Ingabe ijwabu lakho liyaqina futhi libuhlungu? Ake sifunde ngalesi simo esibizwa ngokuthi i-paraphimosis!

Wake wabhekana nesimo esibuhlungu lapho ungakwazi ukudonsa ijwabu emuva bese ulibuyisela emuva? Ingabe isihloko sepenis yakho, i-glans, sivuvukele futhi mhlawumbe siluhlaza okwesibhakabhaka noma sinsomi? Lokhu kuyinto okufanele ukhathazeke ngayo kakhulu kunalokho ongase ucabange. Ngokwezokwelapha, lesi simo sibizwa ngokuthi i-paraphimosis . Lesi yisimo esiphuthumayo sezokwelapha, ngakho-ke kubalulekile ukubona udokotela ngokushesha okukhulu bese uthola ukwelashwa.

Kuyini i-Paraphimosis?

Kalula nje, i-paraphimosis yilapho ijwabu lepenisi yakho, isikhumba esizungeze i-glans, lidonswa emuva bese lidonswa phambili futhi, limboze i-glans. Cabanga ukuthi ijwabu linamathele ngemuva kwe-glans njengendandatho eqinile. Uma lokhu kwenzeka, ukugeleza kwegazi nomoya-mpilo (ukujikeleza kwegazi) kuya esicongweni sepenisi ngale kwendawo ebambekile kuyancishiswa. Yingakho kubalulekile ukufuna ukwelashwa ngokushesha okukhulu.

Lesi yisimo esiphuthumayo! Uma unalezi zimpawu, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha.

I-Paraphimosis yisimo esingavamile kakhulu. Sithinta cishe u-0.2% wabafana abangasokile abaneminyaka ephakathi kwezinyanga ezine neminyaka eyi-12. Ukusoka ukususwa kwejwabu ngokuhlinzwa. Ngokuvamile kwenziwa ngokushesha ngemva kokuzalwa.

Ukwanda kwalesi simo kukhuphuka kancane kufinyelele ku-1% phakathi kwabesilisa abangasokile abangaphezu kweminyaka eyi-16. Kodwa-ke, kuseyivelakancane uma kuqhathaniswa nezinye izifo ezithinta ijwabu. Isibonelo:

• I-Balanitis (cishe 6%)
• Ukunamathela kwepenisi (cishe u-1.5%)
• I-Phimosis (ukungakwazi ukuhoxisa ijwabu) (cishe u-2.5%)

Wazi kanjani ukuthi une-paraphimosis? Ziyini izimpawu?

Uphawu oluyinhloko ukungakwazi ukudonsa ijwabu emuva phambili nokumboza i-glans.

Ngaphandle kwalokho, kungase kube nezinye izimpawu ezifana nalezi:

• Kungaba buhlungu kakhulu . Ngezinye izikhathi ubuhlungu bungabekezeleleki.
• Ungase uqaphele ushintsho embala wepenis ye-glans. Kungaba luhlaza okwesibhakabhaka, onsomi, noma ngisho nombala onsundu omnyama.
• Ukuvuvukala kwepenis ye-glans kanye nejwabu.

Kungani lokhu kwenzeka? Yiziphi izizathu zalokhu?

I-Paraphimosis ivame ukubangelwa ukudonsa ijwabu ukuze lihlanzwe, noma ngokuzama ukulilula uma liqinile kakhulu. Futhi, phakathi nezinqubo ezithile zezokwelapha, njengokufaka i-catheter, udokotela noma umhlengikazi kungadingeka adonse ijwabu emuva. Lokhu kungenzeka uma ukhohlwa ukulidonsa emuva.

Cabanga ngalokhu: Udonse ijwabu ukuze uhlanze ipenisi yakho ngenkathi ugeza, kodwa ngemva kokuqeda, ukhohliwe ukulidonsa, noma ubungakwazi. Ngemva kwesikhashana, uqaphela ukuthi ijwabu livuvukile, futhi ipenisi ye-glans ivuvukile futhi ibuhlungu. Esimweni esinjalo, ungase usole i-paraphimosis.

Kungase kube nezinye izizathu:

• Izifo
• Ukulimala ngokomzimba epenis
• Ukusebenzisa amandla amaningi kakhulu lapho udonsa ijwabu
• Ukukhohlwa ukudonsa ijwabu emuva bese uliphinda phambili

Ubani othinteka kakhulu yilesi simo?

I-Paraphimosis yenzeka emadodeni anesikhumba esiphelele (esingasokile) noma emadodeni asuswe ingxenye kuphela yesikhumba esingaphansi (esisokile kancane). Ayenzeki emadodeni asokwe ngokuphelele.

Ingabe lokhu kuyingozi? Yiziphi izinkinga ezingaba khona ze-paraphimosis?

Uma ukwelashwa kungafunwa ngokushesha, i-paraphimosis ingaholela kulokhu okulandelayo:

• Ukugeleza kwamanzi e-lymph kusuka kuma-lymph node kungathinteka .
• Ukugeleza kwegazi kuya epenis kungancishiswa (ischemia) . Lokhu kufana nokuvala ipayipi lamanzi. Uma ukugeleza kwegazi kungalungile, izicubu zepenis azitholi umoya-mpilo kanye nezakhamzimba.
• Izicubu ezisepenis zingafa (necrosis) . Uma igazi liqhubeka nokunqamuka, amaseli akuleyo ndawo azoqala ukufa. Lesi yisimo esiyingozi kakhulu.

Yingakho lokhu kubhekwa njengesimo esiphuthumayo sezokwelapha. Kufanele ubonane nodokotela ngokushesha.

Udokotela ukubona kanjani lokhu?

Izimpawu ze-paraphimosis zivame ukucaca kakhulu. Uzobona ukuvuvukala nokungakhululeki epenisini yakho. Udokotela angabona ukuthi lokhu kuyi-paraphimosis ngokulalela izimpawu zakho nokuhlola ipinisi yakho.

Njengoba lokhu kuyisimo esiphuthumayo, uma ushayela udokotela ucingo uchaza izimpawu zakho, cishe uzokutshela ukuthi uye egumbini lezimo eziphuthumayo esibhedlela esiseduze ngokushesha.

Kuphathwa kanjani lokhu?

Ukwelapha i-paraphimosis, udokotela angenza okulandelayo:

• Ukusebenzisa ikhambi lokunciphisa ukuvuvukala.
• Ukucindezela noma ukuncinza kancane i-glans bese uzama ukudonsa ijwabu emuva phambili, okungukuthi, lapho lalikhona. Lokhu kuyinto udokotela ayenza ngokucophelela okukhulu.
• Kusetshenziswa i-scalpel, kwenziwa ukusika okuncane engxenyeni engenhla yejwabu, kusukela onqenqemeni oluyindilinga lwe-glans kuya esicongweni sepenis (ukuqhekeka kwe-dorsal). Lokhu kuvumela ijwabu ukuthi lidonswe phambili ukuze kukhululeke ukuvaleka.
• Ukusoka ukususwa kwengxenye noma lonke ijwabu.

Uma usunayo i-paraphimosis, cishe uzophinde uyithole. Ngakho udokotela angase akuncome ukuthi ususe ingxenye noma lonke ijwabu, okubizwa ngokuthi ukusoka. Uma ungakwazi ukusoka, umngxuma womgogodla ungasiza ekuvimbeleni i-paraphimosis ukuthi ingaphinde yenzeke.

Kulungile yini ukubeka iqhwa kuyo?

Nakuba iqhwa lingasiza ekunciphiseni ukuvuvukala, akuyona indlela engcono kakhulu yokwelapha i-paraphimosis. Ukusebenzisa iqhwa empeleni kungenza ukugeleza kwegazi kube kubi kakhulu. Ngakho-ke ungenzi ngaphandle kokubonisana nodokotela.

Ingabe lokhu kuzothuthuka ngokuzenzakalelayo?

Cha, i-paraphimosis akuyona inkinga ezolulama ngokwayo. Kufanele ufune usizo lwezokwelapha ngokushesha okukhulu.

Ingabe ikhona imiphumela emibi yokwelashwa?

Ukusoka kanye nokusika umgogodla ngokuvamile kuyindlela yokuhlinzwa ephephile. Kodwa-ke, njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile. Lokhu kufaka phakathi:

• Ukopha (Ukopha)
• Ukutheleleka
• Ubuhlungu
• Ukuvuvukala kwengxenye yepenis (i-meatitis) (eduze kwembobo lapho kuphuma khona umchamo)
• I-stenosis yenyama

Lezi zivame ukungabi zivamile. Udokotela uzokutshela okwengeziwe ngalokhu.

Ingabe lokhu kungavinjelwa ukuthi kwenzeke?

Okuwukuphela kwendlela yokuvimbela ngokuphelele i-paraphimosis ukusoka. Kodwa-ke, uma unejwabu, ukwenza okulandelayo kungasiza ekuvimbeleni i-paraphimosis:

• Qiniseka ukuthi udonsa ijwabu emuva phambili ngemva kokufaka i-catheter, ukuhlolwa, noma yini ehilela ipenisi.
• Ngemva kokuhlanza ipenisi, ukuzivocavoca ukuze ijwabu lelule, ukuya ocansini, noma ukuchama , buyisela ijwabu emuva.
• Ungashiyi ijwabu isikhathi eside kunokudingekile, kungaba ngesikhathi sokuhlanza noma nganoma yisiphi esinye isizathu.
• Gcina isihloko sepenisi sihlanzekile ngaso sonke isikhathi.

I-paraphimosis iyingozi kangakanani?

Uma welashwa ngokushesha nangokufanele, i-paraphimosis ingathuthuka. Okusho ukuthi, ingelapheka ngokuphelele. Kodwa-ke, uma ungakwazi ukudonsa ijwabu lakho libuyele phambili ngokwakho ngisho nangemva kokwelashwa, kunengozi yokuthi i-paraphimosis iphinde ivele. Yingakho odokotela bevame ukuncoma ukusoka.

Kufanele ngimbone nini udokotela?

Uma ungakwazi ukudonsa ijwabu emuva phambili,Bona udokotela ngokushesha okukhulu. Cishe kuzodingeka ubone udokotela ngokushesha noma uye egumbini lezimo eziphuthumayo esibhedlela esiseduze.

Uma ijwabu lakho lisekhona ngemva kokwelashwa, kunethuba elihle lokuthi i-paraphimosis izophinde ivele. Ngakho-ke bonana nodokotela ngokushesha uma izimpawu zibuya.

Uma udinga ukusokwa ukuze welaphe i-paraphimosis yakho, khuluma nodokotela wakho uma unanoma yikuphi kwalokhu okulandelayo:

• Uma kunezimpawu zokutheleleka : umkhuhlane, ukubanda, ukuvuvukala, ubomvu, ukushintsha kombala eduze kwesilonda (obomvu, onsomi, onsundu, omnyama)
• Uma kukhona ukopha okungapheli
• Uma usenenkinga yokuchama emahoreni ayi-12 ngemva kokuhlinzwa

Yimiphi imibuzo okufanele uyibuze udokotela?

Ungabuza udokotela imibuzo efana nale:

• Ingabe ipenisi yami yonakele unomphela?
• Kungenzeka kangakanani ukuthi i-paraphimosis ibuyele emuva?
• Ngizokwazi yini ukugcina ijwabu lami?
• Ingabe ngidinga ukuchekwa noma ukusokwa emhlane?

Kwenzekani uma ijwabu lingaphinde lihoxiswe?

Uma kwenzeka ezinganeni ezincane, ngokuvamile azikwazi ukuhoxisa ijwabu lazo kuze kube yilapho sezineminyaka okungenani emi-5 ubudala. Ngezinye izikhathi ziyakwazi ukwenza kanjalo kuze kube yilapho sezineminyaka engaba yi-10 noma ngaphansi.

Uma usukwazile ukudonsa ijwabu lakho emuva, kubalulekile ukuhlanza indawo engaphansi kwalo. Ngaphandle kwalokho, uwoyela, amangqamuzana esikhumba afile, umjuluko, kanye nolunye uketshezi kunganqwabelana futhi kwakheke into ebizwa ngokuthi "i-smegma." Ukuhlanza kungasiza futhi ekuvimbeleni ukuvuvukala kwepenisi. Isibonelo:

• Ukuvuvukala kwepenis ye-glans (i-Balanitis)
• I-Posthitis
• Ukuvuvukala kwe-glans kanye nejwabu (i-Balanopsthitis)

Uyini umehluko phakathi kwe-Paraphimosis ne-Phimosis?

I-Paraphimosis kanye ne-phimosis zombili izimo ezithinta ijwabu. Kodwa-ke, i-paraphimosis iyisimo esiphuthumayo sezokwelapha. I-Phimosis ayiyona.

I-Phimosis yisimo lapho ijwabu lendoda engasokile noma engasokile ingxenye lingakwazi ukubuyiselwa emuva ngokwanele ukuze limboze i-glans. I-Phimosis ikhona ezinganeni ezisanda kuzalwa, futhi ijwabu liyakhululeka kancane kancane njengoba likhula. Kodwa-ke, i-phimosis ingabangelwa nayizifo (kufaka phakathi izifo ezithathelwana ngocansi) noma izibazi.

I-Phimosis ivame ukwelashwa ngokhilimu we-corticosteroid noma ijeli efakwe epenis. Uma kukhona ukutheleleka, kunikezwa ama-antibiotic. Uma lokhu kungasizi, kungase kudingeke ukusoka.

Asikwazi yini ukwenza okuthile ngalokhu ekhaya?

Lutho neze. Awukwazi ukwelapha i-paraphimosis ekhaya. Uma unezimpawu ze-paraphimosis, funa iseluleko sezokwelapha ngokushesha okukhulu.

I-Paraphimosis idinga ukunakekelwa kwezokwelapha okusheshayo ukuze kuvinjelwe ukulimala okungapheli kwepenisi. Ungase ucabange ukuthi kuzoba ngcono ngokuphumula noma iqhwa. Kodwa-ke, uma usezinhlungwini ezinzima noma ungakwazi ukuhoxisa ijwabu ngendlela evamile, umzimba wakho ukutshela ukuthi kukhona okungahambi kahle. Kubalulekile ukufuna usizo lwezokwelapha ngokushesha ngangokunokwenzeka ukuze ugweme ukulimala kwesikhathi eside.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho into ebaluleke kakhulu okudingeka uyikhumbule kulokho esikhulume ngakho ukuthi i-paraphimosis iyisimo sezokwelapha esibucayi nesiphuthumayo.

• Uma ungakwazi ukudonsa ijwabu lakho emuva naphambili futhi, futhi isihloko sepenisi yakho sivuvukele, sibuhlungu, noma sishintshe umbala, bona udokotela ngokushesha.
• Ungaphumi wedwa ekhaya uyokwenza noma yini. Lokho kungenza isimo sibe sibi kakhulu.
• Uma ungasokile, khumbula ukugoqa ijwabu njalo ngemva kokulihlanza nangemva kokuya ocansini.
• Ungesabi, kodwa shesha. Uma uthola ukwelashwa ngokushesha, ungalulama ngokuphelele.

Uma uneminye imibuzo mayelana nalokhu, ungabi namahloni ubuze udokotela. Ukunakekela impilo yakho yinto ebaluleke kakhulu!

I- Paraphimosis, i-Paraphimosis, Ukuqina Kwesikhumba Sejwabu, Ikhanda Lepenisi, Impilo Yabesilisa, Ukwelashwa Okuphuthumayo, Ukusoka, Ubuhlungu Bepenisi