I-hermaphrodite ngumuntu ozalelwa ngokungafani phakathi kwama-genitalia abo wangaphakathi kanye nama-genitalia angaphandle. Leli gama elithi hermaphrodite lavela ekuhlanganiseni amagama enkulunkulu ongumGreki nonkulunkulukazi uHermes no-Aphrodite. Kwabaningi, igama elithi hermaphrodite liyamcasula. Kunalokho, igama elithi intersex likhethwa.
Yini ehlukanisa i-Intersex
Ngokujwayelekile, ubulili bomuntu bunqunywa izitho zangaphakathi zobulili zangaphakathi nezangaphandle, izigonads, nezici zobunikazi zesibili ezivela ekukhuleni.
Izimo ze-Intersex zenzeka uma kunesici kwinqubo evamile yokuvuthwa ngokocansi okuholela ekungajwayelekile. Indlela ukusungulwa kwezokwelapha okuphatha ngayo lezi zimo kuqhubeka kuhamba, kusukela nini futhi nini ukuxilonga, futhi kanjani futhi nini ukuphatha. Ngaphezu kwalokho, kungani lezi zimo zenzeka namanje aziwa.
Imigomo Ehlukahlukene, Izimo Ezihlukahlukene
Imigomo, ubulili obuphakathi, ubulili besithathu, ubulili besithathu, izakhi zobulili ezingenangqondo, i-pseudohermaphrodite, i-hermaphrodite yamanga, i-hermaphrodite yangempela, i-pseudohermaphrodite yamadoda, i-pseudohermaphrodite yabesifazane, isetshenziselwa ukuchaza lesi simo. Ngamunye uvame ukuchaza izici ezihlukene zalesi simo.
Isibonelo, uma umuntu ezalwa enezitho zangasese ezingenakulinganiswa ngokulinganayo njengendoda noma yowesifazane, kodwa ulala endaweni ethile, eyaziwa ngokuthi yizici zobulili ezingenangqondo. Kodwa-ke, lo muntu ubhekwa njengelungu elimangalayo noma i-pseudohermaphrodite. Lezi zimiso ezimbili zokugcina zibhekwa njengezicasula futhi zidideka.
Ngakho-ke, ukusetshenziswa kwezikhathi zokuphazamiseka kwesigceme sokuthuthukiswa kocansi (nge-DSD) ngezinye izikhathi kuthandwa.
Ezimweni lapho kukhona khona i-penis ne-vagin, lo muntu ubhekwa njenge-hermaphrodite yangempela. Kodwa akulona lokho okulula, ama-DSD angahlukaniswa ngamaqembu amathathu:
- I-pseudohermaphrodite yamadoda, ehlanganisa ama-XY abesifazane njengabesifazane abane-androgen ephelele yokungenwa kwemvelo (uma umuntu onesifo sofuzo engamelana nama-hormone wesilisa, abizwa ngokuthi i-androgens);
- I-pseudohermaphrodite yowesifazane, ehlanganisa abesifazane abathintekayo njengalabo abane-hyperplasia ebelethwe ngokubeletha, eyenzeka lapho ama-gland angenalo i-enzyme edingekayo ukwenza ama-hormone;
- I-hermaphrodite yangempela.
Iyini iHermaphrodite Eqinisweni?
Kuye kwaba nokucwaninga kwamacala okuphetha ngokuthi i-hermaphrodite yeqiniso iyindoda ejwayelekile evamile, eyatholakala ukuthi ine-Sertoli Cell Only Syndrome (i-SCOS), okuyisimo esivimbela lowo ogulayo ekudaleni isidoda futhi esinomzimba we-testicular. Ukuhlolwa kwe-testes kungabonisa ukuthi i-ovarian, i-fallopian tube, i-myometrial, i-endometrial, ne-epididymal izicubu zikhona. Le nhlanganisela yezinto ezitholakele itholakala cishe engxenyeni yesithathu yama-hermaphrodites weqiniso.
Ukuhlinzwa kwe-Intersex
Uma kuziwa emiphumeleni yesikhathi eside yezinqubo ezisiza ukuphatha i-DSD isayensi isisencane. Kukhona izingxabano mayelana nalapho ukwelashwa noma ukuqinisekiswa kobulili kufanele kwenzeke. Kube khona ezinye izifundo ezizama ukuhlunga lokhu, noma kunjalo.
Ucwaningo oluthile oluvela eBrazil lwathola ukuthi ukwenza okwesilisa kuguquko lwesifazane, i-genitoplasty yezinsikazi ezihlanganisa i-vulvoplasty, i-clitoroplasty, ne-YV i-flame flap yanikeza imiphumela emihle yokuziqeda futhi esebenzayo kumantombazane aphile kahle nge-congrenital adrenal hyperplasia, enezinkinga ezimbalwa.
Ngaphezu kwalokho, le ndlela yokuhlinzwa yavimbela isidingo se-neovaginaplasty.
Uma owesifazane ekuguqulweni kwesilisa kudingekile, khona-ke i-genitoplasty yamadoda, lapho kudala khona izidakamizwa zesilisa, kwenziwa.
Imithombo:
I-Androgen yokungabi nesifo senhliziyo; I-US Library Yezokwelapha; I-MEDLINE
Ceci M, Calleja E, U-E, U-Gatt N. Udaba lweHermaphroditism Eqinisweni Ukwethulwa njenge-Tumorular Tumor. Imibiko Yezindaba ku-Urology . 2015; 2015: 598138. i-doi: 10.1155 / 2015/598138.
I-Creighton S. Surgery ye-intersex. JR Soc Med. 2001 Meyi; 94 (5): 218-220.
I-Houk CP, uHughes IA, Ahmed SF, Lee PA; IKomidi Yokubhala Ye-International Intersex Consensus Conference Abahlanganyeli. Isifinyezo sesitatimende sokuvumelana mayelana nezinkinga ze-intersex kanye nabaphathi babo. I-International Intersex Consensus Conference. Izingane zokwelapha. 2006 Aug; 118 (2): 753-7.
USircili MHP, et al. Imiphumela ye-anatomical kanye neyomsebenzi ye-genitoplasty ye-feminic ye-genitalia engacabangi ezigulini ezinezinkinga ezibangelwa ukubeletha okubangelwa i-adrenal hyperplasia. Imitholampilo , ngo-2006 Juni, 61 (3), 209-214.