Transmasculine Genital Surgery Options Other Than Phalloplasty
Kune mhando dzakasiyana-siyana dzehutano hwehutano hunoshandiswa huripo kune varume veC transgender vanoda kuvhiyiwa kwepabonde, dzimwe nguva zvakare vanozivikanwa se "chirwere chepasi." I 2015 US Transgender Survey yakawana kuti vanenge 50 muzana yevarume vaida kana vainge vambovhiyiwa saizvozvo. Inenge hafu yevarume ivavo vaifarira phalloplasty, kugadzirwa kwepenisheni uchishandisa mhuka kubva kune imwe nzvimbo pamuviri.
Iyo imwe hafu yaifarira mune metoidioplasty.
Chii Chinonzi Metoidioplasty?
Metoidioplasty ndiyo yakasikwa ne phallus (penis) kubva kune clitoris yakawedzera-hormonally. Iko clitoris inowedzera apo munhu anotanga kutora testosterone. Bhuku rinoshandiswa gore rinosvika pagore re testosterone chinhu chinodiwa kumapirini ose ekuchirapa.
Munguva ye metoidioplasty, ma-clitoral ligaments akadzivirirwa, izvo zvinoita kuti clitoris iwedzere uye inodonhedzwa ive munzvimbo yakafanana yakafanana nepamusoro pekubereka. Pakati pacho, phallus yakasikwa iri pakati pe5 ne7 cm, iyo inogona kana kuti isingakwanisi kupinda mukati memumwe wako zvepabonde. (Zvichienderana nemurume, izvi hazvisi nguva dzose zvine hanya.) Mumwe chiremba wepurasitiki anonyora musoro we clitoris kunyanya kufanana ne glans penis. Panguva imwecheteyo, mazai anokwanisa kushandiswa zvakare muchero, kana asina kunze kwepeshesular prostheses.
Metoidioplasty inogona kuitwa pamwe kana kuti pasina urethral kutengesa nzira.
Urethral kutarisa kunotambanudza urethra pamwe nechave phallus. Zvino, varume vanokwanisa kutora kubva pa phallus yavo. Kukwanisa kumira kune pee chikonzero chakakosha chokuti varume vanosarudza kuita chirwere chepabonde. Zvisinei, kuwedzerwa kwechiremba kunowedzera dambudziko rekugadzirisa chirwere. Izvi zvinowanzova zviduku uye zvinogona kusanganisira kubvongodza kana kupopera panguva yekuzorora.
Zvinogonawo kusanganisira kubvisa urinha kana fistula.
Metoidioplasty inowanzotorwa kuva chirwere chisina chekutanga. Zvisinei, vamwe varume vangada kuvhiyiwa zvekare kuitira kuti vawane zvavanoda. Zvimwe zvekuvhiya zvinogona kutaura kana kuonekwa kana basa.
Metoidioplasty vs. Phalloplasty-Pros uye Cons
Pane zvakanakira uye zvisingabatsiri kune zvose metoidioplasty uye phalloplasty. Saka, zvakakosha kuti varume vataure nezvezvavanoda uye zvinhu zvinokosha pamwe chete navarapi vavo panguva yekutanga kutaurirana. Varume vakawanda vanosarudza metoidioplasty vanofara zvikuru nemigumisiro yekuvhiya kwavo. Zvisinei, zvichienderana nechinangwa chokugadzira, pamwe nekugadzirwa kwemuviri uye sarudzo, haisi nguva dzose chisarudzo chakanakisisa.
Zvimwe zvinobatsira zvemasoidioplasty pamusoro phalloplasty dzinosanganisira:
- Kupfupika kuporesa nguva
- Kuvhiyiwa kunodhura
- Nhamba yepamusoro yokuwedzera, kunyange newererethroplasty
- Kwete zvikwangwani zvakakura zvinganzi zvichisvibisa kana kuzvidzora. (Zvisungo zvakasara nemhando inowanzoitwa phalloplasty maitiro ose makuru uye anozivikanwa kune ani zvake anoziva kuti angatarise Sei kune vamwe varume, iyo haisi nyaya .. Kune vamwe, zvingava zvisina kunetseka.)
- Iyo phallus yakasikwa ne metoidioplasty ine erectile chaiyo inoshanda, uye hapana chidimbu chepenile prosthesis.
- Kunzwisisika kwehu hanya kwe clitoris kunochengetwa mu phallus.
Zvimwe zvinobatsira zvepalloplasty pamusoro pemasididioplasty zvinosanganisira:
- Varwere vanowanzokwanisa kukwanisa kuita zvepabonde pakati pevamwe vavo, kana ichi chiri chinhu chavanofarira.
- Icho phallus inonyanya kukura kupfuura iyo yakasikwa kuburikidza ne metoidioplasty.
- Vamwe varume vanofunga kuti kuvhiyiwa uku kunobatanidza zvimwe "zvepanyama" zvinotarisa maitiro evanhukadzi.
Kusarudza Phalloplasty Mushure meMetoidioplasty
Kune varume vanotanga kusarudza metoidioplasty, zvinoita kuti gare gare iwane phalloplasty. Izvi ndezvechokwadi pasinei nokuti murume wacho anosarudza kuva nekureruka kwenguva refu panguva yekutongwa.
Icho chakasiyana hachisi chokwadi. Nzira yekupinda mu clitoris mupenisi munguva yephalloplasty inoita kuti gare gare metoidioplasty isakwanise.
Kushamwaridzana Nemadzimai uye Genital Surgeries
Varume veTransgender vachitsvaka chirwere chepasi vanogonawo kusarudza kuita imwe kana kuti mamwe mavhivhi anobatanidzwa. Varume vasina hanya nekutakura pamuviri vangasarudza kuva ne hysterectomy uye ovariectomy. Iyi nzira yekuvhiya mumimba inoshandiswa kubvisa chibereko uye mavhai. Kune varume vangada kuva nevana vavo chaivo , asi vaizowana kubata pamuviri dysphoric, gamete banking inosarudzwa. Izvi zvinoda kuitwa musati mavavariectomy uye hysterectomy. Zvakakodzera, inofanirawo kuitwa musati watanga testosterone therapy, asi iyo haisi yezvinodiwa.
Hysterectomy uye ovariectomy zvakarewo maitiro kune vanhu vasingadi phalloplasty kana metoidioplasty asiwo havadi kunetseka nezvekwaniso yemukondombera, uterine, kana mavari evhavharasi gare gare muupenyu. Kubvisa chibereko, chibereko chechirwere, uye mazai evanhu vanobvisawo chido chekuongorora. Kuongorora kwakadaro kunogona kuva dysphoric kune varume ve transgender.
Vaginectomy ndiko kubviswa kwevakadzi. Vamwe vanachiremba vanopa phalloplasty uye / kana metoidioplasty vachapa kuvhiyiwa uku sechikamu chekugadziriswa kwemaitiro imwe chete. Vamwe vanosarudza varwere kuti vave neve vaginectomy zvisati zvaitika, kana icho chiri chinhu icho murwere anoda. Nezvinyorwa, vamwe vanachiremba vanoita chirwere chemashure che transmasculine havatauri vaginectomies uye vanopa mazano pamusoro pavo nekuda kwekunetseka pamusoro pematambudziko. Iko kutsvakurudza mabhuku hakujekeswi nezvengozi dze vaginectomies mu transgender varume. Mhedzisiro yemitemo yakadaro inogona kunge yakabatana zvikuru nehutano uye ruzivo rwechiremba wechiremba. Kunze kwechitenderedzwa chekuita chirwere chekurara, chirongwa ichi chinonyanya kushandiswa kurapa mamwe marudzi echirwere chepabonde. Sezvakadaro, vamwe vanovhiya vepurasitiki vanogona kutaura varwere vanofarira vaginectomy kune gynecologist anovhiya.
Ndeapi kuravhirwa kwevarume varume vanosarudza nyaya yevamwe vanhu vanofarira uye kusarudzwa kwechiremba chiremba. Semuenzaniso, chiremba anovhiya anoshandisa chibhakera chechikadzi kuti agadzire urethra mune phalloplasty angangoda murwere kuti awane vaginectomy kana asati asvika kana panguva yekuvhiyiwa. Kune rumwe rutivi, murume we transgender uyo anoda kuchengetedza sarudzo yekutakura pamuviri haazodi kuti atore chero ipi yeipi inowedzera maitiro.
Shoko Rinobva
Zvisarudzo pamusoro pekunge kana kusaita zvirongwa zvekusimbisa zvepabonde isarudzo yega. Izvo zvinosanganisira zvose kana iwe uchida kuvhiyiwa uye kuti ndeipi nzira inogona kunge yakakodzera iwe. Zvinogona kubatsira kukurukura zvinangwa zvako uye zvinetso zvekuvhiya nemumwe munhu ane ruzivo pamusoro pengozi uye zvibatsiro zvezvakasiyana-siyana. Izvi zvinogona kusanganisira kwete chirwere chekuvhiya asi mushonga wako, uye / kana shamwari dzakapinda mukuita sarudzo yakafanana. Zvisinei, yeuka kuti vanhu vakasiyana vane zvinetso zvakasiyana. Zvisarudzo zvinonzwisisika neshamwari yepedyo zvingave zvakasiyana nezvo zvinonzwisisika kwauri. Mukuwedzera, nzira dzakapiwa neimwe chirwere chiremba ingasave iwe iwe waunoda. Kana zvakadaro, funga kutsvaga dzimwe nzira. Vangave vasina kuve chiremba akakodzera kwauri.
Hazvina kumbofunga zvakaipa kufunga nezvechipiri pfungwa, kunyange kuwana imwe haisi nguva dzose inoshandiswa. Kune nzvimbo dzakawanda dzenyika dzisina vanachiremba, kana chiremba mumwe chete, achiita izvi. Mamwe mazita makuru mavhiya anopa mafoni kana Skype mazano, asi zivai kuti munogona kubhadhara muhomwe. Mari yacho inogona kunge isina kubhadharwa, uye iwe unogona kuratidzira kukodzera kwako kwokugadzirira vasati vazokurukura nyaya yako.
Maitiro ekugadzirisa maitiro ekuberekwa kwepabonde anowanzobatanidza zvinyorwa zvepabonde dysphoria, nguva shomanana yemwedzi gumi nemasere ekurapa kwehomoni, uye gore roga roga kurarama nguva yakazara mune zvebonde iro unoshuvira kuvimbisa. Izvi zvinowanzogoverwa nenzira yeshoko rinobva kuhomoni yako prescriber uye imwe kana maviri tsamba kubva kune vanoita zvehutano hwehutano.
> Sources
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