Nukae nye Priapism? Kpuie ko la,...
Kpuie ko la, priapism nye nɔnɔme si me ŋutsu ƒe vidzinu nɔa tsitrenu ɣeyiɣi didi aɖe, zi geɖe la, ewua gaƒoƒo ene, gbɔdɔdɔ ƒe dzodzro alo didi aɖeke manɔmee. Vevietɔ wu la, zi geɖe la, evea ame ŋutɔ. Esia dzɔna elabena ʋu si si yi ɖe ŋutsu ƒe vidzinu me, si nye ʋu la, mete ŋu trɔna yia ŋutilãa me o eye wòtsia ŋutsu ƒe vidzinu me.Bu eŋu abe ʋuƒo si me tsi yɔ fũ si mɔ aɖeke meli si dzi wòato asi le ne èblae o ene. Nu ma ke dzɔna ɖe ŋutsu ƒe vidzinu hã dzi.Ele vevie be míaɖo ŋku edzi be atikewɔwɔ kpatae nye esia. Ele vevie be woayi atikewɔƒe enumake, si fia be, kaba ale si nàte ŋui. Ne womewɔ atike nɛ o la, ate ŋu agblẽ nu le ŋutsu ƒe vidzinu ŋu tegbee eye wòahe nɔnɔmewo abe tsitretsitsi ƒe dɔmawɔmawɔ nyuie (ED) ene gɔ̃ hã vɛ le etsɔme.
Ðe priapism ƒomevi vevi aɖewo lia?
Ẽ, woate ŋu ama priapism ɖe ƒomevi vevi geɖe me. Wo dometɔ ɖesiaɖe ƒe gɔmedzedze kple dzesiwo to vovo vie.1. Priapism si me sisi le bɔbɔe (ischemic).
Esiae nye priapism ƒomevi si bɔ wu. Nusi dzɔna le afisia enye be ʋu si ge ɖe xɔ tɔxɛwo (corpora cavernosa) siwo kpena ɖe ŋutsu ƒe vidzinu ƒe tsitretsitsi ŋu la, tsia anyi eye megate ŋu doa go ake o. Ne míagblɔe tututu la, ʋu ƒe sisi dzi ɖena kpɔtɔna, si tae woyɔnɛ be "low-flow". Ɣeaɖewoɣi la, manya wɔ be woake ɖe nusi koŋ gbɔ esia tso ŋu o. Gake ate ŋu adzɔ zi geɖe wu le amesiwo ŋu atikewɔwɔ ƒe nɔnɔme aɖewo le gome. Le kpɔɖeŋu me:- Sickle cell disease - Esia nye domenyiŋusẽfianu ƒe ʋumenugbagbeviɣidɔ.
- Ʋumenugbagbeviɣidɔ (Leukemia) .
- Asrãdɔ
2. Priapism si yia edzi enuenu (kukuɖiɖi).
Esia hã nye priapism si me tsi mesɔ gbɔ ɖo o ƒomevi aɖe, gake enye nɔnɔme si to vovo vie. Nusi dzɔna le afisia enye be ŋutsu ƒe vidzinu la tsia tre ɣeyiɣi didi aɖe, emegbe wògatsia tre le eɖokui si le ɣeyiɣi kpui aɖe megbe. Esia ate ŋu adzɔ enuenu. Ɣesiaɣi si tsitretsitsi ƒe ɣeyiɣia dzina ɖe edzi eye vevesesea dzina ɖe edzi.3. Priapism si me tsi sina tona ŋutɔ (nonischemic).
Esia ƒomevi mebɔ vie wu eve mamlɛawo o. Edzɔna ne abi alo nuveviwɔame aɖe si le ŋutsu ƒe vidzinu alo teƒe si ƒo xlãe (le kpɔɖeŋu me, perineum ) ŋu na ʋu sina yia ŋutsu ƒe vidzinua me si dzi womeɖu o. Woyɔa esia be "high-flow." Zi geɖe la, esia ƒomevi mevea ame boo o wu ƒomevi bubuawo.Aleke gbegbee woyɔa nɔnɔme sia be priapism?
Zi geɖe la, priapism nye nɔnɔme si mebɔ kura o. Gake abe alesi megblɔe va yi ene la, anɔ eme be edzɔna ɖe amesiwo ŋu atikewɔwɔ me dɔléle aɖewo le la dzi wu. Le kpɔɖeŋu me, ate ŋu adzɔ le amesiwo ŋu sickle cell dɔléle le ƒe 30% va ɖo 45% me .Nukawoe nye priapism ƒe dzesiwo? Aleke nèwɔ dea dzesii?
Dzesi vevitɔe nye be ŋutsu ƒe vidzinu nɔa tsitrenu wu gaƒoƒo ene gbɔdɔdɔ ƒe dzodzro aɖeke manɔmee. Dzesi bubuwo ate ŋu ato vovo le priapism ƒomevi si le ŋuwò nu. Ne priapism si mebɔ o (ischemic) le ŋuwò la:- Ne ŋutsu ƒe vidzinu ƒe asike le tsitre hã la, lãkusi (nugbɔ) ate ŋu afa.
- Vevesesea dzina ɖe edzi vivivi le ɣeyiɣi aɖe megbe.
- Ðewohĩ ŋutsu ƒe vidzinu ƒe asike masẽ keŋkeŋ o, gake ate ŋu atrɔ vie.
- Zi geɖe la, vevesese aɖeke menɔa eme o alo vevesese sue aɖe koe nɔa eme.
Nukawo koŋue hea priapism vɛ?
Nukutɔe la, le priapism ƒe dɔléle siwo ade akpa etɔ̃lia (33%) me la, womate ŋu akpɔ nusi koŋ gbɔ wòtso o. Gake le go susɔeawo me la, nu geɖe ate ŋu awɔ akpa aɖe. Priapism si mebɔ o (ischemic) ate ŋu atso lãmesẽkuxi siwo le ete gbɔ:- Sickle cell ƒe dɔléle
- Ʋumenugbagbeviɣidɔ (Leukemia) .
- Asrãdɔ
- Thalassemia ƒe dɔléle
- Ahosi yibɔ akpɔkplɔ ɖua ame
- Aɖi si nye carbon monoxide (CO) ƒe aɖi
- Vidzinu me kansa
- Nuveviwɔame le akɔta alo vidzinuwo ƒe akpa si
- Atike manɔsenu aɖewo zazã: Kpɔɖeŋu aɖewoe nye marijuana , cocaine(cocaine) kple amphetamines .
- Atike aɖewo zazã alo wo zazã le mɔ gbegblẽ nu:
- Atike siwo wozãna na gbɔdɔdɔ ƒe dɔmawɔmawɔ nyuie: Le kpɔɖeŋu me , phosphodiesterase type 5 inhibitors kple intracavernous injection therapy .
- Blanuilélenutsitike aɖewo : Le kpɔɖeŋu me , trazodone .
- Tagbɔdɔlélawo / ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie ƒe atike aɖewo : Le kpɔɖeŋu me , chlorpromazine .
Ðe dɔléle sia si woyɔna be priapism la xɔa ame mea?
Ao, menye nenema kura o. Priapism menye dɔléle si xɔa ame me o. Azɔ hã, menye gbɔdɔdɔ ƒe dɔléle (STI) alo dɔlékui ma tɔgbe ƒe dzesie wònye o. Eyata naneke meli si ŋu woatsi dzi ɖo o.Ameka dzie nɔnɔme sia ate ŋu akpɔ ŋusẽ ɖo wu?
Priapism ate ŋu adzɔ le amesiame si xɔ ƒe ɖesiaɖe si si ŋutsu ƒe vidzinu le ŋu. Ate ŋu adzɔ le vidzĩ siwo wodzi yeyee hã me, gake ebɔ wu le ƒe eve me:- Ŋutsuvi siwo xɔ tso ƒe 5 va ɖo ƒe 10.
- Sɔhɛ kple ŋutsu tsitsi siwo xɔ tso ƒe 20 va ɖo ƒe 50.
Nukawoe nye kuxi siwo ate ŋu ado tso priapism me? Ðe wònye nu vevi aɖea?
Ẽ, nya siae wòle be míalé ŋku ɖo etɔxɛe. Ne womedae nyuie o la, priapism ate ŋu agblẽ nu le ŋutsu ƒe vidzinu ŋu tegbee. Bu eŋu kpɔ, lãmenugbagbevi siwo le míaƒe ŋutilã me hiã oxygen be woatu ŋusẽ ɖo. Oxygen tsoa ʋua me. Le priapism me la, ne ʋua tsi ŋutsu ƒe vidzinu me la, oxygen si le ʋu ma me la vɔna vivivi. Emegbe lãkusi siwo le ŋutsu ƒe vidzinu me la dzea gbegblẽ gɔme. Kuxi vevi siwo ate ŋu ado mo ɖa le priapism si womewɔ atike na o tae nye:- Lãmetsi siwo le ŋutsu ƒe vidzinu me ƒe abi .
- Gbɔdɔdɔ ƒe dɔmawɔmawɔ nyuie tegbee (ED) . Esia fia be ŋutsu ƒe vidzinu mate ŋu anɔ tsitrenu ale gbegbe be woate ŋu awɔ gbɔdɔdɔ o.
Esia tae míegblɔna be, mègatsɔ nya sia be enye fefenya o, mègakpe ŋu o, eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
Aleke wowɔa dea dzesi priapism? Nukae ɖɔkta wɔna?
Ne èse le ɖokuiwò me be yeƒe ŋutsu ƒe vidzinu tsi tre gaƒoƒo geɖe la, ele be nàyi ɖɔkta gbɔ enumake. Ðɔktaa abia wò atikewɔwɔ ŋutinya, aŋlɔ wò dzesiwo ɖi, eye wòado wò ŋutilã kpɔ. Le ɣeyiɣi sia me la, ɖɔkta ate ŋu abia nyawo abe:- Ɣeyiɣi didi kae wòxɔna hafi ŋutsu ƒe vidzinua nɔa tsitrenu?
- Zi geɖe la, ɣeyiɣi didi kae wò vidzinu nɔa tsitrenu?
- Ðe atikewɔwɔ me dɔléle bubu aɖewo le ŋuwò si ŋu woke ɖoa?
- Ðe wòxɔ abi nyitsɔ laa le wò vidzinu alo nuto siwo ƒo xlãe mea?
- Ðe nèle atike aɖewo zãm fifiaa?
- Ðe nèzã atike aɖe ɖɔkta ƒe atike manɔmee kpɔa?
- Ðe nèzãa atike vɔ̃ɖi siwo ŋu se meɖe mɔ ɖo oa?
Dodokpɔ ka ƒomevie woawɔ?
Ne wodo wò ŋutilã kpɔ vɔ la, wò ɖɔkta adzidze oxygen ƒe agbɔsɔsɔ si le wò ʋu me. Esia bia be nàde aŋe sue aɖe wò ŋutsu ƒe vidzinu me eye nàxɔ ʋu sue aɖe atsɔe ayi dodokpɔxɔ me. Dodokpɔa me tsonu ate ŋu ana wò ɖɔkta nanya nu tso:- Priapism ka ƒomevie le asiwò?
- Ɣeyiɣi didi kae esia le dzɔdzɔm ɖe dziwò?
- Aleae wogblẽ nu le ŋutsu ƒe vidzinu ƒe lãkusiwo ŋui.
Aleke wowɔa nu ɖe priapism ŋui? Ðe nane li mate ŋu awɔ le aƒemea?
Ao, mègadze agbagba be yeada nya sia le aƒeme o! Taɖodzinu vevitɔ si le priapism-dɔdamɔnuawo katã ŋue nye be woagbugbɔ ŋutsu ƒe tsitretsitsi aɖo anyi eye woalé ŋutsu ƒe vidzinu ƒe ŋutete be wòatsi tre abe alesi wòle ene le etsɔme la me ɖe asi. Ne èsusu be priapism le ye ŋu la, yi xɔ si me wowɔa dɔ kpata le enumake. Wò ɖɔkta ate ŋu ana atike si ɖea ʋu ƒe sisi ɖa, abe phenylephrine (e.g., Sudafed PE®) ene gbã. Atike siawo wɔa dɔ nyuie wu ne wona wo le gaƒoƒo ene va ɖo ade gbãtɔ siwo me woxɔ priapism le. Atikewɔwɔ bubu siwo woate ŋu azã dometɔ aɖewoe nye:- Aspiration : Ðɔkta ana wò ŋutsu ƒe vidzinu natsi gbã, emegbe wòazã aŋe sue aɖe kple atikekui atsɔ aɖe ʋu si me oxygen mele o si le wò vidzinu me la dometɔ aɖewo ado goe. Esia akpe ɖe ŋuwò nàɖe nyaƒoɖeamenu kple abi dzi akpɔtɔ. Ðewohĩ ahiã be woawɔ esia zi geɖe.
- Intracavernosal injection : Ðɔktaa tsɔa aŋe sue aɖe doa atike ɖe corpus cavernosum (alpha-agonists) me.Wodoa atike ƒomevi aɖe si woyɔna be vasodilator ɖe ŋutsu ƒe vidzinu me. Atike siawo xea mɔ na ʋuka siwo tsɔa ʋu yia ŋutsu ƒe vidzinu me. Esia ɖea ʋu ƒe sisi dzi kpɔtɔna eye wòɖea abi dzi kpɔtɔna. Esia nye atike si wozãna koŋ na priapism si mebɔ o (ischemic).
- Ice packs sisi : Ice packs sisi ɖe ŋutsu ƒe vidzinu kple nuto siwo ƒo xlãe ŋu ate ŋu akpe ɖe ame ŋu be wòaɖe abi dzi akpɔtɔ.
- Amekoko ƒe kaƒoƒo : Ne ʋuka aɖe gbã le abi aɖe ta la, tsinyegoeŋutinunyala awɔ dɔ na ame be wòabla ʋuka si gblẽ la eye wòana ʋu nagazɔ nyuie. Esia nye priapism si me tsi sina tona ŋutɔ (non-ischemic) dada.
- Amekoko ƒe shunt : Amekola bibi aɖe toa amekoko me wɔa ʋuka yeye (shunt) ɖe ŋutsu ƒe vidzinu me. Esia trɔa ʋu ƒe mɔ eye wònana ʋu ƒe sisi nyuie. Esia nye atikewɔwɔ na priapism si me tsi si mekɔna o (ischemic).
Ðe woate ŋu ada nɔnɔme sia to gbɔdɔdɔ ƒe dzodzro alo gbɔdɔdɔ mea?
Zi geɖe la, menye nenemae o. Priapism nu yina ne ame aɖe le gbɔdɔdɔ ƒe agbegbegblẽnɔnɔ, gbɔdɔdɔ, alo tsinyenye gɔ̃ hã. Esia le alea elabena menye gbɔdɔdɔ ƒe dzodzro si sɔ o.Aleke gbegbee nye lãme asẽ le atikewɔwɔ vɔ megbe kpuie?
Ne atikewɔwɔa kpɔ dzidzedze la, ele be wòaɖe wò priapism la dzi akpɔtɔ enumake kloe. Àte ŋu akpɔ gbɔdzɔe le atikewɔwɔ gbãtɔ me, alo ahiã be nàwɔ atike vovovowo. Ne èda priapism vɔ la, wò vidzinu ate ŋu ase veve vie eye wòavuvu. Gake mele be wòasesẽ alo asẽ o. Ðo ŋku edzi be ame sia ame ƒe ŋutilã to vovo. Ɣeyiɣi si nàhaya ate ŋu ato vovo. Wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi le alesi nàwɔ akpɔ vevesese alo vevesese ɖesiaɖe gbɔ vaseɖe esime nàhaya.Ðe woate ŋu awɔ nane atsɔ axe mɔ ɖe priapism nua?
Aɖaŋuɖoɖo siawo ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe priapism nu:- Di atike nyui na nɔnɔme siwo le ete siwo ate ŋu anɔ priapism hem vɛ.
- Zã atikewo abe alesi ɖɔkta gblɔe ene ko. Mègano atike aɖeke atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee o.
- Ne èle kamedefefe wɔm alo le kame dem la, do ametakpɔnu si sɔ (kamedefefe ƒe kplu) be wòakpɔ wò ŋutsu ƒe vidzinu ta.
Zi geɖe la, ɣeyiɣi didi kae priapism nɔa anyi?
Priapism si sina fũu (non-ischemic) ate ŋu atso le eɖokui si ɣeaɖewoɣi le gaƒoƒo alo kwasiɖa ʋɛ aɖewo me ne womewɔ atike nɛ o. Ke hã, nunya mele eme be míalala wòakpɔ egbɔ o. Gake priapism si mebɔ o (ischemic) mekpɔa egbɔ le eɖokui si o. Ebia be woakpɔ atikewɔlawo gbɔ godoo.Nukae nye mɔkpɔkpɔ le nɔnɔme sia me? Ðe wòanyo ɖe edzia?
Ne èxɔ atike kaba la, mɔkpɔkpɔ na ame akpa gãtɔ nyo. Ame siwo ŋu priapism si mebɔ o le la dometɔ siwo ade afã ate ŋu agatsi tre abe alesi wòle ene ne woɖu nɔnɔmea dzi le gaƒoƒo 24 me . Gake ne priapism si mebɔ o le ŋuwò wu gaƒoƒo 36 la , anɔ eme be àxɔ tsitretsitsi ƒe kuxi si nɔa anyi ɖaa (ED) .Ne priapism le ŋunye la, ɖe nane li mate ŋu awɔ vaseɖe esime makpɔ ɖɔktaa?
Nu siawo ate ŋu akpe ɖe ame ŋu be wòaɖe ŋutsu ƒe vidzinu ƒe sesẽme dzi akpɔtɔ eye wòaɖe vevesesea dzi akpɔtɔ. Gake mègahe ɖɔkta gbɔ yiyi ɖe megbe le esi nète nusiawo kpɔ ta ko o.- No vevesesenutsitikewo (Nonsteroidal anti-inflammatory drugs - NSAIDs) . Menye amesiamee ate ŋu ano nusiawo o, eyata anyo wu be nàbia ɖɔkta.
- No tsi geɖe.
- Dze agbagba nàɖe aɖuɖɔ.
- Mizɔ azɔli.
- Ƒo ɖokuiwò ɖe kamedede si mesẽ o alo esi sɔ me: Le kpɔɖeŋu me, ka titri, duƒuƒu le teƒe si nèle, alo kamedede abe akɔtadzesi ene .
Ɣekaɣie wòle be makpɔ ɖɔkta? Ðe wòle be mayi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) ?
Ne èfɔna enuenu si me vevesese le gbɔdɔdɔ ƒe dzodzro aɖeke manɔmee si nu yina le eɖokui si la, ƒo nu kple ɖɔkta. Le atikewɔwɔ vɔ megbe la, wɔ ɖoɖo be yeakpɔ wò ɖɔkta be yeakplɔe ɖo . Ne priapism gadze egɔme le atikewɔwɔ vɔ megbe la, yɔ wò ɖɔkta enumake. Priapism nye atikewɔwɔ kpata! Ne tsitretsitsi le ŋuwò gbɔdɔdɔ ƒe dzodzro manɔmee si medzona le gaƒoƒo ʋɛ aɖewo megbe o la, yi xɔ si te ɖe ŋuwò le nudzɔdzɔ kpatawo gbɔ (ETU) me enumake, mègahe ɖe megbe o. Zi alesi nèlala ɣeyiɣi didi la, zi nenemae afɔku si le eme be wò ŋutsu ƒe vidzinu nagblẽ tegbee la dzina ɖe edzii.Nya vevi kawoe wòle be mabia ɖɔktaa?
Ne èyi ɖɔkta gbɔ la, àte ŋu abia nya siawo abe esiawo ene:- Aleke nèwɔ nyae kple kakaɖedzi be priapism le ŋunye?
- Ðe nye ŋutsu ƒe vidzinu agblẽ tegbeea?
- Priapism ka ƒomevie le asinye?
- Nukae le nɔnɔme sia hem vɛ nam?
- Nyee nye tsinyegoeŋutinunyala.Àdi be yeado goa?
Ðe priapism ate ŋu adzɔ ne mele alɔ̃ dɔm gɔ̃ hã?
Ẽ, priapism ate ŋu adzɔ ne èle alɔ̃ dɔm. Esɔ be wò ŋutsu ƒe vidzinu natsi tre ne èle alɔ̃ dɔm (nocturnal penile tumescence) . Gake vevesese si priapism hena vɛ ate ŋu anyɔ wò. Azɔ hã, zi geɖe la, medzona le eɖokui si o, eye ate ŋu asesẽ be woagadɔ alɔ̃.Mlɔeba la, nu vevitɔ kekeake si dzi wòle be míaɖo ŋkui!
Priapism nye dɔléle si hiã be woawɔ atike nɛ enumake be wòagagblẽ nu le wò ŋutsu ƒe vidzinu ŋu tegbee o. Ate ŋu anye ŋukpe be tsitretsitsi si nɔa anyi ɖaa nanɔ ame ŋu. Gake priapism to vovo na tsitretsitsi si sɔ. Edzɔna gbɔdɔdɔ ƒe dzodzro aɖeke manɔmee, eye wòvea ame. Enye wò ŋutilã ƒe mɔ si dzi wòato agblɔ na wò be nane gblẽ. Eyata ƒo nu kple ɖɔkta kaba ale si nàte ŋui eye nàna mɔnukpɔkpɔ si li be nàxe mɔ ɖe wò vidzinu ƒe gbegblẽ tegbee nu nadzi ɖe edzi. Mègahe atike didi ɖe megbe gbeɖe le ŋukpe ta o. Wò lãmesẽe nye nu vevitɔ kekeake! Priapism, Ŋutsu ƒe Ŋutsu ƒe Tsitretsitsi, Vevesese ƒe Tsitretsitsi, Ŋutsu ƒe Lãmesẽ, Ŋutsuwo ƒe Lãmesẽ, Atikewɔwɔ Kpata, Vidzinu👩🏽 ⚕️ Nyabiase Siwo Wobiana Enuenu (FAQ) tso Ðɔkta gbɔ
💬 Ðɔkta, nukae nye priapism sia? Nukatae wòvea ame alea gbegbe ɖo?
Priapism nye nɔnɔme si me ŋutsu ƒe vidzinu nɔa tsitrenu wu gaƒoƒo ene gbɔdɔdɔ ƒe dzodzro aɖeke manɔmee. Zi geɖe la, esia vea ame ŋutɔ. Esia dzɔna elabena ʋu si ge ɖe ŋutsu ƒe vidzinu me la mete ŋu trɔna yia ŋutilãa me o eye wòtsia eme. Ele abe ʋuƒo si me tsi yɔ fũu si mate ŋu asi ne wobla nu o ene.
💬 Ðɔkta, ɖe esia nye nɔnɔme sesẽ aɖea? Nukae wòle be míawɔ?
Ẽ, míebua esia be enye atikewɔwɔ kpata. Esia fia be ele vevie be woayi atikewɔƒe kaba ale si nàte ŋui. Elabena, ne womewɔ atike nɛ o la, ate ŋu agblẽ nu le ŋutsu ƒe vidzinu ŋu tegbee, eye ate ŋu ahe kuxiwo abe gbɔdɔdɔ ƒe dɔmawɔmawɔ nyuie ene hã vɛ le etsɔme. Eya ta ne edzɔ alea la, ele be nàyi kɔdzi si te ɖe ŋuwò wu la me heheɖemegbe aɖeke manɔmee.
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