Umdlavuza wePenile

Umdlavuza wepipi, ovame ukwaziwa ngokuthi umdlavuza wepipi, uhlobo lomdlavuza oluyivelakancane oluhlasela isikhumba nezicubu zepipi. Kwenzeka lapho amangqamuzana aphile kahle epipini eba yingozi futhi eqala ukukhula engalawuleki, okuholela esimila.

Izinhlobo zomdlavuza wepipi

Umdlavuza wepipi uqala njengohlobo lomdlavuza wesikhumba. Kungenzeka ngamafomu alandelayo:

• I-squamous cell carcinoma (SCC)
• basal cell carcinoma
• melanoma
• scomcom
• i-adenosquamous carcinoma

Izimpawu zomdlavuza wepipi

Uma kusheshe kwatholakala ukuthi indoda inomdlavuza wepipi, kuba ngcono. Uma itholwe kusenesikhathi, maningi amathuba okuthi izolashwa ngempumelelo futhi yelashwe. Isimo singaba sibi kakhulu uma ukuxilongwa kubambezeleka. Ukwelashwa komdlavuza oseqophelweni eliphezulu kungenzeka kungasebenzi kahle futhi kuphazamise isimo.

Lapho uchama, ungase ubone futhi uzwe ipipi lakho, okungasiza ekushesheni ukuhlonze lesi simo. Umdlavuza wepipi uvame kakhulu emadodeni angakasoki. Kodwa-ke, wonke amadoda kufanele azazi izimpawu nezimpawu zezilonda zomthondo.

Uma ubona noma yikuphi kwalokhu okulandelayo ejwabuni lakho, ku-shaft, noma ekhanda lepipi lakho, kufanele ubone udokotela wakho:

• Indawo yesikhumba iba mkhulu kanye/noma ishintsha umbala
• Isibumbu emthondweni
• Isilonda (isilonda) esingase sophe
• Ukuqubuka okubomvu, okuvelile
• Amaqhubu amancane, anoqweqwe
• Izitshalo eziyisicaba, ezinsundu ngokuluhlaza
• Ukuphuma okunukayo (uketshezi) ngaphansi kwejwabu
• Ukuvuvuka

Iningi lalezi zimpawu zingabangelwa ukutheleleka kwebhaktheriya noma ukukhunta, kanye nokungezwani komzimba. Amafutha e-antibacterial kanye ne-antifungal kanye nama-lotions azosiza ngakho konke. Kodwa-ke, ukukhula okuphindaphindayo noma izilonda ezingapholi kufanele kubhekwe njengomdlavuza ngaphandle kwalapho kufakazelwa ngenye indlela.

Ngeshwa, umdlavuza we-penile uvame ukunganakwa kuze kube yilapho usuthuthukile. Iziguli ziyangabaza noma zinamahloni okuxoxa ngezitho zazo zangasese. Bangase futhi bakwesabe ukwelashwa kwepipi noma ukuhlinzwa. Uma ubona noma yiziphi zalezi zimpawu, hlela isikhathi sokubonana nodokotela ngokushesha ngangokunokwenzeka.

Izimbangela zomdlavuza wepipi

Uketshezi lomzimba oluvaleleke ejwabu kucatshangwa ukuthi luwumthombo wamathumba omthondo. Uma zingasulwa njalo, zinamandla okubangela umdlavuza. Umdlavuza wepipi uvame kakhulu emadodeni amadala nakubabhemi. Umdlavuza wepipi ungadalwa yizifo ezifana nengculazi.

I-human papillomavirus enye imbangela engenzeka (HPV). I-HPV igciwane elithathelwana ngocansi. Amasosha omzimba afinyelela ku-HPV-16 atholwe enanini elikhulu leziguli ezinomdlavuza womthondo. I-HPV ixhunywe kuyo umdlavuza wesibeletho esikhathini esedlule.

Izici eziyingozi zomdlavuza wepipi

Umdlavuza wepipi uvame kakhulu kubantu abangasokwanga izitho zabo zangasese. Lokhu kungenxa yokuthi labo abanepipi elingasokile banamathuba amaningi okuthi bathole ezinye izifo ezihlobene nepipi okuhlanganisa i-phimosis ne-smegma.

Isimo se-phimosis senzeka lapho ijwabu liqina futhi kunzima ukuhlehla. I-Smegma iyinkinga evamile kubantu abane-phimosis.

I-Smegma iyinto eyenza ngemuva kwejwabu lapho amangqamuzana esikhumba afile, umswakama, namafutha ebuthana. Kungenzeka futhi uma indawo engaphansi kwejwabu ingahlanzwa ngokwanele, okungaholela ekuvuvukeni.

Abantu bangase futhi babe sengozini enkulu yomdlavuza we-penile uma:

1. bangaphezu kweminyaka engama-60
2. bhema ugwayi
3. ungayihlanzi kahle indawo engaphansi kwejwabu
4. hlala esifundeni esinemikhuba emibi yokukhucululwa kwendle nenhlanzeko
5. babe nezifo ezithathelwana ngocansi (STI), njenge-human papillomavirus (HPV)

Ukuxilongwa komdlavuza we-penile

I-biopsy isetshenziselwa ukuxilonga umdlavuza we-penile. Isampula elincane lesicubu esivela epipini liyakhishwa futhi lihlolwe ngaphansi kwesibonakhulu. Amaseli azoba "esiteji" uma efana namaseli omdlavuza. Uhlelo lwesiteji lwe-TNM luwuhlelo olusetshenziswa kakhulu. Uhlamvu T lubonisa isimila esikhulu (esiyinhloko) (sikhule kangakanani phakathi kwepipi noma izitho eziseduze). Uhlamvu N lubonisa ukusabalala kwe-lymph node kuma-lymph nodes angomakhelwane (amaqembu alingana nobhontshisi wamaseli amasosha omzimba). I-M imele i-metastasis (ukusabalala kwezifo) kwezinye izitho.

"Ibanga" liphinde linikezwe amaseli. Lena imethrikhi yokuthi amaseli abonakala ehlakazekile kangakanani. Ibanga ngokuvamile liyinombolo ephakathi kuka-1 no-4, kanti u-1 uba ngaphansi kakhulu futhi u-4 abe phezulu kakhulu. Uma inombolo iphakeme, amaseli avela ngokungavamile. Ibanga eliphezulu.

Ukwelashwa komdlavuza womthondo

Uma umdlavuza wepipi utholwa kusenesikhathi, ungelapheka ngempumelelo futhi ngaphandle kwengozi encane. Ukhilimu wesikhumba ungase usetshenziselwe ukwelapha isimila esiphezu kwesikhumba. Ayikho imiphumela eminingi emibi ngalo khilimu. Izilonda ezincane nazo zingelashwa ngemisebe yangaphandle ye-beam.

Ukuhlinza okuncane kwendawo noma “ukuhlinzwa kuka-Moh” kungase kwenziwe uma isilonda sisikhulu kodwa sisengangephizi. Lolu wuhlobo lokuhlinzwa lapho izicubu eziphambukayo zisulwa khona ungqimba kuze kube yilapho kufinyelelwa izicubu ezivamile. Kokubili lokhu kwelashwa kufanele kushiye ipipi libukeka futhi lisebenza ngendlela evamile. Kodwa-ke, ukulandelela ngokucophelela kuyadingeka ukuze kuqinisekiswe ukuthi akukho ukubuya kusenesikhathi. Akunakwenzeka ukuthi umdlavuza usabalale kusuka ezilonda ezincane.