So wo honam ani hwɛbea yɛ den na ɛyɛ yaw? Momma yensua tebea a wɔfrɛ no paraphimosis yi ho ade!

So woahyia tebea bi a ɛyɛ yaw pɛn a wuntumi ntwe wo honam ani hwɛbea no nsan n’akyi na afei wosan n’akyi nkɔ w’anim? So wo barima no ano, glans no, ahonhon na ebia ɛbɛyɛ bruu anaa kɔkɔɔ mpo? Eyi yɛ biribi a ɛsɛ sɛ wodwen ho kɛse sen sɛnea ebia wubesusuw. Wɔ aduruyɛ mu no, yɛfrɛ tebea yi paraphimosis . Eyi yɛ aduruyɛ mu tebea a egye ntɛmpɛ, enti ɛho hia sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara na wonya ayaresa.

Dɛn ne Paraphimosis?

Sɛ yɛbɛka no tiawa a, paraphimosis yɛ bere a wɔtwe wo barima no anim were, were a atwa glans no ho ahyia no san akyi na afei wɔtwe kɔ anim bio, na ɛkata glans no so. Fa no sɛ anim were no akɔhyɛ glans no akyi te sɛ ahama a ɛyɛ den. Sɛ eyi ba a, mogya a ɛsen ne oxygen (nsu a ɛkɔ nipadua no mu) kɔ ɔbarima no ano a ɛboro nea ɛtwetwe no so no ano hye. Eyi nti na ɛho hia sɛ wohwehwɛ ayaresa ntɛm ara sɛnea wubetumi.

Eyi yɛ asɛm a egye ntɛmpɛ! Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ɛho hia yiye sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara.

Paraphimosis yɛ tebea a ɛntaa nsi koraa. Ɛka mmarimaa a wɔntwaa twetia a wɔadi fi asram 4 kosi mfe 12 bɛyɛ 0.2%. Twetiatwa yɛ oprehyɛn a wɔde yi awotwaa no fi hɔ. Wɔtaa yɛ no wɔ awo akyi bere tiaa bi.

Saa tebea yi a ɛba no kɔ soro kakra kodu 1% wɔ mmarima a wɔntwaa twetia a wɔadi boro mfe 16. Nanso, ɛda so ara yɛ nea ɛntaa nsi sɛ wɔde toto nyarewa afoforo a ɛka awotwaa ho a. Nhwɛsoɔ:

• Balanitis (bɛyɛ 6%) .
• Penile adhesions (bɛyɛ 1.5%) .
• Phimosis (ntumi nsan n’akyi) (bɛyɛ 2.5%) .

Wobɛyɛ dɛn ahu sɛ wowɔ paraphimosis anaa? Dɛn ne sɛnkyerɛnne ahorow no?

Nsɛnkyerɛnne titiriw ne sɛ ontumi ntwe awotwaa no nsan nkɔ n’anim na ɔkata glans no so.

Sɛ ɛno da nkyɛn a, ebia sɛnkyerɛnne afoforo te sɛ:

• Ebetumi ayɛ yaw kɛse . Ɛtɔ mmere bi a, ɛyaw no betumi ayɛ nea wontumi nnyina ano.
• Ebia wubehu nsakrae a aba glans penis no kɔla mu . Ebetumi ayɛ bruu, kɔkɔɔ, anaa mpo kɔla a ɛyɛ bruu tuntum.
• Glans penis ne foreskin a ɛho ahonhon .

Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?

Mpɛn pii no, nea ɛde paraphimosis ba denam awotwaa a wɔtwe kɔ akyi de tew ho, anaasɛ sɛ ɛyɛ den dodo a wɔbɔ mmɔden sɛ wɔbɛtrɛw mu no so. Afei nso, bere a wɔreyɛ aduruyɛ mu nneɛma bi te sɛ catheterization no, ebia ɛsɛ sɛ oduruyɛfo anaa ɔyarehwɛfo twe anim were no san n’akyi. Sɛ wo werɛ fi sɛ wobɛtwe akɔ akyi a, eyi betumi aba.

Fa no sɛ eyi: Wotwee w’akyi honam ani de tew w’akyi berɛmo mu bere a woreguare, nanso bere a wowiee no, wo werɛ fii sɛ wobɛtwe akɔ akyi, anyɛ saa a wuntumi. Bere bi akyi no, wuhu sɛ awotwaa no ahonhon, na glans penis no ahonhon na ɛyɛ yaw. Wɔ tebea a ɛte saa mu no, ebia wubesusuw sɛ paraphimosis.

Ebia ntease afoforo nso wɔ hɔ:

• Nyarewa a wɔde nyarewa ba
• Nipadua mu ahodwiriw a ɛba ɔbarima no akyi
• Ahoɔden pii a wode bedi dwuma bere a woretwe awotwaa no akɔ akyi no
• Wo werɛ fi sɛ wobɛtwe awotwaa no akɔ akyi na afei woasan akɔ w’anim bio

Hena na tebea yi ka no kɛse?

Paraphimosis ba mmarima a wɔn honam ani hwɛbea a edi mũ (wɔntwaa twetia) anaa mmarima a wɔayi wɔn awotwaa no fã bi pɛ (wɔatwa twetia) mu. Ɛmma mmarima a wɔatwa twetia koraa no mu.

So eyi yɛ nea asiane wom? Dɛn ne nsɛnnennen a ebetumi afi paraphimosis mu aba?

Sɛ wɔanhwehwɛ ayaresa ntɛm a, paraphimosis betumi ama wɔanya nea edidi so yi:

• Ntini a ɛtwetwe fi ntini a ɛma mogya tu no betumi aka .
• Mogya a ɛkɔ ɔbarima no akyi no betumi atew (ischemia) . Eyi te sɛ nea wɔredum nsu paipu. Sɛ mogya nkɔ yiye a, ɔbarima no akyi ntini no nnya mframa pa ne aduannuru.
• Ntini a ɛwɔ ɔbarima no akyi no betumi awu (necrosis) . Sɛ wɔkɔ so twa mogya no mu a, nkwammoaa a ɛwɔ saa beae no befi ase awuwu. Eyi yɛ tebea a ɛyɛ hu paa.

Ɛno nti na wobu eyi sɛ aduruyɛ mu tebea a egye ntɛmpɛ no. Ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn a ɛnkyɛ.

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Mpɛn pii no, paraphimosis ho sɛnkyerɛnne ahorow no da adi pefee. Wubehu sɛ wo barima no ho ahonhon na ɛnyɛ wo dɛ. Oduruyɛfo betumi ahu sɛ eyi yɛ paraphimosis denam wo yare no ho sɛnkyerɛnne a obetie na wahwɛ wo barima no mu no so.

Esiane sɛ eyi yɛ tebea a egye ntɛmpɛ nti, sɛ wofrɛ oduruyɛfo na woka wo sɛnkyerɛnne ahorow ho asɛm a, ɛda adi sɛ ɔbɛka akyerɛ wo sɛ kɔ ayaresabea dan a ɛbɛn wo ntɛm ara.

Ɔkwan bɛn so na wɔsa eyi?

Sɛ oduruyɛfo bi bɛsa paraphimosis a, obetumi ayɛ nea edidi so yi:

• Aduru a wɔde di dwuma de tew ɔfe so.
• Sɛ́ wobɛpiapia anaa wobɛbɔ glans no brɛoo na woabɔ mmɔden sɛ wobɛtwe anim were no asan akɔ n’anim, akɔ baabi a na ɛwɔ no. Eyi yɛ biribi a oduruyɛfo de ahwɛyiye kɛse yɛ.
• Wɔde scalpel di dwuma de twa awotwaa no atifi fã ketewaa bi, fi glans no ano kurukuruwa no so kosi ɔbarima no akyi (akyi mpaapaemu). Eyi ma wotumi twe anim were no kɔ anim ma ɛyɛ mmerɛw sɛ ɛbɛsan asiw kwan no.
• Twetiatwa yɛ awotwaa no fã bi anaa ne nyinaa a woyi fi hɔ.

Sɛ wunya paraphimosis wie a, ɛda adi sɛ wubenya bio. Enti ebia oduruyɛfo bɛkamfo akyerɛ sɛ wonyi awotwaa no fã bi anaa ne nyinaa, a wɔfrɛ no twetiatwa. Sɛ wuntumi ntwa twetia a, akyi mpaapaemu no betumi aboa ma paraphimosis ansi bio.

So ɛnyɛ hwee sɛ wode nsukyenee bɛto so?

Ɛwom sɛ nsukyenee betumi aboa ma akisikuru so atew de, nanso ɛnyɛ ɔkwan a eye sen biara a wɔfa so sa paraphimosis. Nsukyenee a wɔde gu so no betumi ama mogya a ɛkɔ nipadua no mu no asɛe ankasa. Enti nyɛ no a wonkɔ oduruyɛfo nkyɛn.

So eyi bɛyɛ yiye ara kwa?

Dabi, paraphimosis nyɛ tebea a ɛno ankasa bɛyɛ yiye. Ɛsɛ sɛ wokɔ ayaresabea ntɛm ara sɛnea wubetumi.

So ayaresa no mu nsunsuanso bɔne bi wɔ hɔ?

Mpɛn pii no, twetiatwa ne akyi a wɔpaapae yɛ oprehyɛn a ahobammɔ wom. Nanso, sɛnea ɛte wɔ oprehyɛn biara ho no, asiane ahorow bi wɔ hɔ. Eyinom bi ne:

• Mogya a ɛtɔ (Mogya a ɛtɔ) .
• Nsaneɛ
• Yeaw
• Ɔbarima no ano a ɛyɛ hyew (meatitis) (a ɛtwa baabi a nsu fi mu ba no ho hyia) .
• Meatal stenosis a ɛyɛ mmerɛw

Mpɛn pii no, eyinom ho yɛ na. Oduruyɛfo no bɛka eyi ho nsɛm pii akyerɛ wo.

So wobetumi asiw eyi ano na amma?

Ɔkwan biako pɛ a wobetumi afa so asiw paraphimosis ano koraa ne sɛ wobetwa twetia. Nanso, sɛ wowɔ foreskin a, nea edidi so yi a wobɛyɛ no betumi aboa ma woasiw paraphimosis ano:

• Hwɛ hu sɛ wobɛtwe awotwaa no asan akɔ w’anim bere a wode catheter ahyɛ mu, ayɛ nhwehwɛmu, anaa biribiara a ɛfa ɔbarima no ho awie no.
• Sɛ wohohoro ɔbarima no akyi, woteɛteɛ w’apɔw mu ma wo honam ani hwɛbea no trɛw, wo ne obi da, anaasɛ wotow wo ho , twe wo honam ani hwɛbea no kɔ akyi.
• Mma nnyaw awotwaa no nkyɛ nsen sɛnea ɛho hia, sɛ́ ɛyɛ bere a woresiesie anaasɛ biribi foforo biara nti.
• Ma ɔbarima akyi berɛmo no ano ho ntew bere nyinaa.

Paraphimosis yɛ aniberesɛm dɛn?

Sɛ wɔsa paraphimosis yare ntɛmntɛm na ɛfata a, ebetumi atu mpɔn. Ɛne sɛ, wobetumi asa no koraa. Nanso, sɛ w’ankasa wuntumi ntwe wo honam ani hwɛbea no nsan nkɔ w’anim bere a woasa wo yare mpo a, asiane wɔ hɔ sɛ paraphimosis bɛsan aba bio. Ɛno nti na nnuruyɛfo taa kamfo twetiatwa kyerɛ no.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wuntumi ntwe awotwaa no nsan nkɔ w’anim a, .Hwɛ oduruyɛfo ntɛm ara sɛnea wubetumi. Ɛda adi sɛ ebehia sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara anaasɛ wokɔ baabi a wɔhwɛ ayarefo a egye ntɛmpɛ wɔ ayaresabea a ɛbɛn wo no.

Sɛ wo foreskin da so ara wɔ hɔ wɔ ayaresa akyi a, hokwan kɛse wɔ hɔ sɛ paraphimosis bɛsan aba bio. Enti sɛ yare no ho sɛnkyerɛnne san ba a, kɔ oduruyɛfo nkyɛn ntɛm ara.

Sɛ ɛho hia sɛ wotwa twetia de sa wo paraphimosis no a, sɛ wowɔ nea edidi so yi mu biara a, wo ne wo duruyɛfo nkasa:

• Sɛ yareɛ no ho sɛnkyerɛnne bi wɔ hɔ a : atiridiinini, awɔw, akisikuru, akisikuru, kɔla a ɛsakra wɔ kuru no ho (kɔkɔɔ, kɔkɔɔ, bruu, tuntum) .
• Sɛ mogya tu a ɛrennyae
• Sɛ ɛda so ara yɛ den ma wo sɛ wobɛtow wo ho wɔ nnɔnhwerew 12 wɔ oprehyɛn no akyi a

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Wubetumi abisa oduruyɛfo no nsɛm te sɛ eyinom:

• So me barima no asɛe koraa?
• Ɛda adi dɛn sɛ paraphimosis bɛsan aba bio?
• So metumi akura m’anim were no mu?
• So mihia dorsal slit anaa twetiatwa?

Sɛ wɔantwe awotwaa no ankɔ akyi da a, dɛn na ɛba?

Wɔ mmofra nkumaa fam no, mpɛn pii no wontumi ntwe wɔn anim were no nkɔ kosi sɛ anyɛ yiye koraa no wobedi mfe 5. Ɛtɔ da bi a, wotumi yɛ saa kosi sɛ wobedi bɛyɛ mfe 10 anaa nea ennu saa mpo.

Sɛ wutumi twe w’anim were no san wie a, ɛho hia sɛ wohohoro baabi a ɛwɔ ase no. Sɛ ɛnte saa a, ngo, honam ani nkwammoaa a awuwu, fifiri, ne nsu afoforo betumi ayɛ kɛse na ayɛ ade bi a wɔfrɛ no "smegma." Ahotew nso betumi aboa ma wɔasiw ɔbarima no akyi ɔfe ano. Nhwɛsoɔ:

• Glans penis a ɛyɛ hyew (Balanitis) .
• Posthitis akyi
• Ntini ne anim were nyinaa a ɛyɛ hyew (Balanopsthitis) .

Nsonsonoe bɛn na ɛda Paraphimosis ne Phimosis ntam?

Paraphimosis ne phimosis nyinaa yɛ tebea horow a ɛka awotwaa no. Nanso, paraphimosis yɛ aduruyɛ mu asɛm a egye ntɛmpɛ. Phimosis nyɛ saa.

Phimosis yɛ tebea a wontumi ntwe ɔbarima a ontwaa twetia anaasɛ ne fã bi twa ne honam ani hwɛbea nsan n’akyi sɛnea ɛbɛyɛ a ɛbɛkata akyi berɛmo no so. Phimosis wɔ mmofra a wɔawo wɔn foforo mu, na nkakrankakra wɔn anim were no gyae bere a wɔrenyin no. Nanso, phimosis nso betumi afi ɔyare mmoawa (a nyarewa a wonya fi nna mu ka ho) anaa akuru.

Wɔtaa de corticosteroid cream anaa gel a wɔde gu ɔbarima no akyi sa phimosis. Sɛ ɔyare mmoawa bi wɔ hɔ a, wɔde nnuru a ekum ɔyare mmoawa ma. Sɛ eyinom mmoa a, ebia twetiatwa ho behia.

So yentumi nyɛ eyi ho biribi wɔ fie?

Ɛnyɛ saa koraa. Worentumi nsa paraphimosis yare wɔ fie. Sɛ wowɔ paraphimosis ho sɛnkyerɛnne ahorow a, hwehwɛ aduruyɛfo afotu ntɛm ara sɛnea wubetumi.

Paraphimosis hwehwɛ sɛ wɔkɔ aduruyɛ mu ntɛm ara na wɔasiw ɔbarima no akyi sɛe koraa. Ebia wubesusuw sɛ sɛ wogye w’ahome kakra anaa nsukyenee a, ɛbɛyɛ yiye. Nanso, sɛ wote ɛyaw a emu yɛ den anaasɛ wuntumi nsan wo honam ani hwɛbea no sɛnea ɛsɛ a, na wo nipadua no reka akyerɛ wo sɛ biribi anyɛ yiye. Ɛho hia sɛ wokɔ aduruyɛ mu ntɛm ara sɛnea ɛbɛyɛ yiye na wɔakwati sɛ wɔbɛsɛe ade bere tenten.

Nneɛma a ɛho hia paa sɛ wobɛkae (Take-Home Message) .

Okay, enti ade a ɛho hia sen biara a ɛsɛ sɛ wokae fi nea yɛaka ho asɛm no mu ne sɛ paraphimosis yɛ ayaresa tebea a emu yɛ den, a egye ntɛmpɛ.

• Sɛ wuntumi ntwe wo honam ani hwɛbea no nkɔ anim ne anim bio, na wo barima no ano ahonhon, ɛyɛ yaw, anaasɛ ne kɔla asesa a, kɔ oduruyɛfo nkyɛn ntɛm ara.
• Mma wo nkutoo nkɔ fie nkɔyɛ biribiara. Ɛno betumi ama tebea no asɛe kɛse.
• Sɛ woantwa twetia a, kae sɛ bere nyinaa wobɛsan abɔ wo honam ani hwɛbea no mu bere a woahohoro ho awie ne nna akyi.
• Mma wo ho nnpopo, na mmom yɛ ntɛm. Sɛ wunya ayaresa ntɛm a, wubetumi ama wo ho atɔ wo koraa.

Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, nfɛre na bisa oduruyɛfo. W’akwahosan a wobɛhwɛ so yiye ne ade a ɛho hia sen biara!

` Paraphimosis, Paraphimosis, Foreskin a Ɛyɛ Den, Penis Ti, Mmarima Akwahosan, Ayaresa a Egye Ntɛmntɛm, Twetiatwa, Penis Pain