Metoidioplasty

Wadatacce

• Menene nau'ikan metoidioplasty?
• Saki mai sauki
• Cikakken metoidioplasty
• Zobe metoidioplasty
• Tsaran metoidioplasty
• Menene bambanci tsakanin metoidioplasty da phalloplasty?
• Ribobi da fursunoni na metoidioplasty
• Yaya aikin yake?
• Sakamako da kuma murmurewa daga metoidioplasty
• Additionalarin ƙarin hanyoyin aiki
• Sakin Clitoral
• Farji na farji
• Hanyar fitsari
• Scrotoplasty / implants implants
• Rushewar Mons
• Taya zan samo likitan da ya dace da ni?
• Menene hangen nesa bayan tiyata?

Bayani

Idan ya zo ga rage aikin tiyata, masu canza jinsi da wadanda ba jinsinsu ba wadanda aka sanya mata yayin haihuwa (AFAB) suna da 'yan hanyoyi daban-daban. Ofaya daga cikin ƙananan ƙananan tiyata waɗanda aka saba gudanarwa akan AFAB trans kuma mutane marasa haihuwa ana kiransu metoidioplasty.

Metoidioplasty, wanda aka fi sani da meta, kalma ce da ake amfani da ita don bayyana hanyoyin tiyata waɗanda suke aiki tare da al'aurarku ta yanzu don ƙirƙirar abin da ake kira neophallus, ko sabon azzakari. Ana iya yin shi akan duk wanda ke da babban ci gaba ta hanyar amfani da testosterone. Yawancin likitoci suna ba da shawarar kasancewa a kan maganin testosterone na shekara ɗaya zuwa biyu kafin su sami metoidioplasty.

Menene nau'ikan metoidioplasty?

Akwai hanyoyin asali guda hudu na hanyoyin metoidioplasty:

Saki mai sauki

Hakanan an san shi da sauƙi mai sauƙi, wannan aikin ya ƙunshi sakin mara kawai - wato, hanya don 'yantar da guntun ciki daga abin da ke kewaye da shi - kuma ba ya canza fitsari ko farji. Saki mai sauƙi yana ƙaruwa tsayin daka da fallasa azzakarinka.

Cikakken metoidioplasty

Likitocin tiyata wadanda suka yi aikin metoidioplasty suka saki kirinjin sannan kuma suka yi amfani da daskararren nama daga cikin kuncinku don danganta jijiyar da jijiyar. Idan ana so, za su iya yin farjin mace (cire farji) da kuma saka dasashi mai daskarewa.

Zobe metoidioplasty

Wannan aikin yayi kama da cikakken metoidioplasty. Koyaya, maimakon karɓar daskararren fata daga cikin bakin, likitan ya yi amfani da dasa daga ciki daga cikin bangon farji haɗe da ɓarna na maɓori don haɗa urethra da neophallus.

Fa'idar wannan hanyar ita ce kawai za ku warkar a wani shafin sabanin biyu. Hakanan ba zaku fuskanci rikitarwa wanda zai iya tashi daga tiyata a cikin baki kamar ciwo yayin cin abinci da rage samar da miyau ba.

Tsaran metoidioplasty

Tsarin Centurion yana fitar da jijiyoyin zagaye na labiya daga labia majora, sa'annan yayi amfani da su don kewaye sabon azzakari, yana haifar da karin girth. Ba kamar sauran hanyoyin ba, Centurion ba ya buƙatar a ɗauke dutsen na fata daga baki ko daga bangon farji, ma’ana akwai ƙaramin ciwo, da rage tabo, da ƙananan rikice-rikice.

Menene bambanci tsakanin metoidioplasty da phalloplasty?

Phalloplasty shine mafi yawan nau'ikan ƙananan tiyata don AFAB trans and nonbinary people. Yayinda metoidioplasty ke aiki tare da kayan da ake dasu, phalloplasty yana daukar babban dattin fata daga hannunka, kafarka, ko gangar jikinka kuma yayi amfani dashi don ƙirƙirar azzakari.

Metoidioplasty da phalloplasty kowannensu yana da nasa fa'idodi na musamman da rashin amfani.

Ribobi da fursunoni na metoidioplasty

Anan ga wasu fa'idodi da cutarwa na metoidioplasty:

Ribobi

• cikakken aiki azzakari wanda zai iya zama tsayayye da kansa
• mafi karancin tabo
• proceduresananan hanyoyin aikin tiyata fiye da phalloplasty
• Hakanan za'a iya samun phalloplasty daga baya idan kun zaɓi
• Lokacin dawowa kaɗan
• ƙasa da tsada sosai fiye da cutar, idan ba inshora ya rufe shi ba: jeri daga $ 2,000 zuwa $ 20,000 a kan $ 50,000 zuwa $ 150,000 na maganin phalloplasty

Fursunoni

• sabon azzakari yakai karami a duka tsayinsa da girbinsa, ana auna shi ko'ina daga 3 zuwa 8 cm tsayi
• maiyuwa bazai iya kutsawa yayin jima'i ba
• yana buƙatar amfani da maganin maye gurbin hormone da haɓakar girma
• bazai iya yin fitsari yayin tsaye ba

Yaya aikin yake?

Tiyatar metoidioplasty ta farko zata iya ɗaukar ko'ina daga awa 2.5 zuwa 5 ya danganta da likitan kuma akan waɗanne hanyoyin da kuka zaɓa don zama wani ɓangare na metoidioplasty ɗinku.

Idan kana neman saukakan meta kawai, mai yiwuwa za a sanya ka a karkashin nutsuwa mai ma'ana, ma'ana za ka farka amma galibi ba ka sani ba yayin aikin tiyata. Idan kuna yin tsayin daka, hysterectomy, ko farjin mace kuma aka yi shi kuma, za a sanya ku a cikin maganin rigakafi na gaba ɗaya.

Idan ka zabi yin cutar scrotoplasty, likita na iya shigar da abin da aka sani da fadada nama a cikin labia yayin aikin farko domin shirya nama don karbar manya-manyan kwayoyin halittar goge-goge yayin aikin bi-gaba. Yawancin likitocin tiyata suna jiran watanni uku zuwa shida don yin tiyata ta biyu.

Yawancin likitoci suna yin metoidioplasty a matsayin aikin tiyata na asibiti, ma'ana za ku iya barin asibiti a ranar da kuka yi aikin. Wasu likitocin na iya neman ku tsaya dare bayan aikin tiyatar ku.

Sakamako da kuma murmurewa daga metoidioplasty

Kamar kowane aikin tiyata, tsarin murmurewa zai bambanta daga mutum zuwa mutum kuma daga tsari zuwa aiki.

Yayinda lokutan dawowa suka ɗan bambanta kaɗan, wataƙila ba za ku iya aiki ba aƙalla makonni biyu na farko. Hakanan, gabaɗaya an ba da shawarar cewa kar a ɗauki nauyi a farkon makonni biyu zuwa huɗu bayan tiyata.

Gabaɗaya, likitoci galibi suna ba da shawara game da tafiya tsakanin kwanaki 10 zuwa makonni uku bayan aikin.

Baya ga daidaitattun al'amuran da zasu iya tashi daga yin tiyata, akwai wasu potentialan matsalolin da zaku iya fuskanta tare da metoidioplasty. Daya ana kiransa fitsarin yoyon fitsari, wani rami ne a cikin fitsarin da zai iya haifar da yoyon fitsari. Ana iya gyara wannan ta hanyar tiyata kuma a wasu lokuta na iya warkar da kansa ba tare da sa baki ba.

Sauran matsalar mai yuwuwa idan ka zaɓi scrotoplasty shine jikinka na iya ƙin saka silikan, wanda na iya haifar da buƙatar sake yin tiyata.

Additionalarin ƙarin hanyoyin aiki

Akwai hanyoyi da yawa waɗanda za a iya aiwatarwa azaman ɓangare na metoidioplasty, duk waɗannan gaba ɗaya zaɓi ne. Metoidioplasty.net, hanya ce mai amfani ga waɗanda ke da sha'awar bin metoidioplasty, ya bayyana waɗannan hanyoyin kamar haka:

Sakin Clitoral

Jikin, jijiya mai tauri wanda ke rike da kitson mahaifa zuwa ga kasusuwa, an yanke shi kuma an saki neophallus daga murfin maɗaura. Wannan yana 'yanta shi daga kayan da ke kewaye, yana kara tsayi da bayyanar sabon azzakari.

Farji na farji

An cire ramin farji, kuma an rufe buɗe bakin farji.

Hanyar fitsari

Wannan aikin yana juya fitsarin ta cikin neophallus, yana baka damar yin fitsari daga cikin neophallus, daidai gwargwado yayin tsayawa.

Scrotoplasty / implants implants

Ana saka kananan abubuwan sanya silicone a cikin labia don cimma kyan gani da jin kwayar cutar. Likitocin tiyata na iya ko ba su dinka fata daga labia biyu ba don hada jakar kwaya.

Rushewar Mons

Wani ɓangare na fata daga ɗakunan monis pubis, tudun da ke saman azzakari, kuma an cire wasu ƙwayoyin kitse daga cikin mons. Fatar sai an ja zuwa sama don matsawa azzakarin kuma, idan ka zabi a sami scrotoplasty, kwayoyin na kara gaba, suna kara gani da samun damar azzakari.

Ya rage gare ku kawai ku yanke shawara wane, idan akwai, daga waɗannan hanyoyin da kuke so a matsayin wani ɓangare na metoidioplasty ɗin ku. Misali, kuna so a yi duk hanyoyin da aka bi, ko kuma ana so a sha wahalar sakin jiki da fitsari, amma a rike farjinku. Yana da komai game da sanya jikin ku daidaita mafi kyau tare da hankalin ku.

Taya zan samo likitan da ya dace da ni?

Yana da mahimmanci kuyi binciken ku kuma gano wane likitan ne yafi dacewa da ku. Ga wasu abubuwan da zaku so la'akari yayin zaɓar likitan likita:

• Shin suna ba da takamaiman hanyoyin da nake so in yi?
• Shin sun yarda da inshorar lafiya?
• Shin suna da kyakkyawan nazari game da sakamakon su, lokutan rikice-rikice, da yanayin gado?
• Za su yi mini aiki? Yawancin likitoci suna bin ƙa'idodin Professionalungiyar Professionalwararrun forwararrun Duniya na Kiwan Lafiya na Transgender (WPATH), wanda ke buƙatar ku sami waɗannan masu zuwa:
  • wasiƙu biyu daga ƙwararrun likitocin da ke ba da shawarar yin tiyata
  • kasancewar dorewar cutar dysphoria
  • aƙalla watanni 12 na maganin hormone da watanni 12 na rayuwa a cikin matsayin jinsi ya dace da asalin ku na jinsi
  • shekarun tsufa (18 + a cikin Amurka)
  • ikon yin sanarwar izini
  • babu batun rikice-rikice na hankali ko na kiwon lafiya (Wasu likitocin ba za su yi aiki a kan mutanen da ke da BMI sama da 28 ba a ƙarƙashin wannan magana.)

Menene hangen nesa bayan tiyata?

Hangen nesa bayan metoidioplasty gabaɗaya yana da kyau ƙwarai. Wani bincike da aka gudanar a shekara ta 2016 na yawan nazarin halittu a cikin mujallar Plastics and Reconstructive Surgery ya gano cewa kashi 100 na mutanen da ke shan metoidioplasty suna riƙe da ƙyamar ji yayin da kashi 51 cikin ɗari suna iya cimma nasarar kutsawa yayin jima'i. Binciken ya kuma gano cewa kashi 89 cikin dari sun iya yin fitsari yayin tsayawa. Duk da yake masu binciken suna jayayya cewa ci gaba da karatu zai zama dole don inganta daidaito da wadannan sakamakon, binciken farko yana da matukar kwarin gwiwa.

Idan kuna son yin ƙananan tiyata wanda yake da araha, yana da ƙananan rikice-rikice, kuma yana ba da babban sakamako, metoidioplasty na iya zama zaɓi mafi dacewa a gare ku don daidaita jikin ku da asalin ku na jinsi. Kamar koyaushe, ɗauki lokaci don yin bincikenka don gano wane zaɓi zaɓi na tiyata zai taimake ka ka ji kamar farin cikinka, mafi ingancin kai.

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