by Dr Alex Jimenez Kudzorera Pain , Chiropractic , Dzose Kudzorera Painini , chisingaperi Pain , Kukanganiswa kwakakomba , Gender Affirming Health Care , utano , Spinal Decompression Treatments , Mishonga , Viscerosomatic Reflex , Wellness
ziviso
Zvinogona kunetsa kuwana kurapa kwakakodzera kweakajairwa aches uye kurwadziwa mumuviri nekuda kweakasiyana zvakatipoteredza zvinhu . Izvi zvinhu, zvakaita sehupenyu hwepamba, kuita zvemuviri, uye mamiriro ebasa, zvinogona kutungamirira kune zviratidzo zvinopindirana zvinokanganisa hutano hwepfungwa uye hwepfungwa. Kana ikasiyiwa isina kurapwa uye zvichienderana nekuoma, zviratidzo izvi zvinogona kukura chisingaperi mamiriro . Zvisinei, vanhu vanogona kuwana personalized solutions kuderedza marwadzo uye kusagadzikana nekutora hutano hwavo uye hutano. Ichi chinyorwa chichaongorora kutarisirwa kwevakadzi, kurapwa kunogona kubatsira LGBT + nharaunda, uye zvisiri zvekuvhiya sarudzo semusana decompression uye chiropractic kuchengetedza. Isu tinoshanda nevarapi vane hunyanzvi vanoshandisa ruzivo rwakakosha rwevarwere kupa marapirwo senge gender-aving care kune vanhu vane marwadzo emuviri. Tinokurudzira varwere kubvunza mibvunzo yakakosha uye kutsvaga dzidzo kubva kune vanobatana navo vekurapa nezve mamiriro avo. Dr. Jimenez, DC, anopa ruzivo urwu sebasa rekudzidzisa. Disclaimer
Chii chinonzi Gender-Affirming Care?
Pakutsvaga kurapwa, vanhu vanowanzo tsvaga uye kuwana rubatsiro rwunonyatsoenderana nezvavanoda. Imwe marapirwo akaratidzwa kuti anobata vanhu vazhinji zvakanaka ndeyekutarisira-vakadzi. Zvidzidzo zvekutsvaga zvakaratidzwa kuti hurongwa uhu hunogona kugadzirisa kusimbiswa kwevakadzi kuburikidza nenzira dzakasiyana-siyana, kusanganisira zvipfeko, bvudzi, izwi uye zvisazita, shanduko yemazita, kurapwa nekuvhiyiwa, uye shanduko yemagariro. Vanhu vanogona kushandisa tsigiro yekusimbisa murume kana murume zvakasiyana kuti vagamuchire kurapwa kwavanofanirwa. Tsvagiridzo zvakare inoratidza kuti kutarisirwa kwemunhurume nemunhukadzi kunofanirwa kuve kwakasiyana-siyana, kunosanganisira kuongororwa kwekuongorora, psychotherapy / kuraira, uye marapirwo. Vanhu vazhinji vari munharaunda yeLGBT + vanotsvaga rubatsiro rwekusimbisa murume kana mukadzi kuti vavandudze hutano hwavo hwepfungwa nemuviri, izvo zvinogona kuponesa hupenyu.
Gender-Affirming Care Rubatsiro Iyo LGBT+?
Kuchengeta murume kana murume chinhu chakakosha chekutsigira LGBT+ nharaunda. Zvinosanganisira kubvuma uye kubvuma unhu hwemunhurume uye kuita shanduko dzinodiwa kumubatsira kuti azviratidze. Kugadzira nharaunda yakachengeteka uye yakanaka yekutarisira-inosimbisa hutano kunogona kuvandudza zvakanyanya ruzivo, mhedzisiro yehutano, uye hupenyu hwevanhu vazhinji munharaunda yeLGBT +, kunyanya avo vanozviti transgender. Zvakakosha kunzwisisa zvinorehwa nezwi rokuti” murume kana mukadzi” uye “kusimbisa” kuti upe rubatsiro runoshanda. Gender (Gender) zvinoreva maonerwo anoita vanhu bonde remunhu semurume/murume kana mukadzi/mukadzi, ukuwo kusimbisa kunosanganisira kubvuma uye kuratidza kuti munhu ndiani. Zvidzidzo zvekutsvaga zvakaratidza kuti kuchengetedza-kusimbisa murume kana mukadzi kunobata zvakanaka nharaunda yeLGBT+, zvichiita kuti ive chinhu chakakosha chehutano hwehuwandu hwehuwandu.
Munharaunda yeLGBT+, iyo "T" inomirira transgender vanhu vane chitupa chisingaenderane nebonde ravakapihwa pakuzvarwa. Izvi zvinogona kusanganisira:
Transgender mukadzi : Murume-ku-mukadzi, akagoverwa murume pakuzvarwa, anogara mukadzi / akasimbiswa mukadzi, transfeminine spectrum Transgender murume : Mukadzi-ku-murume, akagoverwa mukadzi pakuzvarwa, rarama murume / akasimbiswa murume, transmasculine spectrum Transsexual : vanhu vari munharaunda ye transgender vakachinja kuenda kune mumwe murume kana murume, kazhinji kusanganisira kuvhiyiwa pabonde
Vazhinji ve transgender vanotsvaga kuchengetedza-kusimbisa hutano kuti vavandudze hutano hwavo hwese uye kugara zvakanaka nekuita shanduko kuwiriranisa miviri yavo nepfungwa. Sezvineiwo, pane zvipingamupinyi zvine chekuita nekuwana rubatsiro rwekusimbisa murume kana murume.
Zvipingamupinyi zvine chokuita neGender-Affirming Care
Kuwana rubatsiro rwekusimbisa murume kana murume kunogona kuve chipingamupinyi kune vazhinji munharaunda yeLGBT +, zvichitungamira kuhutano husina kunaka hwepfungwa, kudzikira kwerutsigiro munharaunda, uye rusarura. Zvidzidzo zvekutsvaga zvakaratidzwa kuti mitoro iyi inogona kuita kuti muviri uwedzere dysmorphia uye zviratidzo zvakabatana. Tsvagiridzo yaratidza kuti vanhu vane muviri dysmorphia vanogona kukudziridza comorbid kusagadzikana panguva yekuongororwa kwese, kusanganisira gender dysmorphia , izvo zvinogona kutungamirira kumatambudziko kune murwere. Nekudaro, kugadzira nharaunda yakachengeteka uye ine ruremekedzo ye LGBT + nharaunda inogoneka nekupa yakasarudzika yekusimbisa murume nehanya. The Injury Medical Chiropractic uye Functional Medicine Team yakazvipira kuvaka nzvimbo yakanaka kune vanhu vanoona se transgender uye kuderedza marwadzo-sezviratidzo kuburikidza nehurongwa hwemunhu hwekurapa.
VIDEO
Kurapa Kunobatsira Kushandisa Mukutarisira Gender-Affirming
Pane tarisiro kune vanhu vari kutsvaga rubatsiro rwekusimbisa murume kana murume, sezvo mishonga yakawanda inobatsira iripo. Sarudzo dzisiri dzekuvhiya dzakadai semusana decompression uye chiropractic kuchengetedza zvinogona kurerutsa nyaya dzemusculoskeletal uye kudzidzisa varwere nezvezvakatipoteredza zvinokanganisa hupenyu hwavo. Hormone, muviri, uye kurapwa kwepfungwa kwakakosha kuzvirongwa zvekuchengetedza zvemunhu, zvichiita kuti zvigoneke uye kuve nechokwadi chekuchengetedza. Vanhu vari munharaunda yeLGBT + vanotarisana nematambudziko ehutano akasiyana, uye kuva nenzvimbo yakachengeteka uye yakanaka kunogona kuita kuti hutano hwavo uye rwendo rwehutano huve nyore kudzoreka.
References
Bhatt, N., Cannella, J., & Marudzi, JP (2022). Gender-Affirming Care for Transgender Patients. Innovations in Clinical Neuroscience , 19 (4-6), 23-32. www.ncbi.nlm.nih.gov/pmc/articles/PMC9341318/
Carroll, R., & Bisshop, F. (2022). Zvamunoda kuziva nezve gender-affirming healthcare. Emergency Medicine Australasia , 34 (3). doi.org/10.1111/1742-6723.13990
Grant, JE, Lust, K., & Chamberlain, SR (2019). Body dysmorphic disorder uye hukama hwayo kune zvepabonde, kusundwa, uye kupindwa muropa. Psychiatry Research , 273 , 260-265. doi.org/10.1016/j.psychres.2019.01.036
Hashemi, L., Weinreb, J., Weimer, AK, & Weiss, RL (2018). Transgender Chengetedzo muKutarisisa Kwekutanga Setting: Ongororo yeNhungamiro uye Zvinyorwa. Federal Practitioner , 35 (7), 30-37. www.ncbi.nlm.nih.gov/pmc/articles/PMC6368014/
Kaplan, E., & Bard, P. (2023). The Ultimate Spinal Decompression . JETLAUNCH.
Tordoff, DM, Wanta, JW, Collin, A., Stepney, C., Inwards-Breland, DJ, & Ahrens, K. (2022). Utano Hwepfungwa Migumisiro muTransgender uye Nonbinary Youths Vari Kugamuchira Gender-Affirming Care. JAMA Network Open , 5 (2). doi.org/10.1001/jamanetworkopen.2022.0978
Disclaimer
by Dr Alex Jimenez Functional Medicine , Gender Affirming Health Care , utano , Mishonga Inobatanidza , Wellness
Une here:
Matambudziko ekumashure? Zvinetso Zvekudya? Misoro kana Migraines? Kukuvara? Missage nyaya?
Kana iwe uri kusangana neipi yeaya mamiriro ezvinhu, saka iwe ungangoda kufunga nezve kuona chiropractor.
Transgender Kusarura
Kuenda kunoongororwa nguva dzose kubva kuna chiremba kana chiremba wemazino kunetseka kwakaringana kune vamwe vanhu. Kune transgender vanhu, kuenda kunoongororwa maitiro kunova kunetsa zvakanyanya kwavari sezvo ivo vachiwanzobatwa zvisina kufanira kana kutorambwa kutarisirwa kwavanoda. Muongororo ye2009 , yakakomberedza 70% yeiyo transgender uye vanhukadzi-vasina hunyanzvi vanhu vakashuma chiitiko vanotevera:
Kuramba kwehutano Nyanzvi yehutano inoramba kubata kana kushandisa matanho ekuzvidzivirira kuvanhu vamwe Vanoona nezveutano vachishandisa mutauro usingataure zvisina kukodzera Kuremekedzwa kune kwavo kwehutano hutano Vanoona nezveutano vachishungurudza varwere
Kuwedzera kuongororwa kwakaburitsawo kuti hutano hwehutano hwe transgender hunosarura uye hwakachengeta chinenge chikamu chimwe muzvitatu chevanhu vanochinja vanotsvaga rubatsiro kubva kuzvirwere chero kukuvara kana kukuvara kwavanogona kunge vasangana nako. Zvinotonyanya kushamisa kuti varwere vazhinji ve transgender vakadzidzisa vanachiremba nezveutano hwehutachiona.
Transgender inotsanangurwa se �munhu anonzwa kuti chitupa chake hachienderane nemuviri wake wenyama uye chakasiyana nehukadzi hwaakazvarirwa. Iyo 2016 data ongororo neThe Williams Institute , yakawana kuti anenge 1.4 mamirioni vanhu veAmerica vanocherekedza se transgender.
Transgender vanhu vari kutanga kutaura nezvematambudziko avo nenyaya. Vanotaura pamusoro pekushushikana pamusoro pekuti vashandi vehofisi vanonzwa sei kutengeswa panguva yekuchinja kwavo, nzira yose kune vamwe vanosarura muhutano hwehutano hwavari kuwana. Transgender vanhu vari kupa varapi vezvokurapa zvavanokwanisa uye zvavanofanira kuita kuti vave nechokwadi chekuti vanonzwa vakachengeteka mukutarisirwa kwachiremba. Pasina ruzivo uye dzidzo, varapi vehutano havasi kuita; idzi nyaya dzinogona kuwedzera nehuwandu hwevanhu vanowedzera transgender.
Izvo Zvinoshandiswa Nevashandisi
Muna Kurume 2019 , vanhu vaviri Emma Vosicky naJaime Pagano, vakanyorerwa vadzidzi nevadzidzi vemuNational University of Health Sayenzi (NUHS) Pride Medical Alliance (PMA) kirabhu nezve matambudziko avakatarisana nawo. Vanhu vaviri ava vaishushikana nemabatiro avaizoitwa zvakasiyana nevashandi vehofisi uye vaitya avo vaizovatengesa nekugovana ruzivo rwavo. Aya ma transgender speaker akaenderera mberi ndokukurukura zvinetso zvakaoma zvakapfuura nekushandurwa kwemuviri izvo ivo nevamwe vazhinji vakasangana nazvo pavakatsvaga kurapwa.
Vosicky akaenderera mberi ndokukurukura kuti zvakave zvakakosha sei "kuzviburitsa" kuna chiremba wezvekurapa pavaimubvunza nezvemushonga waaitora kana kukurukura nhoroondo yekurapa yakanga isingaenderane neyechitarisiko chake. Vatauri vese vakakurudzira kuti vanopa hutano vanofanirwa kutarisa nzira dzakasiyana dzavanogona kuita kuti varwere vavo vazive kuti havasi vavasarura.
Pagano akakurudzira manzwiro aainzwa akachengeteka chaizvo paanoona fomu yekudyira yaisanganisira sarudzo dzakasiyana dzebonde mumba yekutandarira. Miganhu iri muchimiro chekudya inosanganisira vechikadzi isiri yekuenzanisa, isiri-binary, trans-mukadzi, uye trans murume, pamwe nemurume uye mukadzi. Akataura kuti izvi zvinonzwa kubatsira kune mupi waari kuona kuti ave nekuziva uye azive kuti munhu wese haasi kugara muhurume / mukadzi chete nyika. Pagano akataura zvakare kuti anonzwa achiwedzera chivimbo chekuti mupi wake achawedzera kuziva nezvezvavanoda.
Iyo NUHS fekitori nhengo Jamine Blesoff, ND , vakashanda nevechidiki vakachinja hunhu uye vakasimbisa kuti zvakakosha kuti varapi vaone kuti kuchengetwa kwevarwere kwakakosha padanho rega rega rekuchinja kwavo.� Dr. Blesoff vakati varapi vehutano vachiri kufanira kupa PAP bvunzo kuvarume vari kubva kuve munhukadzi pamwe nebvunzo yeprostate yevakadzi vasati vavhiya. Dr. Blesoff vanoratidza kushushikana kuti vamwe vanachiremba havazopi chero rudzi rwesevhisi kuvarwere vane transgender.
"Chinhu chakakosha kuti varapi vanochengetedza hutano vatevedze mutemo weHIPAA uye kuve nechokwadi chekuti varwere vavo vanopfuudzwa vanobatwa neruremekedzo, uye pamusoro pezvese zvese, kuve nechokwadi chekuti vanowana kurapwa kunodiwa kwavanofanirwa sewe munhu wese." -Dr. Alex Jimenez DC, CCST Insight
Kuva Nehukama
Vashandi vehutano vanofanirwa kugara vachivaka kuvimba nechero varwere vanofamba nepamusuwo. Varapi vehutano vanofanirwa kuve nechokwadi chekuti mafomu ekutora anopa nzvimbo yekuzivikanwa kwemurwere. Mukuwedzera kune chimiro chemuviri wemurwere, transgender varwere inogona kuratidza kuzivikanwa kwavo kwavanoda , nevanoona nezveutano vanogona kubvunza kuti zvirevo zvipi zvavanoda varwere sezvaari / ivo uye vanovashandisa mukushanya kwavo kwese.
Taura Une Ruremekedzo
Vanachiremba vanofanira kufunga nezvekushandisa zita ravakasarudza remurwere pachinzvimbo chezita ravo �chaiyo kana rikasaoneka mumarekodhi avo vobvunza murwere kana rimwe zita rakanyorwa. Vanamazvikokota vezveutano vanofanira kukumbira ruregerero zvine ruremekedzo kana vakashandisa zita risiri iro remunhu kana chitupa. Kunyangwe zvingave zvichinetsa kuvarwere venguva refu, asi chero vashandi vehutano vari kuedza, inove nzira yekuratidza rukudzo kwete kumurwere chete asi kuvanachiremba zvakare.
"Ini ndinogara ndichifunga kuti chinangwa chinokosha kupfuura mazwi," Sam Brinton akadaro, ndiani Musoro weDziviriro neMabasa eHurumende paTrevor Project . Brinton akataurawo, "Pane mutsauko pakati 'Ini handikwanise' uye 'Ndiri kuyedza.' Kana iwe ukada kundirwadzisa nekusashandisa zvirevo, izvozvo zvinonyanya kukosha kupfuura chero mazwi aunotaura. "
Ziva kusarongeka kwomuviri
Kuti varwere vanochinja hunhu vanzwe vakachengeteka uye kuti vari kuwana kurapwa kwavanoda, vanachiremba vanofanirwa kuvachengeta uye nekuremekedza kune zvinodiwa nemurwere wavo. Kune varwere vetransgender, zvatove kunetsa zvekuti vatore cheki yenguva dzose. Apo vanachiremba vanoremekedza zvinodikanwa zvomurwere wavo uye vasingapfuuriri nokurapwa kwavari, ikoko kunovaparira kunyadziswa nokusagadzikana kwomuviri.
Bata Zvirwere Chete
Vanamazvikokota vehutano vanofanirwa kufunga kuti ndeapi eruzivo kana bvunzo dzavari kupa varwere vavo kutarisirwa kwavanoda. Saka kupa zvakakodzera kurapwa sekurwadziwa kwemusana, matambudziko emudumbu, kusagadzikana kwemuviri, kana kuongorora kwakawanda kunokosha.
Dzidzisa Vashandi
Vese vashandi vekurapa vanosangana nevarwere vanofanirwa kuzvidzidzisa pachavo nzira yekupa nyaradzo uye nehanya kana vachinge vachibata nevarwere ve transgender. Vanopa varapi uye vashandi vekurapa vanofanirwa kushandisa ruzivo rwekudyidzana nevarwere pazuva rezuva nezuva.
mhedziso
Transgender hutano hwehutano chinhu chakakosha kune vanhu ava vari kuedza kuwana iwo mabhenefiti akafanana ari kuwanikwa nevamwe vese. Vanachiremba vezvehutano vanofanirwa kuve vanoremekedza uye nekupa kwakanyanya kutarisirwa kupa kune varwere vane hunhu hwakasiyana uye hunhu hwakasiyana. Kudzidzisa uye kuziva nezve izvo murwere ari kuenda kunopinda chikamu chechiremba kuti vabatsire kwete ivo chete zviri nani asiwo kuzivisa murwere mhinduro apo vachiita kuti vanzwe vakasununguka. Vamwe zvinogadzirwa vari pano kutsigira chero marwere uye kupa rutsigiro kumatumbo, gomarara basa, uye tsandanyama system.
Chiyero cheruzivo rwedu chinogumira kune chiropractic, musculoskeletal, uye hutano hwehutano hwehutano kana zvinyorwa zvemushonga zvinoshanda, misoro uye hurukuro. Isu tinoshandisa zvinoshanda hutano protocol kuti tibate kukuvara kana kusagadzikana kwemasculoskeletal system. Hofisi yedu yakaedza zvine musoro kuti ipe rubatsiro rwekutsigira uye yakaratidza kufanira kutsvaga kana zvidzidzo zvinotsigira zvatatumira. Isu tinoita zvakare makopi ekutsvagisa zvidzidzo zvekutsvagisa kuwanikwa kubhodhi uye kana kuruzhinji kana uchinge wakumbira. Kuti uenderere mberi nekukurukura nyaya yenyaya pamusoro, ndapota inzwa wakasununguka kubvunza Dr. Alex Jimenez kana kuti utibata 915-850-0900 .
References:
Flores, Andrew R., nevamwe. �Vangani Vakuru Vanozivisa SeTransgender muUnited States?� Iyo William Institute .
Marshall, Tari. �Transgender Health Care: Maitiro Ekuita Zvavanoda.� Transgender Hutano Hutano: Maitiro Ekusangana Nezvavanoda , 20 Nov. 2019, blog.nuhs.edu/the-future-of-integrative-health/transgender-health-care-how-to-meet-their-needs.
Marshall, Tari. �Kana Angave Ivo/Ivo.� LinkedIn , 13 Feb. 2018, www.linkedin.com/pulse/when-heshe-may-theythem-tari-marshall?trk=portfolio_article-card_title.
Chikwata, Lambda. �Lambda Zvemutemo Inoburitsa Hutano Hwekusarura Kusarura Zvigumisiro; Vanopfuura hafu veLGBT uye Vakapindura Vane HIV Vanoshuma Kusarura.� Lambda Legal , 4 Feb. 2010, www.lambdalegal.org/news/ny_20100204_lambda-releases-health.
Chikwata, NUHS. �Pride Club Chirongwa Chinotaura Zvakaitika Transgender neVashandi vezvokurapa: National University of Health Sayenzi Illinois & Florida. � Wana Dhigirii Chiropractic, Naturopathy, uye Acupuncture Medicine | �National University of Health Sayenzi , 13 Mar. 2019, www.nuhs.edu/news/2019/3/pride-club-program-address-transgender-experiences-ne-medical-professionals/.
Chikwata, Iyo Trevor Project. �Kuponesa Vechidiki LGBTQ Hupenyu.� The Trevor Project , 2019, www.thetrevorproject.org/#sm.00013irq131dh2e6qpejz1qoa103y.
