Okunye ukuhlinzwa akulula ukukhuluma ngakho obala. I-Phalloplasty ingaba yinye yezihloko ezinjalo. Kodwa lokhu ukuhlinzwa okungaba yinto ebaluleke kakhulu empilweni yomuntu, ikakhulukazi kumuntu ohamba ohambweni lobunikazi bakhe bobulili, noma umuntu oye wabhekana nengozi noma ukugula. Ngakho-ke namuhla, ake sixoxe ngakho ngaphandle kokwesaba, ngokusobala, nangolimi olulula ongaluqonda.
Kalula nje, iyini i-Phalloplasty?
I-Phalloplasty iwukwenziwa noma ukwakhiwa kabusha kwepenis ngokuhlinzwa. Lena inqubo eyinkimbinkimbi kakhulu. Kungathatha iminyaka emibili ukuyiqeda. Kodwa-ke, izinga lempumelelo yalokhu kuhlinzwa liphezulu kakhulu. Abantu abaningi abenza i-phalloplasty bayajabula kakhulu ngemiphumela.
Kunezimo ezimbili eziyinhloko lapho lokhu kuhlinzwa kungadingeka khona:
1. Ukushintsha Kobulili: Lokhu kuhlinzwa kusiza indoda eshintshe ubulili, ephila nobuntu obuhlukile kobulili bayo bokuzalwa, ukulungisa umzimba wayo ukuze uvumelane nobuntu bayo obubonakalayo. Lokhu ngezinye izikhathi kubizwa ngokuthi "ukuhlinzwa kwangaphansi," kodwa kungahlanganisa nokunye ukuhlinzwa kobulili.
2. Ukwakhiwa kabusha: Lokhu kuhlinzwa kusetshenziselwa ukwakha kabusha ipenisi kumuntu olahlekelwe noma owonakele ipenisi yakhe ngenxa yengozi enkulu, isimo sezokwelapha esifana nomdlavuza, noma ukukhubazeka kokuzalwa.
Yiziphi izinhlobo zokuhlinzwa kwe-phalloplasty?
Ukuze kwakhiwe ipenisi, isikhumba kanye nezicubu (i-graft yesikhumba) kumele kuthathwe kwenye ingxenye yomzimba bese kutshalwa endaweni ye-groin. Kunezindlela ezintathu eziyinhloko zokuthola lesi zicubu. Indlela efaneleke kakhulu izoncika ohlotsheni lomzimba wakho, okulindelwe kuwe, kanye nezincomo zikadokotela wakho.
| Uhlobo lwe-Graft | Indawo yokuqoqwa kwezicubu | Incazelo |
|---|---|---|
| I-Radial Forearm Free Flap (RFF) | Ingalo Yesandla | Indlela ethandwayo evame ukusetshenziswa. Ingabuyisela umuzwa omuhle wezinzwa kanye nokutholakala kwegazi. Kodwa-ke, ishiya isilonda esibonakalayo esandleni. |
| I-Anterolateral Thigh Flap (ALT) | Ithanga | Abanye abantu bayayithanda le ndlela ngoba isilonda singafihlwa yizingubo. Kodwa-ke, ngezinye izikhathi ipenisi edalwe ingaba nkulu kakhulu. |
| I-Musculocutaneous Latissimus Dorsi (MLD) Flap | Uhlangothi lwangemuva | Le ndlela ivumela nokuthi kususwe izicubu eziningi futhi isibazi sifihleke kalula. |
Into ebaluleke kakhulu ukuba nengxoxo evulekile nende nodokotela wakho ngaphambi kokunquma ukuthi iyiphi kulezi zindlela engcono kakhulu kuwe.
Lesi yisigaba senqubo yokuhlinzwa.
I-Phalloplasty akuyona ukuhlinzwa okwenziwa kanye kuphela. Ivame ukwenziwa ngezigaba ezintathu. Uma isigaba esisodwa sesiqediwe, umzimba unikezwa isikhathi sokuphulukiswa ngaphambi kokudlulela esigabeni esilandelayo.
Isigaba Sokuqala: Ukudala Ipenisi
Lokhu ukuhlinzwa kokuqala nokukhulu kunawo wonke. Njengoba kushiwo ngaphambili, ipenisi ibunjwe kusetshenziswa izicubu ezithathwe kwenye ingxenye yomzimba. Kufakwa i-catheter epenisi entsha ukuze kukhishwe umchamo. Ngemva kwalesi sigaba, umzimba uthatha izinyanga eziningana ukuze ululame.
Isigaba sesibili: Ukwelula i-Urethral kanye ne-Scrotoplasty
Lesi sigaba senziwa cishe ezinyangeni ezi-5-6 ngemuva kokuhlinzwa kokuqala. Nazi izinto ezimbalwa ezibalulekile ezenzekayo:
- I-urethra, evela esinyeni sakho, ixhunywe epayipini elisepenisini lakho elisha. Uzobe usukwazi ukuchama ngepenisini lakho elisha.
- Uma ungumuntu oshintshe ubulili, ungase uthande ukucabanga ngokuhlinzwa kokuhlinzwa kwesitho sangasese sowesifazane okwamanje. Kodwa-ke, lokhu akuyona impoqo futhi kuyisinqumo somuntu siqu ngokuphelele. Kufanele uxoxe ngalokhu nodokotela wakho.
- Ukuze kwandiswe ukuzwela ngokocansi, i-clitoris ingafakwa ngaphansi kwesikhumba sepenis entsha.
- Ngemuva kwalokho, isikhumba sezitho zangasese zangaphandle sisetshenziswa ukudala i-scrotum. Lokhu kubizwa ngokuthi "i-Scrotoplasty".
Isigaba Sesithathu: Ukufakelwa Kwezitho Zobulili Nezamasende
Lesi sigaba sokugcina sifinyelelwa cishe ngonyaka ngemva kwesigaba sesibili.
- Lapha, kufakwa ithuluzi elikhethekile (i-Penile Implant) epenisini edaliwe ukuze likwazi ukuma.
- Futhi, izimila zamasende zifakwa emasendeni adalwe ukuze zibonakale ziphelele.
Okubalulekile: Izinkinga zingase zenzeke ngezinye izikhathi ngemva kokuhlinzwa kwe-phalloplasty. Isibonelo, izinkinga nge-urethra noma amadivayisi afakiwe. Uma lokhu kwenzeka, kungase kudingeke ukuhlinzwa okwengeziwe ukuze kulungiswe.
Kubiza malini ukuhlinzwa kwe-phalloplasty?
Lena inkinga enkulu abantu abaningi abanayo. Uma sikhuluma iqiniso, i-Phalloplasty iwuchungechunge lokuhlinzwa olubiza kakhulu . Lokhu kungenxa yobunzima bayo, ulwazi oludingekayo, kanye nesikhathi esithathayo.
Izindleko ziyahlukahluka kuye ngezwe kanye nasesibhedlela. Kwamanye amazwe, lokhu kungabiza cishe u-$25,000 kuya ku-$150,000 (ama-75 lakhs kuya ku-45 crores noma ngaphezulu ngemali yaseSri Lanka). Lezi zindleko zingahluka ngaphakathi eSri Lanka. Ngakho-ke , ukuze wazi izindleko eziqondile, kufanele ubuze udokotela noma isibhedlela lapho uhlela ukwenza khona lokhu kuhlinzwa.
Lezi zindleko zizonke ngokuvamile zihlanganisa okulandelayo:
- Imali yodokotela ohlinzayo
- Izimali zesibhedlela noma zegumbi lokuhlinza
- Imali ye-anesthesiology
- Imithi edingekayo ngemva kokuhlinzwa
- Izingubo zangemva kokuhlinzwa
- Izinto ezifana nokuhlolwa kwelebhu okudingekayo kanye ne-X-ray
Ngaphezu kwalokho, uma udokotela wakho ekwelinye idolobha, kungase kube nezindleko ezengeziwe zokuhamba kanye nendawo yokuhlala, ngakho-ke kubalulekile ukuthola isithombe esicacile sezindleko zenqubo yonke kusukela ekuqaleni.
Ingabe lezi zindleko zizombozwa umshwalense?
I-Phalloplasty ibhekwa "njengokuhlinzwa okuvuselelayo" emazweni amaningi ngoba yenziwa ukuqinisekisa ubunikazi bobulili noma ukwakha kabusha ipenisi elahlekile ngenxa yengozi noma isifo. Ngakho-ke, ezinye izinkampani zomshuwalense zikhokhela zonke noma ingxenye yezindleko zalokhu kuhlinzwa.
Kodwa-ke, isimo eSri Lanka singase sihluke. Kufanele nakanjani uxoxe nenkampani yakho yomshuwalense kanye nodokotela ukuthi ngabe inqubomgomo yakho yomshuwalense ihlanganisa ukuhlinzwa okunjalo futhi ngezinga elingakanani. Ungacabangi lutho.
Umlayezo Wokuya Nawe Ekhaya
- I-Phalloplasty inqubo yokuhlinzwa eyinkimbinkimbi, enezigaba eziningi edala noma eyakha kabusha ipenisi.
- Izindleko zalokhu ziphezulu kakhulu, ngakho-ke kubalulekile ukuhlela kahle kusukela ekuqaleni maqondana nesici sezezimali.
- Kubalulekile ukuba nengxoxo evulekile nenemininingwane nodokotela wakho ngaphambi kokuhlinzwa ukuze uthole ukuqonda okucacile ngenqubo yokuhlinzwa, izigaba, izindleko, kanye nomshuwalense.
- Uhambo lungaba lude futhi lube yinselele, kodwa abaningi bathi imiphumela abayitholayo kanye nezinguquko ezinhle empilweni yabo kwenza konke kube kuhle.
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