Parafimosis
I-Pharafimosis yisimo [1] lapho ijwabu lepipi livaleleka ngemuva kwepenisi le-glans, futhi lingehliswe (libuyiselwe esimweni salo esijwayelekile esimboze i-glans).Uma lesi simo siphikelela amahora amaningana noma kukhona noma yisiphi isibonakaliso sokushoda kokugeleza kwegazi, i-paraphimosis kufanele iphathwe njengesimo esiphuthumayo sezokwelapha, ngoba kungaholela ekulimaleni . [1] [2] [3]
Izimbangela
[hlela | Hlela umthombo]I-Paraphimosis ivame ukubangelwa ochwepheshe bezokwelapha ( iatrogenic ) noma abazali abaphatha ijwabu ngokungafanele. [1] [3]ijwabu lingakhishwa ngesikhathi sokuhlolwa kwe-penile, ukuhlanzwa kwe-penile, i- urethral catheterization, noma i- cystoscopy ; uma ijwabu lisale lihoxiswa isikhathi eside, ezinye izicubu zejwabu zingaba edematous (zivuvuke uketshezi), okwenza ukwehla kwejwabu kube nzima.
Ukuvimbela nokwelashwa
[hlela | Hlela umthombo]I-Paraphimosis ingagwenywa ngokubuyisela ijwabu emuva esimweni salo esijwayelekile, phambili, esingabuyiswanga ngemuva kokuhoxa akusadingeki (ngokwesibonelo, ngemuva kokuhlanza i- glans penis noma ukubeka ipayipi le-Foley).I-Phimosis (kokubili amafomu we-pathologic kanye ne-physiologic ebuntwaneni ejwayelekile) iyingozi engcupheni ye-paraphimosis; [2] physiologic phimosis ixazululeka ngokwemvelo njengoba ingane ivuthwa, kepha kungakuhle ukwelapha i- phologosis ye-pathologic ngokusebenzisa amasu wokuhlinza okwelula isikhathi eside noma okhethwayo (njenge-preutioplasty ukukhulula i-orifice engaphambi kokuqokwa noma ukusoka ukunquma izicubu zejwabu kancane noma ngokuphelele).
Ijwabu liphendula ekusetshenzisweni kwengxabano ukudala ukwanda ngokwakha amangqamuzana amasha esikhumba yize inqubo ye- mitosis.Ukunwetshwa kwezicubu kungunaphakade.Ukwelulwa kwejwabu okungasetshenziswanga kungasetshenziselwa ukunweba ijwabu elincane, elingabuyiseki. [4]Ukwelula kungahlanganiswa nokusetshenziswa kokhilimu we-corticosteroid. [5] [6]U-Beaugé uncoma ukuzelulela okwenziwa ngezandla kwabesilisa abasebasha kunokusoka njengokwelashwa kwejwabu elingabuyisi emuva ngenxa yokulondolozwa kwemizwa yezocansi. [7]
I-Paraphimosis ivame ukwelashwa ngempumelelo ngokuphathwa ngesandla kwezicubu zomzimba ezivuvukile.Lokhu kuhilela ukucindezela umthondo we-glans nokubuyisela ijwabu emuva endaweni yalo ejwayelekile, mhlawumbe ngosizo lwe-lubricant, ukubanda okubandayo, ne-anesthesia yendawo lapho kudingeka.Uma lokhu kwehluleka, ibhande eliqinile elicijile lezicubu lingasuswa ngokuhlinzwa ngomgogodla [1] [3] noma ngokusoka. [8] [9]Enye indlela, inqubo ye-Dundee, ifaka ukufaka ama-punctures amaningi kujwabu elivuvukile ngenaliti enhle, bese izwakalisa uketshezi lwe-edema ngokucindezela ngesandla. [9]Ngokusho kukaGhory noSharma, ukwelashwa ngokusoka kungakhethwa "njengesixazululo sokugcina, esizokwenziwa ngudokotela womchamo ". [10]Abanye ochwepheshe bancoma ukubambezela ukusoka okukhethiwe kuze kube yilapho sekuxazululwe i-paraphimosis. [1]
Bhekafuthi
[hlela | Hlela umthombo]Izinkomba
[hlela | Hlela umthombo]- ↑ 1.0 1.1 1.2 1.3 1.4 Paraphimosis. October 7, 2009. http://emedicine.medscape.com/article/442883-overview. "Patients with severe paraphimosis that proves refractory to conservative therapy will require a bedside emergency dorsal slit procedure to save the penis. A formal circumcision can be performed in the operating room at a later date... At a later date, a formal circumcision can be performed as an outpatient procedure." Cite error: Invalid
<ref>tag; name "emedicine-donohoe" defined multiple times with different content - ↑ 2.0 2.1 Phimosis and Paraphimosis. April 28, 2010. http://emedicine.medscape.com/article/777539-overview. "Patients with phimosis, both physiologic and pathologic, are at risk for developing paraphimosis when the foreskin is forcibly retracted past the glans and/or the patient or caretaker forgets to replace the foreskin after retraction." Cite error: Invalid
<ref>tag; name "emedicine-ghory-general" defined multiple times with different content - ↑ 3.0 3.1 3.2 "Paraphimosis: current treatment options". American Family Physician 62 (12): 2623–6, 2628. December 2000. PMID 11142469. Archived from the original on 2011-08-07. https://web.archive.org/web/20110807042841/http://www.aafp.org/afp/20001215/2623.html. Retrieved 2021-10-12. "If a severely constricting band of tissue precludes all forms of conservative or minimally invasive therapy, an emergency dorsal slit should be performed. This procedure should be performed with the use of a local anesthetic by a physician experienced with the technique... Circumcision, a definitive therapy, should be performed at a later date to prevent recurrent episodes, regardless of the method of reduction used." Cite error: Invalid
<ref>tag; name "aafp-choe" defined multiple times with different content - ↑ . December 1989.
- ↑ . November 2005.
- ↑ . 2009.
- ↑ . 1997.
- ↑ Phimosis, Adult Circumcision, and Buried Penis. eMedicine.
- ↑ 9.0 9.1 to be 5 Reduction of paraphimosis the simple way - the Dundee technique. pp. 859–60.
- ↑ Phimosis and Paraphimosis. eMedicine.