I naute serh chungchang hi i chiang lo em ni? He natna hmuh tur awm lo (Ambiguous Genitalia) hi han sawi ila

Nu emaw, pa emawin nausen piang thar a en huna a hlimna chu tawngkam hmanga sawi chhuah theih a ni lo. Mahse, a tlem hle a, nu leh pa thenkhat chuan harsatna lian tak an hmachhawn a ngai thin. Chu chu nausen chu nula nge mipa a ni tih chiang takin nausen piang tharte serh enin an hre thei lo tihna a ni. Hei hi thil sensitive tak leh thinlung ti na tak a ni tih kan hria. Nangmah chauh i ni lo. Vawiin hian hetiang huna i hriat tur pawimawh ber berte kan sawi dawn a ni.

Ambiguous Genitalia chu eng nge ni?

A awlsam zawngin sawi ila, hei hi pian tirh atanga awm thin dinhmun a ni. Hetiang a nih chuan naupang pawn lam sengte hi mipa emaw hmeichhia emaw tih chiang taka hriat a harsa hle. A châng chuan taksa peng hrang hrangte chu a ṭhang ṭha lo thei a, a nih loh leh mipa leh hmeichhia mizia an nei ve ve thei bawk. Vawi tam tak chu naupang pawn lam hmel chu an chhungril sex (uterus, ovaries, emaw testicles) emaw, an genetic sex emaw nen a inmil lo. Hei hi thil awm dan tlangpui a ni lo. Nausen 1,000 atanga 4,500 zinga 1 velin a vei a ni.

Hetiang dinhmunah hian eng symptoms nge hmuh theih?

A langsar ber chu pawn lam serh hi penis emaw vagina pangngai angin a lang lo. Mahse hei hi naupang tinah a inang lo thei. Mipat hmeichhiatna lama hmasawnna nghawngtu chhanah a innghat. Hetiang dinhmun hi hmeichhia leh mipa zingah genetically-a hmuh theih dan tur i lo en ang u. Chu bakah, hormone inthlauhna, puitlin hun sawn emaw, puitlin hma emaw, leh thil dang dang pawh a hnuah hmuh theih a ni bawk.

Engtin nge he natna hi hriat chhuah a nih? (Diagnosis) tih a ni.

Medical team hian pian tirh atangin he natna hi an hmuchhuak fo thin. A châng chuan naupai laiin scan-na hian clue a pe thei a, mahse naute a pian hnuah chauh a finfiah lo. I doctor leh medical team te chuan i chhungte medical history an zawt hmasa ang. Tichuan, naute sex dik tak leh a natna chhan dik tak hriat chian nan test engemaw zat an tih a ngai dawn a ni.

• Thisen test : Naute chromosome (XX emaw XY emaw) leh hormone level te enfiah thin ang che.
• Imaging test: Ultrasound scan , X-ray , emaw MRI scan ang chi test hian naute taksa chhunga taksa peng hrang hrang, uterus , ovaries, emaw testicles te chu a enfiah thin.
• Test bik: A then phei chuan mipat hmeichhiatna atanga tissue te tak te te chu enfiah nan lakchhuah a ni thei (`Biopsy`) emaw, camera te tak te hmangin taksa chhung lam en theih a ni bawk (`Laparoscopy`).

Eng thilin nge hei hi a thlen?

Hetiang dinhmun hi naute pum chhunga naute lo thanglian tirh lamah hian mipat hmeichhiatna lama hmasawnna tur daltu a awm chuan a lo awm thin. A chhan lian tak tak engemaw zat a awm a:

• Hormone lama harsatna nei: 1.1.Genetically male (XY) fetus hian mipa genitalia siam turin mipa hormone a dawng tlem hle a, a nih loh leh genetically female (XX) nausen chu mipa hormone a tawk a ni.
• Genetic changes: Mipat hmeichhiatna lama hmasawnna tichhe thei gene thenkhata mutations (`mutated genes`).
• Chromosomal abnormalities: Naute chromosome-a thil danglam, chromosome hloh emaw, a pun emaw ang chi.

Risk factors te pawh a awm thei

Chhungkaw chanchin pawhin hmun a chang thei bawk. I chhungkuaa mi pakhatin a hnuaia dinhmunte hi a lo neih tawh chuan i hlauhawmna chu a sang deuh thei a ni:

• Nausen thih chhan hriat loh.
• Chhungkuaa hmeichhiate chuan fa neih harsat te, thlasik chawlhsan te, hmai sam sei tam lutuk te an nei thei.
• Chhungkaw dang tu emaw chuan serh pangngai lo a nei a.
• Puberty laiin thil danglam (abnormalities) a awm thin.
• Adrenal glands tichhe thei natna chi hrang hrang, Congenital Adrenal Hyperplasia (CAH) .

Fa neih i tum a, hei hi chhungkaw history i neih chuan specialist hmu a, sawipui a pawimawh hle.

Engtin nge enkawl a nih a, eng nge tih leh tur?

Hei hi chutiang thil buaithlak leh sensitive tak a nih avangin thutlukna chu doctor pakhat chauhin a siam lo. Specialist team chuan nang leh i fate chu an pui ang che. He team hian a tlangpuiin:

• Neonatologist: Nausen piang thar chungchanga doctor thiam tak a ni.
• Endocrinologist: Doctor, hormone lama tui tak a ni.
• Geneticist: Genes leh chromosomes lama mithiam tak a ni.
• Urologist: Urinary leh reproductive system lama mithiam tak a ni.
• Surgeon: Doctor, a tul chuan surgery ti thin.
• Psychologist: Nang leh i fate rilru lam puihna pe thin specialist.

He team hian an thawhhona chuan test result a\angin i fate tana gender assignment dik ber tur chu i hriat theih nan an pui ang che. Enkawlna atan hian hormone thlak danglamna therapy emaw reconstructive surgery emaw pawh a tel thei . Damdawi lama mamawh surgery, zun kawng hawnna siamthat ang chi te hi nausen laiin tih theih a ni. Amaherawhchu, cosmetic surgery chu naupangin a hriatthiam theih phawt chuan sawn hlat theih a ni a, nu leh pa leh medical team te chuan an duh dan azirin an tih tur sawn leh tur loh chu an rel dun thei a ni.

Naupang hmalam hun

"Ka fa hian nakin lawkah fa a nei thei ang em?" leh "A sexual identity chungchangah hian issue a awm dawn em?"

• Fa neih: 1.1.An natna chhan a zirin mi thenkhat chuan nakin lawkah fa an nei thei mai thei. Entirnan, hmeichhe naupang Congenital Adrenal Hyperplasia vei te hian hormone hmanga enkawl hnuah nau an pai thei mai thei.
• Gender Identity: Chromosomes chauh hian mi pakhat gender identity a hril lo. Brain function leh social factors te pawh hian hmun a chang a ni. Hemi chungchang hi medical team tawnhriat ngah tak nen sawiho a, naupang hmalam hun tha ber pe thei tur thutlukna siam a pawimawh hle.

A pawimawh ber chu i fate an lo puitlin rualin an rilru hriselna i enkawl reng tur a ni. He zinkawngah hian nang leh i fate mamawh puihna pe turin doctor leh counselor tawnhriat ngah tak tak an awm reng a ni. Ambiguous Genitalia, DSD, Naute Mipa leh hmeichhia, Hormone, Chromosome, Genetic Diseases, Congenital Adrenal Hyperplasia