Mlembi: Marcus Baldwin
Tsiku La Chilengedwe: 22 Kuni 2021
Sinthani Tsiku: 1 Kulayi 2024
Anonim
Gender dysphoria: definition, diagnosis, treatment and challenges
Kanema: Gender dysphoria: definition, diagnosis, treatment and challenges

Gender dysphoria ndilo liwu loti kusadzimva komanso kukhumudwa komwe kumachitika mukamagonana komwe simukugwirizana ndi amuna kapena akazi. M'mbuyomu, izi zimadziwika kuti vuto lodziwika kuti ndi amuna kapena akazi. Mwachitsanzo, mutha kupatsidwa gawo lobadwa ngati wamkazi, koma mumamva kukhala wamwamuna. Kwa anthu ena, kusokonekera kumeneku kumatha kuyambitsa mavuto, nkhawa, kukhumudwa, komanso matenda ena amisala.

Kudziwika kuti ndi jenda ndi momwe mumamvera ndikuzindikira, atha kukhala ngati wamkazi, wamwamuna, kapena onse awiri. Jenda amapatsidwa nthawi yobadwa, kutengera mwana yemwe amawoneka kunja (ziwalo zoberekera) zamwamuna kapena wamkazi malinga ndi chikhalidwe cha amuna ndi akazi awiri (wamwamuna kapena wamkazi).

Ngati jenda yanu ikugwirizana ndi jenda yomwe mudapatsidwa mukamabadwa, izi zimatchedwa cisgender. Mwachitsanzo, ngati munabadwa mwabadwa ngati wamwamuna, ndipo mumadziwika kuti ndinu bambo, ndinu amuna achisoni.

Transgender amatanthauza kuzindikira ngati jenda lomwe ndi losiyana ndi jenda lobadwa lomwe mudapatsidwa mukamabadwa. Mwachitsanzo, ngati munabadwa wamkazi ndipo mwapatsidwa gawo lachikazi, koma mumamva kuti ndinu mwamuna, ndinu munthu wopanda transgender.


Anthu ena amafotokoza kuti ndi amuna kapena akazi m'njira zomwe sizikugwirizana ndi chikhalidwe cha amuna kapena akazi. Izi zimatchedwa zosagwirizana ndi amuna, akazi osatsata, amuna kapena akazi okhaokha, kapena owonjezera jenda. Mwambiri, anthu ambiri opita kuma transgender samazindikira kuti siopanda kanthu.

Ndikofunikira kudziwa kuti anthu omwe ali ndi nkhawa amakhala ndi nkhawa chifukwa chokhala ndi amuna kapena akazi anzawo. Zotsatira zake, gulu la transgender lili ndi mavuto ochulukirapo azaumoyo wamaganizidwe komanso chiopsezo chofuna kudzipha.

Palibe amene akudziwa bwino zomwe zimayambitsa dysphoria ya jenda. Akatswiri ena amakhulupirira kuti mahomoni omwe ali m'mimba, chibadwa, komanso chikhalidwe ndi chilengedwe zimakhudzidwa.

Ana ndi akulu amatha kudziwa dysphoria ya jenda. Zizindikiro zimasiyanasiyana, kutengera msinkhu wa munthu, koma anthu ambiri amafuna kukhala moyo wofanana ndi amuna kapena akazi. Monga munthu wamkulu, mwina munamvapo izi kuyambira muli wamng'ono.

Ana atha:

  • Kuumirira kuti ndi amuna kapena akazi anzawo
  • Mukufuna kwambiri kukhala amuna kapena akazi ena
  • Mukufuna kuvala zovala zomwe amagwiritsidwa ntchito ndi amuna kapena akazi ena ndikukana kuvala zovala zogwirizana ndi amuna kapena akazi anzawo
  • Mukukonda kuchita zochitika zachilendo za amuna kapena akazi ena m'masewera kapena zopeka
  • Kondani zoseweretsa komanso zochita zomwe nthawi zambiri zimaganiziridwa ngati amuna kapena akazi ena
  • Amakonda kusewera ndi ana ena amuna kapena akazi anzawo
  • Khalani odana kwambiri ndi ziwalo zawo zoberekera
  • Mukufuna kukhala ndi mawonekedwe amtundu wina

Akuluakulu atha:


  • Ndikufuna kwambiri kukhala amuna kapena akazi (kapena amuna kapena akazi osiyana ndi omwe adapatsidwa atabadwa)
  • Mukufuna kukhala ndi mikhalidwe yakuthupi ndi yakugonana kwa amuna kapena akazi
  • Mukufuna kuchotsa maliseche awo
  • Mukufuna kuchitiridwa ngati amuna kapena akazi ena
  • Mukufuna kutchulidwa kuti ndi amuna kapena akazi (matchulidwe)
  • Kumverera mwamphamvu ndikuchitapo kanthu munjira zogwirizana ndi amuna kapena akazi anzawo

Zowawa zam'mutu ndi zovuta za dysphoria ya jenda zimatha kusokoneza sukulu, ntchito, moyo wapagulu, zochita zachipembedzo, kapena mbali zina m'moyo. Anthu omwe ali ndi dysphoria ya jenda amatha kukhala ndi nkhawa, kukhumudwa, ndipo nthawi zambiri, ngakhale kudzipha.

Ndikofunikira kwambiri kuti anthu omwe ali ndi dysphoria ya jenda alandire chithandizo chamaganizidwe ndi chikhalidwe ndi kumvetsetsa kuchokera kwa akatswiri azachipatala. Posankha wothandizira zaumoyo, yang'anani anthu omwe aphunzitsidwa kuzindikira ndi kugwira ntchito ndi anthu omwe ali ndi vuto la jenda.

Kuti mupeze matenda, wothandizira anu amatenga mbiri yanu yazachipatala ndipo, nthawi zina, amawunika mokwanira zamisala. Gender dysphoria imapezeka ngati mwakhala ndi zizindikiro ziwiri kapena kupitilira miyezi 6.


Cholinga chachikulu cha chithandizo ndikuthandizani kuthana ndi mavuto omwe mungakhale nawo. Mutha kusankha mulingo wamankhwala womwe umakuthandizani kuti mukhale omasuka. Izi zingaphatikizepo kukuthandizani kuti musinthe kupita ku jenda yomwe mumazindikira.

Chithandizo cha jenda dysphoria chimasankhidwa payokha, ndipo chitha kuphatikizira:

  • Uphungu wokuthandizani kumvetsetsa momwe mukumvera ndikukuthandizani ndikuthana ndi maluso
  • Maanja kapena upangiri wabanja wothandiza kuchepetsa kusamvana, kupanga kumvana, ndi kupereka malo othandizira
  • Gender-affirming hormone therapy (m'mbuyomu amatchedwa hormone replacement therapy)
  • Opaleshoni yotsimikizira kuti ndi amuna kapena akazi okhaokha (m'mbuyomu amatchedwa opatsirana pogonana)

Sikuti anthu onse opitilira transgender amafunikira chithandizo chamtundu uliwonse. Atha kusankha mankhwala amodzi kapena angapo omwe atchulidwa pamwambapa.

Musanapange chisankho chokhudza opareshoni, mwachidziwikire mudzakhala kuti munayamba mwalandira chithandizo chamankhwala chotsimikizira kuti ndi amuna kapena akazi ndipo mwakhala ngati amuna kapena akazi osankhidwa kwa chaka chimodzi. Pali mitundu iwiri ikuluikulu ya opareshoni: imodzi imakhudza chonde, inayo sichimatero. Sikuti aliyense amasankha kuchitidwa opaleshoni, kapena atha kusankha mtundu umodzi wokha wa opareshoni.

Zovuta zamagulu ndi mabanja komanso kusalandira kuvomereza kumatha kubweretsa nkhawa komanso kukhumudwa komanso mavuto ena amisala. Ichi ndichifukwa chake ndikofunikira kuti mudzalandire upangiri ndi chithandizo nthawi yonse ngakhale mutasintha. Ndikofunikanso kuthandizidwa ndi anthu ena, monga ochokera pagulu lothandizana nawo kapena kuchokera kwa abwenzi apamtima ndi abale.

Kuzindikira ndikuchiza dysphoria koyambirira kumatha kuchepetsa mwayi wakukhumudwa, kupsinjika kwamaganizidwe, komanso kudzipha. Kukhala m'malo othandizirana, kukhala womasuka kufotokoza zakomwe ndi amuna mwanjira yomwe imakupangitsani kukhala omasuka, ndikumvetsetsa zosankha zanu zothandizidwa kumatha kuthana ndi nkhawa komanso kukhumudwa.

Mankhwala osiyanasiyana amatha kuthana ndi vuto la jysphoria. Komabe, mayankho ochokera kwa ena pakusintha kwamunthu kuphatikiza zovuta zamakhalidwe ndi zalamulo panthawi yakusintha zitha kupitilizabe kubweretsa zovuta pantchito, banja, zachipembedzo, komanso moyo wapagulu. Kukhala ndi netiweki yolimbirana komanso kusankha opereka maukadaulo pa transgender health kumawongolera kwambiri malingaliro a anthu omwe ali ndi dysphoria ya jenda.

Pangani msonkhano ndi wopereka waluso pa mankhwala a transgender ngati inu kapena mwana wanu muli ndi zisonyezo za jysphoria.

Kusagwirizana pakati pa amuna ndi akazi; Transgender; Vuto lodziwika ndi jenda

  • Ziwalo zoberekera za abambo ndi amai

Msonkhano wa American Psychiatric. Jenda dysphoria. Mu: American Psychiatric Association. Kusanthula ndi Buku Lophatikiza la Mavuto Amisala. 5th ed. Arlington, VA: Kusindikiza kwa Psychiatric kwa America. 2013: 451-460.

Kutseka WO. Jenda ndi Kudziwika Kugonana. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 133.

Garg G, Elshimy G, Marwaha R. Gender dysphoria. Mu: Malangizo. Treasure Island, FL: StatPearls Yofalitsa; 2019. PMID: 30335346 pubed.ncbi.nlm.nih.gov/30335346/.

Hembree WC, Cohen-Kettenis PT, Gooren L, ndi al. Chithandizo cha Endocrine cha anthu omwe si amuna kapena akazi okhaokha: malangizo a Endocrine Society. J Clin Endocrinol Metab. 2017; 102 (11): 3869-3903. (Adasankhidwa) PMID: 28945902 www.ncbi.nlm.nih.gov/pubmed/28945902/.

Otetezeka JD, Tangpricha V. Chisamaliro cha Transgender Persons. N Engl J Med. 2019; 381 (25): 2451-2460 (Adasankhidwa) PMID: 31851801 pubed.ncbi.nlm.nih.gov/31851801/.

Shafer LC. Zovuta zakugonana komanso kukanika kugonana. Mu: Stern TA, Fava M, Wilens TE, Rosenbaum JF, olemba. Chipatala cha Massachusetts General Hospital Comprehensive Clinical Psychiatry. Wachiwiri ed. Philadelphia, PA: Elsevier; 2016: chap 36.

PC yoyera. Kukula kwakugonana komanso kudziwika. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 220.

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