Umdlavuza wePenile

Umdlavuza wePenile wumdlavuza oqala epenis, isitho esakha ingxenye yohlelo lokuzala lwabesilisa.

Umdlavuza womthondo uqabile. Ayaziwa imbangela yayo ngqo. Noma kunjalo, izici ezithile zobungozi zifaka:

• Abesilisa abangasokile abangagcini indawo ngaphansi kwejwabu lihlanzekile. Lokhu kuholela ekwakhiweni kwesmegma, into efana noshizi, enuka kabi ngaphansi kwejwabu.
• Umlando wezinsumpa zangasese, noma i-human papillomavirus (HPV).
• Ukubhema.
• Ukulimala umthondo.

Umdlavuza uvame ukuthinta ubudala obuphakathi namadoda amadala.

Izimpawu zokuqala zingafaka:

• Ukuqaqamba, ukuqhuma, ukuqubuka, noma ukuvuvukala enqenqemeni noma kushafula lenduku
• Ukukhishwa okunuka kabi ngaphansi kwejwabu

Njengoba umdlavuza uthuthuka, izimpawu zingafaka:

• Ubuhlungu nokopha kuphuma endondeni (kungenzeka ngezifo ezithuthukile)
• Izigaxa ezisendaweni ebusayo kusukela ekusakazekeni komdlavuza ziye kuma-lymph node
• Ukwehla kwesisindo
• Kunzima ekudluliseni umchamo

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa ngokomzimba abuze ngomlando wakho wezimpawu nezimpawu.

I-biopsy yokukhula iyadingeka ukunquma ukuthi ngabe ngumdlavuza yini.

Ukwelashwa kuya ngosayizi nendawo yesimila nokuthi sisabalale kangakanani.

Ukwelashwa komdlavuza we-penile kungafaka:

• I-Chemotherapy - isebenzisa imithi ukubulala amangqamuzana omdlavuza
• Imisebe - isebenzisa i-x-ray enamandla amakhulu ukubulala amangqamuzana omdlavuza
• Ukuhlinzwa - kusika futhi kususe umdlavuza

Uma isimila sincane noma siseduzane nethiphu yelungu lesilisa, kungahlinzwa ukuze kususwe kuphela ingxenye yomdlavuza womthondo lapho umdlavuza utholakala khona. Ngokuya ngendawo ngqo, lokhu kubizwa ngokuthi yi-glansectomy noma i-penectomy eyingxenye. Ukuhlinzwa kwe-Laser kungasetshenziswa ukwelapha ezinye izicubu.

Ukuze uthole izimila ezinzima kakhulu, ukukhishwa okuphelele kwepenisi (inani eliphelele le-penectomy) kuyadingeka kaningi. Kuzokwakhiwa ukuvulwa okusha endaweni yezinqa ukuvumela umchamo uphume emzimbeni. Le nqubo ibizwa ngokuthi i-urethrostomy.

I-Chemotherapy ingasetshenziswa kanye nokuhlinzwa.

Ukwelashwa ngemisebe kungasetshenziswa kanye nokuhlinzwa. Uhlobo lokwelashwa ngemisebe olubizwa ngokuthi ukwelashwa ngogongolo lwangaphandle luvame ukusetshenziswa. Le ndlela iletha imisebe yelungu lobudoda ngaphandle komzimba. Lokhu kwelashwa kuvame ukwenziwa izinsuku ezinhlanu ngesonto amasonto ayisithupha kuya kwayisishiyagalombili.

Umphumela ungaba muhle ngokuxilongwa nokwelashwa kusenesikhathi. Ukuchama nokusebenza ngokocansi kungagcinwa njalo.

Uma ungelashwa, umdlavuza we-penile ungasakazekela kwezinye izingxenye zomzimba (metastasize) ekuqaleni kwesifo.

Shayela umhlinzeki wakho uma kuvela izimpawu zomdlavuza we-penile.

Ukusoka kunganciphisa ubungozi. Abesilisa abangasokile kufanele bafundiswe besebancane ukubaluleka kokuhlanzwa ngaphansi kwejwabu njengengxenye yenhlanzeko yabo.

Imikhuba ephephile yezocansi, njengokuyeka, ukunciphisa inani labalingani ocansini, nokusebenzisa amakhondomu ukuvikela ukutheleleka kwe-HPV, kungehlisa ingozi yokuba nomdlavuza wenduku.

Umdlavuza - umthondo; Umdlavuza weseli omubi - umthondo; I-Glansectomy; I-penectomy engaphelele

• I-anatomy yokuzala yowesilisa
• Uhlelo lokuzala lwabesilisa

UHeinlen JE, uRamadan MO, uStratton K, uCulkin DJ. Umdlavuza womthondo. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, abahleli. I-Abeloff’s Clinical Oncology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 82.

Iwebhusayithi yeNational Cancer Institute. Ukwelashwa komdlavuza wePenile (PDQ) - inguqulo yezobuchwepheshe yezempilo. www.cancer.gov/types/penile/hp/penile-treatment-pdq#link/_1. Kubuyekezwe u-Agasti 3, 2020. Kufinyelelwe ngo-Okthoba 14, 2020.