I zang chu darkar tam tak chhung chu mipat hmeichhiatna lama tihchakna awm lovin a ding reng em, natna nen pawh a ni mai thei? Hei hi a zahthlak deuh thei a, sawi pawh a nuam lo deuh thei bawk. Mahse, ngaihthah tur a ni lo. A chhan chu hei hi Priapism an tih natna a nih theih avangin emergency medical treatment mamawh a ni. Chuvangin, hlauhna leh mualpho lovin he thu hi tlang takin sawi ila.
A awlsam zawngin Priapism chu eng nge ni?
Priapism chu penis rei tak, a tlangpuiin darkar li aia rei , mipat hmeichhiatna lama tihchakna leh duhna awm lovin a ni. Hei hi erection pangngai ang a ni lo va, a na fo bawk.
Ngaihtuah teh, normal takin penis hi thisen a khat hian a ding nghet thin. Sexual stimulation a tawp chuan chu thisen chu taksaah a luang lut leh a, penis chu a dinhmun pangngaiah a kir leh ta a ni. Mahse Priapism-ah chuan penis luah khat thisen chu a luang chhuak leh thei lo va, a chhungah a tang ta a ni. Hei vang hian penis hi a ding reng a ni.
A pawimawh ber chu hei hi medical emergency a ni. Enkawl vat loh chuan penis a tichhe vek thei a ni. Chuvangin hetiang thil hi i tawn chuan zak suh la, in lamah awm la , damdawi in Emergency Department (ETU) ah kal nghal rawh .
Priapism chi hrang hrangte chu engte nge ni?
He dinhmun hi chi hnih ah then theih a ni. An pahnih inthlauhna hriat a pawimawh a, enkawl dan pawh a inang lo thei a ni. Hriatthiam awlsam zawk nan hetiang hian han thlir ila.
| Priapism chi khat | A awlsam zawngin, eng nge thleng? | Na |
|---|---|---|
| A luang chhuak tlem (ischemic) priapism | Penis chhunga thisen lut chu a kir leh thei lo va , a block ta a ni . Thisen hlui, oxygen tlakchhamna chu a khawlkhawm thin. Hei hi a tam ber leh hlauhawm ber chi a ni. | Natna nasa tak a awm . Hun a kal zel a, a natna chu a zual zel a. |
| A luang chhuak sang (nonischemic) priapism | Penis emaw a chhehvela hliam a awm chuan penis-a thisen kal chu thunun theih lohvin a tipung a ni. Hei hi a tlem hle. | A tlangpuiin natna a awm lo . |
| Priapism lo awm leh (thup) thin | Hei hi low-flow chi khat a ni. Hun rei tak chhunga hlimna (euphoria) hi a lo thleng a, a lo kal zel a, a vawi khatnaah chuan a natna chu a zual zel thei a ni. | Natna a awm . |
Hetiang natna lan chhuah dan dik tak hi engte nge ni?
A lan chhuah dan ber chu penis hi darkar li aia rei a ding reng a ni. Mahse, a hmaa kan sawi tawh chi hnih a zirin natna lan chhuahna dangte chu a inang lo thei.
Flow hniam (ischemic) priapism-ah chuan
- Penis shaft chu a nghet hle a nih pawhin lu (glans) chu a nem thei .
- Hun a kal zel chuan a natna chu a zual zauh zauh a .
High-flow (nonischemic) priapism-ah chuan
- Penis hi nung mahse, a rigid kim lo .
- A tlangpuiin natna a awm lo .
Priapism hi engte nge ni?
A châng chuan, a chhan dik tak chu hmuh theih a ni lo. Mahse a tam zâwk chu damdawi lam dinhmun ṭhenkhat, damdawi, a nih loh leh thil dangin a nghawng a ni.
Damdawi lam dinhmun hnuaia awmte
- Sickle cell natna: Hei hi priapism thlentu ber a ni. He natna hi priapism nen hian a inzawm tlat a, a bik takin naupan lai hian a inzawm tlat a ni.
- Leukemia: Hetiang dinhmun hi thisen cancer chi hrang hrang avanga lo awm thei a ni.
- Thalassemia: Thisen natna dang a ni.
- Malaria natna a awm.
Damdawi leh damdawi te
- Erectile dysfunction atana hman damdawi thenkhat: a bik takin doctor thurawn tel lova hman dik loh a nih chuan. Entirnan, `(intracavernous injection therapy)` tih ang chi thil te.
- Rilru natna damdawi thenkhat: antidepressant leh rilru lam natna dang (antipsychotics) damdawi thenkhat.
- Ruihhlo hman: Ruihhlo hman, marijuana leh cocaine te pawh hi a chhan a ni thei.
Chhan dang
- Penis emaw a chhehvel emaw tana hlauhawm: 1.1.Hei hi penis, testicles, emaw scrotum leh anus inkar hmun (perineum) a hliam vang a ni thei.
- Spinal cord hliam a awm.
- Insect thenkhat atanga seh: Entirnan, black widow spider seh.
- Carbon monoxide avanga rimchhia a awm.
Engtin nge doctor hian hei hi a hriat chian?
Damdawi in i kal hunah doctor chuan zah tur a awm lo tih a tiam ang che a, i dinhmun chungchangah zawhna tlemte a zawt ang che.
- I pian atanga eng chen nge a liam tawh?
- Seizure i neih hnuhnun ber atang khan eng chen nge a rei tawh tlangpui?
- Natna dang (a bik takin sickle cell natna) i nei em?
- Tun hnaiah penis emaw a chhehvel emaw-ah hliam a awm em?
- Eng damdawi nge i hman?
- Ruihhlo i hmang em?
Tichuan, taksa enfiahna (physical examination) neih theih a ni a, test eng emaw zat tih theih a ni bawk a, chu chu a dinhmun finfiah theih a ni.
- Blood gas test: Hei hian penis atanga thisen sample te tak te tak te chu needle te tak te hmanga lak a, a oxygen level tehna a ni. Hei hian low-flow emaw high-flow emaw i neih leh neih loh hriat theihna turin a pui thei che a ni.
- Doppler ultrasound: Hei hian penis chhunga thisen kal dan a en a. Hei hian he dinhmun hi accident avanga lo awm a nih leh nih loh hriat theih nan a pui thei a ni.
- Toxicology screen: Ruihhlo hman nia rinhlelhna a awm chuan he test hi tih theih a ni.
Priapism hi eng enkawlna nge ni?
Enkawlna tum ber pahnih a awm tih hre reng ang che: pakhat chu erectile dysfunction tihbo a ni a, pakhat chu nakin lawka erectile function humhalh a ni.
Pawimawh: Hei hi nangmah ngeiin in lamah enkawl tum suh. Masturbation emaw sex emaw hian he natna hi a tidam lo tlangpui. Damdawi lam thurawn zawng nghal rawh.
Doctor-te’n an hman dan thenkhat chu hetiang hi a ni:
- Aspiration: Hetiang tih danah hian doctor chuan penis chu a ti numb a, needle leh syringe te tak te hmangin penis chhunga thisen hlui, oxygen tlakchham tawh chu a paih chhuak thin. Hei hian pressure leh swelling a tihziaawm a, chakna hloh pawh a tiziaawm bawk.
- Intracavernosal injection: Damdawi chi khat alpha-agonists an tih chu needle te tak te hmangin penis chhungah direct in inject a ni. He damdawi hian thisen kalna kawng a tikhawlo a, penis-a thisen kal a tihtlem avangin hna a thawk a ni. Hei hi low-flow erectile dysfunction enkawlna tha tak a ni.
- Ice pack hnawih: Mipa zang leh a chhehvela ice pack hnawih hian a hring (swelling) a tiziaawm thei a ni.
- Inzai:Enkawlna dang a hlawhtlin loh emaw, accident avanga thisen kalna kawng a chhiat emaw chuan zai a ngai mai thei. Hei hian thisen kalna tur kawng dang siam (shunt) emaw, thisen kalna kawng chhia siamthat (ligation) emaw a huam a ni.
Enkawl loh chuan eng nge thleng ang?
Hei hi kan zavaia kan hriat chian a tul ber chu a ni.
Penis chhunga thisen a tang chuan chu thisena oxygen chu a tawp zauh zauh thin. Oxygen a bo chuan penis chhunga tissue nalh tak takte chu an thi tan thin. Hei hian chhiatna nghet tak a thlen thei a ni .
Harsatna lian ber pahnih chu:
1. Mipa zang chhunga hliam (Scarring): Tissue a chhiat leh hliam a awm chuan penis pianzia a danglam thei a, natna a thlen thei.
2. Permanent erectile dysfunction (ED): Hei hi a rah chhuah pawi ber a ni. Enkawlna tihkhawtlai a nih chuan nakin lawkah chuan mipa zang hi a pangngaiin a thawk thei tawh ngai lo mai thei.
Low-flow priapism hi a lo chhuah atanga darkar 24 chhunga enkawl a nih chuan mipa tam zawk chuan nakin lawkah an ejaculate theihna an vawng reng thei a ni. Mahse, darkar 36 aia rei a enkawl a nih chuan permanent erectile dysfunction a awm theihna a sang hle.
Take-Home Thuchah a ni
- Priapism hi erection pangngai a ni lo va, medical emergency a ni .
- Penis chu darkar 4 aia rei sexual stimulation awm lovin a ding reng a, a na a nih chuan mualpho suh la, in lamah awm la, damdawi in Emergency Department (ETU) ah kal nghal rawh
- In lamah nangmah ngeiin enkawl tum suh. Masturbation emaw sex hman emaw hian a tidam lovang.
- Enkawlna i zawn hma chuan penis (a bik takin erectile dysfunction) a tichhe vek thei a ni.
- Hei hi sawi harsa tak ni mah se, i doctor hnenah chuan inhawng takin sawi rawh. Nangmah tanpui turin an inzirtir a ni.











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