Gender dysphoria

Gender dysphoria ndiro izwi rekunzwa kwakadzika kwekusaziva uye kushushikana kunogona kuitika kana bonde rako rezvakaberekwa risingaenderane nehunhu hwako. Munguva yakapfuura, izvi zvaidaidzwa kunzi kuzivikanwa kwechikadzi. Semuenzaniso, iwe unogona kupihwa pakuzvarwa semukadzi wechikadzi, asi iwe unonzwa kudzika kwemukati pfungwa yekuve murume. Mune vamwe vanhu, kusagadzikana uku kunogona kukonzera kusagadzikana kwakanyanya, kushushikana, kushushikana, uye mamwe mamiriro ehutano hwepfungwa.

Kuzivikanwa kwevakadzii manzwiro aunoita uye kuziva, anogona kunge ari echikadzi, echirume, kana ese ari maviri. Gender inowanzo kupihwa pakuzvarwa, zvichibva pamucheche ane chitarisiko chekunze (nhengo dzesikarudzi) yemurume kana mukadzi zvichienderana nekuvakwa kwevanhu kwehurongwa hwebhinari hwevakadzi vaviri (murume kana mukadzi).

Kana hunhu hwako hwechikadzi hwakaenzana nehunhu hwawakapihwa iwe pakuberekwa, izvi zvinonzi cisgender. Semuenzaniso, kana iwe wakaberekwa biologically semurume, uye iwe uchizivisa semurume, iwe uri murume wecisgender.

Transgender inoreva kuzivisa sehunhu hwakasiyana nehunhu hwehunhu hwakapihwa pawakazvarwa. Semuenzaniso, kana wakazvarwa biologically munhukadzi uye ukapihwa mukadzi wechikadzi, asi iwe unonzwa kudzika kwemukati pfungwa yekuve murume, iwe uri murume ane transgender.

Vamwe vanhu vanoratidza hunhu hwavo munzira dzisingakodzere mutsika dzechinyakare dzehunhu dzechirume kana dzechikadzi. Izvi zvinodaidzwa kuti hazvisi-zvebhinari, zvechikadzi zvisingaenderane, zvevakadzi kana zvevakadzi. Kazhinji, vanhu vazhinji vanochinja-chinja havaone sevasina-bhanari.

Izvo zvakakosha kuti utaure kuti vanhu vanonetsekana transgender vanhu vanogona kunzwa nekuda kwekuve nemuviri wechikadzi asiri wechikadzi unoshungurudza zvakanyanya. Nekuda kweizvozvo, iyo transgender nharaunda ine yakakwira mwero yezvinetso zvehutano hwepfungwa uye njodzi yekuedza kuzviuraya.

Hapana anoziva chaizvo chinokonzeresa munhukadzi dysphoria. Dzimwe nyanzvi dzinodavira kuti mahormone ari muchibereko, magene, uye tsika nemamiriro ezvinhu zvinogona kubatanidzwa.

Vana nevakuru vanogona kusangana nevakadzi dysphoria. Zviratidzo zvinosiyana, zvinoenderana nezera remunhu, asi vanhu vazhinji vanoda kurarama nenzira inoenderana nehunhu hwavo. Semunhu mukuru, unogona kunge wakave nemanzwiro aya kubva paudiki.

Vana vanogona:

• Shingirira kuti ivo ndevamwe vakadzi
• Zvakasimba kuda kuve mumwe murume kana murume
• Unoda kupfeka mune mbatya dzinowanzo shandiswa nemumwe murume uye kuramba kupfeka hembe dzakabatana nehunhu hwavo
• Sarudza kuita zvakajairika mabasa eumwe murume kana murume mukutamba kana kufungidzira
• Sarudza matoyi uye zviitiko zvakajairika zvinofungidzirwa seizvo zveumwe mukadzi
• Zvakasimba sarudza kutamba nevana veumwe murume kana murume
• Inzwa kusada kwakasimba kwenhengo yavo yekubereka
• Unoda kuve nehunhu hwepanyama hweumwe murume kana murume

Vakuru vanogona:

• Vanoda kwazvo kuve mumwe murume (kana murume kana murume zvakasiyana neyavakapihwa pakuzvarwa)
• Unoda kuve nehunhu uye pabonde hunhu hweumwe murume kana murume
• Vanoda kubviswa nhengo yavo yekuberekesa
• Unoda kubatwa seumwe murume kana murume
• Unoda kutaurwa seumwe murume kana mukadzi (zvisazitasingwi)
• Yakasimba kunzwa uye kuita nenzira dzakabatana neyeumwe murume kana murume

Kushungurudzika kwepfungwa uye kushushikana kwevakadzi dysphoria kunogona kukanganisa chikoro, basa, hupenyu hwemagariro, tsika dzechitendero, kana zvimwe zvinzvimbo zvehupenyu. Vanhu vane echikadzi dysphoria vanogona kushushikana, kushushikana, uye mune dzakawanda zviitiko, kunyangwe kuzviuraya.

Izvo zvakakosha kwazvo kune vanhu vane echikadzi dysphoria kuti vagamuchire rutsigiro rwepfungwa uye rwemagariro uye nzwisiso kubva kune vezvekurapa. Paunenge uchisarudza mupi wezvehutano, tsvaga vanhu vakarovedzwa kuziva nekushanda nevanhu vane mukadzi dysphoria.

Kuti uongororwe, mupi wako anotora nhoroondo yako yekurapa uye, mune dzimwe nguva, ita ongororo yakazara yepfungwa. Gender dysphoria inoonekwa kana wanga uine zviratidzo zviviri kana kupfuura kwemwedzi mitanhatu.

Chinangwa chikuru chekurapa ndechekubatsira iwe kukunda kushungurudzika kwaunogona kunzwa. Unogona kusarudza danho rekurapa iro rinokubatsira kuti unzwe kugadzikana. Izvi zvinogona kusanganisira kukubatsira iwe kuchinjira kuchikadzi kwaunosangana nako.

Kurapa kwevakadzi dysphoria kwakasarudzika, uye kunogona kusanganisira:

• Kurairwa kwekubatsira iwe kuti unzwisise zvaunonzwa uye kukupa iwe nerutsigiro uye nehunyanzvi hwekugona
• Vaviri kana kuraira kwemhuri kubatsira kudzikisa kusawirirana, kugadzira kunzwisisana, uye nekupa nharaunda inotsigira
• Gender-inosimbisa hormone therapy (munguva yakapfuura yaidaidza hormone kutsiva kurapa)
• Gender-inosimbisa kuvhiya (munguva yakapfuura yaidaidzwa kuti kuvhiya -zvekuvhiya)

Havasi vese transgender vanhu vanoda marudzi ese ekurapa. Vanogona kusarudza imwe kana yakawanda yekurapa yakanyorwa pamusoro.

Usati waita sarudzo nezvekuvhiyiwa, zvingangodaro kuti iwe unenge watanga kuve nehurume-inosimbisa mahormone ekurapa uye wakararama sewe murume wako akasarudzika kwegore rimwe chete. Pane mhando mbiri dzekuvhiya: imwe inokanganisa kubereka, imwe haina. Haasi munhu wese anosarudza kuvhiyiwa, kana ivo vangasarudza imwe chete mhando yekuvhiya.

Kumanikidza kwenzanga uye kwemhuri uye kushomeka kwekugamuchirwa kunogona kukonzera kushushikana uye kushushikana uye zvimwe zvinhu zvehutano hwepfungwa. Ichi ndicho chikonzero zvakakosha kuti iwe ugamuchire kurairwa nerutsigiro mukati uye kunyangwe mushure mekuchinja kwako. Izvo zvakakoshawo kuva nerutsigiro rwepfungwa kubva kune vamwe vanhu, senge kubva kuboka rekutsigira kana kubva kushamwari dzepedyo uye mhuri.

Kuziva uye kubata echikadzi dysphoria kutanga kunogona kudzora mukana wekushushikana, kushungurudzika mupfungwa, uye kuzviuraya. Kuva munzvimbo inotsigira, kuve wakasununguka kuratidza hunhu hwako hwepabonde nenzira inoita kuti ugare wakasununguka, uye kunzwisisa zvaunogona kurapwa zvinogona kubatsira kudzikamisa kushushikana uye kushushikana.

Marapirwo akasiyana anogona kudzikamisa zviratidzo zvechikadzi dysphoria. Nekudaro, maitiro kubva kune vamwe kuchinjiso yemunhu kusanganisira zvemagariro uye zvemutemo matambudziko panguva yekushandurwa zvinogona kuramba zvichikonzera matambudziko nebasa, mhuri, chinamato, uye hupenyu hwemagariro. Kuve neyakasimba yehukama rutsigiro network uye kusarudza vanopa vane hunyanzvi mu transgender hutano hunovandudza zvakanyanya tarisiro yevanhu vane mukadzi dysphoria.

Ita musangano nemupi mupi ane hunyanzvi mumushonga we transgender kana iwe kana mwana wako aine zviratidzo zvechikadzi dysphoria.

Gender-incongruent; Transgender; Gender kuzivikanwa kusagadzikana

• Varume nevakadzi maitiro ekubereka

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Garg G, Elshimy G, Marwaha R. Gender dysphoria. Mu: StatPearls. Treasure Island, FL: StatPearls Kudhinda; PMID: 30335346 pubed.ncbi.nlm.nih.gov/30335346/.

Hembree WC, Cohen-Kettenis PT, Gooren L, uye al. Endocrine kurapwa kwevakadzi-dysphoric / vanhu vechikadzi-vasinga tsanangurike vanhu: Endocrine Society kiriniki yekudzidzira nhungamiro. J Clin Endocrinol Metab. 2017; 102 (11): 3869-3903. PMID: 28945902 www.ncbi.nlm.nih.gov/pubmed/28945902/.

Yakachengeteka JD, Tangpricha V. Kuchengetwa kweTransgender Persons. N Engl J Med. 2019; 381 (25): 2451-2460. PMID: 31851801 pubmed.ncbi.nlm.nih.gov/31851801/.

Shafer LC. Dambudziko repabonde uye kusagadzikana pabonde. Mune: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Massachusetts General Hospital Yakakwana Clinical Psychiatry. 2nd ed. Philadelphia, PA: Elsevier; 2016: chits.

Chena PC. Kukura pabonde uye kuzivikanwa. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 220.