Injabulo ezwiwa umama noma ubaba lapho ebuka umntwana osanda kuzalwa ayinakuvezwa ngamazwi. Kodwa-ke, akuvamile kakhulu, abanye abazali babhekene nenkinga enkulu. Okusho ukuthi, abakwazi ukunquma ngokucacile ukuthi umntwana uyintombazane noma umfana ngokubheka izitho zangasese zomntwana osanda kuzalwa. Siyazi ukuthi lokhu kuyinto ebucayi kakhulu futhi ebuhlungu inhliziyo. Awuwedwa. Namuhla, sikhuluma ngezinto ezibaluleke kakhulu okudingeka uzazi ngaleso sikhathi.
Kuyini i-Ambiguous Genitalia?
Kalula nje, lesi yisimo esiba khona lapho kuzalwa. Kulesi simo, izitho zangasese zomntwana kunzima ukuzibona ngokucacile njengowesilisa noma owesifazane. Ngezinye izikhathi izitho zomzimba zingase zingakhuli kahle, noma zingase zibe nezici zowesilisa nowesifazane.
Into ebalulekile ukuthi, lesi akusona isifo. Lokhu umehluko ekukhuleni kocansi. Ngokwezokwelapha, lokhu sikubiza ngokuthi "Umehluko Ekukhuleni Kocansi" ( DSD ).
Ngokuvamile, ukubukeka kwangaphandle kwengane akufani nobulili bayo bangaphakathi (isibeletho, ama-ovari, noma amasende) noma ubulili bayo bofuzo. Lesi akusona isimo esivamile kakhulu. Sithinta cishe ingane eyodwa kweziyi-1,000 kuya kweziyi-4,500.
Yiziphi izimpawu ezingabonakala kulesi simo?
Isici esiyinhloko ukuthi izitho zangasese zangaphandle azibukeki njengepenis noma isitho sangasese sangasese esivamile. Kodwa lokhu kungahluka kuye ngengane. Kuye ngembangela ethinte intuthuko yocansi. Ake sibone ukuthi lesi simo singabonakala kanjani kumantombazane nakubafana ngokwezakhi zofuzo.
| Izici ezingabonakala uma ingane ingowesifazane ngokwezakhi zofuzo (XX) | Izici ezingabonakala uma ingane ingumuntu wesilisa ngokwezakhi zofuzo (XY) |
|---|
| I-clitoris iba nkulu kunokuvamile futhi ibukeke njengepenis encane. | Ipenisi ingaba ncane kakhulu (ingase ibukeke njengepenisi encane) noma ingakhuli nhlobo. |
| Ama-labia anamathele ndawonye, abukeka njenge-scrotum. | Imbobo ye-urethra itholakala phansi kwepenisi, hhayi esicongweni. (Lokhu kubizwa ngokuthi i-Hypospadias) |
| Indawo engajwayelekile yomgodi we-urethra. | I-scrotum incane, ivulekile, futhi ifana ne-labia. |
| Indawo yezicubu ngaphakathi kwe-labia engase ididaniswe namasende. | Amasende awazange ehlele esikhumbeni. |
Ngaphezu kwalokho, ukungalingani kwama-hormone, ukubambezeleka noma ukuthomba kwasekuqaleni, kanye nezinye izimo kungabonakala kamuva.
Lesi simo sitholakala kanjani? (Ukuxilongwa)
Ithimba lezokwelapha livame ukuxilonga lesi simo ngesikhathi sokuzalwa. Ngezinye izikhathi, ama-scan ngesikhathi sokukhulelwa anganikeza inkomba, kodwa akuqinisekiswa kuze kube yilapho ingane isizelwe.
Udokotela wakho kanye nethimba lezokwelapha bazoqala ngokubuza ngomlando wezokwelapha womndeni wakho. Ngemuva kwalokho, kuzodingeka benze izivivinyo ezithile ukuze bathole ubulili beqiniso bomntwana kanye nembangela eqondile yalesi simo.
- Ukuhlolwa kwegazi : Hlola ama-chromosome engane (XX noma XY) kanye namazinga ama-hormone .
- Ukuhlolwa kwezithombe : Ukuhlolwa okufana nokuskena kwe-ultrasound, i-X-ray , noma i-MRI kuhlola izitho zomzimba ezingaphakathi komzimba womntwana, njengesibeletho , ama-ovari, noma amasende .
- Ukuhlolwa okukhethekile: Kwezinye izimo, ingxenye encane yezicubu ingathathwa ezithweni zangasese ukuze ihlolwe (`i-Biopsy`) noma ikhamera encane ingasetshenziswa ukubheka ngaphakathi emzimbeni (`i-Laparoscopy`).
Yini ebangela lokhu?
Lesi simo senzeka uma kukhona ukuphazamiseka ekukhuleni kwezitho zangasese ngesikhathi sokuqala kokukhula komntwana esibelethweni. Kunezimbangela eziningana eziyinhloko:
- Izinkinga ze-Hormonal:Ingane yesilisa (XY) ngokwezakhi zofuzo ayitholi ama-hormone wesilisa anele ukuze yakhe izitho zangasese zesilisa, noma ingane yesilisa (XX) ngokwezakhi zofuzo ivezwa ama-hormone wesilisa.
- Izinguquko zofuzo: Ukuguquka kwezakhi zofuzo ezithile ezithinta intuthuko yocansi (`izakhi zofuzo eziguquliwe`).
- Ukukhubazeka kwe-Chromosome: Ukukhubazeka kwama-chromosome engane, njengokulahlekelwa noma ukuzuza kwe-chromosome.
Izici zengozi
Umlando womndeni nawo ungadlala indima. Uma othile emndenini wakho eke waba nalezi zimo ezilandelayo, ingozi yakho ingaba phezulu kancane:
- Ukufa kwezinsana okungaziwa imbangela.
- Abesifazane emndenini bangase babe nobunzima bokuthola abantwana, ukuyeka ukuya esikhathini, noma ukukhula ngokweqile kwezinwele ebusweni.
- Omunye umuntu emndenini unesifo sofuzo esingajwayelekile.
- Izinto ezingavamile ngesikhathi sokuthomba.
- Izifo ezidluliselwa ngofuzo ezithinta izindlala ze-adrenal, njenge- Congenital Adrenal Hyperplasia (CAH) .
Uma uhlela ukuba nomntwana futhi unomlando womndeni walokhu, kubaluleke kakhulu
ukubona uchwepheshe bese ukhuluma ngakho.
Kwenziwa kanjani ukwelashwa futhi yini okufanele uyenze ngokulandelayo?
Ngenxa yokuthi lolu udaba luyinkimbinkimbi futhi lubucayi, izinqumo azenziwa udokotela oyedwa kuphela.
Ithimba lochwepheshe lizokusiza wena nomntwana wakho. Leli thimba lingase lihlanganise:
- Udokotela Wezingane Ezisanda Kuzalwa: Udokotela ogxile ezinsaneni ezisanda kuzalwa.
- Isazi se-Endocrinologist: Udokotela ochwepheshe bama-hormone.
- Isazi sezakhi zofuzo: Uchwepheshe wezakhi zofuzo nama-chromosome.
- Udokotela Wezifo Zomchamo: Uchwepheshe wezinhlelo zomchamo nezokuzala.
- Udokotela Ohlinzayo: Udokotela owenza ukuhlinzwa uma kudingeka.
- Isazi Sengqondo: Uchwepheshe ohlinzeka ngokusekelwa kwengqondo kuwe nakumntanakho.
Ndawonye, leli thimba lizokusiza ukuthi unqume isabelo sobulili esifanele kakhulu sengane yakho ngokusekelwe emiphumeleni yokuhlolwa. Ukwelashwa kungafaka
ukwelashwa kokushintsha ama-hormone noma
ukuhlinzwa okwakha kabusha . Ukuhlinzwa okudingekayo ngokwezokwelapha, njengokulungisa umgodi womchamo, kungenziwa ngesikhathi sobuntwana. Kodwa-ke, ukuhlinzwa kobuhle kungahlehliswa kuze kube yilapho ingane isikhule ngokwanele ukuqonda, futhi abazali nethimba lezokwelapha banganquma ndawonye ukuthi bahlehlise inqubo ngokusekelwe ezifisweni zabo.
Ikusasa lomntwana
Kungokwemvelo ngawe ukuba nemibuzo efana nokuthi, "Ingabe ingane yami izokwazi ukuba nezingane esikhathini esizayo?" kanye nokuthi "Ingabe kuzoba nezinkinga mayelana nobunikazi bayo bobulili?"
- Ukuba nezingane:Kuye ngembangela yalesi simo, abanye abantu bangase bakwazi ukuthola abantwana esikhathini esizayo. Isibonelo, amantombazane ane-Congenital Adrenal Hyperplasia angase akwazi ukukhulelwa ngemva kokwelashwa ngama-hormone.
- Ukuhlonza Ubulili: Ama-chromosome kuphela awanqumi ukuhlonza ubulili bomuntu. Ukusebenza kobuchopho kanye nezici zomphakathi nakho kudlala indima. Ngakho-ke, kubalulekile ukuxoxa ngalokhu nethimba lezokwelapha elinolwazi bese wenza isinqumo esizonikeza ingane ikusasa elihle kakhulu.
Into ebaluleke kakhulu ukunakekela impilo yengqondo yengane yakho njengoba ikhula. Odokotela nabeluleki abanolwazi bahlala bekhona ukukunikeza wena nengane yakho ukwesekwa abakudingayo kulolu hambo.
Umlayezo Wokuya Nawe Ekhaya
- I-Genitalia engacacile iyisimo esingavamile futhi asibangelwa yiphutha labazali.
- Uma nje lesi simo sesitholakele, kubalulekile ukufuna usizo lwethimba lezokwelapha elingochwepheshe. Ungenzi izinqumo wedwa.
- Ukunikeza ingane ubunikazi bobulili kuyisinqumo esiyinkimbinkimbi kakhulu. Kumelwe kucatshangelwe yonke imibiko yezokwelapha kanye nezeluleko.
- Okubaluleke kakhulu kunokwelashwa ukusekelwa ngokomzwelo nothando olunikezwa ingane kanye nomndeni wonke.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo, ukwesaba, noma ukungabaza ongase ube nakho.
Izitho Zangasese Ezingaqondakali, i-DSD, Ubulili Bengane, Ama-Hormones, Ama-Chromosomes, Izifo Zofuzo, I-Congenital Adrenal Hyperplasia
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