I kekahi manawa, ma muli o kahi pilikia hānau a i ʻole kahi ʻeha koʻikoʻi i hoʻokumu ʻia e kahi ulia, hiki i ke kanaka ke loaʻa i ka nui o ka hopohopo a me ke kaumaha e pili ana i ko lākou mau ʻōpū. ʻO ka Phalloplasty kahi hana ʻoki paʻakikī loa i hana ʻia e hana hou a kūkulu hou paha i kahi penis i ia mau hihia. ʻOiai he hoʻoholo nui kēia, he mea nui loa ia e ʻike piha ʻia e pili ana i ia mea. No laila, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī, ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.
He aha maoli ka phalloplasty?
I ka ʻōlelo maʻalahi, ʻo ka phalloplasty ka hana ʻoki ʻana i kahi penis hou (neophallus) a i ʻole ke kūkulu hou ʻana i kahi penis i hōʻino ʻia. Hana pinepine ʻia kēia ma ke ʻano he lāʻau lapaʻau no kahi kīnā hānau, ʻeha nui i ka penis, a i ʻole kahi maʻi olakino.
Aia kekahi mau pahuhopu nui o kēia ʻoki kino:
- Ke hana nei i kahi penis i ke ʻano maoli.
- Ke hāʻawi nei i ka hiki ke mimi i ke kū ʻana.
- Hāʻawi i ka manaʻo no ka hoʻopā a me ka leʻaleʻa moekolohe.
- Ke hāʻawi nei i ka hiki ke hoʻoulu hou i ka penis me ke kōkua o kahi hāmeʻa kūikawā (penile implant).
- Ka hana ʻana i kahi penis i hiki ke moe kolohe.
I nā hihia hea e pono ai kēia ʻoki kino?
ʻO ka maʻamau, ʻōlelo ʻia ke ʻoki phalloplasty no ʻelua mau kumu nui: nā maʻi hānau ʻia a me ka hōʻino nui ʻana i ka penis. E nānā pono kākou i kēia mau mea.
| Ke kumu no ka pono o ke ʻoki kino | Ka wehewehe a me nā laʻana |
|---|---|
| Nā kūlana hānau |
|
| ʻEha penile |
Pehea e hoʻomākaukau ai ma mua o ke ʻoki kino?
ʻOiai he hana ʻoki kino paʻakikī loa kēia, he mea nui e hoʻomākaukau pono iā ʻoe iho ma mua. He mea nui kēia mau mea no ka hoʻokō ʻana i nā hopena maikaʻi loa.
- He hoʻokolokolo lapaʻau piha: E nānā kāu kauka i kou olakino holoʻokoʻa a kūkākūkā i kāu mōʻaukala lapaʻau piha.
- Hoʻonaʻauao piha: E hoʻonaʻauao piha nā kauka iā ʻoe e pili ana i nā pono, nā pōʻino, nā pilikia, a me ka mālama ma hope o ke ʻoki ʻana o kēia ʻoki kino.
- Loiloi olakino noʻonoʻo: He ʻanuʻu koʻikoʻi loa kēia. E kamaʻilio pū kekahi kākāʻōlelo olakino noʻonoʻo kūpono (therapist, psychiatrist) me ʻoe e hōʻoia i kou mākaukau noʻonoʻo no kēia ʻoki kino. E kamaʻilio lākou e pili ana i ke kumu e makemake ai ʻoe e hana i kēia ʻoki kino, nā mea āu e manaʻolana ai, a pehea e pili ai i kou ola. ʻO ka maʻamau, pono kēia i nā leka ʻōlelo paipai mai ʻelua mau loea olakino noʻonoʻo.
- Ka wehe ʻana i ka lauoho: Pono e wehe mau ʻia ka lauoho mai kahi e hoʻokomo ʻia ai ka penis hou (no ka laʻana, ka lima poʻohiwi, ka lima, a i ʻole ka ʻūhā). Hiki ke hana ʻia kēia me ka hoʻohana ʻana i nā ʻano hana e like me ka electrolysis a i ʻole ka wehe ʻana i ka lauoho laser .
- Nā ʻano olakino: ʻO ka haʻalele ʻana i ka puhipaka inā ʻoe e puhipaka a me ka mālama ʻana i kahi helu nui o ke kino (BMI) ma lalo o 32 hiki ke kōkua i ka hōʻemi ʻana i nā pilikia o ke ʻoki ʻana.
Pehea e hana ʻia ai ke ʻoki kino?
Ma mua o ka hoʻomaka ʻana o ke ʻoki ʻana, e hāʻawi ke kauka anesthesiologist iā ʻoe i ka anesthesia laulā e hoʻohiamoe loa iā ʻoe. No laila, ʻaʻole ʻoe e ʻeha i ka wā o ke ʻoki ʻana.
A laila, lawe nā kauka ʻoki i kahi ʻili o ka ʻili, ka momona, nā aʻalolo, a me nā kīʻaha koko mai kou lima mua (radial forearm free flap) a i ʻole ka ʻūhā (anterolateral thigh free flap) . Aia kēia ʻāpana i nā mea āpau i loko o ka penis koe wale nō ka ʻiʻo erectile.
He ʻoki kino paʻakikī loa ka Phalloplasty, no laila he mea nui loa ke koho ʻana i kahi kauka akamai a me kahi hui lapaʻau i ʻike nui i kēia ʻano ʻoki kino.
A laila, ua ʻōwili ʻia ke kinona i loko o kahi ʻōmole, i ke ʻano e like me ka penis, a hoʻopili ʻia i kou ʻūhā. Hiki i kēia ʻoki kino ke hala i 8-10 mau hola a ʻoi aku paha.
I kekahi manawa, hiki ke hana ʻia kekahi mau ʻokiʻoki hou aʻe i ka manawa like me kēia ʻokiʻoki, a i ʻole hiki ke hoʻokaʻawale ʻia i kekahi mau pae, e hāʻawi ana i ka manawa no ka ho'ōla ʻana. ʻO ia mau ʻokiʻoki hou aʻe:
- ʻO ka Urethroplasty (ka hoʻolōʻihi ʻana o ka urethra) e ʻae iā ʻoe e mimi i ke kū ʻana.
- Ke hana ʻana i kahi glans (glansplasty) no ka penis.
- Hoʻokomo penile .
- Ke hana ʻana i kahi scrotum no nā testicles (scrotoplasty) .
He aha nā pōmaikaʻi o kēia ʻoki kino?
ʻO ka pōmaikaʻi nui ka hōʻoluʻolu mai nā pilikia kino a me ka noʻonoʻo. ʻO ka loaʻa ʻana o kahi penis hana moekolohe a kūlohelohe hoʻi hiki ke hana i kahi ʻokoʻa nui i kou ola.
Eia kekahi, ʻokoʻa nā pono ma muli o ke ʻano o ka ʻiʻo i koho ʻia:
- ʻAʻa i lawe ʻia mai ka lima paʻa: Hāʻawi i nā hopena maikaʻi loa i ka helehelena a me ka ʻike maikaʻi aʻe.
- Hoʻopili ʻūhā: Nui aʻe nā koho i ka lōʻihi o ka penis. Eia kekahi, hiki ke uhi maʻalahi ʻia ka ʻeha mai ke kāpili ʻana me nā lole komo a i ʻole nā lole pōkole.
Nā pilikia a me nā pilikia hiki ke loaʻa ma hope o ke ʻoki ʻana
ʻOiai he ʻoki paʻakikī ka phalloplasty, aia kahi pilikia o nā pilikia. ʻO ka hana ʻana i ke ʻoki e kahi kauka ʻike hiki ke hōʻemi i kēia pilikia. Inā loaʻa kahi pilikia, hiki i ka ʻike mua ʻana ke hōʻemi i nā hopena lōʻihi.
| Pilikia/Paʻakikī | Ua wehewehe maʻalahi ʻia |
|---|---|
| Nā pilikia anesthesia | Nā mea e like me ka ʻeha ʻāʻī, ka nausea, ka paʻa ʻana o ka ʻōpū, nā hopena alerika koʻikoʻi (anaphylaxis). |
| Nā maʻi bacteria | Komo nā huakino ma o nā ʻeha ʻoki a hoʻoulu i ka maʻi (sepsis). |
| Ka nalowale hapa o ke kino | Inā ʻaʻole lawa ke koko i ka penis i hana ʻia, hiki ke make nā ʻiʻo (necrosis). |
| ʻO ke koʻikoʻi o ka urethral | ʻO ke ʻiʻo palapū ke kumu e ālai ʻia ai ke kahe o ka mimi a i ʻole e oki loa ai. |
| ʻO ka fistula mimi | He puka kūpono ʻole ma waena o ka ʻōnaehana mimi a me kekahi ʻano kino ʻē aʻe a i ʻole ma waho o ke kino. |
Ka manawa hoʻōla a me nā mea e pono ai ke hoʻomaopopo
Ma hope o ke ʻoki kino, pono ʻoe e hoʻomaha maikaʻi. Pono ʻoe e noho ma ka haukapila no hoʻokahi pule ma ka liʻiliʻi. I loko o kēia manawa, e nānā mau nā kauka i ke kahe koko i ka penis i hana hou ʻia.
- Hoʻomaha: E hala ma ka liʻiliʻi he 6 mau pule e hoʻi hou ai i nā hana maʻamau. Pono e kaupalena ʻia nā hana e like me ka hoʻoikaika kino a me nā hana hale i kēia manawa.
- Mimi: I ka wā mua, hoʻoili ʻia ka mimi ma o kahi catheter.
- Mālama ʻeha: Pono e mālama ʻia nā ʻeha ʻoki e maʻemaʻe a maloʻo. Pono e hoʻololi i nā ʻaʻahu e like me ke kuhikuhi a ke kauka.
- Nā lāʻau lapaʻau: Pono ʻoe e hoʻohana i nā lāʻau lapaʻau a kāu kauka i kuhikuhi ai no ka ʻeha, e pale aku i nā maʻi, a e pale aku i ka paʻa ʻana o ka ʻōpū.
ʻO ka maʻamau, ma kahi o 2-3 mau mahina e hoʻi ai i ka hana a i ke kula paha. Eia nō naʻe, inā he hana koi kino kāu, pono paha ʻoe e hoʻomaha no ka manawa lōʻihi, malia paha he 3-4 mau mahina.
I ka manawa e ʻike koke ai i ke kauka
Ma hope o ke ʻoki ʻana, pono ʻoe e ʻike i kāu kauka i nā manawa maʻamau e nānā i kou hoʻōla ʻana. Eia kekahi, inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei , e ʻimi koke i ke kōkua lapaʻau a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila.
- Nā hōʻailona o ka maʻi (ke kuni, ke anu, ke poʻo ʻeha, ke ʻano ʻē o ka ʻeha, ka pehu ʻana, a i ʻole ka kahe ʻana o ka pus).
- ʻO ka luaʻi mau ʻana a me ka hiki ʻole ke mālama i nā wai.
- Ke kahe nui ʻana o ke koko a i ʻole ua pulu loa ke kapa komo i ke koko.
- Ka paʻakikī a i ʻole ka ʻeha nui i ka wā e mimi ai.
- ʻEha ʻaʻole e emi iho ʻoiai ke lawe ʻana i ka lāʻau lapaʻau a ʻoi aku ka lōʻihi ma mua o ka mea i manaʻo ʻia.
- Ka hoʻololi ʻana o ke kala a i ʻole nā mea ʻē aʻe ... i loko o ka penis i hoʻokumu hou ʻia.
Leka Lawe-Home
- He hana paʻakikī loa ka Phalloplasty, he nui nā pae, a he ʻoki kino nui hoʻi. ʻAʻole ia he hoʻoholo e lawe māmā ʻia.
- He mea nui loa ka hoʻomākaukau pono ʻana, ma ke kino a me ka noʻonoʻo, ma mua o ke ʻoki ʻana.
- He mea nui e koho i kahi hui ʻoki kino akamai a me ka ʻike nui no kēia ʻoki kino.
- He lōʻihi ka manawa e ho'ōla ai, no laila pono ʻoe e hoʻomanawanui a hahai i nā ʻōlelo a kāu kauka.
- E makaʻala i nā pilikia a me nā pilikia e kū mai ana. E ʻimi koke i ke kōkua lapaʻau inā he mau hopohopo kāu. ʻO ʻoe ka mea nāna e hoʻoholo e pili ana i kou kino. ʻO kou ʻoluʻolu a me kou māʻona ka mea nui loa.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka ʻeha Epigastric? He gastritis anei kēia?
He nui ka poʻe e kapa nei i kēia he 'kinoea' (Gastritis). ʻO ka 'ʻeha Epigastric' he ʻeha wela a ʻeha paha e kū mai ana ma ka ʻōpū waena o luna, ma lalo pono o ka iwi ʻaoʻao a ma luna o ka piko. ʻOiai aia ka ʻōpū ma ʻaneʻi, aia nō hoʻi ka puʻuwai ma luna ona, no laila mai poina e hiki nō hoʻi kēia ʻeha 'kinoea' i ka wā o ka 'hōʻeha puʻuwai'!
💬 He aha nā kumu nui o ka ʻeha hiki ʻole ke hoʻomanawanui ma waenakonu o ka ʻōpū (ʻeha epigastric) ma lalo o ka umauma?
ʻEhā mau kumu nui o kēia: 1) 'Gastritis a me nā ʻōpū ʻōpū (Peptic Ulcer/GERD)' - ʻO kēia ka mea maʻamau. 2) 'Heart Attack (Myocardial Infarction)' - ʻO ka ʻeha ma kēia he 100% like me ke kinoea, akā i kēia hihia make ka mea maʻi i loko o nā minuke! 3) Pancreatitis (Acute Pancreatitis) - Loaʻa kēia i ka poʻe e inu nui ana i ka waiʻona a pālahalaha ka ʻeha o ka ʻōpū i ke kua (ma waho) (make). 4) Gallstones (Gallstones).
💬 Ke loaʻa iā ʻoe ka ʻeha epigastric, pono ʻoe e kāhea koke i kahi ambulance, me ka ʻole o ka moni ʻana i nā 'pills gas'. He aha nā 'make/ulia pōpilikia'?
Inā ʻaʻole e emi ka ʻeha ma hope o hoʻokahi hola o ka lawe ʻana i ka antacid (hiki ke lilo i ka hōʻeha puʻuwai)! ʻO ka pōʻino nui loa! Me kēia ʻeha, 1) Inā ʻike ʻoe i ka 'hou anu / hōʻeha puʻuwai', 2) Inā 'hola ka ʻūlū o ka umauma i lalo o ka lima hema a i ʻole i ka ʻāʻī/ʻāʻī', 3) Inā paʻakikī kou hanu ʻana (pōkole o ka hanu), 4) Inā luaʻi ʻoe i ke koko (hematemesis), pono ʻoe e hele i ka ʻoihana pilikia o ka haukapila (e kiʻi i kahi ECG) me ka hoʻokaʻulua ʻole!
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