Ingabe ukukhula kocansi kwengane yakho kuhlukile? (Izinkinga Zokukhula Kocansi - Ama-DSD) Ake sixoxe ngalokhu!

Ngezinye izikhathi uma ubheka umntwana osanda kuzalwa, noma njengoba ingane ikhula, ungase uphawule izinguquko ezithile emzimbeni wayo ezikwenza uzizwe ukhathazekile noma ukhathazekile. Ikakhulukazi uma kukhona okungacacile ngezitho zangasese, kuvamile ukucabanga ukuthi, 'Kwenzekani?' Ngezikhathi ezinjalo, into eyodwa okufanele uyiqaphele yilezi zinkinga zokukhula kocansi, noma njengoba sizibiza kanjalo , izinkinga zokukhula kocansi (ama-DSD) .

Yiziphi lezi zinkinga zokukhula kocansi (ama-DSD)?

Kalula nje, ama-DSD ayigama elijwayelekile lezimo ezahlukahlukene ezihilela izinguquko ezicini zobulili bomuntu, okungukuthi, ama-chromosome akhe, ama-gonad (okungukuthi ama-ovari noma amasende) , noma izitho zangasese . Lezi zinguquko zingabonakala ekuzalweni, ngezinye izikhathi zivele ngesikhathi sokuthomba, noma ngisho nangemva kwalokho, kanti ezinye izimpawu zibonakala lapho umuntu emdala.

Cabangela izibonelo ezimbalwa:

• Ngisho noma umntwana ezalwa enama-chromosome owesilisa (XY) , izitho zakhe zangasese zangaphandle (i-vulva) zingase zibukeke njengowesifazane.
• Ngaphandle kwalokho, noma ngabe ingane yesifazane izalwa nama -chromosome (XX) , izitho zangasese zangaphandle zingase zibukeke njengepenis yesilisa noma i -clitoris ekhulisiwe.
• Abanye bangase babe nezicubu zesibeletho kanye nezesitho sangasese emizimbeni yabo, okungenza izitho zabo zangasese zibukeke njengowesilisa, owesifazane, noma ingxube yazo zombili.
• Ngezinye izikhathi, noma ngabe izitho zangasese zivamile, ukungajwayelekile kwesakhiwo se-chromosome kungaphazamisa ukukhula kanye nentuthuko eyenzeka ngesikhathi sokuthomba.

Esikhathini esidlule, lezi zimo zazibizwa nangokuthi 'i-intersex' . Okusho ukuthi, abantu abane-chromosome, izitho zangasese, noma izinhlelo zokuzala ezingafaneleki kahle ekuhlukanisweni kobulili okuvamile kwabesifazane/abesilisa.

Into ebalulekile ukuthi ukuba nesimo (se-DSD) akusho ukuthi kukhona 'okungahambi kahle' ngawe. Kusho ukuthi uthuthuke ngendlela ehluke kancane kunezinye. Uma kutholakale ukuthi unaso futhi welashwa kahle, iningi labantu abanaso (se-DSD) liphila impilo evamile.

Abanye abantu bakhetha ukusebenzisa igama elithi "differentiation" esikhundleni selithi "disorder" uma bebhekisela ku-DSD. Lokhu kusikisela ukuthi lokhu kuyinto engajwayelekile yokukhula kunokuba yisifo.

Yiziphi izinhlobo eziyinhloko zama-DSD?

Kunezimo ezicishe zibe ngu-60 ezahlukene ngaphansi kwaleli gama elihlanganisa (Izinkinga Zokuthuthukiswa Kocansi). Ezinye zezifo ezivame kakhulu yilezi:

• I-Androgen Insensitivity Syndrome (AIS)
• I-Congenital adrenal hyperplasia(I-Congenital Adrenal Hyperplasia - CAH)
• I-Kallman Syndrome
• Isifo se-Klinefelter
• Isifo sikaMcCune-Albright
• I-Prader-Willi Syndrome (PWS)
• Isifo sikaSwyer
• I-Turner Syndrome

Ngayinye yalezi zibangela izimpawu ezahlukene, ngakho-ke kubalulekile ukukhuluma nodokotela ukuze uthole ukuthi siyini ngempela isimo.

Ziyini izimpawu ze-DSD?

Umuntu one-DSD angase abe nezimpawu ezahlukahlukene. Ezinye zalezi zimpawu zifaka:

• Ukungabikho kwezitho zangasese ekuzalweni. Izibonelo zifaka phakathi (i-Aphallia) - okusho ukuzalwa ungenawo umthondo, kanye (i-Vaginal agenesis) - okusho ukuthi isitho sangasese sowesifazane asikakhuli ngokugcwele.
• Izitho zobulili ezibonakala zingenakuhlukaniswa nezowesilisa noma owesifazane. Isibonelo, ipenis engakakhuli kahle noma i -clitoris ekhulisiwe.
• Izimo ezithile zezindlala ze-adrenal.
• Ukungalingani kwama-hormone.
• Ukungalingani kwama-electrolyte emzimbeni.
• Ukuya esikhathini kuqala eminyakeni engavamile noma kungaqali nhlobo.
• Amasende angakafiki phansi.
• I-Hypospadias - Lokhu kwenzeka lapho i-urethra, imbobo lapho umchamo uphuma khona epenis, itholakala endaweni ehlukile kunasesiqongweni.

Uma ubona eyodwa noma ngaphezulu yalezi zimpawu enganeni yakho, kungcono ukufuna iseluleko sezokwelapha ngokushesha.

Yiziphi izimbangela zezinkinga zokukhula kocansi?

Kunezizathu eziningana zokuthi kungani umuntu angazalwa ene-DSD. Ngezinye izikhathi ingabangelwa yizimbangela ezingaphezu kweyodwa. Nazi ezinye zezimbangela eziyinhloko:

• Ukuguquka kwezakhi zofuzo: Lokhu kuyizinguquko ezakhiweni zofuzo. Ezinye ziyizinguquko ezizuzwe njengefa . Ezinye zingaba izinguquko ezizenzakalelayo, ezenzeka ngaphandle kwesizathu esibonakalayo.
• Izinkinga zokukhula ngesikhathi sokukhula kombungu: Lezi zimo zingase zenzeke uma ezinye izitho zomzimba zingakhuli kahle ngesikhathi umntwana ekhula esibelethweni.
• Ukuntuleka kwama-hormone: Lokhu kwenzeka lapho umzimba womntwana ungakhiqizi ama-hormone anele, noma lapho umzimba ungasabeli kahle kuma-hormone owakhiqizayo. Kungenzeka futhi lapho ukukhiqizwa kwama-hormone kuphazamiseka ngezinye izizathu, njengokuncipha kokugeleza kwegazi kuya emasendeni noma kuma-ovari.
• Ukuchayeka kuma-hormone noma emithini ethile ngesikhathi sokukhulelwa:Isibonelo, imithi efana ne-testosterone blockers ingabangela lokhu.

Lezi zimbangela ziyinkimbinkimbi kakhulu, yingakho odokotela bephenya ngalokhu ngokujulile.

Yiziphi izinkinga ezingaba khona ngenxa ye-DSD?

Akuwona wonke umuntu one-DSD ozoba nezinkinga zempilo. Kodwa-ke, abanye abantu bangase babe sengozini enkulu yokuthola izifo ezithile. Nazi ezinye izibonelo:

• Izifo ezizenzakalelayo - Lezi yizifo lapho amasosha omzimba ehlasela khona amangqamuzana omzimba.
• Isifo senhliziyo esizalwa naso - isifo senhliziyo esikhona lapho umuntu ezalwa.
• Umfutho wegazi ophezulu (umfutho wegazi ophakeme) noma umfutho wegazi ophansi (umfutho wegazi ophakeme).
• Ukungazali.
• Izimo zezinso.
• Isifo se-Metabolic.
• I-Osteoporosis - Lokhu kusho ukuthi amathambo aba buthakathaka futhi aphuke kalula.
• Isifo sikashukela sohlobo lwesibili.

Kodwa khumbula, lezi 'ziyizingozi' nje ezingaba khona. Akuwona wonke umuntu ozitholayo. Lezi zingozi zingalawulwa ngokuba ngaphansi kokuqashwa okufanele kwezokwelapha.

I-DSD ihlolwa kanjani? (Ukuxilongwa)

Ngezinye izikhathi, odokotela bangathola ama-DSD lapho bezalwa. Kodwa-ke, kunezinhlobo ezithile zama-DSD izimpawu zazo eziba sobala kakhulu lapho ingane ifinyelela ebusheni noma ngisho nakamuva ekuphileni.

Udokotela uzoqala enze ukuhlolwa ngokomzimba. Ngemva kwalokho, bangenza ukuhlolwa okwengeziwe ukuze bacacise isimo, njengokuthi:

• Ukuhlolwa kwe -pelvic ultrasound noma i-MRI (Magnetic Resonance Imaging) .
• Ukuhlolwa kwe-karyotype kuwukuhlolwa okuhlola ukukhubazeka kwe-chromosome.
• Ukuhlolwa kwezakhi zofuzo okuhlonza ukuguquka kwezakhi zofuzo .
• Ukuhlolwa kwama-hormone kulinganisa amazinga ama-hormone emzimbeni.

Kusekelwe olwazini olutholwe kulezi zivivinyo ukuthi udokotela ufinyelela esiphethweni esithile.

Ziphathwa kanjani izifo ezibangelwa yi-DSD?

Kuye ngobukhulu bezimpawu, umuntu one-DSD angadinga ukwelashwa okufana nalokhu:

• Ukwelashwa kokushintsha ama-hormone: Lokhu kwenzelwa ukukhuthaza ukuthomba nokunciphisa ingozi yokuthola izinkinga zempilo ezihlobene ne-DSD, njenge -osteoporosis .
• Ukuhlinzwa okuvuselelayo: Lokhu kuhlinzwa kwenziwa ukushintsha ukubukeka kwezitho zangasese. Kodwa-ke,Ngaphandle uma kudingeka ngokwezokwelapha, odokotela bavame ukuhlehlisa izinqubo ezinjengalezi ezingalungiseki kuze kube yilapho izingane sezikhule ngokwanele ukuba zizenzele izinqumo zazo. Lokhu kuyinto ebaluleke kakhulu.

Kwabanye abantu, izimpawu ze-DSD zincane kakhulu futhi zingase zingadingi ukwelashwa.

Ubani owelapha izinkinga zokukhula kocansi?

Uma ingane yakho inesifo esibizwa ngokuthi i-DSD, kuzodingeka yelashwe yithimba lodokotela elihlanganisa imikhakha eminingi. Leli thimba lingafaka:

• Odokotela bezingane.
• Odokotela bezokwelapha abasebasha.
• Odokotela be-endocrinologists bezingane - okungukuthi, ochwepheshe bama-hormone.
• Odokotela bezifo zomchamo zezingane.
• Odokotela bezifo zabesifazane bezingane.
• Izazi zezakhi zofuzo.
• Izazi zengqondo zezingane.

Kungokusekelwa yibo bonke laba bantu ukuthi ingane inikezwa ukwelashwa okungcono kakhulu.

Liyini ikusasa labantu abane-DSD?

Abantu abanama-DSD (ama-DSD) basengozini enkulu yokuthola izimo ezithile zempilo. Kodwa-ke, ngokuxilongwa nokwelashwa okufanele, bangaphila impilo ende, evamile, njengabantu abangenawo ama-DSD (ama-DSD). Ngakho ungalahli ithemba.

Ingane yami inesifo se-DSD. Ngingayinakekela kanjani?

Isikhathi sokuthomba asilula kunoma ubani. Kubantwana abane-DSD, lokhu kungaba okokuqala beqaphela ukuthi imizimba yabo ihlukile kweyontanga yabo. Kungaba yinto eyinkimbinkimbi kakhulu kubo.

Into engcono kakhulu ongayenzela ingane yakho ukuyithanda nokuyisekela ngaphandle kwemibandela. Nazi ezinye izinto ongazenza ukuze uyikhuthaze:

• Khuluma ngokukhululekile ngesimo sakhe (i-DSD), njengoba nje ubungakhuluma nganoma yisiphi esinye isifo. Ungasigcini siyimfihlo enkulu.
• Mtshele kusengaphambili ukuthi kuzokwenzekani nokuthi yini okufanele ayilindele lapho udokotela ngamunye ebonana naye.
• Mkhuthaze ukuthi ahlanganyele ezintweni azithandayo kanye nemisebenzi ayithandayo.
• Thola umeluleki ofanelekayo ukusiza ingane yakho ukubhekana nemizwa eyinkimbinkimbi ebhekene nayo.

Khumbula, uthando lwakho, ukuqonda kwakho, kanye nokusekela kwakho yiwona mandla amakhulu ingane yakho enawo ukuze idlule kulolu hambo.

Ingabe ama-DSD angavinjelwa?

Cha, ama-DSD awanakuvinjelwa. Ayikho indlela yokwazi kusengaphambili ukuthi ngabe kukhona yini inkinga ezobangela i-DSD. Futhi, awukwazi ukulawula ukuthi yiziphi izinkinga zofuzo ingane yakho ezozithola njengefa. Lokhu kuyinto eyenzeka ngezinye izikhathi.Ungazizwa unecala ngakho.

Kufanele ngimbone nini udokotela wengane yami?

Ngokuvamile, odokotela bathola ama-DSD lapho bezalwa. Kodwa ngezinye izikhathi, izimpawu zibonakala ngesikhathi sokuthomba noma sobudala. Uma usola ukuthi kukhona okungajwayelekile ngengane yakho, hlela isikhathi sokubonana nodokotela. Udokotela angenza ukuhlolwa ngokomzimba futhi, uma kudingeka, acele ezinye izivivinyo ukuthola ukuthi yini ebangela izimpawu zengane yakho.

Yimiphi imibuzo okufanele ngiyibuze udokotela wengane yami?

Uma ingane yakho yazalwa inesimo (i-DSD), ungase ufune ukubuza udokotela imibuzo efana nale:

• "Iyini ngempela inkinga yengane yami?"
• "Ngingayitholaphi eminye imininingwane ngalesi simo?"
• "Uhlobo luni lokwelashwa aludingayo?"
• "Ingabe akhona amaqembu okusekelana asiza izingane nabazali ukuba benze lokhu?"

Kuvamile ukuba nemizwa exubile uma uthola ukuxilongwa kwe-(DSD). Ngakolunye uhlangothi, ungase uzizwe ukhululekile ngokuthi izimpawu zakho (noma zengane yakho) sezinikezwe igama. Kodwa futhi kujwayelekile ukuzizwa udidekile futhi ungaqiniseki, uzibuza, "Ngenzenjani manje?" Udokotela wakho ungumuntu ongcono kakhulu ongakhuluma naye ngemizwa yakho. Bangakutshela ngezinsizakusebenza nokuthi udinga ukwelashwa yini.

Ekugcineni, umyalezo okufanele uwuthathe uye nawo ekhaya

Izinkinga zokukhula kocansi (ama-DSD) ziyindaba eyinkimbinkimbi, kodwa kubalulekile ukukhumbula lezi zinto:

• (DSD) akuyona 'iphutha', 'umehluko'. Izingane nabantu abadala abaphila nalesi simo badinga uthando, ukuqonda, kanye nokusekelwa.
• Ukutholwa kusenesikhathi kanye neseluleko esifanele sezokwelapha kubaluleke kakhulu. Lokhu kungavimbela izinkinga eziningi futhi kuzilawule ngempumelelo.
• Uma wenza izinqumo ezingenakuguqulwa njengokuhlinzwa, kubalulekile ukuba nesineke kuze kube yilapho ingane isikhule ngokwanele ukuqonda (ngaphandle uma kudingekile ngokwezokwelapha).
• Awuwedwa. Kukhona odokotela, abeluleki, kanye namaqembu okusekela angasiza abantu abanalezi zimo.
• Ngokuphathwa nokusekelwa okufanele, abantu abaningi abanama-DSD baphila impilo ejabulisayo, ephumelelayo, nejwayelekile.

Ngiyethemba ukuthi lolu lwazi luzokusiza. Uma wena noma othile omaziyo engathanda ukufunda okwengeziwe ngalesi simo, ungangabazi ukukhuluma nodokotela.

Ukuphazamiseka kokukhula kocansi, ama-DSD, izitho zangasese, ama-chromosome, ama-hormone, ukuguquka kwezakhi zofuzo, impilo yengane