Uvuyo oluviwa ngumama okanye ngutata xa ejonge usana olusandul’ ukuzalwa alunakuchazwa ngamazwi. Nangona kunjalo, kunqabile kakhulu, abanye abazali bajongane nengxaki enkulu. Oko kukuthi, abakwazi ukumisela ngokucacileyo ukuba umntwana yintombazana okanye yinkwenkwe ngokujonga amalungu esini osana olusandul’ ukuzalwa. Siyazi ukuba le yinto ebuhlungu kakhulu nebuhlungu intliziyo. Awuwedwa. Namhlanje, sithetha ngezinto ezibalulekileyo ekufuneka uzazi ngelo xesha.
Yintoni i-Ambiguous Genitalia?
Ngamafutshane, le yimeko ekhoyo xa umntwana ezalwa. Kwimeko enjalo, amalungu omzimba angaphandle omntwana kunzima ukuwabona ngokucacileyo njengendoda okanye ibhinqa. Ngamanye amaxesha amalungu omzimba asenokungakhuli kakuhle, okanye anokuba neempawu zobudoda nezebhinqa.
Into ebalulekileyo kukuba, esi asisosifo. Lo ngumahluko ekukhuleni ngokwesondo. Ngokwezonyango, oku sikubiza ngokuba "ngumahluko ekukhuleni ngokwesondo" ( DSD ).
Amaxesha amaninzi, inkangeleko yangaphandle yomntwana ayifani nesini sakhe sangaphakathi (isibeleko, ama-ovari, okanye amasende) okanye isini sakhe semfuza. Esi asiyongxaki ixhaphakileyo. Sichaphazela malunga ne-1 kwi-1,000 ukuya kwi-4,500 yeentsana.
Ziziphi iimpawu ezinokubonakala kule meko?
Eyona nto iphambili kukuba amalungu esini angaphandle awabonakali njengepenis okanye i-vagina eqhelekileyo. Kodwa oku kunokwahluka kumntwana ngamnye. Kuxhomekeke kwisizathu esichaphazele ukukhula ngokwesondo. Makhe sibone ukuba le meko inokubonwa njani kumantombazana nakumakhwenkwe ngokwemfuza.
| Iimpawu ezinokubonwa ukuba umntwana ungowesifazane ngokwemfuza (XX) | Iimpawu ezinokubonwa ukuba umntwana uyindoda ngokwemfuza (XY) |
|---|
| I-clitoris iba nkulu kunesiqhelo ize ibonakale njengepenis encinci. | Ipenisi isenokuba ncinci kakhulu (isenokubonakala ngathi yipenisi encinci) okanye ingaphumi konke konke. |
| Iilebhiya zinamathelene, zibukeka njengescrotum. | Umnyango we-urethra ufumaneka ezantsi kwepenis, kungekhona encamini. (Oku kubizwa ngokuba yiHypospadias) |
| Indawo engaqhelekanga yokuvula urethra. | I-scrotum incinci, ivulekile, kwaye ifana ne-labia. |
| Indawo yezicubu ngaphakathi kwilabi enokuthi iphazanyiswe namasende. | Amasende akakangeni kwi-scrotum. |
Ukongeza, ukungalingani kwamahomoni, ukulibaziseka okanye ukufikisa kwangoko, kunye nezinye iimeko nazo zinokubonakala kamva.
Ifunyaniswa njani le meko? (Ukuxilongwa)
Iqela lezonyango lihlala lixilonga imeko ekuzalweni. Ngamanye amaxesha, iiskeni ngexesha lokukhulelwa zinokunika ingcaciso, kodwa ayiqinisekiswa de kube semva kokuba umntwana ezelwe.
Ugqirha wakho kunye neqela lezonyango baya kuqala babuze ngembali yezonyango yosapho lwakho. Emva koko, kuya kufuneka benze uvavanyo oluthile ukuze bafumane isini sokwenyani somntwana kunye nesizathu esichanekileyo sale meko.
- Uvavanyo lwegazi : Jonga ii-chromosomes zomntwana (XX okanye XY) kunye namanqanaba eehomoni .
- Uvavanyo lokufota : Uvavanyo olufana nee-ultrasound scans , ii-X-rays , okanye ii-MRI scans zihlola amalungu angaphakathi emzimbeni womntwana, njengesibeleko , ii-ovari, okanye amasende .
- Uvavanyo olukhethekileyo: Kwezinye iimeko, iqhekeza elincinci lesicwili linokuthathwa kwizitho zangasese ukuze lihlolwe (`Biopsy`) okanye ikhamera encinci ingasetyenziselwa ukujonga ngaphakathi emzimbeni (`Laparoscopy`).
Yintoni ebangela oku?
Le meko yenzeka xa kukho ukuphazamiseka ekuphuhlisweni kwamalungu esini ngexesha lokukhula komntwana esibelekweni. Kukho izizathu ezininzi eziphambili:
- Iingxaki zeHormonal:I-fetus ye-genetic male (XY) ayifumani ii-hormones zamadoda ezaneleyo ukuze ivelise amalungu esini sobudoda, okanye i-fetus ye-genetic male (XX) fetus ivezwa kwii-hormones zamadoda.
- Utshintsho kwizakhi zofuzo: Utshintsho kwizakhi zofuzo ezithile oluchaphazela ukukhula ngokwesondo (`iizakhi zofuzo eziguquliweyo`).
- Ukungahambi kakuhle kwechromosome: Ukungaqheleki kakuhle kwechromosome zomntwana, njengokulahleka okanye ukuzuza kwechromosome.
Izinto ezinobungozi
Imbali yosapho nayo ingadlala indima. Ukuba umntu kusapho lwakho uye waba nezi meko zilandelayo, umngcipheko wakho unokuba phezulu kancinci:
- Ukufa kweentsana ngesizathu esingaziwayo.
- Abafazi kusapho banokufumana ubunzima bokufumana abantwana, ukuyeka ukuya exesheni, okanye ukukhula kakhulu kweenwele ebusweni.
- Omnye umntu kusapho unesifo samalungu esini esingaqhelekanga.
- Izinto ezingaqhelekanga ngexesha lokufikisa.
- Izifo ezidluliselwa kwilifa ezichaphazela amadlala e-adrenal, njenge- Congenital Adrenal Hyperplasia (CAH) .
Ukuba uceba ukuba nomntwana kwaye unembali yosapho enxulumene noku, kubaluleke kakhulu
ukubona ingcali uze uthethe ngayo.
Lwenziwa njani unyango kwaye yintoni ekufuneka yenziwe emva koko?
Ngenxa yokuba le yingxaki enzima neyinobuzaza, izigqibo azenziwanga ngugqirha omnye kuphela.
Iqela leengcali liza kukunceda wena nomntwana wakho. Eli qela linokuquka:
- Ingcali yeentsana ezisandul’ ukuzalwa: Ugqirha ogxile kwiintsana ezisandul’ ukuzalwa.
- Ingcali ye-Endocrinologist: Ugqirha ochwephesha kwiihomoni.
- Ingcali yemfuza: Ingcali kwimfuza kunye neekromosomu.
- Ingcali ye-Urologist: Ingcali kwiinkqubo zomchamo nezokuzala.
- Ugqirha otyandayo: Ugqirha owenza utyando xa kuyimfuneko.
- Ingcali yezengqondo: Ingcali enika inkxaso yezengqondo kuwe nakumntwana wakho.
Kunye, eli qela liza kukunceda umisele isabelo esifanelekileyo sesini somntwana wakho ngokusekelwe kwiziphumo zovavanyo. Unyango lunokubandakanya
unyango lokutshintshwa kweehomoni okanye
utyando lokwakha ngokutsha . Utyando oluyimfuneko kwezonyango, olufana nokulungisa ukuvulwa komchamo, lunokwenziwa ngexesha lobuntwana. Nangona kunjalo, utyando lobuhle lunokurhoxiswa de umntwana abe mdala ngokwaneleyo ukuba aqonde, kwaye abazali kunye neqela lezonyango banokugqiba kunye ukuba baluhlehlise na utyando ngokweminqweno yabo.
Ikamva lomntwana
Kungokwemvelo ukuba ube nemibuzo efana nale, "Ngaba umntwana wam uza kuba nabantwana kwixesha elizayo?" kunye "Ngaba kuza kubakho iingxaki malunga nokuba ungubani na ngokwesondo?"
- Ukuba nabantwana:Ngokuxhomekeke kwisizathu sale meko, abanye abantu banokukwazi ukuba nabantwana kwixesha elizayo. Umzekelo, amantombazana aneCongenital Adrenal Hyperplasia anokukwazi ukukhulelwa emva konyango lwehomoni.
- Ubunikazi besini: Iichromosome zodwa azinqumli ubuni bomntu. Umsebenzi wobuchopho kunye nezinto zentlalo nazo zidlala indima. Ke ngoko, kubalulekile ukuxoxa ngale nto neqela lezonyango elinamava kwaye wenze isigqibo esiya kunika umntwana ikamva elihle.
Eyona nto ibalulekileyo kukuhlala ukhathalela impilo yengqondo yomntwana wakho njengoko ekhula. Oogqirha abanamava kunye nabacebisi bahlala bekulungele ukukunika wena nomntwana wakho inkxaso abayidingayo kolu hambo.
Umyalezo Wokuya Ekhaya
- I-Genitalia engacacanga yimeko engaqhelekanga kwaye ayibangelwanga yimpazamo yabazali.
- Kwangoko nje ukuba le meko ifunyaniswe, kubalulekile ukufuna uncedo kwiqela lezonyango eliyingcali. Musa ukwenza izigqibo wedwa.
- Ukunika umntwana isazisi sesini sisigqibo esinzima kakhulu. Kufuneka sithathele ingqalelo zonke iingxelo zonyango kunye neengcebiso.
- Okubaluleke ngaphezu konyango yinkxaso yeemvakalelo nothando olunikwa umntwana kunye nosapho lonke.
- Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo, uloyiko, okanye amathandabuzo onokuba nawo.
I-Genitalia engacacanga, i-DSD, Isini somntwana, iiHormones, iiChromosomes, Izifo zofuzo, iCongenital Adrenal Hyperplasia
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