{"id":4522,"date":"2024-10-02T13:47:00","date_gmt":"2024-10-02T11:47:00","guid":{"rendered":"https:\/\/duhovyrok.sk\/qys\/?p=4522"},"modified":"2024-10-02T13:47:27","modified_gmt":"2024-10-02T11:47:27","slug":"zabudnute-pismenko-lgbti-ulahcuje-si-medicinska-obec-pracu","status":"publish","type":"post","link":"https:\/\/duhovyrok.sk\/qys\/zabudnute-pismenko-lgbti-ulahcuje-si-medicinska-obec-pracu\/","title":{"rendered":"Zabudnut\u00e9 p\u00edsmenko (LGBT)I: U\u013eah\u010duje si medic\u00ednska obec pr\u00e1cu?"},"content":{"rendered":"\n

Autorstvo: Tonie Thimble\u00a0<\/strong>\/<\/strong> FOTO: Wikimedia<\/strong><\/p>\n\n\n\n

Text sme prv\u00fd raz publikovali v \u010d\u00edsle Leto 2024.<\/em><\/p>\n\n\n\n

Mysl\u00edme si, \u017ee pohlavie je to ist\u00e9 ako rod a existuj\u00fa len dve mo\u017enosti. Chlapec alebo diev\u010da. Transrodov\u00ed alebo nebin\u00e1rni \u013eudia s\u00fa kohosi v\u00fdmyslom alebo rodov\u00e1 ideol\u00f3gia. Na biol\u00f3gii n\u00e1s u\u010dili iba o XX a XY ako o chromoz\u00f3moch, ktor\u00e9 ur\u010duj\u00fa pohlavie. Existuje v\u0161ak aj nie\u010do uprostred.<\/strong><\/p>\n\n\n\n

P\u00ed\u0161e sa rok 4 postcovidovej \u00e9ry a slovensk\u00e1 vl\u00e1da sa sna\u017e\u00ed znemo\u017eni\u0165 tranz\u00edciu v\u0161etk\u00fdmi mo\u017en\u00fdmi sp\u00f4sobmi pod z\u00e1konom. Po\u010d\u00favam, ako kamar\u00e1tom na matrike hovoria, \u017ee \u201ezmeny v z\u00e1kone maj\u00fa zjednodu\u0161i\u0165\u201c papierova\u010dky, alebo \u017ee papier od lek\u00e1ra pod\u013ea platnej legislat\u00edvy je vlastne neplatn\u00fd, lebo \u201edan\u00fd z\u00e1kon bol pozastaven\u00fd\u201c, aj ke\u010f e\u0161te \u0161tandardy zameran\u00e9 na medic\u00ednsku tranz\u00edciu transrodov\u00fdch \u013eud\u00ed boli vtedy v platnosti a z\u00e1kon \u017eiaden nie je ani nebol, ani sa nemenil.<\/p>\n\n\n\n

Kde svet rie\u0161i urbaniz\u00e1ciu, Slovensko chce napredova\u0165 s orbaniz\u00e1ciou.<\/p>\n\n\n\n

Kamar\u00e1tka mi medzi re\u010dou spomenie, \u017ee ak niekomu na genetickom vy\u0161etren\u00ed vyjde ne\u0161tandardn\u00fd karyotyp (s\u00fabor chromoz\u00f3mov) \u00fadajne bude najprv n\u00faten\u00fd bra\u0165 horm\u00f3ny pod\u013ea pohlavia v ob\u010dianskom a a\u017e potom m\u00f4\u017ee prejs\u0165 tranz\u00edciou na rod, ktor\u00fdm sa vn\u00fatorne identifikuje. Naivne som si myslelo, \u017ee n\u00faten\u00e9 medic\u00ednske z\u00e1kroky u intersex \u013eud\u00ed s\u00fa u\u017e d\u00e1vno minulos\u0165ou. Na PRIDE bojujeme za zru\u0161enie n\u00faten\u00fdch kastr\u00e1ci\u00ed pre transrodov\u00fdch \u013eud\u00ed. Ako je to v\u0161ak s intersex \u013eudmi?<\/p>\n\n\n\n

Pohlavie sa die\u0165a\u0165u ur\u010duje pri naroden\u00ed pod\u013ea genit\u00e1li\u00ed, vonkaj\u0161\u00edch pohlavn\u00fdch org\u00e1nov. Pre\u010do? Okrem toho toti\u017e m\u00e1me aj vn\u00fatorn\u00e9 gon\u00e1dy, pohlavn\u00e9 \u017e\u013eazy, ktor\u00e9 tvoria spermie alebo vaj\u00ed\u010dka. Karyotyp, ktor\u00fd z genetick\u00e9ho h\u013eadiska pozer\u00e1 na 23. p\u00e1r chromoz\u00f3mov, n\u00e1m zas hovor\u00ed, \u010di m\u00e1me XX alebo XY chromoz\u00f3my. A potom tu je e\u0161te psychosoci\u00e1lny faktor, teda vn\u00fatorn\u00e9 c\u00edtenie alebo rodov\u00e1 identita.<\/p>\n\n\n\n

Intersex \u013eudia sa rodia s vonkaj\u0161\u00edmi pohlavn\u00fdmi org\u00e1nmi, ktor\u00e9 nie s\u00fa jednozna\u010dn\u00e9. Z\u00e1hyby ko\u017ee, z ktor\u00fdch sa be\u017ene vytvoria pysky alebo semenn\u00edky, m\u00f4\u017eu by\u0165 spojen\u00e9 alebo nejednozna\u010dn\u00e9, mo\u010dov\u00e1 r\u00fara m\u00f4\u017ee by\u0165 mimo penisu, klitoris m\u00f4\u017ee by\u0165 zv\u00e4\u010d\u0161en\u00fd, pr\u00edpadne na jednej strane m\u00f4\u017ee by\u0165 semenn\u00edk, na druhej ale nie. Hanliv\u00fd v\u00fdraz pre intersex \u013eud\u00ed je hermafrodit, pod\u013ea die\u0165a\u0165a Afrodity a Hefaista z gr\u00e9ckej mytol\u00f3gie. Mytologick\u00fd Hermafrodit m\u00e1 prsia a penis. Skuto\u010dn\u00fd medic\u00ednsky hermafrodit (1) m\u00e1 jeden semenn\u00edk a jeden vaje\u010dn\u00edk alebo ovotestis (\u010di testovar), \u010di\u017ee org\u00e1n so zmie\u0161an\u00fdmi charakteristikami semenn\u00edka a vaje\u010dn\u00edka. Tak\u00fdch je medzi intersex \u013eu\u010fmi menej. Jedin\u00e9 cicavce, u ktor\u00fdch pr\u00edtomnos\u0165 ovotestes nie je pr\u00edznakom v\u00fdvinov\u00fdch odch\u00fdlok, s\u00fa krtkovia.<\/p>\n\n\n\n

Lek\u00e1rstv\u00e1 odpor\u00fa\u010daj\u00fa u intersex det\u00ed korekt\u00edvne oper\u00e1cie na vytvorenie jednozna\u010dnej\u0161\u00edch genit\u00e1li\u00ed. Ak je klitoris pr\u00edli\u0161 ve\u013ek\u00fd, treba ho zmen\u0161i\u0165, aj ke\u010f osoba takto m\u00f4\u017ee pr\u00eds\u0165 o citlivos\u0165 v danej oblasti. Ide\u00e1lne treba spravi\u0165 tieto z\u00e1kroky do druh\u00e9ho roku \u017eivota, aby t\u00fdm die\u0165a nebolo traumatizovan\u00e9. Lek\u00e1rstv\u00e1, ob\u010das spolu s rodi\u010dmi, niekedy bez nich, rozhodn\u00fa o pohlav\u00ed die\u0165a\u0165a a v\u00fdchovou maj\u00fa rodi\u010dia doplni\u0165 k tomu prisl\u00fachaj\u00facu rodov\u00fa identitu, aj ke\u010f t\u00e1 sa v\u00fdchovou ned\u00e1 meni\u0165. A tak nie v\u017edy sa to podar\u00ed odhadn\u00fa\u0165 v s\u00falade s vn\u00fatorn\u00fdm c\u00edten\u00edm dan\u00e9ho \u010dloveka.<\/p>\n\n\n\n

Nesl\u00e1vny pr\u00edpad je \u0161t\u00fadia John\/Joan (2), ktor\u00fa robil doktor John Money na dvoj\u010dat\u00e1ch. Star\u0161iemu z chlapcov pri zbabranej obriezke sp\u00e1lili penis, ktor\u00fd u\u017e nevedeli zachr\u00e1ni\u0165. Rodi\u010dia i\u0161li za odborn\u00edkom, ktor\u00fd im poradil vag\u00ednoplastiku a vychov\u00e1va\u0165 chlapca ako diev\u010da. Brat mohol by\u0165 porovn\u00e1vacou vzorkou, ako v\u00fdchova (ne)funguje. Obe deti boli \u0161t\u00fadiami a pr\u00edstupom lek\u00e1ra traumatizovan\u00e9 a diev\u010da v t\u00edned\u017eerskom veku pre\u0161lo tranz\u00edciou sp\u00e4\u0165 na chlapca. Na prelome mil\u00e9nia a na naliehanie druh\u00fdch vyst\u00fapil David Reimer (v \u0161t\u00fadii Joan) na verejnosti a povedal, \u010do sa mu stalo: narodil sa v roku 1965 ako Bruce, v dvoch rokoch sa n\u00fatene stal Brendou, hoci u\u017e ako dev\u00e4\u0165ro\u010dn\u00fd mal pocit, \u017ee nie je diev\u010da\u0165om. V p\u00e4tn\u00e1stich pre\u0161iel op\u00e4\u0165 tranz\u00edciou a zmenil si meno na David.<\/p>\n\n\n\n

Doktor John Money si myslel, \u017ee na pr\u00edpade Davida Reimera kr\u00e1sne uk\u00e1\u017ee, \u017ee rod je o v\u00fdchove. A hoci b\u00fdva tento pr\u00edpad citovan\u00fd ako d\u00f4kaz, v skuto\u010dnosti jednozna\u010dne vyvr\u00e1til, \u017ee iba vonkaj\u0161ie vplyvy (ako v\u00fdchova) ur\u010duj\u00fa rod \u010dloveka.<\/p>\n\n\n\n

Potom s\u00fa pr\u00edpady intersex \u013eud\u00ed, ktor\u00ed n\u00e1hodou zistili, \u017ee maj\u00fa vn\u00fatorn\u00e9 org\u00e1ny opa\u010dn\u00e9, ako si mysleli. Transrodov\u00e9 diev\u010da menom Mikey Chanel v Bostone v roku 2020 (3) pri\u0161lo n\u00e1hodou na to, \u017ee m\u00e1 maternicu, vaje\u010dn\u00edky aj vaj\u00ed\u010dkovody, ktor\u00e9 s\u00fa plne funk\u010dn\u00e9. Lek\u00e1ri jej obratom odporu\u010dili hysterekt\u00f3miu. <\/p>\n\n\n\n

V roku 2017 (4) bol publikovan\u00fd \u010dl\u00e1nok o \u010dloveku s 46 XX chromoz\u00f3mami a rakovinou prostaty. Vonkaj\u0161ie genit\u00e1lie mal \u017eensk\u00e9, ale kv\u00f4li ochoreniu s n\u00e1zvom kongenit\u00e1lna adren\u00e1lna hyperpl\u00e1zia sa tomuto \u010dloveku vyvinula prostata. Anderson a kolekt\u00edv publikovali v roku 2020 v\u00fdskum, pod\u013ea ktor\u00e9ho u siedmich z \u00f4smich trans mu\u017eov na\u0161li po nieko\u013ek\u00fdch rokoch na testoster\u00f3ne prostatov\u00e9 tkanivo.<\/p>\n\n\n\n

Karyotyp vieme ur\u010di\u0165 len cielen\u00fdm genetick\u00fdm rozborom. Tento sa vy\u017eaduje v r\u00e1mci tranz\u00edcie na Slovensku a endokrinologi\u010dka, ktor\u00e1 sa podie\u013eala na vypracovan\u00ed odborn\u00e9ho vyhl\u00e1senia, ako m\u00e1 tranz\u00edcia vyzera\u0165, \u00fadajne lobovala, aby tento zd\u013ahav\u00fd test ostal s\u00fa\u010das\u0165ou tranz\u00edcie, lebo jej to pom\u00e1ha lep\u0161ie nastavi\u0165 horm\u00f3ny, ktor\u00fdch hodnoty sa meraj\u00fa na pravideln\u00fdch kontrol\u00e1ch z krvi. Na moje \u017eiadosti o presnej\u0161ie vysvetlenie nereagovala.<\/p>\n\n\n\n

Neviem o \u017eiadnom transrodovom \u010dloveku, ktor\u00fd by pri rozbore genetiky zistil, \u017ee je intersex. Dve osoby v mojom okruhu si v\u0161ak myslia, \u017ee asi maj\u00fa chromoz\u00f3my XXY, teda o jeden X chromoz\u00f3m viac akoby mali ma\u0165, preto\u017ee u\u017e pri n\u00edzkych d\u00e1vkach estrog\u00e9nu bola vidite\u013en\u00e1 feminiz\u00e1cia ich tiel r\u00fdchlej\u0161ie ako u in\u00fdch transrodov\u00fdch \u017eien. Obe sa v\u0161ak boja sp\u00fdta\u0165 lek\u00e1rstva na tieto pr\u00edznaky. <\/p>\n\n\n\n

Oslovilo som ministerstvo zdravotn\u00edctva oh\u013eadne tranz\u00edcie v pr\u00edpade intersex osoby, ktor\u00e9 neodpovedalo, a taktie\u017e viacero sexuologi\u010diek. Jedin\u00e1 odpove\u010f pri\u0161la od MUDr. Gallovej, ktor\u00e9 pre Magaz\u00edn QYS<\/em> uviedla, \u017ee nevie, \u010do by sa v takom pr\u00edpade robilo a ani nevedela zisti\u0165 viac. \u0160tandardn\u00e9 postupy pri tranz\u00edcii, ktor\u00e9 ministerstvo zru\u0161ilo od 3. 4. 2024, u\u017e nie s\u00fa online, a ani v arch\u00edve, ale zd\u00e1 sa, \u017ee ani tam sa nikto nezam\u00fd\u0161\u013eal nad intersex \u013eudmi.<\/p>\n\n\n\n

\u0160tatistky pritom uv\u00e1dzaj\u00fa 1,7 % a\u017e 2 % \u013eud\u00ed celosvetovo s\u00fa intersex. Neprefarben\u00fdch ry\u0161av\u00fdch \u013eud\u00ed je podobn\u00e9 mno\u017estvo, identick\u00fdch dvoji\u010diek menej. Tieto \u010d\u00edsla m\u00f4\u017eu by\u0165 e\u0161te v\u00e4\u010d\u0161ie, vzh\u013eadom na mno\u017estvo kombin\u00e1ci\u00ed, ktor\u00e9 nie s\u00fa vidite\u013en\u00e9. Napr\u00edklad osoby 46XXY s tzv. Klinefelterov\u00fdm syndr\u00f3mom m\u00f4\u017eu ma\u0165 zdravotn\u00fd probl\u00e9m, a\u017e ke\u010f sa pok\u00fasia po\u010da\u0165.<\/p>\n\n\n\n

Najviac ma zarazili obavy a neistoty oh\u013eadne tejto t\u00e9my. Neviem, kto roz\u0161iruje ch\u00fdry, \u017ee trans intersex \u013eudia si nem\u00f4\u017eu vybra\u0165 rod pod\u013ea seba, ale fakt, \u017ee mi nikto nevedel alebo nechcel vyvr\u00e1ti\u0165 tieto inform\u00e1cie, sa mi nep\u00e1\u010di. Vyzer\u00e1 to, akoby si odborn\u00e1 obec chcela u\u013eah\u010di\u0165 \u017eivot alebo prehliadli t\u00fato men\u0161inu naschv\u00e1l.<\/p>\n\n\n\n

Zaobch\u00e1dzanie s intersex \u013eudmi ilustruje pr\u00edbeh franc\u00fazskej intersex osoby Herculine Ad\u00e9la\u00efde Barbin, nesk\u00f4r zn\u00e1mej ako Abel Barbin. Ke\u010f jej af\u00e9ra s kolegy\u0148ou vy\u0161la najavo, Barbin bola n\u00fatene lek\u00e1rsky vy\u0161etren\u00e1 a ozna\u010den\u00e1 s\u00fadom za mu\u017ea, hoci sa ona sama na\u010falej identifikovala ako \u017eena. \u017dila v rokoch 1838 a\u017e 1868, svoj \u017eivot ukon\u010dila vlastnou rukou a jej pr\u00edbeh znie podobne ako osudy intersex \u013eud\u00ed o 150 rokov nesk\u00f4r. De\u0148 intersex solidarity je 8. november pod\u013ea jej d\u00e1tumu narodenia.<\/p>\n\n\n\n

    \n
  1. https:\/\/www.news-medical.net\/health\/Hermaphroditism-(Intersex).aspx#:~:text=An%20individual%20with%20true%20gonadal,have%20a%20combination%20of%20both<\/a><\/li>\n\n\n\n
  2. https:\/\/www.nytimes.com\/2004\/05\/12\/us\/david-reimer-38-subject-of-the-john-joan-case.html<\/a><\/li>\n\n\n\n
  3. https:\/\/7news.com.au\/lifestyle\/health-wellbeing\/teen-born-with-male-genitals-and-raised-as-a-boy-becomes-pregnant-after-surprise-discovery-c-1597765?fbclid=IwZXh0bgNhZW0CMTAAAR2lqiwh_H1V_uyJmKJbuCbeFQydIQ9jYY6h8be0RtdC8gp05hSDEDIt3DY_aem_AXWl-g8OoItJzKSYWS5aXZCSUEvHCN2qMsD00mXmyB9AjT_-W6O3oGJlN4D0vMZF_SdwDggZhB_sz7-Pc1_hUD1l<\/a><\/li>\n\n\n\n
  4. https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5686766\/<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    Autorstvo: Tonie Thimble\u00a0\/ FOTO: Wikimedia Text sme prv\u00fd raz publikovali v \u010d\u00edsle Leto 2024. Mysl\u00edme si, \u017ee pohlavie je to ist\u00e9 ako rod a existuj\u00fa len dve mo\u017enosti. Chlapec alebo diev\u010da. Transrodov\u00ed alebo nebin\u00e1rni \u013eudia s\u00fa kohosi v\u00fdmyslom alebo rodov\u00e1 ideol\u00f3gia. Na biol\u00f3gii n\u00e1s u\u010dili iba o XX a XY ako o chromoz\u00f3moch, ktor\u00e9 ur\u010duj\u00fa …<\/a><\/p>\n","protected":false},"author":21,"featured_media":4599,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[261],"tags":[571,266,79,482,142],"class_list":["post-4522","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-komentare-a-analyzy","tag-analyza","tag-from-qys","tag-intersexual","tag-kvir","tag-queer"],"_links":{"self":[{"href":"https:\/\/duhovyrok.sk\/qys\/wp-json\/wp\/v2\/posts\/4522","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/duhovyrok.sk\/qys\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/duhovyrok.sk\/qys\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/duhovyrok.sk\/qys\/wp-json\/wp\/v2\/users\/21"}],"replies":[{"embeddable":true,"href":"https:\/\/duhovyrok.sk\/qys\/wp-json\/wp\/v2\/comments?post=4522"}],"version-history":[{"count":1,"href":"https:\/\/duhovyrok.sk\/qys\/wp-json\/wp\/v2\/posts\/4522\/revisions"}],"predecessor-version":[{"id":4523,"href":"https:\/\/duhovyrok.sk\/qys\/wp-json\/wp\/v2\/posts\/4522\/revisions\/4523"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/duhovyrok.sk\/qys\/wp-json\/wp\/v2\/media\/4599"}],"wp:attachment":[{"href":"https:\/\/duhovyrok.sk\/qys\/wp-json\/wp\/v2\/media?parent=4522"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/duhovyrok.sk\/qys\/wp-json\/wp\/v2\/categories?post=4522"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/duhovyrok.sk\/qys\/wp-json\/wp\/v2\/tags?post=4522"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}