Ingabe kukhona ushintsho endaweni yakho yangasese? Ingabe kufanele siqaphele umdlavuza wepenis?

Ingabe isikhumba sepenis yakho sishintshile umbala? Noma uke waphawula okuthile okufana neqhubu elincane noma isilonda? Ngezinye izikhathi lokhu kungaba ukutheleleka okulula, kodwa kungaba futhi uphawu lwento embi njengomdlavuza wepenis . Ngakho-ke, kungcono ukwazi ukuthi wenzeni hhayi ukwethuka. Namuhla, ake sixoxe ngomdlavuza wepenis, okulula njengokukhuluma nomngane.

Uyini umdlavuza wepenis? Kalula nje...

Kalula nje, umdlavuza wepenis ulapho amangqamuzana aphilile epenis yakho eshintsha khona futhi eqala ukukhula ngokungalawuleki. Njengoba wazi, ipenis iyingxenye ebalulekile yesistimu yokuzala yabesilisa. Yilapho umchamo uphuma khona futhi kwenzeka ucansi. Kunezingxenye eziningana eziyinhloko zepenis:

• Umgodi: Lena yingxenye efana nenduku esukela esiswini sakho esingezansi iye esicongweni sepenis yakho.
• Ipenisi ye-glans (noma ikhanda): Lesi yisihloko sepenisi.
• Ijwabu: Uma ungasokile, lesi yisikhumba esimboze ipipi le-glans. Uma usokile, ipipi le-glans liyavela.

Umdlavuza ungavela noma kuphi epenisini, kodwa uvame ukuqala epenisini noma ejwabini (kwabesilisa abangasokile) .

Into ebaluleke kakhulu ukuthi, njengeminye imidlavuza, umdlavuza wepenis uvame ukwelashwa futhi welapheke uma utholakala kusenesikhathi . Uma ubona noma yini engavamile noma ehlukile, ungabi namahloni noma wesabe ukutshela udokotela ngokushesha. Ukutholwa kusenesikhathi kuyindlela engcono kakhulu yokusindisa impilo.

Yiziphi izinhlobo zomdlavuza we-penis?

Kunezinhlobo eziningana zomdlavuza wepenis. Ake sibheke ezivame kakhulu ngokulandelana kokubukeka:

• I-Squamous cell carcinoma (SCC): Lolu uhlobo oluvame kakhulu (95% wamacala) . Luvela emaseli engqimba engaphandle yesikhumba (i-epithelium).
• I-Melanoma: Lokhu kuqala emaseli anika isikhumba sakho umbala waso (ama-melanocyte). I-Melanoma uhlobo lomdlavuza olunolaka kakhulu nolusakazeka ngokushesha .
• I-basal cell carcinoma (BCC): Lokhu kuvela emaselini engqimba ephansi kakhulu yesikhumba (i-epithelium). I-BCC uhlobo lomdlavuza olukhula kancane .
• I-Adenocarcinoma: Lokhu kuqala emangqamuzaneni ezindlala akhiqiza uketshezi olufana nokujuluka kanye ne-mucus.
• I-Urothelial carcinoma: Lokhu kuvela ezicutshini (i-urothelium) ezimboze izingxenye zesistimu yakho yomchamo, njengesinyi sakho nezinso.
• I-Sarcoma: Lokhu kwakheka emisipheni noma ezicutshini ezixhumeneyo. Lolu uhlobo olungavamile kakhulu lomdlavuza wepenis .

Uvame kangakanani umdlavuza wepenis?

Eqinisweni, uma kuqhathaniswa namazwe afana ne-United States, umdlavuza wepenis uwumdlavuza ongavamile kakhulu.(Ngaphansi kuka-1% womdlavuza kwabesilisa.) Kodwa-ke, kuvame kakhulu ezindaweni ezifana ne-Afrika, i-Asia, kanye neNingizimu Melika.

Ziyini izimpawu zomdlavuza wepenis?

Akuwona wonke umdlavuza onezimpawu ezibonakalayo. Kodwa ngomdlavuza wepenis, uzovame ukubona izinguquko ezithile ekubukekeni kwepenis yakho. Isikhumba singashintsha umbala, noma kungase kuvele iqhubu.

Nazi ezinye izimpawu zomdlavuza wepenis:

• Isigaxa noma isilonda esingenabuhlungu (mhlawumbe ukopha).
• Izitshalo ezisicaba, eziluhlaza okwesibhakabhaka ezinsundu.
• Kuphuma uketshezi olunuka kabi ngaphansi kwejwabu.
• Kubonakala sengathi ubomvu .
• Ukuqina kwesikhumba noma ukushintsha kombala wesikhumba.
• Amaqhubu amancane, aqinile.
• Ikakhulukazi ipenisi ye-glans ivuvukele futhi ivuvukele (ebizwa nangokuthi i-balanitis ).

Kodwa khumbula, lezi zimpawu zingabangelwa nayizifo ezivamile noma ukusabela kokungezwani komzimba. Kodwa ungalokothi uzishaye indiva . Kuwukuhlakanipha ukubona udokotela kusenesikhathi bese uqinisekisa. Khona-ke, noma ngabe umdlavuza, ungatholakala usesesigabeni sokuqala.

Yini ebangela umdlavuza wepenis?

Umdlavuza uvela lapho amangqamuzana anempilo eshintsha futhi eqala ukwanda ngokungalawuleki. Kodwa abacwaningi abakazi kahle ukuthi yini ebangela lolu shintsho.

Nakuba izimbangela eziqondile zingakatholakali, kuye kwatholakala izici eziningana eziyingozi ezingase zithonye lokhu.

Izici zengozi

Isici esiyingozi asisho ukuthi sizobangela umdlavuza, kodwa sisho ukuthi singandisa amathuba okuba nomdlavuza. Ake sibheke ukuthi yiziphi lezi zici eziyingozi zomdlavuza wepenis:

• Abantu abangaphezu kweminyaka engama-55 ubudala: Amaphesenti angama-80 ezigameko zomdlavuza wepenis ezibikiwe e-United States zikuleli qembu leminyaka.
• Ukungasoki: Ukusoka kususa ijwabu lepenisi, kushiye ipenisi ye-glans ivele obala. Izinto eziningi ezibangela umdlavuza wepenisi kucatshangwa ukuthi zihlobene nokuba khona kwejwabu.
• Ukutheleleka kwe-HPV (Human Papillomavirus): Izinhlobo eziyingozi kakhulu zegciwane elifanayo le-HPV elibangela umdlavuza womlomo wesibeletho nazo zitholakale kwabesilisa abanomdlavuza wepenis.
• Ukutheleleka nge-HIV (Human Immunodeficiency Virus): Nakuba imbangela eqondile ingacacile, umdlavuza wepenis uvame kakhulu kwabesilisa abane-HIV.
• I-Lichen Sclerosus (LS): Lesi yisimo sokuvuvukala esingabangela ubuhlungu, ukulunywa, kanye nokuvuvukala kwe-glans noma ijwabu.
• I-Phimosis: Kulesi simo, ijwabu liyaqina futhi ipenisi ye-glans ayikwazi ukuhoxiswa.
• Ukungahlanzeki kahle: I-Smegma ingavela uma ipenisi ingagezwa njalo futhi kahle.Lokho okubizwa ngokuthi kungangezwa. Ukuvuvukala nokuvuvukala okubangelwa yilokhu kungandisa ingozi yomdlavuza. (I-Sembryony iyinto emhlophe eyenziwe ngamafutha, amangqamuzana esikhumba afile, kanye nomswakama oqoqana ngaphansi kwejwabu.)
• Ukwelashwa kwe-PUVA: I-PUVA imele ukuthi "i-Psoralen kanye ne-Ultraviolet A photochemotherapy." Lokhu ukwelashwa ngemisebe ye- psoriasis yesifo sesikhumba.
• Ukusetshenziswa kukagwayi: Ukubhema nokuhlafuna ugwayi kunciphisa ikhono lomzimba lokulwa nezifo. Lokhu kwandisa ingozi yomdlavuza. Izinto ezikugwayi zingalimaza amangqamuzana futhi zibangele izinguquko ezingaholela kumdlavuza.

Umdlavuza wepenis utholakala kanjani?

Uma ubona udokotela, angenza okulandelayo:

• Ukuhlolwa Komzimba: Udokotela uzokuxilonga futhi ahlole noma yiziphi izinguquko zesikhumba ezingavamile, amaqhubu, noma ukushintsha kombala epipini lakho. Uzobuza nangezimpawu zakho, imikhuba yakho, kanye nezimo zakho zezokwelapha zangaphambilini.
• Ukuhlolwa kwezithombe: Lokhu kuhlolwa kungadingeka ukuze kubonwe ukuthi umdlavuza ususakazeke yini. Kuye ngohlobo lomdlavuza, udokotela wakho angase akucele ukuthi kwenziwe i-CT scan, i-MRI scan, i-ultrasound, i-PET scan, noma i-chest X-ray .
• Ukuhlolwa kwezicubu: Lena yindlela kuphela yokuqinisekisa ukuthi unomdlavuza. Kulokhu, udokotela uthatha isampula yamangqamuzana noma izicubu ezisolisayo, bese udokotela wezifo ehlola amangqamuzana ngaphansi kwesibonakhulu ukuze abone ukuthi kukhona yini izimpawu zomdlavuza.

Umdlavuza wepenis welashwa kanjani?

Ukwelashwa kuncike ngobukhulu besimila, ukuthi sisabalale yini, kanye namathuba okuthi umdlavuza uphinde ubuye (uphinde ubuye). Ukwelashwa kwakho kungabandakanya ithimba lodokotela elihlanganisa udokotela wakho oyinhloko (PCP), uchwepheshe womdlavuza (udokotela wezifo zomdlavuza), udokotela wezifo zomchamo, udokotela wezifo zomdlavuza, kanye nodokotela wesikhumba.

Uma umdlavuza usesigabeni sokuqala, udokotela wakho angase ancome eyodwa noma ngaphezulu yalezi zindlela zokwelapha:

• Ukusoka: Uma umdlavuza usejwabini kuphela, leso sikhumba singasuswa.
• Ukwelapha nge-Cryotherapy: Indlela yokubhubhisa isimila kusetshenziswa umkhuhlane omkhulu.
• Ukususwa: Udokotela usika amangqamuzana omdlavuza noma isimila epenis.
• Ukususwa kwe-laser: Imisebe ye-laser isetshenziselwa ukudala ukushisa okukhulu nokubhubhisa isimila.
• Okhilimu abasebenzisa imithi: Lawa okhilimu okudingeka uwusebenzise endodeni njalo. Imithi evame ukusetshenziswa kakhulu yi -fluorouracil kanye ne-imiquimod .
• Ukuhlinzwa kwe-Mohs:Kulokhu, udokotela ususa ungqimba lwesikhumba olunomdlavuza ngengqimba, aze afinyelele ezicutshini ezinempilo ezingaphansi.
• Ukwelashwa ngemisebe: Udokotela angase asebenzise imisebe enamandla, njenge-X-ray, ukubhubhisa amangqamuzana omdlavuza noma ukunciphisa isimila ngaphambi kokuhlinzwa.

Uma umdlavuza ususakazeke kancane, udokotela angase ancome okulandelayo:

• Ukususwa kwe-lymphadenectomy: Uma umdlavuza ususakazekele kuma-lymph node (ngokuvamile endaweni ye-groin), udokotela angase awasuse.
• Ukususwa kwepeni: Uma kwenziwa i -penectomy engaphelele, ingxenye yepeni iyasuswa. Uma kwenziwa i-penectomy ephelele , yonke ipeni iyasuswa. Uma ipeni yonke isusiwe, udokotela ohlinzayo uzovula isikhala esiswini sakho noma endaweni ephakathi kwe-anus yakho ne-scrotum (perineum) ukuze ukwazi ukuchama.

Udokotela angase asebenzise ukwelashwa ngemisebe, i-chemotherapy , noma kokubili ngaphambi noma ngemva kokuhlinzwa.

Uma umdlavuza ususakazekele ngale kwesisu sakho, ukwelashwa ngamakhemikhali noma eminye imithi (ukwelashwa okuhlelekile) kuyindlela eyinhloko yokwelapha.

Yini engingayilindela uma kunjalo?

Uhlelo lwakho lokululama kanye nokwelashwa luncike kulezi zici:

• Isigaba somdlavuza.
• Indawo kanye nosayizi wesimila.
• Kungakhathaliseki ukuthi umdlavuza usanda kutholakala noma ubuyile.

Cabanga nje, uma umdlavuza utholakala kusenesikhathi, unethuba elikhulu lokwelashwa nokwelashwa . Uma utholakala sekwephuzile, unethuba elikhulu lokusabalala ngale kwepenisi. Ngaleso sikhathi, umdlavuza wepenisi uba nzima kakhulu ukuwuphatha.

Unganciphisa kanjani ingozi yomdlavuza we-penis?

Cabanga ngalezi zinto ukuze unciphise ingozi yakho yomdlavuza we-penis:

• Ungasebenzisi imikhiqizo kagwayi.
• Thola umuthi wokugomela i-HPV.
• Thola ukwelashwa kwe- phimosis .
• Gcina impilo enhle yepenis (lokho kusho ukuyihlanza kahle nsuku zonke).
• Yenza ucansi oluphephile ukuze unciphise ingozi yokutheleleka nge-HPV.
• Cabanga ngezinzuzo zokusoka. Kufanele ucabangele izinzuzo zezokwelapha zokusoka, kanye nezinto ezifana nezinkolelo zenkolo, izinto ozithandayo ngamasiko, kanye nezinto ozithandayo. Khuluma nodokotela wakho ukuze unqume ukuthi iyiphi inketho engcono kakhulu kuwe noma enganeni yakho esanda kuzalwa.

Ngizinakekela kanjani?

Khuluma nodokotela wakho mayelana nokuthi ukuhlonza umdlavuza kanye nohlelo lokwelashwa kuzothinta kanjani impilo yakho yansuku zonke. Izindlela eziningi zokwelapha umdlavuza zigcina izicubu zepenisi. Lokhu kusho ukuthi ngemva kokwelashwa, ipisi yakho izophola futhi ibukeke ifana neyangaphambili, noma ifane kakhulu. Uzokwazi ukuchama umile. Uzokwazi ukuya ocansini, ukuya ocansini, ngisho nokufika esikhathini sokuvuthwa komzimba.

Kodwa-ke, ukuhlinzwa kokususa ingxenye noma yonke ipenisi kungashintsha indlela ochama ngayo kanye nolwazi lwakho locansi.

Umdlavuza wepenisi kanye nokwelashwa kwawo kungakuthinta ngezindlela eziningi. Ukwazi ukuthi yini ongayilindela kungakusiza ukuthi ulungiselele izimo ezahlukene. Khuluma nodokotela wakho ngokukhululekile nganoma yiziphi izinkinga ongase ube nazo.

Kufanele ngimbone nini udokotela wami?

Uma uba nezimpawu ezintsha, uma izimpawu ezikhona zishintsha, noma uma ziba zimbi kakhulu, tshela udokotela wakho ngokushesha. Angakusiza ukuthi unqume ukuthi imbangela ingumdlavuza.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma unomdlavuza we-penis, nansi eminye imibuzo ongayibuza udokotela wakho:

• Umdlavuza wami ukusiphi isigaba?
• Ucabanga ukuthi kuwumqondo omuhle ukuthola umbono wesibili?
• Yikuphi ukwelashwa okuncomayo?
• Yiziphi izinzuzo/izingozi ezingaba khona ezihlobene nalokhu kwelashwa?
• Yini okufanele ngiyilindele ngesikhathi sokululama?
• Yiziphi izinguquko okufanele ngizilindele endleleni yami yokuphila ngemva kokwelashwa?
• Yibaphi ochwepheshe okufanele ngibabone ukuze bathole ukwelashwa?
• Angakanani amathuba okuthi umdlavuza wami uzobuya ngemva kokwelashwa?

Okokugcina, khumbula lokhu (Umyalezo Wokuya Ekhaya)

Ukutholwa unomdlavuza wepenis kungaba yinto eshintsha impilo. Kujwayelekile ukuzizwa unemizwa eminingi kanye nokungaqiniseki ngesikhathi esisodwa. Kubalulekile ukuzinakekela futhi ungesabi ngalesi sikhathi. Khuluma nodokotela wakho. Angaxoxa ngezinketho zakho zokwelashwa, kanye nokuthi ungatholaphi ukwesekwa okusebenzayo nokungokomzwelo okudingayo. Themba ithimba lakho lezokwelapha kanye nabathandekayo bakho. Khumbula, awuwedwa kule mpi.

Umdlavuza Wezitho Zobulili, Impilo Yabesilisa, Izimpawu Zomdlavuza, Ukwelashwa Komdlavuza, I-HPV, Ukusoka