Pamene kuchotsa Penis Ndi Njira yokhayo
American Cancer Society inanena kuti pafupifupi 1,500 milandu ya khansa ya penile (khansa ya mbolo) imapezeka ku US chaka chilichonse. Khansa ya penile ndi yosavomerezeka kwambiri ku North America ndi Europe koma imakhala yowonjezeka kwambiri m'madera ena a Africa ndi South America, komwe amachititsa kuti 10 peresenti ya khansa mu amuna.
Ngakhale kuti mitundu ina ya khansa ya penile imatha kuchiritsidwa ndi opaleshoni ya laser kapena opaleshoni, ziwalo zosafunikira zingakhale zofunikira kwambiri podziwika kuti penectomy.
Kumvetsa Penectomy
Puloteni ndi mtundu wa opaleshoni yomwe imachotsedwa mbali imodzi ya mbolo (penectomy) kapena mbolo (penectomy kapena yochuluka). Zimagwiritsidwa ntchito posankha ngati njira zina zothandizira zatha.
Ndi penectomy, chotupa ndi mazira oyandikana ndi mbolo amachotsedwa pamodzi ndi maselo a mitsempha m'mimba. Kutulutsidwa kwa mfundozi kungalepheretse kufalikira kwa khansara. Opaleshoni iliyonse imayandikira mosiyana:
- Penectomy yochepa imachotsa kuchotsa nsonga kapena mutu wa mbolo. Izi zimakhala zovuta kwambiri ndipo zimamulola munthuyo kuti ayambe kuyima. Nthaŵi zina, dokotala amatha kudula ligament yomwe imagwirizanitsa mbolo ku fupa la pakhosi pofuna kuwonjezera kutalika kwa mbolo. Kuphatikizidwa kwa khungu kungagwiritsidwe ntchito pothandizira kuphimba minofu yowonekera.
- Chiwerengero cha penectomy chimaphatikizapo kuchotseratu mbolo yonse, kuphatikizapo mizu yomwe imalowa m'mimba. Ndi njira yotereyi, urethra iyenera kuyendetsedwa kumalo atsopano, kawirikawiri pakati pa khungu ndi anus, kuti mkodzo ukhoze kuthamangitsidwa mu thupi. Penectomy imangotheka ngati chotupa chimalowa mkati mwa mbolo kapena chiri pansi pa mbolo.
Opaleshoni yonseyi ingakhale yovuta kwa amuna omwe nthawi zambiri amaganiza kuti mbolo ndizofanana ndi chikhalidwe cha amuna. Momwemonso, kulimbika kulikonse kumapangidwira kupeŵa opaleshoni, ngati pali njira zomwe zingatheke, kapena kusiya mbolo yambiri ngati mmene zimakhalira.
Kugonana ndi Chibwenzi Chotsatira Pambuyo Pang'ono Pakati
Ngakhale kuti mbali yovuta kwambiri ya mbolo imachotsedwa ndi penectomy yokwanira, banjali lingakhalebe ndi moyo wogonana.
Kuchotsedwa kwa mutu wa mbolo sikulepheretsa munthu kuti asamangidwe kapena kuti asamalize .
Kukula kwakukulu kumakhala kovuta, komabe sikutanthauza kuti munthu akhoza kugonana. Kulowa m'thupi kumatha kupezeka ndi masentimita atatu a shaft. Ngati kuli kofunika, kumasulidwa kwa mitsempha yowonjezereka ikhoza kuwonjezera kutalika kwa mbolo, pamene opaleshoni ingagwiritsidwe ntchito pomanganso mutu wa mbolo.
Kulankhulana momasuka, ndi kuyankhulana ndi mnzanu ndizofunika kwambiri kuti mubwerere ku moyo wogonana wothandizira. Malangizi othandizira a katswiri wogonana angathandizenso.
Kugonana ndi Chibwenzi Chotsatira Total Penectomy
Amuna omwe agonjetsedwa ndi penectomy nthawi zambiri amayenera kuganiziranso momwe akugonana. Palibe zovuta kuti zikhale zovuta, zovuta ndi zovuta zowonjezera monga chikhodzodzo.
Koma izi sizikutanthauza kuti kugonana ndi kosafunika kwenikweni kapena chinthu chimene munthu ayenera kusiya. Kupyolera mu kuyesera ndi kukambirana momasuka, amuna ambiri ndi abwenzi awo akhoza kukwaniritsa moyo wogonana wokondweretsa.
Ngakhalenso pamene mbolo itachotsedwa, pamakhala zovuta kwambiri zokhudzana ndi mitsempha m'mimba, m'mimba, m'matako, ndi pamtunda.
Kufufuza za madera awa ndi manja anu, lilime, kapena vibrator kungakhale yaumunthu ndipo imatsogolera ku chiwonetsero cha kugonana monga mawonekedwe a thupi-kulimbikitsa thupi osati kungolowera. Nthawi zina, zimatha kusintha moyo wa kugonana potsogoleredwa kuchokera ku ziwalo zogonana kupita ku chiyanjano choyanjana ndi chilankhulo cha thupi lonse.
Ngati zina zonse zikulephera, opaleshoni yokhayokha , yomwe imatchedwa phalloplasty , ingathe kufufuzidwa. Zimaphatikizapo kumanganso mbolo pogwiritsa ntchito minofu kapena khungu kuti apange mawonekedwe a mkati ndi chikopa cha khungu kuchokera ku scrotum kuti aphimbe limba. Urethra ukhoza kutengedwanso mpaka kumapeto kwa mbolo, pamene ndodo yosungirako pulasitiki ikhoza kuikidwa kuti iwonetsere erection.
Kachilombo ka phallus kake ndi njira yabwino.
> Zotsatira:
> Mossanen, M .: Holt, S .; Gore, J. et al. "Zosintha za khansa ya penile: Kufufuza momwe zinthu zikuyendera komanso zotsatira za matenda pogwiritsa ntchito National Cancer Data Base." J Clin Oncol. 2016; 34 (Suppl 2); 492. DOI: 10.1200 / jco.2016.34.2_suppl.492.
> Sansalone, S .; Silvani, M .; Leonardi, R. et al. "Zotsatira za kugonana pambuyo pa penectomy ya penile ya penile: zotsatira za maphunziro osiyanasiyana." Asia J Androl. 2017; 19 (1): 57-61. DOI: 10.4103 / 1008-682X.168690.