Khansa ya Penile (Khansa ya Mbolo)

Zamkati

• Kodi zizindikiro za khansa ya penile ndi ziti?
• Kodi ndi zifukwa ziti zomwe zimayambitsa khansa ya penile?
• Kodi khansa ya penile imapezeka bwanji?
• Magawo a khansa ya penile
• Gawo 0
• Gawo 1
• Gawo 2
• Gawo 3A
• Gawo 3B
• Gawo 4
• Kodi khansa ya penile imachiritsidwa bwanji?
• Opaleshoni yochititsa chidwi
• Opaleshoni ya Moh
• Penectomy pang'ono
• Kodi malingaliro a nthawi yayitali ndi ati kwa anthu omwe ali ndi khansa ya penile?
• Kulimbana ndi khansa ya penile

Kodi khansa ya penile ndi chiyani?

Khansara ya penile, kapena khansa ya mbolo, ndi khansa yosawerengeka yomwe imakhudza khungu ndi khungu la mbolo. Zimachitika pomwe ma cell abwinobwino mu mbolo amakhala ndi khansa ndikuyamba kukula posalamulirika, ndikupanga chotupa.

Khansara imatha kufalikira kumadera ena amthupi, kuphatikiza zotupa, ziwalo zina, ndi ma lymph node. American Cancer Society imaganiza kuti pafupifupi 2,300 ya khansa ya penile imapezeka ku United States chaka chilichonse.

Kodi zizindikiro za khansa ya penile ndi ziti?

Chizindikiro choyamba cha khansa ya penile nthawi zambiri chimakhala chotupa, kulemera, kapena zilonda pa mbolo. Chingawoneke ngati chotupa chaching'ono, chosanunkha kanthu kapena chilonda chachikulu chotenga matenda. Nthawi zambiri, imakhala pamutu kapena pakhungu m'malo mokhala pamtengo wa mbolo.

Zizindikiro zina za khansa ya penile ndi monga:

• kuyabwa
• kuyaka
• kumaliseche
• kusintha kwa mtundu wa mbolo
• kukulitsa kwa khungu la penile
• magazi
• kufiira
• kuyabwa
• zotupa zam'mimba m'mimba

Itanani dokotala wanu nthawi yomweyo ngati mukukumana ndi izi. Kupeza chithandizo chamankhwala msanga ndikofunikira ndikuchulukitsa mwayi wazotsatira zabwino.

Kodi ndi zifukwa ziti zomwe zimayambitsa khansa ya penile?

Amuna omwe sanadulidwe amakhala ndi khansa ya penile. Izi zitha kukhala chifukwa chakuti amuna osadulidwa ali pachiwopsezo cha zinthu zina zomwe zimakhudza mbolo, monga phimosis ndi smegma.

Phimosis ndi mkhalidwe womwe khungu lawo limakhala lolimba komanso lovuta kubweza. Amuna omwe ali ndi phimosis ali pachiwopsezo chachikulu chotenga smegma. Smegma ndi chinthu chomwe chimapangidwa maselo amtundu wakufa, chinyezi, ndi mafuta atasonkhanitsa pansi pa khungu. Zitha kupanganso ngati amuna osadulidwa alephera kuyeretsa bwino malo amkati mwa khungu lawo.

Amuna ali pachiwopsezo chachikulu cha khansa ya penile ngati:

• ali ndi zaka zopitilira 60
• kusuta ndudu
• osakhala aukhondo
• amakhala m'dera lopanda ukhondo ndi ukhondo
• ali ndi matenda opatsirana pogonana, monga papillomavirus yaumunthu (HPV)

Kodi khansa ya penile imapezeka bwanji?

Dokotala wanu amatha kupanga matenda a khansa ya penile poyesa thupi komanso kugwiritsa ntchito mayeso ena azidziwitso.

Pakati pa kuyezetsa thupi, dokotala wanu amayang'ana mbolo yanu ndikuyang'ana zotupa zilizonse, misa, kapena zilonda zomwe zilipo. Ngati mukukayikira kuti muli ndi khansa, dokotala wanu akhoza kupanga biopsy. Biopsy imakhudza kuchotsa pang'ono khungu kapena minofu kuchokera ku mbolo. Chitsanzocho chimasanthulidwa kuti muwone ngati ma cell a khansa alipo.

Ngati zotsatira za biopsy zikuwonetsa zizindikiro za khansa, dokotala wanu angafune kupanga cystoscopy kuti awone ngati khansara yafalikira. Cystoscopy ndi njira yomwe imakhudza kugwiritsa ntchito chida chotchedwa cystoscope. Cystoscope ndi chubu chochepa kwambiri chokhala ndi kamera yaying'ono ndi kuwala kumapeto.

Pa cystoscopy, dokotala wanu amalowetsa cystoscope mofatsa kutsegulira mbolo komanso kudzera mu chikhodzodzo. Izi zimathandiza dokotala kuti awone madera osiyanasiyana a mbolo ndi zomuzungulira, kuti athe kudziwa ngati khansara yafalikira.

Nthawi zina, MRI ya mbolo nthawi zina imachitidwa kuti iwonetsetse kuti khansa siidalowetse ziwalo zakuya za mbolo.

Magawo a khansa ya penile

Gawo la khansa limafotokoza momwe khansara yafalikira. Kutengera zotsatira za kuyezetsa, adotolo azindikira kuti khansara ili pati. Izi ziwathandiza kudziwa njira yabwino kwambiri yothandizira inu ndikuwalola kuti aganizire momwe mukuwonera.

Matenda a khansa ya penile afotokozedwa motere:

Gawo 0

• Khansa imangokhala pakatikati pa khungu.
• Khansa sayenera kufalitsa gland iliyonse, ma lymph node, kapena ziwalo zina za thupi.

Gawo 1

• Khansara yafalikira m'minyewa yolumikizira pansipa khungu.
• Khansa siinafalikire kumafinya aliwonse, ma lymph node, kapena ziwalo zina za thupi.

Gawo 2

• Khansara yafalikira kumalumikizidwe am'munsi mwa khungu ndi zotengera zamitsempha kapena mitsempha yamagazi kapena maselo amawoneka osiyana kwambiri ndi maselo abwinobwino, kapena khansa yafalikira kumatenda a erectile kapena mtsempha.
• Khansa siinafalikire mbali zina zilizonse za thupi.

Gawo 3A

• Khansara yafalikira kumalumikizidwe am'munsi mwa khungu ndi zotengera zamitsempha kapena mitsempha yamagazi kapena maselo amawoneka osiyana kwambiri ndi maselo abwinobwino, kapena khansa yafalikira kumatenda a erectile kapena mtsempha.
• Khansara yafalikira kumatenda amodzi kapena awiri m'mimba.
• Khansa siinafalikire mbali zina zilizonse za thupi.

Gawo 3B

• Khansara yafalikira kumalumikizidwe am'munsi mwa khungu ndi zotengera zamitsempha kapena mitsempha yamagazi kapena maselo amawoneka osiyana kwambiri ndi maselo abwinobwino, kapena khansa yafalikira kumatenda a erectile kapena mtsempha.
• Khansa yafalikira kumatenda angapo am'mimba m'mimba.
• Khansa siinafalikire mbali zina zilizonse za thupi.

Gawo 4

• Khansara yafalikira kumadera oyandikira, monga mafupa a pubic, chiweramiro, kapena chotupa, kapena khansa yafalikira kumadera ena ndi ziwalo za thupi.

Kodi khansa ya penile imachiritsidwa bwanji?

Mitundu ikuluikulu iwiri ya khansa ya penile ndi yolanda komanso yosagwirizana. Khansa ya penile yosavulaza ndimkhalidwe womwe khansayo sunafalikire kumatenda ozama, ma lymph node, ndi ma gland.

Khansa ya penile yomwe imayambitsa matendawa ndi momwe khansa yalowera mkati mwa minofu ya mbolo ndi ma lymph node ndi ma gland oyandikana nawo.

Zina mwazithandizo zazikulu za khansa ya penile yosadziwika ndi awa:

• Mdulidwe. Ntchentche ya mbolo imachotsedwa.
• Mankhwala a Laser. Kuwala kwamphamvu kwambiri kumayang'ana kuwononga zotupa ndi maselo a khansa.
• Chemotherapy. Njira yovuta yamankhwala othandizira mankhwala imathandizira kuthana ndi maselo a khansa mthupi.
• Thandizo la radiation. Kuchuluka kwa mphamvu yamagetsi kumachepetsa zotupa ndikupha ma cell a khansa.
• Kuchiza opaleshoni. Nitrogeni wamadzi amaundana zotupa ndikuzichotsa.

Chithandizo cha khansa ya penile yowopsa imafuna kuchitidwa opaleshoni yayikulu. Kuchita opaleshoni kumatha kuphatikizira kuchotsa chotupacho, mbolo yonse, kapena ma lymph node m'mimba ndi m'chiuno. Zosankha za opaleshoni ndi izi:

Opaleshoni yochititsa chidwi

Atha kuchitidwa opaleshoni yochotsa chotupacho mbolo. Mudzapatsidwa mankhwala oletsa kupweteka m'deralo kuti musamve kuwawa. Dokotala wanu adzachotsa chotupacho ndi malo omwe akhudzidwa, ndikusiya malire ndi khungu labwino. Kutsekemera kudzatsekedwa ndi zokopa.

Opaleshoni ya Moh

Cholinga cha opaleshoni ya Moh ndikuchotsa minofu yocheperako momwe angathere pomwe akuchotsa maselo onse a khansa. Pochita izi, dotolo wanu akuchotsa malo ocheperawo. Kenako awunika pansi pa microscope kuti adziwe ngati ili ndi maselo a khansa. Izi zimabwerezedwa mpaka sipadzakhala maselo a khansa omwe amapezeka muzitsanzo za minofu.

Penectomy pang'ono

Penectomy pang'ono imachotsa gawo la mbolo. Opaleshoniyi imagwira ntchito bwino ngati chotupacho ndi chaching'ono. Pazotupa zazikulu, mbolo yonse idzachotsedwa. Kuchotsa kwathunthu mbolo kumatchedwa penectomy yathunthu.

Mosasamala mtundu wa opareshoni yochitidwa, muyenera kutsatira dokotala wanu miyezi iwiri kapena inayi iliyonse mchaka choyamba mutachitidwa opaleshoni. Ngati mbolo yanu yonse itachotsedwa, mutha kukambirana ndi adotolo ngati mwina njira yomangirira mbolo ingakhale yotheka.

Kodi malingaliro a nthawi yayitali ndi ati kwa anthu omwe ali ndi khansa ya penile?

Anthu ambiri omwe amapeza kuti ali ndi khansa ya penile koyambirira nthawi zambiri amachira.

Malinga ndi American Cancer Society, kupulumuka kwa zaka zisanu kwa anthu omwe ali ndi zotupa zomwe sizimafalikira kumatenda kapena ma lymph node ndi pafupifupi 85%. Khansara ikafika kumatenda am'mimbamo kapena m'matumba oyandikira, zaka zisanu zapulumuka pafupifupi 59 peresenti.

Ndikofunika kuzindikira kuti awa ndi ziwerengero wamba. Maganizo anu amasiyana malinga ndi msinkhu wanu komanso thanzi lanu. Chofunikira kwambiri chomwe mungachite kuti muwonjezere mwayi wanu wochira ndikutsatira dongosolo lazachipatala lomwe dokotala wanu wakuuzani.

Kulimbana ndi khansa ya penile

Ndikofunika kukhala ndi nthandizo yolimba yomwe ingakuthandizeni kuthana ndi nkhawa kapena kupsinjika komwe mungakhale nako. Mwinanso mungaganize zolowa nawo gulu lothandizira khansa kuti mukambirane nkhawa zanu ndi ena omwe angamve zomwe mukukumana nazo.

Funsani dokotala wanu za magulu othandizira m'dera lanu. Muthanso kupeza zambiri zamagulu othandizira pawebusayiti ya American Cancer Society.