Paraphimosis

Paraphimosis imachitika pamene khungu la mwamuna wosadulidwa silingabwererenso pamutu pa mbolo.

Zomwe zimayambitsa paraphimosis ndi monga:

• Kuvulala kuderalo.
• Kulephera kubwezera khungu kumalo ake abwino mukakodza kapena kutsuka. Izi ndizofala kwambiri muzipatala ndi nyumba zosungira anthu okalamba.
• Kutenga, komwe kungakhale chifukwa chosasamba malowo bwino.

Amuna omwe sanadulidwe komanso omwe sanadulidwe moyenera ali pachiwopsezo.

Paraphimosis imachitika makamaka mwa anyamata ndi amuna achikulire.

Khungu limakokedwa kumbuyo (kuchotsedwa) kuseri kwa nsonga ya mbolo (glans) ndikukhala pamenepo. Khungu lobwezeretsedwa ndi glans zimayamba kutupa. Izi zimapangitsa kuti zikhale zovuta kubwezera khungu kumalo ake owonjezera.

Zizindikiro zake ndi izi:

• Kulephera kukoka khungu lobwezeretsedwa pamutu pa mbolo
• Kutupa kowawa kumapeto kwa mbolo
• Kupweteka kwa mbolo

Kuyezetsa thupi kumatsimikizira matendawa. Wopereka chithandizo chamankhwala nthawi zambiri amapeza "donut" mozungulira shaft pafupi ndi mutu wa mbolo (glans).

Kupanikiza pamutu pa mbolo kwinaku mukukankhira kutsogolo kumachepetsa kutupa. Izi zikakanika, mdulidwe wa opaleshoni kapena opaleshoni ina kuti muchepetse kutupa kudzafunika.

Zotsatira zake zitha kukhala zabwino kwambiri ngati matendawa atapezeka ndikupatsidwa chithandizo mwachangu.

Paraphimosis ikasiyidwa, imatha kusokoneza magazi kupita kumapeto kwa mbolo. Nthawi zambiri (komanso zosowa), izi zitha kubweretsa ku:

• Kuwonongeka kwa nsonga ya mbolo
• Chiwombankhanga
• Kutaya nsonga ya mbolo

Pitani kuchipinda chanu chadzidzidzi ngati izi zichitika.

Kubwezeretsa khungu lanu pamalo ake oyenera mutalikoka kumathandiza kupewa izi.

Mdulidwe, ukachitika moyenera, umapewa izi.

• Kutengera kwamwamuna kubereka

Mkulu JS. Zovuta za mbolo ndi urethra. Mu: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, olemba. Nelson Textbook of Pediatrics. Wolemba 20th. Philadelphia, PA: Elsevier; 2016: chap 544.

McCammon KA, Zuckerman JM, Jordan GH. Opaleshoni ya mbolo ndi urethra. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 40.

McCollough M, Rose E. Genitourinary ndi vuto la impso. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 173.