Ngaba amadoda angakhulelwa?

Umxholo

• Ingenzeka?
• Ukuba unesibeleko kunye namaqanda
• Ukuzalelwa
• Ukukhulelwa
• Ukuhanjiswa
• Emva kokubeleka
• Ukuba awusenayo okanye awuzalwanga ngesibeleko
• Ukukhulelwa ngokufakelwa kwesibeleko
• Ukukhulelwa ngokusebenzisa isisu esiswini
• Umgca wezantsi

Ingenzeka?

Ewe kunokwenzeka ukuba amadoda akhulelwe kwaye azale abantwana. Ngapha koko, kusenokwenzeka ukuba yinto exhaphake kakhulu kunokuba ucinga. Ukuze sikwazi ukucacisa, kuyakufuneka siqhekeze ezinye zeempazamo malunga nendlela esiliqonda ngayo igama elithi "umntu." Ayingabo bonke abantu ababelwe amadoda xa kuzalwa (i-AMAB) echonga njengamadoda. Abo bayenzayo ngamadoda "e-cisgender". Ngokuchaseneyo, abanye abantu ababelwe ababhinqileyo ekuzalweni (i-AFAB) bachonga njengamadoda. Aba bantu banokuba ngabantu be "transgender" okanye abantu be-transmasculine. I-Transmasculine isetyenziselwa ukuchaza umntu we-AFAB ochonga okanye ozisa kwicala lendoda eyimbonakalo. Lo mntu unokuchonga njengendoda okanye naliphi na inani lolwazi lwesini kubandakanya okungafunekiyo, isini, okanye i-agender. Uninzi lwabantu be-AFAB abachonga njengamadoda okanye abangachongi njengabafazi banamalungu okuzala ayimfuneko ukuthwala umntwana. Kukwakhona neetekhnoloji ezivelayo ezinokwenza ukuba abantu be-AMAB bathwale umntwana. Amalungu akho okuzala kunye neehomoni anokutshintsha ukuba ukukhulelwa kujongeka kanjani, kodwa isini sakho asikho- kwaye akufuneki sithathelwe ingqalelo njengomda othintelayo.

Ukuba unesibeleko kunye namaqanda

Abanye abantu abanesibeleko kunye namaqanda, abekho kwi-testosterone, kwaye bachonge njengamadoda okanye hayi njengabafazi abanokunqwenela ukukhulelwa. Ngaphandle kokuba uthathe i-testosterone, inkqubo yokukhulelwa iyafana naleyo yomfazi we-cisgender. Apha, siza kugxila kwinkqubo yokuthwala umntwana kunye nokuzala abantu be-AFAB abanesibeleko kunye nama-ovari, kwaye, okanye abekho, kwi-testosterone.

Ukuzalelwa

Kulabo bakhetha ukuthatha i-testosterone, ii-mens ziyema kwisithuba seenyanga ezintandathu zokuqalisa unyango lwehomoni (HRT). Ukuze ukhulelwe, umntu kuya kufuneka ayeke ukusetyenziswa kwe testosterone. Okwangoku, akuqhelekanga ngokupheleleyo kubantu abakwi-testosterone ukuba bakhulelwe ekubeni bangabelani ngesondo kwilungu lobufazi elingakhuselekanga. Ngenxa yokunqongophala kophando kunye nokwahluka kwe-physiology nganye, akukacaci ncam ukuba ukusetyenziswa kwe testosterone ngokukuko kuyindlela yokuthintela ukukhulelwa. U-Kaci, indoda eneminyaka engama-30 etshintshileyo okhulelwe kabini, uthi oogqirha abaninzi baxoka beqala i-testosterone ukuba izakubenza bangabi namntwana. "Nangona kuncinci kakhulu uphando olwenziweyo malunga nokukhulelwa okungahambelaniyo ngokwesini okanye iimpembelelo ze-HRT ekuzaleni, [idatha] ekhoyo iyafumaneka ngendlela eyothusayo." Thatha iziphumo zengxelo enye ka-2013, umzekelo. Abaphandi baphonononge i-41 ye-transgender yamadoda kunye nabantu be-transmasculine abayekile ukuthatha i-testosterone kwaye bakhulelwa. Bafumanise ukuba uninzi lwabaphenduli banako ukukhulelwa umntwana kwiinyanga ezintandathu zokumisa i-testosterone. Abahlanu kwaba bantu bakhulelwe bengakhange baqale ukuya exesheni kwakhona. Ukukhulelwa kunokwenzeka ngeendlela ezininzi, kubandakanya ukulala ngesondo kunye nokusebenzisa iitekhnoloji zokunceda ukuzala (AST). I-AST inokubandakanya ukusebenzisa isidoda okanye amaqanda kwiqabane okanye umnikeli.

Ukukhulelwa

Abaphandi kuvavanyo olukhankanyiweyo lwe-2013 abafumananga mahluko mkhulu ekukhulelweni phakathi kwabo benzayo nabangazange basebenzise i-testosterone. Abanye abantu baye baxela uxinzelelo lwegazi, ukuqala komsebenzi, ukuphazamiseka kweplacental, kunye ne-anemia, kodwa la manani ayengqinelana nalawo amabhinqa e-cisgender. Into enomdla kukuba, akukho namnye kwabo baphendulayo baxele i-anemia eyakhe yathatha i-testosterone. I-anemia ixhaphake phakathi kwabafazi be-cisgender ngexesha lokukhulelwa. Nangona kunjalo, ukukhulelwa kunokuba lixesha elinzima ngokweemvakalelo. Amadoda e-Transgender kunye nabantu be-transmasculine abakhulelweyo bahlala befumana ukuvavanywa kwiindawo abahlala kuzo. Njengokuba uKaci esitsho, “Akukho nto ngokwemvelo ibufazi okanye ubufazi malunga nokumitha, ukukhulelwa, okanye ukuzala. Akukho lungu lomzimba, okanye umsebenzi womzimba, ofanelwe ngokwesini. Ukuba umzimba wakho uyakwazi ukukhulelwa umntwana ongekazalwa, kwaye yinto oyifunayo- yeyakho nawe. ” Abantu abanamava edysphoria yesini banokufumanisa ukuba ezi mvakalelo ziya ziqina njengoko umzimba utshintsha ukulungiselela ukukhulelwa. Umanyano lwentlalontle lokukhulelwa kwabasetyhini kunye nobufazi nako kunokukhokelela kukungonwabi. Ukuyeka ukusetyenziswa kwe testosterone kunokonyusa iimvakalelo zesini sedysphoria. Kubalulekile ukuba uqaphele ukuba ukungonwabi kunye nedysphoria ayinikiwe kubo bonke abantu abakhulelweyo abakhulelweyo. Ngapha koko, abanye abantu bafumanisa ukuba amava okukhulelwa kunye nokuzala anyusa unxibelelwano lwabo nomzimba wabo. Impembelelo yeemvakalelo zokukhulelwa zichazwe ngokupheleleyo ngamava omntu ngamnye.

Ukuhanjiswa

Abalawuli bophando bafumanise ukuba ipesenteji ephezulu yabantu abaxele ukusetyenziswa kwe testosterone ngaphambi kokukhulelwa babenesiqhelo sokuhambisa (C-icandelo), nangona umahluko wawungabalulekanga ngokwezibalo. Kukwafanelekile ukuba uqaphele ukuba iipesenti ezingama-25 zabantu ababenecandelo le-C abonyulelwe ukwenza njalo, mhlawumbi ngenxa yokungakhululeki okanye ezinye iimvakalelo ezimalunga nokuhanjiswa kwelungu lobufazi. Abaphandi bagqiba kwelokuba ukukhulelwa, ukuhanjiswa, kunye neziphumo zokuzalwa azifani ngokokusetyenziswa kwe testosterone ngaphambili. Nangona uphando oluthe kratya luyimfuneko, oku kuphakamisa ukuba iziphumo ze-transgender, i-transmasculine, kunye nabantu abangathobeliyo ngokwesini ziyafana nezabafazi be-cisgender.

Emva kokubeleka

Kubalulekile ukuba kunikwe ingqalelo ekhethekileyo kwiimfuno ezizodwa zabantu abadlulayo emva kokubeleka. Ukudakumba emva kokubeleka kukukhathazeka ngokukodwa. Izifundo zibonakalisa ukuba i-1 kwayi-7 ye-cisgender yabasetyhini inamava oxinzelelo lwasemva kokubeleka. Ngenxa yokuba uluntu oluhamba nawo lufumana amaqondo aphezulu kakhulu ezempilo yengqondo, banokufumana uxinzelelo lwasemva kokubeleka kumanani aphezulu. Indlela yokondla usana olusandul 'ukuzalwa yenye yezinto ezibalulekileyo. Ukuba ukhethe ukuba une-mastectomy yamazwe amabini, usenokungabinakho ukubamba. Abo bangakhange benze utyando oluphezulu, okanye babe neenkqubo ezinje nge-periareolar top surge, basenokukwazi ukutyisa isifuba. Okwangoku, kuye umntu ngamnye ukuba athathe isigqibo sokuba ingaba ukuncancisa amabele kukuziva kufanelekile na. Nangona kusafuneka kufundwe malunga ne-transgender yamadoda kunye nokuncancisa, i-testosterone exogenous kudala isetyenziswa njengendlela yokucinezela i-lactation. Oku kuphakamisa ukuba abo bathatha i-testosterone ngelixa lokuncancisa banokufumana ukuncipha kwemveliso kubisi. Ngale nto engqondweni, kubalulekile ukuqaphela ukuba ukulibazisa ukubuyela kwakho ekusebenziseni i-testosterone lukhetho olufanelekileyo kuwe.

Ukuba awusenayo okanye awuzalwanga ngesibeleko

Kulwazi lwethu, akukabikho meko yokukhulelwa kumntu we-AMAB. Nangona kunjalo, inkqubela phambili kwitekhnoloji yokuzala inokwenza ukuba oku kube kunokwenzeka kwixesha elizayo kubantu abakhe banesibeleko kunye nabo bangazalwanga benamaqanda okanye isibeleko.

Ukukhulelwa ngokufakelwa kwesibeleko

Usana lokuqala oluzelwe kwisibeleko esityalweyo lwafika eSweden ngo-Okthobha ka-2014. Ngelixa le nkqubo isekwinqanaba layo lokuqala lokulinga, abanye abantwana abaninzi bazelwe ngale ndlela. Kutshanje, usapho eIndiya lwamkela usana olusuka kwisibeleko esikhulelweyo, okokuqala kwimeko enjalo elizweni. Ewe kunjalo, njengobuchwephesha obuninzi obunje, le ndlela yaphuhliswa inabafazi be-cisgender engqondweni. Kodwa uninzi sele luqalisile ukuthelekelela ukuba le nkqubo inokusebenza nakwabasetyhini be-transgender nakwabanye abantu be-AMAB. Ugqirha Richard Paulson, owayesakuba ngumongameli weAmerican Society for Reproductive Medicine, wacebisa ukuba ukufakelwa kwesibeleko kwabafazi abadlulayo kunye nabantu be-AMAB banokwenzeka ngoku. Uye wongeza wathi, "kuzakubakho imiceli mngeni eyongezelelweyo, kodwa andiboni ngxaki icacileyo eza kuyithintela." Kungenzeka ukuba ukuxhaswa ukuphindaphinda izigaba ze-hormonal ngexesha lokukhulelwa kuya kuba yimfuneko. Icandelo le-Cesarean liya kuba yimfuneko kwabo baye benza utyando lokuqinisekiswa kwesini.

Ukukhulelwa ngokusebenzisa isisu esiswini

Kukwacetyisiwe ukuba kunokwenzeka ukuba abantu be-AMAB bathwale usana kwisisu esiswini. Abantu bayenzile le leap ngokusekwe kwinto yokuba ipesenti encinci kakhulu yamaqanda achunyiswa ngaphandle kwesibeleko kwinto eyaziwa ngokuba kukukhulelwa kwe-ectopic. Nangona kunjalo, ukukhulelwa kwe-ectopic kuyingozi enkulu kumzali okhulelweyo kwaye kufuna utyando. Inani elibalulekileyo lophando liya kufuna ukwenziwa ukwenza oku kube yinto enokwenzeka kubantu abangenaso isibeleko, kwaye nangona kunjalo, kubonakala kungenakulindeleka ukuba le ibe yinto efanelekileyo yokuba ngumzali onethemba.

Umgca wezantsi

Ngokuqonda kwethu kuhlala kuguquka, kubalulekile ukuba uyihlonele into yokuba isini somntu asimiseli ukuba banokukhulelwa. Amadoda amaninzi aye aba nabantwana bawo, kwaye uninzi luya kwenza njalo kwixa elizayo. Kubalulekile ukuba ungababeki phantsi kwabo bakhulelweyo kucalucalulo, endaweni yoko ufumane iindlela zokubonelela ngemeko ekhuselekileyo nenenkxaso kubo ukuze bakhe iintsapho zabo. Ngokukwanjalo, kubonakala ngathi kunokwenzeka ukuba ukufakelwa kwesibeleko kunye nezinye iitekhnoloji ezivelayo ziya kwenza ukuba abantu be-AMAB bathwale kwaye bazale abantwana babo. Eyona nto sinokuyenza kukuxhasa kunye nokukhathalela bonke abantu abakhetha ukukhulelwa, ngaphandle kwesini sabo kunye nesini ababelwe sona ekuzalweni. I-KC Clements yindlovukazi engabhalwanga eseBrooklyn, NY. Umsebenzi wabo ujongana ne-queer kunye ne-trans yesazisi, isini kunye nokwabelana ngesondo, impilo kunye nokuphila kakuhle ngokwembono yomzimba, nokunye okuninzi. Unako ukugcina kunye nabo ngokutyelela zabo iwebhusayithi, okanye ngokuzifumana zivuliwe I-Instagram kwaye Twitter.