Ingaba ipenisi yakho imile iiyure ezininzi ngaphandle kokuvuselelwa ngokwesondo, mhlawumbi nokuba nentlungu? Oku kunokuba yintloni kwaye kungakhululeki ukuthetha ngako. Kodwa asinto yokungayinaki. Kuba le inokuba yimeko ebizwa ngokuba yiPriapism efuna unyango olungxamisekileyo. Ngoko ke, masithethe ngale nto ngokukhululekileyo ngaphandle koloyiko okanye iintloni.
Ngamafutshane, yintoni iPriapism?
I-Priapism kukuma ixesha elide kwepenis, okuhlala ixesha elingaphezu kweeyure ezine , ngaphandle kokuvuselelwa okanye umnqweno wesondo. Oku akufani nokuma okuqhelekileyo, kwaye kudla ngokuba buhlungu.
Cinga nje, ipenisi idla ngokuma xa izaliswe ligazi. Xa ukuvuselelwa ngokwesondo kuphela, elo gazi libuyela emzimbeni, kwaye ipenisi ibuyela kwimeko yayo eqhelekileyo. Kodwa kwi-Priapism, igazi elizalise ipenisi alinakukwazi ukuphuma lize libhajwe ngaphakathi. Yiyo loo nto ipenisi ihlala imile.
Eyona nto ibalulekileyo kukuba le yingxamiseko yezonyango. Ukuba ayinyangwa ngokukhawuleza, inokubangela umonakalo osisigxina kwilungu lobudoda. Ngoko ke ukuba ufumana into efana nale, musa ukuba neentloni kwaye hlala ekhaya kwaye uye kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele (ETU) ngoko nangoko .
Ziziphi iintlobo eziphambili ze-priapism?
Le meko inokwahlulwa ibe ziintlobo ezimbini eziphambili. Kubalulekile ukwazi umahluko phakathi kwezi zimbini, njengoko iindlela zonyango zinokwahluka. Masiyijonge ngale ndlela ukuze kube lula ukuyiqonda.
| Uhlobo lwe-priapism | Kalula nje, kwenzeka ntoni? | Intlungu |
|---|---|---|
| I-priapism ehamba kancinci (ischemic) | Igazi elingene kwilungu lobudoda alikwazi ukubuya kwaye liyavaleka . Igazi elidala, eliphelelwe yioksijini liyaqokelelana. Olu lolona hlobo luqhelekileyo nolona luyingozi . | Kukho intlungu enzima . Intlungu iyanda njengoko ixesha lihamba. |
| I-priapism ehamba kakhulu (engeyiyo i-ischemic) | Ukulimala kwilungu lobudoda okanye kwindawo engqongileyo kubangela ukunyuka okungalawulekiyo kokuhamba kwegazi kwilungu lobudoda. Oku kunqabile kakhulu. | Akusoloko kukho iintlungu . |
| Ukuthintitha okuphindaphindiweyo (okungathintithayo) | Olu luhlobo lokungakhawulezi. Ixesha elide lovuyo liza lidlule, kwaye ngalo lonke ixesha imeko inokuba mandundu. | Kukho intlungu . |
Zithini kanye kanye iimpawu zale meko?
Uphawu oluphambili kukuba ipenisi ihlala imile ixesha elingaphezu kweeyure ezine. Nangona kunjalo, iimpawu ezongezelelweyo zinokwahluka ngokuxhomekeke kwiintlobo ezimbini esizixubushile ngaphambili.
Kwi-priapism ephantsi (ischemic)
- Nokuba umngxuma wepenis uqinile kakhulu, intloko (i-glans) inokuba ithambile .
- Intlungu iyanda kancinci kancinci njengoko ixesha lihamba.
Kwi-priapism ehamba phambili (engeyiyo ischemic)
- Nangona ipenisi iphila, ayiqinanga ngokupheleleyo .
- Ngokwesiqhelo akukho ntlungu .
Zithini izizathu ze-priapism?
Ngamanye amaxesha, unobangela ochanekileyo usenokungafumaneki. Kodwa uninzi lwexesha, uphenjelelwa ziimeko ezithile zonyango, amayeza, okanye ezinye izinto.
Iimeko zempilo ezisisiseko
- Isifo seSickle cell: Esi sesona sizathu siphambili se-priapism. Esi sifo sinxulumene kakhulu ne-priapism, ingakumbi ebuntwaneni.
- I-Leukemia: Le meko inokubangelwa ziintlobo ezithile zomhlaza wegazi.
- I-Thalassemias: Esinye isifo segazi.
- Imalariya.
Amayeza kunye neziyobisi
- Amanye amayeza asetyenziselwa ukungasebenzi kakuhle kwe-erectile: ingakumbi xa esetyenziswa gwenxa ngaphandle kwengcebiso kagqirha. Umzekelo, izinto ezifana `(unyango lwe-intracavernous injection)`.
- Amanye amayeza okugula ngengqondo: amayeza okudakumba kunye namanye amayeza ezinye izifo zengqondo (ii-antipsychotics).
- Ukusetyenziswa kweziyobisi: Ukusetyenziswa kweziyobisi ezifana ne-marijuana kunye ne-cocaine nako kunokuba ngunobangela woku.
Ezinye izizathu
- Iingozi kwilungu lobudoda okanye kwindawo engqongileyo:Oku kunokubangelwa kukwenzakala kwepenis, amasende, okanye indawo ephakathi kwe-scrotum kunye ne-anus (perineum).
- Ukulimala komqolo.
- Ukulunywa zizinambuzane ezithile: Umzekelo, ukulunywa sisigcawu esimnyama esinomhlolokazi.
- Ityhefu ye-carbon monoxide.
Ugqirha uyixilonga njani le nto?
Xa usiya esibhedlele, ugqirha uya kukuqinisekisa ukuba akukho nto unokuba neentloni ngayo aze akubuze imibuzo embalwa malunga nale meko.
- Kudala kangakanani ukususela oko wazalwa?
- Kudala kangakanani ukusukela oko wagqibela ukuba nesifo sokuxhuzula?
- Ngaba unazo ezinye izifo (ingakumbi isifo se-sickle cell)?
- Ngaba kukho nakuphi na ukwenzakala kwilungu lobudoda okanye kwindawo engqongileyo kutshanje?
- Ngawaphi amayeza owasebenzisayo?
- Ngaba usebenzisa iziyobisi?
Emva koko, kunokwenziwa uvavanyo lomzimba kwaye kwenziwe iimvavanyo ezininzi ukuqinisekisa imeko.
- Uvavanyo lwegesi egazini: Oku kuquka ukuthatha isampuli encinci kakhulu yegazi elivela kwilungu lobudoda usebenzisa inaliti encinci kakhulu kunye nokulinganisa amanqanaba e-oxygen. Oku kunokukunceda ubone ukuba ngaba igazi lakho alihambi kakuhle okanye lihamba kakhulu.
- I-Doppler ultrasound: Oku kujonga ukuhamba kwegazi ngaphakathi kwilungu lobudoda. Oku kunokunceda ekuqinisekiseni ukuba imeko ibangelwe yingozi.
- Isikrini seToxicology: Olu vavanyo lunokwenziwa ukuba kukho amathandabuzo okusetyenziswa kweziyobisi.
Ziziphi iindlela zonyango ze-priapism?
Khumbula, kukho iinjongo ezimbini eziphambili zonyango: enye kukuphelisa ukungasebenzi kakuhle kwe-erectile, enye kukugcina ukusebenza kwe-erectile kwixesha elizayo.
Kubalulekile: Musa ukuzama ukunyanga oku ngokwakho ekhaya. Ukuphulula amalungu esini okanye ukulala nomntu akudli ngokunyanga esi sifo. Funa ingcebiso kagqirha ngoko nangoko.
Nazi ezinye zeendlela zonyango ezisetyenziswa ngoogqirha:
- Ukufutha: Kule nkqubo, ugqirha uvala ipenis aze asebenzise inaliti encinci kunye nesirinji ukususa igazi elidala, eliphelelwe yioksijini elivaleleke ngaphakathi kwipenis. Oku kunciphisa uxinzelelo kunye nokudumba, kwaye kunciphisa ukulahleka kwamandla.
- Inaliti ye-Intracavernal: Uhlobo lonyango olubizwa ngokuba yi-alpha-agonists lufakwa ngqo kwi-penis ngenaliti encinci. Olu nyango lusebenza ngokunciphisa imithambo yegazi kunye nokunciphisa ukuhamba kwegazi ukuya kwi-penis. Olu lunyango olusebenzayo lokungasebenzi kakuhle kwe-erectile.
- Ukusebenzisa i-ice pack: Ukusebenzisa i-ice pack kwi-penis nakwindawo engqongileyo kunokunceda ekunciphiseni ukudumba.
- Utyando:Ukuba ezinye iindlela zonyango aziphumelelanga okanye ukuba umthambo wonakaliswe ngenxa yengozi, kunokufuneka utyando. Oku kubandakanya ukudala enye indlela yokuhamba kwegazi (i-shunt) okanye ukulungisa umthambo owonakeleyo (i-ligation).
Kuza kwenzeka ntoni ukuba ayinyangwa?
Le yeyona nxalenye iyingozi kakhulu ekufuneka siyiqaphele sonke.
Xa igazi livaleleke ngaphakathi kwilungu lobudoda, ioksijini ekwelo gazi iyaphela kancinci kancinci. Xa ioksijini ilahlekile, izicubu ezithambileyo kwilungu lobudoda ziqala ukufa. Oku kunokubangela umonakalo ongunaphakade .
Iingxaki ezimbini eziphambili zezi:
1. Amanxeba ngaphakathi kwilungu lobudoda: Xa izicubu zonakele kwaye zineenxeba, imo yelungu lobudoda inokutshintsha ize ibangele iintlungu.
2. Ukungasebenzi kakuhle kwe-erectile (ED): Esi sesona siphumo sibi kakhulu. Ukuba unyango lulibaziseka, i-penis isenokungakwazi ukusebenza ngendlela eqhelekileyo kwixesha elizayo.
Ukuba unyango lwe-low-flow priapism lunyangwa kwiiyure ezingama-24 emva kokuqala, uninzi lwamadoda lunokugcina amandla alo okukhupha i-ejaculate kwixesha elizayo. Nangona kunjalo, ukuba lunyangwa emva kweeyure ezingaphezu kwama-36 , umngcipheko wokungasebenzi kakuhle kwe-erectile uphezulu kakhulu.
Umyalezo Wokuya Ekhaya
- Ukuzimisela ukutshata akuyonto eqhelekileyo yokuma, yingxamiseko yezonyango .
- Ukuba ipenisi ihlala imile kangangeeyure ezingaphezu kwe-4 ngaphandle kokukhuthazwa ngokwesondo kwaye ibuhlungu, musa ukuba neentloni kwaye uhlale ekhaya kwaye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko .
- Musa ukuzama ukuzinyanga ngokwakho ekhaya. Ukuphulula amalungu esini okanye ukulala nomntu akusayi kuyinyanga.
- Okukhona ufuna unyango ngokukhawuleza, kokukhona umngcipheko wokonakala okusisigxina kwilungu lobudoda (ingakumbi ukungasebenzi kakuhle kwe-erectile).
- Nangona oku kunokuba nzima ukuthetha ngako, thetha ngokukhululekileyo nogqirha wakho. Baqeqeshwe ukukunceda.
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