Priapism

isifo

Ukubekwa phambili kwesimo yisimo lapho ipipi lihlala limile khona amahora uma kungekho ukushukuma noma ngemuva kokuphela kokuvuselela. [1] Kunezinhlobo ezintathu: ischemic (low-flow), nonischemic (high-flow), kanye ne-ischemic ephindaphindwayo (ngezikhathi ezithile). [1]Izimo eziningi ziyi-ischemic. [1] I-Ischemic priapism ivame ukuba buhlungu ngenkathi ukungahloniphi okungeyona imischemic kungenjalo. [1] Ku-ischemic priapism, iningi lomthondo linzima; noma kunjalo, i- glans penis ayiyona. [1] Ngokwe-priapism engeyona eyamakhemikhali, wonke umthondo unzima ngandlela thile. [1] Kuyaqabukela kakhulu, ukuthambekela kokuhlangana kwenzeka kwabesifazane.

Isifo se-Sickle cell yisona sizathu esivame kakhulu se-ischemic priapism. [1]Ezinye izimbangela zibandakanya imishanguzo efana ne- antipsychotic, i- SSRIs, i- blood thinner ne- prostaglandin E1, kanye nezidakamizwa ezifana ne- cocaine ne- cannabis . [1]I-Ischemic priapism yenzeka lapho igazi lingakhiphi ngokwanele kusuka endodeni. [1] I-nonischemic priapism imvamisa ingenxa yokuxhuma okwenzeka phakathi komthambo kanye ne- corpus cavernosum noma ukuphazamiseka kohlelo lwezinzwa lwe-parasympathetic okuholela ekwandeni kokugeleza kwemithambo. [1]I-nonischemic priapism ingenzeka kulandela ukuhlukumezeka kwepipi noma ukulimala komgogodla . [1]Ukuxilongwa kungasekelwa ngokuhlaziywa kwegesi egazini kwegazi elivela kupipi noma i- ultrasound . [1]

Ukwelashwa kuya ngohlobo. [1]I-Ischemic priapism ivame ukwelashwa nge- block block yomthondo elandelwa ukufisa kwegazi okuvela ku- corpora cavernosa . [1]Uma lokhu kunganele, i-corpus cavernosum inganiselwa ngamakhaza, usawoti ojwayelekile noma ijovwe nge- phenylephrine . [1]I-nonischemic priapism ivame ukwelashwa ngamaphakethe abandayo nokucindezela. [1]Ukuhlinzwa kungenziwa uma izinyathelo ezijwayelekile zingasebenzi. [1]Ekucabangeni okuyischemic, ubungozi bokunqunyulwa unomphela kwenduku buqala ukwanda ngemuva kwamahora amane futhi kwenzeka nakanjani ngemuva kwamahora angama-48. [1]I-Priapism yenzeka cishe kwabangu-1 000 kuya kwabangu-1 kwabesilisa abayi-100,000 ngonyaka. [1]

UkuhlukaniswaEdit

I-Priapism ihlukaniswe ngamaqembu amathathu: ischemic (low-flow), nonischemic (high-flow), kanye ne-ischemic ephindaphindayo. [1]Iningi lamacala (ayi-19 kwangu-20) angama-ischemic ngokwemvelo. [1]

Eminye imithombo inika isikhathi samahora amane njengenchazelo yobuningi, kepha eminye inika ayisithupha."Isikhathi sokwakhiwa okujwayelekile ngaphambi kokuba kuhlukaniswe njengoba kusasakazwa kusengumbango.Ukuqubuka okuqhubekayo kwepenile ngaphezulu kwamahora we-6 kungahlukaniswa njengokubheka phambili. "

Ukubekwa phambili kwabesifazane (kuyaqhubeka, ukwakhiwa okubuhlungu kwe- clitoris ) kuyivelakancane kakhulu kunokukhathazeka emadodeni futhi kwaziwa njenge-clitoral priapism noma i-clitorism.Ihlotshaniswa nokuphikelela kokuphazamiseka kocansi okuqhubekayo (i-PGAD).Imibiko yamacala ambalwa kuphela yabesifazane abahlangabezana nokukhathazeka ngokweqile okukhona. [2]

Izimpawu nezimpawuEdit

IzinkingaEdit

Ngoba ischemic priapism ibangela ukuthi igazi lihlale endondeni isikhathi eside ngokungavamile, igazi liphucwa umoya-mpilo, ongahle ulimaze izicubu zepenile.Umonakalo onjalo ungadala ukungasebenzi kahle kwe-erectile noma ukukhubazeka kwesitho sangasese sowesilisa.Ezimweni ezimbi kakhulu, uma umthondo eba nesifo esinzima semithambo, le priapism kungaholela penile esibhibhayo . [3]

IzimbangelaEdit

Ukubaluleka kokugeleza okuphansiEdit

Izimbangela ze-low flow priapism zifaka i- sickle cell anemia (evame kakhulu ezinganeni), i- leukemia, namanye ama-dyscrasias egazi afana ne- thalassemia ne- myeloma eminingi, nokusetshenziswa kwezidakamizwa ezahlukahlukene, kanye nomdlavuza. [4]

Ezinye izimo ezinjengesifo sikaFabry, kanye nezinkinga ze-neurologic ezinjengezilonda zomgogodla kanye nokuhlukumezeka komgogodla (i-priapism ibikiwe kubantu ababelengisiwe; bheka ukwakhiwa kokufa ).

Ubuningi bokugeleza okuphezuluEdit

Izimbangela zokuchaphazeleka okuphezulu zihlanganisa ukuhlukumezeka okungaqondile kwi-perineum noma ipipi, ngokuqhekeka komthambo we-cavernous, ongaveza i-arterial-lacunar fistula. [4]

I-UltrasonographyEdit

I-Sickle cell anemiaEdit

Ku-sickle-cell anemia, ukwelashwa kuqala nguketshezi olufakwa emithanjeni, imithi yezinhlungu, kanye nokwelashwa komoya-mpilo . [5] [1] Ukwelashwa okujwayelekile kwe-priapism nakho kungenziwa.Ukumpontshelwa igazi akuvamile kunconywe njengengxenye yokwelashwa kokuqala, kodwa uma ezinye izindlela zokwelapha zingasebenzi, ukumpontshelwa igazi kungenziwa. [1]

UmlandoEdit

Ama-semi-erections aqhubekayo kanye nezikhathi ezithile zokumiswa okude isikhathi eside kwesinye isikhathi kuye kwabizwa ngokuthi yi-semi-priapism. [6]

AmagamaEdit

Igama livela esiGrekini unkulunkulu Priapus ( Ancient Greek ), unkulunkulu wenzalo, ovame ukumelelwa nge-erection enkulu enkulu ngokungenakulinganiswa.

IzinkombaEdit

  1. 1.00 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 1.10 1.11 1.12 1.13 1.14 1.15 1.16 1.17 1.18 1.19 1.20 1.21 1.22 Podolej. Emergency Department Management Of Priapism..  Cite error: Invalid <ref> tag; name "EM2017" defined multiple times with different content Cite error: Invalid <ref> tag; name "EM2017" defined multiple times with different content Cite error: Invalid <ref> tag; name "EM2017" defined multiple times with different content Cite error: Invalid <ref> tag; name "EM2017" defined multiple times with different content
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  3. Penile Gangrene: An Unusual Complication of Priapism in a Patient with Bladder Carcinoma. 
  4. 4.0 4.1 Originally copied from:

    Ultrasound evaluation of the penis.  Cite error: Invalid <ref> tag; name "FernandesSouza2018" defined multiple times with different content
  5. Cite error: Invalid <ref> tag; no text was provided for refs named NIH2014
  6. Newman Herbert F., Northup Jane D. (1981). Mechanism of human penile erection: an overview.