龜頭發炎 包皮長非原罪
晶晶小姐: 我是一位45歲、作息規律的熟男,從來不亂搞,但最近,我竟為此傷腦筋!月前,我無意中發現,龜頭上長有約10顆黃色小點,緊急看了泌尿科,醫生說是因為包皮過長細菌感染,吃3天藥就好,並建議割包皮就不會再犯。但是,我都已經是個熟男了,心想應該只要平常保持清潔就好了,沒必要挨一刀來割包皮。
沒想到吃完藥後,症狀有改善,卻沒有根治,再去領3天藥回來吃,龜頭仍有些紅紅的,而且會癢,就算一天清洗3次,仍會感到包皮內有類似衛生紙屑的粉白色東西,澀澀癢癢的。請問,我到底是得了什麼病?
小吳
小吳:
一般男性罹患的龜頭發炎都是由細菌感染,致病原有細菌、黴菌或寄生蟲等,黴菌中最常引起的是白色念珠菌,除了包皮或龜頭有紅腫外,有時可見到小而不規則、呈糜爛型的小白斑覆蓋在龜頭表面。另外,念珠菌的黴菌感染,其龜頭紅色發亮,表面有小膿包或小丘疹。
由黴菌感染所引起的龜頭發炎,這與包皮長不長沒有很直接的關係。但是平時仍要注意3原則,就是乾燥、清潔以及適當的清洗龜頭。要注意的是,許多人認為用力刷洗就可將黴菌清除,這是錯誤觀念,因為用力刷洗會把龜頭的皮質保護膜破壞,反而更容易發炎,所以清洗時一定要輕柔。
日常保持3原則後,再找個有經驗的泌尿科醫生診斷,確認出真正病因,經過擦藥等治療,快則3到5天,慢則一個月,就會有成效。在治療過程中,形狀類似粉白色小顆粒的龜頭皮質屑,會殘留在包皮內,這是正常現象,不用過分擔心。
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