Ua loaʻa anei iā ʻoe kahi kūlana ʻeha kahi hiki ʻole iā ʻoe ke huki i ka ʻili mua i hope a laila i mua? Ua pehu anei ka piko o kou penis, ʻo ke glans, a malia paha he uliuli a poni paha? He mea kēia e pono ai ʻoe e hopohopo nui ma mua o kou manaʻo. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻano he paraphimosis . He pilikia olakino kēia, no laila he mea nui e ʻike koke i ke kauka a loaʻa ka lāʻau lapaʻau.
He aha ka Paraphimosis?
I ka ʻōlelo maʻalahi, ʻo ka paraphimosis ka wā e huki ʻia ai ka ʻili o kāu penis, ʻo ia ka ʻili a puni ka glans, a laila huki hou ʻia i mua, e uhi ana i ka glans. E noʻonoʻo ua paʻa ka ʻili ma hope o ka glans e like me ke kaula paʻa. Ke hana ʻia kēia, ua kaupalena ʻia ke kahe koko a me ka oxygen (kaʻapuni) i ka piko o ka penis ma waho o ka constriction. ʻO ia ke kumu he mea nui e ʻimi i ka lāʻau lapaʻau i ka hikiwawe loa.
He pilikia kēia! Inā loaʻa iā ʻoe kēia mau hōʻailona, he mea nui loa e ʻimi koke i ke kōkua lapaʻau.
He maʻi laha ʻole ka paraphimosis. Hoʻopilikia ia ma kahi o 0.2% o nā keikikāne ʻoki poepoe ʻole ma waena o 4 mahina a me 12 mau makahiki. ʻO ke ʻoki poepoe ʻana ka wehe ʻana i ka ʻili mua. Hana pinepine ʻia ia ma hope koke iho o ka hānau ʻana.
Piʻi iki ka nui o kēia maʻi i ka 1% i waena o nā kāne i ʻoki poepoe ʻole ʻia ma luna o 16 mau makahiki. Eia nō naʻe, he mea kakaikahi ia i hoʻohālikelike ʻia me nā maʻi ʻē aʻe e hoʻopilikia ana i ka ʻili mua. Eia kekahi laʻana:
- ʻO Balanitis (ma kahi o 6%)
- Nā hoʻopili ʻana o ka penile (ma kahi o 1.5%)
- ʻO Phimosis (hiki ʻole ke huki i ka ʻili mua) (ma kahi o 2.5%)
Pehea ʻoe e ʻike ai inā he paraphimosis kou? He aha nā hōʻailona?
ʻO ka hōʻailona nui ka hiki ʻole ke huki i ka ʻōmaka i mua a uhi i ka glans.
Ma waho aʻe o kēlā, aia paha nā hōʻailona ʻē aʻe e like me:
- Hiki ke ʻeha loa . I kekahi manawa hiki ʻole ke hoʻomanawanui i ka ʻeha.
- E ʻike paha ʻoe i kahi loli o ke kala o ka penis glans. He uliuli paha, he poni, a he ʻeleʻele ʻeleʻele paha.
- Ka pehu ʻana o ka glans penis a me ka ʻili ʻōmaka.
No ke aha lā kēia e hana nei? He aha nā kumu o kēia?
Hoʻokumu pinepine ʻia ka paraphimosis ma o ka huki ʻana i ka ʻili mua e hoʻomaʻemaʻe iā ia, a i ʻole ma ka hoʻāʻo ʻana e hoʻolōʻihi iā ia inā paʻa loa. Eia kekahi, i ka wā o kekahi mau kaʻina hana lapaʻau, e like me ke catheterization, pono paha i ke kauka a kahu maʻi paha e huki i ka ʻili mua i hope. Hiki ke hana kēia inā poina iā ʻoe e huki i hope.
E noʻonoʻo i kēia: Ua huki ʻoe i ka ʻili mua e hoʻomaʻemaʻe i kāu penis i kou wā e ʻauʻau ana, akā i kou pau ʻana, ua poina iā ʻoe ke huki hou, a ʻaʻole hiki iā ʻoe. Ma hope o kekahi manawa, ʻike ʻoe ua pehu ka ʻili mua, a ua pehu a ʻeha ka glans penis. I ia hihia, hiki iā ʻoe ke kānalua i ka paraphimosis.
Aia paha he mau kumu ʻē aʻe:
- Nā maʻi
- Ka ʻeha kino i ka penis
- Ke hoʻohana nei i ka ikaika nui i ka huki ʻana i hope i ka ʻili mua
- Ke poina nei e huki i ka ʻōmaka i hope a laila i mua hou
ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?
Loaʻa ka paraphimosis i nā kāne i ʻoki poepoe piha ʻia (ʻoki poepoe ʻole ʻia) a i ʻole i nā kāne i wehe wale ʻia kekahi hapa o ka ʻili (ʻoki poepoe hapa ʻia). ʻAʻole ia e loaʻa i nā kāne i ʻoki poepoe piha ʻia.
He mea weliweli anei kēia? He aha nā pilikia e hiki mai ana o ka paraphimosis?
Inā ʻaʻole e ʻimi koke ʻia ka lāʻau lapaʻau, hiki i ka paraphimosis ke alakaʻi i kēia mau mea:
- Hiki ke hoʻopilikia ʻia ka kahe ʻana o ka lymph mai nā lymph nodes .
- Hiki ke hoʻemi ʻia ke kahe koko i ka penis (ischemia) . Ua like kēia me ke pani ʻana i kahi paipu wai. Inā ʻaʻole maikaʻi ke kahe koko, ʻaʻole e loaʻa i nā ʻiʻo o ka penis ka oxygen a me nā meaʻai.
- Hiki i nā ʻiʻo i loko o ka penis ke make (necrosis) . Inā hoʻomau ʻia ka ʻoki ʻana i ke kahe koko, e hoʻomaka nā cell ma ia wahi e make. He kūlana weliweli loa kēia.
ʻO ia ke kumu i manaʻo ʻia ai kēia he pilikia olakino. Pono ʻoe e ʻike koke i ke kauka.
Pehea e ʻike ai ke kauka i kēia?
ʻIke maopopo loa nā hōʻailona o ka paraphimosis. E ʻike ʻoe i ka pehu a me ka ʻoluʻolu ʻole i loko o kāu penis. Hiki i ke kauka ke haʻi inā he paraphimosis kēia ma ka hoʻolohe ʻana i kāu mau hōʻailona a me ka nānā ʻana i kāu penis.
ʻOiai he pilikia kēia, ke kāhea aku ʻoe i ke kauka a wehewehe i kāu mau hōʻailona, e haʻi aku paha ʻo ia iā ʻoe e hele koke i ka lumi pilikia haukapila kokoke loa.
Pehea e mālama ʻia ai kēia?
No ka mālama ʻana i ka paraphimosis, hiki i ke kauka ke hana i kēia mau mea:
- Ke hoʻohana nei i kahi hopena e hōʻemi i ka pehu.
- Ke ʻomi mālie a ʻūmiʻi paha i ke poʻo o ka maka a me ka hoʻāʻo ʻana e huki i ka ʻili mua i mua, i kona wahi i kū ai. He mea kēia a ke kauka e hana ai me ke akahele loa.
- Me ka hoʻohana ʻana i ka scalpel, hana ʻia kahi ʻoki liʻiliʻi ma ka ʻaoʻao o luna o ka ʻili maka, mai ka lihi poepoe o ke poʻo o ka penis a i ka wēlau o ka penis (dorsal slit). ʻAe kēia i ka ʻili maka e huki ʻia i mua e wehe i ka mea i paʻa.
- ʻO ke ʻoki poepoe ʻana, ʻo ia ka wehe ʻana i kekahi hapa a i ʻole ka ʻili mua a pau.
Ke loaʻa iā ʻoe ka paraphimosis, ʻoi aku ka nui o ka loaʻa hou ʻana iā ʻoe. No laila, hiki i ke kauka ke ʻōlelo aku e wehe i kahi hapa a i ʻole ka ʻili mua a pau, i kapa ʻia ʻo ke ʻoki poepoe. Inā ʻaʻole hiki iā ʻoe ke ʻoki poepoe, hiki i ka ʻoki dorsal ke kōkua i ka pale ʻana i ka paraphimosis mai ka hana hou ʻana.
He mea maikaʻi ke kau ʻana i ka hau ma luna?
ʻOiai hiki i ka hau ke kōkua i ka hōʻemi ʻana i ka pehu ʻana, ʻaʻole ia ke ala maikaʻi loa e mālama ai i ka paraphimosis. Hiki i ka hoʻopili ʻana i ka hau ke hoʻopilikia maoli i ke kahe koko. No laila, mai hana me ka ʻole o ke kūkākūkā ʻana me ke kauka.
E ʻoi aku ka maikaʻi o kēia?
ʻAʻole, ʻaʻole ka paraphimosis kahi maʻi e hoʻōla iā ia iho. Pono ʻoe e ʻimi i ke kōkua lapaʻau i ka wā hikiwawe loa.
Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?
ʻO ke ʻoki poepoe a me ka ʻoki dorsal he mau ʻoki palekana maʻamau. Eia nō naʻe, e like me nā ʻoki poepoe āpau, aia kekahi mau pilikia. ʻO kēia mau mea:
- Ke kahe koko (Hemorrhage)
- Maʻi
- ʻEha
- Ka mumū o ka piko o ka penis (meatitis) (a puni ka puka kahi e puka mai ai ka mimi)
- ʻO ka stenosis ʻiʻo
He mea kākaʻikahi kēia mau mea. E haʻi aku ke kauka iā ʻoe i nā mea hou aʻe e pili ana i kēia.
Hiki ke pale ʻia kēia mai ka hana ʻana?
ʻO ke ʻoki poepoe wale nō ke ala e pale loa ai i ka paraphimosis. Eia nō naʻe, inā he ʻili maka kou, hiki i ka hana ʻana i kēia mau mea ke kōkua i ka pale ʻana i ka paraphimosis:
- E hōʻoia e huki i ka ʻili mua i mua ma hope o ke komo ʻana o ka catheter, ka hoʻokolokolo ʻana, a i ʻole kekahi mea e pili ana i ka penis.
- Ma hope o ka hoʻomaʻemaʻe ʻana i ka penis, ka hoʻoikaika kino e kīkoʻo ai ka ʻili maka, ka moekolohe ʻana, a i ʻole ka mimi ʻana , e huki i ka ʻili maka.
- Mai waiho i ka ʻili ʻōmaka ma luna no ka manawa lōʻihi ma mua o ka mea e pono ai, inā paha i ka wā e hoʻomaʻemaʻe ana a i ʻole no kekahi kumu ʻē aʻe.
- E mālama mau i ka maʻemaʻe o ka piko o ka penis.
Pehea ke koʻikoʻi o ka paraphimosis?
Inā mālama koke ʻia a kūpono hoʻi, hiki i ka paraphimosis ke hoʻomaikaʻi. ʻO ia hoʻi, hiki ke ho'ōla loa ʻia. Eia nō naʻe, inā ʻaʻole hiki iā ʻoe ke huki i ka ʻili mua i mua iā ʻoe iho ma hope o ka mālama ʻana, aia kahi pilikia o ka paraphimosis e hoʻi hou mai. ʻO ia ke kumu e ʻōlelo pinepine ai nā kauka i ka ʻoki poepoe.
Āhea wau e ʻike ai i ke kauka?
Inā ʻaʻole hiki iā ʻoe ke huki i ka ʻili mua i mua,E ʻike koke i ke kauka. Pono paha ʻoe e ʻike koke i ke kauka a i ʻole e hele i ka lumi pilikia ma ka haukapila kokoke loa.
Inā aia nō kou ʻili ma hope o ka mālama ʻana, aia kahi manawa kūpono e hoʻi hou mai ai ka paraphimosis. No laila e ʻike koke i ke kauka inā hoʻi mai nā hōʻailona.
Inā pono ʻoe e ʻoki poepoe e mālama i kāu paraphimosis, e kamaʻilio me kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:
- Inā he mau hōʻailona o ka maʻi : kuni, ʻūlū, pehu, pus, ʻulaʻula a puni ka ʻeha (ʻulaʻula, poni, ʻeleʻele, ʻeleʻele)
- Inā he kahe koko, ʻaʻole ia e pau
- Inā paʻakikī iā ʻoe ke mimi i 12 mau hola ma hope o ke ʻoki ʻana
He aha nā nīnau āu e nīnau ai i ke kauka?
Hiki iā ʻoe ke nīnau i ke kauka i nā nīnau penei:
- Ua hōʻino mau ʻia anei kaʻu penis?
- Pehea ka hiki ke hoʻi hou mai ka paraphimosis?
- E hiki anei iaʻu ke mālama i koʻu ʻōpū?
- Pono anei au i kahi ʻoki poepoe a i ʻole kahi ʻoki poepoe?
He aha ka mea e hana ai inā ʻaʻole i huki hou ʻia ka ʻili mua?
I ke ʻano o nā keiki ʻōpio, ʻaʻole hiki iā lākou ke huki i ko lākou ʻili mua a hiki i ka liʻiliʻi o 5 mau makahiki. I kekahi manawa hiki iā lākou ke hana pēlā a hiki i ka 10 o ko lākou mau makahiki a ʻoi aku paha.
Ke hiki iā ʻoe ke huki i kou ʻili mua, he mea nui e hoʻomaʻemaʻe i ka wahi ma lalo. A i ʻole, hiki i ka ʻaila, nā ʻili make, ka hou, a me nā wai ʻē aʻe ke hōʻiliʻili a hana i kahi mea i kapa ʻia ʻo "smegma." Hiki i ka hoʻomaʻemaʻe ke kōkua i ka pale ʻana i ka mumū o ka penis. Eia kekahi laʻana:
- Ka mumū ʻana o ka glans penis (Balanitis)
- ʻO ka maʻi posthitis
- ʻO ka mumū o nā glans a me ka ʻōmaka (Balanopsthitis)
He aha ka ʻokoʻa ma waena o ka Paraphimosis a me ka Phimosis?
ʻO ka paraphimosis a me ka phimosis nā kūlana ʻelua e hoʻopilikia ai i ka ʻili mua. Eia nō naʻe, he pilikia olakino ka paraphimosis. ʻAʻole ʻo Phimosis.
ʻO ka Phimosis kahi kūlana kahi i hiki ʻole ai ke huki ʻia ka ʻili mua o ke kāne i ʻoki poepoe ʻole ʻia a i ʻole i ʻoki hapa ʻia i hope e uhi i ka glans. Loaʻa ka Phimosis i nā pēpē hānau hou, a e palupalu mālie ka ʻili mua i ko lākou ulu ʻana. Eia nō naʻe, hiki ke hana ʻia ka phimosis e nā maʻi (me nā maʻi i laha ma ke moekolohe) a i ʻole nā palapala.
Hoʻōla pinepine ʻia ka phimosis me kahi kirīmi corticosteroid a i ʻole gel i hoʻopili ʻia i ka penis. Inā he maʻi, hāʻawi ʻia nā antibiotics. Inā ʻaʻole kōkua kēia mau mea, pono paha ke ʻoki poepoe.
ʻAʻole hiki iā mākou ke hana i kekahi mea e pili ana i kēia ma ka home?
ʻAʻole loa. ʻAʻole hiki iā ʻoe ke mālama i ka paraphimosis ma ka home. Inā loaʻa iā ʻoe nā hōʻailona o ka paraphimosis, e ʻimi koke i ke kōkua lapaʻau.
Pono ka paraphimosis i ka mālama koke ʻana o ke kauka e pale aku i ka hōʻino mau loa ʻana i ka penis. Manaʻo paha ʻoe e hoʻomaikaʻi ia me ka hoʻomaha iki a i ʻole ka hau. Eia nō naʻe, inā ʻeha nui ʻoe a ʻaʻole hiki ke huki hou i ka ʻili mua ma ke ʻano maʻamau, ke haʻi aku nei kou kino iā ʻoe ua hewa kekahi mea. He mea nui e ʻimi koke i ke kōkua lapaʻau e pale aku i ka hōʻino lōʻihi.
Nā mea nui loa āu e hoʻomanaʻo ai (Leka Lawe-Home)
ʻAe, ʻo ka mea nui e pono ai ʻoe e hoʻomanaʻo mai ka mea a mākou i kamaʻilio ai , ʻo ia ka paraphimosis kahi maʻi koʻikoʻi a pilikia hoʻi.
- Inā ʻaʻole hiki iā ʻoe ke huki hou i kou ʻili mua i hope a i mua, a pehu ka piko o kāu penis, ʻeha, a ua loli paha ke kala, e ʻike koke i ke kauka.
- Mai hele wale i waho ma ka home e hana i kekahi mea. Hiki i kēlā ke hoʻonui i ke kūlana.
- Inā ʻaʻole ʻoe i ʻoki poepoe ʻia, e hoʻomanaʻo e pelu hou i ka ʻili mua ma hope o ka hoʻomaʻemaʻe ʻana a ma hope o ka moekolohe.
- Mai hopohopo, akā e wikiwiki. Inā loaʻa koke iā ʻoe ka lāʻau lapaʻau, hiki iā ʻoe ke ho'ōla piha.
Inā he mau nīnau hou aku kāu e pili ana i kēia, mai hilahila a nīnau i ke kauka. ʻO ka mālama ʻana i kou olakino ka mea nui loa!
ʻO Paraphimosis, Paraphimosis, ʻOʻoleʻa o ka ʻIli Māmā, Poʻo Penis, Ola Kino o nā Kāne, Lapaʻau Pōpilikia, ʻOkipoepoe, ʻEha Penis











💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo