Msonkhano wa American Urology Association ndi msonkhano waukulu kwambiri wa urology padziko lonse lapansi. Pulogalamuyo imapangidwa motsatizana ndi kufotokozedwa kwa masauzande zikwi zikwi za sayansi zomwe zimatulutsidwa mu malipoti oyambirira otchedwa "zolemba." Pamene ndikukambirana zolemba za 2015, makamaka makamaka, zolembedwa ndi Dr. John Mulhall kuchokera ku Memorial Sloan Kettering ku New York, diso.
Dr. Mulhall, katswiri wodziwa kugonana kwa amuna. Walembera mabuku angapo pa nkhaniyi ndipo wakhala wokamba nkhani pafupipafupi chaka chilichonse ku Prostate Cancer Research Institute ya msonkhano wa maphunziro wodwala wodwala ku September.
Mu maphunziro a Dr. Mulhall, amuna 276 anachitidwa opaleshoni ya kansa ya prostate. Pambuyo pake adayesedwa kuti apange chithandizo cholakwika (Peyronie's disease) pasanapite zaka zitatu atayamba kugwira ntchito. Zaka zakubadwa za ophunzirawo zinali 56. Dr. Mulhall adanena kuti 17,4% mwa amunawo adayamba kukonza zolakwika. Zopanda pake zinapangidwa pafupifupi miyezi 12 kuchokera opaleshoni. Kukula kwa matenda a Peyronie mwa amuna awa omwe anachitidwa opaleshoni kunachitika kawiri kawiri kuti chiopsezo cha moyo wa munthu akukula Peyronie. Pafupifupi asanu mwa anthu asanu aliwonse amayamba matenda a Peyronie m'moyo wawo wonse.
Monga momwe tafotokozera mu Wikipedia, "Matenda a Peyronie ndi matenda osokoneza bongo omwe amachititsa kukula kwa mapuloteni a penis.
Mwachindunji, chigawo cha mtundu wa minofu yozungulira ma corpora cavernosa (matupi a erectile a mbolo). Mankhwalawa amachititsa ululu, kupotoka kwachilendo, kuwonongeka kwa erectile, indentation, kutayika kwa girth ndi kuchepetsedwa. Wikipedia inanena kuti "mankhwala osiyanasiyana adagwiritsidwa ntchito, koma palibe omwe akhala othandiza makamaka."
Phunziro lake, Dr. Mulhall akunena kuti matenda a Peyronie omwe amachitidwa opaleshoni ya prostate yakhala ikufotokozedwa kale muzinenero za sayansi pa nthawi ina. Kwa ine, izi ndizosokoneza. Kodi zingatheke bwanji kuti vuto lachiwerewere ndi loopsya ngatilo likanakhala losalephereka ndi chipatala cha urologic kwa nthawi yayitali? Kuchuluka kwa prostatectomy kwakukulu kwa anthu mamiliyoni angapo pazaka 30 zapitazo. Ngati anthu mamiliyoni awiri athandizidwa ndi khansa ya kansa ya prostate kuposa 300,000 apanga matenda a Peyronie.
Ndimangoganizira za zifukwa ziwiri zomwe zingatheke chifukwa cha kusowa chidwi kwa vutoli. Mmodzi, a urologists amangokhala akuyankhula kwa odwala awo atatha opaleshoni. Kodi zingakhale kuti sankadziwa kuti Peyronie amachitika kangati? Chotheka china chiri chakuti odwala a urologist akudziwitseni zotsatira zoyipa izi, koma asankha mwanzeru kuti akhale chete. Izi zikhoza kukhala zosiyana ndi kulephera kwa orologists kudzafotokozera zotsatira zina zochititsa mantha za opaleshoni zomwe Dr. Mulhall wachititsa kuti anthu amvetsetse-vuto lalikulu lokhazikitsa mkodzo panthawi yovuta.
Dr. Mulhall ndi akatswiri ena adanenera vuto ili lochititsa manyazi lomwe mwachiwonekere limachitika mwa amuna 20% omwe ali ndi opaleshoni ya prostate. "Climacturia," ndilo mawu akuti Dr. Mulhall walinganiza kulongosola vutoli.
Ngati opaleshoni ndiyo njira yokhayo yowonjezereka kupulumuka kwa amuna omwe ali ndi khansara ya prostate, zotsatira zoopsa monga Peyronie's disease ndi climacturia zikhoza kuonedwa kuti ndizofunikira kupulumutsa moyo wa munthu. Komabe, masiku ano ndi zaka zambiri, njira zina zambiri monga ma radiation, implants, mankhwala othandiza komanso kuyang'anitsitsa zosavuta, ndizomwe zimaonedwa kuti n'zosavuta.
Ngakhale zili choncho, chaka chilichonse amuna oposa 75,000 amasankha kuchita prostatectomy kwambiri.
Chifukwa cha zovuta zambiri za opaleshoni poyerekeza ndi zosankha zina, wina sangathe kudzifunsa chifukwa chake opaleshoni imakhala yotchuka. Chifukwa chake chiri chosavuta kumvetsa. Kafukufuku akusonyeza kuti nthawi 80 peresenti, odwala amangopereka chithandizo kwa dokotala pakusankha mankhwala: "Chilichonse chimene munganene kuti doc, ndiwe katswiri." Vuto ndiloti mu prostate dziko urologists (omwe ali opaleshoni) ndi madokotala omwe ali oyamba kulangiza amuna omwe ali ndi khansara ya prostate yatsopano. Nzosadabwitsa ndiye kuti opaleshoni ndi ndondomeko yabwino yoperekedwa ndi a urologists.