Maʻi ʻaʻai Penile

ʻO ka maʻi ʻaʻai Penile ka maʻi ʻaʻai e hoʻomaka i ka peni, kahi ʻokana e hana i ʻāpana o ka ʻōnaehana hānau kāne.

Kākaʻikahi ka maʻi ʻaʻai o ka peni. ʻAʻole ʻike ʻia kāna kumu kikoʻī. Eia nō naʻe, ʻo kekahi mau kumu pilikia e pili pū me:

• ʻO nā kāne ʻoki poepoe ʻole ʻia, ʻaʻole lākou e mālama i ka wahi ma lalo o ka ʻōmaka. Ke alakaʻi nei kēia i ka buildup o smegma, kahi ʻano tī, a ʻaʻala ʻaʻala ma lalo o ka ʻōmaka.
• ʻO ka moʻaukala o nā warts genital, a i ʻole papillomavirus kanaka (HPV).
• Puhipaka.
• Ka hōʻeha i ka penis.

Hoʻopili pinepine ka maʻi ʻaʻai i ka makahiki waena a me nā kāne ʻelemakule.

Pākuʻi ʻia paha nā ʻōuli mua:

• ʻEha, puʻupuʻu, ʻāwīwī, a ʻōhū paha i ka piko a i ʻole ke kumu o ka peni
• Hoʻokuʻu ʻaʻala ʻaʻala ma lalo o ka ʻōmaka

Ke holo nei ka maʻi ʻaʻai, hiki i nā ʻōuli ke komo pū me:

• ʻO kaʻeha a me ke kahe ʻana mai ka peni (hiki i kahi maʻi maʻi kiʻekiʻe)
• Lumps i ka ʻehaʻeha mai ka hoʻolaha ʻana o ka maʻi ʻaʻai a i nā pūnana lymph
• Kaumaha emi
• Ka paʻakikī i ka hele ʻana o ka mimi

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i kāu mōʻaukala olakino a me nā ʻōuli.

Pono kahi biopsy o ka ulu e hoʻoholo inā he maʻi ʻaʻai ia.

Pili ka mālama ʻana i ka nui a me ka wahi o ka tumo a me ka nui o kona hoʻolaha ʻana.

ʻO ka mālama ʻana no ka maʻi ʻaʻai penile pū kekahi:

• Chemotherapy - hoʻohana i nā lāʻau e make ai i nā hunaola maʻi ʻaʻai
• Pāhawewe - hoʻohana i nā kukuna x kiʻekiʻe e hoʻomake i nā hunaola maʻi ʻaʻai
• ʻOki kino - ʻoki a lawe aku i ka maʻi ʻaʻai

Inā liʻiliʻi ka tumo a kokoke paha i ka piko o ka peni, hiki ke hana ʻia i ka ʻoki ʻana e lawe aku i kahi ʻino wale o ka peni kahi e loaʻa ai ka maʻi ʻaʻai. Aia i ka wahi kikoʻī, kapa ʻia kēia inoa he glansectomy a i ʻole ka penectomy ʻāpana. Hiki ke hoʻohana ʻia ke kahakaha laser e mālama i kekahi mau tumors.

No nā tumors ʻoi loa, makemake nui ʻia ka wehe ʻana o ka peni (total penectomy). E hana ʻia kahi wehe hou i loko o ke ana e ʻae i ka mimi e puka i waho o ke kino. Kapa ʻia kēia kaʻina hana he urethrostomy.

Hoʻohana ʻia ʻo Chemotherapy me ke kahakaha.

Hiki ke hoʻohana ʻia ka radiation radiation me ke kahakaha. Hoʻohana pinepine ʻia kahi ʻano radiation radiation i kapa ʻia ʻo ka lāʻau kūwaho kūwaho. Hāʻawi kēia hana i ka radiation i ka peni mai waho o ke kino. Hana pinepine ʻia kēia hoʻomaʻamaʻa i 5 mau lā o ka pule no 6 a 8 mau pule.

Hiki ke maikaʻi ka hopena me ka hōʻoia mua a me ka lāʻau. Hiki ke mālama pinepine ʻia ka urination a me ka moekolohe.

ʻAʻole mālama ʻia, hiki i ka maʻi maʻi penile ke hoʻolaha aku i nā ʻāpana ʻē aʻe o ke kino (metastasize) i ka wā mua o ka maʻi.

Kāhea i kāu mea nāna e hāʻawi inā loaʻa nā ʻōuli o ka maʻi ʻaʻai penile.

Hiki i ke ʻoki poepoe ke hōʻemi i ka makaʻu. ʻO nā kāne i ʻoki poepoe ʻole ʻia e aʻo ʻia i ka wā ʻōpio i ke koʻikoʻi o ka hoʻomaʻemaʻe ma lalo o ka ʻōmaka ma ke ʻano he maʻa pilikino.

ʻO nā hana moekolohe ʻoi aku ka palekana, e like me ka pale ʻana, ka palena ʻana i ka helu o nā hoa moekolohe, a me ka hoʻohana ʻana i ka condom e pale aku ai i ka maʻi HPV, e hōʻemi paha i ka hopena o ka maʻi ʻaʻai o ka peni

Kanesa - penis; Maʻi ʻaʻai kik Squamous - penis; ʻO Glansectomy; Penectomy ʻāpana

• Anatomia hānau kāne
• ʻŌnaehana hānau kāne

Heinlen JE, Lamadana MO, Stratton K, Culkin DJ. Ka maʻi ʻaʻai o ka peni. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 82.

Pūnaewele ʻo National Cancer Institute. Hoʻomaʻamaʻa Penile cancer (PDQ) - mana ʻoihana olakino. www.cancer.gov/types/penile/hp/penile-treatment-pdq#link/_1. Hoʻohou i ʻAukake 3, 2020. Loaʻa iā ʻOkakopa 14, 2020.