Musangano weAmerica Urology Association musangano mukuru weurology wepasi rose. Purogiramu yakarongedzwa zvakapoteredza zvinyorwa zvitsva zvesayenzi zvinyorwa zvinosunungurwa mumashoko ekutanga anonzi "zvinyorwa." Panyaya yekuongorora zvinyorwa zve 2015, imwe kunyanya, yakanyorwa naDkt. John Mulhall kubva kuChemberero Sloan Kettering kuNew York, vakabata ziso.
Dhiyabhorosi Mulhall, nyanzvi inotungamirira pane zvepabonde zvisingabatsiri zvepabonde. Akanyora mabhuku akasiyana-siyana panyaya iyi uye ave ari mukurukuri wegorekuro paProstate Cancer Research Institute yaSvondo musangano wekudzidzisa varwere.
Mukudzidza kwaDkt Mulhall, varume 276 vakavhiyiwa nekenza yeprostate. Zvakazoongororwa nokuda kwekuvandudzwa kwezvinyengeri (Peyronie's disease) mukati memakore matatu mushure mokunge vashanda. Izvo zvinoreva nguva yevadzidzi vacho vaiva 56. Dr. Mulhall akataura kuti 17,4% yevarume vakagadzira kukanganisa. Izvo zvisina kufanira zvakagadzirwa nevhareji yemwedzi gumi nemaviri mushure mekuvhiyiwa. Kuburikidza kwechirwere chePeyronie mune varume ava vakazovhiyiwa kwakaitika katatu kakawanda kuti njodzi yeupenyu hwomunhu ari kukura Peyronie. Inenge 5% yevarume vanokura chirwere chaPeyronie muupenyu hwavo.
Sezvinotsanangurwa mu Wikipedia, "Chirwere chePeyronie chirwere chinokonzera mishonga chinosanganisira kukura kwefibrous plaques mu penis.
Kunyanya, ruzivo rwezvisikwa zvitsvuku zvakapoteredza corpora cavernosa (erectile body of the penis). Izvi zvinopisa zvinokonzera marwadzo, kusapisa kusina kujairika, erectile kusagadzikana, indentation, kurasikirwa kwebhande uye kupfupisa. Wikipedia inorondedzera kuti "marudzi akasiyana-siyana emishonga akashandiswa, asi hapana akamboshanda zvikuru."
Mukudzidza kwake, Dr. Mulhall anotaura kuti chirwere chePeyronie chinokonzerwa nekuvhiyiwa kweprostate chakave chakataurirwa mumabhuku esayenzi pane imwe nguva. Kwandiri, izvi zvinotyisa. Zvinogoneka sei kuti dambudziko rakawanda uye rinoparadza repabonde ringangodaro risina kukanganwa nehutano hwehutano hwehuro kwenguva refu? Nzira-sparing radical prostatectomy yakaitwa mumamiriyoni evanhu varume mumakore makumi matatu apfuura. Kana varume vane mamiriyoni maviri vakave nekuvhiyiwa kwekenza kwekenza yeprotate kupfuura 300 000 vakagadzira chirwere chePyyronie sechiguma.
Ndinogona kungofunga nezvezvinonzwisisika zviviri zvinogona kuitika nokuda kwekushaiwa kwekucherechedza dambudziko iri rinoparadza rakagamuchirwa. Imwe, urologists haisi kutaura nevarwere vavo mushure mekuvhiyiwa. Zvingave here kuti vave vasingazivi zvachose kuitika kwaPeyronie kakawanda? Icho chimwe chinotarisirwa ndechokuti urologists zvechokwadi vanoziva izvi zvinoparadza simba, asi vakanyatsofunga kuti varambe vakanyarara. Izvi zvingave zvichienderana nekukundikana kwehuroyi hwezvehutano kurondedzera chimwe chiitiko chinotyisa chekuvhiya iyo Dr. Mulhall yakaunza kuvanhu-chinetso chinowanzoitika pakuisa maroni munguva yemararamiro.
Dr. Mulhall nevamwe vashoma vanyori vakarondedzera dambudziko iri rinosemesa rinoita sokuti rinowanikwa munenge 20% yevarume vane chirwere che prostate. "Climacturia," izwi iro Dr. Mulhall akaronga kurondedzera dambudziko iri.
Kana chirwere chokuvhiya chaingova nzira chete yekuwedzera kupona muvarume vane kenza yeprostate, zvinotyisa zvinokonzerwa nePeyronie's disease uye climacturia zvinogona kuonekwa sechikonzero chakakosha kuponesa hupenyu hwemunhu. Zvisinei, muzuva rino nemakore, mamwe maitiro anosarudzwa akadai semairoation, mbeu inogadziriswa, hutachiona hwehutano uye kunyange kutarisa kusarura nekutarisa kushandiswa, zvose zvinofungidzirwa zvakanyanya.
Kunyange zvakadaro, gore roga roga varume vanopfuura 75 000 vanoramba vari kusarudza kuwedzera hutachiona hwe prostatectomy.
Tichifunga nezvehuwandu hwakaipa hwekuvhiyiwa huchienzaniswa nezvimwe zvinosarudzwa, mumwe haagoni kubatsira asi anoshamisika kuti kuvhiyiwa kunoramba kuchizivikanwa. Chikonzero chacho chiri nyore nyore kunzwisisa. Zvidzidzo zvinoratidza kuti 80% yenguva yacho, varwere vanongotadza kutungamirirwa nachiremba wavo pavanosarudza kurapwa: "Chero chaunotaura iwe doc, iwe uri nyanzvi." Dambudziko nderokuti mu prostate nyika urologists (avo vanovhiya) ndivo vanachiremba ndivo vanotanga kurongedza kurayira varume vane kenza yemapirate ichangobva kuonekwa. Hazvisingashamisi here kuti kuvhiyirwa ndicho chirevo chepamusoro chinopihwa neurologists.