Phalloplasty: Gender Confirmation Kuvhiya

Zvemukati

• Chii chinoitika panguva yepoploplasty?
• Phalloplasty maitiro
• Radial forearm yemahara-kurovera phalloplasty
• Anterior lateral chidya pedicled chikwapuro phalloplasty
• Abdominal phalloplasty
• Musculocutaneous latissimus dorsi flap phalloplasty
• Ngozi uye zvinetso
• Kudzorera
• Aftercare
• Mibvunzo yekubvunza chiremba wako wechiremba
• Outlook

Mhedziso

Phalloplasty ndiko kuvaka kana kuvakazve nhengo yemurume. Iyo phalloplasty isarudzo yakajairika yekuvhiya ye transgender uye vasingaiti vanhu vanofarira kuvimbiswa kwevakadzi. Inoshandiswa zvakare kugadzirisa nhengo yemurume muzviitiko zvekutambudzika, gomarara, kana hurema hwekuzvarwa.

Chinangwa chephalloplasty ndechekuvaka mbichana inokwezva inokwana saizi inokwana kunzwa manzwiro nekusunungura weti kubva panzvimbo yakamira. Maitiro akaomarara anowanzo sanganisira kuvhiya kunopfuura kumwe.

Phalloplasty matekiniki anoramba achichinja neminda yekuvhiya kwepurasitiki uye urology. Parizvino, iyo yegoridhe yakajairwa phalloplasty maitiro anozivikanwa seyakareba ruoko rwemahara-ruchiro (RFF) phalloplasty. Munguva iyi maitiro, vanachiremba vanovhiya vanoshandisa chiuno cheganda kubva paruoko rwako kuvaka shaft yepeni.

Chii chinoitika panguva yepoploplasty?

Munguva ye phalloplasty, vanachiremba vanobvisa chiuno cheganda kubva kunzvimbo yemupi wemuviri wako. Vanogona kubvisa ichi chiuno zvachose kana kuchisiya chakabatanidzwa. Ichi chinyama chinoshandiswa kugadzira zvese urethra uye shaft yenhengo yemurume, mune chubhu-mukati-me-chubhu dhizaini. Iyo hombe chubhu yakanyatso kukomberedzwa yakatenderedza iyo yemukati chubhu. Ganda reganda rinotorwa kubva munzvimbo dzisingazivikanwe dzomuviri, kwavasingazosiya mavanga anooneka, uye kubatanidzwa kunzvimbo yekupa zvipo.

Urethra yechikadzi ipfupi pane yemurume urethra. Vanachiremba vanovhiya vanogona kurebesa urethra uye kuisungirira kune yemukadzi urethra kuitira kuti weti iyerere ichibva kumucheto wepenis. Iyo clitoris inowanzo kusiiwa panzvimbo padhuze nepasi penhengo, uko painogona kuchikurudzirwa. Vanhu vanogona kuita orgasm vasati vavhiyiwa vanogona kazhinji vachiri kudaro mushure mekuvhiyiwa.

Iyo phalloplasty, kunyanya, ndeye apo vanovhiya vanoshandura kurovera kweganda remupi mupallus. Asi kazhinji, zvinoreva kune akati wandei maitiro akapatsanurwa ayo anowanzoitwa muchiyero. Maitiro aya anosanganisira:

• hysterectomy, panguva iyo vanachiremba vanobvisa chibereko
• oophorectomy yekubvisa mazai
• vaginectomy kana vaginal mucosal ablation kubvisa kana kubvisa zvishoma chikamu
• phalloplasty yekushandura chiuno cheganda remupi kuita phallus
• scrotectomy yekushandura iyo labia majora muchikanda, kungave kana kana pasina testicular kudyara
• urethroplasty kurebesa uye kubatanidza urethra mukati meiyo nyowani nyowani
• glansplasty yekuveza kutaridzika kwetipi isina kudzingiswa
• iyo penile inosimudza kubvumira kumiswa

Iko hakuna kurongeka kamwe chete kana nguva yenguva yemaitiro aya. Vanhu vazhinji havaiti vese. Vamwe vanhu vanozviita pamwe chete, nepo vamwe vachizviparadzira pamusoro pemakore mazhinji. Maitiro aya anoda vanovhiya kubva kumatatu akasiyana hunyanzvi: gynecology, urology, uye plastiki kuvhiya.

Paunenge uchitsvaga chiremba anovhiya, ungangoda kutsvaga ane timu yakasimbiswa. Pamberi peimwe yeiyi nzira yekurapa, taura nachiremba wako nezve kuchengetedzwa kwekubereka uye nekukanganisa kushanda pabonde.

Phalloplasty maitiro

Musiyano uripo pakati pemaitiro aripo phalloplasty ndiyo nzvimbo inotorwa ganda remupi uye nenzira yainobviswa uye kubatanidzwazve. Nzvimbo dzevanopa dzinogona kusanganisira dumbu repazasi, kugomera, torso, kana chidya. Nekudaro, saiti inosarudzika yevanachiremba vazhinji ndiyo ruoko rwemberi.

Radial forearm yemahara-kurovera phalloplasty

Rwonzi rwemberi rwemahara rusununguko-ruchiro (RFF kana RFFF) phalloplasty ndiyo shanduko yazvino mukuvaka zvekare. Mune yemahara yekurovera maitiro, munyama unobviswa zvachose kubva kumberi neropa reropa uye tsinga dzakabatana. Iyi mitsipa yeropa uye tsinga dzakabatanidzwa neiyo microsurgical chaiyo, ichibvumira ropa kuyerera zvakasununguka kune iyo nyowani nyowani.

Maitiro aya anosarudzwa kune mamwe matekiniki nekuti anopa kugona kwakanyanya pamwe nemhedzisiro yakanaka. Iyo urethra inogona kuvakwa muhubhu-mukati-me-chubhu fashoni, ichibvumidza kumira yakamira. Iko kune nzvimbo yekuzoiswa kwekupedzisira kweiyo erection tsvimbo kana inflatable pombi.

Mikana yekukuvara kwekufamba kune vanopa-saiti zvakare yakaderera, zvisinei ganda rekumisikidza kumberi ruoko zvinowanzo siya zvine mwero kusvika zvakanyanya kukuvara. Maitiro aya haana kukodzera kune mumwe munhu anonetseka nezvemavanga anooneka.

Anterior lateral chidya pedicled chikwapuro phalloplasty

Iyo anterior lateral chidya (ALT) pedicled flap phalloplasty haisiyo inotungamira sarudzo yevanachiremba vazhinji nekuti inoguma nehurefu hwakanyanya hwekunzwa kwemuviri munhengo nyowani. Mune pedicled flap maitiro, iyo nyama inopatsanurwa kubva kune yeropa tsinga uye tsinga. Iyo urethra inogona kugadziriswazve kumira yakamhanyisa, uye kune nzvimbo yakakwana yekuiswa kwepenile.

Avo vakawana maitiro aya vanowanzo gutsikana, asi taura zvakaderera zviyero zvekushushikana kwekushushikana. Iko kune yakakwira mwero yeiyi maitiro pane neRFF. Grafti dzeganda dzinogona kusiya zvinotyisa, asi mune imwe nzvimbo yakajeka.

Abdominal phalloplasty

Iyo dumbu phalloplasty, inonziwo supra-pubic phalloplasty, isarudzo yakanaka kune vanhurume varume vasingade vaginectomy kana yakagadziriswa urethra. Iyo urethra haizopfuure nepazasi penhengo uye kuita weti kucharamba kuchida nzvimbo yekugara.

Kufanana neALT, maitiro aya haadi microsurgery, saka haidhuri. Iyo nyowani nyowani ichave neyakajeka, asi kwete yekunzwa kwekunzwa. Asi iyo clitoris, iyo inochengetwa munzvimbo yayo yepakutanga kana kuvigwa, inogona kuramba ichisimudzirwa, uye kuiswa kwepenile kunogona kubvumira kupinda.

Maitiro acho anosiya jira rakatwasuka rinotambanuka kubva muchiuno kusvika muchiuno. Iri vanga rinovanzwa nyore nehembe. Nekuti haina kusanganisira urethra, inosanganisirwa nematambudziko mashoma.

Musculocutaneous latissimus dorsi flap phalloplasty

Musculocutaneous latissimus dorsi (MLD) flap phalloplasty inotora machira kubva kune mhasuru dzekuseri pasi peruoko. Maitiro aya anopa hukuru hukuru hweanopa tishu, iyo inobvumidza vanovhiya kuti vagadzire yakakura mboro. Iyo inokodzera-kwazvo kune zvese kugadzirisa kweiyo urethra uye nekuwedzera kweiyo erectile chishandiso.

Iko kurovera kweganda kunosanganisira mitsipa yeropa uye tsinga dzemutsipa, asi imwechete mota tsinga haina kusimba zvakanyanya kupfuura tsinga dzakabatana neRFF. Saiti yekupa inopora zvakanaka uye haina kuita sekuonekwa seimwe nzira.

Ngozi uye zvinetso

Phalloplasty, senge kuvhiya kwese, kunouya nenjodzi yekutapukirwa, kubuda ropa, kukuvara kwetishu, uye kurwadziwa. Kusiyana nekumwe kuvhiya, zvisinei, kune njodzi yakanyanya yezvinetso zvine chekuita nephalloplasty. Zvinetso zvinowanzoitika zvinosanganisira urethra.

Zvinogona kuitika kuti phalloplasty zvinetso zvinosanganisira:

• urethral fistula
• urethral kuomesa (kudzikira kweiyo urethra inotadzisa kuyerera kweweti)
• kurova-rova kurova uye kurasikirwa (kufa kwechinyama chakaendeswa)
• kuputsika kwemaronda (kutsemuka pamwe nemitsetse yekukanganisa)
• kubuda muchiuno kana kurwadziwa
• dundira kana kukuvara kwaro
• kushaya kwekunzwa
• kudiwa kwenguva refu kwemvura (kubuda uye kuyerera pane nzvimbo yemaronda inoda kupfekedzwa)

Saiti yezvipo iri panjodzi yematambudziko, izvi zvinosanganisira:

• zvisingaoneki mabara kana kushanduka
• kuparara kwemaronda
• tishu granulation (tsvuku, bumpy ganda panzvimbo yemaronda)
• kuderera kwekufamba (kushoma)
• kukuvadza
• kuderera kwekunzwa
• kurwadziwa

Kudzorera

Iwe unofanirwa kukwanisa kudzokera kubasa unenge mavhiki mana kusvika matanhatu mushure meiyo phalloplasty, kunze kwekunge basa rako richida basa rakaoma. Ipapo iwe unofanirwa kumirira vhiki nhanhatu kusvika sere. Dzivisa kurovedza muviri nekusimudza mukati memavhiki ekutanga, kunyangwe kutora kufamba nekukurumidza kwakanaka. Iwe unenge uine catheter panzvimbo yemavhiki ekutanga. Mushure memavhiki maviri kana matatu iwe unogona kutanga kuita weti kuburikidza neiyo phallus.

Yako phalloplasty inogona kuputswa muzvikamu, kana iwe unogona kunge uine scrotoplasty, urethral yekuvakazve, uye glansplasty panguva imwe chete. Kana iwe ukavaparadzanisa, iwe unofanirwa kumirira inokwana mwedzi mitatu pakati pechikamu chekutanga nechechipiri. Kune iyo yekupedzisira nhanho, inova iyo penile kudyara, iwe unofanirwa kumirira rinenge gore rimwe chete. Izvo zvakakosha kuti uve nekuzara kuzere munhengo yako nyowani usati wawana kudyara kwako.

Zvichienderana nemhando ipi yekuvhiyiwa iwe yawaive nayo, ungangodaro usina kunzwa kwekushushikana mune yako phallus (asi iwe unogona achiri uine clitoral orgasms). Zvinotora nguva yakareba kuti tsinga dzetsinga dzipore. Iwe unogona kuve neanobata manzwiro usati wanzwa manzwiro. Kupora kuzere kunogona kutora kusvika kumakore maviri.

Aftercare

• Dzivisa kuisa kumanikidza pane phallus.
• Edza kukwidziridza iyo phallus kudzora kuzvimba uye kugadzirisa kutenderera (kuisimudzira pane yekuvhiya kupfeka).
• Chengeta cheka chakachena uye chakaoma, dzorera zvekare marokwe, uye geza nesipo nemvura sekuraira kwachiremba wako.
• Usaise chando kunzvimbo.
• Chengetedza nzvimbo yakatenderedza madhiragi yakachena pamwe nesiponji yekugezesa.
• Usageze kwemavhiki maviri ekutanga, kutoti chiremba wako akakuudza neimwe nzira.
• Usakwevera pane catheter, nekuti izvi zvinogona kukuvadza dundira.
• Bvisa bhegi weti kanokwana katatu pazuva.
• Usaedze kuita weti kubva kune yako phallus usati wafanirwa kudaro.
• Kuchema, kuzvimba, kupwanya, ropa mumurini, kuda kurutsa, uye kupatira zvese zvakajairika mumavhiki ekutanga.

Mibvunzo yekubvunza chiremba wako wechiremba

• Ndeipi yako yakasarudzika phalloplasty maitiro?
• Vangani vawaita?
• Unogona here kupa nhamba pamusoro peyako yekubudirira chiyero uye kuitika kwematambudziko
• Iwe unayo portfolio yemapostoperative mifananidzo?
• Ndichavhiyiwa kangani?
• Mutengo ungawedzera zvakadii kana ndine matambudziko anoda kuvhiyiwa?
• Ndichagara kwenguva yakareba sei muchipatara?
• Kana ndichibva kunze kweguta. Inguva yakareba sei mushure mekuvhiyiwa kwangu ndinofanira kugara muguta?

Outlook

Nepo nzira dze phalloplasty dzave nani pamusoro pemakore, hapachina nzira yakakwana. Ita tani yekutsvagisa uye utaure nevanhu munharaunda usati waita danho rekuti ndeupi rudzi rwekuvhiya kwepasi kwakakukodzera. Kune dzimwe nzira dze phalloplasty, kusanganisira kurongedza uye nzira ine njodzi shoma inonzi metoidioplasty.