k\u00f3rokoz\u00f3k okozta id\u00fclt mell\u00e9khere-gyullad\u00e1s<\/li>\n<li>nem szexu\u00e1lisan terjed\u0151 k\u00f3rokoz\u00f3k okozta id\u00fclt mell\u00e9khere-gyullad\u00e1s<\/li>\n<li>orchidoepididymitis (here-mell\u00e9khere egy\u00fcttes gyullad\u00e1sa)<\/li>\n<\/ul>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Nem m\u0171t\u00e9ti \/ konzervat\u00edv kezel\u00e9s: <\/strong>C\u00e9lzott antibiotikumos kezel\u00e9s alkalmazand\u00f3 ak\u00e1r heteken-h\u00f3napokon \u00e1t. A napjainkra egyre ritk\u00e1bb epididymitis tuberculotica (tuberculosis bakt\u00e9rium okozta id\u00fclt mell\u00e9khere-gyullad\u00e1s) eset\u00e9n kombin\u00e1lt tuberkul\u00f3zis elleni kezel\u00e9s sz\u00fcks\u00e9ges.<\/p>\n<p><strong>M\u0171t\u00e9ti kezel\u00e9s: <\/strong>Gy\u00f3gyszeres kezel\u00e9s ellen\u00e9re nem gy\u00f3gyul\u00f3 esetekben vagy kiterjedt k\u00f6t\u0151sz\u00f6vetes \u00e1talakul\u00e1son \u00e1tment mell\u00e9khere eset\u00e9n az \u00e9rintett mell\u00e9khere elt\u00e1vol\u00edt\u00e1sa, sz\u00fcks\u00e9g eset\u00e9n a teljes here-mell\u00e9khere komplexum elt\u00e1vol\u00edt\u00e1sa, kasztr\u00e1ci\u00f3 v\u00e9gezhet\u0151.<\/p>\n<p><strong>Orvosi ellen\u0151rz\u00e9sek: <\/strong>A gy\u00f3gyul\u00e1s ut\u00e1n kontroll bakteriol\u00f3giai vizsg\u00e1lat javasolt.<\/p>\n<p><strong>Megel\u0151z\u00e9s: <\/strong>Megel\u0151z\u00e9sk\u00e9nt a h\u00fagy\u00fati fert\u0151z\u00e9sek megfelel\u0151 ter\u00e1pi\u00e1ja, a szexu\u00e1lis partner kezel\u00e9se, ill. a megfelel\u0151 sterilit\u00e1si el\u0151\u00edr\u00e1sok betart\u00e1sa sz\u00fcks\u00e9ges h\u00fagy\u00fati eszk\u00f6z\u00f6s beavatkoz\u00e1sokn\u00e1l.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Betegs\u00e9g meghat\u00e1roz\u00e1s: A mell\u00e9khere r\u00e9gebb \u00f3ta fenn\u00e1ll\u00f3 vagy vissza-visszat\u00e9r\u0151 bakteri\u00e1lis fert\u0151z\u00e9se r\u00e9v\u00e9n kialakul\u00f3 id\u00fclt gyullad\u00e1sos folyamat, amelynek sor\u00e1n a mell\u00e9khere visszaford\u00edthatatlan k\u00f6t\u0151sz\u00f6veti \u00e1talakul\u00e1son, hegesed\u00e9sen megy \u00e1t. El\u0151fordul\u00e1s, hajlamos\u00edt\u00f3 t\u00e9nyez\u0151k (rizik\u00f3 faktorok): A pubert\u00e1s ut\u00e1n jelentkezik. Hajlamos\u00edt\u00f3 t\u00e9nyez\u0151k\u00e9nt szerepelhetnek a h\u00fagy\u00fati fert\u0151z\u00e9sek, a promiszkuit\u00e1s, idegentest visel\u00e9se a h\u00fagycs\u0151ben, a h\u00fagycs\u00f6v\u00f6n kereszt\u00fcl v\u00e9gzett m\u0171t\u00e9tek, a herezacsk\u00f3t \u00e9rt &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":[1144,860,1146,1148],"class_list":["post-888","post","type-post","status-publish","format-standard","hentry","category-enciklopedia","tag-epididymitis-chronica-hu","tag-here-hu","tag-mellekhere-hu","tag-orchidoepididymitis-hu"],"acf":[],"_links":{"self":[{"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/posts\/888","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=888"}],"version-history":[{"count":4,"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/posts\/888\/revisions"}],"predecessor-version":[{"id":1549,"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/posts\/888\/revisions\/1549"}],"wp:attachment":[{"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/media?parent=888"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/categories?post=888"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/tags?post=888"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}