Umhlaza wePenile

Umhlaza wePenile ngumhlaza oqala kwilungu lobudoda, ilungu elenza inxenye yenkqubo yokuzala eyindoda.

Umhlaza welungu lobudoda unqabile. Oyena nobangela wawo akwaziwa. Nangona kunjalo, izinto ezithile zomngcipheko zibandakanya:

• Amadoda angolukanga angawugcini ummandla ophantsi kwejwabi licocekile. Oku kukhokelela ekwakhiweni kwesmegma, into efana netshizi, into enuka kakubi phantsi kwejwabi.
• Imbali yeentsumpa, okanye ipapillomavirus yabantu (HPV).
• Ukutshaya.
• Ukwenzakala kwilungu lobudoda.

Umhlaza uhlala uchaphazela ubudala obuphakathi kunye namadoda amadala.

Iimpawu zokuqala zinokubandakanya:

• Ukudakumba, ukuqunjelwa, irhashalala, okanye ukudumba kwincam okanye kwishafti yelungu lobudoda
• Ukukhutshwa kwevumba elibi ngaphantsi kwejwabi

Njengoko umhlaza uqhubela phambili, iimpawu zingabandakanya:

• Ubuhlungu kunye nokuphuma kwilungu lobudoda (kunokwenzeka ngezifo eziphambili)
• Izigaqa kwindawo ye-groin ukusuka ekusasazeni komhlaza kwii-lymph node
• Ukuhla ukusinda
• Kunzima ukugqithisa umchamo

Umboneleli wezempilo uya kwenza uvavanyo lomzimba kwaye abuze malunga nembali yakho yezempilo kunye neempawu.

I-biopsy yokukhula iyafuneka ukumisela ukuba ngumhlaza na.

Unyango luxhomekeke kubungakanani kunye nendawo elihlala kuyo ithumba kunye nokuba sele lisasazeke kangakanani.

Unyango lomhlaza wepenile unokubandakanya:

• I-Chemotherapy - isebenzisa amayeza ukubulala iiseli zomhlaza
• Imitha-isebenzisa ii-x-reyi ezinamandla aphezulu ukubulala iiseli zomhlaza
• Utyando -usika kwaye ususe umhlaza

Ukuba ithumba lincinci okanye likufutshane nencam yelungu lobudoda, kungenziwa utyando ukususa kuphela indawo yomhlaza yelungu lobudoda apho umhlaza ufumaneka khona. Kuxhomekeka kwindawo kanye, oku kubizwa ngokuba yi-glansectomy okanye i-penectomy ekhethekileyo. Utyando lwe-Laser lungasetyenziselwa ukunyanga ezinye izicubu.

Kwizilonda ezinzima, ukususwa ngokupheleleyo kwepenisi (i-penectomy iyonke) kuyafuneka rhoqo. Kuya kuvulwa indawo entsha kummandla we-groin ukuvumela umchamo ukuba uphume emzimbeni. Le nkqubo ibizwa ngokuba yi-urethrostomy.

I-Chemotherapy ingasetyenziselwa kunye nokuhlinzwa.

Unyango ngemitha lungasetyenziswa kunye notyando. Uhlobo lonyango lwemitha ekuthiwa lunyango lwangaphandle luhlala lusetyenziswa. Le ndlela ihambisa imitha kwilungu lobudoda ngaphandle komzimba. Olu nyango luhlala lusenziwa kwiintsuku ezintlanu ngeveki iiveki ezi-6 ukuya kwezi-8.

Isiphumo sinokulunga ngokuxilongwa kwangoko kunye nonyango. Ukuchama kunye nokusebenza ngokwesondo kunokuhlala kugcinwa.

Ukunganyangwa, umhlaza wepenile ungasasazeka kwamanye amalungu omzimba (imetastasize) kwangoko kwesi sifo.

Tsalela umnxeba umboneleli wakho ukuba iimpawu zomhlaza wepenile ziyakhula.

Ulwaluko lunokunciphisa umngcipheko. Amadoda angolukanga kufuneka afundiswe esemncinci ukubaluleka kokucoca ngaphantsi kwejwabi njengenxalenye yococeko lwabo.

Izenzo ezikhuselekileyo zesondo, ezinjengokuzila, ukunciphisa inani lamaqabane ezesondo, kunye nokusebenzisa iikhondom ukuthintela usulelo lwe-HPV, kunokunciphisa umngcipheko wokuba nomhlaza kwilungu lobudoda.

Umhlaza - incanca; Umhlaza weseli squamous - ipenisi; Glansectomy; I-penectomy ekhethekileyo

• I-anatomy yokuzala eyindoda
• Inkqubo yokuzala eyindoda

UHeinlen JE, uRamadan MO, uStratton K, uCulkin DJ. Umhlaza welungu lobudoda. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, ii-eds. I-Oncology yeklinikhi yase-Abeloff. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2020: isahluko 82.

Kwiwebhusayithi yeZiko loMhlaza weSizwe. Unyango lomhlaza wePenile (PDQ) -uhlobo lobungcali kwezempilo. www.cancer.gov/types/penile/hp/penile-treatment-pdq#link/_1. Ukuhlaziywa kwe-3 ka-Agasti ka-2020. Ifikeleleke ngo-Okthobha 14, 2020.