Umdlavuza Wepenile (Umdlavuza Wepipi)

-Delile

• Ziyini izimpawu zomdlavuza we-penile?
• Yiziphi izici eziyingozi zomdlavuza we-penile?
• Utholakala kanjani umdlavuza we-penile?
• Izigaba zomdlavuza we-penile
• Isigaba 0
• Isigaba 1
• Isigaba 2
• Isigaba 3A
• Isigaba 3B
• Isigaba 4
• Uphathwa kanjani umdlavuza we-penile?
• Ukuhlinzwa okumangazayo
• Ukuhlinzwa kukaMoh
• I-penectomy engaphelele
• Uyini umbono wesikhathi eside wabantu abanomdlavuza we-penile?
• Ukubhekana nomdlavuza we-penile

Uyini umdlavuza we-penile?

Umdlavuza wePenile, noma umdlavuza wenduku, uhlobo lomdlavuza olungavamile oluthinta isikhumba nezicubu zomthondo. Kwenzeka lapho amaseli ajwayelekile enempilo epeni eba nomdlavuza futhi eqala ukukhula angalawuleki, akhe isimila.

Umdlavuza ungagcina usabalalele nakwezinye izindawo zomzimba, kufaka phakathi izindlala, ezinye izitho, nama-lymph node. I-American Cancer Society ilinganisela ukuthi amacala angaba ngu-2 300 womdlavuza we-penile atholakala e-United States minyaka yonke.

Ziyini izimpawu zomdlavuza we-penile?

Uphawu lokuqala olubonakalayo lomdlavuza we-penile imvamisa kuyisigaxa, isisindo, noma isilonda epeni. Kungabonakala njengesigaxa esincane, esingabalulekile noma isilonda esikhulu esinegciwane. Ezimweni eziningi, izotholakala ekhanda noma kujwabu esikhundleni somgogodla wenduku.

Ezinye izimpawu zomdlavuza we-penile zifaka:

• ukulunywa
• evuthayo
• ukukhipha
• izinguquko kumbala womthondo
• ukuqina kwesikhumba se-penile
• ukopha
• ububomvu
• ukucasuka
• ama-lymph node avuvukile emgodini

Shayela udokotela wakho ngokushesha uma uhlangabezana nalezi zimpawu. Ukuthola ukuxilongwa nokwelashwa kusenesikhathi kubalulekile ekwandiseni amathuba omphumela omuhle.

Yiziphi izici eziyingozi zomdlavuza we-penile?

Abesilisa abangasokile banamathuba amaningi okuba nomdlavuza we-penile. Lokhu kungenxa yokuthi amadoda angasokile asengozini yezinye izimo ezithinta ipipi, njenge-phimosis ne-smegma.

I-Phimosis yisimo lapho ijwabu liqina futhi kube nzima ukulihoxisa. Amadoda ane-phimosis asengozini enkulu yokuthola i-smegma. I-Smegma yinto eyakheka lapho amangqamuzana esikhumba afile, umswakama, namafutha kuqoqwa ngaphansi kwejwabu. Kungaphinde kuthuthuke lapho amadoda angasokile ehluleka ukuhlanza indawo ngaphansi kwejwabu kahle.

Abesilisa nabo basengozini enkulu yomdlavuza we-penile uma:

• bangaphezu kweminyaka engama-60
• bhema osikilidi
• zijwayeze ukuhlanzeka komuntu siqu
• hlala esifundeni esinokukhucululwa kwendle okungekuhle nemikhuba yenhlanzeko
• unesifo esithathelwana ngocansi, njenge-human papillomavirus (HPV)

Utholakala kanjani umdlavuza we-penile?

Udokotela wakho angenza ukuxilongwa komdlavuza we-penile ngokwenza ukuhlolwa komzimba nokusebenzisa izivivinyo ezithile zokuxilonga.

Ngesikhathi sokuhlolwa komzimba, udokotela wakho uzobheka ipipi lakho bese ehlola noma yiziphi izigaxa, izixuku noma izilonda ezikhona. Uma kusolakala umdlavuza, udokotela wakho uzokwenza i-biopsy. I-biopsy ifaka phakathi ukususwa kwesampula elincane lesikhumba noma izicubu kwilungu lobudoda. Isampula bese sihlaziywa ukuthola ukuthi ngabe amangqamuzana omdlavuza akhona yini.

Uma imiphumela ye-biopsy ibonisa izimpawu zomdlavuza, udokotela wakho angafuna ukwenza i-cystoscopy ukubona ukuthi umdlavuza usakazekile yini. I-cystoscopy inqubo ebandakanya ukusetshenziswa kwensimbi ebizwa nge-cystoscope. I-cystoscope yishubhu elincanyana elinekhamera encane nokukhanya ekugcineni.

Ngesikhathi se-cystoscopy, udokotela wakho uzofaka ngobumnene i-cystoscope ekuvulekeni kwepenisi nasesinyeni. Lokhu kuvumela udokotela wakho ukuthi abuke izindawo ezahlukahlukene zepenisi nezakhiwo ezizungezile, okwenza kube lula ukuthola ukuthi umdlavuza ususakazekile yini.

Kwezinye izimo, i-MRI yepenisi kwesinye isikhathi yenziwa ukuqinisekisa ukuthi umdlavuza awuzange uhlasele izicubu ezijulile zepenisi.

Izigaba zomdlavuza we-penile

Isigaba somdlavuza sichaza ukuthi umdlavuza ususabalale kangakanani. Ngokuya ngemiphumela yezivivinyo zokuxilonga, udokotela wakho uzonquma ukuthi umdlavuza ukulesi sigaba sini njengamanje. Lokhu kuzobasiza ukuthi banqume uhlelo lokwelashwa olungcono kakhulu kuwe futhi babavumele ukuba balinganise umbono wakho.

Umdlavuza we-penile uchazwe kanjena:

Isigaba 0

• Umdlavuza ungqimba lwesikhumba kuphela.
• Umdlavuza akufanele usakaze noma yiziphi izindlala, ama-lymph node, noma ezinye izingxenye zomzimba.

Isigaba 1

• Umdlavuza ususabalele ezicutshini ezixhuma ngaphansi kwesikhumba.
• Umdlavuza awusabalalanga kunoma yiziphi izindlala, ama-lymph node, noma ezinye izingxenye zomzimba.

Isigaba 2

• Umdlavuza usabalalele ezicutshini ezixhuma ngaphansi kwesikhumba nasemithanjeni ye-lymph noma emithanjeni yegazi noma amaseli abukeka ehluke kakhulu kumaseli ajwayelekile, noma umdlavuza usabalalele ezicutshini ze-erectile noma i-urethra.
• Umdlavuza awusakazelanga kwezinye izingxenye zomzimba.

Isigaba 3A

• Umdlavuza usabalalele ezicutshini ezixhuma ngaphansi kwesikhumba nasemithanjeni ye-lymph noma emithanjeni yegazi noma amaseli abukeka ehluke kakhulu kumaseli ajwayelekile, noma umdlavuza usabalalele ezicutshini ze-erectile noma i-urethra.
• Umdlavuza usabalalele ku-lymph node eyodwa noma ezimbili emgodini.
• Umdlavuza awusakazelanga kwezinye izingxenye zomzimba.

Isigaba 3B

• Umdlavuza usabalalele ezicutshini ezixhuma ngaphansi kwesikhumba nasemithanjeni ye-lymph noma emithanjeni yegazi noma amaseli abukeka ehluke kakhulu kumaseli ajwayelekile, noma umdlavuza usabalalele ezicutshini ze-erectile noma i-urethra.
• Umdlavuza usabalalele kuma-lymph node amaningi emgodini.
• Umdlavuza awusakazelanga kwezinye izingxenye zomzimba.

Isigaba 4

• Umdlavuza usabalalele ezindaweni eziseduze, njenge-pubic bone, prostrate, noma i-scrotum, noma umdlavuza ususabalele nakwezinye izindawo nezitho zomzimba.

Uphathwa kanjani umdlavuza we-penile?

Izinhlobo ezimbili eziyinhloko zomdlavuza we-penile ziyahlasela futhi azihlaseli. Umdlavuza we-penile ongabonakali yisimo lapho umdlavuza ungazange usabalalele ezicutshini ezijulile, ama-lymph node, nezindlala.

Umdlavuza we-penile ohlaselayo yisimo lapho umdlavuza ungene khona ngaphakathi kwezicubu zomthondo kanye nezindawo ezakhelene nezindlala nezindlala.

Ezinye zokwelashwa okuyinhloko zomdlavuza we-penile ongavumelekile zifaka:

• Ukusoka. Ijwabu lepipi liyasuswa.
• Ukwelashwa nge-Laser. Ukukhanya okuphezulu kakhulu kugxile ekubhubhiseni izicubu namaseli womdlavuza.
• Ukwelashwa ngamakhemikhali. Uhlobo olunolaka lokwelashwa ngamakhemikhali lusiza ukuqeda amangqamuzana omdlavuza emzimbeni.
• Ukwelashwa ngemisebe. Imisebe ephezulu yamandla inciphisa izicubu futhi ibulale amangqamuzana omdlavuza.
• I-Cryosurgery. I-nitrogen ewuketshezi iqandisa izicubu bese iyazisusa.

Ukwelashwa komdlavuza we-penile ongenayo kudinga ukuhlinzwa okukhulu. Ukuhlinzwa kungabandakanya ukususwa kwesimila, wonke umthondo, noma ama-lymph node emgodini nasesinqeni. Izinketho zokuhlinzwa zifaka okulandelayo:

Ukuhlinzwa okumangazayo

Ukuhlinzwa okumangazayo kungenziwa ukuze kususwe isimila esithweni sangasese. Uzonikezwa umuthi wokubulala izinzwa wendawo ukuze undikize indawo ukuze ungezwa buhlungu. Udokotela wakho ohlinzayo uzosusa isimila nendawo ethintekile, ashiye umngcele wezicubu nesikhumba esinempilo. Imbobo izovalwa ngemithungo.

Ukuhlinzwa kukaMoh

Inhloso yokuhlinzwa kukaMoh ukususa inani elincane kakhulu lezicubu ngenkathi kususwa wonke amaseli omdlavuza. Phakathi nale nqubo, udokotela wakho ohlinzayo uzosusa ungqimba oluncane lwendawo ethintekile. Bazobe sebeyihlola ngaphansi kwesibonakhulu ukuthola ukuthi inamaseli omdlavuza yini. Le nqubo iyaphindwa kuze kube awekho amangqamuzana omdlavuza akhona kumasampula ezicubu.

I-penectomy engaphelele

I-penectomy engaphelele isusa ingxenye yepipi. Lokhu kusebenza kusebenza kahle uma isimila sincane. Ngezicubu ezinkulu, wonke umthondo uzosuswa. Ukususwa ngokuphelele kwepipi kubizwa nge-penectomy ephelele.

Akunandaba ukuthi hlobo luni lokuhlinzwa olwenziwe, kuzodingeka ulandele udokotela wakho njalo ezinyangeni ezimbili kuya kwezine ngonyaka wokuqala ngemuva kokuhlinzwa kwakho. Uma wonke umthondo wakho ususiwe, ungakhuluma nodokotela wakho ngokuthi ngabe ukuhlinzwa okwakhiwa kabusha kwepipi kungaba yini inketho.

Uyini umbono wesikhathi eside wabantu abanomdlavuza we-penile?

Abantu abaningi abathola ukuxilongwa komdlavuza we-penile kusenesikhathi bavame ukululama ngokugcwele.

Ngokusho kwe-American Cancer Society, isilinganiso seminyaka emihlanu sokusinda kwabantu abanezicubu ezingakaze zisabalale kwizindlala noma kuma-lymph node cishe singamaphesenti angama-85. Lapho umdlavuza usufinyelele kuma-lymph node ku-groin noma izicubu eziseduze, isilinganiso seminyaka emihlanu sokusinda cishe singamaphesenti angama-59.

Kubalulekile ukuqaphela ukuthi lezi izibalo ezijwayelekile. Umbono wakho ungahluka ngokuya ngeminyaka yakho nempilo yonke. Into ebaluleke kakhulu ongayenza ukukhulisa amathuba akho okululama ukunamathela kuhlelo lokwelashwa oluphakanyiswe udokotela wakho.

Ukubhekana nomdlavuza we-penile

Kubalulekile ukuba nenethiwekhi yokusekela eqinile engakusiza ukubhekana nanoma yikuphi ukukhathazeka noma ukucindezeleka ongase uzizwe. Ungase futhi uthande ukucabanga ngokujoyina iqembu elisekela umdlavuza ukuze uxoxe ngokukhathazeka kwakho nabanye abangakwazi ukuqondana nalokho obhekene nakho.

Buza udokotela wakho ngamaqembu okusekela endaweni yangakini. Ungathola futhi imininingwane ngamaqembu okusekela kumawebhusayithi e-American Cancer Society.