Yini Ukwelashwa Ngamaphilisi Okwenza Abantu Babe Ngabesifazane? Injongo, Inqubo & Nemiphumela

Ukwelashwa ngamaphilisi okwenza abantu babe ngabesifazane kuyindlela yokwelapha yezokwelapha esiza abesifazane abangama-transgender nabanye abantu ababelwe ukuthi bangamadoda ekuzalweni ukuthi bathuthukise izici zomzimba ezihambisana nobunikazi babo bobulili. Lokhu kwelashwa kusebenzisa amahomoni afana ne-estrogen kanye nama-anti-androgens ukudala izinguquko emzimbeni ezizizwa ziyiqiniso kakhulu kulokho oyikho.

Kucabange njengokunika umzimba wakho izimpawu zehomoni ezidingekayo ukuze uthuthuke ngendlela ehambisana nobunjalo bakho bangempela. Le nqubo ithatha isikhathi nokubekezela, kodwa abantu abaningi bayayithola inentshisekelo enkulu enhlalakahleni yabo yonke kanye nekhwalithi yempilo.

Yini ukwelashwa ngamaphilisi okwenza abantu babe ngabesifazane?

Ukwelashwa ngamaphilisi okwenza abantu babe ngabesifazane kuhilela ukuthatha imithi ekhuphula i-estrogen ohlelweni lwakho ngenkathi ivimba noma inciphisa i-testosterone. Lawa mahomoni asebenza ndawonye ukushintsha kancane kancane ukuthuthukiswa komzimba wakho ngendlela yesifazane.

Ukwelashwa ngokuvamile kuhlanganisa izinhlobo ezimbili eziyinhloko zemithi. I-Estrogen isiza ukuthuthukisa izicubu zamabele, ithambise isikhumba, futhi isabalalise kabusha amafutha omzimba ukuze idale ama-curves. Ama-Anti-androgens avimba i-testosterone, enciphisa izici zesilisa njengokukhula kwezinwele zomzimba kanye nobunzima bemisipha.

Lokhu kwelashwa kuyingxenye yokunakekelwa okuqinisekisa ubulili, okusho ukuthi yakhelwe ukukusiza ukuthi uzizwe ukhululekile futhi uzethembile emzimbeni wakho. Abahlinzeki bezempilo abaningi abangochwepheshe ekunakekelweni kwama-transgender bangakuqondisa ngale nqubo ngokuphepha nangempumelelo.

Kungani ukwelashwa ngamaphilisi okwenza abantu babe ngabesifazane kwenziwa?

Abantu bakhetha ukwelashwa ngamaphilisi okwenza abantu babe ngabesifazane ukuze bavumelanise ukubukeka kwabo komzimba nobunikazi babo bobulili. Kwabesifazane abaningi abangama-transgender kanye nabantu abangewona ama-binary, lokhu kwelashwa kusiza ukunciphisa i-gender dysphoria futhi kuthuthukise impilo yengqondo kanye nekhwalithi yempilo iyonke.

Ukwelashwa kungakusiza ukuthi uzizwe ukhululekile esikhumbeni sakho ngokudala izinguquko zomzimba ezihambisana nendlela ozibona ngayo. Abantu abaningi babika ukuzizwa benethemba elikhulu, beqiniso, futhi benokuthula ngemizimba yabo ngemva kokuqala ukwelashwa.

Ngaphandle kwezinguquko zomzimba, ukwelashwa ngamahomoni kuvame ukunikeza izinzuzo ezinkulu zengqondo. Ungase uthole ukuthi ukuhambisa umzimba wakho ngobunjwa bakho bobulili kunciphisa ukukhathazeka, ukucindezeleka, nemizwa yokuxhumana engahle ihambisane ne-gender dysphoria.

Yini inqubo yokwelashwa ngamahomoni okwenza owesifazane?

Ukuqala ukwelashwa ngamahomoni okwenza owesifazane kuqala ngokubonisana okuphelele nomhlinzeki wezempilo onolwazi ekunakekelweni okuqinisekisa ubulili. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha, axoxe ngezinhloso zakho, futhi achaze okulindelekile ekwelashweni.

Ngaphambi kokuqala ukwelashwa, ngokuvamile uzodinga ezinye izivivinyo zegazi eziyisisekelo ukuze uhlole amazinga akho e-hormone, ukusebenza kwesibindi, nempilo yonke. Umhlinzeki wakho angase futhi afune ukuxoxa nganoma yikuphi ukusekelwa kwempilo yengqondo onakho, njengoba lolu hambo lungaveza imizwa eminingi.

Ukwelashwa kwangempela kuhilela ukuthatha imithi njalo, ngokuvamile ngendlela yamaphilisi noma ngezinye izikhathi njengama-patches, imijovo, noma ama-gels. Udokotela wakho uzoqala ngemithamo ephansi futhi ayilungise kancane kancane ngokusekelwe endleleni umzimba wakho osabela ngayo nemiphumela yakho yokuhlolwa kwegazi.

Uzoba nokuqokwa okulandelayo njalo ukuze uqaphe inqubekela phambili yakho futhi ulungise uhlelo lwakho lokwelashwa. Lokhu kuhlolwa ngokuvamile kwenzeka njalo ezinyangeni ezimbalwa, ikakhulukazi ngonyaka wokuqala, ukuze kuqinisekiswe ukuthi konke kuhamba kahle futhi kuphephile.

Ungalungiselela kanjani ukwelashwa kwakho ngamahomoni okwenza owesifazane?

Ukulungiselela ukwelashwa ngamahomoni kuqala ngokuthola umhlinzeki wezempilo oqeqeshiwe onolwazi ekunakekelweni kwabantu abashintsha ubulili. Funa odokotela abaqonda ukwelashwa okuqinisekisa ubulili futhi abanganikeza ukusekelwa okuqhubekayo phakathi nohambo lwakho.

Ngaphambi kokuba uqokwe okokuqala, kuyasiza ukucabanga ngemigomo yakho kanye nohlelo lwesikhathi. Cabanga ukuthi yiziphi izinguquko ezibaluleke kakhulu kuwe futhi ulungele ukuxoxa nganoma yiziphi izinkathazo noma imibuzo ongase ube nayo mayelana nenqubo.

Ukulungisa uhlelo lwakho lokusekela kubaluleke ngokulinganayo. Yazisa abangani noma amalungu omndeni othembekile ngamaphrojekthi akho, futhi cabangela ukuxhumana namaqembu okusekela abantu abashintsha ubulili noma abeluleki abanganikeza isiqondiso esingokomzwelo ngesikhathi salolu shintsho.

Ungase futhi ufune ukulungiselela ngokwenza ucwaningo ngezindleko ezingase zihileleke futhi uhlole ukuthi umshwalense wakho uhlanganisani. Abanye abantu bakuthola kusiza ukuqala ukubhala uhambo lwabo ngezithombe noma ukubhala iphephabhuku ukuze balandelele intuthuko yabo ngokuhamba kwesikhathi.

Ungazifunda kanjani imiphumela yakho yokwelashwa ngamahomoni okwenza owesifazane?

Intuthuko yakho ngemithi yamahomoni okwenza owesifazane izoklanywa ngokuhlolwa kwegazi okuvamile okuhlola amazinga akho amahomoni. Udokotela wakho uzoqapha amazinga akho e-estrogen ukuze aqinisekise ukuthi asezingeni elivamile labesifazane, ngokuvamile phakathi kuka-100-200 pg/mL.

Amazinga e-Testosterone abaluleke ngokulinganayo ukuwalandelela. Umgomo ngokuvamile ukucindezela i-testosterone emazingeni ajwayelekile abesifazane be-cisgender, okuvame ukuba ngaphansi kuka-50 ng/dL. Umhlinzeki wakho uzolungisa imithi yakho ngokusekelwe kulezi zinombolo.

Ushintsho olungokomzimba lwenzeka kancane kancane futhi luyahluka kumuntu nomuntu. Ungase uqaphele isikhumba esithambile kanye nokukhula kwamabele ekuqaleni ezinyangeni ezimbalwa zokuqala. Ushintsho olukhulu njengokusatshalaliswa kabusha kwamafutha omzimba kanye nokuncishiswa kwezinwele zomzimba ngokuvamile kuthatha izinyanga eziyisithupha kuya eminyakeni emibili.

Khumbula ukuthi umzimba womuntu ngamunye usabela ngendlela ehlukile emithini yamahomoni. Abanye abantu babona izinguquko ngokushesha, kanti abanye badinga isikhathi esiningi noma inhlanganisela yemithi ehlukile. Udokotela wakho uzosebenza nawe ukuze athole okusebenzela umzimba wakho nemigomo yakho.

Ungawathuthukisa kanjani imiphumela yakho yokwelashwa ngamahomoni okwenza owesifazane?

Ukuphuza imithi yakho njalo nangendlela eqondile njengoba kunqunyiwe kukunika ithuba elingcono kakhulu lokuphumelela. Lungiselela isimiso esikusiza ukuthi ukhumbule ukuphuza amahomoni akho ngesikhathi esifanayo nsuku zonke.

Ukugcina impilo enhle iyonke kusekela imigomo yakho yokwelashwa ngamahloni. Ukuzivivinya njalo, ukudla okunempilo, nokulala okwanele konke kusiza umzimba wakho ukuthi usabele kangcono ekwelashweni futhi kungathuthukisa izinguquko zomzimba ozifunayo.

Lezi zinguquko ngokuvamile zithuthuka phakathi kweminyaka engu-2-5, ngentuthuko enkulu kakhulu eyenzeka eminyakeni emibili yokuqala. Khumbula ukuthi izakhi zofuzo zidlala indima ekutheni uzothola ushintsho olungakanani, njengoba zenza kwabesifazane be-cisgender abahamba ngesikhathi sokuthomba.

Ziyini izici eziyingozi zokwelashwa ngamahloni amahomoni?

Njenganoma yikuphi ukwelashwa kwezokwelapha, ukwelashwa ngamahloni amahomoni kuthwala ezinye izingozi okufanele uxoxe ngazo ngokucophelela nomhlinzeki wakho wezempilo. Ukuqonda lezi zingozi kukusiza ukuthi wenze isinqumo esinolwazi mayelana nokuthi lokhu kwelashwa kulungile yini kuwe.

Ubudala bakho, impilo yonke, nomlando wakho wezokwelapha womndeni kungathonya izinga lakho lengozi. Abantu abangaphezu kweminyaka engama-40 noma labo abanezimo ezithile zezempilo bangase badinge ukuqapha okwengeziwe noma izinhlelo zokwelapha eziguquliwe.

Nawa ama-risk factors amakhulu okufanele uwacabangele:

• Umlando wama-clot egazi noma izifo zokuqina
• Isifo senhliziyo noma umfutho wegazi ophezulu
• Izinkinga zesibindi noma isifo
• Umlando wamabele noma eminye imidlalo yama-hormone-sensitive
• Isifo sikashukela noma izifo ze-metabolic
• Ukubhema, okwandisa izingozi zokuqina
• Umlando womndeni wama-clot egazi noma isifo sohlangothi

Udokotela wakho uzohlola ngokucophelela lezi zici ngaphambi kokuqala ukwelashwa futhi akuqaphe eduze ngesikhathi sokwelashwa. Izici eziningi eziyingozi zingalawulwa ngokunakekelwa kwezokwelapha okufanele nokulungiswa kwendlela yokuphila.

Ziyini izinkinga ezingaba khona zokwelashwa ngamahloni amahomoni?

Abantu abaningi bakubekezelela kahle ukwelashwa ngamahloni amahomoni, kodwa kubalulekile ukuqonda izinkinga ezingaba khona ukuze ukwazi ukuqaphela izimpawu zokuxwayisa futhi uthole usizo uma kudingeka. Umhlinzeki wakho wezempilo uzokuqapha njalo ukuze abambe noma yiziphi izinkinga zisasekuqaleni.

Izinkinga ezinzima kakhulu kodwa ezingavamile zihlobene nokuqina kwegazi. Le ngozi iphezulu ngezinhlobo ezithile ze-estrogen nakubantu ababhemayo noma abanezici ezinye eziyingozi.

Nawa ama-complications angaba khona okufanele uwazi:

• Ama-clot egazi emilenzeni noma emaphashini (avamile kodwa abucayi)
• Ukwanda kwengozi yesifo sohlangothi (akavamile kakhulu)
• Izinkinga zesibindi (ezingavamile ngemithi yesimanje)
• Umfutho wegazi ophezulu
• Isifo se-gallbladder
• Ushintsho emazingeni e-cholesterol
• Ukwehla kokuzala (ngokuvamile unomphela)
• Ushintsho lwemizwa noma ukucindezeleka

Ngenkathi lolu hlu lungase lubonakale lukhathaza, khumbula ukuthi izinkinga ezinzima azivamile, ikakhulukazi ngaphansi kokuqondiswa kwezokwelapha okufanele.

Udktela wakho uzokusiza ukulinganisa lezi zingozi ngokumelene nezinzuzo zokwelashwa ngesimo sakho esithile.

Kufanele ngibone nini udokotela ngemithi yamahomoni yokwenza abesifazane?

Kufanele ubone udokotela ngokushesha uma uhlangabezana nanoma yiziphi izimpawu zezinkinga ezinkulu ngenkathi usebenzisa imithi yamahomoni. Ukunakekelwa kwezokwelapha okusheshayo kungavimbela izinkinga ezincane ukuthi zingabi izinkinga ezinkulu.

Funani ukunakekelwa okuphuthumayo ngokushesha uma uthola ubuhlungu besifuba, ukuphefumula kanzima, ubuhlungu obukhulu emlenzeni noma ukuvuvukala, ikhanda elibuhlungu elingazelelwe, noma izinguquko embonweni. Lokhu kungaba yizimpawu zamahlule egazi noma ezinye izinkinga ezinkulu ezidinga ukwelashwa ngokushesha.

Kufanele futhi uthinte umhlinzeki wakho wezempilo ngezinkinga ezingezona eziphuthumayo njengokugula okuqhubekayo, izinguquko ezingavamile zemizwa, ukusabela kwesikhumba, noma uma ungaboni imiphumela elindelekile ngemuva kwezinyanga ezimbalwa zokwelashwa.

Ukuqokwa okuvamile kokulandela kubalulekile ngisho nalapho konke kuhamba kahle. Udokotela wakho ngokuvamile uzofuna ukukubona njalo emavikini angu-3-6 ukuze aqaphe amazinga akho amahomoni, ahlole imiphumela emibi, futhi alungise uhlelo lwakho lokwelashwa njengoba kudingeka.

Imibuzo evame ukubuzwa mayelana nemithi yamahomoni yokwenza abesifazane

Q.1 Ingabe imithi yamahomoni yokwenza abesifazane iphephile ukusetshenziswa isikhathi eside?

Yebo, imithi yamahomoni yokwenza abesifazane ngokuvamile iphephile ukusetshenziswa isikhathi eside uma iqashwe kahle ngumhlinzeki wezempilo onolwazi. Abantu abaningi baqhubeka nokwelashwa ngamahomoni iminyaka eminingi noma ngisho namashumi eminyaka ngemiphumela emihle nezinkinga ezincane.

Isihluthulelo sokuphepha kwesikhathi eside ukuqapha okuvamile kwezokwelapha nokusebenzisa imithamo ephumelelayo ephansi. Udokotela wakho uzolungisa ukwelashwa kwakho ngokuhamba kwesikhathi ngokusekelwe emazingeni akho amahomoni, isimo sempilo, nokuthi umzimba wakho usabela kanjani ekwelashweni.

Q.2 Ingabe imithi yamahomoni yokwenza abesifazane ithinta inzalo unomphela?

Imithi yamahomoni yokwenza abesifazane ivame ukunciphisa inzalo kakhulu futhi ingase ibangele ukungazali unomphela, nakuba lokhu kuhluka kumuntu ngamunye. Uma usebenzisa ukwelashwa isikhathi eside, maningi amathuba okuthi izinguquko zenzalo zibe unomphela.

Uma ukugcina inzalo kubalulekile kuwe, xoxa ngokugcina isidoda noma ezinye izinketho zokugcina inzalo nodokotela wakho ngaphambi kokuqala ukwelashwa ngamahomoni. Lezi zinqubo zingakusiza ukuthi ube nezingane eziphilayo esikhathini esizayo uma ufisa.

Q.3 Kuthatha isikhathi esingakanani ukubona imiphumela evela emithini yamahomoni yokwenza abesifazane?

Izinguquko zokuqala njengesikhumba esithambile kanye nephunga lomzimba elincishisiwe zingaqala phakathi nenyanga yokuqala. Izinguquko eziphawulekayo njengokukhula kwamabele ngokuvamile ziqala phakathi nezinyanga ezi-3-6, kuyilapho ukusatshalaliswa kabusha kwamafutha omzimba okukhulu kuvamile ukuthatha iminyaka engu-1-2.

Imiphumela ephezulu evela emithini yamahomoni ngokuvamile yenzeka eminyakeni engu-2-5. Khumbula ukuthi isikhathi somuntu ngamunye sihlukile, futhi izinto ezinjengobudala, izakhi zofuzo, nempilo yonke kungathonya ukuthi ushintsho olungakanani nolungakanani olulubonayo.

Q.4 Ngingayeka yini imithi yamahomoni yokwenza abesifazane uma ngiziguqula umqondo wami?

Yebo, ungaqeda ukwelashwa ngamahomoni nganoma yisiphi isikhathi, nakuba kufanele usebenze nomhlinzeki wakho wezempilo ukuze wenze lokhu ngokuphepha. Ezinye izinguquko njengokukhula kwamabele zihlala unomphela, kuyilapho ezinye njengobuthambile besikhumba nokusatshalaliswa kwamafutha kungase kubuyele emuva kancane kancane.

Udokotela wakho angakusiza ukuthi uqonde ukuthi yiziphi izinguquko ezingabuyiselwa emuva futhi enze uhlelo lokuyeka ukwelashwa uma lokho okuthathayo. Kubalulekile ukuba nokusekelwa ngesikhathi sanoma yisiphi isikhathi sokuguquka, kungakhathaliseki ukuthi uqala noma uyeka ukwelashwa.

Q.5 Ingabe umshwalense uzokhokhela imithi yami yamahomoni yokwenza abesifazane?

Izinhlelo eziningi zomshwalense manje zihlanganisa ukunakekelwa okuqinisekisa ubulili, okuhlanganisa imithi yamahomoni, kodwa ukuhlanganiswa kuyahlukahluka kakhulu phakathi kwabahlinzeki nezinhlelo. Ezinye zidinga imvume yangaphambili noma izincwadi ezivela ochwepheshe bezempilo yengqondo.

Xhumana nenkampani yakho yomshwalense ngokuqondile ukuze uqonde izinzuzo zakho ezithile, noma usebenze nehhovisi lomhlinzeki wakho wezempilo ukuze usize ukuzula inqubo yokugunyazwa. Eminye imitholampilo inabeluleki bezimali abangochwepheshe ekusizeni iziguli ukuthi zifinyelele ukunakekelwa kwabantu abashintsha ubulili okungabizi.