Isifo sikaPeyronie

Mayelana Wikipedia

Isifo sikaPeyronie yisifo esixhuma izicubu esihilela ukukhula kwamapuleti anemicu ezicutshini ezithambile zepipi .Ngokukhethekile, amafomu wesicubu esibomvu ku-tunica albuginea, umgogodla wesicubu ozungeze i- corpora cavernosa, obangela ubuhlungu, ukugobeka okungavamile, ukungasebenzi kahle kwe-erectile, ukuqaqanjelwa, ukulahlekelwa yibhande kanye nokunciphisa. [1]

Kulinganiselwa ukuthi kuthinta cishe amadoda ayi-10%.Isimo siba ngokuvame kakhulu ngeminyaka.

Izimpawu nezimpawu[hlela | Hlela umthombo]

Isibonelo sokukhubazeka kwepipi kusuka eceleni

Izinga elithile lokugobeka lobudoda lithathwa njengelivamile, njengoba amadoda amaningi ezalwa enalesi simo sobungozi, esivame ukubizwa ngokuthi ukugobeka kokuzalwa.Lesi sifo singadala ubuhlungu; izilonda eziqinile, ezinkulu, ezifana nentambo (izicubu ezibomvu ezaziwa ngokuthi "amapuleti"); noma ukugobeka kwendoda ngokungajwayelekile lapho imile ngenxa yokuvuvukala okungapheli kwe- tunica albuginea (CITA).

Izimbangela[hlela | Hlela umthombo]

Imbangela yesifo sikaPeyronie ayaziwa.Noma kunjalo, kungenzeka ukuthi kungenxa yokwakheka kocwecwe ngaphakathi kwepenisi ngenxa yokuhlukumezeka okuphindaphindayo noma ukulimala ngesikhathi sokuya ocansini noma komzimba. [2]

Izici ezinobungozi zibandakanya isifo sikashukela, isivumelwano sikaDupuytren, i- plantar fibromatosis, ukuhlukunyezwa kwe-penile, ukubhema, ukuphuza ngokweqile , ukuthambekela kofuzo, kanye nefa laseYurophu. [3] [4]

Ukuxilongwa[hlela | Hlela umthombo]

Le ultrasound iveza izingxenye ezihlukanisiwe zepenisi ezindaweni ezahlukahlukene esigulini esinesifo sikaPeyronie.Isithombe esiphezulu sikhombisa ukwakheka komzimba okujwayelekile kanti isithombe esingezansi sikhombisa izicubu ezibomvu kwi- tunica albuginea (umthondo).Izicubu ezibomvu zihlala endaweni futhi zibhekele ukukhubazeka okuphawuleka kwesifo sikaPeyronie (ukugobeka nokuncipha).

Udokotela we-urologist angakwazi ukuxilonga lesi sifo futhi asikisele ukwelashwa.I-ultrasound inganikeza ubufakazi obuqand 'ikhanda besifo sikaPeyronie, esinquma ukuphuma kwesisu noma okunye ukuphazamiseka. [5]

  • Transverse ultrasound of the penis, in a ventral view, in the middle portion of the penis. Note the echoic image with posterior acoustic shadowing, corresponding to calcification (arrow), in the left corpus cavernosum.[6]
    Transverse ultrasound of the penis, in a ventral view, in the middle portion of the penis. Note the echoic image with posterior acoustic shadowing, corresponding to calcification (arrow), in the left corpus cavernosum.[6]
  • Projectional radiography ("X-ray"), penetrating the soft parts of the penis, showing radiopaque images that correspond to calcifications in the corpora cavernosa (arrows).]]
    Projectional radiography ("X-ray"), penetrating the soft parts of the penis, showing radiopaque images that correspond to calcifications in the corpora cavernosa (arrows).]]

Ukwelashwa[hlela | Hlela umthombo]

Imithi nezithasiselo[hlela | Hlela umthombo]

Izindlela eziningi zokwelapha ngomlomo sezifundwe kepha imiphumela kuze kube manje ixutshiwe. [7]Abanye babheka ukusetshenziswa kwezindlela ezingezona ezokuhlinzwa njengokuphikisana ". [8]

Ukwengezwa kukaVitamin E sekufundwe amashumi eminyaka, futhi impumelelo ethile ibikiwe ezivivinyweni ezindala kepha leyo mpumelelo ayiphindwanga ngokuthembekile ezifundweni ezinkulu, ezintsha. [9]

Ukusetshenziswa kwe- Interferon-alpha-2b ezigabeni zokuqala zalesi sifo sekufundwe kepha kusukela ngo-2007 ukusebenza kwaso bekungabazeka. [10]

I-Collagenase clostridium histolyticum kubikwa ukuthi izosiza ngokudiliza i-collagen eyeqile kupipi.Kwavunyelwa ukwelashwa kwesifo sikaPeyronie yi-FDA ngo-2013.

Ukwelashwa ngokomzimba namadivayisi[hlela | Hlela umthombo]

Kunobufakazi obulinganiselayo bokuthi i-penile traction therapy iyindlela ebekezeleleke kahle, yokwelashwa okuhlasela kancane, kepha kunokungaqiniseki ngobude besikhathi sokululeka ngosuku nangendlela yokwelashwa, futhi inkambo yokwelashwa inzima. [11]

Ukwelashwa Kwe-Shockwave Okugxile[hlela | Hlela umthombo]

Ukwelashwa okugxilwe ngaphandle kwe-shockwave kuyindlela yokwelashwa engeyona ehlaselayo ebandakanya ukudlulisa izingqimba ze-acoustic nge-plaque, ezingayidiliza ngaphezulu kwezikhathi eziyisithupha kuya kweziyishumi nambili. [12] [13]Ukwelashwa kusebenza kakhulu emadodeni anamaPeyronie amancane.

Ukuhlinzwa[hlela | Hlela umthombo]

Ukuhlinzwa, okufana "nokusebenza kweNesbit" (okuqanjwe ngoReed M. Nesbit (1898-1979), udokotela wase-American urologist e- University of Michigan ), [2] kuthathwa njengesixazululo sokugcina futhi kufanele kwenziwe kuphela ngomchamo onekhono kakhulu odokotela abahlinzayo abanolwazi ngamasu akhethekile wokuhlinza okulungisa.Ukufakwa kwe-penile kungahle kufaneleke ezimweni ezisezingeni eliphakeme. [14]

I-Epidemiology[hlela | Hlela umthombo]

Kulinganiselwa ukuthi kuthinta cishe amadoda ayi-10%.Isimo siba ngokuvame kakhulu ngeminyaka. [15]Iminyaka yobudala ekuqaleni kwesifo yiminyaka engama-55-60. [2]

Umlando[hlela | Hlela umthombo]

Isimo sichazwe okokuqala ngo-1561 ngokuxhumana phakathi kuka- Andreas Vesalius noGabriele Falloppio ngokuhlukile nguGabriele Falloppio.Lesi simo sibizwa ngoFrançois Gigot de la Peyronie, owasichaza ngo-1743.

Izinkomba[hlela | Hlela umthombo]

  1. ↑ "Peyronie's disease and erectile dysfunction: Current understanding and future direction". Indian Journal of Urology 22 (3): 246–50. doi:10.4103/0970-1591.27633. 
  2. ↑ 2.0 2.1 2.2 The management of Peyronie's disease. January 2004. Ralph, D. J.; Minhas, S. (January 2004). Cite error: Invalid <ref> tag; name "pmid14690485" defined multiple times with different content
  3. ↑ Hatzimouratidisa, Konstantinos; Eardley, Ian (2012). "EAU guidelines on penile curvature". European Urology 62 (3): 543–552. doi:10.1016/j.eururo.2012.05.040. PMID 22658761. 
  4. ↑ Abern, Michael R.; Levine, Laurence A. (2009). "Peyronie's disease: evaluation and review of nonsurgical therapy". The Scientific World Journal 27 (9): 665–675. doi:10.1100/tsw.2009.92. PMID 19649505. 
  5. ↑ Colour Doppler and duplex ultrasound assessment of Peyronie's disease in impotent men. May 1993. 
  6. ↑ Cite error: Invalid <ref> tag; no text was provided for refs named FernandesSouza2018
  7. ↑ Levine LA (October 2003). Review of current nonsurgical management of Peyronie's disease. 
  8. ↑ A critical analysis of nonsurgical treatment of Peyronie's disease. June 2006. 
  9. ↑ Oral therapy for Peyronie's disease. October 2002. 
  10. ↑ Pharmacological Management of Peyronie's Disease. 
  11. ↑ "Penile traction therapy and Peyronie's disease: a state of art review of the current literature". Ther Adv Urol. 5 (2): 59–65. February 2013. doi:10.1177/1756287212454932. PMC 3547530. PMID 23372611. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=3547530. 
  12. ↑ https://www.nice.org.uk/guidance/ipg29/documents/overview-of-extracorporeal-shockwave-therapy-for-peyronies-disease2
  13. ↑ https://edclinics.co.uk/peyronies-disease/
  14. ↑ "Surgical approaches for advanced Peyronie's disease patients". International Journal of Impotence Research 15 (Suppl 5): S121–4. October 2003. doi:10.1038/sj.ijir.3901085. PMID 14551588. 
  15. ↑ Empty citation (help)
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