|
男性性生理問題 |
|
陰莖持續勃起症
|
|
|
|
普瑞爾珀斯是古希臘的生殖神。他的雕像總是炫耀著一根勃起的巨大陰莖。雕像被安置在田野裏，以寄希望於確保五穀豐登。
Priapos was the ancient Greek god of fertility. His statue, always showing a huge erect penis, was placed in the fields in the hope of ensuring a good harvest.
|
|
|
|
|
術語陰莖持續勃起症(priapism，以古希臘生殖神的名字命名，見插圖——譯者注)
是指在無性刺激的情況下，陰莖的持續性和疼痛性的勃起狀態。
如果這種令人煩惱的勃起持續時間超過2小時，才診斷為陰莖持續勃起症。這種症狀可能會發生在所有年齡段的男子，包括男嬰和男童在內。在這樣的病例中，陰莖持續勃起症是某些損傷或嚴重疾病的徵象，例如白血病或鐮刀狀紅細胞貧血症。然而，最容易罹患此病的病人是20-50歲的男子。發病的原因也可能是鐮刀狀紅細胞貧血症或某種損傷。另外的發病原因可能是陰莖內注射藥物甚或口服治療勃起功能障礙的藥物。其他的可能病因有諸如(陰莖)血管瘺管、靜脈閉塞或其他身體內部的血管阻塞。陰莖持續勃起症的典型症狀是，當陰莖幹膨脹變硬時，陰莖頭卻不勃起而是仍然疲軟。還有一種令人厭煩的陰莖勃起症，陰莖僅僅持續地輕度勃起(所謂的半勃起)長達數天。這種持續勃起雖然不疼痛，也需要去治療。(陰蒂持續勃起症，即陰蒂疼痛性過度膨脹則罕見。)
治
療
陰莖持續勃起症是一種醫學急症。如果沒有及時得到治療(如果可能不幸未在發病的6小時內去泌尿科治療)，陰莖可能會受到永久性損傷。為了確定病因，仔細地身體檢查是必要的，隨後則必須立即進行治療。假若及早得到治療，一些藥物就可以緩解症狀。如果症狀不消退，則需要通過血管穿刺排血或可能需要外科手術。
Physical Problems in Males
Priapism
The term priapism
refers to a persistent, usually painful erection of the penis in the absence of sexual excitement.
|
|
We
speak of priapism if the bothersome
erection lasts longer than 2 hours. The
condition can occur in males of all
ages, including newborns and small
children. In these cases it is an
indication of some injury or serious
disease such as leukemia or sickle-cell
anemia. However, most afflicted males
are between twenty and fifty years old.
Again, the cause may be sickle-cell
anemia or some injury. Another cause may
be the injection of drugs into the penis
or even oral medication for the
treatment of erection problems. There
are some other possible causes such as a
fistula, the occlusion of a vein or
other internal obstructions. It is
typical of priapism that, while the
shaft of the penis is tumescent and
hard, the glans is not, but remains
soft. There are also cases of unwelcome,
but persistent weak erections (so-called
semi-erections) lasting several days.
These, although not painful, also
require treatment. (Priapism in females,
i.e. a painfully engorged clitoris, is
extremely rare.)
Treatment
Priapism is a medical emergency. Without
timely intervention (if possible by a
urologist, and within the first six
hours), the penis may be permanently
damaged. A careful examination is
necessary to determine the cause, and
prompt treatment must follow. If the
treatment starts early enough, some
medication may solve the problem. If the
condition persists, the draining of
blood though an inserted needle and/or
surgery may be required.
|
