Phimosis: ndi chiyani, momwe mungazindikirire ndikuchizira

Zamkati

• Momwe mungadziwire
• Mitundu ya phimosis
• 1. Phimosis yachilengedwe kapena yoyamba
• 2. Matenda kapena sekondale phimosis
• 3. Phimosis yachikazi
• Momwe mankhwalawa amachitikira

Phimosis ndi khungu lochulukirapo, mwasayansi lotchedwa khungu, lomwe limaphimba mutu wa mbolo, zomwe zimapangitsa kuti zikhale zovuta kapena kulephera kukoka khungu limenelo ndikuwonetsa mutu wa mbolo.

Vutoli limadziwika kwambiri kwa anyamata achichepere ndipo limakonda kusowa nthawi zambiri mpaka chaka chimodzi, pang'ono mpaka zaka zisanu kapena kutha msinkhu, osafunikira chithandizo chapadera. Komabe, khungu likapanda kukula mokwanira pakapita nthawi, mungafunike kugwiritsa ntchito mafuta enaake kapena kuchitidwa opaleshoni.

Kuphatikiza apo, zovuta zina zimatha kuyambitsa phimosis mu ukalamba, monga matenda kapena mavuto akhungu, mwachitsanzo, zomwe zimatha kupweteketsa kapena kusokoneza nthawi yogonana kapena matenda amikodzo. Zikatero, ndikofunikira kukaonana ndi dokotala wa zam'mimba kuti ayambe chithandizo choyenera kwambiri, chomwe nthawi zambiri chimachitika ndi opaleshoni.

Momwe mungadziwire

Njira yokhayo yodziwira ndikutsimikizira kupezeka kwa phimosis ndikuyesa kuchotsa khungu lomwe limaphimba mbolo. Ngati sizotheka kuwona glans kwathunthu, izi zikuyimira phimosis, yomwe imatha kugawidwa m'madigiri 5 osiyanasiyana:

• Gulu 1: ndizotheka kukoka khungu, koma m'munsi mwa glans mulinso ndi khungu ndipo kungakhale kovuta kubwerera ndi khungu patsogolo;
• Gulu 2: ndizotheka kukoka khungu, koma khungu silidutsa gawo lalikulu la glans;
• Gulu 3: ndizotheka kukoka glans kokha kumalo okodza;
• Gulu 4: kudzikundikira kwa khungu kumakhala kwakukulu kwambiri kotero kuti kuchotsa khungu kumachepa kwambiri, ndipo sikutheka kuwulula glans;
• Gulu 5: mawonekedwe ovuta kwambiri a phimosis momwe khungu la khungu lanu silingakokedwe, ndipo sizotheka kuwulula glans.

Ngakhale kuchuluka kwa phimosis sikofunikira kwambiri posankha chithandizo chabwino, chomwe chimadalira makamaka msinkhu wa mnyamatayo, gulu ili lingakhale lothandiza kuzindikira phimosis ndikuwunika momwe chithandizo chikuyendera. Nthawi zambiri, kutsimikizika koyamba kwa kupezeka kwa phimosis kumachitika pa mwana wakhanda, ndipo kuyezetsa thupi kumachitika ndi dokotala wa ana.

Pankhani ya phimosis yachiwiri, yomwe imatha kuwonekera paunyamata kapena munthu wamkulu, mwamunayo amatha kuwona ngati pali vuto lililonse pakubwezeretsa khungu kapena zizindikilo monga kufiira, kupweteka, kutupa kapena kutuluka magazi m'mutu wa mbolo kapena khungu, kapena zizindikiro za matenda am'mikodzo monga kupweteka kapena kutentha pamene mukukodza. Pakadali pano, tikulimbikitsidwa kuti mufunsane ndi urologist posachedwa kuti ayesere labotale monga kuwerengera magazi, kuyesa mkodzo kapena kuyesa kwa bakiteriya, mwachitsanzo.

Mitundu ya phimosis

Phimosis imatha kugawidwa m'mitundu ina kutengera zomwe zimayambitsa ndi mawonekedwe ake, yayikulu ndiyo:

1. Phimosis yachilengedwe kapena yoyamba

Physiosis kapena primary phimosis ndiye mtundu wofala kwambiri wa phimosis ndipo umatha kupezeka kuchokera pakubadwa kwa anyamata anyamata ndipo umachitika chifukwa cholumikizana bwino pakati pamkati mwa khungu ndi glans, womwe ndi mutu wa mbolo, ndikupanganso kwathunthu khungu limavuta kwambiri.

2. Matenda kapena sekondale phimosis

Phimosis yamtunduwu imatha kupezeka nthawi iliyonse ya moyo chifukwa cha kutupa, matenda obwerezabwereza kapena zoopsa zakomweko. Chimodzi mwazomwe zimayambitsa matenda am'mimba ndi kusowa kwa ukhondo mu mbolo komwe kumayambitsa thukuta, dothi, mabakiteriya kapena tizilombo tina, ndikupangitsa matenda omwe angayambitse kutupa kotchedwa balanitis kapena balanoposthitis.

Kuphatikiza apo, matenda ena akhungu monga chikanga, psoriasis kapena ndere, zomwe zimasiya khungu la mbolo kukhala lofanana, kuyabwa komanso kukwiya, kumatha kuyambitsa phimosis yachiwiri.

Nthawi zina phimosis, khungu limakhala lolimba kotero kuti ngakhale mkodzo ukhoza kutsekedwa mkati mwa khungu, ndikuwonjezera chiopsezo chotenga matenda amkodzo. Phimosis imatha kubweretsa zovuta monga zovuta kuyeretsa dera, chiopsezo chowonjezeka cha matenda amkodzo, kupweteka kwakugonana, chidwi chachikulu chokhala ndi matenda opatsirana pogonana, HPV kapena khansa ya penile, kuwonjezera kukulitsa chiwopsezo chokhala ndi paraphimosis, yomwe ndipamene khungu limakanirira ndipo siliphimbanso glans.

3. Phimosis yachikazi

Ngakhale ndizosowa, ndizotheka kuti azimayi akhale ndi phimosis, izi zimadziwika ndikutsatira kwa milomo yaying'ono ya nyini, kuphimba kutseguka kwa ukazi, komabe kutsatira kumeneku sikuphimba nkongo kapena urethra, womwe ndi njira zomwe zimadutsa mkodzo.

Monga anyamata, phimosis yachikazi imatha kuthana ndi nthawi kutengera kukula kwa msungwanayo. Komabe, ngati kutsatiraku kukupitilira, kungakhale kofunikira kuchita chithandizo chapadera chomwe chiyenera kulimbikitsidwa ndi dokotala wa ana kapena amayi. Onani zambiri za phimosis yachikazi.

Momwe mankhwalawa amachitikira

Chithandizo cha ubwana phimosis chiyenera kutsogozedwa ndi dokotala wa ana nthawi zonse ndipo chithandizo chake sichofunikira nthawi zonse, chifukwa phimosis imatha kuthana mpaka zaka 4 kapena 5 zakubadwa. Koma ngati pambuyo pake phimosis ipitilira, chithandizo ndi mafuta okhala ndi corticosteroids ndi zolimbitsa thupi zobwezeretsa khungu kapena opaleshoni pambuyo pa zaka ziwiri zingakhale zofunikira.

Chithandizo cha phimosis yachiwiri, chimayenera kuchitidwa motsogozedwa ndi dokotala wa urologist yemwe angasonyeze kuchitidwa opaleshoni kapena kupereka mankhwala ophera antibacterial ndi clindamycin kapena mupirocin kapena othandizira maantifungal monga nystatin, clotrimazole kapena terbinafine, kutengera mtundu wa tizilombo toyambitsa matenda phimosis.

Kuphatikiza apo, ngati sekondale phimosis imachitika chifukwa cha matenda opatsirana pogonana, urologist amayenera kuchiza matendawa ndi maantibayotiki kapena ma antivirals pakamwa.

Dziwani zambiri zamankhwala a phimosis.