Ingabe kuyingozi ukuba nepenisi emile isikhathi eside? Ake sixoxe nge-Priapism

Ingabe ipenisi yakho imile amahora amaningi ngaphandle kokushukunyiswa ngokocansi, mhlawumbe ngisho nobuhlungu? Lokhu kungaba namahloni futhi kungakhululeki ukukhuluma ngakho. Kodwa akuyona into okufanele ungayinaki. Ngoba lokhu kungaba yisimo esibizwa ngokuthi i-Priapism esidinga ukwelashwa okuphuthumayo. Ngakho-ke, ake sixoxe ngalokhu ngokukhululekile ngaphandle kokwesaba noma amahloni.

Kalula nje, kuyini i-Priapism?

I-Priapism ukumiswa kwesikhathi eside kwepenisi, okuvame ukuhlala isikhathi esingaphezu kwamahora amane , ngaphandle kokukhuthazwa noma isifiso socansi. Lokhu akufani nokuma okuvamile, futhi kuvame ukuba buhlungu.

Cabanga ngakho, ngokuvamile ipenisi iyama uma igcwele igazi. Lapho ukukhuthazwa ngokocansi kuphela, lelo gazi libuyela emzimbeni, bese ipenisi ibuyela esimweni sayo esijwayelekile. Kodwa ku-Priapism, igazi eligcwalise ipenisi alikwazi ukuphuma futhi libhajwe ngaphakathi. Yingakho ipenisi ihlala imile.

Yiziphi izinhlobo eziyinhloko ze-priapism?

Lesi simo singahlukaniswa sibe izinhlobo ezimbili eziyinhloko. Kubalulekile ukwazi umehluko phakathi kwalokhu okubili, njengoba izindlela zokwelapha zingase zihluke. Ake sikubheke ngale ndlela ukuze kube lula ukukuqonda.

Ziyini ngempela izimpawu zalesi simo?

Uphawu oluyinhloko ukuthi ipenisi ihlala iqonde isikhathi esingaphezu kwamahora amane. Kodwa-ke, izimpawu ezengeziwe zingahluka kuye ngezinhlobo ezimbili esixoxe ngazo ekuqaleni.

Ku-priapism egeleza kancane (ischemic)

• Ngisho noma umphini wepenisi uqine kakhulu, ikhanda (ukubuka) lingase lithambe .
• Ubuhlungu buyanda kancane kancane njengoba isikhathi sihamba.

Ku-priapism ehamba phambili (engeyona ischemic)

• Nakuba ipenisi iphila, ayiqinile ngokuphelele .
• Ngokuvamile abukho ubuhlungu .

Yiziphi izimbangela ze-priapism?

Ngezinye izikhathi, imbangela eqondile ingase ingatholakali. Kodwa isikhathi esiningi, ithonywa izimo ezithile zezokwelapha, imithi, noma ezinye izici.

Izimo zezokwelapha eziyisisekelo

• Isifo se-sickle cell: Lesi yisona sizathu esiyinhloko se-priapism. Lesi sifo sihlobene kakhulu ne-priapism, ikakhulukazi ebuntwaneni.
• I-Leukemia: Lesi simo singabangelwa ezinye izinhlobo zomdlavuza wegazi.
• I-Thalassemia: Esinye isifo segazi.
• Umalaleveva.

Imithi nezidakamizwa

• Eminye imithi esetshenziselwa ukungasebenzi kahle kwenduku: ikakhulukazi uma isetshenziswa ngendlela engafanele ngaphandle kweseluleko sikadokotela. Isibonelo, izinto ezifana `(ukwelashwa ngomjovo wangaphakathi komlomo)`.
• Eminye imithi yokwelapha isifo sengqondo: imithi yokucindezeleka kanye neminye imithi yokwelapha ezinye izifo zengqondo (ama-antipsychotic).
• Ukusetshenziswa kwezidakamizwa: Ukusetshenziswa kwezidakamizwa ezifana nensangu kanye ne-cocaine nakho kungaba yimbangela yalokhu.

Ezinye izizathu

• Izingozi endodeni noma endaweni ezungezile:Lokhu kungabangelwa ukulimala kwepenis, amasende, noma indawo ephakathi kwe-scrotum ne-anus (perineum).
• Ukulimala komgogodla.
• Ukulunywa yizinambuzane ezithile: Isibonelo, ukulunywa yisicabucabu esimnyama.
• Ubuthi be-carbon monoxide.

Udokotela uhlonza kanjani lokhu?

Uma uya esibhedlela, udokotela uzokuqinisekisa ukuthi akukho lutho okufanele ube namahloni ngalo futhi akubuze imibuzo embalwa ngalesi simo.

• Sekuyisikhathi esingakanani kusukela wazalwa?
• Sekuyisikhathi esingakanani kusukela wagcina ukuba nesithuthwane?
• Ingabe unezinye izifo (ikakhulukazi isifo se-sickle cell)?
• Ingabe kube khona ukulimala kwamuva nje endukwini noma endaweni ezungezile?
• Yimiphi imithi oyisebenzisayo?
• Ingabe usebenzisa izidakamizwa?

Ngemuva kwalokho, kungenziwa ukuhlolwa ngokomzimba futhi kungenziwa izivivinyo eziningana ukuqinisekisa isimo.

• Ukuhlolwa kwegesi egazini: Lokhu kuhilela ukuthatha isampula encane kakhulu yegazi elivela endukwini usebenzisa inaliti encane kakhulu bese ulinganisa amazinga ayo e-oxygen. Lokhu kungakusiza ukuthi unqume ukuthi ugeleza kancane noma ugeleza kakhulu.
• I-Doppler ultrasound: Lokhu kubheka ukugeleza kwegazi ngaphakathi kwepenisi. Lokhu kungasiza ekunqumeni ukuthi lesi simo sibangelwa yini ingozi.
• Isivivinyo se-Toxicology: Lokhu kuhlolwa kungenziwa uma kukhona izinsolo zokusetshenziswa kwezidakamizwa.

Yiziphi izindlela zokwelapha i-priapism?

Khumbula, kunezinhloso ezimbili eziyinhloko zokwelapha: eyodwa ukuqeda ukungasebenzi kahle kwe-erectile, kanti enye ukulondoloza ukusebenza kwe-erectile esikhathini esizayo.

Nazi ezinye zezindlela zokwelapha ezisetshenziswa odokotela:

• Ukufutha: Kule nqubo, udokotela uvala ipenisi bese esebenzisa inalithi encane kanye nesipeyinti ukususa igazi elidala, eliphelelwe umoya-mpilo elivaleleke ngaphakathi kwepenisi. Lokhu kunciphisa ukucindezeleka nokuvuvukala, futhi kunciphisa ukulahleka kwamandla.
• Umjovo we-Intracavernosal: Uhlobo lomuthi olubizwa ngokuthi i-alpha-agonists lufakwa ngqo epenis ngenaliti encane. Lomuthi usebenza ngokucindezela imithambo yegazi nokunciphisa ukugeleza kwegazi epenis. Lokhu kuyindlela yokwelapha ephumelelayo yokungasebenzi kahle kwe-erectile okugeleza kancane.
• Ukusebenzisa iphakethe leqhwa: Ukusebenzisa iphakethe leqhwa epenis nasezindaweni ezizungezile kungasiza ekunciphiseni ukuvuvukala.
• Ukuhlinzwa:Uma ezinye izindlela zokwelapha zingaphumeleli noma uma umthambo womthambo wonakele ngenxa yengozi, kungase kudingeke ukuhlinzwa. Lokhu kuhilela ukudala enye indlela yokugeleza kwegazi (i-shunt) noma ukulungisa umthambo owonakele (i-ligation).

Kwenzekani uma ingelashwa?

Lena yingxenye eyingozi kakhulu okudingeka sonke siyiqaphele.

Uma igazi libhajwa ngaphakathi kwepenisi, umoya-mpilo okulelo gazi uyaphela kancane kancane. Uma umoya-mpilo ulahleka, izicubu ezithambile epenisi ziqala ukufa. Lokhu kungabangela umonakalo ongapheli .

Izinkinga ezimbili eziyinhloko yilezi:

1. Izibazi ngaphakathi kwepenisi: Uma izicubu zonakele futhi zinesibazi, ukuma kwepenisi kungashintsha futhi kubangele ubuhlungu.

2. Ukungasebenzi kahle kwenduku njalo (ED): Lona umphumela onzima kakhulu. Uma ukwelashwa kubambezeleka, ipenisi ingase ingasakwazi ukusebenza kahle esikhathini esizayo.