Vaginoplasty: Gender Confirmation Kuvhiya

Zvemukati

• Mhedziso
• Matekiniki
• Penile inversion maitiro
• Maitiro ekoloni
• Chii chinoitika panguva yekuita?
• Ngozi uye zvinetso
• Kugadzirira kuvhiyiwa
• Zvinoda marii?
• Kudzorera
• Kudzorera ita nezvisingaitwe

Mhedziso

Kune transgender uye vasingaiti vanhu vanofarira kuvimbiswa kwevakadzi, vaginoplasty ndiyo maitiro panguva iyo vanachiremba vanovaka vaginal cavity pakati perectum uye urethra. Chinangwa chemukadzikadzi ndechekusika nyinyo kubva munyama yepenile - imwe ine kudzika uye kutaridzika kwechikadzi chakagadzirwa.

Matekiniki

Penile inversion maitiro

Iyo inonyanya kuzivikanwa vaginoplasty maitiro ndeye penile inversion maitiro. Mune ino hunyanzvi, penile ganda rinoshandiswa kuvaka iyo yemukadzi lining. Iwo marabi majora anogadzirwa achishandisa ganda rakakwenenzverwa, uye clitoris inovakwa kubva paganda rakaomarara kumucheto kwepenis. Prostate inosara munzvimbo, kwainogona kushanda senzvimbo ine erogenous yakafanana neG-gwapa.

Mune zvimwe zviitiko, hapana ganda rakaringana kuti riite hukadzi hwakakodzera, saka vanovhiya vachatora ganda kubva muchiuno chepamusoro, mudumbu, kana chidya chemukati. Kupenga kubva kunzvimbo yemupiro kunowanzo kuvanzwa kana kushoma.

Iko kushandiswa kweganda kunamatira kuvaka iyo nyowani inyaya yemakakatanwa pakati pevapurasitiki vanovhiya. Vamwe vanodavira kuti ganda rinowedzera rinobvumira kuratidzika kuri nani kwekushongedza. Vamwe vanotenda kuti mashandiro haafanire kupirwa. Ganda kubva kunzvimbo dzekupa harina kumbobvira riine hanya seganda kubva kunhengo dzesikarudzi.

Iyo penile inversion vaginoplasty inoonekwa senge yegoridhe yakajairika nzira yekumutsazve nhengo yekubereka pakati pevapurasitiki vanovhiya, uye inokurudzirwa neCentre of Excellence yeTransgender Health.

Maitiro ekoloni

Kune imwezve hunyanzvi iyo inoshandisa iyo lining yekoloni pachinzvimbo chepenile ganda. Kutsvagisa pamusoro pemhedzisiro yekuvhiya uku kushoma.

Chimwe chinhu chakanakira maitiro aya ndechekuti munyama unozvizora wega, nepo vaginas akagadzirwa nepenic tishu anoenderana nekuzorwa mafuta kwekugadzira. Nekuda kwenjodzi dzakabatana, zvakadaro, matishu ekoloni anowanzo shandiswa chete muchiitiko chekutadza kwepenile inversion.

Vanhu vazhinji vane vaginoplasty vanopedzisira vaitwa kechipiri kuvhiyiwa kusimudzira kutarisika kweyekushongedza kweiyo marabi. Kuvhiya kwechipiri, kunonzi labiaplasty, kunopa mukana kuvhiya kuti vashande nemaviri akapora, uko kwavanogona kugadzirisa kuiswa kweiyo urethra nemuromo wemukadzi. Sekureva kweCentre of Excellence yeTransgender Health, yechipiri labiaplasty, iyo isinganyanye kukuvadza, inovimbisa mhedzisiro yekuzora.

Chii chinoitika panguva yekuita?

Mangwanani ekuvhiyiwa kwako uchasangana nachiremba wako wechiremba uye anesthesiologist. Ivo vachakupa muongororwo wezuva iro richazoenda kunze. Ivo pamwe vanokupa iwe antianxiety mishonga kana imwe sedative yekukubatsira iwe kuzorora. Ipapo vachakuunza iwe kuimba yekuvhiya.

Munguva yako penile inversion vaginoplasty, uchave uri pasi peanesthesia, wakarara nemusana nemakumbo ako ari mudumbu.

Maitiro acho akaomarara, anosanganisira matete, vasculature, uye tsinga dzemitsipa. Heano mamwe ekurohwa kwakakura.

• Machende anobviswa obva araswa.
• Iyo nyowani nyowani mhango yakavezwa kunze munzvimbo pakati peiyo urethra uye rectum.
• Iyo penile prosthesis (yekuvhiya dildo) inoiswa mukati mevhu kuti ibate chimiro.
• Ganda rinobviswa panhengo yemurume. Ganda rino rinogadzira homwe inosimudzwa uye inverted.
• Chidimbu chetatatu cheglans penis (iyo bulbous tip) inobviswa kuita clitoris.
• Urethra inobviswa, kupfupikiswa, uye kugadzirirwa kumiswazve pamberi penzvimbo dzasara dzepenisiti dzakatemwa nekurasa.

Zvese zvinosunganidzwa pamwe chete uye mabhandeji anoiswa. Maitiro ese anotora maawa maviri kusvika mashanu. Iwo mabhandeji uye catheter zvinowanzo gara munzvimbo kwemazuva mana, mushure meiyo nguva matanho ekuvhiya anofanirwa kutorwa.

Ngozi uye zvinetso

Kune nguva dzose njodzi dzinosanganisirwa nekuvhiya, asi vaginoplasty matambudziko haawanzo. Zvirwere zvinogona kubviswa nemishonga inorwisa mabhakitiriya. Dzimwe njodzi dzekuvhiya dzinosanganisira:

• kubuda ropa
• hutachiona
• ganda kana clitoral necrosis
• kuputika kwemasuture
• kuchengetedza weti
• kusangana nekutsi kwemukadzi kupera
• fistula

Kugadzirira kuvhiyiwa

Dzimwe dzeganda rakakomberedza chikosoro chine mvere, sezvakaita nzvimbo dzinotorwa ganda regrafti. Taura nachiremba wako nezve uko ganda rako nyowani remukadzi richakohwewa. Iwe unogona kusarudza kupedzisa yakazara kosi ye electrolysis kubvisa kugona kwevakadzi bvudzi kukura. Izvi zvinogona kutora mavhiki akati wandei kana mwedzi.

Tevedza rairo yechiremba wako pahusiku hwakatangira uye mangwanani ekuvhiyiwa kwako. Kazhinji, haufanire kudya kana kunwa chero chinhu pakati pehusiku pahusiku usati waenda pasi peanesthesia.

Mamwe matipi ekuchengetedza:

• Taura kune vamwe vanhu vakawana kuvhiyiwa kwepasi pamusoro pezviitiko zvavo.
• Taura nachiremba kana mupi wezano mumwedzi usati wavhiyiwa kuti ugadzirire mupfungwa dzako.
• Ita zvirongwa zveramangwana rako rekubereka. Taura nachiremba wako nezvesarudzo dzekuchengetedza mbereko (kuchengetedza masampuli esoda).
• Gadzira chirongwa chekushandira pamwe nemhuri yako neshamwari; iwe uchazoda kutsigirwa kwakawanda.

Zvinoda marii?

Ivhareji yemutengo wepenile inversion vaginoplasty iri kutenderera madhora zviuru makumi maviri pasina inishuwarenzi. Izvi zvinosanganisira mazuva mashoma muchipatara, pamwe neanesthesia. Zvisinei, izvi ndezvekuvhiya kumwe chete. Kana iwe uchida yechipiri labiaplasty, iyo mitengo inowedzera.

Vanhu vazhinji vanowana vaginoplasties zvakare vanoitwa chipfuva kuwedzera uye kumeso kwemadzimai kuvhiya, ayo anodhura kwazvo. Iwe unofanirwa zvakare kuchengeta mupfungwa mutengo we electrolysis, iyo inogona kuwedzera kusvika kuzviuru zvemadhora.

Mari dzinosiyana zvichienderana neinishuwarenzi yako, kwaunogara, uye kwaunowana oparesheni yako.

Kudzorera

Iyo yekubudirira kwenguva yakareba yako vaginoplasty kunoenderana zvakanyanya nemabatiro aunoita iwe unotevera postoperative mirairo. Chiremba wako anovhiya anokupa iwe wemukadzi dilatator kuti utange kushandisa nekukurumidza kana bhandeji rako rabviswa. Ichi chishandiso chekudzora chinofanira kushandiswa zuva nezuva kweinenge gore rimwe chete kuchengetedza hunhu hwevakadzi uye girth.

Chiremba wako anovhiya anokupa iwe chirongwa chekuwedzera. Kazhinji, zvinosanganisira kuisa iyo dilator kwemaminitsi gumi, katatu pazuva pazuva kwemwedzi mitatu yekutanga uye kamwe pazuva pazuva kwemwedzi mitatu inotevera. Ipapo, iwe uchazviita kaviri kana katatu pavhiki kwegore rimwe chete. Iyo dhayamita yeiyo dilator ichawedzerawo nekufamba kwemwedzi.

Kudzorera ita nezvisingaitwe

• Usatora bhati kana kunyudza mumvura kwemavhiki masere.
• Usaite basa rinonetesa kwevhiki nhanhatu.
• Usashambira kana kuchovha bhasikoro kwemwedzi mitatu.
• Kushamba kwakanaka mushure mekushanya kwako kwekutanga mushure mekushandira.
• Gara pamhete yedonut kunyaradzwa.
• Usaita zvepabonde kwemwedzi mitatu.
• Isa chando kwemaminetsi makumi maviri paawa rese revhiki yekutanga.
• Usazvidya moyo nezve kuzvimba.
• Iwe unotarisira kuburitsa nyini uye kubuda ropa kwemavhiki mana kusvika masere ekutanga.
• Dzivisa zvigadzirwa zvefodya kwemwedzi mumwe chete.
• Ngwarira mishonga yekurwadziwa; tora chete sekureba sekukosha kwazvo.