Lokhu kungaba yindaba enzima, mhlawumbe ebangela amahloni ukukhuluma ngayo. Kodwa kuyinto abantu abaningi abayaziyo futhi okufanele bayiqaphele. Wake wezwa "ngokuphuka kwepenile"? Uma uzwa igama, kuzwakala sengathi kukhona ingalo noma umlenze ophukile, akunjalo? Kodwa akunjalo. Kodwa-ke, kuyisimo esibucayi esidinga ukunakekelwa kwezokwelapha okusheshayo . Ngakho-ke namuhla, ake sixoxe ngalokhu ngendlela elula ongayiqonda, ngaphandle kokufihla lutho.
Kuyini ngempela ukuphuka kwepenis?
Kalula nje, ipenisi ephukile akuyona ngempela 'ikhefu'. Ngoba, uyazi, akukho thambo epenisi. Ngakho 'iphuka' kanjani?
Cabanga nje, lesi simo singase senzeke uma ipenisi yakho imile bese uyishaya ngamandla noma uma igobile ngokuzumayo endaweni engafanele.
Ake sibheke isakhiwo sepenis. Ngaphakathi kwepenis, kunezinhlobo ezimbili zezicubu ezifana netyhubhu ezigcwala igazi. Lezi zibizwa ngokuthi ``corpora cavernosa'' kanye ``corpus spongiosum''. Ngesikhathi sokuvuka, la matyhubhu agcwala igazi, okwenza ipiss ibe nzima futhi iqonde. Kuzungeze la mashubhu kukhona isembozo esiqinile kakhulu, esiguquguqukayo, nesinama-fiber. Kufana nerabha eqinile ezungeze ithayi. Ngokwezokwelapha, lokhu kubizwa ngokuthi ``tunica albuginea''.
Ukuphuka kwepenisi kuwukudabuka kwesembozo esiqinile esibizwa ngokuthi i-tunica albuginea, okubangelwa ukugoba okunamandla ngesikhathi sokuma. Lapho lesi sembozo sidabuka, igazi elingaphakathi kuso livuza ngokuzumayo liye ezicutshini ezizungezile ngenxa yokucindezeleka.
Sibi kangakanani lesi simo?
Lesi yisimo esibucayi kakhulu .
Lokhu kubhekwa njengesimo esiphuthumayo sezokwelapha. Uma usola ukuthi into efana nalena ikwehlele, kufanele uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (i-ETU) ngokushesha. Akunasizathu sokuchitha isikhathi.
Ngokuvamile, abantu bayakugwema ukubona odokotela ngoba banamahloni okukhuluma ngesimo sabo. Lokhu kungenza izinto zibe zimbi kakhulu. Ngakho-ke, kubalulekile ukubeka ihlazo eceleni bese ucabanga ngempilo yakho.
Ziyini izimpawu zalesi simo?
Uma ipenisi iqhuma, izimpawu zivame ukuba khona ngokushesha futhi zisobala. Ungase ubhekane nenye noma ngaphezulu kwalokhu okulandelayo. Ake sibheke lokhu ukuze sikuqonde kahle.
| Isibonakaliso | Incazelo |
|---|---|
| Ukuzwa umsindo othi 'khakha' | Abantu abaningi bathi bezwe umsindo ofana nokuthile 'okuphukayo' noma 'ukuthepha' ngesikhathi sengozi. |
| Ukulahlekelwa amandla ngokuzumayo | Ngengozi, ipenisi iba yinto engenampilo ngokuphelele ngemizuzwana embalwa. |
| Ubuhlungu obukhulu | Kunobuhlungu obungazelelwe nobunamandla kakhulu. Lobuhlungu bungase buphele ngemva kwesikhashana noma buqhubeke. |
| Ukuvuvukala nokuguquka kombala | Njengoba igazi liphuma esimbozweni esidabukile, ipenisi iqala ukuvuvukala ngokushesha. Iphinde ibe nombala oluhlaza okwesibhakabhaka, onsomi, noma omnyama. Lokhu kubizwa ngokuthi 'ukukhubazeka kwesitshalo seqanda' ngoba kubukeka njengesitshalo seqanda. |
| Igazi emchameni | Ngezinye izikhathi lokhu kulimala kungalimaza i-urethra. Uma lokhu kwenzeka, igazi lingaphuma nomchamo (hematuria) noma kungase kube namaconsi egazi avela esicongweni sepenis. |
| Ubuhlungu ngesikhathi sokuchama | Uma i-urethra yonakele, kungase kube nobuhlungu obukhulu lapho uchama (i-dysuria). |
Ipenisi ingaphuka kanjani?
Kunezizathu eziningana eziyinhloko ezenza le ngozi yenzeke. Iningi lalezi yizingozi ezenzeka ngesikhathi socansi.
| Isizathu | Kwenzeka kanjani |
|---|---|
| Izingozi zocansi | Lena yimbangela evame kakhulu. Ngesikhathi socansi, ipenisi ingaphuma esithweni sangasese sowesifazane bese igoba ngokuzumayo lapho izama ukuyibuyisela, ishaye ithambo le-pelvic lomlingani noma indawo eqinile eseduze. Kubikwa ukuthi le ngozi iphezulu kakhulu ezindaweni lapho umlingani ekhona phezulu. |
| ukushaya indlwabu okusheshayo noma okunamandla | Le ngozi ingenzeka uma ipenisi igoba ngokungalawuleki lapho ushaya indlwabu ngokushesha noma ngamandla. |
| Izingozi ezingalindelekile | Lokhu akuvamile kangako, kodwa kungenzeka. Isibonelo, ukuwa embhedeni uphapheme, ukuchotshozwa ngenkathi ugingqika ngakolunye uhlangothi lombhede, noma ukushayisa umnyango noma udonga ngenkathi uhamba ebumnyameni. |
Udokotela ukubona kanjani lokhu?
Uma uya esibhedlela, into yokuqala udokotela azokwenza ukukubuza ngalesi sigameko. Uzophinde ahlole umzimba. Ezimweni eziningi, lesi simo singatholakala kalula ngokusekelwe encazelweni oyinikezayo kanye nokubonakala kwepenisi (ukuvuvukala, ukushintsha kombala).
Kodwa-ke, ngezinye izikhathi udokotela angase ancome ukuhlolwa okuthile ukuze kutholakale ukuthi ukulimala kungakanani, ikakhulukazi ukuze kubonakale ukuthi kukhona yini umonakalo e-urethra.
- Ukuskena nge-ultrasound: Lokhu kungasiza ukubona indawo lapho kudabuke khona kanye nenani legazi eliqongelelekile.
- Ukuskena kwe-MRI (Magnetic Resonance Imaging): Lokhu kunikeza izithombe ezicacile, okusiza ekuhloleni ngokunembile ubukhulu bomonakalo.
- I-Retrograde Urethrogram (RUG): Lena i-X-ray ekhethekile ehlola i-urethra. Lokhu kuhlolwa kwenziwa uma kukhona okusolakala ukuthi i-urethra idabukile.
Ilashwa kanjani? Ingabe ukuhlinzwa kuyadingeka?
Kukhona okuthile okudingeka sikuqonde kahle lapha.
Ukuhlinzwa kubalulekile ukuze kuphuke umbundu wangempela.Uma ukuhlinzwa kungenziwa, ingozi yokungasebenzi kahle kwenduku, ukushwabana kwepenisi, kanye nobuhlungu besikhathi eside esikhathini esizayo iphezulu kakhulu.
Ukuhlinzwa kuvame ukwenziwa udokotela wezifo zomchamo. Le nqubo ihilela ukuthunga i-tunica albuginea edabukile. Uma kukhona umonakalo ku-urethra, nayo iyalungiswa ngesikhathi sokuhlinzwa.
Ngemva kokuhlinzwa okuphumelelayo, unethuba eliphezulu kakhulu lokuba namandla ajwayelekile, uchame ngaphandle kobuhlungu, futhi ukhiphe isidoda ngendlela evamile esikhathini esizayo.
Ngeke yini kube ngcono ngaphandle kokuhlinzwa?
Ukulimala okuncane, okungukuthi, uma isembozo singadabukile, njengesilonda, kungaphola ngaphandle kokuhlinzwa. Ezimweni ezinjalo, udokotela,
- Faka iphakethe leqhwa.
- Izibulali-zinhlungu `(ama-NSAID)`
- Mhlawumbe faka i-catheter ye-Foley.
Ungakweluleka. Kodwa lesi yisinqumo okufanele senziwe udokotela, hhayi wena. Ukuze uthole ukuqhekeka kwangempela, ukuhlinzwa yisisombululo esingcono kakhulu nesiwukuphela kwaso.
Kwenzekani uma ingelashwa?
Akuyona into enhle ukulinda nje ukuthi lokhu kube ngcono. Uma ungakwelaphi, ungagcina unezinkinga eziningi zesikhathi eside.
- Ukungasebenzi Kahle Kokushada Kwabesilisa: Ukungakwazi ukuthola noma ukugcina ukushada kuqinile ngokwanele ukuze ulale nomuntu wesilisa.
- Ukugoba Kwepenisi: Izicubu zezibazi zakheka njengoba inxeba liphola, futhi ipipi lingase ligobe liye ohlangothini olulodwa njengoba liphola. Lokhu kungabangela ubuhlungu futhi kwenze kube nzima ukuya ocansini.
- Ubunzima bokuchama: Uma i-urethra yonakele futhi ingaphili kahle, i-urethra ingaba mncane futhi kwenze kube nzima ukuchama.
- Ukuphuma komchamo okubuhlungu: Ubuhlungu bungase buvele njalo uma ukhipha umchamo.
Kwenzekani ngemva kokuhlinzwa? Ngingaphinde ngilale nini futhi?
Ngokuvamile ungaya ekhaya ngemva kokuhlinzwa. Udokotela uzokunikeza imiyalelo yokuthi ungalinakekela kanjani inxeba lize liphole. Uzokucela nokuthi ubuye emtholampilo ukuze uhlole ukuthi inxeba liphola kahle yini nokuthi unezinkinga zokuchama yini.
Into ebaluleke kakhulu ukuthi akufanele uhlanganyele kunoma yimuphi umsebenzi wocansi (ucansi noma ukushaya indlwabu) okungenani inyanga ngemuva kokuhlinzwa. Udinga ukunikeza inxeba isikhathi sokuphola ngokuphelele. Udokotela wakho uzokutshela ukuthi kunini lapho kungcono khona ukuthi uphinde ulale naye.
Izindaba ezinhle ukuthi uma welashwa ngesikhathi, amathuba okululama ngokugcwele kulesi simo angaphezu kuka-90%.
Ingabe ingozi efana nale ingavinjelwa?
Nakuba kungenakuvinjelwa ngokuphelele, kunezinto eziningana ongazenza ukuze unciphise ingozi.
- Ungagobi umpipi omile ngamabomu noma wenze noma yini efana naleyo.
- Njengoba ukhula, ukuminyana kwakho kungase kungaqini. Lokhu kungandisa ingozi yokugoba kwepenisi yakho ngesikhathi socansi. Uma unomuzwa wokuthi ukuminyana kwakho kuyehla, khuluma nodokotela wakho ngakho. Uma kudingeka, angakunikeza imithi efana ne-Sildenafil noma i-Tadalafil, ekhulisa ukugeleza kwegazi epenisi.
- Qaphela lezi zinto uma uya ocansini:
- Uma ipenisi iphuma uma kushintsha izikhundla zocansi noma uma iphuma, sebenzisa isilawuli ngesandla ukuze uyifake kabusha.
- Sebenzisa amafutha okugcoba ukuze unciphise ukungqubuzana.
- Qaphela kakhulu ezindaweni lapho umlingani wakho ephezu kwakho noma ngemuva kwakho.
Kufanele uye nini kudokotela?
Lena yingxenye ebaluleke kakhulu. Ake sibone ngokucacile ukuthi yini okudingeka uyenze ezimweni ezingezansi.
| Uma unalezi zimpawu, iya ku-ETU ngokushesha! | |
|---|---|
| 1. | Uma uzwa umsindo othi 'khakha', kusho ukuthi ipenisi isengozini. |
| 2. | Uma ingozi ibangela ukulahlekelwa ingqondo nobuhlungu obukhulu. |
| 3. | Uma ipenisi ivuvukala bese iba nombala oluhlaza okwesibhakabhaka/onsomi/omnyama. |
| 4. | Uma unegazi emchameni wakho noma kunzima ukuchama. |
| Uma unalezi zinto ngemva kokuhlinzwa, tshela udokotela wakho. | |
| 1. | Uma kukhona ubuhlungu obungabekezeleleki noma ukopha ngokweqile. |
| 2. | Uma kunezimpawu zokutheleleka kwenxeba (umkhuhlane, ukubanda, ukubomvu, ukuvuvukala, kanye nobomvu obuvela enxebeni). |
Abanye abantu bayaphuza ukufuna ukwelashwa ngoba banamahloni futhi banamahloni okukhuluma ngento efana nale. Ungase ucabange, 'Iqhwa elincane nje lizokwanela,' noma 'Ukuphumula okuncane kuzokwanela.' Kodwa khumbula, ubuhlungu yindlela yomzimba wakho yokukutshela ukuthi, 'Kunenkinga lapha, futhi udinga usizo.' Ngakho-ke, ungalibali, futhi funa iseluleko sezokwelapha ngokushesha okukhulu. Kungavimbela izinkinga eziningi zesikhathi eside futhi kuvikele impilo yakho yocansi.
Umlayezo Wokuya Nawe Ekhaya
- Ukuphuka kwepenis akusikho ukuphuka kwethambo, kodwa ukudabuka kwesembozo esiqinile esizungeze izicubu ezisekela ipipi.
- Lesi yisimo esiphuthumayo sezokwelapha. Uma kuvela izimpawu, hamba uye e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
- Izimpawu eziyinhloko umsindo 'wokuchofoza', ukulahlekelwa yingqondo ngokuzumayo, ubuhlungu obukhulu, ukuvuvukala, kanye nokushintsha kombala okuluhlaza okwesibhakabhaka/omnyama.
- Ukwelashwa okungcono kakhulu nokuphumelelayo kakhulu kwalokhu ukulungisa ingxenye edabukile ngokuhlinzwa.
- Ungalibali ukufuna ukwelashwa ngenxa yokuhlazeka. Ukwelashwa kusenesikhathi kungaholela empumelelweni engaphezu kuka-90%.
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