Amekoko aɖewo nyea nusi ŋu woate ŋu aƒo nu tsoe gaglãa vie. Phalloplasty ate ŋu anye nyati mawo dometɔ ɖeka. Gake esia nye amekoko si ate ŋu anye nu vevi aɖe ŋutɔ le ame ƒe agbe me, vevietɔ na amesi le mɔzɔzɔ aɖe me tom kple woƒe ŋutsu alo nyɔnu nyenye, alo amesi kpe fu le afɔku alo dɔléle aɖe ta. Eyata egbea, mina míaƒo nu tso eŋu vɔvɔ̃manɔmee, le gaglãgbe, kple gbegbɔgblɔ bɔbɔe si gɔme nàte ŋu ase me.
Kpuie ko la, nukae nye Phalloplasty?
Phalloplasty nye amekoko ƒe vidzinu wɔwɔ alo egbugbɔgatu. Esia nye dɔdamɔnu si sesẽ ŋutɔ . Ate ŋu axɔ ƒe eve hafi woawu enu. Gake amekoko sia ƒe dzidzedzekpɔkpɔ sɔ gbɔ ŋutɔ. Ame geɖe siwo wowɔa phalloplasty la kpɔa dzidzɔ ɖe emetsonuwo ŋu ŋutɔ.
Nɔnɔme vevi eve li siwo me amekoko sia ate ŋu ahiã le:
1. Ŋutsu alo nyɔnu ƒe Tɔtrɔ: Amekoko sia kpena ɖe ŋutsu si trɔ eƒe vidzinu, si nɔa agbe kple dzesidenu si to vovo na eƒe vidzinu ƒe ŋutsu alo nyɔnu nyenye, ŋu wòtrɔa asi le eƒe ŋutilã ŋu wòsɔna ɖe ame si wòsusu be yenye nu. Woyɔa esia ɣeaɖewoɣi be "amekoko le ete," gake ateŋu alɔ ŋutsu alo nyɔnu ƒe amekoko bubuwo hã ɖe eme.
2. Gbugbɔgatu: Wozãa amekoko sia tsɔ gbugbɔa ŋutsu ƒe vidzinu tua ŋutsu si ƒe vidzinu bu alo gblẽ le afɔku gã aɖe, atikewɔwɔ me nɔnɔme aɖe abe kansa ene, alo vidzidzi ƒe gbɔdzɔgbɔdzɔ ta.
Nukawoe nye phalloplasty amekoko ƒomeviwo?
Be woawɔ ŋutsu ƒe vidzinu la, ele be woaɖe ŋutigbalẽ kple lãkusi (skin graft) tso ŋutilã ƒe akpa bubu eye woatsɔ wo ade akɔta ƒe akpa si. Mɔnu vevi etɔ̃ li siwo dzi woato akpɔ lãkusi sia. Mɔnu si sɔ wu anɔ te ɖe wò ŋutilã ƒe ƒomevi, nusiwo nèkpɔ mɔ na, kple wò ɖɔkta ƒe aɖaŋuɖoɖowo dzi.
| Graft Ƒomevi | Teƒe si lãmenugbagbeviwo ƒoa ƒu ɖo | Nuɖᴐɖᴐ |
|---|---|---|
| Radial Abɔta Free Flap (RFF) . | Abɔta ƒe abɔta | Mɔnu xɔŋkɔ aɖe si wozãna zi geɖe. Ate ŋu ana lãmekawo nase le eɖokui me nyuie eye ʋu naɖo ame ŋu. Ke hã, egblẽa abi si dzena le asi ŋu. |
| Akɔta ƒe Akpa si le ŋgɔgbe (ALT) . | Atagba | Mɔnu sia lɔ̃a ame aɖewo elabena awu ate ŋu aɣla abi la. Gake ɣeaɖewoɣi la, ŋutsu ƒe vidzinu si wowɔ la ate ŋu alolo ŋutɔ. |
| Lãmetsiŋusẽ ƒe Latissimus Dorsi (MLD) ƒe Akpa | Axa si le megbe | Mɔnu sia hã wɔnɛ be woate ŋu aɖe lãkusi gbogbo aɖewo ɖa eye abi la ɣlaa bɔbɔe. |
Nu vevitɔe nye be nàɖo dze kple wò ɖɔkta faa ŋutɔ eye wòadidi hafi atso nya me le mɔnu siawo dometɔ si nyo na wò ŋu.
Esiae nye amekokoa ƒe afɔɖeɖe.
Phalloplasty menye amekoko si wowɔna zi ɖeka ko o. Wowɔa esia le akpa etɔ̃ me koŋ. Ne wonya wu akpa ɖeka nu ko la, wonaa ɣeyiɣi ŋutilãa be wòada gbe le eŋu hafi ayi akpa si kplɔe ɖo dzi.
Afɔɖeɖe Gbãtɔ: Ŋutsu ƒe Vidzinuwɔwɔ
Esiae nye amekoko gbãtɔ kple gãtɔ kekeake. Abe alesi míegblɔe va yi ene la, wozãa lãkusi si woɖe tso ŋutilã ƒe akpa bubu me tsɔ trɔa asi le ŋutsu ƒe vidzinu ŋu. Wotsɔa ka aɖe dea ŋutsu ƒe vidzinu yeyea me be wòaɖe aɖuɖɔ. Le afɔɖeɖe sia megbe la, ŋutilãa xɔa ɣleti geɖe hafi wòhayana.
Akpa evelia: Aɖuɖɔtoe ƒe Didi & Aɖuɖɔtoemeʋuʋu
Wowɔa akpa sia abe ɣleti 5-6 ene le amekoko gbãtɔ megbe. Nu vevi ʋɛ aɖewo siwo dzɔnae nye esi:
- Tsinyegoe si dona tso wò tsinyegoe me la do ƒome kple tsinyegoe si le wò vidzinu yeye si nèwɔ me. Emegbe àte ŋu aɖu aɖuɖɔ to wò ŋutsu ƒe vidzinu yeyea me.
- Ne ŋutsu si trɔ eƒe vidzinue nènye la, àte ŋu abu eŋu be yeaɖe vidzidɔ ɖa le ɣeyiɣi sia me. Gake esia menye sedziwɔwɔ o eye enye ame ŋutɔ ƒe nyametsotso keŋkeŋ. Ele be nàdzro nya sia me kple wò ɖɔkta.
- Be gbɔdɔdɔ ƒe seselelãme nadzi ɖe edzi la, woate ŋu atsɔ vidzidɔa ade ŋutsu ƒe vidzinu yeyea ƒe ŋutigbalẽ te.
- Emegbe, wozãa gotagome vidzinuwo ƒe ŋutigbalẽ tsɔ wɔa vidzidɔa. Woyɔa esia be ``Scrotoplasty``.
Afɔɖeɖe Etɔ̃lia: Ŋutsu ƒe Vidzinu Kple Vidzidɔ Dede Ame Ŋu
Woɖoa akpa mamlɛ sia gbɔ abe ƒe ɖeka ene le akpa evelia megbe.
- Le afisia la, wotsɔa mɔ̃ tɔxɛ aɖe (Penile Implant) dea ŋutsu ƒe vidzinu si wowɔ la me be wòate ŋu atso.
- Azɔ hã, wotsɔa vidzidɔ siwo wotsɔ dea vidzidɔ me la dea vidzidɔ siwo wowɔ me be woadze bliboe.
Vevietɔ: Kuxiwo ate ŋu ado mo ɖa ɣeaɖewoɣi le phalloplasty dɔwɔwɔ vɔ megbe. Le kpɔɖeŋu me, kuxi siwo le tsinyegoe alo mɔ̃ siwo wodo ɖe lãme na ame ŋu. Ne edzɔ alea la, ate ŋu ahiã be woagawɔ dɔ na wo be woaɖɔ wo ɖo.
Ga home nenie woxɔna ɖe phalloplasty dɔwɔwɔ na ame?
Esiae nye kuxi gãtɔ kekeake si le ame geɖe ŋu. Ne míagblɔe tututu la, Phalloplasty nye amekoko siwo kplɔ wo nɔewo ɖo siwo xɔ asi ŋutɔ . Esia tso alesi wòsesẽe, nunya si hiã, kple ɣeyiɣi si wòxɔna gbɔ.
Ga si wogblẽna ɖe eŋu la toa vovo tso dukɔ ɖeka me yi bubu me kple tso kɔdzi yi kɔdzi. Le dutadukɔwo me la, esia ate ŋu axɔ dɔlar 25,000 va ɖo dɔlar 150,000 (75 lakhs va ɖo 45 crores alo esi wu nenema le Sri Lanka ga me). Gazazã siawo ate ŋu ato vovo le Sri Lanka. Eyata , be nànya ga si tututu nàxe la, ele be nàbia ɖɔkta alo kɔdzi godoo be afikae nèle ɖoɖo wɔm be yeawɔ dɔ sia le hã.
Zi geɖe la, ga sia katã lɔ nusiwo gbɔna ɖe eme:
- Amekola ƒe fetu
- Kɔdzi alo amekokoxɔ ƒe fetu
- Fe siwo woxena ɖe atike si naa alɔ̃dɔdɔ ame ƒe dɔwɔwɔ ta
- Atike siwo hiã le amekoko vɔ megbe
- Awu siwo wodona le amekoko megbe
- Nuwo abe dodokpɔ siwo hiã le dodokpɔxɔ me kple X-ray ene
Tsɔ kpe ɖe eŋu la, ne wò ɖɔkta le du bubu me la, mɔzɔzɔ kple dzeƒe ƒe gazazã bubuwo ate ŋu anɔ anyi, eyata ele vevie be nànya ga si woatsɔ awɔ dɔa katã nyuie tso gɔmedzedzea me ke.
Ðe nugblẽfexeɖoɖoa axe ga sia?
Wobua phalloplasty be enye "amekoko si wogbugbɔ tu" le dukɔ geɖe me elabena wowɔa esia tsɔ ɖoa kpe ŋutsu alo nyɔnu nyenye dzi alo tsɔ gbugbɔa ŋutsu ƒe vidzinu si bu le afɔku alo dɔléle aɖe ta la ɖo. Eyata nugblẽfexeha aɖewo xea amekoko sia ƒe gazazãwo katã alo eƒe akpa aɖe.
Gake nɔnɔme si le Sri Lanka ate ŋu ato vovo. Ele be nàdzro eme kple wò nugblẽfexeha kple ɖɔkta godoo nenye be wò nugblẽfexeɖoɖoa xea fe ɖe amekoko mawo ta eye afikae. Mègatsɔ naneke asusui o.
Gbedasi si Wotsɔ Yi Aƒeme
- Phalloplasty nye amekoko si sesẽ, si me wowɔa nu vovovowo le, si naa ŋutsu ƒe vidzinu wɔa vidzidɔ alo gbugbɔa ewɔna.
- Ga si wozãna ɖe esia ŋu lolo ŋutɔ, eyata ele vevie be nàwɔ ɖoɖo nyuie tso gɔmedzedzea me ke le ganyawo gome.
- Ele vevie be nàdzro nu me tsitotsito ŋutɔ kple wò ɖɔkta hafi awɔ dɔ na wò be nàse amekokoa, afɔɖeɖewo, gazazãwo, kple nugblẽfexeɖoɖoa gɔme nyuie.
- Mɔzɔzɔa ate ŋu adidi eye wòasesẽ, gake ame geɖe gblɔ be nusiwo dona tso eme kple tɔtrɔ nyui siwo va le yewoƒe agbenɔnɔ me na be wo katã ɖea vi.
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