Ngaba uneentloni zokuthetha ngokugoba kwepenis yakho? Isenokuba sisifo sikaPeyronie.

Le nto inokuba yingxaki kwaye ihlazisa ukuthetha ngayo, kodwa kubalulekile ukuthetha ngempilo yakho yesondo kwaye uyiqaphele. Ngaba wakha wayiva i-penis yakho itshintsha imo, igoba, ilula, okanye ivakalelwa ziintlungu xa umile? Kubalulekile ke ukuba wazi ngePeyronie's Disease, esithetha ngayo namhlanje.

Ngamafutshane, yintoni isifo sikaPeyronie?

Isifo sikaPeyronie sisifo apho izicubu zesilonda, okanye i-plaque, iqokelelana ngaphakathi kwilungu lakho lesini. Esi silonda sibangela ukuba ilungu lesini ligobe okanye ligobe liye kwelinye icala xa limile. Ngamanye amaxesha ubude okanye ububanzi belungu lesini bunokuncipha. Usenokukwazi nokuziva ezi zikhondo zesikhumba ngesikhumba.

Khawucinge nje, ukuba esi sicwili sesilonda senzeka phezulu kwipenisi, xa simile, ipenisi iya kugoba iye phezulu. Ukuba senzeka ezantsi, siya kugoba siye ezantsi. Ukuba senzeka ecaleni, siya kugoba siye kwelo cala. Abanye abantu basenokungabi nalo olu hlobo lokugoba, kodwa endaweni yoko banokuba nembonakalo etshonileyo kwiindawo ezithile, njengemilo yeglasi yeyure.

Kukho amanqanaba amabini esi sifo.

Esi sifo sikhula ikakhulu ngamanqanaba amabini.

1. Isigaba Esibukhali: Oku kungathatha malunga neenyanga ezi-6 ukuya kwezi-12. Ngeli xesha, izicubu zesilonda ziqala ukwakheka ngaphakathi kwipenisi. Oku kubangela ukuba ipenisi igobe okanye itshintshe imilo. Ngeli xesha, ipenisi inokuba buhlungu xa imile kwaye ikwimeko yayo eqhelekileyo.

2. Isigaba Esingapheliyo: Kweli nqanaba, izicubu zesilonda azikhuli. Oku kuthetha ukuba ukugoba kwepenis akunyuki. Uninzi lwexesha, iintlungu ziyanyamalala ngeli nqanaba. Nangona kunjalo, kwabanye abantu, iintlungu zisenokuqhubeka, ingakumbi ngexesha lokwabelana ngesondo. Ukungasebenzi kakuhle kwe-Erectile Dysfunction (ED) nako kunokwenzeka ngeli nqanaba.

Zithini iimpawu zesifo sikaPeyronie?

Iimpawu zesi sifo zinokuvela ngequbuliso okanye zikhule kancinci kancinci ngokuhamba kwexesha. Uphawu oluphambili kukugoba kwepenis. Ukongeza, unokubona ezi zinto:

Ukuba ipenisi igobile ngaphezu kwama-30 degrees (njengewotshi ekhomba kwi-1:00), ukulala ngesondo kunokuba buhlungu okanye kungenzeki.

Kutheni isifo sikaPeyronie sisenzeka?

Isizathu esichanekileyo soku asikafunyanwa, kodwa kukho izizathu ezininzi eziphambili oogqirha abazikholelwayo.

Ingcamango ephambili kukuba ipenisi ifumene ukwenzakala okuncinci okanye okukhulu . Oku kunokubangelwa kukugoba okungaqhelekanga kwepenisi ngexesha lokwabelana ngesondo. Kodwa okumangalisayo kukuba, malunga ne-80% yabantu abanale meko abayikhumbuli isiganeko esithile esinjalo. Ke ngoko, kukholelwa ukuba esi silonda sibangelwa kukwenzakala okuphindaphindiweyo esingakuqapheliyo ngexesha lokwabelana ngesondo okuqhelekileyo.

Kwakhona, ayinguye wonke umntu ofumana esi sifo kuba nje enzakele kwilungu lobudoda. Kukholelwa ukuba sinokuchaphazeleka yimfuza okanye ezinye izinto ezingqongileyo.

Ingaba esi sifo siyasulela?

Hayi. Isifo sikaPeyronie asisosifo esidluliselwa ngesondo (STI). Kwaye asisasazeka ukusuka komnye umntu ukuya komnye.

Ngubani osengozini enkulu yokuhlaselwa sesi sifo?

Nabani na onelungu lobudoda unokuba nesi sifo, kodwa kukho izinto ezithile eziyandisa umngcipheko.

• Ubudala: Umngcipheko wokufumana esi sifo uyanda ngokuhamba kweminyaka. Malunga ne-10% yamadoda, ingakumbi aphakathi kweminyaka engama-40 ukuya kwengama-70, anokuba nale meko.
• Impembelelo yemfuza: Ukuba umntu kusapho lwakho (utata, umnakwenu) unesi sifo, nawe usemngciphekweni omncinci wokuba naso.
• Izifo zezicubu ezidityanisiweyo: Usengozini enkulu ukuba unezinye izifo zezicubu ezidityanisiweyo, ezifana ne-Dupuytren's contracture (imeko apho iminwe igobile) kunye ne-plantar fasciitis (intlungu ezintendeni zeenyawo).
• Ukungasebenzi kakuhle kwe-Erectile (ED): Amadoda ane-ED ebangelwa sisifo seswekile anamathuba aphindwe kane ukuya kahlanu okuba nale meko.
• Umhlaza weprostate: Ezinye iindlela zonyango zotyando lomhlaza zinokunyusa umngcipheko wokuba nesifo sikaPeyronie.
• Izifo ezizikhusela ngokwazo: Umngcipheko uphezulu ukuba unezifo ezifana ne-lupus.

Ziziphi iingxaki ezinokwenzeka ngenxa yale meko?

Utshintsho kwimo yelungu lakho lesini lunokuba nefuthe elikhulu kuwe, emzimbeni nasengqondweni. Iingxaki ezinokuvela koku ziquka:

• Ukudakumba kunye nokuxhalaba.
• Ukuxhalabela kakhulu indlela umzimba womntu obonakala ngayo.
• Ukuba neentloni kunye nokungazithembi.
• Uloyiko lolwalamano olusondeleyo.

Ukuba uziva olu hlobo loxinzelelo, kubaluleke kakhulu ukuthetha nogqirha ngalo.

Isifo sikaPeyronie sifunyanwa njani?

Ukuba unezi mpawu, eyona nto ingcono onokuyenza kukubona ugqirha, ingakumbi ugqirha wezifo zomchamo. Akukho sizathu sokuba neentloni, kuba le yimeko eqhelekileyo koogqirha.

Ugqirha uza kukubuza ngeempawu zakho.

• Ukususela nini wawubona lo mahluko?
• Ngaba kukho intlungu?
• Ngaba kunzima ukulala nomntu?
• Ngaba ukhe waphawula ukwehla kobude bepenis?

Emva koko, kwenziwa uvavanyo lomzimba, kwaye izicubu zesilonda (iplaque) kwilungu lobudoda ziyavakala. Ngamanye amaxesha, kunokufuneka ukuba kuhlolwe ilungu lobudoda xa lisamile. Ukuba kuyimfuneko, kunokunikwa inaliti yokuvuselela ubudoda okwethutyana.

Ukwengeza,Iskeni ebizwa ngokuba yiPenile Duplex Doppler Ultrasound nayo ingenziwa. Oku kungenza oku kulandelayo:

• Fumana indawo echanekileyo apho izicubu zesilonda zikhona khona.
• Jonga ukuba i-calcium ingakanani na.
• Jonga ukuhamba kwegazi ukuya kwilungu lobudoda.

Ngokusekelwe kolu lwazi, ugqirha uya kugqiba ukuba loluphi unyango olulungele wena.

Zithini iindlela zonyango zoku?

Akukho ndlela inye yonyango lwesifo sikaPeyronie. Unyango luyahluka ngokuxhomekeke kubukhali beempawu zakho. Ukuba unegophe elincinci kuphela elingenabuhlungu kwaye aliphazamisi ukulala ngesondo, usenokungadingi naluphi na unyango.

Kukho iindlela ezininzi eziphambili zonyango.

1. Unyango lokutsalwa kwemithwalo

Oku kuquka ukutsala ipenis kancinci usebenzisa isixhobo esikhethekileyo (isixhobo sokumisa nge-vacuum okanye isixhobo sokutsala). Oku kufanele kwenziwe kangangeenyanga eziliqela. Oku kutsala kunceda ukuqhekeza izicubu zesilonda. Oku,

• Unganciphisa ukugoba.
• Ubude obulahlekileyo bunokufunyanwa kwakhona ukuya kuthi ga kwinqanaba elithile.
• Ungawandisa amandla akho.

2. Amayeza

Ezi zifumaneka njengeyeza lomlomo okanye inaliti kwilungu lobudoda. Ezi zihlala zinikwa ngexesha lesigaba esiphambili sesi sifo.

• Iinaliti: Iinaliti ezifana neCollagenase (Xiaflex®), i-Interferon, kunye neVerapamil zinceda ekuqhekezeni izicubu zesilonda ngokuzifaka ngqo kuyo.
• Amayeza omlomo: Amayeza anjengeTadalafil (Cialis®) kunye nePentoxifylline anceda ukuphucula ukuhamba kwegazi ukuya kwilungu lobudoda kunye nokuzinzisa ukuqina kwendoda. Nangona kunjalo, akukabonakali ukuba amayeza omlomo anokunciphisa kakhulu ukugoba kwelungu lobudoda.

3. Utyando

Utyando lucetyiswa kuphela kubantu abanesifo esinzima, oko kukuthi xa ukugoba okanye intlungu inzima kangangokuba akunakwenzeka ukuba nesondo. Utyando lwenziwa kwinqanaba elingapheliyo lesi sifo, oko kukuthi xa ukugoba kuzinzile kwaye kungenantlungu.

Kukho iintlobo ezintathu eziphambili zotyando:

1. Ukufinyeza icala elingaphandle le-penis: I-penis ilungiswa ngokususa okanye ukuthunga inani elincinci lezicubu kwicala elichaseneyo le-penis ukusuka kwi-piss.

2. Ukwandiswa kwepenile: Izicubu zesilonda ziyasikwa kwaye kusetyenziswa i-graft ukulungisa ipenile. Oku kwenzelwa abo bane-penile egobileyo kakhulu.

3. I-Penile Implant: Le yeyona ndlela ilungileyo ukuba unengxaki enkulu yokungavuki kwe-erectile (ED) kunye nesifo sikaPeyronie. Kule meko, kufakwa isixhobo kwi-penis. Esi sixhobo singasetyenziselwa ukuvuselela i-penis xa kufuneka kwaye siyibuyisele kwimeko yayo eqhelekileyo xa ingafuneki.

Ngaba le meko ingathintelwa?

Akukho ndlela yokukuthintela ngokupheleleyo oku, njengoko kukwaphenjelelwa zizinto zemfuza. Nangona kunjalo, kukho izinto onokuzenza ukunciphisa umngcipheko wokwenzakala kwepenis.

• Funa ingcebiso kagqirha ukuba unama-erection abuthathaka: Xa unama-erection abuthathaka (ama-erection athambileyo), i-penis yakho inokuba lula ukugoba nokulimala ngexesha lokwabelana ngesondo. Ngoko ke ukuba unengxaki ye-ED, bona ugqirha ngokukhawuleza.
• Sebenzisa izinto zokuthambisa: Ezi zinciphisa ukungqubana ngexesha lokwabelana ngesondo, zinciphisa umngcipheko wokwenzakala.
• Lumka ngeendawo zesondo: Umngcipheko wokuba ipenisi igobe kwaye yenzakale uphezulu, ingakumbi kwiindawo apho iqabane liphezulu khona. Ngoko ke lumka ngaloo nto. Gcina ulawulo lwesandla xa ufaka ipenisi kwi-vagina/anus.

Ufanele uye nini kugqirha?

Ukuba uziva iqhuma, ukudumba, okanye intlungu kwilungu lobudoda obungazange ube nayo ngaphambili, bonana nogqirha ngokukhawuleza. Oku kubaluleke kakhulu ukuba kuya kuba mandundu ngokuhamba kwexesha.

Ufanele uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU)?

Ukuba unale mpawu kunye nesifo sikaPeyronie, yiya kwigumbi likaxakeka elikufutshane (ETU) ngoko nangoko.

• Ukungakwazi ukuchama.
• Ukopha igazi kwilungu lobudoda.
• Ingozi yelungu lobudoda ibangela iintlungu eziqatha.