I-Paraphimosis

I-Paraphimosis yenzeka lapho ijwabu lowesilisa ongasokile lingakwazi ukudonswa libuyele ngaphezulu kwekhanda lepipi.

Izimbangela ze-paraphimosis zifaka:

• Ukulimala endaweni.
• Ukwehluleka ukubuyisela ijwabu endaweni yalo ejwayelekile ngemuva kokuchama noma ukuwashwa. Lokhu kuvame kakhulu ezibhedlela nasemakhaya asebekhulile.
• Ukutheleleka, okungenzeka kungenxa yokungagezi kahle kwendawo.

Abesilisa abangasokile nalabo okungenzeka ukuthi abasokiwe kahle basengozini.

I-Paraphimosis ivela kakhulu kubafana nakwabesilisa abadala.

Ijwabu libuyiselwa emuva (lihoxisiwe) ngemuva kwethiphu eyindilinga yomthondo (glans) bese lihlala lapho. Ijwabu elihoxisiwe ne-glans kuyavuvukala. Lokhu kwenza kube nzima ukubuyisa ijwabu endaweni yalo enwetshiwe.

Izimpawu zifaka:

• Ukwehluleka ukudonsa ijwabu elihoxisiwe ngaphezulu kwekhanda lomthondo
• Ukuvuvukala okubuhlungu ekugcineni kwenduku
• Ubuhlungu emthondweni

Ukuhlolwa komzimba kuqinisekisa ukuxilongwa. Umhlinzeki wezokunakekelwa kwempilo uvame ukuthola i- "donut" ezungeze ishafula eseduze kwekhanda lepipi (glans).

Ukucindezela ikhanda lesidoda ngenkathi ucindezela ijwabu phambili kunganciphisa ukuvuvukala. Uma lokhu kwehluleka, dinga ukusoka kokuhlinzwa noma okunye ukuhlinzeka ukukhulula ukuvuvukala kuzodingeka.

Umphumela kungenzeka ube muhle kakhulu uma isimo sitholakala futhi silashwa ngokushesha.

Uma i-paraphimosis ishiywa ingalashwa, ingaphazamisa ukugeleza kwegazi kuye ekugcineni kwethongo. Ezimweni ezimbi kakhulu (nezingajwayelekile), lokhu kungaholela ku:

• Ukulimala kwethiphu yepipi
• I-Gangrene
• Ukulahleka kwethiphu yepipi

Iya egumbini lakho lezimo eziphuthumayo uma lokhu kwenzeka.

Ukubuyisela ijwabu endaweni yalo ejwayelekile ngemuva kokulibuyisela emuva kungasiza ukuvimbela lesi simo.

Ukusoka, lapho kwenziwa kahle, kuvimbela lesi simo.

• I-anatomy yokuzala yowesilisa

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.

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.

UMcCollough M, uRose E. Genitourinary kanye nokuphazamiseka kwethrafikhi yezinso. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 173.