I-Metoidioplasty

-Delile

• Yiziphi izinhlobo ezahlukahlukene ze-metoidioplasty?
• Ukukhishwa okulula
• I-metoidioplasty ephelele
• I-ring metoidioplasty
• I-metoidioplasty yekhulu
• Uyini umehluko phakathi kwe-metoidioplasty ne-phalloplasty?
• Ubuhle nobubi be-metoidioplasty
• Inqubo isebenza kanjani?
• Imiphumela yokululama kusuka ku-metoidioplasty
• Izinqubo ezengeziwe ongazikhetha
• Ukukhululwa kwe-Clitoral
• Ukuzivelela
• Urethroplasty
• Izimila zeScrotoplasty / testicular
• Ukuthengiswa kabusha kwamamoni
• Ngimthola kanjani udokotela ohlinzayo ongifanele?
• Uyini umbono ngemuva kokuhlinzwa?

Ukubuka konke

Uma kukhulunywa ngokuhlinzwa okuphansi, abantu be-transgender nalabo abangabhalisile ababelwe abesifazane ngesikhathi sokuzalwa (i-AFAB) banezinketho ezimbalwa ezihlukile. Okunye ukuhlinzwa okuphansi okujwayele ukwenziwa njalo kubantu be-AFAB trans futhi nonbinary kuthiwa yi-metoidioplasty.

I-Metoidioplasty, eyaziwa nangokuthi i-meta, igama elisetshenziselwa ukuchaza izinqubo zokuhlinza ezisebenza nezicubu zakho zangasese ezikhona ukwakha lokho okubizwa nge-neophallus, noma ipipi elisha. Kungenziwa kunoma ngubani onokukhula okuphawulekayo kokusebenzisa i-testosterone. Odokotela abaningi bancoma ukuthi ube ekwelashweni kwe-testosterone unyaka owodwa noma emibili ngaphambi kokuba ube ne-metoidioplasty.

Yiziphi izinhlobo ezahlukahlukene ze-metoidioplasty?

Kunezinhlobo ezine eziyisisekelo zezinqubo ze-metoidioplasty:

Ukukhishwa okulula

Eyaziwa nangokuthi i-meta elula, le nqubo iqukethe kuphela ukukhishwa kwe-clitoral - okungukuthi, inqubo yokukhulula i-clitoris ezicutshini ezizungezile - futhi ayiguquli i-urethra noma isitho sangasese sowesifazane. Ukukhishwa okulula kukhulisa ubude nokuvezwa kwepipi lakho.

I-metoidioplasty ephelele

Odokotela abahlinzayo abenza i-metoidioplasty ephelele badedela i-clitoris bese besebenzisa ukufakelwa kwezicubu ngaphakathi kwesihlathi sakho ukuxhumanisa i-urethra ne-neophallus. Uma ufisa, bangenza futhi i-vaginectomy (ukususwa kwesitho sangasese sowesifazane) bese befaka okufakwa ngaphakathi.

I-ring metoidioplasty

Le nqubo ifana kakhulu ne-metoidioplasty ephelele. Kodwa-ke, esikhundleni sokuthatha ukufakelwa kwesikhumba ngaphakathi komlomo, udokotela ohlinzayo usebenzisa okuhlanganisiwe okuvela ngaphakathi kodonga lwesitho sangasese sowesifazane kuhlangene ne-labia majora ukuze kuxhunywe i-urethra ne-neophallus.

Inzuzo yale nqubo ukuthi kuzodingeka uphulukise kuphela kusayithi elilodwa ngokungafani nezimbili. Ngeke futhi ube nezinkinga ezingase ziqhamuke ngokuhlinzwa emlonyeni njengobuhlungu ngenkathi udla nokwehla kokukhiqizwa kwamathe.

I-metoidioplasty yekhulu

Inqubo yeCenturion ikhipha imisipha eyindilinga ekhuphula amalebula kuma-labia majora, bese iwasebenzisela ukuzungeza ipipi elisha, kwakheke ibhande elengeziwe.Ngokungafani nezinye izinqubo, iCenturion ayidingi ukuthi kuthathwe okuxhunywe isikhumba emlonyeni noma odongeni lwesitho sangasese sowesifazane, okusho ukuthi buncane ubuhlungu, kuncane isibazi, futhi kunezinkinga ezimbalwa.

Uyini umehluko phakathi kwe-metoidioplasty ne-phalloplasty?

I-Phalloplasty kungenye indlela ejwayelekile kakhulu yokuhlinzwa okuphansi kwabantu be-AFAB trans futhi nonbinary. Ngenkathi i-metoidioplasty isebenza nezicubu ezikhona, i-phalloplasty ithatha isikhumba esikhulu sokuxhunyelelwa engalweni, emlenzeni, noma esifubeni bese siyisebenzisela ukudala ipipi.

I-Metoidioplasty ne-phalloplasty ngayinye inezinzuzo nezinkinga zayo ezihlukile.

Ubuhle nobubi be-metoidioplasty

Nazi ezinye izinzuzo nezingozi ze-metoidioplasty:

Buhle

• ipipi elisebenza ngokuphelele elingakwazi ukuma lodwa
• isibazi esibonakalayo esincane
• izinqubo zokuhlinza ezimbalwa kune-phalloplasty
• futhi ungaba ne-phalloplasty ngokuhamba kwesikhathi uma ukhetha
• Isikhathi esifushane sokutakula
• ebiza kakhulu kune-phalloplasty, uma ingamboziwe ngumshuwalense: kusuka ku- $ 2,000 kuya ku- $ 20,000 kuqhathaniswa ne- $ 50,000 kuya ku- $ 150,000 ye-phalloplasty

Nebubi

• ipipi elisha elincanyana ngobude nangobubanzi, elilinganisa noma yikuphi ukusuka ku-3 kuye ku-8 cm ubude
• kungenzeka ingakwazi ukungena ngesikhathi socansi
• kudinga ukusetshenziswa kwe-hormone replacement therapy kanye nokukhula okukhulu kwama-clitoral
• kungenzeka angakwazi ukuchama umile

Inqubo isebenza kanjani?

Ukuhlinzwa kokuqala kwe-metoidioplasty kungathatha noma yikuphi kusuka emahoreni ama-2,5 kuya kwangu-5 kuya ngodokotela ohlinzayo nokuthi yiziphi izinqubo okhetha ukuba nazo njengengxenye ye-metoidioplasty yakho.

Uma ufuna i-meta elula kuphela, kungenzeka ubekwe ngaphansi kwe-sedation eyazi, okusho ukuthi uzobe uphapheme kepha ikakhulukazi ungazi ngesikhathi sokuhlinzwa. Uma uthola ukwandiswa kwe-urethral, ​​i-hysterectomy, noma i-vaginectomy nayo, uzobekwa ngaphansi kwe-anesthesia jikelele.

Uma ukhetha ukuba ne-scrotoplasty, udokotela angafaka lokho okwaziwa njengezandiso zezicubu ku-labia ngesikhathi senqubo yokuqala ukuze kulungiswe izicubu zamukele ukufakelwa kwamasende amakhulu ngesikhathi senqubo yokulandelela. Odokotela abaningi abahlinzayo balinda izinyanga ezintathu kuya kweziyisithupha ukuze benze ukuhlinzwa kwesibili.

Odokotela abaningi benza i-metoidioplasty njengokuhlinzwa kweziguli, okusho ukuthi uzokwazi ukuphuma esibhedlela ngosuku olufanayo onenqubo ngalo. Abanye odokotela bangacela ukuthi uhlale ubusuku obulandelayo ngemuva kokuhlinzwa kwakho.

Imiphumela yokululama kusuka ku-metoidioplasty

Njenganoma yikuphi ukuhlinzwa, inqubo yokutakula izokwehluka kuye ngomuntu nomuntu kuya ngenqubo ethile kuya kwenye.

Ngenkathi izikhathi zokutakula zehluka ngandlela thize, kungenzeka ungasebenzi okungenani amasonto amabili okuqala. Futhi, kunconywa ngokujwayelekile ukuthi ungenzi ukuphakamisa okunzima emasontweni amabili kuya kwamane okuqala ngemuva kokuhlinzwa.

Ngokuvamile, odokotela bavame ukweluleka ngokuhamba phakathi kwezinsuku eziyi-10 kuye emasontweni amathathu ngemuva kwenqubo.

Ngaphandle kwezinkinga ezijwayelekile ezingavela ngokuhlinzwa, kunezinkinga ezimbalwa ongaba nazo nge-metoidioplasty. Eyodwa ibizwa nge-fistula yomchamo, imbobo ku-urethra engadala ukuvuza komchamo. Lokhu kungalungiswa ngokuhlinzwa futhi kwezinye izimo kungazilapha ngaphandle kokungenelela.

Enye inkinga engaba khona uma ukhethe i-scrotoplasty ukuthi umzimba wakho ungakwenqaba ukufakelwa kwe-silicone, okungaholela ekudingeni okunye ukuhlinzwa.

Izinqubo ezengeziwe ongazikhetha

Kunezinqubo eziningana ezingenziwa njengengxenye ye-metoidioplasty, konke okungakhethwa ngokuphelele. IMetoidioplasty.net, insiza ewusizo yalabo abanentshisekelo yokulandela i-metoidioplasty, ichaza lezi zinqubo kanjena:

Ukukhululwa kwe-Clitoral

I-ligament, isicubu esiqinile esixhuma i-clitoris ethanjeni le-pubic, siyasikwa futhi i-neophallus ikhishwa kwi-clitoral hood. Lokhu kuyayikhulula kuzicubu ezizungezile, kukhulise ubude nokuvezwa kwepipi elisha.

Ukuzivelela

Umgogodla wesitho sangasese sowesifazane uyasuswa, futhi ukuvuleka kwesitho sangasese kuvaliwe.

Urethroplasty

Le nqubo ibuyisela umchamo phezulu nge-neophallus, ikuvumela ukuthi uchame kusuka ku-neophallus, kahle ngenkathi umile.

Izimila zeScrotoplasty / testicular

Ukufakwa okuncane kwe-silicone kufakwa kuma-labia ukufeza ukubukeka nokuzizwa kwamasende. Odokotela abahlinzayo bangakwazi ukuhlanganisa isikhumba kulawo ma-labia amabili ukuze benze isikhwama samasende esihlanganisiwe.

Ukuthengiswa kabusha kwamamoni

Ingxenye yesikhumba evela emason pubis, indunduma ngenhla nje kwepipi, kanye nezinye izicubu ezinonile ezivela emason ziyasuswa. Isikhumba bese sidonswa siye phezulu ukushintshela ipipi futhi, uma ukhetha ukuba ne-scrotoplasty, amasende aqhubekele phambili, okwandisa ukubonakala nokungena kwepipi.

Kukuwe ngokuphelele ukuthi unqume ukuthi iyiphi, uma ikhona, yalezi zinqubo ongathanda ukuba njengengxenye ye-metoidioplasty yakho. Isibonelo, ungahle ufise ukuthi kwenziwe zonke izinqubo, noma ungafisa ukwenziwa ukukhishwa kwe-clitoral ne-urethroplasty, kepha ugcine isitho sakho sangasese. Konke kwenzelwa ukwenza umzimba wakho uhambisane kahle nokuzizwa kwakho.

Ngimthola kanjani udokotela ohlinzayo ongifanele?

Kubalulekile ukwenza ucwaningo lwakho bese uthola ukuthi yimuphi udokotela ohlinzayo olungele wena. Nazi ezinye zezici ongafuna ukuzibheka lapho ukhetha udokotela ohlinzayo:

• Ngabe zinikeza izinqubo ezithile engifuna ukuba nazo?
• Ingabe bayawamukela umshuwalense wezempilo?
• Ingabe banezibuyekezo ezinhle zemiphumela yabo, izimo zezinkinga, kanye nendlela eseceleni kombhede?
• Ingabe bazongihlinza? Odokotela abaningi balandela amazinga wokunakekelwa weWorld Professional Association for Transgender Health (WPATH), okudinga ukuthi ube nokulandelayo:
  • izincwadi ezimbili ezivela kochwepheshe bezokwelapha ezincoma ukuthi uhlinzwe
  • ubukhona be-dysphoria ephikelelayo yobulili
  • okungenani izinyanga eziyi-12 zokwelashwa kwama-hormone nezinyanga eziyi-12 zokuphila endimeni yobulili ehambisana nobunikazi bakho
  • ubudala beningi (18+ e-United States)
  • ikhono lokwenza imvume unolwazi
  • akunazinkinga ezingqubuzanayo zezempilo yengqondo noma yezempilo (Abanye odokotela ngeke bahlinze abantu abane-BMI engaphezu kwama-28 ngaphansi kwalesi sigaba somthetho.)

Uyini umbono ngemuva kokuhlinzwa?

Umbono ngemuva kwe-metoidioplasty ngokuvamile muhle kakhulu. Ucwaningo lwango-2016 lwezifundo eziningana ze-metoidioplasty kumagazini iPlastic and Reconstruction Surgery lathola ukuthi amaphesenti ayi-100 abantu abathola i-metoidioplasty bagcina imizwa erogenous ngenkathi amaphesenti angama-51 ekwazi ukufeza ukungena ngesikhathi socansi. Ucwaningo luphinde lwathola ukuthi amaphesenti angama-89 akwazi ukuchama esamile. Ngenkathi abacwaningi bethi izifundo ezengeziwe zizodingeka ukwenza ngcono ukunemba kwale miphumela, okutholakele kokuqala kuyathembisa kakhulu.

Uma ufisa ukuhlinzwa okuphansi okungabizi, okunenkinga encane, futhi okunikeza imiphumela emihle, i-metoidioplasty ingaba yindlela efanelekile yokuqondanisa umzimba wakho nobunikazi bakho. Njengenjwayelo, zinike isikhathi sokwenza ucwaningo lwakho ukuthola ukuthi iyiphi inketho yokuhlinza ephansi ezokusiza uzizwe njengomuntu wakho ojabule kakhulu, noyiqiniso.

UKC Clements ungumbhali we-queer, nonbinary ozinze eBrooklyn, NY. Umsebenzi wabo usebenza ngokuzibandakanya kwe-queer kanye ne-trans, ubulili nobulili, impilo nokuphila kahle ngombono oqondile womzimba, nokunye okuningi. Ungahambisana nabo ngokuvakashela i- iwebhusayithi, noma ngokuzithola zivuliwe Instagram futhi Twitter.