Xa ukususwa kwePenis Nguyena kuphela Inketho
I-American Cancer Society iqikelela ukuba amacala angama-1,500 yomhlaza we- penile (umhlaza wepenis) afunyanwa kwi-US ngamnye ngonyaka. Umdlavuza wePenile awunqabile kakhulu eNyakatho Melika naseYurophu kodwa ixhaphake kakhulu kwiindawo ze-Afrika kunye neMzantsi Melika, apho kubangelwa ama-10 ekhulwini lamanomdla emanzini.
Nangona ezinye iindidi zomhlaza we-penile zingaphathwa nge-laser okanye ukuhlinzwa okwenziwe kwendawo, izidumbu ezingenakudla zifuna inkqubo eninzi kakhulu eyaziwayo njenge-penectomy.
Ukuqonda iPenectomy
I-penectomy uhlobo lotyando olusetyenziselwa ukususa nxalenye yepenis (ipenectomy ekhethekileyo) okanye yonke ipenis (i-penectomy okanye i-penectomy). Kuthathwa njengento yokugqibela xa zonke ezinye iinketho zonyango zihlulekile.
Ngepenectomy, i-tumor kunye nezidumbu ze-penis zisuswe kunye ne- lymph nodes kwi-groin. Ukukhutshwa kwezi nodes kunokuthintela ukusasazeka komhlaza. Ngayinye yala mayeza atyathwa ngokungafaniyo:
- Ipenectomy ekhethekileyo iquka ukususwa nje kwintonga okanye intloko yepenisi. Oku kukhulula ubuninzi be-shaft ngokusemandleni kwaye kuvumela ukuba umntu asebenze ukuhamba xa emile. Kwezinye iimeko, ugqirha uya kunqumla i-ligament edibanisa ipeni kwisifo se-pelvis ukwenzela ukwandisa ubude bomda. Uluhlu lwesikhumba lungasetyenziselwa ukukunceda ukumboza izicubu ezibonakalayo.
- I-penectomy epheleleyo iquka ukususwa kwayo yonke ipenisi, kubandakanywa ingcambu eya kwi-pelvis. Ngendlela enjengale, i-urethra kufuneka ijikelelwe kwindawo entsha, ngokuqhelekileyo phakathi kwe-scrotum kunye ne-anus, ukwenzela ukuba umchamo ungakhutshwa emzimbeni. I-penectomy iyonke yenziwa kuphela xa i-tumor ihamba ngokugqithiseleyo kwi-penis okanye ikhona kwisiseko se-penis.
Bobabini utyando lunokubandezeleka kubantu abavame ukucinga ukuba ipenis isenzo somntu. Ngaloo ndlela, yonke inzame yenziwa ukuba iphephe ukuhlinzwa, ukuba kukho iindlela ezifanelekileyo, okanye ukushiya ubuninzi beepenis njengoko imeko ivumela.
Ubundlobongela kunye nobudlelwane obusondeleyo emva kohlobo lwePenectomy
Nangona inxalenye ethandekayo ye-penis isuswa kunye ne-penectomy ekhethekileyo, isibini sinokuhlala sinandipha ubomi bobulili obugcwele.
Ukususwa kwentloko yepenisi akuthinteli umntu ukuba angeneli okanye angaphumeleli .
Ubungakanani obuphambili buba nobunzima obukrakra, kodwa abuphelelanga nobuchule bomntu bokulala. Ukufakela kwangaphambili kunokufumaneka ngokungekho ngaphantsi kwama-intshi amabini (ezintathu ububanzi). Ukuba kuyimfuneko, ukukhululwa kwegilithi engasolanga kunokwandisa ubude bepenisi, ngelixa utyando lusetyenziswa ukuvuselela intloko yepenisi ngokwayo.
Vula, uxhulumaniso oluxhasayo kunye neqabane lakho luyintloko ekubuyiseni impilo yobomi ngokugcwele. Ukucebisa ngeengcali kwi-sexist therapist kunokunceda.
Ukwabelana ngesondo kunye nobudlelwane obusondeleyo emva kwePenectomy epheleleyo
Amadoda athole ipenectomy ngokupheleleyo kufuneka aphinde acinge ngokubhekiselele kwisini. Akukho nto ibonisa ukuba ingaba yinkqubo enzima, inzima ngemibandela ebonakalayo efana nokulawulwa kwe-bladder.
Kodwa oku akuthethi ukuba isondo akukho nto ingabalulekanga okanye into umntu ayenayo. Ngokuzama kunye nencoko evulekileyo, amadoda amaninzi kunye namaqabane abo angakwazi ukufezekisa ubomi bobulili obuyanelisayo.
Nangemva kokuba i-penis isuswe, zikhona iziphelo ezinomdla ngokuthe ngqo kwiindawo zokuzalwa zesisu, i-groin, iipopu, izikhwebu kunye ne-anus.
Ukuhlolisisa le mimandla ngezandla, ulwimi, okanye i-vibrator ingaba yintliziyo kwaye iholele ekubonakalisweni kwesondo njengendlela yovuselelo lomzimba kunokuba nje ungene ngaphakathi. Kwezinye iimeko, inokuphucula ubomi bentlobano ngokuguqula ukugxilwa kwimizimba yezitho zangasese ukuya kwintsebenziswano enobudlelwane kunye nomlomo womzimba ngokubanzi.
Ukuba zonke izinto zihluleka, ukuhlinzwa ngokukhethekileyo okubizwa ngokuba yi- phalloplasty , kunokuphandwa. Kubandakanywa ukwakha kabusha i-penis usebenzisa i-muscle okanye isikhumba ukudala isakhiwo sangaphakathi kunye ne-flap yesikhumba kwi-scrotum ukugubungela ilungu. I-ureth isenokukwazi ukuhlaziywa ekupheleni kwepenisi, ngelixa itonga leplastiki elikhutshwayo lingeniswa ukuze lifane ne-erection.
I-phallus eplastiki ye-strap iyindlela efanelekileyo.
> Imithombo:
> Mossanen, M .: Holt, S .; Gore, J. et al. "Ukuhlaziywa komhlaza wesiliva: Ukuvavanya indlela yokulawula kunye neziphumo zekliniki usebenzisa iNational Data Base Base." J Clin Oncol. 2016; 34 (iSiza 2); 492. INGXELO: 10.1200 / jco.2016.34.2_suppl.492.
> Sansalone, S .; Silvani, M .; Leonardi, R. et al. "Iziphumo zesondo emva kwecenectomy ekhethekileyo yomhlaza wepenile: iziphumo ezivela kwizifundo ezininzi. Asia J Androl. 2017; 19 (1): 57-61. INGXELO: 10.4103 / 1008-682X.168690.