He aha kāu e ʻike ai e pili ana i ka Orchiectomy no nā wahine Transgender

Anter

• Orchiectomy vs. scrotectomy
• ʻO wai ka moho maikaʻi no kēia kaʻina hana?
• ʻO Orchiectomy a me ka momona
• He aha kaʻu e manaʻo ai ma mua a ma ke kaʻina hana?
• He aha ke ʻano o ka hoʻōla?
• Aia kekahi hopena a i ʻole nā ​​pilikia?
• He aha ke kuanaʻike?

He aha ka orchiectomy?

ʻO kahi orchiectomy kahi ʻoki kahi i lawe ʻia ai hoʻokahi a ʻoi paha nā testicle.

ʻO nā testicle, nā kāne kāne hānau hānau e hana i ka sperm, noho i loko o kahi ʻeke, i kapa ʻia ʻo scrotum. Aia ka scrotum ma lalo pono o ka peni.

ʻElua mau kaʻina orchiectomy maʻamau no nā wahine transgender: orchiectomy bilateral a me orchiectomy maʻalahi. I loko o kahi orchiectomy bilateral, hoʻopau ka lāʻau lapaʻau i nā testicle ʻelua. I ka wā o kahi orchiectomy maʻalahi, hiki i ke kauka ke wehe i kekahi o nā testicle ʻelua paha.

ʻO ka orchiectomy bilateral ka ʻano maʻamau o orchiectomy no nā wahine transgender.

Orchiectomy vs. scrotectomy

I ka wā o kahi orchiectomy, e hoʻoneʻe ka mea lapaʻau i hoʻokahi a i ʻole nā ​​testicle ʻelua mai ka scrotum. I ka wā o ka scrotectomy, e hoʻoneʻe ke kaukipō i ka scrotum holoʻokoʻa a i ʻole kekahi ʻāpana o ia mea.

Inā hoʻokomo kāu hoʻololi i kahi puʻupaʻa, hiki ke hoʻohana ʻia i nā kiko scrotal e hana i ka uhi ʻōpū.ʻO kahi vaginoplasty ke kūkulu ʻana i kahi puʻupaʻa e hoʻohana ana i nā ʻili graf. I kēia mau hihia, ʻaʻole e paipai ʻia kahi scrotectomy.

Inā ʻaʻohe mea loaʻa scrotal i loaʻa no kahi vaginoplasty, ʻo ka koho aʻe no ke kūkulu ʻana i ke kino liʻiliʻi hiki ke hoʻopili pinepine i nā ʻili o ka ʻili mai ka ʻūhā kiʻekiʻe.

He mea maikaʻi e kamaʻilio me kāu kauka e pili ana i kāu mau koho āpau. E hāmama pū me lākou e pili ana i nā hana hou e hiki ai ke hoʻolālā. Ma mua o ke kaʻina hana, e kamaʻilio me kāu kauka e pili ana i ka mālama ʻana i ka momona a me ka hopena i ka hana moekolohe.

ʻO wai ka moho maikaʻi no kēia kaʻina hana?

ʻO kahi orchiectomy kahi ʻoki liʻiliʻi loa me kahi manawa pōkole pōkole.

ʻO ke kaʻina hana he ʻanuʻu mua inā ʻoe e hele ana i ka helehelena wahine. I kekahi mau hihia, hiki paha iā ʻoe ke loaʻa i ka orchiectomy i ka manawa like i loaʻa iā ʻoe kahi puʻupaʻa. Hiki iā ʻoe ke hoʻonohonoho iā lākou ma ke ʻano he kuʻuna kūʻokoʻa.

ʻO nā kaʻina hana ʻē aʻe āu e noʻonoʻo ai, keu hoʻi inā ʻoe e hoʻolālā nei i kahi vaginoplasty, e hoʻopili pū me:

• Penectomy ʻāpana. ʻO kahi penectomy kahi hana ʻoki e pili ana i ka lawe ʻana i kahi ʻāpana o ka peni. Hoʻohana mau ʻia ia ma ke ʻano he koho lapaʻau no ka maʻi ʻaʻai penile.
• Labiaplasty. ʻO kahi labiaplasty kahi hana i hoʻohana ʻia e kūkulu i ka labia me ka hoʻohana ʻana i nā ʻili graf.

He koho maikaʻi paha ʻo Orchiectomy no ka poʻe e hana maikaʻi ʻole i nā hormones wahine a makemake paha e hōʻemi i nā pilikia olakino a me nā hopena ʻē aʻe mai kēia mau lāʻau. ʻO ia no ka mea ke pau ke kaʻina hana, e hana maʻamau kou kino i ka testosterone endogenous liʻiliʻi, i hiki ai ke alakaʻi i nā haʻahaʻa haʻahaʻa o nā hormones wahine.

Hoʻohui ʻia, hōʻike ka noiʻi e mālama ʻia paha nā hana orchiectomy i nā wahine transgender.

ʻO Orchiectomy a me ka momona

Inā manaʻo ʻoe makemake ʻoe e loaʻa nā keiki i ka wā e hiki mai ana, e kamaʻilio me kāu kauka e pili ana i ka mālama ʻana i ka sperm i kahi pēpē sperm ma mua o ka hoʻomaka ʻana i nā mālama ʻana o ka hormone. Ma kēlā ala ua hōʻoia ʻoe iā ʻoe i pale i kou momona.

He aha kaʻu e manaʻo ai ma mua a ma ke kaʻina hana?

E hoʻomākaukau ai no ke kaʻina hana, e koi ana paha kāu kauka i hōʻoia e:

• Keʻike nei ʻoe i ka wahine dysphoria.
• Hiki iā ʻoe ke ʻae i ka lāʻau lapaʻau a hoʻoholo piha i ka hoʻoholo.
• ʻAʻohe ou olakino noʻonoʻo ʻole hoʻokele a i ʻole nā ​​pilikia olakino.
• Ua hōʻea ʻoe i ka makahiki o ke ʻano makua ma ka ʻāina e mālama ʻia ai ke kaʻina hana

ʻO ka maʻamau, e noi kahi kauka iā ʻoe e hāʻawi i nā leka o ka mākaukau mai ʻelua mau ʻoihana olakino ʻokoʻa. Pono paha ʻoe e hoʻopau i hoʻokahi makahiki (12 mau mahina ma hope) o ka hoʻomaʻamaʻa hormone ma mua o ka hana ʻana i kahi orchiectomy.

E hana ke kaʻina hana i 30 a 60 mau minuke. Ma mua o ka hoʻomaka ʻana o ke kaha ʻana, e hoʻohana kāu kauka i ka anesthesia kūloko e hoʻopau i ka wahi a i ʻole ka anesthesia ākea e hiamoe ai no laila ʻaʻole ʻoe e ʻike i kekahi mea. A laila e hana kahi ʻokiʻoki i kahi ʻokiʻoki i waenakonu o ka scrotum. E kāpae lākou i hoʻokahi a i ʻole nā ​​mea hoʻāʻo a laila pani i ka ʻokiʻoki, pinepine me nā sutures.

ʻO ke kīʻaha ponoʻī kahi hana ma waho. ʻO kēia ke kumu inā ʻoe i hāʻule i ke kakahiaka no ke kaʻina hana, hiki iā ʻoe ke haʻalele ma mua o ka hopena o ka lā.

He aha ke ʻano o ka hoʻōla?

ʻO ke ola kino ʻana mai ke kaʻina hana e mau ma waena o kekahi mau lā a i kahi pule. E kauoha paha kāu kauka i nā lāʻau ʻeha e mālama i ka ʻeha a me nā lāʻau ʻaloʻalo e pale aku i ka maʻi.

Ma muli o kāu hopena i ka orchiectomy, hiki i kāu kauka ke hōʻemi i kāu lāʻau estrogen a hoʻopau i nā lāʻau androgene blocker mua.

Aia kekahi hopena a i ʻole nā ​​pilikia?

Hiki iā ʻoe ke ʻike i nā hopena a me nā pilikia e maʻa mau i ke ʻoki. Pākuʻi ʻia kēia mau mea:

• kahe ʻana a ka maʻi paha
• ʻeha i nā ʻoki a puni
• scarring
• hōʻoluʻolu ʻole me nā hopena
• hōʻino aʻaʻa a nalo paha o ka manaʻo
• infertility
• hoʻemi i ka libido a me ka ikehu
• ʻosteoporosis

ʻO nā wahine Transgender i loaʻa i ka orchiectomy e ʻike paha i nā hopena hopena maikaʻi, e like me:

• kahi hoʻohaʻahaʻa nui i ka testosterone, i ʻae iā ʻoe e hōʻemi i kāu mahele o nā hormones wahine
• ho'ēmi i ka wahine dysphoria ke lawe ʻoe i kahi ʻanuʻu kokoke i ka hoʻohālikelike ʻana i kou helehelena kino me kou ʻike kāne

He aha ke kuanaʻike?

ʻO kahi orchiectomy kahi ʻoki kūwaho kūpono ʻole loa kahi e lawe ai ka mea lapaʻau i hoʻokahi a i ʻole nā ​​hōʻike ʻelua.

Hiki ke ʻokiʻoki i ʻāpana o kahi hoʻolālā mālama no kekahi me ka maʻi ʻaʻai prostate, akā he hana maʻamau nō ia no ka wahine transgender e hana ana i ka ʻoki hōʻoia hōʻoia kāne.

ʻO kahi pōmaikaʻi nui i kēia ʻoki ʻana, i ka manawa e pau ai, hiki i kāu kauka ke koi aku e hōʻemi i kāu lāʻau o nā hormones wahine.

Manaʻo pinepine ʻia kahi orchiectomy i kahi nui i mua i kahi vaginoplasty, kahi e kūkulu ai ke kauka lāʻau i kahi puʻupuʻu e holo nei.

ʻO ka hoʻōla hou ʻana mai ke kaʻina hana - inā hana kūʻokoʻa ʻia i ka wīwī - hiki ke hala ma waena o ʻelua mau lā a i hoʻokahi pule.