I fapa tê chu a diaper thlak emaw, a inbual lai emaw hian a penis chu a sir khatah tlem a ben emaw, a inher emaw tih i hmu ngai em? Hei hi thil pangngai a ni a, chuta tang chuan a lo thang lian ang tih i ngaihtuah tawh mai thei. Nu leh pa tam takin hetiang thil hi an tawng tawh a ni. Damdawi lamah chuan mipa zang hi a pianpui a, a hrual deuh a, a hrual a, chu chu `Penile Torsion` an ti a ni. He hming hi hre hlau suh. Vawiin hian i hriatthiam theih tur khawpa awlsam takin kan sawi dawn a ni.
Penile Torsion hi eng nge ni tak tak?
A awlsam zawnga sawi chuan `Penile Torsion` hi mipa naupang zang chu a hrual deuh a ni. Bottle cap ang mai a ni. Hei hi pianpui natna a ni . Chumi awmzia chu nu pum chhunga naute a lo seilian lai hian penis vun leh a chhehvel tissue te chu a insiam tha lo tihna a ni.
A tam zawkah chuan he rotation hi veilamah a awm thin. Chu chu darkar kalh zawnga kal tihna a ni. Hei hi i ngaihtuah angin a pawi lo va, i ngaihtuah aiin a tam zawk bawk.
Nu leh pa tam tak chuan an naute serh tan dawnin, emaw, doctor-in naute a enfiah hunah emaw hetiang hi an hmu thin.
Hriat reng tur pawimawh ber: I fapain penile torsion a nei nia i rinhlelh chuan serhtan chu specialist i hmuh hma loh chuan sawn hla la. Hei atan hian mi tha ber chu pediatric urologist a ni.
Hetiang dinhmun nen hian harsatna dang a lo thleng thei ang em?
Ni e, a chang chuan Penile Torsion hi a awm mai mai lo va, nau piangsual dang nen a awm dun thei bawk. Chutiang dinhmun lian ber pahnih chu:
- Hypospadias: Hei hi zun leh sperm kalna tube urethra chu a tip ni lovin a hnuai lam hmun dangah a inhawng a ni.
- Chordee: Hei hi penis chu a harh chhuah chuan a ding lo va, hnuai lam emaw, a sir lam emaw a ben nasat zawkna a ni.
I doctor pawhin heng dinhmunte hi a enfiah ang.
Hei hi thil pawi tak a ni em? Engtiang chiahin nge a hluar?
Penile torsion hi a na lo atanga a nasat thlengin a awm thei. Penis hi 90 degree aia tam, chu chu right angle aia tam a twisted a nih chuan a pawi deuh deuhah ngaih a ni.
Hei hi a tam em em a, zirchianna thenkhatah chuan naute mipa 1.5% atanga 27% thlengin khawi hmunah pawh a nghawng thei niin an sawi. Mahse ka sawi tawh ang khan curve 90 degree aia sang neih hi a tlem hle a, 1% aia tlem a ni.
A lan chhuah dan leh harsatna awmte chu engte nge ni?
A zia ber chu penis hi a sir khata hawi a ni.Chumi piah lamah chuan symptom dang a awm lo tlangpui. A bik takin twist chu degree 90 aia hniam a nih chuan naute chuan natna leh hrehawmna a nei lovang. Chuvangin ngaihtuahawm tur a awm lo.
Nu leh pa tam takin zawhna pakhat chu, "Hei hian nakin lawkah fa neih kawngah harsatna a thlen dawn em?" No. Penile Torsion hian fa neih theihnaah nghawng a nei lo tih hmuhchhuah a ni.
Mahse, hei hian harsatna hmantlak engemaw zat a thlen thei a ni.
| Harsatna | Hrilhfiahna |
|---|---|
| Zun chhuahna (urine stream) a inthlak danglam thin | Hetiang natna vei zinga a chanve aia tamah chuan zun hi a chhuak nghal lo. A luang chho thei a, a hnuai lamah emaw, a sir lamah emaw a luang thei bawk. A châng chuan lui chu hmun hnih-ah pawh a inṭhen thei bawk. |
| Hmel lan danin rilru lam a nghawng dan | Enkawl loh chuan mi thenkhat chu an naupan laiin an zang lan danah rilru lamah an lungawi lo thei hle. |
Hei hi eng nge a chhan?
Doctor-te chuan hei hi chhan chiang tak an la hmu lo. Mahse theory thenkhat a awm. Pakhat chu nausen chu nausen pum chhunga a lo thang lian laiin hmeichhe hormone, a bik takin estrogen nena inhnim tam lutuk hian a nghawng thei niin an ngai a ni. Tin, vun leh mipa taksa peng hrang hranga thil danglam thenkhat vang pawh a ni thei bawk.
Hei hi engtin nge doctor hian a enkawl?
A hmasa berin Doctor chuan naute chu uluk takin a enfiah ang. Hetiang dinhmun hi taksa enfiahna awlsam tak hmangin hriat theih a ni.
Tûnah chuan inenkawlna lam han en teh ang. A tam zawkah chuan a bik takin twist chu degree 90 aia tlem a nih chuan enkawl ngai a ni lo. Engti kawng mahin naute a tichhe lo.
Amaherawhchu nu leh pa \henkhat chuan zang pianzia hi an ngaihtuah a, enkawl an duh a ni. Tin, zun chu a sir lam hawia kal a nih chuan chu pawh chu siamthat a ngai bawk. Hei hi enkawlna awmchhun chu surgery tenau tak a ni.
He surgery hi general anesthesia hmanga tih a ni. Surgery an neih chhung hian doctor chuan penis-a vun thenkhat chu a thlah a, a tidik a, vun chu a sew leh thin. Hei hi degloving an ti a. Banana vun chu uluk taka phelh a, a hnua inzawm leh ang mai a ni.
Surgery hi a him em?
Ni e, a tlangpuiin hei hi surgery him tak a ni. Surgery zawng zawng ang bawkin risk engemaw zat a awm a, mahse hei hi a hniam hle. Doctor-te chuan naute thla 6 leh thla 18 inkar a nih hunah he surgery hi tih an rawt tlangpui. Hei hi a chhan chu naute thla 6 hnuai lam anesthesia pek hian a hlauhawmna a sang deuh hlek a ni.
Mahse he surgery hi kum eng pawhah tih theih a ni. Mi thenkhat phei chuan an naupan lai atang pawhin, anmahni duhthlannain an tifel thin.
Pawimawh: Penile Torsion hi hun kal zelah a tha lo va, a tlahniam lo bawk. A la awm reng a ni.
Naute chu operation hnuah engtin nge kan enkawl ang?
A tlangpuiin operation hnua hliam a dam theih nan ni 10 vel a ngai thin. Hemi hun chhung hian i doctor chuan i naute enkawl dan tur chipchiar takin a hrilhfiah ang che. A hnuaia thupekte hi pek a ni tlangpui:
- Fai taka vawn dan: I naute diaper i thlak apiangin petroleum jelly (`Vaseline®`) emaw, doctor-in a rawt angin ointment dang emaw tlem tal hnawih thin ang che. Hei hian natna hrik a luh loh nan a pui dawn a ni.
- Natna atan: Naute a na a nih chuan Doctor-in a sawi angin Paracetamol ang chi painkiller chu a pek tur angin pek tur a ni.
- Silfai dan: Hliam a dam deuh deuh chuan a hmun chu uluk takin leh zawi zawiin sahbawn leh tui thianghlim leh lum takin silfai thin ang che.
Engtik lai pawhin doctor hmuh i duh chuan
I naute zun chhuahna chu a danglam bik taka side-tracked a nih chuan doctor nen inbiakna neih a tha a, hei hi a upat deuh deuh chuan a tan a nuam lo thei a ni.
Operation hnua ETU-a kal hun tur
Surgery hnua hri kai chhinchhiahna i neih chuan damdawi in hnai ber Emergency Department (ETU) pan nghal tur a ni. Heng chhinchhiahnate hi:
- Thisen chhuak fo a nih chuan emaw, thisen chhuah kha i titawp thei lo a nih chuan.
- Hliam atanga tui rimchhia a luang chhuak a nih chuan.
- Naute chu operation hnu darkar 12 chhung a zun loh chuan.
- Naute chu khawsik, khawsik, leh khur a neih chuan.
- Stitch vel ah hian pus a lo awm tawh a nih chuan.
- A vun chu a sen emaw, a sen emaw, a dum emaw a nih chuan.
Hetiang thil i hmuh chuan hun khawhral suh la, naute chu damdawi inah hruai rawh.
Take-Home Thuchah a ni
- `Penile Torsion` hi nausen mipaah hmuh tur awm fo a ni. Hei hi i hmuh hian hlauthawng suh.
- A tam zawkah chuan hei hian naute tan natna, chhiatna leh nakin lawka hriselna lama harsatna a thlen lo.
- Grinding a tlem chuan enkawlna a ngai lo fo.
- Hemi chungchangah hian rinhlelhna emaw hlauhna emaw i neih chuan a tha ber chu pediatrician emaw pediatric surgeon emaw zawh hi a ni.
- Serhtan i ngaihtuah a nih chuan he dinhmun hi doctor nen inbia hmasa phawt ang che.
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