IVaginoplasty: Ukuhlinzwa Kokuqinisekisa Ubulili

-Delile

• Ukubuka konke
• Amasu
• Inqubo yokuguqulwa kwePenile
• Inqubo yamakholoni
• Kwenzekani ngesikhathi senqubo?
• Izingozi nezinkinga
• Ukulungiselela ukuhlinzwa
• Kubiza malini?
• Ukubuyiselwa
• Ukubuyisela okumele ukwenze nokungafanele ukwenze

Ukubuka konke

Kubantu be-transgender nabangewona abanesifiso sokuhlinzwa kokuqinisekiswa kobulili, i-vaginoplasty yinqubo lapho odokotela abahlinzayo bakheka umgodi wesitho sangasese sowesifazane phakathi kwe-rectum ne-urethra. Umgomo we-vaginoplasty ukudala isitho sangasese ngezicubu zepenile - esisodwa esinokujula nokubukeka kwesitho sowesifazane esithuthukiswe ngokwemvelo.

Amasu

Inqubo yokuguqulwa kwePenile

Inqubo ejwayelekile kakhulu ye-vaginoplasty inqubo yokuguqula i-penile. Kule ndlela, isikhumba se-penile sisetshenziselwa ukwakha ulwelwesi lwesitho sangasese sowesifazane. Ama-labia majora adalwa kusetshenziswa isikhumba esi-scrotal, kanti i-clitoris yakhiwe ngesikhumba esizwelayo ekugcineni kwepipi. I-prostate ishiywe endaweni, lapho ingasebenza njengendawo erogenous efana ne-G-spot.

Kwezinye izimo, asikho isikhumba esanele ukufeza ukujula kwesitho sangasese sowesifazane esidingekayo, ngakho-ke odokotela abahlinzayo bazothatha ukufakelwa kwesikhumba kusukela enqulwini engenhla, esiswini esingezansi, noma ethangeni elingaphakathi. Ukuhlukaniswa okuvela kusiza lomnikelo ngokujwayelekile kufihliwe noma kuncane.

Ukusetshenziswa kokuxhunyelelwa kwesikhumba ukwakha i-vulva kuyisihloko sempikiswano phakathi kodokotela abahlinzayo bepulasitiki. Abanye bakholelwa ukuthi isikhumba esengeziwe sivumela ukubukeka kwezimonyo okungcono. Abanye bakholelwa ukuthi ukusebenza akufanele kunikelwe. Isikhumba esivela kumasayithi okunikelwa ngaso asikaze sizwele njengesikhumba esivela esithweni sangasese.

I-penile inversion vaginoplasty ithathwa njengeyindlela ejwayelekile yokwakha kabusha izitho zangasese phakathi kodokotela abahlinzayo bepulasitiki, futhi kunconywa yiCentre of Excellence for Transgender Health.

Inqubo yamakholoni

Kukhona enye inqubo esebenzisa ulwelwesi lwekholoni esikhundleni sesikhumba se-penile. Ucwaningo ngemiphumela yalokhu kuhlinzwa lunqunyelwe.

Isici esisodwa esihle sale nqubo ukuthi izicubu ziyazithambisa, kanti ama-vaginas enziwe ngezicubu ze-penile ancike ekuthambiseni okufakelwayo. Ngenxa yezingozi ezihambisanayo, noma kunjalo, izicubu zekholoni zivame ukusetshenziswa kuphela uma kwenzeka ukwehluleka kwe-penile kwehlulekile.

Abantu abaningi abane-vaginoplasty bagcina ngokuhlinzwa okwesibili ukuthuthukisa ukubukeka kwezimonyo ze-labia. Ukuhlinzwa kwesibili, okubizwa nge-labiaplasty, kunikeza ithuba odokotela abahlinzayo ukuthi basebenze nezicubu eziphulukisiwe, lapho bengalungisa khona ukubekwa kwezindebe zomchamo nezesifazane. Ngokuya ngeCentre of Excellence for Transgender Health, i-labiaplasty yesibili, engahlaseli kakhulu, iqinisekisa imiphumela yezimonyo enhle kakhulu.

Kwenzekani ngesikhathi senqubo?

Ekuseni kokuhlinzwa kwakho uzohlangana nodokotela ohlinzayo nodokotela obulala izinzwa. Bazokunikeza ukubuka konke ukuthi usuku luzodlala kanjani. Cishe bazokunikeza umuthi wokuzikhathaza noma enye into yokuthambisa ukukusiza uphumule. Ngemuva kwalokho bazokuletha egumbini lokuhlinza.

Ngesikhathi se-penile inversion vaginoplasty yakho, uzoba ngaphansi kwe-anesthesia ejwayelekile, ulele ngomhlane futhi imilenze yakho iphakanyisiwe.

Inqubo iyinkimbinkimbi, ifaka izicubu ezintekenteke, imisipha, nemicu yezinzwa. Nayi eminye imivimbo ebanzi:

• Amasende ayasuswa alahlwe.
• Umgodi omusha wesitho sangasese sowesifazane uqoshwe esikhaleni esiphakathi kwe-urethra ne-rectum.
• I-penile prosthesis (i-dildo yokuhlinzwa) ifakwa emgodini ukuze ibambe umumo.
• Isikhumba sisuswa emthondweni. Lesi sikhumba sakha isikhwama esikhishwe futhi siguqulwe.
• Ucezu olungunxantathu lwe-glans penis (ithiphu ye-bulbous) liyasuswa ukuze libe yi-clitoris.
• I-urethra iyasuswa, ifushaniswe, futhi ilungiselelwe ukubekwa kabusha ngaphambi kokuba izingxenye ezisele zomthondo zinqunywe futhi zilahlwe.

Konke kuhlanganiswa ndawonye futhi kufakwa namabhandeshi. Yonke inqubo ithatha amahora amabili kuya kwamahlanu. Amabhandeshi kanye ne-catheter ngokuvamile kuhlala endaweni izinsuku ezine, ngemuva kwalokho kufanele kuthathwe izinyathelo ngemuva kokuhlinzwa.

Izingozi nezinkinga

Kukhona njalo izingozi ezihambisana nokuhlinzwa, kepha izinkinga ze-vaginoplasty azivamile. Ukutheleleka kungasuswa ngemithi elwa namagciwane. Ezinye izingozi ezenziwa ngemuva kokuhlinzwa zifaka:

• ukopha
• ukutheleleka
• isikhumba noma i-clitoral necrosis
• ukudabuka kwemisipho
• ukugcinwa komchamo
• ukwanda kwesitho sangasese sowesifazane
• amafistula

Ukulungiselela ukuhlinzwa

Esinye isikhumba esizungeze i-scrotum sinoboya, njengezindawo lapho kuthathwa khona ubuciko besikhumba. Khuluma nodokotela wakho ohlinzayo mayelana nokuthi isikhumba sakho esisha sangasese sizovunwa kuphi. Ungakhetha ukuqedela inkambo ephelele ye-electrolysis ukuqeda amandla okukhula kwezinwele zangasese. Lokhu kungathatha amasonto ambalwa noma izinyanga.

Landela imiyalo kadokotela wakho ohlinzayo ngobusuku bangaphambi kokusa kokuhlinzwa kwakho. Ngokuvamile, akufanele udle noma uphuze noma yini ngemuva kwamabili ebusuku ngaphambi kokuya ngaphansi kwe-anesthesia.

Amanye amathiphu wokuhlinza:

• Khuluma nabanye abantu abathole ukuhlinzwa okuphansi mayelana nokuhlangenwe nakho kwabo.
• Khuluma nomelaphi noma umeluleki ezinyangeni ezandulela ukuhlinzwa kwakho ukuze uzilungiselele ngokomqondo.
• Yenza izinhlelo zekusasa lakho lokuzala. Khuluma nodokotela wakho ngezinketho zakho zokulondolozwa kokuzala (ukonga amasampula wesidoda).
• Yenza uhlelo lwangemva kokuhlinzwa nomndeni wakho nabangane; uzodinga ukwesekwa okuningi.

Kubiza malini?

Izindleko ezijwayelekile ze-penile inversion vaginoplasty cishe zingama- $ 20,000 ngaphandle komshwalense. Lokhu kufaka izinsuku ezimbalwa esibhedlela, kanye ne-anesthesia. Kodwa-ke, lokhu kwenzelwa ukuhlinzwa okukodwa. Uma ufuna i-labiaplasty yesibili, izindleko ziyakhuphuka.

Abantu abaningi abathola ama-vaginoplasties nabo bayahlinzwa ukukhuliswa kwamabele kanye nokuhlinzwa kobuso besifazane, okubiza kakhulu. Kufanele futhi ugcine engqondweni izindleko ze-electrolysis, ezingangeza zifike ezinkulungwaneni zamaRandi.

Izindleko zizohluka ngokuya nge-inshuwalense yakho, lapho uhlala khona, nalapho uhlinzwa khona.

Ukubuyiselwa

Impumelelo yesikhathi eside ye-vaginoplasty yakho izoncika kakhulu ekutheni uyilandela kanjani imiyalo yokusebenza ngemuva. Udokotela wakho ohlinzayo uzokunika i-dilatator yesitho sangasese sowesifazane ukuze uqale ukusebenzisa ngokushesha lapho amabhandeshi akho esusiwe. Le divayisi yokuhlanza kufanele isetshenziswe nsuku zonke okungenani unyaka owodwa ukuze kugcinwe ukujula kwesitho sowesifazane sangasese nesibungu.

Udokotela wakho ohlinzayo uzokunikeza uhlelo lokuhlanza. Imvamisa, kufaka ukufaka i-dilator imizuzu eyi-10, kathathu ngosuku ezinyangeni ezintathu zokuqala kanye kanye ngosuku ezinyangeni ezintathu ezizayo. Ngemuva kwalokho, uzokwenza kabili noma kathathu ngesonto okungenani unyaka owodwa. Ububanzi be-dilator nabo buzokhula njengoba izinyanga zihamba.

Ukubuyisela okumele ukwenze nokungafanele ukwenze

• Ungagezi noma uzicwilise emanzini amasonto ayisishiyagalombili.
• Ungenzi umsebenzi okhandlayo amasonto ayisithupha.
• Ungabhukudi noma ugibele ibhayisikili izinyanga ezintathu.
• Ukugeza kuhle ngemuva kokuhambela kwakho kokuqala ngemuva kokuhlinzwa.
• Hlala eringini le-donut ukuze uthole induduzo.
• Musa ukuya ocansini izinyanga ezintathu.
• Sebenzisa iqhwa imizuzu engama-20 njalo ngehora lesonto lokuqala.
• Ungakhathazeki ngokuvuvukala.
• Ngabe ulindele ukuphuma nokukhishwa kwesitho sangasese sowesifazane emasontweni amane kuya kwayisishiyagalombili okuqala.
• Gwema imikhiqizo kagwayi okungenani inyanga eyodwa.
• Qaphela imithi yezinhlungu; thatha kuphela inqobo nje uma kunesidingo.