(medical emergency) . . , , . , .

IimpawuJulayi 16, 2026🔄 Updated: Jul 16, 2026⏱ 10 min

Ingaba ipenisi yakho imile kabuhlungu ixesha elide? Masifunde ngale nto yokuzibamba!

Creator: Dr. Priya Sammani
Published: 2026-07-15T22:42:56.000Z

Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification

Namhlanje siza kuthetha ngombandela wezempilo obuthathaka nohlala ungakhathalelwa kodwa obaluleke kakhulu ekufuneka uwuqaphele. Loo meko ibizwa ngokuba yiPriapism. Usenokuba awukaze uve ngeli gama ngaphambili. Kodwa yimeko enzima enokuchaphazela amadoda kwaye ifuna unyango olukhawulezileyo. Ngoko ke, masithethe ngayo ngokweenkcukacha nangokulula, kuba ukukwazi oku kunokukunceda wena nabantu obathandayo.

Yintoni iPriapism? Ngamafutshane...

Ngamafutshane, i-priapism yimeko apho ipenisi ihlala imile ixesha elide, ngesiqhelo ngaphezulu kweeyure ezine, ngaphandle kokuvuselelwa ngokwesondo okanye umnqweno. Okubaluleke kakhulu, kudla ngokuba buhlungu kakhulu. Oku kwenzeka kuba igazi eliye langena kwipenisi, oko kukuthi, igazi, alikwazi ukubuyela emzimbeni kwaye livaleleke ngaphakathi kwipenisi.

Cinga ngayo njengebhaluni egcwele amanzi engenandlela yokuphuma xa uyibopha. Kwenzeka into efanayo nakwilungu lobudoda.

Kubalulekile ukukhumbula ukuba le yingxamiseko yezonyango. Kubalulekile ukufuna uncedo lwezonyango ngokukhawuleza, oko kukuthi, ngokukhawuleza. Ukuba ayinyangwa, inokubangela umonakalo osisigxina kwilungu lobudoda kwaye ide ikhokelele kwiimeko ezifana nokungasebenzi kakuhle kwe-erectile (ED) kwixesha elizayo.

Ngaba kukho iintlobo eziphambili ze-priapism?

Ewe, i-priapism inokwahlulwahlulwa ibe ziintlobo eziphambili ezahlukeneyo. Uhlobo ngalunye lunesiqalo kunye neempawu ezahlukeneyo kancinci.

1. I-priapism engaphantsi (ischemic)

Olu lolona hlobo luqhelekileyo lwe-priapism. Okwenzekayo apha kukuba igazi elingene kwiigumbi ezikhethekileyo (i-corpora cavernosa) ezinegalelo ekumisweni kwepenis, liyabhajwa kwaye alikwazi ukuphuma kwakhona. Ngokuchanekileyo, ukuhamba kwegazi kuyancitshiswa, yiyo loo nto kuthiwa "kukuhamba okuphantsi". Ngamanye amaxesha akunakwenzeka ukufumana unobangela othile woku. Nangona kunjalo, kunokwenzeka rhoqo kubantu abaneengxaki ezithile zempilo. Umzekelo:

Isifo seSickle Cell - Esi sisifo segazi esibangelwa lufuzo.
Umhlaza wegazi (i-Leukemia)
IMalariya

Olu hlobo lubuhlungu kakhulu kwaye lufuna unyango olukhawulezileyo.

2. Ukuthintitha okuphindaphindwayo (okungathintithayo)

Olu lukwaluhlobo lwe-low-flow priapism, kodwa yimeko eyahlukileyo kancinci. Okwenzekayo apha kukuba ipenis imile ixesha elide, ize imile kwakhona ngokuzenzekelayo emva kwexesha elifutshane. Oku kunokwenzeka ngokuphindaphindiweyo. Ngalo lonke ixesha ixesha lokuma liyanda kwaye intlungu iyanda.

3. Ukuqonda okuhamba ngokukhawuleza (okungekuko ukungasebenzi kakuhle kwe-angischemic)

Olu hlobo lunqabile kancinci kunezinye ezimbini. Lwenzeka xa ukwenzakala okanye ukwenzakala kwilungu lobudoda okanye kwindawo ejikeleze lona (umzekelo, i-perineum ) kubangela ukuhamba kwegazi okungalawulekiyo kwilungu lobudoda. Oku kubizwa ngokuba "kukuhamba kwegazi okuphezulu." Olu hlobo ludla ngokuba buhlungu kancinci kunezinye iintlobo.

Ixhaphake kangakanani le meko ibizwa ngokuba yi-priapism?

I-Priapism ngokuqhelekileyo yimeko engaqhelekanga. Nangona kunjalo, njengoko benditshilo ngaphambili, inokwenzeka kakhulu kubantu abaneengxaki ezithile zempilo. Umzekelo, inokwenzeka kwi-30% ukuya kwi-45% yabantu abanesifo se-sickle cell .

Zithini iimpawu ze-priapism? Uyibona njani?

Uphawu oluphambili kukuba ipenis ihlala imile ixesha elingaphezu kweeyure ezine ngaphandle kokukhuthazwa ngokwesondo. Ezinye iimpawu zinokwahluka ngokuxhomekeke kuhlobo lwe-priapism onayo. Ukuba une-low-flow flow (ischemic) priapism:

Nokuba umngxuma wepenis ume nkqo, i-glans (incam) isenokuba ithambile.
Intlungu iyanda kancinci kancinci ngokuhamba kwexesha.

Ukuba une-high-flow (non-ischemic) priapism:

Umhlathi wepenis usenokungaqini ngokupheleleyo, kodwa unokuguquguquka kancinci.
Ngokwesiqhelo akukho ntlungu okanye intlungu incinci kakhulu.

Ziziphi izizathu eziphambili ze-priapism?

Okumangalisayo kukuba, malunga nesinye kwisithathu (33%) seemeko ze-priapism, akukho sizathu sithile sifumanekayo. Nangona kunjalo, kwezinye iimeko, izinto ezininzi zinokudlala indima. I-low-flow (ischemic) priapism inokubangelwa ziimeko zempilo ezingaphantsi:

Isifo seSickle cell
Umhlaza wegazi (i-Leukemia)
I-Malaria
IiThalassemia
Ukulunywa sisigcawu esimnyama
Ityhefu ye -carbon monoxide (CO)
Umhlaza wepenis
Ukwenzakala emgogodleni okanye kwindawo yesini

Ezinye izizathu:

Ukusetyenziswa kweziyobisi ezithile ezingekho mthethweni: Imizekelo ibandakanya intsangu , i-cocaine(i-cocaine) kunye nee-amphetamines .
Ukusetyenziswa okanye ukusetyenziswa gwenxa kwamayeza athile:
Amayeza okungasebenzi kakuhle ngokwesondo: Umzekelo , izithinteli ze-phosphodiesterase type 5 kunye nonyango lwe-intracavernous injection .
Amanye amayeza okuthomalalisa uxinezeleko : Umzekelo , i-trazodone .
Amanye amayeza okulwa nesifo sengqondo /i-neuroleptic : Umzekelo , i-chlorpromazine .

Ingaba esi sifo sibizwa ngokuba yi-priapism?

Hayi, akunjalo konke konke. I-Priapism ayisosifo esosulelayo. Kwakhona, ayisosifo esidluliselwa ngesondo (STI) okanye uphawu losulelo olunjalo. Ngoko ke akukho nto inokubangela ixhala ngayo.
Ngubani onokuthi achaphazeleke kakhulu yile meko?
I-Priapism inokwenzeka nakubani na oneminyaka emininzi one-penis. Ingenzeka nakwiintsana ezisandul’ ukuzalwa, kodwa ixhaphake kakhulu kumaqela amabini eminyaka:
Abafana abaneminyaka ephakathi kwemi-5 neli-10 ubudala.
Amadoda aselula nabadala abaneminyaka ephakathi kwama-20 nama-50.
Ziziphi iingxaki ezinokubakho xa umntu ecinga ukuba into ethile ibalulekile? Ingaba imbi kakhulu?
Ewe, le yingongoma ekufuneka siyiqwalasele ngokukodwa. Ukuba ayinyangwa kakuhle, i-priapism inokonakalisa ipenis ngokusisigxina. Cinga ngayo, iiseli emzimbeni wethu zifuna ioksijini ukuze zakhe amandla. Ioksijini ivela egazini. Kwi-priapism, xa igazi linamathela ngaphakathi kwipenis, ioksijini ekwelo gazi iyaphela kancinci kancinci. Emva koko izicubu ezikwipenis ziqala ukonakala. Iingxaki eziphambili ezinokubakho ngenxa ye-priapism enganyangwanga zezi:
Ukuvaleka kwezicubu ngaphakathi kwilungu lobudoda.
Ukungasebenzi kakuhle ngokwesondo (ED) . Oku kuthetha ukuba ipenisi ayinakuma ngokwaneleyo ukuze ilale ngesondo.
Yiyo loo nto sithi, musa ukuthatha oku njengehlaya, musa ukuba neentloni, kwaye funa ingcebiso kagqirha ngokukhawuleza.
Ifunyaniswa njani i-priapism? Yintoni eyenziwa ngugqirha?
Ukuba uvakalelwa kukuba ipenis yakho imile kangangeeyure ezininzi, kuya kufuneka ubone ugqirha ngoko nangoko. Ugqirha uza kukubuza ngembali yakho yezonyango, abhale phantsi iimpawu zakho, aze enze uvavanyo lomzimba. Ngeli xesha, ugqirha angakubuza imibuzo efana nale:
Kuthatha ixesha elingakanani ukuba ipenisi ime nkqo?
Ipenisi yakho ihlala imile ixesha elingakanani?
Ngaba unazo ezinye iingxaki zempilo ezixilongiweyo?
Ngaba kutshanje ukhe wenzakala kwilungu lakho lobudoda okanye kwindawo engqongileyo?
Ngaba kukho amayeza owasebenzisayo okwangoku?
Ngaba ukhe wasebenzisa amayeza ngaphandle kwemvume kagqirha?
Ngaba usebenzisa iziyobisi ezingekho mthethweni?
Kubaluleke kakhulu ukuphendula le mibuzo ngenyaniso , kuba yileyo ndlela ugqirha anokuyiqonda ngokuchanekileyo imeko yakho aze akunike unyango olukhawulezileyo.
Luhlobo luni lovavanyo oluza kwenziwa?
Emva kovavanyo lomzimba, ugqirha wakho uza kulinganisa amanqanaba eoksijini egazini lakho. Oku kuquka ukufaka inaliti encinci kwilungu lobudoda bakho uze uthathe igazi elincinci ulithumele kwilebhu. Iziphumo zovavanyo zinokuxelela ugqirha wakho malunga noku:
Luhlobo luni lwe-priapism onayo?
Kudala kangakanani oku kwenzeka kuwe?
Lo ngumonakalo omkhulu owenziweyo kwizicubu zelungu lobudoda.
Ngamanye amaxesha, ukuba ukwenzakala kurhanelwa ukuba yimbangela ye-priapism, ugqirha wakho unokuyalela i-Doppler ultrasound . Oku kusebenzisa amaza esandi ukubona isantya kunye nendawo igazi elihamba ngayo kwimithambo yegazi yakho. Oku kunokunceda ukuqinisekisa ukuba ukwenzakala yimbangela. Kwezinye iimeko, uvavanyo lwetyhefu lunokwenziwa. Oku kunokunceda ekumiseleni iintlobo kunye nobungakanani bamayeza emzimbeni wakho.
Iphathwa njani i-priapism? Ngaba kukho into endinokuyenza ekhaya?
Hayi, musa ukuzama ukunyanga oku ekhaya! Injongo ephambili yazo zonke iindlela zonyango lwe-priapism kukubuyisela ukuma kakuhle kunye nokugcina amandla e-penis ukuba aqine ngokuqhelekileyo kwixesha elizayo. Ukuba ucinga ukuba une-priapism, yiya kwigumbi likaxakeka ngokukhawuleza. Ugqirha wakho angakunika kuqala i- decongestant , efana ne -phenylephrine (umz., i-Sudafed PE®). La mayeza asebenza ngokunciphisa ukuhamba kwegazi kwi-penis kwaye ancede ekunciphiseni ukuma kakuhle. La mayeza asebenza kakhulu xa enikwa kwiiyure zokuqala ezine ukuya kwezintandathu zokuqala ze-priapism. Ezinye iindlela zonyango ziquka:
Ukuphefumla : Ugqirha uza kuqala ayeke ukwenza i-penis yakho ibe ne-nausea, aze asebenzise inaliti encinci kunye nesirinji ukutsala igazi elingena-oxygen ngaphakathi kwi-penis yakho. Oku kuya kunceda ukunciphisa uxinzelelo kunye nokudumba. Oku kunokufuneka kwenziwe amaxesha amaninzi.
Inaliti ye-intracavernal : Ugqirha ufaka amayeza kwi- corpus cavernosum (alpha-agonists) esebenzisa inaliti encinci.Uhlobo lonyango olubizwa ngokuba yi-vasodilator lufakwa kwi-penis. La mayeza anciphisa imithambo yegazi ethwala igazi ukuya kwi-penis. Oku kunciphisa ukuhamba kwegazi kwaye kunciphisa ukudumba. Olu lunyango olukhethekileyo lwe-low-flow (ischemic) priapism.
Ukusebenzisa iipakethi zomkhenkce : Ukusebenzisa iipakethi zomkhenkce kwilungu lobudoda nakwindawo engqongileyo kunokunceda ekunciphiseni ukudumba.
Ukubopha ngotyando : Ukuba umthambo uqhumile ngenxa yokwenzakala, ugqirha womchamo uya kwenza utyando lokubopha umthambo owonakeleyo nokubuyisela ukuhamba kwegazi okuqhelekileyo. Olu lunyango lwe-priapism ehamba kakhulu (engeyiyo ischemic).
I-shunt yotyando : Ugqirha ochwephesha wenza umthambo omtsha wegazi (i-shunt) ngaphakathi kwilungu lobudoda. Oku kutshintsha indlela igazi elihamba ngayo kwaye kubuyisele ukujikeleza kwegazi okuqhelekileyo. Olu lunyango lwe-priapism ephantsi kokuhamba kwegazi (ischemic).
Siyazi ukuba ukunqandwa kwesisu okubuhlungu kunokuba yintloni kwaye kungakhululeki. Ngoko ke ungalingeka ukuba uzame la mayeza asekhaya. Kodwa musa. Ukuba uneempawu ze-priapism, kubalulekile ukubona ugqirha ngokukhawuleza. Ukuba i-priapism ibangelwa yimeko yezonyango engabonakaliyo, nayo iya kunyangwa ngokwahlukileyo.
Ngaba le meko inganyangwa ngokuphulula amalungu esini okanye ukulala nomntu?
Ngokwesiqhelo akunjalo. I-Priapism ayipheli nokuba kukuziphulula amalungu esini, ukulala nomntu, okanye ukukhama. Oku kungenxa yokuba ayisiyonto eqhelekileyo yokuvukwa sisini.
Ndiza kuziva bhetele nini emva konyango?
Ukuba unyango luphumelele, kufuneka lunciphise i-priapism yakho ngokukhawuleza. Unokufumana isiqabu kunyango lokuqala, okanye unokufuna ukuthatha unyango oluninzi. Emva konyango lwe-priapism, ipenis yakho isenokuvakala ibuhlungu kwaye idumbile. Kodwa akufuneki iqine okanye iqine. Khumbula, umzimba womntu wonke wahlukile. Ixesha lakho lokuchacha linokwahluka. Landela imiyalelo kagqirha wakho malunga nendlela yokulawula nayiphi na intlungu okanye ukungakhululeki ude uphile.
Ngaba kukho into enokwenziwa ukuthintela ukubekwa phambili kwemithetho?
Ezi ngcebiso zinokunceda ukuthintela ukubekwa phambili kwento ethile:
Fumana unyango olufanelekileyo kwiimeko ezingaphantsi ezinokubangela ukuba umntu acinge ukuba unesifo sengqondo ngaphambi kokuba aqale.
Sebenzisa amayeza kuphela njengoko uyalelwe ngugqirha. Musa ukuthatha naliphi na iyeza ngaphandle kwengcebiso kagqirha.
Ukuba udlala imidlalo okanye wenza imisebenzi esebenzayo emzimbeni, nxiba isigqubuthelo esifanelekileyo sokukhusela (indebe yezemidlalo) ukukhusela ipenis yakho.
Ihlala ixesha elingakanani i-priapism?
I-priapism ephuma kwi-high-flow (engeyiyo ischemic) ngamanye amaxesha inokuzisombulula ngokwayo kwiiyure okanye iiveki ezimbalwa ngaphandle konyango. Nangona kunjalo, akubobulumko ukulinda ukuba iphele. Nangona kunjalo, i-low-flow (ischemic) priapism ayizisombululi ngokwayo. Ngokuqinisekileyo ifuna ukhathalelo lwezonyango.
Injani imbono kule meko? Ngaba iya kuba ngcono?
Ukuba ufumana unyango kwangethuba, ikamva labantu abaninzi lihle. Malunga nesiqingatha sabantu abane-low-flow priapism banokuphinda bafumane i-erection eqhelekileyo ukuba imeko ilawulwa kwiiyure ezingama-24 . Nangona kunjalo, ukuba une-low-flow priapism ngaphezu kweeyure ezingama-36 , unokuba sengozini enkulu yokungasebenzi kakuhle kwe-erectile (ED) .
Ukuba ndine-priapism, ngaba kukho into endinokuyenza ndide ndibone ugqirha?
Ezi zinto zinokunceda ekunciphiseni ukuqina kokuqala kwepenis kwaye zithomalalise iintlungu. Kodwa ungalibazisi ukuya kugqirha kuba nje uzizamile ezi zinto.
Sela amayeza okudambisa iintlungu (amayeza angengowe-steroidal anti-inflammatory - NSAIDs) . Asinguye wonke umntu onokuwasela la mayeza, ngoko ke kungcono ubuze ugqirha.
Sela amanzi amaninzi.
Zama ukuchama.
Thatha uhambo.
Yenza umthambo olula okanye ophakathi: Umzekelo, ukutsiba intambo, ukubaleka endaweni ethile, okanye ukwenza umthambo ofana nokuqubha .
Ndifanele ndimbone nini ugqirha? Ngaba ndifanele ndiye kwiSebe leNgxakeko (ETU) ?
Ukuba uneentlungu eziphindaphindayo ngaphandle kokukhuthazwa ngokwesondo eziphela zodwa, thetha nogqirha. Emva konyango, cwangcisa idinga lokulandela nogqirha wakho. Ukuba i-priapism iphinda ivele emva konyango, tsalela umnxeba ugqirha wakho ngoko nangoko. I-Priapism yingxamiseko yezonyango! Ukuba uneentlungu ezingenakuvuselelwa ngokwesondo ezingapheli emva kweeyure ezimbalwa, yiya kwigumbi likaxakeka elikufutshane (ETU) ngoko nangoko, ngaphandle kokulibazisa. Okukhona ulinda ixesha elide, kokukhona umngcipheko wokonakala okusisigxina kwilungu lakho lobudoda.
Zeziphi imibuzo ebalulekileyo ekufuneka ndiyibuze ugqirha?
Xa ubona ugqirha, ungambuza imibuzo efana nale:
Uqinisekile njani ukuba ndinayo i-priapism?
Ngaba ipenis yam iza konakala ngonaphakade?
Luhlobo luni lwe-priapism endinalo?
Yintoni ebangela le meko kum?
Ndingugqirha womchamo.Ufuna ukudibana?
Ngaba i-priapism ingenzeka nokuba ndilele?
Ewe, i-priapism inokwenzeka ngelixa ulele. Kuqhelekile ukuba i-penis yakho ime nkqo ngelixa ulele (ubude be-penis tumescence) . Nangona kunjalo, intlungu ebangelwa yi-priapism inokukuvusa. Kwakhona, idla ngokungazipheli ngokwayo, kwaye kunokuba nzima ukubuyela ebuthongweni.
Okokugqibela, eyona nto ibalulekileyo ekufuneka uyikhumbule!
I-Priapism yimeko efuna unyango olukhawulezileyo ukuthintela umonakalo osisigxina kwilungu lakho lobudoda. Kunokuba yintloni ukuba ne-erection eqhubekayo. Nangona kunjalo, i-priapism yahlukile kwi-erection eqhelekileyo. Yenzeka ngaphandle kokukhuthazwa ngokwesondo, kwaye ibuhlungu. Yindlela yomzimba wakho yokukuxelela ukuba kukho into engalunganga. Ngoko ke, thetha nogqirha ngokukhawuleza kwaye wandise amathuba akho okuthintela umonakalo osisigxina kwilungu lakho lobudoda. Ungaze ulibazise ukufuna unyango ngenxa yeentloni. Impilo yakho yeyona nto ibalulekileyo! I-Priapism, Ukwakhiwa kwelungu lobudoda, Ukwakhiwa okubuhlungu, Impilo yelungu lobudoda, Impilo yamadoda, Unyango oluNgxamisekileyo, Ilungu lobudoda
👩🏽‍⚕️ Imibuzo Ebuzwa Rhoqo (FAQ) evela kuGqirha
💬 Gqirha, yintoni le nto yokucinga kuqala? Kutheni ibuhlungu kangaka?
I-Priapism yimeko apho ipenisi ihlala imile ixesha elingaphezulu kweeyure ezine ngaphandle kokukhuthazwa ngokwesondo. Oku kudla ngokuba buhlungu kakhulu. Oku kwenzeka kuba igazi elingene kwipenisi alinakubuyela emzimbeni kwaye livaleleke ngaphakathi. Kufana nebhaluni egcwele amanzi engenakuphuma xa umlomo ubotshiwe.
💬 Gqirha, ingaba le yimeko enzima? Simele senze ntoni?
Ewe, sibona oku njengengxamiseko yezonyango. Oku kuthetha ukuba kubalulekile ukufuna uncedo lwezonyango ngokukhawuleza. Kuba, ukuba alunyangwa, lunokubangela umonakalo osisigxina kwilungu lobudoda, kwaye lunokubangela iingxaki ezifana nokungasebenzi kakuhle ngokwesondo kwixesha elizayo. Ke ngoko, ukuba oku kuyenzeka, kuya kufuneka uye kwisibhedlele esikufutshane ngaphandle kokulibazisa.

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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IimpawuJulayi 16, 2026
Ingaba ipenisi yakho imile kabuhlungu ixesha elide? Masifunde ngale nto yokuzibamba!
Dr. Priya SammaniMedical Verification
⏱ 10 min read
📋Table of Contents
1. Yintoni iPriapism? Ngamafutshane...
2. Ngaba kukho iintlobo eziphambili ze-priapism?
3. 1. I-priapism engaphantsi (ischemic)
4. 2. Ukuthintitha okuphindaphindwayo (okungathintithayo)
5. 3. Ukuqonda okuhamba ngokukhawuleza (okungekuko ukungasebenzi kakuhle kwe-angischemic)
6. Ixhaphake kangakanani le meko ibizwa ngokuba yi-priapism?
7. Zithini iimpawu ze-priapism? Uyibona njani?
8. Ziziphi izizathu eziphambili ze-priapism?
9. Ingaba esi sifo sibizwa ngokuba yi-priapism?
10. Ngubani onokuthi achaphazeleke kakhulu yile meko?
11. Ziziphi iingxaki ezinokubakho xa umntu ecinga ukuba into ethile ibalulekile? Ingaba imbi kakhulu?
12. Ifunyaniswa njani i-priapism? Yintoni eyenziwa ngugqirha?
13. Luhlobo luni lovavanyo oluza kwenziwa?
14. Iphathwa njani i-priapism? Ngaba kukho into endinokuyenza ekhaya?
15. Ngaba le meko inganyangwa ngokuphulula amalungu esini okanye ukulala nomntu?
16. Ndiza kuziva bhetele nini emva konyango?
17. Ngaba kukho into enokwenziwa ukuthintela ukubekwa phambili kwemithetho?
18. Ihlala ixesha elingakanani i-priapism?
19. Injani imbono kule meko? Ngaba iya kuba ngcono?
20. Ukuba ndine-priapism, ngaba kukho into endinokuyenza ndide ndibone ugqirha?
21. Ndifanele ndimbone nini ugqirha? Ngaba ndifanele ndiye kwiSebe leNgxakeko (ETU) ?
22. Zeziphi imibuzo ebalulekileyo ekufuneka ndiyibuze ugqirha?
23. Ngaba i-priapism ingenzeka nokuba ndilele?
24. Okokugqibela, eyona nto ibalulekileyo ekufuneka uyikhumbule!
25. 👩🏽‍⚕️ Imibuzo Ebuzwa Rhoqo (FAQ) evela kuGqirha
Namhlanje siza kuthetha ngombandela wezempilo obuthathaka nohlala ungakhathalelwa kodwa obaluleke kakhulu ekufuneka uwuqaphele. Loo meko ibizwa ngokuba yiPriapism. Usenokuba awukaze uve ngeli gama ngaphambili. Kodwa yimeko enzima enokuchaphazela amadoda kwaye ifuna unyango olukhawulezileyo. Ngoko ke, masithethe ngayo ngokweenkcukacha nangokulula, kuba ukukwazi oku kunokukunceda wena nabantu obathandayo.
Yintoni iPriapism? Ngamafutshane...
Ngamafutshane, i-priapism yimeko apho ipenisi ihlala imile ixesha elide, ngesiqhelo ngaphezulu kweeyure ezine, ngaphandle kokuvuselelwa ngokwesondo okanye umnqweno. Okubaluleke kakhulu, kudla ngokuba buhlungu kakhulu. Oku kwenzeka kuba igazi eliye langena kwipenisi, oko kukuthi, igazi, alikwazi ukubuyela emzimbeni kwaye livaleleke ngaphakathi kwipenisi.
Cinga ngayo njengebhaluni egcwele amanzi engenandlela yokuphuma xa uyibopha. Kwenzeka into efanayo nakwilungu lobudoda.
Kubalulekile ukukhumbula ukuba le yingxamiseko yezonyango. Kubalulekile ukufuna uncedo lwezonyango ngokukhawuleza, oko kukuthi, ngokukhawuleza. Ukuba ayinyangwa, inokubangela umonakalo osisigxina kwilungu lobudoda kwaye ide ikhokelele kwiimeko ezifana nokungasebenzi kakuhle kwe-erectile (ED) kwixesha elizayo.
Ngaba kukho iintlobo eziphambili ze-priapism?
Ewe, i-priapism inokwahlulwahlulwa ibe ziintlobo eziphambili ezahlukeneyo. Uhlobo ngalunye lunesiqalo kunye neempawu ezahlukeneyo kancinci.
1. I-priapism engaphantsi (ischemic)
Olu lolona hlobo luqhelekileyo lwe-priapism. Okwenzekayo apha kukuba igazi elingene kwiigumbi ezikhethekileyo (i-corpora cavernosa) ezinegalelo ekumisweni kwepenis, liyabhajwa kwaye alikwazi ukuphuma kwakhona. Ngokuchanekileyo, ukuhamba kwegazi kuyancitshiswa, yiyo loo nto kuthiwa "kukuhamba okuphantsi". Ngamanye amaxesha akunakwenzeka ukufumana unobangela othile woku. Nangona kunjalo, kunokwenzeka rhoqo kubantu abaneengxaki ezithile zempilo. Umzekelo:
Isifo seSickle Cell - Esi sisifo segazi esibangelwa lufuzo.
Umhlaza wegazi (i-Leukemia)
IMalariya
Olu hlobo lubuhlungu kakhulu kwaye lufuna unyango olukhawulezileyo.
2. Ukuthintitha okuphindaphindwayo (okungathintithayo)
Olu lukwaluhlobo lwe-low-flow priapism, kodwa yimeko eyahlukileyo kancinci. Okwenzekayo apha kukuba ipenis imile ixesha elide, ize imile kwakhona ngokuzenzekelayo emva kwexesha elifutshane. Oku kunokwenzeka ngokuphindaphindiweyo. Ngalo lonke ixesha ixesha lokuma liyanda kwaye intlungu iyanda.
3. Ukuqonda okuhamba ngokukhawuleza (okungekuko ukungasebenzi kakuhle kwe-angischemic)
Olu hlobo lunqabile kancinci kunezinye ezimbini. Lwenzeka xa ukwenzakala okanye ukwenzakala kwilungu lobudoda okanye kwindawo ejikeleze lona (umzekelo, i-perineum ) kubangela ukuhamba kwegazi okungalawulekiyo kwilungu lobudoda. Oku kubizwa ngokuba "kukuhamba kwegazi okuphezulu." Olu hlobo ludla ngokuba buhlungu kancinci kunezinye iintlobo.
Ixhaphake kangakanani le meko ibizwa ngokuba yi-priapism?
I-Priapism ngokuqhelekileyo yimeko engaqhelekanga. Nangona kunjalo, njengoko benditshilo ngaphambili, inokwenzeka kakhulu kubantu abaneengxaki ezithile zempilo. Umzekelo, inokwenzeka kwi-30% ukuya kwi-45% yabantu abanesifo se-sickle cell .
Zithini iimpawu ze-priapism? Uyibona njani?
Uphawu oluphambili kukuba ipenis ihlala imile ixesha elingaphezu kweeyure ezine ngaphandle kokukhuthazwa ngokwesondo. Ezinye iimpawu zinokwahluka ngokuxhomekeke kuhlobo lwe-priapism onayo. Ukuba une-low-flow flow (ischemic) priapism:
Nokuba umngxuma wepenis ume nkqo, i-glans (incam) isenokuba ithambile.
Intlungu iyanda kancinci kancinci ngokuhamba kwexesha.
Ukuba une-high-flow (non-ischemic) priapism:
Umhlathi wepenis usenokungaqini ngokupheleleyo, kodwa unokuguquguquka kancinci.
Ngokwesiqhelo akukho ntlungu okanye intlungu incinci kakhulu.
Ziziphi izizathu eziphambili ze-priapism?
Okumangalisayo kukuba, malunga nesinye kwisithathu (33%) seemeko ze-priapism, akukho sizathu sithile sifumanekayo. Nangona kunjalo, kwezinye iimeko, izinto ezininzi zinokudlala indima. I-low-flow (ischemic) priapism inokubangelwa ziimeko zempilo ezingaphantsi:
Isifo seSickle cell
Umhlaza wegazi (i-Leukemia)
I-Malaria
IiThalassemia
Ukulunywa sisigcawu esimnyama
Ityhefu ye -carbon monoxide (CO)
Umhlaza wepenis
Ukwenzakala emgogodleni okanye kwindawo yesini
Ezinye izizathu:
Ukusetyenziswa kweziyobisi ezithile ezingekho mthethweni: Imizekelo ibandakanya intsangu , i-cocaine(i-cocaine) kunye nee-amphetamines .
Ukusetyenziswa okanye ukusetyenziswa gwenxa kwamayeza athile:
Amayeza okungasebenzi kakuhle ngokwesondo: Umzekelo , izithinteli ze-phosphodiesterase type 5 kunye nonyango lwe-intracavernous injection .
Amanye amayeza okuthomalalisa uxinezeleko : Umzekelo , i-trazodone .
Amanye amayeza okulwa nesifo sengqondo /i-neuroleptic : Umzekelo , i-chlorpromazine .
Ingaba esi sifo sibizwa ngokuba yi-priapism?
Hayi, akunjalo konke konke. I-Priapism ayisosifo esosulelayo. Kwakhona, ayisosifo esidluliselwa ngesondo (STI) okanye uphawu losulelo olunjalo. Ngoko ke akukho nto inokubangela ixhala ngayo.
Ngubani onokuthi achaphazeleke kakhulu yile meko?
I-Priapism inokwenzeka nakubani na oneminyaka emininzi one-penis. Ingenzeka nakwiintsana ezisandul’ ukuzalwa, kodwa ixhaphake kakhulu kumaqela amabini eminyaka:
Abafana abaneminyaka ephakathi kwemi-5 neli-10 ubudala.
Amadoda aselula nabadala abaneminyaka ephakathi kwama-20 nama-50.
Ziziphi iingxaki ezinokubakho xa umntu ecinga ukuba into ethile ibalulekile? Ingaba imbi kakhulu?
Ewe, le yingongoma ekufuneka siyiqwalasele ngokukodwa. Ukuba ayinyangwa kakuhle, i-priapism inokonakalisa ipenis ngokusisigxina. Cinga ngayo, iiseli emzimbeni wethu zifuna ioksijini ukuze zakhe amandla. Ioksijini ivela egazini. Kwi-priapism, xa igazi linamathela ngaphakathi kwipenis, ioksijini ekwelo gazi iyaphela kancinci kancinci. Emva koko izicubu ezikwipenis ziqala ukonakala. Iingxaki eziphambili ezinokubakho ngenxa ye-priapism enganyangwanga zezi:
Ukuvaleka kwezicubu ngaphakathi kwilungu lobudoda.
Ukungasebenzi kakuhle ngokwesondo (ED) . Oku kuthetha ukuba ipenisi ayinakuma ngokwaneleyo ukuze ilale ngesondo.
Yiyo loo nto sithi, musa ukuthatha oku njengehlaya, musa ukuba neentloni, kwaye funa ingcebiso kagqirha ngokukhawuleza.
Ifunyaniswa njani i-priapism? Yintoni eyenziwa ngugqirha?
Ukuba uvakalelwa kukuba ipenis yakho imile kangangeeyure ezininzi, kuya kufuneka ubone ugqirha ngoko nangoko. Ugqirha uza kukubuza ngembali yakho yezonyango, abhale phantsi iimpawu zakho, aze enze uvavanyo lomzimba. Ngeli xesha, ugqirha angakubuza imibuzo efana nale:
Kuthatha ixesha elingakanani ukuba ipenisi ime nkqo?
Ipenisi yakho ihlala imile ixesha elingakanani?
Ngaba unazo ezinye iingxaki zempilo ezixilongiweyo?
Ngaba kutshanje ukhe wenzakala kwilungu lakho lobudoda okanye kwindawo engqongileyo?
Ngaba kukho amayeza owasebenzisayo okwangoku?
Ngaba ukhe wasebenzisa amayeza ngaphandle kwemvume kagqirha?
Ngaba usebenzisa iziyobisi ezingekho mthethweni?
Kubaluleke kakhulu ukuphendula le mibuzo ngenyaniso , kuba yileyo ndlela ugqirha anokuyiqonda ngokuchanekileyo imeko yakho aze akunike unyango olukhawulezileyo.
Luhlobo luni lovavanyo oluza kwenziwa?
Emva kovavanyo lomzimba, ugqirha wakho uza kulinganisa amanqanaba eoksijini egazini lakho. Oku kuquka ukufaka inaliti encinci kwilungu lobudoda bakho uze uthathe igazi elincinci ulithumele kwilebhu. Iziphumo zovavanyo zinokuxelela ugqirha wakho malunga noku:
Luhlobo luni lwe-priapism onayo?
Kudala kangakanani oku kwenzeka kuwe?
Lo ngumonakalo omkhulu owenziweyo kwizicubu zelungu lobudoda.
Ngamanye amaxesha, ukuba ukwenzakala kurhanelwa ukuba yimbangela ye-priapism, ugqirha wakho unokuyalela i-Doppler ultrasound . Oku kusebenzisa amaza esandi ukubona isantya kunye nendawo igazi elihamba ngayo kwimithambo yegazi yakho. Oku kunokunceda ukuqinisekisa ukuba ukwenzakala yimbangela. Kwezinye iimeko, uvavanyo lwetyhefu lunokwenziwa. Oku kunokunceda ekumiseleni iintlobo kunye nobungakanani bamayeza emzimbeni wakho.
Iphathwa njani i-priapism? Ngaba kukho into endinokuyenza ekhaya?
Hayi, musa ukuzama ukunyanga oku ekhaya! Injongo ephambili yazo zonke iindlela zonyango lwe-priapism kukubuyisela ukuma kakuhle kunye nokugcina amandla e-penis ukuba aqine ngokuqhelekileyo kwixesha elizayo. Ukuba ucinga ukuba une-priapism, yiya kwigumbi likaxakeka ngokukhawuleza. Ugqirha wakho angakunika kuqala i- decongestant , efana ne -phenylephrine (umz., i-Sudafed PE®). La mayeza asebenza ngokunciphisa ukuhamba kwegazi kwi-penis kwaye ancede ekunciphiseni ukuma kakuhle. La mayeza asebenza kakhulu xa enikwa kwiiyure zokuqala ezine ukuya kwezintandathu zokuqala ze-priapism. Ezinye iindlela zonyango ziquka:
Ukuphefumla : Ugqirha uza kuqala ayeke ukwenza i-penis yakho ibe ne-nausea, aze asebenzise inaliti encinci kunye nesirinji ukutsala igazi elingena-oxygen ngaphakathi kwi-penis yakho. Oku kuya kunceda ukunciphisa uxinzelelo kunye nokudumba. Oku kunokufuneka kwenziwe amaxesha amaninzi.
Inaliti ye-intracavernal : Ugqirha ufaka amayeza kwi- corpus cavernosum (alpha-agonists) esebenzisa inaliti encinci.Uhlobo lonyango olubizwa ngokuba yi-vasodilator lufakwa kwi-penis. La mayeza anciphisa imithambo yegazi ethwala igazi ukuya kwi-penis. Oku kunciphisa ukuhamba kwegazi kwaye kunciphisa ukudumba. Olu lunyango olukhethekileyo lwe-low-flow (ischemic) priapism.
Ukusebenzisa iipakethi zomkhenkce : Ukusebenzisa iipakethi zomkhenkce kwilungu lobudoda nakwindawo engqongileyo kunokunceda ekunciphiseni ukudumba.
Ukubopha ngotyando : Ukuba umthambo uqhumile ngenxa yokwenzakala, ugqirha womchamo uya kwenza utyando lokubopha umthambo owonakeleyo nokubuyisela ukuhamba kwegazi okuqhelekileyo. Olu lunyango lwe-priapism ehamba kakhulu (engeyiyo ischemic).
I-shunt yotyando : Ugqirha ochwephesha wenza umthambo omtsha wegazi (i-shunt) ngaphakathi kwilungu lobudoda. Oku kutshintsha indlela igazi elihamba ngayo kwaye kubuyisele ukujikeleza kwegazi okuqhelekileyo. Olu lunyango lwe-priapism ephantsi kokuhamba kwegazi (ischemic).
Siyazi ukuba ukunqandwa kwesisu okubuhlungu kunokuba yintloni kwaye kungakhululeki. Ngoko ke ungalingeka ukuba uzame la mayeza asekhaya. Kodwa musa. Ukuba uneempawu ze-priapism, kubalulekile ukubona ugqirha ngokukhawuleza. Ukuba i-priapism ibangelwa yimeko yezonyango engabonakaliyo, nayo iya kunyangwa ngokwahlukileyo.
Ngaba le meko inganyangwa ngokuphulula amalungu esini okanye ukulala nomntu?
Ngokwesiqhelo akunjalo. I-Priapism ayipheli nokuba kukuziphulula amalungu esini, ukulala nomntu, okanye ukukhama. Oku kungenxa yokuba ayisiyonto eqhelekileyo yokuvukwa sisini.
Ndiza kuziva bhetele nini emva konyango?
Ukuba unyango luphumelele, kufuneka lunciphise i-priapism yakho ngokukhawuleza. Unokufumana isiqabu kunyango lokuqala, okanye unokufuna ukuthatha unyango oluninzi. Emva konyango lwe-priapism, ipenis yakho isenokuvakala ibuhlungu kwaye idumbile. Kodwa akufuneki iqine okanye iqine. Khumbula, umzimba womntu wonke wahlukile. Ixesha lakho lokuchacha linokwahluka. Landela imiyalelo kagqirha wakho malunga nendlela yokulawula nayiphi na intlungu okanye ukungakhululeki ude uphile.
Ngaba kukho into enokwenziwa ukuthintela ukubekwa phambili kwemithetho?
Ezi ngcebiso zinokunceda ukuthintela ukubekwa phambili kwento ethile:
Fumana unyango olufanelekileyo kwiimeko ezingaphantsi ezinokubangela ukuba umntu acinge ukuba unesifo sengqondo ngaphambi kokuba aqale.
Sebenzisa amayeza kuphela njengoko uyalelwe ngugqirha. Musa ukuthatha naliphi na iyeza ngaphandle kwengcebiso kagqirha.
Ukuba udlala imidlalo okanye wenza imisebenzi esebenzayo emzimbeni, nxiba isigqubuthelo esifanelekileyo sokukhusela (indebe yezemidlalo) ukukhusela ipenis yakho.
Ihlala ixesha elingakanani i-priapism?
I-priapism ephuma kwi-high-flow (engeyiyo ischemic) ngamanye amaxesha inokuzisombulula ngokwayo kwiiyure okanye iiveki ezimbalwa ngaphandle konyango. Nangona kunjalo, akubobulumko ukulinda ukuba iphele. Nangona kunjalo, i-low-flow (ischemic) priapism ayizisombululi ngokwayo. Ngokuqinisekileyo ifuna ukhathalelo lwezonyango.
Injani imbono kule meko? Ngaba iya kuba ngcono?
Ukuba ufumana unyango kwangethuba, ikamva labantu abaninzi lihle. Malunga nesiqingatha sabantu abane-low-flow priapism banokuphinda bafumane i-erection eqhelekileyo ukuba imeko ilawulwa kwiiyure ezingama-24 . Nangona kunjalo, ukuba une-low-flow priapism ngaphezu kweeyure ezingama-36 , unokuba sengozini enkulu yokungasebenzi kakuhle kwe-erectile (ED) .
Ukuba ndine-priapism, ngaba kukho into endinokuyenza ndide ndibone ugqirha?
Ezi zinto zinokunceda ekunciphiseni ukuqina kokuqala kwepenis kwaye zithomalalise iintlungu. Kodwa ungalibazisi ukuya kugqirha kuba nje uzizamile ezi zinto.
Sela amayeza okudambisa iintlungu (amayeza angengowe-steroidal anti-inflammatory - NSAIDs) . Asinguye wonke umntu onokuwasela la mayeza, ngoko ke kungcono ubuze ugqirha.
Sela amanzi amaninzi.
Zama ukuchama.
Thatha uhambo.
Yenza umthambo olula okanye ophakathi: Umzekelo, ukutsiba intambo, ukubaleka endaweni ethile, okanye ukwenza umthambo ofana nokuqubha .
Ndifanele ndimbone nini ugqirha? Ngaba ndifanele ndiye kwiSebe leNgxakeko (ETU) ?
Ukuba uneentlungu eziphindaphindayo ngaphandle kokukhuthazwa ngokwesondo eziphela zodwa, thetha nogqirha. Emva konyango, cwangcisa idinga lokulandela nogqirha wakho. Ukuba i-priapism iphinda ivele emva konyango, tsalela umnxeba ugqirha wakho ngoko nangoko. I-Priapism yingxamiseko yezonyango! Ukuba uneentlungu ezingenakuvuselelwa ngokwesondo ezingapheli emva kweeyure ezimbalwa, yiya kwigumbi likaxakeka elikufutshane (ETU) ngoko nangoko, ngaphandle kokulibazisa. Okukhona ulinda ixesha elide, kokukhona umngcipheko wokonakala okusisigxina kwilungu lakho lobudoda.
Zeziphi imibuzo ebalulekileyo ekufuneka ndiyibuze ugqirha?
Xa ubona ugqirha, ungambuza imibuzo efana nale:
Uqinisekile njani ukuba ndinayo i-priapism?
Ngaba ipenis yam iza konakala ngonaphakade?
Luhlobo luni lwe-priapism endinalo?
Yintoni ebangela le meko kum?
Ndingugqirha womchamo.Ufuna ukudibana?
Ngaba i-priapism ingenzeka nokuba ndilele?
Ewe, i-priapism inokwenzeka ngelixa ulele. Kuqhelekile ukuba i-penis yakho ime nkqo ngelixa ulele (ubude be-penis tumescence) . Nangona kunjalo, intlungu ebangelwa yi-priapism inokukuvusa. Kwakhona, idla ngokungazipheli ngokwayo, kwaye kunokuba nzima ukubuyela ebuthongweni.
Okokugqibela, eyona nto ibalulekileyo ekufuneka uyikhumbule!
I-Priapism yimeko efuna unyango olukhawulezileyo ukuthintela umonakalo osisigxina kwilungu lakho lobudoda. Kunokuba yintloni ukuba ne-erection eqhubekayo. Nangona kunjalo, i-priapism yahlukile kwi-erection eqhelekileyo. Yenzeka ngaphandle kokukhuthazwa ngokwesondo, kwaye ibuhlungu. Yindlela yomzimba wakho yokukuxelela ukuba kukho into engalunganga. Ngoko ke, thetha nogqirha ngokukhawuleza kwaye wandise amathuba akho okuthintela umonakalo osisigxina kwilungu lakho lobudoda. Ungaze ulibazise ukufuna unyango ngenxa yeentloni. Impilo yakho yeyona nto ibalulekileyo! I-Priapism, Ukwakhiwa kwelungu lobudoda, Ukwakhiwa okubuhlungu, Impilo yelungu lobudoda, Impilo yamadoda, Unyango oluNgxamisekileyo, Ilungu lobudoda
👩🏽‍⚕️ Imibuzo Ebuzwa Rhoqo (FAQ) evela kuGqirha
💬 Gqirha, yintoni le nto yokucinga kuqala? Kutheni ibuhlungu kangaka?
I-Priapism yimeko apho ipenisi ihlala imile ixesha elingaphezulu kweeyure ezine ngaphandle kokukhuthazwa ngokwesondo. Oku kudla ngokuba buhlungu kakhulu. Oku kwenzeka kuba igazi elingene kwipenisi alinakubuyela emzimbeni kwaye livaleleke ngaphakathi. Kufana nebhaluni egcwele amanzi engenakuphuma xa umlomo ubotshiwe.
💬 Gqirha, ingaba le yimeko enzima? Simele senze ntoni?
Ewe, sibona oku njengengxamiseko yezonyango. Oku kuthetha ukuba kubalulekile ukufuna uncedo lwezonyango ngokukhawuleza. Kuba, ukuba alunyangwa, lunokubangela umonakalo osisigxina kwilungu lobudoda, kwaye lunokubangela iingxaki ezifana nokungasebenzi kakuhle ngokwesondo kwixesha elizayo. Ke ngoko, ukuba oku kuyenzeka, kuya kufuneka uye kwisibhedlele esikufutshane ngaphandle kokulibazisa.
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.
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