Zimene muyenera kudziwa zokhudza opaleshoni yokonzanso mbolo (Phalloplasty)

Nthawi zina, chifukwa cha vuto lobadwa nalo kapena kuvulala kwakukulu komwe kumachitika chifukwa cha ngozi, munthu amatha kukhala ndi nkhawa zambiri komanso nkhawa zokhudzana ndi ziwalo zake zoberekera. Phalloplasty ndi opaleshoni yovuta kwambiri yomwe imachitika kuti ipangenso kapena kukonzanso mbolo nthawi zina. Popeza iyi ndi chisankho chachikulu, ndikofunikira kwambiri kudziwa zambiri za izi. Chifukwa chake, tiyeni tikambirane za izi mwatsatanetsatane, m'njira yosavuta yomwe mungamvetse.

Kodi phalloplasty kwenikweni ndi chiyani?

Mwachidule, phalloplasty ndi opaleshoni yopanga mbolo yatsopano (neophallus) kapena kukonzanso mbolo yowonongeka. Izi nthawi zambiri zimachitika ngati chithandizo cha chilema chobadwa nacho, kuvulala kwakukulu kwa mbolo, kapena vuto linalake la thanzi.

Pali zolinga zazikulu zingapo za opaleshoni iyi:

• Kupanga mbolo yooneka ngati yachilengedwe.
• Kupereka mphamvu yokodza uli chilili.
• Kupereka chisangalalo chokhudza ndi kugonana.
• Kupereka mphamvu yokonzanso mbolo pogwiritsa ntchito chipangizo chapadera (penile implant).
• Kupanga mbolo yomwe ingathe kugonana.

Ndi nthawi ziti pamene opaleshoni iyi ikufunika?

Opaleshoni ya Phalloplasty nthawi zambiri imalimbikitsidwa pazifukwa ziwiri zazikulu: matenda obadwa nawo komanso kuwonongeka kwakukulu kwa mbolo. Tiyeni tiwone bwino izi.

Kodi ndiyenera kukonzekera bwanji ndisanachite opaleshoni?

Popeza opaleshoniyi ndi yovuta kwambiri, ndikofunikira kukonzekera bwino pasadakhale. Zinthu izi ndizofunikira kuti mupeze zotsatira zabwino kwambiri.

• Kuyezetsa kwathunthu kwa dokotala: Dokotala wanu adzafufuza thanzi lanu lonse ndikukambirana mbiri yanu yonse yachipatala.
• Maphunziro Okwanira: Madokotala adzakuphunzitsani mokwanira za ubwino, kuipa, zoopsa, ndi chisamaliro cha opaleshoni iyi mukatha opaleshoni.
• Kuwunika thanzi la maganizo: Iyi ndi sitepe yofunika kwambiri. Mlangizi wodziwa bwino za thanzi la maganizo (katswiri wa zamaganizo, katswiri wa zamaganizo) adzakambirana nanu kuti atsimikizire kuti mwakonzeka m'maganizo mwanu opaleshoniyi. Adzakuuzani chifukwa chake mukufuna opaleshoniyi, zomwe mukuyembekezera, komanso momwe ingakhudzire moyo wanu. Nthawi zambiri, izi zimafuna makalata oyamikira ochokera kwa akatswiri awiri azaumoyo wamaganizo.
• Kuchotsa Tsitsi: Tsitsi liyenera kuchotsedwa kosatha pamalo omwe mbolo yatsopano iyenera kuikidwa (monga mkono, mkono, kapena ntchafu). Izi zitha kuchitika pogwiritsa ntchito njira monga electrolysis kapena laser hair removal .
• Makhalidwe Abwino Paumoyo: Kusiya kusuta fodya ngati mukusuta fodya ndikukhala ndi BMI yochepera 32 kungathandize kuchepetsa mavuto omwe angabwere chifukwa cha opaleshoni.

Kodi opaleshoniyi imachitidwa bwanji?

Opaleshoni isanayambe, dokotala wogonetsa adzakupatsani mankhwala oletsa ululu kuti akugonetseni tulo tofa nato. Kuti musamve ululu uliwonse panthawi ya opaleshoni.

Kenako, madokotala amatenga chokokera cha khungu, mafuta, mitsempha, ndi mitsempha yamagazi kuchokera pa mkono wanu (chokokera cha radial forearm free flap) kapena pa ntchafu (chokokera cha anterolateral thigh free flap) . Chokokerachi chili ndi chilichonse mu mbolo kupatula minofu yogonana.

Kenako, minofuyo imakulungidwa mu chubu, chooneka ngati mbolo, ndikulumikizidwa ku khosi lanu. Opaleshoni iyi ingatenge maola 8-10 kapena kuposerapo.

Nthawi zina, maopaleshoni ena angapo amatha kuchitidwa nthawi imodzi ndi opaleshoni iyi, kapena amatha kugawidwa m'magawo angapo, zomwe zimapangitsa kuti munthu achire. Maopaleshoni ena oterewa ndi awa:

• Urethroplasty (kutalikitsa mkodzo) kuti muzitha kukodza muli chiimire.
• Kupanga glansplasty (glansplasty) ya mbolo.
• Chomera cha mbolo .
• Kupanga chotchinga cha machende (scrotoplasty) .

Kodi ubwino wa opaleshoniyi ndi wotani?

Phindu lalikulu ndi mpumulo ku mavuto akuthupi ndi amisala. Kukhala ndi mbolo yogonana komanso yooneka ngati yachilengedwe kungapangitse kusiyana kwakukulu pa moyo wanu.

Komanso, ubwino wake umasiyana malinga ndi mtundu wa minofu yomwe yasankhidwa:

• Minofu yotengedwa kuchokera ku dzanja: Imapereka zotsatira zabwino kwambiri pakuoneka bwino komanso kumva bwino.
• Chogwirira cha ntchafu: Pali kusankha kwakukulu kutalika kwa mbolo. Komanso, chilonda cha chogwiriracho chikhoza kuphimbidwa mosavuta ndi mathalauza kapena kabudula.

Mavuto ndi zoopsa zomwe zingachitike mutachita opaleshoni

Popeza opaleshoni ya phalloplasty ndi yovuta, pali chiopsezo cha mavuto. Kuchita opaleshoni ndi dokotala wodziwa bwino ntchito kungachepetse chiopsezochi. Ngati vuto litachitika, kuzindikirika msanga kungachepetse zotsatirapo zake kwa nthawi yayitali.

Nthawi yochira ndi zinthu zomwe muyenera kudziwa

Mukamaliza opaleshoni, muyenera kupuma bwino. Muyenera kukhala m'chipatala kwa sabata imodzi kapena kuposerapo. Panthawiyi, madokotala nthawi zonse amafufuza magazi omwe amalowa m'mimba mwanu.

• Kupuma: Zimatenga milungu yosachepera 6 kuti muyambenso kuchita zinthu zachizolowezi. Zochita monga kuchita masewera olimbitsa thupi ndi ntchito zapakhomo ziyenera kukhala zochepa panthawiyi.
• Kukodza: ​​Poyamba, mkodzo umadutsa mu catheter.
• Kusamalira mabala: Mabala ochitidwa opaleshoni ayenera kukhala oyera komanso ouma. Ma dressing ayenera kusinthidwa monga momwe dokotala wanenera.
• Mankhwala: Muyenera kugwiritsa ntchito mankhwala omwe dokotala wanu wakupatsani chifukwa cha ululu, kupewa matenda, komanso kupewa kudzimbidwa.

Nthawi zambiri zimatenga miyezi iwiri kapena itatu kuti mubwerere kuntchito kapena kusukulu. Komabe, ngati muli ndi ntchito yotopetsa, mungafunike kupuma nthawi yayitali, mwina miyezi itatu kapena inayi.

Nthawi yoti mukaonane ndi dokotala nthawi yomweyo

Mukamaliza opaleshoni, muyenera kuonana ndi dokotala nthawi ndi nthawi kuti muwone ngati mukuchira. Komanso, ngati mukukumana ndi zizindikiro zotsatirazi , funsani upangiri wa dokotala nthawi yomweyo kapena pitani ku chipatala cha Emergency Treatment Unit (ETU).

• Zizindikiro za matenda (malungo, kuzizira, mutu, kusintha kwa mtundu wa bala, kutupa, kapena kutuluka kwa mafinya).
• Kusanza kosalekeza komanso kulephera kusunga madzi.
• Kutuluka magazi kwambiri kapena kuvala konyowa ndi magazi kwathunthu.
• Kuvuta kapena kupweteka kwambiri pokodza.
• Ululu womwe sumatha ngakhale mutamwa mankhwala ndipo umakhala nthawi yayitali kuposa momwe umayembekezeredwa.
• Kusintha kwa mtundu kapena zolakwika zina mu mbolo yatsopano.