Ukubheka phambili

-Delile

• Ziyini izimpawu zokungakhathali?
• Ziyini izimbangela zokungakhathali?
• Udokotela angakuthola kanjani ukuxilongwa?
• Isilinganiso segesi yegazi
• Ukuhlolwa kwegazi
• Ukuhlolwa kwe-Toxicology
• I-Ultrasound
• Yikuphi ukwelashwa kwe-priapism?
• I-Outlook yokubheka phambili

Kuyini ukukhathazeka kuqala?

I-Priapism yisimo esidala ukuphakama okuqhubekayo futhi kwesinye isikhathi kubuhlungu. Yilapho ukwakhiwa kudonsa amahora amane noma ngaphezulu ngaphandle kokuvuselelwa ngokocansi. I-Priapism ayivamile, kepha uma kwenzeka, ithinta kakhulu abesilisa abaneminyaka engama-30.

Ukugeleza okuphansi, noma i-ischemic priapism kwenzeka lapho igazi linamathela egumbini lokwakhiwa. Umthambo ophukile ovimbela ukujikeleza kwegazi okulungile epenisisi kubangela ukugeleza okuphezulu, noma ukungabi neschemic. Lokhu kungenzeka ngenxa yokulimala.

Ukwakhiwa okuhlala isikhathi esingaphezu kwamahora amane kuyisimo esiphuthumayo sezokwelapha. Igazi elincishwe umoya-mpilo elisesithweni sakho sangasese lingalimaza izicubu zomthondo. Ukungakhathalelwa okungalashwa kungaholela ekulimaleni noma ekubhujisweni kwezicubu zepenile kanye nokungasebenzi kahle okungapheli kwe-erectile.

Ziyini izimpawu zokungakhathali?

Izimpawu zalesi simo ziyahlukahluka kuye ngokuthi uthola ukugeleza okuphansi noma ukubaluleka kokugeleza okuphezulu. Uma une-priapism yokugeleza okuphansi, ungahlangabezana:

• ama-erections ahlala isikhathi esingaphezu kwamahora amane
• i-penile shaft eqinile enethiphu ethambile
• ubuhlungu bepipi

Ukugeleza okuphansi noma ischemic priapism kungaba yisimo esiphindaphindayo. Lapho izimpawu ziqala, ukuvinjelwa okungazibandakanyi kungahlala kuphela imizuzu embalwa noma ubude besikhathi obufushane. Njengoba isikhathi siqhubeka, lokhu kumiswa kwenzeka kakhulu futhi kuhlala isikhathi eside.

Uma une-priapism yokugeleza okuphezulu, uzoba nezinye zezimpawu ezifanayo njenge-priapism flow-flow. Umehluko omkhulu ukuthi izinhlungu azenzeki ngobuningi bokugeleza okuphezulu.

Noma yikuphi ukwakheka okungaphezu kwamahora amane ngaphandle kokuvuselelwa ngokocansi kubhekwa njengesimo esiphuthumayo sezokwelapha.

Ziyini izimbangela zokungakhathali?

Ukwakhiwa kwepenisi okujwayelekile yilokho okwenzeka ngenxa yokuvuselela ngokomzimba noma komzimba. Ukwanda kokugeleza kwegazi ukuya epeni kubangela ukwakhiwa. Lapho ukuvuselelwa kuphela, ukwehla kokugeleza kwegazi nokwakhiwa kuyahamba.

Nge-priapism, kunenkinga ngokugeleza kwegazi uye endondeni yakho. Izimo ezahlukahlukene zithinta ukuthi igazi lingena lingena liphume kanjani ipipi. Lezi zifo nezifo zifaka:

• i-sickle cell anemia
• i-leukemia
• i-myeloma eminingi

Cishe amaphesenti ama-42 abantu abadala abane-sickle cell anemia babhekana nokudangala esikhathini esithile sokuphila kwabo.

Ukuthanda izinto ezinkulu kungenzeka futhi uma uthatha imishanguzo ethile kadokotela noma usebenzise kabi utshwala, insangu, nezinye izidakamizwa ezingekho emthethweni. Imithi kadokotela engathinta ukugeleza kwegazi iye epeni ihlanganisa:

• imithi yokungasebenzi kahle kwe-erectile
• imishanguzo
• ama-alpha blocker
• imithi yezinkinga zokukhathazeka
• abahlinza igazi
• ukwelashwa kwamahomoni
• imithi yokwehluleka kokunaka ukungasebenzi kahle kwengqondo
• ubuthi be-carbon monoxide
• ukulunywa isicabucabu esimnyama
• ukuphazamiseka komzimba
• ukuphazamiseka kwe-neurogenic
• umdlavuza obandakanya ipipi

Udokotela angakuthola kanjani ukuxilongwa?

Yize zombili izinhlobo ze-priapism zinezimpawu ezifanayo, udokotela wakho kufanele enze izivivinyo zokuxilonga ukunquma ukuthi une-low flow flow noma i-high-flow priapism. Izinketho zokwelashwa ziyehluka ngokuya ngohlobo lwesimo.

Kwesinye isikhathi, odokotela bangakwazi ukuxilonga ukuxilongwa okuncike kwizimpawu kanye nokuhlolwa ngokomzimba kwendawo yangasese. Ukuhlolwa okusetshenziselwe ukunquma uhlobo lokuncipha kungabandakanya:

Isilinganiso segesi yegazi

Le nqubo ifaka ukufaka inaliti ethangeni lakho nokuqoqa isampula segazi. Uma isampula lembula ukuthi igazi elisesipeni sakho lincishwa umoya-mpilo, une-low flow flow. Kepha uma isampula lembula igazi elibomvu elikhanyayo, une-high-flow priapism.

Ukuhlolwa kwegazi

Njengoba ukuthambekela kungabangelwa ezinye izifo nokuphazamiseka kwegazi, udokotela wakho angaqoqa nesampula yegazi ukuhlola izinga lakho lamaseli abomvu egazi nama-platelets. Lokhu kungasiza udokotela wakho ukuxilonga ukuphazamiseka kwegazi, umdlavuza, ne-sickle cell anemia.

Ukuhlolwa kwe-Toxicology

I-Priapism nayo ihlotshaniswa nokusetshenziswa kabi kwezidakamizwa, ngakho-ke udokotela wakho angaqoqa isampula yomchamo ukuze afune izidakamizwa ohlelweni lwakho.

I-Ultrasound

Odokotela basebenzisa i-ultrasound ukukala ukuhamba kwegazi epeni. Lokhu kuhlolwa kusiza nodokotela wakho ukuthi anqume ukuthi ukuhlukumezeka noma ukulimala yimbangela eyimbangela yokungahloniphi.

Yikuphi ukwelashwa kwe-priapism?

Ukwelashwa kuncike ekutheni une-low flow flow noma i-high-flow priapism.

Uma une-priapism yokugeleza okuphansi, udokotela wakho angasebenzisa inaliti nomjovo ukususa igazi eleqile kupipi lakho. Lokhu kungadambisa izinhlungu futhi kumise ukuvinjelwa okungazibandakanyi.

Enye indlela yokwelashwa ifaka ukujova umuthi ethangeni lakho. Imithi izonciphisa imithambo yegazi ethwala igazi ilibeke endodeni yakho, futhi inwebe nemithambo yegazi ekhipha igazi ethangeni lakho. Ukuhamba kwegazi okwandisiwe kunganciphisa ukwakhiwa.

Uma kungekho neyodwa yalezi zindlela zokwelapha esebenza, udokotela wakho angancoma ukuhlinzwa ukusiza ukugeleza kwegazi nge-penis yakho.

Uma unesifo sokugeleza okuphezulu, ukwelashwa ngokushesha kungenzeka kungadingeki. Lolu hlobo lwe-priapism luvame ukuhamba lodwa. Udokotela wakho angahlola isimo sakho ngaphambi kokukunikeza ukwelashwa. Ukwelashwa okubandayo ngamaphakethe eqhwa kungasusa ukwakhiwa okungazibandakanyi. Kwesinye isikhathi, odokotela basikisela ukuhlinzwa ukuze kumiswe ukugeleza kwegazi kuye endondeni, noma ukulungisa imithambo elinyazwe ukulimala kwepipi.

Lapho i-priapism iphindaphindeka, ungaphinda ukhulume nodokotela wakho ngokuthatha i-decongestant efana ne-phenylephrine (Neo-Synephrine) ukunciphisa ukugeleza kwegazi ukuya endondeni. Bangasebenzisa futhi imishanguzo evimba ama-hormone noma imishanguzo yokungasebenzi kahle kwe-erectile. Uma isimo esidwetshiwe sibangela ukucwaswa, njenge-sickle cell anemia, isifo segazi, noma umdlavuza, funa ukwelashwa kwenkinga eyimbangela yokulungisa nokuvimbela ukwenzeka kwe-priapism esikhathini esizayo.

I-Outlook yokubheka phambili

Umbono we-priapism muhle uma uthola ukwelashwa ngokushesha. Ukuze uthole umphumela omuhle kakhulu, kubalulekile ukuthi ufune usizo lokuvuselelwa okude. Ikakhulukazi uma inkinga iqhubeka, ingabangelwa ukulimala, futhi ingaphenduli ekwelashweni kweqhwa. Uma kushiywe kungalashwa, wandisa ubungozi bokungasebenzi kahle kwe-erectile unomphela.