Sɔntɛnde, bikɔs ɔf prɔblɛm we dɛn bɔn wit ɔ siriɔs injuri we aksidɛnt mek, pɔsin kin gɛt bɔku wɔri ɛn strɛs bɔt in bɔdi. Phalloplasty na wan rili kɔmpleks ɔpreshɔn we dɛn kin du fɔ mek pɔsin gɛt bak ɔ fɔ mek pɔsin in penis bak we dɛn kayn tin ya apin. Bikɔs dis na big tin fɔ disayd, i rili impɔtant fɔ mek wi no bɔt am gud gud wan. So, lɛ wi tɔk bɔt dis ditayli, insay wan simpul we we yu go ɔndastand.
Wetin rili na phalloplasty?
Fɔ tɔk am simpul wan, phalloplasty na di ɔpreshɔn we dɛn kin du fɔ mek nyu penis (neophallus) ɔ fɔ mek di penis we dɔn pwɛl bak. Bɔku tɛm dɛn kin du dis as tritmɛnt fɔ wan prɔblɛm we dɛn bɔn wit, we gɛt bad bad injury na di penis, ɔ wan sik we pɔsin gɛt.
Bɔku men gol dɛn de fɔ dis ɔpreshɔn:
- Fɔ mek pɔsin gɛt penis we tan lɛk natura.
- Fɔ gi di abiliti fɔ pis we yu tinap.
- Fɔ gi sɛns fɔ tɔch ɛn fɔ gladi fɔ du mami ɛn dadi biznɛs.
- fכ gi di abiliti fכ mek di penis nyu wit di εp fכ wan spεshal divays (penile implant).
- Krio penis we ebul fɔ du mami ɛn dadi biznɛs.
Insay us kes dɛn dis ɔpreshɔn nid fɔ du?
Dɛn kin advays fɔ du ɔpreshɔn pan faloplasti fɔ tu men rizin dɛn: di tin dɛn we dɛn bɔn wit ɛn di bad bad tin dɛn we kin pwɛl di penis. Lɛ wi tek tɛm luk dɛn tin ya gud gud wan.
| Rizin fɔ mek dɛn nid fɔ du ɔpreshɔn | Diskripshɔn ɛn ɛgzampul dɛn |
|---|---|
| Di kɔndishɔn dɛn we dɛn bɔn wit |
|
| Penile trauma we yu kin gɛt |
Aw a fɔ rɛdi bifo dɛn du mi ɔpreshɔn?
Bikɔs dis na ɔpreshɔn we rili kɔmpleks, i impɔtant fɔ rɛdi yusɛf fayn fayn wan bifo tɛm. Dɛn tin ya impɔtant fɔ mek yu gɛt di bɛst rizɔlt.
- Wan kɔmplit mɛdikal ɛgzamin: Yu dɔktɔ go chɛk yu ɔl wɛl bɔdi ɛn tɔk bɔt yu kɔmplit mɛdikal istri.
- Edukeshon gud gud wan: Dɔktɔ dɛn go tich yu gud gud wan bɔt di gud, bad, risk, ɛn aw fɔ kia fɔ dis ɔpreshɔn afta dɛn dɔn ɔpreshɔn.
- Mental hεlth evalueshɔn: Dis na rili impɔtant step. Wan kwalifay mɛntɛl hεlth kɔyl (tɛrapist, saykayatrist) go tɔk to yu fɔ mek shɔ se yu mentally rɛdi fɔ dis ɔpreshɔn. Dɛn go tɔk bɔt wetin mek yu want fɔ gɛt dis ɔpreshɔn, wetin yu de op fɔ, ɛn aw i go afɛkt yu layf. Bɔrku tɛm, dis kin nid fɔ gɛt lɛta fɔ kɔmɛnt frɔm tu pipul dɛm wae sabi bɔt mɛntɛl hεlth.
- Fɔ pul di ia: Dɛn fɔ pul di ia fɔ ɔltɛm na di say we dɛn fɔ put di nyu penis (fɔ ɛgzampul, di fɔs an, di an, ɔ di shɔl). Dis kin bi bay we yu de yuz we dɛn lɛk fɔ pul di ia wit ilɛktrɔlaysis ɔ fɔ pul di ia wit lɛsa .
- Wɛlbɔdi abit: If yu lɛf fɔ smok if yu smok ɛn kip yu bɔdi mas indeks (BMI) we nɔ rich 32 ia, dat kin ɛp fɔ ridyus di prɔblɛm dɛn we kin apin we yu du ɔpreshɔn.
Aw dɛn kin du di ɔpreshɔn?
Bifo di ɔpreshɔn bigin, wan dɔktɔ we de mɛn yu go gi yu jenɛral anestezi fɔ mek yu slip ɔl. So yu nɔ go fil ɛni pen we dɛn de du di ɔpreshɔn.
Dɔn, di dɔktɔ dɛn we de du ɔpreshɔn kin tek wan flap pan yu skin, fat, nɛv, ɛn blɔd vesel dɛn frɔm yu fɔs an (radial fɔram fri flap) ɔ yu shɔl (anterolateral thigh free flap) . dis flap gεt כltin na di penis pas di εrektil tisu.
Phalloplasty na ɔpreshɔn we rili kɔmpleks, so i rili impɔtant fɔ pik dɔktɔ we sabi du ɔpreshɔn ɛn mɛdikal tim we gɛt bɔku ɛkspiriɛns pan dis kayn ɔpreshɔn.
Neks, dɛn kin rol di tisu insay wan tiub, shep lɛk penis, ɛn tay am na yu groin. Dis ɔpreshɔn kin tek 8-10 awa ɔ mɔ.
Sɔntɛnde, dɛn kin du bɔku ɔda ɔpreshɔn dɛn di sem tɛm we dɛn du dis ɔpreshɔn, ɔ dɛn kin sheb dɛn to difrɛn stej dɛn, we kin mek dɛn gɛt tɛm fɔ mek dɛn wɛl. Dɛn kayn ɔda ɔpreshɔn dɛn ya na:
- Yurethroplasty (we de mek di urethra lɔng) fɔ mek yu ebul fɔ pis we yu tinap.
- Krio glans (glansplasty) fɔ di penis.
- Penil implant we dɛn kin put insay pɔsin in bɔdi.
- fכ mek wan skrotum fכ di tεstikul dεm (skrotoplasty) .
Wetin na di bɛnifit dɛn we dis ɔpreshɔn de gi?
Di men bɛnifit na we pɔsin kin gɛt fridɔm frɔm prɔblɛm dɛn we i kin gɛt na in bɔdi ɛn maynd. If yu gɛt penis we de du mami ɛn dadi biznɛs ɛn we tan lɛk natura, dat kin mek big difrɛns na yu layf.
Dɔn bak, di bɛnifit dɛn kin difrɛn difrɛn wan bay di kayn tisu we dɛn pik:
- di tisu dεm we dεn tek frכm di fכs an: I de gi rili gud risכlt fכ luk εn bεtε sens.
- Thigh graft: I de mכr choice insay di lεngth fכ di penis. Dɔn bak, i kin izi fɔ kɔba di skata we kɔmɔt na di graft wit pant ɔ shɔt.
Prɔblɛm dɛn we kin apin ɛn di prɔblɛm dɛn we kin apin afta dɛn dɔn du di ɔpreshɔn
Bikɔs phalloplasty na kɔmpleks ɔpreshɔn, i kin izi fɔ mek i gɛt prɔblɛm dɛn. If dɔktɔ we gɛt ɛkspiriɛns du di ɔpreshɔn, dat kin mek dis prɔblɛm nɔ bɔku. If prɔblɛm apin, if dɛn no am kwik, dat kin mek i nɔ ambɔg am fɔ lɔng tɛm.
| Risk/Kɔmplikeshɔn | Fɔ ɛksplen am simpul wan |
|---|---|
| Di kɔmplikeshɔn dɛn we kin apin we pɔsin de anestez | Tin dɛm lɛk trot we de at, nɔs, kɔnstipɛshɔn, siriɔs alɛji (anaphylaxis). |
| Baktri infεkshכn dεm | di jεm dεm de kam tru di wund dεm we dεn du כpεrayshכn εn de mek infεkshכn (sepsis). |
| Pat pan di phallic loss | if di penis we dεn mek nכ gεt inof bכdi, di tisu dεm kin day (nεkrכsis). |
| Strikchɔ we de na di yurethral | di ska tisu de mek di fכ fכlכ di urine blok כ stכp kכmplit. |
| Fistula we de na di urinary | Wan abnɔmal opin bitwin di urinary system ɛn ɔda ɔgan ɔ ɔdasay na di bɔdi. |
Di tɛm fɔ wɛl ɛn tin dɛn we yu fɔ no bɔt
Afta di ɔpreshɔn, yu go nid fɔ rɛst fayn. Yu go nid fɔ de na ɔspitul fɔ at le wan wik. Insay dis tɛm, dɔktɔ dɛn go de chɛk ɔltɛm di blɔd we de go na di nyu penis we dɛn dɔn mek.
- Rɛst: I go tek at le 6 wiks fɔ bigin du di nɔmal tin dɛn bak. Dɛn nɔ fɔ du bɔku tin dɛn lɛk fɔ du ɛksɛsayz ɛn wok na os insay dis tɛm.
- Urination: Fɔs, dɛn kin pas di urine tru wan kateshɔn.
- Fɔ kia fɔ di wund dɛn: Dɛn fɔ kip di wund dɛn we dɛn de du ɔpreshɔn klin ɛn dray. Dɛn fɔ chenj di we aw dɛn de drɛs lɛk aw di dɔktɔ tɛl dɛn.
- Di mɛrɛsin dɛn: Yu fɔ yuz di mɛrɛsin dɛn we yu dɔktɔ tɛl yu fɔ mek yu fil pen, fɔ mek yu nɔ gɛt di sik, ɛn fɔ mek yu nɔ gɛt kɔnstipɛshɔn.
I kin tek lɛk 2-3 mɔnt fɔ go bak na wok ɔ skul. Bɔt if yu gɛt wok we de mek yu bɔdi wok tranga wan, yu kin nid fɔ rɛst fɔ lɔng tɛm, sɔntɛm fɔ 3-4 mɔnt.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
Afta yu dɔn ɔpreshɔn, yu fɔ go to yu dɔktɔ ɔltɛm fɔ wach aw yu de wɛl. Dɔn bak, if yu gɛt ɛni wan pan dɛn sik ya , go to dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU).
- Sayn dεm fכ infεkshכn (fiva, kol, ed we de at, wund kכla we de chenj, swel, כ pus drenage).
- Fɔ kɔntinyu fɔ vɔmit ɛn nɔ ebul fɔ kip wata.
- Blɔd we de kɔmɔt pasmak ɔ we di dresin sok ɔlsay wit blɔd.
- I nɔ kin izi fɔ yu ɔ i kin fil bad bad wan we yu de pis.
- Pen we nɔ de stɔp pan ɔl we yu de tek mɛrɛsin ɛn we de te pas aw yu bin de tink.
- Di kɔlɔ we de chenj ɔ ɔda tin dɛn we nɔ de apin na di nyu penis we dɔn fɔm.
Mɛsej we dɛn kin kɛr go na os
- Phalloplasty na wan big ɔpreshɔn we rili kɔmpleks, bɔku tɛm i kin gɛt bɔku stej dɛn. I nɔto disizhɔn we dɛn fɔ tek am layt.
- I rili impɔtant fɔ rɛdi gud gud wan, pan yu bɔdi ɛn yu maynd, bifo yu du di ɔpreshɔn.
- I impɔtant fɔ pik wan tim we gɛt bɔku ɛkspiriɛns ɛn we sabi du ɔpreshɔn fɔ dis ɔpreshɔn.
- I kin tek lɔng tɛm fɔ mek i wɛl, so yu nid fɔ peshɛnt ɛn fala wetin yu dɔktɔ tɛl yu fɔ du.
- Yu fɔ no bɔt di prɔblɛm dɛn ɛn di prɔblɛm dɛn we kin apin. Go to dɔktɔ wantɛm wantɛm if yu gɛt ɛnitin fɔ wɔri bɔt. Yu na di wan we de disayd bɔt yu bɔdi. Yu kɔmfɔt ɛn satisfay na di tin we impɔtant pas ɔl.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Wetin na Epigastric Pen? Na dis gastritis?
Bɔku pipul dɛn kin kɔl dis ‘gas’ (Gastritis). ‘Epigastric Pain’ na pen we yu nɔ go ebul fɔ bia we yu de bɔn ɔ sting we de apin na di sɛntral ɔpa bɛlɛ, jɔs dɔŋ di rib kech ɛn ɔp di nɛv. pan ɔl we di bɛlɛ de ya, di at de ɔp bak, so nɔ ɛva fɔgɛt se dis ‘gas’ pen kin apin bak we yu gɛt ‘at atak’!
💬 Wetin na di men tin dɛm we kin mek pɔsin fil pen we yu nɔ go ebul fɔ bia na di midul pat na di bɛlɛ (epigastric pain) we de dɔŋ di chɛst?
4 men tin dεm de fכ dis: 1) ‘Gastritis εn bεlε כlsa (Pεptik כlsa/GERD)' - Dis na di wan we kכmכn pas כl. 2) ‘Hat Atak (Myocardial Infarction)’ - Di pen we de insay dis kin 100% fiba gas, bɔt insay dis kes di pɔsin kin day insay sɔm minit! 3) Pancreatitis (Acute Pancreatitis) - Dis kin apin pan pipul dɛm we de drink bɔku rɔm ɛn di bɛlɛ pen kin spre to di bak (ɔdasay) (fatal). 4) Galston (Galston).
💬 We yu gɛt epigastric pen, yu fɔ kɔl ambulans wantɛm wantɛm, we yu nɔ fɔ swɛla ‘gas pil’. Wetin na di ‘fatal/imergencies’?
If di pen nɔ stɔp ivin afta wan awa we yu tek wan antiasid (i kin bi at atak)! Di big big denja! Along wit dis pen, 1) If yu gɛt ‘kol swet / at atak’, 2) If di chɛst tayt ‘spred dɔŋ di lɛft an ɔ to di jaw/nɛk’, 3) If yu gɛt prɔblɛm fɔ blo (shɔt fɔ blo), 4) If yu vɔmit blɔd (hematemesis), yu fɔ go na di ɔspitul in imejensi dipatmɛnt (fɔ gɛt ECG) we yu nɔ de te!
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