I-Priapism: kuyini, izimpawu eziyinhloko nokwelashwa

-Delile

• Ungayibona kanjani
• Kungani kwenzeka
• Yelashwa kanjani
• Izinkinga ezingenzeka

Ukwakhiwa okubuhlungu nokuphikelelayo, okwaziwa ngokwesayensi njenge-priapism, yisimo esiphuthumayo esingavela njengenkinga yokusetshenziswa kwemithi ethile noma ukuphazamiseka kwegazi, okufana namahlule egazi, i-sickle cell anemia noma i-leukemia.

Njengoba lolu shintsho lubangela ukwakhiwa okungadluli, izilonda epenis zingenzeka ngenxa yegazi eliningi futhi, ngakho-ke, ukwelashwa kufanele kwenziwe ngokushesha okukhulu esibhedlela.

Ngokuvamile, indoda iyakwazi ukwelulama ngokuphelele ngaphandle kokuthola noma yiluphi uhlobo lwe-sequelae, noma kunjalo, kubalulekile ukuya egumbini labezimo eziphuthumayo ngokushesha okukhulu ukugwema ukuvela kokulimala.

Ungayibona kanjani

Izimpawu zingahluka ngokuya ngohlobo lwe-priapism, nge-ischemic priapism, okuyingozi kakhulu, edala:

• Ukwakhiwa okungaphezu kwamahora ama-4, engadingi ukuhlobana nesifiso sobulili;
• Umzimba womthondo onzima kakhulu, kodwa ngethiphu ithambile;
• Ubuhlungu obukhulu okungaba kubi ngokuhamba kwesikhathi.

Endabeni ye-non-ischemic priapism, izimpawu ziyafana, kepha abukho ubuhlungu. Kodwa-ke, zombili lezi zimo zisengozini yokudala izilonda ezingapheli epenis, okungaholela ekungasebenzi kahle kwe-erectile, futhi kunconywa ukuya esibhedlela lapho ukwakhiwa kubangela ubuhlungu futhi kuthatha ngaphezu kwehora elilodwa ukunyamalala ngemuva kokuqeda isikhuthazi.

Kungani kwenzeka

Ukwakhiwa kuyinqubo engokwemvelo eyenzeka lapho kunesikhuthazo ngokomzimba noma ngokwengqondo, ngenxa yokwanda kokujikeleza kwegazi elangeni, okuholela ekwandeni kosayizi. Imvamisa, ukwakheka kuyanyamalala emizuzwini embalwa ngemuva kokuzijabulisa ngokocansi noma ngemuva kokuphela kwesisusa, ngoba imithambo iyakhululeka futhi negazi liphuma ngaphandle kwepipi, likuvumela ukuthi lehle ngosayizi.

Kodwa-ke, ezinye izifo, ezinjenge-sickle cell anemia, i-leukemia noma okunye ukuphazamiseka kwegazi, zingashintsha ukujikeleza endaweni esondelene kakhulu, zivimbele ukwakheka ekunyamalaleni.

Ngaphezu kwalokho, ukusetshenziswa kwezidakamizwa, imivimbo endaweni esondelene nokusetshenziswa kweminye imishanguzo, njengezikhuthazi zocansi, imishanguzo yokulwa nengcindezi noma ama-anticoagulants, nakho kungaholela kule nkinga.

Yelashwa kanjani

Izindlela zokwelashwa ezisetshenziswa kakhulu ze-priapism zifaka:

• Ukusetshenziswa kwezingcindezi ezibandayo: ivumela ukukhulula ukuvuvukala komzimba nokunciphisa inani legazi;
• Ukususwa kwegazi: kwenziwa, nge-anesthesia yendawo, ngudokotela osebenzisa inaliti ukukhipha igazi eliningi epenisini, ukudambisa izinhlungu nokuvuvukala;
• Ukujova izidakamizwa ze-alpha-agonist: yenza imithambo inciphe, yehlise inani legazi elifinyelela epipi.

Ezimweni ezibucayi kakhulu, lapho kungenzeki ukuxazulula inkinga ngalezi zindlela, udokotela futhi angancoma ukuhlinzwa ukuvimba umthambo oholela igazi ethangeni noma ukukhipha lonke igazi elivela esithweni.

Ngokuvamile, indoda iyakwazi ukwelulama ngokuphelele ngaphandle kokuthola noma yiluphi uhlobo lwe-sequelae, noma kunjalo, kubalulekile ukuya egumbini labezimo eziphuthumayo ngokushesha okukhulu ukugwema ukuvela kokulimala.

Izinkinga ezingenzeka

Igazi elibanjwa ngaphakathi kwepenisi linomoya-mpilo omncane, ngakho-ke, kuvela izilonda ezincane ngenxa yokushoda komoya-mpilo. Lapho ukwakhiwa kuthatha isikhathi eside, izilonda ziba zimbi, okungaholela ekuqaleni kokungasebenzi kahle kwe-erectile.