Ukugoba kwenduku

Ukugoba kwenduku ukugoba okungafani nepipi okwenzeka ngesikhathi sokumiswa. Sibizwa nangokuthi isifo se-Peyronie.

Esifo sePeyronie, izicubu ezibomvu ezinemicu zikhula ezicutshini ezijulile zepenisi. Imbangela yalesi sicubu esinemicu kaningi ayaziwa. Kungenzeka ngokuzenzekelayo. Kungaba futhi ngenxa yokulimala kwangaphambilini epenis, ngisho nokwenzeka eminyakeni eminingi edlule.

Ukuqhekeka kwenduku (ukulimala ngesikhathi sokuya ocansini) kungaholela kulesi simo. Abesilisa basengozini enkulu yokuba nokugobeka kwesitho sangasese sowesilisa ngemuva kokuhlinzwa noma ukwelashwa ngemisebe yomdlavuza wendlala yabesilisa.

Isifo se-Peyronie asivamile. Ithinta abesilisa abaneminyaka engama-40 kuya kwengama-60 nangaphezulu.

Ukugoba kwenduku kungenzeka kanye nenkontileka kaDupuytren. Lokhu ukuqina okufana nentambo entendeni yesandla esisodwa noma zombili izandla. Kuyisifo esijwayelekile emadodeni amhlophe angaphezu kweminyaka yobudala engama-50. Kodwa-ke, bambalwa kuphela abantu abanenkontileka kaDupuytren ababa nokugobeka kwepipi.

Ezinye izinto ezinobungozi azikatholakali. Kodwa-ke, abantu abanalesi simo banohlobo oluthile lwe-immune cell marker, okukhombisa ukuthi lingazuzwa njengefa.

Izingane ezisanda kuzalwa zingaba nokugoba kwenduku. Lokhu kungaba yingxenye yokungajwayelekile okubizwa nge-chordee, okungafani nesifo se-Peyronie.

Wena noma umhlinzeki wakho wezokunakekelwa kwempilo ungabona ukuqina okungajwayelekile kwezicubu ezingaphansi kwesikhumba, endaweni eyodwa egudwini lomphondo. Kungazizwa futhi njengesigaxa esinzima noma iqhubu.

Ngesikhathi sokumiswa, kungahle kube:

• Ukugoba emthondweni, okuvame ukuqala endaweni lapho uzwa khona izicubu zesibazi noma ukuqina
• Ukuthanjiswa kwengxenye yesende ngaphezu kwendawo yezicubu ezibomvu
• Ukuminya umthondo
• Ubuhlungu
• Izinkinga ngokungena noma ubuhlungu ngesikhathi sokuya ocansini
• Ukunciphisa ipipi

Umhlinzeki angaxilonga ukugobeka kwepipi ngokuhlolwa komzimba. Amapuleti aqinile angazwakala noma kungakhiwa.

Umhlinzeki angakunika isibhamu somuthi ukudala ukwakhiwa. Noma, ungahlinzeka umhlinzeki wakho ngezithombe zomthondo oqondile ukuze zihlolwe.

I-ultrasound ingakhombisa izicubu ezibomvu epeni. Noma kunjalo, lokhu kuhlolwa akudingekile.

Ekuqaleni, ungahle ungadingi ukwelashwa. Ezinye noma zonke izimpawu zingathuthuka ngokuhamba kwesikhathi noma kungenzeka zingabi zimbi kakhulu.

Ukwelashwa kungafaka:

• Imijovo ye-Corticosteroid eqenjini lezicubu elinemicu.
• Potaba (umuthi othathwe ngomlomo).
• Ukwelashwa ngemisebe.
• Ukushaqeka kwegagasi lithotripsy.
• Umjovo weVerapamil (umuthi osetshenziselwa ukwelapha umfutho wegazi ophezulu).
• Uvithamini E.
• I-Collagenase clostridium histolyticum (Xiaflex) iyindlela entsha yomjovo yokwelapha i-curvature.

Kodwa-ke, akuzona zonke izindlela zokwelapha ezisiza kakhulu uma zikhona. Ezinye zingadala nokushaqeka okuningi.

Uma umuthi ne-lithotripsy kungasizi, futhi ungakwazi ukuya ocansini ngenxa yejika lendoda, ukuhlinzwa kungenziwa ukulungisa inkinga. Kodwa-ke, ezinye izinhlobo zokuhlinzwa zingadala ukungabi namandla. Kufanele kwenziwe kuphela uma ukuya ocansini kungenzeki.

I-penile prosthesis ingaba yindlela engcono kakhulu yokwelashwa yokugobeka kwendoda ngokungabi namandla.

Isimo singaba sibi kakhulu futhi sikwenze ungakwazi ukuya ocansini. Ukungabi namandla nakho kungenzeka.

Shayela umhlinzeki wakho uma:

• Unezimpawu zokugogeka kwendoda.
• Izinketho zibuhlungu.
• Unobuhlungu obukhali epondweni ngesikhathi sokuya ocansini, okulandelwa ukuvuvukala nokulimala kwenduku.

Isifo se-Peyronie

• I-anatomy yokuzala yowesilisa
• Uhlelo lokuzala lwabesilisa

Umdala JS. Okungafani kwendoda ne-urethra. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ama-eds. Incwadi kaNelson Yezingane. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2016: isahluko 544.

I-Levine LA, uLarsen S. Ukuxilongwa nokuphathwa kwesifo se-Peyronie. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 31.

UMcCammon KA, uZuckerman JM, Jordan GH. Ukuhlinzwa kwepenisi ne-urethra. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 40.