by UGqr Alex Jimenez | Umqolo obuhlungu, Chiropractic, Ubuhlungu obungapheliyo, Ubuhlungu obungapheliyo, Ukulimala koluhlu, Isini esiqinisekisa ukhathalelo lwempilo, impilo, Unyango lokuthotywa koMnqonqo, Unyango, I-Viscerosomatic Reflex, Ukuphila
intshayelelo
Kunokuba ngumceli mngeni ukufumana unyango olufanelekileyo lweentlungu kunye neentlungu emzimbeni ngenxa yeentlobo ezahlukeneyo izinto zendalo. Ezi zinto, ezifana nobomi basekhaya, umsebenzi womzimba, kunye neemeko zokusebenza, kunokukhokelela kwiimpawu ezihambelanayo ezichaphazela kakubi impilo yengqondo kunye neemvakalelo zomntu. Ukuba ayiphathwanga kwaye kuxhomekeke kubunzima, ezi mpawu zinokukhula zibe imeko ezingapheliyo. Nangona kunjalo, umntu ngamnye unokufumana izisombululo zobuqu ukunciphisa intlungu kunye nokungakhululeki ngokuthatha uxanduva lwempilo kunye nokuphila kakuhle. Eli nqaku liza kuphonononga ukhathalelo lokuqinisekisa ngokwesini, unyango olunokuthi luxhamle uluntu lwe-LGBT +, kunye neendlela ezingezizo utyando ezifana nokuthotywa komgudu kunye nokhathalelo lwe-chiropractic. Sisebenza nababoneleli bezonyango abaqinisekisiweyo abasebenzisa ulwazi oluxabisekileyo lwezigulana zethu ukunika unyango olufana nokhathalelo lwesini kubantu abaneentlungu zomzimba jikelele. Sikhuthaza izigulana ukuba zibuze imibuzo ebalulekileyo kwaye zifune imfundo kubaboneleli bethu bezonyango abanxulumene nemeko yabo. UDkt Jimenez, DC, unikezela ngolu lwazi njengenkonzo yemfundo. isikhanyeli
Yintoni uKhathalelo oluQinisekisa isini?
Xa befuna unyango, abantu basoloko bephanda baze bafumane olona nyango luzifaneleyo iimfuno zabo. Olunye unyango olubonise ukuba luchaphazela abantu abaninzi ngokufanelekileyo lukhathalelo oluqinisekisa isini. Izifundo zophando zityhiliwe ukuba le nkqubo inokujongana nokuqinisekiswa kwesini ngeendlela ezahlukeneyo, kubandakanywa iimpahla, iinwele, ilizwi kunye nezimelabizo, utshintsho lwamagama, ukhathalelo lwezonyango kunye noqhaqho, kunye nokutshintsha kwentlalo. Abantu banokusebenzisa ukhathalelo oluqinisekisa isini ngokukodwa ukufumana unyango olubafaneleyo. Uphando lukwacebisa ukuba ukhathalelo lokuqinisekisa ngokwesini kufuneka lube luninzi lwezifundo, lubandakanya uvavanyo lokuxilonga, unyango lwengqondo/ingcebiso, kunye nonyango. Abantu abaninzi kuluntu lwe-LGBT+ bafuna ukhathalelo oluqinisekisa isini ukuze baphucule impilo yabo ngokwasengqondweni nasemzimbeni, enokusindisa ubomi.
Ngaba i-Gender-Affirming Care iyinceda njani i-LGBT+?
Ukhathalelo oluqinisekisa isini ngumba obalulekileyo wokuxhasa uluntu lweLGBT+. Kubandakanya ukuvuma nokwamkela ubuni bomntu nokwenza iinguqulelo eziyimfuneko ukuze umncede akuveze oko. Ukudala indawo ekhuselekileyo nelungileyo yokhathalelo lwesini kunokuphucula kakhulu amava, iziphumo zempilo, kunye nomgangatho wobomi babantu abaninzi kuluntu lwe-LGBT +, ngakumbi abo bachonga njenge-transgender. Kubalulekile ukuqonda intsingiselo “yesini” kunye “nokuqinisekisa” ukunika ukhathalelo olusebenzayo. Isini sibhekisa kwindlela uluntu olubona ngayo isini somntu njengendoda/indoda okanye ibhinqa/ibhinqa, ngelixa ukuqinisekiswa kubandakanya ukwamkela kunye nokuqinisekisa ubuni bomntu. Izifundo zophando ziye zatyhila ukuba ukhathalelo oluqinisekisa isini lunempembelelo entle kuluntu lwe-LGBT+, luyenza ibe yinxalenye ebalulekileyo yokhathalelo lwempilo kwaba bantu.
Kuluntu lwe-LGBT+, i-"T" imele abantu abatshintshe isini kunye nesazisi sesini esingahambelani nesondo ababelwe bona ekuzalweni. Oku kunokubandakanya:
- Umfazi otshintshe isini: Indoda ukuya kwibhinqa, yabelwe indoda ekuzalweni kwayo, ihlala ibhinqa / ibhinqa eliqinisekisiweyo, i-spectrum ye-transfeminine
- Umntu otshintshe isini: Ibhinqa ukuya kwindoda, ibhinqa elabelwe ekuzalweni, lihlala indoda / indoda eqinisekisiweyo, i-transmasculine spectrum
- Transsexual: abantu abakwindawo yabesini esahlukileyo abatshintshele kwisini esahlukileyo, rhoqo kubandakanya utyando lokuphinda babelwe ngokwesondo
Abantu abaninzi be-transgender bafuna ukhathalelo oluqinisekisa isini ukuphucula impilo yabo yonke kunye nokuphila kakuhle ngokwenza utshintsho ukulungelelanisa imizimba nengqondo yabo. Ngelishwa, kukho imiqobo eyayanyaniswa nokufikelela kukhathalelo lokuqinisekisa ngokwesini.
Imiqobo eyayanyaniswa noNonophelo lweSini
Ukufikelela kukhathalelo lokuqinisekisa ngokwesini kunokuba ngumqobo kwabaninzi kuluntu lwe-LGBT +, okukhokelela kwimpilo enkenenkene yengqondo, ukuncipha kwenkxaso yoluntu, kunye nocalucalulo. Izifundo zophando zityhiliwe ukuba le mithwalo ingaba negalelo ekuphuhliseni i-dysmorphia yomzimba kunye neempawu ezinxulumene nazo. Uphando lu bonise ukuba abantu abane-dysmorphia yomzimba banokuhlakulela ukuphazamiseka kwe-comorbid ngexesha lovavanyo ngokubanzi, kubandakanywa isini dysmorphia, nto leyo enokukhokelela ekubandezelekeni komguli. Nangona kunjalo, ukudala indawo ekhuselekileyo nehloniphekileyo kuluntu lwe-LGBT + kunokwenzeka ngokubonelela ngononophelo oluqinisekisa ngokwesini. I-Injury Medical Chiropractic kunye neQela leMithi eliSebenzayo lizibophelele ekwakheni indawo efanelekileyo kubantu abachonga njenge-transgender kunye nokunciphisa iimpawu ezinjengeentlungu ngokusebenzisa izicwangciso zonyango lomntu ngamnye.
Unyango oluluNcedo lusetyenziswa kuKhathalelo oluQinisekisa isini
Kukho ithemba kubantu abafuna ukukhathalelwa ngokwesini, njengoko uninzi lonyango oluluncedo lukhoyo. Izinketho ezingezona utyando ezifana nokuchithwa komgogodla kunye nokunyamekela kwe-chiropractic kunokunciphisa imiba ye-musculoskeletal kunye nokufundisa izigulane kwizinto ezisingqongileyo ezichaphazela impilo yabo. IHormone, ngokomzimba, kunye nonyango lwengqondo zibalulekile kwizicwangciso zokhathalelo lomntu, zizenza zifikeleleke kwaye ziqinisekise ukhuseleko. Abantu kuluntu lwe-LGBT + bajongana nemiceli mngeni ekhethekileyo yezempilo, kwaye ukuba nendawo ekhuselekileyo nelungileyo kunokwenza uhambo lwabo lwempilo kunye nokuba sempilweni lulawuleke ngakumbi.
Ucaphulo
Bhatt, N., Cannella, J., & Gentile, JP (2022). Ukhathalelo oluQinisekisa isini kwizigulane ezitshintshe isini. Ukulungiswa kweeNzululwazi zeCliniki, 19(4-6), 23-32. www.ncbi.nlm.nih.gov/pmc/articles/PMC9341318/
Carroll, R., & Bisshop, F. (2022). Yintoni ekufuneka uyazi malunga nokhathalelo lwempilo oluqinisekisa isini. Emergency Medicine Australasia, 34(3). doi.org/10.1111/1742-6723.13990
Grant, JE, Lust, K., & Chamberlain, SR (2019). Ukuphazamiseka komzimba kwi-dysmorphic disorder kunye nobudlelwane bayo kwisini, ukungxama, kunye nokulutha. Uphando loPhando, 273, 260-265. doi.org/10.1016/j.psychres.2019.01.036
Hashemi, L., Weinreb, J., Weimer, AK, & Weiss, RL (2018). Ukunyamekela kwe-Transgender kwi-Primary Care Setting: Ukuphononongwa kweziKhokelo kunye noNcwadi. Federal Practitioner, 35(7), 30-37. www.ncbi.nlm.nih.gov/pmc/articles/PMC6368014/
Kaplan, E., & Bard, P. (2023). Ukuthotywa koMnqongo okuGqibeleleyo. JETLAUNCH.
Tordoff, DM, Wanta, JW, Collin, A., Stepney, C., Inwards-Breland, DJ, & Ahrens, K. (2022). IziPhumo zeMpilo yengqondo kwiTransgender kunye noLutsha oluNgazalwanga oluFumana uKhathalelo oluQinisekisa isini. JAMA Network Open, 5(2). doi.org/10.1001/jamanetworkopen.2022.0978
isikhanyeli
by UGqr Alex Jimenez | LweMpilo, Isini esiqinisekisa ukhathalelo lwempilo, impilo, Udidi lweMithi, Ukuphila
Unayo:
- Iingxaki zomqolo?
- Iingxaki zokwetyisa?
- Intloko ebuhlungu okanye iMigraines?
- Ukwenzakala?
- Imiba yezihlunu?
Ukuba ufumana nayiphi na yezi meko, ngoko unokufuna ukucinga ngokubona i-chiropractor.
Ucalucalulo lweTransgender
Ukuyokwenza uvavanyo lwesiqhelo nokuba ngugqirha okanye kugqirha wamazinyo kuluxinzelelo ngokwaneleyo kubantu. Kubantu abatshintshe isini, ukuya kuvavanyo lwesiqhelo kubacinezela ngakumbi njengoko bahlala bephathwa kakubi okanye bengakhathalelwanga. Kuphando luka-2009, malunga ne-70% yabantu abatshintshe isini kunye nabantu abangahambelani nesini baye bachaza amava alandelayo:
- Ukwala ukhathalelo lwempilo
- Iingcali zezempilo ziyala ukubamba okanye ukusebenzisa izilumkiso kubantu
- Iingcali zezempilo zisebenzisa intetho etshabhisayo ngokungeyomfuneko
- Batyholwa ngempilo yabo yempilo
- Iingcali zezempilo zixhaphaza izigulana
Uphononongo olongezelelweyo lukwaveze ukuba ukhathalelo lwempilo olugqithileyo luyacalulwa kwaye lugcine ubuncinci isinye kwisithathu sabantu abatshintshe isini ukuba bafune uncedo lwezonyango kuzo naziphi na izigulo okanye ukonzakala abanokuthi badibane nabo. Iyothusa ngakumbi into yokuba abaguli abaninzi be-transgender bafundise oogqirha babo malunga nempilo ye-transgender.
I-Transgender ichazwa 'njengomntu ovakalelwa kukuba isazisi sakhe sesini asihambelani nomzimba wakhe wenyama kwaye sahlukile kwisini azalelwe kuso. Uhlalutyo lwedatha ka-2016 yi-Williams Institute, yafumanisa ukuba malunga ne-1.4 yezigidi zabantu baseMelika abachonga njenge-transgender.
Abantu abatshintshe isini baqala ukuthetha ngeengxaki zabo kunye nemiba. Bathetha malunga neenkxalabo malunga nendlela abasebenzi beofisi abaziva ngayo bengcatshiwe ngexesha labo lenguqu, yonke indlela eya kwabanye abacalucalulo kwinkathalo yezempilo abayifumanayo. Abantu abatshintshe isini babonelela abaqeqeshi bezonyango into abanokuyenza kwaye kufuneka bayenze ukuze baqiniseke ukuba baziva bekhuselekile kukhathalelo lonyango. Ngaphandle kolwazi kunye nemfundo, ababoneleli bezempilo abenzi; le miba kusenokwenzeka ukuba inyuke ngokukhula kwabantu abatshintshe isini.
Yintoni ekufuneka beyenzile abaqeqeshi
Ngo-Matshi 2019, abantu ababini u-Emma Vosicky noJaime Pagano, babhekiselwa kubafundi kunye ne-faculty kwi-club ye-National University of Health Sciences (NUHS) Pride Medical Alliance (PMA) malunga nemingeni abajongene nayo. Aba bantu babini babenexhala lokuba babeza kuphathwa ngendlela eyahlukileyo ngabasebenzi baseofisini yaye babesoyika abo babeza kubangcatsha ngokwabelana nabo ngenkcazelo yabo. Ezi zithethi ze-transgender zaqhubela phambili kwaye zaxoxa ngemingeni enzima eye yagqitha ngaphaya kweenguqu zomzimba abaye bajamelana nazo kunye nabanye abaninzi xa befuna unyango.
UVosicky waqhubela phambili waxoxa ngendlela ekwakuyimfuneko ngayo ukuba “azikhuphe” kwingcali yezonyango xa babembuza ngamayeza awayewathatha okanye bexoxa ngembali yonyango yangaphambili eyayingahambelani nenkangeleko yakhe. Zombini izithethi zicebise ukuba ababoneleli bezempilo kufuneka baqwalasele iindlela ezahlukeneyo abanokuthi bazise izigulane zabo ukuba azibacaluli kubo.
U-Pagano uxoxe ngendlela aziva ekhuselekile ngayo xa ebona ifomu yokuthatha inxaxheba ebandakanya iindlela ezahlukeneyo zesini kwindawo kagqirha. Imiqathango ekwifomu yokwamkelwa ibandakanya ukungangqinelani kwesini, okungeyonxalenye yebhinary, trans-female, kunye ne-trans-male, kunye nendoda nebhinqa. Uthe oku kuvakala kuluncedo kumnikezeli awayembona ukuba aqaphele kwaye aqonde ukuba wonke umntu akaphili kwihlabathi lamadoda/abasetyhini kuphela. UPagano uphinde wathi uziva enentembelo ngakumbi yokuba umnikezeli wakhe uya kuzazi ngakumbi ngokwezonyango iimfuno zakhe.
Ilungu lefaculty ye-NUHS uJamine Blesoff, ND, usebenze nolutsha olutshintshe isini kwaye wagxininisa ukuba kubalulekile koogqirha ukuqinisekisa ukuba ukhathalelo lwezigulane zabo lubalulekile kwisigaba ngasinye sotshintsho lwabo.� UGqr. Blesoff uphawule ukuba abasebenzi bezempilo kusafuneka babonelele ngovavanyo lwePAP kumadoda asuka kwinguquko. ukuba ngowasetyhini kwakunye noviwo lwedlala lobudoda lwabasetyhini abangaphambi kotyando. UGqr Blesoff uvakalisa inkxalabo yokuba abanye oogqirha abayi kubonelela naluphi na uhlobo lwenkonzo kwizigulane ezitshintshe isini.
"Kuyimfuno yehlabathi jikelele ukuba abasebenzi bezempilo banamathele kwimithetho ye-HIPAA kunye nokuqinisekisa ukuba izigulane zabo ze-transgender ziphathwa ngesidima, intlonipho, kwaye ngaphezu kwayo yonke into, ukuqinisekisa ukuba bafumana unyango olufunekayo olufunekayo njengawo wonke umntu." -UDkt Alex Jimenez DC, i-CCST Insight
Ukungathathi cala ngokwesini
Iingcali zezempilo kufuneka zihlale zakha ukuthembela kuzo naziphi na izigulana ezihamba ngomnyango. Ababoneleli ngezempilo kufuneka baqinisekise ukuba iifomu zokuthatha zibonelela ngesithuba sesazisi sesini sesigulana. Ukongeza kwisimo somzimba wesigulane, izigulane ze-transgender bangabonisa isazisi abasithandayo, kunye nabasebenzi bezempilo banokubuza ukuba zeziphi izimelabizo izigulane ezikhethayo njengaye kwaye zisebenzise kulo lonke utyelelo lwabo.
Thetha Ngembeko
Oogqirha kufuneka bathathele ingqalelo ukusebenzisa igama lesigulana sabo elikhethiweyo endaweni yegama labo �lenyani� ukuba alibonakali kwiirekhodi zabo kwaye babuze isigulana ukuba igama elahlukileyo lidwelisiwe. Iingcali zempilo kufuneka zixolise ngembeko ukuba zisebenzisa igama elingelilo okanye isazisi sakhe. Nangona inokuba ngumceli mngeni kancinane kwizigulana zexesha elide, kodwa okoko nje iingcali zezempilo zisenza umzamo, iya kuba yindlela yokubonisa intlonipho hayi kwisigulana kuphela kodwa nakoogqirha ngokunjalo.
"Ndihlala ndikholelwa ukuba injongo ibaluleke ngaphezu kwamagama," utshilo uSam Brinton, onjalo iNtloko yezoKhethelo kunye neMicimbi kaRhulumente kwiProjekthi yeTrevor. UBrinton waphinda wathi, “Kukho umahluko phakathi kokuthi 'andikwazi' kunye nokuthi 'Ndiyazama.' Ukuba unenjongo yokundenzakalisa ngokungasebenzisi izimelabizo zam, oko kubaluleke ngaphezu kwawo nawaphi na amagama owathethayo.”
Qonda Ukungonwabi Emzimbeni
Ukuze izigulana ezitshintshe isini zizive zikhuselekile kwaye zifumana unyango ezilufunayo, oogqirha bafanele babahoye kwaye bazihloniphe iimfuno zesigulana sabo. Kwizigulana ezitshintshe isini, sele icinezelekile ngokwaneleyo ukuba zifumane uhlolo lwesiqhelo. Xa oogqirha bezihlonela iintswelo zomguli wabo yaye bengaqhubeki nonyango lwabo, oko kuya kubazisela iintloni yaye bangonwabanga.
Nyanga izigulo kuphela
Iingcali zezempilo kufuneka ziqwalasele uhlobo lolwazi okanye uviwo abalunika izigulana zabo ngokhathalelo olulufunayo. Ke ukubonelela ngokhathalelo lwezonyango oluyimfuneko njengeentlungu zomqolo, iingxaki zesisu, ukuphazamiseka kwamajoni omzimba, okanye uvavanyo ngokubanzi lubalulekile.
Fundisa Abasebenzi
Bonke abasebenzi bezonyango abanxibelelana nezigulana kufuneka bazifundise indlela yokubonelela ngentuthuzelo kunye nokhathalelo xa bejongana nezigulane ezitshintshe isini. Ababoneleli bezonyango kunye nabasebenzi bezonyango kufuneka basebenzise ulwazi lokusebenzisana nezigulane imihla ngemihla.
isiphelo
Ukhathalelo lwempilo lweTransgender luyimfuneko kwaba bantu bazama ukufumana izibonelelo ezifanayo ezifunyanwa ngumntu wonke. Abasebenzi bezempilo kufuneka babe nentlonipho kwaye babonelele ngononophelo olungcono lokubonelela izigulana ezinezazisi ezahlukeneyo kunye nemvelaphi. Ukufundisa nokwazi oko isigulana sityhubela kuko yinxalenye yomsebenzi kagqirha ukuze angazincedi yena kuphela kodwa nokwazisa isigulana ngesisombululo ngoxa esenza ukuba azive ekhululekile. Abanye iimveliso zilapha ukuxhasa izigulo zakhe nabani na kwaye zinike inkxaso kumathumbu, ukusebenza kwesisu, kunye nenkqubo yemisipha.
Ubungakanani bolwazi lwethu lukhawulelwe kwi-chiropractic, musculoskeletal, kunye nemicimbi yezempilo yovalo okanye amanqaku amayeza asebenzayo, izihloko kunye neengxoxo. Sisebenzisa iiprothokholi zempilo ezisebenzayo ukunyanga ukwenzakala okanye ukuphazamiseka kwenkqubo yemusculoskeletal. Iofisi yethu yenze umzamo oqinisekileyo wokubonelela ngezikhokelo ezixhasayo kwaye ichonge isifundo sophononongo esifanelekileyo okanye izifundo ezixhasa izithuba zethu. Sikwenza iikopi zezifundo zophando ezixhasayo ziya kufumaneka ebhodini okanye kuluntu xa luceliwe. Ukuqhubeka nokuxoxa ngomxholo ongentla, nceda ukhululeke ukubuza uGqirha Alex Jimenez okanye unxibelelane nathi apha 915-850-0900.
Iingxelo:
Flores, uAndrew R., et al. �Bangaphi abantu abadala abachonga njengeTransgender eMelika?� Iziko likaWilliam, Juni 2016, williamsinstitute.law.ucla.edu/wp-content/uploads/Bangaphi-Abadala-Bangaphi na-Abadala-Bachonga-njenge-Transgender-in-the-United-States.pdf.
Marshall, Tari. �Ukhathalelo lweMpilo lwabaguqulelwe kwisini: Indlela yokuhlangabezana nezidingo zabo.� Ukhathalelo lwezeMpilo lweTransgender: Indlela yokuhlangabezana nezidingo zabo, 20 Nov. 2019, blog.nuhs.edu/the-future-of-integrative-health/transgender-health-care-how-to-meet-their-needs.
Marshall, Tari. �Xa Inokuba Ngabo/Ngabo.� LinkedIn, 13 Feb. 2018, www.linkedin.com/pulse/when-heshe-may-theythem-tari-marshall?trk=portfolio_article-card_title.
Iqela, Lambda. �I-Lambda ngokusemthethweni ikhupha iziphumo zoPhando loCalucalulo lweMpilo; Ngaphezulu kwesiqingatha se-LGBT kunye nabaBaphenduli abaneNtsholongwane kaGawulayo banika ingxelo yoCalucalulo.� I-Lambda Legal, 4 Feb. 2010, www.lambdalegal.org/news/ny_20100204_lambda-releases-health.
Iqela, NUHS. �INkqubo yeQela leQela iNxibelelana ngamava eTransgender kunye neeNgcali zezoNyango: IYunivesithi yeSizwe yeSayensi yezeMpilo e-Illinois naseFlorida.� Fumana isiDanga seChiropractic, iNaturopathy, kunye neAcupuncture Medicine | �IYunivesithi yeSizwe yeSayensi yezeMpilo, 13 Mar. 2019, www.nuhs.edu/news/2019/3/pride-club-program-addresses-transgender-experiences-with-medical-professionals/.
Iqela, iProjekthi yeTrevor. �Ukugcina Ubomi Abaselula be-LGBTQ.� Iprojekthi yeTrevor, 2019, www.thetrevorproject.org/#sm.00013irq131dh2e6qpejz1qoa103y.
