He aha te intersex? Me kōrero māmā noa iho!

Tērā pea kua rongo koe i te kupu 'Intersex', kāore rānei. He māmā noa iho, ko tōna tikanga kāore te pūnaha whakaputa uri, ngā āhuatanga ira tangata rānei o te tangata e tino uru ki roto i ngā wāhanga o te tāne, o te wahine rānei. Tērā pea he kaupapa uaua tēnei, engari kaua e manukanuka , ka wehewehea e mātou kia māmā ake te mārama.

He aha rawa te whanaungatanga takatāpui?

Whakaarohia, ko te tikanga, e whakaaro ana tātou katoa he kōtiro, he tama rānei tātou i whānau mai. Heoi, mō te ira tangata, ko ngā āhuatanga ira tangata o te tinana o te tangata, arā, ko ngā whekau whakaputa uri, ngā ira chromosome, ngā homoni, me ētahi atu, kāore i roto i tēnei wehenga mārama o te tāne me te wahine. I ētahi wā ka kitea ēnei āhuatanga i te whānautanga. Engari mō ētahi tāngata, ka puta mai i te wā o te pakeketanga, i muri mai rānei, ā, i ētahi wā tae noa ki te pakeketanga. Ko te mea rerekē, i ētahi wā kāore e taea te kite i tetahi mea mai i waho. I ētahi wā ka kitea noa tēnei i te wā o te pokanga, i tētahi momo whakamātautau whakaahua rānei.

He mate tēnei? He māuiui rānei?

He tokomaha te hunga e whakaaro ana he momo mate, he āhua rānei tēnei. Engari, ehara te Intersex i te mate, i te mate urutā, i tētahi momo "āhua" rerekē rānei. I mua, i huaina ko te 'Disorder of Sex Development' (DSD), ko tōna tikanga he 'mate whanaketanga ira tangata'. Ka kitea tonutia tēnei momo i ētahi wāhi. Engari i nāianei, e kī ana ngā tākuta me te hunga e mōhio ana ki tēnei take, ehara te Intersex i te 'mate' pērā, engari he momo āhua noa iho o te ira tangata . Nō reira, ko te whai i te mate Intersex ehara i te mea me whai maimoatanga motuhake koe.

Ko ēhea ngā wāhanga o te tinana ka pāngia e ngā mate ira tangata?

Ka pā pea tēnei āhuatanga ki ngā wāhanga rerekē o tō tinana, ko te nuinga:

• Ngā ira tangata: Arā, ko ngā wāhanga ira tangata o waho o te tāne, o te wahine rānei.
• Ngā Ira-ira: Ngā mea ririki o roto i ō tātou pūtau katoa e mau ana i ngā mōhiohio ira.
• Ngā homoni: Pēnei i ngā karere matū e whakahaere ana i ngā mahi maha o te tinana.
• Pūnaha whakaputa uri: Ko te pūnaha o ngā okana e whai wāhi ana ki te whānau tamariki.
• Ngā Kōpuku: Ko ngā ovaries ēnei i roto i ngā wāhine, ko ngā rauropi rānei i roto i ngā tāne.

He pēhea te noa o te whanaungatanga takatāpui?

Tērā pea ka whakaaro koe he mea onge tēnei, he mea e kore e kitea. Engari ehara. I te Hononga o Amerika, e kiia ana he kotahi i roto i te 100 tāngata he āhuatanga takatāpui. I te ao katoa, tata ki te 2% o te taupori he āhuatanga takatāpui.E kiia ana kei te noho tonu ngā āhuatanga o te ira tangata. Nō reira, ehara tēnei i te mea onge pērā i tā tātou e whakaaro nei, tika?

He aha te take o tēnei?

Kāore he take kotahi, he tino tika mō te ira tangata. Ko te tikanga he uaua ki te kī tika he aha tēnei e puta ai. Engari e whakapono ana ngā kaipūtaiao me ngā tākuta he maha ngā take pea.

Ka taea te tuku iho i ētahi āhuatanga o te ira tangata i waenga i te ira tāne me te wahine (ira whānau). Whakaarohia, ko ētahi āhuatanga o roto i ō tātou whānau (pērā i te roa, te tae kiri) ka tukuna iho mā roto i ngā ira, koinā te āhua. Engari he uaua ake tēnei.

I ētahi wā, tērā pea nā ngā huringa homoni i te whanaketanga o te kukune, ngā wāhanga tōmua o te whanaketanga o te pēpi i roto i te kōpū . Tērā pea nā ngā huringa o ngā taumata homoni tūturu o te whaea, nā ngā pānga rānei o ngā homoni hangai mai i tētahi rongoā o waho.

Hei tāpiritanga:

• Ngā panonitanga o tētahi ira (ira kaiwhakawhiwhi) e pā ana ki te homoni androgen: Ko te Androgen he homoni e āwhina nui ana ki te whanaketanga o ngā āhuatanga tāne. Kia pā ai tēnei homoni ki ngā pūtau o te tinana, me whai 'kaiwhiwhi' ōrite aua pūtau mōna. Mena he panonitanga kei roto i te ira e hanga ana i tēnei kaiwhakawhiwhi, ahakoa kei reira te homoni androgen, kāore e taea e te tinana te whakamahi tika.
• Te ngaro, te ngaro rānei o te wāhanga o te ira Y (SRY) e whakatau ana i te rohe ira tangata: Ko te ira SRY, e kitea ana i te ira Y, te kawenga mō te whanaketanga o ngā āhuatanga tāne. Mena he raruraru kei tēnei ira, ka taea te whakarerekē i te whanaketanga ā-ira tangata.
• Ko ētahi atu āhuatanga ira ka puta ai ngā taumata homoni rerekē e pā ana ki te whanaketanga o ngā whekau ira tangata: Ko ētahi atu take ira ka uru atu ki te korenga o te hanga o ngā homoni e hiahiatia ana mō te whanaketanga ira tangata, te nui rawa rānei o te hanga o ētahi homoni.

He pēhea te putanga mai o te tūnga ira tangata i roto i tōku tinana?

He āhuatanga ahurei te intersex e whakaatu ana i a ia anō i roto i ngā momo rerekē mō ia tangata. Pērā i ō tātou tapumati, he rerekē te wheako o ia tangata ki te intersex. E ai ki ngā kaipūtaiao e 40 pea ngā huarahi rerekē e puta ai ēnei āhuatanga. Nō reira, kāore he whakamāramatanga kotahi e tika ana mō te katoa mō te 'intersex'.

Heoi, me kōrero tātou mō ētahi o ngā tohu tino kitea:

• Ngā Rerekētanga o ngā Ira Tangata: Kei roto i ngā pūtau o ō tātou tinana ngā ira tangata. Koinei ngā mea e kawe ana i ō tātou mōhiohio ira. I te nuinga o te wā, he ira tangata XX tō te wahine, he ira tangata XY tō te tāne. He rerekē pea tēnei mō te tangata he ira tangata-ira-tāne.
• Hei tauira, ko te whirihoranga ira XXY pea tō ētahi tāngata (te mate Klinefelter) .
• Kotahi anake te ira X o ētahi atu (XO - te mate Turner).(Ka pāngia hoki te hunga e kiia ana he wahine, engari ka taea hoki te whakaatu i ngā āhuatanga o te ira tangata).
• I ētahi wā, ka taea e ētahi pūtau o te tinana te whai i ngā ira XX, ā, ko ētahi atu pūtau he whai ira XY. Ka kiia tēnei ko te 'mosaicism' .
• He maha atu anō ngā momo huinga ira tangata pēnei. Ka pā pea ēnei huringa ira tangata ki ngā taumata homoni o te tinana me te whanaketanga o ngā whekau ira tangata.
• Ngā āhuatanga whakaranu o ngā ira tangata o waho me roto:
• Ahakoa te āhua o waho o ētahi tāngata ira tāne me te ira wahine, he kiko whakaputa uri tāne kei roto, pērā i ngā rauropi. Tērā pea he ira tāne kei waho, engari he kiko whakaputa uri wahine kei roto, pērā i ngā ovaries, i te kōpū rānei.
• I ētahi atu, tera pea kei reira te kiko ovarian me te kiko testicular, ā, tera pea ka honoa ngātahi hei hanga 'ovotestes' .
• Tērā pea he rerekē te āhua o te ira tangata o waho, ehara i te mea he tāne, he wahine rānei. Hei tauira, tērā pea he nui ake te kiore i te mea noa, he iti iho rānei te ure i te mea noa. Tērā pea he rerekē te wāhi o te pūaha tara.
• Nā ēnei rerekētanga, he uaua pea i ētahi wā te kī tonu i te wā e whānau mai ai he pēpi, 'He kōtiro?'

He pānga tōku hiahia ā-ira tangata ki te ira tangata?

He pātai tēnei e pātaihia ana e te tini tāngata. Kāore he pānga o te noho hei intersex ki tō hiahia moepuku. Kāore te tūnga intersex e pā ki te hiahia koe ki te tangata o te ira kē (tika), te takatāpui/wahine takatāpui, te takirua, te kore ira, te whai hiahia moepuku rānei. Ka taea e te tangata intersex te noho hei tangata me tetahi hiahia moepuku.

He tangata takatāpui (intersex) te tangata?

" Kāo, kāore rawa. Kāore te kupu 'hermaphrodite' i te noho koiora i roto i te tangata. He kupu tawhito rawa, he kupu hē. Ko tōna tikanga he tāne tino tangata, he wahine tino tangata i te wā kotahi. Kāore e taea tēnā i te taha koiora. Inaa, he tokomaha ngā tāngata i roto i te hapori intersex e kite ana i taua kupu he tino whakaute, he whakahē, he whakama hoki. Nō reira, ko ngā kupu tika ko Intersex me te 'being intersex'."

Me pokanga, me rongoā rānei te hunga takatāpui?

"Mēnā he ira tāne koe, kāore koe e hiahia ki tētahi pokanga."– Kia rite ki tāu e pai ai. Heoi, i ngā wā o mua, ko ngā tamariki i whānau mai me ngā āhuatanga ira tangata, i pokangahia kia ōrite ai ō rātou ira tangata ki te ira tangata i whakaritea i te whānautanga, kia tangohia rānei ngā kiko whakaputa uri (pērā i te kiko gonadal) kāore i ōrite. He maha ngā wā i mahia ai ēnei pokanga i mua i te rua tau te pakeke o te tamaiti. I taua wā, i whakaaro ngā tākuta me ngā mātua he pai mō te heke mai o te tamaiti.

Heoi, i ngā wā tata nei, kua whakahē ngā mema o te hapori takatāpui me ngā kaiwhakahau i ēnei pokanga. E kī ana rātou kāore e hiahiatia ana ēnei pokanga nā te mea ka pā ki te mahi moepuku a te tamaiti, te momonatanga, me te hauora hinengaro a meake nei. E kī ana rātou me tuku e ngā mātua ngā tamariki ki te whakatau mō ō rātou tinana, tae atu ki te pokanga me te momo maimoatanga e hiahiatia ana e rātou, kia tae rā anō ki te pakeketanga ka taea e rātou te mārama .

He maha ngā whakahaere hauora o te ao, pērā i te American Academy of Family Physicians, e tautoko ana i te tika o ngā tāngata ira-ira ki te whakatau i ngā mea e pā ana ki ō rātou ake tinana. Ko te tikanga o tēnei me tatari kia tae ki te pakeketanga hei tuku whakaaetanga whai whakaaro . Arā, kia mārama te tangata ki tōna āhua, ki ngā painga me ngā huakore o te pokanga, me te whakatau i ā rātou ake whakatau mōna.

He aha ngā mōrearea o te pokanga ira tangata?

"Tērā pea he tūponotanga mō ngā pokanga pēnei, inā koa ko ērā e mahia ana i te wā taitamariki. Ko ētahi o aua tūponotanga ko:

• Te hekenga o te aro me te mahi a te moepuku: Ka taea e te pokanga te kino i ngā io.
• Te kore tamariki: Nā te tangohanga, te pakaru rānei o te kiko whakaputa uri.
• Te whara: Ka pā ki te tinana me te hinengaro.
• Te kore e taea te pupuri i te mimi, te uaua rānei ki te mimi.
• Te putanga pinepine mai o ngā mate mimi (UTI).
• Ngā pānga hinengaro: Te manukanuka me te riri i puta mai i te kore e taea te whakatau i ngā mea e pā ana ki tōna ake tinana.

Koia te take, ki te kore he take hauora whāiti, he tokomaha kei te kī mai kia whakaroahia aua momo pokanga kia tae rā anō te tangata ki te pakeke ka taea e ia te mārama.

He raruraru hauora anō kei te hono atu ki te tūnga ira tangata?

"I te nuinga o te wā, he tino ora te hunga whai mate ira tāne me te wahine. Heoi, he tino onge, he maha atu ngā raruraru hauora ka hono atu ki te mate ira tāne me te wahine:

• Ko ngā raruraru wheua, pērā i te osteopenia me te osteoporosis – ka puta pea ēnei i ētahi kore taurite o ngā homoni.
• He iti noa te mōrearea o te whakawhanake i ētahi momo mate pukupuku (ina koa mēnā he kiko gonadal kāore anō kia whanake tika i roto i te tinana).
• Ko ētahi mate e pā ana ki ngā homoni, hei tauira ko te 'Congenital adrenal hyperplasia' ko te 'Androgen insensitivity syndrome' rānei.
• Kei te taha hē o te ure te pūwaha o te ure (Hypospadias), kāore rānei he pūwaha o te ure.
• Te mate Klinefelter - He mate e pā mai ana i te mea he ira X tāpiri kei ngā tāne.
• Te mate Mayer-Rokitansky-Küster-Hauser - Kāore te kōpū me te tara e whanake pērā i te mea e tumanakohia ana.
• Te mate Swyer - te korenga o te whanaketanga o ngā repe ira tangata.

"Engari kia maumahara, kāore ēnei mate katoa e pā ki ngā tāngata ira-tāne me ngā wāhine katoa. He tino onge ēnei. Ā, ki te mea kei te noho ēnei āhuatanga, ka taea te rongoā."

Me pēhea taku mōhio mēnā he intersex ahau?

"Mēnā i whānau mai koe me te rerekētanga motuhake o ō ira tangata, tērā pea kāore koe e mōhio he ira tāne koe. Kāore pea koe e mōhio i roto i tō oranga. Heoi, i ētahi wā i muri mai i te ao ka pāngia koe e ngā mea pēnei i:

• Kāore te pakeketanga e puta i te wā e tumanakohia ana. Hei tauira, kāore te kōtiro e tīmata i tana paheketanga i te wā e tumanakohia ana, kāore rānei te tama e puta ana i ngā tohu pēnei i te reo hōhonu, te tupu rānei o te pahau.
• I te wā o te pakeketanga, ka puta ngā huringa kāore e ōrite ki tō ira tangata kua rēhitatia. Hei tauira, te whanaketanga o ngā ū i roto i te tama, te hohonutanga rānei o te reo i roto i te kōtiro, te tupu nui rānei o ngā huruhuru o te tinana.
• Te uaua ki te hapu tamariki (kore tamariki). I ētahi wā, ka kitea noa e te tangata he ira tāne, wahine rānei rātou ina ngana ana rātou ki te whānau tamariki.

"Ki te pāngia koe e tēnei āhuatanga, ko te mea pai ko te toro atu ki tētahi tākuta me te tiki tohutohu. Ka taea e rātou te whakahaere i ngā whakamātautau e tika ana, me te homai hoki i tētahi māramatanga mārama ki a koe mō tēnei."

He pānga tō te noho ira-tāne, ira-wahine rānei ki te whānautanga?

"Mēnā he ira tāne koe, ko te āheinga ki te whānau tamariki ka whakawhirinaki ki ētahi āhuatanga. Kei tō āhua ira tāne, te whanaketanga o tō pūnaha whakaputa uri, me ērā atu mea. Ka taea e ētahi tāngata ira tāne te whānau tamariki mā te āhua tūturu. Ki ētahi atu, tera pea he uaua."

Heoi anō, he tokomaha ngā tāngata takatāpui e kaha ana ki te ārahi whānau me te whakatipu tamariki.Tērā pea me whakamahi i te Hangarau Āwhina Whakaputa Uri (ART). Kei roto pea i tēnei ko ngā tikanga pēnei i te whakatōkia i roto i te vitro (IVF), te whakamahi i ngā hua manu i kohaina, i te parāoa, i ngā kukune rānei, i te whakamahi rānei i tētahi kaikawe hapu/kaiwhakakapi.

Ko te mea nui, ki te hiahia koe ki te tango tamariki māu, me kōrero koe ki tētahi tākuta mō tēnei mea, kia kitea ai he aha ngā kōwhiringa kei a koe.

Ko te mea nui: te tautoko me te māramatanga

"He maha ngā pātai e pā ana ki te noho hei intersex, inā koa i te wā tuatahi ka ako koe mō tēnei mea. Tērā pea ka mataku koe, ka manukanuka, ka mokemoke rānei. Tērā pea ka whakaitihia te āhua o te hunga intersex, ka uaua rānei ki te urutau ki ō rātou hoa. He tino āwhina te hono atu ki ētahi atu e mārama ana ki ēnei wero."

He mea pai ki te whakaaro kei a koe tētahi e mārama ana, e whakarongo ana ki a koe. Nō reira, kōrero ki tō tākuta, kimihia ngā rōpū tautoko me ētahi atu rauemi hei āwhina i te hunga pērā i a koe. Ka kitea hoki e koe ngā mōhiohio me ngā rōpū tautoko i runga ipurangi.

"Kia maumahara, kāore koe i te mokemoke. He tokomaha ngā tāngata e mārama ana ki tēnei āhuatanga, ā, ka taea e rātou te tautoko i a koe. He mea tino nui te kōrero ki tētahi e whakawhirinaki ana koe mō ō kare ā-roto."

Karere Tangohia ki te Kāinga

"Āe, anei ētahi o ngā mea tino nui hei maumahara māu i roto i ngā mea kua kōrerohia e tātou:

• Ehara te ira tangata i te mate. He momo āhua noa iho o te ira tangata.
• Ka pā pea tēnei āhuatanga ki ngā mea pēnei i ngā whekau ira tangata, ngā chromosomes, me ngā homoni.
• Ka puta pea ngā āhuatanga o te ira tangata i te whānautanga, i te taiohitanga, i muri mai rānei. Tērā pea kāore e kitea e te ao o waho.
• Kaua e whakamahia te kupu 'hermaphrodite'. He hē, he whakahē hoki. Ko te kupu tika ko Intersex.
• He nui ngā tautohetohe mō te pokanga mō ngā tamariki ira-tāne me te wahine. He whakaaro kaha kei te haere tonu, ki te kore he take hauora nui, he pai ake te tatari kia tae ki te pakeke o te tamaiti ki te tuku whakaaetanga whai whakaaro .
• He tokomaha ngā tāngata ira-tāne, ira-wahine rānei e ora hauora ana, e harikoa ana, ā, e āhei ana ki te whānau me te whakatipu tamariki.
• " Mēnā he pātai āu mō tēnei, kaua e haere ko koe anake. Kōrero ki tētahi tākuta pono, ki tētahi kaiwhakatakoto whakaaro, ki tētahi rōpū tautoko ira tangata rānei. Ki te hiahia āwhina koe, kaua e wehi ki te tono."

` Ira tāne, whanaketanga ā-ira tangata, hauora uri, ira tangata, homoni, tuakiri ira tangata, DSD