Lesi yisihloko esinzima kakhulu ukukhuluma ngaso, futhi kungaba yisihloko abantu abaningi abangasizwa nhlobo. Kodwa-ke, ngezinye izikhathi, njengokwelashwa kwesimo esibucayi njengomdlavuza wepenis, ipenis kufanele isuswe ngokuhlinzwa. Namuhla sikhuluma ngalokhu kuhlinzwa, okwaziwa kwisayensi yezokwelapha ngokuthi i-penectomy. Ukuqaphela into efana nale kungaba yinto ebalulekile kuwe noma kothile omaziyo ngolunye usuku. Ngakho-ke ake sixoxe ngalokhu ngokukhululekile nangokulula.
Kalula nje, iyini i-Penectomy?
I-Penectomy ukususwa kwepenisi yakho ngokuhlinzwa. Kunezinhlobo ezimbili eziyinhloko.
1. Ukuhlinzwa Kwe-Penectomy Okuyingxenye: Lapha, udokotela ohlinzayo ususa ingxenye yepenisi egulayo kuphela, ezama njalo ukulondoloza izicubu eziningi ezinempilo ngangokunokwenzeka.
2. Ukuhlinzwa Kokuhlinzwa Okuphelele: Kulokhu, lonke ipipi, okungukuthi, ingxenye ipipi enamathele emzimbeni, iyasuswa.
Lokhu kuhlinzwa kwenziwa njengokwelashwa kwesimo esithinta ipenisi.
Kungani kufanele wenze lolu hlobo lokuhlinzwa?
Isizathu esiyinhloko nesivame kakhulu salokhu kuhlinzwa umdlavuza wepenis . Lokhu kuyindlela yokwelapha umdlavuza ephumelela kakhulu. Odokotela bavame ukuncoma lokhu kuhlinzwa ezimweni ezilandelayo:
- Uma umdlavuza umkhulu .
- Uma umdlavuza ususakazekele ezicutshini ezizungezile .
- Uma kukhona ingozi yokuthi umdlavuza uphinde ubuye ngemva kokwelashwa.
Kodwa-ke, lokhu kuhlinzwa kungase kudingeke hhayi kuphela ngomdlavuza wepenis, kodwa nangezinye izizathu, okungajwayelekile kakhulu. Isibonelo, ezimweni zokutheleleka okukhulu okubizwa ngokuthi i-Fournier's gangrene (lapho izicubu zifa khona) noma ezimweni zokulimala okukhulu kwepenis, lokhu kuhlinzwa kungadingeka.
Kuvame kangakanani lokhu kuhlinzwa?
Eqinisweni, i-penectomy akuyona indlela yokuhlinzwa evamile kakhulu. Lokhu kungenxa yokuthi umdlavuza wepenis uwuhlobo lomdlavuza olungavamile kakhulu. Ngisho nasemazweni afana neNyakatho Melika neYurophu, amadoda angaphansi kweyodwa kwayi-100,000 athola lo mdlavuza minyaka yonke. Futhi, odokotela bazama ezinye izindlela zokwelapha umdlavuza ngaphambi kokusebenzisa lokhu kuhlinzwa. Izibonelo zifaka:
- Ukwelashwa kokukhipha isisu: Ukubhubhisa amangqamuzana omdlavuza ngokusebenzisa ukushisa okukhulu noma ukubanda.
- Ukwelashwa ngamakhemikhali: Ukunikeza imithi yokulwa nomdlavuza.
- Ukwelashwa ngemisebe: Ukubhubhisa amangqamuzana omdlavuza ngokwelashwa ngemisebe.
- Ukwelashwa ngesikhumba: Ukufaka okhilimu abalwa nomdlavuza ngqo esikhumbeni.
Kufanele ngilungiselele kanjani ngaphambi kokuhlinzwa?
Ngaphambi kwalolu hlobo lokuhlinzwa, uzothola ithuba lokukhuluma nethimba lodokotela. Bazoncoma ukuhlolwa okuningana ukuze kutholakale uhlobo oluqondile lomdlavuza onawo kanye nesigaba sawo.
| Uhlobo lokuhlola | Kalula nje... |
|---|---|
| Ukuhlolwa kwebhayoloji | Kuthathwa ingcezu encane yesicubu esivele esigaxeni bese sihlolwa ngaphansi kwe-microscope ukuze kutholakale ukuthi umdlavuza nokuthi uluhlobo luni lomdlavuza. |
| Ukuhlolwa kwegazi | Funda ngempilo yakho iyonke kanye nezinye zezimpawu ezihlobene nomdlavuza. |
| Ukuhlolwa Kwezithombe | Ukuhlolwa okufana nokuskena kwe-CT, ukuskena kwe-PET, ukuskena kwe-MRI, ama-ultrasound, kanye nama-X-ray kusetshenziselwa ukubona ukuthi umdlavuza ususakazeke kangakanani. |
Uma imiphumela yalezi zivivinyo isifikile, udokotela uzoxoxa nawe ukuthi ukususwa kwepenisi ngokwengxenye noma ngokuphelele kungcono yini kuwe.
Ngaphezu kwalokho, impilo yakho iyonke izohlolwa. Lokhu kusho ukukala izinto ezifana nokushisa komzimba wakho, ukushaya kwenhliziyo, kanye nomfutho wegazi . Lokhu kwenzelwa ukuqinisekisa ukuthi uphilile ngokwanele ukumelana nokuhlinzwa.
Kubaluleke kakhulu: Qiniseka ukuthi utshela udokotela wakho nganoma yimiphi imithi, amavithamini, noma izithasiselo zamakhambi ozithathayo. Eminye imithi ingandisa ingozi yokopha. Ngakho-ke, kungadingeka uyeke ukuthatha eminye imithi ezinsukwini ezimbalwa ngaphambi kokuhlinzwa. Kodwa ungalokothi uyeke ukuyithatha ngaphandle kokubuza udokotela wakho kuqala.
Kufanele futhi usitshele nganoma yikuphi ukungezwani komzimba onakho. Isibonelo:
- Izitsha
- I-Latex
- Imithi
- Izinto ezifana ne-iodine ezihlanza isikhumba
Uzokwaziswa ukuthi uyeke ukudla noma ukuphuza ngemva kwamabili ebusuku ngaphambi kokuhlinzwa kwakho. Lokhu kwenzelwa ukuvimbela ingozi yokudla noma yokuphuza ukungena emoyeni wakho (i-aspiration) ngenkathi ungaphansi kwe-anesthesia. Uma kufanele uthathe noma yimuphi umuthi obalulekile, thatha kanye namanzi kuphela.
Kwenziwa kanjani ukuhlinzwa?
Ngesikhathi sokuhlinzwa, ithimba lakho lezokwelapha livame ukufaka udokotela wezifo zomchamo , udokotela wezinzwa, kanye nethimba labahlengikazi .
Okokuqala, udokotela wezinzwa uzokulalisa ngokuphelele. Lokhu kusho ukuthi ngeke uzwe ubuhlungu, ngeke uphaphame, kufana nokuthi usebuthongweni obukhulu.
Ngemuva kwalokho, abahlengikazi bazofaka ithubhu elincane (i-catheter yomchamo) e-urethra yakho bese beyiqondisa iye kwesinye. Lokhu kukhipha umchamo futhi kusize udokotela ohlinzayo ukuthola indawo eqondile ye-urethra yakho ngesikhathi sokuhlinzwa.
- Ukuhlinzwa Kwe-Penectomy Okuyingxenye: Udokotela ohlinzayo ususa ingxenye yezicubu ezithintekile umdlavuza. Uzama ukushiya ingxenye eningi yepenis enempilo ngangokunokwenzeka. Umgomo oyinhloko lapha ukuvumela ukuthi uchame umile futhi ulondoloze ukusebenza kocansi okuningi ngangokunokwenzeka . Ngezinye izikhathi, uma kufanele kususwe isihloko sepenis (glans), isikhumba esivela kwenye ingxenye yomzimba wakho, ngokuvamile ithanga, sithathwa ukuze kudalwe isihloko esisha. Lokhu kubizwa ngokuthi i -skin graft .
- I-Total Penectomy: Kule nqubo, udokotela ohlinzayo ususa lonke ipipi lakho, kufaka phakathi isisekelo esinamathele ethangeni.
Uma ukuhlinzwa kwenziwa ngenxa yomdlavuza, kuzosuswa ama-lymph node amaningana endaweni ye-groin futhi athunyelwe ukuze ahlolwe ukuze kubonakale ukuthi umdlavuza ususakazeke yini.
Lokhu kuhlinzwa kuvame ukuthatha isikhathi esingaphansi kwamahora amabili.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, abahlengikazi bazomboza indawo ngamabhandishi noma ngeglue yesikhumba. Uma udokotela wezinzwa eyeka ukukunikeza umuthi wokubulala izinzwa, uzophinde uqaphe kancane kancane phakathi nemizuzu embalwa. Ekuqaleni, uzozizwa unesiyezi kancane.
Uzobe usuyiswa egumbini lokululama. Bazoqapha isimo sakho eduze uze uvuke ngokuphelele. Uma usuphinde waphaphama, uzonikezwa imithi yokubulala izinhlungu. Abanye abantu bangase bazizwe benesicanucanu ngenxa ye-anesthesia, futhi bazokunikeza imithi yaso, uma kudingeka.
Nazi ezinye izinto ongazilindela esibhedlela ngemva kokuhlinzwa:
- Kuzodingeka uhlale esibhedlela cishe usuku olulodwa kuya kwezintathu.
- I-catheter izoshiywa endaweni yayo cishe amasonto amabili.
- Ngezinye izikhathi ipayipi elincane (idreyini yokuhlinzwa) lizobekwa endaweni yokuhlinzwa ukuze kukhishwe noma yiliphi igazi eliqongelela lapho.
- Uzokwazi ukudla nokuphuza njengakuqala.
- Ukuvuvukala endaweni yokuhlinzwa kuzohlala isikhathi esithile.
Uchama kanjani ngemva kokuba ipenisi isisusiwe ngokuphelele?
Uma kwenziwa i-penectomy ephelele, udokotela ohlinzayo unamathisela i-urethra yakho kwenye indawo. Okusho ukuthi, kwakheka isikhala esisha endaweni ephakathi kwe-anus yakho ne-scrotum yakho (i-perineum). Lokhu kubizwa ngokuthi i-perineal urethrostomy . Lokhu kusho ukuthi kufanele uhlale phansi ukuze uchame.
Kungenzeka yini ukwenza ipenisi entsha?
Nakuba lokhu kungenzeki kuzo zonke izimo, ngezinye izikhathi udokotela ohlinzayo angathatha isikhumba nezicubu kwenye ingxenye yomzimba wakho (njengengalo noma ithanga lakho) ukuze akhe ipenisi entsha. Lokhu kuhlinzwa kubizwa ngokuthi i-phalloplasty . Lena inqubo eyinkimbinkimbi kakhulu.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo nezingozi.
Inzuzo enkulu ukuthi lokhu kuyindlela yokwelapha ephumelela kakhulu yomdlavuza wepenis. Izinga lokusinda livame ukuba phezulu ngemva kwalokhu kuhlinzwa.
Izingozi Nezinkinga
Ngaphezu kwezingozi ezivamile zokuhlinzwa ngakunye, kukhona nezingozi eziqondene nalokhu kuhlinzwa.
| Ingozi/Ubunkimbinkimbi | Incazelo |
|---|---|
| Ukopha | Kungenzeka ngesikhathi sokuhlinzwa noma ngemva kokuhlinzwa. |
| Amahlule egazi | Kukhona ingozi yokuthi lokhu kwenzeke ikakhulukazi emilenzeni. |
| Ukutheleleka | Ukutheleleka kungase kwenzeke enxebeni lokuhlinzwa noma endleleni yomchamo. |
| Ukuqina Kwe-Urethral | Ukuncishiswa kwe-urethra. |
| I-Lymphedema (ukuvuvukala kwama-lymph nodes) | Ukuvuvukala kwemilenze noma amasende uma amasende esusiwe. |
| Ukuphinda umdlavuza | Kukhona ingozi engavamile yokuphinda umdlavuza. |
Umthelela empilweni yengqondo
Lokhu kungenye yezinselelo ezinkulu zalokhu kuhlinzwa. Nakuba kungaba buhlungu ngokomzimba, kungaba nomthelela omkhulu empilweni yakho yengqondo. Ipenisi enempilo ibaluleke kakhulu empilweni yakho yocansi neyomzwelo. Usayizi, ukubukeka, kanye nezinguquko zokuchama kwepenisi yakho kungaba nomthelela omkhulu ekuzethembeni kwakho nasekuzethembeni kwakho. Ngakho-ke,
- Ukukhathazeka
- Ukucindezeleka
- Ukucindezeleka
- Ukudumazeka ngokuphila
Kungavela izimo ezinjengalezi. Kubaluleke kakhulu ukuqonda ukuthi le mizwa ijwayelekile ngokuphelele .
Izinto okufanele uzazi ngempilo yocansi ngemva kokuhlinzwa
Lokhu kuyinkinga kubantu abaningi.
Ngemva kokuhlinzwa okuphelele, ucansi olungena ngaphakathi alukwazi ukwenziwa ngoba alukho ucansi.
Ngemva kokuhlinzwa kwe-penectomy engaphelele, ingxenye esele yepenis ingathola ukuma. Ngakho-ke, kungenzeka ukuya ocansini futhi ube nokuma ngokugcwele. Kodwa-ke, ngenxa yokuthi izingxenye ezibucayi kakhulu zepenis (njengesinqe kanye nejwabu) ziyasuswa, kungaba nzima ukuthola noma ukugcina ukuma.
Kodwa khumbula, ucansi alugcini nje ngocansi. Kunezinye izindlela eziningi zokuveza ucansi lwakho. Ukukhuluma nodokotela wezokwelapha ucansi kungaba usizo olukhulu ekunqobeni lobu bunzima. Futhi, ungakhuluma ngokukhululekile ngalokhu nomlingani wakho futhi ugcine ubudlelwano bocansi ngezinye izindlela, njengokuqabulana nokugonana.
Kuthatha isikhathi esingakanani ukululama? (Isikhathi Sokululama)
Izinga lokululama komuntu wonke lihlukile, kodwa nansi eminye yemisebenzi ejwayelekile ongayilindela.
| Iqiniso | Isikhathi esilindelwe / iseluleko |
|---|---|
| Ukulaliswa esibhedlela | Izinsuku ezi-1 kuya kwezi-3 |
| Amaholide emsebenzini noma esikoleni | Cishe inyanga |
| Phakamisa izinsimbe ezisindayo | Gwema ukuphakamisa noma yini esinda ngaphezu kwamakhilogremu angu-4.5 (cishe igaloni lamanzi) amasonto amaningana. |
| Ukuvimbela ukuqhekeka kwegazi | Ungase unikezwe umyalelo wokugqoka amasokisi akhethekile okucindezela noma uphuze imithi. |
| Ukuvuvukala | Ukuvuvukala kungase kuqhubeke amasonto amaningana. |
Uma unalezi zimpawu, shayela udokotela wakho ngokushesha.
Naka umzimba wakho ngesikhathi ululama. Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho noma uye esibhedlela ngokushesha.
- Izimpawu zokutheleleka: umkhuhlane, ukubanda, ukukhathala okukhulu, noma ikhanda elibuhlungu.
- Ukopha ngokweqile.
- Ukuba nobuhlungu obungenakulawuleka ngisho nangemithi yobuhlungu.
- Izimpawu ze-Sepsis: (Lokhu ukutheleleka okukhulu okungasongela impilo).
- Uma ukhathazekile nganoma yiziphi izimpawu ezintsha noma eziya ziba zimbi kakhulu .
Kujwayelekile ukuzwa imizwa ehlukahlukene ngaphambi kokuhlinzwa. Ungase uzizwe uthukuthele, unesizungu, udabuke, noma ukhungathekile. Yonke le mizwa ijwayelekile. Into ebaluleke kakhulu ukuqonda ukuthi awuwedwa kulolu hambo. Khuluma nomndeni wakho nabangani. Futhi, vuleleka nganoma yiziphi izinkinga ongase ube nazo nodokotela wakho kanye nabasebenzi abahlengikazi. Funa usizo lomeluleki uma kudingeka.
Umlayezo Wokuya Nawe Ekhaya
- I-Penectomy inqubo enkulu yokuhlinzwa eyenziwa ngokuyinhloko njengokwelashwa komdlavuza wepenis.
- Lapha, ingxenye yepenisi ingasuswa (ngokuyingxenye) noma ngokuphelele (ngokuphelele).
- Ukuchama kanye nokusebenza kocansi kuzoshintsha kakhulu ngemva kokuhlinzwa, kodwa kunezindlela zokulawula lokhu.
- Umphumela walokhu kuhlinzwa engqondweni nangokomzwelo mkhulu kakhulu, ngakho-ke kubaluleke kakhulu ukufuna ukwesekwa emndenini, kubangani, futhi uma kudingeka, kubeluleki abangochwepheshe.
- Hlala ukhulumisana ngokukhululekile nangokwethembeka nodokotela wakho kanye nalabo obathandayo. Awuwedwa.
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