Dis na tɔpik we rili at fɔ tɔk bɔt, ɛn i kin bi tɔpik we bɔku pipul dɛn nɔ kin ivin yɛri bɔt. Bɔt sɔntɛnde, as tritmɛnt fɔ siriɔs sik lɛk penɛl kansa, dɛn kin gɛt ɔpreshɔn fɔ pul di penis. Tide wi de tɔk bɔt dis ɔpreshɔn, we di mɛrɛsin dɛn kɔl penectomy. Fɔ no bɔt sɔntin lɛk dis kin impɔtant to yu ɔ pɔsin we yu sabi sɔmde. So lɛ wi tɔk bɔt dis opin wan ɛn simpul wan.
Fɔ tɔk am simpul wan, wetin na Pɛnɛktomi?
Penectomy na di ɔpreshɔn we dɛn kin du fɔ pul yu penis. Tu men kayn dɛn de.
1. Partial Penectomy: Na ya, di sajin de pul di pat we sik nɔmɔ na di penis, ɛn i de tray ɔltɛm fɔ kip bɔku wɛlbɔdi tisu as i pɔsibul.
2. Total Penectomy: insay dis, dεn de pul di כl penis, dat na di pat pan di penis we tay pan di bכdi.
Dɛn kin du dis ɔpreshɔn as tritmɛnt fɔ wan kɔndishɔn we de afɛkt di penis.
Wetin mek yu fɔ du dis kayn ɔpreshɔn?
Di men ɛn kɔmɔn rizin fɔ dis ɔpreshɔn na penile kansa . Dis na tritmɛnt fɔ kansa we rili fayn. Dɔktɔ dɛn kin se dɛn fɔ du dis ɔpreshɔn pan dɛn kayn tin ya:
- If di kansa big .
- If di kansa dɔn skata to di tisu dɛn we de rawnd am .
- If risk de fɔ mek kansa kam bak afta dɛn dɔn trit am.
Bɔt dis ɔpreshɔn nɔ kin jɔs nid fɔ gɛt kansa na di penis, bɔt fɔ ɔda rizin dɛn bak, we nɔ kin apin so ɔltɛm. fכ egzampl, if i gεt bad bad infεkshכn we dεn kכl Fournier’s gangrene (we di tisu dεm de day) כ if i gεt bad bad injuri na di penis, dis כpεrayshכn kin nid fכ du.
Aw kɔmɔn dis ɔpreshɔn?
Infakt, dɛn nɔ kin du ɔpreshɔn we dɛn kin du fɔ pul di bɔdi we dɛn kɔl penectomy. Dis na bikɔs penile kansa na wan kayn kansa we nɔ kin bɔku. Ivin na kɔntri dɛn lɛk Nɔt Amɛrika ɛn Yurop, nɔto wan pan ɛvri 100,000 man dɛn kin gɛt dis kansa ɛvri ia. Dɔn bak, dɔktɔ dɛn kin tray ɔda tritmɛnt dɛn fɔ kansa bifo dɛn yuz dis ɔpreshɔn. Sɔm ɛgzampul dɛn na:
- Ablashɔn tɛrapi: Fɔ pwɛl di kansa sɛl dɛn we yu de yuz ɔt ɔ kol pasmak.
- Kimotɛrapi: Fɔ gi mɛrɛsin fɔ fɛt kansa.
- Radieshɔn tɛrapi: Fɔ pwɛl di kansa sɛl dɛn tru redyushɔn tɛrapi.
- Tɔpik tɛrapi: Fɔ put anti-kansa krim dɛn dairekt pan di skin.
Aw a fɔ rɛdi bifo dɛn du mi ɔpreshɔn?
Bifo dɛn du dis kayn ɔpreshɔn, yu go gɛt di chans fɔ tɔk to wan tim we gɛt dɔktɔ dɛn. Dɛn go se yu fɔ du sɔm tɛst fɔ no di rayt kayn kansa we yu gɛt ɛn di stej we i de.
| Test tayp | Fɔ tɔk am simpul wan... |
|---|---|
| Bayopsi we dɛn kin du | Dɛn kin tek wan smɔl tisu frɔm di tumbu ɛn chɛk am ɔnda maykroskɔp fɔ no if i gɛt kansa ɛn us kayn kansa i bi. |
| Blɔd tɛst dɛn | Lan bɔt yu ɔl wɛl bɔdi ɛn sɔm pan de mak dɛm wae gɛt fɔ du wit kansa. |
| Tɛst dɛn we dɛn kin yuz fɔ tek pikchɔ | Dɛn kin yuz tɛst lɛk CT skan, PET skan, MRI skan, ɔltra saund, ɛn ɛkstrem rayt fɔ si aw fa di kansa dɔn skata. |
We di rizulyt fɔ dɛn tɛst ya dɔn kam, di dɔktɔ go tɔk wit yu if fɔ pul di penis pat pan am ɔ fɔ pul ɔl di penis i bɛtɛ fɔ yu.
Apat frɔm dat, dɛn go chɛk yu jenɛral wɛlbɔdi. Dis min se yu fɔ mɛzhɔ tin dɛn lɛk yu bɔdi tɛmpracha, yu puls, ɛn yu blɔd prɛshɔn . Dis na fɔ mek shɔ se yu gɛt wɛlbɔdi fɔ ebul fɔ bia wit ɔpreshɔn.
I rili impɔtant: Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni mɛrɛsin, vaytamɛn, ɔ ɛbul sɔpɔtmɛnt we yu de tek. Sɔm mɛrɛsin kin mek yu gɛt mɔ blɔd. So, yu kin nid fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn sɔm dez bifo dɛn du di ɔpreshɔn. Bɔt nɔ ɛva stɔp fɔ tek dɛn if yu nɔ aks yu dɔktɔ fɔs.
Yu fɔ tɛl wi bak bɔt ɛni alɛji we yu gɛt. Fɔ ɛgzampul:
- Pan dɛn
- Lateks we dɛn kin yuz
- Mɛrɛsin dɛn we dɛn kin yuz
- Tin dɛn lɛk ayodin we de klin di skin
Dɛn go advays yu fɔ stɔp fɔ it ɔ drink afta midnayt di nɛt bifo dɛn du yu ɔpreshɔn. Dis na fɔ mek di risk fɔ mek it ɔ drink nɔ go insay yu aywe (aspiration) we yu de ɔnda anestezi. If yu fɔ tek ɛni impɔtant mɛrɛsin, tek am wit wan sip wata nɔmɔ.
Aw dɛn kin du di ɔpreshɔn?
We dɛn de du di ɔpreshɔn, yu mɛdikal tim go gɛt wan dɔktɔ we de mɛn yu urolɔg , wan dɔktɔ we de anestez, ɛn wan tim we gɛt nɔs dɛn .
Fɔs, di dɔktɔ we de mɛn yu go mek yu slip kpatakpata. Dis min se yu nɔ go fil ɛni pen, yu nɔ go kɔnshɛns, i tan lɛk se yu de na dip slip.
Dɔn, di nɔs dɛn go put wan smɔl tiub (urinary catheter) insay yu urethra ɛn gayd am go ɔp to yu blad. Dis kin mek yu urine kɔmɔt ɛn i kin ɛp di dɔktɔ fɔ no usay yu urethra de we yu de du di ɔpreshɔn.
- Patɛl Pɛnɛktomi: Di dɔktɔ we de du ɔpreshɔn kin pul di pat pan di tisu we di kansa afɛkt. I de tray fɔ lɛf bɔku pan di wɛlbɔdi pat na di penis as i pɔsibul. Di men gol ya na fɔ alaw yu fɔ pis we yu tinap ɛn fɔ mek yu nɔ ebul fɔ du mami ɛn dadi biznɛs di we aw yu want . Sɔntɛnde, if dɛn fɔ pul di tip na di penis (glans), dɛn kin tek di skin frɔm ɔda pat na yu bɔdi, we kin bi di shɔl, fɔ mek nyu tip. Dɛn kɔl dis skin graft .
- Total Penectomy: Insay dis prosidur, di sajin de pul yu ɔl penis, inklud di bays we de atak di pelvis.
If dɛn du di ɔpreshɔn bikɔs ɔf kansa, dɛn go pul sɔm limf no dɛm na di groin eria bak ɛn sɛn fɔ tɛst fɔ si if di kansa dɔn skata.
Bɔku tɛm, dis ɔpreshɔn nɔ kin tek tu awa.
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, di nɔs dɛn go kɔba di say wit bandej ɔ skin glu. We di dɔktɔ we de mɛn yu dɔn stɔp fɔ gi yu di anestetik, smɔl smɔl yu go gɛt kɔnshɛns bak insay sɔm minit. Fɔs, yu go fil lɛk se yu ed de tɔn smɔl.
Dɔn dɛn go kɛr yu go na di rum usay dɛn de mɛn pipul dɛn. Dɛn go wach yu kɔndishɔn gud gud wan te yu wek gud gud wan. Afta yu dɔn gɛt kɔnshɛns bak, dɛn go gi yu mɛrɛsin fɔ mek yu fil pen. Sɔm pipul kin fil nɔs bikɔs ɔf di anestezi, ɛn dɛn go gi yu mɛrɛsin fɔ dat bak, if nid de.
Na sɔm tin dɛn we yu kin ɛkspɛkt na ɔspitul afta dɛn dɔn du yu ɔpreshɔn:
- Yu go gɛt fɔ de na di ɔspitul fɔ lɛk wan to tri dez.
- Dɛn go lɛf di kateshɔn na in ples fɔ lɛk tu wiks so.
- Sɔntɛnde, dɛn go put smɔl tiub (surgical drein) fɔ pul ɛni blɔd we gɛda na di say we dɛn de du di ɔpreshɔn.
- Yu go ebul fɔ it ɛn drink lɛk aw yu bin de du trade.
- Di swel we de na di say we dɛn de du di ɔpreshɔn go las fɔ sɔm tɛm.
Aw yu kin pis afta di penis dɔn kɔmɔt kpatakpata?
Insay wan tɔtal penɛktɔmi, di dɔktɔ we de du di ɔpreshɔn kin atak yu urethra bak to ɔda say. dat min se nyu opin de kכmכt na di εria bitwin yu anus εn yu skrotum (di pεriniכm). Dɛn kɔl dis perineal urethrostomy . Dis min se yu fɔ sidɔm fɔ pis.
I posibul fo mek nyu penis?
Pan ɔl we dis nɔ kin pɔsibul pan ɔl di kes dɛm, sɔntɛnde dɔktɔ kin tek di skin ɛn tisu frɔm ɔda pat na yu bɔdi (lɛk yu an ɔ yu shɔl) fɔ mek nyu penis. Dɛn kɔl dis ɔpreshɔn phalloplasty . Dis na wan we we rili kɔmpleks.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Lɛk ɛni ɔpreshɔn, dis wan gɛt bɛnifit ɛn prɔblɛm dɛn.
Di men bɛnifit na dat dis na di tritmɛnt we de wok fayn pas ɔl fɔ di penɛl kansa. Di rεt wae de liv kin hεvi pasmak afta dis כpεrayshכn.
Risk ɛn Kɔmplikɛshɔn dɛn
Apat frɔm di kɔmɔn risk dɛm fɔ ɛvri ɔpreshɔn, risk dɛn de bak we spɛshal fɔ dis ɔpreshɔn.
| Risk/Kɔmplisiti | Tɔk bɔt |
|---|---|
| Blɔd we de kɔmɔt | I kin apin we dɛn de du di ɔpreshɔn ɔ afta dɛn dɔn du di ɔpreshɔn. |
| Blɔd we de klɔt | Risk de fɔ mek i apin mɔ na di leg dɛn. |
| Sik we de prɛd | Infεkshכn kin apin na di wund we dεn du כpכt כ di urinary tract. |
| Strikchɔ na di Yuretra | Narrowing na di urethra. |
| Limfεdima (we di limf no dεm de swel) . | di leg dεm כ di tεstikul dεm we de swel if dεn pul di tεstikul dεm. |
| Kansa we kin kam bak | Risk de fɔ mek kansa kam bak. |
Impekt pan mental hεlth
Dis na wan pan di big big prɔblɛm dɛn we dis ɔpreshɔn kin gɛt. Pan ɔl we i kin mek yu fil pen na yu bɔdi, i kin rili afɛkt yu maynd wɛlbɔdi bak. Wan wɛlbɔdi penis rili impɔtant fɔ yu sɛkshɔnal ɛn imɔshɔnal wɛlbɔdi. Di sayz, di we aw yu de luk, ɛn di chenj we yu de pis na yu penis kin gɛt bɔku impak pan yu kɔnfidɛns pan yusɛf ɛn aw yu de fil bɔt yusɛf. Dat mek,
- Wɔri
- Pwɛl at
- Strɛs
- Disapɔyntmɛnt wit layf
Situeshɔn dɛn lɛk dis kin apin. I rili impɔtant fɔ ɔndastand se dɛn filin ya na nɔmal tin .
Tin dɛn fɔ no bɔt mami ɛn dadi biznɛs afta dɛn dɔn du di ɔpreshɔn
Dis na prɔblɛm fɔ bɔku pipul dɛn.
afta dεn dכn tכtal pεnεktomi, dεn nכ kin du pεnεtrativ sεkswal intakכshכn biכs nכ penis de.
afta dεn dכn pat pan di pεnis, di rεst pat pan di penis kin gεt εrekshכn. So, i pɔsibul fɔ mek pɔsin du mami ɛn dadi biznɛs ɛn gɛt ɔrgazm. Bɔt bikɔs dɛn dɔn pul di pat dɛn na di penis we kin sɛnsitiv pas ɔl (lɛk di tip ɛn di fɔs skin), i kin at fɔ mek i gɛt ɔ kɔntinyu fɔ gɛt erekshɔn.
Bɔt mɛmba se, mami ɛn dadi biznɛs nɔto jɔs we pɔsin de du mami ɛn dadi biznɛs wit ɔda pɔsin. Bɔku ɔda we dɛn de fɔ sho se yu want fɔ du mami ɛn dadi biznɛs. We yu tɔk to dɔktɔ we de mɛn pipul dɛn we gɛt mami ɛn dadi biznɛs, dat kin rili ɛp yu fɔ mek yu nɔ gɛt dɛn prɔblɛm ya. Dɔn bak, yu kin tɔk opin wan bɔt dis wit yu patna ɛn kɔntinyu fɔ du mami ɛn dadi biznɛs wit ɔda we dɛn lɛk fɔ kis ɛn kɔt kɔt.
Aw lɔng i kin tek fɔ mek i wɛl? (Tɛm fɔ Rikɔva)
Ɔlman in wɛl bɔdi kin difrɛn, bɔt na sɔm jɛnɛral tin dɛm fɔ ɛkspɛkt.
| Trut | Di tɛm / advays we dɛn de ɛkspɛkt |
|---|---|
| Fɔ go na ɔspitul | 1 to 3 dez |
| Ɔlide dɛn frɔm wok ɔ skul | Na lɛk wan mɔnt so |
| We yu de lif di wet | Nɔ es ɛnitin we ebi pas 4.5 kilogram (lɛk wan galɔn wata) fɔ sɔm wiks. |
| Fɔ mek blɔd nɔ klɔt | Dɛn kin tɛl yu fɔ wɛr spɛshal kɔmpreshɔn stɔkin ɔ tek mɛrɛsin. |
| De swɛl | Di swel kin kɔntinyu fɔ sɔm wiks. |
If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.
Pe atɛnshɔn to yu bɔdi we yu de wɛl. If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ ɔ go na ɔspitul wantɛm wantɛm.
- Sayn dɛm fɔ se yu gɛt infekshɔn: fiva, kol, taya pasmak, ɔr ed pen.
- Blɔd we de kɔmɔt pasmak.
- Fɔ gɛt pen we yu nɔ go ebul fɔ kɔntrol ivin wit mɛrɛsin fɔ mek yu fil pen.
- Di sayn dɛm fɔ Sɛpsis: (Dis na bad bad infɛkshɔn we kin mek pɔsin in layf de pan denja).
- If yu de wɔri bɔt ɛni nyu ɔr de wɔs sayn .
Na nɔmal tin fɔ mek pɔsin fil difrɛn difrɛn we dɛn bifo dɛn du am ɔpreshɔn. Yu kin fil bad, yu wan de fil bad, yu at pwɛl, ɔ yu at pwɛl. Ɔl dɛn filin ya na nɔmal tin. Di tin we impɔtant pas ɔl na fɔ ɔndastand se nɔto yu wan de pan dis waka. Tɔk to yu fambul ɛn padi dɛn. Dɔn bak, tɔk klia wan bɔt ɛnitin we de mɔna yu wit yu dɔktɔ ɛn di wan dɛn we de wok na di nɔs. Go to pɔsin we de gi advays fɔ ɛp yu if nid de.
Mɛsej we dɛn kin kɛr go na os
- Pɛnɛktomi na wan big ɔspitul we dɛn kin du mɔ as tritmɛnt fɔ penis kansa.
- na ya, dεn kin pul pat pan di penis (pat) כ kכmplit (tכtal).
- Di pis ɛn di we aw i de du mami ɛn dadi biznɛs go chenj bad bad wan afta dɛn dɔn du di ɔpreshɔn, bɔt we dɛn de fɔ mek dɛn ebul fɔ kɔntrol dɛn tin ya.
- Di impak we dis ɔpreshɔn kin du na in maynd ɛn filin kin rili bad, so i rili impɔtant fɔ aks fɔ sɔpɔt frɔm yu fambul dɛn, padi dɛn, ɛn if nid de, pɔsin we sabi advays yu.
- Ɔltɛm tɔk to yu dɔktɔ ɛn di wan dɛn we yu lɛk fri wan ɛn ɔnɛs wan. Nɔto yu wan de.
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