Opaleshoni Yapansi: Zomwe Muyenera Kudziwa

Zamkati

• Kodi opaleshoni yapansi imawononga ndalama zingati?
• Kuvomereza kovomerezeka motsutsana ndi miyezo ya chisamaliro cha WPATH
• Kuphunzira inshuwaransi ndi maopaleshoni apansi
• Momwe mungapezere wopezera
• Ndondomeko ya opaleshoni yapansi ya MTF / MTN
• Kusintha kwa penile
• Rectosigmoid vaginoplasty
• Kusintha kosakhala kwa penile
• Ndondomeko ya opaleshoni yapansi ya FTM / FTN
• Chotupa
• Phalloplasty
• Momwe mungakonzekerere opaleshoni yapansi
• Zowopsa ndi zoyipa za opaleshoni yapansi
• Kuchira kuchokera kuopaleshoni yapansi

Chidule

Anthu a Transgender ndi intersex amatsata njira zosiyanasiyana kuti azindikire momwe amagwirira ntchito.

Ena samachita kalikonse ndipo amasunga mawonekedwe awo achimuna ndi mawonekedwe achinsinsi. Ena amafuna kusintha pakati pa anzawo - kuuza anzawo kuti ndi amuna kapena akazi - popanda kuchitapo kanthu kuchipatala.

Ambiri amangogwiritsa ntchito ma hormone m'malo mwake (HRT). Ena azitsatira HRT komanso maopareshoni osiyanasiyana, kuphatikiza kumanganso pachifuwa kapena opaleshoni yakazi yachikazi (FFS). Akhozanso kusankha kuti opareshoni yapansi - yomwe imadziwikanso kuti opareshoni ya maliseche, opaleshoni yobwezeretsanso zogonana (SRS), kapena makamaka, opaleshoni yotsimikizira jenda (GCS) - ndiye chisankho choyenera kwa iwo.

Kuchita opaleshoni yapansi kumatanthauza:

• nyini
• chifuwa
• alirezatalischi

Vaginoplasty nthawi zambiri imatsatiridwa ndi azimayi opatsirana pogonana komanso AMAB (omwe amapatsidwa amuna pakubadwa) anthu osagwiritsa ntchito mabakiteriya, pomwe phalloplasty kapena metoidioplasty, imatsatiridwa ndi amuna opitilira muyeso ndi AFAM (omwe amapatsidwa azimayi pobadwa) osakhala mabacteria.

Kodi opaleshoni yapansi imawononga ndalama zingati?

Kuvomereza kovomerezeka motsutsana ndi miyezo ya chisamaliro cha WPATH

Omwe akutsogolera opereka chithandizo chamankhwala angatengere mtundu wazovomerezeka kapena njira zosamalira WPATH.

Mtundu wololeza wololeza umalola adokotala kukudziwitsani za kuopsa kwa chisankho china. Kenako, mumadzisankhira nokha zoyenera kuchita popanda chothandizidwa ndi akatswiri ena azaumoyo.

Miyezo ya chisamaliro ya WPATH imafuna kalata yothandizira kuchokera kwa othandizira kuyambitsa HRT, ndi makalata angapo oti achitidwe opaleshoni yapansi.

Njira ya WPATH imadzudzula anthu ena amtundu wa transgender. Amakhulupirira kuti zimatengera kuwongolera m'manja mwa munthuyo ndikuwonetsa kuti munthu wopitilira muyeso akuyenera kukhala ndi ulamuliro wocheperako kuposa wamunthu wamisili.

Komabe, othandizira ena amatsutsa izi. Kufuna makalata ochokera kwa asing'anga ndi asing'anga kumapempha zipatala, madokotala ochita opaleshoni, ndi othandizira, omwe angaone kuti dongosololi ndi lotetezedwa mwalamulo ngati kuli kofunikira.

Njira ziwirizi zimawerengedwa ndi ena mdera la transgender kuti ndizopititsa patsogolo kalembedwe ka mlonda wa pachipata. Mtunduwu umafunikira miyezi kapena zaka "zokumana nazo zenizeni" (RLE) muumunthu wawo asanakhale ndi HRT kapena maopareshoni wamba.

Ena adati izi zimangoganiza kuti mawonekedwe a transgender ndi ochepera kapena ovomerezeka kuposa chizindikiritso cha cisgender. Amakhulupiliranso kuti RLE ndi nthawi yovutitsa, yosagwirizana ndi anthu, komanso yoopsa mthupi momwe munthu wopitilira muyeso amayenera kupita kudziko lakwawo - popanda phindu lamasinthidwe omwe mahomoni kapena maopareshoni amabweretsa.

Mtundu wa mlonda wa pachipata amathandizanso kugwiritsa ntchito njira zowonongera zinthu zina kuti ziyenerere moyo weniweniwo. Izi zimabweretsa vuto lalikulu kwa anthu ogonana amuna kapena akazi okhaokha omwe ali ndi zokonda zogonana amuna kapena akazi okhaokha kapena malingaliro achimuna kunja kwachikhalidwe chofananira (madiresi ndi zodzoladzola za akazi, chiwonetsero chazachimuna cha amuna), ndipo zimafafaniza zomwe zimachitika kwa anthu osagwirizana nawo.

Kuphunzira inshuwaransi ndi maopaleshoni apansi

Ku United States, njira zina zazikulu zolipirira ndalama zakuthumba ndikuphatikizira kugwirira ntchito kampani yomwe ikutsatira mfundo za Human Rights Campaign Foundation pa Equality Index, kapena kukhala mdziko lomwe likufuna kuti ma inshuwaransi azisamalira ma transgender care, monga California kapena New York.

Ku Canada ndi UK, opareshoni yapansi imayang'aniridwa ndi chithandizo chazachipatala, ndi kuyang'aniridwa mosiyanasiyana komanso nthawi zodikira kutengera dera.

Momwe mungapezere wopezera

Posankha dokotalayo, funsani mwa ana kapena pa skype zoyankhulana ndi madokotala ambiri momwe angathere. Funsani mafunso ambiri, kuti mumvetsetse kusiyanasiyana kwa madokotala onse munjira zawo, komanso momwe amagonera pabedi. Mukufuna kusankha munthu yemwe mumakhala naye bwino, komanso amene mumakhulupirira kuti ndiye woyenera kwambiri kwa inu.

Madokotala ambiri ochita opaleshoni amalankhula kapena kufunsa m'mizinda yayikulu mchaka chonse ndipo amatha kuwonekera pamisonkhano ya transgender. Zimathandizanso kufikira omwe kale anali madokotala a madokotala omwe amakusangalatsani, kudzera m'mabwalo ochezera pa intaneti, magulu othandizira, kapena anzanu.

Ndondomeko ya opaleshoni yapansi ya MTF / MTN

Pali njira zitatu zazikulu za ukazi zomwe zachitika lero:

• kutembenuka kwa penile
• ma rectosigmoid kapena colon
• vaginoplasty yopanda penile

Mu njira zonse zitatu zochitira opareshoni, nkongoyo imapangidwa kuchokera kumutu kwa mbolo.

Kusintha kwa penile

Kutembenuka kwa penile kumaphatikizapo kugwiritsa ntchito khungu la penile kupanga neovagina. Ma labia akuluakulu ndi minora amapangidwa makamaka ndi minofu yowola. Izi zimapangitsa kukhala ndi nyini komanso labia.

Chovuta chimodzi chachikulu ndikusowa kwamadzimadzi okhaokha ndi khoma lazimayi. Zosiyanasiyana zimaphatikizaponso kugwiritsa ntchito tinthu totsalira totsalira monga chomera chakuwonjezera kumaliseche, ndikugwiritsa ntchito mucosa urethra yomwe yatulutsidwa kuchokera ku mbolo kupita mbali ya chikazi, ndikupangira mafuta.

Rectosigmoid vaginoplasty

Rectosigmoid vaginoplasty imakhudzana ndi kugwiritsidwa ntchito kwa minofu yamatumbo kuti ipange khoma la nyini. Njira imeneyi nthawi zina imagwiritsidwa ntchito limodzi ndi kusintha kwa penile. Matenda am'mimba amathandiza pamene minofu ya penile ndi yowonongeka imasowa.

Njirayi imagwiritsidwa ntchito nthawi zambiri kwa azimayi opatsirana pogonana omwe adayamba kugwiritsa ntchito ma hormone atatha msinkhu ndipo sanadziwidwepo za testosterone.

Minofu yam'mimba imapindulitsanso kukhala mucosal, chifukwa chake imadzipaka mafuta. Njirayi imagwiritsidwanso ntchito kukhazikitsanso ukazi wa azimayi omwe ali ndi vuto la ukazi.

Kusintha kosakhala kwa penile

Kupotoza kwa non-penile kumatchedwanso njira ya Suporn (pambuyo pa Dr. Suporn yemwe adayambitsa) kapena Chonburi Flap.

Njirayi imagwiritsa ntchito mabowo am'mimbamo am'mimba, komanso minofu yolimba ya labia majora (chimodzimodzi ndi kusintha kwa penile). Minofu ya penile imagwiritsidwa ntchito pa labia minora ndi clitoral hood.

Ochita opaleshoni omwe amagwiritsa ntchito njirayi amatanthauza kukula kwachikulire, kumvetsetsa kwamalimba amkati, komanso mawonekedwe azodzikongoletsa.

Ndondomeko ya opaleshoni yapansi ya FTM / FTN

Phalloplasty ndi metoidioplasty ndi njira ziwiri zomwe zimakhudza kupanga neopenis.

Scrotoplasty itha kuchitidwa ndi opaleshoni iliyonse, yomwe imasintha ma labia akuluakulu kukhala chotupa. Zodzala za testicular nthawi zambiri zimafuna kudikirira opaleshoni yotsatira.

Chotupa

Metoidioplasty ndi njira yosavuta komanso yofulumira kuposa phalloplasty. Pochita izi, clitoris, yolumikizidwa kale mpaka masentimita 3-8 ndi HRT, imatulutsidwa munyama yoyandikana nayo, ndikuyikanso kuti igwirizane ndimalo a mbolo.

Muthanso kusankha kutalikitsa urethral ndi metoidioplasty yanu, yomwe imadziwikanso kuti metoidioplasty yathunthu.

Njirayi imagwiritsa ntchito minofu yaopereka kuchokera patsaya kapena kuchokera kumaliseche kuti igwirizane ndi mkodzo ndi neopenis yatsopano, kukulolani kuti mukodze mutayimirira.

Muthanso kutsatira njira ya Centurion, momwe mitsempha yomwe ili pansi pa labia yayikulu imasinthidwa kuti iwonjezere girth ku neopenis. Kuchotsa kumaliseche kumatha kuchitidwa panthawiyi, kutengera zolinga zanu.

Pambuyo pa njirazi, neopenis itha kukhala yokhayokha ndipo siyotheka kupereka zogonana zogonana.

Phalloplasty

Phalloplasty imaphatikizapo kugwiritsa ntchito khungu lolumikizira khungu kuti likweze neopenis mpaka mainchesi 5-8. Malo omwe anthu amaperekera nawo khungu ndi mkono, ntchafu, mimba, ndi kumbuyo kumbuyo.

Pali zabwino ndi zoyipa patsamba lililonse laopereka. Khungu lakutsogolo ndi ntchafu zimatha kutengeka kwambiri pambuyo pochitidwa opaleshoni. Komabe, chilonda chakumbuyo chimakhala chowonekera kwambiri ndipo chimalola kutalika kwa mbolo.

Mimba ndi ntchafu zimakhalabe zolumikizana ndi thupi nthawi yonse ya opaleshoni.

Kutsogolo ndi kumbuyo kwake ndi "ziphuphu zaulere" zomwe ziyenera kutetezedwa kwathunthu ndikulumikizidwanso kudzera pa microsurgery.

Urethra imakwezedwa kudzera pamankhwala opereka kuchokera patsamba lomwelo. Kukhazikika kwa penile kumatha kuikidwa mu opaleshoni yotsatira, kuti athe kukhalabe ndi erection yokwanira yogonana.

Momwe mungakonzekerere opaleshoni yapansi

Kuyambira opaleshoni yapansi, anthu ambiri amafunika kuchotsa tsitsi kudzera pamagetsi.

Kwa vaginoplasty, tsitsi limachotsedwa pakhungu lomwe pamapeto pake limakhala ndi neovagina. Kwa phalloplasty, tsitsi limachotsedwa patsamba la khungu laopereka.

Dokotala wanu akufuna kuti muyimitse HRT milungu iwiri musanachite opareshoni, ndikupewa milungu iwiri mutachitidwa opaleshoni. Lankhulani ndi dokotala wanu wazachipatala za mankhwala ena omwe mumamwa pafupipafupi. Adzakudziwitsani ngati mukufuna kusiya kuwatenga asanakachitidwe opaleshoni, inunso.

Madokotala ena amafunikira matumbo asanakonzekere kuchitidwa opaleshoni yapansi.

Zowopsa ndi zoyipa za opaleshoni yapansi

Vaginoplasty itha kubweretsa kusowa kwakumverera pang'ono kapena neoclitoris yonse chifukwa cha kuwonongeka kwa mitsempha. Anthu ena atha kukhala ndi rectovaginal fistula, vuto lalikulu lomwe limatsegula matumbo kumaliseche. Kuphulika kwa ukazi kumathanso kuchitika. Komabe, zonsezi ndizovuta zovuta.

Nthawi zambiri, anthu omwe amatenga vaginoplasty amatha kusowa mkodzo pang'ono, monga zomwe zimachitikira munthu akabereka. Nthawi zambiri, kusadziletsa kotere kumachepa pakapita nthawi.

Ma metoidioplasty athunthu ndi phalloplasty amakhala pachiwopsezo cha urethral fistula (una kapena kutsegula mu urethra) kapena kukhazikika kwa mtsempha (kutsekeka). Zonsezi zimatha kukonzedwa kudzera pa opaleshoni yaying'ono yotsatira. Phalloplasty imakhalanso pachiwopsezo chokana khungu la omwe amapereka, kapena matenda pamalowo. Ndi scrotoplasty, thupi limatha kukana zopangira ma testicular.

Vaginoplasty, metoidioplasty, ndi phalloplasty zonse zimakhala ndi chiopsezo kuti munthu sakhumudwitsidwa ndi zotsatira zokongoletsa.

Kuchira kuchokera kuopaleshoni yapansi

Masiku atatu kapena asanu ndi limodzi ogonekedwa mchipatala amafunika, ndikutsatiridwa ndi masiku ena 7-10 oyang'aniridwa ndi odwala kunja. Mukatha kuchita izi, yembekezerani kuti musapewe ntchito kapena zovuta chifukwa cha milungu isanu ndi umodzi.

Vaginoplasty imafuna catheter kwa sabata limodzi. Metoidioplasty yathunthu ndi phalloplasty imafuna catheter kwa milungu itatu, mpaka pomwe mutha kutsuka mkodzo wanu wonse kudzera mumtsempha wanu.

Pambuyo pa vaginoplasty, anthu ambiri amafunika kuchepa pafupipafupi kwa chaka choyamba kapena ziwiri, pogwiritsa ntchito stents ya pulasitiki yolimba. Pambuyo pake, zogonana zolowerera nthawi zambiri zimakhala zokwanira kuti zisungidwe. Neovagina imapanga microflora yofanana ndi nyini, ngakhale kuti pH imatsamira kwambiri zamchere.

Zipsera zimakonda kubisala muubweya wa pubic, m'makola a labia majora, kapena zimangochira bwino kuti zisadziwike.