Phalloplasty: Yin aikin tabbatar da jinsi

Wadatacce

• Menene ke faruwa yayin cutar phalloplasty?
• Fasahar Phalloplasty
• Radial gaban goshi mai yankakken phalloplasty
• Ciwon cinya na baya mai lankwasa phalloplasty
• Ciwon ciki na ciki
• Musculocutaneous latissimus dorsi flap phalloplasty
• Risks da rikitarwa
• Farfadowa da na'ura
• Bayan kulawa
• Tambayoyi don tambayar likitan ku
• Outlook

Bayani

Ciwon phalloplasty shine gina ko sake gina azzakari. Phalloplasty wani zaɓi ne na tiyata gama gari don transgender da mutanen da ba na haihuwa ba masu sha'awar tiyatar tabbatar da jinsi. Hakanan ana amfani dashi don sake gina azzakari a cikin al'amuran rauni, ciwon daji, ko nakasar haihuwa.

Burin phalloplasty shine a gina azzakari mai jan hankali wanda yake da girman jiki wanda zai iya jin motsin rai da sakin fitsari daga tsaye. Hanya ce mai rikitarwa wacce galibi ta ƙunshi fiɗa fiye da ɗaya.

Fasahar Phalloplasty na ci gaba da haɓaka tare da filayen tiyatar filastik da urology. A halin yanzu, sanannen tsarin zinare na zinare an san shi da ƙyallen-hannu mara ƙyallen hannu (RFF) phalloplasty. A yayin wannan aikin, likitocin tiyata suna amfani da wani fata na goshin ka don gina sandar azzakarin.

Menene ke faruwa yayin cutar phalloplasty?

Yayinda ake cutar phalloplasty, likitoci sun cire wani yanki na fata daga yankin mai bayarwa na jikin ku. Zasu iya cire wannan abin gaba ɗaya ko kuma su bar shi a haɗe a haɗe. Ana amfani da wannan kayan don yin duka jijiyar fitsarin da shafin azzakari, a cikin tsarin bututu-cikin-bututu. Babban birki ana birgima a kusa da bututun cikin. Daga nan sai a ɗauke mashin ɗin fata daga sassan jikin da ba a gani, inda ba za su bar tabon da za a gani ba, sannan a ɗora su zuwa wurin ba da gudummawar.

Mace fitsarin mata ya fi guntun fitsari na maza. Likitocin tiyata na iya tsawaita jijiyar fitsarin tare da makala shi a kan fitsarin mata don fitsari ya gudana daga saman azzakari. Yawancin lokaci ana barin mace da mara a wurin kusa da tushen azzakari, inda har yanzu ana iya motsa shi. Mutanen da zasu iya samun inzali kafin ayi musu tiyata yawanci har yanzu suna yin hakan bayan tiyatar su.

Ciwon phalloplasty, musamman, shine lokacin da likitocin tiyata suka juye wani yanki na fata mai bayarwa zuwa wani yanayi. Amma gabaɗaya, yana nufin wasu hanyoyin daban daban waɗanda galibi ake yinsu tare. Wadannan hanyoyin sun hada da:

• hysterectomy, lokacin da likitoci ke cire mahaifar
• oophorectomy don cire kwai
• gyaran farji ko cire murfin farji don cire ko cire farjin wani bangare
• phalloplasty don juya ƙwan fatar mai bayarwa ya zama phallus
• gyaran fuska don juya labia majora zuwa cikin mahaifa, ko dai tare da ko ba tare da an dasa shi ba
• wani bututun fitsari don tsawa da kuma toshe ƙwanjin fitsari a cikin sabon phallus
• wani kyallen fuska don zana bayyanar tip na mara kaciya
• azzakarin azzakari don ba da damar tsagewa

Babu tsari ko tsari na lokaci ɗaya don waɗannan hanyoyin. Mutane da yawa ba sa yin su duka. Wasu mutane suna yin wasu daga cikinsu tare, yayin da wasu ke yada su tsawon shekaru. Waɗannan hanyoyin suna buƙatar likitocin tiyata daga fannoni daban-daban guda uku: ilimin mata, urology, da tiyatar filastik.

Lokacin neman likita, zaku iya neman ɗaya tare da ƙungiyar da aka kafa. Kafin kowane ɗayan waɗannan maganganun likita, yi magana da likitanka game da kiyaye haihuwa da tasiri kan aikin jima'i.

Fasahar Phalloplasty

Bambanci tsakanin hanyoyin dabarun cutar phalloplasty shine wurin da ake karɓar fata mai bayarwa da kuma hanyar da aka cire shi kuma a haɗa shi. Shafukan masu ba da gudummawa na iya haɗawa da ƙananan ciki, kumburi, jiki, ko cinya. Koyaya, wurin da aka fi so game da yawancin likitocin shine ƙashin gaba.

Radial gaban goshi mai yankakken phalloplasty

Thearancin hannu mai ƙyallen hannu (RFF ko RFFF) phalloplasty shine juyin-juya halin kwanan nan a cikin sake gina al'aura. A cikin wani tsari na kyauta, ana cire kyallen gaba daya daga gaban goshin tare da jijiyoyin jininsa da jijiyoyinsu cikakke. Wadannan jijiyoyin jini da jijiyoyi an sake haɗe su tare da daidaiton aikin microsurgical, kyale jini ya gudana bisa tsari zuwa ga sabon phallus.

An fi son wannan aikin zuwa sauran fasahohi saboda yana ba da kyakkyawar ƙwarewa tare da kyakkyawan sakamako mai kyau. Ana iya gina mafitsara a cikin hanyar-ta-bututu, wanda ke ba da izinin yin fitsari a tsaye. Akwai wuri don dasa sandar ƙarfe daga baya ko famfo mai zafin iska.

Samun damar lalacewar motsi ga rukunin masu bayarwa suma basu da yawa, duk da haka tsinkayen fata zuwa gaban goshi galibi yana barin matsakaici zuwa mai tsananin rauni. Wannan aikin ba shi da kyau ga wanda ya damu game da tabon da ake gani.

Ciwon cinya na baya mai lankwasa phalloplasty

Cinya cinya ta baya (ALT) phalloplasty mai lanƙwasa ba shine babban zaɓi na mafi yawan likitocin tiyata ba saboda yana haifar da ƙarancin ƙwarewar jiki a cikin sabon azzakari. A cikin wani yanki mai laushi, an raba nama daga jijiyoyin jini da jijiyoyi. Za'a iya sake gyara hanyar fitsarin don fitsarin da ke tsaye, kuma akwai wadataccen wuri don dashen azzakari.

Waɗanda suka yi wannan aikin sun gamsu gaba ɗaya, amma suna ba da rahoton ƙananan matakan ƙarancin sha'awa. Akwai ƙimar mafi girma tare da wannan aikin fiye da RFF. Tallafin fata na iya barin babbar damuwa, amma a wani wuri mai hankali.

Ciwon ciki na ciki

Ciwon ciki na ciki, wanda kuma ake kira supra-pubic phalloplasty, kyakkyawan zabi ne ga mazajen da ba sa buƙatar farji ko fitsarin da aka sake fasalta shi. Rethofar fitsarin ba zai wuce ta ƙarshen azzakari ba kuma fitsari zai ci gaba da buƙatar matsayi a zaune.

Kamar ALT, wannan aikin ba ya buƙatar microsurgery, don haka ba shi da tsada. Sabon phallus zai kasance mai tasiri, amma ba abin sha'awa bane. Amma maƙogwaron, wanda aka kiyaye shi a inda yake ko aka binne shi, ana iya motsa shi, kuma dasawar azzakari na iya bada izinin shigar azzakari cikin farji.

Hanyar tana barin tabo a kwance daga hip zuwa hip. Wannan tabon yana iya ɓoyewa ta hanyar sutura. Saboda ba ya shigar da fitsari, yana da alaƙa da ƙananan rikice-rikice.

Musculocutaneous latissimus dorsi flap phalloplasty

Issaƙarin ƙwayar musculocutaneous latissimus dorsi (MLD) yana ɗaukar nama mai bayarwa daga tsokoki na baya ƙarƙashin hannu. Wannan aikin yana samar da babban fili na kayan bayarwa, wanda zai baiwa likitocin tiyata damar kirkirar babban azzakari. Ya dace sosai da duka sake fasalin bututun fitsari da ƙari na'urar tsagewa.

Flaajin fata ya haɗa da jijiyoyin jini da jijiyoyin jijiya, amma jijiyar motar guda ɗaya ba ta da saurin jin zafi fiye da jijiyoyin da ke haɗe da RFF. Shafin mai bayarwa yana warkewa sosai kuma ba kusan sananne kamar sauran hanyoyin ba.

Risks da rikitarwa

Phalloplasty, kamar duk aikin tiyata, yana zuwa da haɗarin kamuwa da cuta, zub da jini, lalacewar nama, da ciwo. Ba kamar sauran tiyata ba, duk da haka, akwai babban haɗarin rikice-rikicen da ke tattare da cutar phalloplasty. Rikice-rikicen da ke faruwa galibi sun haɗa da mafitsara.

Matsalolin da za a iya haifar da cutar phalloplasty sun hada da:

• fitsarin fitsari
• Matsewar fitsari (takurawar fitsarin da ke toshe magudanar fitsari)
• gazawar kada da asara (mutuwar kayan da aka sauya)
• raunin rauni (ɓarkewa tare da layin haɗowa)
• zubar jini na mara ko zafi
• mafitsara ko raunin dubura
• rashin jin dadi
• dogon lokaci bukatar magudanun ruwa (fitarwa da ruwa a wurin rauni da ke buƙatar sutura)

Hakanan rukunin ba da gudummawa yana cikin haɗari don rikitarwa, waɗannan sun haɗa da:

• tabo mara kyau ko canza launi
• raunin rauni
• nama (jan, fata mai rauni a wurin rauni)
• rage motsi (rare)
• bruising
• rage abin mamaki
• zafi

Farfadowa da na'ura

Ya kamata ku sami damar komawa wurin aiki kimanin makonni huɗu zuwa shida bayan cutar mahaifa, sai dai idan aikinku na buƙatar aiki mai wahala. Sannan ya kamata ku jira makonni shida zuwa takwas. Guji motsa jiki da dagawa a lokacin makonnin farko, kodayake yin tafiya cikin sauri yana da kyau. Za ku sami catheter a wurin don makonnin farko. Bayan makonni biyu zuwa uku zaka iya fara yin fitsari ta cikin phallus.

Ciwon phalloplasty ɗinka zai iya kasu kashi-kashi, ko kuma kuna iya samun matsalar fida, sake maimaita fitsari, da kuma glansplasty lokaci guda. Idan ka raba su, to ya kamata ka jira a kalla watanni uku tsakanin matakan farko da na biyu. Don matakin ƙarshe, wanda shine penile penile, ya kamata ku jira kimanin shekara guda. Yana da mahimmanci ka kasance kana da cikakkiyar nutsuwa a cikin sabon azzakarin ka kafin ka sami dashen.

Dogaro da wane irin aikin tiyata kuka yi, mai yiwuwa ba za ku taɓa jin zafin sha'awa a cikin fatalus ɗinku ba (amma har yanzu kuna iya samun inzali ko tsautsayi). Yana ɗaukar lokaci mai tsawo kafin kayan jijiya su warke. Kuna iya jin daɗin taɓawa kafin jin daɗin lalata. Cikakken warkarwa na iya ɗaukar shekaru biyu.

Bayan kulawa

• Guji sanya matsin lamba akan phallus.
• Yi ƙoƙari ka ɗaukaka phallus don rage kumburi da haɓaka wurare dabam dabam (a ɗora shi a kan tiyatar tiyata).
• Kiyaye abubuwan da za'a saka a ciki a bushe, a sake sanya su, sannan a wanke da sabulu da ruwa kamar yadda likitanka ya bada umarni.
• Kada a yi amfani da kankara a yankin.
• Tsaftace wurin da ke kusa da magudanan ruwa tare da wanka na soso.
• Kada kayi wanka na sati biyu na farko, sai dai idan likitanka ya gaya maka in ba haka ba.
• Kar a ja a catheter, saboda wannan na iya lalata mafitsara.
• Bata jakar fitsari aƙalla sau uku a rana.
• Kar ayi kokarin yin fitsari daga majina kafin a ce maka.
• Chingaiƙai, kumburi, rauni, jini a cikin fitsari, tashin zuciya, da maƙarƙashiya duk al'ada ce a thean makonnin farko.

Tambayoyi don tambayar likitan ku

• Mecece fasahar ku ta phalloplasty?
• Nawa kuka yi?
• Shin za ku iya bayar da ƙididdiga game da nasarar nasararku da abin da ya faru na rikitarwa?
• Kuna da fayil na hotunan bayan fage?
• Tiyata nawa zan buƙata?
• Nawa ne farashin zai iya karuwa idan ina da rikitarwa da ke buƙatar tiyata?
• Har yaushe zan bukaci in zauna a asibiti?
• Idan daga gari nake. Har yaushe bayan tiyata ya kamata in zauna a cikin birni?

Outlook

Duk da yake dabarun phalloplasty sun inganta a tsawon shekaru, har yanzu babu wata hanya mafi kyau. Yi tarin bincike kuma kuyi magana da mutane a cikin yankin kafin yanke shawara game da wane nau'in tiyatar ƙasan ne ya dace muku. Akwai wasu hanyoyin da za a iya amfani da su wajen magance cutar, wanda ya hada da shiryawa da kuma hanyar da ba ta da hadari da ake kira metoidioplasty.