He mea ʻano ʻē iki kekahi mau ʻoki kino e kamaʻilio ākea. Hiki i ka Phalloplasty ke lilo i kekahi kumuhana like. Akā, he ʻoki kino kēia e hiki ke lilo i mea nui loa i ke ola o ke kanaka, ʻoiai no kekahi e hele ana i kahi huakaʻi me ko lākou ʻano kāne, a i ʻole kekahi i loaʻa i kahi ulia a maʻi paha. No laila, i kēia lā, e kamaʻilio kākou e pili ana me ka makaʻu ʻole, ākea, a ma ka ʻōlelo maʻalahi hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka Phalloplasty?
ʻO ka Phalloplasty ke hana ʻoki kino a i ʻole ke kūkulu hou ʻana i kahi penis. He hana paʻakikī loa kēia. Hiki ke hala a hiki i ʻelua mau makahiki e hoʻopau ai. Eia nō naʻe, kiʻekiʻe loa ka holomua o kēia ʻoki kino. Nui ka poʻe e hana ana i ka phalloplasty e hauʻoli nui nei i nā hopena.
ʻElua mau kūlana nui e pono ai kēia ʻoki kino:
1. Hoʻololi Kāne/Wahine: Kōkua kēia ʻoki kino i kahi kāne transgender, ka mea e noho ana me kahi ʻano ʻokoʻa mai kona kāne hānau, e hoʻoponopono i kona kino e kūlike me kona ʻano i ʻike ʻia. I kekahi manawa ua kapa ʻia kēia ʻo "ʻoki kino lalo," akā hiki nō hoʻi ke komo pū me nā ʻoki kino kāne ʻē aʻe.
2. Hana hou ʻana: Hoʻohana ʻia kēia ʻoki kino e hana hou i kahi penis i loko o ke kāne i nalowale a hōʻino paha i kāna penis ma muli o kahi ulia koʻikoʻi, kahi maʻi e like me ke kanesa, a i ʻole kahi kīnā hānau.
He aha nā ʻano o ke ʻoki phalloplasty?
No ka hana ʻana i kahi penis, pono e lawe ʻia ka ʻili a me nā ʻiʻo (skin graft) mai kahi ʻāpana ʻē aʻe o ke kino a hoʻoili ʻia i loko o ka ʻāpana groin. ʻEkolu mau ʻano nui no ka loaʻa ʻana o kēia ʻiʻo. ʻO ke ʻano kūpono loa e pili ana i ke ʻano o kou kino, kāu mau mea i manaʻo ai, a me nā ʻōlelo a kāu kauka.
| ʻAno Hoʻopili | Kahua hōʻiliʻili ʻiʻo | Wehewehena |
|---|---|---|
| ʻO ka Radial Forearm Free Flap (RFF) | Lima lima | He ʻano hana kaulana i hoʻohana pinepine ʻia. Hiki iā ia ke hoʻihoʻi i ka ʻike maikaʻi o ke aʻalolo a me ka lako koko. Eia naʻe, waiho ia i kahi ʻeha i ʻike ʻia ma ka lima. |
| ʻO ka ʻūhā Anterolateral (ALT) | ʻūhā | Makemake kekahi poʻe i kēia ʻano hana no ka mea hiki ke hūnā ʻia ka ʻeha e ka lole. Eia nō naʻe, i kekahi manawa hiki ke nui loa ka peni i hana ʻia. |
| Musculocutaneous Latissimus Dorsi (MLD) Flap | ʻAoʻao o ke kua | ʻE hiki nō hoʻi i kēia ʻano hana ke wehe i kahi nui o nā ʻiʻo a hiki ke hūnā maʻalahi ʻia ka ʻōpala. |
ʻO ka mea nui loa, ʻo ia ke kūkākūkā ākea a lōʻihi me kāu kauka ma mua o ka hoʻoholo ʻana i kahi o kēia mau ʻano hana kūpono loa iā ʻoe.
ʻO kēia ke kahua o ke kaʻina hana ʻoki kino.
ʻAʻole he hana hoʻokahi wale nō ka Phalloplasty. Hana nui ʻia ia ma ʻekolu mau pae. Ke pau kekahi pae, hāʻawi ʻia ke kino i ka manawa e ho'ōla ai ma mua o ka neʻe ʻana i ke pae aʻe.
Ka Papa Hana ʻEkahi: Ke Hana ʻana i ka Penis
ʻO kēia ke ʻoki kino mua a nui loa. E like me ka mea i ʻōlelo ʻia ma mua, ua hoʻoponopono ʻia ka penis me ka hoʻohana ʻana i nā ʻiʻo i lawe ʻia mai kahi ʻāpana ʻē aʻe o ke kino. Hoʻokomo ʻia kahi catheter i loko o ka penis hou e hoʻokahe i ka mimi. Ma hope o kēia pae, e hala kekahi mau mahina e ho'ōla ai ke kino.
Ka lua o ka pae: Urethral Lengthening & Scrotoplasty
Hana ʻia kēia kahua ma kahi o 5-6 mau mahina ma hope o ke ʻoki kino mua. Eia kekahi mau mea koʻikoʻi e hana ʻia:
- ʻO ka urethra, ka mea e puka mai ana mai kou ʻōpū mimi, ua pili ia i ka ʻōmole i loko o kāu penis i hana hou ʻia. A laila hiki iā ʻoe ke mimi ma o kāu penis hou.
- Inā he kāne transgender ʻoe, makemake paha ʻoe e noʻonoʻo e hana i kahi vaginectomy i kēia manawa. Eia naʻe, ʻaʻole kēia he mea koi a he hoʻoholo pilikino loa ia. Pono ʻoe e kūkākūkā i kēia me kāu kauka.
- No ka hoʻonui ʻana i ka ʻike moekolohe, hiki ke waiho ʻia ka clitoris ma lalo o ka ʻili o ka penis hou.
- A laila, hoʻohana ʻia ka ʻili o nā ʻōpū o waho e hana i ka scrotum. Ua kapa ʻia kēia ʻo "Scrotoplasty".
Pae ʻEkolu: Nā Implants Penile a me Testicular
Hoʻokō ʻia kēia pae hope loa ma kahi o hoʻokahi makahiki ma hope o ka pae ʻelua.
- Maanei, ua hoʻokomo ʻia kahi hāmeʻa kūikawā (Penile Implant) i loko o ka penis i hana ʻia e hāʻawi iā ia i ka hiki ke kū pololei.
- Eia kekahi, hoʻokomo ʻia nā implants testicular i loko o nā testicles i hana ʻia e hāʻawi iā lākou i kahi helehelena piha.
He mea nui: Hiki ke loaʻa nā pilikia i kekahi manawa ma hope o ke ʻoki phalloplasty. No ka laʻana, nā pilikia me ka urethra a i ʻole nā mea i hoʻokomo ʻia. Inā hana kēia, pono paha ke ʻoki hou aʻe e hoʻoponopono iā lākou.
ʻEhia ke kumukūʻai o ke ʻoki phalloplasty?
ʻO kēia ka pilikia nui loa i loaʻa i nā poʻe he nui. ʻO ka ʻoiaʻiʻo, he ʻano hana ʻoki kino pipiʻi loa ka Phalloplasty. ʻO kēia ma muli o ka paʻakikī o ia mea, ke akamai e pono ai, a me ka manawa e pono ai.
ʻOkoʻa nā kumukūʻai mai kēlā ʻāina a kēia ʻāina a mai kēlā haukapila a i kēia haukapila. Ma nā ʻāina ʻē, hiki ke kumukūʻai kēia a hiki i $25,000 a i $150,000 (75 lakhs a i 45 crores a ʻoi aku paha ma ke kālā Sri Lanka). Hiki ke ʻokoʻa kēia mau kumukūʻai ma loko o Sri Lanka. No laila , no ka ʻike ʻana i ke kumukūʻai pololei, pono ʻoe e nīnau i ke kauka a i ʻole ka haukapila kahi āu e hoʻolālā nei e hana i kēia ʻoki kino.
ʻO ka maʻamau, ʻo kēia kumukūʻai holoʻokoʻa e komo pū me kēia:
- Uku o ke kauka lapaʻau
- Nā uku haukapila a lumi hana paha
- Nā uku anesthesiology
- Nā lāʻau lapaʻau e pono ai ma hope o ke ʻoki ʻana
- Nā lole ma hope o ke ʻoki kino
- Nā mea e like me nā hoʻokolohua lab a me nā X-ray e pono ai
Eia kekahi, inā aia kāu kauka ma kekahi kūlanakauhale ʻē aʻe, aia paha he mau kumukūʻai huakaʻi a me nā hale noho hou aʻe, no laila he mea nui e loaʻa kahi kiʻi maopopo o ke kumukūʻai o ke kaʻina holoʻokoʻa mai ka hoʻomaka ʻana.
E uhi ʻia anei kēia kumukūʻai e ka ʻinikua?
Ua manaʻo ʻia ʻo Phalloplasty he "ʻoki hana hou" ma nā ʻāina he nui no ka mea ua hana ʻia e hōʻoia i ka ʻike kāne a i ʻole e hana hou i kahi penis i nalowale ma muli o kahi ulia a maʻi paha. No laila, uhi kekahi mau ʻoihana ʻinikua i nā kumukūʻai āpau a hapa paha o kēia ʻoki.
Eia nō naʻe, ʻokoʻa paha ke kūlana ma Sri Lanka. Pono ʻoe e kūkākūkā me kāu ʻoihana ʻinikua a me ke kauka inā a pehea ka nui o kāu kulekele ʻinikua e uhi ai i kēlā mau ʻoki kino. Mai manaʻo i kekahi mea.
Leka Lawe-Home
- He hana ʻokiʻoki paʻakikī ka Phalloplasty, multi-stage e hana ai a hana hou paha i kahi penis.
- He kiʻekiʻe loa ke kumukūʻai o kēia, no laila he mea nui e hoʻolālā maikaʻi mai ka hoʻomaka ʻana e pili ana i ka ʻaoʻao kālā.
- He mea nui e loaʻa kahi kūkākūkā kikoʻī a ākea me kāu kauka ma mua o ke ʻoki ʻana e loaʻa ai kahi ʻike maopopo o ke kaʻina hana ʻoki, nā pae, nā kumukūʻai, a me ka uhi ʻinikua.
- Hiki i ka huakaʻi ke lōʻihi a paʻakikī hoʻi, akā nui ka poʻe e ʻōlelo nei ʻo nā hopena a lākou e loaʻa ai a me nā loli maikaʻi i ko lākou ola e kūpono ai nā mea āpau.
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