LGBTQ+ Gender Affirming Health Care

Ukunakekelwa kwezempilo okuqinisekisa ubulili kusho izinto ezihlukile kubantu abahlukene bomphakathi we-LGBTQ+. Ingabe ukufunda nokuhlanganisa iqoqo lamathuluzi lapho abahlinzeki bezokunakekelwa kwempilo bangasebenzisa kangcono izinjongo nezidingo zezempilo zomuntu ngamunye?

LGBTQ+ Health Care

• Ukufinyelela ekunakekelweni kwezempilo ngokuvamile kungaletha izithiyo ezikhungathekisayo nezilulaza umphakathi we-LGBTQ+.
• Abantu abashintsha ubulili kanye nabangewona kanambambili babhekana nokuchema nobulili ngabahlinzeki bezempilo, abacwaningi, namarekhodi ezempilo kagesi, ucwaningo olutholakele.
• Njengesinyathelo esiya phambili, abacwaningi abashintsha ubulili nabangewona kanambambili abavela kulo lonke elase-United States naseCanada bachaza ukuthi idatha yerekhodi yezempilo ingashintshwa kanjani ukuze ibandakanye kakhudlwana futhi imele abantu abahlukahlukene ngobulili. (U-Kronk CA, et al., 2022)
• Ukunakekelwa okuqinisekisa ubulili kuchaza izinsiza zokwesekwa zezokwelapha, ezengqondo, nezenhlalo ezinikezwa abantu abangabashintshashintsha ubulili, abanganabo kanambambili, noma abanwebeka kakhulu ubulili.
• Umgomo uwukusiza abantu ngabanye ukuthi baqondanise indlela abazizwa ngayo nokubukeka kwabo kwangaphandle ukuze bathuthukise inhlalakahle yonke.
• Ingxenye eyodwa yokunakekelwa okuqinisekisa ubulili kuhlanganisa ukuguquka komphakathi – lokhu kungafaka ukuguqulwa kwegama, ukugqoka, ukwethula, nokusebenzisa izabizwana ngendlela eqinisekisa ubunjalo bobulili bomuntu.

Ukuqinisekisa ubulili

• Ukunakekelwa okuqinisekisa ubulili kusiza ekwehliseni i-dysphoria yobulili - ukucindezeleka umuntu angaba nakho lapho ubulili ababelwe lapho ezalwa bungahambisani nobunikazi bakhe bobulili.
• Lokhu kuncipha kokucindezeleka nokungakhululeki kungaba nomthelela omuhle kakhulu empilweni yengqondo kanye nempilo yonke, ikakhulukazi endaweni yokunakekelwa kwezempilo.
• Abantu abahlukene nabahlukene ngobulili bavame ukubhekana namazinga aphezulu ezinselele zempilo yengqondo, okuhlanganisa ukudangala, ukukhathazeka, kanye nemicabango yokuzibulala. (U-Sarah E Valentine, u-Jillian C Shipherd, 2018)
• Ukunakekelwa okuqinisekisa ubulili, kuhlanganiswe nokusekelwa kwezempilo yengqondo, kungasiza ekunciphiseni izingozi ngokunikeza abantu ngamathuluzi, izinsiza, kanye nokungenelela okudingekayo ukuze kudambise ukucindezeleka nokukhuthaza isithombe esihle sokuzibona.

Ulimi

• Ilukuluku mayelana nomphakathi we-LGBTQ+ lingavela ngezindlela ezinolaka nezihlaselayo.
• Enye indlela ukucwasa okwenzeka ngayo ezikhungweni zezempilo yindlela abahlinzeki bezilimi abazisebenzisayo.
• Ingxenye yesithathu yabantu abashintsha ubulili e-US baye baba nolwazi olubi nabahlinzeki bezempilo.
• U-23% uthe ugweme ukufuna usizo lwezempilo ngenxa yokwesaba ukuphathwa kabi. (James SE, et al., 2015)
• Amafomu asemthethweni okuthatha isiguli angase acele ubulili besiguli, kusetshenziswa amagama afana nowesifazane kuya kowesilisa noma owesilisa nowesifazane.
• Izigaba zivame ukugxila kubantu be-cisgender.
• I "nezinye” isigaba samafomu okunakekelwa kwezempilo ahlukahlukene singahlukanisa abantu abangabodwana kanye nalabo abangaweli ezigabeni ezingashintshi. (U-Kronk CA, et al., 2022)
• Ukusebenzisa abahlinzeki bezempilo ngolimi kubalulekile ukuze abahlinzeki bagweme ukuqagela mayelana negama nesabizwana esikhethwa yisiguli.
• Abahlinzeki kufanele babuze ukuthi isiguli ngasinye singathanda ukubhekisela kanjani emizimbeni yabo.
• Sebenzisa amagama/ulimi isiguli esilusebenzisayo ukuzichaza.

Ukuthola Ukunakekela

• Ukuthola abahlinzeki bezempilo abaqinisekisa ubulili kungaba nzima.
• Abahlinzeki abaningi abanalo ulwazi nokuqeqeshwa ngezidingo kanye nolwazi, bangabandlulula, futhi ngokuvamile abanalo inkomba lapho bengena esikhungweni sokuthi umhlinzeki uqinisekisa ubulili.
• Ukunakekelwa okuqinisekisa ubulili yinoma yikuphi ukunakekelwa lapho ilungu lomphakathi we-LGBTQ+ lihlangabezana nezidingo zalo ngendlela efanele, lizizwa liphephile, futhi likhululekile, futhi lizwa ukuthi ubulili balo buhlonishwa.
• Ukubuyekeza kutholwe ukuthi abantu be-TGNC bancamela ukwelashwa nokudluliselwa odokotela babo abayinhloko ngenxa yokuthi bazi okwengeziwe ngabo ngokuphelele, bababheka njengomuntu ophelele, basungule ubudlelwano bomsebenzi, futhi bafinyeleleka kalula. (Brooker AS, Loshak H. 2020)

Izindlela zokwenza imitholampilo yezokunakekelwa kwempilo iqinisekise ubulili kakhudlwana zifaka: (Jason Rafferty, et al., 2018) (Brooker AS, Loshak H. 2020)

• Ukubonisa izimpawu zesikhala esihle nesiphephile ngokusebenzisa amafulegi othingo, izimpawu, izitikha, njll.
• Ukuchaza nokugcina imfihlo kadokotela nesiguli.
• Ukuba namapheshana noma amaphosta atholakalayo ahlobene nempilo ye-LGBTQ+.
• Ukusebenza kabusha kwamafomu ezokwelapha ukufaka okungaphezu nje kokukhethwa kwabesilisa nabesifazane.
• Ukuqeqeshwa kokuhlukahluka kwabo bonke abasebenzi.
• Ukusetshenziswa kwabasebenzi kwamagama nezabizwana ezigonyelwa isiguli.
• Ukusetshenziswa kwamagama nezabizwana ezigonyelwa isiguli kumarekhodi ezokwelapha ngaphandle kokudala amafomu ayimpinda namashadi.
• Uma ekhona hlinzeka ngezindlu zokugezela ezingakhethi bulili.

Nakuba imboni yokunakekelwa kwezempilo inezindlela zokuhamba, imitholampilo yezokunakekelwa kwempilo ezweni lonke iyawubona umthwalo wayo wokuhlinzeka ngokunakekelwa kwekhwalithi kubo bonke. Ngedatha ethuthukisiwe, ochwepheshe bezokunakekelwa kwempilo bangakwazi ukuhlonza kangcono izidingo ezingafinyeleleki zeziguli ze-LGBTQ+ futhi bathuthukise izixazululo ezisebenza kahle kakhulu. Thina kwa Injury Medical I-Chiropractic kanye nomtholampilo we-Functional Medicine bayakuqonda ukubaluleka kwendawo ephephile, ukuthi isho ukuthini, kanye nendlela yokuyidala ngokunikeza ukunakekela okuzinikele kumphakathi we-LGBTQ+ ngokusebenzisa ulimi oluqinisekisa ubulili, ngokungabuzi imibuzo exakile, nokukhipha ukungakhululeki ekuvakasheleni.

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Ukusuka Ekubonisaneni Kuya Ekuguquleni: Ukuhlola Iziguli Esimisweni Se-Chiropractic

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Okubhekwayo

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). Ukuqoqwa kwedatha ye-Transgender kurekhodi lezempilo lika-elekthronikhi: Imiqondo yamanje nezinkinga. Ijenali ye-American Medical Informatics Association: JAMIA, 29(2), 271–284. doi.org/10.1093/jamia/ocab136

I-Valentine, SE, & Shipherd, JC (2018). Ukubuyekezwa okuhlelekile kokucindezeleka komphakathi nempilo yengqondo phakathi kwabantu abashintsha ubulili kanye nabantu abangavumelani nobulili e-United States. Ukubuyekezwa kwe-Clinical psychology, 66, 24-38. doi.org/10.1016/j.cpr.2018.03.003

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

Brooker AS, Loshak H. Gender affirming therapy for gender dysphoria: a quick qualitative review. I-Ottawa: I-CADTH; 2020 Jun.

U-Rafferty, J., IKOMIDI LEZIMCIMBI ZENGQONDO NEZEMPILO YOMNDENI, IKOMIDI LEBUSHA, KANYE NESIGABA SESIBILIBI, AMA-GAY, ABESEXUAL, KANYE NEMPILO KANYE NEMPILO KANYE NOBULILI (2018). Ukuqinisekisa Ukunakekelwa Okuphelele Nokwesekwa Kwezingane Ezishintsha Ubulili Nezihlukene Zobulili Nentsha. Izifo zezingane, 142(4), e20182162. doi.org/10.1542/peds.2018-2162