Cắt bao quy đầu là phẫu thuật cắt bỏ phần da bọc phía đầu của dương vật[1].
Hình ảnh trước và sau khi cắt bao quy đầu
Việc cắt bao quy đầu đã có từ thời tiền sử, có thể thấy qua nhiều di tích hình ảnh từ thời đồ đá và thời cổ Ai Cập, tuy nhiên các học giả có suy diễn khác nhau về những hình này.[2][3][4]. Cắt bao quy đầu là một giáo điều trong Do Thái giáo và Hồi giáo[5][6], là một phong tục của một số phái Công giáo chính thống Đông Âu và ở châu Phi[7].
Việc cắt bao quy đầu phổ biến nhất tại vùng Trung Đông, Hoa Kỳ và nhiều vùng châu Phi và châu Á.
Theo Tổ chức Y tế Thế giới (WHO) 30{da7808bb18ce15512b4be7f08090d53e5e9514440eab06ace629ec1a2cef2b1c} người nam trên thế giới đã được cắt bao quy đầu, phần lớn là vì văn hóa và tôn giáo[8].
Trong khi một số tổ chức chống đối tục lệ cắt bao quy đầu, cho đây là một vi phạm nhân quyền trẻ em và thiếu bằng chứng y học[9], thì một số khác lại ủng hộ phẫu thuật này, cho đây là một phương pháp phát triển sức khỏe công cộng[10] nhất là giúp phòng chống bệnh AIDS[11][12][13].
Vào tháng 3 năm 2007 Tổ chức Y tế Thế giới và UNAIDS công nhận cắt bao quy đầu ở trẻ em nam giới là một phương pháp ngăn chặn HIV công hiệu, nhưng kèm theo cảnh cáo là phẫu thuật này chỉ có thể ngăn chặn phần nào và không nên chỉ dùng nó thay thế tất cả những phương pháp phòng chống khác[14]. WHO cũng công bố những phát hiện khoa học về thuật cắt bao quy đầu phòng ngừa bệnh lây truyền bệnh HIV trong giao hợp nam nữ, nhất là trong những vùng bệnh này đang lan tràn như vùng nam sa mạc Sahara châu Phi, và đòi hỏi phẫu thuật phải được tiến hành an toàn và với sự đồng ý của người bị cắt hoặc của gia đình[15][16].
Phẫu thuật cắt bao quy đầu cũng được dùng chữa bệnh viêm quy đầu và ung thư dương vật[17][18] Hiện nay y giới vẫn còn tranh cãi về dùng phẫu thuật này để chữa chứng hẹp bao quy đầu.[19][20]
Cắt bao quy đầu theo phương pháp nào?
- Phương pháp truyền thống, cắt khâu bao quy đầu
- Ưu điểm của phương pháp: rẻ tiền
- Nhược điểm: Dễ bị lây nhiễm vì dụng cụ dùng nhiều lần, đau đớn nhiều vì cắt bằng kéo thủ công, mất máu nhiều, thời gian lâu lành hơn, thời gian cắt và khâu mất: 40 phút.
2. Cắt bao quy đầu sử dụng dụng cụ Surkon dùng 1 lần – Theo phương pháp Stapler.
Ưu điểm: Cắt nhanh: mất 5 phút vì cắt và khâu tự động bằng máy, dụng cụ dùng 1 lần tránh lây nhiễm khuẩn, vết thương nhanh liền hơn, không phải đi căt chỉ, thẩm mĩ vì cắt và khâu tự động bằng máy,
Nhược điểm: thêm chi phí 2.5 triệu mua dụng cụ
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Любовь должна быть включена в порядок. Порядок является предпосылкой любви. Это действует и в природе: дерево развивается согласно внутреннему порядку. Его нельзя изменить. Оно может развиваться только в рамках этого порядка. То же самое касается любви и межличностных отношений: они могут получить свое развитие только в рамках порядка. Этот порядок задан.
Второй порядок состоит в том, что между партнерами должен быть баланс между «давать» и «брать». Если один вынужден давать больше, чем другой, это разрушает отношения. Партнерству необходим этот баланс.
Одной из составляющих хороших взаимоотношений является баланс брать-давать. Это о том, что мы вкладываем примерно столько сил, времени, ресурсов, сколько получаем взамен. Когда мы получаем отклик от мира, от людей, у нас волшебным образом появляются силы и желание давать больше. Мы чувствуем себя нужными, счастливыми, в гармонии с собой и миром.
Но иногда этот баланс может нарушаться. Человек начинает или слишком много давать, или слишком много брать.
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Истощение накапливается незаметно, медленно, но оно неутомимо приводит к неким последствиям.
Когда человек даёт больше, чем получает, то со временем в нём накапливается неудовлетворённость всем происходящим: “Я стараюсь, а меня не ценят”, “Я же всё делаю для всех, а чувствую себя таким несчастным”, “Они не благодарны”, “Я последнюю рубаху отдам, а мне никто не поможет” и т. д. И это ожидаемый эффект от такого неуважительного отношения к собственным ресурсам и потребностям.
Баланс – основа жизни. Он чрезвычайно важен как в природе, как внутри человеческого организма, так и во взаимоотношениях. Желаю всем найти этот баланс и никогда не терять его.
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