He aha te Priapism? Tohutohu, Take, me te Maimoatanga

Ko te priapism tetahi whakaoho roa, mamae e roa atu ana i te whā haora kahore he whakaoho ira tangata, kāhore hoki he whakaohooho. Me kimi wawe te awhina hauora mō tēnei āhuatanga, nā te mea ka pakaru te ure, ā, ka pāngia tonu te whakaoho mena kāhore i te maimoatia.

Whakaarohia te pūnaha toto o tō tinana kua mau ki te tūnga ‘whakaoho’ ina hoki mai ki te noho mārama. Ahakoa ka whakama koe ki te kōrero mō tēnei, he āhuatanga hauora pono tēnei e āta whakahaeretia ana e ngā tākuta.

He aha ngā tohu o te priapism?

Ko te tohu matua tētahi whakaoho e kore e mutu ana, e roa atu ana i te whā haora. Ka kite koe kei te mau tonu te whakaoho ahakoa kāhore he whakaaro ira tangata, whakaohooho rānei.

Ko ēnei ngā tohu nui e whakaatu ana pea kei te pāngia koe e te priapism:

• Whakaoho e roa atu ana i te 4 haora
• Whakaoho kāhore e hono atu ki te whakaoho ira tangata
• Te pito o te ure e pakari ana, engari he ngawari te pito (te momo tino noa)
• Te mamae e piki haere ana, e kino haere ana i te wā
• Te uaua ki te mimi i etahi wā
• Te ure mamae, ngawari rānei ki te pa

Ka timata te mamae hei iti te kore ngāwari, engari ka tino kino haere i te wā. Ka puta tēnei na te mau o te toto, ā, ka heke te taumata hau i roto i te kiko.

He aha ngā momo priapism?

E rua ngā momo matua o te priapism, ā, ko te matauranga i te rerekētanga ka āwhina i ngā tākuta ki te whiriwhiri i te huarahi maimoatanga tika. Ko te momo kei a koe ka pā ki te tere o te maimoatanga, me te huarahi hauora motuhake e hiahiatia ana.

Ko te priapism ischemic (e kiia ana hoki ko te priapism iti-toto) te momo tino noa, tino kino hoki. Ka mau te toto ki te ure, ā, kāhore e taea te rere tika, ka ngaro te hau i te kiko. Ka puta tēnei momo i te mamae nui, ā, me maimoatia wawe kia kaua e pakaru tonu.

Ko te priapism kore-ischemic (e kiia ana hoki ko te priapism nui-toto) ka puta ina nui rawa te toto e rere ana ki te ure, te nuinga na te whara. Ko tēnei momo te nuinga kāhore he mamae, kāhore hoki he tere, ahakoa he hiahia tonu ki te tiaki hauora. Ka tino pakari pea te ure, engari kāhore i te tino pakari.

He aha ngā take o te priapism?

Ka puta te priapism mai i ngā āhuatanga me ngā whakaohooho rerekē e pā ana ki te rere o te toto ki te ure. I etahi wā kāhore e mārama te take tika, engari ka taea e ngā tākuta te kimi i ngā take tautoko i te wā o te aromatawai.

Ko ēnei ngā take tino noa:

• Te mate huka (e 40% pea o ngā take)
• Ngā rongoā mō te ngoikore o te whakaoho ina whakamahia he
• Ngā rongoā whakaheke toto pēnei i te warfarin, heparin rānei
• Ngā rongoā pouri, ina koa te trazodone
• Ngā rongoā toto
• Ngā raau taero whakangahau, ina koa te cocaine
• Te inu waipiro nui
• Te whara ki te ure, ki te wheua rānei

Ko ētahi atu take ka taea, engari kāhore i te noa, ko te leukemia, ētahi atu mate toto, ngā whara o te uaua o te tuara, me ētahi mate. I etahi wā, ka puta te priapism kāhore he whakaohooho e taea te kitea, e kiia ana e ngā tākuta ko te priapism idiopathic.

Nōhea te haere ki te tākuta mō te priapism?

Me kimi wawe te awhina hauora mena kei a koe tetahi whakaoho e roa atu ana i te whā haora. Kāhore tēnei he āhuatanga e taea te whakahaere i te kāinga, te tatari rānei, nā te mea ka nui haere te tūponotanga o te pakaru tonu mena ka whakaroa te maimoatanga.

Haere atu ki te ruma āwhina wawe mena ka pāngia koe e te whakaoho mau tonu me te mamae, ahakoa kāhore anō kia tae ki te whā haora. Ko te maimoatanga wawe ka hoatu ki a koe te tupono pai rawa ki te tiaki i te mahi noa, ki te karo i ngā raruraru.

Kaua e tuku i te whakama ki te whakaroa i tō whakatau ki te kimi awhina. Ka whakahaeretia ngā āhuatanga penei e ngā kaimahi o te ruma āwhina me ngā tohunga urology, ā, ka āta whakahaeretia koe.

He aha ngā take tūponotanga mō te priapism?

Ko ētahi āhuatanga me ngā āhuatanga ka piki ake te tūponotanga o te priapism. Ko te matauranga i ō take tūponotanga ka āwhina ia koe ki te mohio wawe ki te āhuatanga, ki te kimi hoki i te tiaki hauora e tika ana.

Ko ēnei ngā take tūponotanga matua me mōhio:

• Te mate huka, te āhua huka rānei
• Ētahi atu mate toto pēnei i te leukemia, thalassemia rānei
• Te tango i ngā rongoā mō te ngoikore o te whakaoho
• Te whakamahi i ngā raau taero whakangahau, ina koa te cocaine, te mariuana rānei
• Te whara o te uaua o te tuara
• Te whara hou ki te rohe ira tangata
• Te tango i ētahi rongoā
• Te hītori o te priapism

He mea nui hoki te tau, ko te priapism te nuinga o ngā tamariki kei te 5-10 tau (te nuinga na te mate huka), me ngā tāne kei te 20-50 tau. Mena kei a koe tētahi o ēnei take tūponotanga, kōrerohia ngā rautaki aukati ki tō tākuta.

He aha ngā raruraru pea o te priapism?

Ko te raruraru tino kino o te priapism kāhore i te maimoatia ko te ngoikore tonu o te whakaoho, e puta ana ina pakaru te hau i te kiko o te ure. Ka kore pea e taea te whakahoki mai tēnei pakaru mena ka whakaroa te maimoatanga neke atu i te 24-48 haora.

Ko ēnei ngā raruraru pea:

• Te kore e taea te whakaoho, te mau rānei i ngā whakaoho
• Te tohu o te kiko ure
• Te āhua o te ure
• Te mamae roa
• Te pouri hinengaro me te manukanuka
• Ngā raruraru whanaungatanga
• Te gangrene i ngā take tino kino, tino onge

Ko te rongo pai ko te maimoatanga wawe ka whakaiti i ēnei tūponotanga. Ko te nuinga o ngā tāne e whiwhi ana i te maimoatanga i roto i ngā 24 haora tuatahi ka mau tonu te mahi whakaoho noa. Koia te take he mea nui te tiaki hauora wawe.

Me pēhea te whakatau i te priapism?

Ka taea e ngā tākuta te whakatau i te priapism i runga i ō tohu me te tirotiro tinana. Ko te whakatau te nuinga he ngāwari, engari ko te kimi i te take me te momo e hiahia ana ki ētahi atu whakamātautau.

Ka ui tō tākuta ki ō hītori hauora, ngā rongoā kei te tangohia e koe, me te whakamahinga raau taero hou. Ka mahi rātou i tetahi tirotiro tinana hei aromatawai i te pakari o te whakaoho, hei tirotiro hoki i ngā tohu o te whara, o te mate rānei.

Ko ētahi atu whakamātautau pea ko ngā whakamātautau toto hei tirotiro i te mate huka, ngā mate, ngā raruraru toto rānei. I etahi wā, ka whakamahi ngā tākuta i te ultrasound hei ine i te rere o te toto ki te ure, e āwhina ana ki te wehewehe i ngā momo priapism e rua, ā, e aratohu ana i ngā whakatau maimoatanga.

He aha te maimoatanga mō te priapism?

Ko te maimoatanga e whakawhirinaki ana ki te momo priapism kei a koe, me te roa o te whakaoho. Ko te whāinga ko te whakahoki i te rere o te toto noa, me te aukati i te pakaru o te ure.

Mō te priapism ischemic, ka timata ngā tākuta ki te pupuhi ngira, kei reira rātou e whakamahi ana i tetahi ngira iti hei tango i te toto kua mau mai i te ure. Ko tēnei mahi te nuinga ka hoatu te whakaora wawe, ā, ka taea te mahi i te ruma āwhina me te anesthetic rohe.

Mena kāhore te pupuhi e mahi, ka whakauru pea tō tākuta i ngā rongoā tika ki te ure hei āwhina i te whakaiti i ngā uaua toto, hei whakaiti i te rere o te toto. Ko ngā rongoā noa ko te phenylephrine, epinephrine rānei, he noa, he whai hua.

I ngā take kino e kore e whakautu ki ēnei maimoatanga, pea ka hiahiatia te pokanga. Ko ngā whiringa pokanga ko te hanga i tetahi shunt (bypass) hei whakawhitinga i te rere o te toto, i etahi wā onge rānei, ngā mahi uaua ake hei whakahoki i te rere noa.

Ko te priapism kore-ischemic te nuinga ka mutu ake i te wā, no reira ka tūtohu pea ngā tākuta ki te tatari me te tirotiro tonu. Heoi, mena ka mau tonu, ko ngā whiringa maimoatanga ko ngā rongoā, ngā mahi rānei hei whakaiti i te rere o te toto ki te rohe.

Me pēhea te whakahaere i ngā tohu i te kāinga i te wā o te priapism?

Ahakoa he hiahia te priapism ki te maimoatanga hauora ngaio, he torutoru ngā mea ka taea e koe te mahi i te wā e haere ana koe ki te hōhipera ka āwhina pea ki te whakaora. Heoi, ehara ēnei i ngā whakakapi mō te tiaki hauora āwhina.

Ka taea e koe te tamata ki te horoi wera, te kaukau wera rānei, ka āwhina pea ki te whakamahana i ngā uaua toto, ki te whakapai ake i te rere. Ka kite etahi tāne ko te whakakori mā, pēnei i te hikoi, te piki i ngā kaupae rānei, ka āwhina ki te whakawhitinga i te rere o te toto atu i te rohe ira tangata.

Whakamahia ngā putea huka ki ngā huha o roto, ki te perineum rānei (te rohe i waenganui i ngā ira tangata me te tara) mō te 10-15 meneti i te wā. Kaua rawa e whakamahi huka tika ki te ure, na te mea ka pakaru atu te kiko.

Kaua e mahi ira tangata, whakaohooho rānei, na te mea ka kino pea te āhuatanga. Kaua hoki e whakamahi i ngā rongoā, maimoatanga rānei ka kitea e koe i runga i te ipurangi, na te mea ka kino, ka whakaroa hoki te tiaki hauora tika.

Me pēhea te whakarite mō tō whakatau ki te tākuta?

Mō te priapism, ka haere pea koe tika ki te ruma āwhina, kāhore he whakarite i tetahi whakatau noa. Heoi, ko te whakarite ki ngā korero ka āwhina i ngā tākuta ki te whakahaere i a koe.

Tuhituhia, mahara rānei ki ngā rongoā katoa kei te tangohia e koe, tae atu ki ngā rongoā, ngā rongoā kore-whakahaunga, me ngā taapiri. Tāpirihia ngā raau taero whakangahau mena e tika ana, na te mea he mea nui tēnei korero mō te whakatau me te maimoatanga.

Whakaritea he hītori hauora poto tae atu ki ngā mate toto, ngā wāhanga o mua o te priapism, ngā whara hou ki te rohe ira tangata, me ngā āhuatanga roa kei a koe. Tākina hoki te wā i tīmata ai te whakaoho, me ngā mahi, āhuatanga rānei i mua i reira.

Mau mai he rārangi o ō tākuta o nāianei me ō rātou korero whakapā, ina koa mena kei te maimoatia koe mō te mate huka, mate toto, te tango rānei i ngā rongoā mō te ngoikore o te whakaoho. Ka āwhina tēnei i te rōpū āwhina wawe ki te whakahaere i tō tiaki.

Ka taea te aukati i te priapism?

Ahakoa kāhore e taea e koe te aukati i ngā take katoa o te priapism, ka taea e koe te mahi hei whakaiti i tō tūponotanga, ina koa mena kei a koe ngā take tūponotanga e mohiotia ana. Ko ngā rautaki aukati e arotahi ana ki te whakahaere i ngā āhuatanga e mohiotia ana, ki te karo i ngā whakaohooho e mohiotia ana.

Mena kei a koe te mate huka, mahi tata ki tō hematologist hei whakahaere tika i tō āhuatanga. Noho makuku, karo i ngā pāmahana nui, whai i tō mahere maimoatanga kia whakaiti i te tūponotanga o ngā raruraru huka ka whakaohooho i te priapism.

Whakamahia ngā rongoā ngoikore o te whakaoho tika i te mea i whakaritea e tō tākuta. Kaua rawa e nui atu i te horoinga i tūtohutia, kaua hoki e whakakotahi i ngā rongoā ED rerekē. Mena kei te whakamahi koe i ngā rongoā whakauru mō te ED, whai i ngā tikanga whakauru tika me ngā aratohu horoinga.

Karohia ngā raau taero whakangahau, ina koa te cocaine me te waipiro nui, ka piki ake pea tō tūponotanga. Mena kei te tango koe i ngā rongoā e mohiotia ana ka puta te priapism hei pānga taha, kōrerohia ngā whiringa atu ki tō tākuta mena ka kite koe i ētahi tohu e awangawanga ana.

He aha te mea nui mō te priapism?

He āhuatanga hauora wawe te priapism e hiahia ana ki te tiaki wawe, engari me te maimoatanga wawe, ka ora te nuinga o ngā tāne kāhore he raruraru roa. Ko te mea nui ko te mohio wawe ki ngā tohu, me te kimi awhina wawe.

Kia mahara ko tetahi whakaoho e roa atu ana i te whā haora e hiahia ana ki te tiaki hauora āwhina, ahakoa he mamae, kāhore rānei. Kaua e tuku i te whakama ki te aukati i a koe ki te whiwhi i te maimoatanga e hiahia ana koe – ka whakahaeretia ngā āhuatanga penei e ngā kaiwhakarato hauora.

Mena kei a koe ngā take tūponotanga pēnei i te mate huka, te tango rānei i ētahi rongoā, kōrerohia ngā rautaki aukati ki tō tākuta. Ko te mohio me te whakarite ka āwhina ia koe ki te whakautu wawe mena ka puta te priapism, ā, ka āwhina pea ki te aukati i te puta mai i te timatanga.

Ngā pātai e ui pinepinetia ana mō te priapism

P: He mamae tonu te priapism?

Kāhore tonu, engari ko te nuinga o ngā take o te priapism ischemic (te momo tino noa) ka piki haere te mamae i te wā. Ka iti pea te mamae o te priapism kore-ischemic, engari ko tetahi whakaoho mau tonu e roa atu ana i te whā haora e hiahia ana ki te tiaki hauora ahakoa te taumata mamae.

P: Ka taea te puta atu te priapism neke atu i te kotahi wā?

Ae, ka pāngia etahi tāne e te priapism e puta ana, ina koa rātou e mate huka ana, ētahi atu mate toto rānei. Mena kua pāngia koe e te priapism i mua, kei te nui ake tō tūponotanga mō ngā wāhanga o muri, no reira he mea nui te mahi tahi me tō tākuta mō ngā rautaki aukati, me te whakarite i tetahi mahere āwhina wawe.

P: Ka taea e au te whakaoho noa i muri i te priapism?

Ko te nuinga o ngā tāne e whiwhi ana i te maimoatanga wawe i roto i ngā 24 haora ka mau tonu te mahi whakaoho noa. Heoi, ka piki ake te tūponotanga o te ngoikore tonu o te whakaoho mena ka whakaroa te maimoatanga. Ko te tere o te whiwhi maimoatanga, ko te pai ake o ō tupono ki te tiaki i te mahi ira tangata noa.

P: Ka pāngia te hua o te priapism?

Ko te priapism anō kāhore te nuinga e pā ana ki te hua, ki tō kaha rānei ki te whānau tamariki. Ko te āhuatanga e pā ana ki te rere o te toto ki te ure, kāhore ki te whakaputa purapura, e puta ana i ngā pū. Heoi, ko ngā raruraru kino mai i te priapism kāhore i te maimoatia ka pā pea ki te mahi ira tangata me te whanaungatanga.

P: Me whakama ahau ki te kimi maimoatanga mō te priapism?

Kāhore rawa. He āhuatanga hauora wawe te priapism, ā, kua whakangungua ngā kaiwhakarato hauora ki te whakahaere i ēnei āhuatanga. Ka kite ngā kaimahi o te ruma āwhina me ngā tohunga urology i ēnei take, ā, ko tō hauora me tō oranga te mea nui ki a rātou, kāhore he whakahe ki tō āhuatanga.