Phakathi kwemisho abantu abesabayo yokukhuluma, "Ngiphule ipeni yami," cishe eduze naphezulu kohlu. Ngenhlanhla, ukwehlukana kwe-penile kuyinto engavamile kakhulu. Ngokuvamile zivela ezinsizweni, futhi ikakhulukazi zenzeka ngesikhathi sokulala. Noma kunjalo, zingenzeka ngezikhathi ezithile. Isibonelo, ukuphuka kwe-penile kungaba umphumela wokuwa noma okunye ukuhlukumezeka ku-penis evulekile.
Ngandlela-thile, igama elithi penile fracture liyinto edidekayo. Iningi labantu lihlobanisa ukuhlukana komhlaba nokuphulwa kwethambo. I-penis ayiyona ithambo, kepha ngokuqondile ukuphuka kuyiphupho kunoma iyiphi into enzima. Amaphutha e-penile avame ukuvela lapho ipenisi isungulwa, ngenxa yezizathu ezizochazwa ngezansi.
Ingabe Bewazi: Ososayensi balinganisela ukuthi ama-penile fractures ajwayelekile kakhulu eMiddle East naseNyakatho Afrika? Lokhu kungenzeka ngenxa yokusabalalisa kwezinhlobo ezithile zokuphathwa kabi kwe-penile ezihlobene nomonakalo. Uhlobo olunjalo lokuxhaphaza luhilela "ukuxoxisa nokuqhaqhaza" i-penis ukudala ukulahleka okusheshayo kokwakhiwa, okuwumsebenzi owingozi kakhulu.
Ukuhlukunyezwa Kwama-Penile Kwenzeka Kanjani?
Izakhiwo ze-erectile ze-penis zisebenza ngendlela efanayo nepompo elikwazi ukuguquka. I-penis iqukethe izakhiwo ezimbili ze-tubular ezinkulu ezibizwa ngokuthi i- corpus cavernosum. Lezi zizungezwe i-membrane enamandla, enamandla eyaziwa ngokuthi i- tunica albuginea , noma i-tunica.
Lapho i-penis isakha, i-corpus cavernosa igcwala igazi futhi iyanzima, njengamabhaloni agcwalisa amanzi. Kukhona ne-tube yesithathu, i- corpus spongiosum , ejikeleza urethra. Ithimba elibanzi lalelo bhubhu yi-gleni ye-penile. Kodwa-ke, leli thubhu liyingcosana kakhulu kune-Cavernosa elungile futhi liphethe ingxenyana encane yegazi elikhona e-penis ngenkathi kulungiswa.
I-tunica albuginea i-membrane eqinile kakhulu. Kumele kube, ukuze iqukethe igazi elibamba i-penis evulekile. Noma kunjalo, ingasaphazwa noma iphulwe. I-ruptured tunica albuginea ibizwa nangokuthi i-penile fracture. Ama-fracture ama-penile ayenzeka kaningi ngesikhathi sokuphuza ngoba, njengoba nje ibhaluni lihlanjululwa, i-tunica ilula futhi iminyene njengoba ipeni liqala. Lokhu kwenza kube yingozi kakhulu ekuqhekekeni kwe-penile.
Ukuphuka kwama-penile kuvame ukuvela ngesikhathi sokulala ngokomzimba . Ngokuvamile bakholelwa ukuthi isikhundla esivame kakhulu lapho lezi ziphuka zenzeka khona kulo wesifazane onesikhundla esiphakeme, nakuba kungekho idatha enhle yokusekela lokhu. Kodwa-ke, ukuhlukunyezwa kwe-penile nakho kungenzeka ngesikhathi sokulala kwezinye izikhundla. Ngaphezu kwalokho, ukuphuka kwe-penile kungenzeka ngenkathi kusetshenziselwa ubuciko obunamandla, njengokushaya indlwabu enamandla. Zingahle zibangelwa ukuhlukumezeka, okufaka phakathi ukuguqa okunamandla kwe-penis evulekile noma ngokuguqa phezu kwendoda evulekile.
Ngenkathi kwenzeka ukuphuka kwe-penile, ngokuvamile kuvame umsindo wokuqhekeka. Ngezinye izikhathi lichazwe njengokufana nokuphuka ingilazi. Khona-ke ipenisi isheshe ilahlekelwe ukuqina kwayo. Lokhu kutholakala ngokushesha kulandelwa ukuvuvukala nokulimaza, okuholela ekuqotheni kwesitshalo seqanda.
Okunye ukulimala emithanjeni nasemithanjeni yepenisi kungabangela izimpawu ezifanayo.
Kuyini Ukuguqulwa Kweqabunga?
Ukukhubazeka kwesitshalo seqanda kuvumela ukubonwa ngokuqondile okubonakalayo kokuqhekeka kwe-penile. Lapho i-tunica iphuka, igazi ligeleza ezihlotsheni ezizungezile. Lokhu kwandisa ingcindezi emathisini azungezile, okwenza ukuba ipeni liguqulwe esakhiweni sokuqhekeka. I-penis nayo ivame ukuvuvukala futhi iba umbala ogqamile, ngenxa yokuhlanganiswa kwegazi ngaphansi kwesikhumba. Inhlanganisela yombala, ijika, nokuvuvukala, kusho ukuthi i-penis ephukile ifana nesitshalo seqanda.
Ngakho-ke, ipenisi elimele kuthiwa ine-deformity ye-eggplant.
Ukuxilongwa
Ukuxilongwa kokuqala kokuphuka kwe-penile kuvame ukuchaza ukuthi ukulimala kwenzeka kanjani. Uma izimo nokubukeka kungalindeleka ekuphukeni kwe-penile, cishe kungenye. Kodwa-ke, ukuhlola okuqhubekayo kuyadingeka ukuthi kunqunywe ukuthi kunjani ukulimala. Kubalulekile, isibonelo, odokotela ukuthola ukuthi i-urethra ikalé yini. Lokho kungadinga ukulungiswa kokuhlinzwa.
Noma i-ultrasound noma i-MRI ingasetshenziselwa ukudweba ukulimala epenis okucatshangwa ukuthi iphuka i-penile. Lezi zindlela zingasetshenziselwa ukubona ukuthi i-urethra idiliziwe noma yonakaliswa. Zingasetshenziselwa ukukhomba ezinye izikhathazo ezifana nokulimala emithanjeni nasemithanjeni yepenisi.
Ingabe i-Penile Fracture i-Emergency?
Ukuphuka kwe-penile ngokuvamile kubhekwa njengokuphuthumayo. Odokotela bazofuna ukwenza ukulungiswa okusheshayo kwe-tunica elimele, kanye nanoma yiziphi ezinye izakhiwo ezimele ze-penis. Ukulungiswa kokuhlinzwa kwenza kube lula ukuthi kuzoba nezinkinga zesikhathi eside nge- erectile ukungasebenzi noma ukukhubazeka kwepenisi. Ukulungiswa okusheshayo kusho ukuthi kunethuba elincane lokulimala noma ukulimala okwengeziwe phakathi nenqubo yokuphulukisa yemvelo. Lezi zinkinga zingase zenzeke ikakhulukazi uma kukhona umchamo wokuvuza emanzini wepenisi kusukela emonakalweni we-urethra. Ngakho-ke, abantu abathola izimpawu zokuphuka kwe-penile kufanele bafike kudokotela wabo noma ekamelweni eliphuthumayo ngokushesha ngangokunokwenzeka.
Ukwelapha
Ukulungiswa okusheshayo kuyindlela yokwelapha ejwayelekile yokuphulwa kwe-penile. Ukuhlaziywa kwe-meta ka-2016 kutholakale ukuthi amadoda ahlinzwa emva kokuphuka ayengencane amathuba okuba nezinkinga zesikhathi eside kunalabo abahlukumezekile babo ngokweqile. Kuncane kokuvumelana ngokuthi ngabe ukuhlinzwa kufanele kudlule ngokushesha noma uma kungenziwa ukubambezeleka kuze kube amahora angu-24.
Isikhathi sokuphumula sokuhlinzwa sihluka kakhulu, kuye ngokuthi uhlobo lokuphuka kanye nenqubo ethile yokuhlinzwa. Amadoda angase abe esibhedlela kunoma yikuphi phakathi kosuku olulodwa namasonto amathathu. Ngenhlanhla, ingxenyana encane yamadoda aneziphuzo eziphuthumayo ihlangabezana nezinkinga ezinkulu ngemuva kokuhlinzwa. Ukuhlaziywa kwe-meta ka-2016, okubandakanya izifundo ezingu-58 zeziguli ezingaphezu kuka-3 000, bathole ukuthi abangaphansi kwamaphesenti amabili wamadoda abahlinzekwa ukuphulwa kwe-penile asebenze isikhathi eside erectile ukungasebenzi. Ngaphezu kwalokho, ngaphansi kwezingu-3 amaphesenti abhekana nokuvinjelwa okuhlala njalo kwepeni . Lezo zinombolo zaziphakeme kakhulu (ngamaphesenti angu-22 no-13 ngokulandelana) kwabesilisa abahlukunyezwa ngamapenile ngaphezulu kakhudlwana.
> Imithombo:
> Amer T, Wilson R, uClosta P, et al. I-Penile Fracture: I-Meta-Analysis. Urol Int. 2016; 96 (3): 315-29. i-doi: 10.1159 / 000444884
> Tamhankar AS, Pawar PW, Sawant AS, et al. I-Penis ephukile: Akunjalo kakhulu! Urol Int. 2017; 99 (1): 63-68. i-doi: 10.1159 / 000458448
> Truong H, Ferenczi B, Cleary R, Healy KA. Ukuqothulwa kobuhlungu obuningi be-Penis: Ukuphuka kwePenile okungamanga okumele kuhanjiswe njengezimo eziphuthumayo ze-Urologic. Urology. 2016 Nov; 97: e21-e22. i-doi: 10.1016 / j.urology.2016.08.030
> Zare Mehrjardi M, Darabi M, Bagheri SM, Kamali K, Bijan B. Indima ye-ultrasound (i-US) ne-imagination resonance imaging (MRI) ekumephukeni kwepenile ukuphuka ukulungiswa kokuhlinzwa okulungisiwe. I-Int Urol Nephrol. 2017 Jun; 49 (6): 937-945. i-doi: 10.1007 / s11255-017-1550-x