Priapism

**Ukubekwa** phambili kwesimo yisimo lapho ipipi lihlala limile khona amahora uma kungekho ukushukuma noma ngemuva kokuphela kokuvuselela.  Kunezinhlobo ezintathu: ischemic (low-flow), nonischemic (high-flow), kanye ne-ischemic ephindaphindwayo (ngezikhathi ezithile). Izimo eziningi ziyi-ischemic.  I-Ischemic priapism ivame ukuba buhlungu ngenkathi ukungahloniphi okungeyona imischemic kungenjalo.  Ku-ischemic priapism, iningi lomthondo linzima; noma kunjalo, i- glans penis ayiyona.  Ngokwe-priapism engeyona eyamakhemikhali, wonke umthondo unzima ngandlela thile.  Kuyaqabukela kakhulu, ukuthambekela kokuhlangana kwenzeka kwabesifazane. 

Isifo se-Sickle cell yisona sizathu esivame kakhulu se-ischemic priapism. Ezinye izimbangela zibandakanya imishanguzo efana ne- antipsychotic, i- SSRIs, i- blood thinner ne- prostaglandin E1, kanye nezidakamizwa ezifana ne- cocaine ne- cannabis . I-Ischemic priapism yenzeka lapho igazi lingakhiphi ngokwanele kusuka endodeni.  I-nonischemic priapism imvamisa ingenxa yokuxhuma okwenzeka phakathi komthambo kanye ne- corpus cavernosum noma ukuphazamiseka kohlelo lwezinzwa lwe-parasympathetic okuholela ekwandeni kokugeleza kwemithambo. I-nonischemic priapism ingenzeka kulandela ukuhlukumezeka kwepipi noma ukulimala komgogodla . Ukuxilongwa kungasekelwa ngokuhlaziywa kwegesi egazini kwegazi elivela kupipi noma i- ultrasound . 

Ukwelashwa kuya ngohlobo. I-Ischemic priapism ivame ukwelashwa nge- block block yomthondo elandelwa ukufisa kwegazi okuvela ku- corpora cavernosa . Uma lokhu kunganele, i-corpus cavernosum inganiselwa ngamakhaza, usawoti ojwayelekile noma ijovwe nge- phenylephrine . I-nonischemic priapism ivame ukwelashwa ngamaphakethe abandayo nokucindezela. Ukuhlinzwa kungenziwa uma izinyathelo ezijwayelekile zingasebenzi. Ekucabangeni okuyischemic, ubungozi bokunqunyulwa unomphela kwenduku buqala ukwanda ngemuva kwamahora amane futhi kwenzeka nakanjani ngemuva kwamahora angama-48. I-Priapism yenzeka cishe kwabangu-1 000 kuya kwabangu-1 kwabesilisa abayi-100,000 ngonyaka. 

## Ukuhlukaniswa
I-Priapism ihlukaniswe ngamaqembu amathathu: ischemic (low-flow), nonischemic (high-flow), kanye ne-ischemic ephindaphindayo. Iningi lamacala (ayi-19 kwangu-20) angama-ischemic ngokwemvelo. 

Eminye imithombo inika isikhathi samahora amane njengenchazelo yobuningi, kepha eminye inika ayisithupha."Isikhathi sokwakhiwa okujwayelekile ngaphambi kokuba kuhlukaniswe njengoba kusasakazwa kusengumbango.Ukuqubuka okuqhubekayo kwepenile ngaphezulu kwamahora we-6 kungahlukaniswa njengokubheka phambili. " 

Ukubekwa phambili kwabesifazane (kuyaqhubeka, ukwakhiwa okubuhlungu kwe- clitoris ) kuyivelakancane kakhulu kunokukhathazeka emadodeni futhi kwaziwa njenge-clitoral priapism noma i-clitorism.Ihlotshaniswa nokuphikelela kokuphazamiseka kocansi okuqhubekayo (i-PGAD).Imibiko yamacala ambalwa kuphela yabesifazane abahlangabezana nokukhathazeka ngokweqile okukhona. 

## Izimpawu nezimpawu

### Izinkinga
Ngoba ischemic priapism ibangela ukuthi igazi lihlale endondeni isikhathi eside ngokungavamile, igazi liphucwa umoya-mpilo, ongahle ulimaze izicubu zepenile.Umonakalo onjalo ungadala ukungasebenzi kahle kwe-erectile noma ukukhubazeka kwesitho sangasese sowesilisa.Ezimweni ezimbi kakhulu, uma umthondo eba nesifo esinzima semithambo, le priapism kungaholela penile esibhibhayo . 

## Izimbangela

### Ukubaluleka kokugeleza okuphansi
Izimbangela ze-low flow priapism zifaka i- sickle cell anemia (evame kakhulu ezinganeni), i- leukemia, namanye ama-dyscrasias egazi afana ne- thalassemia ne- myeloma eminingi, nokusetshenziswa kwezidakamizwa ezahlukahlukene, kanye nomdlavuza. 

Ezinye izimo ezinjengesifo sikaFabry, kanye nezinkinga ze-neurologic ezinjengezilonda zomgogodla kanye nokuhlukumezeka komgogodla (i-priapism ibikiwe kubantu ababelengisiwe; bheka ukwakhiwa kokufa ).

### Ubuningi bokugeleza okuphezulu
Izimbangela zokuchaphazeleka okuphezulu zihlanganisa ukuhlukumezeka okungaqondile kwi-perineum noma ipipi, ngokuqhekeka komthambo we-cavernous, ongaveza i-arterial-lacunar fistula. 

### I-Ultrasonography

### I-Sickle cell anemia
Ku-sickle-cell anemia, ukwelashwa kuqala nguketshezi olufakwa emithanjeni, imithi yezinhlungu, kanye nokwelashwa komoya-mpilo .   Ukwelashwa okujwayelekile kwe-priapism nakho kungenziwa.Ukumpontshelwa igazi akuvamile kunconywe njengengxenye yokwelashwa kokuqala, kodwa uma ezinye izindlela zokwelapha zingasebenzi, ukumpontshelwa igazi kungenziwa.  

## Umlando
Ama-semi-erections aqhubekayo kanye nezikhathi ezithile zokumiswa okude isikhathi eside kwesinye isikhathi kuye kwabizwa ngokuthi yi-semi-priapism. 

### Amagama
Igama livela esiGrekini unkulunkulu Priapus ( Ancient Greek   ), unkulunkulu wenzalo, ovame ukumelelwa nge-erection enkulu enkulu ngokungenakulinganiswa.

## Izinkomba