Ngamanye amaxesha sivakalelwa kukuba ilizwi lethu alifani nobuntu bethu bokwenyani. Akufuneki sitsho, ukungakhululeki kunye nokukhathazeka okuza engqondweni xa sivakalelwa kukuba ilizwi lethu lirhabaxa okanye linzima. Ngoko ke, namhlanje sithetha ngendlela enokutshintsha ilizwi lethu libe lilo lobufazi ngokweminqweno yethu nangokweminqweno yethu. Olu lutyando olubizwa ngokuba yi-'Voice Feminization Surgery'.
Yintoni le ndlela yotyando lokukhulisa ubufazi ngelizwi?
Ngamafutshane, olu lutyando olunyusa isandi selizwi lakho. Olu tyando lwenza utshintsho oluhlala luhleli kwiintambo zakho zelizwi, ukuze ilizwi lakho libe phezulu kwaye libe ngumfazi ngakumbi.
Ezi ntambo zelizwi zifumaneka kwinxalenye yomqala wethu ebizwa ngokuba yi-larynx. Ubude kunye nobukhulu bazo bumisela isandi selizwi lethu. Zicinge njengeentambo zegitare. Kanye njengokuba intambo yegitare ivelisa isandi esiphezulu xa ikhululiwe okanye iqinisiwe, olu tyando luphakamisa isandi selizwi lakho ngokulifinyeza, ukuliqinisa, okanye ukukhulula intambo zelizwi lakho. Olu tyando lwenziwa ngugqirha okhethekileyo, ingcali yendlebe, impumlo, kunye nomqala (i-laryngologist).
Kutheni umntu enokwenza utyando olunjalo?
Esi sigqibo sidla ngokuba sesomntu ngamnye . Isizathu esiphambili kukunciphisa uxinzelelo kunye nokungonwabi okubangelwa kukuziva ngathi ilizwi lakho alihambelani nobuwena bakho bobufazi. Ukuba nelizwi elihambelana nobuntu bakho bangaphakathi kunika intuthuzelo enkulu yengqondo.
Ukongeza, ezinye izizathu zonyango nazo zinokubangela olu tyando.
- Kubantu abaneengxaki ezithile zokwahluka ngokwesini.
- Kwabo baneengxaki zempilo ezifuna ukutyiwa kweehomoni zamadoda (androgens).
- Abo banezimila ezivelisa iihomoni zamadoda, njengomhlaza wesibeleko.
Ngaba kunokwenzeka ukutshintsha ilizwi lakho ngaphandle kotyando?
Ewe, unako. Kukho indlela engenabungozi bungako, enokuguqulelwa emva kwesiqhelo ecetyiswa ngoogqirha abaninzi ngaphambi kokuba kwenziwe utyando. Loo ndlela yokuqeqesha ilizwi, eyaziwa ngokuba yi-'Voice Feminization Therapy'.
Ingcali yezifo zolwimi lokuthetha (SLP) iza kukunceda ngale nto. Iza kukufundisa iindlela ezahlukeneyo zokuzivocavoca kunye neendlela zokuphakamisa isandi selizwi lakho, ukutshintsha indlela othetha ngayo, kunye nethoni. Abantu abaninzi bayazama olu nyango ngaphambi kokuba benze utyando. Ngamanye amaxesha, nasemva kotyando, olu nyango lunokuba luncedo kakhulu ekuqhelaneni nelizwi lakho elitsha.
Uzilungiselela njani ngaphambi kotyando?
Wakuba ugqibile ngotyando, ugqirha wakho kunye nengcali yokuthetha baya kukulungiselela.
- Imithambo yokusebenza kwelizwi:Uza kufundiswa imithambo elula onokuyenza imihla ngemihla ukuqinisa iintambo zakho zelizwi nokwenza kube lula ukuzishukumisa. Oku kuya kukunceda uphinde uphile ngokukhawuleza emva kotyando.
- Ucoceko lwelizwi: Oku kubaluleke kakhulu. Ngamafutshane, kukugcina ilizwi lakho liphilile kangangoko kunokwenzeka.
- Kufuneka usele amanzi amaninzi . Oku kuya kubonelela ngomswakama ofunekayo kwiintambo zelizwi.
- Ukuba ungumntu otshayayo, ngokuqinisekileyo kuya kufuneka uyeke .
- Utywala kunye neziselo ezine-caffeine (ezifana nekofu kunye neti) zinokomisa imiphunga, ngoko ke kungcono ukuzikhwebula kwezi zinto ngaphambi kotyando.
Lwenziwa njani olu tyando? Ziziphi iindlela ezisetyenziswayo?
Olu tyando lwenziwa phantsi kwe-anesthesia eqhelekileyo, oko kuthetha ukuba ulele ngokupheleleyo. Ngoko ke awuyi kuva ntlungu. Kukho iindlela ezahlukeneyo zokwenza olu tyando. Ezinye iindlela ziquka ukufaka ikhamera encinci (i-laryngoscope) ngomlomo, ngelixa ezinye zibandakanya ukwenza umsikelo omncinci ngaphandle kwentamo. Itheyibhile engasezantsi idwelisa ezinye zeendlela ezisetyenziswa kakhulu.
| Igama lotyando | Ingcaciso elula |
|---|---|
| I-Anterior Glottal Web Formation (Wendler Glottoplasty) | Iingqimba ezininzi zezicubu ziyasuswa ngaphambili kweentambo zelizwi zize zithungwe kunye. Oku kunciphisa ubude beentambo zelizwi kwaye kunyuse ilizwi. Le yindlela esetyenziswa kakhulu namhlanje. |
| I-Laser Reduction Glottoplasty (LRG) | Imisebe yelaser isetyenziselwa ukutshabalalisa izicubu zangaphandle zeentambo zelizwi. Oku kwandisa uxinzelelo lweentambo zelizwi kwaye kwenza ilizwi libe phezulu. |
| Uqikelelo lweCricothyroid (i-CTA) | Iziqwenga ezibini ze-cartilage phezulu nasezantsi kwe-larynx zithungwa kunye. Oku kuqinisa iintambo zelizwi kwaye kwenza ilizwi libe phezulu. Nangona kunjalo, le ndlela ayisasetyenziswa kakhulu kuba iziphumo azihlali ixesha elide. |
| I-Laryngoplasty yoBufazi | Inxalenye ye-cartilage kunye neenxalenye ze-vocal cords ziyasuswa kwi-thyroid gland entanyeni. Oku kuphakamisa i-larynx kwaye kunciphisa i-vocal cords. |
Kwenzeka ntoni emva kotyando? Kuthatha ixesha elingakanani ukuze umntu aphile?
Emva kotyando, ugqirha wakho kunye nogqirha wengqondo baza kukujonga ngokusondeleyo.
Eyona nto ibalulekileyo kukuyeka ngokupheleleyo ukuthetha kangangeentsuku ezi-5 ukuya kwezili-14 emva kotyando. Oku sikubiza ngokuba 'yi-voice rest'. Kubalulekile ukuba ungapheleli nje ekusebezeni, ekuhlekeni, nasekuculeni, kodwa nokulawula ukukhwehlela kangangoko unako. Ngeli xesha, kuya kufuneka unxibelelane ngemiyalezo okanye ngokubhala.
Kungathatha iinyanga ezi-6 ukuya kwezili-12 ukuba ii-vocal cords zakho ziphiliswe ngokupheleleyo kwaye nelizwi lakho lizinze. Ngoko ke ungakhathazeki ukuba awufumani ziphumo obuzilindele kwangoko. Kuya kufuneka uzinike ixesha.
Ziziphi iingenelo kunye neengozi zalo tyando?
Eyona nzuzo inkulu kukuba ungaligcina ilizwi lakho liphezulu rhoqo ngaphandle kokudinwa. Kungekuphela nje xa uthetha, kodwa naxa ukhohlela okanye uvula umqala. Ilizwi lakho alibi nzima ngequbuliso.
Kwakhona, njengazo zonke iintlobo zotyando, kukho iingozi ezithile.
- Ilizwi elibuthathaka, ingakumbi xa uthetha kakhulu.
- Ukurhawuzelela kwelizwi, isandi sokuphefumla (iDysphonia).
- Ilizwi liphezulu kakhulu (linomgangatho ongaqhelekanga).
- Ilizwi alizange litshintshe njengoko bekulindelwe.
- Ukungcangcazela kwelizwi.
- Ilizwi liyaphinda litsho ngamandla ekuhambeni kwexesha.
- Imfuneko yotyando kwakhona.
Eyona ndlela ingcono yokunciphisa ezi ngozi kukuba utyando lwenziwe yingcali enamava eyenza utyando olunjalo rhoqo.
Ufanele uye nini kugqirha ngoko nangoko?
Ngaphambi kokuba uphume esibhedlele, cacisa ukuba zeziphi iziphumo ebezingalindelekanga eziqhelekileyo kunye neempawu zengxakeko. Ukuba unezinye zezi mpawu zilandelayo, yiya kwiSebe leNgxakeko lesibhedlele (ETU) ngokukhawuleza.
- Iimpawu zosulelo: umkhuhlane, ukugodola, kunye nokuphuma kobofu kwindawo yotyando.
- Ubunzima bokuphefumla: Le yimeko engxamisekileyo enzulu kakhulu.
- Ubunzima bokuginya amanzi okanye ukutya okumanzi: Ukutya kungangena kwindlela yomoya , nto leyo enokubangela imeko enzima efana ne-aspiration pneumonia.
Umyalezo Wokuya Ekhaya
- Utyando lwe-Voice Feminization lutyando oluphakamisa isandi selizwi ngokusisigxina kwaye lulinike inkangeleko yobufazi.
- Esi sisigqibo sobuqu kakhulu. Kubalulekile ukuxoxa ngokukhululekileyo nogqirha wakho ngezinto ozilindeleyo ngaphambi kotyando.
- Iziphumo ezilungileyo zinokufunyanwa ngokufuna uncedo lwengcali yokuthetha (SLP) ngaphambi nasemva kotyando.
- Kungathatha phakathi kweenyanga ezi-6 ukuya kwezili-12 ukuze umntu aphile ngokupheleleyo aze aphinde athethe kakuhle emva kotyando, ngoko ke kubalulekile ukuba nomonde.
- Ukuba ufumanisa iimpawu ezifana nobunzima bokuphefumla, umkhuhlane ophezulu, okanye ubunzima bokuginya, yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
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