Kuvhiyiwa kwepenisheni inzira yekuvhiya inosanganisira kubviswa chikamu chenhengo yemurume kana kuti nhengo yacho yese. Kuvhiyiwa uku kunowanzoitwa nekuda kwezvikonzero zvehutano, zvinowanzoenderana nematambudziko makuru ehutano akadai sekenza, kukuvara, kana matambudziko ekuzvarwa nawo. Chinangwa chikuru chepenisheni ndechekubvisa nyama ine chirwere, kuderedza zviratidzo, kana kuvandudza hupenyu hwemurwere.
Semuenzaniso, kana paine kenza yepenis, nzira iyi inogona kudiwa kubvisa bundu rakaipa rinogona kupararira kunhengo dzemuviri dzakakomberedza. Mune zvimwe zviitiko, penectomy inogona kurairwa kana paine kukuvara kwakanyanya kunokonzerwa netsaona kana kukuvara kunokanganisa kuvimbika kwepenis. Pamusoro pezvo, mamiriro ekuzvarwa nawo anokanganisa chimiro kana mashandiro epenis anogonawo kuda kuvhiyiwa uku.
Maitiro acho anogona kusiyana-siyana, kubva pakubvisa chikamu chepeni, uko chikamu chepenisi chete chinobviswa, kusvika pakubvisa zvachose nhengo. Sarudzo yemaitiro acho inoenderana nemamiriro ezvinhu aripo, huwandu hwechirwere, uye hutano hwese hwemurwere.
Sei Penectomy Inoitwa?
Kuvhiyiwa kwepeni kunowanzo kurudzirwa mune mamwe mamiriro ezvinhu ekiriniki apo dzimwe nzira dzekurapa dzisina kukwana kana kuti hadzishande. Zvikonzero zvakajairika zvekuvhiyiwa uku zvinosanganisira:
- Gomarara rePenile: Chimwe chezviratidzo zvikuru zve penectomy kuvapo kwemasero ekenza panhengo yemurume. Zviratidzo zvinogona kusanganisira mapundu asingawanzoitiki, maronda, kana shanduko paganda renhengo yemurume. Kana zvikaonekwa nekukurumidza, kurapwa kushoma kunogona kuitika, asi nyaya dzakakura dzinowanzoda kuvhiyiwa.
- Kushungurudzika Kwakanyanya: Njodzi kana kukuvara kunokonzera kukuvara kukuru kwenhengo yemurume zvinogona kukonzera kudiwa kwekubvisa nhengo yemurume. Izvi zvinogona kusanganisira nyaya dzemaronda akanyanya, kusviba, kana mamwe marudzi ekukuvara kunokanganisa kuyerera kweropa kana kugara zvakanaka kwenhengo.
- Congenital Abnormalities: Vamwe vanhu vanogona kuzvarwa vaine zvirwere zvinokanganisa chimiro kana mashandiro enhengo yemurume, zvakaita se hypospadias kana penile agenesis. Mune zvimwe zviitiko, kuvhiyiwa kunogona kudiwa kuti kugadziriswe matambudziko aya.
- Utachiona Hunodzokororwa kana Matambudziko Ekuzvimba: Utachiona husingaperi kana zvirwere zvinozvimba zvisingapindure kurapwa kwakarongeka zvinogonawo kukonzera kukurudzirwa kwekubvisa penectomy. Mamiriro ezvinhu akadai se lichen sclerosus anogona kukonzera mavanga makuru uye kusashanda zvakanaka, zvichiita kuti pave nekuvhiyiwa.
- Psychological Factors: Muzviitiko zvisingawanzoitiki, vanhu vanogona kutsvaga penectomy nekuda kwezvikonzero zvepfungwa, zvakaita se gender dysphoria kana zvimwe zvinetso zvehutano hwepfungwa. Muzviitiko izvi, kuongororwa kwakazara nenyanzvi dzehutano hwepfungwa kwakakosha vasati vaenderera mberi nekuvhiyiwa.
Zviratidzo zvePenectomy
Sarudzo yekuenderera mberi nekubvisa penectomy inobva pakuongororwa kwakazara kwenhoroondo yehutano hwemurwere, kuongororwa kwemuviri, uye kuongororwa kwechirwere. Zvimwe zvezviratidzo zvikuru zveiyi nzira zvinosanganisira:
- Kuongororwa kweKenza yePenile: Kuongororwa kwakasimbiswa kwegomarara repenis, kunyanya panguva yekukura, chiratidzo chikuru che penectomy. Zvidzidzo zvemifananidzo, biopsy, uye kuongororwa kwematanho ekutevera kenza yepenis zvinobatsira kuona huwandu hwechirwere uye kudiwa kwekuvhiyiwa.
- Kuwanda kweKubatanidzwa kweBundu: Kana bundu regomarara rakakura uye richisanganisira nyama dzakaripoteredza, kubviswa kwechikamu kana kuti zvachose kwemasero ane kenza kunogona kudiwa kuti pave nechokwadi chekuti masero ane kenza abviswa zvachose.
- Kukundikana kweConservative Treatments: Varwere vakamborapwa nedzimwe nzira dzakadai seradiation kana chemotherapy, asi vasina kubudirira vanogona kunge vachida penectomy. Kana kenza ikaramba iripo kana ikadzoka, kubviswa kwechirwere ichi kungave ndiyo nzira yakanakisisa.
- Kuongororwa Kwekukuvara Kwakanyanya: Kana paine kukuvara kwakanyanya, kuongororwa kwakakosha kwekukuvara kwacho. Kana kukuvara kwacho kusingagadzirisike uye kukanganisika mashandiro enhengo yemurume, kubviswa kwenhengo yemurume kunogona kudiwa.
- Chronic Conditions: Varwere vane zvirwere zvinogara zvichikonzera kuzvimba zvinokonzeresa mavanga kana kusashanda zvakanaka kwemuviri vanogona kuongororwa kuti vabviswe penectomy. Kana kurapwa kwakachengeteka kusingaderedzi zviratidzo, kuvhiyiwa kunogona kufungwa nezvako.
- Psychological Evaluation: Kune vanhu vari kuda kuvhiyiwa penectomy nekuda kwezvikonzero zvepfungwa, kuongororwa kwakazara nenyanzvi dzehutano hwepfungwa kwakakosha. Izvi zvinoita kuti sarudzo yacho ive neruzivo rwakakwana uye inotarisa kukanganisa kunogona kuitika pahutano hwepfungwa nehwemanzwiro emunhu.
Muchidimbu, penectomy inzira yekuvhiya yakakosha inoitirwa zvikonzero zvakasiyana-siyana zvehutano, zvinonyanya kuve nechekuita nekenza, kukuvara, kana matambudziko ekuzvarwa nawo. Sarudzo yekuenderera mberi nekuvhiya uku inobva pakuongororwa kwakazara kwemamiriro emurwere, zviratidzo, uye hutano hwake. Kunzwisisa zviratidzo nezvikonzero zvepenectomy kunogona kubatsira varwere kuita sarudzo dzine ruzivo nezvesarudzo dzavo dzekurapa.
Zvinorambidzwa kuita Penectomy
Kuvhiyiwa kwepenis, kubviswa kwepenis, inzira inogona kudiwa nekuda kwezvikonzero zvakasiyana-siyana zvehutano, zvinosanganisira kenza, kukuvara kwakanyanya, kana kuvhiyiwa kunosimbisa kuti murume kana mukadzi ndiye akakodzera kuvhiyiwa uku. Pane zvinhu zvakawanda zvinorambidzwa zvinofanira kufungwa nezvazvo usati watanga penectomy.
- Mamiriro Ekurapa Akanyanya: Varwere vane matambudziko makuru ehutano, akadai sechirwere cheshuga chisingadzoreki, chirwere chemwoyo, kana matambudziko ekufema, vanogona kunge vasiri ivo vakakodzera. Matambudziko aya anogona kuwedzera njodzi yematambudziko panguva yekuvhiyiwa uye mushure mekuvhiyiwa.
- Kurwara: Utachiona hunoshanda munzvimbo yesikarudzi kana dzimwe nhengo dzemuviri hunogona kukonzera njodzi huru panguva yekuvhiyiwa. Kana murwere aine hutachiona huri kuramba huchienderera mberi, zvakakosha kuti arapwe usati wafunga nezve penectomy.
- Kuporeswa Kwemaronda Kwakashata: Vanhu vane nhoroondo yekusapora zvakanaka kwemaronda kana avo vane zvirwere zvinokanganisa kupora, zvakaita sezvirwere zvetsinga dzeropa kana zvimwe zvirwere zve autoimmune, vanogona kusangana nenjodzi dzakakura dzematambudziko mushure mekuvhiyiwa.
- Psychological Factors: Hutano hwepfungwa hune basa guru pakusarudza kuvhiyiwa penectomy. Varwere vane matambudziko epfungwa asina kurapwa kana avo vasina kugadzirira shanduko dzinouya nekuvhiyiwa vanogona kunge vasiri ivo vakakodzera.
- Kushandiswa Kwezvinodhaka: Varwere vari kushandisa zvinodhaka kana doro zvisina kunaka vangasave vanhu vakakodzera kuvhiyiwa. Kushandisa zvinodhaka zvisina kunaka kunogona kukanganisa kupora uye kuwedzera mikana yematambudziko.
- Kushaya Rutsigiro: Kutsigirwa kwakasimba kwakakosha kuti munhu apore. Varwere vasina rutsigiro rwakakwana rwemanzwiro kana rwemabasa vanogona kunetseka nenguva yekuvhiyiwa, zvichiita kuti vasakodzere kurapwa.
- Informed Consent: Varwere vanofanira kunzwisisa zvizere zvinorehwa nekuvhiyiwa uku, kusanganisira zvinogona kuitika uye shanduko dzemararamiro. Avo vasingakwanise kupa mvumo nekuda kwekusaziva kana matambudziko emutauro vanogona kunge vasiri ivo vakakodzera.
- Allergy kune Anesthetics: Kana murwere aine chirwere chinozivikanwa chekusawirirana nemishonga inonyaradza marwadzo yaizoshandiswa panguva yekuvhiyiwa, dzimwe nzira kana kuronga zvakanaka zvinofanira kufungwa nezvazvo.
Maitiro Ekugadzirira Penectomy
Kugadzirira penectomy kunosanganisira matanho akakosha akawanda kuti uve nechokwadi chekuti mhedzisiro yakanaka inogoneka. Varwere vanofanira kutevedzera mirairo yemupi wehutano wavo.
- Kubvunzurudza: Danho rekutanga kubvunza chiremba ane hunyanzvi. Musangano uyu uchakurukura zvikonzero zvekuvhiyiwa, zvinotarisirwa, uye chero zvinonetsa murwere.
- Kuongororwa Kwezvokurapa: Ongororo yakazara yezvekurapa ichaitwa, kusanganisira kuongororwa kweropa, zvidzidzo zvemifananidzo, uye pamwe kuongororwa kwepfungwa. Ongororo iyi inobatsira kuona hutano hwemurwere uye kugadzirira kwake kuvhiyiwa.
- Mishonga: Varwere vanofanira kuzivisa vanachiremba nezvemishonga yese yavari kutora, kusanganisira mishonga inotengeswa kunze kwemutemo uye mishonga yekuwedzera. Mimwe mishonga, yakaita semishonga inobvisa ropa, ingangoda kugadziriswa kana kumira vasati vavhiyiwa.
- Preoperative Instructions: Varwere vachawana mirairo chaiyo ine chekuita nezvekudya nekunwa. Kazhinji, varwere vanorayirwa kuti varege kudya kana kunwa kwenguva yakati vasati vavhiyiwa, kazhinji kutanga husiku hwakatangira.
- utsanana: Kuchengetedza hutsanana hwakakodzera kwakakosha. Varwere vanogona kurayirwa kugeza nesipo inouraya utachiona husiku hwapfuura kana mangwanani ekuvhiyiwa kuderedza njodzi yehutachiona.
- Support System: Kuronga kuti munhu anotsigira aende nemurwere kuchipatara uye amubatsire panguva yekupora kwakakosha. Munhu uyu anogona kubatsira nekufambisa uye kupa rutsigiro rwepfungwa.
- Kuronga Mushure mekuvhiyiwa: Varwere vanofanira kugadzirira imba yavo kuti vadzoke. Izvi zvinogona kusanganisira kuronga nzvimbo yekuzororera yakanaka, kuunganidza zvinhu zvinodiwa, uye kuronga rubatsiro runodiwa pamabasa ezuva nezuva.
- Kusvuta neDoro: Varwere vanowanzo kurudzirwa kuti vasasvuta fodya nedoro mumavhiki anotevera kuvhiyiwa, sezvo izvi zvinogona kukanganisa kupora uye kuwedzera njodzi yematambudziko.
Kuvhiyiwa kwePenectomy: Maitiro Ekuita Danho Nedanho
Kunzwisisa nzira yekubvisa kenza yepeni kunogona kubatsira kuderedza kuzvidya mwoyo uye kugadzirira varwere zvavanofanira kutarisira. Heino nhanho nhanho yemaitiro acho:
- Preoperative Gadziriro: Pazuva rekuvhiyiwa, varwere vanosvika kuchipatara kana kunzvimbo yekuvhiyiwa. Vachanyoresa uye vanogona kukumbirwa kupfeka chipfeko chechipatara. Mutsetse wemutsinga (IV) uchaiswa kuti upe mishonga nemvura.
- Anesthesia: Murwere asati atanga kuvhiyiwa, achapiwa mushonga weanesthesia. Uyu ungave mushonga weanesthesia unowanzoita kuti murwere arare, kana kuti mushonga weanesthesia wedunhu, unoderedza marwadzo echikamu chezasi chemuviri. Sarudzo yeanesthesia inoenderana nemamiriro ezvinhu chaiwo uye kurudziro yachiremba.
- Kuvhiya Kana murwere angopihwa mushonga wekutindivadza, chiremba anovhiya anotanga kuvhiya. Nzira yacho inogona kusiyana zvichienderana nechikonzero chekuvhiyiwa. Pakuvhiya kwenhengo yese yemurume inobviswa, nepo kuvhiya kwenhengo yemurume kunosanganisira kubvisa chikamu chimwe chete. Chiremba anovhiya anochekwa, obvisa nyama inodiwa nokungwarira, obva avhara machekwa acho nemasuture.
- Postoperative Care: Mushure mekuvhiyiwa, murwere achaendeswa kunzvimbo yekupora uko vashandi vezvehutano vachaongorora zviratidzo zvinokosha uye voona kuti murwere ari kumuka kubva muanesthesia zvakachengeteka. Kudzora marwadzo kuchatanga, uye murwere anogona kupiwa mishonga yekubatsira pakurwadziwa.
- Kugara muchipatara: Zvichienderana nekuoma kwekushanda kwekuvhiyiwa uye hutano hwemurwere, kugara muchipatara kunogona kudiwa. Varwere vachatariswa kana paine matambudziko uye vachawana mirairo yekuti vangatarisira sei nzvimbo yekuvhiyiwa.
- Discharge Mirayiridzo: Varwere vasati vabuda muchipatara, vachawana mirayiridzo yakadzama yekuti vangatarisira sei nzvimbo yekuvhiyiwa, vagadzirise marwadzo, uye vaone zviratidzo zvematambudziko. Nguva dzekutevera dzicharongwa kuti dzitarise kupora uye kugadzirisa chero zvinonetsa.
- Recovery Kumba: Kupora kunogona kutora mavhiki akati wandei. Varwere vanofanira kuzorora, kudzivisa mabasa anorema, uye kutevedzera mazano evanopa rubatsiro. Rutsigiro rwepfungwa nekupa mazano zvinogonawo kubatsira panguva iyi.
Njodzi uye Matambudziko ePenectomy
Kufanana nechero nzira yekuvhiyiwa, penectomy ine njodzi dzakati wandei uye matambudziko anogona kuitika. Kunyange zvazvo varwere vazhinji vachiita oparesheni iyi pasina matambudziko, zvakakosha kuziva njodzi dzinowanikwa uye dzisingawanzoitika.
- Common Risks:
- Kutapukirwa: Sekunge kune chero kuvhiyiwa kupi zvako, pane njodzi yekutapukirwa panzvimbo yekuvhiyiwa. Hutsanana hwakanaka uye kutevedzera mirairo yekuchengetedza mushure mekuvhiyiwa zvinogona kubatsira kuderedza njodzi iyi.
- Kubuda ropa: Kubuda ropa kunotarisirwa mushure mekuvhiyiwa, asi kubuda ropa rakawanda kunogona kuda rubatsiro rwechiremba.
- Marwadzo uye Kusagadzikana: Marwadzo epashure pekuvhiyiwa anowanzoitika, asi anowanzo gadziriswa nemishonga inonyorerwa nachiremba.
- Kuzvimba uye Kukuvara: Kuzvimba uye mavanga akakomberedza nzvimbo yekuvhiyiwa zvakajairika uye zvinowanzopera nekufamba kwenguva.
- Rare Risks:
- Kukuvadzwa Kwetsinga: Pane mukana mudiki wekukuvara kwetsinga panguva yekuvhiyiwa, izvo zvinogona kukanganisa kunzwa kwenhengo dzesikarudzi.
- Matambudziko eWeti: Vamwe varwere vanogona kusangana nekuchinja kwekushanda kweweti, kusanganisira kuoma kwekuita weti kana kuchinja kwenzira yeweti.
- Kukanganiswa Kwepfungwa: Kukanganiswa kwepfungwa nepfungwa nekuvhiyiwa kwepenectomy kunogona kuva kwakakosha. Varwere vanogona kunzwa kurasikirwa kana kuchinja maonero avo, izvo zvingada kurairwa kana kutsigirwa.
- Mavanga: Kunyange zvazvo mavanga ari chikamu chenguva dzose chekupora, vamwe varwere vanogona kuva nemavanga akawandisa kana kuti ma keloids, izvo zvinogona kunetsa.
- Zvinotarisirwa kwenguva refu:
- Kuchinja Kwebasa Repabonde: Zvichienderana nehukuru hwekuvhiyiwa, varwere vanogona kuona shanduko mukushanda kwepabonde kana kugona kusvika pakusvika pakusvika pakusvika pakusvika pakusvika pakusvika pakuvhiyiwa. Kukurukura nezvezvinetso izvi nenyanzvi yehutano usati wavhiyiwa kunogona kubatsira kuisa tarisiro dzinoitika.
- Matambudziko Ekushaya Mwana: Kune varume vari kufunga nezvekubvisa chibereko, zvakakosha kukurukura nzira dzekuchengetedza chibereko kana vachida kuva nevana mune ramangwana.
Mukupedzisa, kunyange zvazvo penectomy iri nzira yakakosha yekuvhiya ine zviratidzo zvakasiyana-siyana, kunzwisisa zvinopesana, matanho ekugadzirira, ruzivo rwemaitiro, uye njodzi dzinogona kuitika kunogona kubatsira varwere kuita sarudzo dzakakodzera. Kutaurirana pachena nevanotarisira hutano kwakakosha pakuona kuti mhedzisiro inobudirira uye kugadzirisa chero zvinonetsa panguva yese yekuita.
Kupora Mushure mePenectomy
Maitiro ekupora mushure mekuvhiyiwa kwepenistori anogona kusiyana zvichienderana nehukuru hwekuvhiyiwa uye hutano hwemunhu wese. Kazhinji, varwere vanogona kutarisira nguva yekupora kwemavhiki angangoita mana kusvika matanhatu. Mumazuva mashoma ekutanga mushure mekuvhiyiwa, zvakajairika kuzvimba, mavanga, uye kusagadzikana munzvimbo yekuvhiyiwa. Kudzora marwadzo kunowanzo gadziriswa nemishonga yakanyorwa, uye zvakakosha kutevedzera mirairo yachiremba maererano nekuderedza marwadzo.
Mazano ekuchengetedza mushure mekurapwa anosanganisira kuchengetedza nzvimbo yekuvhiyiwa yakachena uye yakaoma, kudzivisa mabasa anorema, uye kusaita zvepabonde kusvika yabvumidzwa nemupi wehutano. Kugara uchisangana nemurwere nguva dzose kwakakosha kuti utarise kupora uye kugadzirisa chero zvinonetsa. Varwere vanowanzo kurudzirwa kuti vatangezve mabasa avo enguva dzose, akadai sekushanda nekurovedza muviri, mushure memavhiki maviri kusvika mana, zvichienderana nekuti vakasununguka sei uye mazano achiremba.
Zvakakosha kuteerera muviri wako panguva yekupora. Kana uchinzwa kurwadziwa kwakanyanya, kubuda ropa, kana zviratidzo zvehutachiona, zvakaita sefivha kana kubuda ropa zvisina kujairika, taura nachiremba wako nekukasika. Rutsigiro rwepfungwa rwakakoshawo panguva iyi, sezvo varwere vanogona kunzwa manzwiro akasiyana-siyana ane chekuita nemuviri wavo uye hutano hwavo hwepabonde.
Mabhenefiti ePenectomy
Kuvhiyiwa kwepenistori kunogona kuvandudza hutano hwevanhu vane matambudziko akasiyana-siyana. Chimwe chezvakanakira zvikuru kugona kurapwa kenza, kunyanya kana paine kenza yepenis. Nekubvisa masero ekenza, nzira iyi inogona kudzivirira kupararira kwekenza uye kuwedzera mwero wekurarama.
Pamusoro pezvo, penectomy inogona kuderedza marwadzo asingaperi kana kusagadzikana kunokonzerwa nemamiriro ezvinhu akadai sephimosis kana hutachiona hwakakomba hwepenile. Kune vamwe varwere, nzira iyi inogonawo kutungamira mukuvandudzwa kwehutsanana uye kudzikira kwenjodzi yekudzoka kwehutachiona, kunyanya kana chikamu chepamberi chepamberi chikabatanidzwa.
Kunze kwekubatsira kwehutano hwemuviri, varwere vazhinji vanotaura kuti vanovandudzika muhutano hwavo hwepfungwa mushure mekuvhiyiwa. Izvi zvinogona kubva mukurerukirwa kubva pakurwadziwa kusingaperi, kugadziriswa kwematambudziko ehutano, kana kunzwa patsva kwekudzora hutano hwavo. Kazhinji, kunyange hazvo sarudzo yekubvisa penectomy yakakosha, mabhenefiti anogona kuwanikwa anogona kupfuura matambudziko evanhu vazhinji.
Kuvhiyiwa kwePenectomy vs. Maitiro Ekuwedzera
Kunyange zvazvo penectomy iri nzira yekuvhiya chaiyo, inowanzo enzaniswa nedzimwe nzira dzakadai sekuchecheudzwa, kunyanya kana chikamu chepamberi chiri icho chinonyanya kushungurudza. Pazasi pane kuenzanisa kwepenectomy nekuchecheudzwa:
| mamiriro | Penectomy | Kudzingiswa |
|---|---|---|
| chinangwa | Kubviswa kwenhengo yese yemurume kana chikamu chayo, kazhinji nekuda kwekurapwa kwegomarara kana zvirwere zvakakomba | Kubviswa kweganda repamberi chete, kazhinji nekuda kwehutsanana kana zvikonzero zvetsika |
| Hukuru hwekuvhiyiwa | Zvakanyanya kukura, zvinosanganisira kuchinja kukuru kwemaumbirwo emuviri | Zvishoma, zvinochengetedza chikamu chikuru chenhengo yemurume |
| Nguva yekudzoreredza | Kupora kwenguva refu (mavhiki 4-6) | Kupora kwenguva pfupi (mavhiki 1-2) |
| Pain Level | Kazhinji zvakakwirira nekuda kwehuwandu hwekuvhiyiwa | Zviri pakati nepakati, zvinowanzogadziriswa nekuderedza marwadzo |
| Migumisiro Yenguva Yakareba | Inogona kuvandudza hupenyu hwemunhu mune mamwe mamiriro ehutano | Zvinogona kuvandudza hutsanana uye kuderedza njodzi yekutapukirwa |
Mutengo wePenectomy muIndia
Avhareji yemari yekubvisa penectomy muIndia inotangira pa ₹1,00,000 kusvika ₹3,00,000. Kuti uwane fungidziro chaiyo, taura nesu nhasi.
Mibvunzo Inowanzo bvunzwa Nezve Penectomy
- Chii chandinofanira kudya ndisati ndavhiyiwa penectomy? Usati wavhiyiwa penectomy, zvinokurudzirwa kuti udye zvine mwero michero, miriwo, mapuroteni asina mafuta akawanda, uye zviyo zvakakwana. Dzivisa kudya zvakanyanya uye doro husiku hwakatangira kuvhiyiwa. Kugara uine mvura yakakwana mumuviri kwakakoshawo, asi tevera mirairo chaiyo yachiremba wako maererano nechikafu nechinwiwa usati wavhiyiwa.
- Ndichagara muchipatara kwenguva yakareba sei mushure mekuvhiyiwa kwepeni? Nguva yekugara muchipatara mushure mekuvhiyiwa kwepenis inogona kusiyana. Varwere vazhinji vanogara kwemazuva 1 kusvika ku3, zvichienderana nekufambira mberi kwavo pakupora uye chero matambudziko. Chikwata chenyu chehutano chichaongorora mamiriro enyu uye kuona kuti nguva yekudzokera kumba yakachengeteka riini.
- Ndezvipi zviratidzo zvehutachiona mushure mekuvhiyiwa? Zviratidzo zvehutachiona zvinogona kusanganisira kuwedzera kwekutsvuka, kuzvimba, kana kudziya panzvimbo yekuvhiyiwa, fivha, kana kubuda ropa kusingawanzoitiki. Kana ukaona chimwe chezviratidzo izvi, taura nemupi wehutano wako nekukasika kuti uongororwe uye kuti ungarapwa sei.
- Ndingatangazve riini zvepabonde mushure mekuvhiyiwa kwepeni? Zvinokurudzirwa kuti umirire kwemavhiki mana kusvika matanhatu usati watangazve zvepabonde mushure mekuvhiyiwa kwepeni. Zvisinei, nguva iyi inogona kusiyana zvichienderana nekuporeswa kwemunhu. Nguva dzose bvunza chiremba wako kuti akupe mazano akakodzera.
- Ndinogona kugeza here mushure mekuvhiyiwa kwepeni? Unogona kugeza mushure memazuva mashoma ekutanga mushure mekuvhiyiwa, asi zvakakosha kuchengetedza nzvimbo yekuvhiyiwa yakachena uye yakaoma. Dzivisa kunyura mubhavhu kana kushambira kusvika chiremba wako akupa mvumo.
- Ndezvipi zvingasarudzwa zvekurapa marwadzo mushure mekuvhiyiwa? Kudzora marwadzo mushure mekuvhiyiwa kwepenis kunogona kusanganisira mishonga yakanyorwa nachiremba yakaita seopioids kana mishonga isingashandisi steroidal anti-inflammatory (NSAIDs). Chiremba wako achakurukura nezvesarudzo dzakanakisa dzemamiriro ako chaiwo.
- Ndichada kurapwa kwemuviri mushure mekuvhiyiwa kwepeni here? Kurapwa kwemuviri hakudiwi mushure mekuvhiyiwa kwepenis, asi vamwe varwere vanogona kubatsirwa nekupa mazano kana mapoka ekutsigirana kugadzirisa matambudziko epfungwa nepfungwa. Kurukurai chero zvinonetsa nemupi wehutano wenyu.
- Mufananidzo wemuviri wangu uchachinja sei mushure mekuvhiyiwa kwepenisheni? Kuchinja kwechimiro chemuviri kunowanzoitika mushure mekuvhiyiwa kwenhengo dzemuviri. Zvakakosha kutsvaga rutsigiro kubva kushamwari, mhuri, kana nyanzvi dzehutano hwepfungwa kuti vabatsire kugadzirisa manzwiro aya. Varwere vazhinji vanoona kuti vanogona kugadzirisa uye kuwana nzira itsva dzekunzwa vakasununguka mumiviri yavo.
- Pane zvinorambidzwa kudya mushure mekuvhiyiwa here? Mushure mekuvhiyiwa kwepenis, zvinokurudzirwa kuti munhu adye zvine hutano kuti apore. Tarisa pane zvekudya zvine hutano uye ugare uine mvura yakakwana. Dzivisa doro nezvikafu zvinorema, zvine mafuta akawanda panguva yekutanga yekupora.
- Chii chandinofanira kuita kana ndikasangana neropa rakawandisa? Kana ukabuda ropa rakawanda mushure mekuvhiyiwa, dzvanya zvinyoro nyoro panzvimbo yacho uye taura nachiremba wako nekukasika. Zvakakosha kugadzirisa chero dambudziko rekubuda ropa nekukurumidza kudzivirira matambudziko.
- Ndinogona here kutyaira mota mushure mekuvhiyiwa kwepeni? Zvinokurudzirwa kuti usatyaira mota kweinenge vhiki mushure mekuvhiyiwa penectomy kana kusvika usisatore mishonga inorwadza inogona kukanganisa kugona kwako kutyaira. Nguva dzose bvunza chiremba wako kuti akupe mazano akakodzera.
- Ndedzipi rubatsiro rwekutevera rwandichada? Kutarisirwa kwekutevera kunowanzo sanganisira kugadzwa nguva nemurapi wehutano kuti vaongorore kuporeswa uye kugadzirisa chero zvinonetsa. Chiremba wako ndiye achapa purogiramu yekushanya uku uye bvunzo dzinodiwa.
- Pane njodzi yematambudziko mushure mekuvhiyiwa kwepeni here? Sekunge kune chero kuvhiyiwa kupi zvako, kune njodzi dzematambudziko akadai sekutapukirwa nehutachiona, kubuda ropa, kana matambudziko ekupora. Kurukura njodzi idzi nemupi wehutano wako kuti unzwisise kuti dzinoshanda sei mumamiriro ako chaiwo ezvinhu.
- Ndingagadzirisa sei kuchinja kwemanzwiro mushure mekuvhiyiwa? Kugadzirisa shanduko dzemanzwiro mushure mekuvhiyiwa kwepenis kunogona kusanganisira kutsvaga rutsigiro kubva kushamwari, mhuri, kana nyanzvi dzehutano hwepfungwa. Kuita mabasa aunofarira uye kuzvitarisira kunogonawo kubatsira kuvandudza hutano hwako hwemanzwiro.
- Chii chandinofanira kuita kana ndine kunetseka pamusoro pokupora kwangu? Kana uine zvinokunetsa nezvekupora kwako, usazeza kutaura nevanokupa rubatsiro rwehutano. Varipo kuti vakubatsire kugadzirisa chero dambudziko uye kuona kuti kupora kwako kwapera zvakanaka.
- Ndingadzokera kubasa here mushure mekuvhiyiwa kwepeni? Nguva yekudzokera kubasa mushure mekuvhiyiwa kwekenza inosiyana zvichienderana nerudzi rwebasa rako uye kufambira mberi kwako pakupora. Varwere vazhinji vanogona kudzokera kubasa remazuva mashoma mukati memavhiki maviri kusvika mana, asi bvunza chiremba wako kuti akupe mazano akakodzera.
- Ndichafanira kuchinja mararamiro angu mushure mekuvhiyiwa here? Zvichienderana nehutano hwako uye chikonzero chekuvhiyiwa kwepeni, ungangoda kuchinja mararamiro ako. Izvi zvinogona kusanganisira kugadzirisa kudya kwako, maitiro ekurovedza muviri, kana tsika dzehutano hwepabonde. Kurukura chero shanduko dzinodiwa nemupi wehutano hwako.
- Ndeipi migumisiro yenguva refu ye penectomy? Migumisiro yenguva refu ye penectomy inogona kusiyana zvichienderana nemamiriro ezvinhu emunhu mumwe nemumwe. Vamwe varwere vanogona kusangana nekuchinja kwebasa repabonde kana chimiro chemuviri, nepo vamwe vanogona kuwana zororo kubva mumatambudziko ehutano ekare. Kurapwa nguva dzose kunogona kubatsira kugadzirisa chero matambudziko enguva refu.
- Pane boka rekutsigira varwere mushure mekuvhiyiwa kwepenectomy here? Ehe, zvipatara zvakawanda nemasangano anopa mapoka ekutsigira varwere vari kusangana nematambudziko akafanana. Mapoka aya anogona kupa rutsigiro rwepfungwa uye kunzwa sevanhu vari munharaunda panguva yekupora.
- Ndingagadzirira sei kugadzwa kwangu kwekutevera? Kuti ugadzirire nguva yekutevera, nyora pasi mibvunzo kana zvinokunetsa pamusoro pekupora kwako. Uya nemishonga yauri kutora uye gadzirira kukurukura kufambira mberi kwako mukupora nemurapi wako wehutano.
mhedziso
Kuvhiyiwa kwepenectomy inzira yakakosha yekuvhiya inogona kupa mabhenefiti akakosha pahutano uye kuvandudza hupenyu hwevanhu vari kutarisana nematambudziko chaiwo ehutano. Kunzwisisa maitiro ekupora, mabhenefiti angangowanikwa, uye rutsigiro rwuripo kunogona kubatsira varwere kufamba rwendo urwu zvinobudirira. Kana iwe kana mudiwa wako ari kufunga nezvepenectomy, zvakakosha kutaura nenyanzvi yezvehutano kuti mukurukure sarudzo dzako uye kuve nechokwadi chekuti mhedzisiro yakanaka inogoneka.
Chipatara Chakanakisisa Chiri Pedyo neni Chennai