Vanhu vanofara mushure mokuvhiyiwa kwepabonde reassignment (SRS)
Vanhu vanoita chirwere chekuita zvekuita zvepabonde (SRS) chinangwa chokuchinja kubva kumurume kusvika kumadzimai kazhinji vanofara zvikuru-nekunamatira 96 muzana vachida kuvhiyiwa zvakare. Iyi nhamba inogona kufungwa seyokukurudzira kune vose vanofarira kuvhiyiwa nevatapi vehutano zvakafanana.
Kunyange zvazvo zvidzidzo zvakasiyana-siyana zvakaongorora zviitiko zveSRS, mashomanana akaitwa muUnited States.
Pane kudaro, veEurope vakaita zvakawanda zvekutsvakurudza zvakananga maererano nekugutsikana mushure meSRS. Pasi pose, hurongwa hwehutano hwehutano muUnited States hunoisa mukucherechedza kwakabhadharwa kuRSS nekumwe hutano hwe transgender, kusanganisira kupa mazano.
Kukanganisa kweRSS Research
Kutsvakurudza panyaya iyi, zvisinei zvakaitwa zvakanaka, kunotarisana nemamwe mapoka makuru.
Yokutanga kugovera ndeyekuti zvidzidzo zviri pasi simba uye zvinosanganisira nhamba duku yevatori vechikamu. Mukusayenzi, zvidzidzo nevadzidzi vashomanana chete "vane mazamu maduku mashoma." Kunyange zvakadaro, zvidzidzo zvakadaro zvinogona kugadzirisa zviitiko zvakakosha. Uyezve, kupararira kwenyika yose kana nhamba yepasi rose yevanhu vanokanganisa iduku, ine chikwata chapamusoro-soro chechimwe chete mu11,900 varume nevakadzi uye mumwe muvanhu 30,400 vakadzi-varume. Mune mamwe mazwi, zvingava zvakaoma kuwana vatori vechikamu munzvimbo yekutanga.
Chimwe chikamu chekutsvakurudza kweSRS "sampling bias." Mune mamwe mazwi, zvidzidzo hazviongorori zvakasiyana-siyana zvevatori vechikamu. Semuenzaniso, vanotsvakurudza vanowanzoparadzira mibvunzo, uye dzimwe nguva hafu yevaya vakambonzwa SRS, izvo zvinoreva kuti zvakasiyana siyana zvevanhu-vamiririri vevanhu vose-havana kuongororwa.
Tsvakurudzo ye SRS
Imwezve, zvinoshamisa kwazvo kuti tsvakurudzo inoratidza kuti vazhinji varwere vane hutano hwakanaka hwevarume nevarume vanofarira SRS, uye, sezvakataurwa kare, vazhinji vangasarudza kuti vaite zvakare. Uyezve, mararamiro anowanikwa kubuzhinji rwevanhu ava.
Heano zvimwe zvandinowana zvinowanikwa zvakajeka zvichibva pane zvishoma, kuongorora zvisina kurongwa kwekutsvakurudza kwakaitwa pavarume-vakadzikadzi SRS:
- Vanopfuura 90 kubva muzana yevanhu vakambonzwa SRS vanoti vanowanzogutsikana neyo nzira.
- Ruzhinji rwevanhu vanopinda SRS vakawana hutano huri nani huri nani.
- Makumi makumi manomwe namasere kubva muzana vanobatanidzwa vanogutsikana nekuratidzika kwemaonero evanhukadzi avo vatsva.
- Pakati pe 56 ne84 muzana yevatori vechikamu vanofara nekushanda kwemaitiro avo matsva.
- Vanenge 82 kubva muzana yevatori vechikamu vanogona kuwana hupombwe munguva yekuita bonhora uye zvepabonde.
- Orgasm inoziva zvakasiyana mushure mekuvhiyiwa. Kunyanya, zvipfeko zvinowanzova zviduku uye zvakanyanya kuvarwere nevarume.
- Muzhinji, kuita zvepabonde kwakawedzera mushure mekuvhiyiwa kusanganisira zvepabonde.
- Vamwe vanhu vane SRS vakanyunyuta kurwadziwa mushure mekuita.
- Vatsvakurudzi vanoratidza kuti vanhu vane SRS vanogamuchira rubatsiro rwepfungwa mushure mekuita.
Kubva pane maonero ezvokurapa, zviwanikwa zviri pamusoro zvinokurudzira zvikuru. Zvinokwanisika kuti mamwe mavhivhi akawanda asina kuita zvepabonde mune zvakasikwa anowanzokundikana kuzvirumbidza zvakadai zvakakwirira zvekugutsikana-regai kuve nechido chakasimba chokuenda kuburikidza nekuvhiyiwa zvakare. Kubudirira kweSSS ndeyekupupura kwechokwadi kubudirira kwedu mukuvhiya kwepurasitiki.
Pasinei nekufambira mberi muunyanzvi hwekuita zvekuita zvepabonde reassignment, zvisinei, kurongeka kwepfungwa mupfungwa yevarwere ava vane kukwana. Semuenzaniso, muUnited States, hatisi kukanganisa kubhadhara tsvakurudzo yakadaro asiwo kunokundikana kugovera kuvimbika uye kuvimbwa kwehutano hwehutano hwehutano kuitira kupa kurapa kwakadaro.
Tsananguro Inobva
Chimwe chechokwadi chinoshanduka chinofanira kuitika muAmerica pfungwa kuitira kuti kubvumirana zviri nani uye kuve nemanzwiro ezvinyorwa zve transgender zvinotenderera kune zvakanakira kudiwa. Vazhinji veAmerica vanokundikana kutarisa kuti vanhu vanoda SRS uye therapy hormone vanoda iyo, zvakare. Zvinosuruvarisa kuti vazhinji vevayisi vehurumende havanzwi maitiro akadaro zvimwe.
Kazhinji kacho, kuratidzwa kwevanhu vakawanda kune SRS ndeyevhidhiyo-apo vanozivikanwa-kunyanya, Caitlyn Jenner-vane chirwere chakaitwa. Vakawanda vanopemberera vanogona kukwanisa kuita izvi nenzira dzakanakisisa dzekuchengetedza utano. Vanogonawo kuwana mari yakakodzera yekupa mazano ekupupurirwa uye kutsigirwa kunofanirwa kuendesa chero nzira dzakadaro.
Zvinosuruvarisa, kwete vanhu vose vapfumi zvakakwana kuti vawane SRS maitiro, ayo zvino anowanzoitwa kune dzimwe nyika uye kunze kwehomwe. Kunyange kana vamwe vanhu vachikwanisa kuchengetedza mari yakakwana yokubhururukira kuBangkok kana kuEurope nokuda kwekuvhiyiwa kwakadai, pangadai pane mari shoma yakasara nokuda kwekutevedza kwakasimba uye kutsigira mupfungwa uye kutarisa-zvikamu zvikamu zvekuita.
Kana iwe kana mumwe munhu waunoda ari kuongorora SRS, tapota nyatsofungisisa nzira yako. Ramba uchifunga kuti SRS inobatanidza nzira inoda kutarisirwa, kupa mazano, uye kutsigirwa kwevashandi vakawanda. Mukuwedzera kune chikamu chepanyama, pane chinzvimbo chikuru chepfungwa chinofanira kutaridzwa, zvakare. Kunyange zvazvo zviitiko zvichiratidza kuti vanhu vakawanda vakave nekuvhiyiwa uku vanofara, tinofanira kufarira izvi zvakawanikwa nenzira yakajeka. Pane chimiro chakanakisisa chekuti chirwere che SRS chiite, pamwe nekutsigirwa kwevashandi vehutano vane tsitsi uye vane ruzivo uyewo mhuri ine rudo neshamwari zvakanaka.
Sources:
Hess J. Kugutsikana Nevarume-ku -kadzi Kuwanikwa kweGender Reassignment Zvibereko zveRetrospective Analysis. Deutsches Ärzteblatt International . 2014.
Wierks K. Uhu hwehupenyu uye hutano hwepabonde mushure mekuita zvekuita zvezvepabonde reassignment muTranssexual Men. International Society for Sexual Medicine . 2011.