Isigaxa somgogodla

**Isigaxa somgogodla** (esivame ukubizwa nge- anthropology ngokuthi yi- **superincision** ) siyisigaxa esisodwa ngokulingana okuphezulu kwejwabu kusuka kusihloko kuya ku- corona, kuveza i- glans ngaphandle kokukhipha noma iyiphi izicubu.

Umkhuba wasendulo,  bekuyisiko lendabuko phakathi kwabantu abaningi, ikakhulukazi abasePhilippines nabasePacific Island, mhlawumbe izinkulungwane zeminyaka.

Kwezokwelapha zaseNtshonalanga yayisetshenziswa njengenye indlela yokusoka ukuqeda izimo ezinjengokwehluleka kwejwabu ukubuyisa ( phimosis ) noma ukwehluleka ukumboza i-glans penis ( paraphimosis ), yize umbono wokubukeka kabi wawukunciphisa ukuthandwa kwayo.Yize kungukuhlinzwa okungahlaseli kakhulu kunokusoka, kuyahlasela kakhulu kune-preutioplasty ngoba ishiya imbobo ivulekile.Isasetshenziswa lapho ukusoka noma ezinye izinyathelo kubhekwa njengokungenakwenzeka noma okungathandeki.

## Isiko lendabuko
Njengoba ukugadla ngokweqile nokusoka kuyizindlela zombili zokusika izitho zangasese okuveza ubukhazikhazi, kungahle kube nzima ukwazi ukuthi iyiphi inqubo echazwayo noma ekhonjiswayo.Imibono ihlukene phakathi ngokuthi ngabe isithombe seminyaka engu-4,000 esivela eGibhithe, esivame ukuchazwa njengesibonakaliso sokuqala sokusoka, empeleni singaba sesiphezulu. 

I-Superincision yenziwe kabanzi ngabantu basePacific, isuka eHawaii iye ePhilippines . Kodwa-ke, ngokwanda kwamadolobha, imikhuba yesiko ibilokhu ithatha indawo ezindaweni eziningi ukuze kusokwe ngokwezokwelapha, futhi cishe kunjalo kubantu base-Islanders abahlala eNew Zealand, lapho inhlolovo yakamuva ithole khona ukuthi "kunesidingo esiqinile sabazali". Kakhulu ngaphandle esiphawulekayo zasePacific superincision iyona Maori of New Zealand, abenza hhayi abasoka ngaso noma superincise,  nakuba beye i term zomdabu ngenxa yokugcina *(ure haea* noma "ukuhlukaniswa umthondo") kanye emasikweni abo ukuthi bamisa zijwayeze lapho zifika eNew Zealand . 

## Umkhuba wezokwelapha

### I-Phimosis
Ukuqhekeka komgogodla kunomlando omude njengokwelashwa kwe- phimosis yabantu abadala,  njengoba kuqhathaniswa nokusoka kwakulula ukukwenza, akubanga sengozini yokulimala kwe- frenulum, futhi ngaphambi kokuba ukwenziwa kwama- antibiotic kube namathuba amancane okutheleleka.Kodwa-ke, imibhalo ivame ukukhombisa ukuthi yize "ingumsebenzi olula" "ayithandiwe ngabathile"  noma ibhekisa "ekubukekeni okufana ne-apron" okungakhiqizi.  Ukuqhekeka kwe-Dorsal manje sekuyivelakancane emazweni aseNtshonalanga njengokwelapha i-phimosis. Imihlahlandlela ejwayelekile iphakamisa izindlela ezilondolozayo kuqala futhi, uma lezo zingaphumeleli, kungaba ukusoka noma i-preputioplasty kokugcina ijwabu nokuqeda i-phimosis. 

### I-Paraphimosis nezinye izimo
Kwezinye izimo ijwabu lingavuvukala ngenxa ye-paraphimosis (ijwabu eliboshwe ngemuva kwe-glans) noma ezinye izimo ezifana ne- balanitis enamandla.Uma ukunciphisa ukuvuvukala ngezindlela zokugcina kungaphumeleli, i-dorsal slit ukungenelela okuvamile kokukhetha ngoba ukusoka cishe kuhlala kungafakwanga ezimweni ezinjalo.  Yize phambilini bekunconywa ukuthi ukusoka kwenziwe ngemuva kwalokho lapho isimo esivela khona sesihlile,  lokhu kubonakala kungasenjalo. 

### Ukuqhekeka kwezitho zobulili zangasese kwezinye izizwe zase-Afrika
Izinhlobonhlobo zokusoka "dorsal slit" kwake kwaba kakhulu phakathi kwesizwe samaMaasai eKenya naseTanzania, futhi kusenziwa futhi kutholakala ezindaweni eziningi ezikude kakhulu endaweni enkulu kakhulu eyaziwa ngokuthi "iMaasailand" ngokuvamile.

Kodwa-ke, ukusebenza kwamaMaasai kwehlukile kulokhu: esikhundleni sokuqhekeka komgogodla kusuka ekuvulekeni kwesimemezelo kuya e-corona, "okweqanda" okwakheke njengenhliziyo kususelwa ngaphakathi komgogodla we-prepuce bese i-glans idonswa ngalo mgodi.Kamuva imiphetho ye-prepuce esikiwe izolulama.

Isilandiso siqale sinqunywe, kusale ingxenye encane kuphela lapho kutholakala khona imithambo emikhulu, edonswa phansi nomgodi omncane lapho i-glans efinyelelwe khona idalwa khona.Ingxenye esele isele ilenga phansi, kepha izingilazi zidaluliwe.

Ngaphambili izizwana usukope Maasai efana eziningi Kikuyu eKenya futhi luqhutshwa ngendlela efanayo yokusoka.Izithombe ukusebenza kanye yi kuthiwa numerously ezitholakala ezikhethekile amabhuku Afrika, ezifana uCarol Beckwith *noMahasayi* Tepelit Ole Saitoti sika.

Kunamagama omphumela "we-preputial flap" ezilimini ze-Maa nesiGikuyu, futhi mhlawumbe nangezinye izilimi zase-Afrika.NgesiGikuyu igama, manje elidala, kungenzeka ukuthi libe yi- *ngwati* .

## Ukubuyiselwa emuva kwe-Dorsal
Ngokusho kukaGoodwin, ukusebenza kwe-dorsal slit kungaguqulwa ngokuhlanganisa ukusika kuphele ndawonye, okubuyisela izicubu esimweni sazo esijwayelekile futhi kubuyise ijwabu:Isiguli esisodwa sethulwe nge-dorsal slit ngenxa yokutheleleka okunamandla ebuntwaneni.Sonke isikhumba esijwayelekile esivele sikhona besisesekhona futhi isiguli sifisa ukuthi isikhumba sibuyiselwe ekubonakaleni okujwayelekile.Kusikwe imbobo emise okwenziwe ngo-V lapho kwenziwa khona uqhekeko lwengwengwezi futhi imiphetho yomibili yahlanganiswa ndawonye, ngaleyo ndlela, yakhiqiza kabusha isimemezelo esijwayelekile.Isiguli sajabula ngemiphumela.Kungenzeka ukuthi lokhu kungaba yimpendulo kwabanye abagxeka ngokusoka.Ukuqhekeka okulula kwe-dorsal kungenziwa ezigulini ezine-phimosis noma izifo ezinzima eziphindaphindayo.Kamuva, uma befuna ukubuyiselwa, ukwakhiwa kabusha kokubukeka okungasokile kungaba lula. 

## Izinkomba