He aha te pokanga whakamaia? Te Whāinga, Ngā Hātepe & Ngā Hua

Ko te pokanga whakamaia e pā ana ki te kohinga o ngā hātepe pokanga i hangaia hei āwhina i tō tinana ki te whakatika ki tō tuakiri ira tangata hei tāne, hei tangata māia rānei. Ko ēnei pokanga ka karangatia hoki ko te pokanga whakau i te ira tangata, ko te pokanga wahine-ki-tāne (FTM) rānei. Whakaarohia ēnei hātepe hei taputapu rongoā hei āwhina i a koe kia pai ake te noho me te māia i roto i tō ake kiri.

He ahurei te haerenga o ia tangata, ā, kāore katoa e whiriwhiri ki te pokanga. Ko ētahi tāngata ka pokanga kotahi, ēngari ko ētahi ka maha i roto i te wā. He whakatau whaiaro tēnei, ā, kei runga i ō hiahia, ō whāinga, me ō āhuatanga.

He aha te pokanga whakamaia?

Kei roto i te pokanga whakamaia ngā hātepe rerekē e hanga ana i ngā āhuatanga tinana māia, e tango ana rānei i ngā āhuatanga wahine. Ko ngā pokanga tino noa ko te hanga anō i te uma (pokanga runga), te tango i te kōpū, me ngā pokanga hanga anō i ngā ira. E mahi ngātahi ana ēnei hātepe hei āwhina i te hanga i te ahua tinana e rapu ana koe.

Ko te pokanga runga e tango ana i te kiko u, ā, e hanga anō ana i te uma kia māia ake te ahua. Ko te tango i te kōpū e tango ana i te kōpū, i ētahi wā ko ngā ovaries. Ka taea e te hanga anō i ngā ira te hanga i ngā ira tāne, te whakarei rānei i te āhua o nāianei. E aro ana ia pokanga ki ngā āhuatanga rerekē o te whakawhiti tinana.

Ka mahia ēnei hātepe e ngā tākuta pokanga motuhake e mōhio ana ki ngā hiahia ahurei o ngā tāngata whakawhiti ira me ngā tāngata rerekē ira. Kua pai ake ngā tikanga i ngā tau, e tuku ana i ngā hua pai ake me te iti ake o ngā raruraru i tēnei wā.

He aha te take i mahia ai te pokanga whakamaia?

Ka whiriwhiri te tangata i te pokanga whakamaia kia whakaiti i te dysphoria ira tangata me te whakatika i o ratou tinana ki to ratou tuakiri ira tangata. Ko te dysphoria ira tangata te raruraru ka puta ina he rerekētanga i waenga i to tuakiri ira tangata me to tinana. Ka taea e te pokanga te whakapai ake i te hauora hinengaro me te kounga o te oranga mo te tini o te tangata.

I tua atu i te whakatika i te dysphoria, ka taea e enei pokanga te awhina i a koe kia maia ake i roto i nga ahuatanga hapori, nga hononga tata, me nga mahi o ia ra. He maha nga tangata e kii ana he pai ake te noho i roto i o ratou kakahu, i te whare takaro, i etahi atu ahuatanga ranei ka kitea to ratou tinana.

Ka taea hoki e te pokanga te whakaiti i te ahotea o ia ra mo te here i to uma, te whakahaere ranei i etahi atu ahuatanga o to ahua. Ka taea e tenei te arahi ki te pai ake o te hauora hinengaro, nga hononga pai ake, me te nui ake o te pono i roto i to oranga.

He aha te tikanga mo te pokanga whakamaia?

He rerekē nga tikanga i runga i nga pokanga e whiriwhiria ana e koe. Ko te nuinga o te tangata e mahi tahi ana me ta ratou roopu hauora ki te hanga i te rarangi wa e tika ana mo o ratou whainga me o ratou ahuatanga. Ko etahi pokanga ka taea te mahi i te wa kotahi, engari me wehe etahi atu.

Anei nga mea e tupu ana i te nuinga o nga tikanga:

• Pokanga runga (whakahou i te uma): Ka tangohia e te tākuta pokanga te kiko u me te kiri nui, ka whakatakotoria ngā ūpō, ka huri i te āhua o te uma kia puta te ahua tāne
• Hysterectomy: Ka tangohia e te tākuta pokanga te kōpū mā ngā tapahi iti i te puku, mā te tara rānei, i runga i te tikanga e whakamahia ana
• Phalloplasty: Ka hangaia e te tākuta pokanga tētahi ure mā te whakamahi i te kiko mai i tētahi wāhi kē o tō tinana, pērā i te ringa o mua, i te huha rānei
• Metoidioplasty: Ka wāwāhia e te tākuta pokanga te tara mai i ngā kiko e karapoti ana, ā, ka tāpirihia pea te roa mā ētahi atu tikanga
• Scrotoplasty: Ka hangaia e te tākuta pokanga tētahi pūpū mā te whakamahi i ngā kiko mai i te ngutu tara, ā, ka whakatakotoria pea ngā whakato pūtaiao

He maha ngā hāora e pau ana i ia pokanga, ā, ka mahia i raro i te rongoā whānui. Ka whakamāramahia e tō rōpū pokanga ngā mea katoa e tika ana kia mōhiotia mō ō tikanga motuhake.

Me pēhea te whakarite mō tō pokanga tāne?

Ka tīmata te whakarite i ngā marama i mua i te rā o tō pokanga. Ka ārahi tō rōpū hauora i a koe i ia wāhanga kia mōhio ai kei te rite koe i te taha tinana me te taha aronganui. Mā tēnei wā whakarite e āwhina kia pai rawa atu ngā hua, ā, ka whakaiti i te tūponotanga o ngā raruraru.

Tērā pea ka tono tō tākuta i ngā reta mai i ngā tohunga hauora hinengaro hei whakaū he tika te pokanga mōu. Me whai whakaaetanga hauora anō hoki koe kia mōhio ai kei te hauora koe mō te pokanga. Kei roto pea i tēnei ko ngā whakamātautau toto, ngā whakamātautau ngākau, me ētahi atu aromatawai.

Ko ngā wāhanga matua ēnei hei whakarite mō te pokanga:

• Whakamutua te kai paipa: Ka taea e te kai paipa te whakararuraru i te whakaora me te whakanui i nga raruraru, no reira me whakamutu koe i te 6-8 wiki i mua i te pokanga
• Whakaritea nga rongoa: Ka taea e etahi rongoa te whakanui i te tupono o te whakaheke toto, no reira ka tono pea to taakuta ki a koe kia whakamutu i etahi taapiringa, i nga mea whakaheke toto ranei
• Whakarite tautoko: Me whai tangata koe hei taraiwa i a koe ki te kainga me te awhina i nga mahi o ia ra mo nga ra, wiki ranei tuatahi
• Whakaritea to kainga: Whakaritea he waahi whakaora pai me nga mea katoa e hiahia ana koe kia ngawari te toro atu
• Whaia nga tohutohu i mua i te pokanga: Kei roto i tenei ko te wa hei whakamutu i te kai me te inu i mua i te pokanga

Ma to roopu pokanga e whakarato nga tohutohu taipitopito e pa ana ki o tikanga. Ma te whai i enei aratohu i te ata ka awhina i to pokanga kia pai, kia pai hoki to whakaora.

Me pehea te panui i o hua pokanga whakawāhine?

Ko te maarama ki o hua ko te ahua tonu i muri i te pokanga me te putanga mo te wa roa i a koe e whakaora ana. I muri tonu i te pokanga, ka pupuhi koe, ka maru, ka takai, he uaua ki te kite i o hua whakamutunga. He mea noa tenei, e tumanakohia ana.

Ka pai tonu o hua i roto i nga marama maha i te wa e heke ana te pupuhi, ka tau nga kiko ki roto i o raatau ahua hou. Ko te nuinga o nga tangata ka kite i te pai ake i te 3-6 marama, engari ka roa pea te tau, neke atu ranei ki te whakawhanake katoa nga hua whakamutunga.

Anei nga mea e tumanakohia ana i te wa o to rarangi waahi whakaora:

• Ngā wiki tuatahi e 2: Te pūpū nui me te pāpaku, te iti o te neke, te arotahi ki te whakaora taketake
• 2-6 wiki: Ka tīmata te heke o te pūpū, ka taea e koe te hoki haere ki ngā mahi māmā
• 6-12 wiki: Kua ngaro te nuinga o te pūpū, ka kite koe i te āhua whakamutunga
• 3-6 marama: Ka kitea ngā hua, ka tīmata pea te hoki mai o te rongo
• 6-12 marama: Ka mārama ngā hua whakamutunga, ka haere tonu ngā kiko

Ka aroturukihia e tō tākuta pokanga tō whakaora i ngā wā whakarite. Mā rātou koe e āwhina ki te mārama ki te mea noa, me te whakatika i ngā āwangawanga e pā ana ki ō hua.

Me pēhea te whakanui i ngā hua o tō pokanga whakakaha tane?

Ko te tiaki pai i a koe i mua me muri i te pokanga ka tino pai ake ō hua, ka whakaiti i ngā raruraru. Ko te kaha e whakapaua ana e koe ki te whai i ngā tohutohu a tō tākuta pokanga ka tino whai pānga ki te pai o tō whakaora me te pai o tō hua.

He mea nui te tiaki i ngā patunga mō te whakaora pai me te iti o te kiko. Mā tō tākuta pokanga koe e ako me pēhea te horoi me te tiaki i ō tapahi. Ko te pupuri i ngā patunga kia mā me te maroke ka āwhina i te aukati i te mate me te whakatairanga i te whakaora hauora.

Anei ngā huarahi matua hei whakanui i ō hua:

• Whaia ngā here ki ngā mahi: Kaua e hāpai i ngā mea taumaha, kaua hoki e whakakori tinana kaha kia whakaaetia koe e tō tākuta
• Mau i ngā kākahu kōpeke: Mā ēnei e āwhina te whakaiti i te pūpū me te tautoko i ngā kiko e ora ana
• Haere ki ngā whakaritenga whai muri katoa: Me mātakitaki tō tākuta i tō oranga, me te whakatika i ngā raruraru i te wā wawe
• Kia mau ki te kai pai: Ko te kai i ngā kai whai pūmua me te noho wai e tautoko ana i te oranga
• Kaua e paowa: Ka raru te paowa i te oranga, ā, ka puta he raruraru
• Whakahaerehia te mamae kia tika: Tangohia ngā rongoā kua whakaritea kia rite ki te tohutohu kia noho pai ai koe

He mea nui hoki te manawanui ki te hātepe oranga. E hiahia ana tō tinana i te wā ki te ora me te whakatika ki tōna āhua hou. Ko te hoki wawe rawa ki ngā mahi noa ka raru i te oranga, ā, ka pā ki ō hua whakamutunga.

He aha ngā āhuatanga tūpono mō ngā raruraru o te pokanga whakapūtangata?

Pērā i ngā pokanga nui katoa, he tūponotanga kei roto i ngā mahi whakapūtangata. Mā te māramatanga ki ēnei tūponotanga e āwhina ana i a koe ki te whakatau whakatau mōhio, me te mahi i ngā mahi hei whakaiti i a rātou. He angitu te nuinga o te tangata i ngā pokanga me te iti o ngā raruraru, engari he mea nui kia mōhio ki ngā take ka puta.

Ko ētahi āhuatanga ka piki ake te tūponotanga o ngā raruraru. Ka arotake tō tākuta i ēnei āhuatanga i te wā o tō kōrero, ā, ka āwhina i a koe ki te mārama ki tō taumata tūponotanga takitahi. He maha ngā āhuatanga tūpono ka taea te whakarereke, te whakahaere rānei i mua i te pokanga.

Ngā āhuatanga tūpono noa ko:

• Te kai paipa: Ka nui ake te tūponotanga o te mate, ā, ka pā ki te whakaora
• Te mate huka: Ka puhoi te whakaora, ka nui ake te tūponotanga o te mate
• Te momomo: Ka nui ake pea ngā tūponotanga o te pokanga, ā, ka pā ki ngā hua
• Te kai rawakore: Ka pā ki te whakaora me te whakaora ake
• Ngā rongoā motuhake: Ko ngā mea whakaheke toto me ētahi taapiri ka nui ake te tūponotanga o te toto
• Ngā pokanga o mua: Ko ngā kiko kiko mai i ngā pokanga o mua ka uaua pea ngā tikanga

Ka mahi tō rōpū pokanga ki a koe ki te whakaiti i ēnei tūponotanga. Mā tēnei pea e pai ake ai tō hauora i mua i te pokanga, te whakatika i ngā rongoā, te whakarerekē rānei i ngā tikanga pokanga kia whai whakaaro ki ō āhuatanga takitahi.

He aha ngā raruraru ka puta i te pokanga tāne?

Ahakoa te nuinga o ngā tāngata he pokanga angitu, ka puta pea ngā raruraru. Mā te māramatanga ki ngā raruraru ka taea e koe te mōhio ki ngā tohu whakatūpato me te rapu awhina wawe ki te hiahiatia. Ka mātakitaki tata tō rōpū pokanga i a koe ki te ārai me te whakatika i ngā take ka puta.

Ko te nuinga o ngā raruraru he iti noa iho, ā, ka taea te rongoā pai. He onge ngā raruraru nui, engari ka puta pea. Ka kōrero tō tākuta pokanga i ngā tūponotanga motuhake mō ō tikanga kua whakaritea i te wā o tō kōrero.

Anei ngā raruraru ka taea te mōhio:

• Ngā mate: Ko ngā tohu ko te kirika, te piki haere o te mamae, te whero, te wai rānei mai i ngā tapahi
• Te toto: He mea noa te toto, engari ko te nui o te toto ka hiahia pea ki te āwhina hauora
• Ngā kiko: Ka hangaia e ngā pokanga katoa ngā kiko, engari ka whanake pea ētahi tāngata i ngā kiko matotoru, i ngā kiko rānei kua piki ake
• Te kino o te io: Ka puta te ngaro o te rongo, te huringa rānei o te rongo, he wā poto, he pumau rānei
• Ngā raruraru whakaora patunga: Ka puhoi, ka kore rānei te whakaora o ētahi wāhi
• Te kore taurite: Kāore pea ngā hua e taurite ana

Ko ngā raruraru onge engari he nui te kino ka uru mai ko ngā toto toto, te mate nui, ngā raruraru rānei ki te rongoā. Kua whakangungua tō rōpū pokanga ki te whakahaere i ēnei āhuatanga, ā, ka āta tirotiro i a koe i te wā o te pokanga, i muri hoki i te pokanga.

Āhea au e kite ai i te tākuta mō ngā āwangawanga pokanga tāne?

He mea nui te mōhio ki te wā ki te whakapā atu ki tō rōpū hauora mō tō haumaru me te rangimārie o te hinengaro. He mārie te nuinga o ngā wheako whakaora, engari he pai ake te pātai pātai mēnā e māharahara ana koe ki tētahi mea. E hiahia ana tō rōpū pokanga ki te rongo mai i a koe mēnā e māharahara ana koe.

Ko ētahi tohu e hiahia ana kia āwhina hauora tonu, i te wā e tatari ana ētahi atu kia tae rā anō ki ngā haora tari auau. Ka whakawhiwhia koe e tō tākuta pokanga ki ngā tohutohu motuhake mō te wā ki te waea atu me ngā kōrero whakapā ohorere.

Whakapā atu ki tō tākuta tonu mēnā ka pā ki a koe:

• Kirika neke atu i te 101°F (38.3°C): Ka tohu pea tēnei i te mate
• Te mamae nui kāore i te whakahaerehia e te rongoā: Me pai haere te mamae i te roanga o te wā
• Te nui o te toto: He mea noa te turuturu iti, engari he mea mōrearea te mākū i ngā takai
• Ngā tohu o te mate: Te whero haere, te mahana, te pūhi, te hū rānei i ngā wāhi tapahi
• Te uaua ki te hā: Ka tohu pea i te pūpū toto, i ētahi atu raruraru nui rānei
• Te mamae o te uma: Inā koa ki te haere tahi me te poto o te manawa

Me whakapā atu anō koe ki tō rōpū hauora mō ngā āwangawanga kāore i te tino nui pērā i ngā pātai mō te atawhai i te patunga, ngā pānga taha o te rongoā, ngā āwangawanga rānei mō tō haere pai. Kei reira rātou ki te tautoko i a koe i tō haerenga whakaora.

Ngā pātai e pātai pinepine ana mō te pokanga whakaputa tāne

Q1: Ka utua te pokanga whakaputa tāne e te inihua?

Kua pai ake te inihua mō te pokanga whakaputa tāne i ngā tau tata nei, engari he rerekē i te mahere me te wāhi. He maha ngā kamupene inihua e utu ana i ēnei tikanga ina whakaarohia he mea tika ā-hauora. Ka āwhina tō rōpū hauora i a koe ki te mārama ki tō inihua me te whakatere i te tukanga whakaae.

Ko te whiwhi whakaaetanga inihua he maha ngā wā e hiahia ana ki ngā tuhinga mai i ngā tohunga hauora hinengaro me tō rōpū hauora. Ka roa pea tēnei tukanga, nō reira he mea nui kia tīmata wawe. Ko ētahi tāngata e whiriwhiri ana ki te utu i te pūtea mai i te pūkete ake mēnā kāore te inihua e utu i ā rātou tikanga e hiahia ana.

Q2: Kia pēhea te roa o taku tangohanga i te mahi mō te pokanga whakaputa tāne?

E whakawhirinaki ana te wā whakaora ki ngā tikanga i a koe me te momo mahi e mahia ana e koe. Ko te pokanga o runga e hiahia ana kia 1-2 wiki te tangohanga mō te mahi tēpu me te 4-6 wiki mō ngā mahi tinana. Ko ngā tikanga nui ake pērā i te phalloplasty ka hiahia pea kia 4-8 wiki, neke atu rānei te tangohanga i te mahi.

Ka tohutohu mai tō tākuta i ngā tohutohu motuhake i runga i ō tikanga me ngā whakaritenga mahi. He tokomaha ngā tāngata e whakarite ana ki te mahi mai i te kāinga i te tīmatanga, ki te tīmata rānei i ngā haora whakaheke i te wā e ora ana.

Q3: Ka taea e au te whai i ngā pokanga tāne maha i te wā kotahi?

Ka taea te whakakotahi i ngā tikanga, ā, ka whakaiti pea i te wā whakaora katoa. Heoi, kei runga tēnei i tō hauora, ngā pokanga motuhake e whai wāhi ana, me ngā tohutohu a tō tākuta. He haumaru ake ētahi huinga i ētahi atu.

Mā tō rōpū pokanga koe e āwhina ki te whakatau mēnā he pai te whakakotahi i ngā tikanga mō tō āhuatanga. Ka whakaarohia e rātou ngā āhuatanga pēnei i tō hauora whānui, te uaua o ngā pokanga, me tō kaha ki te ora.

Q4: Ka ngaro te rongo i muri i te pokanga tāne?

He mea noa ngā huringa o te rongo i muri i te pokanga, engari he tokomaha ngā tāngata ka whakahoki mai i te rongo i te wā. Ko te nui o ngā huringa o te rongo e whakawhirinaki ana ki ngā tikanga i whai koe me te pēhea te whakaora o tō tinana. Ka rerekē pea ētahi wāhi i mua, i te wā e whakahoki mai ana ētahi atu i te rongo noa.

Ka kōrero tō tākuta mō te aha e tūmanakohia ana mō te rongo mō ō tikanga motuhake. Ka roa pea te maha o ngā marama ki te whakahoki mai i te rongo, ā, he rerekē i te tangata ki te tangata.

Q5: Me pēhea te whiriwhiri i te tākuta tika mō te pokanga tāne?

He mea nui te kimi i te tākuta tika mō tō haumaru me tō pai. Rapua ngā tākuta e tohunga ana ki te pokanga whakapūmau ira tangata, ā, he nui te wheako ki ngā tikanga e hiahia ana koe. He tohu nui te tiwhikete poari me ngā arotake pai a ngā tūroro mō te kounga o te manaaki.

Whakaritea ngā kōrero ki te maha o ngā tākuta hei whakataurite i ā rātou huarahi, kia kite i ngā whakaahua i mua me muri, me te whakarite kia pai koe ki tō rōpū. Kaua e mataku ki te pātai i ngā pātai taipitopito mō ō rātou wheako, tikanga, me ngā reiti raruraru.