Gender Affirming Health Care
Kutsvaga vabatsiri vehutano vanosimbisa hutano kunogona kuve kwakaoma. Vazhinji vanopa vanoshaya ruzivo uye kudzidziswa pane zvinodiwa uye zviitiko, vanogona kusarura, uye kazhinji havana chiratidzo kana vachipinda munzvimbo yekuti mupi anosimbisa murume kana murume.
Chengetedzo yekuratidza kuti murume kana murume ihany'a chero iyo nhengo ye LGBTQ+ nharaunda inowana zvavanoda nemazvo, vanonzwa vakachengeteka, uye vakasununguka, uye vanonzwa kuti murume wavo wechikadzi anoremekedzwa.
Dr. Alex Jimenez (He/Him) anotenda kuti nhengo dze LGBTQ+ dzinobatwa neruremekedzo, ruremekedzo, uye pamusoro pezvose, vanova nechokwadi chokuti vanowana kurapwa kunodiwa kwakakodzera.
by Dr Alex Jimenez Gender Affirming Health Care , utano , Mishonga
Vashandi vehutano vanogona kuita nzira inosanganisirwa uye yakanaka yekusimbisa hutano hwehutano kune vasiri mabhinari?
ziviso
Kana zvasvika kune vanhu vazhinji vari kutsvaga nzira dzehutano dzakafanira dzehurwere hwavo uye kugara zvakanaka, zvinogona kutyisa uye kunetsa kune vamwe, kusanganisira vanhu vazhinji mukati me LGBTQ + nharaunda. Vanhu vazhinji vanofanirwa kutsvagisa kana vachiwana nzvimbo dzekuchengetedza hutano dzakanaka uye dzakachengeteka dzinoteerera izvo munhu ari kubata nazvo kana achiongororwa kana hurwere hwavo kurapwa. Munharaunda yeLGBTQ+, vanhu vazhinji vanoona zvichinetsa kutaura zviri kubata miviri yavo nekuda kwekushungurudzika kwakapfuura kwekusaonekwa kana kunzwikwa nekuda kwehunhu hwavo, zvirevo, uye maitiro. Izvi zvinogona kukonzera zvipingamupinyi zvakawanda pakati pavo nachiremba wavo wekutanga, zvichitungamira kune chiitiko chisina kunaka. Nekudaro, kana vashandi vekurapa vakapa nharaunda yakanaka, yakachengeteka, vachiteerera kurwara kwemunhu, uye vasingatongere varwere vavo, vanogona kuvhura mikova yekuvandudza inosanganisirwa hutano hutano mukati me LGBTQ + nharaunda. Chinyorwa chanhasi chakanangana nekuzivikanwa kumwechete mukati me LGBTQ + nharaunda, inozivikanwa seye-isina-binary, uye nzira yehutano inosanganisirwa inogona kuvandudzwa apo ichibatsira vanhu vazhinji vanobata nekurwadza, marwadzo, uye mamiriro mukati memiviri yavo. Sezvineiwo, tinotaurirana nevarapi vane zvitupa vanosanganisa ruzivo rwevarwere vedu kuti vape ruzivo rwakachengeteka uye rwakanaka mukubatanidzwa kwehutano hwehutano. Isu tinovazivisa zvakare kuti pane zvisiri zvekuvhiya sarudzo dzekudzikisa mhedzisiro yeakajairika aches uye kurwadziwa nekudzoreredza hupenyu hwavo. Tinokurudzira varwere vedu kubvunza mibvunzo inoshamisa yedzidzo kune vatinosanganisirwa vapepi vezvokurapa nezvezviratidzo zvavo zvinoenderana nekurwadziwa kwemuviri munzvimbo yakachengeteka uye yakanaka. Dr. Alex Jimenez, DC, anobatanidza ruzivo urwu sebasa rezvidzidzo. Disclaimer
Chii chinonzi Non-Binary Gender?
Izwi rekuti non-binary rinoshandiswa mukati me LGBTQ+ nharaunda kutsanangura munhu asingazvizivise semurume kana mukadzi mukati meiyo gender identity spectrum. Vanhu vasiri-mabhinari vanogona kutowira pasi pemhando dzakasiyana dzevakadzi dzinovaita zvavari. Izvi zvinogona kusanganisira:
Genderqueer : Munhu asingatevedze tsika dzechivanhu dzechikadzi. scheduler : Munhu asingazivikanwe nemunhukadzi. Genderfluid : Munhu ane hunhu husina kurongeka kana kuti anogona kuchinja nekufamba kwenguva. Intergender : Munhu anozivisa semusanganiswa wemurume nemukadzi. Androgynous : Munhu ane chimiro chechirume uye chechikadzi. Gender Isingaenderane : Munhu asingaenderane nezvinotarisirwa neveruzhinji zvekuzivikanwa kuti munhurume here. Transgender : Munhu ane chitupa chakasiyana nezvaakapihwa pakuzvarwa.
Kana zvasvika kune vasiri-binary binary vanhu vari kutsvaga kurapwa kwehutano hwehurwere hwavo, zvinogona kunge zvichinetsa sezvo vanhu vazhinji vanozvizivisa sevasiri mabhinari mukati me LGBTQ + nharaunda vachifanirwa kubata nekukanganisa magariro nehupfumi pavanenge vachirapwa. , izvo zvinogona kukonzera kushushikana kusingakoshi pakuenda kunoongororwa kana kurapwa zvirwere zvavo. (Burgwal et al., 2019 ) Kana izvi zvikaitika, zvinogona kutungamirira kuchiitiko chisina kunaka kumunhu wacho uye kumuita kuti anzwe akaderera. Nekudaro, kana vashandi vehutano vachitora nguva yekudzidziswa nemazvo, shandisa zvirevo zvakaringana, uye kugadzira inosanganisirwa, yakanaka, uye yakachengeteka nzvimbo kune vanhu vanozvizivisa sevasiri mabhinari, inogona kuvhura mikova yekugadzira yakawanda yekuziva inosanganisirwa. tungamira kune kwakaringana kutarisirwa kwe LGBTQ+ nharaunda. (Tellier, 2019 )
Kugadzirisa Hutano Hwako- Vhidhiyo
VIDEO
Iwe kana vadiwa vako vari kubata nemarwadzo asingachinji mumiviri yavo izvo zvinoita kuti zviome kushanda? Iwe unonzwa kushushikana munzvimbo dzakasiyana dzemuviri dzinoenderana ne musculoskeletal kusagadzikana? Kana kuti hosha dzako dzinoratidzika kuva dziri kutapura muitiro wako wezuva nezuva here? Kazhinji pane kwete, munyika yanhasi inogara ichichinja, vanhu vazhinji vari kutsvaga kurapa kwakachengeteka uye kwakabatana kwehutano kuti vaderedze zvirwere zvavo. Chinhu chakakosha kune vanhu vazhinji mukati me LGBTQ + nharaunda, sezvo kuwana rubatsiro rwakakodzera rwavanoda kunogona kushungurudza. Vazhinji vashandi vehutano vanofanirwa kupa hutano hwakanyanya hunobvira uye kupindira mukati me LGBTQ + nharaunda kuti vanzwisise kusiyana kwehutano kwavari kuona. (Rattay, 2019 ) Kana vashandi vehutano vakagadzira chiitiko chisina kunaka nevarwere vavo mukati me LGBTQ + nharaunda, zvinogona kuita kuti vagadzirise zvinonetsa zvemagariro nehupfumi zvinogona kupindirana nemamiriro avo ekare, zvichigadzira zvipingamupinyi. Kana kusaenzana kwakabatana nemagariro-economic stressors, zvinogona kutungamira kune hutano husina kunaka hwepfungwa. (Baptiste-Roberts et al., 2017 ) Kana izvi zvikaitika, zvinogona kutungamira kune nzira dzekugadzirisa uye kusimba izvo zvinogona kuenderana nezvinokonzeresa zvakanyanya kune hutano hwese hwemunhu uye kugara zvakanaka. Nekudaro, zvese hazvina kurasika, sezvo vazhinji vashandi vehutano vari kubatanidza munzvimbo dzakachengeteka, dzinokwanisika, uye dzakanaka dzehutano kune vanhu vanozvizivisa sevasiri-binary. Isu pano paInjury Medical Chiropractic uye Functional Medicine Clinic ichashanda mukuderedza mhedzisiro yekusiyana kwehutano tichisimudza ruzivo rwekuenderera mberi i vandudza zviitiko zvakanaka uye zvinosanganisirwa kune vasiri mabhinari vanhu vari kutsvaga kubatanidza hutano hwehutano. Tarisa vhidhiyo iri pamusoro kuti udzidze zvakawanda nezve optimize hutano kuvandudza hutano hwako uye kugara zvakanaka.
Maitiro Ekugadzirisa Non-Binary Inclusive Healthcare?
Kana zvasvika pakusanganisirwa kwehutano hwevanhu vasiri mabhinari munharaunda yeLGBTQ +, vazhinji vanopa hutano vanofanirwa kukudza chitupa chemunhu kana vachigadzira hukama hwakanaka uye hwekuvimba kuderedza hurwere hwavari kusangana nahwo. Nekuita chiitiko chakachengeteka uye chakanaka kune varwere vavo, LGBTQ + vanhu vanozotanga kutaura kuvanachiremba vavo matambudziko avari kusangana nawo, uye zvinobvumira chiremba kuti vauye nehurongwa hwekuchengetedza hutano hwavanoitirwa ivo vachivandudza hutano hwavo. . (Gahagan naSubirana-Malaret, 2018 ) Panguva imwecheteyo, kuve mumiriri uye kugadzirisa zvine hungwaru, kusanganisira kutariswa kwevakadzi, zvinogona kuunza mhedzisiro uye kubatsira LGBTQ+ vanhu. (Bhatt et al., 2022 )
References
Baptiste-Roberts, K., Oranuba, E., Werts, N., & Edwards, LV (2017). Kugadzirisa Kusawirirana Kwehutano Pakati Pevadiki Vepabonde. Obstet Gynecol Clin North Am , 44 (1), 71-80. doi.org/10.1016/j.ogc.2016.11.003
Bhatt, N., Cannella, J., & Marudzi, JP (2022). Gender-Affirming Care for Transgender Patients. Innov Clin Neurosci , 19 (4-6), 23-32. www.ncbi.nlm.nih.gov/pubmed/35958971
www.ncbi.nlm.nih.gov/pmc/articles/PMC9341318/pdf/icns_19_4-6_23.pdf
Burgwal, A., Gvianishvili, N., Hard, V., Kata, J., Garcia Nieto, I., Orre, C., Smiley, A., Vidic, J., & Motmans, J. (2019). Kusiyana kwehutano pakati pemabhinari uye asiri mabhinari trans vanhu: Ongororo inotungamirwa nenharaunda. Int J Transgend , 20 (2-3), 218-229. doi.org/10.1080/15532739.2019.1629370
Gahagan, J., & Subirana-Malaret, M. (2018). Kuvandudza nzira dzekutanga hutano hwehutano pakati pe LGBTQ vanhu uye vatapi vehutano: zvakakosha zvakawanikwa kubva kuNova Scotia, Canada. Int J Equity Health , 17 (1), 76. doi.org/10.1186/s12939-018-0786-0
Rattay, KT (2019). Yakavandudzwa Yekuunganidza Dhata Yedu LGBTQ Population Inodiwa Kuvandudza Hutano Hwekuchengetedza uye Kuderedza Hutano Hwakasiyana. Dela J Hutano Hwevanhu , 5 (3), 24-26. doi.org/10.32481/djph.2019.06.007
Tellier, P.-P. (2019). Kuvandudza kuwanikwa kwehutano hwevana vakasiyana-siyana, vechidiki, uye vakuru vachiri kusimukira? Clinical Child Psychology uye Psychiatry , 24 (2), 193-198. doi.org/10.1177/1359104518808624
Disclaimer
by Dr Alex Jimenez Gender Affirming Health Care
Cisgender haina chekuita nehunhu hwemunhu pabonde. Saka bonde nehukadzi zvinosiyana sei uye cisgender inowira kupi mukati mehuwandu hwekuzivikanwa kwevakadzi?
cisgender
Cisgender chikamu chehukuru hwakakura hwekuzivikanwa kwevakadzi. Zvinonziwo "cis," rinotsanangura munhu ane chitupa chinoenderana nebonde raakapihwa pakuzvarwa. Saka kana munhu akapihwa bonde pakuzvarwa ari munhukadzi uye anoratidza semusikana kana mukadzi ivo mukadzi wecisgender.
Shoko racho rinotsanangura maonero anoita munhu uye rinobatsira vamwe kutaura zvakarurama uye noruremekedzo.
Kunyangwe vanhu vazhinji vachigona kuzvidaidza secisgender, munhu wecisgender haana hunhu uye ane hunhu kana hunhu hunovasiyanisa kubva kune mumwe munhu wechikadzi.
Vakadzi vechiCisgender vanowanzo shandisa zvisazita kuti iye naiye.
Kukanganisa kwakajairika kushandisa izwi cis-gendered .
Kushandiswa kwakakodzera kwezwi iri cisgender.
Zvepabonde neGender Kusiyana
Mazwi ekuti bonde uye murume kana mukadzi anowanzoshandiswa zvakasiyana, zvisinei, haana kufanana.
Bonde izita rebiological uye physiological rakavakirwa pamunhu machromosome epabonde uye nhengo dzebonde.
Inoreva machromosome emunhu epabonde uye maitiro anopihwa nemakromosomes iwayo. (Janine Austin Clayton, Cara Tannenbaum. 2016 )
Izvi zvinosanganisira nhengo dzesikarudzi yemunhu uye nhengo dzepabonde.
Inosanganisirawo hunhu hwechipiri - senge saizi yemuviri, chimiro chebhonzo, saizi yezamu, uye bvudzi rechiso - anoonekwa sechikadzi kana murume.
Kusiyana
Gender (Gender) imhando yemagariro inoreva mabasa nemaitiro ayo nzanga anoti ndeechirume kana chechikadzi. Iyo inovaka inobata maitiro anogamuchirwa kana akakodzera zvichienderana nemabatiro anoita munhu, kutaura, kupfeka, kugara, nezvimwe.
Mazita echikadzi sanganisira changamire, amai, baba, kana miss.Zvirevo sanganisira iye, iye, iye, uye iye.Zvimiro sanganisira mutambi, mutambi, muchinda, uye muchindakadzi.Zvizhinji zveizvi zvinopa zano rekuti ndiani anazvo uye ndiani asina.
Vakadzi vechiCisgender vanowanzowirwa nemasimba aya.
Sex
Inoreva machromosome emunhu uye nzira iyo majini awo anoratidzirwa.
Zvinowanzotsanangurwa maererano nehunhu hwemurume nemukadzi kana bonde rinopihwa pakuzvarwa.
Gender
A social construct.
Zvinoreva mabasa emagariro, maitiro, uye zvinotarisirwa zvinotariswa uye/kana zvinoonekwa zvakakodzera kuvarume nevakadzi.
Zvakagara zvichitsanangurwa sechirume uye chechikadzi, zvisinei, tsananguro dzinogona kuchinja sezvo nzanga inoshanduka.
Gender Identities Glossary
Nhasi, murume kana mukadzi anoonekwa sechinhu chinotaridza kuti munhu anogona kuzvizivisa semurume kana murume, kupfuura murume kana murume kana murume. Tsanangudzo dzinowanzo diki uye dzinogona kupindirana, kuvapo, uye/kana kuchinja. Gender identities inosanganisira:
cisgender
Munhu ane chitupa chinoenderana nebonde raakapihwa pakuzvarwa.
Transgender
Munhu ane hunhu husingaenderani nebonde raakapihwa pakuzvarwa.
Asina-mabhinari
Munhu anonzwa hunhu hwake hwechikadzi haakwanise kutsanangurwa.
Demigender
Munhu anosangana nechikamu, asi chisina kuzara / kuzara kwekubatana kune imwe murume kana murume.
scheduler
Munhu asinganzwi murume kana mukadzi.
Genderqueer
Zvakafanana neasina-bhinary asi anoreva kuramba zvinotarisirwa neveruzhinji.
Gender-neutral
Kufanana kusiri kwemabhinari asi kunonangana nekusiya mazita evakadzi.
gender fluid
Munhu anosangana nevanhukadzi vakawanda kana kuchinjana pakati pevarume.
Polygender
Munhu ane ruzivo kana kutaura zvinopfuura chirume chimwe chete.
pangender
Munhu anozviratidza nevarume nevakadzi.
Chechitatu chechikadzi
Chechitatu gender ipfungwa umo vanhu vanoiswa muzvikamu, vangave ivo pachavo kana nenzanga, sevasiri murume kana mukadzi, kwete. kuchinja .
Vakasiyana munhukadzi zvachose.
Twin gender
Izwi reNative America rinotsanangura munhu murume nemukadzi kana mweya miviri panguva imwe chete.
Cis Woman Identity
Mazwi ekuti cis mukadzi kana cis mukadzi anoshandiswa kurondedzera vanhu vakapihwa vakadzi pakuzvarwa uye vanozivisa semukadzi kana mukadzi. Kune cisgender mukadzi, izvi zvinoreva kuti chitupa chavo chinoenderana nenhengo dzavo dzekutanga dzebonde uye hunhu hwechipiri hwepabonde hunosanganisira:
Inzwi repamusoro.
Hudyu chiuno.
Kuwedzera chiuno.
Kukura kwezamu
Inogonawo kusanganisira cisnormativity - pfungwa iyo munhu wese anozivisa semurume waakapihwa pakuzvarwa. Izvi zvinogona kuzivisa kuti mukadzi wecis anotarisirwa kupfeka uye kuita sei. Imwe pfungwa yakanyanyisa ndeye kukosha kwevakadzi - uku ndiko kutenda kuti kusiyana kwevakadzi kwakadzika midzi mubiology uye haigoni kuchinjwa. Nekudaro, kunyangwe cisnormativity runako mwero anogona kukanganisa maonero evakadzi ve transgender anozopedzisira ave kusimbisa stereotypes yevakadzi. (Monteiro D, Poulakis M. 2019 )
Cisgender Ropafadzo
Cisgender Ropafadzo ipfungwa yekuti vanhu vari cisgender vanowana mabhenefiti akawedzerwa kana vachienzaniswa nevanhu vasingaenderane neiyo gender binary tsika. Izvi zvinosanganisira cisgender vakadzi nevarume. Ropafadzo inoitika kana munhu wecisgender akafunga kuti ndizvo zvakajairwa uye achiziva kana kusaziva anotora matanho kune avo vari kunze kwetsanangudzo yemurume nemukadzi. Mienzaniso yeropafadzo yecisgender inosanganisira:
Kusanyimwa basa nemikana yekugarisana nevamwe nekuda kwekusakwana mukirabhu yemukomana kana yemusikana.
Kusave nekubvunzwa nezve bonde.
Kwete kunyimwa hutano nekuda kwekusagadzikana kwevanopa.
Kusatya kuti kodzero dzevanhu kana dziviriro yemutemo dzichatorwa.
Kusatya kushungurudzwa.
Kusanetseka nezvekukwezva kubvunza kutaridzika paruzhinji.
Kusapikiswa kana kubvunzwa nezvehembe dzirikupfekwa.
Kusadzikisirwa kana kunyombwa nekuda kwekushandisa chisazita.
Gender Identity uye Zvepabonde
Kuzivikanwa kwemurume nemukadzi uye hunhu hwepabonde hazvina kufanana. (Carla Moleiro, Nuno Pinto. 2015 )
Kuzivikanwa kwemurume nemukadzi uye hunhu hwepabonde hazvina kufanana.
Munhu wecisgender anogona kunge ari murume nemukadzi, ngochani, bisexual, kana asexual uye saka anogonawo munhu transgender.
Kuve cisgender hakuna hukama kune hunhu hwemunhu hwepabonde.
Chiropractic Care Mushure meNjodzi uye Kukuvara
VIDEO
References
Clayton, JA, & Tannenbaum, C. (2016). Kushuma Bonde, Gender, Kana Zvese MuCliniki Tsvagiridzo? JAMA, 316(18), 1863–1864. doi.org/10.1001/jama.2016.16405
Monteiro, Delmira naPoulakis, Mixalis (2019) "Mirairo yeCisnormative Runako Maitiro paMaonero evakadzi veTransgender uye Maratidziro erunako," Midwest Social Sayenzi Journal: Vol. 22: Is. 1, Chinyorwa 10. DOI: doi.org/10.22543/2766-0796.1009 Inowanikwa pa: Scholar.valpo.edu/mssj/vol22/iss1/10
Moleiro, C., & Pinto, N. (2015). Kuita zvepabonde uye kuzivikanwa kwevakadzi: wongororo yemafungiro, kukakavara uye hukama hwavo kune psychopathology classification systems. Frontiers muPsychology, 6, 1511. doi.org/10.3389/fpsyg.2015.01511
by Dr Alex Jimenez Gender Affirming Health Care
Gender transition inzira yekusimbisa uye kuratidza pfungwa dzemukati memunhu dzechikadzi kwete dzakapihwa pakuzvarwa. Kudzidza nyaya dzekuchinja kwevarume nevakadzi kunobatsira sei kutsigira LGBTQ + mharaunda?
Gender Transitioning
Shanduko yechikadzi kana kuti gender affirmation inzira yekuti transgender uye vanhu vasingawirirane nevakadzi vanoyananisa hunhu hwavo hwemukati nechimiro chavo chekunze. Inogona kutsanangurwa sebhinari - murume kana mukadzi - asi zvakare inogona kunge isiri-bhinary, zvichireva kuti munhu haasi murume kana mukadzi chete.
The maitiro anogona kusanganisira kutaridzika kwekunaka, shanduko mumabasa emagariro, kuzivikanwa zviri pamutemo, uye / kana chimiro chemuviri. .
Social affirmation - kupfeka zvakasiyana kana kubuda kushamwari nemhuri.Chisimbiso chepamutemo - kushandura zita uye murume kana mukadzi pamagwaro emutemo.Medical affirmation - kushandisa mahormone uye / kana kuvhiyiwa kushandura zvimwe zvemuviri zvemuviri wavo.Transgender vanhu vanogona kutevera zvimwe kana zvese izvi.
Zvipingamupinyi
Gender transitioning inogona kudziviswa nezvipingaidzo zvakasiyana siyana zvinogona kusanganisira :
mutengo
Kushaya inishuwarenzi
Kushaikwa kwemhuri, shamwari, kana rutsigiro rwemudiwa.
Kusarura
rusarura
Kutarisana Nezvese Zvikamu
Iyo nzira haina yakatarwa nguva uye haisi nguva dzose mutsara.
Vazhinji transgender uye vanhukadzi-vasingawirirane vanosarudza kusimbiswa kwevakadzi kune shanduko yechikadzi nekuti shanduko inowanzotorwa kureva maitiro ekushandura muviri muviri.
Munhu haafanire kurapwa kuti asimbise kuzivikanwa kwavo, uye vamwe vanhu vanochinja hunhu vanodzivirira mahormone kana kuvhiyiwa kwevakadzi.
Shanduko inzira izere inotarisana nemativi ese ekuti munhu ndiani mukati uye kunze.
Zvimwe zvekuchinja zvingave zvakakosha kupfuura zvimwe, sekuchinja zita uye murume pagwaro rekuzvarwa.
Kuongorora patsva uye kudzokororwa kwekuzivikanwa kwevakadzi kunogona kuenderera mberi kwete nhanho-ne-nhanho, nzira imwe chete.
Kuongorora Gender Identity
Shanduko yechikadzi kazhinji inotanga mukupindura kune dysphoria yechikadzi iyo inotsanangura nguva dzose yekusagadzikana kunoitika kana murume kana murume akapihwa pakuzvarwa isingaenderane nemabatiro aanoita kana kuratidza murume wake mukati.
Vamwe vanhu vakaona zviratidzo zve gender dysphoria vachiri 3 kana 4 makore ezera. (Selin Gülgöz, nevamwe, 2019 )
Gender dysphoria inogona kuziviswa zvakanyanya netsika yakatenderedza munhu, kunyanya mutsika umo macode akasimba anotarisisa kuti chii chinonzi murume / murume uye mukadzi / mukadzi.
Kusagadzikana Kunoratidzwa Nenzira Dzakasiyana
Kusafarira chimiro chemunhu pabonde.
Chido chembatya dzinopfekwa neimwe murume kana mukadzi.
Kusada kupfeka zvipfeko zvinowanzopfekwa nemurume wavo.
Sarudzo yezvikamu zvevakadzi-vakadzi mumutambo wekufungidzira.
Sarudzo yakasimba yekuita zviitwa zvinowanzoitwa nemumwe murume kana murume.
Dysphoria
Gender dysphoria inogona kubuda zvizere panguva yekuyaruka kana kuziva nezvekuti muviri wemunhu unotsanangura sei kunogadzira kushushikana kwemukati.
Manzwiro anogona kukwidziridzwa kana munhu achitsanangurwa semutomu, kana sisi, kana kutsoropodzwa nekurwiswa nekuda kwekuita semusikana kana kuita semukomana.
Munguva yekuyaruka, shanduko dzemuviri dzinogona kukonzera manzwiro enguva refu yekusakodzera mukati uye anogona kushanduka kuita manzwiro ekusakodzera mumiviri yavo.
Apa ndipo apo vanhu vanogona kuita chirongwa chinonzi shanduko yemukati uye votanga kushandura maitiro avanozviona.
Gender transition/kusimbisa inova nhanho inotevera. Kuchinja hakusi kwekuchinja kana kuzvisika pachezvako asi nezvekutaura zvauri chaizvo uye kutaura kuti ndivanaani munharaunda, zviri pamutemo, uye/kana zvekurapa.
Social
Kuchinjana kwevanhu kunosanganisira matauriro anoita munhu pachena kuti munhukadzi. Shanduko inogona kusanganisira:
Kushandura zvivakashure.
Kushandisa zita rakasarudzwa.
Kubuda kune shamwari, mhuri, vaunoshanda navo, nezvimwe.
Kupfeka zvipfeko zvitsva.
Kucheka kana kugadzira bvudzi zvakasiyana.
Kuchinja maitiro sekufamba, kugara, nezvimwe.
Kuchinja inzwi.
Kusunga - kusunga chipfuva kuti uvanze mazamu.
Kupfeka mazamu uye hudyu prosthetics kusimbisa kukombama kwechikadzi.
Kurongedza - kupfeka penile prosthesis kugadzira bulge.
Kutungidza – kukoira nhengo yesikarudzi kuti isaburitse.
Kutamba mimwe mitambo
Kutsvaga mitsetse yakasiyana yebasa.
Kutora chikamu muzviitwa zvinogona kuonekwa semurume kana mukadzi.
zviri pamutemo
Kuchinja zviri pamutemo kunosanganisira kushandura magwaro emutemo kuti aratidze zita rakasarudzwa remunhu, murume kana mukadzi, uye zvisazita. Izvi zvinosanganisira magwaro ehurumende neasiri ehurumende anogona kusanganisira:
Zvitupa zvekuzvarwa
Social Security ID
Rezinesi rekutyaira
Passport
Zvinyorwa zvebhangi
Zvinyorwa zvekurapa uye mazino
Kunyoresa kwevavhoti
Chitupa ID
Zviga zvinobvumira shanduko zvinogona kusiyana nenyika. Dzimwe nyika dzinongobvumira shanduko kana kuvhiyiwa kwepasi - kuvakwazve kwesikarudzi kuchiitwa.
Vamwe vanozobvumira shanduko pasina chero nzira yekuvhiya-inosimbisa kuti murume nemukadzi.
Dzimwe nyika dzatanga kupa X-gender sarudzo kune vasiri mabhinari vanhu. (Wesley M King, Kristi E Gamarel. 2021 )
Medical
Kuchinja kwekurapa kunowanzo sanganisira kurapa kwehomoni kukudziridza humwe hunhu hwemurume kana mukadzi. Zvinogonawo kusanganisira kuvhiyiwa kushandura zvimwe zvinhu zvemuviri zvakasanganiswa nehomoni therapy.
Hormone therapy inobatsira vanhu kuti vataridzike zvakanyanya senge murume kana mukadzi.
Anogona kushandiswa ega uye anogona zvakare kushandiswa pamberi pekuvhiyiwa kwevakadzi.
Hormone therapy inotora maitiro maviri :
Transgender Varume
Transgender Vakadzi
Estrogen inotorwa pamwe chete ne testosterone blockers kugoverazve mafuta emuviri, kuwedzera saizi yezamu, kuderedza mhanza yemurume, uye kuderedza saizi ye testicle. (Vin Tangpricha 1, Martin den Heijer. 2017 )
Surgery
Kuvhiyiwa kwekuti murume kana mukadzi kunoenderana nechitarisiko chemunhu kune hunhu hwavo. Zvipatara zvakawanda zvinopa kuvhiyiwa kwevakadzi kuburikidza nedhipatimendi remishonga yetransgender. Nzira dzekurapa dzinosanganisira:
Kuvhiyiwa kwechiso - Kuvhiya kwechiso chevakadzi.
Breast augmentation - Inowedzera saizi yemazamu nemaimplants.
Chest masculinization - Inobvisa contours yematishu emazamu.
Kuveurwa kwetracheal – Kunoderedza apuro raAdhamu.
Phalloplasty - kugadzirwa kwenhengo yesikarudzi.
Orchiectomy - Kubviswa kwemachende.
Scrotoplasty - Kuvaka scrotum.
Vaginoplasty - Kuvakwa kwegero remukadzi.
Vulvoplasty - Kuvakwa kwekunze kwemukadzi genitalia.
Migwagwa yemigwagwa
Transgender vanhu vanodzivirirwa kubva kune yeruzhinji uye yakavanzika inishuwarenzi rusarura pasi pemitemo yemubatanidzwa neyenyika, kusanganisira Medicare neMedicaid. (National Center yeTransgender Equality. 2021 )
Zvirongwa zveMedicaid mumatunhu mapfumbamwe haavhare marapirwo ekurapa anosimbisa murume kana murume, uye Illinois neMaine chete ndivo vanopa hutano hwakakwana hunokurudzirwa neWorld Professional Association yeTransgender Health/WPATH . (Kaiser Family Foundation. 2022 )
Medicare hainawo mutemo unowirirana maererano nemvumo yekuvhiyiwa kwevakadzi.
Inotsamira pane zvinotangira mumatunhu ega ega kutungamira kuti kurapwa kwatenderwa here kana kuti kwete. (Center yeMedicare uye Medicaid Services. 2016 )
Muinishuwarenzi yakavanzika, vapeji vazhinji vakabvisa zvirambidzo pakutarisira-vakadzi.
Mainishuwarenzi akakura seAetna neCigna anowanzo vhara huwandu hwakawanda hwesevhisi, yakazara kana chikamu.
Madiki mainishuwarenzi anogona kusavhara maoparesheni uye anongovhara zvinhu zvakaita sehomoni kurapwa. (Transgender Legal Defense uye Dzidzo Fund. 2023 )
Chimwe chipingamupinyi mumigwagwa ndeyekuserwa nerusarura.
Zvidzidzo zvinoratidza kuti inopfuura hafu yeva transgender vanoti vanoshungurudzwa kana kushungurudzwa pamberi peruzhinji. (National Center yeTransgender Equality uye National Gay uye Lesbian Task Force. 2011 )
Vamwe vanotaura kusatenderwa kwemhuri kana mudiwa sechikonzero chikuru nei vachirega kuvimbisa kuti murume nemukadzi. (Jack L. Turban, et al., 2021 )
Kana iwe uchiziva mumwe munhu ari transgender kana ari kufunga nezvekuchinja, kudzidza nezve gender uye gender shanduko uye maitiro ekutsigira inzira yakanaka yekuve mubatsiri.
Kuvandudza Mararamiro Ako
VIDEO
References
Gülgöz, S., Glazier, JJ, Enright, EA, Alonso, DJ, Durwood, LJ, Fast, AA, Lowe, R., Ji, C., Heer, J., Martin, CL, & Olson, KR (2019) ) Kufanana mune transgender uye cisgender kukura kwevakadzi kwevana. Nyaya dzeNational Academy yeScience yeUnited States of America, 116(49), 24480–24485. doi.org/10.1073/pnas.1909367116
Irwig, MS, Vana, K., & Hancock, AB (2017). Mhedzisiro ye testosterone pane transgender murume izwi. Andrology, 5(1), 107–112. doi.org/10.1111/andr.12278
Tangpricha, V., & den Heijer, M. (2017). Estrogen uye anti-androgen kurapwa kwevakadzi ve transgender. The Lancet. Chirwere cheshuga & endocrinology, 5 (4), 291-300. doi.org/10.1016/S2213-8587(16)30319-9
National Center yeTransgender Equality. Ziva Kodzero Dzako Muhutano Hwehutano.
Kaiser Family Foundation. Update pamusoro peMedicaid yekuvhara yehutano-inosimbisa hutano mabasa.
Center yeMedicare uye Medicaid Services. Gender dysphoria uye gender reassignment kuvhiyiwa.
Transgender Legal Defense uye Dzidzo Fund. Inishuwarenzi yehutano mitemo yezvokurapa.
National Center yeTransgender Equality uye National Gay uye Lesbian Task Force. Kusarongeka panguva Yese: Chirevo cheNational Transgender Discrimination Survey.
Turban, JL, Loo, SS, Almazan, AN, & Keuroghlian, AS (2021). Zvinhu Zvinotungamira ku "Detransition" Pakati peTransgender uye Gender Vakasiyana Vanhu muUnited States: A Mixed-Methods Analysis. LGBT hutano, 8(4), 273–280. doi.org/10.1089/lgbt.2020.0437
by Dr Alex Jimenez Gender Affirming Health Care
Gender identity inyaya yakakura. Kudzidzira mutauro unoshandiswa kutsanangura zvakasiyana-siyana zvechikadzi uye zvisazitasingwi zvisiri zvebhinari zvingabatsira here kutsanangura mutsauko uripo pakati pekutaura kwevakadzi nerubatsiro mukubatanidzwa?
Kwete-Bhinary
Non-binary izwi rinoshandiswa kutsanangura vanhu vasingataridze semurume kana munhukadzi chete. Iro izwi rinotaura zvakasiyana-siyana zvekuzivikanwa uye mataurirwo ari kunze kwechinyakare bhinary system, iyo inoisa vanhu mumapoka semurume kana munhukadzi.
tsananguro
Vanhu vasiri mabhinari ndeavo vane hunhu uye/kana matauriro anowira kunze kwemaitiro emabhinari echinyakare emurume kana mukadzi. (Mushandirapamwe Wekodzero Dzevanhu. (nd) )
Vamwe vasiri mabhinari vanozivisa semusanganiswa wemurume nemukadzi; vamwe vanozivisa sevakadzi vakasiyana nemurume kana mukadzi; vamwe havazvibatanidzi nemunhukadzi.
Izwi rokuti "kwete-binary" rinogonawo kuva "enby”/mataurirwo efonetiki emabhii NB kune asiri mabhinari, kunyangwe asiri ese asiri mabhinari anoshandisa izwi iri.
Vanhu vasiri mabhinari vanogona kushandisa mazwi akasiyana kuzvitsanangura, kusanganisira: (Outright International. 2023 )
Genderqueer
Munhu asingateveri zvakajairwa zvechikadzi.
scheduler
Munhu asingazivikanwe nemunhukadzi.
Genderfluid
Munhu ane chiziviso chechikadzi chisina kugadziriswa uye anogona kuchinja nekufamba kwenguva.
Demigender
Munhu anonzwa hukama hwakakwana kune imwe murume kana mukadzi.
Intergender
Munhu anozvizivisa semurume nemukadzi kana musanganiswa.
pangender
Munhu anozivisa varume nevakadzi vakawanda.
Androgynous
Munhu ane kutaura kwechikadzi musanganiswa wehunhu hwechirume neechikadzi kana...
Ndiani anoratidza kuti ane murume kana mukadzi asiri murume kana mukadzi.
Gender Nonconforming
Munhu asingaenderane nezvinotarisirwa munharaunda kana tsika dzekutaura kwevakadzi kana kuzivikanwa.
Transgender/Trans
Munhu ane hunhu hwakasiyana nehukadzi hwaakapihwa pakuzvarwa.
Non-Binary Pronouns
Chivakashure ishoko rinoshandiswa kutsiva zita.
Muchirevo chechikadzi, zvisazita zvinoreva munhu asingashandisi zita rake, sekuti “iye” – murume kana kuti “mukadzi” – wechikadzi.
Vanhu vasiri vabhinari vanogona kushandisa zvisazitasingwi zvisingaenderane nechisazitasingwi chine chekuita nehukadzi hwakapihwa pakuzvarwa.
Pane kudaro, vanozoshandisa zvisazitasingwi zvinonyatsoratidza kuzivikanwa kwavo kwevakadzi.
"Ivo/ivo ” zvisazitasingwi zvisina kwazvakarerekera kune mumwe munhu pasina kufungidzira kuti munhurume here.
Vamwe vanhu vasiri mabhinari vanoshandisa "ivo/ivo" zvisazitasingwi, asi kwete zvese.
Vamwe vanogona kushandisa "iye" kana "iye" kana musanganiswa.
Vamwe vanogona kuramba kushandisa zvisazita uye vokumbira kuti ushandise zita ravo.
Vamwe vanhu vasiri bhinari vanoshandisa zvirevo zvitsva zvevakadzi nevakadzi zvinozivikanwa se neopronouns , kunge ze/zir/zirs. (Mushandirapamwe Wekodzero Dzevanhu. 2022 )
Gender pronouns uye neopronouns zvinosanganisira: (NYC Dhipatimendi reSocial Services. 2010 )Iye/iye/wake – murume
Iye/vake – mukadzi
Ivo/ivo/vavo – vasina kwavakarerekera
Ze/Zir/Zirs – isina kwayakarerekera
Ze/Hir/Hirs – asina kwaakarerekera
Fae/fae/faers
Transgender Individuals havasi-Bhinary here?
Transgender vanhu uye vasiri mabhinari mapoka maviri akasiyana ane hukama.
Kune vamwe transgender / trans vanhu vasiri mabhinari, zvisinei, vanhu vazhinji ve transgender vanozvizivisa semurume kana mukadzi. (National Center yeTransgender Equality. 2023 )
Kuti unzwisise mutsauko, zvinogona kubatsira kuziva zvinoreva transgender, cisgender, uye nonbinary: (GLAAD. 2023 )
Transgender
Munhu anozvizivisa nemunhurume akasiyana neakapihwa pakuzvarwa.
Semuyenzaniso, mumwe munhu akapihwa murume pakuzvarwa/AMAB, asi anozivisa semukadzi ari transgender mukadzi.
cisgender
Munhu ane chiziviso chechikadzi chinotevera chaakapihwa pakuzvarwa.
Semuenzaniso, mumwe munhu akapa mukadzi pakuzvarwa/AFAB uye anozivisa semukadzi.
Asina-mabhinari
Munhu anozvizivisa nehukadzi kunze kwechinyakare bhinari yemurume nemukadzi.
Izvi zvinogona kusanganisira vanhu vanozvizivisa senge genderqueer, gender, kana genderfluid nevamwe.
Kushandisa Mazita
Kushandisa zvisazitasingwi zvisiri zvebhinari inzira yekuratidza rukudzo neruremekedzo rwehunhu hwemunhukadzi. Heano mamwe ekurudziro pamashandisirwo ezvisazitasingwi: (National Center yeTransgender Equality. 2023 )
Bvunza zvivakashure zvemunhu wacho
Zvinokurudzirwa kuti usatore zvirevo zvemunhu zvichienderana nechitarisiko kana stereotype.
Kana usina chokwadi nemazita emumwe munhu, bvunza zvine ruremekedzo.
“Unoshandisa zvirevo zvipi?”
"Unogona kugovana neni zvirevo zvako?"
Dzidzira kushandisa zvivakashure
Kana wangoziva zvirevo zvemunhu, dzidzira kuashandisa.
Izvi zvinogona kuitwa nekushandisa zvirevo zvavo pavanenge vachitaura kwavari mukukurukurirana, maemail, mafomu akanyorwa, uye/kana mamwe marudzi ekutaurirana.
Kana wakanganisa, kumbira ruregerero uye gadzirisa.
Mutauro usina kwawakarerekera
Kana usina chokwadi nezvezvisazitasingwi zvemunhu, kana kuti mumwe munhu akashandisa zvisazitasingwi zvisina kwazvakarerekera pavarume saivo, shandisa mutauro usina kwawakarerekera pachinzvimbo chemutauro wechikadzi.
Somuenzaniso, pane kuti utaure iye, unogona kutaura ivo kana zita ravo.
Enderera Kudzidza
Dzidza zvakanyanya sezvinobvira nezve mazita uye zvisazita kuti unzwisise zvirinani uye utsigire LGBTQ + vemunharaunda.
Injury Medical Chiropractic uye Functional Medicine Clinic inoda kubatsira kugadzira nzvimbo inosanganisirwa uye inosimbisa kune wese munhu.
Ko Motion Kiyi Pakupora?
VIDEO
References
Mushandirapamwe Wekodzero Dzevanhu. Transgender uye nonbinary vanhu FAQ.
Outright International. Terminology inotenderedza hunhu hwemunhukadzi uye matauriro.
Mushandirapamwe Wekodzero Dzevanhu. Kunzwisisa neopronouns.
NYC Dhipatimendi reSocial Services. Gender pronouns.
National Center yeTransgender Equality. Kunzwisisa vanhu vasiri bhinari: Maitiro ekuremekedza uye kutsigira.
GLAAD. Tsanangudzo yematemu: transgender.
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Gender Affirming Health Care , utano , Health News El Paso , Mishonga , Viscerosomatic Reflex , Wellness
Vashandi vezvehutano vangape sei nzira yakanaka uye yakachengeteka yehutano hwevashoma varume kunharaunda yeLGBTQ+?
ziviso
Munyika inogara ichichinja, zvinogona kunetsa kuwana marapirwo aripo ekurwadziwa kwemuviri kusagadzikana izvo zvinogona kukanganisa maitiro emunhu zuva nezuva. Aya matambudziko ekurwadziwa kwemuviri anogona kubva kune acute kusvika asingaperi, zvichienderana nenzvimbo uye kuoma. Kune vanhu vazhinji, izvi zvinogona kukonzera kushushikana kusingakoshi pavanenge vachienda kunoongororwa maitiro nevarapi vavo vekutanga. Nekudaro, vanhu vari munharaunda yeLGBTQ+ vanowanzokandwa pasi nekusaonekwa nekunzwikwa kana vachirapwa kurwadziwa kwavo nekusagadzikana. Izvi, zvakare, zvinokonzeresa matambudziko mazhinji kune vese munhu uye nyanzvi yekurapa ivo pachavo pavanenge vachiongororwa maitiro. Nekudaro, kune dzakawanda nzira dzakanaka dzekuti LGBTQ + nharaunda vanhu vatsvage inosanganisirwa yevakadzi vashoma hutano hwehutano pahurwere hwavo. Chinyorwa chanhasi chichaongorora hudiki hwevakadzi uye maprotocol ekugadzira inosanganisirwa vanhukadzi vashoma yehutano nharaunda zvakachengeteka uye zvakanaka kune vese vanhu. Pamusoro pezvo, tinotaurirana nevarapi vane hunyanzvi vanosanganisa ruzivo rwevarwere vedu kuti vaderedze chero marwadzo akajairwa uye kusagadzikana kungave nemunhu. Isu tinokurudzirawo varwere vedu kuti vabvunze mibvunzo inoshamisa yedzidzo kune vatinosanganisirwa navo vekurapa nezvekurwadziwa kwavo kunongedzerwa kune chero hosha dzavangave nadzo apo vachipa inosanganisirwa yevashoma vehutano hutano nharaunda. Dr. Jimenez, DC, anobatanidza ruzivo urwu sebasa rekudzidzisa. Disclaimer
Chii Chinonzi Gender Minority?
Iwe kana vadiwa vako vari kubata nemhasuru aches uye strains mushure mezuva rakareba zvakanyanya kubasa? Wanga uchitarisana nekunetseka nguva dzose kunoomesa mitsipa yako nemapfudzi? Kana kuti unonzwa sokuti zvirwere zvako zviri kukanganisa muitiro wako wezuva nezuva? Kazhinji, vanhu vazhinji munharaunda yeLGBTQ+ vari kutsvagisa nekutsvaga rubatsiro rwakakwana rwezvirwere zvavo zvinonyatsoenderana nezvavanoda uye zvavanoda pavanotsvaga kurapwa. Gender minority health care ndechimwe chezvinhu zvakakosha zve LGBTQ+ nharaunda kune vanhu vari kutsvaga kurapwa kwakakodzera. Kana zvasvika pakugadzira nharaunda inosanganisirwa, yakachengeteka, uye yakanaka yehutano nharaunda, zvakakosha zvakanyanya kuti unzwisise kuti "chikadzi" uye "vashoma vari kutsanangurwa sei. Gender, sezvatinoziva tese, maonerwo anoita nyika nenzanga bonde remunhu, semurume nemukadzi. Vashoma vanotsanangurwa sekuti munhu akasiyana nenharaunda yese kana boka raanenge ari. Vashoma vechikadzi vanotsanangurwa semunhu ane hunhu husiri hwechinyakare icho vanhu vakawanda vanosangana nacho. Kune LGBTQ + vanhu vanozvizivisa sevanhukadzi vashoma, zvinogona kushungurudza uye kuwedzera kana uchitsvaga kurapwa kune chero hurwere kana kungoongororwa. Izvi zvinogona kuita kuti vanhu vazhinji veLGBTQ+ vaone rusaruro rwakanyanya munzvimbo yehutano iyo inowanzoenderana nekushomeka kwehutano uye kunonoka pakutsvaga kurapwa. (Sherman et al., 2021 ) Izvi zvinogona kugadzira nharaunda isina kunaka munzvimbo yehutano sezvo vanhu vazhinji ve LGBTQ + vachibata nekushushikana kusingakoshi uye zvipingamupinyi zvekuwana hutano hunobatanidza. Pano paInjury Medical Chiropractic uye Functional Medicine kliniki, isu takatsaurirwa kugadzira nzvimbo yakachengeteka, inosanganisirwa, uye yakanaka iyo inopa kutarisirwa kwakazvitsaurira kunharaunda yeLGBTQ+ nekushandisa mazwi asina kwaakarerekera kune murume kana murume, kubvunza mibvunzo yakakosha, uye kuvaka hukama hwekuvimbana mukushanya kwese.
Kuvandudza Utano Pamwe Chete-Vhidhiyo
VIDEO
Iwo maProtocol eInosanganisirwa Gender Minority Healthcare
Paunenge uchiongorora inosanganisirwa yevashoma hutano hwehutano kune vanhu vazhinji, kuvaka hukama hwekuvimba nechero murwere anopinda nepamusuwo kwakakosha. Izvi zvinobvumira vanhu vazhinji mukati me LGBTQ+ nharaunda kuti vabatwe zvine chiremerera neruremekedzo uye nekuona kuti vawana kurapwa sevamwe vese. Nekuita izvi, masisitimu mazhinji ehutano anogona kuona nharaunda yeLGBTQ + kodzero dzavo dzekuvakira uye kusimbisa hutano hwehutano hwavanopihwa. (“Misiyano yehutano inobata LGBTQ+ vanhu, 2022 ) Pazasi pane maprotocol anoitwa kuti asanganisire vanhukadzi vashoma hutano hwehutano.
Kugadzira Nzvimbo Yakachengeteka
Kugadzira nzvimbo yakachengeteka yemurwere wese kuti arapwe kana kushanya kwese kwakakosha. Pasina iyo, inogona kukonzera kusiyana kwehutano pakati pemurwere uye nyanzvi yehutano. Vanopa hutano vanofanirwa kuve vakagadzirira kuona uye kugadzirisa zvavanoda kuitira kuti zvisabatsire mukusiyana kwehutano hwakasangana nevanhu vazhinji LGBTQ +. (Morris et al., 2019 ) Zvatove kunetsa zvakakwana kuti LGBTQ+ vanhu vawane kurapwa kwakakodzera. Kugadzira nzvimbo yakachengeteka muchiitiko chekiriniki kunopa vanhu mamiriro ekuremekedza uye kuvimba sezvavanozadza mafomu avo ekutora ayo anosanganisira hunhu hwakasiyana.
Zvidzidzise Iwe & Vashandi
Vashandi vehutano vanofanirwa kunge vasina-kutonga, vakavhurika, uye vanobatana nevarwere vavo. Nekudzidzisa vashandi, vazhinji vanopa hutano vanogona kudzidziswa budiriro kuti vawedzere kuzvininipisa kwetsika nekuvandudza hutano hwehutano kunharaunda yeLGBTQ +. (Kitzie et al., 2023 ) Panguva imwecheteyo, vatapi vehutano vakawanda vanogona kushandisa mutauro usina kwawakarerekera uye kubvunza kuti zita remurwere rinodiwa nderei pavanenge vachisimbisa nekushandisa ongororo dzakafanira dzepfungwa nehutano. (Bhatt, Cannella, & Marudzi, 2022 ) Kusvika panguva ino, varapi vakawanda vehutano vanogona kukanganisa zvakanyanya uye zvakanaka ruzivo rwemunhu, mhedzisiro yehutano, uye hupenyu hwehupenyu. Kudzikisa kusarura kwemaitiro, kushamwaridzana, uye kusarura kunoitwa nevanhu vazhinji ve LGBTQ + kunogona kuve nzira yekuratidza rukudzo kwete kumunhu chete asiwo kuvana chiremba nevashandi vanoigamuchira. (McCave et al., 2019 )
Basic Primary Care Principles
Chinhu chekutanga chinofanira kuitwa nevarapi vehutano vazhinji ndechekuremekedza chitupa chemunhurume uye kufunga kuti rudzii rweruzivo kana ongororo yekuti munhu wacho awane rubatsiro rwaanokodzera. Chiyero chinogoneka chehutano ndeimwe yekodzero dzakakosha dzemunhu wese. Kuve mubatsiri kunogona kugadzira hukama hwekuvimba nemunhu uye kuvapa chirongwa chekurapa chinogoneka chavanogona kugamuchira. Izvi zvinopa nharaunda yakachengeteka kumunhu uye inodhura-inoshanda uchiwana kurapwa kwakakodzera kwavanofanirwa.
References
Bhatt, N., Cannella, J., & Marudzi, JP (2022). Gender-Affirming Care for Transgender Patients. Innov Clin Neurosci , 19 (4-6), 23-32. www.ncbi.nlm.nih.gov/pubmed/35958971
www.ncbi.nlm.nih.gov/pmc/articles/PMC9341318/pdf/icns_19_4-6_23.pdf
Misiyano yehutano inobata LGBTQ+ vanhu. (2022). Commun Med (Lond) , 2 , 66. doi.org/10.1038/s43856-022-00128-1
Kitzie, V., Smithwick, J., Blanco, C., Green, MG, & Covington-Kolb, S. (2023). Kugadzira pamwe chete kudzidziswa kwevashandi vehutano munharaunda kusimudzira hunyanzvi mukushandira LGBTQIA+ nharaunda. Front Public Health , 11 , 1046563. doi.org/10.3389/fpubh.2023.1046563
McCave, EL, Aptaker, D., Hartmann, KD, & Zucconi, R. (2019). Kukurudzira Affirmative Transgender Health Care Practice mukati meZvipatara: Iyo IPE Yakamisikidzwa Murwere Simulation yeVadzidzi Vakapedza Utano HweVadzidzi. MedEdPORTAL , 15 , 10861. doi.org/10.15766/mep_2374-8265.10861
Morris, M., Cooper, RL, Ramesh, A., Tabatabai, M., Arcury, TA, Shinn, M., Im, W., Juarez, P., & Matthews-Juarez, P. (2019). Kudzidzira kuderedza kusarura kwakanangana neLGBTQ pakati pevadzidzi vekurapa, mukoti, uye mazino nevapeji: ongororo yakarongeka. BMC Med Mudzidzisi , 19 (1), 325. doi.org/10.1186/s12909-019-1727-3
Sherman, ADF, Cimino, AN, Clark, KD, Smith, K., Klepper, M., & Bower, KM (2021). LGBTQ + dzidzo yehutano yevanamukoti: Nzira itsva yekuvandudza makosi ehukoti. Nurse Educ Nhasi , 97 , 104698. doi.org/10.1016/j.nedt.2020.104698
Disclaimer
by Dr Alex Jimenez Gender Affirming Health Care , utano
Gender ipfungwa ine zvinhu zvakawanda. Munhu wese ane gender expression. Kudzidza nezvekutaura kwevakadzi kungabatsira here vashandi vehutano kupa zvirongwa zviri nani uye zvinoshanda zvekurapa zve LGBTQ+ nharaunda?
Gender Kuratidzira
Gender expression inoreva nzira idzo vanhu vanopa hunhu hwavo uye ivo pachavo. Izvi zvinogona kuva zvipfeko, magadzirirwo ebvudzi, maitiro, nezvimwewo. Kune vakawanda, panogona kuva nekuvhiringika pakati pezvinotarisirwa neveruzhinji kubva kumurume kana mukadzi uye kuti vanhu ava vanosarudza kuzviratidzira sei. Matauriro echikadzi anovakwa kubva mutsika dzakaipoteredza, zvichireva kuti panogona kunge paine tarisiro yemagariro pamusoro pekuti murume kana mukadzi. Zvinogona zvakare kureva kuti vhudzi rimwe chete revakadzi kana zvipfeko mune imwe mamiriro anogona kuonekwa sechirume mune imwe.
Sosaiti inoedza kudzora kutaura nokuita kuti vakadzi vapfeke marudzi akati embatya, uye varume mamwe marudzi, kuitira kuti vatore rutivi muchikoro, basa, uye apo vari pachena.
Kana tsika dzechivanhu dzichitevedzera tsika dzevakadzi dzinozivikanwa se Gender police , iyo inogona kubva pamapfekero kusvika kuchirango chemuviri uye chepfungwa.
Kugadzira nzvimbo yakachengeteka kune vese varume nevakadzi kunoda kuziva nezve izvi zviri pachena kana kuti zvisina kujeka tsika dzechikadzi kuitira kuti mapurisa adzivirirwe. (José A Bauermeister, et al., 2017 )
Tsvagiridzo yakaratidza kuti kune yakawedzera mwero yerusarura kune transgender uye vanhukadzi-vasingawirirane nevanhu kana zvichienzaniswa nekusarura kune avo vari LGBTQ. (Elizabeth Kiebel, et al., 2020 )
Health Care
Gender expression inogona uye inokanganisa kuwana uye kunaka kwehutano hwehutano.
Vanhu vane hunhu hwakasiyana nezvavanotarisirwa kuita pakuzvarwa kwavo vanogona kusangana nekusarura uye kushungurudzwa kubva kune vanopa rubatsiro. (Human Rights Watch. 2018 )
Chikamu chikuru chevarwere vaitya kuti vashandi vehutano vangavabata zvakasiyana nekuda kwekutaura kwavo. (Cemile Hurrem Balik Ayhan et al., 2020 )
Kushungurudzika kuduku kwakaratidzwa kuita basa rinokosha mukusagadzikana kwehutano. (IH Meyer. 1995 )
Tsvagiridzo inoratidza kuti kutaura kwevakadzi ndechimwe chikamu chevadiki kushushikana kunotsanangurwa necisgender vashoma pabonde uye vadiki vechikadzi. (Puckett JA, et al., 2016 )
Kudzidzira Zvirinani
Migumisiro yekutaura kwevakadzi yakasiyana zvichienderana nepabonde remunhu, kuzivikanwa kwemurume, uye mamiriro avo.
Zvakadaro, vanachiremba vanofanirwa kuziva bonde remunhu raakapihwa pakuzvarwa kuti akwanise kuita ongororo dzakakwana, sekuvheneka prostate kana gomarara rechibereko.
Imwe nzira yekusimbisa ndeye kuti chiremba vatange vazvizivisa ivo pachavo, vachishandisa zvisazita zvavo.
Vashandi vehutano vanofanira kubvunza munhu wese kuti anofarira zita ripi uye kuti anoshandisa zvisazita zvipi.
Ichi chiito chakareruka chinokoka murwere kuti agoverane pasina kugadzira kusagadzikana.
Munhu mumwe nomumwe anosarudza nzira yekuzviratidza nayo kunyika, uye tinoremekedza vose. Isu kuInjury Medical Chiropractic uye Functional Medicine Clinic tichashanda kugadzirisa mhedzisiro yekushushikana kwevashoma pane kusaenzana kwehutano uye kusimudzira ruzivo rwenzira dzekuenderera mberi nekuvandudza zviitiko zvakanaka zve LGTBQ + vanhu vari kutsvaga hutano hunosanganisirwa yekukuvara kweuromusculoskeletal, mamiriro, kusimba, hutano, uye hutano hunoshanda.
Revolutionizing Healthcare
VIDEO
References
Bauermeister, JA, Connochie, D., Jadwin-Cakmak, L., & Meanley, S. (2017). Gender Mapurisa Munguva Yehudiki uye Hutano hwePfungwa hweVadiki Vechidiki Vepabonde Vashoma Varume muUnited States. American Journal yehutano hwevarume, 11 (3), 693-701. doi.org/10.1177/1557988316680938
Kiebel, E., Bosson, JK, & Caswell, TA (2020). Zvinokosha Zvinotendwa uye Rusaruro Dzebonde Kuvanhukadzi Ngochani Varume. Nyaya yehungochani, 67(8), 1097-1117. doi.org/10.1080/00918369.2019.1603492
Human Rights Watch. “Haudi Wechipiri Zvakanakisisa”—Kusarura Kunorwisa LGBT muU.S. Health Care.
Ayhan, CHB, Bilgin, H., Uluman, OT, Sukut, O., Yilmaz, S., & Buzlu, S. (2020). Ongororo Yakarongeka Yerusarura Kupesana neBonde uye Gender Diki muZvirongwa Zvekuchengetedza Utano. International Journal of health services: kuronga, kutonga, kuongorora, 50 (1), 44-61. doi.org/10.1177/0020731419885093
Meyer IH (1995). Kushushikana kudiki uye hutano hwepfungwa muvarume ngochani. Chinyorwa chehutano uye hunhu hwemagariro, 36 (1), 38-56.
Puckett, JA, Maroney, MR, Levitt, HM, & Horne, SG (2016). Hukama pakati pekutaura kwevakadzi, kushomeka kushushikana, uye hutano hwepfungwa mucisgender bonde vashoma vakadzi nevarume. Psychology yeBonde uye Kusiyana kweGender, 3(4), 489–498. doi.org/10.1037/sgd0000201
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Gender Affirming Health Care , utano , Pasi Pasi Pain , Spinal Decompression Treatments , Spine Care , Mishonga , Viscerosomatic Reflex , Wellness
Varapi vangagadzira sei chiitiko chakanaka che LGTBQ + vanhu vari kutsvaga hutano hwakasanganisirwa hwekurwadziwa kwemhasuru?
ziviso
Kuwana kurapwa kwakakodzera kwemamiriro mazhinji ekurwadziwa kwemuviri hakufanirwe kuve kwakaoma kana zvinhu zvakawanda nemamiriro ezvinhu zvinogona kukanganisa mararamiro emunhu. Kana zvasvika kune izvi zvinhu zvinogona kubva kunharaunda yavo yekumba kuenda kumamiriro avo ekurapa, izvo zvinobva zvakuvadza kugara kwavo zvakanaka uye kusanzwikwa kana vaziviswa nezvemamiriro avo. Izvi zvinogona kukonzera kuti zvipingamupinyi zvivakwe uye zvinoita kuti munhu asaonekwe kana kunzwika paanenge achitsvaga kurapwa kwemarwadzo avo. Nekudaro, vanhu vazhinji mukati me LGBTQ + nharaunda vanogona kutsvaga akawanda emunhu mhinduro kuti vavandudze hutano hwavo uye kuve nechiitiko chakanaka chinoenderana nezvavanoda. Chinyorwa ichi chinoongorora kuti kubatanidza hutano hwehutano hunogona sei kuita zvakanaka munharaunda yeLGBTQ + uye kuti marapirwo asiri ekuvhiya senge chiropractic care anogona kuiswa sei muurongwa hwemunhu hunobatanidza hutano hunosanganisira. Pamusoro pezvo, tinotaurirana nevarapi vakanyoreswa vanosanganisa ruzivo rwemurwere wedu kuti vaderedze kurwadziwa kwakawanda kuburikidza nekubatanidzwa kwehutano hwehutano. Isu tinovazivisawo kuti kurapwa kusiri kwekuvhiya kunogona kuva chiitiko chakanaka kwavari kuderedza marwadzo emuviri. Tinokurudzira varwere vedu kuti vabvunze mibvunzo inoshamisa pavanenge vachitsvaga dzidzo kubva kune vatinoshamwaridzana navo vezvokurapa pamusoro pemarwadzo avo munzvimbo yakachengeteka uye yakanaka. Dr. Jimenez, DC, anobatanidza ruzivo urwu sebasa rekudzidzisa. Disclaimer
Chii Chinonzi Inclusive Health Care?
Wanga uchitarisana nekunetseka nguva dzose kuri kukonzera marwadzo mumuviri wako here? Iwe unonzwa sekunge kune zvipingamupinyi zviri kukutadzisa kuwana zororo raunoda kubva pakurwadziwa kwako? Kana kuti zvakawanda zvezvakatipoteredza zvinokutadzisa kudzoreredza hutano hwako uye hutano? Vanhu vazhinji vari kutsvaga kurapwa kwemarwadzo akajairwa kana mamiriro anokanganisa hutano hwavo uye hutano vanowanzo tsvagira kurapwa kunoenderana nezvavanoda nezvavanoda nenzira yakanaka uye yakachengeteka asi ichibatanidzwa. Kurapa kwehutano senge kusanganisirwa hutano kunogona kupa mhedzisiro uye yakachengeteka kunhengo dze LGBTQ + nharaunda. Kusanganisira hutano hwehutano hunogona kubatsira vashandi vazhinji vehutano kumisa kodhi inosanganisirwa yemaitiro mukati me LGBTQ + nharaunda kuvandudza hutano hwakanangana nemhedzisiro. (Moran, 2021 ) Ikozvino hutano hunosanganisira hutano hunotsanangurwa sekubvisa zvipingamupinyi zvehutano hwehutano hunofanirwa kuwanikwa zvakaenzana uye husingakwanisi kune vanhu vakawanda pasinei nezera, maitiro ezvepabonde, uye kuzivikanwa kwevakadzi. Kune vanhu vazhinji mukati me LGBTQ+ nharaunda, vanhu vazhinji vanozvizivisa sevadiki vevarume. Vashoma vechikadzi (gender minority) munhu anozvizivisa seasingaenderane nemunhurume kana murume kana mukadzi uye ane chimiro kana matauriro anosiyana neakajairwa bhinari. Kusanganisira hutano hwehutano chinhu chakakosha kunharaunda yeLGBTQ + sezvo zvichigona kubatsira vanhu mukuwana kurapwa kwavanofanirwa.
Ko Inosanganisirwa Hutano Hutano Inobatsira Sei Iyo LGTBQ+ Nharaunda?
Nezve hutano hunobatanidza hutano, vazhinji vanopa hutano vanofanirwa kuremekedza varwere vavo uye zvavanoda kana vachiuya kuzoongororwa. Sezvo vanhu vazhinji vari munharaunda yeLGBTQ+ vari kutotarisana nekushushikana kwakakwana, kunyanya vechidiki, zvakakosha kuve nenharaunda yakadzikama, yakachengeteka, uye isina kutonga inosimudzira chengetedzo nekubatanidzwa. (Diana naEsposito, 2022 ) Kune nzira dzakawanda dzinosanganisira hutano hwehutano hunogona kupa migumisiro inobatsira kune munhu uye mupi wehutano hwehutano. Zvimwe zvinogona kusanganisira:
Zvinoreva zita remunhu anodiwa Izvo munhu anoda kuzivikanwa Kuremekedza zvinodiwa nomurwere Kuvaka hukama hwakavimbika nemunhu
Kana vanhu vari munharaunda yeLGBTQ+ vaine hutano hwakasanganisirwa munzvimbo yakanaka, inogona kuvagadzirira chiitiko chakanaka sezvo ichigona kuvandudza hutano hwepfungwa uye kugara zvakanaka uye kuita shanduko huru inogona kuponesa hupenyu. (Carroll naBhishopi, 2022 ) The Injury Medical Chiropractic uye Functional Medicine Team yakazvipira kuvaka nzvimbo yakanaka uye yakachengeteka kune vanhu vari munharaunda yeLGBTQ + inoda hutano hunobatanidza kuderedza zviratidzo zvinorwadza kuburikidza nezvirongwa zvemunhu zvekurapa.
Sei Chiropractic Kuchengetedza Kushandura Marwadzo Kuyamura-Vhidhiyo
VIDEO
Nevanhu vazhinji vari kutsvaga kurapwa kwakakodzera kwekurwadziwa uye kusagadzikana, vanhu vazhinji vanozotarisa mune zvisiri zvekuvhiya marapirwo. Kurapa kusiri-kuvhiya kunogona kubatsira kune vanhu vazhinji munharaunda yeLGBTQ + sezvo yakachengeteka uye inogona kupa vanhu kunzwisisa kwezviri kukanganisa miviri yavo. Mishonga isiri-yekuvhiya senge chiropractic care, spinal decompression, uye MET therapy inogona kuderedza marwadzo-senge zviratidzo zvine chekuita neshuloskeletal disorders kuburikidza nehurongwa hwekurapa hwemunhu hwakagadzirirwa kumunhu. Vazhinji vashandi vehutano vanoremekedza uye vanopa nharaunda inotsigira kune LGBTQ + vanhu vari kutsvaga hutano hwakasanganisirwa vanonzi kuwedzera kwekuvimba kwavo, uye kudzikira kwekushushikana kwavo, izvo zvinogona kuderedza kusava nechokwadi kwekushanya kunotevera. (McCave et al., 2019 ) Kugadzira nzvimbo yakachengeteka, yakanaka kune vanhu vari kutsvaga rubatsiro rwehutano hunobatanidza hunogona kuvabatsira kuderedza marwadzo avanga vachinzwa vachirerutsa pfungwa dzavo. Vhidhiyo inotsanangura kuti kurapa kusiri kwekuvhiya senge chiropractic kuchengetedza kunogona kubatsira kuderedza marwadzo emusculoskeletal anoenderana nekushushikana uye kubatsira kugadzirisa muviri kubva mukushushikana. Pamusoro pezvo, idzi shanduko diki mukugadzira nharaunda yakachengeteka uye inosanganisirwa kana uchigamuchira hutano hunogona kuita hunhu hunogara uye hwakanaka kune vanhu vazhinji. (Bhatt, Cannella, & Marudzi, 2022 )
Kushandisa Kurapa Kunobatsira Kune Inosanganisirwa Hutano Kuchengeta
Kana zvasvika pakurapwa kusiri kwekuvhiya kuve chikamu chekurapa kunosanganisira, zvakakosha kudzikisa kusawirirana kwehutano uye kuona kuti vazhinji LGBTQ + vanhu vanowana kurapwa kunodiwa kwavanofanirwa. (Cooper et al., 2023 ) Sezvo vanhu vakawanda vachitarisana nematambudziko ehutano akasiyana, kubva mumuviri uye zvepabonde dysmorphia kusvika kune zvakajairika tsandanyama zvinetso zvinosangana ne musculoskeletal disorders, vanhu vakawanda vanogona kutsvaga kurapwa kusina kuvhiyiwa sechiropractic kuchengetedza. Chiropractic kuchengetedza inogona kubatsira kuzadzisa zvinodiwa nemunhu kuburikidza nekutsigira hutano hwavo hwemusculoskeletal uye kugara zvakanaka. (Maiers, Foshee, & Henson Dunlap, 2017 ) Chiropractic kuchengetedza inogona kuderedza musculoskeletal mamiriro ane LGBTQ + vanhu vakawanda uye vanogona kuziva kuti ndezvipi zvinhu zviri kukanganisa miviri yavo munzvimbo yakachengeteka uye yakanaka. Kurapa kusiri-kuvhiya kunogona kusanganiswa nemamwe marapirwo mune inosanganisirwa hutano hwehutano kune LGBTQ + vanhu. Vanogona kupa nzvimbo yakachengeteka mukiriniki uye kuvandudza hutano hwavo hwekutarisira kuburikidza nekuita mari. (Johnson & Green, 2012 ) Kuchengetwa kwehutano kwakasanganisirwa kunogona kubatsira kuita LGBTQ+ vanhu nzvimbo yakachengeteka uye yakanaka kuvaita kuti vawane kurapwa kwakakodzera pasina kusavimbika.
References
Bhatt, N., Cannella, J., & Marudzi, JP (2022). Gender-Affirming Care for Transgender Patients. Innov Clin Neurosci , 19 (4-6), 23-32. www.ncbi.nlm.nih.gov/pubmed/35958971
www.ncbi.nlm.nih.gov/pmc/articles/PMC9341318/pdf/icns_19_4-6_23.pdf
Carroll, R., & Bisshop, F. (2022). Zvamunoda kuziva nezve gender-affirming healthcare. Emerg Med Australas , 34 (3), 438-441. doi.org/10.1111/1742-6723.13990
Cooper, RL, Ramesh, A., Radix, AE, Reuben, JS, Juarez, PD, Holder, CL, Belton, AS, Brown, KY, Mena, LA, & Matthews-Juarez, P. (2023). Kusimbisa uye Kusanganisira Kuchengeta Kudzidziswa kweVadzidzi Vezvokurapa uye Vagari Kuti Vaderedze Hutano Hwakasiyana Hunoonekwa Nezvepabonde uye Gender Diki: Ongororo Yakarongeka. Transgend Health , 8 (4), 307-327. doi.org/10.1089/trgh.2021.0148
Diana, P., & Esposito, S. (2022). LGBTQ + Vechidiki Hutano: Chinodiwa Chisina Kufanira muPediatrics. Vana (Basel) , 9 (7). doi.org/10.3390/children9071027
Johnson, CD, & Green, BN (2012). Kusiyana-siyana mubasa rechiropractic: kugadzirira 2050. J Chiropr Educ , 26 (1), 1-13. doi.org/10.7899/1042-5055-26.1.1
Maiers, MJ, Foshee, WK, & Henson Dunlap, H. (2017). Culturally Sensitive Chiropractic Care of the Transgender Community: A Narrative Ongororo yeMabhuku. J Chiropr Humanit , 24 (1), 24-30. doi.org/10.1016/j.echu.2017.05.001
McCave, EL, Aptaker, D., Hartmann, KD, & Zucconi, R. (2019). Kukurudzira Affirmative Transgender Health Care Practice mukati meZvipatara: Iyo IPE Yakamisikidzwa Murwere Simulation yeVadzidzi Vakapedza Utano HweVadzidzi. MedEdPORTAL , 15 , 10861. doi.org/10.15766/mep_2374-8265.10861
Moran, CI (2021). LGBTQ kurudziro yehutano hwehutano hwevanhu. Educ Hutano (Abingdon) , 34 (1), 19-21. doi.org/10.4103/efh.EfH_243_18
Disclaimer
