Patient's condition: Little Huang Age: 27 years old Occupation: Driver
Clinical symptoms: Xiaohuang is very healthy, that is, occasionally feels like scrotal pain, one and a half years of marriage, and never take any contraceptive measures with his wife, but his wife has never been pregnant. In the past two weeks, the epididymis on the right side has obvious swelling and pain.There are many frequent night urine, come to Quanzhou Aimin Hospital for treatment.
Related examination: After examination, the patient's right epididymal tail can be touched by a circular vertebrae.The tongue is thin and white, and the pulse strings are weak.The instrument check shows that the epididymis is increased and hardened.The laboratory test can be (2 ~ 3) × 109/L.
Diagnosis and treatment results: After the diagnosis of arologist, Xiaohuang is the symptoms-acute epididymitis
What is epidideline?
Epididymitis is one of the common male reproductive system diseases.Most of them are caused by neighboring organs infection.It is manifested as sudden pain in the scrotum, enchanting swelling, obvious tenderness, accompanied by fever, epididymal hardening, etc.Acute epididymia is mostly infected with urethra, prostate or seminal vesicles, and failed to be treated in a timely and effective treatment, which delayed and caused male infertility.This disease belongs to the scope of traditional Chinese medicine subclase. The clinical manifestations are sudden onset. Pain in the scrotum, falling, and accompanied by systemic infection such as fever and cold. Pain can radiate to groin, lower abdomen and perineum.
The physiological function of epididymia
One of the biggest features of the male reproductive system is that the pipeline is very developed, and the occurrence, emissions, maturity, and ejection of sperm are inseparable from various pipelines.The testicles were just introduced earlier consisting of thousands of sophisticated tubes, with a total length of 200 & mdash; 300 meters, and epididymia is the continuation of the testicular pipe system.The epididymis, as the name suggests, is "attached to the testicles". Specifically, it is attached to the back and outer side of the testicles, and it looks like a fleshy bug lying on the jujube.For the convenience of research, scientists divide the epididymis into three parts: head, body, and tail.A dozen twists and turns output tubes were sent out by the testicular network, which made the head of the epididymis.In this section, the small tube gradually converges, and finally a tube that constitutes the tube of the epididymal body and the tail of the tail and the tail, which is highly curled, is the epididymis.If we pull it straight, you may be startled. Only a few centimeters long epididymia, the pipeline will have 4 & mdash; 6 meters long.The diameter of the epididymis is 0.4 & mdash; 0.5 mm.Connected part of the epididymal tail and the starting part of the vas The tuber.
From the perspective of the tissue structure, epididymal epithelium is composed of two cells: one is called base cells, and the top is a certain distance from the epididymal tube cavity. In each part of the epididymia, there is no difference in the form.The main cell is the material basis for maintaining the physiological function of epididymia. The main cell morphology structure in each section is very different, which also reflects the differences in the physiological function of each section.In addition to the epithelial cells, the tube wall tissue structure of epididymia also changes regularly. The smooth muscle at the beginning of the epididymis has spontaneous rhythmic contraction, while the tail smooth muscle does not have this characteristic. Only a strong rhythmic contraction occurs at the moment of ejaculation.So why is the epididymal tube so long?It turns out that the epididymal tube not only has the effect of a small amount of liquid containing sperm, but also a place where sperm storage and mature.
Epididymitis
The diseases such as epididymia are common in young adults and occasionally appear to children or old age.This disease is caused by bacteria such as E. coli, Bacteria, or Pepsi.When the testes are adjacent to organs (such as prostate, seminal vesicles, posterior urethrals, etc.), the above -mentioned bacteria that are non -rumored will take an opportunity to invade the epididymia, which will cause semiosal.
According to the manifestation of epididymitis, clinical epididelicitis is usually divided into the following two: (1) acute epididymitis.The scrotum suddenly suffered severe pain and spread to the back waist.The epididymis is swollen rapidly, which can increase to twice the usual usual.The scrotal skin is also red and swollen, and even it feels difficult to walk; at the same time, patients will have cold and shuddering, and they are uncomfortable.(2) Chronic epididymitis.Generally, because the acute process fails to completely cure and turns into a chronic process, the part will still feel faint pain and discomfort. Touch the adapions with hands can have hard lumps, and the vasters and sperm cables are slightly hyperplasia.
