Nzira Yakavandudzwa yeGender Minority Healthcare

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.

 

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Kuvandudza Utano Pamwe Chete-Vhidhiyo

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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.

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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

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