Ka piko o ka peni

ʻO ka curvature o ka peni kahi kūlou maʻamau i ka peni e kū i ka wā o ke kūkulu ʻana. Kāhea ʻia ia ʻo Peyronie maʻi.

I ka maʻi Peyronie, ulu kaʻiʻo maka maka fibrous i nā mākia hohonu o ka peni. ʻAʻoleʻike pinepine ʻia ke kumu o kēia aʻa fibrous. Hiki iā ia ke hana kūlohelohe. Hiki iā ia ma muli o kahi ʻeha ma mua i ka peni, ʻo ia hoʻi i hala i mau makahiki i hala.

ʻO ka haki o ka peni (ʻeha i ka wā o ka moekolohe) hiki ke alakaʻi i kēia ʻano. ʻOi aku ka makaʻu o nā kāne i ka hoʻomohala ʻana i ka curvature o ka peni ma hope o ke kaha ʻana a i ʻole ka mālama ʻana i ka radiation no ka maʻi ʻaʻai prostate.

ʻAʻole maʻamau ka maʻi Peyronie. Hoʻopili ia i nā kāne mai 40 a 60 paha mau makahiki.

Hiki i ka curvature o ka penis ke hui pū me Dupuytren ʻaelike. ʻO kēia mea e like me ka mānoanoa o ke kaula ma o ka poho o hoʻokahi a i ʻole ʻelua mau lima. He maʻi maʻamau ia i nā kāne keʻokeʻo ma mua o 50 mau makahiki. Eia nō naʻe, he hapa liʻiliʻi wale nō o ka poʻe me Dupuytren contracture e hoʻomohala i ka curvature o ka peni.

ʻAʻole i loaʻa nā kumu pilikia ʻē aʻe. Eia nō naʻe, loaʻa i nā poʻe me kēia ʻano kekahi ʻano o nā māka pale paʻa, e hōʻike ana e hoʻoilina paha ia.

Loaʻa paha i nā keiki hānau hou kahi curvature o ka peni. He ʻāpana paha kēia o kahi hana ʻino i kapa ʻia ʻo chordee, ʻokoʻa ia mai ka maʻi Peyronie.

Hiki iā ʻoe a i ʻole kāu mea mālama olakino ke hoʻomaopopo i kahi paʻakikī paʻakikī o nā kiko ma lalo o ka ʻili, ma kahi o ka ʻau o ka peni. E like paha me he puʻupuʻu paʻakikī a hū paha.

I ke kūkulu ʻana, aia paha:

• ʻO ke kūlou i ka peni, kahi e hoʻomaka pinepine ai ma kahi āu e ʻike ai i nāʻiʻo o nā ʻili a paʻakikī paha
• Ka palupalu ʻana o ka ʻāpana o ka peni ma ʻō aku o ka ʻili o ka maʻi ʻili
• Pihikiha loa o ka peni
• ʻEha
• Nā pilikia me ke komo a ʻeha paha i ka wā o ka moekolohe
• Hoʻopōkole ʻana i ka peni

Hiki i ka mea hoʻolako ke kuhikuhi i ka curvature o ka peni me kahi hoʻokolohua kino. Hiki ke ʻike ʻia nā pāka paʻakikī me ka ʻole o ke kūkulu ʻana.

Hāʻawi ka mea hāʻawi iā ʻoe i ka pana o ka lāʻau e hoʻokū ai i kahi kūkulu. A i ʻole, hāʻawi paha ʻoe i kāu mea hoʻolako me nā kiʻi o ka penis erect no ka loiloi.

Hiki i kahi ultrasound ke hōʻike i kaʻiʻo makaʻu ma ka peni. Eia naʻe, ʻaʻole pono kēia hoʻāʻo.

I ka mua, ʻaʻole pono ʻoe i ka lāʻau. Hiki ke hoʻomaikaʻi i kekahi a i ʻole nā ​​hōʻailona āpau i ka holo ʻana o ka manawa a i ʻole ʻaʻole e ʻino.

Hiki i nā mālama ke hoʻopili:

• Corticosteroid injection i loko o ka fibrous band o kaʻaʻaʻa.
• Potaba (kahi lāʻau i lawe ʻia e ka waha).
• Lapaʻau hoʻomākala.
• Lithotripsy nalu haʻalulu.
• ʻO Verapamil injection (kahi lāʻau i hoʻohana ʻia e mālama i ke koko kiʻekiʻe).
• Wikamina E.
• ʻO Collagenase clostridium histolyticum (Xiaflex) kahi koho injection hou e mālama ai i ka curvature.

Eia nō naʻe, ʻaʻole kōkua nui kēia mau hoʻomaʻamaʻa inā loa. Hiki i kekahi ke hoʻonui i ka scarring.

Inā kōkua ʻole ka lāʻau a me ka lithotripsy, a ʻaʻole hiki iā ʻoe ke moe kolohe ma muli o ka ʻūlū o ka peni, hiki ke hana ʻia ke ʻoki e hoʻoponopono i ka pilikia. Eia nō naʻe, hiki i kekahi ʻano o ke kahakaha ke hana i ka impotence. E hana wale ʻia inā ʻaʻole hiki ke moe kolohe.

ʻO kahi prostile penile paha ke koho lapaʻau maikaʻi loa no ka curvature o ka penis me ka impotence.

Hiki ke hōʻeha ke ʻano a ʻaʻole hiki iā ʻoe ke moe kolohe. Hiki pū kekahi impotence.

Kāhea i kāu mea hāʻawi inā:

• Loaʻa iā ʻoe nā ʻōuli o ka curvature o ka peni.
• He ʻeha nā kūkulu.
• He ʻehaʻeha kou i ka peni i ka wā o ka moekolohe ʻana, a ukali ʻia e ka pehu a me ka ʻeha o ka peni.

Maʻi Peyronie

• Anatomia hānau kāne
• ʻŌnaehana hānau kāne

ʻO Elder JS. ʻO nā anomalies o ka peni a me ka urethra. I: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 20 ouk. Piladelapia, PA: Elsevier; 2016: chap 544.

ʻO Levine LA, Larsen S. Diagnosis a me ka mālama ʻana i ka maʻi Peyronie. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 31.

McCammon KA, Zuckerman JM, Jordan GH. ʻO keʻoki o ka peni a me ka urethra. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 40.