ʻO Gender dysphoria

ʻO Gender dysphoria ka manawa no kahi ʻano hohonu o ka hōʻoluʻolu a me ke kaumaha e hiki ke hana ʻia inā ʻaʻole kūlike kāu moekolohe i kāu ʻike kāne. I ka wā ma mua, ua kapa ʻia kēia ʻo ke ʻano o ka ʻike kāne kāne. ʻO kahi laʻana, hoʻonoho ʻia ʻoe i ka wā hānau ma ke ʻano he kāne wahine, akā ʻike ʻoe i kahi ʻano hohonu i loko o ke kāne. I kekahi poʻe, hiki i kēia kūlike ʻole ke kumu i ka hōʻoluʻolu nui, ka hopohopo, ke kaumaha, a me nā kūlana olakino ʻē aʻe.

ʻO ka ʻike kāne kāne pehea ʻoe e ʻike ai a ʻike ai, hiki ke lilo i wahine, kāne, ʻelua paha. Hoʻonohonoho pinepine ʻia ke kāne kāne i ka wā hānau, hoʻokumu ʻia i ka pēpē i ka helehelena waho (genital organ) o kahi kāne a wahine paha e like me ke kūkulu kaiāulu o kahi ʻōnaehana binary o ʻelua mau kāne kāne (kāne a wahine paha).

Inā kūlike kāu ʻike kāne i ke kāne i hāʻawi ʻia iā ʻoe i kou wā hānau, ua kapa ʻia kēia ʻo cisgender. ʻO kahi laʻana, inā hānau ʻia ʻoe ma ke ʻano biologically he kāne, a ʻike ʻoe he kāne, he kāne cisgender ʻoe.

Kuhikuhi ʻo Transgender i ka ʻike ʻana ma ke ʻano he kāne ʻokoʻa ʻokoʻa i ka wahine olaola i hāʻawi ʻia i kou wā hānau. ʻO kahi laʻana, inā hānau ʻia he wahine biologically a hāʻawi ʻia iā ʻoe he kāne wahine, akā ʻike ʻoe i kahi ʻano hohonu i loko o ke ʻano he kāne, he kāne transgender ʻoe.

Hōʻike kekahi poʻe i kā lākou kāne kāne i nā ala i kūpono ʻole i nā loina nohona binary o ke kāne a wahine paha. Kapa ʻia kēia mea he binary ʻole, ʻaʻohe kūlike i ke kāne a me ka wahine, a i ʻole ke kāne. Ma ka laulaha, ʻaʻole ʻike ka hapa nui o ka poʻe transgender ma ke ʻano he binary ʻole.

He mea nui e haʻi i ka manaʻo o ka poʻe transgender hopohopo ma muli o ka loaʻa ʻana o ke kino o ka wahine hewa he mea kaumaha loa. A ʻo kahi hopena, ʻoi aku ka nui o ka pilikia o ke olakino noʻonoʻo a me nā pilikia o ka hoʻāʻo ʻana e pepehi kanaka i ke kaiāulu transgender.

ʻAʻohe mea i ʻike pono i ke kumu o ka wahine dysphoria. Manaʻo kekahi poʻe loea i nā homone i loko o ka ʻōpū, nā genes, a me nā moʻomeheu a me nā mea e pili ana i ke kaiaulu ke pili.

Hiki i nā keiki a me nā mākua ke ʻike i ka wahine dysphoria. Hoʻololi nā ʻōuli, kaukaʻi ʻia i ka makahiki o ke kanaka, akā makemake ka hapa nui o ka poʻe e noho i kahi ala i kūlike i ko lākou ʻike kāne. I kou wā makua, ua loaʻa paha kēia mau manaʻo iā ʻoe mai ka wā ʻōpio.

Hiki i nā keiki ke:

• Koi ʻo lākou nā kāne ʻē aʻe
• Makemake loa e lilo i ke kāne ʻē aʻe
• Makemake e ʻaʻahu i nā lole i hoʻohana mau ʻia e kahi kāne ʻē aʻe a pale aku i ke komo ʻana i nā kapa e pili ana i kā lākou kāne biola
• Makemake e hana i nā hana maʻamau o ke kāne ʻē aʻe i ka pāʻani a i ʻole ka moemoeā
• Makemake i nā mea pāʻani a me nā hana i manaʻo ʻia e like me ke kāne ʻē aʻe
• Makemake loa e pāʻani me nā keiki o ke kāne ʻē aʻe
• Manaʻo i ka makemake nui ʻole i kā lākou genital
• Makemake e loaʻa nā ʻano kino o ka wahine ʻē aʻe

Hiki i nā mākua:

• Makemake nui e lilo i ke kāne ʻē aʻe (a i ʻole he kāne ʻokoʻa i ka mea a lākou i hāʻawi ʻia ai i ka wā hānau)
• Makemake e loaʻa ke ʻano o ke kino a me ka moekolohe o ka wahine ʻē aʻe
• Makemake e kāpae i kā lākou genitalia ponoʻī
• Makemake e mālama ʻia e like me ke kāne ʻē aʻe
• Makemake e kamaʻilio ʻia e like me nā kāne ʻē aʻe (pronouns)
• Ikaika loa i ka manaʻo a me ka pane ʻana i nā ala e pili ana i ka wahine ʻē aʻe

Hiki i nā ʻehaʻeha a me nā pilikia o ke kāne kāne dysphoria ke hoʻopilikia i ke kula, ka hana, ke ola kaiaulu, ka hoʻomana haipule, a i ʻole nā ​​wahi ʻē aʻe o ke ola. Hiki i ka poʻe me ke kāne kīnā ʻole ke lilo i hopohopo, kaumaha, a i nā manawa he nui, ʻo ia hoʻi he suicidal.

He mea nui ia no ka poʻe me ka wahine dysphoria e loaʻa i ke kākoʻo psychological a me ka pilikanaka a me ka ʻike mai nā kauka. Ke koho ʻana i kahi mea lawelawe olakino, e nānā no nā poʻe i hoʻomaʻamaʻa e hoʻomaopopo a hana pū me nā poʻe me ke kāne a me ka wahine dysphoria.

E hana i kahi kuhi, e lawe kāu mea hāʻawi i kāu mōʻaukala a, i kekahi mau manawa, e hana i kahi loiloi psychiatric piha. ʻIke ʻia ʻo Gender dysphoria inā ua loaʻa iā ʻoe i ʻelua mau hōʻailona a ʻoi aku paha no 6 mau mahina.

ʻO ka pahuhopu nui o ka mālama ʻana e kōkua iā ʻoe e lanakila i luna o ka luʻuluʻu āu e manaʻo ai. Hiki iā ʻoe ke koho i ke kiʻekiʻe o ka lāʻau e kōkua iā ʻoe e hōʻoluʻolu loa. Pākuʻi paha kēia i ke kōkua ʻana iā ʻoe e hoʻololi i ke kāne āu e ʻike ai.

Hoʻomaʻamaʻa ʻia ka hoʻomaʻamaʻa no ka wahine dysphoria, a hiki ke hoʻopili ʻia:

• ʻSellelo aʻoaʻo e kōkua iā ʻoe e hoʻomaopopo i kou mau manaʻo a hāʻawi iā ʻoe i ke kākoʻo a me ke akamai i ke alo
• ʻO nā kāne a me nā ʻolelo aʻoaʻo e kōkua ai e hōʻemi i nā hakakā, hana i ka ʻike, a hāʻawi i kahi ʻano kākoʻo
• Hoʻoikaika hōmona hōʻoiaʻiʻo kāne kāne (i ka wā i hala i kapa ʻia ka hormone replacement therapy)
• ʻO ke kāpili hōʻoiaʻiʻo kāne (i ka wā i hala i kapa ʻia ʻo ke ʻoki kino-hoʻoilina)

ʻAʻole pono nā poʻe transgender āpau i nā ʻano lapaʻau. Hiki iā lākou ke koho i hoʻokahi a ʻoi paha o nā ʻano lāʻau i helu ʻia ma luna.

Ma mua o ka hoʻoholo ʻana e pili ana i ke kahakaha, malia paha e loaʻa mua iā ʻoe ka hōʻailona hōkū wahine e like me ke kāne a ua noho ʻoe ma ke ʻano he kāne koho ʻia no ka liʻiliʻi o hoʻokahi makahiki. ʻElua ʻano nui o ke ʻoki ʻana: pili kekahi i ka momona, ʻaʻohe mea ʻē aʻe. ʻAʻole koho nā kānaka āpau e loaʻa i kahi ʻoki, a i ʻole koho lākou i hoʻokahi ʻano ʻoki wale nō.

ʻO nā kaomi kaiaulu a me ka ʻohana a me ka ʻole o ka ʻae ʻia hiki ke hana i ka hopohopo a me ke kaumaha a me nā pilikia olakino noʻonoʻo ʻē aʻe. ʻO kēia ke kumu he mea nui e loaʻa iā ʻoe ka ʻōlelo aʻoaʻo a me ke kākoʻo ma loko a ma hope hoʻi o kāu hoʻololi. He mea nui ka loaʻa ʻana o ke kākoʻo naʻau mai nā poʻe ʻē aʻe, e like paha me kahi hui kākoʻo a i ʻole mai nā hoaaloha pili a ʻohana paha.

ʻO ka hoʻomaopopo ʻana a me ka mālama ʻana i ka wahine nephphoria hiki wawe ke hoʻēmi i ka manawa o ke kaumaha, ke kaumaha o ka naʻau, a me ka pepehi kanaka ʻana. Ke noho nei i kahi wahi kākoʻo, kūʻokoʻa e hōʻike i kāu ʻike kāne ma ke ʻano e ʻoluʻolu ai ʻoe, a me ka hoʻomaopopo ʻana i kāu mau koho no ka hoʻomaʻamaʻa hiki ke kōkua i ka hoʻoluhi i ka hopohopo a me ke kaumaha.

Hiki i nā ʻano hana ʻokoʻa ke hōʻoluʻolu i nā ʻōuli o ke kāne dysphoria. Eia nō naʻe, nā hopena mai nā poʻe ʻē aʻe i ka hoʻololi o ke kanaka e pili ana i ka pilikanaka a me nā pilikia kū kānāwai i ke kaʻina hoʻololi hiki ke hoʻomau i ka hana ʻana i nā pilikia me ka hana, ʻohana, haipule, a me ka nohona kaiaulu. ʻO ka loaʻa ʻana o kahi pūnaewele kākoʻo pilikino ikaika a koho i nā mea hoʻolako me ka mākaukau i ke olakino transgender e hoʻomaikaʻi nui i ka nānā no ka poʻe me ka wahine dysphoria.

E hoʻopaʻa i kahi manawa me kahi mea hoʻolako me ka mākaukau i ka lāʻau transgender inā loaʻa a ʻike paha kāu keiki i nā ʻōuli o ka wahine dysphoria.

Palena-ʻole; Transgender; Ka maʻi ʻike ʻike kāne

• ʻŌnaehana hānau kāne a wahine

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ʻO Bockting WO. Ke kāne a me ka ʻike kolohe. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 133.

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Hembree WC, Cohen-Kettenis PT, Gooren L, et al. Hoʻomaʻamaʻa Endocrine o ke kāne-dysphoric / kāne-incongruent kanaka: kahi Endocrine Society klinikal hana alakaʻi. ʻO J Clin Endocrinol Metab. 2017; 102 (11): 3869-3903. PMID: 28945902 www.ncbi.nlm.nih.gov/pubmed/28945902/.

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ʻO Shafer LC. ʻO nā maʻi moekolohe a me nā hana pilikino ʻole. I: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. ʻO ka haukapila laulima ʻo Massachusetts General Hospital. ʻElua ed. Piladelapia, PA: Elsevier; 2016: chap 36.

Keʻokeʻo PC. Hoʻolālā moekolohe a me ka ʻike. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 220.