So wo babarima ketewa no akyi berɛmo te sɛ nea wɔakyinkyim no? So eyi ne nea wopɛ sɛ woka wɔ (Penile Torsion) ho? Momma yɛnkasa!

Sɛ wɔwo wo babarima kumaa a, ebia w’ani gye paa sɛ ɛna ne agya. Nanso bere koro no ara mu no, ebia wobɛte ehu kakra nso nka wɔ nneɛma nketenkete ho. Ebia woahyɛ no nsow sɛ wo babarima no akyi berɛmo abɔ kakra, anaasɛ adan akɔ ɔfã biako. Mma wo ho nnpopo bere a wuhu eyi no. Eyi betumi ayɛ tebea bi a yɛfrɛ no (Penile Torsion) wɔ aduruyɛ ho nyansahu mu. Momma yɛnka eyi ho asɛm nkɔ akyiri na yɛnka nnɛ ara kwa.

Dɛn ne eyi (Penile Torsion)?

Sɛ yɛbɛka no tiawa a, Penile Torsion yɛ bere a wɔkyinkyim wo ba no akyi berɛmo, titiriw wɔ mmarimaa mu, kɔ ɔfã biako. Eyi yɛ tebea a wɔde awo obi . Eyi kyerɛ sɛ bere a akokoaa no da so ara wɔ awotwaa mu no, ɛtɔ mmere bi a ne honam ani ne ntini a atwa ho ahyia no ntumi nyɛ yiye bere a ɔbarima no nyin no. Mpɛn pii no, saa kyinhyia yi kɔ benkum (a ɛne dɔn no bɔ abira). Eyi nyɛ aniberesɛm sɛnea ebia wususuw no, na ɛyɛ tebea a ɛtaa ba.

Wobɛyɛ dɛn ahu eyi?

Mpɛn pii no, awofo hu saa tebea yi (Penile Torsion) bere a wɔatwa wɔn ba twetia, anaa bere a oduruyɛfo bi hwehwɛ akokoaa no mu no. Sɛ wuhu sɛ wo babarima no akyi twitwiw anaa ɛrekyinkyin yi nso a, ade a edi kan a ɛsɛ sɛ woyɛ ne sɛ wobɛtwe twetiatwa no akɔ akyiri kakra. Afei, ɛbɛyɛ papa sɛ wobɛkɔ mmofra ntini ho oduruyɛfo nkyɛn na wɔama wɔayɛ wo ba no mu nhwehwɛmu. Nnuruyɛfo yi sa ɔhaw ahorow a ɛwɔ mmofra nsu ne awo nhyehyɛe mu.

So ɔbarima no akyi berɛmo mu twitwiw ahorow ahorow wɔ hɔ?

Yiw, tebea bi a wɔfrɛ no (Penile Torsion) betumi aba n’ankasa, anaasɛ ebetumi aba abom ne awo mu dɛmdi afoforo a ɛfa ɔbarima akyi berɛmo ho. Tebea horow yi bi ne:

• Hypospadias : Eyi ne bere a urethra, afiri a nsu ne mmadwoa fa mu fi nipadua no mu no nni akyi berɛmo no ano, na mmom ɛwɔ beae foforo.
• Congenital penile curvature (anaa ‘chordee’): Eyi ne bere a ɔbarima no akyi berɛmo no, titiriw bere a ɛteɛ no, kotow denneennen kɔ ɔfã biako na ɛda mpa no so petee.

So eyi yɛ tebea a anibere wom?

Penile torsion betumi afi nea emu nyɛ den so kosi nea emu yɛ den so . Sɛ wo ba no akyi berɛmo mu kyinkyim kɛse a, ebia ɔbarima no akyi berɛmo no bɛkyinkyim bɛboro digrii 90. Nanso, mpɛn pii no, eyi yɛ nea emu nyɛ den kɛkɛ.

Penile Torsion abu so dɛn?

Sɛnea nnuruyɛfo ne nhwehwɛmufo kyerɛ no, saa tebea yi (penile torsion) betumi aka mmarimaa 1.5% kosi 27%. Nanso, nsɛm a emu yɛ den, a wɔdannan ɔbarima no akyi bɛboro digrii 90 no ho yɛ na yiye – kyerɛ sɛ, ennu mmarimaa 1%.

Dɛn ne sɛnkyerɛnne ahorow no?

Nsɛnkyerɛnne titiriw a ɛkyerɛ sɛ ɔbarima no akyi berɛmo no bɛkyinkyin ne sɛ ɛte sɛ nea ɔbarima no akyi berɛmo no akyeakyea na akotow akɔ ɔfã biako. Sɛ ɛnyɛ ɛno a, mpɛn pii no, sɛnkyerɛnne foforo biara nni hɔ, titiriw sɛ wɔdannan ɔbarima no akyi nnu digrii 90 a.

So eyi yɛ yaw?

Mpɛn pii no, ɔbarima akyi berɛmo a ɛkyinkyin no mma ɛyaw biara mma. Enti, ebia akokoaa no nte nka sɛ ne ho nyɛ no dɛ biara wɔ ho.

So Penile Torsion De Awo Ho Nsɛnnennen Ba?

Eyi yɛ asɛmmisa a awofo pii wɔ. Dabi, adanse biara nni hɔ a ɛkyerɛ sɛ ɔbarima akyi berɛmo a ɛkyinkyin ka tumi a obi tumi wo ba (awo). Enti mma ɛnhaw wo wɔ ho a ɛho nhia.

Dɛn ne nneɛma a ɛde ɔbarima no akyi berɛmo mu twitwiw ba?

Nokwarem no, nnuruyɛfo ne nhwehwɛmufo nnya nhuu nea enti a ɔbarima no akyi berɛmo no twitwiw. Nanso, wosusuw sɛ ebia tebea no fa mmea nkwaadɔm te sɛ estrogen a wɔde wɔn ho hyɛ mu dodo bere a akokoaa no nyin wɔ awotwaa mu no ho. Wosusuw nso sɛ honam ani a ɛnnɔɔso wɔ ɔbarima akyi berɛmo no so ne ntini a ɛka bom a ɛbata ɔbarima no akyi, anim were, ne akyi berɛmo ntam wɔ ɔkwan a ɛnteɛ so nso betumi ayɛ nea ɛde ba.

Nsɛnnennen bɛn na eyi betumi de aba?

Nnipa a wɔn akyi berɛmo mu ayɛ basaa no mu bɛboro fã nya nsu a ɛkɔ wɔn mu a ɛnyɛ ne kwan so . Eyi betumi ama:

• Nsakrae a ɛba nhyɛso mu bere a wɔretoto nsu no.
• Nsu a ɛsen kɔ soro, fam, anaa nkyɛnkyɛn.
• Nsu a ɛsen no mu paapae yɛ abien na ɛsen kɔ mmeae ahorow.

Ebia mpanyimfo binom ani rennye sɛnea wɔn akyi berɛmo te ho esiane sɛ wɔn akyi berɛmo no twitwiw a wɔansa wɔn yare nti. Ebetumi anya adwene mu nkɛntɛnso.

Ɔkwan bɛn so na wohu Penile Torsion?

Eyi yɛ mmerɛw yiye. Mpɛn pii no oduruyɛfo betumi ahu no yiye sɛ ebia wo barima no akyeakyea anaasɛ ɛnte saa bere a wayɛ wo nipadua mu nhwehwɛmu awie no .

Ɔkwan bɛn so na wɔsa Penile Torsion?

Mpɛn pii no, ɔbarima no akyi berɛmo a ɛkyinkyin no nhia ayaresa pɔtee biara, titiriw sɛ ɔbarima no akyi berɛmo no kyinhyia nnu digrii 90 a. Nanso, ebia awofo pii bɛpɛ sɛ wosusuw ayaresa ho esiane ahosiesie nti. Wɔde oprehyɛn a wɔde aduru a wɔde kum nipadua no nyinaa na ɛsa ɔbarima akyi berɛmo a ɛkyinkyin no. Sɛ wo ba no wɔ tebea afoforo te sɛ hypospadias anaasɛ congenital penile curvature a ɛsɛ sɛ wɔsa nso a, ebia oduruyɛfo a ɔyɛ oprehyɛn no de oprehyɛn akwan horow bedi dwuma. Wo duruyɛfo bɛtu wo fo wɔ ayaresa a eye sen biara a wobɛfa so ama wo ba no ho. Wɔfrɛ oprehyɛn a wɔtaa yɛ no degloving. Eyi yɛ oprehyɛn bi a wɔde yɛ nipadua no. Wɔ eyi mu no, oduruyɛfo a ɔyɛ oprehyɛn no yi honam ani fã bi fi abofra no akyi berɛmo mu na ɔsan de honam ani hwɛbea no bata ho wɔ ɔkwan bi so a ɛbɛma ɔbarima no akyi berɛmo no akyeakyea no ayɛ kɛse.

So (Penile Torsion) oprehyɛn yɛ nea asiane biara nni ho?

Asiane ahorow wɔ oprehyɛn biara mu. Nanso, mpɛn pii no, oprehyɛn a wɔde twitwiw ɔbarima akyi berɛmo no yɛ nea asiane biara nni ho. Nnuruyɛfo taa kamfo oprehyɛn yi kyerɛ wo ba a wadi fi asram 6 kosi 18. Asiane ahorow wɔ hɔ a ɛkɔ soro kakra bere a ɛfa nnuru a wɔde kum nkokoaa a wonnii asram 6 ho no. Nhwɛsoɔ:

• Akisikuru ne ɔfe
• Ɔhaw ahorow a ɛfa adesua, nkae, anaa nneyɛe ho (eyinom ntaa nsi) .

Nanso, wobetumi ayɛ ɔbarima akyi berɛmo oprehyɛn wɔ mfe biara mu. Nnipa binom si gyinae sɛ wɔbɛyɛ saa oprehyɛn yi akyiri yi wɔ wɔn nkwa nna mu esiane wɔn ankasa nneɛma nti.

(Penile Torsion) So ɛbɛsa yareɛ wɔ n’ankasa so??

Dabi, tebea no (Penile Torsion) no ankasa nsa, na saa ara nso na sɛ obi nyin a, ɛnyɛ yiye. Ɛyɛ sɛnea ɛte no ara kwa.

Me ho bɛtɔ me ntɛm dɛn bere a wɔasa me yare awie no?

Anyɛ yiye koraa no, egye nnafua 10 ansa na ɔbarima no akyi berɛmo no ayɛ yiye koraa wɔ oprehyɛn akyi.

Daakye bɛn na obi a ɔwɔ Penile Torsion betumi ahwɛ kwan?

Anidaso wɔ hɔ ma wɔn a wɔn akyi berɛmo mu yɛ den no. Nsɛm a ɛnyɛ den a ɛfa ɔbarima akyi berɛmo a ɛkyinkyin ho no mma akwahosan, nna, anaa awo mu haw biara a ɛtra hɔ kyɛ. Wɔ nsɛm a emu yɛ den a ɛsɛ sɛ wɔyɛ oprehyɛn mpo mu no, nea efi mu ba no taa yɛ papa yiye. Enti biribiara nni hɔ a ɛsɛ sɛ ɛhaw yɛn ho.

Ɔkwan bɛn so na wɔbɛhwɛ akokoaa no bere a wɔayɛ no oprehyɛn awie no?

(Penile Torsion) Oduruyɛfo no bɛkyerɛkyerɛ mu akɔ akyiri akyerɛ wo sɛnea wobɛhwɛ akokoaa no wɔ oprehyɛn no akyi. Ɛsɛ sɛ wudi saa akwankyerɛ ahorow no akyi pɛpɛɛpɛ. Mpɛn pii no ɔbɛka akyerɛ wo sɛ yɛ nneɛma te sɛ eyi:

• Fa petroleum jelly (`Vaseline®`) anaa aduru a wɔde siw honam ani (`Aquaphor®`) kakraa bi gu beae a wɔyɛ oprehyɛn no bere biara a wobɛsesa mpaboa no. Eyi bɛboa ma mmoawa ankɔ mu.
• Ma akokoaa no aduru a ɛma ɛyaw ano brɛ ase a oduruyɛfo no kamfo kyerɛ, te sɛ acetaminophen suspension (Tylenol Infants’®).
• Fa samina ne nsu a ɛho tew a ɛyɛ hyew hohoro kuru no ho mpɛn pii kosi sɛ ɛbɛsa.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wo ba no nsu a ɛsen no nyɛ nea ɛfata na wususuw sɛ ebetumi aka n’asetra pa daakye a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ afotu.

Bere bɛn na ɛsɛ sɛ wokɔ Emergency Treatment Unit (ETU) ?

Sɛ wɔayɛ wo ba oprehyɛn de asiesie tebea bi a wɔfrɛ no penile torsion a, ɛsɛ sɛ wode no kɔ ayaresabea dwumadibea a wɔhwɛ ntɛmpɛ so ntɛm ara sɛ wɔda ɔyare no ho sɛnkyerɛnne adi a . Saa nsɛnkyerɛnne yi bi ne:

• Mogya a ɛtaa tu .
• Mogya a wontumi nnyae.
• Te sɛ hua bɔne.Nsu bi a ɛte sɛ akisikuru resen.
• Sɛ wɔtow nsu nnɔnhwerew 12 wɔ oprehyɛn no akyi.
• Sɛ wowɔ atiridiinini a .
• Sɛ wote nka sɛ awɔw wom na wo ho popo a .
• Sɛ akisikuru wɔ baabi a wɔyɛ oprehyɛn no ho a.
• Sɛ honam ani kɔla sesa (kɔkɔɔ, kɔkɔɔ, anaa tuntum sen honam ani kɔla a ɛfata ) na ɛte sɛ nea ɛyɛ akisikuru a .

Nsɛmmisa a ɛho hia bɛn na ɛsɛ sɛ wobisa oduruyɛfo no?

Sɛ wokɔ oduruyɛfo nkyɛn a, bisa nsɛm a wowɔ nyinaa. Ɛho hia sɛ wubisa nsɛm te sɛ eyinom:

• Me ba no tebea (Penile Torsion) no mu yɛ den dɛn?
• So ɛsɛ sɛ wɔyɛ me ba oprehyɛn de siesie ne barima no akyi berɛmo a ɛkyinkyin no?
• Asiane bɛn na ɛwɔ oprehyɛn a wɔde twitwiw ɔbarima akyi berɛmo mu nyinaa?
• Sɛ me babarima no wɔ penile torsion a, ɛsɛ sɛ wotwa no twetia?

Ade a ɛho hia sen biara ne sɛ wo ne oduruyɛfo no besusuw adwenem naayɛ ne ehu biara a wowɔ ho na woasiesie.

Nea ɛsɛ sɛ yɛkae fi nea yɛaka ho asɛm no mu

Okay, enti yɛaka penile torsion ho asɛm pii nnɛ. Nneɛma atitiriw a ɛsɛ sɛ wokae ni:

• Penile torsion yɛ tebea a ɛtaa ba wɔ awo mu.
• Mpɛn pii no, eyi nyɛ aniberesɛm na ɛyaw biara nni mu.
• Tebea nketenkete ho nhia ayaresa titiriw.
• Sɛ ɛho hia a, wobetumi de oprehyɛn a ɛtaa yɛ nea asiane biara nni ho nso asiesie eyi .
• Saa tebea yi nnya awo so nkɛntɛnso.
• Sɛ w’adwene mu yɛ wo naa a, kɔ mmofra ntini ho oduruyɛfo nkyɛn .

Enti, sɛ wuhu biribi a ɛte sɛɛ wɔ wo babarima no ho a, mma wo ho nnpopo, gye aduruyɛ mu afotu na yɛ w’ade sɛnea ɛfata. Biribiara bɛyɛ yiye!