Ingaba ukukhula komntwana wakho ngokwesondo kwahlukile? (Iingxaki zoPhuhliso lwezesondo - ii-DSD) Masithethe ngale nto!

Ngamanye amaxesha xa ujonge usana olusandul’ ukuzalwa, okanye njengoko umntwana ekhula, unokubona utshintsho oluthile emzimbeni wakhe olukwenza uzive ukhathazekile okanye ukhathazekile. Ingakumbi ukuba kukho into engacacanga malunga namalungu esini, kuyinto eqhelekileyo ukucinga, 'Kwenzeka ntoni?' Ngamaxesha anjalo, into enye ekufuneka uyiqaphele zezi ngxaki zophuhliso lwesondo, okanye njengoko sizibiza njalo , iingxaki zophuhliso lwesondo (ii-DSD) .

Zithini ezi ngxaki zophuhliso lwesondo (ii-DSD)?

Ngamafutshane, ii-DSD ligama eliqhelekileyo leemeko ezahlukeneyo ezibandakanya utshintsho kwiimpawu zesini zomntu, oko kukuthi, ii-chromosomes zakhe, ii-gonads (oko kukuthi, ii-ovari okanye amasende) , okanye amalungu esini . Olu tshintsho lunokubonakala ekuzalweni, ngamanye amaxesha luvele ngexesha lokufikisa, okanye nasemva koko, kunye nezinye iimpawu ezibonakala ebudaleni.

Khawuqwalasele imizekelo embalwa:

• Nokuba umntwana uzalwa ene -chromosomes yendoda (XY) , amalungu akhe angaphandle esini (i-vulva) anokubonakala ngathi ngamabhinqa.
• Okanye, nokuba umntwana oyintombazana uzalwa ene- (XX) chromosomes , i-external genitalia ingabonakala njenge- penis yendoda okanye i- clitoris ekhulisiweyo.
• Abanye banokuba nezicubu zesibeleko nezesinqe emizimbeni yabo, nto leyo enokwenza amalungu abo esini abonakale engamadoda, engumfazi, okanye exutywe zombini.
• Ngamanye amaxesha, nangona amalungu esini eqhelekile, ukungaqhelekanga kwisakhiwo se-chromosome kunokuphazamisa ukukhula nophuhliso olwenzeka ngexesha lokufikisa.

Ngaphambili, ezi meko zazibizwa ngokuba yi -'intersex' . Oko kukuthi, abantu abanee-chromosomes, amalungu esini, okanye iinkqubo zokuzala ezingafanelaniyo ncam nolwahlulo lwesini lwesintu phakathi kwabasetyhini/amadoda.

Into ebalulekileyo kukuba ukuba nesifo (DSD) akuthethi ukuba kukho into 'engalunganga' ngawe. Kuthetha nje ukuba ukhule ngendlela eyahlukileyo kancinci kuneyabanye. Xa uxilongiwe kwaye unyangwa ngokufanelekileyo, uninzi lwabantu abane-DSD baphila ubomi obuqhelekileyo.

Abanye abantu bakhetha ukusebenzisa igama elithi "differentiation" endaweni yelithi "disorder" xa bethetha nge-DSD. Oku kuthetha ukuba oku kukungaqheleki kophuhliso kunokuba sisifo.

Ziziphi iintlobo eziphambili ze-DSD?

Kukho iimeko ezahlukeneyo eziphantse zibe ngama-60 phantsi kweli gama libanzi (iingxaki zophuhliso lwesondo). Ezinye zezona zixhaphakileyo zezi:

• I-Androgen Insensitivity Syndrome (AIS)
• I-Congenital adrenal hyperplasia(I-Congenital Adrenal Hyperplasia - CAH)
• Isifo sikaKallman
• Isifo seKlinefelter
• Isifo sikaMcCune-Albright
• Isifo sikaPrader-Willi (PWS)
• Isifo sikaSwyer
• I-Turner Syndrome

Nganye kwezi zinto ibangela iimpawu ezahlukeneyo, ngoko ke kubalulekile ukuthetha nogqirha ukuze ufumane ukuba imeko injani kanye kanye.

Zithini iimpawu ze-DSD?

Umntu one-DSD unokufumana iimpawu ezahlukeneyo. Ezinye zezi ziquka:

• Ukungabikho kwamalungu esini ekuzalweni. Imizekelo iquka (i-Aphallia) - oko kuthetha ukuzalwa ungenalo ipenis, kunye (i-Vaginal agenesis) - oko kuthetha ukuba i-vaginal ayikakhuli ngokupheleleyo.
• Amalungu esini abonakala engahlukaniyo nalawo endoda okanye ebhinqa. Umzekelo, ipenis engakhulanga kakuhle okanye i -clitoris ekhulisiweyo.
• Iimeko ezithile ze-adrenal glands.
• Ukungalingani kwamahomoni.
• Ukungalingani kwe-electrolyte emzimbeni.
• Ukuya exesheni kuqala ngexesha elingaqhelekanga okanye kungaqali konke konke.
• Amasende angathontsi.
• I-Hypospadias - Oku kuxa i-urethra, umngxuma apho umchamo uphuma khona kwi-penis, ikwindawo eyahlukileyo kunaleyo ikwincam.

Ukuba ubona enye okanye ezingaphezulu kwezi mpawu kumntwana wakho, kungcono ukufuna ingcebiso kagqirha ngokukhawuleza.

Zithini izizathu zeengxaki zophuhliso lwesondo?

Kukho izizathu ezahlukeneyo zokuba umntu azalwe ene-DSD. Ngamanye amaxesha inokubangelwa zizizathu ezingaphezu kwesinye. Nazi ezinye zezizathu eziphambili:

• Utshintsho lwezakhi zofuzo: Olu lutshintsho kwiizakhi zofuzo. Ezinye ziinguqu ezizuzwe njengelifa . Ezinye zinokuba ziinguqu ezizenzekelayo, ezenzeka ngaphandle kwesizathu esibonakalayo.
• Iingxaki zokukhula ngexesha lokukhula komntwana ongekazalwa: Ezi meko zinokwenzeka ukuba amanye amalungu omzimba awakhuli kakuhle ngelixa umntwana ekhula esibelekweni.
• Ukungasebenzi kakuhle kweehomoni: Oku kwenzeka xa umzimba womntwana ungazivelisi iihomoni ezaneleyo, okanye xa umzimba ungaphenduli kakuhle kwiihomoni eziveliswayo. Kunokwenzeka naxa ukuveliswa kweehomoni kuphazamiseka ngenxa yezinye izizathu, njengokuncipha kokuhamba kwegazi ukuya kumasende okanye kuma-ovari.
• Ukuchatshazelwa ziihomoni okanye amayeza athile ngexesha lokukhulelwa:Umzekelo, amayeza anjenge-testosterone blockers anokubangela oku.

Ezi zizathu zinzima kakhulu, yiyo loo nto oogqirha bephanda oku nzulu.

Ziziphi iingxaki ezinokubakho ze-DSD?

Ayinguye wonke umntu one-DSD oza kuba neengxaki zempilo. Nangona kunjalo, abanye abantu banokuba semngciphekweni omkhulu wokufumana izifo ezithile. Nazi ezinye zemizekelo:

• Izifo ezizikhusela ngokwazo - Ezi zizifo apho inkqubo yomzimba yokuzikhusela ihlasela iiseli zomzimba.
• Isifo sentliziyo esizalwa naso - isifo sentliziyo esibakho xa umntu ezalwa.
• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu) okanye uxinzelelo lwegazi oluphantsi (uxinzelelo lwegazi oluphantsi).
• Ukungazali.
• Iimeko zezintso.
• Isifo seMetabolic.
• I-Osteoporosis - Oku kuthetha ukuba amathambo aba buthathaka kwaye aphuke lula.
• Uhlobo lwesibini lweswekile.

Kodwa khumbula, ezi 'ziingozi' nje ezinokwenzeka. Asinguye wonke umntu ozifumanayo. Ezi ngozi zinokulawulwa ngokuba phantsi kweliso elifanelekileyo lezonyango.

Zifunyaniswa njani ii-DSD? (Ukuxilongwa)

Ngamanye amaxesha, oogqirha banokubona ii-DSD xa bezalwa. Nangona kunjalo, kukho iintlobo ezithile zee-DSD ezibonisa iimpawu zazo xa umntwana efikelela ebuntwini okanye kamva ebomini.

Ugqirha uza kuqala enze uvavanyo lomzimba. Emva koko, banokwenza olunye uvavanyo ukuze bacacise imeko ngakumbi, olufana:

• Uvavanyo lwe -pelvic ultrasound okanye i-MRI (Magnetic Resonance Imaging) .
• Uvavanyo lwe-karyotype luvavanyo olujonga ukungasebenzi kakuhle kwe-chromosome.
• Uvavanyo lwemfuza oluchonga utshintsho lwemfuza .
• Uvavanyo lweehomoni lulinganisa amanqanaba ehomoni emzimbeni.

Ngokusekelwe kulwazi olufunyenwe kwezi mvavanyo, ugqirha ufikelela kwisigqibo esithile sokuxilongwa.

Ziphathwa njani ii-DSD?

Ngokuxhomekeke kubukhali beempawu, umntu one-DSD unokufuna unyango olufana nolu:

• Unyango lokutshintshwa kwamahomoni: Oku kwenzelwa ukukhuthaza ukufikisa nokunciphisa umngcipheko wokufumana iingxaki zempilo ezinxulumene ne-DSD, njenge -osteoporosis .
• Utyando lokwakha ngokutsha: Olu tyando lwenziwa ukutshintsha inkangeleko yezitho zangasese. Nangona kunjalo,Ngaphandle kokuba kuyimfuneko kwezonyango, oogqirha badla ngokulibazisa iinkqubo ezinje ezingenakulungiseka de abantwana bakhule ngokwaneleyo ukuba bazenzele izigqibo zabo. Le yinto ebaluleke kakhulu.

Kwabanye abantu, iimpawu ze-DSD zincinci kakhulu kwaye zisenokungafuni naluphi na unyango.

Ngubani onyanga iingxaki zophuhliso lwesondo?

Ukuba umntwana wakho unemeko ebizwa ngokuba yi-DSD, kuya kufuneka anyangwe liqela loogqirha abanamava amaninzi. Eli qela lingaquka:

• Iingcali zezingane.
• Oogqirha bezonyango abakwishumi elivisayo.
• Iingcali ze-endocrinologists zabantwana - oko kukuthi, iingcali zehomoni.
• Iingcali zomchamo zabantwana.
• Iingcali zezifo zabantwana.
• Iingcali zemfuza.
• Iingcali zengqondo zabantwana.

Kungenkxaso yabo bonke aba bantu apho umntwana efumana unyango olungcono.

Liyintoni ikamva labantu abane-DSD?

Abantu abane (ii-DSD) basengozini enkulu yokuba neemeko ezithile zempilo. Nangona kunjalo, ngokuxilongwa ngokufanelekileyo kunye nonyango, banokuphila ubomi obude, obuqhelekileyo, njengabantu abangenazo (ii-DSD). Ngoko ke musa ukuphelelwa lithemba.

Umntwana wam unesifo se-DSD. Ndingamnyamekela njani?

Ixesha lokufikisa alilula kuye nabani na. Kubantwana abane-DSD, eli linokuba lixesha lokuqala beqonda ukuba imizimba yabo yahlukile kweyontanga yabo. Linokuba ngamava anzima kakhulu kubo.

Eyona nto ingcono onokuyenzela umntwana wakho kukuthanda nokumxhasa ngaphandle kwemiqathango. Nazi ezinye zezinto onokuzenza ukumkhuthaza:

• Thetha ngokukhululekileyo ngemeko yakhe (DSD), njengokuba ubuya kuthetha ngayo nayiphi na enye isifo. Musa ukuyigcina iyimfihlo enkulu loo nto.
• Mazise kwangaphambili ukuba kuza kwenzeka ntoni kwaye ulindele ntoni xa ugqirha ethetha naye.
• Mkhuthaze ukuba athathe inxaxheba kwizinto azithandayo kunye nemisebenzi ayithandayo.
• Fumana umcebisi ofanelekileyo ukuze ancede umntwana wakho ajongane neemvakalelo ezinzima azivayo.

Khumbula, uthando lwakho, ukuqonda kwakho, kunye nenkxaso yakho zezona zinto zinamandla amakhulu umntwana wakho anazo ukuze adlule kolu hambo.

Ngaba ii-DSD zingathintelwa?

Hayi, ii-DSD azinakuthintelwa. Akukho ndlela yokwazi kwangaphambili ukuba kukho ingxaki eza kubangela i-DSD. Kwakhona, awunakulawula ukuba zeziphi iingxaki zemfuza umntwana wakho aza kuzizuza njengelifa. Oku kuyinto eyenzekayo ngamanye amaxesha.Musa ukuziva unetyala ngaloo nto.

Ndifanele ndimbone nini ugqirha womntwana wam?

Amaxesha amaninzi, oogqirha bafumanisa ii-DSD xa bezalwa. Kodwa ngamanye amaxesha, iimpawu zibonakala xa umntwana wakho efikisa okanye emdala. Ukuba ukrokrela ukuba kukho into engaqhelekanga ngomntwana wakho, yenza idinga lokubonana nogqirha. Ugqirha angenza uvavanyo lomzimba aze, ukuba kuyimfuneko, acele ezinye iimvavanyo ukuze afumanise ukuba yintoni ebangela iimpawu zomntwana wakho.

Yeyiphi imibuzo endifanele ndiyibuze ugqirha womntwana wam?

Ukuba umntwana wakho wazalwa enesimo (DSD), ungambuza ugqirha imibuzo efana nale:

• "Injani kanye kanye imeko yomntwana wam?"
• "Ndingafumana phi ulwazi oluthe kratya ngale meko?"
• "Luhlobo luni lonyango aludingayo?"
• "Ngaba kukho amaqela enkxaso anceda abantwana nabazali ngolu hlobo?"

Kuqhelekile ukuba neemvakalelo ezahlukeneyo xa ufumana isifo (i-DSD). Kwelinye icala, ungaziva ukhululekile ukuba iimpawu zakho (okanye zomntwana wakho) ekugqibeleni zinikwe igama. Kodwa kuqhelekile ukuziva udidekile kwaye ungaqinisekanga, uzibuza, "Ndenze ntoni ngoku?" Ugqirha wakho ngumntu ongcono ukuthetha naye ngeemvakalelo zakho. Banokukuxelela ngezixhobo kunye nokuba ufuna unyango na.

Okokugqibela, umyalezo oya ekhaya

Iingxaki zophuhliso lwesondo (ii-DSD) zingumxholo onzima, kodwa kubalulekile ukukhumbula ezi zinto:

• (DSD) ayilo 'impazamo', 'ngumahluko'. Abantwana nabantu abadala abaphila nale meko bafuna uthando, ukuqonda kunye nenkxaso.
• Ukufunyanwa kwangoko kunye neengcebiso ezifanelekileyo zonyango kubaluleke kakhulu. Oku kunokuthintela iingxaki ezininzi kwaye kuzilawule ngempumelelo.
• Xa usenza izigqibo ezingenakujikwa njengotyando, kubalulekile ukuba nomonde de umntwana abe mdala ngokwaneleyo ukuba aqonde (ngaphandle kokuba kuyimfuneko ngokwezonyango).
• Awuwedwa. Kukho oogqirha, abacebisi, kunye namaqela enkxaso anokunceda abantu abanezi meko.
• Ngolawulo olufanelekileyo nenkxaso, abantu abaninzi abane (DSDs) baphila ubomi obonwabisayo, obuphumelelayo, nobuqhelekileyo.

Ndiyathemba ukuba olu lwazi luza kukunceda. Ukuba wena okanye umntu omaziyo angathanda ukufunda okungakumbi ngale meko, ungathandabuzi ukuthetha nogqirha.

Iingxaki zophuhliso lwezesondo, ii-DSD, izini, ii-chromosomes, iihomoni, utshintsho lwemfuza, impilo yomntwana