Phakathi kwamagama abesaba abantu ukuba bathethe, "Ndiyaphule ipenisi yam," mhlawumbi kufutshane noluhlu. Ngethamsanqa, i-penile fractures ayifumanekanga. Ngokuqhelekileyo zivela kubafana abancinci, kwaye ngokuyininzi ziba khona ngexesha lokulala. Nangona kunjalo, ziyakwenzeka ngamanye amaxesha. Ngokomzekelo, ukuphulwa kweepenile kungabangelwa kukuwa okanye enye ingozi ekudleni.
Ngandlela-thile, i-term penile break is a confusion. Uninzi lwabantu ludibanisa nokuphuka kwehlabathi ngokuphula i bone. I-penis ayikho ithambo, kodwa ngokuqinisekileyo i-break is break in any material hard. Iziphuka zepenile zivame ukuvela xa ipenisi isakha, ngenxa yezizathu eziza kuchazwa ngezantsi.
Ngaba uyayazi: izazinzulu ziqikelela ukuba iifeni zepenile zixhaphake kakhulu kuMbindi Mpuma nakwiNyakatho Afrika? Oku kungakho ngenxa yokuxhaphaka kweentlobo ezithile zokuphathwa kweepenile ezidibene nomonakalo. Olunye uhlobo olunjalo lokuxhaphaza luquka "ukuxolela nokuqhawula" ipenisi ukuze kudala ukulahlekelwa ngokukhawuleza kokumiswa, okwenza umsebenzi onobungozi.
Ukufa kwePenile kwenzeka njani?
Izakhiwo ze-erectile ze-penis zisebenza ngokufanayo kumpompo ongezantsi. I-penis iqukethe izakhiwo ezibini ezinkulu ze-tubular ezaziwa njenge- corpus cavernosum. Ezi zijikelezwe ngumbumba oqinileyo, obunzima owaziwa njenge tunica albuginea , okanye i-tunica.
Xa i-penis iphakama, i-corpus cavernosa izalisa igazi kwaye iyanzima, njengama-ballo agcwalisa amanzi. Kukho ityhubhu yesithathu, i- corpus spongiosum , ejikeleze i-urethra. Isalathisi esibanzi salelo bhubhe yipeneni ye-penile. Nangona kunjalo, le bhubhu yincinci kuneyona cavernosa kwaye iphethe inxalenye encinane yegazi ekhoyo kwi-penis ngexesha lokulungiswa.
I-tunica albuginea yile membrane eqinile. Kufuneka ukuba, ukuze uqulethe igazi elibamba ipente. Nangona kunjalo, usenokuphulwa okanye uphuhliswe. I-ruptured tunica albuginea yaziwa nangokuthi i-penile fracture. Iziphuka zePenile zenzeke ngokuphindaphindiweyo ngexesha lokulungiswa ngenxa yokuba, njengokuba ibhaluni ihluthwe, i-tunica ilula kunye neenhlamba njengokuba ipenisi iyakha. Oku kwenza kube yingozi kwi-penile fracture.
Iintlungu zepenile zidla ngokuphindaphindiweyo ngexesha lokulala . Ngokuqhelekileyo kukholwa ukuba indawo eqhelekileyo apho ezi ziqhekeza zenzeka khona kulo mfazi kwisithuba esiphambili, nangona kungekho idatha efanelekileyo yokuxhasa le nto. Nangona kunjalo, iintlobo zeepenile ziyakwenzeka ngexesha lokulala kwezinye iindawo. Ukongezelela, iifeni ze-penile ziyakwenzeka ngexesha lokunyanzeliswa kwepenisi, njengobuncitsho obunamandla. Kananjalo kungabangelwa yintlungu, kubandakanywa ukuguqulwa kwamandla emzimbeni okanye ukuqhubela phambili kwi-penis.
Ngexesha elithile ukuphulwa kwepenile, kudlala isandi sokuqhawula. Ngamanye amaxesha kuchazwa njengento efanayo nokuphula iidizi. Emva koko ipente ilahlekelwa ngokukhawuleza kwayo. Le ntsholongwane ilandelwa ngokukhawuleza ngokuvuvukala kunye nokunyunyuza, okukhokelela ekwenzeni ukutshatyalaliswa kweqabunga lokudala .
Olunye ukulimala kwimithambo kunye neemvini zepenisi kunokukhokelela kwiimpawu ezifanayo.
Yintoni i-Deplant Deplantity?
Ukutshatyalaliswa kweqanda kukuvumela ukubonwa ngokuthe ngqo kwintlungu ye-penile. Xa i-tunica iphuka, igazi ligeleza kumathishini azungezile. Oku kwandisa uxinzelelo kwiimpawu ezijikelezileyo, kubangela ukuba ipenisi iguqulwe kwisayithi yokuphuka. I-penis iphinda ivule kwaye ibe ngumbala ococekileyo, ngenxa yokuxuba igazi phantsi kwesikhumba. Ukudibanisa umbala, i-curve, kunye nokuvuvukala, kuthetha ukuba ipenisi ephukile ifana ne-eggplant.
Ngaloo ndlela, i-penis eyalimala kuthiwa ine-deformity ye-eggplant deformity.
Ukuxilongwa
Ukuxilongwa kokuqala kwepenile fracture ngokuqhelekileyo kuxhomekeke kwinkcazo yendlela ukulimala kwenzeka ngayo. Ukuba iimeko neembonakalo yinto ekulindelwe kwi-penile fracture, mhlawumbi enye. Nangona kunjalo, ngokubanzi ukuhlola kuyimfuneko ukucacisa indawo kunye nobukhulu bokulimala. Kubalulekile, umzekelo, oogqirha ukuba banqume ukuba i-urethra yenzakele. Oku kungadinga ukulungiswa kokuhlinzwa.
Ingaba i-ultrasound okanye i-MRI ingasetyenziselwa ukubeka umonakalo kwipenisi ecingelwa ukuba iyaphula i-penile. Ezi zindlela zingasetyenziselwa ukufumanisa ukuba i-urethra ichithwe okanye yonakaliswe. Zingasetyenziselwa ukuchonga ezinye iinkxalabo ezifana nokulimala kwimida kunye neemvini zepenisi.
Ngaba i-Penile Fracture i-Emergency?
Ukuphulwa kwePenile ngokuqhelekileyo kuthathwa njengongxamiseko. Oogqirha baya kufuna ukulungiswa ngokukhawuleza kwe-tunica elimazileyo, kunye naliphi na izakhiwo ezilinzakeleyo ze-penis. Ukulungiswa kokugada kwenza kube lula ukuba kukho naziphi na iingxaki zexesha elide kunye ne- erectile disys function or deformities of penis. Ukulungiswa ngokukhawuleza kwintetho kuthetha ukuba akukho nethuba lokunciphisa okanye umonakalo owongezelelweyo ngexesha lokuphulukiswa kwendalo. Ezi ngxaki zinokuthi zenzeke ngokukodwa xa kukho umlambo wokuvuza emanzini e-penis ukusuka kumonakalo ukuya kwi-urethra. Ngaloo ndlela, abantu abafumana iimpawu zephunga elipenile kufuneka bafike kugqirha wabo okanye kwigumbi lexakeka ngokukhawuleza.
Unyango
Ukulungiswa okukhawulezileyo yonyango oluqhelekileyo lokuphulwa kweepenile. Uhlalutyo lwe-meta lwama-2016 luboniswe ukuba amadoda aphethwe emva kokuphuka ayengaphantsi kakhulu ukuba abe neengxaki zangexesha elide kunezo zizahlulo zazo ezilawulwe ngokubanzi. Kukho ukungavumelani nantoni na ukuba ngaba utyando kufuneka lwenzeke ngokukhawuleza okanye ukuba lulibaziseka ukuya kwiiyure ezingama-24.
Ukuphuluka kwexesha ixesha lokuphucula liyahluka kakhulu, kuxhomekeke kuhlobo lokuphulwa kunye nenkqubo yokucoca ethile. Amadoda angabakho esibhedlele naphi na phakathi kweentsuku kunye neeveki ezintathu. Ngethamsanqa, kuphela iqhezu elincinci lamadoda aneentlobo zepenile ezinamava amaninzi emva kokuhlinzwa. Uhlalutyo lwe-meta ka-2016, olubandakanya izifundo ezingama-58 zezigulane ezingaphezulu kwe-3,000, zafumanisa ukuba ngaphantsi kwama-2 ekhulwini amadoda aphethwe yi-penile fracture ahlangene ne-erectile. Ukongezelela, ngaphantsi kwama-3 ekhulwini anamava aphelileyo . Lezo manani zaziphakamileyo kakhulu (i-22 ne-13 ekhulwini ngokulandelanayo) kumadoda aphethwe yi-penile fractures ngaphezulu.
> 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 ephukileyo: Akunjalo! Urol Int. 2017; 99 (1): 63-68. I-doi: 10.1159 / 000458448
> Truong H, Ferenczi B, Cleary R, Healy KA. I-Dorsal Exenal Venous Ukuphakama kwePenis: Ukuwaphuka kwePenile Fracture efuna ukunyangwa njenge-True Urologic Emergency. Urology. 2016 Nov; 97: e21-e22. i-doi: 10.1016 / j.urology.2016.08.030
> Zare Mehrjardi M, iDarabi M, Bagheri SM, Kamali K, Bijan B. Indima ye-ultrasound (i-US) kunye ne-imagery magnetic resonance (MRI) kwimephu yokuphulwa kweepenile yokulungiswa kokucwangciswa okucwangcisiweyo. Int Urol Nephrol. 2017 Juni; 49 (6): 937-945. i-doi: 10.1007 / s11255-017-1550-x