Mufaro unonzwa amai kana baba pavanotarisa mwana achangoberekwa haugone kutaurwa nemashoko. Zvisinei, kashoma, vamwe vabereki vanosangana nedambudziko guru. Kureva kuti, havakwanise kuziva zvakajeka kana mwana ari musikana kana mukomana nekutarisa nhengo dzemuviri dzemwana achangoberekwa. Tinoziva kuti ichi chinhu chinoshungurudza zvikuru uye chinoshungurudza moyo. Hausi wega. Nhasi, tiri kutaura nezvezvinhu zvakakosha zvaunofanira kuziva panguva yakadaro.
Chii chinonzi Ambiguous Genitalia?
Zvichitaurwa zviri nyore, ichi chirwere chinowanikwa pakuzvarwa. Panyaya iyi, nhengo dzekunze dzemwana dzinonetsa kuziva kuti ndedzemurume kana mukadzi. Dzimwe nguva nhengo dzemuviri dzingasakura zvakanaka, kana kuti dzingave nemaitiro emurume neemukadzi.
Chinhu chakakosha ndechekuti, ichi hachisi chirwere. Uyu musiyano mukukura kwepabonde. Mukurapa, tinoti izvi "Musiyano wekukura kwepabonde" ( DSD ).
Kazhinji, chitarisiko chekunze chemwana hachienderane nebonde rake remukati (chibereko, mazai, kana machende) kana bonde rake remajini. Ichi hachisi chirwere chinowanzoitika. Chinobata mwana mumwe chete pavana 1,000 kusvika 4,500.
Ndezvipi zviratidzo zvinogona kuonekwa mumamiriro ezvinhu aya?
Chinhu chikuru ndechekuti nhengo dzekunze dzepabonde hadziratidzike senhengo yemurume kana nhengo yemukadzi yakajairika. Asi izvi zvinogona kusiyana kubva pamwana kuenda kumwana. Zvinoenderana nechikonzero chakakanganisa kukura kwepabonde. Ngationei kuti chirwere ichi chingaonekwa sei muvasikana nevakomana majini.
| Hunhu hunogona kuonekwa kana mwana wacho ari mukadzi (XX) | Hunhu hunogona kuonekwa kana mwana ari murume (XY) |
|---|
| Clitoris inokura kupfuura zvakajairika uye inoita kunge nhengo diki. | Nhengo yemurume inogona kunge iri diki kwazvo (inogona kunge yakaita senhengo diki) kana kuti isingakure zvachose. |
| Mazamu akabatana, achitaridzika semaburi emudumbu. | Muburi weurethra uri pasi penhengo yemurume, kwete pamucheto. (Izvi zvinonzi Hypospadias) |
| Nzvimbo isina kujairika yeburi reurethra. | Chipfuko chidiki, chakavhurika, uye chinoita semazamu. |
| Nzvimbo ine nyama mukati memukadzi inogona kufungidzirwa kuti ndeye machende. | Machende haana kudzika mudumbu. |
Pamusoro pezvo, kusawirirana kwemahormone, kunonoka kana kuti kutanga kwekuyaruka, nezvimwe zvirwere zvinogona kuonekwawo gare gare.
Chirwere ichi chinoonekwa sei? (Kuongororwa)
Chikwata chevanachiremba chinowanzoongorora chirwere ichi pakuzvarwa. Dzimwe nguva, maskeni panguva yekuzvitakura anogona kupa ruzivo, asi haasimbiswi kusvika mwana azvarwa.
Chiremba wako nechikwata chevanachiremba vachatanga vabvunza nezvenhoroondo yehutano hwemhuri yako. Zvadaro, vachafanira kuita bvunzo kuti vaone bonde remwana chairo uye chikonzero chaicho chechirwere chacho.
- Kuongororwa kweropa : Tarisa ma chromosomes emwana (XX kana XY) uye mazinga emahormone .
- Miedzo yekufungidzira : Miedzo yakaita se ultrasound scans , X-rays , kana MRI scans inoongorora nhengo dziri mukati memuviri wemwana, dzakadai sechibereko , mazai, kana machende .
- Kuongororwa kwakakosha: Mune zvimwe zviitiko, kanyama kadiki kanogona kutorwa kubva kunhengo dzesikarudzi kuti kaongororwe (`Biopsy`) kana kuti kamera diki inogona kushandiswa kutarisa mukati memuviri (`Laparoscopy`).
Chii chinokonzera izvi?
Dambudziko iri rinowanzoitika kana paine dambudziko rekukura kwenhengo dzesikarudzi panguva yekutanga kwekukura kwemwana mudumbu. Pane zvikonzero zvikuru zvakasiyana:
- Matambudziko emahormone:Mwana ari mudumbu remurume (XY) haawani mahormone echirume akakwana kuti agadzire nhengo dzechirume, kana mwana ari mudumbu remukadzi (XX) anobatwa nemahormone echirume.
- Kuchinja kwemajini: Kuchinja kwemajini mune mamwe majini kunokanganisa kukura kwepabonde ('majini akachinja').
- Kusarongeka kwemakromosomu: Kusarongeka kwemakromosomu emwana, zvakaita sekurasikirwa kana kuwedzera kwekromosomu.
Zvinhu zvine njodzi
Nhoroondo yemhuri inogonawo kuita basa racho. Kana mumwe munhu mumhuri yako akambova nezvirwere zvinotevera, njodzi yako inogona kunge yakakwira zvishoma:
- Kufa kwevacheche nechikonzero chisingazivikanwe.
- Vakadzi mumhuri vanogona kusangana nematambudziko ekuva nevana, kurega kuenda kumwedzi, kana kukura zvakanyanya kwebvudzi pachiso.
- Mumwe munhu mumhuri ane nhengo dzekubereka dzisina kujairika.
- Zvisina kujairika panguva yekuyaruka.
- Zvirwere zvinoberekwa zviri muropa zvinokanganisa ma adrenal glands, zvakaita seCongenital Adrenal Hyperplasia (CAH) .
Kana uchironga kuva nemwana uye uine nhoroondo yemhuri yechirwere ichi, zvakakosha
kuona nyanzvi wotaura nezvazvo.
Kurapwa kunoitwa sei uye chii chinofanira kuitwa?
Nekuti iyi inyaya yakaoma uye inonetsa, sarudzo hadziitwe nachiremba mumwe chete.
Chikwata chenyanzvi chichakubatsira iwe nemwana wako. Chikwata ichi chinogona kusanganisira:
- Chiremba wevana vacheche: Chiremba anonyanya kubata vacheche vachangoberekwa.
- Nyanzvi yeEndocrinologist: Chiremba ane hunyanzvi mukuita mahormone.
- Nyanzvi yezvemajini: Nyanzvi yezvemajini nemakromosomu.
- Nyanzvi yezvemauro: Nyanzvi mune zvemauro nehurongwa hwekubereka.
- Chiremba: Chiremba anoita oparesheni kana zvichidikanwa.
- Nyanzvi yezvepfungwa: Nyanzvi inopa rutsigiro rwepfungwa kwauri nemwana wako.
Pamwe chete, timu iyi ichakubatsirai kusarudza basa rakakodzera mwana wenyu kubva pabvunzo. Kurapa kunogona kusanganisira
kurapwa kwehomoni kana
kuvhiyiwa kwekuvakazve . Kuvhiyiwa kunodiwa pakurapa, kwakadai sekugadzirisa nzvimbo yeweti, kunogona kuitwa panguva yehucheche. Zvisinei, kuvhiyiwa kwekunaka kunogona kumbomiswa kusvika mwana akura zvakakwana kuti anzwisise, uye vabereki nechikwata chekurapa vanogona kusarudza pamwe chete kana vachizombomira kuita basa iri zvichienderana nezvavanoda.
Remangwana remwana
Zvingori muropa kuti uve nemibvunzo yakaita sekuti, "Mwana wangu achakwanisa here kuva nevana mune ramangwana?" uye "Pachava nematambudziko here nezvekuzivikanwa kwake pabonde?"
- Kuva nevana:Zvichienderana nechikonzero chechirwere ichi, vamwe vanhu vanogona kuva nevana mune ramangwana. Semuenzaniso, vasikana vane Congenital Adrenal Hyperplasia vanogona kukwanisa kubata pamuviri mushure mekurapwa nemahormone.
- Kuzivikanwa Kwemurume Nemukadzi: Machromosome chete haasarudze kuti munhu ndewemurume here kana kuti kwete. ...
Chinhu chinonyanya kukosha ndechekugara uchitarisira hutano hwepfungwa dzemwana wako sezvaanokura. Vanachiremba vane ruzivo nevanopa mazano vanogara varipo kuti vakupe iwe nemwana wako rutsigiro rwavanoda parwendo urwu.
Mharidzo Yekuenda Nayo Kumba
- Kusajeka kwenhengo dzepabonde chirwere chisingawanzoitiki uye hachikonzerwi nemhosva yevabereki.
- Kana chirwere ichi changoonekwa, zvakakosha kutsvaga rubatsiro kubva kuchikwata chevanachiremba vane hunyanzvi. Usaite sarudzo wega.
- Kupa mwana hunhu hwekuti murume kana mukadzi isarudzo yakaoma zvikuru. Inofanira kufungwa nezvemishumo yese yezvekurapa nemazano.
- Chinonyanya kukosha kupfuura kurapwa rutsigiro rwemanzwiro nerudo zvinopihwa kumwana nemhuri yese.
- Taura pachena nachiremba wako nezvemibvunzo, kutya, kana kusava nechokwadi kwaungave nako.
Zvirwere zveGenitalia zvisina kujeka, DSD, Gender yemwana, Mahormone, Machromosome, Zvirwere zveGenetic, Congenital Adrenal Hyperplasia
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