Metoidioplasty

Umxholo

• Zithini iintlobo ezahlukeneyo zemetodioplasty?
• Ukukhululwa ngokulula
• I-metoidioplasty epheleleyo
• Ikhonkco metoidioplasty
• Imetroidioplasty yekhulu
• Uyintoni umahluko phakathi kwe-metoidioplasty kunye ne-phalloplasty?
• Iinkonzo kunye neengxaki ze-metoidioplasty
• Isebenza njani le nkqubo?
• Iziphumo zokubuyiselwa kwimeko yesiqhelo kwimetroidioplasty
• Iinkqubo zokhetho ezongezelelweyo
• Ukukhululwa kobuntu
• Umfanekiso
• Urethroplasty
• Ukufakwa kwescrotoplasty / testicular
• Ukuthengiswa kweenyanga kwakhona
• Ndingamfumana njani ugqirha ofanelekileyo?
• Iyintoni imbono emva kotyando?

Ushwankathelo

Xa kuziwa kuqhaqho olusezantsi, abantu be-transgender kunye nabantu abangabhalwanga ababelwe ababhinqileyo ekuzalweni (i-AFAB) baneendlela ezimbalwa onokukhetha kuzo. Olunye lotyando oluqhelekileyo olusezantsi olwenziwa rhoqo kwi-AFAB trans kunye nabantu abangabhalisiyo kuthiwa yi-metoidioplasty.

I-Metoidioplasty, ekwabizwa ngokuba yi-meta, ligama elisetyenziselwa ukuchaza iinkqubo zotyando ezisebenza kunye nezicubu zakho zangasese zangasese ukwenza into ebizwa ngokuba yi-neophallus, okanye ipenisi entsha. Inokwenziwa nakubani na onokukhula okubonakalayo kokusetyenziswa kwe testosterone. Uninzi loogqirha lucebisa ukuba ube kunyango lwe-testosterone unyaka omnye okanye emibini ngaphambi kokuba ube ne-metoidioplasty.

Zithini iintlobo ezahlukeneyo zemetodioplasty?

Zine iindidi ezisisiseko zenkqubo ye-metoidioplasty:

Ukukhululwa ngokulula

Ikwabizwa ngokuba yi-meta elula, le nkqubo iqulethe kuphela ukukhutshwa kwe-clitoral-oko kukuthi, inkqubo yokukhulula i-clitoris kwizicubu ezikufutshane-kwaye ayitshintshi i-urethra okanye isini. Ukukhululwa ngokulula kukonyusa ubude kunye nokuvezwa kwepenisi yakho.

I-metoidioplasty epheleleyo

Oogqirha abenza i-metoidioplasty epheleleyo bayayikhupha i-clitoris emva koko basebenzise izicubu zomiliselo ngaphakathi esidleleni sakho ukudibanisa i-urethra kunye neophallus. Ukuba unqwenela, banokwenza i-vaginectomy (ukususwa kwelungu lobufazi) kwaye bafake izinto zokufaka ngaphakathi.

Ikhonkco metoidioplasty

Le nkqubo ifana kakhulu ne-metoidioplasty epheleleyo. Nangona kunjalo, endaweni yokuthatha ulusu lufakwe ngaphakathi emlonyeni, ugqirha usebenzisa utyando ngaphakathi kodonga lobufazi oludibene nelebia majora ukuze udibanise i-urethra kunye neophallus.

Uncedo kule nkqubo kukuba kuya kufuneka uphilise kwindawo enye ngokuchasene nezimbini. Kananjalo ngekhe ufumane iingxaki ezinokuvela kutyando lomlomo ezinje ngeentlungu xa usitya kunye nokuhla kwemveliso yamathe.

Imetroidioplasty yekhulu

Inkqubo ye-Centurion ikhupha iigaments ezijikelezayo eziqhuba i-labia ukusuka kwi-labia majora, kwaye emva koko uyisebenzise ukujikeleza ipenisi entsha, ukudala isongezo esongezelelweyo. Ngokungafaniyo nezinye iinkqubo, uCenturion akafuni kuthathwa ulusu emlonyeni okanye eludongeni lobufazi, okuthetha ukuba akukho zintlungu zincinci, kunqabile, kwaye kuneengxaki ezimbalwa.

Uyintoni umahluko phakathi kwe-metoidioplasty kunye ne-phalloplasty?

I-Phalloplasty lolunye uhlobo oluqhelekileyo lotyando olusezantsi lwe-AFAB trans kunye nabantu abangafundanga. Ngelixa i-metoidioplasty isebenza ngezicubu esele zikhona, i-phalloplasty ithatha isikhumba esikhulu sokuxhonywa engalweni, emlenzeni, okanye kwi-torso kwaye siyisebenzisele ukwenza ipenisi.

I-Metoidioplasty kunye ne-phalloplasty nganye inezibonelelo ezizodwa kunye nokungalunganga.

Iinkonzo kunye neengxaki ze-metoidioplasty

Nazi ezinye zeenzuzo kunye neengxaki ze-metoidioplasty:

Iinkonzo

• Ukusebenza ngokupheleleyo kwendoda enokuthi ime nkqo
• ukusilela okubonakalayo okuncinci
• Zimbalwa iinkqubo zotyando kune-phalloplasty
• unokuba nayo phalloplasty kamva ukuba ukhetha
• Ixesha elifutshane lokubuyisela kwimeko yesiqhelo
• Ixabiso eliphantsi kakhulu kune-phalloplasty, ukuba ayigutyungelwanga yi-inshurensi: isusela kwi-2,000 ukuya kwi-20,000 yeedola xa kuthelekiswa ne- $ 50,000 ukuya kwi- $ 150,000 ye-phalloplasty

Bendlela

• Ipenisi entsha incinci kubude kunye nesibeleko, ukulinganisa naphi na ukusuka kwi-3 ukuya kwi-8 cm ubude
• isenokungakwazi ukungena ngexesha lokwabelana ngesondo
• Ifuna ukusetyenziswa kwehormone yonyango kunye nokukhula okubonakalayo
• ngekhe ukwazi ukuchama xa umile

Isebenza njani le nkqubo?

Utyando lokuqala lwe-metoidioplasty lungathatha naphina ukusuka kwi-2,5 ukuya kwi-5 yeeyure kuxhomekeke kugqirha kwaye zeziphi iinkqubo okhetha ukuba nazo njengenxalenye ye-metoidioplasty yakho.

Ukuba ufuna i-meta elula kuphela, uya kubekwa phantsi kwe-sedation eyaziwayo, oko kuthetha ukuba uya kuba uvukile kodwa ubukhulu becala awazi ngexesha lotyando. Ukuba ufumana ubude be-urethral, ​​i-hysterectomy, okanye i-vaginectomy eyenziwa ngokunjalo, uya kufakwa phantsi kwe-anesthesia jikelele.

Ukuba ukhetha ukuba ne-scrotoplasty, ugqirha unokufaka izinto ezaziwa njengezandiso zezicubu kwi-labia ngexesha lenkqubo yokuqala ukulungiselela izicubu ukuba zamkele ukufakelwa kwamatyhalarha amakhulu ngexesha lenkqubo yokulandela. Uninzi loogqirha balinda iinyanga ezintathu ukuya kwezintandathu ukuze benze utyando lwesibini.

Uninzi loogqirha benza i-metoidioplasty njengotyando lwangaphandle, oko kuthetha ukuba uya kuba nakho ukuphuma esibhedlele kwangolo suku unale nkqubo. Abanye oogqirha banokucela ukuba ulale ubusuku emva kotyando lwakho.

Iziphumo zokubuyiselwa kwimeko yesiqhelo kwimetroidioplasty

Njengalo naluphi na utyando, inkqubo yokubuyisela kwimeko yesiqhelo iya kwahluka ukusuka kumntu ukuya komnye kwaye ukusuka kwinkqubo ukuya kwinkqubo.

Ngelixa amaxesha okufumana kwakhona eyahluka ngandlela thile, kunokwenzeka ukuba ungabikho emsebenzini ubuncinci kwiiveki ezimbini zokuqala. Kananjalo, kucetyiswa ngokubanzi ukuba ungenzi naluphi na uhlobo lokuphakamisa ubunzima kwiiveki ezimbini ukuya kwezine zokuqala emva kotyando.

Ngokubanzi, oogqirha bacebisa ngokuchasene nokuhamba phakathi kweentsuku ezili-10 ukuya kwiiveki ezintathu emva kwenkqubo.

Ngaphandle kwemicimbi esemgangathweni enokuthi ivele emva kotyando, kukho iingxaki ezimbalwa ezinokubakho kwi-metoidioplasty. Inye ibizwa ngokuba yifistula yokuchama, umngxunya kwi-urethra onokubangela ukuvuza komchamo. Oku kunokulungiswa ngotyando kwaye kwezinye iimeko kunokuziphilisa ngaphandle kongenelelo.

Enye ingxaki enokubakho ukuba ukhethe i-scrotoplasty kukuba umzimba wakho ungazikhaba izinto ezenziwa ngabasilicone, ezinokubangela ukuba kufuneke uphinde wenze olunye utyando.

Iinkqubo zokhetho ezongezelelweyo

Kukho iinkqubo ezininzi ezinokwenziwa njengenxalenye ye-metoidioplasty, zonke ezinokuzikhethela ngokupheleleyo. IMetoidioplasty.net, isibonelelo esiluncedo kwabo banomdla wokulandela i-metoidioplasty, ichaza ezi nkqubo ngolu hlobo lulandelayo:

Ukukhululwa kobuntu

I-ligament, izihlunu ezinzima ezigcina iklitoris kwithambo le-pubic, liyasikwa kwaye i-neophallus ikhutshwa kwi-clitoral hood. Oku kuyayikhulula kwizicubu eziyingqongileyo, ukwandisa ubude kunye nokuvezwa kwepenisi entsha.

Umfanekiso

Umlenze welungu lobufazi uyasuswa, kwaye ukuvuleka kwelungu lobufazi kuvaliwe.

Urethroplasty

Le nkqubo ibuyisela umva kwi-neophallus, ikuvumela ukuba uchame kwi-neophallus, ngokuchanekileyo ngelixa ume.

Ukufakwa kwescrotoplasty / testicular

Ukufakwa kwe-silicone encinci kufakwa kwi-labia ukufezekisa ukujonga kunye nokuziva kwamatyhalarha. Ogqirha banokuthi okanye bangasisithi isikhumba kwii-labia zombini ngokudibeneyo ukuze benze ityhalarha ehlangeneyo.

Ukuthengiswa kweenyanga kwakhona

Inxalenye yolusu oluvela kwiimons pubis, isiduli ngaphezulu nje kwepenisi, kunye nezinye izihlunu ezinamanqatha ezisuka ezi mons ziyasuswa. Ulusu luye lutsalwe phezulu ukuze luguqule ipenisi kwaye, ukuba ukhetha ukuba ne-scrotoplasty, amasende aya phambili, okwandisa ukubonakala kunye nokufikelela kwilungu lobudoda.

Kuxhomekeke kuwe ngokupheleleyo ukuba yeyiphi, ukuba ikhona, kwezi nkqubo ongathanda ukuba njengenxalenye ye-metoidioplasty yakho. Umzekelo, unganqwenela ukwenza zonke iinkqubo ezenziweyo, okanye unganqwenela ukukhutshwa ngokukhethekileyo kunye ne-urethroplasty, kodwa gcina ubufazi bakho. Konke malunga nokwenza umzimba wakho ulungelelane ngokugqibeleleyo kunye nokuziva kwakho.

Ndingamfumana njani ugqirha ofanelekileyo?

Kubalulekile ukuba wenze uphando lwakho kwaye ufumane ukuba ngugqirha otyandayo olungele wena. Nazi ezinye izinto onokufuna ukuzijonga xa ukhetha ugqirha wotyando:

• Ngaba banikezela ngenkqubo ethile endifuna ukuba nayo?
• Ngaba bayayamkela i-inshurensi yezempilo?
• Ngaba banazo iimpendulo ezilungileyo kwiziphumo zabo, iimeko zeengxaki, kunye nendlela yokulala?
• Ngaba baya kundityanda? Oogqirha abaninzi balandela uMgangatho woNyango lwezeMpilo kwiTransgender Health (WPATH) imigangatho yokhathalelo, efuna ukuba ube noku kulandelayo:
  • iileta ezimbini ezivela kwiingcali zonyango zikuncomela ukuba utyandwe
  • ubukho be-dysphoria yesini eqhubekayo
  • ubuncinci iinyanga ezili-12 zonyango lwehomoni kunye neenyanga ezili-12 zokuphila kwindima yesini ehambelana nokuziphatha kwakho ngokwesini
  • ubudala besininzi (18+ eUnited States)
  • Isakhono sokwenza imvume enolwazi
  • akukho zingxaki zempilo yengqondo okanye zonyango (Abanye oogqirha abayi kusebenza kubantu abane-BMI engaphezulu kwama-28 phantsi kweli gatya.)

Iyintoni imbono emva kotyando?

Umbono emva kwe-metoidioplasty ngokubanzi ulunge kakhulu. Uvavanyo olwenziwe ngo-2016 kwizifundo ezininzi ze-metoidioplasty kwiJenali yePlastiki kunye noPhando olwenziwe ngokutsha lwafumanisa ukuba iipesenti ezili-100 zabantu abafumana i-metoidioplasty zigcina imvakalelo ye-erogenous ngelixa iipesenti ezingama-51 zikwazi ukufezekisa ukungena ngexesha lokwabelana ngesondo. Uphononongo lufumanise ukuba iipesenti ezingama-89 zikwazile ukuchama ngexa bemi ngeenyawo. Ngelixa abaphandi bephikisa ukuba ukuqhubeka kwezifundo kuya kuba yimfuneko ukuphucula ukuchaneka kwezi ziphumo, iziphumo zokuqala ziyathembisa.

Ukuba unqwenela ukwenza utyando olusezantsi olufikelelekayo, olunobunzima obuncinci, kwaye unikezela ngeziphumo ezilungileyo, i-metoidioplasty inokuba lolona khetho lufanelekileyo ukuze ulungelelanise umzimba wakho nesazisi sakho. Njengamaxesha onke, thatha ixesha lokwenza uphando lwakho ukuze ubone ukuba loluphi ukhetho olusezantsi olunokukunceda uzive njengoyena mntu wonwabileyo.

I-KC Clements yindlovukazi engabhalwanga eseBrooklyn, NY. Umsebenzi wabo ujongana ne-queer kunye ne-trans yesazisi, isini kunye nokwabelana ngesondo, impilo kunye nokuphila kakuhle ngokwembono yomzimba, nokunye okuninzi. Unako ukugcina kunye nabo ngokutyelela zabo iwebhusayithi, okanye ngokuzifumana zivuliwe I-Instagram kwaye Twitter.