Uyini i-Gender Dysphoria? Izimpawu, Izimbangela, Nokwelashwa

I-Gender dysphoria ukucindezeleka okuvela ekuhlukaneni okukhulu phakathi kwesondo lakho lokuzimela nesondo owabelwe lona ekuzalweni. Kuyisimo sezempilo esiqondisiwe esingathinta abantu bazo zonke izinsuku, sibangele inselele yangempela yothando lapho kungekho ukuhambisana phakathi kokuthi uzizwa kanjani ngaphakathi nokuthi abanye bakubona kanjani.

Lo mkhuba uvame kakhulu kunokuba abantu abaningi bakwazi, futhi kubalulekile ukwazi ukuthi le miqondo iyalungile futhi ingaphathwa. Ukuqonda i-gender dysphoria kungakusiza wena noma umuntu omkhulekelayo ukuthi nihambe kule ndlela ngokucacile nangokusekelwa okukhulu.

Uyini i-Gender Dysphoria?

I-Gender dysphoria kwenzeka lapho umuzwa wakho wangaphakathi wokuba owesilisa, owesifazane, noma olunye ubulili ungafani nesondo owabelwe lona ekuzalweni. Lokhu kudala ukucindezeleka okuqhubekayo okungathinta kakhulu impilo yakho yansuku zonke nokuthula kwakho kwengqondo.

Igama eliyinhloko lapha yi "ukucindezeleka." Ukuphendula nje ubulili bakho noma ukuzizwa uhlukile akusho ukuthi une-gender dysphoria. Lesi simo sihlanganisa ngokukhethekile ukungakhululeki noma ukucindezeleka okuqhubekayo okuhlupha ikhono lakho lokusebenza ezindaweni ezibalulekile zempilo, umsebenzi, noma ezinye izindawo ezibalulekile zokuphila.

Kufanele kuqaphele ukuthi i-gender dysphoria ihlukile ekungafani kobulali. Abanye abantu bangase baveze ubulili babo ngezindlela ezingafani nezeluleko zenhlalo ngaphandle kokuzwa ukucindezeleka ngobulali babo.

Ziyini Izimpawu ze-Gender Dysphoria?

Izimpawu ze-gender dysphoria zingase zihluke kakhulu kumuntu nomuntu, kodwa ngokuvamile zigxile emizwaneni eqhubekayo yokungakhululeki ngesondo owabelwe lona. Le miqondo ivame ukuthuthukiswa ekuqaleni kokuphila kodwa ingase iphinde ivele ngesikhathi sobuntombi noma ebuntwini.

Izimpawu ezivamile ezinganeni zingafaka:

• Ukukhetha okukhulu kokugqoka, imidlalo, noma imisebenzi evame ukuhlotshaniswa nolunye ubulili
• Izincazelo eziqhubekayo zokuba olunye ubulili noma ukufisa ukuba olunye ubulili
• Ukungathandi okukhulu komzimba wabo wobulili
• Isifiso esinamandla sokudlala nezingane zobulili obuhlukile
• Ukunqaba imikhuba noma izintshisekelo ezivamile zobulili

Kubantu abasha nabantu abadala, izimpawu zivame ukufaka:

• Ukukholelwa okukhulu ukuthi ubulili bakho lokuzimela buhlukile esondweni owabelwe lona
• Ukungakhululeki okuqhubekayo ngezici zomzimba wakho zobulili
• Isifiso esinamandla sokususa izici zakho eziyinhloko noma ezingaphambili zobulili
• Isifiso esinamandla sokuba nezici zobulili zobulili obuhlukile
• Isifiso esinamandla sokuphathwa njengolunye ubulili

Lezi zimpawu kufanele zibe khona okungenani izinyanga eziyisithupha futhi zibangele ukucindezeleka okukhulu noma izinkinga ezindaweni zakho zokusebenza, zomphakathi, noma ezinye izindawo ezibalulekile zokusebenza. Ubukhulu nobuntu oluqondile lale miqondo lungase luhluke kakhulu phakathi kwabantu.

Ziyini Izimbangela ze-Gender Dysphoria?

Imbangela eqondile ye-gender dysphoria ayiqondakali ngokuphelele, kodwa ucwaningo lusikisela ukuthi cishe luvela ekuhlanganiseni okunzima kwezinto eziphilayo, ezingokwengqondo, nezimo ezingqongile. Akuyona into ethuthukayo ngenxa yendlela yokukhulisa abantwana, ukuhlukumezeka, noma izinqumo zomuntu siqu.

Ososayensi bakholelwa ukuthi ithonya lama-hormone ngesikhathi sokuthuthukiswa kwesisu lingase lidwebe indima ekwakheni kobulali. Amanye ama-study abonisa ukuthi ukukhishwa kwezinga elithile lama-hormone esibelethweni kungase kuthinte ukuthuthukiswa kwengqondo ngezindlela ezithinta ubulili kamuva ekuphileni.

Izinto ezihlobene nama-gene zingase futhi zinikeze i-gender dysphoria. Ucwaningo luthole ezinye izinguquko ze-gene ezivela kaningi kubantu abane-gender dysphoria, nakuba akukho "i-gene ye-gender dysphoria" efunyenwe.

Ukwahluka kwesakhiwo sengqondo kuye kwabonwa kwamanye ama-study, ngezindawo ezithile zengqondo kubantu abaguqula ubulili bebona izici ezifanayo kakhulu nobulili babo obuqondisiwe kunesondo labo eliqokiwe. Noma kunjalo, lo ucwaningo lusathuthuka futhi alusebenzi kubo bonke abane-gender dysphoria.

Kubalulekile ukuqonda ukuthi i-gender dysphoria ayibangelwa ukugula kwengqondo, ukuhlukumezeka, noma ukukhulisa abantwana okubi. Lezi ziqondiso ezindala eziye zaphikwa ngokuphelele yizifundo zanamuhla.

Nini Okufanele Ubone Udokotela Nge-Gender Dysphoria?

Kufanele ucabange ngokufuna usizo lochwepheshe uma uzwa ukucindezeleka okuqhubekayo ngobulali bakho obuzimele okuhlupha impilo yakho yansuku zonke, ubuhlobo, noma ukuthula kwakho kwengqondo. Umhlinzeki wezempilo oqeqeshwe kahle angakusiza ukuthi uqonde imizwa yakho futhi uhlole izinketho zokwelashwa.

Kubalulekile ngokukhethekile ukufuna usizo uma uzwa izimpawu zokucindezeleka, ukukhathazeka, noma unemicabango yokulimaza. Lezi zinselele zempilo yengqondo zingase zihambisane ne-gender dysphoria futhi zidinga ukunakekelwa okusheshayo.

Kubazali, cabanga ngokubonisana nodokotela uma ingane yakho ibonisa ukucindezeleka okuqhubekayo ngesondo layo eliqokiwe noma ibonisa izimpawu zokucindezeleka noma ukukhathazeka okuhlobene nezinkinga zobulili. Ukusekelwa kwasekuqaleni kungenza umehluko omkhulu ekuphileni kwengane yakho.

Ungalindi kuze kube yilapho izimpawu ziba zimbi. Abantu abaningi bathola ukuthi ukukhuluma nodokotela oqeqeshwe kahle noma umxhumanisi oqeqeshwe kahle oqeqeshwe ezindabeni zobulili kungaba usizo olukhulu nokuqondisa, ngisho noma usanda kuqala ukuhlola le miqondo.

Ziyini Izingozi ze-Gender Dysphoria?

Nakuba noma ubani angaba ne-gender dysphoria, izinto ezithile zingase zikhulise amathuba okuthuthukisa lesi simo. Ukuqonda lezi zinto ezingozi kungasiza ekuqondeni abantu abangase bazuze ekusekelweni nasekusebenzeni kwasekuqaleni.

Izinto ezingozi ezibaluleke kakhulu zifaka:

• Umlando womndeni we-gender dysphoria noma ubulili obuguqukayo
• Ezinye izinguquko ze-gene ezithinta ukusabela kwama-hormone
• Ukukhishwa kwama-hormone angavamile ngesikhathi sokubeletha
• Ukuba nemiqondo ye-intersex noma ukwahluka ekuthuthukisweni kobulili

Kubalulekile ukuqaphela ukuthi ukuba nezinto ezingozi akusho ukuthi umuntu uzoba ne-gender dysphoria. Abantu abaningi abanezi zinto ezingozi abazwa ukucindezeleka, kanti abanye abangenazo izinto ezingozi ezaziwayo baye bathuthukisa lesi simo.

Iminyaka yokuqala ingase ihluke kakhulu. Nakuba abantu abaningi bebika ukuzizwa behlukile kusukela ekuqaleni, abanye abaziboni noma abavumi i-gender dysphoria yabo kuze kube yilapho bekhula noma bekhula. Ayikho "ithuba" eliqondile lokuphila lapho le miqondo ivela khona.

Ziyini Izinselele Ezingaba khona ze-Gender Dysphoria?

Uma ingaphathwa, i-gender dysphoria ingabangela izinselele eziningi ezinkulu ezithinta impilo yengqondo nomzimba. Ukucindezeleka okuqhubekayo kungathinta kakhulu ikhwalithi yempilo yakho nokusebenza kwakho konke.

Izinselele zempilo yengqondo ziphakathi kwezinto ezivamile nezinkulu kakhulu:

• Ukucindezeleka nokudumazeka okuqhubekayo
• Ukukhathazeka nokuhlazeka
• Ukungathandwa okukhulu kokulimaza noma imicabango yokuzibulala
• Ukusebenzisa izidakamizwa njengendlela yokubhekana nezinkinga
• Ukudla okungapheli noma ukungakhathali komzimba
• Ukuzihlukanisa nabantu nobunzima ebuhlotsheni

Izinselele zenhlalo zingase futhi zithinte kakhulu impilo yakho:

• Ukubandlululwa nokwenqatshelwa kwabanye
• Ukucwaswa noma ukuxhashazwa esikoleni noma emsebenzini
• Ukunqatshelwa komndeni noma ubuhlobo obuqine kakhulu
• Ubunzima bokuthola ukunakekelwa okufanele kwezempilo
• Ukubandlululwa emsebenzini noma ukulinganiselwa komsebenzi

Izindaba ezinhle ukuthi ngokwelashwa okuqondile nokusekelwa, lezi zinselele zingavimbeka noma zinciphisiwe kakhulu. Abantu abaningi abane-gender dysphoria baqhubeka bephila impilo ezele, enempilo lapho bethola ukunakekelwa nokusekelwa okufanele.

I-Gender Dysphoria Ihlonishwa Kanjani?

Ukuhlonishwa kwe-gender dysphoria kuhilela ukuhlolwa okuphelele ngochwepheshe bezempilo yengqondo abaqeqeshwe ezindabeni zobulili. Ayikho i-test eyodwa noma ukuhlola okusheshayo okungabona ukuthi une-gender dysphoria.

Inqubo yokuhlola ngokuvamile ihlanganisa izingxoxo ezinemininingwane ngobulali bakho obuzimele, umlando wemizwa yakho, nokuthi le miqondo ikuthinta kanjani impilo yakho yansuku zonke. Umhlinzeki wakho wezempilo uzofuna ukuqonda ukuthi le miqondo yaqala nini, indlela eguquke ngayo ngokuhamba kwesikhathi, nokuthi yiliphi uhlobo lokucindezeleka abukubangela.

Ochwepheshe bezempilo yengqondo basebenzisa izindinganiso ezithile ezivela ku-Diagnostic and Statistical Manual of Mental Disorders (DSM-5) ukuze benze ukuhlonishwa. Lezi zindinganiso zigxile ekubonakaleni okuqhubekayo kwemizwa yakho yobulili nokuhlupheka abukubangela, kunokuba kube khona nje imikhuba engavumelani nobulili.

Inqubo yokuhlola ingase ithathe izikhathi eziningi futhi ingase ihlanganise ukuhlolwa kwengqondo noma imibuzo. Umhlinzeki wakho uzophinde ahlole ezinye izimo zempilo yengqondo ezingase zinikeze ukucindezeleka kwakho, njengokucindezeleka noma ukukhathazeka.

Kubalulekile ukuthola umhlinzeki wezempilo onolwazi ekusebenzeni nezinkinga zobulili futhi uthinta ukuhlolwa ngokuzwela nokuqonda. Umhlinzeki omuhle uzodala indawo ephephile, engagwebi lapho ungakhuluma khona ngokukhululekile ngamava akho.

Uyini Ukwelashwa kwe-Gender Dysphoria?

Ukwelashwa kwe-gender dysphoria kuhlukaniswe kakhulu futhi kugxile ekunciphiseni ukucindezeleka ngenkathi kukusiza ukuba uphile ngokwethembeka. Umgomo awukona ukushintsha ubulili bakho obuzimele, kodwa kunalokho ukukusiza uthole izindlela zokuphila ngokukhululekile nalokho okunguwe.

I-Psychotherapy ngokuvamile iyindlela yokuqala yokwelashwa futhi ingaba usizo kubantu bazo zonke izinsuku. Umxhumanisi oqeqeshwe kahle angakusiza ukuthi uhlole ubulili bakho obuzimele, uthuthukise amasu okubhekana nezinkinga, futhi usebenze nanoma yiziphi izinselele zempilo yengqondo ezihlobene njengokucindezeleka noma ukukhathazeka.

Kwabanye abantu, ukuguqulwa komphakathi kungaba yingxenye ebalulekile yokwelashwa. Lokhu kungase kuhlanganise ukushintsha igama lakho, ama-pronouns, ukugqoka, noma isitayela sezinwele ukuze kuhambisane kangcono nobulili bakho obuzimele. Lezi zinguquko zingase zinikeze ukukhululeka okukhulu ezimpawu ze-gender dysphoria.

Izinketho zokwelashwa zikhona kulabo abazidingayo futhi zingafaka:

• I-hormone therapy ukuthuthukisa izici zobulili ezingaphambili ezifanela ubulili bakho obuzimele
• Ama-puberty blockers kubantu abasha ukuvimbela izinguquko zomzimba ezingafunwa
• Izindlela ezahlukene zokusebenza ukuze ziguqule izici zomzimba
• I-voice therapy ukukusiza ukushintsha izindlela zokukhuluma

Isinqumo sokuba yiziphi izinketho zokwelashwa okumele zilandelwe siyimfihlo kakhulu futhi kufanele senziwe ngokubambisana nochwepheshe bezempilo abaqeqeshwe kahle. Akuwona wonke umuntu one-gender dysphoria ozodinga noma afune zonke izinketho zokwelashwa ezitholakalayo, futhi lokho kuyinto evamile.

Indlela Yokuphatha I-Gender Dysphoria Ekhaya?

Nakuba ukwelashwa kochwepheshe kubalulekile, kunezindlela eziningi ongazisebenzisa ekhaya ukuze usize ukuphatha izimpawu ze-gender dysphoria. Lezi zindlela zokunakekela zingase zihambisane nokwelashwa kochwepheshe futhi zinikeze ukusekelwa okwengeziwe.

Ukukhahlela inethiwekhi enkulu yokusekelwa kubalulekile ekuphatheni i-gender dysphoria. Lokhu kungase kuhlanganise abangane abathembekile, amalungu omndeni, amaqembu okusekela, noma imiphakathi e-inthanethi lapho ungaxhumana khona nabanye abaqonda isipiliyoni sakho.

Amasu asebenzayo abantu abaningi abawuthola usizo afaka:

• Ukugcina idayari ukuze uqaphele imizwa yakho futhi ubone izinto ezibangela ukucindezeleka
• Ukwenza amasu okuthula ukucindezeleka njengokuphefumula okujulile noma ukucamngca
• Ukuhlanganyela ekuzivocavoca okuvamile ukuthuthukisa isimo sengqondo nokunciphisa ukukhathazeka
• Ukuphishekela izinto ozithandayo nemisebenzi ekulethela injabulo nokwaneliseka
• Ukubekela imingcele kubantu abangasekeli noma abalimaza

Abanye abantu bathola ukuthi ukwenza izinguquko ezincane ekuhlanganyeleni kwabo noma ekuvezweni kwabo kungasiza ekuthuthukiseni izimpawu ze-dysphoria. Lokhu kungase kuhlanganise ukuzama ukugqoka, izitayela zezinwele, noma izesekeli ezizwa zifana kakhulu nobulili bakho obuzimele.

Khumbula ukuthi ukuphatha i-gender dysphoria kuyinqubo, futhi lokho okusebenza komunye umuntu kungase kungasebenzi komunye. Yiba nomonde ngawe ngenkathi uthola ukuthi yiziphi izindlela ezisiza kakhulu esimweni sakho esiyingqayizivele.

Kufanele Uzilungiselele Kanjani Ukuya Kudoctor?

Ukulungiselela i-appointment yakho yokuqala mayelana ne-gender dysphoria kungasiza ukuqinisekisa ukuthi uthola okuningi kakhulu ekuhambeleni kwakho. Ukuba nombono ocacile walokho ofuna ukukuxoxa ngakho nemibuzo okumele uyibuze kungenza ingxoxo ibe yiyona ephumelelayo.

Ngaphambi kwe-appointment yakho, thatha isikhathi sokucabanga ngamava akho nemizwa yakho mayelana nobulili obuzimele. Cabanga ngokubhala phansi ukuthi uqale nini ukubona le miqondo, indlela eguquke ngayo ngokuhamba kwesikhathi, nezimpawu noma ukukhathazeka okuqondile ofuna ukuzikhuluma ngakho.

Letha uhlu lwemibuzo ofuna ukuyibuza umhlinzeki wakho wezempilo. Eminye imibuzo esiza kakhulu ingafaka:

• Ziyini izinketho zokwelashwa ezitholakalayo esimweni sami?
• Ziyini izinzuzo nezingozi zezinketho ezahlukene zokwelashwa?
• Ukwelashwa kuthatha isikhathi esingakanani ukuze kubonise imiphumela?
• Ziyiphi izinsiza zokusekela ezitholakalayo endaweni yami?
• Ngingaba kanjani amalungu omndeni noma abathandekayo ekunakekelweni kwami?

Uma uthatha imithi noma unezinye izimo zempilo, letha uhlu oluphelele ukuze uhlanganyele nomhlinzeki wakho. Lolu lwazi lungabasiza ukuthi bakhe uhlelo lokwelashwa olufanele kakhulu izidingo zakho.

Cabanga ngokuletha umngane othembekile noma ilungu lomndeni e-appointment ukuze likusize, uma lokho kuzizwa kulungile kuwe. Ukuba nomuntu lapho kungakusiza ukuba ukhumbule ulwazi olubalulekile futhi unikeze ukusekelwa ngokomzwelo ngesikhathi esingase sibe yingxoxo enzima.

Iyini Iphuzu Eliyinhloko Mayelana ne-Gender Dysphoria?

I-Gender dysphoria iyisimo sezempilo sangempela, esingaphathwa esithinta abantu abaningi emhlabeni jikelele. Into ebaluleke kakhulu okumele uyikhumbule ukuthi awuwedwa, futhi izinketho zokwelashwa ezisebenzayo zitholakala ukuze usize ukunciphisa ukucindezeleka nokuthuthukisa ikhwalithi yempilo yakho.

Ngokwesekelo nokwelashwa okufanele, abantu abaningi abane-gender dysphoria baqhubeka bephila impilo ejabulisayo, ezele. Isifiso sokuthola ochwepheshe bezempilo abaqonda izinkinga zobulili futhi bangasebenza nawe ukuze bakhe uhlelo lokwelashwa olufanele.

Imizwa yakho namava akho ayatholakala, kungakhathaliseki ukuthi aqale nini noma ashintshe kanjani ngokuhamba kwesikhathi. Ukufuna usizo kuyisibonakaliso samandla, hhayi ubuthakathaka, futhi ukuthatha izinyathelo zokubhekana ne-gender dysphoria kungabangela ukuthuthuka okukhulu empilweni yakho yengqondo nokuthula kwakho kwengqondo.

Khumbula ukuthi ukwelashwa kuhlukaniswe kakhulu, futhi lokho okusebenza komunye umuntu kungase kungafanele komunye. Umgomo ukufumana indlela esiza ukuba uphile ngokwethembeka ngenkathi uphatha noma yiluphi ukucindezeleka ongaluzwa.

Imibuzo Evame Ukubuzwa Mayelana ne-Gender Dysphoria

Q1: Ingabe i-gender dysphoria ifana nokuthi ungumuntu oguqula ubulili?

Akulona ngempela. Ukuba ngumuntu oguqula ubulili kubhekisela ekubeni nobulili obuzimele obuhlukile esondweni owabelwe lona ekuzalweni, kanti i-gender dysphoria ibhekisela ngokukhethekile ekucindezelekeni okungase kuvele kuleli banga. Abanye abantu abaguqula ubulili baye baba ne-gender dysphoria, kanti abanye abangase bazwe ukucindezeleka okukhulu ngobulali babo obuzimele.

Q2: Ingabe i-gender dysphoria ingaphiliswa?

I-Gender dysphoria ayiyona into edinga "ukwelashwa" ngendlela evamile. Ukwelashwa kugxile ekunciphiseni ukucindezeleka nokukusiza ukuba uphile ngokwethembeka kunokushintsha ubulili bakho obuzimele. Abantu abaningi bathola ukuthi ukwelashwa okufanele kunciphisa kakhulu noma kususe izimpawu zabo ze-dysphoria.

Q3: Ngimiphi iminyaka lapho i-gender dysphoria ingahlolwa khona?

I-Gender dysphoria ingahlolwa kunoma yimiphi iminyaka, kufaka phakathi ezinganeni ezincane. Noma kunjalo, indlela yokuhlola nokwelashwa ihluke kakhulu kuye ngeminyaka. Ochwepheshe bezempilo yengqondo basebenzisa izindinganiso ezifanele iminyaka futhi baqaphela izinto zokuthuthukiswa lapho basebenza nezingane nabantu abasha.

Q4: Ingabe ngizodinga ukusebenza ukuze ngwelaphe i-gender dysphoria?

Akulona ngempela. Ukwelashwa kwe-gender dysphoria kuhlukaniswe kakhulu, futhi akuwona wonke umuntu ozodinga noma afune ukusebenza. Abantu abaningi bathola ukukhululeka okukhulu ngokwelashwa, ukuguqulwa komphakathi, i-hormone therapy, noma ezinye izinketho zokwelashwa ezingasebenzi. Isinqumo sokusebenza kufanele senziwe ngokucophelela nochwepheshe bezempilo abaqeqeshwe kahle.

Q5: Ngingabasiza kanjani abantu abane-gender dysphoria?

Into ebaluleke kakhulu ongayenza ukulalela ngaphandle kokwahlulela nokuhlonipha ubulili babo namava abo. Sebenzisa igama labo ne-pronouns abakhethile, zifundise ngezinkinga zobulili, futhi cabanga ngokuya emaqenjini okusekela emindenini nabangane. Ukwelashwa kochwepheshe kungakusiza futhi ufunde ukuthi ungabasiza kanjani kangcono abathandekayo bakho.