Okufanele Ukwazi Nge-Orchiectomy yabesifazane beTransgender

-Delile

• I-Orchiectomy vs. i-scrotectomy
• Ubani umuntu ofanelekela ukhetho kule nqubo?
• I-Orchiectomy nokuzala
• Yini engingayilindela ngaphambi naphakathi kwenqubo?
• Kunjani ukululama?
• Ingabe kukhona imiphumela emibi noma izinkinga?
• Uyini umbono?

Yini i-orchiectomy?

I-orchiectomy ukuhlinzwa lapho kukhishwa khona isende elilodwa noma amaningi.

Amasende, okuyizitho zokuzala zabesilisa ezikhiqiza isidoda, ahlala esikhwameni, esibizwa ngokuthi i-scrotum. Isimungumungwane singezansi nje komthondo.

Kunezinqubo ezimbili ezivamile ze-orchiectomy zabesifazane be-transgender: i-orchiectomy yamazwe amabili kanye ne-orchiectomy elula. Ku-orchiectomy yomabili, udokotela ohlinzayo ususa womabili amasende. Ngesikhathi se-orchiectomy elula, udokotela ohlinzayo angasusa elilodwa noma womabili amasende.

I-orchiectomy ebumbene uhlobo oluvame kakhulu lwe-orchiectomy yabesifazane be-transgender.

I-Orchiectomy vs. i-scrotectomy

Ngesikhathi se-orchiectomy, udokotela ohlinzayo uzosusa elilodwa noma womabili amasende esikhwameni. Ngesikhathi se-scrotectomy, udokotela ohlinzayo uzosusa sonke isikhumba noma ingxenye yaso.

Uma inguquko yakho ekugcineni izofaka i-vaginoplasty, izicubu ezishintshayo zingasetshenziselwa ukwakha ulwelwesi lwesitho sangasese sowesifazane.I-vaginoplasty ukwakhiwa kwesitho sangasese sowesifazane kusetshenziswa ukufakwa kwesikhumba. Kulezi zimo, kungenzeka ukuthi kunconywe i-scrotectomy.

Uma kungenasicubu se-scrotal esitholakalayo se-vaginoplasty, inketho elandelayo yokwakha isicubu sowesifazane sangasese ingahle ifake ukufakelwa kwesikhumba ethangeni eliphezulu.

Kungumqondo omuhle ukukhuluma nodokotela wakho ngazo zonke izinketho zakho. Vuleleka kubo ngokuhlinzwa okuzayo ongakuhlelela ukukwenza. Ngaphambi kwenqubo, khuluma nodokotela wakho ngokulondolozwa kokuzala kanye nomthelela ekusebenzeni kocansi.

Ubani umuntu ofanelekela ukhetho kule nqubo?

I-orchiectomy wukuhlinzwa okungabizi kakhulu okunesikhathi esifushane sokululama.

Inqubo ingaba yisinyathelo sokuqala uma ubheke ku-vaginoplasty. Kwezinye izimo, ungakwazi ukuthola i-orchiectomy ngasikhathi sinye une-vaginoplasty. Futhi ungazihlelela njengenqubo ezimele.

Ezinye izinqubo ongazicabanga, ikakhulukazi uma uhlela i-vaginoplasty, faka:

• I-penectomy engaphelele. I-penectomy inqubo yokuhlinzwa ehilela ukukhipha ingxenye yepenisi. Isetshenziswa kakhulu njengenketho yokwelashwa komdlavuza we-penile.
• Labiaplasty. I-labiaplasty yinqubo esetshenziselwa ukwakha amalebhu kusetshenziswa ukufakelwa kwesikhumba.

I-Orchiectomy futhi ingaba yindlela enhle kubantu abangasabeli kahle kuma-hormone abesifazane noma abafuna ukunciphisa izingozi zezempilo nemiphumela emibi evela kule mithi. Lokho kungenxa yokuthi uma inqubo isiqedile, umzimba wakho uvame ukukhiqiza i-testosterone engapheli, engaholela ekunciphiseni amanani ama-hormone abesifazane.

Ngokwengeziwe, ucwaningo lukhombisa ukuthi izinqubo ze-orchiectomy zingavikela ngokwabesifazane abesifazane be-transgender.

I-Orchiectomy nokuzala

Uma ucabanga ukuthi ungafuna ukuba nezingane esikhathini esizayo, khuluma nodokotela wakho ngokugcina isidoda ebhange lesidoda ngaphambi kokuqala ukwelashwa kwamahomoni. Ngaleyo ndlela uzobe uqinisekise ukuthi uvikela ukuzala kwakho.

Yini engingayilindela ngaphambi naphakathi kwenqubo?

Ukulungiselela inqubo, udokotela wakho angadinga ubufakazi bokuthi:

• Uhlangabezana ne-dysphoria yobulili.
• Uyakwazi ukuvuma ukwelashwa futhi uthathe isinqumo esinolwazi ngokuphelele.
• Awunankinga engalawulwa yempilo yengqondo noma yezokwelapha.
• Usufinyelele eminyakeni yobudala yobudala ezweni ukuthi inqubo izokwenzeka

Ngokuvamile, udokotela uzokucela ukuthi unikeze izincwadi zokulungela ezivela kongoti abahlukene bezempilo yengqondo. Kuzodingeka futhi ukuthi uqedele unyaka owodwa (izinyanga eziyi-12 ezilandelanayo) zokwelashwa kwamahomoni ngaphambi kokuthola i-orchiectomy.

Inqubo izothatha imizuzu engama-30 kuye kwangama-60. Ngaphambi kokuba kuqale ukuhlinzwa, udokotela wakho uzosebenzisa i-anesthesia yendawo ukubamba indawo noma i-anesthesia ejwayelekile ukukwenza ulale ukuze ungazizwa lutho. Udokotela ohlinzayo uzobe esenza imbobo maphakathi nesikhwama. Bazosusa isivivinyo esisodwa noma zombili bese bevala imbobo, imvamisa ngama-suture.

Ukuhlinzwa uqobo kuyindlela yokwelashwa kweziguli. Lokhu kusho ukuthi uma ukhishwe ekuseni ngenqubo, uzokwazi ukuhamba ngaphambi kokuphela kosuku.

Kunjani ukululama?

Ukululama ngokomzimba kule nqubo kuzohlala noma kuphi phakathi kwezinsuku ezimbalwa kuye kwesonto. Udokotela wakho cishe uzokunika imithi yezinhlungu ukuphatha izinhlungu kanye nama-antibiotic ukuvikela ukutheleleka.

Ngokuya ngempendulo yakho ku-orchiectomy, udokotela wakho anganciphisa umthamo wakho we-estrogen futhi asuse noma imuphi umuthi we-preoperative androgen blocker.

Ingabe kukhona imiphumela emibi noma izinkinga?

Ungaba nemiphumela engemihle nezinkinga ezijwayelekile ekuhlinzweni. Lokhu kungafaka:

• ukopha noma ukutheleleka
• ukulimala ezithweni ezizungezile
• izibazi
• ukunganeliseki ngemiphumela
• ukulimala kwemizwa noma ukulahlekelwa umuzwa
• ukungazali
• kwehle i-libido namandla
• ukukhumuzeka kwamathambo

Abesifazane beTransgender abathola i-orchiectomy nabo kungenzeka babe nemiphumela emibi eminingi, efaka:

• ukwehla okukhulu kwe-testosterone, okungakuvumela ukuthi wehlise umthamo wakho wamahomoni enza ubufazi
• kunciphise i-dysphoria yezobulili njengoba uthatha igxathu lokusondela ekufaniseni ukubukeka kwakho nobunikazi bakho

Uyini umbono?

I-orchiectomy ukuhlinzekwa kweziguli okungabizi kakhulu lapho udokotela ohlinzayo esusa khona elilodwa noma womabili amasende.

Ukuhlinzwa kungaba yingxenye yohlelo lokwelashwa komuntu onomdlavuza wendlala yabesilisa, kodwa futhi kuyinqubo ejwayelekile yowesifazane we-transgender ohlinzwa ngokuqinisekiswa kobulili.

Inzuzo eyodwa enkulu kulokhu kuhlinzwa ukuthi, uma usuqedile, udokotela wakho angancoma ukuthi unciphise umthamo wakho wama-hormone abesifazane.

I-orchiectomy nayo ivame ukubhekwa njengesinyathelo esibalulekile esiya ku-vaginoplasty, lapho udokotela ohlinzayo akha khona isitho sowesifazane esisebenzayo.

Ukubuyiselwa esimisweni - uma kwenziwa ngaphandle kwe-vaginoplasty - kungathatha phakathi kwezinsuku ezimbalwa kuye kwesonto.