Kungenzeka ukuthi awukaze uzwe leli gama ngaphambili. I-Clitoroplasty inqubo yokuhlinzwa ehilela i-clitoris, ingxenye yezitho zangasese zabesifazane. I-clitoris yindawo encane yezicubu etholakala phezulu kwezitho zangasese zangaphandle zowesifazane, equkethe iziphetho zemizwa ezingaphezu kuka-8,000 futhi esebenza njengesikhungo esiyinhloko senjabulo yocansi. Lesi yisihloko esibucayi kakhulu, ngakho ake sixoxe ngaso ngokukhululekile, kalula, nangendlela ongayiqonda.
Kalula nje, kuyini ukuhlinzwa kwe-clitoroplasty?
Umgomo oyinhloko walokhu kuhlinzwa ukushintsha ukubukeka kwesitho sangasese sowesifazane, ukunciphisa usayizi waso, ukushintsha indawo yaso, noma ukudala esakhe somuntu ongazalwanga naso. Kodwa ngenkathi senza konke lokhu, inselele enkulu ukulondoloza umsebenzi waso oyinhloko, okuwukunikeza ukwaneliseka ngokocansi . Ngakho-ke, kumelwe sikhumbule nokuthi kukhona ingozi yokuncipha kokuzwela noma umthelela othile ekuhlinzekweni kwegazi ngalokhu kuhlinzwa.
Lokhu kuhlinzwa kungenza izinto ezilandelayo:
- Ukunciphisa usayizi wesitho sangasese sowesifazane.
- Ukushintsha isikhundla sikankulunkulukazi.
- Ukudala unkulunkulukazi omusha.
- Ukushintsha ukubukeka okuphelele konkulunkulukazi.
Kungani umuntu engenza lolu hlobo lokuhlinzwa?
Kunezizathu eziningana ezenza umuntu angase ahlinzwe nge-clitoroplasty. Ake sibheke ezinye zezizathu eziyinhloko.
| Isizathu | Incazelo elula |
|---|---|
| Izimo zokuzalwa | Abanye abantwana bangazalwa bengenaso isitho sangasese sowesifazane, kodwa ngezinye izitho zangasese zowesifazane. Noma isitho sangasese sowesifazane singase sibe sikhulu ngendlela engavamile. |
| Izizathu ezihlobene nokubukeka | Ukunganeliseki ngokubonakala kwesitho sangasese somuntu wesifazane, ikakhulukazi ukufuna ukunciphisa ubukhulu baso. |
| Ukuzazi ngokocansi | Njengesinyathelo esisodwa enkambisweni yokulungisa izitho zangasese zangaphandle ukuze zivumelane nesimo somuntu esingokomzwelo kanye nobunikazi bobulili. |
| Ukulungisa umonakalo obangelwe | Ukulungisa umonakalo obangelwe yizehlakalo ezibuhlungu ezifana nokusikwa kwezitho zangasese zabesifazane (i-FGM) ezenzeka kwamanye amasiko. |
Yiziphi izimo eziphathwayo ngalokhu kuhlinzwa?
Lokhu kuhlinzwa kungenziwa ezinganeni, kubantu abadala abasebasha, kanye nakubantu abadala, ikakhulukazi njengokwelashwa kwezimo ezithile zokuzalwa.
I-Clitoromegaly
Leli igama lezokwelapha lamabele amakhulu. Ubukhulu obukhulu kunobujwayelekile bamabele bungaba khona lapho umuntu ezalwa noma bukhule kamuva ekuphileni. Lesi simo sivame ukubangelwa ukuchayeka kuma-hormone wesilisa (ama-androgen) emzimbeni wowesifazane. Lokhu kuhlinzwa kusiza ekufinyeleleni usayizi nesimo esijwayelekile samabele.
I-Congenital Adrenal Hyperplasia (CAH)
Lesi yisimo sesistimu ye-endocrine. Ngenxa yalokho, i-clitoris yentombazane ingaba nkulu kangangokuthi ibukeka njengepenis yesilisa. Ukuhlinzwa kwe-clitoroplasty kushintsha lesi sigaba sezicubu sibe ngesimo se-clitoris evamile.
Izitho Zangasese Ezingavamile noma Ezixubile
Lesi yisimo lapho izitho zangasese zomuntu zangaphandle zingenakuhlukaniswa ngokucacile njengowesilisa noma owesifazane. Lezi zici zingase zibe khona lapho ezalwa, kodwa ngezinye izikhathi zingavela kamuva. Lokhu kuhlinzwa kungabasiza ukuba bafinyelele ukubukeka kobulili kwangaphandle okufiselekayo.
Into ebaluleke kakhulu ukuthi uma ingane encane ihlinzwa ngalolu hlobo, abazali kufanele nakanjani bakhulume nodokotela wengane futhi bacabangele ngokucophelela izinzuzo nezingozi zokuhlinzwa, njengoba lesi yisinqumo esizothinta impilo yonke yengane.
Ulungiselela kanjani ukuhlinzwa?
Isinyathelo sokuqala ukuhlangana nodokotela wakho noma ithimba lezokwelapha bese nixoxa ngomlando wakho wezempilo ogcwele, okulindelwe ngokuhlinzwa, kanye nezingozi. Noma yimiphi imibuzo ongase ube nayo ingaphendulwa ngaleso sikhathi. Udokotela angase futhi acele ukuhlolwa kwegazi noma ukuskena.
Ngaphambi kosuku lokuhlinzwa, udokotela wakho uzokunikeza imiyalelo yokuthi kufanele uyeke nini ukudla nokuphuza, nokuthi kufanele uye nini esibhedlela.
Kwenzekani ngesikhathi sokuhlinzwa?
Uhlobo lokuhlinzwa luyahlukahluka kuye ngesizathu sokuhlinzwa kanye nobunzima balo. Unganikwa umuthi wokubulala izinzwa wendawo, oqeda kuphela indawo ohlinzwa kuyo, noma unganikezwa umuthi wokubulala izinzwa ojwayelekile, okwenza ulale ngokuphelele.
Ekuhlinzeni kokunciphisa i-hymen, udokotela ohlinzayo ususa izicubu eziningi bese eshintsha indawo esele. Ukusikwa kuvalwa ngokuthunga.
Iningi labantu lingaya ekhaya ngosuku olufanayo nokuhlinzwa kwabo . Lokhu kubizwa ngokuthi ukuhlinzwa kwangaphandle. Ukuhlinzwa kuvame ukuthatha cishe ihora noma amabili.
Yini ongayilindela ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, ithimba lezokwelapha lizokuqapha kuze kube yilapho umfutho wegazi lakho kanye nokushaya kwenhliziyo kubuyela esimweni esijwayelekile. Ngemuva kwalokho uzovunyelwa ukuya ekhaya. Kubalulekile ukuthi ube nomuntu ozokusiza ukuya ekhaya.
Kuvamile ukuzwa ubuhlungu, ukuvuvukala, kanye nokungakhululeki ezinsukwini ezimbalwa zokuqala. Udokotela wakho uzokweluleka ukuthi uthathe ikhefu lesonto noma amabili emsebenzini noma esikoleni , unciphise umsebenzi womzimba, futhi uphumule.
Ukuvuvukala kufanele kwehle kakhulu phakathi namasonto ayisithupha, kodwa kungathatha izinyanga ezintathu ukuthi kwehle ngokuphelele. Udokotela wakho uzokunikeza ama-aphoyintimenti okulandelela ukuqinisekisa ukuthi ululama kahle.
Lezi zinto zingasiza ekwenzeni inqubo yokuphulukisa ibe lula:
- Beka iphakethe leqhwa phezu kwezingubo zakho zangaphansi cishe imizuzu engama-20, izikhathi eziningana ngosuku.
- Sebenzisa ama-antibiotic kanye nama-painkiller njengoba nje udokotela wakho ekuyalele.
- Gqoka izingubo ezikhululekile ukuze ugweme ukucindezela inxeba.
- Gwema ukuya ocansini noma ukufaka noma yini esithweni sangasese sangasese okungenani amasonto ayisithupha noma kuze kube yilapho udokotela wakho ekunike imvume.
Yiziphi izingozi nezinselele?
I-Clitoroplasty inqubo ephikisanayo. Abanye odokotela bakholelwa ukuthi uma kungekho ubuhlungu obubangelwa yisimo sezokwelapha, akufaneleki ingozi yokulahlekelwa umuzwa ngenxa yokubukeka. Ngaphezu kokulimala kwemizwa, ubuhlungu obungapheli obuvela ngemva kokuhlinzwa bungaba nzima kakhulu ukuphila nabo.
Ezinye izingozi yilezi:
- I-stenosis yesitho sangasese sowesifazane
- Ubunzima bokulawula umchamo (Ukungakwazi ukuzibamba umchamo)
- I-Urethra-vaginal fistula ( imbobo ephakathi kwe-urethra nesitho sangasese sowesifazane )
- Ukopha ngokweqile noma ukuklwebheka
Isikhathi sokufonela udokotela ngokushesha
Uma uke waba ne-clitoroplasty futhi uhlangabezana nanoma yiziphi izimpawu ezilandelayo, yazisa udokotela wakho ngokushesha.
| Izimpawu Zesexwayiso | |
|---|---|
| Imfiva | Umkhuhlane ongama-degree Celsius angu-38 (100.4°F) noma ngaphezulu. |
| Ezinye izici | Ukugodola. |
| Ubuhlungu | Ubuhlungu obukhulu obungenakulawuleka, ngisho noma kusetshenziswa imithi yobuhlungu. |
| Ukuphuma kwegazi enxebeni | Ubomvu, ukuphuma kwegazi, noma iphunga elibi elivela endaweni yokuhlinzwa. |
I-Clitoroplasty ingakusiza ubukeke, uzizwe, futhi uzizwe ungcono ngokomzimba. Kungakhathaliseki ukuthi kungani ucabangela le nqubo, kukhona odokotela abaqeqeshiwe namaqembu ezempilo abangakusiza ukufeza imigomo yakho. Kodwa khumbula, lena inqubo eshintsha impilo, futhi asikho isiqinisekiso sempumelelo esingu-100%. Ngakho-ke kubalulekile ukuvuleleka nokwethembeka eqenjini lakho lezokwelapha mayelana nokulindela kwakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Clitoroplasty iwukuhlinzwa okuyinkimbinkimbi okunezinzuzo nezingozi, futhi kungaba nomthelela omkhulu empilweni yomuntu.
- Ngaphambi kokwenza noma yiziphi izinqumo, khuluma iqiniso futhi uvuleleke kudokotela wakho ngamathemba akho nezinto ezikukhathazayo.
- Kuthatha isikhathi ukululama ngemva kokuhlinzwa. Kubalulekile ukulandela imiyalelo kadokotela ngqo ukuze uthole umphumela omuhle.
- Uma uba nezimpawu ngemva kokuhlinzwa, njengomkhuhlane, ubuhlungu obungalawuleki, noma ukuphuma kwegazi okungavamile esilondeni, funa iseluleko sezokwelapha ngokushesha.
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