LGBTQ+ Gender Affirming Health Care

Ukhathalelo lwempilo oluqinisekisa isini luthetha izinto ezahlukeneyo kubantu abohlukeneyo kuluntu lweLGBTQ+. Ngaba ukufunda kunye nokubandakanya ingqokelela yezixhobo apho ababoneleli bezempilo banokusebenzisa ngcono iinjongo zempilo kunye neemfuno zomntu?

LGBTQ+ Ukhathalelo lweMpilo

• Ukufikelela kukhathalelo lwezonyango kunokubonisa ukuphazamiseka kunye nokujongela phantsi imiqobo kuluntu lwe-LGBTQ+.
• Abantu abatshintshe isini kunye nabangengabo-binary bajongana nokucalucalulo ngokwesini kunye nesondo ngababoneleli bezempilo, abaphandi, kunye neerekhodi zempilo zombane, uphando olufunyenweyo.
• Njengenyathelo eliya phambili, abaphandi be-transgender kunye nabangengabo-binary abavela kulo lonke elase-United States naseKhanada bachaza indlela idatha yerekhodi yezempilo enokuguqulwa ngayo ukuze ibandakanyeke ngakumbi kwaye imele abantu abahlukeneyo ngokwesini. (Kronk CA, et al., 2022)
• Ukhathalelo oluqinisekisa isini luchaza iinkonzo zonyango, ezengqondo, nezentlalo ezibonelelwa kubantu abatshintshe isini, abangengabo ibhinary, okanye abongezelelekileyo ngokwesini.
• Injongo kukunceda abantu ukuba balungelelanise indlela abaziva ngayo kunye nenkangeleko yabo yangaphandle ukuphucula impilo-ntle.
• Umba omnye wokhathalelo lwesini ibandakanya inguqu yentlalo – oku kunokubandakanya ukutshintshwa kwegama, ukunxiba, ukunikezela, kunye nokusebenzisa izimelabizo ngendlela eqinisekisa ubuni bomntu.

Ukuqinisekisa ngesini

• Ukhathalelo oluqinisekisa isini lunceda ekunciphiseni i-dysphoria yesini-uxinzelelo umntu anokuba nalo xa isini awabelwe ngaso ekuzalweni singahambelani nobuni babo.
• Oku kuncipha koxinzelelo kunye nokungonwabi kunokuba nefuthe elihle kakhulu kwimpilo yengqondo kunye nempilo yonke, ngakumbi kwindawo yokhathalelo lwempilo.
• Abantu abahlukeneyo nabahlukeneyo ngokwesini bahlala bejongana namazinga aphezulu eengxaki zempilo yengqondo, kubandakanya nokudakumba, ixhala, kunye neengcinga zokuzibulala. (USarah E Valentine, uJillian C Shipherd, ngo-2018)
• Ukunyamekela ngokwesini, kudibaniswa nenkxaso yempilo yengqondo, kunokuncedisa ukunciphisa umngcipheko ngokubonelela abantu ngabanye ngezixhobo, izixhobo, kunye nokungenelela okufunekayo ukunciphisa uxinzelelo kunye nokukhuthaza ukuzibona kakuhle.

ulwimi

• Ukufuna ukwazi malunga ne-LGBTQ+ yabahlali inokuvela ngeendlela ezindlongondlongo nezihlaselayo.
• Enye indlela ucalucalulo lwenzeka ngayo kumaziko ezempilo lusetyenziswa ngabanikezeli beelwimi.
• Isahlulo sesithathu sabantu abatshintshe isini e-US baye baba namava angalunganga kunye nababoneleli bezempilo.
• I-23% ithe bakunqandile ukufuna unyango ngenxa yokoyika ukuphathwa kakubi. (James SE, et al., 2015)
• Iifomu ezisemthethweni zokuthatha isigulana zinokucela ukwabelana ngesondo kwesigulana, kusetyenziswa amagama afana nebhinqa ukuya kwindoda okanye indoda ukuya kowasetyhini.
• Iindidi zikholisa ukugxila kubantu be-cisgender.
• "Iomnye” udidi olukwiifomu ezahlukeneyo zokhathalelo lwempilo lunokubagxotha abantu abangengobathathu kunye nabo bangaweliyo kudidi olusisigxina. (Kronk CA, et al., 2022)
• abanikezeli bezempilo abasebenzisa ulwimi lubalulekile kubaboneleli ukuba baphephe ukwenza iingcamango malunga negama elikhethiweyo lesigulana kunye nesimelabizo.
• Ababoneleli kufuneka babuze ukuba isigulana ngasinye singathanda ukubhekisa njani kumzimba wabo.
• Sebenzisa amagama/ulwimi isigulana esilusebenzisayo ukuzichaza.

Ukufumana Inkathalo

• Ukufumana ababoneleli bezempilo abaqinisekisa isini kunokuba nzima.
• Ababoneleli abaninzi abanalo ulwazi kunye noqeqesho kwiimfuno kunye namava, banokucalula, kwaye kaninzi abanalo uphawu xa bengena kwindawo yokuba umboneleli uqinisekisa isini.
• Ukhathalelo lweSini lulo naluphi na ukhathalelo apho ilungu loluntu lwe-LGBTQ+ linezidingo zalo ngokufanelekileyo, liziva likhuselekile, kwaye likhululekile, kwaye livakalelwa kukuba isini sabo siyahlonitshwa.
• Uphononongo lufumanise ukuba abantu be-TGNC bakhetha unyango kunye nokudluliselwa ngoogqirha babo bokhathalelo oluphambili kuba besazi ngakumbi ngabo ngokupheleleyo, babone njengomntu wonke, baseke ubudlelwane bomsebenzi, kwaye bafikeleleka ngakumbi. (Brooker AS, Loshak H. 2020)

Iindlela zokwenza iiklinikhi zokhathalelo lwempilo ngakumbi ngokwesini zibandakanya(UJason Rafferty, et al., 2018) (Brooker AS, Loshak H. 2020)

• Ukubonisa ababonisi bendawo elungileyo nekhuselekileyo ngokusebenzisa iiflegi zomnyama, iimpawu, izitikha, njl.
• Ukucacisa kunye nokugcina imfihlo kagqirha-isigulane.
• Ukuba neencwadana okanye iipowusta ezifumanekayo ezinxulumene LGBTQ+ zempilo.
• Ukuphinda kusetyenzwe kwakhona iifom zonyango ukubandakanya ngaphezu kokhetho lwamadoda nabasetyhini.
• Uqeqesho lokwahluka kwabo bonke abasebenzi.
• Ukusetyenziswa kwabasebenzi bamagama kunye nezimelabizo zesigulane.
• Ukusetyenziswa kwamagama agxininiswe ngesigulana kunye nezimelabizo kwiirekhodi zonyango ngaphandle kokudala iifom eziphindwe kabini kunye neetshathi.
• Ukuba zikhona bonelela ngamagumbi okuhlambela angathathi hlangothi ngokwesini.

Nangona imboni yezempilo yonyango ineendlela zokuhamba, iikliniki zezempilo kwilizwe lonke ziyaqaphela uxanduva lwabo lokubonelela ngononophelo olusemgangathweni kubo bonke. Ngedatha ephuculweyo, abaqeqeshi bezempilo banokuchonga ngcono iimfuno ezingafezekanga ze-LGBTQ + izigulana kunye nokuphuhlisa izisombululo ezisebenzayo ngakumbi. Thina kwi-Injury Medical Chiropractic kunye nekliniki ye-Functional Medicine iyaqonda ukubaluleka kwendawo ekhuselekileyo, intsingiselo yayo, kunye nendlela yokuyidala ngokunikezela ngononophelo oluzinikeleyo kuluntu lwe-LGBTQ + ngokusebenzisa ulwimi oluqinisekisa isini, ukungabuzi imibuzo engaqhelekanga, kunye nokuthatha ukungahambi kakuhle kutyelelo.

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Ukususela ekuBonelweni ukuya kwiNguquko: Ukuvavanya izigulane kwi-Chiropractic Setting

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Ucaphulo

Kronk, CA, Everhart, AR, Ashley, F., Thompson, HM, Schall, TE, Goetz, TG, Hiatt, L., Derrick, Z., Queen, R., Ram, A., Guthman, EM, Danforth , OM, Lett, E., Potter, E., Sun, SED, Marshall, Z., & Karnoski, R. (2022). Ukuqokelelwa kwedatha ye-Transgender kwirekhodi yezempilo ye-elektroniki: Iingcamango zangoku kunye nemiba. Umbhalo we-American Medical Informatics Association: JAMIA, 29 (2), 271-284. doi.org/10.1093/jamia/ocab136

Valentine, SE, & Shipherd, JC (2018). Uphononongo olucwangcisiweyo loxinzelelo lwentlalo kunye nempilo yengqondo phakathi kwe-transgender kunye nesini esingahambelaniyo nabantu base-United States. Ukuphononongwa kwengqondo yeklinikhi, i-66, i-24-38. doi.org/10.1016/j.cpr.2018.03.003

UJames SE, uHerman JL, uRankin S, uKeisling M, uMottet L, kunye noAnafi, M. Ingxelo ye-2015 US Transgender Survey. IWashington, DC: Iziko leSizwe loLingano lweTransgender.

Brooker AS, Loshak H. Gender affirming therapy for gender dysphoria: uphononongo olukhawulezayo lomgangatho. EOttawa: ICADTH; 2020 Jun.

Rafferty, J., IKOMITI YEMIBA NGENGQONDO YEMPILO YOMNTWANA NEYSAPHO, IKOMITI YOBUFIKISA, & NECANDELO LELESBIAN, GAY, IBISEXUAL, KUNYE NEMPILO KANYE NEMPILO YOMNTWANA (2018). Ukuqinisekisa ngoNonophelo oluBanzi kunye neNkxaso yaBantwana abaTshintshayo kunye neSini-ezahlukeneyo kunye nabaBafikisayo. Unyango lwabantwana, i-142 (4), e20182162. doi.org/10.1542/peds.2018-2162