LGBTQ+ Gender Affirming Health Care

Chisamaliro chotsimikizira kuti amuna kapena akazi okhaokha chimatanthauza zinthu zosiyanasiyana kwa anthu osiyanasiyana a LGBTQ+. Kodi kuphunzira ndikuphatikiza zida zomwe azachipatala angagwiritse ntchito kuti zigwirizane ndi zolinga ndi zosowa zamunthuyo?

LGBTQ+ Health Care

• Kupeza chithandizo chamankhwala nthawi zambiri kumatha kubweretsa zokhumudwitsa komanso zofooketsa gulu la LGBTQ+.
• Anthu a Transgender ndi osakhala a binary amakumana ndi kukondera kwa jenda ndi kugonana ndi opereka chithandizo chamankhwala, ofufuza, ndi zolemba zamagetsi zamagetsi, kafukufuku adapeza.
• Monga njira yopita patsogolo, ofufuza a transgender ndi osakhala a binary ochokera ku United States ndi Canada akulongosola momwe deta yaumoyo ingasinthire kuti ikhale yophatikizana komanso yoyimira anthu osiyanasiyana. (Kronk CA, et al., 2022)
• Chisamaliro chotsimikizira kuti jenda ndi mwamuna kapena mkazi chimalongosola chithandizo chamankhwala, m'maganizo, ndi chikhalidwe cha anthu omwe amaperekedwa kwa anthu omwe sali obadwa ndi amuna kapena akazi okhaokha.
• Cholinga chake ndi kuthandiza anthu kuti agwirizane ndi kudzikonda kwawo ndi maonekedwe awo akunja kuti akhale ndi thanzi labwino.
• Mbali imodzi ya chisamaliro chotsimikizira kuti amuna ndi akazi kumaphatikizapo kusinthana ndi anthu - izi zingaphatikizepo kusintha kwa dzina, kavalidwe, kuwonetsera, ndi kugwiritsa ntchito matchulidwe m'njira yotsimikizira kuti munthu ndi mwamuna kapena mkazi.

Kutsimikizira Kugonana

• Chisamaliro chotsimikizira kuti amuna ndi akazi chimathandizira kuchepetsa dysphoria ya jenda - kupsinjika komwe munthu amatha kukumana nako pamene kugonana komwe adapatsidwa panthawi yobadwa sikukugwirizana ndi zomwe akudziwa.
• Kuchepetsa kupsinjika ndi kusautsika uku kumatha kukhala ndi zotsatira zabwino paumoyo wamaganizidwe komanso thanzi labwino, makamaka pankhani yazaumoyo.
• Anthu osiyanasiyana komanso osiyana jenda nthawi zambiri amakumana ndi zovuta zambiri zamaganizidwe, kuphatikiza kukhumudwa, nkhawa, komanso kufuna kudzipha. (Sarah E Valentine, Jillian C Shipherd, 2018)
• Chisamaliro chotsimikizira kuti amuna kapena akazi okhaokha, pamodzi ndi chithandizo chamankhwala chamaganizo, chingathandize kuchepetsa ngozi powapatsa anthu zipangizo, zothandizira, ndi zothandizira zomwe zimafunikira kuti athetse kuvutika maganizo ndikulimbikitsa kudzikonda.

Language

• Chidwi chokhudza gulu la LGBTQ+ chitha kuwoneka mwaukali komanso movutikira.
• Njira imodzi yomwe tsankho limachitikira m'zipatala ndi momwe opereka zilankhulo amagwiritsa ntchito.
• Gawo limodzi mwa magawo atatu a anthu omwe ali ndi transgender ku US akhala ndi zokumana nazo zoipa ndi othandizira azaumoyo.
• 23% adati adapewa kupeza chithandizo chamankhwala chifukwa choopa kuzunzidwa. (James SE, et al., 2015)
• Mafomu ovomerezeka a odwala amatha kufunsa za kugonana kwa wodwala, pogwiritsa ntchito mawu monga akazi kwa mwamuna kapena mwamuna ndi mkazi.
• Maguluwa amakonda kukhazikika pa anthu a cisgender.
• The "ena” gulu la mitundu yosiyanasiyana ya chithandizo chamankhwala limatha kusiyanitsa anthu omwe si a binary komanso omwe sagwera m'magulu okhazikika. (Kronk CA, et al., 2022)
• Othandizira azaumoyo a chilankhulo amagwiritsira ntchito ndikofunikira kuti opereka chithandizo apewe kupanga malingaliro okhudza dzina lokonda la wodwala ndi m'malo mwake.
• Opereka chithandizo ayenera kufunsa momwe wodwala payekha angafune kutengera thupi lawo.
• Gwiritsani ntchito mawu/chinenero chimene wodwala akugwiritsa ntchito podzifotokoza yekha.

Kupeza Chisamaliro

• Kupeza othandizira azaumoyo otsimikizira kuti amuna kapena akazi okhaokha kungakhale kovuta.
• Ambiri opereka chithandizo alibe chidziwitso ndi maphunziro pa zosowa ndi zochitika, akhoza kukhala atsankho, ndipo nthawi zambiri alibe zizindikiro polowa m'chipindamo kuti woperekayo akutsimikizira kuti ndi amuna kapena akazi.
• Chisamaliro chotsimikizira kuti amuna kapena akazi ndi amuna ndi chisamaliro chilichonse chomwe membala wa LGBTQ+ amapeza zosowa zawo moyenera, amakhala otetezeka, omasuka, komanso amawona kuti jenda lake limalemekezedwa.
• Ndemanga inapeza kuti anthu a TGNC amakonda chithandizo ndi kutumizidwa ndi madokotala awo oyambirira chifukwa amadziwa zambiri za iwo mwathunthu, amawawona ngati munthu wathunthu, akhazikitsa ubale waukatswiri, ndipo ndi osavuta kufikako. (Brooker AS, Loshak H. 2020)

Njira zopangira zipatala zachipatala kukhala zotsimikizira kuti amuna ndi akazi ndizo: (Jason Rafferty, et al., 2018) (Brooker AS, Loshak H. 2020)

• Kuwonetsa zizindikiro za malo abwino ndi otetezeka pogwiritsa ntchito mbendera za utawaleza, zizindikiro, zomata, ndi zina zotero.
• Kufotokozera ndi kusunga chinsinsi cha dokotala ndi wodwala.
• Kukhala ndi timapepala kapena zikwangwani zopezeka zokhudzana ndi LGBTQ+ zaumoyo.
• Kukonzanso mafomu azachipatala kuti aphatikizepo zambiri osati za amuna ndi akazi okha.
• Maphunziro osiyanasiyana kwa ogwira ntchito onse.
• Kugwiritsa ntchito mayina ndi matauni odziwika ndi odwala.
• Kugwiritsa ntchito mayina odziwika ndi odwala m'mabuku azachipatala popanda kupanga mafomu obwereza ndi ma chart.
• Ngati alipo apatseni mabafa opanda jenda.

Ngakhale makampani azachipatala ali ndi njira zopitira, zipatala zachipatala m'dziko lonselo zikuzindikira udindo wawo wopereka chisamaliro chabwino kwa onse. Ndi chidziwitso chowongolera, akatswiri azachipatala amatha kuzindikira bwino zosowa zosakwanira za odwala a LGBTQ + ndikupanga mayankho ogwira mtima. Tili ku Injury Medical Chiropractic ndi Chipatala cha Functional Medicine amamvetsetsa kufunikira kwa malo otetezeka, tanthauzo lake, ndi momwe angapangire popereka chisamaliro chodzipereka kwa gulu la LGBTQ + pogwiritsa ntchito chilankhulo chotsimikizira kuti amuna ndi akazi, osafunsa mafunso odabwitsa, komanso kuchotsa zovuta paulendowu.

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Kuchokera Kukambirana mpaka Kusintha: Kuwunika Odwala Mu Chiropractic Setting

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Zothandizira

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). Zosonkhanitsira deta ya Transgender mu mbiri yaumoyo wamagetsi: Malingaliro ndi zovuta zomwe zilipo. Journal ya American Medical Informatics Association: JAMIA, 29 (2), 271-284. doi.org/10.1093/jamia/ocab136

Valentine, SE, & Shipherd, JC (2018). Kuwunika mwadongosolo kupsinjika kwa chikhalidwe cha anthu komanso thanzi lamaganizidwe pakati pa transgender ndi anthu omwe sakugwirizana ndi jenda ku United States. Kuwunika kwa psychology yachipatala, 66, 24-38. doi.org/10.1016/j.cpr.2018.03.003

James SE, Herman JL, Rankin S, Keisling M, Mottet L, & Anafi, M. Lipoti la 2015 US Transgender Survey. Washington, DC: National Center for Transgender Equality.

Brooker AS, Loshak H. Gender affirming therapy kwa jenda dysphoria: kuwunika kofulumira kwabwino. Ottawa: CADTH; 2020 Jun.

Rafferty, J., KOMITI YA PA NKHANI ZA NTCHITO YA MTIMA WA ANA NDI BANJA, KOMITI YA UCHINYAMATA, NDI GAWO LA LESBIAN, GAY, BISEXUAL, AND TRANSgens HEALTH AND UTHENGA (2018). Kuwonetsetsa Chisamaliro Chokwanira ndi Thandizo la Transgender ndi Gender-Diverse Ana ndi Achinyamata. Pediatrics, 142(4), e20182162. doi.org/10.1542/peds.2018-2162