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Ukulimala kwepipi

Mayelana Wikipedia

Ukulimala kwe-penile yisimo esiphuthumayo sezokwelapha esihlupha ipipi.Ukulimala okuvamile kufaka ukuphuka, ukuxoshwa, ukuklanywa, ukuboshwa, nokunqunywa. [1]

I-Epidemiology

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Ukuhlukumezeka okungena futhi okucacile kuhlanganisiwe kwakha cishe i-90% yakho konke ukulimala kwe-penile yomphakathi (i-45% lilinye), ngokusha nezinye izingozi ezakha i-10% esele. [1]

Izinhlobo

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Ukwephuka

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Okusuka kumfanekiso wezokwelapha we-3D okhombisa i-tunica albuginea.

Ukuphuka kwepenile kungumphumela wokuqhekeka kwe-tunica albuginea. Zijwayelekile kakhulu futhi zingahle zivele ngokuqhekeka okuncane noma okuphelele kwe-urethral, yize lokhu kungavamile. [2] [3] [4] Ukulimala kwe-urethral kwenzeka kuma-10-38% wamacala. [1]Ukwephuka kulashwa ngokuhlinzwa okuphuthumayo, futhi kungatholakala ukuthi kune- ultrasound, ikakhulukazi ezimeni zezingane. [2] [3] [4]Ukwephuka kwePenile kubangelwa ukuhlukumezeka kwesitho sangasese esime mpo, imvamisa ngokukugoba ngokuzumayo ngesikhathi sokuya ocansini nomlingani owamukelayo ngaphezulu komlingani ongena, noma ngesikhathi sokushaya indlwabu .Kubonakala ngomsindo omkhulu ophumayo ngesikhathi sokulimala, umphumela wokuqhuma kwe-tunica albuginea.Ezinye izimpawu zibandakanya ubuhlungu obukhulu, ukulahlekelwa ukwakhiwa, nokuvuvukala. [5]Izimpawu zokulimala kwe-urethral zifaka i-hematuria, igazi e-meatus, ne-dysuria. [1]Uma kushiywe kungalashwa, izinkinga zibangela amacala angama-28-53%; lokhu kufaka ukugobeka unomphela kwenduku, i-fistula, i- urethral diverticulum, i- priapism, kanye nokungasebenzi kahle kwe-erectile . [5]

Ukuzithoba nokuxoshwa

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Ukugqwayiza kwezokwelapha kwe-3D kusakhombisa ukuxhunyelelwa kwesikhumba uma kwenzeka kulimala iPenile.

Ukulimala kwe-degloving kanye ne-avulsion kufaka ukususwa kwesikhumba somthondo, okuyisimo esiphuthumayo sezokwelapha.Ukwelashwa kwalokhu kulimala kubandakanya ukuvalwa kwesikhumba esidabukile, noma ukufakelwa kwesikhumba ukufaka isikhumba esilahlekile ekulimaleni.Ukufakwa kwesikhumba kwakhiwe ukuzama ukugcina ukusebenza kwe-erectile nokuzwa. [1]

Ukulimala kwezicubu ezithambile

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Ukuklinywa

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(A) Icala lokuklinyeka kwe-penile ngentambo yekhebula empandeni yelungu. Yomibili imithambo nemithambo yegazi yayicindezelwe. (B) Isilonda sePenile empandeni yesende ngemuva kweviki elilodwa kususwe into ezungezwe. Ukuklinywa kubangele ukulahleka unomphela komuzwa wepipi.

Ukulimala ngokuklinyeka endodeni, okubizwa nangokuthi ukulimala ejele, okubangelwa izinwele, amabhande enjoloba, noma ezinye izinto kungukulimala kwesibili kwezicubu ezithambile ezinganeni. [6] [7]Ukuklinyeka kwezinwele kungaba nzima ukukuxilonga ngenxa yokwakheka kwepenisi; izinwele ezibangela ukuklinywa zingafihlwa ngaphansi kwe-coronal sulcus uma zivuvukile. [8]Kubantu abadala, ukulimala ngokuklinywa okudinga ukwelashwa kungadalwa yizinto ezahlukahlukene ezisetshenziselwa inhloso yokwanelisa ngokocansi, ukunweba isikhathi sokwakhiwa, noma i- enuresis, kufaka phakathi izindandatho zensimbi, okumele zisuswe ngezinsimbi ezikhethekile zokusika. Into nayo ingasuswa ngokudicilela phansi ipipi. [6] [7]Ngoba i-vasculature yepenisi icindezelwe, izinkinga eziningi zingavela ekulimaleni kokuklinywa, kuya ngokuthi imithambo, imithambo, noma yomibili icindezelwe, kufaka phakathi ukuvinjelwa kwemithambo okuncane, okuguqukayo; i-ischemic necrosis; esibhibhayo futhi izinso umonakalo ; i-lymphedema ; isilonda; i-fistula e-urethrocutaneous, ukulahlekelwa ukuzwa; ukulimala kwe-urethral; ispsis ; kanye ne- autoamputation . [7]

Ukulimala kokuklinywa kwePenile okudinga ukunakekelwa kwezokwelapha akuvamile: kusukela incazelo yabo yokuqala ngo-1755, kube namacala abikiwe cishe angama-60-120.Yize kuvame ukuba bucayi, kubikwe amacala wokuklinywa okungapheli namacala abucayi afinyelela inyanga eyodwa. [7] [9]

Izinto ezahlukahlukene zibandakanyekile ezimweni zokuklinywa:

Ukubanjwa

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Ukulimala okujwayelekile kwezicubu ezithambile kungukulimala kokubanjwa okubandakanya ipipi elibanjwe uziphu; lokhu kulimala kuvame kakhulu ezinganeni ezisencane ezingasokile futhi ezihlala zikha phezulu.Zelashwa ngokususa uziphu nge- anesthesia yendawo kusetshenziswa umsiki wethambo, ukuthambisa, noma i-hacksaw, ukuqaqa uziphu, noma ukususa izicubu ezithintekile, futhi kungavinjelwa ezimweni eziningi ngokusoka . [5] [6]Uma ingelashwa ngokushesha, izicubu abathintekayo kungaba bandisa futhi batheleleke. [6]Kwezinye izimo, ukusoka okuphuthumayo kuyadingeka. [8]

Izinkomba

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  1. ↑ 1.0 1.1 1.2 1.3 1.4 . 2013-08-01.  Cite error: Invalid <ref> tag; name ":5" defined multiple times with different content
  2. ↑ 2.0 2.1 Garofalo, Marco; Bianchi, Lorenzo (2015-09-01). "Sex-related penile fracture with complete urethral rupture: A case report and review of the literature". Archivio Italiano di Urologia e Andrologia 87 (3): 260–261. doi:10.4081/aiua.2015.3.260. ISSN 1124-3562. PMID 26428656. 
  3. ↑ 3.0 3.1 Lam, Samuel H. F. (2015-02-01). "Use of point-of-care ultrasound to evaluate for penile fracture in a child". Pediatric Emergency Care 31 (2): 157–158. doi:10.1097/PEC.0000000000000358. ISSN 1535-1815. PMID 25651388. 
  4. ↑ 4.0 4.1 Lehnert, Bruce E.; Sadro, Claudia (2014-02-01). "Lower male genitourinary trauma: a pictorial review". Emergency Radiology 21 (1): 67–74. doi:10.1007/s10140-013-1159-z. ISSN 1438-1435. PMID 24052083. 
  5. ↑ 5.0 5.1 5.2 Krishna Reddy, S. V.; Shaik, Ahammad Basha (2014-09-01). "Penile injuries: A 10-year experience". Canadian Urological Association Journal 8 (9–10): E626–631. doi:10.5489/cuaj.1821. ISSN 1911-6470. PMC 4164551. PMID 25295134. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=4164551.  Cite error: Invalid <ref> tag; name ":0" defined multiple times with different content
  6. ↑ 6.0 6.1 6.2 6.3 Kim, Jae Heon; Park, Jae Young (2014-01-01). "Traumatic penile injury: from circumcision injury to penile amputation". BioMed Research International 2014: 375285. doi:10.1155/2014/375285. ISSN 2314-6141. PMC 4164514. PMID 25250318. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=4164514.  Cite error: Invalid <ref> tag; name ":1" defined multiple times with different content
  7. ↑ 7.0 7.1 7.2 7.3 Ivanovski, Ognen; Stankov, Oliver (2007-11-01). "Penile strangulation: two case reports and review of the literature". The Journal of Sexual Medicine 4 (6): 1775–1780. doi:10.1111/j.1743-6109.2007.00601.x. ISSN 1743-6095. PMID 17888068.  Cite error: Invalid <ref> tag; name ":2" defined multiple times with different content
  8. ↑ 8.0 8.1 Dubin, Jeffrey; Davis, Jonathan E.. "Penile Emergencies". Emergency Medicine Clinics of North America 29 (3): 485–499. doi:10.1016/j.emc.2011.04.006. PMID 21782070.  Cite error: Invalid <ref> tag; name ":3" defined multiple times with different content
  9. ↑ Li, Chao; Xu, Yue-Min; Chen, Rong; Deng, Chen-Liang (2013-07-01). "An effective treatment for penile strangulation". Molecular Medicine Reports 8 (1): 201–204. doi:10.3892/mmr.2013.1456. ISSN 1791-3004. PMID 23652299. 
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