I-hermaphrodite ngumntu ozalelwa ngokungafani phakathi kohlobo lwaso lwangaphakathi kunye nezo zangaphandle. Igama elithi hermaphrodite lavela ekuhlanganiseni amagama oothixo ongumGrike nonkulunkulukazikazi uHermes noAphrodite. Kwabaninzi, igama elithi hermaphrodite liyakhathaza. Kunoko, igama elithi intersex likhethwa.
Yintoni echaza i-Intersex
Ngokuqhelekileyo, isondo somntu sisigxina ngamalungu angaphakathi ngokwesini nangaphandle, iigonads, kunye neempawu zesini zesibini ezibonakalayo ekufikeni.
Iimeko ze-Intersex zenzeka xa kukho isiphako kwinkqubo eqhelekileyo yokukhula komzimba ngokwesini esiphumela kwiimeko ezingaqhelekanga. Indlela ukusekwa kwezonyango kulawula ngayo le miqathango iqhubeka ijikeleza, ukususela njani kwaye nini ukuxilonga, kunye nendlela kwaye uphathwe ngayo. Ukongezelela, kutheni le miqathango ikhona ayengakaziwa.
Imiqathango eyahlukeneyo, iimeko ezahlukeneyo
Imigaqo, ubudlelwane be-intersex, isondo sesithathu, isini sesithathu, i-genitalia engabonakaliyo, i-pseudohermaphrodite, i-hermaphrodite yamangqina, i-hermaphrodite yinyani, i-pseudohermaphrodite yamadoda, i-pseudohermaphrodite yabesifazane, isetyenziselwa ukuchaza le meko. Ngamanye uqala ukuchaza imiba eyahlukileyo yale mqathango.
Ngokomzekelo, ukuba umntu uzalwe nge-genitalia engenakukwazi ukwahlula njengowesilisa okanye isetyhini, kodwa ilele kwindawo ethile phakathi, iyaziwa njengezitho zangasese ezingalunganga. Nangona kunjalo, lo mntu naye uthathwa njenge-hermaphrodite okanye i-pseudohermaphrodite. Le miqathango emibini yokugqibela ithathwa njengeyihlazo kwaye idideke.
Ngoko ke, ukusetyenziswa kwexesha lokuphazamiseka kwezesondo (DSD) ngamanye amaxesha kuthandwa.
Kwiimeko apho zombini i-penis ne-vagin zikhona, lo mntu uthathwa njengesilathisi sangempela. Kodwa akuyinto elula, i-DSD ingabelana ngamaqela amathathu:
- I-pseudohermaphrodite yamadoda, equka i-XYkazi njengabesifazana abane-syro-infections engapheliyo kunye ne-androgen (xa umntu ozalwe ngumzimba engamelana ne-hormone yamadoda, ebizwa nge-androgens);
- I-pseudohermaphrodite yowesetyhini, equka abafazi abancinci njengabo bazalwa nge-congenital adrenal hyperplasia, eyenzekayo xa i-adrenal glands ingenayo i-enzyme efunekayo ukwenza i-hormone;
- I-hermaphrodite yinyani.
Yintoni IHermaphrodite Yomntu?
Kukho uphando lweziganeko olugqiba ukuba i-hermaphrodite yeyona nto iyinto eqhelekileyo yowesilisa, oye wafunyaniswa ngokuba ne-Sertoli Cell Only Syndrome (i-SCOS), yimeko ekhusela umntu ogulayo ukuba akwazi ukudala isidoda kunye nesininzi sobukhulu bezityalo. Uvavanyo lweemvavanyo luyakubonisa ukuba i-ovarian, i-fallopian tube, i-myometrial, i-endometrial, ne-epididymal tissue ikhona. Le nhlanganisela yeziphumo zifunyenwe malunga nesinye kwisithathu se-hermaphrodites.
Ukugqithisa kwe-Intersex
Xa kuziwa kwiziphumo zexesha elide leenkqubo ezikunceda ukuphatha i-DSD isayensi isencinane. Kukho iingxoxo malunga nokuba unyango okanye ukuqinisekiswa ngokwesini kufuneka kwenzeke. Kukho izifundo ezizama ukuluhluza oku, nangona kunjalo.
Olunye uphando oluvela eBrazil lufumene ukuba ukwenza isondo kwinguqulelo yesibini, i-genitoplasty yabesifazane ehlanganisa i-vulvoplasty, i-clitoroplasty, kunye ne-YV i-flap-flap ivelise iziphumo ezinononophelo kunye nezomsebenzi kwiintombazana ezinobungqina obudala be-adrenal hyperplasia, ezinengxaki ezimbalwa.
Ukongezelela, le ndlela yokukhusela ikhusele isidingo se-neovaginaplasty.
Ukuba ibhinqa kwinguqu yendoda ilungile, ke i-genitoplasty yamadoda, apho i-genitalia yamadoda iyadalwa, yenziwe.
Imithombo:
I-Androgen yokungenwa ngumzimba; Ilayibrari yase-US yaseMithi; MEDLINE
Lo M, Calleja E, watsho uE, uGatt N. I-Case of Hermaphroditism eyiyo Ebonisa njengengqungquthela yoBungqina. Iingxelo zengxelo kwi-Urology . 2015; 2015: 598138. i-doi: 10.1155 / 2015/598138.
I-Creighton S. Surgery ye-intersex. JR Soc Med. 2001 ngoMeyi; 94 (5): 218-220.
Houk CP, uHughes IA, Ahmed SF, Lee PA; IKomiti yokuBhala kwiNgqungquthela yamazwe ngamazwe e-Intersex Consensus Conference. Isishwankathelo sesingqinelwaniso kwiingxaki ze-intersex kunye nolawulo lwazo. INgqungquthela yamazwe ngamazwe e-Intersex. Pediatrics. 2006 Agasti; 118 (2): 753-7.
Sircili MHP, et al. Iziphumo zesifo se-Anatomical and functional of femitzing genitoplasty kwisigulana esingenangqondo kwizigulane ezinezidalwa ezinobunzima be-congrenital hyperplasia. Iiklinikhi , ngo-2006 Juni, 61 (3), 209-214.