Kuyini i-Priapism? Kalula nje...
Kalula nje, i-priapism yisimo lapho ipenisi ihlala imile isikhathi eside, ngokuvamile amahora angaphezu kwamane, ngaphandle kokukhuthazwa noma isifiso socansi. Okubaluleke kakhulu, ngokuvamile kuba buhlungu kakhulu. Lokhu kwenzeka ngoba igazi eligeleze epenisi, okungukuthi, igazi, alikwazi ukubuyela emzimbeni bese libhajwa ngaphakathi kwepenisi.Cabanga ngakho njengebhaluni eligcwele amanzi elingenandlela yokuphuma uma ulibopha. Kwenzeka into efanayo nakuyipenisi.Kubalulekile ukukhumbula ukuthi lesi yisimo esiphuthumayo sezokwelapha. Kubalulekile ukufuna usizo lwezokwelapha ngokushesha, okungukuthi, ngokushesha okukhulu. Uma kungelashwa, kungabangela umonakalo ongapheli epenis futhi kuholele nasezimweni ezinjengokungasebenzi kahle kwe-erectile (ED) esikhathini esizayo.
Ingabe zikhona izinhlobo eziyinhloko ze-priapism?
Yebo, i-priapism ingahlukaniswa ngezinhlobo eziningana eziyinhloko. Uhlobo ngalunye lunesiqalo kanye nezimpawu ezihlukile kancane.1. I-priapism egeleza kancane (ischemic)
Lolu uhlobo oluvame kakhulu lwe-priapism. Okwenzekayo lapha ukuthi igazi elingene emakamelweni akhethekile (i-corpora cavernosa) elifaka isandla ekumisweni kwepenisi, liyabhajwa futhi alikwazi ukuphuma futhi. Ngokuqondile, ukugeleza kwegazi kuyancishiswa, yingakho kubizwa ngokuthi "ukugeleza okuphansi". Ngezinye izikhathi akunakwenzeka ukuthola imbangela ethile yalokhu. Kodwa-ke, kungenzeka kaningi kubantu abanezimo ezithile zezokwelapha. Isibonelo:- Isifo se -Sickle cell - Lesi yisifo segazi esibangelwa ufuzo.
- Umdlavuza wegazi (i-Leukemia)
- Umalaleveva
2. Ukukhuluma ngokungenanjongo (okungasho lutho) okuphindaphindiwe
Lokhu futhi uhlobo lwe-priapism egeleza kancane, kodwa kuyisimo esihlukile kancane. Okwenzekayo lapha ukuthi ipenisi ivele iqonde isikhathi eside, bese ivele iqonde futhi ngemva kwesikhathi esifushane. Lokhu kungenzeka ngokuphindaphindiwe. Isikhathi ngasinye lapho isikhathi sokuma sikhula futhi ubuhlungu buyanda.3. Ukuziphendukela kwemvelo okugeleza kakhulu (okungeyona ischemic)
Lolu hlobo lungavamile kakhulu kunezinye ezimbili. Luvela lapho ukulimala noma ukulimala kwepenisi noma indawo ezungezile (isibonelo, i-perineum ) kubangela ukugeleza kwegazi okungalawuleki epenisi. Lokhu kubizwa ngokuthi "ukugeleza okuphezulu." Lolu hlobo luvame ukuba buhlungu kancane kunezinye izinhlobo.Sivame kangakanani lesi simo esibizwa ngokuthi i-priapism?
I-Priapism ngokuvamile iyisimo esingavamile. Kodwa-ke, njengoba ngishilo ekuqaleni, kungenzeka kakhulu ukuthi ivele kubantu abanezimo ezithile zezokwelapha eziyisisekelo. Isibonelo, ingenzeka kubantu abangu-30% kuya ku-45% abanesifo se-sickle cell .Ziyini izimpawu ze-priapism? Uyibona kanjani?
Uphawu oluyinhloko ukuthi ipenisi ihlala iqonde isikhathi esingaphezu kwamahora amane ngaphandle kokukhuthazwa ngokocansi. Ezinye izimpawu zingahluka kuye ngohlobo lwe-priapism onayo. Uma une-priapism ephansi (ischemic):- Ngisho noma umphini wepenis umile, i-glans (isihloko) ingase ithambe.
- Ubuhlungu buyanda kancane kancane ngokuhamba kwesikhathi.
- Umphini wepenisi ungase ungaqini ngokuphelele, kodwa ungase ugobeke kancane.
- Ngokuvamile abukho ubuhlungu noma ubuhlungu obuncane kakhulu.
Yiziphi izimbangela eziyinhloko ze-priapism?
Ngokumangalisayo, cishe kwengxenye eyodwa kwezintathu (33%) yamacala e-priapism, akukho mbangela ethile engatholakala. Kodwa-ke, kwezinye izimo, izici eziningi zingadlala indima. I-priapism ephansi (ischemic) ingabangelwa yizimo zempilo ezingaphansi:- Isifo se-sickle cell
- Umdlavuza wegazi (i-Leukemia)
- Umalaleveva
- Ama-Thalassemia
- Ukulunywa yizicabucabu ezimnyama
- Ubuthi be- carbon monoxide (CO)
- Umdlavuza wepenisi
- Ukulimala emgogodleni noma endaweni yokuzala
- Ukusetshenziswa kwezidakamizwa ezithile ezingekho emthethweni: Izibonelo zifaka phakathi insangu , i-cocaine(i-cocaine) kanye nama-amphetamine .
- Ukusetshenziswa noma ukusetshenziswa kabi kwemithi ethile:
- Imithi yokungasebenzi kahle kocansi: Isibonelo , izithibi ze-phosphodiesterase type 5 kanye nokwelashwa ngomjovo wangaphakathi komlomo .
- Eminye imithi yokucindezeleka : Isibonelo , i-trazodone .
- Eminye imithi yokulwa nesifo sengqondo /i-neuroleptic : Isibonelo , i-chlorpromazine .
Ingabe lesi sifo sibizwa ngokuthi i-priapism esithathelwanayo?
Cha, akunjalo nhlobo. I-Priapism ayisona isifo esithathelwanayo. Futhi, akuyona isifo esithathelwana ngocansi (STI) noma uphawu lokutheleleka okunjalo. Ngakho-ke akukho okufanele ukhathazeke ngakho.Ubani okungenzeka kakhulu ukuthi athinteke yilesi simo?
I-Priapism ingenzeka kunoma ubani wanoma yimuphi ubudala onepenis. Ingenzeka futhi ezinganeni ezisanda kuzalwa, kodwa ivame kakhulu emaqenjini amabili eminyaka:- Abafana abaneminyaka ephakathi kwemi-5 neyi-10 ubudala.
- Amadoda asemasha nabadala abaneminyaka ephakathi kuka-20 no-50.
Yiziphi izinkinga ezingaba khona ngenxa ye-priapism? Ingabe zimbi kakhulu?
Yebo, leli yiphuzu okudingeka silinake kakhulu. Uma lingelashwa kahle, i-priapism ingalimaza unomphela ipeni. Cabanga ngakho, amangqamuzana emzimbeni wethu adinga i-oxygen ukuze akhe amandla. I-oxygen ivela egazini. Ku-priapism, lapho igazi libhajwa ngaphakathi kwepeni, i-oxygen kulelo gazi iphela kancane kancane. Bese izicubu epenis ziqala ukonakala. Izinkinga eziyinhloko ezingaba khona ngenxa ye-priapism engalashwa yilezi:- Ukuvaleka kwezicubu ngaphakathi kwepenisi.
- Ukungasebenzi kahle kocansi okungapheli (ED) . Lokhu kusho ukuthi ipenisi ayikwazi ukuma ngokwanele ukuze ihlanganyele ocansini.
Yingakho sithi, ungakuthathi lokhu njengehlaya, ungabi namahloni, futhi funa iseluleko sezokwelapha ngokushesha.
Kuhlonzwa kanjani ukuthi umuntu unesifo sokucindezeleka? Wenzani udokotela?
Uma uzizwa sengathi ipipi lakho selimile amahora amaningana, kufanele ubonane nodokotela ngokushesha. Udokotela uzokubuza ngomlando wakho wezokwelapha, abhale izimpawu zakho, bese ekwenza ukuhlolwa komzimba. Ngalesi sikhathi, udokotela angase akubuze imibuzo efana nale:- Kuthatha isikhathi esingakanani ukuthi ipenisi iqine?
- Ipenisi yakho ivame ukuhlala iqonde isikhathi esingakanani?
- Ingabe unazo ezinye izimo zezokwelapha ezitholakale zinesifo?
- Uke waba nokulimala endodeni yakho noma endaweni ezungezile muva nje?
- Ingabe uthatha imithi okwamanje?
- Uke wasebenzisa noma yimuphi umuthi ngaphandle kwencwadi kadokotela?
- Ingabe usebenzisa izidakamizwa ezingekho emthethweni?
Hlobo luni lokuhlolwa oluzokwenziwa?
Ngemva kokuhlolwa ngokomzimba, udokotela wakho uzolinganisa amazinga omoya-mpilo egazini lakho. Lokhu kuhilela ukufaka inalithi encane epenis yakho bese uthatha inani elincane legazi bese ulithumela elabhorethri. Imiphumela yokuhlolwa ingatshela udokotela wakho ngalokhu:- Uhlobo luni lokuzikhethela olunalo?
- Sekuyisikhathi esingakanani lokhu kwenzeka kuwe?
- Lokhu kungakanani umonakalo owenzekile ezicutshini zepenisi.
Iphathwa kanjani i-priapism? Ingabe kukhona engingakwenza ekhaya?
Cha, ungazami ukwelapha lokhu ekhaya! Umgomo oyinhloko wazo zonke izindlela zokwelapha nge-priapism ukubuyisela ukuma nokugcina ikhono lepenisi lokuma ngendlela evamile esikhathini esizayo. Uma ucabanga ukuthi une-priapism, iya ekamelweni eliphuthumayo ngokushesha. Udokotela wakho angase akunike umuthi wokukhulula ukuminyana kwesisu kuqala, njenge -phenylephrine (isb., i-Sudafed PE®). Le mithi isebenza ngokunciphisa ukugeleza kwegazi epenisi nokusiza ekunciphiseni ukuma. Le mithi isebenza kahle kakhulu uma inikezwa zingakapheli amahora amane kuya kwayisithupha okuqala kokuqala kwe-priapism. Ezinye izindlela zokwelapha zifaka:- Ukuphefumula : Udokotela uzoqala ngokuyiqeda induku yakho, bese esebenzisa inalithi encane kanye nesipeyinti ukuze akhiphe igazi elingenayo i-oxygen ngaphakathi kwenduku yakho. Lokhu kuzosiza ekunciphiseni ukucindezeleka nokuvuvukala. Lokhu kungadinga ukwenziwa izikhathi eziningana.
- Umjovo we-Intracavernosal : Udokotela ufaka umuthi ku- corpus cavernosum (alpha-agonists) esebenzisa inalithi encane.Uhlobo lomuthi olubizwa ngokuthi i-atropine lufakwa epenis. Le mithi ivimba imithambo yegazi ethwala igazi iye epenis. Lokhu kunciphisa ukugeleza kwegazi futhi kunciphisa ukuvuvukala. Lokhu kuyindlela yokwelapha ikakhulukazi i-priapism egeleza kancane (ischemic).
- Ukusebenzisa ama-ice packs : Ukusebenzisa ama-ice packs epenis nasezindaweni ezizungezile kungasiza ekunciphiseni ukuvuvukala.
- Ukubopha ngokuhlinzwa : Uma umthambo uqhumile ngenxa yokulimala, udokotela wezifo zomchamo uzokwenza ukuhlinzwa ukuze abophe umthambo owonakele futhi abuyisele ukugeleza kwegazi okuvamile. Lokhu kuyindlela yokwelapha i-priapism ehamba kakhulu (engeyona ischemic).
- I-shunt yokuhlinzwa : Udokotela ohlinzayo onguchwepheshe udala umthambo wegazi omusha (i-shunt) ngaphakathi kwepenisi. Lokhu kushintsha indlela yegazi futhi kubuyisele ukujikeleza kwegazi okuvamile. Lokhu kuyindlela yokwelapha i-priapism ephansi (ischemic).
Ingabe lesi simo singalapheka ngokushaya indlwabu noma ucansi?
Ngokuvamile akunjalo. Ukuzikhukhumeza akupheli ngisho nangokushaya indlwabu, ucansi, noma ukukhipha isidoda. Lokhu kungenxa yokuthi akuyona into evamile yokuvuka kocansi.Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?
Uma ukwelashwa kuphumelele, kufanele kuqede i-priapism yakho ngokushesha. Ungase uthole impumuzo ngokwelashwa kokuqala, noma kungadingeka ukuthi uthole ukwelashwa okuningana. Ngemva kokwelashwa kwe-priapism, ipenisi yakho ingase izwe ubuhlungu futhi ivuvukele kancane. Kodwa akufanele ibe lukhuni noma iqine. Khumbula, umzimba wawo wonke umuntu uhlukile. Isikhathi sakho sokululama singahluka. Landela imiyalelo kadokotela wakho yokuthi ungaphatha kanjani noma yibuphi ubuhlungu noma ukungakhululeki uze ululame.Ingabe kukhona okungenziwa ukuvimbela ukubekwa phambili kwemithetho?
Lawa macebiso angasiza ekuvimbeleni ukungabi nandaba:- Thola ukwelashwa okufanele kwezimo ezingaphansi ezingase zibangele ukucindezeleka.
- Sebenzisa imithi kuphela njengoba uyalelwe udokotela. Ungathathi noma yimuphi umuthi ngaphandle kweseluleko sikadokotela.
- Uma udlala imidlalo noma uhlanganyela emisebenzini evivinya umzimba, gqoka isembozo esifanele sokuzivikela (indebe yezemidlalo) ukuze uvikele ipenisi yakho.
Ngokuvamile kuthatha isikhathi esingakanani ukugxila kwengqondo?
I-priapism egeleza kakhulu (engeyona ischemic) ngezinye izikhathi ingaxazululeka yodwa phakathi namahora noma amasonto ambalwa ngaphandle kokwelashwa. Kodwa-ke, akuhlakaniphile ukulinda ukuthi ixazululeke. Kodwa-ke, i-priapism egeleza kancane (ischemic) ayixazululeki yodwa. Idinga ngempela ukunakekelwa kwezokwelapha.Uyini umbono kulesi simo? Ingabe kuzoba ngcono?
Uma uthola ukwelashwa kusenesikhathi, abantu abaningi banethemba elihle. Cishe ingxenye yabantu abane-low-flow priapism bangaphinde bathole ukwakheka okuvamile uma lesi simo silawulwa zingakapheli amahora angama-24 . Kodwa-ke, uma une-low-flow priapism isikhathi esingaphezu kwamahora angama-36 , kungenzeka kakhulu ukuthi ube nokungasebenzi kahle kokuma okungapheli (ED) .Uma ngine-priapism, kukhona yini engingakwenza ngize ngibone udokotela?
Lezi zinto zingasiza ekunciphiseni ukuqina kokuqala kwepenisi futhi zinciphise ubuhlungu. Kodwa ungalibali ukubona udokotela ngoba nje usuzamile lezi zinto.- Phuza imithi yokubulala izinhlungu (imithi elwa nokuvuvukala engeyona eye-steroidal - ama-NSAID) . Akuwona wonke umuntu ongazithatha lezi, ngakho-ke kungcono ukubuza udokotela.
- Phuza amanzi amaningi.
- Zama ukuchama.
- Hamba ngezinyawo.
- Yenza umsebenzi womzimba olula noma olinganiselayo: Isibonelo, ukugxuma intambo, ukugijima endaweni, noma ukuzivocavoca okufana nokugoba .
Kufanele ngimbone nini udokotela? Kufanele ngiye eMnyangweni Wezimo Eziphuthumayo (ETU) ?
Uma unama-erection abuhlungu aphindaphindwayo ngaphandle kokukhuthazwa ngokocansi okuziphelela, khuluma nodokotela. Ngemva kokwelashwa, hlela i -aphoyintimenti yokulandelela nodokotela wakho. Uma i-priapism iphinda ivele ngemva kokwelashwa, shayela udokotela wakho ngokushesha. I-Priapism iyisimo esiphuthumayo sezokwelapha! Uma unama-erection ngaphandle kokukhuthazwa ngokocansi okungapheli ngemva kwamahora ambalwa, iya ekamelweni eliphuthumayo eliseduze (i-ETU) ngokushesha, ngaphandle kokulibala. Uma ulinda isikhathi eside, kulapho ingozi yokulimala unomphela epipini lakho iba nkulu khona.Yimiphi imibuzo ebalulekile okufanele ngiyibuze udokotela?
Uma ubona udokotela, ungabuza imibuzo efana nale:- Wazi kanjani ukuthi nginombono oqondile?
- Ingabe ipenisi yami izolimala unomphela?
- Uhlobo luni lokuzikhethela enginalo?
- Yini ebangela lesi simo kimi?
- Ngingudokotela wezifo zomchamo.Ufuna ukuhlangana?
Ingabe i-priapism ingenzeka ngisho nalapho ngilele?
Yebo, i-priapism ingenzeka ngenkathi ulele. Kujwayelekile ukuthi i-penis yakho iqonde ngenkathi ulele (ukuvuvukala kwe-penile ebusuku) . Kodwa-ke, ubuhlungu obubangelwa i-priapism bungakuvusa. Futhi, ngokuvamile abupheli bodwa, futhi kungaba nzima ukubuyela ebuthongweni.Ekugcineni, into ebaluleke kakhulu okufanele uyikhumbule!
I-Priapism yisimo esidinga ukwelashwa okusheshayo ukuze kuvinjelwe umonakalo ohlala njalo epenis yakho. Kungaba yihlazo ukuba nokuqina okuqhubekayo. Kodwa-ke, i-priapism ihlukile ekwakhekeni okuvamile. Kwenzeka ngaphandle kokukhuthazwa ngokocansi, futhi kubuhlungu. Yindlela yomzimba wakho yokukutshela ukuthi kukhona okungahambi kahle. Ngakho-ke, khuluma nodokotela ngokushesha ngangokunokwenzeka futhi wandise amathuba akho okuvimbela umonakalo ohlala njalo epenis yakho. Ungalokothi ulibale ukufuna ukwelashwa ngenxa yamahloni. Impilo yakho iyona nto ebaluleke kakhulu! I-Priapism, Ukuqina Kwepenis, Ukuqina Okubuhlungu, Impilo Yepenis, Impilo Yabesilisa, Ukwelashwa Kwezokwelapha Okuphuthumayo, Ipenis👩🏽⚕️ Imibuzo Evame Ukubuzwa (FAQ) evela kuDokotela
💬 Dokotela, kuyini lokhu kukhetha kuqala? Kungani kubuhlungu kangaka?
I-Priapism yisimo lapho ipenisi ihlala iqonde khona isikhathi esingaphezu kwamahora amane ngaphandle kokushukunyiswa ngokocansi. Lokhu kuvame ukuba buhlungu kakhulu. Lokhu kwenzeka ngoba igazi elingene epenisi alikwazi ukubuyela emzimbeni bese libhajwa ngaphakathi. Kufana nebhaluni eligcwele amanzi elingakwazi ukuphuma lapho umlomo uboshiwe.
💬 Dokotela, ingabe lesi yisimo esibucayi? Yini okufanele siyenze?
Yebo, sibheka lokhu njengesimo esiphuthumayo sezokwelapha. Lokhu kusho ukuthi kubalulekile ukufuna usizo lwezokwelapha ngokushesha okukhulu. Ngoba, uma kungelashwa, kungabangela umonakalo ohlala njalo endodeni, futhi kungaholela ezinkingeni ezifana nokungasebenzi kahle kocansi esikhathini esizayo. Ngakho-ke, uma lokhu kwenzeka, kufanele uye esibhedlela esiseduze ngaphandle kokulibala.
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