Ingabe Abesilisa Bangakhulelwa?

-Delile

• Kungenzeka yini?
• Uma unesibeletho namaqanda
• Ukukhulelwa
• Ukukhulelwa
• Ukulethwa
• Ngemuva kokubeletha
• Uma ungasenayo noma ungazalwanga ngesibeletho
• Ukukhulelwa ngokufakelwa kwesibeletho
• Ukukhulelwa ngomgogodla wesisu
• Okubalulekile

Kungenzeka yini?

Yebo, kungenzeka ukuthi amadoda akhulelwe futhi abelethe izingane zawo. Eqinisweni, mhlawumbe kuvame kakhulu kunokucabanga kwakho. Ukuze sichaze, kuzodingeka sibhidlize imibono evamile eyiphutha mayelana nokuthi siliqonda kanjani igama elithi "umuntu." Akubona bonke abantu ababelwe owesilisa ngesikhathi sokuzalwa (AMAB) abakhomba njengamadoda. Labo abakwenzayo bangamadoda "e-cisgender". Ngakolunye uhlangothi, abanye abantu ababelwe abesifazane ngesikhathi sokuzalwa (i-AFAB) bakhomba njengamadoda. Laba bantu kungenzeka babe ngamadoda "ama-transgender" noma abantu be-transmasculine. I-Transmasculine isetshenziselwa ukuchaza umuntu we-AFAB okhomba noma owethula ohlangothini lwesilisa lobubanzi. Lo muntu angakhomba njengendoda noma enye inombolo yobunikazi bobulili kufaka phakathi okungekho okwenziwe ngokobulili, ubulili, noma i-agender. Abantu abaningi be-AFAB abakhomba njengamadoda noma abangazivezi njengabesifazane banezitho zokuzala ezidingekayo ukuthwala ingane. Kukhona nobuchwepheshe obuvelayo obungenza ukuthi abantu be-AMAB bakwazi ukuthwala ingane. Izitho zakho zokuzala kanye namahomoni kungashintsha ukuthi ukukhulelwa kubukeka kanjani, kepha ubulili bakho abuthathwa - futhi akufanele - buthathwe njengomkhawulo.

Uma unesibeletho namaqanda

Abanye abantu abanesibeletho namaqanda, abekho ku-testosterone, futhi bakhomba njengamadoda noma cha njengoba abesifazane bangafisa ukukhulelwa. Ngaphandle kokuthi uthathe i-testosterone, inqubo yokukhulelwa ifana naleyo yowesifazane we-cisgender. Lapha, sizogxila kwinqubo yokuthwala ingane nokubeletha abantu be-AFAB abanesibeletho nama-ovari, futhi abakhona, noma abebekhona, ku-testosterone.

Ukukhulelwa

Kulabo abakhetha ukuthatha i-testosterone, ama-mens ngokuvamile ayayeka ezinyangeni eziyisithupha zokuqala i-hormone replacement therapy (HRT). Ukuze ukhulelwe, umuntu uzodinga ukumisa ukusetshenziswa kwe-testosterone. Noma kunjalo, akuyona into ezwakala ngokuphelele kubantu abaku-testosterone ukuthi bakhulelwe ekubeni nocansi olungaphephile lwesitho sangasese sowesifazane. Ngenxa yokushoda kocwaningo kanye nokwehluka komzimba ngamunye, kusengakacaci ngokuphelele ukuthi ukusetshenziswa kwe-testosterone kusebenza kanjani njengendlela yokuvimbela ukukhulelwa. UKaci, indoda eneminyaka engu-30 edlulile ekukhulelweni futhi okhulelwe kabili, uthi odokotela abaningi baqamba amanga bathi abantu abaqala i-testosterone ukuthi kuzobenza bangatholi abantwana. "Yize kuncane kakhulu ucwaningo olwenziwe ngokukhulelwa okungahambisani nobulili noma ngemiphumela ye-HRT ekuzaleni, [imininingwane] etholakalayo yenzeka kahle kakhulu." Thatha imiphumela yombiko owodwa we-2013, isibonelo. Abaphenyi bahlola amadoda angama-41 ama-transgender nabantu abadlulile besilisa abebeyekile ukuthatha i-testosterone futhi bakhulelwa. Bathola ukuthi iningi labaphendulile likwazile ukukhulelwa ingane ezinyangeni eziyisithupha zokumisa i-testosterone. Abahlanu balaba bantu bakhulelwa bengazange baqale kabusha ukuya esikhathini. Ukukhulelwa kungenzeka ngezindlela eziningi, kufaka phakathi ukuya ocansini nangokusebenzisa ubuchwepheshe bokusiza bokuzala (i-AST). I-AST ingabandakanya ukusebenzisa isidoda noma amaqanda kozakwethu noma umnikeli.

Ukukhulelwa

Abaphenyi kwinhlolovo eshiwo ngenhla ye-2013 abatholanga mehluko ophawulekayo ekukhulelweni phakathi kwalabo abenza futhi abangasebenzisi i-testosterone. Abanye abantu babike umfutho wegazi ophakeme, ukusebenza ngaphambi kwesikhathi, ukuphazamiseka kweplacenta, kanye ne-anemia, kepha lezi zinombolo bezihambisana nezabesifazane be-cisgender. Kuyathakazelisa ukuthi akekho noyedwa kulabo abaphendulile ababike i-anemia owake wathatha i-testosterone. I-anemia ijwayelekile phakathi kwabesifazane be-cisgender ngesikhathi sokukhulelwa. Kodwa-ke, ukukhulelwa kungaba yisikhathi esiyinselele ngokomzwelo. Amadoda angamaTransgender nabantu abadlulayo abakhulelwayo bavame ukuhlolelwa imiphakathi yabo. Njengoba uKaci esho, “Akukho lutho ngokwemvelo njengowesifazane noma ngowesifazane mayelana nokukhulelwa, ukukhulelwa, noma ukubeletha. Asikho isitho somzimba, noma ukusebenza komzimba, okunobulili ngokwemvelo. Uma umzimba wakho ukwazi ukukhulelwa umbungu, futhi leyo yinto ovele uyifune - ngabe ingeyakho, futhi. ” Abantu abathola i-dysphoria yezobulili bangathola ukuthi le mizwa iyaqina njengoba umzimba wabo uguquka ukwamukela ukukhulelwa. Inhlangano yezenhlalo yokukhulelwa nobufazi kanye nobufazi nayo ingaholela ekuhluphekeni. Ukuyeka ukusetshenziswa kwe-testosterone nakho kungakhuphula imizwa ye-dysphoria yezobulili. Kubalulekile ukuqaphela ukuthi ukungakhululeki kanye ne-dysphoria akunikezwa kubo bonke abantu abadlulayo abakhulelwayo. Eqinisweni, abanye abantu bathola ukuthi isipiliyoni sokukhulelwa nokubeletha sithuthukisa ukuxhumana kwabo nemizimba yabo. Umthelela ongokomzwelo wokukhulelwa ubuswa ngokuphelele yilowo nalowo muntu ngokuhlangenwe nakho kwakhe.

Ukulethwa

Abaphathi bocwaningo bathole ukuthi iphesenti eliphakeme labantu ababike ukusetshenziswa kwe-testosterone ngaphambi kokukhulelwa babelethwe ngokuhlinzwa (isigaba se-C), yize umehluko wawungabalulekanga ngokwezibalo. Kuyafaneleka futhi ukuphawula ukuthi amaphesenti angama-25 abantu ababene-C-section abakhethiwe ukwenza kanjalo, mhlawumbe ngenxa yokungahambi kahle noma eminye imizwa ezungeze ukulethwa kwesitho sangasese sowesifazane. Abaphenyi baphetha ngokuthi ukukhulelwa, ukubeletha, kanye nemiphumela yokuzalwa akuhlukile ngokusetshenziswa kwangaphambili kwe-testosterone. Yize kudingeka olunye ucwaningo, lokhu kuphakamisa ukuthi imiphumela ye-transgender, transmasculine, kanye nabantu abangathobeli ubulili iyefana naleyo yabesifazane be-cisgender.

Ngemuva kokubeletha

Kubalulekile ukuthi ukunakwa okukhethekile kunikezwe izidingo ezihlukile zabantu be-transgender ngemuva kokubeletha. Ukucindezeleka kwangemva kokubeletha kukhathaza kakhulu. Ucwaningo lukhombisa ukuthi owesifazane oyedwa kwabayisikhombisa be-cisgender babhekana nokudangala kwangemva kokubeletha. Njengoba kunikezwe ukuthi umphakathi we-trans uhlangabezana namazinga aphakeme kakhulu ezimo zempilo yengqondo, nawo angathola ukucindezeleka kwangemva kokubeletha ngamanani aphezulu. Indlela yokondla usana olusanda kuzalwa kungenye into ebalulekile. Uma ukhethe ukwenza i-bilate mastectomy, ungahle ungakwazi ukuncelisa. Labo abangazange bahlinzwe okuphezulu, noma abake baba nezinqubo ezifana nokuhlinzwa okuphezulu kwe-periareolar, basengakwazi ukuncelisa esifubeni. Noma kunjalo, kukumuntu ngamunye ukuthi unquma ukuthi ukuncelisa isifuba kuzizwa kufanele yini kubo. Yize kusamele kube nesifundo samadoda angama-transgender kanye ne-lactation, i-testosterone exogenous kade yasetshenziswa njengendlela yokunciphisa i-lactation. Lokhu kuphakamisa ukuthi labo abathatha i-testosterone ngenkathi bencelisa amabele bangathola ukukhiqizwa okwehlisiwe obisini. Unalokhu engqondweni, kubalulekile ukuthi ubheke ukuthi ukubambezela ukubuyela kwakho ekusebenziseni kwe-testosterone kuyindlela efanelekile kuwe.

Uma ungasenayo noma ungazalwanga ngesibeletho

Ngokwazi kwethu, akukakabi khona icala lokukhulelwa kumuntu ngamunye we-AMAB. Kodwa-ke, intuthuko kubuchwepheshe bokuzala ingenza lokhu kube nokwenzeka esikhathini esizayo esiseduze kubantu abaye baba nezitho zobulili nalabo abangazalwanga benamaqanda noma isibeletho.

Ukukhulelwa ngokufakelwa kwesibeletho

Ingane yokuqala ezalwe ngesibeletho esitshalwe kabusha yafika eSweden ngo-Okthoba ka-2014. Ngenkathi le nqubo isesezigabeni zayo zokuqala zokuhlola, ezinye izingane eziningana zizalwe ngale ndlela. Muva nje, umndeni waseNdiya wamukela umntwana ophuma esibelethweni esitshalwe kabusha, icala lokuqala elinjalo ezweni. Vele, njengabo ubuchwepheshe obuningi obunjalo, le ndlela yathuthukiswa kucatshangelwa abesifazane be-cisgender. Kepha abaningi baqale ukuqagela ukuthi le nqubo ingasebenza nakwabesifazane be-transgender nakwabanye abantu be-AMAB. UDkt.Richard Paulson, owayengumongameli we-American Society for Reproductive Medicine, uphakamise ukuthi ukufakelwa kwesibeletho kwabesifazane abadlulayo kanye nabantu bakwa-AMAB sekungenzeka manje. Wengeze wathi, "Kuzoba nezinselelo ezingezekile, kepha angiboni ukuthi kukhona inkinga ebonakalayo ezoyivimba." Kungenzeka ukuthi ukwengeza ukuphindaphinda izigaba zehomoni ngesikhathi sokukhulelwa kungadingeka. Isigaba sokuhlinzwa sizoba nesidingo nakulabo abahlinzwe ngokuqinisekiswa kobulili.

Ukukhulelwa ngomgogodla wesisu

Kuphakanyisiwe futhi ukuthi kungenzeka ukuthi abantu be-AMAB bathwale ingane engxenyeni yesisu. Abantu benze lokhu kweqa kususelwa eqinisweni lokuthi amaphesenti amancane kakhulu amaqanda afakwa ngaphandle kwesibeletho kulokho okwaziwa ngokuthi yi-ectopic pregnancy. Kodwa-ke, ukukhulelwa kwe-ectopic kuyingozi enkulu kumzali okhulelwe futhi kudinga ukuhlinzwa. Ucwaningo oluningi luzodinga ukwenziwa ukwenza lokhu kube yinto engenzeka kubantu abangenaso isibeletho, futhi noma kunjalo, kubonakala kungenakwenzeka neze ukuthi lokhu kungaba yindlela esebenzayo kumzali onethemba.

Okubalulekile

Ngokuqonda kwethu kuguquka njalo, kubalulekile ukuhlonipha iqiniso lokuthi ubulili bomuntu abunqumi ukuthi bangakhulelwa yini. Amadoda amaningi abe nezingane zawo, futhi abaningi abaningi bazokwenza kanjalo ngokuzayo. Kubalulekile ukuthi ungabandlululi labo abakhulelwa, futhi kunalokho uthole izindlela zokunikela ngezindawo eziphephile nezisekelayo ukuze bakhe imindeni yabo. Ngokufanayo, kubonakala sengathi kungenzeka ukuthi ukufakelwa kwesibeletho nobunye ubuchwepheshe obuvelayo kuzokwenza ukuthi abantu be-AMAB bakwazi ukuthwala nokuzala izingane zabo. Into engcono kakhulu esingayenza ukuxhasa nokunakekela bonke abantu abakhetha ukukhulelwa, kungakhathalekile ubulili babo kanye nobulili ababelwe lapho bezalwa. UKC Clements ungumbhali we-queer, nonbinary ozinze eBrooklyn, NY. Umsebenzi wabo usebenza ngokuzibandakanya kwe-queer kanye ne-trans, ubulili nobulili, impilo nokuphila kahle ngombono oqondile womzimba, nokunye okuningi. Ungahambisana nabo ngokuvakashela i- iwebhusayithi, noma ngokuzithola zivuliwe Instagram futhi Twitter.