Aia kekahi mau loli i kou wahi genital? Pono anei mākou e makaʻala i ka maʻi ʻaʻai penile?

Ua loli ke kala o ka ʻili o kāu penis? A i ʻole ua ʻike ʻoe i kahi mea e like me kahi puʻupuʻu liʻiliʻi a ʻeha paha? I kekahi manawa hiki i kēia ke lilo i maʻi maʻalahi, akā hiki iā lākou ke lilo i hōʻailona o kahi mea koʻikoʻi e like me ke kanesa penile . No laila, ʻoi aku ka maikaʻi o ka ʻike i ka mea e hana ai a mai hopohopo. I kēia lā, e kamaʻilio kākou e pili ana i ke kanesa penile, e like me ke kamaʻilio ʻana me kahi hoaaloha.

He aha ke kanesa penile? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, ʻo ke kanesa penile ka wā e loli ai nā hunaola olakino i loko o kāu penis a hoʻomaka e ulu aʻe ma waho o ke kaohi. E like me kou ʻike, he ʻāpana koʻikoʻi ka penis o ka ʻōnaehana hānau kāne. ʻO ia kahi e puka mai ai ka mimi a hana ʻia ka moekolohe. Aia kekahi mau ʻāpana nui o ka penis:

• Kumu: ʻO kēia ka ʻāpana e like me ke koʻokoʻo e hoʻonui ana mai kou ʻōpū haʻahaʻa a hiki i ka piko o kāu penis.
• ʻO ke poʻo o ka penis (glans penis): ʻO kēia ka wēlau o ka penis.
• ʻIli ʻōmaka: Inā ʻoe i ʻoki poepoe ʻole ʻia, ʻo kēia ka ʻili e uhi ana i ka peni glans. Inā ʻoe i ʻoki poepoe ʻia, e hōʻike ʻia ka peni glans.

Hiki ke ulu ka maʻi ʻaʻai ma nā wahi āpau o ka penis, akā hoʻomaka pinepine ia ma ka glans penis a i ʻole ka ʻili mua (i nā kāne i ʻoki poepoe ʻole ʻia) .

ʻO ka mea nui loa, e like me nā maʻi kanesa ʻē aʻe, ʻoi aku ka nui o ka mālama ʻia ʻana a me ka hoʻōla ʻia ʻana o ke kanesa penile inā ʻike mua ʻia . Inā ʻike ʻoe i kekahi mea ʻē a ʻokoʻa paha, mai hilahila a makaʻu paha e haʻi koke aku i ke kauka. ʻO ka ʻike mua ʻana ke ala maikaʻi loa e hoʻopakele ai i ke ola.

He aha nā ʻano maʻi ʻaʻai penile?

Aia kekahi mau ʻano maʻi ʻaʻai penile. E nānā kākou i nā mea maʻamau ma ke ʻano o ke ʻano:

• ʻO ka maʻi kanesa cell squamous (SCC): ʻO kēia ke ʻano maʻamau (95% o nā hihia) . Hoʻomohala ia i loko o nā pūnaewele o ka papa waho loa o ka ʻili (epithelium).
• Melanoma: Hoʻomaka kēia i loko o nā pūnaewele e hāʻawi ana i kou ʻili i kona kala (melanocytes). ʻO ka Melanoma kahi ʻano maʻi ʻoi aku ka ikaika a laha wikiwiki .
• ʻO ka maʻi kanesa cell basal (BCC): Hoʻomohala kēia i loko o nā pūnaewele ma ka papa lalo o ka ʻili (epithelium). He ʻano maʻi kanesa lohi ka ulu ʻana o ka BCC.
• Adenocarcinoma: Hoʻomaka kēia i loko o nā pūnaewele glandular e hana i nā mea huna e like me ka hou a me ka mucus.
• ʻO ka carcinoma Urothelial: Hoʻomohala kēia i loko o ka ʻiʻo (urothelium) e hoʻopili ana i nā ʻāpana o kāu ʻōnaehana urinary, e like me kou ʻōpū mimi a me nā puʻupaʻa.
• Sarcoma: Hoʻokumu ʻia kēia i loko o ka ʻiʻo a i ʻole ka ʻiʻo pili. He ʻano maʻi ʻaʻai penile kakaikahi loa kēia.

Pehea ka maʻamau o ke kanesa penile?

ʻO kaʻoiaʻiʻo, i ka hoʻohālikelike ʻia me nā ʻāina e like me ʻAmelika Hui Pū ʻIa, he maʻi kanesa kakaikahi loa ka maʻi ʻaʻai penile.(ʻAʻole i hiki i ka 1% o nā maʻi kanesa i nā kāne.) Eia nō naʻe, ʻoi aku ka maʻamau ma nā wahi e like me ʻApelika, ʻAsia, a me ʻAmelika Hema.

He aha nā hōʻailona o ke kanesa penile?

ʻAʻole ʻike ʻia nā hōʻailona o nā maʻi kanesa āpau. Akā me ke kanesa penile, e ʻike pinepine ʻoe i kekahi mau loli i ke ʻano o kāu penis. Hiki ke loli ke kala o ka ʻili, a i ʻole e ʻike ʻia kahi puʻupuʻu.

Eia kekahi mau hōʻailona o ke kanesa penile:

• He puʻupuʻu a ʻeha paha me ka ʻole o ka ʻeha (malia paha e kahe ana ke koko).
• Nā ulu pālahalaha, polū-ʻeleʻele.
• Puka mai kahi wai ʻala pilau mai lalo o ka ʻili ʻōmaka.
• Ke ʻike ʻia nei e like me ka ʻulaʻula .
• Ka mānoanoa o ka ʻili a i ʻole ka loli ʻana o ke kala o ka ʻili.
• Nā puʻupuʻu liʻiliʻi a ʻōpala.
• ʻOi loa aku ka pehu a me ka mumū o ka glans penis (i kapa ʻia hoʻi he balanitis ).

Akā e hoʻomanaʻo, hiki ke hana ʻia kēia mau hōʻailona e nā maʻi maʻamau a i ʻole nā ​​​​​​hopena alerika. Akā, mai hoʻowahāwahā iā lākou . He mea naʻauao ke ʻike mua i ke kauka a hōʻoia. A laila, inā he maʻi ʻaʻai ia, hiki ke ʻike ʻia i ka wā mua.

He aha ke kumu o ka maʻi ʻaʻai penile?

Hiki mai ke kanesa ke loli nā hunaola olakino a hoʻomaka e hoʻonui me ke kāohi ʻole. Akā, ʻaʻole maopopo i nā kānaka noiʻi ke kumu o kēia hoʻomaka ʻana.

ʻOiai ʻaʻole i ʻike ʻia nā kumu kikoʻī, ua ʻike ʻia kekahi mau mea pilikia e hiki ke hoʻololi i kēia.

Nā kumu pilikia

ʻAʻole manaʻo ka mea pilikia e hoʻoulu ia i ka maʻi kanesa, akā ʻo ia hoʻi hiki iā ia ke hoʻonui i ka manawa kūpono o ka loaʻa ʻana o ka maʻi kanesa. E nānā kākou i kēia mau mea pilikia no ka maʻi kanesa penile:

• Ma luna o 55 mau makahiki: 80% o nā hihia maʻi ʻaʻai penile i hōʻike ʻia ma ʻAmelika Hui Pū ʻIa aia i loko o kēia hui makahiki.
• ʻAʻole ʻoki poepoe ʻia: ʻO ke ʻoki poepoe ʻana e wehe i ka ʻili mua o ka penis, e waiho ana i ka glans penis i hōʻike ʻia. Manaʻo ʻia he nui nā kumu pilikia no ka maʻi ʻaʻai penile e pili ana i ke alo o ka ʻili mua.
• ʻO ka maʻi HPV (Human Papillomavirus): Ua loaʻa pū kekahi mau ʻano kiʻekiʻe o ka maʻi HPV like e hoʻoulu ai i ka maʻi ʻaʻai cervical i nā kāne me ka maʻi ʻaʻai penile.
• ʻO ka maʻi HIV (Human Immunodeficiency Virus): ʻOiai ʻaʻole maopopo ke kumu pololei, ʻoi aku ka maʻamau o ka maʻi ʻaʻai penile i waena o nā kāne i loaʻa i ka maʻi HIV.
• Lichen Sclerosus (LS): He ʻano mumū kēia e hiki ai ke hōʻeha, maneʻo, a me ka mumū o ka glans penis a i ʻole ka ʻili ʻōmaka.
• Phimosis: Ma kēia ʻano, paʻa ka ʻili ʻōmaka a ʻaʻole hiki ke huki hou ʻia ka glans penis.
• Hoʻomaʻemaʻe maikaʻi ʻole: Hiki ke ulu aʻe ka Smegma inā ʻaʻole holoi mau ʻia a maikaʻi ʻole ka penis.Hiki ke hoʻohui ʻia ka mea i kapa ʻia. ʻO ka mumū a me ka pehu e hoʻoulu ai kēia hiki ke hoʻonui i ka pilikia o ka maʻi kanesa. (ʻO Sembryony kahi mea keʻokeʻo i hana ʻia me ka ʻaila, nā ʻili make, a me ka makū e hōʻiliʻili ana ma lalo o ka ʻili mua.)
• Lapaʻau PUVA: ʻO PUVA ke kū nei no "Psoralen a me Ultraviolet A photochemotherapy." He lāʻau lapaʻau radiation kēia no ka maʻi ʻili psoriasis .
• Ka hoʻohana ʻana i ka paka: ʻO ka puhipaka a me ka nau ʻana i ka paka e hōʻemi i ka hiki o ke kino ke hakakā i nā maʻi. Hoʻonui kēia i ka pilikia o ka maʻi kanesa. Hiki i nā mea i loko o ka paka ke hōʻino i nā cell a hoʻoulu i nā loli e hiki ai ke alakaʻi i ka maʻi kanesa.

Pehea e ʻike ʻia ai ke kanesa o ka penile?

Ke ʻike ʻoe i ke kauka, hiki iā ia ke hana i kēia mau mea:

• Hoʻokolohua Kino: E nānā ke kauka iā ʻoe a nānā i nā loli ʻili ʻē aʻe, nā puʻupuʻu, a i ʻole ke kala ʻana o ke kala ma kāu penis. E nīnau pū ʻo ia e pili ana i kāu mau hōʻailona, ​​​​nā ʻano maʻamau, a me nā kūlana olakino ma mua.
• Nā hoʻāʻo kiʻi: Pono paha kēia mau hoʻāʻo e ʻike inā ua pālahalaha ke kanesa. Ma muli o ke ʻano o ke kanesa, hiki i kāu kauka ke kauoha i kahi CT scan, MRI scan, ultrasound, PET scan, a i ʻole X-ray umauma .
• Biopsy ʻiʻo: ʻO kēia wale nō ke ala e hōʻoia ai inā he maʻi kanesa kou. Ma kēia, lawe ke kauka i kahi laʻana o nā ʻiʻo kānalua a i ʻole nā ​​​​​​ʻiʻo, a nānā kekahi pathologist i nā ʻiʻo ma lalo o kahi microscope e ʻike inā he mau hōʻailona o ka maʻi kanesa.

Pehea e mālama ʻia ai ke kanesa o ka penis?

Aia ka lāʻau lapaʻau i ka nui o ka puʻupuʻu, inā ua pālahalaha, a me ka hiki ke hoʻi hou mai ke kanesa (e hana hou ana). Hiki i kāu lāʻau lapaʻau ke pili i kahi hui o nā kauka e komo pū ana me kāu kauka mālama mua (PCP), kahi loea kanesa (oncologist), kahi urologist, kahi oncologist radiation, a me kahi dermatologist.

No ke kanesa mua, hiki i kāu kauka ke ʻōlelo i hoʻokahi a ʻoi aku paha o kēia mau lāʻau lapaʻau:

• ʻOkipoepoe: Inā aia ke kanesa ma ka ʻili mua wale nō, hiki ke wehe ʻia kēlā ʻiʻo.
• Cryotherapy: He ʻano hana e luku ai i ka puʻupuʻu me ka hoʻohana ʻana i ke anu nui.
• ʻOki ʻana: ʻOki ke kauka i nā hunaola kanesa a i ʻole ka puʻupuʻu mai ka penis.
• ʻO ka hoʻopau ʻana o ka Laser: Hoʻohana ʻia nā kukuna Laser e hana i ka wela nui a luku i ka puʻupuʻu.
• Nā kirimina lāʻau lapaʻau: ʻO kēia nā kirimina e pono ai ʻoe e hoʻopili mau i ka penis. ʻO nā lāʻau lapaʻau i hoʻohana pinepine ʻia ʻo fluorouracil lāua ʻo imiquimod .
• ʻO ke ʻoki kino Mohs:Ma kēia, wehe ke kauka i ka ʻili maʻi ʻaʻai ma kēlā papa kēia papa, a hiki i kona hiki ʻana i nā ʻiʻo olakino ma lalo.
• Lapaʻau radiation: Hiki i ke kauka ke hoʻohana i nā kukuna ikaika, e like me nā kukuna X, e luku i nā hunaola kanesa a i ʻole e hoʻēmi i ka puʻupuʻu ma mua o ke ʻoki ʻana.

Inā ua pālahalaha iki ke kanesa, hiki i ke kauka ke ʻōlelo i kēia mau mea:

• Lymphadenectomy: Inā ua pālahalaha ke kanesa i nā lymph nodes (pinepine i ka ʻāpana groin), hiki i ke kauka ke wehe iā lākou.
• Penectomy: Ma kahi penectomy hapa, wehe ʻia kekahi hapa o ka penis. Ma kahi penectomy holoʻokoʻa , wehe ʻia ka penis holoʻokoʻa. Inā wehe ʻia ka penis holoʻokoʻa, e hana ke kauka lapaʻau i kahi puka i loko o kou ʻōpū a i ʻole kahi ma waena o kou anus a me ka scrotum (ka perineum) i hiki iā ʻoe ke mimi.

Hiki i ke kauka ke hoʻohana i ka radiation therapy, chemotherapy , a i ʻole ma mua a ma hope paha o ke ʻoki ʻana.

Inā ua pālahalaha ke kanesa ma waho o kou ʻōpū, ʻo ka chemotherapy a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe (systemic treatment) ka lāʻau lapaʻau nui.

He aha kaʻu e manaʻo ai inā ʻo kēia ke ʻano?

ʻO kāu hoʻolālā ho'ōla a me ka mālama ʻana e pili ana i kēia mau kumu:

• Ke kahua o ka maʻi ʻaʻai.
• ʻO ka wahi a me ka nui o ka puʻupuʻu.
• Inā paha ua ʻike hou ʻia ke kanesa a ua hoʻi hou mai paha.

E noʻonoʻo wale, inā ʻike mua ʻia ke kanesa, ʻoi aku ka nui o ka manawa e mālama ʻia a hoʻōla ʻia . Inā ʻike ʻia ma hope, ʻoi aku ka nui o ka manawa e pālahalaha aku ai ma waho o ka penis. I kēlā manawa, lilo ka maʻi kanesa penis i mea paʻakikī loa ke mālama.

Pehea e hōʻemi ai i ka pilikia o ka maʻi ʻaʻai penile?

E noʻonoʻo i kēia mau mea e hōʻemi i kou pilikia o ka maʻi ʻaʻai penile:

• Mai hoʻohana i nā huahana paka.
• E kiʻi i ka lāʻau pale HPV.
• E kiʻi i ka lāʻau no ka phimosis .
• E mālama i ke olakino maikaʻi o ka peni (ʻo ia hoʻi ka hoʻomaʻemaʻe pono ʻana iā ia i kēlā me kēia lā).
• E hoʻomaʻamaʻa i ka moekolohe palekana e hōʻemi i ka pilikia o ka maʻi HPV.
• E noʻonoʻo i nā pono o ke ʻoki poepoe ʻana. Pono ʻoe e noʻonoʻo i nā pono lapaʻau o ke ʻoki poepoe ʻana, me nā mea e like me nā manaʻoʻiʻo hoʻomana, nā makemake moʻomeheu, a me nā makemake pilikino. E kamaʻilio me kāu kauka e hoʻoholo i ke koho maikaʻi loa nou a i ʻole kāu pēpē hānau hou.

Pehea wau e mālama ai iaʻu iho?

E kamaʻilio me kāu kauka e pili ana i ke ʻano o ka hopena o kāu ʻike ʻana a me ka hoʻolālā lapaʻau ʻana i kou ola o kēlā me kēia lā. Mālama ka nui o nā lāʻau lapaʻau maʻi kanesa i nā ʻiʻo o ka penis. ʻO ke ʻano kēia ma hope o ka mālama ʻana, e ola kāu penis a e like me ma mua, a like loa paha. E hiki iā ʻoe ke mimi i ke kū ʻana. E hiki iā ʻoe ke moe kolohe, moe kolohe, a hiki i ka orgasm.

Eia nō naʻe, hiki i ke ʻoki ʻana e wehe i kahi ʻāpana a i ʻole ka penis āpau ke hoʻololi i ke ʻano o kou mimi ʻana a me kou ʻike moekolohe.

Hiki i ke kanesa penile a me kāna mālama ʻana ke hoʻopilikia iā ʻoe ma nā ʻano he nui. ʻO ka ʻike ʻana i ka mea e manaʻo ai e hiki ke kōkua iā ʻoe e hoʻomākaukau no nā kūlana like ʻole. E kamaʻilio ākea me kāu kauka e pili ana i nā hopohopo āu e loaʻa ai.

Āhea wau e ʻike ai i kaʻu kauka?

Inā loaʻa iā ʻoe nā hōʻailona hou, inā loli nā hōʻailona e kū nei, a inā e ʻoi aku ka ʻino, e haʻi koke i kāu kauka. Hiki iā ia ke kōkua i ka hoʻoholo ʻana inā he maʻi ʻaʻai ke kumu.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Inā loaʻa iā ʻoe ka maʻi ʻaʻai penile, eia kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka:

• I ke kahua hea koʻu maʻi ʻaʻai?
• Manaʻo ʻoe he manaʻo maikaʻi ka loaʻa ʻana o ka manaʻo lua?
• He aha ka lāʻau lapaʻau āu e paipai nei?
• He aha nā pono/pilikia e pili ana i kēia lāʻau lapaʻau?
• He aha kaʻu e manaʻo ai i ka wā hoʻōla?
• He aha nā loli e pono iaʻu e manaʻo i koʻu nohona ma hope o ka mālama ʻana?
• ʻO wai nā loea e pono iaʻu e ʻike no ka mālama ʻana?
• He aha nā manawa kūpono e hoʻi hou mai ai koʻu maʻi kanesa ma hope o ka mālama ʻia?

ʻO ka mea hope loa, e hoʻomanaʻo i kēia (Leka Lawe-Home)

ʻO ka ʻike ʻia ʻana he maʻi ʻaʻai penile hiki ke lilo i mea hoʻololi ola. He mea maʻamau ka manaʻo nui i nā manaʻo a me ke kānalua i ka manawa hoʻokahi. He mea nui e mālama iā ʻoe iho a mai hopohopo i kēia manawa. E kamaʻilio me kāu kauka. Hiki iā ia ke kūkākūkā i kāu mau koho lapaʻau, a me kahi e hiki ai iā ʻoe ke loaʻa ke kākoʻo kūpono a me ka naʻau āu e pono ai. E hilinaʻi i kāu hui lapaʻau a me kāu poʻe aloha. E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi i kēia hakakā.

ʻO ke Kanesa Penis, Ola Kino o nā Kāne, Nā Hōʻailona Kanesa, Lapaʻau Kanesa, HPV, ʻOkipoepoe