VIÊM TINH HOÀN – MÀO TINH HOÀN
CHẨN ĐOÁN
1. Hay gặp ở nam giới có quan hệ trước đó,
có viêm niệu đạo hoặc không quan hệ nhưng nhiễm khuẩn niệu hoặc có đặt sonde niệu
đạo
2. Đau thường khu trú ở mào tinh hoặc tinh
hoàn kèm sốt nhẹ.
3. Làm CTM kiểm tra bạch cầu trung tính,
soi nước tiểu tìm bạch cầu và cấy
- test Chlamydia và lậu
điều trị
1. không bao giờ chẩn đoán viêm mào-tinh
hoàn ở bệnh nhân dưới 25 tuổi mà không loại trừ xoắn tinh hoàn.
2. Cho giảm đau sau khi loại trừ xoắn tinh
hoàn như paracetamol 500mg và codein phosphate 8mg 2 viên 1 lần ngày 4 lần kèm
kháng sinh
3. Chọn kháng sinh tùy nguyên nhân gây ra:
- Bệnh liên quan tình dục
ceftriaxone 500 mg IV, kèm azithromycin 1 g
uống ngày 1 lần, hoặc doxycycline 100 mg uống ngày 2 lần trong 14 ngày
- Viêm bàng quang
cephalexin 500 mg ngày 2 lần hoặc
amoxicillin 875 mg + clavulanic acid 125 mg 1 viên ngày 2 lần hoặc trimethoprim
300 mg ngày 1 lần trong 7-14 ngày
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