Ngamanye amaxesha, ngenxa yengxaki yokuzalwa okanye ukwenzakala okukhulu okubangelwe yingozi, umntu unokufumana ixhala kunye noxinzelelo olukhulu malunga namalungu akhe esini. I-Phalloplasty lutyando oluntsonkothileyo kakhulu olwenziwayo ukuze kuphinde kuqalwe okanye kwakhiwe kwakhona ipenis kwiimeko ezinjalo. Ekubeni esi sisigqibo esikhulu, kubaluleke kakhulu ukuba nolwazi olupheleleyo ngaso. Ngoko ke, masithethe ngale nto ngokweenkcukacha, ngendlela elula onokuyiqonda.
Yintoni kanye kanye i-phalloplasty?
Ngamafutshane, i-phalloplasty kukwenziwa ngotyando kwepenis entsha (i-neophallus) okanye ukwakhiwa kwakhona kwepenis eyonakeleyo. Oku kudla ngokwenziwa njengonyango lwesiphene sokuzalwa, ukwenzakala okukhulu kwipenis, okanye imeko yempilo.
Kukho iinjongo eziphambili ezininzi zolu tyando:
- Ukudala ipenis ejongeka njengeyendalo.
- Ukunika amandla okuchama ngelixa umile.
- Ukunika imvakalelo yokuchukumisa nokonwaba ngokwesondo.
- Ukubonelela ngesakhono sokuvuselela ipenis ngoncedo lwesixhobo esikhethekileyo (i-penile implant).
- Ukudala ipenisi ekwaziyo ukulalana ngesondo.
Kuxa kutheni apho olu tyando luyimfuneko?
Utyando lwePhalloplasty ludla ngokucetyiswa ngezizathu ezibini eziphambili: iimeko zokuzalwa kunye nomonakalo omkhulu kwilungu lobudoda. Makhe sijonge ezi zinto ngokusondeleyo.
| Isizathu sokufuna utyando | Inkcazo kunye nemizekelo |
|---|---|
| Iimeko zokuzalwa |
|
| Ukulimala kwepenile |
Ndingazilungiselela njani ngaphambi kotyando?
Ekubeni olu tyando lunzima kakhulu, kubalulekile ukuba uzilungiselele kakuhle kwangethuba. Ezi zinto zibalulekile ukuze ufumane iziphumo ezilungileyo.
- Uvavanyo olupheleleyo lwezonyango: Ugqirha wakho uza kuhlola impilo yakho iyonke aze axoxe ngembali yakho epheleleyo yezonyango.
- Imfundo epheleleyo: Oogqirha baya kukufundisa ngokupheleleyo ngeenzuzo, iingxaki, iingozi, kunye nonyango emva kotyando.
- Uvavanyo lwempilo yengqondo: Eli linyathelo elibaluleke kakhulu. Umcebisi wezempilo yengqondo ofanelekileyo (ingcali yezonyango, ugqirha wengqondo) uza kuthetha nawe ukuqinisekisa ukuba ukulungele ngokwengqondo olu tyando. Baza kuthetha ngesizathu sokuba ufuna ukwenza olu tyando, ukuba zithini izinto ozilindeleyo, kunye nendlela oluya kuyichaphazela ngayo ubomi bakho. Ngokwesiqhelo, oku kufuna iileta zengcebiso ezivela kwiingcali ezimbini zempilo yengqondo.
- Ukususwa kweenwele: Iinwele kufuneka zisuswe ngonaphakade kwindawo apho ipenisi entsha iza kufakelwa khona (umzekelo, ingalo, okanye ithanga). Oku kungenziwa kusetyenziswa iindlela ezifana ne -electrolysis okanye i-laser hair removal .
- Imikhwa yempilo: Ukuyeka ukutshaya ukuba uyatshaya kwaye ugcine i-body mass index (BMI) engaphantsi kwama-32 kunokunceda ukunciphisa iingxaki zotyando.
Lwenziwa njani utyando?
Ngaphambi kokuba utyando luqale, ingcali yokubulala iintlungu iza kukunika i-anesthesia ukuze ikulalise ngokupheleleyo. Ngoko awuyi kuva ntlungu ngexesha lotyando.
Emva koko, oogqirha botyando bathabatha i-flap yesikhumba, amafutha, imithambo-luvo, kunye nemithambo yegazi engalweni yakho (i-radial forearm free flap) okanye ethangeni (anterolateral thigh free flap) . Le flap iqulethe yonke into kwi-penis ngaphandle kwezicubu ze-erectile.
I-Phalloplasty lutyando oluntsonkothileyo kakhulu, ngoko ke kubaluleke kakhulu ukukhetha ugqirha onamava kunye neqela lezonyango elinamava kakhulu kolu hlobo lotyando.
Okulandelayo, ilaphu liqengqwa libe yityhubhu, elimile okwepenisi, lize linamathele emqolo wakho. Olu tyando lungathatha iiyure ezisi-8 ukuya kwezili-10 nangaphezulu.
Ngamanye amaxesha, utyando olongezelelweyo lunokwenziwa ngaxeshanye nolu tyando, okanye lunokwahlulwahlulwa lube ngamanqanaba ahlukeneyo, nto leyo evumela ixesha lokuphiliswa. Olu tyando longezelelweyo luquka:
- Urethroplasty (ukwandiswa kwe-urethra) ukuze ukwazi ukuchama ngelixa umile.
- Ukwenza i-glansplasty (glansplasty) yelungu lobudoda.
- Ukufakelwa kwepenile .
- Ukwenza i-scrotum yamasende (i-scrotoplasty) .
Zithini iingenelo zolu tyando?
Eyona nzuzo iphambili kukukhululeka kwiingxaki zomzimba nezengqondo. Ukuba nepenis ebonakala ngathi yeyokwemvelo nesebenzayo ngokwesondo kunokwenza umahluko omkhulu ebomini bakho.
Kwakhona, iingenelo ziyahluka ngokuxhomekeke kuhlobo lwethishu ekhethiweyo:
- Izicubu ezithathwe engalweni: Zinika iziphumo ezilungileyo kakhulu kwimbonakalo kunye nokuziva ngcono.
- Ukufakelwa kwethanga: Kukho ukhetho oluninzi ngobude bepenis. Kwakhona, isilonda esivela kufakelo sinokugqunywa lula ngebhulukhwe okanye iibhulukhwe ezimfutshane.
Iingxaki ezinokubakho kunye neengozi emva kotyando
Ekubeni i-phalloplasty lutyando oluntsonkothileyo, kukho umngcipheko weengxaki. Utyando lwenziwe ngugqirha onamava lunokunciphisa lo mngcipheko. Ukuba ingxaki iyenzeka, ukubonwa kwangethuba kunokunciphisa iziphumo zexesha elide.
| Umngcipheko/Ingxaki | Icacisiwe ngokulula |
|---|---|
| Iingxaki ze-anesthesia | Izinto ezifana nomphimbo obuhlungu, isicaphucaphu, ukuqhina, ukusabela okukhulu kwe-allergy (i-anaphylaxis). |
| Usulelo lweebhaktheriya | Iintsholongwane zingena ngamanxeba otyando kwaye zibangele usulelo (i-sepsis). |
| Ukulahleka kwenxalenye yesitho sangasese sowesilisa | Ukuba ipenisi edaliweyo ayifumani gazi laneleyo, ukufa kwezicubu (i-necrosis) kunokwenzeka. |
| Ukuqina komchamo | Izicwili zesikhumba zibangela ukuba ukuhamba komchamo kuvaleke okanye kume ngokupheleleyo. |
| I-Fistula yomchamo | Umngxuma ongaqhelekanga phakathi kwenkqubo yomchamo nelinye ilungu lomzimba okanye ngaphandle komzimba. |
Ixesha lokuchacha kunye nezinto ekufuneka uzazi
Emva kotyando, kuya kufuneka uphumle kakuhle. Kuya kufuneka uhlale esibhedlele ubuncinane iveki. Ngeli xesha, oogqirha baya kujonga rhoqo igazi eliya kwilungu lesini elitsha.
- Ukuphumla: Kuya kuthatha ubuncinane iiveki ezi-6 ukuqala imisebenzi eqhelekileyo. Imisebenzi efana nokuzilolonga kunye nomsebenzi wasekhaya kufuneka inqunyelwe ngeli xesha.
- Ukuchama: Ekuqaleni, umchamo udluliselwa kwi-catheter.
- Ukhathalelo lwenxeba: Amanxeba otyando kufuneka agcinwe ecocekile kwaye omile. Iibhandeji mazitshintshwe njengoko ugqirha eyalele.
- Amayeza: Ufanele usebenzise amayeza achazwe ngugqirha wakho xa unesifo sentlungu, ukuthintela usulelo, kunye nokuthintela ukuqhina kwesisu.
Kudla ngokuthatha malunga neenyanga ezi-2-3 ukubuyela emsebenzini okanye esikolweni. Nangona kunjalo, ukuba unomsebenzi onzima ngokwasemzimbeni, unokufuna ukuphumla ixesha elide, mhlawumbi iinyanga ezi-3-4.
Ixesha lokubona ugqirha ngoko nangoko
Emva kotyando, kufuneka ubonane nogqirha wakho rhoqo ukuze ajonge ukuba uyachacha na. Kwakhona, ukuba ufumana naziphi na ezi mpawu zilandelayo , funa ingcebiso yezonyango ngoko nangoko okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele.
- Iimpawu zosulelo (umkhuhlane, ukubanda, intloko ebuhlungu, ukutshintsha kombala wenxeba, ukudumba, okanye ukuphuma kobofu).
- Ukuhlanza okungapheliyo kunye nokungakwazi ukugcina ulwelo.
- Ukopha kakhulu okanye ilokhwe emanziswe ligazi ngokupheleleyo.
- Ubunzima okanye iintlungu eziqatha ngexesha lokuchama.
- Intlungu engapheliyo nangona usela amayeza kwaye ihlala ixesha elide kunokuba bekulindelwe.
- Ukutshintsha kombala okanye ezinye iingxaki kwilungu lobudoda elisandul’ ukwakheka.
Umyalezo Wokuya Ekhaya
- I-Phalloplasty lutyando olukhulu olunzima kakhulu, oludla ngokuba namanqanaba amaninzi. Asiso sigqibo esimele sithathwe lula.
- Kubaluleke kakhulu ukulungiselela kakuhle, emzimbeni nasengqondweni, ngaphambi kotyando.
- Kubalulekile ukukhetha iqela lotyando elinamava kakhulu nelinobuchule kolu tyando.
- Kuthatha ixesha elide ukuphiliswa, ngoko ke kufuneka ube nomonde kwaye ulandele imiyalelo kagqirha wakho.
- Qaphela iingozi kunye neengxaki ezinokuvela. Funa ingcebiso kagqirha ngokukhawuleza ukuba uneengxaki. Nguwe owenza izigqibo ngomzimba wakho. Intuthuzelo nolwaneliseko lwakho zezona zinto zibalulekileyo.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Yintoni i-Epigastric Pains? Ingaba le yi-gastritis?
Abantu abaninzi bayibiza le nto ngokuba yi-'gas' (iGastritis). 'Intlungu ye-Epigastric' yintlungu yokutsha okanye yokuhlaba enganyamezelekiyo eyenzeka esiswini esingaphezulu, ngaphantsi nje kwembambo nangasentla kwenkaba. Nangona isisu silapha, intliziyo ikwakho ngaphezulu kwayo, ngoko ungalibali ukuba le ntlungu 'yegesi' inokwenzeka nakwixesha 'lokuhlaselwa yintliziyo'!
💬 Zeziphi izizathu eziphambili zentlungu enganyamezelekiyo embindini wesisu (intlungu ye-epigastric) ngaphantsi kwesifuba?
Kukho izizathu ezi-4 eziphambili zoku: 1) 'I-Gastritis kunye nezilonda zesisu (Peptic Ulcer/GERD)' - Le yeyona ixhaphakileyo. 2) 'I-Heart Attack (Myocardial Infarction)' - Intlungu ekule nto ifana ne-100% negesi, kodwa kule meko isigulana siyafa kwimizuzu embalwa! 3) I-Pancreatitis (I-Acute Pancreatitis) - Oku kwenzeka kubantu abasela utywala obuninzi kwaye intlungu yesisu isasazeka emqolo (ngaphandle) (ebulalayo). 4) I-Gallstones (Gallstones).
💬 Xa uziva iintlungu ze-epigastric, kufuneka ubize i-ambulensi ngoko nangoko, ngaphandle kokuginya 'iipilisi zegesi'. Zithini 'iimeko ezingxamisekileyo/ezibulalayo'?
Ukuba intlungu ayipheli nokuba emva kweyure usela iyeza lokuthintela i-asidi (kusenokuba sisifo sentliziyo)! Eyona ngozi inkulu! Kunye nale ntlungu, 1) Ukuba ufumana 'ukubila okubandayo / ukuhlaselwa yintliziyo', 2) Ukuba ukuqina kwesifuba 'kusasazeka engalweni yasekhohlo okanye ngasemhlathini/entanyeni', 3) Ukuba unengxaki yokuphefumla (ukuphelelwa ngumphefumlo), 4) Ukuba uhlanza igazi (hematemesis), kufuneka uye kwicandelo likaxakeka lesibhedlele (ukuze ufumane i-ECG) ngaphandle kokulibazisa!
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