Phalloplasty ndi opaleshoni yopanga mbolo, kapena phallus. Phalloplasty ingakhale mbali imodzi ya opaleshoni yotembenukira kwa amuna ena osamvera. (Amuna ena a transgender angasankhe kukhala ndi metoidioplasty kapena alibe chidwi ndi opaleshoni ya m'mimba.) Phalloplasty ingagwiritsidwenso kwa amuna a cisgender omwe anabadwa opanda mbolo kapena amene anataya mbolo mwa ngozi kapena matenda.
Kaŵirikaŵiri zimachitidwa ndi dokotala wa opaleshoni ya pulasitiki ndi / kapena wa urologist.
Phalloplasty Basics
Mwachidziwitso, kulengedwa kwa mbolo kumaphatikizapo kulenga chubu mkati mwa chubu. Thumba lamkati ndilo urethra, kapangidwe kamene amuna amatha. Phukusi lakunja ndilo penile shaft. Mpangidwe uwu, wotchedwa neophallus ( neo - latsopano), umagwiritsidwa ntchito opaleshoniyi. Chizindikiro cha neophallus chikugwirizana ndi urethra yomwe ilipo kale. Mitsempha ya mitsempha ndi mitsempha imayikidwa kwa iwo a pelvis. Ndiye kunja kwa neophallus kumapangidwira kuti ikhale ngati chithunzi cha mbolo ndi mutu.
Mitundu ya Flap
Zigawo za khungu ndi minofu ina yogwiritsidwa ntchito popanga opaleshoni ya pulasitiki monga phalloplasty amadziwika ngati ziphuphu . Pali mitundu yambiri yamagulu yomwe ingagwiritsidwe ntchito phalloplasty. Ku United States, mtundu wofala kwambiri wamtundu umene umagwiritsidwa ntchito ndiwombera, kapena RFF. Izi zimaphatikizapo kukolola zigawo zazikulu za khungu kuchokera m'modzi mwa wodwalayo.
Zopindulitsa zazikuluzikuluzi ndikuti ndi zazikulu, zosavuta kukolola, ndipo zimakhudzidwa kukhudza. Kuipa kwakukulu ndikuti mtundu ukhoza kukhala wosiyana kwambiri ndi khungu la chiberekero ndi kuti njirayi imachokera pachimake chowoneka bwino. Khungu ndi losiyana kwambiri, kuti anthu omwe amadziŵa RFF phalloplasty, kuwona izi ndi chizindikiro chakuti munthu amene ali ndi chipsinjo achita opaleshoniyi.
Izi zingakhale zovuta kwa amuna ena, omwe safuna kulengeza kuti ali ndi phalloplasty.
Chinthu chinanso chovuta kwambiri ndi chakuti choponderezeka chiyenera kubvizidwa ndi khungu la khungu kuchokera ku chimodzi cha ntchafu. Izi zimasiya zipsera m'malo awiri zomwe zingakhale zowonekera, malingana ndi momwe munthu amavekera. Potsirizira pake, chifuwa cha RFF chimafuna dokotalayo kuti adziwe luso la microsurgery, chifukwa chowomberacho chimachotsedwa mdzanja ndipo amafunikira kubwereranso ku mitsempha ndi magazi pafupi ndi mvula.
Mabala ena omwe nthawi zina amagwiritsidwa ntchito pa phalloplasty amakololedwa kuchokera kumadera otsatirawa:
- Lattisimus dorsi
- Super pubic dera
- Ntchafu
Kuwombera kwa ntchafu ndi mbali ina yomwe imagwiritsidwa ntchito nthawi zambiri phalloplasty ku United States. Mosiyana ndi zikopa za manja, ziphuphuzi zimagwirizana ndi magazi awo oyambirira. Izi zikutanthauza kuti iwo samafuna luso la microsurgery kwa dokotala wochita opaleshoni ya phalloplasty. Komabe, ziphuphuzi zimakhala zovuta kwambiri kugwira ntchito. Mzere wambiri wa mafuta umapangitsa kuti kukhale kovuta kuti uwapangire mu chubu kuti apange mbolo. Kuwombera kwa ntchafu kumaphatikizidwanso ndi ziŵerengero zapamwamba zowonongeka kusiyana ndi zowonjezera zowonjezera. Pali deta yochepa poyerekeza ndi zotsatira za mitundu ina yamagulu yomwe imagwiritsidwa ntchito phalloplasty.
Prostheses ya Penile
Si anthu onse amene amafuna phalloplasty akufuna kukhala ndi erectile ntchito yoyenera kugonana. Ena akuda nkhawa kwambiri kuti amatha kuimirira kapena kukhala amaliseche m'malo ofanana monga zipinda zowonekera. Komabe, amuna omwe akufuna kuti agone naye ndizofunika kuika penile prosthesis. Penile prosthesis imatchedwanso kuti penile .
Madokotala ambiri amapanga ma prostheses a penile pambuyo poti phalloplasty yayamba kuchiritsa, koma ena amachita njira imodzi yokha. Pali phindu ndi zopweteka kuzinthu zonse ziwiri.
Mofananamo, pali phindu ndi ubwino kwa mitundu yosiyanasiyana ya ma prostheses a penile. Mankhwala otsekemera otchedwa penile prostheses amagwiritsirani ntchito madontho amadzimadzi osungunuka kuchokera kumalo osungira kuti aumitse mbolo. Palinso mapiritsi okhwima kapena okongola. Izi zimakhalabe zolimba nthawi zonse koma zimatha kupindika kapena kuthandizidwa pazowonjezera. Ma prostate amawotchera amagwiritsidwa ntchito mobwerezabwereza, chifukwa safuna kuti munthu azizoloŵera kukhala ndi mbolo yovuta nthawi zonse. Komabe, opaleshoni yowaika ndi yovuta kwambiri kusiyana ndi yokhazikika.
Zovuta Zambiri za Phalloplasty
Mavuto a kugonana ndi omwe amachititsa kuti phalloplasty ikhale yovuta kwambiri. Odwala amatha kukhala ndi fistula yolekerera, kumene chubu yotenga mkodzo imakhala yotsegula khungu ndipo imayambitsa mkodzo. Izi nthawi zambiri zimachitika pamene urethra yatsopano imalumikizana ndi wakaleyo. Komabe, izo zikhoza kuchitika paliponse pambali ya neophallus.
Chinthu chinanso chimene chingatheke pakusakaniza kwa phalloplasty ndi chizoloŵezi chokhalira. Apa ndi pamene njirayo imakhala yopapatiza kwambiri kuti isanyamule mkodzo. Zina, mocheperako, zovuta za phalloplasty zimaphatikizapo kuperewera kwapadera kapena kwapadera kwazomwe zili ndi khungu. Odwala omwe amalandira ma prostheses a penile angakhalenso ndi mavuto ndi zipangizozo. Ndipotu, vutoli ndi lofala, mwamsanga mutangomangika ndi zaka zingapo. Matenda okhala ndi penile prosthesis angafune kuchotsedwa kapena kubwezeretsanso.
Kusiyana kwa Phalloplasty kwa Amuna a Transgender
Kawirikawiri, njira za phalloplasty ndizofanana ndi cisgender ndi transgender amuna. Komabe, pali zochepa zosiyana kwambiri. Kusiyana koyamba kumaphatikizapo kuteteza kugonana. Kwa amuna osayenerera, mitsempha ya phallus imakhala yogwirizana ndi ya clitoris kapena clitoris imakhala pansi pa mbolo. Mwanjira iliyonse, cholinga ndicho kusunga kugonana ndi kugonana kwa thupi, mwa kulola kuti penile kukondowetsedwe kukweza mitsempha ya clitoral.
Kusiyana kwina kwakukulu ndikutalikitsa kwa urethra. Kwa amuna a cisgender, urethra imakhala yolumikizidwa molumikizidwa mu thupi la mbolo. Komabe, kwa amuna ochimwa, chiwerengerochi chiyenera kukhazikitsidwa kuti chigwirizane ndi urethra yomwe ilipo m'munsi mwa mbolo. Izi zingawonjezere mavuto ena opaleshoni. Kuwonjezera apo ndi malo ena omwe angakhale ndi zovuta kuchiritsa.
Pomalizira, kwa amuna osamvera, dokotalayo akuyenera opaleshoni kuti apange scrotum. Izi kawirikawiri zimagwiritsidwa ntchito pogwiritsa ntchito khungu lakunja kwa abambo a transgender. Ndiye n'zotheka kuyika ma prostheses, ngati wodwala akufuna. Malingana ndi zokonda za dokotalayo, izi zingatheke panthawi ya opaleshoni kapena, kawirikawiri, opaleshoni yoyamba ikakhala nayo nthawi yakuchiritsa.
Mnyamata wosakwatirana ndi Multi Stage Surgeries
Pulogalamu imodzi yokhala phalloplasty imaphatikizapo kumanga panthawi yomweyo palimus ndi urethra, komanso kugwirizana kwa urethra. Kumene kuli kofunikira, kumaphatikizapo kulengedwa kwa pulojekiti ndi kuika ma teshesular prostheses. Zonsezi zimachitika monga njira imodzi, ngakhale kuti ma prostheses aliwonse a penile amapezeka nthawi ina.
Puloloplasty yambiri imasokoneza opaleshoniyo mpaka mbali. Izi zimakhala zofala kwambiri, chifukwa zimapereka mauthenga ambirimbiri pa opaleshoni iliyonse. Komabe, magulu ena opaleshoni amachititsa njira imodzi. Izi zingakhale zosavuta kwa odwala omwe amayenda ulendo wapatali kwa opaleshoni. Sizodziwika ngati pali ngozi yowonjezereka ya zovuta pazinthu zosagwiritsidwa ntchito limodzi. Izi zidati, anthu ambiri omwe akudwala matendawa amafunikira opaleshoni imodzi kapena iwiri yowonjezera, mosasamala kanthu kuti ndondomekoyi inkafunikiratu kuti ikhale yodziwa kapena yowonjezera.
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