He aha te Priapism? He māmā noa iho...
He whakarāpopototanga noa iho, ko te priapism te āhua e noho tū tika ai te ure mō te wā roa, neke atu i te whā hāora te roa, me te kore he whakaohooho moepuku, he hiahia rānei. Ko te mea nui, he tino mamae. Ka puta tēnei nā te mea kāore e taea e te toto kua rere ki roto i te ure, arā, te toto, te rere anō ki roto i te tinana, ā, ka mau ki roto i te ure.Whakaarohia he rite ki tētahi poihau kī tonu i te wai, kāore he ara e puta ai ina herea. Pērā anō te mea ka pā ki te ure.He mea nui kia maumahara he āhuatanga ohorere hauora tēnei. He mea nui kia rapu awhina hauora tonu, arā, i te wā e taea ai. Ki te kore e rongoatia, ka pā he kino tuturu ki te ure, ā, ka arahi pea ki ngā āhuatanga pēnei i te ngoikore o te ure (ED) ā muri ake nei.
He momo matua o te priapism?
Ae, ka taea te wehewehe i te priapism ki ētahi momo matua. He rerekē te tīmatanga me ngā tohu o ia momo.1. Priapism rere-iti (ischemic)
Koinei te momo priapism tino noa. Ko te mea e tupu ana i konei ko te toto kua uru ki roto i ngā rūma motuhake (corpora cavernosa) e whai wāhi ana ki te whakatūnga o te ure, ka mau, ā, kāore e taea te puta anō. Hei whakamārama, ka whakaitihia te rere o te toto, koia i kiia ai ko te "rere-iti". I ētahi wā kāore e taea te kimi i tētahi take motuhake mō tēnei. Heoi, ka puta pinepine ake i roto i te hunga whai mate hauora. Hei tauira:- Mate toto ira - He mate toto ira tēnei.
- Matepukupuku toto (Leukemia)
- Malaria
2. Priapism auau (kōkī)
He momo priapism rere-iti anō hoki tēnei, engari he āhua rerekē paku. Ko te mea e tupu ana i konei ko te tū o te ure mō te wā roa, kātahi ka tū anō i muri i tētahi wā poto. Ka taea tēnei te tupu pinepine. I ia wā ka piki ake te wā tū, ka piki ake hoki te mamae.3. Priapism rere-rahi (kore-ischemic)
He ahua onge ake tēnei momo i ērā atu e rua. Ka puta mai ina whara, ina whara rānei te ure, te rohe rānei e karapoti ana i a ia (hei tauira, te perineum ) ka puta he rere toto kore e taea te whakahaere ki roto i te ure. Ka kiia tēnei ko te "rere-rahi". He iti ake te mamae o tēnei momo i ērā atu momo.He pēhea te noa o te ingoa o tēnei āhuatanga ko te priapism?
He tino onge te mate priapism. Heoi, e ai ki taku kōrero i mua ake nei, he nui ake te tūponotanga ka pā ki te hunga whai mate hauora motuhake. Hei tauira, ka pā pea ki te 30% ki te 45% o te hunga whai mate pūtau maripi .He aha ngā tohu o te priapism? Me pēhea te mōhio ki tēnei?
Ko te tohu matua ko te noho tū o te ure mō te neke atu i te whā hāora me te kore he whakaohooho moepuku. Tērā pea ka rerekē ētahi atu tohu i runga i te momo priapism kei a koe. Mēnā he priapism iti te rere (ischemic) tōu:- Ahakoa te tū tika o te kakau o te ure, tera pea ka ngohengohe te mata o te ure.
- Ka piki haere te mamae i roto i te wā.
- Kāore pea te kakau o te ure i te tino mārō, engari tera pea he paku ngāwari.
- Kāore he mamae i te nuinga o te wā, he iti noa rānei te mamae.
He aha ngā tino take o te priapism?
He mea whakamiharo, i roto i te kotahi hautoru (33%) o ngā keehi priapism, kāore e kitea he take motuhake. Heoi, i roto i ngā kēhi e toe ana, he maha ngā āhuatanga ka whai wāhi. Ka taea te whakaputa i te priapism iti-rere (ischemic) e ngā āhuatanga hauora o raro:- Mate pūtau hāripiri
- Matepukupuku toto (Leukemia)
- Malaria
- Ngā mate Thalassemia
- Ngau a te pūngāwerewere pouaru pango
- Te paitini o te hauota waro (CO)
- Matepukupuku ure
- Ngā whara ki te tuaiwi, ki te wāhi ira tangata rānei
- Te whakamahinga o ētahi raau taero ture kore: Hei tauira, ko te mariuana , te kōkāne(kōkāine) me ngā amphetamine .
- Te whakamahinga hē, te whakamahi hē rānei i ētahi rongoā:
- Ngā rongoā mō te ngoikore o te moepuku: Hei tauira , ngā aukati phosphodiesterase momo 5 me te werohanga ā-roto i te puku .
- Ētahi rongoā ārai pouri : Hei tauira , trazodone .
- Ētahi rongoā antipsychotic /neuroleptic : Hei tauira , chlorpromazine .
He mate hopuhopu tēnei e kiia nei ko te priapism?
Kāo, kāore rawa. Ehara te priapism i te mate hopuhopu. Ehara hoki i te mate tuku iho (STI) ehara hoki i te tohu o taua mate. Nō reira, kāore he mea hei manukanuka.Ko wai te mea ka tino pāngia e tēnei āhuatanga?
Ka pā te priapism ki te tangata o ngā tau katoa me te ure. Ka pā anō hoki ki ngā pēpi whānau hou, engari e rua ngā reanga e tino kitea ana:- Ngā tama i waenga i te 5 me te 10 tau te pakeke.
- Ngā tāne taitamariki me ngā tāne kaumātua i waenga i te 20 me te 50 tau te pakeke.
He aha ngā raruraru pea o te priapism? He kino rawa?
Āe, koinei te wāhi me aro nui tātou ki tēnei. Ki te kore e rongoatia tika, ka taea e te priapism te kino tonu i te ure. Whakaarohia, me whai hāora ngā pūtau o roto i tō tātou tinana hei hanga pūngao. Nō te toto te hāora. I roto i te priapism, ina piri te toto ki roto i te ure, ka memeha haere te hāora o roto i taua toto. Kātahi ka tīmata te pakaru o ngā kiko o roto i te ure. Ko ngā raruraru matua ka puta mai i te priapism kāore i rongoatia ko:- Te whara o ngā kiko i roto i te ure.
- Te ngoikore o te moepuku tuturu (ED) . Ko te tikanga tēnei kāore e taea e te ure te tū tika mō te moepuku.
Koia mātou e mea nei, kaua e whakaaro he kata noa iho tēnei, kaua e whakama, me rapu tonu i te tohutohu hauora.
Me pēhea te tātaritanga o te priapism? He aha te mahi a te tākuta?
Ki te mea kei te whakaaro koe kua tū pakari tō ure mō ētahi haora, me toro atu koe ki te tākuta tonu. Ka pātai atu te tākuta ki a koe mō tō hītori hauora, ka tuhi i ō tohumate, ā, ka whakahaere i tētahi whakamātautau tinana. I tēnei wā, ka pātai atu pea te tākuta ki a koe i ngā pātai pēnei i:- Kia pēhea te roa ka tū te ure?
- Kia pēhea te roa e tū tika ai tō ure?
- He mate hauora kē atu anō kei a koe kua tautuhia?
- Kua whara tō ure, tō rohe rānei i ngā wā tata nei?
- Kei te tango rongoā koe i tēnei wā?
- Kua whakamahia e koe tētahi rongoā, kāore he whakahaunga a te tākuta?
- Kei te whakamahi koe i ngā raau taero turekore?
He aha ngā momo whakamātautau ka mahia?
Whai muri i te whakamātautau tinana, ka ine tō tākuta i ngā taumata hāora i roto i tō toto. Ko te whakauru i tētahi ngira iti ki roto i tō ure, ka tangohia he toto iti, ka tukuna ki te taiwhanga. Ka taea e ngā hua o te whakamātautau te whakamōhio ki tō tākuta mō:- He aha te momo priapism kei a koe?
- Kia pēhea te roa o tēnei āhuatanga e pā ana ki a koe?
- Koinei te nui o te kino kua pā ki ngā kiko o te ure.
Me pēhea te rongoā i te priapism? He aha ngā mea ka taea e au te mahi i te kāinga?
Kāo, kaua e ngana ki te rongoā i tēnei i te kāinga! Ko te whāinga matua o ngā maimoatanga priapism katoa he whakaora i te tūnga o te ure me te pupuri i te kaha o te ure kia tū tika i te wā kei te heke mai. Ki te whakaaro koe he priapism tōu, haere tonu ki te rūma whawhati tata. Tērā pea ka hoatu tuatahitia e tō tākuta he rongoā whakaiti i te pupuhi o te ihu, pērā i te phenylephrine (hei tauira, Sudafed PE®). Ka mahi ēnei rongoā mā te whakaiti i te rere o te toto ki te ure me te āwhina ki te whakaiti i te tūnga o te ure. Ka tino whai hua ēnei rongoā ina hoatu i roto i ngā haora tuatahi e whā ki te ono o te tīmatanga o te priapism. Ko ētahi atu kōwhiringa maimoatanga ko:- Te manawa : Ka whakangā te tākuta i tō ure i te tuatahi, kātahi ka whakamahia he ngira iti me te pūwero hei tango i ētahi o ngā toto kore-hāora i roto i tō ure. Mā tēnei ka āwhina i te whakaiti i te pēhanga me te pupuhi. Me mahi pea tēnei i ngā wā maha.
- Werohanga ā-roto i te ihu : Ka werohia e te tākuta te rongoā ki roto i te corpus cavernosum (ngā alpha-agonists) mā te whakamahi i tētahi ngira iti.Ka werohia ki roto i te ure tētahi momo rongoā e kiia nei ko te vasodilator. Ka whakawhāitihia e ēnei rongoā ngā uaua e kawe ana i te toto ki te ure. Ka whakaitihia te rere o te toto, ka whakaitihia hoki te pupuhi. He maimoatanga tēnei mō te priapism iti-rere (ischemic).
- Te tāpiri i ngā kete hukapapa : Mā te tāpiri i ngā kete hukapapa ki te ure me te rohe e karapoti ana ka āwhina i te whakaiti i te pupuhi.
- Herenga pokanga : Mena kua pakaru te uaua nā te whara, ka whakahaerehia e te tākuta mimi te pokanga hei here i te uaua kua pakaru, hei whakahoki mai i te rere o te toto kia tika. He maimoatanga tēnei mō te priapism rere-rahi (kore-ischemic).
- Te pokanga pokanga : Ka hangaia e te taote pokanga he oko toto hou (shunt) i roto i te ure mā te pokanga. Ka hurihia te ara o te toto, ka whakahokia mai te rere noa o te toto. He maimoatanga tēnei mō te priapism iti te rere (ischemic).
Ka taea te rongoā i tēnei mate mā te moe tāne, mā te moepuku rānei?
Kāore i te nuinga o te wā. Kāore te priapism e memeha ahakoa te mahi tāne, te moe tāne, te whakaputa uri rānei. Nā te mea ehara i te whakaohooho moepuku noa.Kia pēhea te roa ka pai ake ai taku āhua i muri i te maimoatanga?
Ki te angitu te maimoatanga, me whakaora tonu tō priapism. Tērā pea ka kitea he whakaoranga i te maimoatanga tuatahi, me tango rānei e koe ētahi maimoatanga. I muri i te maimoatanga mō te priapism, tērā pea ka paku mamae, ka pupuhi tō ure. Engari kaua e mārō, e pūmau rānei. Kia mahara, he rerekē te tinana o ia tangata, o ia tangata. Tērā pea ka rerekē te wā whakaora. Whāia ngā tohutohu a tō tākuta mō te whakahaere i tētahi mamae, i tētahi koretake rānei kia ora rā anō koe.He aha ngā mea ka taea te mahi hei ārai i te priapism?
Ka āwhina ēnei tohutohu ki te ārai i te priapism:- Me whiwhi maimoatanga tika mō ngā āhuatanga taketake e puta ai te priapism.
- Whakamahia ngā rongoā kia rite ki te whakahau a te tākuta. Kaua e tango i tētahi rongoā me te kore he tohutohu a te tākuta.
- Ki te tākaro hākinakina koe, ki te whai wāhi rānei koe ki ngā mahi ā-tinana, mauria he taupoki tiaki e tika ana (he kapu hākinakina) hei tiaki i tō ure.
Kia pēhea te roa o te priapism?
Ka taea e te priapism rere-rahi (kore-ischemic) te whakakore i a ia anō i roto i ētahi haora, wiki rānei , me te kore he maimoatanga. Heoi, ehara i te mea whakaaro nui te tatari kia whakakorea. Heoi, kāore te priapism rere-rahi (ischemic) e whakakore i a ia anō. Me tino hiahia te awhina hauora.He aha te tirohanga mō tēnei āhuatanga? Ka pai ake rānei?
Ki te whiwhi maimoatanga wawe koe, he pai te tirohanga mō te nuinga o te tangata. Tata ki te haurua o te hunga he priapism iti-rere ka taea te whakahoki mai i ō rātou ure noa mena ka whakahaeretia te mate i roto i ngā haora 24. Heoi, ki te mea he priapism iti-rere tōu mō te neke atu i te 36 haora , ka nui ake te tūponotanga ka pāngia koe e te ngoikore o te ure tuturu (ED) .Mena he priapism tōku, he aha te mea ka taea e au te mahi kia kite rā anō ahau i te tākuta?
Tērā pea ka āwhina ēnei mea ki te whakaiti i te pakari o te ure i te tīmatanga, me te whakamamae i te mamae. Engari kaua e whakaroa ki te toro atu ki te tākuta nā te mea kua whakamātauria e koe ēnei mea.- Tangohia ngā rongoā whakamamae mamae (ngā rongoā anti-inflammatory kore-steroidal - NSAID) . Kāore e taea e te katoa te tango i ēnei, nō reira he pai ake te pātai ki te tākuta.
- Inuhia he nui te wai.
- Ngāna kia mimi.
- Haereere.
- Whakakorikori tinana māmā, whakaōrite rānei: Hei tauira, te peke taura, te oma i te tūnga kotahi, ngā mahi whakakori tinana pēnei i te tūpekepeke .
Āhea ahau me toro atu ki te tākuta? Me haere ahau ki te Tari Whakaora Mate (ETU) ?
Mena he maha ngā whakatūnga mamae o tō ure, kāore he whakaohooho moepuku, ā, ka memeha noa iho, kōrero ki te tākuta. Whai muri i te maimoatanga, whakaritea he wā tirotiro anō me tō tākuta. Mena ka hoki anō te priapism i muri i te maimoatanga, waea atu ki tō tākuta tonu. He āhuatanga ohorere hauora te priapism! Mena he whakatūnga tō ure, kāore he whakaohooho moepuku, ā, kāore e memeha i muri i ētahi haora, haere tonu ki te rūma ohorere tata (ETU) , me te kore e whakaroa. Ki te roa tō tatari, ka nui ake te tūponotanga o te kino tuturu ki tō ure.He aha ngā pātai nui me pātai atu e au ki te tākuta?
Ina kite koe i te tākuta, ka taea e koe te pātai i ēnei pātai:- Me pēhea koe e tino mōhio ai he priapism tōku?
- Ka pakaru tonu taku ure?
- He aha te momo priapism kei a au?
- He aha te take o tēnei āhuatanga mōku?
- He tākuta mimi ahau.Kei te hiahia koe ki te tūtaki?
Ka taea te puta te priapism ahakoa kei te moe ahau?
Ae, ka puta pea te priapism i a koe e moe ana. He mea noa te tū o tō ure i a koe e moe ana (te pupuhi o te ure i te pō) . Heoi, ka taea e te mamae o te priapism te whakaara i a koe. Waihoki, kāore e memeha noa iho, ā, he uaua ki te hoki ki te moe.Hei whakamutunga, ko te mea tino nui hei maumahara!
He mate te Priapism e hiahia ana kia rongoatia tonutia hei ārai i te kino tuturu o tō ure. He mea whakama pea te mau tonu o te ure. Heoi, he rerekē te priapism i te ure noa. Ka puta mai me te kore he whakaohooho moepuku, ā, he mamae. Ko te huarahi tēnei a tō tinana ki te kī atu kei te hē tetahi mea. Nō reira, kōrero ki te tākuta i te wā e taea ai, kia nui ake ai ō tupono ki te ārai i te kino tuturu o tō ure. Kaua rawa e whakaroa ki te rapu maimoatanga nā te whakama. Ko tō hauora te mea nui! Priapism, Te Whakatū Ure, Te Whakatū Mamae, Te Hauora o te Ure, Te Hauora o ngā Tāne, Te Maimoatanga Hauora Ohotata, Te Ure👩🏽⚕️ Ngā Pātai Auau (FAQ) mai i te Tākuta
💬 E te tākuta, he aha tēnei priapism? He aha i tino mamae ai?
Ko te Priapism he āhuatanga e noho tū tika ai te ure mō ngā haora neke atu i te whā, kāore he whakaohooho moepuku. He tino mamae tēnei i te nuinga o te wā. Ka puta tēnei nā te mea kāore e taea e te toto kua uru ki te ure te hoki ki te tinana, ā, ka mau ki roto. He rite ki te poihau kī tonu i te wai e kore e puta ina herea te waha.
💬 E te tākuta, he āhuatanga kino tēnei? Me aha mātou?
Ae, ki tā mātou he āhuatanga ohorere hauora tēnei. Ko te tikanga he mea nui kia rapu awhina hauora i te wā e taea ai. Nā te mea, ki te kore e rongoatia, ka taea e ia te whara tuturu i te ure, ā, ka taea hoki e ia te arahi ki ngā raruraru pēnei i te ngoikore o te moepuku ā muri ake nei. Nō reira, ki te puta tēnei, me haere tonu koe ki te hōhipera tata.
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