Wetin na intasɛks? Lɛ wi tɔk bɔt am simpul wan!

Yu kin dɔn yɛri di wɔd ‘Intersex’ ɔ yu nɔ yɛri. Fɔ tɔk am simpul wan, i min se di we aw pɔsin de bɔn pikin ɔ di we aw i de du mami ɛn dadi biznɛs nɔ fit fayn fayn wan insay di kategori dɛn we dɛn kin yuz fɔ mek man ɔ uman. Dis kin tan lɛk kɔmplikɛt tɔpik, bɔt nɔ wɔri , wi go sheb am to simpul wɔd dɛn we yu go ɔndastand.

Wetin rili na intasɛks?

Tink bɔt am, wi ɔl kin tink se dɛn bɔn wi lɛk gyal pikin ɔ bɔy pikin. כltu, insay di kes fכ intasεks, di sεks kכntribyushכn dεm fכ pכsin in bכdi, dat na di riprodaktiv כgan dεm, kromozom dεm, כmon dεm, εn כda tin dεm, nכ de insay dis klia divεlכpmεnt fכ man εn uman. Sɔntɛnde, dɛn kin si dɛn kwaliti ya we dɛn bɔn am. Bɔt fɔ sɔm pipul dɛn, dɛn kin apia we dɛn yɔŋ ɔ ivin leta, ɛn sɔntɛnde ivin we dɛn big. Di strenj tin na, somtaims yu no kin si enitin from outsaid. Sɔntɛnde yu kin jɔs no bɔt dis we dɛn de du ɔpreshɔn ɔ sɔm kayn imej tɛst.

Dis na sik? Ɔ na sik?

Bɔrku pipul kin tink se dis na sɔm kayn sik ɔr kɔndishɔn. Bɔt fɔ tru, Intaseks nɔto sik, sik, ɔ ɛni kayn abnɔmal "kɔndishɔn". Trade, dɛn bin de kɔl am ‘Disorder of Sex Development’ (DSD), we min ‘disɔda fɔ sεks divεlכpmεnt’. Yu kin stil si se dɛn de tɔk bɔt am da we de na sɔm say dɛn. Bɔt naw dɔktɔ dɛn ɛn di wan dɛn we no bɔt dis kin se Intasɛks nɔto da kayn ‘disɔda’ de, bɔt na difrɛns we kin apin na mɔtalman in mami ɛn dadi biznɛs . So, fɔ gɛt Intersex kɔndishɔn nɔ min se yu nid ɛni spɛshal tritmɛnt.

Us pat na di bɔdi kin afɛkt we intasɛks kɔndishɔn?

Dis sik kin afɛkt difrɛn pat dɛn na yu bɔdi, mɔ:

• di pat dεm we de na di bכdi: Dat na di pat dεm we de na do we man כ uman de du mami εn dadi biznεs.
• Kromozom: Na di smɔl smɔl tin dɛn we de insay ɔl wi sɛl dɛn we gɛt wi jɛnɛtik infɔmeshɔn.
• כmon dεm: Lεk kεmikכl mεsenja dεm we de kכntro difrεn wok dεm na di bכdi.
• di rεprכdaktiv sistεm: di sistεm fכ di כgan dεm we de involv fכ mek pikin dεm.
• Gonads: Dis na di ovaria na uman ɔ di tɛstikul na man.

Aw kɔmɔn tin fɔ du wit intasɛks?

Yu kin tink se dis na tin we nɔ kin apin so ɔltɛm, sɔntin we yu nɔ kin si. Bɔt nɔto so i bi. Insay Amɛrika, dɛn se na lɛk wan pan ɛvri 100 pipul dɛn gɛt di kayn we aw dɛn kin du mami ɛn dadi biznɛs wit dɛnsɛf. Ɔlsay na di wɔl, lɛk 2% pan di pipul dɛn gɛt intasɛks kwaliti dɛn.Dɛn se intasɛks abit dɛn de. So, dis nɔ kin apin so ɔltɛm lɛk aw wi kin tink, nɔto so?

Wetin kin mek dis apin?

No wan, difinitiv kɔz nɔ de fɔ intasɛks. Dat min se i at fɔ tɔk klia wan wetin mek dis kin apin. Bɔt sayɛnsman ɛn dɔktɔ dɛn biliv se bɔku tin dɛn de we kin mek i apin.

sכm intasεks trayt dεm kin pas dכn frכm jεnereshכn to jεnereshכn (dεn jεnεtik inhεrit). Tink bɔt am, sɔm kwaliti dɛn na wi famili (lɛk ayt, skin kɔlɔ) kin pas dɔŋ tru jin, na so i kin bi. Bɔt dis kin kɔmplikt smɔl.

כda tεm dεm, i kin kכz f כ chenj di כmon dεm we di εmbrayo de divεlכp, we na di fכs tεm we di pikin de divεlכp na di bεlε . I kin bi chenj na di mama in natura l ɔmon lɛvɛl, ɔ i kin bi di ifɛkt we di ɔmon dɛn we dɛn mek wit ɔda mɛrɛsin we de na do kin gɛt.

Pantap dat:

• di chenj dεm we de apin na wan jin (rεsεptor jin) we riliyt to di כmon andrכjen: Andrכjen na כmon we de mεntal εp fכ divεlכp di man in kכntribyushכn dεm. fכ mek dis כmon afekt di sεl dεm na di bכdi, dεn sεl dεm de fכ gεt wan kכrεspכndεnt ‘rεsεpכta’ fכ am. if chenj de na di jin we de mek dis rεsεpכta, pan כl we di andrכjen כmon de, di bכdi nכ kin yuz am fayn fayn wan.
• di pat we de mis כ we nכ de na di say we di sεks de ditarmin rijyכn Y jin (SRY): di SRY jin we nכmal fכ fכnshכn na di Y kromozom, na in de mek di man kכntribyushכn dεm de divεlכp. If prɔblɛm de wit dis jin, dɛn kin chenj di we aw pɔsin de du mami ɛn dadi biznɛs.
• Ɔda jɛnɛtik kɔndishɔn dɛn we kin mek di ɔmon dɛn we nɔ de wok fayn we kin afɛkt di divɛlɔpmɛnt fɔ di ɔgan dɛn we de na di bɔdi: Ɔda tin dɛn we kin mek pɔsin gɛt jɛnɛtiks kin bi we i nɔ de mek ɔmon dɛn we i nid fɔ mek i du mami ɛn dadi biznɛs, ɔ we sɔm ɔmon dɛn kin bɔku pasmak.

Aw di intasɛks stetɔs de sho insɛf na mi bɔdi?

Intasɛks na wan spɛshal kɔndishɔn we de sho insɛf difrɛn we fɔ ɛnibɔdi. Jɔs lɛk wi finga prɛnt, ɔlman in ɛkspiriɛns bɔt intasɛks difrɛn. Sayɛnsman dɛn se lɛk 40 difrɛn we dɛn de we dɛn kwaliti dɛn ya kin sho. So, i nɔ pɔsibul fɔ put dɛn insay wan tin: ‘Dis na wetin intasɛks min.’

Bɔt, lɛ wi tɔk bɔt sɔm pan di tin dɛn we kin apin to pɔsin:

• Kromozom we de chenj: Wi ɔl gɛt kromozom insay di sɛl dɛn na wi bɔdi. Na dɛn wan ya kin kɛr wi jɛnɛtik infɔmeshɔn. כltu, uman gεt XX kromozom dεm εn man gεt XY kromozom dεm. Dis kin difrɛn fɔ pɔsin we gɛt intasɛks.
• fכ egzampl, sכm pipul dεm kin gεt XXY kromozom kכnfigureshכn (Klinefelter syndrome) .
• כda wan dεm gεt wan X kromozom nכmכ (XO - Turner syndrome).(Dis kin afekt bak di wan dεm we dεn klas as uman, bכt i kin sho intasεks kכntribyushכn dεm bak).
• sכmtεm, sכm sεl dεm na di bכdi kin gεt XX kromozom dεm εn כda sεl dεm gεt XY kromozom dεm. Dɛn kɔl dis ‘mosaicism’ .
• bכku כda kayn kromozom kכmbaynshכn dεm kin de lεk dis. dis kromozom chenj dεm kin afekt di bכdi in כmon lεvεl dεm εn di divεlכpmεnt fכ di sεks כgan dεm.
• miks fכm dεm fכ di εksternal εn insay jεnitalia:
• sכm pipul dεm we de intaseks kin luk uman na do, bכt dεn gεt man riprodaktiv tisu lεk tεstikul dεm insay. כ, dεn kin gεt man jεnitalia na do, bכt dεn gεt uman riprodaktiv tisu, lεk ovaria כ wan uterus, insay.
• insay כda wan dεm, כl tu di ovarian tisu εn di tεstikul tisu kin de, i kin bi tכgeda as ‘ovotestes’ .
• di εksternal jεnitalia kin bi ambiguous , nכto ful man כ uman. fכ egzampl, i kin gεt wan big pas nכmal klitoris כ wan sכm pas nכmal penis. Ɔ, di say we di vagina opin kin difrɛn.
• Bikɔs ɔf dɛn difrɛns ya, sɔntɛnde i kin at fɔ no wantɛm wantɛm we dɛn bɔn pikin, ‘Na gyal pikin?’

Yu tink se we a de du mami ɛn dadi biznɛs wit ɔda pɔsin, dat kin afɛkt di we aw a de du mami ɛn dadi biznɛs?

Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. Fɔ bi intasɛks nɔ gɛt natin fɔ du wit di we aw yu de du mami ɛn dadi biznɛs. Intasɛks stetɔs nɔ de afɛkt if yu lɛk pipul dɛn we gɛt difrɛn sɛks (stret), gay/lɛsbian, bayseksual, aseksual, ɔ gɛt ɔda sɛkshɔnal ɔriɛnteshɔn. Intasɛks pɔsin kin bi ɛnibɔdi we gɛt ɛni sɛkshɔnal ɔriɛnteshɔn.

Yu tink se pɔsin we gɛt intasɛks na ɛmafrɔdayt?

" Nɔ, nɔto so atɔl. Di wɔd 'ɛmafrɔdayt' nɔ rili de bayolojikal wan insay mɔtalman. Na wan wɔd we rili ol, we nɔ kɔrɛkt. I min se pɔsin na kɔmplit man ɛn kɔmplit uman di sem tɛm. Dat nɔ pɔsibul bayolojikal wan. Infakt, bɔku pipul dɛn na di intasɛks kɔmyuniti kin si se da wɔd de rili nɔ rɛspɛkt, ɔfens, ɛn shem. So, di kɔrɛkt wɔd dɛn na." Intaseks ɛn 'bi intasɛks'."

Yu tink se pipul dɛn we de du mami ɛn dadi biznɛs wit ɔda pɔsin nid ɔpreshɔn ɔ tritmɛnt?

"If yu na intaseks, yu nɔ kin nid ɛni ɔpreshɔn."– As long as yu laik am. Bɔt trade, pikin dɛn we dɛn bɔn wit intasɛks kwaliti dɛn bin de du ɔpreshɔn fɔ mek dɛn bɔdi mach di sɛks we dɛn bin gi dɛn we dɛn bɔn dɛn, ɔ fɔ pul di riprodaktiv tisu (lɛk di gonadal tisu) we nɔ mach. Bɔku tɛm, dɛn bin de du dɛn ɔpreshɔn ya bifo di pikin ivin ol 2 ia. Da tɛm de, dɔktɔ dɛn ɛn mama ɛn papa dɛn bin tink se i fayn fɔ di pikin in tumara bambay.

Bɔt dis biɛn tɛm, di pipul dɛn we de na di kɔmyuniti we gɛt difrɛn sɛks ɛn di wan dɛn we de fɛt fɔ dɛnsɛf dɔn de tɔk agens dɛn ɔpreshɔn ya. Dɛn se dɛn nɔ nid fɔ du dat bikɔs dɛn kin afɛkt di we aw pikin go du mami ɛn dadi biznɛs tumara bambay, aw i go ebul fɔ bɔn pikin, ɛn aw i go gɛt wɛlbɔdi. Dɛn kin agyu se mama ɛn papa dɛn fɔ alaw pikin dɛn fɔ disayd bɔt dɛn bɔdi, ivin if dɛn fɔ du ɔpreshɔn ɛn us kayn tritmɛnt dɛn want, te dɛn big fɔ ɔndastand .

Bɔku intanashɔnal ɔganayzeshɔn dɛn we de mɛn pipul dɛn, lɛk di American Academy of Family Physicians, de sɔpɔt di rayt we pipul dɛn we gɛt di sem bɔdi gɛt fɔ disayd bɔt dɛn yon bɔdi. Dis min se dɛn fɔ wet te dɛn ol fɔ gi kɔnsɛntmɛnt we dɛn no bɔt . Dat min se fɔ alaw di pɔsin fɔ ɔndastand in kɔndishɔn gud gud wan, di gud ɛn bad tin dɛn we di ɔpreshɔn de du, ɛn disayd fɔ insɛf bɔt am.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin du ɔpreshɔn pan intasɛks?

"Ɔpreshɔn lɛk dis, mɔ di wan dɛn we dɛn kin du we dɛn yɔŋ, kin gɛt sɔm prɔblɛm dɛn. Sɔm pan dɛn na:

• I nɔ kin izi fɔ du mami ɛn dadi biznɛs di we aw Gɔd nɔ want ɛn aw i kin wok fayn fayn wan: Ɔpreshɔn kin pwɛl di nerv dɛn.
• Infεrtiliti: Na bikɔs dɛn pul ɔ damej di riprodaktiv tisu.
• Ska: I kin afɛkt ɔl tu di bɔdi ɛn maynd.
• Urinary incontinence ɔ i nɔ kin izi fɔ pis.
• Bɔku tɛm we pɔsin kin gɛt urinary tract infection (UTI).
• Saikɔlɔjik ifɛkt: Wae pɔrsin nɔr kin ebul fɔ disayd bɔt in yone bɔdi kin wɔri ɛn vɛks.

Na dat mek, pas nɔmɔ if pɔsin gɛt ɛni rizin fɔ mɛn pipul dɛn kwik kwik wan, bɔku pipul dɛn de se naw fɔ put dɛn kayn ɔpreshɔn ya bifo te di pɔsin dɔn ol fɔ ɔndastand.

Ɔda wɛl bɔdi prɔblɛm dɛn de we gɛt fɔ du wit intasɛks stetɔs?

"Bɔku tɛm, pipul dɛm wae gɛt intasɛks kin gɛt wɛl bɔdi. Bɔt, nɔr kin bɔrku, sɔm ɔda wɛl bɔdi prɔblɛm dɛn kin de we kin gɛt fɔ du wit di intasɛks kɔndishɔn:

• Bɔn prɔblɛm, lɛk ɔstiopenia ɛn ɔstioporosis – dɛn tin ya kin bi bikɔs ɔf sɔm ɔmon imbalans.
• Smɔl risk de fɔ mek yu gɛt sɔm kayn kansa (espɛshali if di gonadal tisu de we nɔ dɔn divɛlɔp fayn fayn wan na di bɔdi).
• sכm kכndyushכn dεm we de fכm כmon, fכ egzampl ‘Congenital adrenal hyperplasia’ כ ‘Androgen insensitivity syndrome’.
• di urethral opin de na di rכng say na di penis (Hypospadias) כ nכ urethral opin de.
• Klinefelter syndrome - Na kכndyushכn we man dεn gεt εkstra X kromozom.
• Mayer-Rokitansky-Küster-Hauser syndrome - di uterus εn di vagina nכ de divεlכp lεk aw dεn bin de εkspεkt.
• Swyer sεndrכm - fεil fכ divεlכp sεks gland dεm.

"Bɔt mɛmba se, nɔto ɔl dɛn sik ya kin afɛkt ɔl pipul dɛn we gɛt intasɛks. Dɛn tin ya nɔ kin apin so ɔltɛm. Ɛn, if dɛn sik ya de, dɛn kin trit dɛn."

Aw a go no if a na intaseks?

"If dɛn bɔn yu wit difrɛn difrɛns na yu bɔdi, yu nɔ go no se yu na intasɛks. Yu nɔ go ɛva no am na yu layf. Bɔt sɔm tɛm dɛn leta na layf yu kin gɛt tin dɛn lɛk:

• Puberty nɔ de apin di tɛm we dɛn bin de op fɔ. Fɔ ɛgzampul, gyal pikin we nɔ bigin in prɛgnɛshɔn di tɛm we i bin de op fɔ, ɔ bɔy pikin we nɔ de gɛt sɔm sayn dɛn lɛk we in vɔys de dip ɔ we in biad de gro.
• We yu yɔŋ, chenj dɛn kin apin we nɔ kin gri wit di mami ɛn dadi biznɛs we yu dɔn rɛjista. fכ egzampl, di brεst divεlכpmεnt na di bכy pikin, כ di vכys we di gyal pikin de dip, כ di bכdi ia we de gro pasmak.
• I nɔ izi fɔ gɛt bɛlɛ fɔ pikin (infertility). Sɔntɛnde, pipul dɛn kin jɔs diskɔba se dɛn na intasɛks we dɛn de tray fɔ bɔn pikin.

"If yu expiriens somtin laik dis, di bes tin fo du na to go dokta and get advais. Dem fit ron di test we nid and giv yu klia andastan of dis."

Fɔ bi intasɛks kin afɛkt di we aw pɔsin kin bɔn pikin?

"If yu na intaseks, if yu kin bɔn pikin, i dipen pan bɔku tin dɛn. I dipen pan yu patikyula intasɛks kɔndishɔn, di divɛlɔpmɛnt na yu riprodaktiv sistɛm, ɛn ɔda tin dɛn. Sɔm intasɛks pipul dɛn kin bɔn pikin dɛn natin nɔ de du. Fɔ ɔda pipul dɛn, i kin at."

Bɔt bɔku pipul dɛn we de du mami ɛn dadi biznɛs wit ɔda pɔsin kin ebul fɔ lid famili ɛn mɛn pikin dɛn.Dis kin nid fɔ yuz Assisted Reproductive Technology (ART). dis kin inklud mεtכd dεm lεk in vitro fεtilayzεshכn (IVF), fכ yuz eg dεm we dεn gi, sεl כ εmbriyo, כ fכ yuz jεstεshכnal kεriכ/sכrogεt.

Di tin we impɔtant pas ɔl na, if yu want fɔ adopt pikin, fɔ tɔk to dɔktɔ bɔt am ɛn no us opshɔn yu gɛt.

Di tin we impɔtant pas ɔl: sɔpɔt ɛn ɔndastand

"Fɔ bi intasɛks, mɔ we yu fɔs lan bɔt am, kin bi bɔku kwɛstyɔn. Yu kin fil fɔ fred, wɔri, ɔr yu wan de fil. Pipul dɛn we de du intasɛks kin fil se dɛn nɔr gɛt bɛtɛ bɛtɛ tin fɔ du wit dɛn kɔmpin dɛn. Fɔ kɔnɛkt wit ɔda pipul dɛm we ɔndastand dɛn chalenj ya kin rili ɛp."

I fayn fɔ fil lɛk se yu gɛt pɔsin we ɔndastand ɛn lisin to yu. So, tɔk to yu dɔktɔ ɛn no bɔt sɔpɔt grup ɛn ɔda tin dɛn we go ɛp pipul dɛn lɛk yu. Yu kin fɛn infɔmeshɔn ɛn sɔpɔt grup dɛn bak na di Intanɛt.

"Mɛmba se, nɔto yu wan de. Bɔku pipul dɛn de we ɔndastand dis tin ɛn we kin sɔpɔt yu. I rili impɔtant fɔ tɔk to pɔsin we yu trɔst bɔt aw yu de fil."

Mɛsej we dɛn kin kɛr go na os

"Okay den, na som of di most impotant tins we yu nid to memba from wetin wi don tok abaut:

• Intasɛks nɔto sik. Na natura l we aw mɔtalman kin du mami ɛn dadi biznɛs wit ɔda pɔsin.
• Dis kכndyushכn kin afekt tin dεm lεk sεks כgan dεm, kromozom dεm, εn כmon dεm.
• Intasɛks kwaliti kin apin we dɛn bɔn am, we i yɔŋ, ɔ leta. Sɔntɛm di pipul dɛn we de na do nɔ go si dɛn.
• Nɔ yuz di wɔd ‘ɛmafrɔdayt’. I nɔ rayt ɛn i de mek pɔsin vɛks. Di kɔrɛkt wɔd na Intersex.
• Bɔku pipul dɛn de agyu bɔt ɔpreshɔn fɔ pikin dɛn we gɛt intasɛks. Wan strɔng opinion de se pas if ɛni rizin de fɔ mɛn di pikin kwik kwik wan, i go fayn fɔ wet te di pikin dɔn ol fɔ gi am kɔnsɛntmɛnt we dɛn no bɔt .
• Bɔku pipul dɛn we de du mami ɛn dadi biznɛs wit ɔda pɔsin kin liv fayn layf, gladi at, ɛn dɛn kin ebul fɔ gɛt famili ɛn mɛn pikin dɛn.
• " If yu gɛt kwɛstyɔn bɔt dis, nɔ go am yu wan. Tɔk to dɔktɔ we yu trɔst, advaysa, ɔ intasɛks sɔpɔt grup. If yu nid ɛp, nɔ fred fɔ aks fɔ am."

` Intaseks, seksual divεlכpmεnt, riprodaktiv hεlth, kromozom, כmon, jεnda aydentiti, DSD