Ingabe ingane yakho izalwa ingenawo umthondo? Ake sixoxe nge-Aphallia

Uma ubheka ukwengezwa okusha emndenini wakho, ungase ushaqeke futhi wesabe ukufa. Ezinye izingane zizalwa zingenawo umbungu. Kwezokwelapha, lokhu kubizwa ngokuthi i-aphallia. Lesi yisimo esingavamile kakhulu. Kodwa, njengabazali, aniwedwa lapho lokhu kwenzeka, futhi sonke silapha ukuze sixoxe ngakho, sikuqonde, futhi senze okungcono kakhulu enganeni yakho.

Iyini i-Aphallia? Ake sikuqonde kalula.

Kalula nje, i-Aphallia ukungabikho kwepenisi lapho kuzalwa . Lesi yisimo sokuzalwa . Lokhu kusho ukuthi ipisi ayikhuli kahle ngesikhathi sokukhula kombungu , ngenkathi umntwana esesesibelethweni. Elinye igama lalesi simo yi- penisi agenesis .

Kulesi simo, akukhona nje kuphela ukuthi ipenisi ayikho, kodwa nomgodi womchamo awukho endaweni evamile okufanele ube kuyo. Ngokuvamile, lo mgodi utholakala endaweni efana nendawo ye-perineal, phakathi kwe-anus nezitho zangasese .

Abanye abacwaningi bakholelwa ukuthi igama elithi aphallia kufanele lisetshenziswe ukuchaza ukungabikho kwezicubu zomzimba lapho kuzalwa. Izicubu zomzimba ziyizicubu ezithambile ezigcwala igazi ngesikhathi sokukhuthazwa ngokocansi. Lezi zicubu zikhona epenis yabafana kanye nase-clitoris yamantombazane. Ngokwale ncazelo, i-aphallia ingavela ezinganeni ezingowesilisa ngokwezakhi zofuzo (ama-chromosome ocansi e-XY) noma abesifazane (ama-chromosome ocansi e-XX), okusho ukuthi zingaba nama -chromosome ocansi e-XY noma e-XX .

Sivame kangakanani lesi simo esibizwa ngokuthi i-aphallia?

Empeleni lesi yisimo esingavamile kakhulu . Ngokusho komunye umbiko, sithinta cishe ingane eyodwa kwezigidi eziyi-10 kuya kwezingama-30 ezizalwayo. Sivame ukubonwa kakhulu ezinganeni zesilisa (ezinama-chromosome ocansi e-XY). Ngakho-ke, ungacabanga ukuthi lokhu kungavamile kangakanani. Ngakho ungakhathazeki, kukhona ukwesekwa nolwazi lokubhekana nalokhu.

I-aphallia ihluke kanjani kwezinye izimo ezifanayo?

Ngezinye izikhathi, noma ngabe ingane inepenis, ingase ingabonakali. Ngakho-ke, ngaphambi kokunquma ngokuqinisekile ukuthi ikhona i-aphallia, odokotela bacabangela ezinye izimo eziningana. Ake sibone ukuthi ziyini:

• Ipenisi elingcwatshwe: Kulesi simo, ipipi lingase libe nosayizi ojwayelekile, kodwa lingase lifihlwe ngaphansi kwesikhumba sesisu, amathanga, noma i-scrotum (isikhwama esiqukethe amasende). Lokhu kubizwa nangokuthi ipipi elifihliwe noma ipipi elifihliwe . Lapha, ipipi likhona, kodwa alibonakali.
• I-Hypospadias: Kulesi simo, ipayipi elithwala umchamo lisuka kwesinyeni liye ngaphandle, elibizwa ngokuthi i-urethra , alakheki kahle. Futhi, imbobo (inyama) lapho umchamo uphuma khona ayikho endaweni evamile esicongweni sepenis. Kunalokho, ingaba semgodleni wepenis noma esikhumbeni. Lapha, ipenis isekhona, kodwa imbobo ye-urethra isendaweni ehlukile.
• I-Micropenis: Kulesi simo, ipenis imfushane kunokujwayelekile lapho izalwa. Okusho ukuthi, ingaphansi kwamasentimitha angu-1.9 (amasentimitha angu-0.75). Ipenis ikhona, kodwa incane ngobukhulu.
• Umehluko wokukhula kobulili (DSD): Kulesi simo, ukukhula kobulili akwenzeki ngokuvamile ngenxa yezizathu zofuzo, zomzimba, noma zamahomoni. Izitho zangasese zingase zingacaci (okungukuthi, ngaphandle kokubukeka okuvamile kowesilisa noma kowesifazane) futhi/noma zingase zingahambisani nobulili be-chromosome.

Ngakho-ke uyabona, i-aphallia ihlukile kuzo zonke lezi zinto, ukungabikho ngokuphelele kwepenis .

Yiziphi izimpawu zomntwana one-aphallia?

Izimpawu eziyinhloko yilezi:

• Ukungabikho kwepenisi , kodwa ukuba khona kwe-scrotum nama-testicles.
• Imiphumela yokuhlolwa kwe-karyotype ivame ukukhombisa ukuthi owesilisa (46, XY) noma owesifazane (46, XX). Lokhu kusho ukuthi lokhu akuyona inkinga ezingeni le-chromosome.

Ngezinye izikhathi, odokotela bayakwazi ukuxilonga lesi simo ngaphambi kokubeletha, okungukuthi, ngaphambi kokuba umntwana azalwe .

Yini ebangela i-aphalia?

Uma ngikhuluma iqiniso, imbangela eqondile ye-aphallia ayaziwa . Kodwa-ke, abacwaningi bayazi ukuthi ukukhula kombungu (ukukhula kweqanda elivundisiwe) akwenzeki ngendlela evamile. Lokhu kubizwa ngokuthi i-agenesis , okusho ukuthi isici esifanele asithuthuki. Basaphenya ukuthi yiziphi izici zofuzo noma zemvelo ezibangela lokhu.

Itholakala kanjani i-aphalia?

Odokotela bavame ukuxilonga lesi simo ngokuhlolwa ngokomzimba . Kodwa-ke, bangase bacele ukuhlolwa kwegazi noma ukuhlolwa kwezithombe , njengokuskena kwe-ultrasound, ukuqinisekisa ukuxilongwa. Lokhu kungabheka izitho zangasese zomntwana zangaphakathi futhi kuhlole ezinye izinkinga.

Yiziphi izindlela zokwelapha i-Aphallia?

Uma ingane esanda kuzalwa isolwa ukuthi ine-aphallia, odokotela bagxila kakhulu ekuhloleni ezinye izinkinga zokuzalwa ezingasongela ukuphila .

Into elandelayo ebaluleke kakhulu ukuqinisekisa ukuthi ingane iyakwazi ukuchama kahle.Okusho ukuthi, bahlola ukuthi kukhona yini isikhala lapho umchamo ungaphuma khona emzimbeni, noma ukuthi kukhona yini ukuvinjelwa kwendlela yomchamo. Ngezinye izikhathi, kungase kudingeke ukuhlinzwa okubizwa ngokuthi i-vesicostomy ukuze kudalwe indlela lapho umchamo ungaphuma khona.

Eminyakeni embalwa yokuqala yokuphila kwengane, ukuhlinzwa kokushintsha ubudoda (i-phalloplasty) kanye nokuhlinzwa kokushintsha ubudoda (i-urethroplasty) . Udokotela ohlinzayo onguchwepheshe uzonquma indlela engcono kakhulu yalokhu kuhlinzwa. Lokhu ukuhlinzwa okuyinkimbinkimbi, ngakho kwenziwa ngaphansi kokuqondisa kwethimba lezokwelapha elinolwazi.

Okubalulekile: Esikhathini esidlule, ukwelashwa kwendabuko kwezingane ezine-aphallic ezinama-testicles (okungukuthi, i-genetic XY) kwakuwukwenza i-feminizing genitoplasty, eyayibanika ubulili besifazane . Kodwa-ke, ezimweni eziningi, njengoba lezi zingane zikhula, ziyaqaphela ukuthi ubulili obunikezwa odokotela ekuzalweni abuhambisani nobunikazi bazo bangempela bobulili .

Ngakho-ke, odokotela abaningi manje bakholelwa ukuthi uma ingane ingumuntu wesilisa ngokwezakhi zofuzo (XY), kungcono ukwenza ukuhlinzwa kokwakhiwa kabusha kwepenis (phalloplasty) . Kubhekwa njengokungcono ukuyishiya ngale ndlela kuze kube yilapho ingane isiqonda kahle ubulili bayo futhi isikhule ngokwanele ukuba izenzele izinqumo zayo ngokuthi izokwenzenjani ngokulandelayo. Ngemva kokuthomba, ukuhlinzwa kwesibili (phalloplasty) kungenziwa ukuze kunikezwe ipipi elilingana nomuntu omdala. Kodwa-ke, kunzima ukulindela ukusebenza okuvamile kokuthomba ngemva kokuhlinzwa okunjalo.

Lezi zinqumo zibucayi kakhulu, ngakho-ke ithimba lezokwelapha lengane, odokotela bezifo zengqondo, nabazali basebenzisana ukuze banqume ukuthi yini engcono kakhulu enganeni.

Ingabe ingozi yokuthola umntwana one-aphallia ingancishiswa?

Njengoba imbangela eqondile ye-aphallia ingaziwa, okwamanje ayikho indlela yokuyivimbela . Kodwa-ke, ukwelulekwa ngofuzo kungaxoxa ngezimo zofuzo kanye nokuxilongwa kokukhulelwa . Lokhu kungasiza ekwaziseni nasekulungiseleleni abazali ngaphambi kokukhulelwa kanye/noma ukuzalwa komntwana.

Futhi, ukulandela indlela yokuphila enempilo ngesikhathi sokukhulelwa kuhle kumama kanye nomntwana osesiswini. Lokho kusho ukudla ukudla okunempilo, ukugwema ukubhema notshwala, kanye nokulandela iseluleko sikadokotela.

Uma ingane yami ine-aphalia, yini okufanele ngiyilindele?

Uma ingane yakho ine-aphalia, kodwa kungekho ezinye izinkinga ezinkulu, isibikezelo sihle.. Kodwa-ke, uma kunezinye izinkinga zezokwelapha, isimo singaba nzima kakhulu. Ezinye izinkinga, isibonelo, ubunzima bokuphefumula, ukungabikho kwezitho ezibalulekile, kungaba yingozi kakhulu. Ngakho-ke, kubalulekile ukukhuluma nodokotela ngesimo sengane njalo.

Ngingazinakekela kanjani njengomzali wengane ene-aphallia?

Kuvamile ukuzizwa sengathi unezinqumo eziningi ezinkulu okufanele uzenze ngokushesha nje ngemva kokuzalwa kwengane yakho. Kodwa, asikho isidingo sokwesaba. Into ebalulekile ukuthatha isinyathelo ngasinye . Njengoba ingane yakho ikhula, izodlula ezinguqukweni eziningi ngokomzimba, ngokwengqondo nangokwengqondo. Ukuze ikusize ubhekane nalezi zinguquko, kungaba usizo kakhulu kubazali nomndeni ukufuna iseluleko .

Khumbula ukuthi awuwedwa. Kuvamile ukuzizwa wesaba, udabukile, ukhathazekile, futhi mhlawumbe uthukuthele ngezikhathi ezinjengalezi.

Njengabazali, kubalulekile ukugcina ubuhlobo obuseduze nethimba lezokwelapha lengane yakho. Odokotela bazochaza ukuthi yini okufanele uyilindele nokuthi yiziphi izinyathelo ezilandelayo. Ungesabi ukukhuluma nabo nganoma yimiphi imibuzo noma ukukhathazeka onakho.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Kubalulekile ukukhuluma nodokotela wakho ngakho konke okusengqondweni yakho. Isibonelo, ungase ubuze imibuzo efana nale:

• Ngingakhuluma kanjani nengane yami ngalokhu (uma ingane isikhulile ngokwanele ukuba iqonde)?
• Sibatshela kanjani imindeni yethu nabangani nge-Aphallia?
• Ngingazenza kanjani izinqumo mayelana nokwelashwa? Yiziphi izinto zokuqala okufanele ngizicabangele?
• Ngingawatholaphi amaqembu okusekela abazali bezingane ezinjengalezi?
• Lesi simo sizoyithinta kanjani intuthuko yengane kanye nemfundo yayo yesikhathi esizayo? Yini okufanele siyenze?

Kwenzekani kubantu abane-aphalia lapho sebekhulile?

Kunabantu abangaphansi kwe-100 emhlabeni wonke abaye batholakala benesifo se-aphallia. Iningi lalaba bantu abakabi abantu abadala. Ukwelapha i-aphallia kumuntu omdala kungaba nzima kakhulu kunokwelapha ingane. Kodwa-ke, kunezixazululo zezokwelapha kanye nezinsizakalo zokweluleka ngalokho.

Ekugcineni, khumbula lokhu.

Kuvamile ngabazali ukuzizwa bekhungathekile futhi beshaqekile lapho bethola ukuthi ingane yakho inesifo sokuzalwa esihlukile kwesabesikulindele . Akukho okubi ngokuzizwa wesaba, udabukile, ukhathazekile, noma uthukuthele . Awuwedwa emizweni yakho.

Into ebaluleke kakhulu ukuzinika isikhathi sokwenza izinqumo ezizuzisa ingane yakho, bese uthatha izinqumo ezibaluleke kakhulu neziphuthumayo kuqala.Khuluma nethimba lakho lezokwelapha bese uthola iseluleko sabo sokuthi ungaqhubeka kanjani. Khumbula, uphethe ukunikeza ingane yakho uthando, ukunakekelwa, kanye nokunakekelwa kwezokwelapha okungcono kakhulu.

I- Aphallia, ukungabikho kwepenisi, ukukhubazeka kokuzalwa, ukwakheka kwepenisi, intuthuko yocansi, i-phalloplasty, ukwelulekwa ngofuzo