ʻano Wahine Kāne
Nānaina
ʻO ka maʻi wahine kāne (gender dysphoria) kahi manaʻo kaumaha e hiki ke loaʻa i ka wā e ʻokoʻa ai ka ʻike kāne o ke kanaka mai ke kāne i hāʻawi ʻia i ka wā hānau.
Loaʻa i kekahi poʻe transgender a me nā kāne like ʻole ka maʻi wahine kāne i kekahi manawa o ko lākou ola. Akā, manaʻo nā kāne transgender a me nā kāne like ʻole e kūpono lākou me ko lākou kino a me ko lākou ʻike kāne, ʻaʻole lākou i loaʻa ka maʻi wahine kāne.
Hoʻokomo ʻia kahi hōʻailona no ka maʻi wahine kāne i loko o ka Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Ua paʻi ʻia ka DSM-5 e ka American Psychiatric Association. Ua hana ʻia ka hōʻailona e kōkua i nā kānaka me ka maʻi wahine kāne e loaʻa i ka mālama ola kino a me ka mālama e pono ai lākou. ʻO ka hōʻailona o ka maʻi wahine kāne e nānā ana i ka manaʻo kaumaha ma ke ʻano he pilikia, ʻaʻole ka ʻike kāne.
Nā hōʻailona
ʻO ka hoʻomaopopo ʻana i ka wahine a me ke kāne, ʻo ia ka manaʻo kūloko o ka wahine a i ʻole ke kāne, a i ʻole ma kahi waena o ka spectrum o ke kāne a me ka wahine, a i ʻole ka manaʻo kūloko o ke kāne a me ka wahine. ʻO ka poʻe i loaʻa i ka gender dysphoria, ua manaʻo lākou i kahi ʻokoʻa nui ma waena o ko lākou gender identity a me ko lākou sex i hāʻawi ʻia i ka wā hānau. ʻO ka gender dysphoria he ʻokoʻa ia mai ka hahai ʻole wale i nā ʻano hana stereotypical gender. Loaʻa iā ia nā manaʻo kaumaha ma muli o ka makemake ikaika a lōʻihi e lilo i kekahi gender. Hiki ke hoʻomaka ka gender dysphoria i ka wā kamaliʻi a hoʻomau i nā makahiki ʻōpio a me ka wā makua. Akā hiki i kekahi poʻe ke loaʻa nā manawa i ʻike ʻole ai lākou i ka gender dysphoria. A i ʻole paha e like me ka hele mai a hele aku nā manaʻo. Loaʻa i kekahi poʻe ka gender dysphoria i ka wā e hoʻomaka ai ka puberty. I nā poʻe ʻē aʻe, ʻaʻole paha ia e ulu a hiki i ka wā ma hope. Hiki i kekahi mau ʻōpio ke hōʻike i ko lākou manaʻo o ka gender dysphoria i ko lākou mau mākua a i ʻole kahi loea olakino. Akā hiki i nā poʻe ʻē aʻe ke loaʻa nā hōʻailona o kahi maʻi mood, hopohopo a me ke kaumaha. A i ʻole paha he pilikia pilikanaka a i ʻole pilikia ma ke kula.
Nā pilikia
ʻO ka poʻe i loaʻa iā lākou ka gender dysphoria pinepine nā mea i hoʻopilikia ʻia a me ka hoʻokae ʻia. Hiki i kēlā ke alakaʻi i ke kaumaha mau a me ka makaʻu. Ke kapa ʻia nei kēia he gender minority stress. Hiki ke paʻakikī ke komo i nā lawelawe olakino a me nā lawelawe olakino noʻonoʻo. Hiki kēia ma muli o ka nele o ka uhi ʻinikua, ka hōʻole ʻia ʻana o ka mālama, ka pilikia e ʻimi i kahi limahana olakino me ka ʻike ma ka mālama transgender a i ʻole ka makaʻu i ka hoʻokae ʻia ʻana i nā wahi mālama olakino. ʻO ka poʻe me ka gender dysphoria i loaʻa ʻole iā lākou ke kākoʻo a me ka mālama e pono ai, aia lākou i ka pilikia kiʻekiʻe o ka noʻonoʻo ʻana a i ʻole ka ho'āʻo ʻana e pepehi kanaka.
ʻImi ʻike
I loko o nā ʻōpio a me nā pākeke, ʻo ka hōʻailona ʻana o ka gender dysphoria e komo pū ana ka pilikia ma muli o ka ʻokoʻa o ka ʻike kāne mai ka wahine i hāʻawi ʻia i ka wā hānau e mau ana ma kahi o ʻeono mahina a komo pū ana i ʻelua a ʻoi aku paha o kēia mau mea ma lalo nei:
- Ka ʻokoʻa ma waena o ka ʻike kāne a me nā ʻano wahine a i ʻole nā ʻano wahine lua. ʻO nā hiʻohiʻona o kēlā mau ʻano, ʻo ia nā umauma a me ka lauoho maka. I loko o nā ʻōpio ʻōpio i hoʻomaka ʻole i ka wā ʻōpiopio, hiki i ka pilikia ke hoʻokumu ʻia e ka ʻokoʻa ma waena o ka ʻike kāne a me nā ʻano wahine lua a lākou e manaʻo ai e ulu i loko o ko lākou kino.
- Ke makemake nui e hoʻopau i nā ʻano wahine a i ʻole nā ʻano wahine lua, a i ʻole ke makemake e pale aku i ka ulu ʻana o nā ʻano wahine lua.
- Ke makemake nui e loaʻa nā ʻano wahine a me nā ʻano wahine lua o kekahi kāne.
- Ke makemake nui e lilo a i ʻole e mālama ʻia e like me kekahi kāne.
- Ke manaʻo nui nei e loaʻa ana nā manaʻo a me nā hana maʻamau o kekahi kāne.
ʻO ka gender dysphoria pū kekahi me ka pilikia e paʻakikī ai ke mālama i ka hana, ke kula, nā kūlana pilikanaka a me nā ʻāpana ʻē aʻe o ke ola o kēlā me kēia lā.
Ka mālama ʻana
ʻO ke kumu o ka mālama ʻana, ʻo ia ka hoʻoluʻolu ʻana i ka gender dysphoria. ʻO nā pahuhopu kūikawā no ka mālama ʻana i ka gender dysphoria e hilinaʻi ana i ke kanaka.
Inā loaʻa iā ʻoe ka gender dysphoria, he mea nui ia ke ʻimi i kahi limahana olakino akamai i ka mālama ʻana i nā kānaka like ʻole i ke kāne a me ka wahine. Inā pono ʻoe i ke kōkua, hiki iā ʻoe ke nānā ma ka pūnaewele no nā hui e like me ka World Professional Association for Transgender Health (WPATH). Hāʻawi ʻo WPATH i kahi huli ma kāna pūnaewele e hiki ai ke ʻimi i nā limahana olakino ma kou wahi e hana pū ana me nā kānaka transgender a me nā kānaka like ʻole i ke kāne a me ka wahine.
ʻO ka mālama lapaʻau o ka gender dysphoria paha e komo pū me:
- Ka hormone therapy e hōʻoiaʻiʻo ai i ke kino me ka ʻike kāne a wahine.
- Ka ʻoki kino e hōʻoiaʻiʻo ai i ke kino me ka ʻike kāne a wahine, e like me nā kaʻina hana e hana ai i nā loli i ka umauma, nā ʻano kino a i ʻole nā hiʻohiʻona o ka maka.
ʻO ka mālama lapaʻau kūikawā e pili ana i nā pahuhopu o ke kanaka, me ka loiloi ʻana i nā pilikia a me nā pōmaikaʻi. Hiki nō hoʻi ke pili nā mālama i nā kūlana ʻē aʻe o ke kanaka. Hiki i nā pilikia pilikanaka a me nā pilikia waiwai ke pāʻani i ka hana ʻana i kahi hoʻolālā mālama.
- Ka loiloi ʻana i ka mōʻaukala lapaʻau pilikino a me ka ʻohana.
- Ka nānā kino.
- Nā hoʻokolohua lapaʻau.
- Ka loiloi ʻana i nā lāʻau pale.
- Nā hoʻokolohua palekana no kekahi mau kūlana a me nā maʻi.
- Ka ʻike ʻana a me ka mālama ʻana, inā pono, i ka hoʻohana ʻana i ka paka, ka hoʻohana ʻana i nā lāʻau lapaʻau, ka hoʻohana ʻana i ka waiʻona, a me ka maʻi HIV a i ʻole nā maʻi moekolohe ʻē aʻe.
- Ke kūkākūkā e pili ana i ka hānau keiki a me nā kaʻina hana e pono ai e mālama i ka hānau keiki.
Hiki nō hoʻi ke hana ʻia ka loiloi olakino ʻano hana e kahi limahana olakino akamai i ka olakino transgender. Hiki i ka loiloi ke loiloi:
- Nā pahuhopu olakino kāne a wahine.
- Nā pilikia olakino noʻonoʻo.
- Nā pilikia olakino moekolohe.
- Ka hopena o ka gender dysphoria ma ka hana, ma ke kula, ma ka home a ma nā wahi pilikanaka.
- Ka hoʻohana ʻana i nā mea hoʻohana a i ʻole ka hoʻohana ʻana i ka hormone therapy a i ʻole nā mea hoʻohui ʻole i ʻōlelo ʻia e kahi limahana olakino.
- Ke kākoʻo mai ka ʻohana, nā hoaaloha a me nā mea aloha ʻē aʻe.
- Nā pahuhopu, nā pilikia a me nā manaʻolana o ka mālama.
ʻO ke kumu o ka mālama olakino ʻano hana, ʻo ia ka hoʻomaikaʻi ʻana i ka maikaʻi o ka noʻonoʻo a me ke ola. ʻAʻole ia i manaʻo ʻia e hoʻololi i ka ʻike kāne a wahine. Ma kahi o kēlā, hiki i kēia mālama ke kōkua i nā kānaka e ʻimi i nā pilikia kāne a wahine a loaʻa nā ala e hoʻoluʻolu ai i ka gender dysphoria.
Hiki i ka mālama olakino ʻano hana ke komo pū me ka kūkākūkā pilikino, nā kāne a me nā wahine, nā ʻohana a me nā hui e kōkua i nā kānaka:
- Ke hoʻoponopono nei i ka hopena noʻonoʻo a me ka manaʻo o ke kaumaha e hopena mai i ka hoʻokae a me ka hoʻokae ma muli o ka ʻike kāne a wahine. Ke kapa ʻia nei kēia he gender minority stress.
- Ke hoʻomohala nei i kahi hoʻolālā e hoʻoponopono ai i nā pilikia e pili ana i ka kaʻana like ʻana i ka ʻike kāne a wahine me ka ʻohana, nā hoaaloha, nā hoa hana a me nā mea ʻē aʻe.
- Ke ʻimi nei i ka moekolohe olakino.
- Ke hana nei i nā hoʻoholo e pili ana i nā koho mālama lapaʻau.
ʻO nā ala ʻē aʻe e hoʻoluʻolu ai i ka gender dysphoria paha e komo pū me ka hoʻohana ʻana i:
- Ka inoa a me nā huaʻōlelo e hōʻoiaʻiʻo ai.
- Ke kūkākūkā leo a me ke kamaʻilio ʻana e hoʻomohala i nā hiʻohiʻona leo e hoʻopili pono ai i ka ʻike kāne a wahine.
- Ka wehe ʻana i ka lauoho a i ʻole nā lauoho lauoho.
- Genital tucking.
- Chest binding.
- Breast padding.
- Genital packing.
- Nā lawelawe kānāwai e kōkua i nā inoa a me nā loli kāne ma nā palapala kānāwai.
- Nā lawelawe e kōkua i ke ʻano, e like me ka pena a i ʻole nā lole.
- Nā lawelawe pilikanaka a me ke kaiāulu e kōkua i ka hoʻoponopono ʻana i nā pilikia e like me nā pilikia hana, ʻohana a i ʻole nā mākua.
E kamaʻilio me kāu limahana olakino e pili ana i ka mea hiki ke kōkua iā ʻoe.
ʻO ke kamaʻilio ʻana me nā kānaka transgender a i ʻole nā kānaka like ʻole i ke kāne a me ka wahine hiki nō hoʻi ke kōkua. E noi i kāu limahana olakino e pili ana i nā hui kākoʻo ma kou wahi. Loaʻa i kekahi mau kikowaena kaiāulu a i ʻole nā kikowaena LGBTQ+ nā hui kākoʻo. Loaʻa nō hoʻi nā hui kākoʻo ma ka pūnaewele.
Hōʻole: He kahua ʻike olakino ʻo ʻAukake a ʻaʻole hōʻike kāna mau pane i ka ʻōlelo aʻoaʻo lapaʻau. E kūkākūkā mau me kahi ʻoihana lapaʻau laikini kokoke iā ʻoe ma mua o ka hana ʻana i nā hoʻololi.
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