Ukuphuka Kwepenile: Isimo sepipi

Umsindo wokuqhuma noma wokuqhekeka, ubuhlungu obukhulu, ukuvuvukala, ukulahlekelwa ngokushesha kokwakhiwa okuholela ekuqothukeni, kanye ne- hematoma yesikhumba yamasayizi ahlukahlukene kuvame ukuhlotshaniswa nomcimbi wezocansi.

 

Ukuphuka kwepenile yisimo somtholampilo esingajwayelekile. Ubulili besitho sangasese sowesilisa nokushaya indlwabu okunolaka kuyizimbangela ezivame kakhulu.Ucwaningo lwango-2014 lwamarekhodi ezingozi kanye nezimo eziphuthumayo ezibhedlela ezintathu eCampinas, eBrazil, lukhombisile ukuthi owesifazane osezikhundleni eziphezulu udale ingozi enkulu kakhulu ngokuthi isikhundla sezithunywa zevangeli sibe esiphephe kakhulu.Ucwaningo lubhekise ekutheni uma umlingani owamukelayo ephezulu, bavame ukulawula ukunyakaza futhi abakwazi ukuphazamisa ukunyakaza lapho ipipi lithola ukungena okungalungile.Ngakolunye uhlangothi, lapho umlingani ongena ngaphakathi elawula ukunyakaza, banamathuba angcono okuyeka ukuphendula ubuhlungu bokungalungiswa kahle, banciphise ukulimala.

Umkhuba we- taqaandan (obuye abe ngu- taghaandan ) nawo ubeka abesilisa engcupheni yokuphuka i-penile.Taqaandan, elivela Kurdish elisho "ukwetha chofoza" kuhilela eguqa phezulu ingxenye umthondo uqonde ngenkathi ebambe ingxenye engezansi kushaft esikhundleni, kuze ukuchofoza wezwa futhi wazizwa.UTaqaandan kuthiwa akanabuhlungu futhi useqhathaniswe nokuqhekeka imimese yomuntu, kepha umkhuba we-taqaandan uholele ekwandeni kokuqhekeka kwezintambo zepenile entshonalanga ye- Iran .Taqaandan kungase kwenziwe ukufeza detumescence .

Ukucwaninga izifundo

Ukuhlukumezeka kwe-penile kungavela ekulimaleni okungaqondile noma okungena ngaphakathi, lokhu okugcina kungaphenywa kakhulu ngezindlela zokucabanga, cishe ngaso sonke isikhathi kudinga ukuhlolwa ngokushesha kokuhlinzwa.Emthondweni omile, ukuhlukumezeka kubangelwa ukunwebeka nokuncipha kwe-tunica albuginea, engahle idilizwe ngokwengxenye eyodwa noma zombili ze-corpora cavernosa, okudala ukuphuka kwepenile.

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  Figure 4 A: Ultrasound of the penis, right lateral view. Longitudinal section showing rupture of the tunica albuginea with an adjacent 1.92 cm hematoma (between calipers), due to trauma.
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  B: Axial T2-weighted turbo spin-echo magnetic resonance imaging scan showing left-sided discontinuity of the tunica albuginea (arrow), secondary to fracture.

Ku-10-15% we-penile traumas, kungaba nesilonda esihambisana ne-urethral. Lapho kugcinwa igazi enyameni ye-urethral, ukuhlolwa okuthuthukisiwe kokuqhathanisa kwe-urethra kuyadingeka.Ezimweni lapho ukutholakala kwe-ultrasound kungahambelani, ukusetshenziswa kwemifanekiso yamagnetic resonance kungenza kube lula ukuxilongwa futhi kunconywe ababhali abahlukahlukene.

Ukuphuka kwepenile kuyisimo esiphuthumayo sezokwelapha, futhi ukulungiswa kokuhlinzwa okuphuthumayo yindlela yokwelashwa ejwayelekile.Ukubambezeleka ekufuneni ukwelashwa kukhuphula izinga lokuxakaniseka.Izindlela ezingezona ezokuhlinzwa zibangela amazinga okuxakaniseka ayi-10-50% afaka ukungasebenzi kahle kwe-erectile, i- penile curvature yaphakade, ukulimala kwe- urethra nobuhlungu ngesikhathi sokuya ocansini, ngenkathi iziguli ezelashwa ngokuhlinzwa zithola isilinganiso se-11% sokuxakaniseka.

E- United States, icala likaDoe v. UMoe, iMisa lama-63. Uhlelo lokusebenza. Ct. I-516, 827 NE2d 240 (2005), isikweletu esivivinyiwe sokulimala kwepenile okwenziwe ngesikhathi sokuya ocansini.Inkantolo yenqabile ukuthola umsebenzi phakathi kwabantu abadala ababili abavumelana ngemibono.Ummangali kuleli cala, owesilisa owahlushwa isitho sangasese sowesilisa, wakhononda ngokuthi ummangalelwa, owayeyintombi yakhe, wamlimaza ngesikhathi ephezu kwakhe ngesikhathi benza ucansi.Inkantolo yamvuna, yanquma ukuthi ukuziphatha kwakhe kwakungeyona into engafanele ngokomthetho noma budedengu.