Lapho Ukususwa kwePenis Kuwukuphela Kwendlela
I-American Cancer Society inquma ukuthi amacala angaphezu kuka-1 500 omdlavuza we- penile (umdlavuza we-penis) atholakala e-US unyaka ngamunye. Umdlavuza we-penile awuvamile kakhulu eNyakatho Melika naseYurophu kepha uvame kakhulu ezindaweni ezithile zase-Afrika naseNingizimu Melika, lapho kubandakanya amaphesenti angama-10 amanqamu emadodeni.
Ngenkathi ezinye izinhlobo zomdlavuza we-penile zingelashwa nge-laser noma ukuhlinzekwa kwendawo, izicubu ezingavamile zingadinga inqubo eyingozi kakhulu eyaziwa ngokuthi i-penectomy.
Ukuqonda i-Penectomy
I-penectomy uhlobo lohlinzekwa olusetshenziselwa ukususa noma iyiphi ingxenye ye-penis (ipenectomy encane) noma yonke i-penis (i-penectomy ephelele noma eqinile). Kubhekwa njengendlela yokugcina uma zonke ezinye izinketho zokwelashwa zihlulekile.
Nge-penectomy, i-tumor kanye nezidakamizwa zamapenis azungezile zisuswa kanye nama- lymph nodes endaweni yokulima. Ukususwa kwalezi zinombolo kungavimbela ukusabalalisa okuqhubekayo komdlavuza. Ngayinye yalezi zindlela zokuhlinza isondela ngokuhlukile:
- I-penectomy eyingxenye ihilela ekususweni nje kwephuzu noma ikhanda lepenisi. Lokhu kuvimba kakhulu umshini ngangokunokwenzeka futhi kuvumela lo muntu ukuba aguqe ngenkathi eme. Kwezinye izimo, udokotela uzoqeda i-ligament ehlanganisa i-penis esitokisini sekhanda ukuze kwandiswe ubude bepenis. I-graft yesikhumba ingasetshenziswa futhi ukusiza ukumboza izicubu ezibonakalayo.
- I-penectomy ephelele ihilela ukukhipha yonke ipenisi, kuhlanganise nomsuka owela ngaphakathi kwesikhumba. Ngenqubo efana nalokhu, i-urethra kufanele ihanjiswe ekuvuleni okusha, ngokuvamile phakathi kwe-scrotum ne-anus, ukuze umchamo ungasuswa emzimbeni. I-penectomy yeningi yenziwa kuphela uma isisu sifinyelela ngaphakathi kumfenisi noma sisezingeni lesipenisi.
Bobabili ukuhlinzwa kungabangela ukucindezeleka kubantu abavame ukubheka i-penis njengendlela yokufaniswa kwabantu. Ngakho-ke, yonke imizamo yenzelwa ukugwema ukuhlinzeka, uma kukhona okukhethwa kukho okukhona, noma ukushiya i-penis engaphelele njengoba isimo sivumela.
Ubulili Nokungalingani Ngokulandela I-Penectomy Eyingxenye
Ngisho noma ingxenye ezwela kakhulu ye-penis isuswe nge-penectomy encane, umbhangqwana usengakujabulela ukuphila okugcwele ngokocansi.
Ukukhishwa kwekhanda lepenisi akuvimbeli umuntu ukuba angeneli noma angafinyeleli ekujuleni .
Usayizi ohlotshaniswayo ungase ucindezele ngokomzwelo, kodwa awuphazamisi ikhono lomuntu lokulala. Ukungena ngemvume kungavame ukufezwa ngamasentimitha amathathu (shalentimitha) we-shaft. Uma kudingekile, ukukhululwa komgogodla osolisayo kungakwandisa ubude bepenisi, kanti ukuhlinzwa kungasetshenziselwa ukuvuselela ikhanda lepenisi ngokwayo.
Ukuvula, ukusekela ukuxhumana nomlingani wakho kuyisihluthulelo sokubuyela empilweni yokusebenza ngokobulili ngokugcwele. Ukweluleka ngokwengcweti kuchwepheshe wezocansi nakho kungasiza.
Ubulili Nokungalingani Ukulandela I-Penectomy Yonke
Amadoda athola i-penectomy ephelele ngokuvamile kufanele aphinde acabangisise ngokusho kobulili bawo. Akekho obala ukuthi kungenzeka kube inqubo eyinkimbinkimbi, eyinkimbinkimbi ngezindaba ezingokoqobo ezifana nokulawula isisu.
Kodwa lokhu akusho ukuthi ubulili buyinto ebaluleke kakhulu noma into umuntu okufanele ayenze. Ngokuhlola nokuvula ingxoxo, amadoda amaningi nabalingani bawo bangafeza impilo yokucansana ngokomzwelo ngokomzwelo.
Ngisho nangemva kokuba i-penis isusiwe, kuneziphetho ezinomqondo ezibucayi kakhulu ezenzweni zangasese, nasezizungeze indawo yesisu, ukuvuthwa, izinsipho, izikhwebu kanye ne-anus.
Ukuhlola lezi zifunda ngezandla zakho, ulimi, noma isidlidlizi kungaba yimizimba futhi kuholele ekukhulumeni kobulili njengendlela yokugqugquzela umzimba wonke kunokungena kuphela. Kwezinye izimo, kungathuthukisa impilo yocansi ngokuqondisa kabusha ukugxila emzimbeni wobulili kuya kokusondelana komlomo nomlomo womzimba wonke.
Uma konke okuhlulekayo, ukuhlinzwa okukhethekile okubizwa ngokuthi i- phalloplasty , kungacutshungulwa . Kuhilela ukwakhiwa kabusha kwepenisi usebenzisa isisindo noma isikhumba ukuze wakhe isakhiwo sangaphakathi kanye nesikhumba esikhwameni esivela ku-scrotum ukumboza isitho. I-urethra iyakwazi ukuqondiswa kabusha ekupheleni kwepenisi, kanti induku yepulasitiki ekhishwayo ingangeniswa ukuze ifane ukulungiswa.
I-phallus prosthesis ye-strap iyindlela enamandla.
> Imithombo:
> Mossanen, M .: Holt, S ;; Gore, J. et al. "Ukubuyekezwa komdlavuza we-penile: Ukuhlola ukuthambekela kokuphathwa nemiphumela yomtholampilo usebenzisa i-National Cancer Data Base." J Clin Oncol. 2016; 34 (Suppl 2); 492. INGABE: 10.1200 / jco.2016.34.2_suppl.492.
> Sansalone, S .; USilvani, M .; Leonardi, R. et al. "Imiphumela yezocansi emva kwe-penectomy eyingxenye yomdlavuza we-penile: imiphumela yocwaningo oluningi lwezikhungo." I-Asian J Androl. 2017; 19 (1): 57-61. I-DOI: 10.4103 / 1008-682X.168690.