Penectomy: Tiyeni tikambirane za nkhaniyi yovuta

Nkhani imeneyi ndi yovuta kwambiri kuikamba, ndipo ikhoza kukhala nkhani yomwe anthu ambiri saimva. Komabe, nthawi zina, monga chithandizo cha matenda aakulu monga khansa ya mbolo, mbolo imayenera kuchotsedwa opaleshoni. Lero tikulankhula za opaleshoni iyi, yomwe imadziwika kuti penectomy. Kudziwa za chinthu chonga ichi kungakhale kofunika kwa inu kapena munthu amene mumamudziwa tsiku lina. Choncho tiyeni tikambirane za izi poyera komanso mosavuta.

Mwachidule, kodi Penectomy ndi chiyani?

Kuchotsa mbolo yanu ndi opaleshoni. Pali mitundu iwiri ikuluikulu.

1. Kuchotsa Pang'ono: Apa, dokotala wa opaleshoni amachotsa gawo lokhalo la mbolo lomwe ladwala, nthawi zonse amayesetsa kusunga minofu yathanzi momwe angathere.

2. Kuchotsa mbolo yonse: Mu izi, mbolo yonse, ndiko kuti, gawo la mbolo lomwe limalumikizidwa ndi thupi, limachotsedwa.

Opaleshoni iyi imachitika ngati chithandizo cha vuto lomwe likukhudza mbolo.

N’chifukwa chiyani muyenera kuchitidwa opaleshoni yamtunduwu?

Chifukwa chachikulu komanso chofala kwambiri cha opaleshoniyi ndi khansa ya mbolo . Iyi ndi njira yothandiza kwambiri yochizira khansa. Madokotala nthawi zambiri amalimbikitsa opaleshoni iyi pazochitika zotsatirazi:

• Ngati khansa ndi yaikulu .
• Ngati khansa yafalikira ku minofu yozungulira .
• Ngati pali chiopsezo choti khansa ibwererenso mutalandira chithandizo.

Komabe, opaleshoni iyi ingakhale yofunikira osati pa khansa ya mbolo yokha, komanso pazifukwa zina, kawirikawiri. Mwachitsanzo, pakakhala matenda oopsa otchedwa Fournier's gangrene (momwe minofu imafa) kapena pakakhala kuvulala kwakukulu kwa mbolo, opaleshoni iyi ingakhale yofunikira.

Kodi opaleshoni imeneyi ndi yofala bwanji?

Ndipotu, opaleshoni ya penectomy si opaleshoni yofala kwambiri. Izi zili choncho chifukwa khansa ya mbolo ndi mtundu wa khansa wosowa kwambiri. Ngakhale m'maiko monga North America ndi Europe, amuna osakwana m'modzi mwa 100,000 amadwala khansa imeneyi chaka chilichonse. Komanso, madokotala amayesa njira zina zochizira khansa asanayambe opaleshoniyi. Zitsanzo zake ndi izi:

• Kuchiza ndi ablation: Kuwononga maselo a khansa pogwiritsa ntchito kutentha kwambiri kapena kuzizira kwambiri.
• Chemotherapy: Kupereka mankhwala oletsa khansa.
• Chithandizo cha radiation: Kuwononga maselo a khansa pogwiritsa ntchito radiation therapy.
• Chithandizo cha pakhungu: Kupaka mafuta oletsa khansa pakhungu mwachindunji.

Kodi ndiyenera kukonzekera bwanji ndisanachite opaleshoni?

Musanachite opaleshoni yamtunduwu, mudzakhala ndi mwayi wolankhula ndi gulu la madokotala. Adzakulangizani kuti muyesedwe kangapo kuti mudziwe mtundu weniweni wa khansa yomwe muli nayo komanso momwe imakulira.

Zotsatira za mayesowa zikangopezeka, dokotala adzakambirana nanu ngati kuchotsa pang'ono kapena kwathunthu kwa mbolo ndikoyenera kwa inu.

Kuphatikiza apo, thanzi lanu lonse lidzawunikidwa. Izi zikutanthauza kuyeza zinthu monga kutentha kwa thupi lanu, kugunda kwa mtima, ndi kuthamanga kwa magazi . Izi ndi kuonetsetsa kuti muli ndi thanzi labwino lotha kupirira opaleshoni.

Muyeneranso kutiuza za ziwengo zilizonse zomwe muli nazo. Mwachitsanzo:

• Zakudya
• Latex
• Mankhwala
• Zinthu monga ayodini zomwe zimayeretsa khungu

Mudzalangizidwa kuti musiye kudya kapena kumwa pambuyo pa pakati pausiku usiku usanachitike opaleshoni yanu. Izi ndi zoteteza kuti chakudya kapena chakumwa zisalowe m'mapapo anu (aspiration) pamene mukulandira mankhwala oletsa ululu. Ngati muyenera kumwa mankhwala ofunikira, imwani ndi madzi okha.

Kodi opaleshoniyi imachitidwa bwanji?

Pa nthawi ya opaleshoni, gulu lanu lachipatala nthawi zambiri limakhala ndi dokotala wa urologist , anesthesiologist, ndi gulu la anamwino .

Choyamba, dokotala wogonetsa anthu ogonetsa adzakugonetsani tulo tofa nato. Izi zikutanthauza kuti simudzamva kupweteka kulikonse, simudzazindikira, zili ngati muli m'tulo tofa nato.

Kenako, anamwino adzaika chubu chaching'ono (katheta wa mkodzo) mu mkodzo wanu ndikuchitsogolera ku chikhodzodzo chanu. Izi zimachotsa mkodzo ndipo zimathandiza dokotala wa opaleshoni kudziwa komwe kuli mkodzo wanu panthawi ya opaleshoni.

• Kuchotsa Khansa Pang'ono: Dokotala amachotsa gawo la minofu yomwe yakhudzidwa ndi khansa. Amayesa kusiya gawo lonse la mbolo labwino momwe angathere. Cholinga chachikulu apa ndikukuthandizani kukodza muli chiimire komanso kusunga ntchito yogonana momwe mungathere . Nthawi zina, ngati nsonga ya mbolo (glans) ikufunika kuchotsedwa, khungu la gawo lina la thupi lanu, nthawi zambiri ntchafu, limatengedwa kuti lipange nsonga yatsopano. Izi zimatchedwa kuyika khungu .
• Kuchotsa mbolo yonse: Mu njira iyi, dokotalayo amachotsa mbolo yanu yonse, kuphatikizapo maziko omwe ali pachiuno.

Ngati opaleshoniyo ichitika chifukwa cha khansa, ma lymph nodes angapo m'dera la chiberekero adzachotsedwanso ndikutumizidwa kuti akayesedwe kuti awone ngati khansayo yafalikira.

Opaleshoni imeneyi nthawi zambiri imatenga maola osakwana awiri.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?

Pambuyo pa opaleshoni, anamwino adzaphimba malowo ndi mabandeji kapena guluu wa pakhungu. Dokotala wogonetsa akasiya kukupatsani mankhwala ogonetsa, pang'onopang'ono mudzachira pakatha mphindi zochepa. Poyamba, mudzamva chizungulire pang'ono.

Kenako mudzatengedwera ku chipinda chochiritsira odwala. Adzakuyang'anirani bwino mpaka mutadzuka bwino. Mukangochira, mudzapatsidwa mankhwala ochepetsa ululu. Anthu ena angamve nseru chifukwa cha mankhwala oletsa ululu, ndipo adzakupatsaninso mankhwala a mankhwalawo, ngati pakufunika kutero.

Nazi zinthu zina zomwe mungayembekezere kuchipatala mukatha opaleshoni:

• Muyenera kukhala m'chipatala kwa masiku pafupifupi limodzi kapena atatu.
• Kathetayo idzasiyidwa pamalo pake kwa milungu iwiri.
• Nthawi zina chubu chaching'ono (njira yodulira opaleshoni) chimayikidwa kuti chitulutse magazi aliwonse omwe amasonkhana pamalo ochitira opaleshoni.
• Mudzatha kudya ndi kumwa monga kale.
• Kutupa komwe kumachitika pamalo ochitira opaleshoni kudzakhalapo kwa kanthawi.

Kodi mumakodza bwanji mbolo ikachotsedwa kwathunthu?

Pa opaleshoni yonse ya penectomy, dokotalayo amalumikizanso mkodzo wanu kumalo ena. Izi zikutanthauza kuti, mpata watsopano umapangidwa pakati pa anus yanu ndi scrotum yanu (perineum). Izi zimatchedwa perineal urethrostomy . Izi zikutanthauza kuti muyenera kukhala pansi kuti mukodze.

Kodi n'zotheka kupanga mbolo yatsopano?

Ngakhale kuti izi sizingatheke nthawi zonse, nthawi zina dokotala wa opaleshoni amatha kutenga khungu ndi minofu kuchokera ku gawo lina la thupi lanu (monga mkono wanu kapena ntchafu) kuti apange mbolo yatsopano. Opaleshoni iyi imatchedwa phalloplasty . Iyi ndi njira yovuta kwambiri.

Kodi ubwino ndi zoopsa za opaleshoniyi ndi ziti?

Monga opaleshoni iliyonse, opaleshoni iyi ili ndi ubwino ndi zoopsa zake.

Ubwino waukulu ndi wakuti uwu ndi mankhwala opambana kwambiri a khansa ya mbolo. Nthawi zambiri anthu amapulumuka kwambiri pambuyo pa opaleshoniyi.

Zoopsa ndi Zovuta

Kuwonjezera pa zoopsa zomwe zimachitika pa opaleshoni iliyonse, palinso zoopsa zinazake zomwe zimachitika pa opaleshoniyi.

Zotsatira pa thanzi la maganizo

Ichi ndi chimodzi mwa zovuta zazikulu za opaleshoni iyi. Ngakhale kuti ikhoza kukhala yopweteka kwambiri, ingakhalenso ndi zotsatirapo zazikulu pa thanzi lanu la maganizo. Mbolo yathanzi ndi yofunika kwambiri pa thanzi lanu la kugonana ndi malingaliro. Kukula, mawonekedwe, ndi kusintha kwa mkodzo wa mbolo yanu kungayambitse kudzidalira kwanu komanso kudzidalira. Chifukwa chake,

• Nkhawa
• Kuvutika maganizo
• Kupsinjika maganizo
• Kukhumudwa ndi moyo

Zinthu ngati izi zingachitike. Ndikofunikira kwambiri kumvetsetsa kuti malingaliro amenewa ndi achibadwa .

Zinthu zoti mudziwe zokhudza kugonana mutachita opaleshoni

Ili ndi vuto kwa anthu ambiri.

Koma kumbukirani, kugonana sikungokhala kugonana kokha. Pali njira zina zambiri zowonetsera kugonana kwanu. Kulankhula ndi katswiri wokhudza kugonana kungathandize kwambiri kuthetsa mavutowa. Komanso, mutha kukambirana momasuka za izi ndi mnzanu wanu ndikusunga ubale wogonana kudzera m'njira zina, monga kupsompsonana ndi kukumbatirana.

Zimatenga nthawi yayitali bwanji kuti munthu achire? (Nthawi Yochira)

Mlingo wa kuchira kwa aliyense ndi wosiyana, koma nazi zinthu zina zomwe mungayembekezere.

Ngati muli ndi zizindikiro izi, imbani dokotala wanu nthawi yomweyo.

Samalani thupi lanu pamene mukuchira. Ngati mukukumana ndi zizindikiro zotsatirazi, imbani dokotala wanu kapena pitani kuchipatala nthawi yomweyo.

• Zizindikiro za matenda: malungo, kuzizira, kutopa kwambiri, kapena mutu.
• Kutuluka magazi kwambiri.
• Kukhala ndi ululu womwe sungathetsedwe ngakhale ndi mankhwala ochepetsa ululu.
• Zizindikiro za Sepsis: (Iyi ndi matenda oopsa omwe angakhale oopsa kwa moyo).
• Ngati mukuda nkhawa ndi zizindikiro zatsopano kapena zoipiraipira .

Ndizachibadwa kukhala ndi malingaliro osiyanasiyana musanachite opaleshoni. Mungamve kukwiya, kusungulumwa, chisoni, kapena kukhumudwa. Maganizo onsewa ndi achibadwa. Chofunika kwambiri ndikumvetsetsa kuti simuli nokha paulendowu. Lankhulani ndi banja lanu ndi anzanu. Komanso, khalani omasuka pa nkhawa zilizonse zomwe mungakhale nazo ndi dokotala wanu komanso ogwira ntchito yosamalira anamwino. Funsani thandizo kwa mlangizi ngati pakufunika kutero.