Yu penis de tinap fɔ lɔng tɛm we yu nɔ de du ɛnitin fɔ du mami ɛn dadi biznɛs, sɔntɛm ivin wit pen? Dis kin mek yu shem smɔl ɛn i nɔ kin izi fɔ tɔk bɔt. Bɔt i nɔto sɔntin we wi fɔ ignore. Bikɔs dis kin bi wan sik wae dɛn kɔl Priapism wae nid fɔ gɛt mɛrɛsin kwik kwik wan. So, lɛ wi tɔk bɔt dis opin wan we wi nɔ fred ɔ shem.
Fɔ tɔk am simpul wan, wetin na Priapism?
Priapism na we di penis de erection fɔ lɔng tɛm, we kin te pas 4 awa , we nɔ gɛt ɛnitin fɔ du wit mami ɛn dadi biznɛs ɔ we i want. Dis nɔr tan lɛk nɔmal erection, ɛn bɔrku tɛm i kin mek yu fil pen.
Tink bɔt am, nɔmal wan di penis kin tinap we i ful-ɔp wit blɔd. We di we aw pɔsin kin want fɔ du mami ɛn dadi biznɛs dɔn, da blɔd de kin flɔ bak insay di bɔdi, ɛn di penis kin kam bak to in nɔmal stet. Bɔt insay Priapism, di blɔd we dɔn ful-ɔp di penis nɔ kin ebul fɔ flɔ bak kɔmɔt ɛn i kin stɔp insay. Dis na di rizin we mek di penis de kɔntinyu fɔ tinap stret.
Di tin we impɔtant pas ɔl na dat dis na mɛdikal imejensi. If dɛn nɔ trit am kwik, i kin mek di penis pwɛl sote go. So if yu gɛt sɔntin lɛk dis, nɔ shem ɛn de na os ɛn go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm .
Wetin na di men kayn priapism?
Dis kכndyushכn kin sheb to tu men tכp dεm. I impɔtant fɔ no di difrɛns bitwin dɛn tu, bikɔs di we aw dɛn de trit dɛn kin difrɛn. Lɛ wi luk am dis we fɔ mek i izi fɔ ɔndastand.
| Tayp fɔ priapism | Fɔ tɔk am simpul wan, wetin kin apin? | Pen |
|---|---|---|
| Priapism we gɛt lɔw-flɔ (ischemic). | di blɔd we dɔn go insay di penis nɔ kin ebul fɔ kam bak ɛn i kin blok . Ol blɔd we nɔ gɛt ɔksijɛn kin gɛda. Dis na di kayn we we kɔmɔn pas ɔl ɛn we denja pas ɔl . | Na bad bad pen de . Di pen kin bɔku as tɛm de go. |
| Priapism we gɛt ay-flɔ (nɔ-nischemik). | Injuri na di penis ɔ di eria we de rawnd de mek di blɔd flɔ to di penis we dɛn nɔ ebul fɔ kɔntrol . Dis nɔ kin apin so ɔltɛm. | Bɔku tɛm, no pen nɔ kin de . |
| Priapism we kin apin bak (stɔt). | Dis na wan kayn we we nɔ de flɔ. Lɔng tɛm wae pɔrsin kin gladi kin kam ɛn go, ɛn ɛvri tɛm, de sik kin wɔs. | Pen de we de mek pɔsin fil pen . |
Wetin na di sayn dɛm fɔ dis sik rili?
di men sayn na dat di penis de stil tinap fכ pas fכ awa. Bɔt ɔda sayn dɛm kin difrɛn difrɛn wan bay di tu kayn wae wi bin dɔn tɔk bɔt.
Na low-flɔ (ischemic) priapism
- ivin if di shaft fכ di penis rili fכm, di ed (glans) kin sכft .
- Di pen kin go ɔp smɔl smɔl as tɛm de go.
Na ay-flɔ (nɔnischemik) priapism
- Pan ɔl we di penis de alayv, i nɔ rili strɔng .
- Bɔku tɛm, no pen nɔ kin de .
Wetin na di tin dɛn we kin mek pɔsin gɛt priapism?
Sɔntɛnde, dɛn nɔ kin no di rayt rizin. Bɔt bɔku tɛm, sɔm mɛrɛsin dɛn, mɛrɛsin dɛn, ɔ ɔda tin dɛn kin afɛkt am.
Di kɔndishɔn dɛn we de ɔnda di mɛrɛsin
- Siklɔs sik: Dis na di men tin we kin mek pɔsin gɛt priapism. Dis sik gɛt fɔ du wit priapism, mɔ we i smɔl.
- Lukimiya: Dis sik kin kam wit sɔm kayn blɔd kansa.
- Thalassemia: Na ɔda sik we de mek pɔsin gɛt blɔd.
- Malaria we pɔsin kin gɛt.
Mɛrɛsin ɛn drɔgs
- Sɔm mɛrɛsin dɛm wae dɛn kin yuse fɔ erectile dysfunction: mɔ wae dɛn kin yuse am kɔrɛkt wan wae dɛn nɔr gɛt advays frɔm dɔktɔ. fכ egzampl, tin dεm lεk `(intracavernous injection therapy)`.
- Sɔm mɛrɛsin fɔ mɛntɛl sik: antidipreshan ɛn sɔm mɛrɛsin fɔ ɔda mɛntɛl sik (antipsychotics).
- Yuz drɔgs: Yuz drɔgs lɛk marijuana ɛn kɔkɛyn kin bi bak wan tin we kin mek dis apin.
Ɔda rizin dɛn
- Denja fɔ di penis ɔ di say we de rawnd am:dis kin bi we yu wund di penis, di tεstikul dεm, כ di εria bitwin di skrotum εn di anus (perineum).
- Spinal kɔd injuri dɛn.
- Bayt frɔm sɔm insɛkt dɛn: Fɔ ɛgzampul, we blak wido spayda bit.
- Pɔyzin we dɛn kɔl kabon monoksayd.
Aw dɔktɔ kin no bɔt dis?
We yu go na ɔspitul, di dɔktɔ go mek yu no se natin nɔ de fɔ shem ɛn aks yu sɔm kwɛstyɔn dɛn bɔt di sik.
- Aw lɔng i dɔn pas we dɛn bɔn yu?
- Aw lɔng i dɔn tek frɔm di las tɛm we yu gɛt sik we dɛn kɔl seizure?
- Yu gɛt ɛni ɔda sik (espɛshali siklɛt sik)?
- Ɛni injuri dɔn de na di penis ɔ di say we de rawnd am dis biɛn tɛm?
- Us mɛrɛsin dɛn yu kin yuz?
- Yu de yuz drɔgs?
Dɔn, dɛn kin du di bɔdi ɛgzam ɛn du bɔku tɛst fɔ no if pɔsin gɛt di sik.
- Blɔd gas tɛst: Dis na fɔ tek wan rili smɔl blɔd frɔm di penis we yu de yuz wan rili smɔl nidul ɛn mɛzhɔ di ɔksijɛn lɛvɛl we de insay. Dis kin ɛp yu fɔ no if yu gɛt low-flow ɔ high-flow.
- Doppler ultrasound: Dis de luk di bכdi we de fכlכ insay di penis. Dis kin ɛp fɔ no if na aksidɛnt mek i gɛt dis sik.
- Toxicology screen: Dɛn kin du dis tɛst if dɛn tink se dɛn de yuz drɔgs.
Wetin na di tritmɛnt dɛm fɔ priapism?
Mɛmba se tu men gol dɛn de fɔ tritmɛnt: wan na fɔ pul di erectile dysfunction, ɛn di ɔda wan na fɔ kip di erectile function tumara bambay.
Impɔtant: Nɔ tray fɔ trit dis yusɛf na os. Bɔku tɛm, we pɔsin de ple wit in bɔdi ɔ we i de du mami ɛn dadi biznɛs, dat nɔ kin mɛn dis sik. Go to dɔktɔ wantɛm wantɛm.
Na sɔm pan di tritmɛnt dɛn we dɔktɔ dɛn kin yuz:
- Aspiration: Insay dis prosidur, di dɔktɔ de numb di penis ɛn yuz smɔl nidul ɛn sirinj fɔ pul di ol blɔd we nɔ gɛt ɔksijɛn we dɔn trɔp insay di penis. Dis kin ridyus di prɛshɔn ɛn swel, ɛn i kin mek yu nɔ gɛt bɛtɛ trɛnk igen.
- Intracavernosal injection: na wan kayn mεdikeshכn we dεn kכl alfa-agonist dεm dεn injεkt dεn dairekt insay di penis tru wan sכmכl nidul. Dis mɛrɛsin de wok bay we i de mek di blɔd vesel dɛn kɔnstrikt ɛn mek di blɔd nɔ flɔ to di penis. Dis na fayn tritmɛnt fɔ low-flow erectile dysfunction.
- Fɔ put ays pak: If yu put ays pak pan di penis ɛn di say we de rawnd am, dat kin ɛp fɔ mek yu nɔ swel.
- Ɔpreshɔn:If ɔda tritmɛnt dɛn nɔ wok ɔ if wan at dɔn pwɛl bikɔs ɔf aksidɛnt, dɛn kin nid fɔ du ɔpreshɔn. Dis involv fɔ mek ɔda rod fɔ mek blɔd flɔ (shunt) ɔ fɔ mek di at we dɔn pwɛl (ligation).
Wetin kin apin if dɛn nɔ trit am?
Dis na di pat we denja pas ɔl we wi ɔl nid fɔ no bɔt.
We blɔd kin trɔp insay di penis, di ɔksijɛn we de insay da blɔd de kin dɔn smɔl smɔl. We ɔksijɛn lɔs, di dilik tisu dɛn na di penis kin bigin fɔ day. Dis kin mek pɔsin pwɛl sote go .
Di tu men prɔblɛm dɛn we kin apin na:
1. Ska insay di penis: We di tisu dεm dכn pwεl εn ska, di shep fכ di penis kin chenj εn mek i fil pen.
2. Pεrmanεnt εrektil disfכnkshכn (ED): Dis na di mכst siriכs kכnsekshכn. If di tritmɛnt delay, di penis nɔ go ɛva ebul fɔ wok nɔmal wan tumara bambay.
if dεn trit di low-flow priapism insay 24 awa afta i bigin, bכku man dεm kin mεnten dεn abiliti fכ ejaculate insay di fכs tεm. Bɔt if dɛn trit am pas 36 awa afta dat, di risk fɔ mek i nɔ ebul fɔ gɛt bɛlɛ fɔ ɔltɛm, i kin rili bɔku.
Mɛsej we dɛn kin kɛr go na os
- Priapism nɔto nɔmal erection, na mɛdikal imejensi .
- If di penis de tinap fɔ pas 4 awa we yu nɔ gɛt ɛnitin fɔ du wit mami ɛn dadi biznɛs ɛn i de mek yu fil pen, nɔ shem ɛn de na os ɛn go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm .
- Nɔ tray fɔ trit am yusɛf na os. Masturbation ɔ sex nɔ go mɛn am.
- Di kwik we yu de go fɔ tritmɛnt, na di mɔ di risk fɔ mek di penis pwɛl fɔ ɔltɛm (espɛshali di erectile dysfunction).
- Pan ɔl we dis kin at fɔ tɔk bɔt, tɔk to yu dɔktɔ bɔt am. Dɛn tren dɛn fɔ ɛp yu.
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