Priapism
| Priapism | |
|---|---|
 | |
Description (en)  | |
| Iri |
penile disease (en) peripheral vascular disease (en) |
| Field of study (en) |
urology (en) |
| Identifier (en) | |
| ICD-10-CM | N48.30 da N48.3 |
| ICD-9-CM | 607.3 |
| DiseasesDB | 25148 |
| MedlinePlus | 003166 |
| eMedicine | 003166 |
| MeSH | D011317 |
| Disease Ontology ID | DOID:9286 |
Priapism wani yanayi ne wanda azzakari ya kasance a tsaye na sa'o'i ba tare da motsawa ba ko bayan motsawa ya ƙare.[1] Akwai nau'o'i uku: ischemic (ƙananan), nonischemic (babban gudana), da ischemic mai maimaitawa (intermittent). [1] Yawancin shari'o'in suna da ischemic.[1] Ischemic priapism gabaɗaya yana da zafi yayin da nonischemic priapism ba haka ba ne.[1] A cikin ischemic priapism, mafi yawan azzakari yana da wahala; duk da haka, azzakari na glans ba haka ba ne.[1] A cikin priapism ba tare da ischemic ba, dukkan azzakari ne kawai.[1] Da wuya, clitoral priapism yana faruwa a cikin mata.
Cutar ƙwayoyin cuta ita ce mafi yawan dalilin ischemic priapism.[1] Sauran dalilai sun haɗa da magunguna kamar su antipsychotics, SSRIs, blood thinners da prostaglandin E1, da kuma kwayoyi kamar cocaine.[1][2] Ischemic priapism yana faruwa ne lokacin da jini bai isa ya fita daga azzakari ba.[1] Nonischemic priapism yawanci saboda haɗin da ke tsakanin jijiya da corpus cavernosum ko rushewar tsarin juyayi na parasympathetic wanda ke haifar da karuwar jini.[1] Nonischemic priapism na iya faruwa bayan rauni ga azzakari ko rauni a kashin baya.[1] Ana iya tallafawa ganewar asali ta hanyar nazarin iskar jini na jini da aka samo daga azzakari ko ultrasound.[1]
Magani ya dogara da nau'in.[1] Ischemic priapism yawanci ana bi da shi tare da toshewar jijiya na azzakari sannan kuma burin jini daga corpora cavernosa.[1] Idan wannan bai isa ba, ana iya ban ruwa da cavernosum tare da sanyi, saline na al'ada ko kuma an yi masa allurar phenylephrine.[1] Nonischemic priapism sau da yawa ana bi da shi tare da fakitin sanyi da matsawa.[1] Ana iya yin tiyata idan matakan da aka saba amfani da su ba su da tasiri.[1] A cikin ischemic priapism, haɗarin lalacewa ta dindindin na azzakari ya fara ƙaruwa bayan sa'o'i huɗu kuma tabbas yana faruwa bayan sa'i 48.[1] Priapism yana faruwa a cikin kimanin 1 cikin 20,000 zuwa 1 cikin 100,000 maza a kowace shekara.[1]
Rarraba
[gyara sashe | gyara masomin]Priapism an rarraba shi zuwa rukuni uku: ischemic (ƙananan), nonischemic (babban gudana), da ischemic mai maimaitawa.[1] Yawancin shari'o'in (19 daga 20) suna da ischemic a yanayi.[1]
Wasu kafofin suna ba da tsawon sa'o'i huɗu a matsayin ma'anar priapism, amma wasu suna ba da shida. A cewar Asibitin Jami'ar Schleswig Holstein, "Lokacin tsayi na al'ada kafin a rarraba shi azaman priapism har yanzu yana da rikici. Tsayar da tsayi na ciki na sama da awanni 4 ana iya rarraba shi a matsayin priapism". [3]
A cikin mata
[gyara sashe | gyara masomin]Priapism a cikin mata (ci gaba, ciwo mai raɗaɗi na clitoris) yana da wuya sosai fiye da priapism a tsakanin maza kuma an san shi da priapisme na clitoral ko clitorism. Yana da alaƙa da ciwon tashin hankali na jima'i (PGAD). Rahotanni kalilan ne kawai na mata da ke fuskantar Clitoral priapism.[4]
Alamomi da alamomi
[gyara sashe | gyara masomin]Matsalolin
[gyara sashe | gyara masomin]Saboda ischemic priapism yana haifar da jini ya kasance a cikin azzakari na dogon lokaci, jini ya zama rasa iskar oxygen, wanda zai iya haifar da lalacewar nama. Irin wannan lalacewar na iya haifar da dysfunction na erectile ko lalacewar azzakari.[5] A cikin matsanancin yanayi, idan azzakari ya kamu da mummunar cuta ta jijiyoyi, priapism na iya haifar da gangrene na azzakari.[6]
Rashin saurin gudu
[gyara sashe | gyara masomin]Dalilan ƙarancin ƙwayoyin cuta sun haɗa da ƙarancin ƙwayar cuta (wanda ya fi dacewa da yara), ƙarancin jini, da sauran cututtukan jini kamar Talasemia da myeloma mai yawa, da kuma amfani da magunguna daban-daban, da kuma ciwon daji.[7] Binciken haɗin gwiwar kwayoyin halitta akan marasa lafiya na Brazil tare da cutar sickle cell sun gano nau'ikan nucleotide guda huɗu a cikin LINC02537 da NAALADL2 da ke da alaƙa da priapism.[8]
Sauran yanayin da zasu iya haifar da priapism sun hada da Cutar Fabry, da kuma cututtukan jijiyoyi irin su cututtuken kashin baya da cututtukon kashin baya (an ruwaito priapism a cikin mutanen da aka rataye; duba tsayar da mutuwa).
Priapism kuma na iya haifar da martani ga magunguna. Magungunan da aka fi sani da ke haifar da priapism sune allurar intra-cavernous don maganin dysfunction na erectile (papaverine, alprostadil). Sauran kungiyoyin magunguna da aka ruwaito sune Magungunan rigakafi (misali Doxazosin), magungunan ƙwaƙwalwa (misali, chlorpromazine, clozapine), magunganan antidepressants (musamman trazodone), magungannin rigakafi da magungunan daidaita yanayi kamar sodium valproate . [1] Anticoagulants, cantharides (Spanish Fly) da magungunan nishaɗi (alcohol, heroin da cocaine) an haɗa su. An kuma san Priapism da ya faru ne daga cinyewar gizo-gizo mai yawo na Brazil.[2]
Manazarta
[gyara sashe | gyara masomin]- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 Podolej, GS; Babcock, C (January 2017). "Emergency Department Management Of Priapism". Emergency Medicine Practice. 19 (1): 1–16. PMID 28027457. Cite error: Invalid
<ref>tag; name "EM2017" defined multiple times with different content. - ↑ "Alprostadil". The American Society of Health-System Pharmacists. Archived from the original on 16 January 2017. Retrieved 8 January 2017.
- ↑ C. VAN DER HORST, HENRIK STUEBINGER, CHRISTOPH SEIF, DIETHILD MELCHIOR, F.J. MARTÍNEZ-PORTILLO, K.P. JUENEMANN; "Priapism: Etiology, Pathophysiology and Management" (PDF). Archived (PDF) from the original on 2013-04-29. Retrieved 2011-12-07.
- ↑ Cite error: Invalid
<ref>tag; no text was provided for refs named "Lehmiller2014". - ↑ "Priapism - Symptoms and Causes". Mayo Clinic. Archived from the original on 2014-08-06. Retrieved 2014-08-30.
- ↑ Ajape, A. A.; Bello, A. (2011). "Penile Gangrene: An Unusual Complication of Priapism in a Patient with Bladder Carcinoma". J Surg Tech Case Rep. 3 (1): 37–9. doi:10.4103/2006-8808.78470. PMC 3192523. PMID 22022653.
- ↑ Originally copied from:
Fernandes, Maitê Aline Vieira; Souza, Luis Ronan Marquez Ferreira de; Cartafina, Luciano Pousa (2018). "Ultrasound evaluation of the penis". Radiologia Brasileira. 51 (4): 257–261. doi:10.1590/0100-3984.2016.0152. ISSN 1678-7099. PMC 6124582. PMID 30202130. - ↑ Cintho Ozahata, Mina; Page, Grier P.; Guo, Yuelong; Ferreira, João Eduardo; Dinardo, Carla Luana; Carneiro-Proietti, Anna Bárbara F.; Loureiro, Paula; Mota, Rosimere Afonso; Rodrigues, Daniela O.W.; Belisario, André Rolim; Maximo, Claudia; Flor-Park, Miriam V.; Custer, Brian; Kelly, Shannon; Sabino, Ester Cerdeira (2019). "Clinical and Genetic Predictors of Priapism in Sickle Cell Disease: Results from the Recipient Epidemiology and Donor Evaluation Study III Brazil Cohort Study". The Journal of Sexual Medicine. 16 (12): 1988–1999. doi:10.1016/j.jsxm.2019.09.012. PMC 6904926. PMID 31668730.