Le yingongoma enzima kakhulu ukuthetha ngayo, kwaye inokuba yingongoma abantu abaninzi abangayaziyo. Nangona kunjalo, ngamanye amaxesha, njengonyango lwesifo esinzima njengomhlaza wepenis, ipenis kufuneka isuswe ngotyando. Namhlanje sithetha ngolu tyando, olwaziwa ngokwezonyango ngokuba yi-penectomy. Ukwazi into efana nale kunokuba yinto ebalulekileyo kuwe okanye kumntu omaziyo ngenye imini. Ngoko masithethe ngale nto ngokukhululekileyo nangokulula.
Ngamafutshane, yintoni iPenectomy?
I-Penectomy kukususwa kwelungu lakho lesini ngotyando. Kukho iintlobo ezimbini eziphambili.
1. Utyando lwePenectomy oluNgaphelelanga: Apha, ugqirha otyandayo ususa kuphela inxalenye yelungu lesini enesifo, esoloko ezama ukugcina izicubu ezisempilweni kangangoko kunokwenzeka.
2. I-Total Penectomy: Kule nto, lonke ilungu lepenisi, oko kukuthi, inxalenye yepenisi enamathele emzimbeni, iyasuswa.
Olu tyando lwenziwa njengonyango lwemeko echaphazela ipenisi.
Kutheni kufuneka wenze olu hlobo lotyando?
Isizathu esiphambili nesiqhelekileyo solu tyando ngumhlaza wepenis . Olu lunyango lomhlaza olusebenza kakuhle kakhulu. Oogqirha badla ngokucebisa olu tyando kwiimeko ezilandelayo:
- Ukuba umhlaza mkhulu .
- Ukuba umhlaza usasazeke kwizicwili ezingqongileyo .
- Ukuba kukho umngcipheko wokuba umhlaza uphinde ubuye emva konyango.
Nangona kunjalo, olu tyando lusenokufuneka kungekuphela nje kumhlaza wepenis, kodwa nakwezinye izizathu, kunqabile kakhulu. Umzekelo, kwiimeko zosulelo olunzima olubizwa ngokuba yi-Fournier's gangrene (apho izicubu ziyafa khona) okanye kwiimeko zokwenzakala kakhulu kwipenis, olu tyando lusenokufuneka.
Luqheleke kangakanani olu tyando?
Enyanisweni, i-penectomy ayilotyando luqhelekileyo. Oku kungenxa yokuba umhlaza wepenis luhlobo lomhlaza olungaqhelekanga. Kwanakwiizwe ezifana noMntla Melika naseYurophu, ngaphantsi komnye kumadoda ayi-100,000 afumana lo mhlaza minyaka le. Kwakhona, oogqirha bazama ezinye iindlela zonyango lomhlaza ngaphambi kokuba basebenzise olu tyando. Imizekelo ibandakanya:
- Unyango lokukhupha isisu: Ukutshabalalisa iiseli zomhlaza ngokusebenzisa ubushushu obugqithisileyo okanye ukubanda.
- Unyango lweKhemotherapy: Ukunika amayeza okulwa nomhlaza.
- Unyango ngemitha: Ukutshabalalisa iiseli zomhlaza ngonyango ngemitha.
- Unyango olusetyenziswa ngaphandle kwesikhumba: Ukufaka iikhrimu zokulwa nomhlaza ngqo eluswini.
Ndingazilungiselela njani ngaphambi kotyando?
Ngaphambi kolu hlobo lotyando, uya kuba nethuba lokuthetha neqela loogqirha. Baza kucebisa uvavanyo oluninzi ukuze kuchongwe uhlobo lomhlaza onalo kunye nenqanaba lawo.
| Uhlobo lovavanyo | Kalula nje... |
|---|---|
| I-Biopsy | Kuthathwa iqhekeza elincinci lesicubu kwithumba lize lihlolwe ngemicroscope ukuze kubonwe ukuba lingumhlaza na kwaye loluphi uhlobo lomhlaza. |
| Uvavanyo lwegazi | Funda ngempilo yakho iyonke kunye nezinye zeempawu ezinxulumene nomhlaza. |
| Uvavanyo lokuFanekisa | Uvavanyo olufana ne-CT scans, i-PET scans, i-MRI scans, i-ultrasounds, kunye ne-X-rays zisetyenziselwa ukubona ukuba umhlaza usasazeke kangakanani. |
Nje ukuba iziphumo zezi mvavanyo zifike, ugqirha uza kuxoxa nawe ukuba ukususwa kwelungu lobudoda ngokupheleleyo okanye inxalenye yalo kukulungele na.
Ukongeza, impilo yakho iyonke iya kuhlolwa. Oku kuthetha ukulinganisa izinto ezifana nobushushu bomzimba wakho, ukubetha kwentliziyo, kunye noxinzelelo lwegazi . Oku kwenzelwa ukuqinisekisa ukuba usempilweni ngokwaneleyo ukuba ungamelana notyando.
Kubaluleke kakhulu: Qiniseka ukuba uxelela ugqirha wakho malunga namayeza, iivithamini, okanye izongezo zemifuno ozisebenzisayo. Amanye amayeza anokunyusa umngcipheko wokopha. Ngenxa yoko, unokufuna ukuyeka ukusebenzisa amanye amayeza kwiintsuku ezimbalwa ngaphambi kotyando. Kodwa ungaze uyeke ukuwasebenzisa ngaphandle kokubuza ugqirha wakho kuqala.
Kufuneka usixelele nangazo naziphi na izinto ezibangela ukuba ungabi namdla kwizinto ezithile . Umzekelo:
- Izitya
- I-Latex
- Amayeza
- Izinto ezifana ne-iodine ezicoca ulusu
Uya kucetyiswa ukuba uyeke ukutya okanye ukusela emva kobusuku ngaphambi kotyando lwakho. Oku kwenzelwa ukuthintela umngcipheko wokungena kokutya okanye isiselo kwindlela yakho yomoya (i-aspiration) ngelixa uphantsi kwe-anesthesia. Ukuba kufuneka uthathe naliphi na iyeza elibalulekileyo, lithathe ngamanzi kuphela.
Lwenziwa njani utyando?
Ngexesha lotyando, iqela lakho lezonyango lidla ngokuquka ingcali yotyando lomchamo , ingcali yokubulala iintlungu, kunye neqela labahlengikazi .
Okokuqala, ingcali yokubulala iintlungu iza kukwenza ulale ngokupheleleyo. Oku kuthetha ukuba awuyi kuva ntlungu, awuyi kuba sezingqondweni, kufana nokuba usebuthongweni obunzulu.
Emva koko, abahlengikazi baza kufaka ityhubhu encinci (i-catheter yomchamo) kwi-urethra yakho baze bayikhokelele kwisinyi sakho. Oku kukhupha umchamo kwaye kunceda ugqirha otyandayo ukuba afumane indawo echanekileyo kwi-urethra yakho ngexesha lotyando.
- Utyando lwePenectomy oluNgaphelelanga: Ugqirha ususa inxalenye yezicubu ezichaphazelekileyo ngumhlaza. Uzama ukushiya inxalenye ephilileyo yelungu lesini kangangoko kunokwenzeka. Injongo ephambili apha kukuvumela ukuba uchame ngelixa umile kwaye ugcine ukusebenza kwesondo kangangoko kunokwenzeka . Ngamanye amaxesha, ukuba incam yelungu lesini (i-glans) kufuneka isuswe, ulusu oluvela kwenye inxalenye yomzimba wakho, ngokuqhelekileyo ithanga, luthathwa ukuze kwenziwe incam entsha. Oku kubizwa ngokuba yi- skin graft .
- I-Total Penectomy: Kule nkqubo, ugqirha ususa lonke ilungu lakho lobudoda, kuquka nesiseko esinamathele kwi-pelvis.
Ukuba utyando lwenziwe ngenxa yomhlaza, ii-lymph nodes ezininzi kwindawo ye-groin nazo ziya kususwa zize zithunyelwe ukuze kuhlolwe ukuba umhlaza usasazekile na.
Olu tyando ludla ngokuthatha ngaphantsi kweeyure ezimbini.
Kwenzeka ntoni emva kotyando?
Emva kotyando, abahlengikazi baza kuyigquma loo ndawo ngeebhandishi okanye ngeglue yesikhumba. Xa ingcali yokubulala iintlungu iyekile ukukunika i-anesthetic, uya kubuyela engqondweni kancinci kancinci kwimizuzu embalwa. Ekuqaleni, uya kuziva unesizungu.
Emva koko uza kusiwa kwigumbi lokuchacha. Baza kujonga imeko yakho ngokusondeleyo ude uvuke ngokupheleleyo. Wakuba ubuyele engqondweni, uza kunikwa iintlungu. Abanye abantu banokuziva benesicaphucaphu ngenxa ye-anesthesia, kwaye baza kukunika amayeza alo, ukuba kuyimfuneko.
Nazi ezinye zezinto onokuzilindela esibhedlele emva kotyando:
- Kuya kufuneka uhlale esibhedlele malunga nosuku olunye ukuya kwezintathu.
- I-catheter iya kushiywa endaweni yayo kangangeeveki ezimbini.
- Ngamanye amaxesha ityhubhu encinci (idreyini yotyando) iya kubekwa kwindawo yotyando ukuze kukhutshwe naliphi na igazi eliqokelelwa apho.
- Uza kukwazi ukutya nokusela njengangaphambili.
- Ukudumba kwindawo yotyando kuya kuhlala ixesha elithile.
Uchama njani emva kokuba ipenis isusiwe ngokupheleleyo?
Kwi-penectomy epheleleyo, ugqirha uphinda afake i-urethra yakho kwenye indawo. Oko kukuthi, kuvulwa umngxuma omtsha kwindawo ephakathi kwe-anus yakho kunye ne-scrotum yakho (i-perineum). Oku kubizwa ngokuba yi-perineal urethrostomy . Oku kuthetha ukuba kufuneka uhlale phantsi ukuze uchame.
Ngaba kunokwenzeka ukwenza ipenis entsha?
Nangona oku kungenzeki kuzo zonke iimeko, ngamanye amaxesha ugqirha wotyando unokuthatha ulusu kunye nezicwili ezivela kwenye indawo yomzimba wakho (njengengalo okanye ithanga lakho) ukuze enze ipenisi entsha. Olu tyando lubizwa ngokuba yi-phalloplasty . Le yinkqubo enzima kakhulu.
Ziziphi iingenelo kunye neengozi zalo tyando?
Njengalo naluphi na utyando, olu luneengenelo kunye neengozi.
Eyona nzuzo iphambili kukuba olu lolona nyango luphumelelayo lomhlaza wepenis. Izinga lokusinda lidla ngokuba phezulu emva kolu tyando.
Iingozi kunye neengxaki
Ngaphandle kweengozi eziqhelekileyo zotyando ngalunye, kukwakho neengozi ezithile kulo tyando.
| Umngcipheko/Ubuntsonkothi | Inkcazo |
|---|---|
| Ukopha | Inokwenzeka ngexesha okanye emva kotyando. |
| Amahlwili egazi | Kukho umngcipheko wokuba kwenzeke oku ngakumbi emilenzeni. |
| Usulelo | Iintsholongwane zinokwenzeka kwinxeba lotyando okanye kwindlela yomchamo. |
| Ukuqina komchamo | Ukuncitshiswa kwe-urethra. |
| I-Lymphedema (ukudumba kwama-lymph nodes) | Ukudumba kwemilenze okanye amasende ukuba amasende asusiwe. |
| Ukuphinda umhlaza | Kukho umngcipheko ongaqhelekanga wokuphinda umhlaza. |
Impembelelo kwimpilo yengqondo
Le yenye yezona ngxaki zinkulu zolu tyando. Nangona lunokuba buhlungu emzimbeni, lunokuba nefuthe elikhulu kwimpilo yakho yengqondo. Ipenisi esempilweni ibaluleke kakhulu kwimpilo yakho yesondo neyeemvakalelo. Ubungakanani, inkangeleko, kunye notshintsho lokuchama kwipenisi yakho kunokuba nefuthe elikhulu ekuzithembeni kwakho nasekuzithembeni. Ke ngoko,
- Ixhala
- Uxinzelelo
- Uxinzelelo
- Ukudana bubomi
Iimeko ezinje zinokuvela. Kubaluleke kakhulu ukuqonda ukuba ezi mvakalelo ziqhelekile ngokupheleleyo .
Izinto ekufuneka uzazi ngobomi besondo emva kotyando
Le yingxaki kubantu abaninzi.
Emva kokuhlinzwa ngokupheleleyo, isondo esingena ngaphakathi asinakwenziwa kuba akukho penis.
Emva kotyando lwe-penectomy oluyingxenye, inxalenye eseleyo yepenis inokufumana ukuma. Ngenxa yoko, kunokwenzeka ukuba nesondo kwaye ufikelele kwi-orgasm. Nangona kunjalo, ngenxa yokuba iindawo ezibuthathaka zepenis (ezifana nencam kunye nejwabu) zisusiwe, kunokuba nzima ukufumana okanye ukugcina ukuma.
Kodwa khumbula, isondo asipheleli nje kwisondo. Zininzi ezinye iindlela zokubonakalisa isondo sakho. Ukuthetha nogqirha wengqondo kungaba luncedo olukhulu ekoyiseni ezi ngxaki. Kwakhona, ungathetha ngokukhululekileyo ngale nto neqabane lakho kwaye ugcine isondo ngeendlela ezahlukeneyo, ezinje ngokumanga nokuncamisana.
Kuthatha ixesha elingakanani ukuchacha? (Ixesha lokuchacha)
Izinga lokuchacha komntu wonke lahlukile, kodwa nazi izinto eziqhelekileyo onokuzilindela.
| Inyani | Ixesha elilindelekileyo / ingcebiso |
|---|---|
| Ukulaliswa esibhedlele | Iintsuku ezi-1 ukuya kwezi-3 |
| Iiholide emsebenzini okanye esikolweni | Malunga nenyanga |
| Ukwenyusa iintsimbi | Kuphephe ukuphakamisa nantoni na enzima kuneekhilogram eziyi-4.5 (malunga negaloni yamanzi) kangangeeveki eziliqela. |
| Ukuthintela ukuqhekeka kwegazi | Usenokunikwa umyalelo wokunxiba iisokisi ezikhethekileyo zokucinezela okanye ukuthatha amayeza. |
| Ukudumba | Ukudumba kunokuhlala iiveki ezininzi. |
Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza.
Nika ingqalelo emzimbeni wakho ngexesha lokuchacha kwakho. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, fowunela ugqirha wakho okanye uye esibhedlele ngokukhawuleza.
- Iimpawu zosulelo: umkhuhlane, ukubanda, ukudinwa kakhulu, okanye intloko ebuhlungu.
- Ukopha kakhulu.
- Ukuba neentlungu ezingenakulawulwa nokuba usebenzisa amayeza okudambisa iintlungu.
- Iimpawu zeSepsis: (Olu lusulelo olunzima olunokuba yingozi ebomini).
- Ukuba ukhathazekile ngazo naziphi na iimpawu ezintsha okanye eziya ziba mandundu .
Kuqhelekile ukuba neemvakalelo ezahlukeneyo ngaphambi kokuba wenze utyando. Usenokuziva unomsindo, unesizungu, ulusizi, okanye uphoxekile. Zonke ezi mvakalelo ziqhelekile. Eyona nto ibalulekileyo kukuqonda ukuba awuwedwa kolu hambo. Thetha nosapho lwakho kunye nabahlobo. Kwakhona, vuleleka malunga nazo naziphi na iingxaki onokuba nazo kugqirha wakho kunye nabasebenzi bonyango. Funa uncedo kumcebisi ukuba kuyimfuneko.
Umyalezo Wokuya Ekhaya
- I-Penectomy yinkqubo enkulu yotyando eyenziwa ngokuyintloko njengonyango lomhlaza wepenis.
- Apha, inxalenye yepenis ingasuswa (ngokuyinxenye) okanye ngokupheleleyo (ngokupheleleyo).
- Ukuchama kunye nomsebenzi wesondo kuya kutshintsha kakhulu emva kotyando, kodwa kukho iindlela zokulawula oku.
- Impembelelo yengqondo neyeemvakalelo yolu tyando inkulu kakhulu, ngoko ke kubaluleke kakhulu ukufuna inkxaso kusapho, kubahlobo, kwaye ukuba kuyimfuneko, kubacebisi abaziingcali.
- Soloko uthetha ngokukhululekileyo nangokunyaniseka nogqirha wakho kunye nabo ubathandayo. Awuwedwa.
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