Thaum muaj qhov tsis txaus ntseeg erection ntawm noov tshwm sim, nws yuav tsum xav tias tus txiv neej tab tom tsim priapism. Nws yog dab tsi thiab tus kab mob tshwm sim nws tus kheej li cas? Qhov no yog ib tug loj txiv neej pathology, uas yog yus muaj los ntawm spontaneous erection. Nws tsis cuam tshuam nrog kev sib deev ntawm tus txiv neej thiab tuaj yeem kav li 4 teev lossis ntau dua. Tus mob no mob heev, tsis dhau tom qab ejaculation.
Kab mob kis tau
Priapism (lub sij hawm tshwm sim sawv cev ntawm tus vajtswv ntawm fertility ntawm Ancient tim Nkij teb chaws - Priapus) yog ib tug tsis tshua muaj pathology nyob rau hauv cov txiv neej (tsuas yog 0.2%) uas muaj kev sib deev mob thiab raug kev txom nyem los ntawm ntau yam kab mob urological. Tej zaum yuav loj hlob thaum twg los tau. Nws tau pom feem ntau hauv cov txiv neej laus (20-50 xyoo), tab sis cov tub hluas (5-10 xyoo) kuj mob.
Priapism. Nws yog dab tsi? Anatomical piav qhia
Tus txiv neej noov muaj peb lub cev: ob lub cavernous thiab ib tug spongy. Nrog ib tug physiological erection, du cov nqaij mos so. Nyob rau tib lub sijhawm, cov ntshav ntws los ntawm cov hlab ntsha mus rau lub cev cavernous nce. Lub tom kawg o thiab compress cov leeg,coj cov ntshav los ntawm lawv. Qhov no ua rau kom cov noov nyob rau hauv lub xeev ntawm erection tseeb. Tib lub sijhawm, nws nce thiab thickens.
Nyob rau hauv priapism, vim muaj cov hlab ntsha nkag los yog vim txo cov ntshav venous, cov txheej txheem ntawm "softening" txiv neej noov yog cuam tshuam.
True priapism - yog dab tsi? Nws yog tus cwj pwm los ntawm kev tswj tsis tau tam sim ntawd erection ntawm noov, uas tuaj yeem tshwm sim hauv ib qho twg, txawm tias qhov chaw tsis tsim nyog tshaj plaws. Muaj ob hom priapism tseeb: ischemic thiab non-ischemic.
Tseem muaj mob priapism, lossis pseudopriapism. Lwm lub npe rau tus kab mob no: nocturnal intermittent pw tsaug zog priapism. Nws yog dab tsi, peb yuav xav txog ntxiv. Tus kab mob no tsawg heev. Diagnosable, tab sis nyuaj heev kho.
Cas of chronic priapism
Cov kws tshawb fawb tsis pom zoo rau qhov chaw ntawm nocturnal priapism. Ib tug txiv neej noj qab nyob zoo tau ntsib luv luv, tsis mob erections hauv nws pw tsaug zog uas zaum kawg lossis ob peb feeb. Lawv yog cov spontaneous nyob rau hauv cov xwm thiab tsis coj mus rau lub wake ntawm ib tug neeg. Txawm hais tias ib tug txiv neej sawv los, ces ib pliag, thiab thaum sawv ntxov nws tsis nco qab txog erection.
Nyob rau hauv pseudopriapism, kev cuam tshuam hauv qhov tob thiab cov qauv ntawm kev pw tsaug zog tau pom. Cov kev hloov no provoke ib tug xov tooj ntawm neuropsychiatric mob. Cov neeg mob feem ntau raug kev txom nyem los ntawm neurosis, kev nyuaj siab, schizophrenia. Kev pw tsaug zog tuaj yeem ua rau muaj kev puas tsuaj rau lub hlwb, qhov twg neurosis zoo liCov tsos mob, concussion, contusion.
Cov neeg mob tsom ntau dhau ntawm qhov tseeb erections uas tshwm sim thaum hmo ntuj. Qhov no txhim kho cov kab mob, yav tom ntej, erections twb tshwm sim nyob rau hauv lub cuam tshuam ntawm neurotic ntshawv siab.
YQee zaum mob priapism tuaj yeem yog qhov tshwm sim ntawm urethritis, prostatitis lossis yog ib qho teeb meem tom qab kev siv tshuaj urological (cauterization ntawm lub plab tubercle, ureteroscopy). Hauv ntau tus neeg mob pseudopriapism, prostatitis raug kuaj pom thaum kuaj.
Kev tshawb fawb tsis tu ncua
Raws li cov lus xaus ntawm encephalography ua los ntawm cov neeg mob uas muaj qhov tsis sib xws ntawm priapism, kev hloov pauv tus yam ntxwv ntawm lub xeev kev nyuaj siab tau tshwm sim. Yog li ntawd, cov lus nug tshwm sim: "Ntawm priopism - nws yog dab tsi?". Thiab cov lus teb tuaj yeem tsim tau raws li hauv qab no: pseudopriapism tsis yog txiv neej kab mob, tab sis yog qhov tshwm sim ntawm cov neeg mob mob siab rau lub cev nqaij daim tawv nocturnal erections thiab ntxhov siab vim. Cov txiv neej tsis meej pem qhov laj thawj thiab qhov tshwm sim thiab liam lawv tus kheej erections rau kev ntxhov siab pw tsaug zog.
Cov kws kho mob tau tshuaj xyuas cov kab mob endocrine hauv cov neeg mob uas muaj priapism tsis sib xws. Tab sis tsis pom qhov hloov pauv. Txawm li cas los xij, txhua tus neeg mob uas tau muab tshuaj rau poj niam txiv neej cov tshuaj hormones tau sau tseg tias kev txhim kho ntawm kev pw tsaug zog thiab tsis muaj zog ntawm erections nocturnal. Tab sis, hmoov tsis, tom qab txiav cov tshuaj, nws cov txiaj ntsig zoo tam sim ntawd ploj mus.
nocturnal priapism tshwm sim li cas? Cov tsos mobkab mob
Tib hom kev tsis txaus siab ntawm tus neeg mob tuaj yeem taug qab:
- yuav luag txhua hmo, ze rau sawv ntxov, lawv feem ntau sawv vim qhov pib muaj zog erection;
- qee zaum tau erections thaum pw tsaug zog;
- ceeb toom qhov mob, qhov kev xav ntawm "kev maj" mus rau qhov chaw mos thiab perineum;
- insomnia;
- sawv ntxov lawv xav tias qaug zog, qaug zog, tsis txaus siab, qis qis;
- kev ntshaw kev sib deev es yuav tsawg zuj zus;
- txo qis ntawm tus naj npawb ntawm cov erections txaus;
- kev sib deev excitability tuaj yeem nce ntxiv thaum nruab hnub, erection yooj yim tshwm sim thaum sib txuas lus nrog poj niam txiv neej;
- nrawm ejaculation thaum sib deev.
Kev mob nkeeg
Tus kab mob muaj kev kawm ntev. Thaum pib ntawm tus kab mob nocturnal erections tshwm sim ib zaug ib lub lim tiam. Tom qab ntawd muaj lawv qhov nce thiab kev siv zog, lawv tuaj yeem tshwm sim los ntawm ob mus rau tsib zaug thaum hmo ntuj. Mob nyob rau hauv perineum thiab nyob rau hauv qhov chaw mos nce nrog txhua rooj plaub. Kev pw tsaug zog ua rau tsis xis nyob, sab nraud.
Kev kuaj mob pseudopriapism
Kev paub txog tus kab mob thiab kev kuaj mob priapism tsis yooj yim. Tsis zoo li qhov tseeb nocturnal priapism, nws yog tus cwj pwm los ntawm kev txo qis hauv erection tom qab ib tug txiv neej sawv, tom qab mus rau hauv chav dej (tom qab tso zis los yog tso quav tso quav).
Tsis tas li ntawd, qhov txo qis ntawm erectile nro yog nyiam los ntawm: taug kev ncig hauv chav tsev, ua kom muaj zog, siv tshuaj pleev kom txias rau qhov chaw mos lossisso ntev thiab hloov ntawm ib puag ncig ib puag ncig. Tab sis tag nrho cov kev tswj hwm no tsis kho tus kab mob, tab sis tsuas yog txo kev txom nyem ib ntus xwb.
Yuav ua li cas kov yeej kev pw tsaug zog priapism?
Yog cov txiv neej uas nyuam qhuav pib muaj qhov tsis sib haum xeeb thaum nruab hnub, kev kho mob yuav tsis ntev yog tias lawv tau kho raws sijhawm. Thaum ntxov, thaum pw tsaug zog cuam tshuam tshwm sim vim qhov mob erections tshwm sim, kev cob qhia autogenic, kev kho mob hlwb thiab hypnosis pab tau zoo.
Yog tus neeg mob nrhiav kev pab kho mob lig, cov hau kev saum toj no yuav tsis txaus. Yog li ntawd, txhawm rau kom tsis txhob muaj cov lus teb ntawm cov txiv neej mus rau qhov nocturnal erections, kev kho mob ntev nrog ntau yam tshuaj psychotropic yog sau.
Cov neeg mob raug yuam kom noj cov tshuaj tiv thaiv kev ntxhov siab ("Pyrazidol", "Azafen", "Amitriptyline"), tranquilizers ("Seduxen", "Elenium", "Phenozepam"), hypnotics thiab neuroleptics ("Stelazin", "Teralen). ", "Etaperazine"). Kev xaiv tshuaj yog nyob ntawm tus kws kho mob. Electrosleep thiab acupuncture zaug ntxiv rau kev kho mob.
Yog cov txiv neej muaj kab mob pseudopriapism kuj kuaj tau cov kab mob inflammatory hauv qhov chaw mos, yuav tsum tau ntxuav lawv.
