Ubulili dysphoria

Ubulili i-dysphoria yigama lomuzwa ojulile wokungakhululeki nosizi olungaba khona lapho ucansi lwakho lwebhayoloji lungafani nobulili bakho. Esikhathini esedlule, lokhu kwakubizwa ngokuthi yi-gender identity disorder. Isibonelo, ungabelwa lapho uzalwa njengobulili besifazane, kepha uzizwa unemizwa ejulile yokuba ngowesilisa. Kwabanye abantu, lokhu kungahambisani kahle kungadala ukungakhululeki okukhulu, ukukhathazeka, ukudangala, nezinye izimo zempilo yengqondo.

Ubunikazi bobulili yindlela ozizwa futhi ukhombe ngayo, kungaba njengowesifazane, owesilisa, noma kokubili. Ubulili ngokuvamile bunikezwa lapho kuzalwa, kususelwa enganeni enokubukeka kwangaphandle (izitho zobulili) kowesilisa noma owesifazane ngokwakhiwa komphakathi kohlelo lwe-kanambambili lwabesilisa ababili (owesilisa noma owesifazane).

Uma ubunikazi bakho bobulili buhambisana nobulili obabelwe wena ngesikhathi sokuzalwa, lokhu kubizwa nge-cisgender. Isibonelo, uma ngabe wazalwa ngokwemvelo njengowesilisa, futhi ukhomba njengendoda, uyindoda ye-cisgender.

I-Transgender isho ukukhomba njengobulili obuhlukile kubulili bemvelo obabelwe lapho uzalwa. Isibonelo, uma ngabe wazalwa ungowesifazane ngokwemvelo futhi wabelwa ubulili besifazane, kepha uzizwa unemizwa ejulile yokuba yindoda, uyindoda ye-transgender.

Abanye abantu baveza ubulili babo ngezindlela ezingahambelani nezinkambiso zendabuko kanambambili zomphakathi wobulili besilisa noma besifazane. Lokhu kubizwa ngokungafani kanambambili, okungahambisani nobulili, ubulili, noma okwandisa ubulili. Ngokuvamile, abantu abaningi be-transgender abakhombi njengokungeyona kanambambili.

Kubalulekile ukusho ukuthi abantu abakhathazekile abangama-transgender bangazizwa ngenxa yokuba nomzimba wobulili obungewona obucindezela kakhulu. Ngenxa yalokhu, umphakathi we-transgender unezinga eliphakeme lezinkinga zempilo yengqondo kanye nengozi yokuzama ukuzibulala.

Akekho owazi kahle ukuthi yini ebangela i-dysphoria yezobulili. Abanye ochwepheshe bakholelwa ukuthi kungenzeka ukuthi kuhileleke ama-hormone esibelethweni, izakhi zofuzo, namasiko nezemvelo.

Izingane kanye nabantu abadala bangathola i-dysphoria yezobulili. Izimpawu ziyahlukahluka, kuya ngeminyaka yomuntu, kepha iningi labantu lifuna ukuphila ngendlela efana nobulili babo. Njengomuntu omdala, kungenzeka ukuthi uke waba nale mizwa kusukela usemncane.

Izingane zinga:

• Gcizelela ukuthi ngobunye ubulili
• Ufuna kakhulu ukuba ngobunye ubulili
• Ufuna ukugqoka izingubo ezijwayele ukusetshenziswa obunye ubulili futhi umelane nokugqoka izingubo ezihambisana nobulili babo
• Uncamela ukwenza izindima ezijwayelekile zobunye ubulili ekudlaleni noma kumnandi
• Khetha amathoyizi nemisebenzi ejwayelekile ecatshangwa njengobunye ubulili
• Khethani kakhulu ukudlala nezingane zobunye ubulili
• Zizwe ungathandi ngokuqinile izitho zabo zangasese
• Ufuna ukuba nezici zomzimba zobunye ubulili

Abantu abadala banga:

• Bafuna kakhulu ukuba ngobunye ubulili (noma ubulili obuhlukile kunalokho abababelwe lapho bezalwa)
• Ufuna ukuba nezici zomzimba nezocansi zobunye ubulili
• Ufuna ukuqeda izitho zabo zangasese
• Ufuna ukuphathwa njengobunye ubulili
• Ufuna ukubhekiswa njengobunye ubulili (izabizwana)
• Zizwe unamandla futhi usabele ngezindlela ezihambisana nobunye ubulili

Ubuhlungu obungokomzwelo nokucindezeleka kwe-dysphoria yezobulili kungaphazamisa isikole, umsebenzi, impilo yomphakathi, umkhuba wenkolo, noma ezinye izindawo zokuphila. Abantu abane-dysphoria yezobulili bangakhathazeka, bacindezeleke, futhi ezimweni eziningi, baze bazibulale nokuzibulala.

Kubaluleke kakhulu ukuthi abantu abane-dysphoria yezobulili bathole ukwesekwa ngokwengqondo nangokwenhlalo nokuqonda kochwepheshe bezokwelapha. Lapho ukhetha umhlinzeki wezokunakekelwa kwezempilo, bheka abantu abaqeqeshwe ukukhomba nokusebenza nabantu abane-dysphoria yezobulili.

Ukwenza ukuxilongwa, umhlinzeki wakho uzothatha umlando wakho wezokwelapha futhi, kwezinye izimo, enze ukuhlolwa okuphelele kwengqondo. I-dysphoria yobulili iyatholakala uma ngabe unezimpawu ezimbili noma ngaphezulu okungenani izinyanga eziyisithupha.

Inhloso enkulu yokwelashwa ukukusiza unqobe ukucindezeleka ongase uzizwe. Ungakhetha izinga lokwelashwa elikusiza uzizwe ukhululekile kakhulu. Lokhu kungabandakanya ukukusiza udlulisele ebulilini ozihlonza nabo.

Ukwelashwa kwe-dysphoria yezobulili kukhethiwe, futhi kungafaka:

• Ukwelulekwa ngokwengqondo ukuze ikusize uqonde imizwa yakho futhi ikunikeze amakhono okusekela nokubhekana nesimo
• Imibhangqwana noma ukwelulekwa komndeni ukusiza ukunciphisa izingxabano, ukudala ukuqonda, nokuhlinzeka ngendawo esekelanayo
• Ukwelashwa kwe-hormone eqinisekisa ubulili (esikhathini esedlule kwakubizwa nge-hormone replacement therapy)
• Ukuhlinzwa okuqinisekisa ubulili (esikhathini esedlule kwakubizwa ngokuhlinzwa ngocansi)

Akubona bonke abantu be-transgender abadinga zonke izinhlobo zokwelashwa. Bangakhetha eyodwa noma ngaphezulu yokwelashwa okubalwe ngenhla.

Ngaphambi kokwenza isinqumo ngokuhlinzwa, kungenzeka ukuthi uqale ngokuthola ukwelashwa okuqinisekisa ubulili futhi uphile njengobulili obukhethile okungenani unyaka owodwa. Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa: eyodwa ithinta ukuzala, enye ayithinti. Akuwona wonke umuntu okhetha ukuhlinzwa, noma angakhetha uhlobo olulodwa kuphela lokuhlinzwa.

Izingcindezi zomphakathi nezomndeni kanye nokuntuleka kokwamukelwa kungadala ukukhathazeka nokudangala nezinye izinkinga zempilo yengqondo. Yingakho kubalulekile ukuthi uthole ukwelulekwa nokusekelwa phakathi nakho konke nangemva kwenguquko yakho. Kubalulekile futhi ukuthola ukusekelwa okungokomzwelo okuvela kwabanye abantu, njengeqembu elisekelayo noma kubangane abaseduze nomndeni.

Ukubona nokwelapha i-dysphoria yobulili kusenesikhathi kunganciphisa ithuba lokudangala, ukucindezeleka ngokomzwelo nokuzibulala. Ukuba sendaweni esekelanayo, ukukhululeka ukuveza ubulili bakho ngendlela ekwenza ukhululeke, nokuqonda izinketho zakho zokwelashwa kungasiza ekunciphiseni ukukhathazeka nokudangala.

Ukwelashwa okuhlukile kungakhulula izimpawu ze-dysphoria yezobulili. Kodwa-ke, ukusabela okuvela kwabanye ekuguqulweni komuntu kufaka phakathi ubunzima bezenhlalo nezomthetho ngesikhathi senqubo yokuguqula kungaqhubeka kudale izinkinga ngomsebenzi, umndeni, ezenkolo nezenhlalo. Ukuba nenethiwekhi yokuqina yomuntu siqu yokukhetha nokukhetha abahlinzeki abanolwazi ngempilo ye-transgender kuthuthukisa kakhulu umbono wabantu abane-dysphoria yezobulili.

Yenza i-aphoyintimenti nomhlinzeki onolwazi ngemithi ye-transgender uma wena noma ingane yakho unezimpawu zedysphoria yobulili.

Ukungalingani kobulili; I-Transgender; Ukungezwani kobulili

• Izinhlelo zokuzala zabesilisa nabesifazane

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Ukushaya i-WO. Ubulili kanye nobunikazi bobulili. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 133.

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I-PC emhlophe. Ukuthuthuka kwezocansi kanye nokuzazi. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 220.