Priapism: yintoni, iimpawu eziphambili kunye nonyango

Umxholo

• Indlela yokuchonga
• Kutheni le nto isenzeka
• Unyango lwenziwa njani
• Iingxaki ezinokwenzeka

Ukulungiswa okubuhlungu nokuzingisileyo, okwaziwa ngokwesayensi njenge-priapism, yimeko engxamisekileyo enokuthi ivele njengengxaki yokusetyenziswa kwamayeza athile okanye ukuphazamiseka kwegazi, njengamahlwili egazi, irhengqe yeseli yegazi okanye i-leukemia, umzekelo.

Kuba olu tshintsho lubangela ulwakhiwo olungadluliyo, izilonda kwilungu lobudoda zinokwenzeka ngenxa yegazi elingaphezulu kwaye, ke, unyango kufuneka lwenziwe ngokukhawuleza esibhedlele.

Ngokubanzi, indoda iyakwazi ukuphola ngokupheleleyo ngaphandle kokuba ibe nolunye uhlobo lwe-sequelae, nangona kunjalo, kubalulekile ukuba uye kwigumbi likaxakeka ngokukhawuleza ukunqanda ukubonakala kokonzakala.

Indlela yokuchonga

Iimpawu zinokwahluka ngohlobo lokungakhathali, kunye ne-ischemic priapism, eyingozi kakhulu, ebangela:

• Ukulungiswa okungaphezulu kweeyure ezi-4, Akudingeki ukuba ihambelane nomnqweno wesini;
• Umzimba wepenisi onzima kakhulu, kodwa incam ithambile;
• Intlungu ebuhlungu ezinokuba zimbi ngokuhamba kwexesha.

Kwimeko ye-non-ischemic priapism, iimpawu ziyafana, kodwa akukho zintlungu. Nangona kunjalo, zombini ezi meko zisemngciphekweni wokubangela izilonda ezingapheliyo kwilungu lobudoda, ezinokubangela ukungasebenzi kakuhle kwe-erectile, kwaye kuyacetyiswa ukuba uye esibhedlele xa ulwakhiwo lubangela iintlungu kwaye kuthatha ngaphezulu kweyure eli-1 ukunyamalala emva kokugqiba isikhuthazo.

Kutheni le nto isenzeka

Ulwakhiwo yinkqubo yendalo eyenzekayo xa kukho ukhuthazo lomzimba okanye lwengqondo, ngenxa yokonyuka kokujikeleza kwegazi kwilungu lobudoda, okukhokelela ekwandeni kobukhulu. Ngokwesiqhelo, ulwakhiwo luyanyamalala kwimizuzu embalwa emva kokonwaba ngokwesondo okanye emva kokuphela kwesishukumisi, kuba imithambo iyaphumla kwaye igazi liphuma kwilungu lobudoda, livumele ukuba lehle ngokobungakanani.

Nangona kunjalo, ezinye izifo, ezinjenge-sickle cell anemia, i-leukemia okanye ezinye iingxaki zegazi, zinokutshintsha ukujikeleza kwindawo esondeleyo, kuthintele ulwakhiwo ekunyamalaleni.

Ukongeza, ukusetyenziswa kweziyobisi, ukubetha kwindawo esondeleyo kunye nokusetyenziswa kwezinye iziyobisi, ezinje ngezikhuthazi zesondo, izinto ezibulala uxinzelelo okanye ii-anticoagulants, nazo zinokukhokelela kule ngxaki.

Unyango lwenziwa njani

Olona nyango lusetyenziswayo kunyango lubandakanya:

• Ukusetyenziswa koxinzelelo olubandayo: ivumela ukudambisa ukudumba komzimba kunye nokunciphisa inani legazi;
• Ukususwa kwegazi: yenziwe, nge-anesthesia yendawo, ngugqirha osebenzisa inaliti ukususa igazi elingaphezulu kwilungu lobudoda, ukukhulula iintlungu kunye nokudumba;
• Inaliti yeziyobisi ze-alpha-agonist: yenza imithambo inciphe, inciphise inani legazi elifikelela kwilungu lobudoda.

Kwiimeko ezinzima kakhulu, apho kungenakwenzeka ukusombulula ingxaki ngezi ndlela, ugqirha unokucebisa ngoqhaqho ukuvimba umthambo okhokelela kwigazi kwilungu lobudoda okanye ukukhupha lonke igazi elivela kwilungu.

Ngokubanzi, indoda iyakwazi ukuphola ngokupheleleyo ngaphandle kokuba ibe nolunye uhlobo lwe-sequelae, nangona kunjalo, kubalulekile ukuba uye kwigumbi likaxakeka ngokukhawuleza ukunqanda ukubonakala kokonzakala.

Iingxaki ezinokwenzeka

Igazi elibanjelwe ngaphakathi kwilungu lobudoda line-oksijini encinci kwaye, ke, izilonda ezincinci ziyavela ngenxa yokunqongophala kweoksijini. Xa ulwakhiwo luhlala ixesha elide, izilonda ziya zisiba mbi, ezinokubangela ukuqala kokungasebenzi kakuhle kwe-erectile.