I-Transmasculine Genital Surgery Izinketho Ezinye kunePhalloplasty
Kukho iintlobo ezahlukeneyo zokugonywa kwezesini ezikhoyo ezifumaneka kubayeni be-transgender abafuna ukuhlinzwa ngokwesini, ngamanye amaxesha kwaziwa nangokuthi "ukuhlinzwa kwangaphantsi." Uvavanyo lwe-US Transgender Survey lwango-2015 lubone ukuba malunga nama-50 ekhulwini amadoda afuna okanye ayenze ukuhlinzwa okunjalo. Phantse isiqingatha sala madoda ayenomdla kwi-phalloplasty, ukuveliswa kwipenisi kusetyenziswa izicubu ukusuka kwenye indawo emzimbeni.
Esinye isiqingatha sinomdla kwi-metodioplasty.
Yintoni i-Metodioplasty?
I-Metodioplasty yindalo ye-phallus (ipenis) ukusuka kwi-clitoris ene-hormonally-expanded. I-clitoris ngokwemvelo ikhulisa xa umntu eqala ukuthatha i-testosterone. Ubuncinane bomnyaka kwi-testosterone yimfuneko kubo bonke abahlinzekwa ngamagciwane e-transmasculine.
Ngethuba le-metoidioplasty, i-clitoral ligaments iyanqanyulwa, evumela ukuba i-clitoris yande kwaye iwele kwindawo efana ne-phallus yokuzalwa. Ngokomyinge, i-phallus edibeneyo iphakathi kwe-5 no-7 cm ubude, obungenako ukufumana ukungenelela kumlingane. (Ngokuxhomekeka kwindoda, oku akusoloko ixhalabisa.) Ugqirha weplastiki utyhila intloko ye-clitoris ukuze ifanane ne-glans penis. Ngelo xesha, i-labia ingasetyenziselwa kwisiqwenga, kunye okanye ngaphandle kwee-prostheses zengqina.
I-Metodioplasty inokwenziwa kunye okanye ngaphandle kweenkqubo zokulinda.
Ukwandiswa kwe-Urethral kwandisa i-urethra kunye ne-phallus entsha. Emva koko, amadoda akwazi ukukhangela kwi-phallus yabo. Ukukwazi ukuma kwi-pee yisona sizathu esona sizathu sokuba amadoda akhethe ukuhlinzwa. Nangona kunjalo, ukwandiswa kwemithwalo yonyango kunyusela umngcipheko weengxaki zokuhlinzwa. Ezi ngxaki zihlala ziyingcinci kwaye zingabandakanya ukuqhuba okanye ukutshiza ngexesha lokuchama.
Zingabandakanya nokuvalwa kwe-urinary okanye i-fistula.
I-Metoidioplasty ibhekwa ngokuba yindlela yokuhlinzwa eyodwa. Nangona kunjalo, amanye amadoda angadinga ukuhlinzwa okongeziweyo ukwenzela ukufezekisa iziphumo zabo ezifunwayo. Uphando olongezelelweyo lungaqwalasela ukubonakala okanye umsebenzi.
I-Metoidioplasty kunye nePhalloplasty-Pros ne-Cons
Kukho iingenelo kunye nokuphazamiseka kokubili kwe-metoidioplasty kunye ne-phalloplasty. Ngoko ke, kubalulekile ukuba amadoda axoxe ngeemfuno zabo kunye nezinto eziphambili kunye noogqirha wabo ngexesha loqhagamshelwano lokuqala. Amadoda amaninzi akhetha i-metoidioplasty ayavuya kakhulu ngemiphumo yokuhlinzwa kwabo. Nangona kunjalo, kuxhomekeka kwiinjongo ezicwangcisiweyo, kunye nokubunjwa komzimba kunye nesakhiwo, akusoloko kuyona nto ikhethekileyo.
Ezinye iintlobo ze-metoidioplasy ngaphezu kwe-phalloplasty ziquka:
- Ixesha elifutshane lokuphilisa
- Utyando oluthengekayo
- Iingcingo ezincinci zeengxaki, kunye ne-urethroplasty
- Akukho ziqwenga ezinkulu ezinokuthi zicatshangelwe ukuphazamiseka okanye ukugxeka. (Iimpawu ezishiywe yindlela eqhelekileyo ye-phalloplasty zombini zikhulu kwaye ziyabonakala kakhulu kunoma ubani owaziyo ukuba azijonga ntoni.Abantu abathile, loo nto ayiyiyo ingxaki.
- I-phallus eyenziwe ngu-metoidioplasty inomsebenzi wendalo we-erectile, kwaye akukho mfuneko yokuba iproteli yeproteli.
- Ubuzwe besithintelo se-clitoris bugcinwa kwi-phallus.
Ezinye iintlobo ze-phalloplasty ngaphezu kwe-metoidioplasty ziquka:
- Izigulane ziyakwazi ukukwazi ukungena ngesondo ngoqabane babo, ukuba le nto inomdla kubo.
- I-phallus inkulu kakhulu kuneyadalwa nge-metoidioplasty.
- Amanye amadoda evakalelwa kukuba olu uphando ludala ngaphezulu "okwangokwemvelo" okubukeka kohlobo lwe-genitalia.
Ukukhetha iPhalloplasty Emva kweMetodioplasty
Kubantu abaqala ukukhetha i-metodioplasty, kunokwenzeka ukuba emva koko bafumane i-phalloplasty. Oku kuyinyani nokuba ingaba umntu ukhetha ukukhawuleza kwindleko ngexesha le nkqubo.
Ukuchasana akunyani. Inkqubo yokumisa i-clitoris kwi-penis ngethuba le-phalloplasty yenza i-metoidioplasty kamva ingenakwenzeka.
Ukuqhathaniswa kwezilwanyana zesisu kunye noBugital Surgery
Amadoda aseTransgender afuna ukuhlinzwa ophantsi angakhetha ukhetho olulodwa okanye ngaphezulu. Amadoda angenayo inzala ekuthwaleni ukukhulelwa angakhetha ukuba ne-hysterectomy kunye ne-ovariectomy. Ezi nkqubo zenziwe ngophango lwesisu ezisusayo ukususa i-uterus kunye nama-ovari. Kubantu abangase bafune ukuba nabantwana babo bezinto eziphilayo , kodwa bangafumana ukukhulelwa komzimba, i-banking ye-gamete iyinketho. Oku kufuneka kwenziwe phambi kwe-ovariectomy kunye ne-hysterectomy. Ngokufanelekileyo, kufuneka kwakhona kwenziwe ngaphambi kokuqala unyango lwe testosterone, kodwa akusiyo imfuneko.
I-hysterectomy kunye ne-ovariectomy zikhethwa ngabantu abangenayo i-phalloplasty okanye i-metoidioplasty kodwa abafuni ukukhathazeka malunga nokuba kungenzeka ukuba unomdlavuza wesibeleko, uterine, okanye i-ovarian. Ukususa isibeleko, umlomo wesibeleko kunye nama-ovari kususa isidingo sokuhlola. Ukuhlolisisa okunjalo kunokuba yinto enesifo kakhulu kubayeni be-transgender.
I-Vaginectomy yindlela yokutshatyalaliswa kwesondo. Abanye oogqirha ababonelela nge-phalloplasty kunye / okanye i-metoidioplasty baya kunika lo msebenzi njengenxalenye yesakhiwo esisodwa. Abanye bathanda izigulane ukuba babe ne-vaginectomy kusengaphambili, ukuba loo nto isigulane sifuna. Ingqalelo, abanye oogqirha abenza i-transmasculine bottom surgeries abanikeli ii-vaginectomi kwaye bacebisa ngokuchasene nabo ngenxa yokukhathazeka ngeengxaki. Uphando lophando alucaci ngokusemngciphekweni yezilwanyana zesini kunye namadoda ase-transgender. Isiphumo senkqubo enjalo sinokubambisana kakhulu kunye nezakhono kunye namava ogqirha. Ngaphandle kwimeko yokutyunjwa kwezesini, le nkqubo isetyenziselwa ukuphatha iintlobo ezithile zomhlaza wesibeleko. Ngaloo ndlela, abanye oogqirha beeplastiki bangabhenela izigulane ezinomdla kwi-vaginectomy kumgqirha wezobuchopho.
Ziziphi iindlela zokuhlinzwa ezongezelelweyo ezikhethwa ngumntu ngumba womntu ngamnye ukhetha kunye nokukhethwa kwabagqirha. Ngokomzekelo, udokotela ogqirha osebenzisa ibhinqa lomfazi ukuze enze i-urethra kwi-phalloplasty mhlawumbi kufuneka ukuba isigulane senze i-vaginectomy phambi okanye ngexesha loloovulindlela. Ngakolunye uhlangothi, indoda e-transgender efuna ukulondoloza ukhetho lokukhulelwa ayifuni ukufumana nayiphi na le nkqubo.
ILizwi
Iinqunto malunga nokuba ngaba okanye ukungaqhutyelwa ngophando lwezesini kukukhetha. Oko kubandakanya kokubili ukuba ufuna ukuhlinzwa kwaye yiziphi iinkqubo ezifanelekileyo. Kungakunceda ukuxoxa ngeenjongo kunye nokuxhalaba malunga nokuhlinzwa kunye nomntu onolwazi malunga neengozi kunye neenzuzo zeendlela ezahlukeneyo. Oku kungabandakanyi nje ugqirha kodwa ugqirha wakho, kunye / okanye abahlobo abaye bahamba nenkqubo efanayo yokwenza izigqibo. Nangona kunjalo, khumbula ukuba abantu abahlukeneyo baneenjongo ezahlukeneyo. Iinqununu ezenza ingqiqo kumhlobo osondeleyo unokuthi zihluke kwizinto ezinengqiqo kuwe. Ukongezelela, iinkqubo ezinikezwa ngugqirha othile onguvulindlela zingabi yizo ozifunayo. Ukuba kunjalo, cinga ukufuna ezinye iindlela. Akunakuba ngugqirha ongcono kakhulu kuwe.
Akukaze kube yinto engalunganga ukucinga ngombono wesibini, nangona ukufumana enye akusoloko kuyindlela efanelekileyo. Kukho iinkalo ezininzi zelizwe ezingenazo oogqirha, okanye omnye ugqirha, owenza le nkqubo. Ezinye zegama elikhulu ugqirha zenza iifowuni okanye i-Skype ukubonisana, kodwa qaphela ukuba kufuneka uhlawule ngaphandle kwepokothini. Iindleko zingenakho ukubuyiswa, kwaye unokufuna ukubonisa ukufaneleka kwakho kokugada phambi kokuba baxoxe ngecala lakho.
Izikhokelo zokulungelelaniswa kwezifo zohlolo lomzimba ngokubanzi zibandakanya amaxwebhu e-gender dysphoria, ubuncinane beenyanga ezili-12 kwi-hormone unyango, kwaye ubuncinane unyaka wokuhlala ixesha elipheleleyo kwindalo yesini ofuna ukuyiqinisa. Oku kudla ngokubonelelwa ngefayili evela kummiselo wakho we-hormone kunye neyeyibhile okanye ezimbini ezivela kubaqeqeshi bezempilo.
> Imithombo
> Frey JD, uPoudrier G, Chiodo MV, Hazen A. Isihlaziyilo kwiNkcazelo yokuBuyiselwa koBomi kwiSigxina seTransgender: Ukuhlaziywa kweeNcwadi. Beka i-Reconstr Surg. 2017 Mar; 139 (3): 728-737. i-doi: 10.1097 / PRS.0000000000003062.
> Frey JD, uPoudrier G, Chiodo MV, Hazen A. Uhlolo oluhlelekile lweMetodioplasty kunye ne-Radial Forearm Flap iPhalloplasty kwi-Transgender Genital Reconstruction: Ngaba i-Neophallus "efanelekileyo" iyinjongo ephumelelayo? Faka i-Glove ye-Surger Open. 2016 NgoD 23; 4 (12): e1131. i-doi: 10.1097 / GOX.0000000000001131.
> James, SE, Herman, JL, Rankin, S., Keisling, M., Mottet, L., & Anafi, M. (2016). Ingxelo ye-US Transgender Survey ka-2015. I-Washington, DC: Iziko likaZwelonke loLingana kweTransgender.
> Massie JP, SD Morrison, Wilson SC, Crane CN, Chen ML. I-Phalloplasty ne-Urethral Ukuxhoma: Ukongezwa kwe-Vascularized Bulbospongiosus Flap esuka kwiVaginectomy kunciphisa iimeko ezibangelwa yi-Postoperative Urethral Complications. Beka i-Reconstr Surg. 2017 Oct; 140 (4): 551e-558e. i-doi: 10.1097 / PRS.0000000000003697.