Yintoni i-intersex? Masithethe ngayo ngokulula!

Usenokuba ukhe waliva okanye awuzange ulive igama elithi 'Intersex'. Ngamafutshane, kuthetha ukuba inkqubo yokuzala yomntu okanye iimpawu zesondo azihambelani kakuhle neendidi eziqhelekileyo zamadoda okanye abafazi. Oku kungabonakala ngathi yingongoma enzima, kodwa ungakhathazeki , siza kukwahlulahlula ngamagama alula onokuwaqonda.

Yintoni kanye kanye i-intersex?

Cinga ngako oku, sonke sihlala sicinga ukuba sizalwa siyintombazana okanye siyinkwenkwe. Nangona kunjalo, kwimeko ye-intersex, iimpawu zesini zomzimba womntu, oko kukuthi, amalungu okuzala, ii-chromosomes, ii-hormones, njl.njl., azikho kolu hluko lucacileyo lwendoda nebhinqa. Ngamanye amaxesha ezi mpawu zinokubonakala ekuzalweni. Kodwa kwabanye abantu, zinokubonakala ngexesha lokufikisa okanye kamva, kwaye ngamanye amaxesha nasebudaleni. Into engaqhelekanga kukuba, ngamanye amaxesha awukwazi ukubona nantoni na ngaphandle. Ngamanye amaxesha ufumanisa oku kuphela ngexesha lotyando okanye uhlobo oluthile lovavanyo lwemifanekiso.

Ingaba esi sisifo? Okanye sisifo?

Abantu abaninzi bacinga ukuba olu luhlobo oluthile lwesifo okanye imeko. Kodwa eneneni, i-Intersex ayisosifo, ukugula, okanye naluphi na uhlobo "lwemeko" engaqhelekanga. Ngaphambili, yayibizwa ngokuba yi-'Disorder of Sex Development' (DSD), oko kuthetha 'ukuphazamiseka kokukhula ngokwesondo'. Usenokuyibona ibizwa ngaloo ndlela kwezinye iindawo. Kodwa ngoku oogqirha kunye nabo banolwazi ngale nto bathi i-Intersex ayisosifo 'esiqhelekileyo', kodwa lutshintsho oluqhelekileyo kwisini sabantu . Ke ngoko, ukuba nesifo se-Intersex akuthethi ukuba udinga naluphi na unyango olukhethekileyo.

Zeziphi iindawo zomzimba ezinokuchaphazeleka ziimeko ze-intersex?

Le meko inokuchaphazela iindawo ezahlukeneyo zomzimba wakho, ikakhulu:

• Izitho zangasese: Oko kukuthi, amalungu angaphandle esini endoda okanye umfazi.
• IiChromosomes: Zizinto ezincinci kuzo zonke iiseli zethu eziqulethe ulwazi lwethu lwemfuza.
• IiHormone: Njengezithunywa zeekhemikhali ezilawula imisebenzi eyahlukeneyo emzimbeni.
• Inkqubo yokuzala: Inkqubo yamalungu abandakanyeka ekuzaleni abantwana.
• Iigonads: Ezi zii-ovari kubafazi okanye amasende kumadoda.

Ixhaphake kangakanani i-intersex?

Usenokucinga ukuba le yinto engaqhelekanga, into ongayiboni rhoqo. Kodwa akunjalo. E-United States, kuqikelelwa ukuba umntu omnye kwabayi-100 uneempawu ze-intersex. Ehlabathini lonke, malunga ne-2% yabemi baneempawu ze-intersex.Kuthiwa kukho iimpawu zesini esiphakathi. Ngoko ke, oku akunqabile njengoko sicinga, akunjalo?

Yintoni ebangela oku?

Akukho sizathu sithile nesicacileyo sokuba kubekho i-intersex. Oko kuthetha ukuba kunzima ukutsho ngqo ukuba kutheni oku kusenzeka. Kodwa izazinzulu kunye noogqirha bakholelwa ukuba kukho izizathu ezininzi ezinokubakho.

Ezinye iimpawu zesini esiphakathi zinokudluliselwa kwizizukulwana ngezizukulwana (zizuzwe ngokwemfuza). Cinga ngako, ezinye iimpawu kwiintsapho zethu (njengobude, umbala wolusu) zidluliselwa ngeemfuza, yiyo loo nto kunjalo. Kodwa oku kuyinkimbinkimbi ngakumbi.

Ngamanye amaxesha, isenokuba ngenxa yotshintsho lweehomoni ngexesha lokukhula kwe-embryo, amanqanaba okuqala okukhula komntwana esibelekweni . Oku kusenokuba ngenxa yotshintsho kumanqanaba endalo ehomoni kamama, okanye iziphumo zeehomoni ezenziweyo ezivela kumayeza angaphandle.

Ukwengeza:

• Utshintsho kwijini (ijini ye-receptor) enxulumene nehomoni i-androgen: I-Androgen yihomoni enceda kakhulu ekuphuhlisweni kweempawu zamadoda. Ukuze le homoni ichaphazele iiseli zomzimba, ezo seli kufuneka zibe 'ne-receptor' ehambelana nayo. Ukuba kukho utshintsho kwijini eyenza le receptor, nangona ihomoni ye-androgen ikhona, umzimba awukwazi ukuyisebenzisa ngokufanelekileyo.
• Inxalenye engekhoyo okanye elahlekileyo ye-Y gene (SRY) yommandla olawula isini: I-SRY gene, edla ngokufumaneka kwi-Y chromosome, inoxanduva lophuhliso lweempawu zamadoda. Ukuba kukho ingxaki ngale gene, uphuhliso lwesondo lunokutshintshwa.
• Ezinye iimeko zemfuza ezinokubangela amanqanaba angaqhelekanga eehomoni achaphazela uphuhliso lwamalungu esini: Ezinye izizathu zemfuza zingabandakanya ukusilela ekuvelisweni kweehomoni ezifunekayo ekukhuleni kwesini, okanye ukuveliswa ngokugqithisileyo kweehomoni ezithile.

Imeko ye-intersex ibonakala njani emzimbeni wam?

I-Intersex yimeko eyahlukileyo ezibonakalisa ngokwahlukileyo kumntu ngamnye. Njengeminwe yethu, amava omntu wonke nge-intersex ahlukile. Izazinzulu zithi kukho iindlela ezimalunga nama-40 ezahlukeneyo ezinokuthi ezi mpawu zibonakale ngazo. Ke ngoko, akukho nkcazo 'ye-intersex' ehambelana nayo yonke into.

Nangona kunjalo, masithethe ngezinye zezona mpawu zixhaphakileyo:

• Iinguqu zeChromosome: Sonke sineechromosomes ngaphakathi kweeseli zemizimba yethu. Ezi zezona ziphethe ulwazi lwethu lwemfuza. Ngokwesiqhelo, ibhinqa lineechromosomes zeXX kwaye iduna lineechromosomes zeXY. Oku kunokwahluka kumntu onesini esiphakathi.
• Umzekelo, abanye abantu banokuba nohlobo lwe-chromosome ye-XXY (i-Klinefelter syndrome) .
• Ezinye zine-chromosome enye ye-X (i-XO-Turner syndrome).(Oku kukwachaphazela abo bachazwa njengabasetyhini, kodwa banokubonisa iimpawu zesini esiphakathi).
• Ngamanye amaxesha, ezinye iiseli emzimbeni zinokuba nee-chromosomes ze-XX kwaye ezinye iiseli zine-chromosomes ze-XY. Oku kubizwa ngokuba yi -'mosaicism' .
• Kunokubakho ezinye iintlobo ezininzi zeendibaniselwano zechromosome ezifana nale. Olu tshintsho lwechromosome lunokuchaphazela amanqanaba eehomoni zomzimba kunye nophuhliso lwamalungu esini.
• Iimpawu ezixutyiweyo zesini sangaphandle nesangaphakathi:
• Abanye abantu abanxibelelana nesini esinye banokubonakala bengabafazi ngaphandle, kodwa banezicubu zokuzala zamadoda, ezifana namasende, ngaphakathi. Okanye, banokuba nezitho zangasese zamadoda ngaphandle, kodwa banezicubu zokuzala zabasetyhini, ezifana namaqanda okanye isibeleko, ngaphakathi.
• Kwezinye, zombini izicubu ze-ovarian kunye nezicubu ze-testicular zinokubakho, mhlawumbi zidityaniswe kunye ukuze zenze 'ii-ovotestes' .
• Isini sangaphandle singangacaci , singabi yindoda okanye yinkazana ngokupheleleyo. Umzekelo, kunokubakho i-clitoris enkulu kunesiqhelo okanye i-penis encinci kunesiqhelo. Okanye, indawo yomnyango wesibeleko ingahluka.
• Ngenxa yale mahluko, ngamanye amaxesha kunokuba nzima ukuxelela ngoko nangoko ukuba umntwana uzelwe nini, 'Ngaba yintombazana?'

Ngaba ukuba ngumntu othandana nabantu besini esinye kuyayichaphazela indlela endithanda ngayo isondo?

Lo ngumbuzo abantu abaninzi abawubuzayo. Ukuba ngumntu othandana nabantu besini esinye akunanto yakwenza nokuthanda kwakho ngokwesondo. Isimo sakho sokuthanda abantu besini esinye asichaphazeli nokuba utsaleleka kubantu besini esahlukileyo (ngokuthe ngqo), abantu abathandana nabantu besini esinye/abathandana nabantu besini esinye, abantu abathandana nabantu besini esinye, abantu abathandana nabantu besini esinye, okanye abantu abathandana nabantu besini esinye. Umntu othandana nabantu besini esinye unokuba ngumntu othandana nabantu besini esinye.

Ngaba umntu onesini esiphakathi ungumntu onesini esinye?

" Hayi, akunjalo konke konke. Igama elithi 'hermaphrodite' alikho ngokwebhayoloji ebantwini. Ligama elidala kakhulu, elingachanekanga. Lithetha ukuba umntu uyindoda ngokupheleleyo kwaye ungumfazi ngokupheleleyo ngaxeshanye. Oko akunakwenzeka ngokwebhayoloji. Enyanisweni, abantu abaninzi kuluntu lwabantu abathandana nabantu besini esinye bafumana elo gama lingenantlonelo, liyacaphukisa, kwaye lihlazisa. Ke ngoko, amagama achanekileyo ngala: i-Intersex kunye nelithi 'ukuba yi-intersex'."

Ngaba abantu ababhinqileyo okanye ababhinqileyo badinga utyando okanye unyango?

"Ukuba ungumntu onesini esiphakathi, awudingi tyando."– Ukuba nje uthanda. Nangona kunjalo, kwixesha elidlulileyo, abantwana abazalwa beneempawu ze-intersex babetyandwa ukuze amalungu abo esini ahambelane nesini ababenikwe sona ekuzalweni, okanye ukuze kususwe izicubu zokuzala (ezifana nezicubu ze-gonadal) ezingahambelaniyo. Olu tyando lwaludla ngokwenziwa ngaphambi kokuba umntwana abe neminyaka emi-2 ubudala. Ngelo xesha, oogqirha nabazali babecinga ukuba kulungile kwikamva lomntwana.

Nangona kunjalo, kutshanje, amalungu oluntu oluphakathi kwabantu besini esinye kunye namaqela alwela amalungelo abantu bebethetha ngokuchasene nolu tyando. Bathi alubalulekanga kuba lunokuchaphazela ukusebenza ngokwesondo komntwana kwixesha elizayo, ukuzala, kunye nempilo yengqondo. Bathi abazali kufuneka bavumele abantwana benze izigqibo malunga nemizimba yabo, kuquka nokuba baya kwenziwa utyando na kunye nohlobo lonyango abalufunayo, de babe badala ngokwaneleyo ukuba baqonde .

Imibutho emininzi yezonyango yamazwe ngamazwe, efana ne-American Academy of Family Physicians, ixhasa ilungelo labantu abanxibelelana nesini esinye lokwenza izigqibo ngemizimba yabo. Oku kuthetha ukulinda de babe badala ngokwaneleyo ukuba banike imvume enolwazi . Oko kukuthi, ukuvumela umntu ukuba ayiqonde ngokupheleleyo imeko yakhe, izinto ezilungileyo nezingalunganga zotyando, aze enze izigqibo zakhe ngayo.

Zithini iingozi zotyando lwe-intersex?

"Utyando olufana nolu, ingakumbi olo lwenziwa ebuntwaneni, lunokuba neengozi ezithile. Ezinye zazo zezi:

• Ukuncipha kobuntununtunu kunye nokusebenza kakuhle kwezesondo: Utyando lunokonakalisa imithambo-luvo.
• Ukungazali: Kubangelwa kukususwa okanye ukonakala kwezicubu zokuzala.
• Amanxeba: Angachaphazela zombini umzimba nengqondo.
• Ukungakwazi ukuzibamba komchamo okanye ubunzima bokuchama.
• Ukuvela rhoqo kwezifo zomchamo (UTIs).
• Iziphumo zengqondo: Ixhala nomsindo obangelwa kukungakwazi ukwenza izigqibo ngomzimba wakho.

Yiyo loo nto, ngaphandle kokuba kukho isizathu esingxamisekileyo sezonyango, abantu abaninzi ngoku bathi makumiswe utyando olunjalo de umntu abe mdala ngokwaneleyo ukuba aqonde.

Ngaba zikhona ezinye iingxaki zempilo ezinxulumene nesimo somntu othandana nabantu besini esinye?

"Ixesha elininzi, abantu abane-intersex basempilweni ngokupheleleyo. Nangona kunjalo, kunqabile kakhulu, kukho ezinye iingxaki zempilo ezinokunxulunyaniswa nesifo se-intersex:

• Iingxaki zamathambo, ezifana ne-osteopenia kunye ne-osteoporosis - ezi zinokubangelwa kukungalingani kwamahomoni athile.
• Kukho umngcipheko omncinci wokufumana iintlobo ezithile zomhlaza (ingakumbi ukuba kukho izicubu ze-gonadal ezingakhulanga kakuhle emzimbeni).
• Ezinye iimeko ezinxulumene namahomoni, umzekelo 'i-Congenital adrenal hyperplasia' okanye 'i-Androgen insensitivity syndrome'.
• Umnyango we-urethra ukwicala elingalunganga lepenis (Hypospadias) okanye akukho mnyango we-urethra.
• Isifo seKlinefelter - Imeko ebangelwa ngamadoda ane-chromosome X eyongezelelweyo.
• Isifo sikaMayer-Rokitansky-Küster-Hauser - Isibeleko kunye nelungu lobufazi azikhuli njengoko bekulindelwe.
• Isifo sikaSwyer - ukungaphumeleli kokuphuhlisa amadlala esini.

"Kodwa khumbula, ayizizo zonke ezi zifo ezichaphazela bonke abantu abanxibelelana nesini esinye. Ezi azixhaphakanga kakhulu. Kwaye, ukuba ezi meko zikhona, zinokunyangwa."

Ndingazi njani ukuba ndingumntu othandana nabantu besini esinye?

"Ukuba wazalwa unomahluko ocacileyo kwizitho zakho zangasese, usenokungazi ukuba ungumntu onesini esiphakathi. Usenokungazi ebomini bakho. Nangona kunjalo, ngamanye amaxesha kamva ebomini unokufumana izinto ezinje:

• Ukufikisa akwenzeki ngexesha elilindelekileyo. Umzekelo, intombazana engayiqaliyo ixesha layo ngexesha elilindelekileyo, okanye inkwenkwe engabonakalisi zimpawu ezifana nelizwi elinzulu okanye ukukhulisa iindevu.
• Ngexesha lokufikisa, kwenzeka utshintsho olungahambelani nesini sakho esibhalisiweyo. Umzekelo, uphuhliso lwamabele enkwenkweni, okanye ukujula kwelizwi entombazanani, okanye ukukhula kweenwele emzimbeni ngokugqithisileyo.
• Ubunzima bokukhulelwa abantwana (ukungafumani bantwana). Ngamanye amaxesha, abantu bafumanisa ukuba bangabantu besini esinye xa bezama ukuba nomntwana.

"Ukuba ufumana into efana nale, eyona nto ingcono onokuyenza kukubona ugqirha uze ufumane ingcebiso. Banokukunika uvavanyo olufunekayo baze bakunike ukuqonda okucacileyo."

Ngaba ukuba ngumntu othandana nabantu besini esinye kuyayichaphazela inzala?

"Ukuba ungumntu onesini esiphakathi, ukuba ungaba nomntwana kuxhomekeke kwizinto ezininzi. Kuxhomekeke kwimeko yakho ethile yesini esiphakathi, uphuhliso lwenkqubo yakho yokuzala, njalo njalo. Abanye abantu abanesini esiphakathi banokuba nabantwana ngokwendalo. Kwabanye, kunokuba nzima."

Nangona kunjalo, abantu abaninzi ababhinqileyo bayakwazi ukukhokela iintsapho nokukhulisa abantwana.Oku kunokufuna ukusetyenziswa kwe-Assisted Reproductive Technology (ART). Oku kunokubandakanya iindlela ezifana nokuchumisa i-in vitro (IVF), ukusetyenziswa kwamaqanda anikelweyo, isidoda okanye iimbumba, okanye ukusetyenziswa komthwali wokukhulelwa/umntu oza kuzala umntwana.

Eyona nto ibalulekileyo kukuba, ukuba unomdla wokuthatha umntwana abe ngowakho, thetha nogqirha ngaloo nto uze ufumane ukuba zeziphi iindlela onokukhetha kuzo.

Eyona nto ibalulekileyo: inkxaso nokuqonda

"Ukuba ngumntu othandana nabantu besini esinye, ingakumbi xa uqala ukufunda ngako, kunokuba yimibuzo emininzi. Usenokuziva usoyika, uxhalabile, okanye unesizungu. Abantu abathandana nabantu besini esinye banokuziva bengento yanto malunga nenkangeleko yabo okanye bakufumanise kunzima ukulingana noontanga babo. Ukunxibelelana nabanye abaqonda ezi ngxaki kunokuba luncedo kakhulu."

Kumnandi ukuziva ngathi unomntu okuqondayo nokuphulaphulayo. Ngoko ke, thetha nogqirha wakho uze ufumane ulwazi ngamaqela enkxaso kunye nezinye izixhobo ezinokunceda abantu abafana nawe. Ungafumana ulwazi kunye namaqela enkxaso kwi-intanethi.

"Khumbula, awuwedwa. Baninzi abantu abayiqondayo le meko kwaye banokukuxhasa. Kubaluleke kakhulu ukuthetha nomntu omthembayo malunga neemvakalelo zakho."

Umyalezo Wokuya Ekhaya

"Kulungile ke, nazi ezinye zezinto ezibaluleke kakhulu ekufuneka uzikhumbule kwinto esithethe ngayo:

• I-Intersex ayisosifo. Luhlobo lwendalo lwesondo lwabantu.
• Le meko inokuchaphazela izinto ezifana nezitho zesini, ii-chromosomes, kunye nee-hormones.
• Iimpawu zesini esiphakathi zinokubonakala xa umntu ezalwa, ngexesha lokufikisa, okanye kamva. Zisenokungabonakali kwihlabathi langaphandle.
• Musa ukusebenzisa igama elithi 'hermaphrodite'. Liphosakele kwaye liyacaphukisa. Igama elichanekileyo ngu-Intersex.
• Kukho impikiswano eninzi malunga notyando lwabantwana abanxibelelana nesini esinye. Kukho uluvo oluqinileyo lokuba ngaphandle kokuba kukho isizathu esingxamisekileyo sezonyango, kungcono ukulinda de umntwana abe mdala ngokwaneleyo ukuze anike imvume enolwazi .
• Abantu abaninzi ababhinqileyo nabangatshatanga baphila ubomi obusempilweni nobonwabisayo, kwaye bayakwazi ukuba neentsapho nokukhulisa abantwana.
• " Ukuba unemibuzo malunga noku, musa ukuya wedwa. Thetha nogqirha othembekileyo, umcebisi, okanye iqela lenkxaso le-intersex. Ukuba ufuna uncedo, ungoyiki ukulucela."

Isini esiphakathi, uphuhliso lwesondo, impilo yokuzala, ii-chromosomes, iihomoni, ubuwena besini, i-DSD