He mea morearea te whai ure tū roa? Me kōrero tātou mō te Priapism

Kei te tū pakari tō ure mō ngā hāora, kāore he whakaohooho moepuku, ā, tera pea me te mamae? He mea whakama, he mea whakamā hoki tēnei ki te kōrero. Engari ehara i te mea hei wareware. Nā te mea he āhuatanga tēnei e kiia nei ko te Priapism e hiahia ana kia rongoatia wawetia. Nō reira, me kōrero whānui tātou mō tēnei mea, me te kore wehi, me te kore whakama.

He aha te Priapism?

Ko te Priapism te whakatū roa o te ure, e neke atu ana i te whā hāora te roa, kāore he whakaohooho moepuku, he hiahia rānei. Kāore tēnei i rite ki te whakatū noa, ā, he maha ngā wā ka mamae.

Whakaarohia, ko te tikanga ka tū te ure ina kī tonu i te toto. Ina mutu te whakaohooho moepuku, ka hoki anō te toto ki roto i te tinana, ā, ka hoki anō te ure ki tōna āhua noa. Engari i roto i te Priapism, kāore e taea e te toto kua kī te ure te rere anō ki waho, ā, ka mau ki roto. Koinei te take e tū tonu ai te ure.

He aha ngā momo matua o te priapism?

E rua ngā momo matua o tēnei mate. He mea nui kia mōhio ki te rerekētanga i waenganui i ngā mea e rua, nā te mea he rerekē pea ngā tikanga maimoatanga. Me titiro tātou ki tēnei ara kia māmā ake ai te mārama.

He aha tonu ngā tohu o tēnei mate?

Ko te tohu matua ko te noho tū o te ure mō te neke atu i te whā hāora. Heoi anō, ka rerekē pea ētahi atu tohu i runga i ngā momo e rua i kōrerohia i mua ake nei.

I roto i te priapism iti-rere (ischemic)

• Ahakoa he tino mārō te kakau o te ure, tera pea ka ngohengohe te pane (te karaehe) .
• Ka piki haere te mamae i te roanga o te wā.

I roto i te priapism rere-rahi (kore-ischemic)

• Ahakoa kei te ora te ure, kāore i te tino mārō .
• I te nuinga o te wā kāore he mamae .

He aha ngā take o te priapism?

I ētahi wā, kāore pea e kitea te tino take. Engari i te nuinga o te wā, ka pāngia e ētahi āhuatanga hauora, rongoā, me ētahi atu āhuatanga rānei.

Ngā āhuatanga hauora matua

• Mate pūtau hāripiri: Koinei te tino take o te priapism. He hononga tata tēnei mate ki te priapism, inā koa i te tamarikitanga.
• Leukemia: Ka taea tēnei mate te puta mai i ētahi momo matepukupuku toto.
• Thalassemias: Tētahi atu mate toto.
• Te mate pāwera.

Ngā rongoā me ngā raau taero

• Ko ētahi rongoā e whakamahia ana mō te ngoikore o te ure: inā koa ka whakamahia hētia me te kore tohutohu a te tākuta. Hei tauira, ko ngā mea pēnei i te `(intracavernous injection therapy)`.
• Ētahi rongoā mō te mate hinengaro: ngā rongoā pōuri me ētahi rongoā mō ētahi atu mate hinengaro (ngā rongoā pōuri hinengaro).
• Te whakamahinga o ngā raau taero: Ko te whakamahinga o ngā raau taero pēnei i te mariuana me te kōkaini tētahi atu take o tēnei.

Ētahi atu take

• Ngā tūponotanga ki te ure, ki te rohe rānei e karapoti ana:Ka puta pea tēnei i te whara o te ure, o ngā rae, o te wāhi rānei i waenganui i te kiriuhi me te nono (perineum).
• Ngā whara o te taurakira.
• Ngā ngau a ētahi pepeke: Hei tauira, te ngau a te pūngāwerewere pango.
• Te paihana waro haukini.

Me pēhea te tātaritanga a te tākuta i tēnei?

Ina haere koe ki te hōhipera, ka whakamanawa mai te tākuta kāore he mea e whakama ai koe, ā, ka pātai atu hoki i ētahi pātai mō te āhua o te mate.

• Kia pēhea te roa mai i tō whānautanga mai?
• Kia pēhea te roa mai i te wā whakamutunga i pāngia ai koe e te mate haurangi?
• He mate kē atu anō ōu (ina koa ko te mate pūtau hāripiri)?
• Kua pā mai tētahi whara ki te ure, ki te wāhi rānei e karapoti ana i ēnei rā tata nei?
• He aha ngā rongoā e whakamahia ana e koe?
• Kei te whakamahi koe i ngā raau taero?

Kātahi ka taea te whakahaere i tētahi whakamātautau tinana, ā, he maha ngā whakamātautau hei whakaū i te āhua.

• Whakamātautau hau toto: Ko te tikanga o tēnei ko te tango i tētahi tauira toto iti rawa mai i te ure mā te whakamahi i tētahi ngira iti rawa, ka ine i ōna taumata hāora. Mā tēnei ka āwhina i a koe ki te whakatau mēnā he iti, he nui rānei te rere o tō toto.
• Te ine i te rere o te toto i roto i te ure mā te whakamahi i te Doppler ultrasound: Mā tēnei ka tirohia te rere o te toto i roto i te ure. Ka āwhina tēnei ki te whakatau mēnā i puta mai te mate i tētahi aituā.
• Matawai paitini: Ka taea te whakahaere i tēnei whakamātautau mēnā kei te whakapaetia he whakamahinga tarukino.

He aha ngā maimoatanga mō te priapism?

Kia maumahara, e rua ngā whāinga matua o te maimoatanga: ko tētahi he whakakore i te ngoikore o te ure, ā, ko tētahi he tiaki i te mahi ure ā muri ake nei.

Anei ētahi o ngā maimoatanga e whakamahia ana e ngā tākuta:

• Te manawa: I roto i tēnei tikanga, ka whakangā te tākuta i te ure, ka whakamahi i tētahi ngira iti me tētahi pūwero hei tango i te toto tawhito, kua pau te hāora, e mau ana i roto i te ure. Ka whakaitihia te pēhanga me te pupuhi, ā, ka whakamama i te ngaronga o te ora.
• Werohanga Intracavernosal: Ka werohia tika ki roto i te ure tētahi momo rongoā e kiia nei ko ngā alpha-agonists mā roto i tētahi ngira iti. Mā te mahi a tēnei rongoā ka whakawhāiti i ngā uaua toto me te whakaiti i te rere o te toto ki te ure. He maimoatanga whai hua tēnei mō te ngoikore o te ure.
• Te tāpiri i te kete hukapapa: Mā te tāpiri i te kete hukapapa ki te ure me te wāhi e karapoti ana ka āwhina i te whakaiti i te pupuhi.
• Pokanga:Mena kāore ētahi atu maimoatanga e angitu, mena rānei kua pakaru tetahi uaua i te aituā, me mahi pokanga pea. Ko te tikanga o tēnei ko te waihanga i tētahi ara rerekē mō te rere o te toto (shunt) te whakatika rānei i te uaua kua pakaru (ligation).

Ka aha mēnā ka kore e rongoatia?

Koinei te wāhanga tino mōrearea me mōhio tātou katoa.

Ina mau te toto ki roto i te ure, ka memeha haere te hāora i roto i taua toto. Ina ngaro te hāora, ka tīmata te mate o ngā kiko ngawari o te ure. Ka taea e tēnei te whakararu tuturu .

Ko ngā raruraru matua e rua ko:

1. Te whara i roto i te ure: Ina pakaru, ina whara hoki te kiko, ka rerekē te āhua o te ure, ā, ka mamae.

2. Te ngoikore o te ure tuturu (ED): Koinei te hua tino kino. Mēnā ka whakaroahia te maimoatanga, tērā pea kāore e taea e te ure te mahi i tōna āhua noa ā muri ake nei.