Bengidinga Okungaphezu Kokunikezwa Isilinganiso Sokwelapha Kwezokwelapha - Nakhu Engikutholile
-Delile
- Kujwayelekile ukubuza
- KULUNGILE ukwesaba
- Ungakutholaphi ukwesekwa
- Yini ukwelashwa kobulili
- Yini ukwelashwa kobulili okungeyona
- Ukuqonda i-dysphoria yezobulili
- Njengokuxilongwa
- Njengokuhlangenwe nakho
- Ukuhlolwa kobulili, ukuzwakalisa, kanye nokuqina
- Ukungenelela kwezokwelapha
- Ukungenelela okungelashwa
- Umehluko phakathi kokugcinwa kwesango nemvume enolwazi
- Ungamthola kanjani umelaphi wobulili
- Yini ongayibuza ongaba ngumelaphi
- Okubalulekile
Okukhethwe: Mere Abrams. Idizayiniwe nguLauren Park
Kujwayelekile ukubuza
Noma kungalingani endimeni oyinikezwe wena, uzizwa ungakhululekile ngezinkolelo-ze, noma ulwa nezitho zomzimba wakho, abantu abaningi babhekana nesici esithile sobulili babo.
Futhi lapho ngiqala ukuzibuza ngezami, nganginemibuzo eminingi kunezimpendulo.
Eminyakeni emi-2 engiyichithe ngihlola ubulili bami, ngagunda izinwele zami ezinde, ezisontekile, ngaqala ukuthenga kuzo zombili izingxenye zezingubo zabesilisa nabesifazane, futhi ngaqala ukubopha isifuba sami ukuze sibonakale sithambile.
Isinyathelo ngasinye siqinisekise ingxenye ebalulekile yokuthi ngingubani. Kepha ukuthi ngikhombe kanjani futhi amalebuli achaza ngokunembile ubulili nomzimba wami ayeseyizimfihlakalo kimi.
Engangikwazi ngokuqinisekile ukuthi angizange ngizihlanganise nobulili kuphela engabelwa bona ngesikhathi sokuzalwa. Kwakunokuningi ebulilini bami kunalokho.
KULUNGILE ukwesaba
Umcabango wokudalula imibuzo yami nemizwa yami kubangani nomndeni ngaphandle kokuqonda kahle okwami uzwakale usabisa ngokumangazayo.
Kuze kube yilelo phuzu, ngangizame kanzima ukukhomba futhi ngenze ubulili abantu abahlotshaniswa nobulili engabelwe nabo nobulili obuqokiwe ngesikhathi sokuzalwa.
Futhi yize bengingahlali ngijabule noma ngikhululekile kuleso sigaba, ngikwenze kwasebenza ngezindlela ebengazi ngazo.
Iminyaka engiyichithe ngiphila ngempumelelo njengomuntu wesifazane nokudunyiswa engikuthole ngezikhathi lapho ngenza leyo ndima kahle kwangibangela ukuba ngibe nokungabaza izici zobunikazi bami bobulili obuqotho.
Ngangivame ukuzibuza ukuthi ngabe kufanele ngilungele ubulili engabunikwa bona esikhundleni sokuqhubeka nokuthola nokuqinisekisa okwami.
Lapho isikhathi esiningi esidlulayo, futhi ngikhululeka ngokwengeziwe ekuvezeni kwami kobulili, izici ezithile zomzimba wami zabonakala zigqamile njengomthombo omkhulu wokungakhululeki.
Isibopho sami sesifuba, ngokwesibonelo, ngake ngazizwa ngiqinisekisa izingxenye zami ezingezona ezami engangizidinga ukuzihlanganisa futhi ngazibonela abanye.
Kodwa kwaba yisikhumbuzo sansuku zonke sobuhlungu nosizi engabhekana nalo; ukubonakala kwesifuba sami bekuphikisana nokuthi ngingubani.
Ungakutholaphi ukwesekwa
Ngokuhamba kwesikhathi, ngibonile ukukhathazeka kwami ngobulili nesifuba sami kunomthelela omubi emoyeni wami, empilweni nasemzimbeni jikelele.
Ngizizwa ngilahlekelwe ukuthi ngizoqala ngaphi - kepha ngokwazi ukuthi angifuni ukuqhubeka nokuzizwa ngale ndlela - ngaqala ukufuna usizo.
Kodwa angizange ngidinge nje ukwesekwa okujwayelekile ezungeze impilo yami yengqondo. Bengidinga ukukhuluma nomuntu onoqeqesho nobungoti kwezobulili.
Ngangidinga ukwelashwa ngokobulili.
Yini ukwelashwa kobulili
Ukwelashwa kobulili kugxile kuzidingo zenhlalo, ezingokwengqondo, ezingokomzwelo nezingokomzimba zalabo aba:
- babuza ubulili
- bengazizwa kahle ngezici zobulili babo noma zomzimba
- babhekene ne-dysphoria yezobulili
- bafuna ukungenelela okuqinisekisa ubulili
- ungakhombi kuphela ubulili babo obuqokiwe ngesikhathi sokuzalwa
Awudingi ukukhomba njengokunye ngaphandle kwe-cisgender ukuze uzuze ekwelashweni ngokobulili.
Kungasiza kunoma ngubani:
- izizwa ivinjelwe izindima zobulili bendabuko noma imibono eyeqisayo
- ifuna ukuthuthukisa ukuqonda okujulile kokuthi bangobani
- ifuna ukuthuthukisa ukuxhumana okujule kakhulu emzimbeni wabo
Yize abanye abelaphi abajwayelekile bengathola imfundo noqeqesho oluyisisekelo lokwehlukahlukana kobulili, kungahle kunganeli ukunikeza ukwesekwa okwanele.
Ochwepheshe bezobulili bafuna ukuqhubeka nemfundo, ukuqeqeshwa, nokubonisana ngobuchwepheshe ukuze ufunde kabanzi mayelana:
- ubulili
- ukwehluka kobulili, kufaka phakathi ubunikazi obungabhalwanga
- ubulili dysphoria
- ukungenelela kokuqinisekisa ubulili ngendlela engeyona eyezokwelapha
- amalungelo ama-transgender
- ukuzula ubulili kuzo zonke izici zokuphila
- ucwaningo olufanele nezindaba ngalezi zihloko
Izidingo zawo wonke umuntu zehlukile, ngakho-ke ukwelashwa ngokobulili kwenzelwe umuntu ngamunye. Kungafaka izinto ze:
- ukwelashwa kwengqondo
- ukuphathwa kwamacala
- imfundo
- ukumela
- ukubonisana nabanye abahlinzeki
Abelaphi bezobulili abasebenzisa indlela yokuqinisekisa ubulili bayabona ukuthi ukwehluka kobulili kuyingxenye eyenzeka ngokwemvelo yokuba ngumuntu hhayi inkomba yokugula ngengqondo.
Ukuba nokwethulwa kobulili okungaguquguquki noma ubunikazi obungesibo be-cisgender, ngokwakho, akudingi ukuxilongwa, ukuhlolwa okuhlelekile kwengqondo, noma ukwelashwa kwengqondo okuqhubekayo.
Yini ukwelashwa kobulili okungeyona
Umelaphi wobulili akufanele azame ukukuxilonga ngenxa yobunikazi bakho noma azame ukushintsha umqondo wakho.
Awudingi imvume noma imvume yokwelashwa ukuze ube yilokho oyikho.
Udokotela wobulili kufanele nikeza imininingwane nokusekelwa okungakusiza uqonde kangcono futhi uxhumane nezici eziyinhloko zakho.
Ochwepheshe bezobulili abahambelani nomqondo wokuthi kukhona "indlela elungile" yokuzwa, yokuhlanganisa, noma yokuveza ubulili.
Akufanele bakhawulele noma bathathe izinketho zokwelashwa noma izinhloso ngokususelwa kumalebula noma ulimi olusetshenziselwe ukuzichaza.
Ukwelashwa kobulili kufanele kugxile ekusekeleni ulwazi lwakho lomuntu siqu nobudlelwano nomzimba wakho.
Umelaphi wobulili akufanele nanini acabange ubulili bakho, akuphoqelele ebulilini, noma azame ukukukholisa ukuthi awuyena owobulili obuthile.
Ukuqonda i-dysphoria yezobulili
Ubulili i-dysphoria kokubili ukuxilongwa kwezokwelapha kanye negama elisetshenziswe ngokungahleliwe, elifana nokudangala noma ukukhathazeka.
Kungenzeka ukuthi othile abe nemizwa ye-dysphoric ngaphandle kwenqubo yokuhlangana yokuxilongwa, ngendlela efanayo umuntu angathola imizwa yokudangala ngaphandle kokuhlangabezana nenqubo yomtholampilo yokudangala.
Njengokuxilongwa kwezokwelapha, kubhekisa ekuziphatheni okungathandeki noma ekucindezelekeni okungabangelwa ukungqubuzana phakathi kocansi lomuntu olumisiwe lapho ezalwa nobulili.
Uma isetshenziswe ngokungahleliwe, ingachaza ukuhlangana, ukucabanga, noma izici zomzimba ezingazizwa ziqinisekisa noma zifaka ubulili bomuntu obuzwakalisiwe noma obunolwazi.
Njengokuxilongwa
Ku-2013, kushintshe ukuxilongwa kwezokwelapha kusuka ekuphazamisekeni kobulili kuya kwi-dysphoria yobulili.
Lolu shintsho lusizile ekulweni nokucwaswa, ukungaqondi, kanye nokubandlululwa okubangelwa ukungahanjiswa kahle njengokugula kwengqondo lokho esikwaziyo manje ukuthi kuyisici semvelo nesinempilo sobunikazi.
Ilebuli ebukeziwe iguqula ukugxila kokuxilongwa kusuka kubunikazi bobulili kuye ekucindezelekeni, ukungakhululeki, kanye nezinkinga ezisebenza empilweni yansuku zonke exhunywe ebulilini.
Njengokuhlangenwe nakho
Ukubukeka nokubonakala kwe-dysphoria kungashintsha kusuka kumuntu kuye komunye, isitho somzimba kuye engxenyeni yomzimba, futhi ngokuhamba kwesikhathi.
Kungaba nakho maqondana nokubukeka kwakho, umzimba, kanye nendlela abanye abantu ababona futhi basebenzisane ngayo nobulili bakho.
Ukwelashwa ngokobulili kungakusiza uqonde, uphathe, futhi unciphise i-dysphoria noma eminye imizwa yokungakhululeki ehlobene nobunikazi nokukhuluma.
Ukuhlolwa kobulili, ukuzwakalisa, kanye nokuqina
Kubalulekile ukukhumbula ukuthi abantu bafuna ukwelashwa ngokobulili ngezizathu ezahlukahlukene.
Lokhu kufaka:
- ukuhlola ukuqonda kwakho kobunikazi bobulili
- ukusekela othandekayo ozulazula ngokobulili
- ukufinyelela ukungenelela okuqinisekisa ubulili
- ukubhekana ne-dysphoria yezobulili
- ukuphatha ukukhathazeka ngempilo yengqondo ngokujwayelekile
Izinyathelo ezithathiwe ukuhlola, ukuzinqumela wena, nokuqinisekisa ubulili bakho noma bomunye umuntu kuvame ukubizwa ngokuthi ukungenelela noma izenzo zokuqinisekisa ubulili.
Imvamisa, imithombo yezindaba eningi nezinye izindawo zigxila ezindleleni abantu abaqinisekisa ngazo ubulili babo noma ikheli ledysphoria besebenzisa umuthi nokuhlinzwa.
Kodwa-ke, maningi amanye amasu okusiza abantu ukuthi bahlole, baveze, futhi baqinisekise le ngxenye yokuthi bangobani.
Nakhu okunye kokungenelela okuvamile kakhulu kwezokwelapha kanye nezindlela zokwelashwa abazijwayele abelaphi bezobulili.
Ukungenelela kwezokwelapha
- ukwelashwa kwamahomoni, kufaka phakathi ukuvimba ukuthomba, ama-testosterone blocker, imijovo ye-estrogen, kanye nemijovo ye-testosterone
- ukuhlinzwa kwesifuba, okubizwa nangokuthi ukuhlinzekwa okuphezulu, kufaka phakathi ukubhucungwa kwesifuba, ubufazi besifuba, nokwengezwa kwamabele
- ukuhlinzwa okuphansi, okubizwa nangokuthi ukuhlinzwa okuphansi, kufaka phakathi i-vaginoplasty, i-phalloplasty, ne-metoidioplasty
- ukuhlinzwa kwentambo yezwi
- ukuhlinzwa kobuso, kufaka phakathi ubufazi besifazane nobuso besilisa
- i-chondrolaryngoplasty, eyaziwa nangokuthi i-tracheal shave
- ukunquma komzimba
- ukususwa kwezinwele
Ukungenelela okungelashwa
- ulimi noma ilebula lobunikazi liyashintsha
- ushintsho lwegama lomphakathi
- ukushintshwa kwegama elisemthethweni
- ushintsho lokumaka ubulili ngokusemthethweni
- isabizwana siyashintsha
- ukubopha isifuba noma ukuthepha
- tucking
- izinguquko zezinwele
- izinguquko zokugqoka nezesitayela
- ukufinyelela
- izinguquko zokwenza izimonyo
- izinguquko zomumo womzimba, kufaka phakathi amafomu webele nezingubo zokuma
- ushintsho lwezwi nokuxhumana noma ukwelashwa
- ukususwa kwezinwele
- ukudweba umzimba
- ukuzivocavoca nokuphakamisa izinsimbi
Umehluko phakathi kokugcinwa kwesango nemvume enolwazi
Ochwepheshe bezobulili nabasebenza ngezempilo yengqondo bavame ukunikwa umsebenzi wokuqondisa abantu ukuthi bazinqumele ngokwabo izinyathelo namasu azobasiza bazizwe bexhumeke kakhulu ebulilini nasemzimbeni wabo.
Imihlahlandlela yezokwelapha yamanje kanye nezinqubomgomo zomshuwalense kaningi (kodwa hhayi njalo) zidinga incwadi evela kochwepheshe abanempilo egunyaziwe yezempilo yengqondo ukuze bathole ukuvimba ukuthomba, ama-hormone, noma ukuhlinzwa.
Lesi sakhiwo samandla esivinjelwe - esakhiwe yisikhungo sezokwelapha futhi sisekelwa izinhlangano ezithile zobungcweti - saziwa njengokugcinwa kwamasango.
Ukugcinwa kwesango kwenzeka lapho uchwepheshe wezempilo yengqondo, umhlinzeki wezokwelapha, noma isikhungo kudala izithiyo ezingadingekile zokuthi umuntu anqobe ngaphambi kokuba athole ukunakekelwa okuqinisekisa ubulili.
Ukugcinwa kwamasango kugxekwa kakhulu ngumphakathi othengisayo nasezincwadini zezifundo. Kukhulunywa ngakho njengomthombo omkhulu wokucwaswa nokubandlululwa kwabantu abaningi abangaguquki, abangahambisani namabhinari, nobulili.
Ukugcinwa kwesango nakho kungaphazamisa inqubo yokwelashwa ngokobulili ngokwakha izimo ezingadikibalisa abantu ekutheni bangaqhamuki nemibuzo yezobulili.
Lokhu kungabeka ingcindezi engadingekile kumuntu ukuba asho "into elungile" ukuze anikezwe ukufinyelela kosizo aludingayo.
Imodeli yokuvuma enolwazi yokwelashwa yadalwa ngomzamo wokuhambisa umkhakha wezempilo yezobulili phambili.
Kuyabona ukuthi abantu bazo zonke izinhlobo zobulili kufanele babe nelungelo lokuzithathela izinqumo mayelana nezidingo zabo zokunakekelwa kwezempilo ezihlobene nobulili.
Amamodeli wemvume yokwaziswa yokwelashwa kobulili nokunakekelwa kwezempilo kwe-transgender kugxile kuzinhlangano zomuntu nokuzimela ngokungafani nokulungela nokufaneleka.
Ochwepheshe bezobulili abasebenzisa le modeli bafundisa amaklayenti ngohlu lwabo oluphelele lwezinketho ukuze bakwazi ukwenza izinqumo ezinolwazi oluphelele ngokunakekelwa kwabo.
Imitholampilo eminingi yobulili, abahlinzeki bezokwelapha, nezinqubomgomo zomshuwalense wezempilo seziqala ukuxhasa amamodeli wemvume enolwazi yokunakekelwa kwabavimbela ukuthomba namahomoni.
Kodwa-ke, imikhuba eminingi isadinga ukuhlolwa noma incwadi evela kokungenani ochwepheshe bezempilo yengqondo abanamalayisense wokuhlinzwa okuqinisekisa ubulili.
Ungamthola kanjani umelaphi wobulili
Ukuthola owelaphi ngokobulili kungaba yinselele, ngokusebenza nangokomzwelo.
Kuyinto evamile ukuba nokwesaba nokukhathazeka ngokuthola umelaphi osebenza njengomgcini-sango, onolwazi olunqunyelwe, noma o-transphobic.
Ukwenza le nqubo ibe lula, ezinye izinkomba zokwelashwa (ezinjengalezi ezivela ku-Psychology Today) zikuvumela ukuthi uhlunge ngokukhethekile.
Lokhu kungasiza kakhulu ekutholeni ochwepheshe abanolwazi noma abavulekele ukusebenza namakhasimende we-LGBTQ +.
Kodwa-ke, akuqinisekisi ukuthi umelaphi uthuthukile ngokuqeqeshwa noma ulwazi kwezokwelapha ngokobulili kanye nokunakekelwa kwezempilo okuqinisekisa ubulili.
I-World Professional Association yeTransgender Health yinhlangano yezobuchwepheshe efundisa imikhakha eyahlukene enikezelwe kwezempilo ye-transgender.
Ungasebenzisa umkhombandlela wabo ukuthola umhlinzeki oqinisekisa ubulili.
Ungakuthola kukusiza ukufinyelela esikhungweni sakho se-LGBT esiseduzane, isahluko se-PFLAG, noma umtholampilo wezobulili bese ubuza ngokwelashwa kobulili endaweni yakho.
Ungabuza futhi nabantu abangewona ama-cisgender empilweni yakho uma bazi ngezinsizakusebenza zasendaweni, noma uma bengakudlulisela kumelaphi wezobulili.
Uma unomshuwalense wezempilo, ungashayela umphathi wakho ukuthola ukuthi ngabe bakhona yini abahlinzeki bezempilo yengqondo abangaphakathi kwenethiwekhi abagxile ekunakekelweni kwe-transgender.
Uma ungahlali eduze nezinsizakalo ze-LGBTQ +, unezinselelo zokufinyelela ezintweni zokuhamba, noma ungathanda ukubona owelapha kusuka enduduzo yasekhaya, i-telehealth ingaba yindlela.
Yini ongayibuza ongaba ngumelaphi
Ngaso sonke isikhathi buza ngokuqeqeshwa kwabo kobungcweti kanye nesipiliyoni sokusebenza namakhasimende asebenzisa okungahambisani nezimo, okungahambisani nobulili, nokungabuzwa ngobulili.
Lokhu kusiza ukuqinisekisa ukuthi lowo ongaba ngumelaphi wakho usekuqedile ukuqeqeshwa okudingekayo.
Iphinda ikhiphe umthetho wokuthi noma ngubani ongazikhangisa njengomelaphi oqinisekisa ubulili noma uchwepheshe wezobulili ngoba nje amukela i-LGBTQ + noma abantu abadlulisayo.
Nayi imibuzo eyisampula ongayibuza ukusiza ukunquma ukuthi kungenzeka yini ukuthi owelapha ubulili angakulungela kahle:
- Usebenza kangaki namakhasimende we-transgender, nonbinary, kanye nemibuzo yobulili?
- Uyithathephi imfundo nokuqeqeshwa ngobulili, impilo ye-transgender, nokunikeza ukwelashwa kobulili?
- Iyini inqubo yakho nendlela ohlinzeka ngayo izincwadi zokuxhasa ukungenelela kokuqinisekisa ubulili?
- Ngabe udinga inani elithile lamaseshini ngaphambi kokubhala incwadi yokweseka ukungenelela kwezokwelapha okuqinisekisa ubulili?
- Ngabe ukhokhisa imali ethe xaxa ngencwadi yokusekela, noma ingabe ifakiwe emalini ekhokhwa ngehora?
- Ngabe kudingeka ukuthi ngizinikele emihlanganweni eqhubekayo yamasonto onke?
- Ingabe unikela ngezikhathi ezikude usebenzisa i-telehealth?
- Ngabe ujwayelane kangakanani nezinsizakusebenza ze-trans ne-LGBTQ + nabahlinzeki bezokwelapha endaweni yangakithi?
Uma bengenakho ukuqeqeshwa noma ubunzima bokuphendula imibuzo yakho mayelana nokuqeqeshwa kwabo okuqondene nobulili, kungaba uphawu lokuthi kufanele uhlole ezinye izinketho noma ushintshe okulindele.
Okubalulekile
Yize kungasabeka ukuthola umelaphi wobulili bese uqala ukwelashwa ngokobulili, abantu abaningi bakuthola kuyasiza futhi kunomvuzo ngokuhamba kwesikhathi.
Uma ufisa ukwazi ngobulili kodwa ungakulungele ngempela ukufinyelela kumelaphi, ungahlala uqala ngokuthola ontanga nemiphakathi online noma empilweni yangempela.
Ukuba nabantu abakwenza uzizwe uphephile futhi wamukelekile ukuthi ubashayele ucingo kungabaluleka kakhulu - noma ngabe ukuphi kwinqubo yokuhlola ubulili noma inqubo yokwelashwa.
Wonke umuntu ufanele ukuzwa ukuqonda nokuthokomala ebulilini nasemzimbeni wakhe.
UMere Abrams ungumcwaningi, umbhali, uthisha, umeluleki, kanye nesisebenzi sezenhlalakahle esinelayisense esifinyelela izethameli zomhlaba wonke ngokukhuluma esidlangalaleni, ngokushicilelwa, ngemidiya yezenhlalo (@meretheir), nangokwelashwa ngokobulili kanye nezinsizakalo zokweseka ezenziwa onlinegendercare.com. UMere usebenzisa ulwazi lwabo lomuntu siqu kanye nesizinda sobuchwepheshe esahlukahlukene ukusekela abantu abahlola ubulili nokusiza izikhungo, izinhlangano, kanye namabhizinisi ukukhulisa ukufunda ngobulili nokuthola amathuba okukhombisa ukufakwa kobulili emikhiqizweni, ezinsizeni, ezinhlelweni, kumaphrojekthi, nasekuqukethwe.