Ukuchezuka komthondo - Induratio ipipi plastica - umthondo ugobile
- I-Penile curvature ingaba yokuzalwa noma yenzeke kamuva ngokuzenzakalelayo (imvamisa ngenxa ye-Induratio penis plastica (IPP)
- umthondo ucishe ube nokugobile kancane
- i-congenital curvature ingahlotshaniswa nokungahambi kahle kwe-urethra
- I-IPP ingenzeka ngokuzenzakalelayo
- Imbangela ayizange icaciswe ngokucacile noma izici ezimbalwa zingacatshangwa njengezibangeli
- ukwelashwa kokuhlinzwa ikakhulukazi eminyakeni engaphezu kwengama-50
- ukusetshenziswa okwandayo kwemishini yokwelula umthondo ukugoba kwepipi
Ukuchezuka komthondo - incazelo kanye nohlolojikelele
Isifo sokuzalwa noma esitholiwe sesitho sowesilisa sibizwa ngokuthi ukuphambuka kwe-penile. Ibonakala esimweni sokusukuma somthondo njengokuchezuka kwe-eksisi noma ukugoba. Ezimweni eziningi, ukuchezuka kwe-penile okutholiwe kubangelwa i-induratio penis plastica (IPP). Isithombe somtholampilo sachazwa ekuqaleni kuka-1561. Kodwa kwakunguFrancois de la Peyronie, udokotela siqu weNkosi yaseFrance uLouis XIV, owenza i-induratio penis plastica isifo esichazwe ngokucacile ngokwezokwelapha ngo-1743, yingakho igama elithi "Peyronie's disease", elisetshenziswa kakhulu endaweni yase-Anglo-American . Kubalulekile ukwazi ukuthi i- induratio penis plastica ayisona isifo esiyingozi!
Ukuchezuka komthondo / ukugoba komthondo: izimpawu
Ipipi lowesilisa liqonde ngokuphelele ezimweni ezingavamile. Emadodeni amaningi, igobela phezulu, phansi, noma eceleni lapho ivuswa. Ukuchezuka komthondo kungabonakala njengohlobo lwe-kink esithweni esiqondile, kodwa futhi kungathinta "ukuqondanisa" kwawo wonke umlenze. I-congenital, ebizwa ngokuthi i-congenital penile deviation ihlukaniswe ngamafomu kanye namafomu ngaphandle kokukhubazeka kwe-urethra. Ukungasebenzi kahle kwe-urethra kukhona ku-epispadias kanye ne-hypospadias. Kulezi zimo, ukuvuleka kwe-urethral kuba ngemuva kwepipi noma ngaphansi kwepipi. Lapho kungekho khona ukonakala kwe-urethra, iziguli azinazo izimpawu ezimweni eziningi.
Ukuxilongwa kokuphambuka komthondo kuvame ukwenziwa ngesikhathi sokuthomba. Endabeni ye-induratio penis plastica, izinguquko ezinkulu ziphakathi kwe-tunica albuginea ne-corpora cavernosa. I-tunica albuginea igobolondo eliqinile lezicubu ezixhumene ne-taut ezizungeze izicubu eziqhanyelwe zomthondo, phakathi kwezinye izinto. I-corpora cavernosa yakha imizimba emibili kwemithathu ye-cavernous yepipi. Ukuqina kwefomu lapha, okubizwa ngokuthi ama-fibrous induration, okungazwakala njengamapuleti noma amafindo futhi abhekene nokuchezuka komthondo. Ipuleti eliqinile elizwakalayo laziwa nangokuthi i-plaque. I-Induratio penis plastica ingenzeka ngobusuku obubodwa, phakathi kwezinye izinto ngenxa ye-phlebitis endaweni yepipi. Esigabeni sokuvuvukala, ama-nodules nama-plaque asethambile, abese eqina esigabeni esingapheli.
Ukuchezuka komthondo / ukugoba komthondo: izimbangela
Ucwaningo lwezokwelapha alucaci ngezimbangela ze-induratio penis plastica. Ngokuyisisekelo, lesi sifo asivamile. Ngokwezibalo, indoda eyodwa kwayi-1 000 engaphezu kweminyaka engama-40 iyathinteka. Kube nokwanda kwezigameko zokuchezuka komthondo wokuzalwa. Nokho, lokhu akusho ukuthi abafana abaningi bazalwa benesifo esinjalo, kodwa ukuthi ubudlelwano obuvuleleke ngokwengeziwe kwezocansi ngokujwayelekile kanye nobudlelwano obuthuthukisiwe phakathi kukadokotela nesiguli kuholela ekudalulweni kwezinkinga ezazifihlwe ezikhathini zangaphambili. Ukuntuleka kwe-androgen kwesikhashana ngesikhathi sokukhula kombungu kunesibopho sokuchezuka kokuzalwa komthondo. Ukuthuthukiswa kwe-induratio penis plastica kuchazwa yizinkolelo-mbono eziningi, ezingakatholi ukwamukelwa okujwayelekile. Ngokuyinhloko, izinguquko ze-vascular, ukulimala okuncane kakhulu phakathi nocansi, ukusabela okuzenzakalelayo noma ukuphazamiseka kwe-metabolic kuhlotshaniswa nalesi sifo.
Kwezinye izimo, ukulimala kwelungu ngesikhathi socansi kuyimbangela ephawulekayo yokuthuthukiswa okulandelayo kokuphambuka kwepenile. Omunye umbono uthi ukuchezuka kwepenile (IPP) kungaba nezimbangela ezihlukahlukene, kodwa ukuthi ukuthuthukiswa kwesimo esinjalo kungenxa yezinto ezizuzwe njengefa. Ukuxhumana phakathi kwe-induratio penis plastica kanye nesifo se-gout noma isifo sikashukela kubalulekile ngokwezibalo. Isilinganiso seminyaka yamadoda ahlinzwa i-induratio penis plastica singaphezu kweminyaka engama-50. Amadoda athintekile ngokuvamile aseminyakeni yawo yesihlanu noma yesithupha yokuphila. Ukuchezuka komthondo weCongenital welashwa kusencane kakhulu, futhi ukuhlinzwa kuvame ukugwenywa.
Ukuchezuka komthondo / ukugoba komthondo: ukwelashwa
Uma kukhulunywa ngokuchezuka komthondo okutholiwe, kunemibuzo emibili esemqoka: Ingabe i-curvature iba kubi kakhulu? Ingabe ubulili obungenabuhlungu nokwanelisayo bungenzeka ngakho? Uma umbuzo wokuqala ungaphendulwa ngo-cha kanti owesibili ngo-yebo, ukwelashwa akudingekile. Isithombe sisonke asicacile ngokuphelele. Izibalo zezokwelapha zikhomba ukuthi u-80% kuya ku-100% wamadoda athintekile akhononda ngokuqhanyelwa okubuhlungu. Kodwa-ke, kungacatshangwa ukuthi yibo lobu buhlungu obenza umuntu othintekile abone udokotela.
Bonke abanye ababoni inkinga ngokuchezuka komthondo. Ozakwethu bamadoda athintekile nabo ngokusobala ababoni nkinga “ekungajwayelekile” kwe-anatomical kozakwabo ocansini; ngokuvamile, imibiko ithi ipipi elingena licasula isitho sangasese sowesifazane "endaweni angayazi". Kwezinye izimo, izimo ezithile zocansi zibonakala zenziwa nzima kakhulu ukuchezuka komthondo. Udokotela unezinketho ezihlukahlukene zokwelapha ukuchezuka komthondo. Uvithamini E womthamo omkhulu usetshenziswa ngendlela yethebhulethi ukuze kuncibilike izicubu ezibaziyo ngemva kokulimala. Ngaphezu kwalokho, izicubu eziqinile zibhujiswa ngokwelashwa kwe-ultrasonic. Enye indlela yokwelapha ukwelapha ngemisebe yezicubu ezithambile ze-X-ray. Amasu amabili angasetshenziswa ekusebenzeni. Imishini yokwelula umthondo iya ngokuya isetshenziswa ukwehlisa ukugoba komthondo .
