Kwenziwa kanjani ukuhlinzwa kokuguqulwa kobulili

-Delile

• Lapho yenziwa khona
• Kwenziwa kanjani
• 1. Shintsha kusuka kowesifazane uye kowesilisa
• 2. Shintsha kusuka kowesilisa uye kowesifazane

Ukunikezwa kabusha kocansi, ukuguqulwa komzimba, noma ukuhlinzwa kwe-neophaloplasty, okwaziwa kakhulu ngokuthi ukuhlinzwa kokushintsha ubulili, kwenziwa ngenhloso yokuguqula izici zomzimba nezitho zobulili zomuntu we-transgender, ukuze lo muntu abe nomzimba ofanele kulokho okubona kufanelekile kuye.

Lokhu kuhlinza kwenziwa kubantu besifazane noma besilisa, futhi kufaka izinqubo eziyinkimbinkimbi nezinde zokuhlinzwa, ezibandakanya ukwakhiwa kwesitho sangasese esisha, esibizwa nge-neopenis noma neovagina, futhi kungafaka nokususwa kwezinye izitho, njenge ipipi, isifuba, isibeletho namaqanda.

Ngaphambi kokwenza lolu hlobo lwenqubo, kunconywa ukuthi kwenziwe ukwelashwa kwangaphambili ngaphambi kokuqala ukwelashwa kwamahomoni, ngaphezu kokuqapha ngokwengqondo, ukuze kutholakale ukuthi ubunikazi obusha bomzimba buzomlungela lowo muntu. Funda konke nge-dysphoria yezobulili.

Lapho yenziwa khona

Ukuhlinzwa kokuguqulwa kobulili kungenziwa yi-SUS kusukela ngo-2008, kodwa-ke, njengoba ukulinda kulayini kungahlala iminyaka, abantu abaningi bakhetha ukwenza le nqubo ngodokotela abahlinzayo abazimele.

Kwenziwa kanjani

Ngaphambi kokwenza ukuhlinzekwa kokuzalwa komunye umuntu, kufanele kulandelwe ezinye izinyathelo ezibalulekile:

• Ukuhambisana nodokotela bengqondo, udokotela wezifo zengqondo kanye nosonhlalakahle;
• Cabanga ngomphakathi ubulili ofuna ukubuthatha;
• Ukwenza ukwelashwa kwe-hormonal ukuthola izici zesifazane noma zesilisa, okuholwa yi-endocrinologist ecaleni ngalinye.

Lezi zigaba ngaphambi kokuhlinzwa zihlala iminyaka engaba mibili, futhi zidingeka kakhulu, ngoba ziyisinyathelo esivumelwaneni sokuzivumelanisa nomuntu ngokomzimba, ngokwenhlalo nangokomzwelo kuleli qiniso elisha, ngoba kunconywa ukuthi uqiniseke ngesinqumo ngaphambi ukuhlinzwa, okucacayo.

Ukuhlinzwa kwandulelwa yi-anesthesia ejwayelekile, futhi kuthatha cishe amahora amathathu kuya kwayisi-7, kuya ngohlobo nenqubo esetshenziswa udokotela ohlinzayo.

1. Shintsha kusuka kowesifazane uye kowesilisa

Kunezinhlobo ezi-2 zamasu wokuhlinzwa wokuguqula isitho sowesifazane sibe ngesesilisa:

I-Methoidioplasty

Kuyindlela esetshenziswa kakhulu futhi etholakalayo, futhi iqukethe:

1. Ukwelashwa kwe-hormonal nge-testosterone kubangela ukuthi ikhule ikhule, ibe nkulu kune-clitoris evamile yabesifazane;
2. Kusikwa okwenziwa kuzungeze i-clitoris, ehlukaniswe ne-pubis, kuyenze ikhululeke ngokwengeziwe ukuhamba;
3. Izicubu zesitho sowesifazane zisetshenziselwa ukwandisa ubude be-urethra, ozohlala ngaphakathi kwe-neopenis;
4. Izicubu zesitho sowesifazane sangasese kanye ne-labia minora nazo zisetshenziselwa ukugqokisa nokulolonga i-neopenis;
5. Isirobhothi senziwa nge-labia majora kanye nokufakwa kwama-silicone prostheses ukulingisa amasende.

Ipipi elivelayo lincane, lifinyelela ku-6 kuye ku-8 cm, kepha le ndlela iyashesha futhi iyakwazi ukugcina ukuzwela kwemvelo kwezitho zobulili.

I-Phalloplasty

Kuyindlela eyinkimbinkimbi, ebizayo futhi engatholakali kalula, abantu abaningi abafuna le ndlela bagcina sebefuna ochwepheshe phesheya. Kule ndlela, kusetshenziselwa ukufakelwa isikhumba, imisipha, imithambo yegazi nezinzwa ezivela kwenye ingxenye yomzimba, njengengalo noma ithanga, ukwakha isitho esisha sangasese ngosayizi nomthamo omkhulu.

• Ukunakekelwa ngemuva kokuhlinzwa: ukugcwalisa inqubo yamasculinization, kuyadingeka ukuthi kukhishwe isibeletho, amaqanda kanye namabele, okungenziwa vele ngesikhathi senqubo noma kungahlelelwa esinye isikhathi. Ngokuvamile, ukuzwela kwesifunda kugcinwa, futhi ukuxhumana okusondele kuyakhishwa ngemuva kwezinyanga ezintathu.

2. Shintsha kusuka kowesilisa uye kowesifazane

Ekuguqulweni kwesitho sangasese sowesilisa kuya kowesifazane, inqubo esetshenziswa kakhulu ukuguqulwa kwe-penile, okuqukethe:

1. Kusikeka ngokuzungeza isitho sangasese sendoda kanye nesikhwehlela, kuchazwa isifunda lapho i-neovagina izokwenziwa khona;
2. Ingxenye yomthondo iyasuswa, kulondolozwe i-urethra, isikhumba nezinzwa ezinikeza ukuzwela esifundeni;
3. Amasende ayasuswa, kugcina isikhumba sesikhumba;
4. Kuvulwa isikhala sokulwa neovagina, enamasentimitha angaba ngu-12 kuye kwangama-15, kusetshenziswa isikhumba somthondo nesikhutha ukumboza isifunda. Izinwele zezinwele zihlanjululwa ukuvimbela ukukhula kwezinwele esifundeni;
5. Isikhumba esisele sesaka lejwabu lisetshenziselwa ukwakhiwa kwezindebe zesitho sangasese sowesifazane;
6. I-urethra kanye nomgudu womchamo uhlehliswa ukuze umchamo uphume ku-orifice futhi umuntu akwazi ukuchama ehleli;
7. I-glans isetshenziselwa ukwakha i-clitoris, ukuze umuzwa wenjabulo ugcine.

Ukuze uvumele umsele omusha wesitho sangasese sowesifazane uhlale usebenza futhi ungavali, kusetshenziswa isikhunta sowesifazane sangasese, esingashintshaniswa ngosayizi abakhulu ngaphezu kwamasonto ukukhulisa i-neovagina.

• Ukunakekelwa ngemuva kokuhlinzwa: Imisebenzi yomzimba nempilo yezocansi ivame ukukhishwa ngemuva kwezinyanga ezi-3 kuye kwezi-4 ngemuva kokuhlinzwa. Imvamisa kuyadingeka ukusebenzisa izithambisi eziqondene ngqo nesifunda ngesikhathi socansi. Ngaphezu kwalokho, kungenzeka ukuthi lowo muntu ulandele udokotela wezifo zabesifazane, ukuthola ukuholwa kanye nokuhlolwa kwesikhumba se-neovagina ne-urethra, kodwa-ke, njengoba i-Prostate ihlala, kungadingeka ukuthi uthintane nodokotela we-urologist.

Ngaphezu kwalokho, ngemuva kwanoma yikuphi ukuhlinzwa, kunconywa ukuba udle ukudla okulula, uhloniphe isikhathi sokuphumula esinconywe ngudokotela, ngaphezu kokusebenzisa imishanguzo kadokotela ukudambisa izinhlungu, njengezidakamizwa ezilwa nokuvuvukala noma ama-analgesics, ukwenza lula ukululama. Bheka ukunakekelwa okubalulekile ukuze uthole ukwelashwa.