Ukubaluleka

Umxholo

• Zithini iimpawu zokungakhathali?
• Zithini izinto ezibangela ukungakhathali?
• Ugqirha unokuchonga njani ukungakhathali?
• Umlinganiso wegesi yegazi
• Uvavanyo lwegazi
• Uvavanyo lweToxicology
• I-Ultrasound
• Luthini unyango kunyango?
• Imbonakalo ye-priapism

Yintoni i-priapism?

Ukukhetha phambili yimeko ebangela ukuqhubeka kokuma ngamanye amaxesha kubuhlungu. Yilapho ulwakhiwo luhlala iiyure ezine okanye nangaphezulu ngaphandle kokuvuselelwa ngokwesondo. Ukuxabisa izinto kuyinto engaqhelekanga, kodwa xa isenzeka, ichaphazela abesilisa abaneminyaka engama-30 ubudala.

Ukuhamba kancinci, okanye ischemic priapism yenzeka xa igazi linamathela kwigumbi lokwakhiwa. Umthambo owaphukileyo othintela ukujikeleza okufanelekileyo kwegazi kwilungu lobudoda kubangela ukuhamba okuphezulu, okanye ukungabikho kweschemic. Oku kunokuba ngenxa yokwenzakala.

Ulwakhiwo oluhlala ixesha elingaphezulu kweeyure ezine kungxamiseko lonyango. Igazi elihluthwe ioksijini kwilungu lobudoda lingonakalisa izicwili kwilungu lobudoda. Ukungakhathalelwa okunganyangekiyo kunokubangela ukonakaliswa okanye ukutshatyalaliswa kwezicubu ze-penile kunye nokungasebenzi ngokusisigxina kwe-erectile.

Zithini iimpawu zokungakhathali?

Iimpawu zale meko ziyahluka ngokuxhomekeka ekubeni ufumana ukuhamba-phantsi okanye ukuhamba okuphezulu. Ukuba une-flow-priapism yokuhambahamba kancinci, unokufumana:

• ulungiso oluhlala ngaphezulu kweeyure ezine
• i-penile shaft eqinileyo ngengcebiso ethambileyo
• iintlungu zepipi

Ukuhamba kancinci okanye ischemic priapism kunokuba yimeko ephindaphindayo. Xa iimpawu ziqala, ukunganyanzelwanga kokuzibandakanya kunokuhlala kuphela imizuzu embalwa okanye ubude obufutshane bexesha. Njengoko ixesha lihamba, oku kulungiswa kwenzeka ngakumbi kwaye kuhlala ixesha elide.

Ukuba une-priapism yokuhamba okuphezulu, uya kuba neempawu ezifanayo ne-priapism ye-flow-flow. Umahluko ophambili kukuba iintlungu azenzeki ngokuhamba okuphezulu kokuhamba.

Naluphi na ulungiso oluhlala ngaphezulu kweeyure ezine ngaphandle kokuvuselelwa ngokwesondo kuthathwa njengonyango olungxamisekileyo.

Zithini izinto ezibangela ukungakhathali?

Ukwakhiwa kwepenisi okuqhelekileyo yinto eyenzeka ngenxa yovuselelo lomzimba okanye lomzimba. Ukonyuka kokuhamba kwegazi ukuya kwilungu lobudoda kubangela ukwakhiwa. Nje ukuba ukuvuselela kuphele, kukho ukwehla kokuhamba kwegazi kunye nolwakhiwo luhamba.

Ngokubaluleka, kukho ingxaki yokuhamba kwegazi kwilungu lobudoda. Iimeko ezahlukeneyo zichaphazela indlela igazi elingena lingena liphuma ngayo kwilungu lobudoda. Ezi ngxaki kunye nezifo zibandakanya:

• I-sickle cell anemia
• Ileukemia
• myeloma ezininzi

Phantse iipesenti ezingama-42 zabantu abadala abanesifo se-sickle cell anemia banamava ngamanye amaxesha ebomini babo.

Ukubaluleka kakhulu kunokubakho ukuba uthatha amayeza athile kagqirha okanye utywala, intsangu kunye nezinye iziyobisi. Amayeza amiselweyo anokuchaphazela ukuhamba kwegazi kwilungu lobudoda kubandakanya:

• amayeza e-erectile dysfunction
• iziyobisi
• iibhloko ze-alpha
• amayeza okuphazamiseka koxinzelelo
• abacoci gazi
• Unyango lwehomoni
• amayeza okujongana nokusilela kokuphazamiseka kwengqondo
• ityhefu yekharbon monoksayidi
• umhlolokazi omnyama ongumlingo
• Ingxaki yemetabolism
• ingxaki ye-neurogenic
• Umhlaza obandakanya ipeni

Ugqirha unokuchonga njani ukungakhathali?

Nangona zombini ezi ntlobo ze-priapism zineempawu ezifanayo, ugqirha wakho kufuneka aqhube uvavanyo lokuchonga ukumisela ukuba unendawo yokuhambahamba okuphantsi okanye ukuhamba okuphezulu. Ukhetho lonyango luyahluka ngokuxhomekeke kuhlobo ngqo lwesimo.

Ngamanye amaxesha, oogqirha banokuchonga ukungakhathali ngokusekwe kwiimpawu kunye novavanyo lomzimba kumalungu esini. Uvavanyo olusetyenziselwa ukumisela uhlobo lokungakhathali lunokubandakanya:

Umlinganiso wegesi yegazi

Le nkqubo ibandakanya ukufaka inaliti kwilungu lobudoda nokuqokelela isampulu yegazi. Ukuba isampulu ityhila ukuba igazi kwilungu lakho lobudoda lithintelwe ioksijini, une-priapism yokuhamba kancinci. Kodwa ukuba isampulu ityhila igazi elibomvu eliqaqambileyo, unokuhamba okuphezulu kokubaluleka.

Uvavanyo lwegazi

Kuba ukunyanzeliswa kunokubangelwa zizinye izifo kunye nokuphazamiseka kwegazi, ugqirha wakho unokuqokelela isampulu yegazi ukujonga inqanaba leeseli ezibomvu zegazi kunye neeplatelets. Oku kunokunceda ugqirha wakho ukuba afumanise ukuphazamiseka kwegazi, umhlaza, kunye ne-sickle cell anemia.

Uvavanyo lweToxicology

Ukukhetha phambili kunxulunyaniswa nokusetyenziswa gwenxa kweziyobisi, ke ugqirha unokuqokelela isampulu yomchamo ukukhangela iziyobisi kwinkqubo yakho.

I-Ultrasound

Oogqirha basebenzisa i-ultrasound ukulinganisa ukuhamba kwegazi kwilungu lobudoda. Olu vavanyo lukwanceda ugqirha wakho ukuba abone ukuba ngaba ukwenzakala okanye ukwenzakala ngoyena nobangela wokungakhathali.

Luthini unyango kunyango?

Unyango luxhomekeke ekubeni unendawo yokuhamba okuphantsi okanye ukuhamba okuphezulu kokubaluleka.

Ukuba une-low-flow flow priapism, ugqirha wakho unokusebenzisa inaliti kunye nesirinji ukususa igazi elingaphezulu kwilungu lobudoda. Oku kunokuthomalalisa iintlungu kwaye kuyeke ukwenziwa okungafunekiyo.

Enye indlela yonyango ibandakanya ukutofa amayeza kwilungu lobudoda. Amayeza aya kunciphisa imithambo yegazi ephethe igazi kwilungu lakho lobudoda, kwaye wandise imithambo yegazi ephethe igazi eliphuma kwilungu lobudoda. Ukonyuka kokuhamba kwegazi kunokunciphisa ukwakhiwa.

Ukuba akukho nanye kwezi zonyango esebenzayo, ugqirha wakho unokucebisa utyando ukunceda ukuhamba kwegazi kwilungu lobudoda.

Ukuba unefluapism yokuhamba okuphezulu, unyango olukhawulezileyo alunakuba yimfuneko. Olu hlobo lokungakhathali luhlala luhamba lodwa. Ugqirha wakho unokujonga imeko yakho ngaphambi kokuyalela unyango. Unyango olubandayo kunye neepakethi zomkhenkce zinokuphelisa ulwakhiwo olungalunganga. Ngamanye amaxesha, oogqirha bacebisa utyando ukunqanda ukuhamba kwegazi ukuya kwilungu lobudoda, okanye ukulungisa imithambo eyonakaliswe ngumonzakalo kwilungu lobudoda.

Xa i-priapism iphindaphindeka, ungathetha nogqirha wakho ngokuthatha into yokuthambisa efana ne-phenylephrine (Neo-Synephrine) ukunciphisa ukuhamba kwegazi ukuya kwilungu lobudoda. Banokusebenzisa amayeza athintela i-hormone okanye amayeza okusebenza gwenxa. Ukuba imeko engacacanga ibangela ukungakhathali, njenge-sickle cell anemia, isifo segazi, okanye umhlaza, funa unyango lwengxaki ukuze ulungise kwaye uthintele ukwenzeka kwexesha lokungakhathali.

Imbonakalo ye-priapism

Imbonakalo ye-priapism ilungile ukuba ufumana unyango ngokukhawuleza. Esona siphumo siphezulu, kubalulekile ukuba ufune uncedo kulwakhiwo olude. Ngokukodwa ukuba ingxaki iyaqhubeka, ayibangelwa kukwenzakala, kwaye ayiphenduli kunyango lomkhenkce. Ukuba ishiywe inganyangwa, unyusa umngcipheko wokungasebenzi kakuhle ngokusisigxina.