I ētahi wā, nā te raruraru whānau, nā te whara kino rānei i puta mai i tētahi aituā, ka pāngia te tangata e te nui o te manukanuka me te ahotea mō ōna ira tangata. He pokanga tino uaua te phalloplasty e mahia ana hei hanga anō, hei hanga anō rānei i tētahi ure i roto i ēnei āhuatanga. Nā te mea he whakatau nui tēnei, he mea tino nui kia tino mōhio koe ki tēnei mea. Nō reira, me kōrero taipitopito tātou mō tēnei mea, i roto i tētahi huarahi māmā e mārama ai koe.
He aha tonu te phalloplasty?
Ki te whakarapopoto, ko te phalloplasty he pokanga hanga ure hou (neophallus) he hanga anō rānei i te ure kua pakaru. He maha ngā wā ka mahia tēnei hei rongoā mō tētahi hapa whānau, whara kino ki te ure, mate hauora rānei.
He maha ngā whāinga matua o tēnei pokanga:
- Te hanga i tētahi ure āhua tūturu.
- Te whakarato i te kaha ki te mimi i a koe e tū ana.
- Te whakarato i te kare ā-roto mō te pā me te ahuareka o te moepuku.
- Te whakarato i te kaha ki te whakaora i te ure mā te awhina o tētahi taputapu motuhake (whakaurunga ure).
- Te hanga i tētahi ure e āhei ai te moe tāne me te wahine.
I roto i ēhea āhuatanga e hiahiatia ai tēnei pokanga?
E rua ngā take matua e tūtohutia ana te pokanga phalloplasty: ngā mate whānau me te kino nui o te ure. Me titiro tata atu tātou ki ēnei.
| Te take e hiahiatia ai te pokanga | Whakaahuatanga me ngā tauira |
|---|---|
| Ngā āhuatanga whānau |
|
| Te whara o te ure |
Me pēhea taku whakarite i mua i te pokanga?
He tino uaua tēnei pokanga, he mea nui kia pai te whakarite i a koe i mua. He mea nui ēnei mea kia eke ki ngā hua pai rawa atu.
- He whakamātautau hauora katoa: Ka tirohia e tō tākuta tō hauora whānui, ka kōrero hoki mō tō hītori hauora katoa.
- Mātauranga hōhonu: Ka whakaakona koe e ngā tākuta mō ngā painga, ngā huakore, ngā mōrearea, me te tiaki i muri i te pokanga o tēnei pokanga.
- Aromatawai hauora hinengaro: He taahiraa tino nui tēnei. Ka kōrero tētahi kaitohutohu hauora hinengaro whai tohu (kaiwhakaora hinengaro, tohunga hinengaro) ki a koe kia mōhio ai koe kei te rite tō hinengaro mō tēnei pokanga. Ka kōrero rātou mō te take e hiahia ana koe ki te mahi i tēnei pokanga, ō tumanakohanga, me te pānga ki tō oranga. I te nuinga o te wā, me whai reta tautoko mai i ētahi tohunga hauora hinengaro e rua.
- Te tango huruhuru: Me tango tūturu te huruhuru mai i te wāhi e whakatōkia ai te ure hou (hei tauira, te ringaringa, te huha rānei). Ka taea tēnei mā te whakamahi i ngā tikanga pēnei i te tango huruhuru hiko , te tango huruhuru laser rānei.
- Ngā tikanga hauora: Mā te whakamutu i te kai paipa mēnā kei te kai paipa koe, me te pupuri i te taupū papatipu tinana (BMI) i raro i te 32 ka āwhina i te whakaiti i ngā raruraru o te pokanga.
Me pēhea te mahi i te pokanga?
I mua i te tīmatanga o te pokanga, ka hoatu e te tohunga whakamoe te rongoā whakamoe whānui hei whakamoe i a koe. Nō reira, kāore koe e mamae i te wā e pokangahia ana.
Kātahi ka tangohia e ngā taote pokanga he kiri, he ngako, he io, me ngā oko toto mai i tō ringaringa (he kiri radial forearm free flap) i tō huha rānei (he kiri anterolateral thigh free flap) . Kei roto i tēnei kiri ngā mea katoa o te ure engari ko te kiko e tū ai te ure.
He tino uaua te pokanga phalloplasty, nō reira he mea tino nui kia whiriwhiria he taote pokanga me he tīma hauora mohio e tino mātau ana ki tēnei momo pokanga.
Kātahi ka hurihia te kiko ki roto i tētahi ngongo, he rite te āhua ki te ure, ka tāpirihia ki tō hope. E 8-10 hāora, neke atu rānei, te roa o tēnei pokanga.
I ētahi wā, ka taea te mahi i ētahi atu pokanga i te wā kotahi o tēnei pokanga, ka taea rānei te wehewehe kia maha ngā wāhanga, kia roa ai te wā e ora ai. Ko ētahi atu pokanga ko:
- Te urethroplasty (te whakaroa i te urethra) kia taea ai e koe te mimi i a koe e tū ana.
- Te hanga i tētahi glans (glansplasty) mō te ure.
- Te whakatō ure .
- Te hanga i tētahi kiriuhi mō ngā rauropi (scrotoplasty) .
He aha ngā painga o tēnei pokanga?
Ko te painga matua ko te whakaora i ngā wero tinana me ngā wero hinengaro. Mā te whai ure ātaahua, ā-ira hoki ka nui te rerekētanga i roto i tō koiora.
Waihoki, he rerekē ngā painga i runga i te momo kiko i whiriwhiria:
- Te kiko i tangohia mai i te ringaringa: He tino pai ngā hua o te āhua me te pai ake o te kare ā-roto.
- Tārua huha: He nui ake ngā kōwhiringa mō te roa o te ure. Waihoki, ka taea te hipoki ngāwari i te koha o te tārua ki ngā tarau, ki ngā tarau poto rānei.
Ngā raruraru me ngā mōrearea pea i muri i te pokanga
Nā te mea he pokanga uaua te phalloplasty, he tūponotanga kei te pā mai ngā raruraru. Mā te pokanga e whakahaerehia e te taote mohio ka taea te whakaiti i tēnei tūponotanga. Mena ka puta he raruraru, mā te kitenga wawe ka taea te whakaiti i ngā pānga mō te wā roa.
| Mōrearea/Uauatanga | He whakamārama ngāwari noa iho |
|---|---|
| Ngā raruraru o te rongoā whakangote | Ngā āhuatanga pēnei i te mamae o te korokoro, te whakapairuaki, te kōroke, ngā mate pāwera kino (anaphylaxis). |
| Ngā mate pāwera huakita | Ka uru ngā iroriki mā roto i ngā patunga pokanga, ā, ka pā te mate (sepsis). |
| Te ngaronga wāhanga o te ure | Ki te kore e ranea te rere o te toto ki te ure i hangaia, ka mate pea ngā kiko (necrosis). |
| Te whakawhāititanga o te urethra | Ka āraia, ka mutu rānei te rere o te mimi e te kiko koha. |
| Te pūkahukahu mimi | He pūwhera rerekē i waenganui i te pūnaha mimi me tētahi atu okana, i waho rānei o te tinana. |
Te wā whakaora me ngā mea hei mōhio
I muri i te pokanga, me okioki pai koe. Me noho koe ki te hōhipera mō te wiki kotahi pea. I tēnei wā, ka tirotirohia e ngā tākuta te rere o te toto ki te ure hou kua hangaia.
- Okiokinga: E ono wiki pea te roa hei tīmata anō i ngā mahi o ia rā. Me whakawhāiti ngā mahi pēnei i te whakakori tinana me ngā mahi whare i tēnei wā.
- Te mimi: I te tīmatanga, ka tukuna te mimi mā roto i tētahi katitere.
- Te tiaki patunga: Me pupuri kia ma, kia maroke hoki ngā patunga pokanga. Me whakawhiti ngā takai kia rite ki ngā tohutohu a te tākuta.
- Ngā Rongoā: Me whakamahi e koe ngā rongoā kua tohua e tō tākuta mō te mamae, hei ārai i ngā mate pāwera, me te ārai i te mate kōroke.
E rua, e toru rānei ngā marama e toe ana ki te hoki ki te mahi, ki te kura rānei. Heoi, ki te mea he mahi uaua tō tinana, me okioki pea koe mō te wā roa ake, arā, mō te toru, whā rānei ngā marama.
Āhea te wā tika kia kite tonu i te tākuta
I muri i te pokanga, me toro atu koe ki tō tākuta i ngā wā katoa hei aroturuki i tō whakaoranga. Waihoki, ki te pāngia koe e tētahi o ngā tohu e whai ake nei , rapua tonutia he tohutohu hauora, haere rānei ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
- Ngā tohu o te mate (kirika, makariri, ānini, rerekē te tae o te patunga, pupuhi, te rerenga wai rānei).
- Te ruaki tonu me te kore e taea te pupuri i ngā wai.
- Te toto nui rawa, te mākū katoa rānei o te takai i te toto.
- Te uaua, te mamae nui rānei i te wā e mimi ana.
- Te mamae kāore e memeha ahakoa te tango rongoā, ā, ka roa ake i te wā e whakaarohia ana.
- Te rerekētanga o te tae, ngā āhuatanga rerekē rānei o te ure hou kua hangaia.
Karere Tangohia ki te Kāinga
- He tino uaua te pokanga phalloplasty, he maha ngā wāhanga, he pokanga nui. Ehara i te whakatau hei mea ngāwari.
- He mea tino nui kia pai te whakarite, i te taha tinana me te taha hinengaro, i mua i te pokanga.
- He mea nui kia whiriwhiria he tīma pokanga tino mātau, tino pūkenga hoki mō tēnei pokanga.
- He roa te wā e ora ai, nō reira me manawanui koe, me whai hoki i ngā tohutohu a tō tākuta.
- Kia tūpato ki ngā mōrearea me ngā raruraru ka puta mai. Rapua tonutia he tohutohu hauora mēnā he āwangawanga āu. Ko koe te kaiwhakatau mō tō tinana. Ko tō whakamarie me tō makona te mea nui.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He aha te mamae o te puku? He gastritis tēnei?
He tokomaha e kī ana i tēnei he 'hau' (Gastritis). Ko te 'Mamae Epigastric' he mamae wera, he mamae wero rānei e kore e taea te whakamanawanui e puta ana i te puku o runga o waenganui, i raro noa i te rara me runga ake i te pito. Ahakoa kei konei te puku, kei runga ake hoki te ngākau, nō reira kaua e wareware ka puta anō hoki tēnei mamae 'hau' i te wā o te 'whakaeke ngākau'!
💬 He aha ngā tino take o te mamae nui i waenganui o te puku (mamae epigastric) i raro i te uma?
E whā ngā tino take o tēnei: 1) 'Te mate kapia me ngā mate puku (Peptic Ulcer/GERD)' - Koinei te mea tino noa. 2) 'Te Whakaekenga Manawa (Myocardial Infarction)' - He rite tonu te mamae o tēnei ki te hau, engari i tēnei wā ka mate te tūroro i roto i ngā meneti! 3) Te Pancreatitis (Acute Pancreatitis) - Ka pā tēnei ki te hunga e inu nui ana i te waipiro, ā, ka horapa te mamae o te puku ki te tuara (ki waho) (ka mate). 4) Ngā Kōhatu Au (Gallstones).
💬 Ina pāngia koe e te mamae o te puku, me waea atu tonu ki te waka tūroro, kaua e horomia ngā 'pire hau'. He aha ngā 'mate/ohorere'?
Ki te kore te mamae e memeha ahakoa te haora o te tango i te rongoā antacid (tērā pea he mate ngakau)! Ko te mōrearea nui rawa atu! Haunga tēnei mamae, 1) Ki te pāngia koe e te 'werawera makariri / mate ngakau', 2) Ki te 'horapa te uma ki raro i te ringa maui, ki te kauae/kaki rānei', 3) Ki te uaua ki te manawa (poto te manawa), 4) Ki te ruaki toto koe (hematemesis), me haere tonu koe ki te tari ohorere o te hōhipera (kia whiwhi i te ECG)!
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