Ukuhlinza kabusha ucansi - kuyini futhi kwenziwa nini?

Ukuhlinzwa kokunikezelwa kabusha kocansi kuyinqubo ende, enezigaba eziningi, eyinkimbinkimbi futhi ebizayo. Kukhethwa abantu abazimisele abazizwa bevaleleke emizimbeni yabo. Lawa amadoda azizwa abesifazane nabesifazane abazizwa amadoda. Yiziphi izigaba zokwabiwa kabusha kobulili? Iyini le nqubo futhi yiziphi izimo okudingeka zilashwe?

1. Kuyini ukuhlinzwa kokunikezelwa kabusha kobulili?

Umsebenzi wokushintsha ubulili (ukuhlinzwa kokuqinisekisa ubulili) yiqembu lezinqubo zokuhlinzwa kanye nengxenye yokwelashwa kwe-dysphoria yobulili i-transgender. Lena inqubo eyinkimbinkimbi kakhulu okuhloswe ngayo ukushintsha ukubukeka Oraz imisebenzi yezici zocansi labo ababelwe emphakathini wabobulili obuhlukile.

Ukujwayela umzimba ku-psyche kuyingxenye yenqubo enkulu ukuguquka kwezocansi. Ukwelashwa okuphelele akunakuhlehliswa.

Abantu abanquma ukuhlinzwa ukuze banikezwe ubulili abakwamukeli ubulili babo, okusho umzimba nokubukeka. Ngomqondo ongokomfanekiso, bazizwa bevalelwe emizimbeni yabo, engabavumeli ukuba baveze imizwa yabo, babe ngokwabo futhi baphile ngokuvumelana nemvelo yabo. Lawa amadoda azizwa abesifazane nabesifazane abazizwa amadoda.

2. Imibandela yokusebenza

Imisebenzi yokwabiwa kabusha kocansi ingaphansi kwenqubo yokulungiselela shemales ukuhlinzwa. Isisekelo sokushintsha ubulili bokuhlinzwa akuwona nje umuzwa wokuhluka kanye nokuntuleka kokuhlonza ngokomzimba ngobulili bomuntu, kodwa futhi ukuxilongwa:

• transsexualism, okungukuthi ukungagunyazwa ngokobulili. Bese kuphulwa ubunikazi bobulili babantu, bazihlanganisa nabobulili obuhlukile futhi abakwamukeli ukubukeka kwabo,
• intersex, eyaziwa nangokuthi i-hermaphroditism. Inezinhlelo ezimbili zokuzala (owesilisa nowesifazane), enye yazo eqala ukubusa.

Ukuze kwenziwe umsebenzi wokushintsha ucansi, umuntu onentshisekelo kukho kumele ahlangabezane nemibandela eminingi. Kuyadingeka:

• ukuqedwa kokuthuthukiswa kwengqondo,
• ukwelashwa ngama-hormone,
• ukulungiswa ngokwengqondo kwesiguli nomndeni waso,
• ukulawulwa okusemthethweni kwesimo sesiguli.

Omunye wama-transsexuals wokuqala ukwenza i-hysterectomy kanye ne-gonadectomy ngo-1917 kwaba UDkt. Alan L. Hart. Ngo-1931, owesifazane wokuqala we-transgender wenza i-vaginoplasty. UDora Richter.

EPoland, ukuhlinzwa kokushintsha ubulili kube kowesilisa okokuqala kwenziwa ngo-1937, futhi kusukela kowesilisa kuya kowesifazane ngo-1963.

3. Kubukeka kanjani ukuhlinzwa kokunikezelwa kabusha kobulili?

Inqubo yokwabiwa kabusha kobulili iqala ngokuthi ucwaningo lwezengqondo i ezocansi. Ukuxilongwa kufanele kusekele ukuphazamiseka kobunikazi bobulili.

Isinyathelo esilandelayo Ukuhlolwa kwaselabhorethri Oraz ukuhlolwa okubukwayonjengokuthi, isibonelo, ukuzimisela kwezinga lamahomoni, i-EEG kanye ne-computed tomography. Okulandelayo ukwelashwa kwamahomoningaleyo ndlela ethuthukisa izici okuthiwa zibangelwa abobulili obuhlukile.

Unyaka owodwa ngemuva kokuqala kokwelashwa kwe-hormonal, kufanele uhambise Faka isicelo ukushintsha ucansi. Abazali bommangali omdala, kanye nomlingani kanye nezingane, bayabandakanyeka enkantolo. Izinyathelo ezilandelayo ukungenelela kokuhlinzwa ngenxa yezizathu zezokwelapha.

4. Ukuhlinza kabusha ucansi kusuka kowesifazane kuya kowesilisa

Ukushintsha kokusebenza kocansi kusuka kowesifazane kuya kowesilisa yilokhu:

• i-mastectomy (ukususwa kwebele),
• i-panhysterectomy (i-radical hysterectomy, i.e. ukususwa komzimba nomlomo wesibeletho kanye nengaphezulu lesitho sangasese sowesifazane), ukususwa kwama-ovari namashubhu e-fallopian,
• ukwakhiwa komzimba wokufakelwa kwe-penile kusuka ku-flap yemisipha yesisu. Kungenzeka futhi ukudala ipipi kusuka ku-clitoris, ekhula ngaphansi kwethonya le-testosterone. I-scrotum ye-silicone testicular prostheses yenziwe i-labia majora.

5. Ukuhlinzwa Kokubuyiselwa Ubulili Kwabesilisa Nabesifazane

Ukushintsha ubulili busuka kowesilisa buye kowesifazane kudinga:

• i-orchiectomy (ukususwa kwesende kanye nentambo yesidoda),
• ukumila kwesitho sangasese sowesifazane (ukwakha izitho zangaphandle ngaphandle kwesitho sangasese esijulile, okusho ukuthi awukwazi ukufaka isitho sakho sangasese noma wenze isitho sangasese sowesifazane sijule ngokwanele ukuze wenze ucansi).

Uma ushintsha ubulili bube kowesifazane, izenzo zihlanganisa:

• ukufakwa kokufakelwa,
• Ukususwa kwe-apula lika-Adamu,
• ukuhlinzwa kwepulasitiki: ama-cheekbones, ukusika izimbambo noma ukususwa kwezinwele nge-laser.

Iyini imiphumela yokuhlinzwa kokunikezwa kabusha kobulili? Ngemva kokuguqulwa okuphelele, hhayi kuphela ubulili ngomqondo wenyama oguqukayo, owesifazane uba indoda, futhi indoda iba ngowesifazane - ngokusho kwencwadi yomthetho.

6. Kubiza malini ukushintsha ucansi?

Ukuhlinza kabusha ucansi kuyinqubo ende (kuze kufike eminyakeni emi-2), enezigaba eziningi, eyinkimbinkimbi futhi ebizayo. Kufanele ulungele ukusebenzisa phakathi kwe-PLN 15 kanye ne-PLN 000. Inombolo yabo incike esikalini sezinguquko. ayabiza kakhulu izinqubo zokulungisa zokwabiwa kabusha kobulili kusuka kowesifazane kuye kowesilisa. Ukwelashwa kwenziwa emadolobheni amakhulu ezweni lonke. Ukushintsha ubulili ePoland akunxeshezelwa.

Jabulela izinsiza zezokwelapha ngaphandle kolayini. Yenza isikhathi sokubonana nochwepheshe nge-e-prescription kanye nesitifiketi se-e-mail noma ukuhlolwa kwa-abcHealth Thola udokotela.