Intersex tih hi eng nge ni? A awlsam zawngin sawi ila!

‘Intersex’ tih thumal hi i hre tawh a, i hre lo mai thei. A awlsam zawngin sawi ila, mi pakhat chi thlah dan emaw, mipat hmeichhiatna lam thil emaw chu mipa emaw hmeichhia emaw category pangngaiah a inmil lo tihna a ni. Hei hi thupui buaithlak tak angin a lang thei a, mahse lungngai suh , i hriatthiam theih tur thumal awlsam takah kan then ang.

Intersex hi eng nge ni tak tak?

Ngaihtuah teh, hmeichhia emaw, mipa emaw anga piang kan ni tlangpui. Mahse, intersex chungchangah chuan mipa taksa, chu chu chi thlahtu, chromosome, hormone, etc.-a sex characteristics te hi he mipa leh hmeichhia in\hen dan chiang takah hian a tel lo. A chang chuan heng mizia te hi pian tirh atangin hmuh theih a ni. Mahse mi thenkhat tan chuan puitlin lai emaw, a hnu lamah emaw pawh an lo lang thei a, a chang chuan puitlingah pawh an lo lang thei bawk. Thil mak tak chu, a chang chuan pawn lam atangin engmah i hmu thei lo. A châng chuan he thu hi operation emaw imaging test chi khat emaw lai chauhvin i hre ṭhin.

Hei hi natna a ni em? Nge natna a ni em?

Mi tam tak chuan hei hi natna emaw, dinhmun emaw chi khat niin an ngai. Mahse a nihna takah chuan Intersex hi natna, natna, leh "condition" chi hrang hrang a ni lo. Tun hma chuan ‘Disorder of Sex Development’ (DSD) an ti thin a, chu chu ‘mipat hmeichhiatna lama hmasawnna lama harsatna’ tihna a ni. Hmun ṭhenkhatah chuan chutianga sawi chu i la hmu thei tho. Mahse tunah chuan doctor leh he thil hrechiangtute chuan Intersex hi chutiang ‘disorder’ a ni lo va, mihring sexuality-a pianphung atanga lo chhuak danglamna a ni zawk an ti Chuvangin Intersex condition neih hian enkawlna bik i mamawh tihna a ni lo.

Intersex condition hian taksa peng engte nge a nghawng theih?

He natna hian i taksa peng hrang hrang a nghawng thei a, a bik takin:

• Genitals: Chu chu mipa emaw hmeichhia emaw pawn lam mipat hmeichhiatna lam a ni.
• Chromosomes: Kan cell zawng zawnga thil tenawm tak tak, kan genetic information awmna.
• Hormone: Taksa hnathawh hrang hrang thununtu chemical messenger ang chi.
• Reproductive system: Nau piang chhuak tura taksa peng hrang hrangte system.
• Gonads: Hei hi hmeichhiaah chuan ovary emaw, mipa testicles emaw a ni.

Intersex hi engtiang chiahin nge a awm?

Hei hi thil awm lo, i hmuh ngai loh thil niin i ngai mai thei. Mahse, a ni lo. United States-ah chuan mi 100 zinga pakhat velin intersex characteristic an nei nia chhut a ni. Khawvel pumah hian mipui 2% velin intersex characteristic an nei a.Intersex traits a awm nia sawi a ni. Chuvangin, hei hi kan ngaihtuah angin a tlem lo a ni lawm ni?

Eng thilin nge hei hi a thlen?

Intersex neih chhan pakhat, chiang tak a awm lo. Chumi awmzia chu hetiang thil hi a thlen chhan dik tak sawi a harsa tihna a ni. Mahse scientist leh doctor-te chuan a chhan awm thei engemaw zat a awm niin an ngai.

Intersex trait thenkhat chu thlah khat atanga thlah dangah (genetically inherited) a awm thei. Ngaihtuah teh, kan chhungkuaa mizia thenkhat (san zawng, vun rawng ang chi) hi genes hmanga inthlunzawm a ni a, chutiang chu a ni. Mahse hei hi a buaithlak deuh.

A châng chuan, nausen pian tirh laia hormone inthlak danglamna vang pawh a ni thei a, chu chu naute chu nausen pum chhunga a lo pian tirh lai a ni . Hei hi nuin a natural hormone level a inthlak vang emaw, pawn lam damdawi atanga synthetic hormone a lo chhuah vang emaw pawh a ni thei.

Chubakah chuan:

• Hormone androgen nena inzawm gene (receptor gene) inthlak danglamna: Androgen hi mipa mizia siamna atana puitu ber hormone a ni. He hormone hian taksa cell-te a nghawng theih nan chuan chu cell-te chuan a tana ‘receptor’ inmil an neih a ngai a ni. He receptor siamtu gene-ah hian inthlak danglamna a awm a nih chuan androgen hormone awm mahse taksain a hmang tha thei lo.
• Sex-determining region Y gene (SRY)-a hmun awm lo emaw, hmun dik lo emaw: Y chromosome-a awm tlangpui SRY gene hian mipa mizia a tipung a ni. He gene-ah hian harsatna a awm chuan mipat hmeichhiatna lama hmasawnna chu tihdanglam theih a ni.
• Genetic condition dang, hormone level dik lo thlen thei, sexual organs hmasawnna tichhe thei: Genetic cause dangte chu sexual development atana mamawh hormone siam chhuah tlem vang te, hormone thenkhat siam tam lutuk vang te a ni thei.

Engtin nge intersex status hi ka taksaah hian a lan chhuah?

Intersex hi dinhmun danglam tak a ni a, mi tin tan a inlan dan a inang lo hle. Kan fingerprint ang bawkin mi tinin intersex kan tawn dan hi a inang lo. Scientist-te chuan heng miziate hi a lan chhuah theih dan hrang hrang 40 vel a awm niin an sawi. Chuvangin, ‘intersex’ tih hi one-size-fits-all tih awmzia a awm lo.

Mahse, a lan chhuah dan tlangpui thenkhat han sawi ila:

• Chromosome Variations: Kan taksa cell chhungah hian chromosome kan nei vek a. Hengte hi kan genetic information kengtu an ni. A tlangpuiin hmeichhiain XX chromosome a nei a, mipa chuan XY chromosome a nei bawk. Hei hi intersex nei tan chuan a danglam thei.
• Entirnan, mi thenkhat chuan XXY chromosome configuration (Klinefelter syndrome) an nei thei .
• Midangte chuan X chromosome pakhat chauh an nei (XO - Turner syndrome).(Hei hian hmeichhia anga classified te pawh a nghawng a, mahse intersex characteristic a lantir thei bawk).
• A chang chuan taksaa cell thenkhatin XX chromosome an nei thei a, cell thenkhatah chuan XY chromosome an nei thei bawk. Hei hi ‘mosaicism’ an ti a ni.
• Hetiang chromosome combination chi dang tam tak a awm thei bawk. Heng chromosome inthlak danglamna hian taksa hormone level leh sexual organs hmasawnna a nghawng thei a ni.
• Pawn lam leh chhung lam taksa peng hrang hranga thil awm hrang hrang (mixed features):
• Intersex thenkhat chu pawn lamah hmeichhia angin an lang thei a, mahse chhungril lamah chuan mipa reproductive tissue, testicles ang chi an nei thung. A nih loh leh, pawn lamah mipa serh an nei thei a, mahse a chhung lamah chuan hmeichhe reproductive tissue, ovary emaw uterus emaw an nei thei bawk.
• Mi dangteah chuan ovarian tissue leh testicular tissue te pawh a awm thei a, an inzawm khawm a, ‘ovotestes’ an siam thei bawk.
• Pawn lam genitalia chu ambiguous , mipa emaw hmeichhia emaw tling lo a ni thei. Entirnan, clitoris pangngai aia lian emaw, penis pangngai aia te zawk emaw a awm thei. A nih loh leh, vaginal opening awmna hmun pawh a danglam thei bawk.
• Heng inthlauhna avang hian a chang chuan naute pian hun, ‘Hmeichhia a ni em?’ tih hi hriat nghal a harsa thei hle.

Intersex nih hian ka sexual orientation a nghawng em?

Hei hi mi tam takin an zawh thin a ni. Intersex nih hian i sexual orientation nen hian inzawmna a nei lo. Intersex status hian mipa leh hmeichhia (straight), gay/lesbian, bisexual, asexual, emaw, sexual orientation dang nei emaw i duh leh duh loh a nghawng lo. Intersex mi chu eng sexual orientation nei pawh a ni thei.

Intersex mi hi hermaphrodite a ni em?

" Ni lo, ni lo. 'Hermaphrodite' tih thumal hi mihringah hian biologically a awm tak tak lo. Thumal hlui tak, dik lo tak a ni. Mi pakhat chu a rualin mipa pum pui leh hmeichhia vek a ni tihna a ni. Chu chu biologically chuan a theih loh. Dik tak chuan intersex community-a mi tam tak chuan chu thumal chu zah lohna, mi tithinur thei, leh mualphothlak tak niin an ngai. Chuvangin, thumal dik tak chu a ni." Intersex leh 'intersex nih'."

Intersex te hian operation emaw enkawlna emaw an mamawh em?

"Intersex i nih chuan a tlangpuiin engmah surgery i mamawh lo."– I duh phawt chuan. Mahse, tun hma chuan naupang intersex characteristic neia piangte chu an pian tirh atanga an sex ruat tawh nen an sex inmil tir emaw, a inmil lo reproductive tissue (gonadal tissue ang chi) lakchhuah nan emaw operation an nei thin. Heng surgery te hi naupang kum 2 pawh a tlin hmain an ti fo thin. Hetih lai hian Doctor leh nu leh pate chuan naupang hmalam hun atan a tha an ti a.

Mahse, tun hnaiah chuan intersex community member leh activist-te chuan heng surgery te hi an dodal nasa hle a ni. Naupang hmalam huna mipat hmeichhiatna hman dan, nau neih theihna leh rilru hriselna a nghawng theih avangin a tul lo niin an sawi. Anni chuan nu leh pate chuan naupangte chu an taksa chungchânga thu tlûkna siam phalsak tûr a ni a, chutah chuan operation neih leh neih loh leh eng ang enkawlna nge an duh tih te pawh a tel a, chu chu an hriatthiam theih tâwp thlengin an phal tûr a ni

International medical organization tam tak, American Academy of Family Physicians te chuan intersex mite chu anmahni taksa chungchanga thutlukna siam theihna dikna hi an thlawp a ni. Hei hian an puitlin hma chu informed consent pe thei tura nghah tihna a ni . Chu chu, chu mi chu a dinhmun, surgery-a ṭhatna leh ṭhat lohnate a hriatthiam kim theihna tur leh, chu mi chungchânga thutlukna siam tûra phalsak tihna a ni.

Intersex surgery neih hian eng hlauhawmna nge a neih?

"Hetiang surgery, a bik takin kum naupang taka tih hian hlauhawmna engemaw zat a nei thei. Chung zinga ṭhenkhat chu:

• Sexual sensitivity leh function tlahniam: Surgery hian nerve a tichhe thei.
• Nau pai theih lohna: Reproductive tissue lakchhuah emaw tihchhiat emaw vang.
• Scarring: Taksa leh rilru lamah a nghawng thei.
• Urinary incontinence emaw zun harsatna emaw.
• Urinary tract infection (UTIs) a awm fo thin.
• Psychological effects: Mahni taksa chungchanga thutlukna siam theih loh avanga lungkhamna leh thinrimna.

Chuvangin, damdawi lam chhan hmanhmawhthlak tak a awm loh chuan tunah chuan mi tam tak chuan chutiang surgery chu chu mi chu a hriatthiam theih tur khawpa upa a nih hma chu sawn hlat turin an ti ta a ni.

Intersex status nena inzawm hriselna lama harsatna dang a awm em?

"A tam zawkah chuan intersex nei te hi an hrisel vek a ni. Mahse, a tlem hle a, intersex condition nena inzawm thei hriselna lama harsatna dang engemaw zat a awm a:

• Ruh lama harsatna, osteopenia leh osteoporosis – hengte hi hormone inthlauhna thenkhat vang a ni thei.
• Cancer chi hrang hrang (a bik takin taksaa gonadal tissue lo thang tha lo a awm chuan) vei theihna a tlem hle.
• Hormone nena inzawm thil thenkhat, entirnan ‘Congenital adrenal hyperplasia’ emaw ‘Androgen insensitivity syndrome’ emaw.
• Urethral opening hi penis sir dik lo (Hypospadias) ah a awm emaw, urethral opening a awm lo emaw a ni.
• Klinefelter syndrome - Mipain X chromosome extra an neih vang a ni.
• Mayer-Rokitansky-Küster-Hauser syndrome - Uterus leh vagina hi beisei angin a lo thang lian lo.
• Swyer syndrome - sex glands siam that loh vang.

"Mahse, hre reng ang che, heng natna zawng zawng hian intersex mi zawng zawng a nghawng vek lo. Hengte hi a tlem hle. Tin, heng natna hi a awm a nih chuan enkawl theih a ni bawk."

Engtin nge intersex ka nih leh nih loh ka hriat theih ang?

"I mipat hmeichhiatna lama danglamna chiang tak neia piang i nih chuan intersex i ni tih i hre lo mai thei. I dam chhungin i hre ngai lo mai thei. Mahse, a chang chuan nakin lawkah hetiang thil hi i tawng thei a ni:

• Puberty beisei hun anga thleng lo. Entirnan, hmeichhe naupang beisei hun taka a period tan loh emaw, mipa naupangin a aw a thuk emaw, hmul a sei emaw ang chi symptoms a nei lo.
• Puberty lai hian i registered sex nena inmil lo inthlak danglamna a awm thin. Entirnan, mipa naupang hnute thang lian emaw, hmeichhe naupang aw thuk zawk emaw, taksa sam sei lutuk emaw.
• Nau pai harsa (infertility). A châng chuan, miten fa neih an tum lai chauhvin intersex an nih thu an hmuchhuak ṭhin.

"Hetiang thil hi i tawn chuan a tha ber chu doctor hmu a, thurawn lak hi a ni. Test tul tak tak an kalpui thei a, hei hi chiang taka hriatthiamna an pe thei che a ni."

Intersex nih hian nau neih theihna a nghawng em?

"Intersex i nih chuan fa i neih theih leh theih loh chu thil engemaw zatah a innghat a ni. I intersex dinhmun bik, i reproductive system hmasawnna leh a dangte a innghat. Intersex mi thenkhat chuan an pianphungah fa an nei thei a. Mi thenkhat tan chuan a harsa thei hle.

Amaherawhchu, intersex mi tam tak chuan chhungkua an kaihruai thei a, fa an enkawl thei bawk.Hei hian Assisted Reproductive Technology (ART) hman a ngai mai thei. Hei hian in vitro fertilization (IVF), donated eggs, sperm emaw embryos hman te, gestational carrier/surrogate hman te pawh a huam thei.

A pawimawh ber chu, fa enkawl i duh chuan doctor nen inbiakna neihpui la, eng duhthlan tur nge i neih tih hriat hi a ni.

A pawimawh ber chu: thlawpna leh hriatthiamna

"Intersex nih hi, a bik takin i hriat hmasak ber hian zawhna tam tak a ni thei. Hlauhna, lungkhamna, emaw mahni chauha awm i nei thei. Intersex mite hian an hmel lan danah an hniam zawkin an inhria thei a, an thiante nena inmil harsa an ti thei bawk. Heng harsatna hrethiam midangte nena inzawmna siam hi a \angkai hle thei a ni.

I thusawi hrethiam leh ngaithlatu i nei ang tih hi a ropui hle. Chuvangin, i doctor nen inbia la, nangmah ang mite tanpui thei tur support group leh resource dangte chu zawng rawh. Online-ah information leh support group te pawh i hmu thei bawk.

"Hriat reng tur chu nangmah chauh i ni lo. He dinhmun hrethiam leh thlawp theitu hi mi tam tak an awm. I rintlak tak hnenah i rilru put hmang sawipui a pawimawh hle."

Take-Home Thuchah a ni

"Okay then, kan sawi tawh atang khan i hriat reng tur pawimawh tak tak te chu hetiang hi a ni:

• Intersex hi natna a ni lo. Mihring sexuality inthlak danglamna (natural variation) a ni.
• Hetiang dinhmun hian sex organ, chromosome, leh hormone te ang chi thil a nghawng thei a ni.
• Intersex ziarang hi pian tirh lai te, tleirawl lai te, a hnu lamah emaw a lang thei a ni. Pawn lam mite hmuh theih loh an ni mai thei.
• 'Hermaphrodite' tih thumal hi hmang suh. A dik lo a, a tithinur hle bawk. Thumal dik tak chu Intersex a ni.
• Intersex naupangte surgery chungchangah hian inhnialna a tam hle. Damdawi lam chhan hmanhmawhthlak tak a awm loh chuan naupang chu hriatna neia remtihna pe thei tura a puitlin hma chu nghah a tha ber tih ngaihdan nghet tak a awm a ni
• Intersex mi tam tak chu hrisel, hlim takin an khawsa a, chhungkua an nei thei a, fa an enkawl thei bawk.
• " Hemi chungchanga zawhna i neih chuan nangmah chauhin kal suh. Doctor rintlak tak emaw, counselor emaw, intersex support group emaw nen inbia ang che. Ṭanpuina i mamawh chuan dil hlau suh."

` Intersex, mipat hmeichhiatna lama hmasawnna, reproductive health, chromosome, hormone, gender identity, DSD