Kuyini Ukuhlinzwa Kokuqeda Ubufazi Ebusweni? Inhloso, Inqubo & Imiphumela

Ukuhlinzwa kokuqeda ubufazi ebusweni (FFS) kuyiqoqo lezinqubo zokuhlinza ezenzelwe ukushintsha izici zobuso ukuze kwakheke ukubukeka kwabesifazane ngendlela yendabuko. Lokhu kuhlinzwa kungasiza abesifazane abangama-transgender nabanye ukuthi bathole izici zobuso ezihambisana nobunjalo babo bobulili kanye nemigomo yabo siqu.

Izinqubo zisebenza ngokushintsha ukwakheka kwamathambo, ukulungisa izicubu ezithambile, nokuthuthukisa izimo zobuso. Uhlelo lokuhlinzwa lomuntu ngamunye lwenziwa ngendlela ekhethekile ngokusekelwe ekwakhekeni kobuso bakhe okuyingqayizivele kanye nemiphumela ayifunayo.

Kuyini ukuhlinzwa kokuqeda ubufazi ebusweni?

Ukuhlinzwa kokuqeda ubufazi ebusweni kubhekisela ezindleleni ezihlukahlukene zokuhlinza ezishintsha izici zobuso zesilisa ukuze kwakheke izici ezithambile, ezingabesifazane. Umgomo uwukusiza ukudala ukuvumelana kobuso okuhambisana nobunjalo bakho bobulili.

I-FFS ngokuvamile ihlanganisa izinqubo eziningi ezenziwa ndawonye noma ngezigaba. Amasu avamile afaka ukulungiswa kobuso obunqala, ukuncishiswa komhlathi, ukulungiswa kwekhala, kanye nokukhuliswa kwezindebe. Inhlanganisela ethile incike ngokuphelele ezidingweni zakho kanye nemigomo yakho.

Lokhu kuhlinzwa kubhekana nomehluko omkhulu phakathi kwezakhiwo zobuso zesilisa nesifazane. Isibonelo, ubuso besilisa buvame ukuba nemigqa yezinkophe evelele kakhulu, imihlathi ebanzi, namakhala amakhulu, kuyilapho ubuso besifazane buvame ukuba nobunqala obubushelelezi, imihlathi emincane, nezici zobuso ezincane ngokuvamile.

Kungani kwenziwa ukuhlinzwa kokuqeda ubufazi ebusweni?

Abantu bakhetha i-FFS ikakhulukazi ukunciphisa i-gender dysphoria futhi bathole izici zobuso ezihambisana kangcono nobunjalo babo bobulili. Kwabesifazane abaningi abangama-transgender, lezi zinqubo zingathuthukisa kakhulu izinga lempilo nokuzethemba.

Ukuhlinzwa kungasiza futhi ngoshintsho lomphakathi ngokwenza kube lula ukubonwa njengowesifazane ekuphileni kwansuku zonke. Lokhu kunganciphisa ukukhathazeka ezimweni zomphakathi futhi kuthuthukise impilo yengqondo kanye nenhlalakahle iyonke.

Abanye abantu balandela i-FFS njengengxenye yohambo lwabo olubanzi lokuguquka kobulili, kanti abanye bangase bafune izinqubo ezithile zokubhekana nezici ezithile ezibangela ukucindezeleka. Isinqumo somuntu siqu kakhulu futhi sihluka kakhulu kumuntu nomuntu.

Yini inqubo yokuhlinzwa kobuso obufeminile?

Izinqubo ze-FFS ngokuvamile zenziwa ngaphansi kwe-anesthesia ejwayelekile futhi zingathatha noma yikuphi kusuka emahoreni angu-4 kuya kwangu-12 kuye ngokuthi yiziphi izindlela ezifakiwe. Odokotela abaningi bahlinza izinqubo eziningi ngesikhathi esisodwa sokuhlinzwa ukuze banciphise isikhathi sokululama.

Nakhu okwenzeka ngokuvamile ngesikhathi sezinqubo ezihlukene ze-FFS:

• Ukulungiswa kobuso: Ukulungisa ithambo le-brow kanye nomugqa wezinwele ukuze kwakhiwe iphrofayili yobuso ebushelelezi, enobuntu besifazane obuningi
• I-Rhinoplasty: Ukunciphisa usayizi wamakhala nokuthuthukisa ithiphu yamakhala ukuze kwakhiwe izilinganiso ezibucayi
• Ukulungiswa komhlathi nesilevu: Ukunciphisa umhlathi nokulungisa isilevu ukuze kwakhiwe ubuso obuyi-oval noma obunomumo wenhliziyo
• Ukukhuliswa kwesihlathi: Ukwengeza ivolumu ezihlathini ukuze kwakhiwe amathambo esihlathi aphezulu, avelele kakhulu
• Izinqubo zomlomo: Ukunciphisa ibanga phakathi kwamakhala nomlomo ongenhla, noma ukwengeza ivolumu ukuze kwakhiwe imilomo egcwele
• Ukugunda i-tracheal: Ukunciphisa ukuvelela kwe-Adam's apple

Udkt wakho ohlinzayo uzokwenza ukusikeka ezindaweni ezinamasu ukuze kuncishiswe ukulimala okubonakalayo. Ukusikeka okuningi kwenziwa ngaphakathi emlonyeni, emgqeni wezinwele, noma emiphumeleni yesikhumba yemvelo lapho izibazi zizobonakala khona.

Ungalungiselela kanjani ukuhlinzwa kwakho kobuso obufeminile?

Ukulungiselela i-FFS kuqala emasontweni ngaphambi kosuku lokuhlinzwa kwakho. Udkt wakho ohlinzayo uzohlinzeka ngemiyalelo enemininingwane yangaphambi kokuhlinzwa ebalulekile ekuphepheni kwakho kanye nemiphumela emihle.

Kuzodingeka ukuyeka imithi ethile nezithasiselo ezingandisa ingozi yokopha. Lokhu ngokuvamile kufaka i-aspirin, i-ibuprofen, i-vitamin E, kanye nezithasiselo zemvelo ezinjenge-ginkgo biloba. Udokotela ohlinzayo uzokunikeza uhlu oluphelele lokuthi yini okufanele ukugweme.

Uma ubhema, kuzodingeka ukuyeka okungenani amasonto angu-4-6 ngaphambi kokuhlinzwa. Ukubhema kuphazamisa kakhulu ukuphola futhi kwandisa izingozi zezinkinga. Odokotela abaningi abahlinzayo bafuna ukuhlolwa kwe-nicotine ngaphambi kokuqhubeka nokuhlinzwa.

Nawa amanye amanyathelo abalulekile okulungiselela:

• Lungiselela othile ukuthi akuqhubele ekhaya futhi ahlale nawe amahora okuqala angu-24-48
• Lungisa indawo yakho yokululama ngemithwalo eyengeziwe ukuze ugcine ikhanda lakho liphakeme
• Gcina ukudla okuthambile kanye noketshezi oluningi
• Gcwalisa noma yimiphi imithi ebekiwe ngaphambi kokuhlinzwa
• Susa yonke imihlobiso, i-nail polish, kanye nokwakheka ngaphambi kwenqubo yakho

Uzoba futhi nokubonisana ngaphambi kokuhlinzwa lapho udokotela ohlinzayo ezobuyekeza umlando wakho wezokwelapha, axoxe ngezinhloso zakho, futhi aphendule noma yimiphi imibuzo esele. Leli yithuba lakho lokubhekana nanoma yikuphi ukukhathazeka futhi uqinisekise ukuthi uzizwa ulungiswe ngokuphelele.

Ungazifunda kanjani imiphumela yakho yokuhlinzwa kobulili ebusweni?

Imiphumela ye-FFS ithuthuka kancane kancane ezinyangeni eziningana njengoba ukuvuvukala kwehla futhi izicubu ziphola. Ukuqonda lo mgomo wesikhathi kukusiza ukuthi ube nethemba elingokoqobo mayelana nohambo lwakho lokululama.

Ngemuva nje kokuhlinzwa, uzoba nokuvuvukala okukhulu kanye nokulimala okungakwenza kube nzima ukubona imiphumela yakho yokugcina. Lokhu kuvamile ngokuphelele futhi kulindelekile. Ukuvuvukala kuzoba kubi kakhulu ngesonto lokuqala, bese kuthuthuka kancane kancane ezinyangeni ezilandelayo.

Nakhu ongakulindela ngesikhathi senqubo yakho yokuphola:

• Iviki lokuqala: Ukuvuvukala okukhulu nokulimala, ubunzima bokubona imiphumela
• Amaviki ama-2-4: Ukuvuvukala kuqala ukwehla, eminye imiphumela iba sobala
• Izinyanga ezi-3-6: Ukuvuvukala okuningi kuyanyamalala, imiphumela iba sobala kakhulu
• Izinyanga ezi-6-12: Imiphumela yokugcina iyavela njengoba zonke izicubu zizinzisa ezindaweni zazo ezintsha

Udkt wakho ohlinzayo uzohlela ama-aphoyintimenti okulandelana njalo ukuqapha ukuphola kwakho nokubhekana nanoma yiziphi izinkathazo. Lokhu kuvakasha kubalulekile ekuqinisekiseni ukululama okufanele nemiphumela emihle.

Ungayithuthukisa kanjani imiphumela yakho yokuhlinzwa kobulili bobuso?

Ukulandela imiyalelo kadokotela wakho ohlinzayo ngemva kokuhlinzwa ngokucophelela yinto ebaluleke kakhulu ekufezeni imiphumela emihle. Le miyalelo yenzelwe ukukhuthaza ukuphola nokunciphisa izinkinga.

Ukugcina ikhanda lakho liphakeme, ikakhulukazi ngenkathi ulele, kusiza ukunciphisa ukuvuvukala futhi kukhuthaze ukuphola okungcono. Odokotela abaningi abahlinzayo batusa ukulala nekhanda lakho liphakanyiswe ematheni angu-2-3 amasonto amaningana ngemva kokuhlinzwa.

Nawa amanyathelo abalulekile okuthuthukisa imiphumela yakho:

• Thatha imithi ebekiwe ngqo njengoba uqondisiwe, okuhlanganisa ama-antibiotics nemithi yokudambisa ubuhlungu
• Sebenzisa ama-compresses abandayo njengoba kunconywe ukunciphisa ukuvuvukala
• Gwema imisebenzi eqinile nokuphakamisa izinto ezinzima amasonto angu-4-6
• Vikela ukusikeka kwakho ekukhanyeni kwelanga ukuze uvimbele ukulimala
• Hambela wonke ama-aphoyintimenti okulandelana nodokotela wakho ohlinzayo
• Gcina ukudla okunempilo futhi uhlale unamanzi ukuze usekele ukuphola

Yiba nesineke ngenqubo yokuphola futhi ugweme ukwahlulela imiphumela yakho ngokushesha kakhulu. Abantu abaningi bazizwa bedumazekile emasontweni okuqala lapho ukuvuvukala kuvelele, kodwa imiphumela yokugcina ivamise ukuba yinhle kakhulu futhi ibukeke ngokwemvelo.

Yiziphi izici eziyingozi zezinkinga zokuhlinzwa kobulili bobuso?

Njenganoma iyiphi inqubo yokuhlinzwa, i-FFS inezingozi ezithile okufanele uziqonde ngaphambi kokwenza isinqumo sakho. Izinkinga eziningi azivamile uma ukuhlinzwa kwenziwa ngudokotela ohlinzayo onolwazi endaweni eqinisekisiwe.

Izici ezithile zingakhuphula ingozi yakho yezinkinga. Ubudala obungaphezu kweminyaka engama-65, ukubhema, isifo sikashukela esingalawuleki, kanye nemithi ethile konke kungathinta ukuphola futhi kwandise izingozi zokuhlinzwa.

Nazi izici eziyingozi eziyinhloko okufanele zicatshangelwe:

• Ukubhema noma ukusebenzisa i-nicotine: Kuthikameza kakhulu ukuphola futhi kwandisa ingozi yokutheleleka
• Izimo zezokwelapha: Isifo sikashukela, isifo senhliziyo, noma izifo zokuphuma igazi kungenza ukuhlinzwa kube nzima
• Imithi: Ama-blood thinners, ama-steroids, nezinye izithasiselo zithinta ukuphola
• Ukuhlinzwa kobuso kwangaphambilini: Izicubu ezilimele zingenza izinqubo zibe yinselele enkulu
• Ukulindela okungokoqobo: Kungaholela ekunganeliseki ngemiphumela

Udkt. ohlinzayo uzohlola ngokucophelela umlando wakho wezokwelapha kanye nesimo sakho sempilo yamanje ukuze anqume ukuthi ungumuntu ofanelekayo yini i-FFS. Ubuqotho ngomlando wakho wezokwelapha nendlela yokuphila kubalulekile ekuphepheni kwakho.

Ziyini izinkinga ezingaba khona zokuhlinzwa kokufeminiza ubuso?

Ngenkathi izinkinga ezinkulu zingavamile, kubalulekile ukuqonda izingozi ezingaba khona ukuze ukwazi ukwenza isinqumo esinolwazi mayelana nokuhlinzwa kwakho. Izinkinga eziningi, uma zenzeka, ziyaqondakala ngemithi efanele.

Imiphumela emibi ejwayelekile, yesikhashana ihlanganisa ukuvuvukala, ukulimala, ukuba ndikindiki, nokungakhululeki. Lokhu ngokuvamile kulungiswa phakathi kwamasonto kuya ezinyangeni futhi kuyingxenye yenqubo yokwelapha ejwayelekile.

Nazi izinkinga ezingaba khona okufanele uziqaphele:

• Ukutheleleka: Kungenzeka ezindaweni zokusika, ngokuvamile kungelashwa ngama-antibiotics
• Ukuphuma igazi: Kungadinga ukwelashwa okwengeziwe noma ukuhlinzwa okusha
• Ukulimala: Ukulimala okuthile okubonakalayo kungenzeka, nakuba odokotela abahlinzayo besebenza ukunciphisa lokhu
• Umonakalo wemizwa: Kungabangela ukuba ndikindiki okwesikhashana noma unomphela ezindaweni ezelashwayo
• Ukuphambana: Umehluko omncane phakathi kwezinhlangothi zobuso kungenzeka
• Isidingo sokubuyekezwa: Abanye abantu bangase bafune izinqubo ezengeziwe zokuthuthukisa imiphumela

Izinkinga ezingavamile kodwa ezingathi sína zingabandakanya ukuphuma igazi okukhulu, amahlule egazi, noma ukusabela okungalungile emuthini wokubulala izinzwa. Lezi zingozi zincishiswa ngokukhetha iziguli ngokucophelela nokuqapha ngesikhathi sokuhlinzwa.

Abantu abaningi ababi nazinkinga ezinkulu futhi banelisekile kakhulu ngemiphumela yabo. Ukukhetha udokotela ohlinzayo onolwazi nokulandela yonke imiyalelo yangaphambi nangemva kokuhlinzwa kunciphisa kakhulu ingozi yakho yezinkinga.

Kufanele ngibone nini udokotela ngemva kokuhlinzwa kokufaka ubulili ebusweni?

Kufanele uthinte udokotela wakho ohlinzayo ngokushesha uma ubona izimpawu zezinkinga ezingathi sína ngesikhathi sokululama kwakho. Nakuba ukungakhululeki nokuvuvukala okuthile kujwayelekile, ezinye izimpawu zidinga ukunakekelwa kwezokwelapha okusheshayo.

Ubuhlungu obukhulu noma obuqhubekayo obungathuthuki ngemithi enikeziwe bungabonisa inkinga. Ngokufanayo, izimpawu zokutheleleka njengomkhuhlane, ukubomvu okwandayo, noma ukukhipha emaceleni okusika kudinga ukuhlolwa ngokushesha.

Xhumana nodokotela wakho ohlinzayo ngokushesha uma uhlangabezana nalokhu:

• Umkhuhlane ongaphezu kuka-101°F (38.3°C)
• Ubuhlungu obukhulu noma obuqhubekayo obungalawulwa ngemithi
• Ukuphuma igazi okukhulu noma amahlule egazi
• Izimpawu zokutheleleka ezindaweni zokusika
• Ukuphefumula noma ukugwinya kanzima
• Isicanucanu esikhulu noma ukuhlanza
• Noma yikuphi ukukhathazeka mayelana nokuqhubeka kwakho ukuphola

Unganqikazi ukushayela ihhovisi likahlinzeki wakho ngemibuzo noma izinkathazo ngesikhathi sokululama kwakho. Bakhona ukukusekela ngesikhathi sokwelashwa futhi bafuna ukuqinisekisa ukuthi uthola umphumela ongcono kakhulu.

Khumbula ukuthi udokotela ohlinzayo uzohlela ama-aphoyintimenti okulandelayo njalo ukuze aqaphe inqubekela phambili yakho. Ukuya kulawa mavakashi kubalulekile ngisho noma uzizwa sengathi uyalulama kahle.

Imibuzo evame ukubuzwa mayelana nokuhlinzwa kobufazi bobuso

Q.1 Ingabe ukuhlinzwa kobufazi bobuso kukhokhelwa ngumshwalense?

Ukukhokhelwa komshwalense we-FFS kuyahluka kakhulu kuye ngomnikezeli wakho womshwalense kanye nohlelo. Ezinye izinkampani zomshwalense manje zikhokhela i-FFS njengokwelashwa okudingekayo ngokwezokwelapha kwe-gender dysphoria, kanti ezinye zisaqhubeka zikubheka njengokuhlobisa.

Izinhlelo eziningi zomshwalense ezihlanganisa ukunakekelwa kwezempilo kwabantu abashintsha ubulili zihlanganisa ukukhokhelwa kwe-FFS, ikakhulu uma kuthathwa njengokudingekayo ngokwezokwelapha nguchwepheshe wezempilo yengqondo oqeqeshiwe. Ngokuvamile uzodinga imibhalo ye-gender dysphoria futhi kungase kudingeke ukuthi uhlangabezane nemibandela ethile.

Kufanelekile ukusebenza nethimba lakho lezempilo kanye nenkampani yomshwalense ukuze uhlole izinketho zokukhokhelwa. Noma ngabe izicelo zokuqala zenqatshwa, izikhalo ngezinye izikhathi ziyaphumelela ngemibhalo efanele kanye nokukhuthaza.

Q.2 Zingakanani izikhathi imiphumela yokuhlinzwa kobufazi bobuso ehlala ngayo?

Imiphumela ye-FFS ngokuvamile ihlala unomphela ngoba izinqubo zihilela ukushintsha ithambo nokubeka kabusha izicubu. Ngokungafani nezinye izinqubo zokuhlobisa ezingase zidinge ukuthintwa, izinguquko zesakhiwo ezivela ku-FFS ngokuvamile zihlala impilo yonke.

Noma kunjalo, ubuso bakho buzoqhubeka nokuguga ngokwemvelo ngemva kokuhlinzwa. Lokhu kusho ukuthi usazoqhubeka nokuzwa izinguquko ezijwayelekile zokuguga njengokukhululeka kwesikhumba nokulahlekelwa ivolumu ngokuhamba kwesikhathi, njenganoma ubani omunye.

Abanye abantu bakhetha ukuba nezinqubo ezincane zokuthinta eminyakeni eminingi kamuva, kodwa lokhu kuvame ukuba ngenxa yezinguquko ezihlobene nobudala kunokwehluleka kwemiphumela yokuhlinzwa yasekuqaleni.

Q.3 Ngingahlinzwa ngobufazi bobuso uma ngise-hormone therapy?

Yebo, abantu abaningi bangaba ne-FFS ngokuphepha ngenkathi besekwelashweni ngamahomoni, kodwa ukuxhumana nethimba lakho lezempilo kubalulekile. Udokotela ohlinzayo uzodinga ukwazi ngayo yonke imithi namahomoni owathathayo.

Abanye odokotela abahlinzayo bangase batusa ukuyeka okwesikhashana amahomoni athile ngaphambi kokuhlinzwa ukunciphisa ingozi yokopha, kanti abanye bazizwa bekhululekile ukuqhubeka ngaphandle kokuphazamiseka. Isinqumo sincike esimweni sakho esithile kanye nezintandokazi zikadokotela ohlinzayo.

Udokotela wakho we-endocrinologist kanye nodokotela ohlinzayo kufanele baxhumane ukuqinisekisa ukuthi ukwelashwa kwakho ngamahomoni kulawulwa ngokuphepha kuyo yonke indlela yokuhlinzwa kwakho.

Q.4 Kubiza malini ukuhlinzwa kobufazi bobuso?

Izindleko ze-FFS ziyahlukahluka kakhulu kuye ngokuthi yiziphi izinqubo ezifakiwe, ulwazi lukadokotela wakho ohlinzayo, nendawo yakho yejografi. Izindleko eziphelele ngokuvamile zisuka ku-$20,000 kuya ku-$50,000 noma ngaphezulu ngezinqubo eziphelele.

Izindleko ngokuvamile zihlanganisa izimali zikadokotela ohlinzayo, i-anesthesia, izimali zesikhungo, nokunakekelwa okulandelayo. Ezinye izindleko zingase zihlanganise ukuhlolwa kwangaphambi kokuhlinzwa, imithi, nesikhathi sokuphumula emsebenzini ukuze kululame.

Odokotela abaningi abahlinzayo banikeza izinhlelo zokukhokha noma izinketho zokuxhasa ngezimali ukusiza ukwenza izinqubo zifinyeleleke kalula. Kuyafaneleka ukuxoxa ngezinketho zezezimali ngesikhathi sokubonisana kwakho.

Q.5 Yimuphi ubudala obungcono kakhulu bokuhlinzwa kobufazi bobuso?

Akukho

Abanye abantu bakhetha ukuba ne-FFS ekuqaleni kokuguquka kwabo, kanti abanye balinda kuze kube bathathe imithi yamahomoni isikhashana. Isikhathi esizwakala silungile kuwe ekugcineni yisona esingcono kakhulu.