Chirwere chemuviri kune mumwe munhu anoberekwa ane mutsauko pakati penhengo dzomukati dzomukati uye nekunze kwenhengo dzomukati. Izwi rokuti hermaphrodite rakabva pakubatanidza mazita emwari wechiGiriki nemwarikadzikadzi Hermes naAphrodite. Kune vakawanda, shoko rokuti hermaphrodite rinokuvadza. Pane kudaro, shoko rokuti intersex rinoshandiswa.
Chii chinosarudza Intersex
Kazhinji, hupombwe hwemunhu hunotsanangurwa nhengo dzomukati nekunze dzepabonde, gonads, uye zvechipiri zvehupombwe dzinowanikwa pakupera.
Zvinonyanya kuitika pakati peEngsex kana pane urema mune zvakasarudzika zvehutano hwekuita zvepabonde izvo zvinoita kuti zvive zvisina kunaka. Nzira iyo kurapwa kwezvokurapa inogadzirisa mitemo iyi inoramba iri mumhepo, kubva pakuita uye nguva yekuongorora, uye kuti uye sei. Mukuwedzera, sei izvi zviitiko zvichiitika zvisingazivikanwi.
Various Various Terms, Various Conditions
Mashoko aya, intersex, zvechitatu zvepabonde, yechitatu yepabonde, mazita akasiyana-siyana, pseudohermaphrodite, nhema hermaphrodite, chokwadi hermaphrodite, mukomana pseudohermaphrodite, mukadzi pseudohermaphrodite, anoshandiswawo kurondedzera chiitiko ichi. Rimwe nerimwe rinotanga kurondedzera zvakasiyana-siyana zvechiitiko ichi.
Nemuenzaniso, kana munhu akaberekwa ane mazita emudzimai asingakwanise kuve akabatanidzwa sevarume kana vakadzi, asi anoreva pane imwe nzvimbo pakati, inozivikanwa semutauro wakaremara. Zvisinei, munhu uyu anoonekwawo seyemaphrodite yenhema kana pseudohermaphrodite. Aya mazwi maviri ekupedzisira anonzi anonyadzisa uye anotovhiringidza.
Nokudaro, kushandiswa kwemashoko ekutambudzika kwekukurudzira zvepabonde (DSD) dzimwe nguva kunoshandiswa.
Muzviitiko apo zvose zvepenisina uye vaginhi zviripo, munhu uyu anonzi inonzi hermaphrodite yechokwadi. Asi hazvisi izvo zviri nyore, DSD inogona kuiswa mumapoka matatu:
- Mukadzi pseudohermaphrodite, iyo inosanganisira XY vakadzi vakaita sevakadzi vakakwana uyerorogen insensitivity syndrome (apo munhu ane genetically yemurume asingagumi kumhomoni dzevanhu, inonzi androgens);
- Mukadzi wechikadzi pseudohermaphrodite, iyo inosanganisira vakadzi vane mazamu akadai seavo vane congenital adrenal hyperplasia, iyo inowanikwa apo adrenal glands haasisina enzyme inodiwa kuita mahomoni;
- Ichokwadi chemhemirodite.
Chii Chinonzi Hermaphrodite Yechokwadi?
Pakave pane zvidzidzo zvinoitika zvinopedzisa kuti ichokwadi kuti hermaphrodite ndeyechimiro chinonzi phenotype yemurume, uyo akawana chirwere cheSertoli Cell Only Syndrome (SCOS), iyo inenge iyo inodzivirira munhu anorwara kuti ape mhombwe uye ine testicular mass. Kuongororwa kwee testes kunogona kuratidza kuti ovarian, fallopian tube, myometrial, endometrial, uye epididymal tissue iripo. Iko kusanganiswa kwekuwana kunowanikwa munenge chikamu chimwe chetatu chemakumbo echokwadi echemaphrodites.
Intersex Surgeries
Kana zvasvika kumigumisiro yenguva refu yemitemo inobatsira kubata DSD sayenzi ichiri mucheche. Pane nharo pamusoro pekuti kana kurapwa kana hutano hwepabonde hunofanira kuitika. Pakave nedzimwe zvidzidzo kuedza kuronga izvi, kunyange zvakadaro.
Chimwe chekudzidza kubva kuBrazil chakawana kuti pakuita kuti mukomana kuchinja chechikadzi, feminoplasty yevakadzi inosanganisira vulvoplasty, clitoroplasty, uye YV perineal flap yakabudisa mishonga yakanaka uye yebasa inogadziriswa nevasikana vane hutano ne congenital adrenal hyperplasia, ine zviduku zvishoma.
Mukuwedzera, nzira iyi yekuvhiya yakadzivirira kudiwa kweNeovaginaplasty.
Kana mukomana nemurume ari kuchinja kune zvakakodzera, zvino genitoplasty yemasimini, iyo inhengo yemurume yakaberekwa, inoitwa.
Sources:
Androgen insensitivity syndrome; US Library of Medicine; MEDLINE
Ceci M, Calleja E, Akati E, Gatt N. Nhoroondo yeHermaphroditism Yechokwadi Ichitaura seChipupuriro cheMupupuri. Case Reports in Urology . 2015; 2015: 598138. doi: 10.1155 / 2015/598138.
Creighton S. Surgery ye intersex. JR Soc Med. 2001 May; 94 (5): 218-220.
Houk CP, Hughes IA, Ahmed SF, Lee PA; Komiti Yokunyora yeInternational Consensus Conference Vakabatanidzwa. Nhaurirano yemashoko ekubvumirana pamusoro pezvinetso zvepabonde nehutungamiri hwavo. International Intersex Consensus Conference. Pediatrics. 2006 Aug; 118 (2): 753-7.
Sircili MHP, et al. Anatomical uye zvinobudirira zvinogadzirisa zvekudzivirira femitous genitoplasty nokuda kwebumbiro rakashata mumarwere ane huwandu hwepenital adrenal hyperplasia. Makliniki , 2006 June, 61 (3), 209-214.