Dɛn ne Priapism? Sɛ yɛbɛka no tiawa a...
Sɛ yɛbɛka no tiawa a, priapism yɛ tebea a ɛma ɔbarima no akyi berɛmo no gyina hɔ bere tenten, mpɛn pii no bɛboro nnɔnhwerew anan, a nna ho nkanyan anaa akɔnnɔ biara nni mu. Nea ɛho hia sen biara no, ɛtaa yɛ yaw kɛse. Eyi ba efisɛ mogya a asen akɔ akyi berɛmo no mu, kyerɛ sɛ mogya no, ntumi nsan nkɔ nipadua no mu na ɛkɔhyɛ ɔbarima akyi berɛmo no mu.Fa no sɛ balloon a nsu ahyɛ mu ma a sɛ wokyekyere no a, enni ɔkwan biara a ɛbɛfa so aguan. Saa ara na ɛto ɔbarima akyi berɛmo.Ɛho hia sɛ yɛkae sɛ eyi yɛ aduruyɛ mu tebea a egye ntɛmpɛ. Ɛho hia sɛ wokɔ ayaresabea ntɛm ara, kyerɛ sɛ, ntɛm ara sɛnea wubetumi. Sɛ wɔansa a, ebetumi asɛe ɔbarima no akyi berɛmo no daa na mpo ɛde tebea horow te sɛ ɔbarima ne ɔbea nna a ɛnyɛ den (ED) aba daakye.
So priapism ahorow atitiriw bi wɔ hɔ?
Yiw, wobetumi akyekyɛ priapism mu ayɛ no ahorow atitiriw pii. Ɛsono sɛnea emu biara fi ase ne ne sɛnkyerɛnne ahorow kakra.1. Priapism a ɛsen kakraa bi (ischemic).
Eyi ne priapism a abu so sen biara. Nea ɛkɔ so wɔ ha ne sɛ mogya a akɔhyɛn adan titiriw (corpora cavernosa) a ɛboa ma ɔbarima no sɔre no, kyekyere na entumi mfi mu bio. Sɛ yɛbɛka no pɛpɛɛpɛ a, mogya no so tew, ɛno nti na wɔfrɛ no "low-flow". Ɛtɔ mmere bi a, ɛrentumi nyɛ yiye sɛ wubehu nea ɛde eyi ba pɔtee. Nanso, ebetumi aba mpɛn pii wɔ nnipa a wɔwɔ ayaresa tebea horow bi mu. Nhwɛsoɔ:- Sickle cell disease - Eyi yɛ awosu mu mogya mu yare.
- Mogya mu kokoram (Leukemia) .
- Malaria a ɛma obi nya ɔyare mmoawa
2. Priapism a ɛsan ba bio (a ɛyɛ mmerɛw).
Eyi nso yɛ priapism a ɛsen kakraa bi, nanso ɛyɛ tebea soronko kakra. Nea ɛkɔ so wɔ ha ne sɛ ɔbarima no akyi berɛmo no gyina hɔ kyɛ, afei ɛnam ne ho so san gyina hɔ bio wɔ bere tiaa bi akyi. Eyi betumi asi mpɛn pii. Bere biara a bere a obi gyina hɔ no kɔ soro na ɛyaw no kɔ soro.3. Priapism a ɛsen kɛse (a ɛnyɛ ischemic).
Saa ɔkwan yi ho yɛ na kakra sen abien a aka no. Ɛba bere a opira anaa ahodwiriw bi a ɛba ɔbarima no akyi anaa baabi a atwa ho ahyia (sɛ nhwɛso no, perineum ) ma mogya kɔ ɔbarima no akyi a wontumi nhyɛ so no. Wɔfrɛ eyi "high-flow." Mpɛn pii no, saa ɔkwan yi nyɛ yaw kɛse te sɛ nea aka no.Wɔfrɛ tebea yi sɛ priapism abu so dɛn?
Mpɛn pii no, priapism yɛ tebea a ɛntaa nsi koraa. Nanso, sɛnea madi kan aka no, ɛda adi sɛ ɛba nnipa a wɔwɔ ayaresa mu tebea horow bi a ɛhyɛ ase so. Sɛ nhwɛso no, ebetumi aba nnipa a wɔwɔ sickle cell yare no mu 30% kosi 45% mu .Dɛn ne priapism ho sɛnkyerɛnne ahorow? Woyɛ dɛn hu no?
Nsɛnkyerɛnne titiriw ne sɛ ɔbarima no akyi berɛmo no kɔ so gyina hɔ bɛboro nnɔnhwerew anan a nna ho nkanyan biara nka ho. Nsɛnkyerɛnne afoforo betumi ayɛ soronko a egyina priapism ko a wowɔ so. Sɛ wowɔ priapism a ɛsen kakraa bi (ischemic) a:- Sɛ mpo ɔbarima no akyi berɛmo no dua gyina hɔ a, ebia glans (tip) no bɛyɛ mmerɛw.
- Ɛyaw no kɔ soro nkakrankakra bere a bere kɔ so no.
- Ebia ɔbarima akyi berɛmo no dua no nyɛ den koraa, nanso ebetumi ayɛ mmerɛw kakra.
- Mpɛn pii no, ɛyaw biara nni hɔ anaasɛ ɛyaw kakraa bi pɛ na ɛba.
Dɛn ne nneɛma atitiriw a ɛde priapism ba?
Nea ɛyɛ nwonwa no, wɔ priapism nsɛm no mu bɛyɛ nkyem abiɛsa mu biako (33%) mu no, wontumi nhu nea ɛde ba pɔtee biara. Nanso, wɔ nsɛm a aka no mu no, nneɛma pii betumi adi dwuma. Priapism a ɛsen kakraa bi (ischemic) betumi afi akwahosan tebea horow a ɛwɔ ase mu aba:- Sickle cell yare a ɛma obi nya yare
- Mogya mu kokoram (Leukemia) .
- Malaria a ɛma obi nya ɔyare mmoawa
- Thalassemia a ɛwɔ nipadua no mu
- Okunafo tuntum akɔre ka obi
- Carbon monoxide (CO) a wɔde awuduru gu nipadua mu
- Penile kokoram
- Apirakuru a ɛba akyi berɛmo anaa ɔbarima ne ɔbea nna mu
- Nnubɔne bi a mmara mma ho kwan a wɔde di dwuma: Nhwɛso bi ne wii , cocaine(cocaine) ne amphetamines .
- Nnuru bi a wɔde di dwuma anaasɛ wɔde di dwuma ɔkwammɔne so:
- Nnuru a wɔde sa ɔbarima ne ɔbea nna mu ɔhaw: Sɛ nhwɛso no , nnuru a esiw phosphodiesterase type 5 ano ne aduru a wɔde twitwiw abon mu .
- Nnuru bi a wɔde kum adwenemhaw : Sɛ nhwɛso no , trazodone .
- Nnuru bi a ekum adwene mu yare /ntini mu yare : Sɛ nhwɛso no , chlorpromazine .
So yare a wɔfrɛ no priapism yi yɛ nea wɔde yare mmoawa ba?
Dabi, ɛnte saa koraa. Priapism nyɛ yare a ɛde ɔyare mmoawa ba. Afei nso, ɛnyɛ nna mu yare (STI) anaa ɔyare a ɛte saa ho sɛnkyerɛnne. Enti biribiara nni hɔ a ɛsɛ sɛ ɛhaw yɛn ho.Hena na ɛda adi sɛ tebea yi bɛka no kɛse?
Priapism betumi aba obiara a wadi mfe biara a ɔwɔ ɔbarima akyi berɛmo mu. Ebetumi aba nkokoaa a wɔawo wɔn foforo nso mu, nanso ɛtaa ba wɔ mfe abien mu:- Mmarimaa a wɔadi fi mfe 5 kosi 10.
- Mmabun ne mpanyimfo a wɔadi fi mfe 20 kosi 50.
Dɛn ne nsɛnnennen a ebetumi afi priapism mu aba? So ɛyɛ aniberesɛm?
Yiw, eyi ne asɛm a ɛsɛ sɛ yɛde yɛn adwene si so titiriw. Sɛ wɔansa no yiye a, priapism betumi asɛe ɔbarima no akyi berɛmo no koraa. Susuw ho hwɛ, nkwammoaa a ɛwɔ yɛn nipadua mu no hia oxygen na ama wɔanya ahoɔden. Oxygen fi mogya no mu. Wɔ priapism mu no, sɛ mogya no kɔhyɛ ɔbarima no akyi a, oxygen a ɛwɔ saa mogya no mu no sa nkakrankakra. Afei ntini a ɛwɔ ɔbarima no akyi no fi ase sɛe. Nsɛnnennen atitiriw a ebetumi aba esiane priapism a wɔansa nti ne:- Ntini a ɛwɔ ɔbarima no akyi no mu akuru .
- Ɔbarima ne ɔbea nna mu ɔhaw a ɛtra hɔ daa (ED) . Eyi kyerɛ sɛ ɔbarima akyi berɛmo no ntumi nnyina hɔ sɛnea ɛsɛ sɛ ɔde ne ho bɛda.
Ɛno nti na yɛka sɛ, mfa eyi nyɛ aseresɛm, mma w’ani nwu, na hwehwɛ aduruyɛ mu afotu ntɛm ara.
Ɔkwan bɛn so na wohu priapism? Dɛn na oduruyɛfo yɛ?
Sɛ wote nka sɛ wo barima no agyina hɔ nnɔnhwerew pii a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara. Oduruyɛfo no bebisa wo w’ayaresa ho abakɔsɛm, akyerɛw wo yare no ho sɛnkyerɛnne, na wayɛ wo nipadua mu nhwehwɛmu. Saa bere yi, oduruyɛfo no betumi abisa wo nsɛm te sɛ:- Bere tenten ahe na egye ansa na ɔbarima no akyi berɛmo no asɔre?
- Wo barima no taa tra hɔ bere tenten ahe?
- So wowɔ aduruyɛ mu tebea foforo bi a wɔahu?
- So woapira wo barima anaa mmeae a atwa wo ho ahyia nnansa yi?
- So mprempren worenom nnuru bi?
- So wode nnuru biara adi dwuma a oduruyɛfo nkyerɛw wo?
- So wode nnubɔne a mmara mma ho kwan di dwuma?
Sɔhwɛ ahorow bɛn na wɔbɛyɛ?
Sɛ wo duruyɛfo yɛ wo nipadua mu nhwehwɛmu wie a, ɔbɛhwɛ oxygen dodow a ɛwɔ wo mogya mu. Eyi hwehwɛ sɛ wode ade ketewaa bi bɛhyɛ wo barima no mu na woafa mogya kakraa bi na wode akɔ lab. Nhwehwɛmu no mu aba betumi ama wo duruyɛfo no ahu:- Priapism bɛn na wowɔ?
- Bere tenten ahe na eyi ato wo?
- Eyi ne sɛnea wɔasɛe ɔbarima no akyi ntini no kɛse.
Ɔkwan bɛn so na wɔsa priapism? So biribi wɔ hɔ a metumi ayɛ wɔ fie?
Dabi, mmɔ mmɔden sɛ wobɛsa eyi wɔ fie! Botae titiriw a ɛwɔ priapism ayaresa nyinaa mu ne sɛ ɛbɛma ɔbarima no asan asɔre na ama ɔbarima no atumi agyina hɔ sɛnea ɛsɛ daakye. Sɛ wususuw sɛ wowɔ priapism a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu ntɛm ara. Ebia wo duruyɛfo bedi kan ama wo aduru a ɛma wo ho yɛ hyew , te sɛ phenylephrine (e.g., Sudafed PE®). Saa nnuru yi yɛ adwuma denam mogya a ɛkɔ ɔbarima no akyi a ɛtew so na ɛboa ma ɔbarima ne ɔbea nna so tew so. Saa nnuru yi tu mpɔn kɛse bere a wɔde ma wɔ nnɔnhwerew anan kosi asia a edi kan bere a priapism afi ase no mu no. Ayaresa afoforo a wobetumi apaw bi ne:- Aspiration : Oduruyɛfo no bedi kan ama wo barima no ayɛ mmerɛw, afei ɔde ade ketewaa bi ne syringe atwe mogya a oxygen nni wo barima no mu no bi. Eyi bɛboa ma nhyɛso ne ɔfe so atew. Ebia ebehia sɛ wɔyɛ eyi mpɛn pii.
- Intracavernosal injection : Oduruyɛfo no de aduru ketewaa bi gu corpus cavernosum (alpha-agonists) no mu.Wɔde aduru bi a wɔfrɛ no atropine gu ɔbarima no akyi. Saa nnuru yi twetwe ntini a ɛde mogya kɔ ɔbarima no akyi no. Eyi ma mogya a ɛkɔ nipadua no mu no so tew na ɛtew ɔfe so. Eyi yɛ ayaresa a wɔde sa priapism a ɛsen kakraa bi (ischemic) titiriw.
- Nsukyenee a wɔde gu nipadua no mu : Nsukyenee a wɔde gu ɔbarima no akyi ne nea atwa ho ahyia no so no betumi aboa ma ɛho ahonhon so atew.
- Oprehyɛn a wɔde kyekyere ntini : Sɛ ntini bi apae esiane opira nti a, ntini ho oduruyɛfo bɛyɛ oprehyɛn de akyekyere ntini a asɛe no na ama mogya asan akɔ sɛnea ɛsɛ. Eyi yɛ ayaresa a wɔde sa priapism a ɛsen kɛse (a ɛnyɛ ischemic).
- Oprehyɛn shunt : Oprehyɛn ho ɔbenfo bi de oprehyɛn yɛ mogya ntini foforo (shunt) wɔ ɔbarima no akyi. Eyi san fa mogya kwan na ɛma mogya no san kɔ sɛnea ɛsɛ. Eyi yɛ ayaresa a wɔde sa priapism a ɛsen kakraa bi (ischemic).
So wobetumi de ɔbarima ne ɔbea nna a wɔde wɔn ho hyɛ mu anaa nna mu asa saa tebea yi?
Mpɛn pii no, ɛnte saa. Priapism nkɔ mpo bere a obi de ne ho hyɛ ɔbarima ne ɔbea nna mu, ɔbarima ne ɔbea nna, anaa ɔbarima ne ɔbea nna mu. Nea enti a ɛte saa ne sɛ ɛnyɛ nna mu akɔnnɔ a ɛfata.Ɛrenkyɛ na me ho atɔ me wɔ ayaresa akyi?
Sɛ ayaresa no yɛ yiye a, ɛkame ayɛ sɛ ɛsɛ sɛ ɛma wo priapism no fi hɔ ntɛm ara. Ebia wubenya ahotɔ wɔ ayaresa a edi kan no mu, anaasɛ ebia ebehia sɛ wofa ayaresa ahorow pii. Sɛ wosa priapism yare wie a, ebia wo barima no bɛte yaw kakra na ɛho ahonhon. Nanso ɛnsɛ sɛ ɛyɛ den anaa ɛyɛ den. Kae sɛ ɛsono obiara nipadua. Ebia bere a wo ho bɛtɔ wo no bɛsono. Di wo duruyɛfo akwankyerɛ a ɛfa sɛnea wubedi ɛyaw anaa ɔhaw biara ho dwuma ho akyi kosi sɛ wo ho bɛtɔ wo.So wobetumi ayɛ biribi de asiw priapism ano?
Saa afotu yi betumi aboa ma wɔasiw priapism ano:- Nya tebea horow a ɛwɔ ase a ebia ɛde priapism ba no ho ayaresa a ɛfata.
- Fa nnuru di dwuma sɛnea oduruyɛfo akyerɛ wo nkutoo. Nnom nnuru biara a wunni aduruyɛ mu afotu.
- Sɛ wobɔ agumadi anaa wode wo ho hyɛ apɔw-mu-teɛteɛ mu a, hyɛ ade a ɛfata a ɛbɔ wo ho ban (agumadi kuruwa) de bɔ wo barima no ho ban.
Priapism taa di bere tenten ahe?
Ɛtɔ mmere bi a, priapism a ɛsen kɛse (a ɛnyɛ ischemic) betumi asiesie no ankasa wɔ nnɔnhwerew anaa adapɛn kakraa bi mu a wɔansa no yare. Nanso, nyansa nnim sɛ wobɛtwɛn ma asiesie. Nanso, priapism a ɛsen kakraa bi (ischemic) no ankasa nsiesie. Akyinnye biara nni ho sɛ egye ayaresa.Dɛn ne adwene a ɛwɔ tebea yi mu? So ɛbɛyɛ yiye?
Sɛ wunya ayaresa ntɛm a, nnipa dodow no ara anidaso ye. Nnipa a wɔwɔ priapism a ɛsen kakraa bi no mu bɛyɛ fã betumi asan anya ɔbarima ne ɔbea nna a ɛfata sɛ wodi tebea no so wɔ nnɔnhwerew 24 ntam a . Nanso, sɛ wowɔ priapism a ɛsen kakraa bi bɛboro nnɔnhwerew 36 a , ɛda adi sɛ wubenya ɔbarima ne ɔbea nna mu yare a ɛtra hɔ daa (ED) .Sɛ mewɔ priapism a, so biribi wɔ hɔ a metumi ayɛ kosi sɛ mɛkɔ oduruyɛfo nkyɛn?
Ebia saa nneɛma yi bɛboa ma ɔbarima no akyi berɛmo a ɛyɛ den mfiase no so atew na ama ɛyaw no so atew. Nanso ntwentwɛn wo nan ase sɛ wobɛkɔ oduruyɛfo nkyɛn esiane sɛ woasɔ saa nneɛma yi ahwɛ nti.- Fa nnuru a wɔde kum ɛyaw (Nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa - NSAIDs) . Ɛnyɛ obiara na obetumi afa eyinom, enti ɛyɛ papa sɛ wubebisa oduruyɛfo.
- Nom nsu pii.
- Bɔ mmɔden sɛ wobɛtow wo ho.
- Fa wo ho kɔ nantew.
- Fa wo ho hyɛ apɔw-mu-teɛteɛ a emu nyɛ den anaa nea ɛkɔ fam mu: Sɛ nhwɛso no, hama a wobɛhuruw, mmirikatu a wobɛtu wɔ baabi, anaa apɔw-mu-teɛteɛ te sɛ squats .
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn? So ɛsɛ sɛ mekɔ Dwumadibea a Ɛhwɛ Nneɛma a Ɛho Hia Ntɛmntɛm (ETU) ?
Sɛ woanya ɔbarima ne ɔbea nna a ɛyɛ yaw mpɛn pii a wonnya nna mu nkannyan a ɛno ankasa kɔ a, wo ne oduruyɛfo nkasa. Sɛ wosa yare wie a, yɛ nhyehyɛe sɛ wo ne wo duruyɛfo bɛkɔ akɔhwɛ wo . Sɛ priapism san ba bio wɔ ayaresa akyi a, frɛ wo duruyɛfo ntɛm ara. Priapism yɛ aduruyɛ mu asɛm a egye ntɛmpɛ! Sɛ wo ho ayɛ wo hyew a wonnya nna mu nkannyan a ɛnkɔ wɔ nnɔnhwerew kakraa bi akyi a, kɔ baabi a ɛbɛn wo a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ (ETU) ntɛm ara, a wontwentwɛn wo nan ase. Dodow a wotwɛn kyɛ no, dodow no ara na asiane a ɛwɔ hɔ sɛ wobɛsɛe wo barima no daa no yɛ kɛse.Nsɛmmisa a ɛho hia bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?
Sɛ wokɔ oduruyɛfo nkyɛn a, wubetumi abisa nsɛm te sɛ eyinom:- Wobɛyɛ dɛn ahu no yiye sɛ mewɔ priapism?
- So me barima no bɛsɛe koraa?
- Priapism bɛn na mewɔ?
- Dɛn na ɛde tebea yi reba me so?
- Meyɛ obi a ɔyɛ ntini ho ɔyaresafo.Wopɛ sɛ wohyia?
So priapism betumi aba bere a mada mpo?
Yiw, priapism betumi asi bere a woada no. Ɛyɛ ade a ɛfata sɛ wo barima no bɛsɔre bere a woada (nocturnal penile tumescence) . Nanso, ɛyaw a priapism de ba no betumi akanyan wo. Afei nso, mpɛn pii no ɛnyɛ n’ankasa nkɔ, na ebetumi ayɛ den sɛ wobɛsan ada.Awiei koraa no, ade a ɛho hia sen biara a ɛsɛ sɛ yɛkae!
Priapism yɛ tebea a ɛsɛ sɛ wɔsa no ntɛm ara na amma wo barima no ansɛe koraa. Ebetumi ayɛ aniwu sɛ wobɛma wo ho ayɛ wo hyew a ɛkɔ so. Nanso, ɛsono priapism wɔ ɔbarima ne ɔbea nna a ɛyɛ daa ho. Ɛba a nna ho nkannyan biara nka ho, na ɛyɛ yaw. Ɛyɛ ɔkwan a wo nipadua fa so ka kyerɛ wo sɛ biribi anyɛ yiye. Enti, wo ne oduruyɛfo nkasa ntɛm ara na ma hokwan a wowɔ sɛ wubesiw wo barima a ɛsɛe wo daa no ano no nyɛ kɛse. Ntwentwɛn wo nan ase da sɛ wobɛhwehwɛ ayaresa esiane aniwu nti. W’akwahosan ne ade a ɛho hia sen biara! Priapism, Penis Erection, Painful Erection, Penis Akwahosan, Mmarima Akwahosan, Aduruyɛ a Egye Ntɛmntɛm, Penis👩🏽 ⚕️ Nsɛmmisa a Wɔtaa Bisa (FAQ) a efi Oduruyɛfo hɔ
💬 Oduruyɛfo, dɛn ne priapism yi? Dɛn nti na ɛyɛ yaw saa?
Priapism yɛ tebea a ɛma ɔbarima no akyi berɛmo no gyina hɔ bɛboro nnɔnhwerew anan a wɔmfa nna ho nkannyan biara nka ho. Eyi taa yɛ yaw kɛse. Eyi ba efisɛ mogya a akɔhyɛn akyi berɛmo no mu no ntumi nsan nkɔ nipadua no mu na ɛkyere mu. Ɛte sɛ balloon a nsu ahyɛ mu ma a sɛ wɔkyekyere ano a entumi mfi mu.
💬 Oduruyɛfo, so eyi yɛ tebea a anibere wom? Dɛn na ɛsɛ sɛ yɛyɛ?
Yiw, yebu eyi sɛ aduruyɛ mu tebea a egye ntɛmpɛ. Eyi kyerɛ sɛ ɛho hia sɛ wokɔ ayaresabea ntɛm ara sɛnea wubetumi. Efisɛ, sɛ wɔansa a, ebetumi asɛe ɔbarima no akyi daa, na ebetumi nso de ɔhaw ahorow te sɛ nna mu ɔhaw aba daakye. Enti, sɛ eyi ba a, ɛsɛ sɛ wokɔ ayaresabea a ɛbɛn wo a wontwentwɛn wo nan ase.
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