Khansa ya penile

Khansa ya penile ndi khansa yomwe imayamba mbolo, chiwalo chomwe chimapanga gawo loberekera la abambo.

Khansa ya mbolo ndiyosowa. Zomwe zimayambitsa sizikudziwika. Komabe, zifukwa zina zowopsa ndizo:

• Amuna osadulidwa omwe samasunga malowo pansi pa khungu lawo. Izi zimapangitsa kuti pakhale smegma, ngati tchizi, fungo lonunkhira pansi pa khungu.
• Mbiri ya njerewere, kapena papillomavirus ya munthu (HPV).
• Kusuta.
• Kuvulaza mbolo.

Khansara nthawi zambiri imakhudza azaka zapakati komanso amuna achikulire.

Zizindikiro zoyambirira zimatha kuphatikiza:

• Zilonda, zotupa, zotupa, kapena zotupa kunsonga kapena pamtengo wa mbolo
• Kutuluka kwa fungo pansi pa khungu

Pamene khansara ikupita patsogolo, zizindikiro zimaphatikizapo:

• Ululu ndi kutuluka magazi kuchokera ku mbolo (kumatha kuchitika ndi matenda apamwamba)
• Ziphuphu m'dera la kubuula kuchokera kufalikira kwa khansa kupita kumalo am'mimba
• Kuchepetsa thupi
• Zovuta pakudutsa mkodzo

Wothandizira zaumoyo adzakuyesani ndikufunsani za mbiri yaumoyo wanu komanso zomwe ali nazo.

Chidziwitso cha kukula chikufunika kuti mudziwe ngati ndi khansa.

Chithandizocho chimadalira kukula ndi malo okhala chotupacho komanso kuchuluka kwake.

Chithandizo cha khansa ya penile chingaphatikizepo:

• Chemotherapy - imagwiritsa ntchito mankhwala kupha ma cell a khansa
• Radiation - imagwiritsa ntchito ma x-ray opatsa mphamvu kupha ma cell a khansa
• Opaleshoni - amadula ndikuchotsa khansa

Ngati chotupacho ndi chaching'ono kapena pafupi ndi nsonga ya mbolo, opareshoni itha kuchitidwa kuti muchepetse gawo la khansa la mbolo pomwe khansa imapezeka. Kutengera malo enieni, izi zimatchedwa glansectomy kapena pang'ono penectomy. Opaleshoni ya laser itha kugwiritsidwa ntchito pochiza zotupa zina.

Kwa zotupa zowopsa kwambiri, kuchotsa kwathunthu kwa mbolo (penectomy yathunthu) kumafunikira nthawi zambiri. Padzatsegulidwa chitseko chatsopano kuti mkodzo utuluke mthupi. Njirayi imatchedwa urethrostomy.

Chemotherapy itha kugwiritsidwa ntchito limodzi ndi opaleshoni.

Thandizo la radiation lingagwiritsidwe ntchito limodzi ndi opaleshoni. Mtundu wamankhwala otulutsa poizoniyu womwe umatchedwa kuti kunja kwa mankhwala umagwiritsidwa ntchito. Njirayi imapereka radiation kwa mbolo kuchokera kunja kwa thupi. Mankhwalawa nthawi zambiri amachitika masiku 5 pasabata kwa milungu 6 mpaka 8.

Zotsatira zake zitha kukhala zabwino ndikudziwitsa koyambirira ndi chithandizo chamankhwala. Kukodza ndi magwiridwe antchito nthawi zambiri kumatha kusungidwa.

Khansa ya penile osachiritsidwa imatha kufalikira mbali zina za thupi (metastasize) koyambirira kwa matendawa.

Itanani omwe akukuthandizani ngati zizindikiro za khansa ya penile ziyamba.

Mdulidwe ungachepetse chiopsezo. Amuna omwe sanadulidwe ayenera kuphunzitsidwa adakali aang'ono kufunika kotsuka pansi pa khungu lawo ngati gawo la ukhondo wawo.

Kugonana motetezeka, monga kudziletsa, kuchepetsa kuchuluka kwa omwe amagonana nawo, komanso kugwiritsa ntchito kondomu popewa matenda a HPV, kumachepetsa chiopsezo chokhala ndi khansa ya mbolo.

Khansa - mbolo; Khansa squamous cell - mbolo; Glansectomy; Penectomy pang'ono

• Kutengera kwamwamuna kubereka
• Njira yoberekera yamwamuna

Heinlen JE, Ramadan MO, Stratton K, DJ wa Culkin. Khansa ya mbolo. Mu: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, olemba. Chipatala cha Abeloff's Oncology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: chap 82.

Tsamba la National Cancer Institute. Chithandizo cha khansa ya Penile (PDQ) - mtundu wa akatswiri azaumoyo. www.cancer.gov/types/penile/hp/penile-treatment-pdq#link/_1. Idasinthidwa pa Ogasiti 3, 2020. Idapezeka pa Okutobala 14, 2020.