Yenim sɛ eyi yɛ asɛmti a ɛyɛ den na ɛyɛ nkate ankasa sɛ yɛbɛka ho asɛm. Nanso ɛho hia yiye sɛ yɛn nyinaa hu oprehyɛn a ebia ɛsɛ sɛ ɔbarima bi yɛ esiane kokoram tebea bi nti. Efisɛ, nsɛm a ɛfata a wubehu no bɛboa ma woyi ehu a ɛho nhia afi hɔ na sɛ ɛho hia a, woatu anammɔn a ɛfata. Enti ɛnnɛ, momma yɛnka oprehyɛn a wɔde yi ɔbarima akyi berɛmo, anaa `(Penectomy)` ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne penectomy?
`Penectomy` yɛ oprehyɛn a wɔde yi ɔbarima no akyi. Eyi ahorow atitiriw abien na ɛwɔ hɔ. Biako ne ɔbarima no akyi berɛmo no fã bi pɛ a woyi fi hɔ. Yɛfrɛ no `partial penectomy`. Ɔfoforo no ne sɛ wobeyi ɔbarima no akyi koraa. Yɛfrɛ no `total penectomy`.
Mpɛn pii no, ade titiriw nti a wɔyɛ oprehyɛn yi ne kokoram wɔ ɔbarima akyi berɛmo mu.
Dɛn nti na ɛsɛ sɛ wɔyɛ me oprehyɛn yi?
Sɛnea yɛadi kan aka no, ade titiriw a ɛtaa ma wɔyɛ oprehyɛn yi ne sɛ wɔbɛsa ɔbarima akyi berɛmo mu kokoram . Eyi yɛ kokoram a ɛntaa nsi koraa. Nanso, nnipa a wɔwɔ asiane ahorow bi no taa nya kokoram yi .
Nea ɛho hia sen biara ne sɛ, sɛ wohu kokoram yi ntɛm a, oprehyɛn yi ne hokwan a eye sen biara a ɛbɛma wɔagye obi nkwa.
Hena na asiane kɛse wom sɛ obenya kokoram wɔ ɔbarima akyi berɛmo mu?
- Wɔ wɔn a wɔnom sigaret fam no
- Wɔn a wɔntwa twetia (Not circumcised) .
- Wɔn a wɔwɔ tebea horow te sɛ ` HPV ` ( Human Papillomavirus ) anaa ` AIDS `
- Wɔn a wɔadi boro mfe 50 no fam
- Wɔn a wɔde UV mframa ne aduru bi a wɔfrɛ no `Psoralen` a wɔde sa honam ani yare ` Psoriasis` ayɛ wɔn yare no
- Wɔn a wɔwɔ ɔhaw ahorow a ɛfa awotwaa ho no fam. Sɛ nhwɛso no, sɛ anim were no mu yɛ den dodo sɛ ɛbɛtwe (`Phimosis`) anaasɛ sɛ nneɛma a asɛe (Smegma) aboaboa ano wɔ anim were no ase a.
Sɛ wowɔ saa nneɛma a ɛde asiane ba yi a, mma ɛnhaw wo. Ɛnkyerɛ sɛ akyinnye biara nni ho sɛ wubenya kokoram. Nanso, ɛho hia sɛ wuhu eyi na sɛ wuhu nsakrae biara a ɛyɛ soronko a, wobɛkɔ oduruyɛfo nkyɛn ntɛm ara.
Dɛn na ɛba bere a wɔreyɛ oprehyɛn no?
Eyi gyina wo kokoram no kɛse ne sɛnea ɛtrɛw so. Wo duruyɛfo bɛbɔ mmɔden bere nyinaa sɛ obeyi ntini kakraa bi sɛnea obetumi bere a wɔreyɛ ayaresa no.
| Oprehyɛn ko a wɔyɛ | Nea ɛba no yɛ mmerɛw. |
|---|---|
| Glansectomy a wɔde twa ahwehwɛ | Sɛ kokoram no wɔ ɔbarima no akyi (glans) nkutoo a, saa fã no nkutoo na woyi fi hɔ. Wobetumi ayɛ honam ani aduru nso. |
| Partial Penectomy (wɔyi ne fã bi fi hɔ) . | Sɛ kokoram no sõ kakra a, woyi ɔbarima no fã bi fi hɔ. Ɛha yi, nnuruyɛfo bɔ mmɔden sɛ wobegyaw mu dodow biara sɛnea ɛbɛyɛ a wubetumi atoto wo ho bere a wugyina hɔ no . |
| Penectomy a Wɔyɛ no Total | Sɛ kokoram no yɛ kɛse na ɛhyɛn nipadua no mu a, woyi ɔbarima no akyi berɛmo no nyinaa, ne ɔfã a ɛkɔ nipadua no mu no. Saa bere yi de, nsukorabea a ɛde nsu (urethra) no bata beae a ɛda awotwaa ne akyi berɛmo (perineum) ntam no ho. Wɔfrɛ eyi sɛ Perineal Urethrostomy . Sɛ wɔyɛ oprehyɛn no wie a ɛsɛ sɛ woto wo ho gu bere a wote ase no . |
Ɛtɔ mmere bi a, oduruyɛfo no betumi ayi ntini a ɛma mogya tu no bi de ahwɛ sɛ kokoram no atrɛw anaa. Afei nso, ɛwom sɛ ɛnyɛ bere nyinaa na ebetumi aba de, nanso oduruyɛfo no betumi asusuw sɛnea wobetumi ayɛ oprehyɛn a wɔde bɛsan ayɛ ɔbarima akyi berɛmo (Phalloplasty) ho asɛm akyiri yi.
Dɛn na wubetumi ahwɛ kwan wɔ oprehyɛn akyi?
Sɛ wɔyɛ oprehyɛn wie a, ebia wubehyia nea edidi so yi:
- Mpɛn pii no, ɛyɛ nna abien kosi abiɛsaƐho behia sɛ wotra ayaresabea hɔ.
- Wɔde afiri a wɔde yi nsuo bɛto hɔ na ama nsuo akɔ mu. Ebia ebehia sɛ wogyaw eyi wɔ nea ɛwɔ hɔ bɛyɛ adapɛn abien.
- Wobetumi de afiri (drain) a ɛyɛ soronko ahyɛ mu de ayi mogya no afi kuru no mu.
- Ɛhonhon, na ebia ebegye adapɛn pii ansa na abrɛ ase.
- Wubetumi adidi na woanom sɛnea ɛsɛ.
Bere tenten ahe na egye ansa na asa? Na so nkɛntɛnso bi wɔ nna mu asetra so?
Ɛsono bere a wɔde ma obi ho tɔ no wɔ onipa biara mu. Mpɛn pii no, egye bɛyɛ ɔsram biako ansa na woatumi asan akɔ adwuma. Ɛsɛ sɛ wokwati sɛ wobɛma nneɛma a emu yɛ duru so adapɛn anan kosi asia . Ebia wo duruyɛfo betu wo fo sɛ hyɛ compression stockings anaa nom nnuru a ɛbɛma mogya antɔ.
Ɔbarima ne ɔbea nna mu asetra
Eyi ne ɔhaw kɛse ma nnipa pii. Bio nso, nkɛntɛnso no gyina oprehyɛn ko a wɔyɛ so.
- Glansectomy ne Partial Penectomy akyi: Sɛ ɛsa yiye a, ɛtaa yɛ yiye sɛ wobɛsan anya ɔbarima ne ɔbea nna na wode ɔbarima no akyi berɛmo a aka no adi dwuma.
- Wɔ Total Penectomy akyi: Esiane sɛ wɔayi ɔbarima no akyi koraa nti, ɛrentumi nyɛ yiye sɛ obi bɛda bio.
Nanso eyi nkyerɛ sɛ asetra aba awiei. Ɔdɔ, ɔdɔ, ne nna mu abotɔyam ne wo hokafo. Adeɛ a ɛho hia paa wɔ ha ne sɛ mobɛnya nkitahodie a ɛyɛ nokware na ɛda adi pefee wɔ mo mmienu ntam.
Ɛyɛ den sɛ wobɛkɔ so ayɛ den wɔ w’adwene mu wɔ mmere a ɛte sɛɛ mu. Enti, wo ne wo duruyɛfo nkasa mfa afotu ne mmoa a wubenya ho. Ebetumi aboa wo ne wo hokafo no nyinaa kɛse.
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, frɛ wo duruyɛfo ntɛm ara.
Sɛ wodu fie wɔ oprehyɛn akyi a, hwɛ nneɛma yi yiye. Sɛ wowɔ eyinom mu bi a, ɛsɛ sɛ wo ne oduruyɛfo a ɔsaa wo yare no di nkitaho ntɛm ara.
| Feature a ɛsɛ sɛ wode w’adwene si so | Nkyerɛmu |
|---|---|
| Atiridiinini a emu yɛ den | Sɛ nipadua no hyew kɔ soro mpofirim a. |
| Mogya a ɛtɔ kɛse | Sɛ mogya retu kuru no a wontumi nni so a. |
| Ɛyaw a wontumi nni so | Sɛ ɛyaw no ano ntew bere a woanom nnuru a wɔde kum ɛyaw a oduruyɛfo no akyerɛw ama wo no akyi mpo a. |
| Nsɛnkyerɛnne foforo anaa nea ɛreyɛ kɛse | Sɛ wowɔ sɛnkyerɛnne bi a ɛte sɛ nea ɛyɛ nwonwa, a na wunnya bi kan, anaasɛ ɛreyɛ kɛse a. |
Sɛ yɛde rewie a, ɛwom sɛ eyi yɛ oprehyɛn a anibere wom de, nanso ebetumi ayɛ ano aduru a eye sen biara a wode begye wo nkwa sɛ ɛba sɛ wunya kokoram wɔ ɔbarima akyi berɛmo mu a. Enti, di oduruyɛfo a ne ho akokwaw afotu akyi bere nyinaa. Bisa biribiara pefee ansa na wɔayɛ oprehyɛn no. Ka eyi ho asɛm kyerɛ w’abusuafo.
Nkrasɛm a Wɔde Kɔ Fie
- Penectomy ne aduru titiriw a wɔde sa ɔbarima no akyi kokoram. Ebetumi aboa ma woagye wo nkwa .
- Oprehyɛn ko a wɔyɛ (fã bi anaa ne nyinaa) gyina kokoram no kɛse ne ne su so .
- Ɔkwan a wofa so tow nsu wɔ oprehyɛn akyi ne nkɛntɛnso a ebenya wɔ wo nna mu asetra so no bɛsono a egyina oprehyɛn ko a wobɛyɛ so.
- Ɛho hia yiye sɛ wo ne wo duruyɛfo ne wo hokafo bɛka biribiara ho asɛm pefee .
- Sɛ wuhia mmoa a wode bɛkɔ so ayɛ den wɔ w’adwene mu wɔ akwantu yi mu a, ntwentwɛn wo nan ase sɛ wobɛhwehwɛ afotu adwuma .
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