Matsarar fata shine aikin gina jiki na azzakari, ko phallus. Tsarin shafawa zai iya kasancewa bangaren bangaren sauyawar sauƙi ga wasu mazajen transgender. (Sauran mazaje masu karuwa zasu iya zaɓar su da wata matsala ko kuma ba su da sha'awar aikin tiyata.) Za a iya yin kwakwalwa ga wadanda ba a haifa ba wanda ba tare da azzakari ba ko wanda ya yi hasara ta hanyar hadari ko cuta.
Kullum likitan filastik ne kuma / ko urologist.
Ka'idojin kwalliya
Mahimmanci, halittar azzakari ya hada da ƙirƙirar tube a cikin bututu. Cikin cikin bututu shine urethra, tsarin da mutum keyi. Tufafar waje ita ce sashin penile. Wannan tsari, wanda aka sani da neophallus ( neo - don sabon), an haɗa shi da ƙananan kwaskwarima. Yaduwar neophallus an haɗa shi da urethra na yanzu. Jirgin jini da jijiyoyi suna da alaƙa da waɗanda ke cikin ƙashin ƙugu. Sa'an nan kuma an fitar da na waje daga neophallus don yayi kama da azzakari da kuma kai.
Nau'in Nau'in
Sassan fatar jiki da sauran kayan da ake amfani da su don aikin tilasta filastik kamar su tauraron dan adam suna da lakabi . Akwai nau'in iri iri da za a iya amfani dashi ga ƙwayar fata. A {asar Amirka, hanyar da ake amfani da shi ta yau da kullum ita ce farar wutan lantarki, ko RFF. Wannan ya hada da girbi babban zane na fata daga daya daga cikin wadanda suka kamu da cutar.
Kyautattun abubuwan da ke cikin wannan nau'in shine cewa yana da inganci, mai sauƙin girbi, kuma mai kula da taɓawa. Babban mahimmanci shine cewa launi na iya bambanta da fata na fata kuma cewa hanya ta bar wata tsofaffin ƙwaƙwalwa. Wannan mawuyacin ya bambanta, domin mutanen da suka saba da RFF balagagge, ganin hakan yana nuna cewa mutumin da ke fama da maganin ya yi wannan tiyata.
Wannan zai iya zama matsala ga wasu maza, waɗanda ba sa so su yi tallata bayan sun sami wani ɓarna.
Wani hasara mai mahimmanci shine cewa wajibi ne a rufe shi da fatar fata daga daya daga cikin cinya. Wannan ya bar scars a wurare guda biyu wanda zai iya zama bayyane, dangane da yadda mutum yake ado. A ƙarshe, raunin RFF yana buƙatar likitan likita ya zama gwani a cikin microsurgery, tun lokacin da aka cire cikakke daga hannun kuma yana bukatar a sake mayar da ita ga jijiyoyi da samar da jini a kusa da kullun.
Sauran raunuka wanda wasu lokuta ana amfani da su don samun lalata suna girbe daga wurare masu zuwa:
- Lattisimus dorsi
- Yanki mafi girma
- Girma
Sanyatattun lakaran cinya ne wasu nau'o'in da ake amfani dasu akai-akai a cikin Amurka. Ba kamar yatsun hannu ba ne, waɗannan raguwa sun haɗa da haɗin jini. Wannan yana nufin cewa ba su buƙatar kwarewar microsurgery a kan sashin likitan likita mai aikin motsa jiki. Duk da haka, waɗannan fatar suna da wuya a yi aiki tare. Maƙarƙashiyar mai yalwaci ya sa ya fi wuya a mirgine su a cikin bututu don siffar azzakari. Gwanin cin zarafi na cinya suna hade da halayen haɗari mafi girma fiye da raƙumansu. Akwai bayanai marasa daidaituwa don sakamakon sakamakon wasu nau'in nau'in da ake amfani dashi a cikin ɓarna.
Penile Prostheses
Ba duk maza da ke son wani baƙar fata suna da sha'awar samun aiki marar kyau wanda ya dace da jima'i na jima'i. Wasu suna damu da damuwa da kasancewa iya tsayawa zuwa urinate ko zama tsirara a wurare na kowa kamar dakunan dakuna. Duk da haka, maza da suke so su iya yin jima'i tare da abokin tarayya zasu buƙaci sakawa na penile. Hanyar penile kuma an san shi azaman penile implant .
Yawancin likitoci masu kwantar da hanzari sun fara yin sujada lokacin da farawa na farko ya sami lokaci don warkar, amma wasu zasuyi hanya guda. Akwai amfani da rashin amfani ga duka zaɓuɓɓuka.
Bugu da ƙari, akwai amfani da amfãni ga nau'o'in penile prostheses. Furotable penile prostheses amfani da ruwa da aka soke daga wani tafki don kara da azzakari. Har ila yau, akwai magunguna masu rarraba ko masu lalata. Wadannan suna kula da rashin ƙarfi a kowane lokaci, amma ana iya karkatar da su ko kuma a mike a buƙata. An yi amfani da prostheses a gonar fiye da sau da yawa, saboda basu buƙatar mutum yayi amfani da shi azaman azzakari a kowane lokaci. Duk da haka, tiyata don aiwatar da su shi ne dan wuya fiye da hakan don wani abu mai tsabta.
Ƙungiyoyin da ke faruwa na yau da kullum game da ƙwayar cuta
Matsalolin ƙananan shine matsalolin ƙwayar cuta. Marasa lafiya na iya ci gaba da fistula, inda tube dauke da fitsari ya zama bude ga fata kuma yana haddasa fitsari. Wannan yakan faru inda sabon urethra ya shiga tsohuwar. Duk da haka, yana iya faruwa ko'ina tare da neophallus.
Wani matsala na urinarya na ta'addanci shine ƙananan ƙwayar cuta. Wannan shi ne inda yunkurin ya kasance ya fi tsayi sosai don ɗaukar isarwa. Sauran, yawanci marasa rinjaye, rikitarwa na ƙwayar cuta sun haɗa da hasara marar iyaka ko jimillar lalacewa da kuma matsaloli tare da fatar fata. Marasa lafiya wadanda suka karbi penel prostheses na iya samun matsala tare da waɗannan na'urori. A gaskiya ma, wannan matsala tana da mahimmanci, nan da nan bayan an gama shi da shekaru masu yawa. Abubuwan da ake kira penile suna iya cire cirewa ko maye gurbin implant.
Bambanciyar Bambanci ga 'Yan Mutuwa Masu Fassara
Gaba ɗaya, hanyoyi masu tsada ba su da kama da mazan jiya da maza. Duk da haka, akwai ƙananan bambance-bambance. Bambanci na farko ya shafi kasancewa da jin dadin jima'i. Ga mutanen da ba su wuce gona da iri ba, ana amfani da jijiyoyi na phallus ga wadanda ke cikin jinginar ko kuma mai haɗin gwiwar an saka shi a tushe na azzakari. Ko ta yaya, makasudin shi ne don adana abincin jima'i da aiki na assiƙai a cikin al'amuran, ta hanyar barin penile ta daɗaɗa don tayar da jijiyoyin furotin.
Wani babban bambanci shine hawan urethra. Ga mazaunin daji, urethra yana da kyau don haɗawa cikin jiki na azzakari. Duk da haka, ga mazaunin transgender, dole ne a ƙirƙiri tsawo don danganta urethra a cikin tushe na azzakari. Wannan zai iya ƙara ƙananan matsala ga tiyata. Wannan tsawo kuma wani wuri ne inda za'a iya samun matsaloli ga warkarwa.
A ƙarshe, ga mazaunin transgender, dole ne likitan likita ya kamata ya haifar da samfuri. Ana amfani da wannan ta hanyar amfani da fata na labarun ƙananan mutane ga mazajen transgender. Zai yiwu a saka prostheses na gwaji, idan mai haƙuri yana so su. Dangane da fifikowar likita, wannan zai iya yin aiki a lokacin tiyata, ko kuma, sau da yawa, bayan an tilasta fara aikin farko don warkar.
Makaɗaicin vs. Multi Stage Surgeries
Wani matsala mai ban mamaki ya shafi aikin gina phallus da urethra, tare da haɗuwa da urethra. Inda ya dace, shi ma ya haɗa da ƙirƙirar samfuri da shigar da prostheses testicular. Dukkan wannan an yi a matsayin hanya ɗaya, kodayake duk wani launi na penile an saka shi a cikin kwanan wata.
Matakan da ke faruwa a mataki na farko ya karya aikin tiyata zuwa sassa. Wannan ya fi dacewa, saboda yana ba da izini don ƙarin bayani akan kowane ɓangare na tiyata. Duk da haka, wasu ƙananan ƙungiyoyi suna aiwatar da hanyoyi guda daya. Wannan zai iya zama mafi dacewa ga marasa lafiya waɗanda suke tafiya zuwa wata hanya mai mahimmanci don tiyata. Babu tabbacin cewa akwai karin haɗarin rikice-rikice na matakai guda daya. Wancan ya ce, mutane da yawa wadanda ke fama da launi suna buƙatar guda ɗaya ko fiye da tsararru, ba tare da la'akari da yadda aka fara nufin hanya guda ɗaya ko da yawa ba.
> Sources:
> Ascha M, Massie JP, Morrison SD, Crane CN, Chen ML. Sakamakon Sakamakon Matsayi na Ƙarshe mai Girma ta hanyar Harshen Ƙarƙashin Ƙarƙashin Ƙasa da Radial Forearm Free Flap a Gender Confirming Surgery. J Urol. 2017 Jul 29. Go: S0022-5347 (17) 77248-5. Doi: 10.1016 / j.juro.2017.07.084.
> Djordjevic ML, Stanojevic D, Bizic M, Kojovic V, Majstorovic M, Vujovic S, Milosevic A, Korac G, Perovic SV. Metoidioplasty a matsayin daya mataki jima'i reassignment tiyata a cikin mace transsexuals: Belgrade kwarewa. J Jima'i Med. 2009 Mayu, 6 (5): 1306-13. Doi: 10.1111 / j.1743-6109.2008.01065.x
> Frey JD, Gwargwadon G, Chiodo MV, Hazen A. Tsare-tsaren Farko game da Metoidioplasty da Radial Forearm Flaplasty a cikin Harkokin Tsarin Ma'aurata na Matashi da na namiji: Shin Neophallus "Kyau" ne Gudun Gyara? Abun Abun Abun Gudun Ƙarar Gidan Gidan Gida. 2016 Dec 23; 4 (12): e1131. Doi: 10.1097 / GOX.00000000001131.
> Neuville P, Morel-Journalisation N, Maucourt-Boulch D, Ruffion A, Paparel P, Terrier JE. Hanyoyin Mutuwar Halitta na Erectile Bayan Tsarin Lafiya: Binciken Tsarin Mulki na 95. J Jima'i Med. 2016 Nov; 13 (11): 1758-1764. Doi: 10.1016 / j.jsxm.2016.09.013.