Hiki i ke kipa ʻana i kahi OB/GYN ke lilo i mea hopohopo a hoʻoweliweli iki i kekahi manawa. He mea ia e manaʻo ai nā mea a pau. No laila, inā he kāne transgender ʻoe a he kanaka nonbinary paha a ke noʻonoʻo nei ʻoe e hāpai, pehea ka nui o ka loaʻa ʻana o kahi kauka e hoʻomaopopo i kāu mau pono a mahalo iā ʻoe? Pono ka hāpai ʻana i kahi manawa kupaianaha a hoihoi i kou ola. ʻOiai inā ʻaʻole ia he mea leʻaleʻa mau, pono ʻoe e manaʻo e like me ʻoe ma kahi e hiki ai iā ʻoe ke haʻi i kou manaʻo a lilo i ʻāpana o kāu mālama. No laila, e nānā kākou pehea e loaʻa ai kahi OB/GYN e mahalo i kou ʻano a kākoʻo iā ʻoe.
E kiʻi mua kākou i ke kōkua ma ka pūnaewele.
I kēia manawa, ua nui nā pūnaewele a me nā hui pāpili kaiapili i hoʻolaʻa ʻia no ke kaiāulu LGBTQ+, e hāʻawi ana i ka ʻike olakino. Hiki i kēia mau mea ke kōkua iā ʻoe e ʻike i nā inoa a me ka ʻike pili o ka poʻe e hāʻawi ana i nā ʻano lawelawe like ʻole. ʻOiai i ka wā e pili ana i nā hāpai ʻana o nā transgender, hiki iā ʻoe ke ʻimi kūikawā no kahi gynecologist, kahi keʻena hānau, a i ʻole kahi kikowaena hānau.
Eia kekahi mau mea e hoʻāʻo ai:
- Huli ma Google: He mea maʻalahi loa ia. E hoʻāʻo e ʻimi i nā huaʻōlelo e like me "trans-friendly OB/GYN ma Sri Lanka" a i ʻole "transgender-friendly pregnancy care ". E kau kekahi mau haukapila a me nā keʻena lapaʻau i ka ʻike e pili ana i kēia ma kā lākou pūnaewele.
- E nānā i nā pūnaewele o nā haukapila a me nā keʻena lapaʻau: Loaʻa i kekahi o nā haukapila pilikino nui ma Sri Lanka nā pūnaewele e haʻi ana i nā lawelawe kūikawā a lākou e hāʻawi ai i ke kaiāulu LGBTQ. Inā loaʻa i kahi pūnaewele ka ʻike e pili ana i nā ʻohana LGBTQ a i ʻole nā ʻohana transgender, he hōʻailona maikaʻi loa kēlā.
- E nīnau i kāu mea hāʻawi ʻinikua: Inā he ʻinikua olakino kāu, hiki iā ʻoe ke kelepona i kā lākou lawelawe mea kūʻai aku a noi i kahi papa inoa o nā gynecologists e lawelawe ana i nā poʻe transgender.
E nīnau i nā poʻe āu e hilinaʻi ai.
ʻOiai he kōkua ka pūnaewele, i kekahi manawa ʻo ka waha o ka waha ke ala maikaʻi loa e ʻike ai. E nīnau i kāu mau hoaaloha, ʻohana, a i ʻole kekahi āu e hilinaʻi ai inā ʻike lākou i ke kauka nona kēia ʻano ʻike.
Eia kekahi mau ala hou aʻe:
- E nīnau i nā kauka ʻē aʻe: Ua ʻike paha ʻoe i nā poʻe e like me kāu kauka lapaʻau (GP) a i ʻole kauka noʻonoʻo e hoʻomaopopo ana i kēia mau pono, e like me nā kauka wahine. No ka mea, ʻo nā kauka e hāʻawi ana i kēia ʻano lawelawe kūikawā e loaʻa pinepine ana nā pilina maikaʻi me kekahi.
- E hui pū me nā Hui Kaiaulu: Hiki iā ʻoe ke loaʻa ka ʻike ma o nā hui LGBTQ+ ma nā pāpili kaiapili e like me Facebook. Eia kekahi, e nīnau i nā mākua transgender ʻē aʻe i ʻike i kēia ʻike. He mea waiwai nui kā lākou ʻike iā ʻoe.
Pehea ʻoe e ʻike ai inā ʻo kēia kahi kūpono nou?
He lōʻihi ke ala e hele ai e hōʻoia i ka like ʻana o ka mālama ola kino no ka poʻe transgender, nonbinary, a i ʻole he ʻano kāne ʻē aʻe ko lākou. Akā, ʻoi aku ka maikaʻi o ke kūlana i kēia manawa ma mua o ka wā ma mua. Aia kekahi mau ala e ana ai inā kūpono kahi wahi iā ʻoe a kākoʻo iā ʻoe.
ʻO ka hoʻāʻo mua maikaʻi loa, ʻo ia ka hoʻohana ʻana i kāu panina makemake i ka wā e hoʻolauna ai iā ʻoe iho. Inā kāhea nā mea a pau o ke limahana, mai ke kauka, a i nā kahu maʻi, a i ke kākau ʻōlelo ma ke keʻena mua, iā ʻoe ma kou inoa makemake, he mea maikaʻi kēlā.
| Nā mea āu e ʻike ai ma kahi keʻena kākoʻo | |
|---|---|
| Nā Palapala Hoʻokomo | Hoʻohana kēia i ka ʻōlelo kūlike ʻole i ke kāne a me ke wahine, ʻaʻole i kaupalena ʻia i ke kāne a me ke wahine. Aia paha he wahi kaʻawale no kou inoa a me nā panina makemake. |
| Ke ʻano o nā limahana | Kamaʻilio aku iā ʻoe me ka mahalo a me ka hoʻomaopopo ʻana. Kāhea aku iā ʻoe ma ka inoa a me ka panina āu e makemake ai. |
| Nā hoʻokolohua lapaʻau | E noʻonoʻo lākou i kou pono. No ka laʻana, hiki i ke kauka ke kuhikuhi i kahi ultrasound ʻōpū ma kahi o ka ultrasound transvaginal. |
Testosterone a me ke olakino noʻonoʻo
Loaʻa iā ʻoe ka testosterone.Inā ʻoe e lawe ana i ka lāʻau lapaʻau hormone, pono paha ʻoe e hoʻōki iā ia no kekahi manawa i ka wā hāpai, no ka mea hiki i kēia hormone ke hoʻopilikia i ka pēpē e ulu ana. No ka hapa nui o ka poʻe, ʻaʻole pilikia kēia hoʻololi manawa pōkole.
Akā no kekahi poʻe, hiki i ka hoʻōki ʻana i ka testosterone ke hoʻoulu a hoʻonui paha i ka dysphoria kāne . He pilikia koʻikoʻi kēia i ka naʻau i hoʻokumu ʻia e ka kūlike ʻole ma waena o ke kino o kekahi a me ka ʻike kāne o kekahi. Inā ua loaʻa iā ʻoe kēia maʻi ma mua, he mea nui e kamaʻilio me kāu kauka e pili ana i ka loaʻa ʻana o ke kākoʻo olakino noʻonoʻo ma mua o kou hāpai ʻana.
He aha nā nīnau āu e nīnau ai i kāu kauka?
He mea nui loa ka nīnau ʻana i nā nīnau e ʻike ai inā kūpono kāu kauka iā ʻoe. E hoʻāʻo e nīnau i kekahi mau nīnau e like me kēia.
| Nā nīnau e nīnau ai |
|---|
| He aha kāu a me nā limahana e hana ai e ʻoluʻolu ai kahi kanaka transgender a nonbinary paha i ko lākou hele ʻana mai i ke keʻena lapaʻau? |
| Maopopo iā ʻoe nā pono olakino o nā kāne transgender, ʻo ka poʻe e lawe ana a me ka poʻe ʻaʻole e lawe ana i ka lāʻau lapaʻau hormone? |
| I ka manawa hea ma hope o ka hānau ʻana a i ʻole ka hānai ʻana i ka waiū hiki iaʻu ke hoʻomaka hou e lawe i ka testosterone? |
| Ua loaʻa anei iā ʻoe a me kāu poʻe limahana kahi hoʻomaʻamaʻa kūikawā ma ke olakino pilikanaka a me ka nohona hoʻololi? |
| ʻEhia mau kānaka transgender hāpai āu i hana pū ai ma mua? |
E noʻonoʻo, e ʻōlelo kākou ʻaʻole i hana nui kekahi kauka me nā poʻe e like me kēia. ʻAʻole ia he pilikia mau. ʻO ka mea nui loa, ʻo ia ka mahalo, ke aʻo ʻana, a me ka mākaukau e hoʻololi i nā mea e pono ai.
Nā mea a ke kauka e nīnau aku ai iā ʻoe
E kamaʻilio pinepine kāu kauka e pili ana i nā huaora prenatal, nā nānā ʻana i ka genetic, a me nā lāʻau lapaʻau āu e lawe ai. ʻO ke kauka e hoʻomaopopo ana i kāu mau pono e nīnau pū kekahi i nā nīnau e like me:
- Pehea ʻoe e makemake ai e aʻo e pili ana i ka hānau ʻana?
- Ke ʻimi nei ʻoe e hānai i kāu pēpē i ka waiū umauma? Inā ʻaʻole, makemake ʻoe e aʻo e pili ana i ka waiū formula?
- Ke hoʻohana nei ʻoe i ka sperm a kāu hoa, a i ʻole makemake ʻoe i ka sperm donor?
- He hoa hana a he ʻohana a he mau hoaaloha paha kāu e kākoʻo iā ʻoe?
- Aia kekahi hoʻolālā e pale aku ai i nā hāpai makemake ʻole ʻia ma hope o ka hānau ʻana?
E hoʻomanaʻo, "ʻAʻole ʻo Testosterone kahi ʻano kaohi hānau." He mea kēia i haʻi pinepine ʻole ʻia. No laila, e kamaʻilio me kāu kauka e pili ana i ka kaohi hānau ma hope o ka hānau ʻana.
I ka manawa hea e pono ai ke kamaʻilio e pili ana i ka hānau ʻana i ka wā e hiki mai ana?
He manaʻo maikaʻi ke kamaʻilio e pili ana i kāu hoʻolālā ʻohana i ka wā mua, ʻoiai inā ʻoe e lawe ana i ka lāʻau lapaʻau hormone. ʻAʻole i hōʻoia ʻia e hoʻopilikia ka lāʻau lapaʻau testosterone i ka maikaʻi o kāu hua manu a hōʻemi paha i kou manawa e hāpai ai ma hope. Eia nō naʻe, hiki iā ia ke hoʻōki i kou wā mahina a hūnā i nā hōʻailona o nā pilikia hānau.
Inā pilikia ʻoe i ka hāpai ʻana a i ʻole he mau nīnau kāu e pili ana i ka lāʻau lapaʻau hormone, e kamaʻilio me kāu kauka wahine. Hiki iā ia ke kuhikuhi iā ʻoe i kahi endocrinologist hānau . He mau kauka kēia i hoʻomaʻamaʻa kūikawā ʻia e kōkua i ka poʻe e hāpai. Loaʻa iā lākou kahi ʻike maikaʻi loa i ke ʻano o ka hana ʻana o nā hormones a me ka testosterone.
Leka Lawe-Home
- I kou wā e hāpai ana ma ke ʻano he kanaka transgender, he mea nui loa ka loaʻa ʻana o kahi hui lapaʻau e hoʻomaopopo a mahalo iā ʻoe.
- E ʻimi i ke kōkua mai ka pūnaewele, nā hoaaloha hilinaʻi, a me nā kauka ʻē aʻe e ʻike ai i kahi kauka wahine e hiki ke kākoʻo iā ʻoe.
- Hiki iā ʻoe ke hoʻomaopopo i ka nui o ke kākoʻo a kahi keʻena lapaʻau e hāʻawi ai iā ʻoe ma ka nānā ʻana i kā lākou mau palapala hoʻopaʻa inoa, ke ʻano o nā limahana, a me ke ʻano o kā lākou nānā ʻana iā ʻoe.
- Ma mua o ka hāpai ʻana, e kamaʻilio ākea me kāu kauka e pili ana i ka hoʻōki ʻana i ka testosterone a me nā hopena noʻonoʻo e hiki ke hana (Gender Dysphoria).
- Mai makaʻu e nīnau i kāu kauka. ʻO ke kauka maikaʻi loa ka mea e mahalo iā ʻoe, e hoʻolohe ana i kāu mau nīnau, a makemake e aʻo.
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