Kuvhiya kwepazasi: Zvaunofanira Kuziva

Zvemukati

• Kuvhiyiwa kwepasi kunodhura zvakadii?
• Ruzivo rwakaziviswa vs. WPATH zviyero zvekutarisira
• Inishuwarenzi kufukidza uye kuvhiya kwepasi
• Ungawana sei mupi
• MTF / MTN yekuvhiya kwepasi maitiro
• Penile inversion
• Rectosigmoid vaginoplasty
• Isiri-penile inversion
• FTM / FTN yekuvhiya kwepasi maitiro
• Metoidioplasty
• Phalloplasty
• Maitiro ekugadzirira kuvhiya kwepasi
• Njodzi uye mhedzisiro yekuvhiya kwepasi
• Kupora kubva pakuvhiya kwepasi

Mhedziso

Transgender uye intersex vanhu vanoteedzera nzira dzakasiyana dzakasiyana kuti vazive kwavo kutaura kwevakadzi.

Vamwe havaite chinhu zvachose uye vanochengetedza hunhu hwavo uye kuratidza kwavo zvakavanzika. Vamwe vanoshuvira shanduko yemagariro - vachiudza vamwe nezvehunhu hwavo - pasina kurapwa.

Vazhinji vanongo teedzera hormone kutsiva kurapwa (HRT). Vamwe vachatevera HRT pamwe nemadhigirii akasiyana ekuvhiya, kusanganisira kuvaka chipfuva kana kuvhiya kumeso kwevakadzi (FFS). Ivo vanogona zvakare kusarudza kuti kuvhiya kwepazasi - kunozivikanwawo sekuvhiyiwa kwepamuviri, kuvhiyiwa pabonde (SRS), kana zvirinani, kuvimbiswa kwevakadzi (GCS) - ndiyo sarudzo chaiyo kwavari.

Kuvhiya kwepasi kunowanzoreva:

• vaginoplasty
• phalloplasty
• metoidioplasty

Vaginoplasty inowanzo teverwa nevakadzi ve transgender uye AMAB (yakapihwa murume pakuzvarwa) vanhu vasina mabhinari, nepo phalloplasty kana metoidioplasty, inowanzo kutevedzwa nevarume ve transgender uye AFAM (yakapihwa vanhukadzi pakuzvarwa) vanhu vasingaite.

Kuvhiyiwa kwepasi kunodhura zvakadii?

Ruzivo rwakaziviswa vs. WPATH zviyero zvekutarisira

Kutungamira transgender vatapi vezvehutano vanozoteedzera iyo ine ruzivo mvumo yemhando kana iyo WPATH zviyero zvekutarisira.

Iyo yemvumo yemvumo inobvumidza chiremba kukuzivisa iwe nezve njodzi dzeimwe sarudzo. Ipapo, iwe unozvisarudzira wega kuti uenderere mberi pasina kana chinongedzo kubva kune chero mumwe wezvehutano.

Iyo WPATH zviyero zvekutarisira zvinoda tsamba yekutsigirwa kubva kuna murapi kutanga HRT, uye tsamba dzinoverengeka kuti dziitwe kuvhiyiwa kwepasi.

Maitiro eWPATH anokwevera kushoropodzwa kubva kune vamwe vanhu munharaunda ye transgender. Ivo vanotenda kuti zvinotora kutonga kubva mumawoko emunhu uye zvinoreva kuti munhu anenge achichinjika anokodzera simba repasi pane rake munhu wecisgender.

Zvisinei, vamwe vanopa rubatsiro vanopokana nazvo. Inoda tsamba kubva kuvarapi uye varapi vanokumbira kune zvimwe zvipatara, vanovhiya, uye vanopa rubatsiro, vangangotarisa sisitimu iyi seinodzivirirwa zviri pamutemo kana zvichidikanwa.

Dzese nzira idzi dzinotariswa nevamwe munharaunda yeva transgender kuve kusimudzira kweiyo yapfuura uye yakapararira modhi yemuchengeti wegedhi. Iyi modhi yaida mwedzi kana makore e "chaiwo-hupenyu ruzivo" (RLE) mune kwavo kuzivikanwa kwevanhurume vasati vawana HRT kana mamwe maitiro ekuvhiya.

Vamwe vakapokana kuti izvi zvinofungidzira kuzivikanwa kwe transgender kuve kwakaderera kana kusiri pamutemo pane cisgender kuzivikanwa. Ivo zvakare vanotenda kuti RLE inguva inoshungurudza mupfungwa, kusagadzikana munharaunda, uye nguva ine njodzi mumuviri umo munhu anochinja muviri anofanira kuzviburitsa kunharaunda yavo - pasina rubatsiro rwekushandurwa kwemuviri kunoitwa nemahomoni kana kuvhiya.

Iyo yemuchengeti wegedhi modhi inowanzo shandisa heteronormative, cisnormative zviyero zvekukodzera iyo chaiyo-yehupenyu chiitiko. Izvi zvinounza dambudziko rakakura kune vanhu vanoita zvevanhurume nevanhukadzi kana zvinoratidzira zvechikadzi kunze kwechimiro chetsika (madhirezi nemagadzirirwo evakadzi, mharidzo yehurume-yevanhurume), uye zvinodzima ruzivo rwevasina kutakura vanhu.

Inishuwarenzi kufukidza uye kuvhiya kwepasi

MuUnited States, dzimwe nzira huru dzekubhadhara yakakwira kunze-kwehomwe mutengo inosanganisira kushandira kambani inotevera hutongi hweHuman Rights Campaign Foundation zviyero zveEquality Index, kana nekugara mudunhu rinoda kuti mainishuwarenzi avharidzire transgender care, seCalifornia kana New York.

MuCanada neUK, kuvhiya kwepazasi kwakafukidzwa pasi pehutano hwenyika, nehurongwa hwakasiyana hwekutarisira uye nguva dzekumirira zvichienderana nedunhu.

Ungawana sei mupi

Paunenge uchisarudza chiremba anovhiya, tevera mu-munhu kana skype mabvunzurudzo navakawanda vanovhiya sezvinobvira. Bvunza mibvunzo yakawanda, kuti uwane pfungwa yemusiyano wega wega wechiremba muhunyanzvi hwavo, pamwe nemabatiro avo emubhedha. Iwe unoda kusarudza mumwe munhu waunofara naye, uye waunotenda kuti ndiye akakodzera iwe.

Vazhinji vanovhiya vanopa hurukuro kana kubvunza mumaguta makuru mukati megore uye vanogona kuita kuonekera kumisangano ye transgender. Izvo zvinobatsirawo kusvika kune vaimbova varwere vevanovhiya vanokufarira, kuburikidza nemaforamu epamhepo, mapoka ekutsigira, kana shamwari dzakawiriranwa.

MTF / MTN yekuvhiya kwepasi maitiro

Pane nzira nhatu huru dzevhinoplasty yakaitwa nhasi:

• penile inversion
• rectosigmoid kana colon kubatanidza
• isiri-penile inversion vaginoplasty

Munzira dzese nhatu dzekuvhiya, clitoris yakavezwa kubva pamusoro wechirume.

Penile inversion

Penile inversion inosanganisira kushandisa iyo penile ganda kugadzira neovagina. Iwo maLabia makuru uye minora anonyanya kugadzirwa kubva kune yakasarudzika nyama. Izvi zvinoguma nevakadzi vanonzwisisa uye marabi.

Chimwe chikuru chinokanganisa kushayikwa kwekuzvidzora-kudzora nemadziro echikadzi. Misiyano yakajairika inosanganisira kushandisa yakasara yenyama yemukati sekubatanidza kwehumwe kuwedzera kwemukadzi, uye kushandisa iyo isina kugadzikana mucosal urethra yakadzoserwa kubva kunhengo yemurume kutara chikamu chemukadzi, ichigadzira imwe yekuzvizora mafuta.

Rectosigmoid vaginoplasty

Rectosigmoid vaginoplasty inosanganisira kushandiswa kwematumbo matumbu kugadzira vaginal wall. Iyi nzira dzimwe nguva inoshandiswa pamwe chete nepenile inversion. Utumbo hwemukati hunobatsira kana penile uye scrotal tishu iri shoma.

Iyi nzira inowanzo shandiswa kune vakadzi ve transgender vakatanga hormone kurapwa panguva yekuyaruka uye vasina kumbobvira vaoneswa testosterone.

Utumbo hwemukati hune bhenefiti yakawedzerwa yekuve mucosal, uye nekudaro yekuzora mafuta. Iyi nzira inoshandiswa zvakare kugadzirisa vaginas evakadzi vecisgender vakagadzira atypically mapfupi emadzimai emvura.

Isiri-penile inversion

Isiri-penile inversion inozivikanwa zvakare senge Suporn tekinoroji (mushure me Dr. Suporn akaigadzira) kana iyo Chonburi Flap.

Iyi nzira inoshandisa perforated scrotal tishu kubatanidza kune kusangana nekutsi kwemukadzi, uye isina kugadzikana matishu emarabhasi majora (zvakafanana nepenile inversion). Iyo penile tishu inoshandiswa kune labia minora uye clitoral hood.

Vanachiremba vanovhiya vanoshandisa hunyanzvi uhu vanoreva kudzika kwemadzimai, vanonzwisisa marabia emukati, uye nekunaka kwechitarisiko.

FTM / FTN yekuvhiya kwepasi maitiro

Phalloplasty uye metoidioplasty inzira mbiri dzinosanganisira kuvakwa kweiyoopenis.

Scrotoplasty inogona kuitwa pamwe nekuvhiyiwa, izvo zvinoshandura makuru marabi kuita chikanda. Zviratidzo zvechipupuriro zvinowanzoda kumirira kuvhiya kwekutevera.

Metoidioplasty

Metoidioplasty iri nyore kwazvo uye inokurumidza maitiro kupfuura phalloplasty. Mune maitiro aya, iyo clitoris, yatove yakareba kusvika pamasendimita matatu kusvika pa8 neHRT, inoburitswa kubva munyama dzakakomberedza, ndokumiswazve kuti ifanane nekumiswa kwepenisheni.

Iwe unogona zvakare kusarudza kuita urethral kureba neako metoidioplasty, inozivikanwawo seyakazara metoidioplasty.

Iyi nzira inoshandisa donor tishu kubva padama kana kubva kumukadzi kuti ubatanidze urethra kune itsva neopenis, ichikubvumidza iwe kuita weti wakamira.

Iwe unogona zvakare kuteedzera maitiro eCenturion, umo marimba ari pasi peiyo mikuru labia akaiswazve kuwedzera girth kune neopenis. Kubviswa kwemukadzi kunogona kuitwa panguva ino, zvinoenderana nezvinangwa zvako.

Mushure meaya maitirwo, iyo neopenis inogona kana kusakwanisa kuchengetedza erection pachayo uye haigone kupa zvine hungwaru kupinda mukati bonde.

Phalloplasty

Phalloplasty inosanganisira kushandisa ganda kubatanidza kuwedzera neopenis kusvika ku5-8 inches. Iwo akajairwa masayiti evanopa ekutsikirirwa kweganda ndiwo ruoko rwemberi, chidya, dumbu, uye kumusoro kumashure.

Iko kune zvakanaka nezvakaipa kune yega yega nzvimbo yeanopa. Mberi uye chidya ganda rine mukana wakanyanya wekushushikana kwekushushikana mushure mekuvhiyiwa. Nekudaro, iyo yekumashure vanga inowanzo kuve isinganyanyo kuoneka uye inobvumidza yekuwedzera mbichana urefu.

Dumbu nehudyu zvinorova zvinoramba zvakabatana nemuviri panguva yekuvhiyiwa.

Yepamberi neyemashure masayiti "emahara mapapiro" ayo anofanirwa kuve akanyatsobviswa uye kubatanidzwazve kuburikidza ne microsurgery.

Iyo urethra inowedzerwa kuburikidza neanopa matissue kubva kune imwechete saiti. Iyo penile implant inogona kuiswa mune yekutevera-kuvhiya, ichipa kugona kwekuchengetedza yakazara yakazara erection inokodzera bonde rinopinda.

Maitiro ekugadzirira kuvhiya kwepasi

Kutungamira kusvika pakuvhiya kwepasi, vanhu vazhinji vanoda kubviswa kwebvudzi kuburikidza neelectrolysis.

Kune vaginoplasty, vhudzi rinobviswa paganda iro rinozopedzisira riine lining yeiyoovagina. Kune phalloplasty, bvudzi rinobviswa panzvimbo yeganda remupi.

Chiremba wako anovhiya anoda kuti umise HRT mavhiki maviri usati wavhiyiwa, uye rega kwevhiki mbiri mushure mekuvhiyiwa. Taura nachiremba wako nezve mimwe mishonga yaunotora nguva zhinji. Vanozokuzivisa iwe kana iwe uchida kurega kuvatora pamberi pekuvhiya, futi.

Vamwe vanovhiya vanoda ura kugadzirira kusati kwavhiyiwa pasi zvakare.

Njodzi uye mhedzisiro yekuvhiya kwepasi

Vaginoplasty inogona kukonzeresa kurasikirwa kwekunzwa muchikamu kana yese neoclitoris nekuda kwekukuvara kwetsinga. Vamwe vanhu vanogona kuwana rectovaginal fistula, dambudziko rakakomba rinovhura ura mukati memukadzi. Vaginal prolapse inogona zvakare kuitika. Nekudaro, zvese izvi zvinetso zvisingawanzoitika.

Kunyanya kuwanda, vanhu vanowana vaginoplasty vanogona kusangana nekushomeka kwekusagadzikana, zvakafanana nezvinoitika mumwe mushure mekusununguka. Muzviitiko zvakawanda, kusagadzikana kwakadaro kunodzikira mushure menguva yakati.

Yakazara metoidioplasty uye phalloplasty inotakura njodzi yeurethral fistula (gomba kana kuvhura murethra) kana urethral kuomesa (kuvhara). Ose ari maviri anogona kugadziriswa kuburikidza nediki diki yekutevera-kuvhiya. Phalloplasty zvakare inotakura njodzi yekuramba ganda remupi, kana hutachiona panzvimbo yeanopa. Ne scrotoplasty, muviri unogona kuramba zvipenga zvechipupuriro.

Vaginoplasty, metoidioplasty, uye phalloplasty zvese zvinotakura njodzi yemunhu asingagutsikane nemhedzisiro.

Kupora kubva pakuvhiya kwepasi

Mazuva matatu kusvika matanhatu ekurapwa muchipatara anodikanwa, ichiteverwa nemamwe mazuva manomwe kusvika kumakumi masere evatariri vekunze vekunze. Mushure mekuita kwako, tarisira kurega kubva kubasa kana kuita basa rinotyisa kweanenge mavhiki matanhatu.

Vaginoplasty inoda catheter kweinenge vhiki imwe. Yakazara metoidioplasty uye phalloplasty inoda catheter kweanosvika mavhiki matatu, kusvika panguva iyo iwe yaunogona kuchenesa huwandu hweti yako urine kuburikidza neurethra yako wega.

Mushure mekubuda vaginoplasty, vanhu vazhinji vanowanzo fanirwa kuwedzera nguva dzese kwegore rekutanga kana maviri, vachishandisa akateedzana akateedzana eakaoma epurasitiki stents. Mushure meizvozvo, kupinda mukati mepabonde kazhinji kunokwana kuitisa. Iyo neovagina inogadzira microflora yakafanana neyakajairwa vagina, kunyangwe iyo pH mwero ichizendamira zvakanyanya alkaline.

Mavanga anowanzo kuve akavanzwa muvhudzi repabhawa, padivi pemapapiro emaLabia majora, kana kungopora zvakanyanya kuti zvisaonekwa.