A phalloplasty ishanduro yekugadzira peni, kana phallus. Phalloplasty inogona kuva chikamu chekuvhiya kune vamwe vanhu vanodarika. (Zvimwewo varume vanoita sedender vangasarudza kuva nemasididiplasty kana kuti vasina kufarira chirwere chepabonde.) Phalloplasty inogonawo kuitirwa varume vecisgender vakaberekerwa vasina peni kana vakarasikirwa nepeni yavo kuburikidza nenjodzi kana zvirwere.
Inowanzoitwa nechiremba wepurasitiki uye / kana urologist.
Phalloplasty Basics
Zvinonyanya kukosha, kusikwa kwepenisi kunosanganisira kugadzirwa kweputi mukati mebhuti. Iko mukati mehubhuti ndiyo urethra, chimiro chinowanikwa nevarume. Iyo pipe yekunze ndiyo penile shaft. Iyi sarudzo, inozivikanwa seyeophallus ( neo - itsva), inoshandiswa kuongororwa pamapuranga. Irethra ye-neophallus inobatana nechirwere chinonzi urethra. Mishonga yeropa nemisungo inonamatirwa kune iyo yemapapu. Ipapo kunze kweeophallus inonyadziswa kuti ifanane nepenis shaft uye musoro.
Flap Types
Zvikamu zveganda nedzimwe mhuka dzinoshandiswa pakuvhiya epurasitiki zvakadai sephalloplasty inozivikanwa sezviputi . Kune zvipembenene zvakasiyana siyana zvinogona kushandiswa phalloplasty. MuUnited States, rudzi rwakanyanya kunyanya kushandisa ruzha runoshandiswa inonzi radial forep flap, kana RFF. Izvi zvinosanganisira kuunganidza rutivi rukuru rweganda kubva kune rimwe remararamiro emurwere.
Izvo zvakakosha zvakakosha zvechiputi ichi ndezvekuti chakakura, chiri nyore kukohwa, uye chinonzwa kubata. Kuipa kukuru ndiko kuti ruvara rungave rwakasiyana zvakasiyana nehutachiona hwemagetsi uye kuti nzira yacho inobva pamusika unoonekwa zvikuru. Iko ruvara rwakasiyana kwazvo, kuti kuvanhu vanoziva neRFF phalloplasty, kuona ichi chiratidzo chekuti munhu ane ruvara akawana chirwere ichi.
Izvi zvinogona kuva dambudziko kune vamwe varume, avo vasingadi kuzivisa vave vaine phalloplasty.
Chimwe chinhu chinonyanya kukanganisa ndechekuti forearm inofanira kuvharwa neganda rechando kubva kune rimwe rehudyu. Izvi zvinosiya mavanga munzvimbo mbiri iyo inogona kunge yakajeka, zvichienderana nemurume akapfeka sei. Pakupedzisira, chirwere cheRFF chinoda chirwere ichi kuti chive neunyanzvi mune microsurgery, sezvo chidimbu chacho chakabviswa zvachose kubva paruoko uye chinofanira kubatanidzwazve kune mitsipa neropa riri pedo nekumera.
Zvimwe zvipfeko izvo dzimwe nguva zvinoshandiswa phalloplasty zvinowanikwa kubva pane zvinotevera:
- Lattisimus dorsi
- Super pubic region
- Chidya
Pedicled thigh flaps ndiyo imwe yembambo inowanzoshandiswa phalloplasty muUnited States. Kusiyana nemazhenje emakumbo, majeko aya anoramba akabatana nehutano hwavo hwepakutanga. Izvi zvinoreva kuti hazvirevi ruzivo rwemicrosurgery pane chikamu chechiremba chiremba achiita phalloplasty. Zvisinei, izvi zvipfeko zvakanyanya kuoma kushanda nazvo. Iyo yakanyanyisa yakawanda yemafuta inoita kuti zvive zvakaoma kuzvipinza mumuchuti kuti uumbe penis. Pedicled thigh flaps inobatanidzawo nepamusoro yezvinokonzera maitiro kunze kwemazhenje emhepo. Iko kune zvishoma kudhindanidza dhiyabhorosi yemigumisiro yemimwe mhando dzakashandiswa palloplasty.
Penile Prostheses
Havasi vanhu vose vanoda phalloplasty vanoda kufarira basa re erectile rinoenderana nekurara kwepabonde. Mimwe inonyanya kunetseka nekukwanisa kumira kuti urinate kana kuve isina kupfeka munzvimbo dzakafanana dzakadai sedzimba dzekamuri. Zvisinei, varume vanoda kuve nekukwanisa kuita zvepabonde nemumwe wako vachada kuiswa kwepenile prosthesis. A penile prosthesis inonziwo penile implant .
Nyanzvi dzakawanda dzechiremba dzinoisa penile prostheses mushure mekutanga kwephalloplasty ave nenguva yekurapa, asi vamwe vanoita imwe nzira imwechete yesiteji. Kune zvipo uye zvisingabatsiri kune zvose zvingasarudzwa.
Saizvozvowo, kune zvipo uye zvakanakira kune zvakasiyana siyana zvepenile prostheses. Inflatable penile prostheses vanoshandisa mvura inoputika kubva mumugodhi kunomesa peni. Iko kunewo zvidimbu zvakasimbiswa kana zvakakosha. Izvi zvinoramba zvakasimba nguva dzose asi zvinogona kukotama kana kururamiswa pane zvinodiwa. Inflatable prostheses inoshandiswa kakawanda kakawanda, sezvo isingadi kuti munhu ave akajairika kuva nepeni yakaoma nguva dzose. Kunyange zvakadaro, kuvhiyiwa kuvakudza kwakaoma zvakanyanya kudarika iyo yekusimudza mashizha.
Zvinetso Zvakajairika zvePhalloplasty
Zvinetso zveUrethral ndizvo zvinowanzosangana nephalloplasty. Varwere vanogona kukudziridza fretula yeurrethra, iyo iyo inotakura urinhi inove yakasununguka paganda uye inokonzera urini kuti irere. Izvi zvinowanzoitika apo iyo urethra itsva yakabatanidzwa kune yekare. Zvisinei, zvinogona kuitika chero kupi nepo neophallus.
Imwe ingangodaro yakakonzera urinary inobata phalloplasty inogadziriswa. Iyi ndiyo nzira iyo inofamba nayo yakawanda kwazvo kutakura urini. Zvimwe, zvisinganyanyozivikanwa, zvinetso zvephalloplasty zvinosanganisira kusasarudzwa kana kukanganiswa kwemafupa uye nenyaya dzine ruvara rweganda. Varwere vanogamuchira penile prostheses vanogonawo kunge vane matambudziko nemagadzirirwo aya. Kutaura zvazviri, rudzi urwu rwechinetso haruwanzoitiki, zvose zvese mushure mekusimudzirwa uye makore akawanda kunze. Matambudziko ane penile prosthesis angada kusunurwa kana kushandiswa kwemukati.
Phalloplasty Kusiyana kweTransgender Men
Pakati pese, phalloplasty zvinoratidzika zvakafanana kune cisgender uye transgender varume. Zvisinei, kune zvimwe zvishoma zvakasiyana. Mutsara wokutanga unosanganisira kuchengetedza kunzwa kwepabonde. Kune vanhu vanokanganisa, mitsipa yepa phallus inobatanidza kune ye clitoris kana kuti clitoris yakaiswa pasi pepenisi. Chero nzira, chinangwa ndechekuchengetedza hutano hwepabonde nemararamiro emagetsi, nekubvumira penile kukurudzirwa kukurudzira mitsipa.
Imwe misiyano yakakura ndeyokuwedzerwa kwechiremba. Kune varume veCisgender, irethra inonyatsowanikwa yekubatanidza mumuviri wepenisi. Zvisinei, nokuda kwevarume vemadzinza, kuwedzerwa kunofanira kusikwa kusiyanisa urethra iripo mumucheto wepenisi. Izvi zvinogona kuwedzera mamwe matambudziko pakuvhiyiwa. Izvi zvinowedzerawo kune imwe nzvimbo iyo inogona kuva nezvinetso pakuporesa.
Pakupedzisira, nokuda kwevarume vanodarika, chiremba anovhiya anofanira kuvhiya achigadzira chironga. Izvi zvinowanzoitwa achishanda ganda rekunze kwekunze kwevanhu ve transgender. Izvozvo zvinogoneka kuisa testicular prostheses, kana murwere achida. Zvichienderana nechinangwa chechirembachi, izvi zvinogona kuitwa panguva yekuvhiyiwa kana, kazhinji, mushure mekuvhiyiwa kwokutanga kwave nekuine nguva yekurapa.
Single vs. Multi Stage Surgeries
Chimwe chikwata chepalloplasty chinosanganisira kuvakwa panguva imwechete ye phallus uye urethra, pamwe nekubatanidza kwechiremba. Apo zvakakosha, inosanganisirawo kusikwa kwechitsva uye kuiswa kwe testicular prostheses. Zvose izvi zvinoitwa senzira imwe chete, kunyange zvazvo chero penile prostheses inowanzoiswa mune imwe nguva inotevera.
A multi-staged stage phalloplasty inoputsa chirwere ichi kusvika muzvikamu. Izvi zvakajairika, sezvo zvichibvumira kutarisa zvakadzama kwechikamu chimwe nechimwe chekuvhiyiwa. Zvisinei, mamwe mapoka ekuvhiya anoita sarudzo imwe chete. Izvi zvinogona kunge zviri nyore kune varwere vanofanirwa kufamba rwendo rukuru rwekuvhiya. Hazvisi pachena kana kune ngozi yakawedzerwa yezvinetso zvekuita-imwe shanho nzira. Izvozvo zvakati, vanhu vazhinji vanoita phalloplasty vachada chirwere chimwechete kana zvimwe zvekudzokorora, zvisinei pasinei nokuti chirongwa chacho chakanga chave chinangwa chakanga chisina kurohwa kana imwe.
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