Ingaba umntwana wakho uzalwa engenalo ipenisi? Masithethe nge-Aphallia

Xa ujonge ulwando olutsha kusapho lwakho, usenokumangaliswa kwaye woyike ukufa. Abanye abantwana bazalwa bengenalo ipenisi. Kwizonyango, oku kubizwa ngokuba yi-aphallia. Le yimeko engaqhelekanga kakhulu. Kodwa, njengabazali, awuwedwa xa oku kusenzeka, kwaye sonke silapha ukuze sithethe ngako, sikuqonde, kwaye senze oko kulungele umntwana wakho.

Yintoni i-Aphallia? Masiyiqonde ngokulula.

I-Aphallia, ngokufutshane, kukungabikho kwepenis ekuzalweni . Le yimeko yokuzalwa . Oku kuthetha ukuba ipenis ayikhuli kakuhle ngexesha lokukhula komntwana , ngelixa umntwana esesesibelekweni. Elinye igama lale meko yi -penis agenesis .

Kule meko, ayipheleli nje ekubeni ipenis ingekho, kodwa nomnyango we-urethra awukho kwindawo eqhelekileyo njengoko kufanele ukuba unjalo. Ngokuqhelekileyo, lo mnyango ufumaneka kwindawo efana nendawo ye-perineal, phakathi kwe-anus kunye nezitho zangasese .

Abanye abaphandi bakholelwa ukuba igama elithi aphallia lifanele lisetyenziswe ukuchaza ukungabikho kwezicubu zomzimba ekuzalweni. Izicubu zomzimba sisicwili esithambileyo esizaliswa ligazi ngexesha lokuvuselelwa ngokwesondo. Esi sicwili sikhona kwilungu lobudoda lamakhwenkwe nakwi-clitoris yamantombazana. Ngokwale nkcazo, i-aphallia inokuvela kwiintsana ezingamadoda ngokwemfuza (ii-chromosomes zesini ze-XY) okanye ezibhinqileyo (ii-chromosomes zesini ze-XX), oko kuthetha ukuba zinokuba nee -chromosomes zesini ze-XY okanye ze-XX .

Ixhaphake kangakanani le meko ibizwa ngokuba yi-aphallia?

Esi sisifo esingaqhelekanga ngokwenene. Ngokutsho kwenye ingxelo, sichaphazela malunga nesinye kwizigidi ezili-10 ukuya kwezingama-30 zeentsana ezizalwayo. Sidla ngokubonakala kwiintsana ezingamaduna (ezine-XY sex chromosomes). Ngoko ke, ungacinga ukuba oku kunqabile kangakanani. Ngoko ke ungakhathazeki, kukho inkxaso nolwazi lokujongana nale nto.

I-aphallia yahluke njani kwezinye iimeko ezifanayo?

Ngamanye amaxesha, nokuba umntwana unepenis, isenokungabonakali. Ke ngoko, ngaphambi kokuba bafumanise ukuba ikhona i-aphallia, oogqirha bajonga ezinye iimeko ezininzi. Makhe sibone ukuba zeziphi:

• Ipenisi engcwatyiweyo: Kule meko, ipenisi isenokuba nobukhulu obuqhelekileyo, kodwa isenokufihlwa phantsi kwesikhumba sesisu, amathanga, okanye i-scrotum (ingxowa equlethe amasende). Oku kukwabizwa ngokuba yipenisi efihliweyo okanye ipenisi efihliweyo . Apha, ipenisi ikhona, kodwa ayibonakali.
• I-Hypospadias: Kule meko, umbhobho othwala umchamo usuka kwisinyi usiya ngaphandle, obizwa ngokuba yi-urethra , awukheki kakuhle. Kwakhona, umngxuma (inyama) apho umchamo uphuma khona awukho kwindawo eqhelekileyo encamini yepenis. Endaweni yoko, unokuba semngxunyeni wepenis okanye kwi-scrotum. Apha, ipenis isekhona, kodwa umngxuma oya kwi-urethra ukwindawo eyahlukileyo.
• I-Micropenis: Kule meko, ipenis imfutshane kunesiqhelo xa izalwa. Oko kukuthi, ingaphantsi kwe-1.9 centimeters (0.75 intshi). Ipenis ikhona, kodwa incinci ngobukhulu.
• Umahluko wophuhliso lwesini (DSD): Kule meko, uphuhliso lwesini aluqhelekanga ngenxa yezizathu zemfuza, zomzimba, okanye zehomoni. Izini zisenokungacaci (oko kukuthi, ngaphandle kwembonakalo eqhelekileyo yendoda okanye yebhinqa) kwaye/okanye zisenokungahambelani nesini se-chromosome.

Ngoko ke uyabona, i-aphallia yahlukile kuzo zonke ezi zinto, ukungabikho ngokupheleleyo kwepenis .

Zithini iimpawu zomntwana one-aphallia?

Iimpawu eziphambili zezi:

• Ukungabikho kwepenis , kodwa kukho i-scrotum kunye namasende.
• Iziphumo zovavanyo lwe-karyotype zihlala zibonisa ukuba yindoda (46, XY) okanye ngumfazi (46, XX). Oku kuthetha ukuba oku akuyongxaki kwinqanaba le-chromosome.

Ngamanye amaxesha, oogqirha bayakwazi ukuxilonga le meko ngaphambi kokuba umntwana azalwe .

Yintoni ebangela i-aphalia?

Inyaniso kukuba, isizathu esichanekileyo se-aphallia asikaziwa . Nangona kunjalo, abaphandi bayazi ukuba uphuhliso lwe-embryo (uphuhliso lweqanda elivundisiweyo) aluqhelekanga. Oku kubizwa ngokuba yi-agenesis , oko kuthetha ukuba uphawu olufanelekileyo aluphuhli. Basaphanda ukuba zeziphi izinto zemfuza okanye zendalo ezinegalelo koku.

Ifunyanwa njani i-aphalia?

Oogqirha badla ngokuyixilonga le meko ngokuhlolwa ngokwasemzimbeni . Nangona kunjalo, banokuyalela uvavanyo lwegazi okanye uvavanyo lwemifanekiso , olufana ne-ultrasound scan, ukuqinisekisa ukuxilongwa. Ezi zinokujonga amalungu esini angaphakathi omntwana kwaye zijonge nezinye iingxaki.

Ziziphi iindlela zonyango lwe-Aphallia?

Xa usana olusandul’ ukuzalwa lurhanelwa ukuba lune-aphallia, ingqwalasela yokuqala yoogqirha kukujonga ezinye iingxaki zokuzalwa ezinokuba yingozi kubomi .

Into elandelayo ebaluleke kakhulu kukuqinisekisa ukuba umntwana uyakwazi ukuchama kakuhle.Oko kukuthi, bajonga ukuba kukho umngxuma wokuphuma komchamo emzimbeni, okanye ukuba kukho naziphi na izithintelo kwindlela yomchamo. Ngamanye amaxesha, utyando olubizwa ngokuba yi-vesicostomy lunokufuneka ukuze kudalwe indlela yokuphuma komchamo.

Kwiminyaka embalwa yokuqala yobomi bomntwana, utyando lokutshintsha i-penis (phalloplasty) kunye notyando lokutshintsha i-urethra (urethroplasty) . Ugqirha oyingcali uya kugqiba ngeyona ndlela ilungileyo yokwenza olu tyando. Olu lutyando oluntsonkothileyo, ngoko ke lwenziwa phantsi kweliso leqela lezonyango elinamava.

Kubalulekile: Ngaphambili, unyango lwemveli lweentsana ezinesifo sofuba ezinama-testicles (oko kukuthi, i-genetic XY) yayikukwenza i-feminizing genitoplasty, eyayibanika isini sabasetyhini . Nangona kunjalo, kwiimeko ezininzi, njengoko aba bantwana bekhula, bayaqonda ukuba isini esinikwa ngoogqirha ekuzalweni asihambelani nobuni babo bokwenyani .

Ngenxa yoko, oogqirha abaninzi ngoku bakholelwa ukuba ukuba umntwana uyindoda ngokwemfuza (XY), kungcono ukuba kwenziwe utyando lokwakha ipenis (phalloplasty) . Kuthathwa njengokungcono ukuyishiya ngolu hlobo de umntwana abe nolwazi oluqinileyo ngesini sakhe kwaye abe mdala ngokwaneleyo ukuba azenzele izigqibo malunga nento aza kuyenza ngokulandelayo. Emva kokufikisa, utyando lwesibini (phalloplasty) lunokwenziwa ukuze afumane ipenis enkulu njengomdala. Nangona kunjalo, kunzima ukulindela ukusebenza okuqhelekileyo kokuchama emva kotyando olunjalo.

Ezi zigqibo zinobuzaza kakhulu, ngoko ke iqela lezonyango lomntwana, oogqirha bengqondo, kunye nabazali basebenzisana ukugqiba ukuba yintoni elungele umntwana.

Ngaba umngcipheko wokuba nomntwana one-aphallia ungancitshiswa?

Ekubeni unobangela we-aphallia ungaziwa, okwangoku akukho ndlela yokuwuthintela . Nangona kunjalo, iingcebiso ngemfuza zinokuxoxa ngeemeko zemfuza kunye nokuxilongwa komntwana ngaphambi kokukhulelwa . Oku kunokunceda ekufundiseni nasekulungiseleleni abazali ngaphambi kokukhulelwa kunye/okanye ukuzalwa komntwana.

Kwakhona, ukulandela indlela yokuphila enempilo ngexesha lokukhulelwa kulungile kumama nakumntwana osesiswini. Oko kuthetha ukutya ukutya okunesondlo, ukuphepha ukutshaya notywala, kunye nokulandela icebiso likagqirha.

Ukuba umntwana wam une-aphalia, ndimele ndilindele ntoni?

Ukuba umntwana wakho une-aphalia, kodwa akukho ezinye iingxaki ezinkulu, ingqikelelo ilungile.Nangona kunjalo, ukuba kukho ezinye iingxaki zempilo, imeko inokuba nzima ngakumbi. Ezinye iingxaki, umzekelo, ubunzima bokuphefumla, ukungabikho kwamalungu athile abalulekileyo, zinokuba yingozi kakhulu. Ngoko ke, kubalulekile ukuthetha noogqirha malunga nemeko yomntwana rhoqo.

Ndingazinyamekela njani njengomzali womntwana one-aphallia?

Kuqhelekile ukuziva ngathi unezigqibo ezininzi ezinkulu ekufuneka uzenze emva kokuba umntwana wakho ezelwe. Kodwa, akukho mfuneko yokoyika. Into ebalulekileyo kukuthatha inyathelo elinye ngexesha . Njengoko umntwana wakho ekhula, uya kudlula kwiinguqu ezininzi emzimbeni, engqondweni, nangokwengqondo. Ukuze akuncede ukwazi ukumelana nezi nguqu, kunokuba luncedo kakhulu kubazali nakusapho ukufuna iingcebiso .

Khumbula ukuba awuwedwa. Kuqhelekile ukuziva usoyika, ulusizi, uxhalabile, mhlawumbi unomsindo ngamaxesha anje.

Njengabazali, kubalulekile ukugcina ubudlelwane obusondeleyo neqela lezonyango lomntwana wakho. Oogqirha baza kuchaza into omawuyilindele kunye namanyathelo alandelayo. Musa ukoyika ukuthetha nabo ngayo nayiphi na imibuzo okanye izinto ezikuxhalabisayo.

Ndingayibuza yiphi imibuzo ugqirha wam?

Kubalulekile ukuthetha nogqirha wakho ngayo yonke into esengqondweni yakho. Umzekelo, ungabuza imibuzo efana nale:

• Ndingathetha njani nomntwana wam ngale nto (xa umntwana emdala ngokwaneleyo ukuba aqonde)?
• Sibaxelela njani usapho lwethu kunye nabahlobo nge-Aphallia?
• Ndingenza njani izigqibo malunga nonyango? Zeziphi izinto zokuqala ekufuneka ndiziqwalasele?
• Ndingawafumana phi amaqela enkxaso kubazali babantwana abanjengale?
• Le meko iza kuyichaphazela njani inkqubela phambili nemfundo yomntwana kwixesha elizayo? Simele senze ntoni?

Kwenzeka ntoni kubantu abane-aphalia xa bebadala?

Kukho abantu abangaphantsi kwe-100 kwihlabathi liphela abaye bafunyaniswa bene-aphallia. Uninzi lwaba bantu abakabi ngabantu abadala. Ukunyanga i-aphallia kumntu omdala kunokuba nzima ngakumbi kunokunyanga umntwana. Nangona kunjalo, kukho izisombululo zonyango kunye neenkonzo zokunika iingcebiso ngaloo nto.

Okokugqibela, khumbula oku.

Kuqhelekile ukuba abazali bazive bexinezelekile kwaye bothukile xa befumanisa ukuba umntwana wakho unesifo sokuzalwa esahlukileyo kweso ubusilindele . Akukho nto imbi ngokuziva usoyika, ulusizi, ukhathazekile, okanye unomsindo . Awuwedwa kwiimvakalelo zakho.

Eyona nto ibalulekileyo kukuthatha ixesha lokwenza izigqibo ezilungele umntwana wakho, kwaye uqale ngokuthatha izigqibo ezibalulekileyo nezingxamisekileyo.. Thetha neqela lakho lezonyango uze ufumane iingcebiso zalo malunga nendlela yokuqhuba. Khumbula, nguwe onoxanduva lokubonelela umntwana wakho ngothando, inkathalo, kunye nonyango olungcono.

I- Aphallia, ukungabikho kwepenis, iziphene zokuzalwa, i-penis agenesis, uphuhliso lwesondo, i-phalloplasty, ingcebiso yemfuza