Penectomy: E kamaʻilio kākou e pili ana i kēia kumuhana koʻikoʻi

He kumuhana paʻakikī loa kēia e kamaʻilio e pili ana, a hiki ke lilo i kumuhana i lohe ʻole ʻia e ka poʻe he nui. Eia nō naʻe, i kekahi manawa, ma ke ʻano he lāʻau lapaʻau no kahi maʻi koʻikoʻi e like me ke kanesa penile, pono e wehe ʻia ka penis ma ke ʻoki ʻana. I kēia lā ke kamaʻilio nei mākou e pili ana i kēia ʻoki ʻana, kahi i ʻike ʻia ma ke ʻano lapaʻau he penectomy. ʻO ka ʻike ʻana i kahi mea e like me kēia he mea nui paha iā ʻoe a i ʻole kekahi āu i ʻike ai i kekahi lā. No laila e kamaʻilio kākou e pili ana i kēia me ka wehe a me ka maʻalahi.

I ka ʻōlelo maʻalahi, he aha ka Penectomy?

ʻO ka penectomy ka wehe ʻoki ʻana i kāu penis. ʻElua ʻano nui.

1. Penectomy hapa: Maanei, wehe wale ke kauka lapaʻau i ka ʻāpana maʻi o ka penis, e hoʻāʻo mau ana e mālama i ka nui o nā ʻiʻo olakino e like me ka hiki.

2. Total Penectomy: Ma kēia, ua wehe ʻia ka penis holoʻokoʻa, ʻo ia hoʻi, ka ʻāpana o ka penis i hoʻopili ʻia i ke kino.

Hana ʻia kēia ʻoki kino ma ke ʻano he lāʻau lapaʻau no kahi maʻi e pili ana i ka penis.

No ke aha ʻoe e hana ai i kēia ʻano ʻoki kino?

ʻO ke kumu nui a maʻamau no kēia ʻoki kino, ʻo ia ke kanesa o ka penile . He lāʻau lapaʻau kanesa maikaʻi loa kēia. Paipai pinepine nā kauka i kēia ʻoki kino i nā hihia aʻe:

• Inā nui ka maʻi kanesa.
• Inā ua pālahalaha ke kanesa i nā ʻiʻo a puni .
• Inā aia ka pilikia o ka hoʻi hou ʻana mai o ke kanesa ma hope o ka mālama ʻana.

Eia nō naʻe, pono paha kēia ʻoki kino ʻaʻole wale no ka maʻi ʻaʻai penile, akā no nā kumu ʻē aʻe hoʻi, he mea kākaʻikahi loa. No ka laʻana, i nā hihia o ka maʻi koʻikoʻi i kapa ʻia ʻo Fournier's gangrene (kahi e make ai nā ʻiʻo) a i ʻole i nā hihia o ka ʻeha koʻikoʻi i ka penis, pono paha kēia ʻoki kino.

Pehea ka maʻamau o kēia ʻoki kino?

ʻO ka ʻoiaʻiʻo, ʻaʻole ia he ʻoki kino maʻamau ka penectomy. ʻO kēia no ka mea he ʻano maʻi kanesa kakaikahi loa ka maʻi kanesa penile. ʻOiai ma nā ʻāina e like me ʻAmelika ʻĀkau a me ʻEulopa, ʻaʻole i hoʻokahi i loko o 100,000 mau kāne e loaʻa i kēia maʻi kanesa i kēlā me kēia makahiki. Eia kekahi, hoʻāʻo nā kauka i nā lāʻau lapaʻau kanesa ʻē aʻe ma mua o ka hoʻohana ʻana i kēia ʻoki kino. ʻO nā hiʻohiʻona:

• Lapaʻau ablation: Ke luku ʻana i nā hunaola kanesa me ka hoʻohana ʻana i ka wela nui a i ʻole ke anu.
• Chemotherapy: Ke hāʻawi ʻana i nā lāʻau anti-cancer.
• Lapaʻau radiation: Ke luku ʻana i nā hunaola kanesa ma o ka radiation therapy.
• Lapaʻau topical: Ke kau ʻana i nā kirīmi anti-cancer pololei i ka ʻili.

Pehea e hoʻomākaukau ai ma mua o ke ʻoki kino?

Ma mua o kēia ʻano hana ʻoki kino, e loaʻa iā ʻoe ka manawa kūpono e kamaʻilio me kahi hui o nā kauka. E paipai lākou i kekahi mau hoʻokolohua e hoʻoholo ai i ke ʻano kikoʻī o ka maʻi kanesa āu a me kona pae.

Ke loaʻa nā hopena o kēia mau hoʻokolohua, e kūkākūkā ke kauka me ʻoe inā ʻo ka wehe hapa a i ʻole ka wehe piha ʻana o ka penis ka mea maikaʻi loa iā ʻoe.

Eia kekahi, e nānā ʻia kou olakino holoʻokoʻa. ʻO ke ʻano kēia o ke ana ʻana i nā mea e like me ka mahana o kou kino, ka pulse, a me ke koko . ʻO kēia ke hōʻoia i kou olakino kūpono e kū i ke ʻoki ʻana.

Pono ʻoe e haʻi mai iā mākou e pili ana i nā maʻi ʻaleka āu e loaʻa nei. Eia kekahi laʻana:

• Nā kīʻaha
• Latex
• Nā lāʻau lapaʻau
• Nā mea e like me ka iodine e hoʻomaʻemaʻe i ka ʻili

E aʻo ʻia ʻoe e hoʻōki i ka ʻai ʻana a i ʻole ka inu ʻana ma hope o ke aumoe o ka pō ma mua o kou ʻoki kino. ʻO kēia ke pale aku i ka pilikia o ka meaʻai a mea inu paha e komo ana i loko o kou ala ea (aspiration) ʻoiai ʻoe e noho ana ma lalo o ka anesthesia. Inā pono ʻoe e lawe i kekahi lāʻau lapaʻau koʻikoʻi, e lawe me kahi ʻōmole wai wale nō.

Pehea e hana ʻia ai ke ʻoki kino?

I ka wā o ke ʻoki ʻana, e komo pū ana kāu hui lapaʻau me kahi urologist , kahi anesthesiologist, a me kahi hui o nā kahu maʻi .

ʻO ka mea mua, e hoʻomoe loa ke kauka anesthesiologist iā ʻoe. ʻO ke ʻano kēia , ʻaʻole ʻoe e ʻike i kekahi ʻeha, ʻaʻole ʻoe e ʻike, ua like ia me ʻoe e hiamoe nui ana.

A laila, e hoʻokomo nā kahu maʻi i kahi ʻōmole liʻiliʻi (urinary catheter) i loko o kou urethra a alakaʻi iā ia i luna i kou ʻōpū mimi. Hoʻokahe kēia i ka mimi a kōkua i ke kauka ʻoki e ʻike i kahi kikoʻī o kou urethra i ka wā o ke ʻoki ʻana.

• ʻO ka Penectomy hapa: Wehe ke kauka lapaʻau i ka ʻāpana o ka ʻiʻo i hoʻopilikia ʻia e ke kanesa. Hoʻāʻo ʻo ia e waiho i ka hapa nui o ka ʻāpana olakino o ka penis e like me ka hiki. ʻO ka pahuhopu nui ma ʻaneʻi ʻo ia ka ʻae ʻana iā ʻoe e mimi i ke kū ʻana a mālama i ka nui o ka hana moekolohe e like me ka hiki . I kekahi manawa, inā pono e wehe ʻia ka piko o ka penis (glans), lawe ʻia ka ʻili mai kahi ʻāpana ʻē aʻe o kou kino, ʻo ka ʻūhā maʻamau, e hana i kahi piko hou. Ua kapa ʻia kēia he graft ʻili .
• ʻO ka Penectomy holoʻokoʻa: Ma kēia kaʻina hana, wehe ke kauka lapaʻau i kāu penis holoʻokoʻa, me ke kumu i hoʻopili ʻia i ka pelvis.

Inā hana ʻia ke ʻoki ʻana ma muli o ke kanesa, e wehe ʻia kekahi mau lymph node ma ka ʻāpana groin a hoʻouna ʻia no ka hoʻāʻo ʻana e ʻike inā ua pālahalaha ke kanesa.

ʻO ka maʻamau, ʻaʻole iʻoi aku ma mua o ʻelua hola kēia hana.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino?

Ma hope o ke ʻoki ʻana, e uhi nā kahu maʻi i ka wahi me nā kāʻei a i ʻole ke kāpili ʻili. Ke pau ka hāʻawi ʻana o ke kauka anesthesiologist iā ʻoe i ka anesthetic, e hoʻi mālie ʻoe i ka ʻike i loko o kekahi mau minuke. I ka wā mua, e manaʻo iki ʻoe i ka poniuniu.

A laila e lawe ʻia ʻoe i ka lumi hoʻōla. E nānā pono lākou i kou kūlana a hiki i kou ala ʻana. Ma hope o kou hoʻi hou ʻana i ka ʻike, e hāʻawi ʻia ʻoe i nā lāʻau ʻeha. Hiki i kekahi poʻe ke manaʻo i ka luaʻi ma muli o ka anesthesia, a e hāʻawi lākou iā ʻoe i ka lāʻau lapaʻau no ia mea, inā pono.

Eia kekahi mau mea hiki iā ʻoe ke manaʻo maʻamau ma ka haukapila ma hope o ke ʻoki ʻana:

• Pono ʻoe e noho i ka haukapila no hoʻokahi a ʻekolu mau lā.
• E waiho ʻia ka catheter ma kahi no ʻelua pule.
• I kekahi manawa e kau ʻia kahi ʻōmole liʻiliʻi (ʻauwaha ʻokiʻoki) e hoʻokahe i ke koko e hōʻiliʻili ana ma kahi ʻoki.
• E hiki nō iā ʻoe ke ʻai a inu e like me ma mua.
• E mau ana ka pehu ʻana ma ka wahi ʻoki no kekahi manawa.

Pehea ʻoe e mimi ai ma hope o ka wehe loa ʻia ʻana o ka penis?

I ka penectomy holoʻokoʻa, hoʻopili hou ke kauka lapaʻau i kou urethra i kahi ʻē aʻe. ʻO ia hoʻi, hana ʻia kahi puka hou ma ka wahi ma waena o kou anus a me kou scrotum (ka perineum). Ua kapa ʻia kēia he perineal urethrostomy . ʻO ia hoʻi, pono ʻoe e noho i lalo e mimi.

Hiki ke hana i kahi penis hou?

ʻOiai ʻaʻole hiki kēia i nā hihia āpau, i kekahi manawa hiki i ke kauka lapaʻau ke lawe i ka ʻili a me nā ʻiʻo mai kahi ʻāpana ʻē aʻe o kou kino (e like me kou lima a ʻūhā paha) e hana i kahi penis hou. Ua kapa ʻia kēia ʻoki he phalloplasty . He hana paʻakikī loa kēia.

He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?

E like me nā ʻoki kino āpau, loaʻa i kēia ʻoki kino nā pono a me nā pilikia.

ʻO ka pōmaikaʻi nui , ʻo ia ka lāʻau lapaʻau holomua loa no ka maʻi ʻaʻai penile. ʻOi aku ka kiʻekiʻe o ka helu ola ma hope o kēia ʻoki kino.

Nā Pōʻino a me nā Pilikia

Ma waho aʻe o nā pilikia maʻamau o kēlā me kēia ʻoki kino, aia kekahi mau pilikia e pili ana i kēia ʻoki kino.

Ka hopena i ke olakino noʻonoʻo

ʻO kēia kekahi o nā pilikia nui loa o kēia ʻoki kino. ʻOiai hiki ke ʻeha kino, hiki iā ia ke loaʻa ka hopena koʻikoʻi i kou olakino noʻonoʻo. He mea nui loa ka penis olakino no kou olakino moekolohe a me ka naʻau. ʻO ka nui, ke ʻano, a me nā loli o ka mimi o kāu penis hiki ke loaʻa ka hopena koʻikoʻi i kou hilinaʻi iā ʻoe iho a me kou manaʻo ponoʻī. No laila,

• Hopohopo
• Kaumaha
• Ke kaumaha
• Ka hoʻohoka ʻia me ke ola

Hiki ke kū mai nā kūlana e like me kēia. He mea nui loa e hoʻomaopopo he mea maʻamau loa kēia mau manaʻo.

Nā mea e pono ai ʻoe e ʻike e pili ana i ke ola moekolohe ma hope o ke ʻoki kino

He pilikia kēia no nā kānaka he nui.

Akā e hoʻomanaʻo, ʻaʻole i kaupalena ʻia ka moekolohe i ka moekolohe. Nui nā ala ʻē aʻe e hōʻike ai i kou moekolohe. Hiki i ke kamaʻilio ʻana me kahi mea hoʻoponopono moekolohe ke kōkua nui i ka lanakila ʻana i kēia mau pilikia. Eia kekahi, hiki iā ʻoe ke kamaʻilio ākea e pili ana i kēia me kāu hoa a mālama i ka pilina pili ma o nā ʻano hana ʻē aʻe, e like me ka honi ʻana a me ka ʻapo ʻana.

ʻEhia ka lōʻihi e hoʻōla ai? (Manawa Hoʻōla)

He ʻokoʻa ka nui o ka hoʻōla ʻana o kēlā me kēia kanaka, akā eia kekahi mau mea maʻamau e manaʻo ʻia.

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e kāhea koke aku i kāu kauka.

E makaʻala i kou kino i kou wā e hoʻōla ai. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e kāhea koke i kāu kauka a i ʻole e hele i ka haukapila.

• Nā hōʻailona o ka maʻi: kuni, anuanu, luhi nui, a i ʻole ke poʻo ʻeha.
• Ke kahe koko nui ʻana.
• Loaʻa ka ʻeha hiki ʻole ke kāohi ʻia ʻoiai me nā lāʻau hoʻomaha ʻeha.
• Nā Hōʻailona o Sepsis: (He maʻi koʻikoʻi kēia e hoʻoweliweli ana i ke ola).
• Inā ʻoe e hopohopo nei e pili ana i kekahi mau hōʻailona hou a i ʻole e ʻoi aʻe ana paha .

He mea maʻamau ka ʻike ʻana i nā ʻano manaʻo like ʻole ma mua o ke ʻoki ʻana. Hiki iā ʻoe ke huhū, mehameha, kaumaha, a hoʻonāukiuki paha. He mea maʻamau kēia mau manaʻo a pau. ʻO ka mea nui loa, ʻo ia ka hoʻomaopopo ʻana ʻaʻole ʻoe hoʻokahi i kēia huakaʻi. E kamaʻilio me kou ʻohana a me kou mau hoaaloha. Eia kekahi, e wehe e pili ana i nā hopohopo āu e loaʻa ai me kāu kauka a me nā limahana kahu maʻi. E ʻimi i ke kōkua o kahi kākāʻōlelo inā pono.