He mea weliweli anei ka loaʻa ʻana o kahi penis kū pololei no ka manawa lōʻihi? E kamaʻilio kākou e pili ana i ka Priapism

Ke kū pololei nei kāu penis no nā hola me ka ʻole o ka hoʻoulu ʻana i ka moekolohe, malia paha me ka ʻeha? Hiki ke hilahila iki kēia a me ka ʻoluʻolu ʻole ke kamaʻilio e pili ana. Akā, ʻaʻole ia he mea e hoʻowahāwahā ʻia. No ka mea, hiki i kēia ke lilo i kūlana i kapa ʻia ʻo Priapism e pono ai ka mālama olakino ulia pōpilikia. No laila, e kamaʻilio kākou e pili ana i kēia me ka makaʻu ʻole a me ka hilahila ʻole.

I ka ʻōlelo maʻalahi, he aha ka Priapism?

ʻO ka Priapism ke kūkulu lōʻihi ʻana o ka penis, ʻoi aku ka mau ma mua o ʻehā hola , me ka ʻole o ka hoʻoulu ʻana a i ʻole ka makemake i ka moekolohe. ʻAʻole like kēia me ke kūkulu maʻamau, a he ʻeha pinepine.

E noʻonoʻo e pili ana i ia mea, ʻo ka maʻamau, e kū pololei ka peni ke piha i ke koko. Ke pau ka hoʻoulu ʻana i ka moekolohe, e kahe hou ana kēlā koko i loko o ke kino, a hoʻi ka peni i kona kūlana maʻamau. Akā i ka Priapism, ʻaʻole hiki i ke koko i hoʻopiha i ka peni ke kahe hou i waho a paʻa i loko. ʻO ia ke kumu e kū pololei ai ka peni.

He aha nā ʻano nui o ka priapism?

Hiki ke hoʻokaʻawale ʻia kēia ʻano i ʻelua ʻano nui. He mea nui e ʻike i ka ʻokoʻa ma waena o nā mea ʻelua, no ka mea, ʻokoʻa paha nā ʻano lapaʻau. E nānā kākou i kēia ala e maʻalahi ai ka hoʻomaopopo ʻana.

He aha nā hōʻailona o kēia maʻi?

ʻO ka hōʻailona nui, ʻo ia ka noho pololei ʻana o ka penis no nā hola ʻehā a ʻoi. Eia nō naʻe, hiki ke ʻokoʻa nā hōʻailona ʻē aʻe ma muli o nā ʻano ʻelua a mākou i kūkākūkā ai ma mua.

I ka priapism haʻahaʻa (ischemic)

• ʻOiai inā paʻa loa ke koʻokoʻo o ka penis, palupalu paha ke poʻo (glans) .
• Hoʻonui mālie ka ʻeha i ka hala ʻana o ka manawa.

I loko o ke priapism kahe kiʻekiʻe (nonischemic)

• ʻOiai ke ola nei ka penis, ʻaʻole ia i paʻa loa .
• ʻAʻohe ʻeha maʻamau.

He aha nā kumu o ka priapism?

I kekahi manawa, ʻaʻole paha e loaʻa ke kumu kikoʻī. Akā i ka hapa nui o ka manawa, ua hoʻopili ʻia ia e kekahi mau kūlana olakino, nā lāʻau lapaʻau, a i ʻole nā ​​​​kumu ʻē aʻe.

Nā kūlana olakino ma lalo

• Maʻi ʻōpū ʻeha: ʻO kēia ke kumu nui o ka priapism. Pili loa kēia maʻi i ka priapism, ʻoi aku hoʻi i ka wā kamaliʻi.
• Leukemia: Hiki ke hana ʻia kēia maʻi e kekahi ʻano maʻi koko.
• Thalassemias: ʻO kekahi maʻi koko ʻē aʻe.
• Malaria.

Nā lāʻau lapaʻau a me nā lāʻau lapaʻau

• ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka erectile dysfunction: ʻoiai ke hoʻohana hewa ʻia me ka ʻole o ke aʻo ʻana a ke kauka. Eia kekahi laʻana, nā mea e like me `(intracavernous injection therapy)`.
• ʻO kekahi mau lāʻau lapaʻau no ka maʻi noʻonoʻo: nā antidepressants a me kekahi mau lāʻau lapaʻau no nā maʻi noʻonoʻo ʻē aʻe (antipsychotics).
• Ka hoʻohana ʻana i nā lāʻau lapaʻau: ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau e like me ka mariuana a me ka cocaine kekahi kumu o kēia.

Nā kumu ʻē aʻe

• Nā pōʻino i ka penis a i ʻole ka wahi e pili ana:Hiki ke hana ʻia kēia ma muli o ka hōʻeha ʻana i ka penis, nā testicles, a i ʻole ka wahi ma waena o ka scrotum a me ka anus (perineum).
• Nā ʻeha o ke kaula kuamoʻo.
• Nā nahu mai kekahi mau pepeke: Eia kekahi laʻana, ka nahu ʻana o kahi nananana ʻeleʻele.
• Ka lāʻau make kalapona monoxide.

Pehea e ʻike ai ke kauka i kēia?

Ke hele ʻoe i ka haukapila, e hōʻoiaʻiʻo ke kauka iā ʻoe ʻaʻohe mea e hilahila ai a e nīnau iā ʻoe i kekahi mau nīnau e pili ana i ke kūlana.

• ʻEhia ka lōʻihi o kou hānau ʻana mai?
• ʻEhia ka lōʻihi o ka manawa maʻamau mai kou loaʻa ʻana i ka maʻi ʻōʻili?
• He mau maʻi ʻē aʻe kāu (ʻoi aku ka maʻi sickle cell)?
• Ua loaʻa anei kekahi ʻeha i ka penis a i ʻole nā ​​​​​​wahi a puni?
• He aha nā lāʻau lapaʻau āu e hoʻohana ai?
• Ke hoʻohana nei ʻoe i nā lāʻau lapaʻau?

A laila, hiki ke hana ʻia kahi hoʻokolohua kino a hiki ke hana ʻia kekahi mau hoʻokolohua e hōʻoia i ke kūlana.

• Hoʻāʻo kinoea koko: Pili kēia i ka lawe ʻana i kahi hāpana koko liʻiliʻi loa mai ka penis me ka hoʻohana ʻana i kahi nila liʻiliʻi loa a me ke ana ʻana i kona pae oxygen. Hiki i kēia ke kōkua iā ʻoe e hoʻoholo inā he kahe haʻahaʻa a he kahe kiʻekiʻe paha kou.
• ʻO ke kani ʻana o ka Doppler ultrasound: Nānā kēia i ke kahe koko i loko o ka penis. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā ua hana ʻia ke kūlana e kahi ulia.
• Nānā ʻana i ka toxicology: Hiki ke hana ʻia kēia hoʻāʻo inā kānalua ʻia ka hoʻohana ʻana i ka lāʻau lapaʻau.

He aha nā lāʻau lapaʻau no ka priapism?

E hoʻomanaʻo, ʻelua mau pahuhopu nui o ka mālama ʻana: ʻo kekahi e hoʻopau i ka erectile dysfunction, a ʻo kekahi e mālama i ka hana erectile i ka wā e hiki mai ana.

Eia kekahi o nā lāʻau lapaʻau a nā kauka e hoʻohana ai:

• ʻO ka makemake: Ma kēia kaʻina hana, hoʻomāʻū ke kauka i ka penis a hoʻohana i kahi nila liʻiliʻi a me ka syringe e wehe i ke koko kahiko i pau i ka oxygen i paʻa i loko o ka penis. Hoʻemi kēia i ke kaomi a me ka pehu, a hoʻomaha i ka nalowale o ka ikaika.
• Hoʻokomo ʻia i loko o ka penis me ka intracavernosal injection: Hoʻokomo pololei ʻia kekahi ʻano lāʻau i kapa ʻia ʻo alpha-agonists i loko o ka penis ma o kahi nila liʻiliʻi. Hana kēia lāʻau lapaʻau ma ka hoʻopaʻa ʻana i nā kīʻaha koko a me ka hōʻemi ʻana i ke kahe koko i ka penis. He lāʻau lapaʻau kūpono kēia no ka hana erectile haʻahaʻa.
• Ke kau nei i kahi ʻeke hau: ʻO ke kau ʻana i kahi ʻeke hau i ka penis a me nā wahi a puni e hiki ke kōkua i ka hōʻemi ʻana i ka pehu.
• ʻO ke ʻoki kino:Inā ʻaʻole holomua nā lāʻau ʻē aʻe a inā ua hōʻino ʻia kekahi aʻa ma muli o kahi ulia, pono paha ke ʻoki kino. Pili kēia i ka hana ʻana i kahi ala ʻē aʻe no ke kahe ʻana o ke koko (shunt) a i ʻole ka hoʻoponopono ʻana i ke aʻa i hōʻino ʻia (ligation).

He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia?

ʻO kēia ka ʻāpana weliweli loa e pono ai kākou a pau e makaʻala.

Ke paʻa ke koko i loko o ka penis, e pau mālie ana ka oxygen i loko o ia koko. Ke nalowale ka oxygen, hoʻomaka ka make ʻana o nā ʻiʻo palupalu i loko o ka penis. Hiki i kēia ke hōʻeha mau loa .

ʻO nā pilikia nui ʻelua:

1. Ka ʻeha i loko o ka penis: Ke hōʻino ʻia a ʻeha nā ʻiʻo, hiki ke loli ke ʻano o ka penis a hōʻeha i ka ʻeha.

2. Ka hana ʻino mau loa o ka erectile (ED): ʻO kēia ka hopena koʻikoʻi loa. Inā hoʻopaneʻe ʻia ka mālama ʻana, ʻaʻole paha e hiki i ka peni ke hana maʻamau i ka wā e hiki mai ana.