Gaskiyar Matsala Game da Wariyar Kula da Lafiyar Transgender

Wadatacce

• Bambancin Kula da Lafiya na Transgender Ta Lambobi
• Daidai Abin da Wannan ke Nufi ga daidaikun mutane masu jinsi
• Abin da ke Tabbatar da Jinsi, Ƙwararrun Kula da Kiwon Lafiya A Haƙiƙa Yayi kama
• Yadda Ake Neman Kula da Lafiya Mai Ruwa
• 1. Bincika yanar gizo.
• 2. Kira ofis.
• 3. Tambayi alƙawarin ku na gida da na kan layi don shawarwari.
• Yadda Abokai Za Su Taimaka
• Bita don

Masu fafutukar LGBTQ da masu ba da shawara sun daɗe suna magana game da nuna bambanci ga mutanen da ke jinsi. Amma idan kun lura da babban saƙon game da wannan batun akan kafofin watsa labarun da cikin mujallu a cikin 'yan watannin da suka gabata, akwai dalili.

A watan Janairun 2021, gwamnatin Trump ta ja da baya kan dokar da ta sa ya zama haramtacciyar nuna wariya ga mutane kan asalin jinsi ko yanayin jima'i. A takaice dai, sun sanya doka ta nuna wariya ga al'umar LGBTQ.

An yi sa'a, wannan ya ɗauki 'yan watanni kawai. Ɗaya daga cikin abubuwan farko da Joe Biden ya yi sau ɗaya a ofis shine warware wannan laifin. A cikin Mayu 2021, Ofishin Jakadancin Ma'aikatar Kiwon Lafiya ta Amurka da Sakatariyar Sabis na Jama'a ta fitar da wata sanarwa da ta ce ba za a amince da nuna bambanci ga jinsi ko jima'i ba. (Gasar Olympics ta Tokyo ta kawo tattaunawa game da 'yan wasan transgender zuwa saman kuma.)

Ko da yake nuna wariya dangane da jinsi na iya zama doka a halin yanzu, wannan baya nufin transgender da masu zaman kansu suna samun kulawar da suke bukata. Bayan haka, mai ba da sabis na kiwon lafiya wanda baya nuna wariya sosai ba ɗaya yake da mai bayarwa wanda ke tabbatar da jinsi kuma mai iyawa.

A ƙasa, rushewar wariyar jinsi a cikin sararin kula da lafiya. Bugu da ƙari, nasihu 3 don nemo ɗaya daga cikin ƴan masu ba da tabbaci a can, da abin da abokan tarayya za su iya yi don taimakawa.

Bambancin Kula da Lafiya na Transgender Ta Lambobi

Mutanen Trans sun ce suna fuskantar wariya a harkar kiwon lafiya dalili ne da ya isa su goyi bayan su don yin gwagwarmayar samun isasshen kula da lafiya. Amma kididdigar ta tabbatar da cewa batun ya fi gaggawa.

Ko ta hanyar kin kulawa ko jahilci game da takamaiman bukatun, kashi 56 na mutanen LGBTQ sun ba da rahoton cewa an nuna musu wariya yayin neman magani a wani lokaci a rayuwarsu, a cewar Theungiyar LGBTQ ta Ƙasa. Ga masu canza jinsi, musamman, lambobin sun fi firgita, tare da kashi 70 cikin 100 na fuskantar wariya, a cewar Lambda Legal, wata ƙungiyar doka da bayar da shawarwari ta LGBTQ.

Bugu da kari, rabin dukkan mutanen da ke da alhakin canza jinsi suna ba da rahoton koya wa masu ba da sabis game da kulawar transgender yayin neman kulawa, a cewar Task Force, wanda ke nuna cewa har ma masu samar da so don tabbatarwa ba ku da ilimin da ake buƙata ko ƙwarewar da aka saita don yin hakan.

Wannan ya zo ne zuwa ga gazawar tsari daga bangaren masana'antar likitanci don zama mai haɗa kai. "Idan da za ku kira ɗimbin makarantun likitanci ku tambaye su tsawon lokacin da suke ba da koyarwa game da LGBTQ+-kulawar lafiya gaba ɗaya, amsar da za ku samu ita ce sifili, kuma mafi yawan abin da za ku samu shine 4 zuwa 6 sa'o'i a cikin shekaru 4, "in ji AG Breitenstein, wanda ya kafa kuma Shugaba a FOLX, mai ba da sabis na kiwon lafiya wanda ya sadaukar da al'ummar LGBTQ+ gaba ɗaya. A zahiri, kawai kashi 39 na masu ba da sabis suna jin sun mallaki ilimin da ake buƙata don kula da marasa lafiyar LGBTQ, bisa ga binciken da aka buga a cikin Jaridar Clinical Oncology a shekarar 2019.

Bugu da ƙari, "mutane da yawa na transgender suna ba da rahoton fafutukar neman masu samar da lafiyar kwakwalwa waɗanda ke da ƙwarewar al'adu," in ji Jonah DeChants, masanin kimiyyar bincike The Trevor Project, ƙungiya mai zaman kanta ta mai da hankali kan rigakafin kashe kansa ga 'yan madigo, gay, bisexual, transgender, queer, da tambayar matasa ta hanyar 24/7 dandamali na ayyukan rikicin. Rahoton kwanan nan daga The Trevor Project ya gano kashi 33 cikin ɗari na duk masu canza jinsi da matasa ba sa jin sun karɓi kulawar lafiyar hankali saboda ba sa jin mai bayarwa zai fahimci yanayin jima'i ko asalin jinsi. "Wannan abin ban tsoro ne ganin cewa mun san matasa masu canza jinsi da manya sun fi takwarorinsu na cisgender bayar da rahoton alamun lafiyar kwakwalwa kamar baƙin ciki da tunanin kashe kansa ko ƙoƙari," in ji shi. (Mai alaƙa: Yadda ake Ƙaddamar da Inshorar Lafiyar ku don Neman Kula da Lafiyar Ƙwararrun Ƙwararrun Ƙwararru)

Daidai Abin da Wannan ke Nufi ga daidaikun mutane masu jinsi

Amsar ta takaice ita ce, idan an nuna wariyar launin fata a cikin saitunan kiwon lafiya - ko kuma tsoron nuna wariya - ba za su je wurin likita ba. Bayanai sun nuna cewa kusan kashi uku na mutanen transgender suna jinkirta kulawa saboda waɗannan dalilai.

Matsalar? Aleece Fosnight, likitan urology da ob-gyn likita kuma darektan likita a Aeroflow Urology ya ce "A magani, rigakafin shine mafi kyawun kulawa." Ba tare da riga-kafi ba da kuma matakin farko, ana sanya mutanen transgender a cikin yanayin da tuntuɓar su ta farko da ƙwararrun likita ke cikin ɗakin gaggawa, in ji Breitenstein. Ta hanyar kuɗi, matsakaicin ziyarar ɗakin gaggawa (ba tare da inshora ba) na iya dawo da ku ko'ina daga $ 600 zuwa $ 3,100, gwargwadon jihar, a cewar kamfanin kula da lafiya, Mira. Tare da mutanen transgender sau biyu suna iya zama cikin talauci idan aka kwatanta da yawan jama'a, wannan farashin ba kawai zai iya wanzuwa ba, amma kuma yana iya samun sakamako mai ɗorewa.

Oneaya daga cikin binciken 2017 da aka buga a cikin mujallar Kiwon Lafiya ya gano cewa mutanen transgender waɗanda suka jinkirta kulawa saboda tsoron nuna bambanci suna da lafiya mafi muni fiye da waɗanda ba su jinkirta kulawa ba. "Jinkirta sa hannun likita don yanayin da ake ciki da/ko jinkirta binciken rigakafin na iya haifar da ... mutuwa, "in ji DeChants. (An danganta: Masu fafutuka na Trans suna Kira ga kowa da kowa don Kare Samun Dama ga Kulawar Lafiya ta Gender)

Abin da ke Tabbatar da Jinsi, Ƙwararrun Kula da Kiwon Lafiya A Haƙiƙa Yayi kama

Kasancewa mai haɗawa ya wuce sanya zaɓi don zaɓar "lalan karin magana" a kan hanyar ci ko nuna tutar bakan gizo a cikin ɗakin jira. Don masu farawa, yana nufin mai bada sabis yana girmama waɗancan karin magana da jinsi daidai gwargwado koda ba a gaban waɗancan marasa lafiya (alal misali, yayin tattaunawa da wasu masu aikin, bayanin haƙuri, da tunani). Hakanan yana nufin tambayar mutane a duk faɗin jinsi don cike wannan tabo a cikin tsari da/ko tambayar su kai tsaye. Fosnight ya ce, "Ta hanyar tambayar marasa lafiya wadanda na san cisgender ne menene karin maganarsu, na sami damar daidaita al'adar karin magana a wajen bangon ofishin," in ji Fosnight. Wannan ya wuce ba kawai yin wani lahani ba, amma yana ƙware da ilmantar da duk marasa lafiya don zama masu haɗa kai. (Ƙari a nan: Abin da Mutane Koyaushe ke Yin Kuskure Game da Trans Community, A cewar Malamin Jima'i)

Maganganun da ke gefe, kulawar da ta haɗa da haɗe da haɗewa ta haɗa da tambayar wani don zaɓin da suka fi so (ko sunan da ba na doka ba) akan fom ɗin ci da samun duk ma'aikatan su yi amfani da shi akai-akai kuma daidai, in ji DeChants. "A cikin yanayin da sunan doka na mutum bai dace da sunan da suke amfani da shi ba, yana da mahimmanci mai bada sabis yana amfani da sunan doka kawai lokacin da ake buƙata don inshora ko dalilai na doka."

Hakanan ya haɗa da masu samarwa kawai suna yin tambayoyin da suke bukata amsar domin bada kulawar da ta dace. Abu ne da ya zama gama gari ga mutanen trans su zama jirgi don sha'awar likitoci, ana tambayar su don amsa tambayoyi masu ɓarna game da gabobin haihuwa, al'aura, da sassan jiki waɗanda da gaske ba a buƙatar su don ba da kulawa mai kyau. Trinity, dan shekara 28, New York City ya ce "Na fada cikin Kulawa da Gaggawa saboda ina da mura kuma likitan ya tambaye ni ko an yi min tiyata a kasa." "Na kasance kamar ... Na tabbata ba kwa buƙatar sanin hakan don rubuta min Tamiflu." (Mai alaƙa: Ni Baƙi ne, Queer, da Polyamorous: Me yasa hakan yake da mahimmanci ga Likitoci na?)

Cikakkiyar kulawar lafiya mai iya canzawa tana nufin ɗaukar matakai don gyara wuraren makanta na yanzu. Alal misali, "lokacin da wani ya yi gwajin ciwon sukari, dole ne likita ya sanya abin da jinsin su ke da shi na labs," in ji Breitenstein. Sannan ana amfani da alamar jinsi don tantance ko matakan glucose na jini sun faɗi a ciki ko a waje na jeri masu dacewa. Wannan babbar matsala ce. "A halin yanzu babu wasu hanyoyin da za a iya daidaita wannan lambar don mutanen da ke canza jinsi," in ji su. Wannan sa ido a ƙarshe yana nufin cewa za a iya bincikar mutumin da ba daidai ba, ko kuma a yi masa alama a bayyane lokacin da ba haka ba.

Ƙarin misalai na yadda za a taimaka a ciyar da tsarin kula da lafiya gaba zai kasance aiwatar da ƙarin horo ga ɗaliban likitanci akan waɗannan batutuwan, kuma kamfanonin inshora suna sabunta manufofin su don haɗawa da mutanen transgender. Misali, "a halin yanzu, mutane da yawa maza da mata dole suyi gwagwarmaya da kamfanonin inshorar su don kula da kulawar mata saboda tsarin bai fahimci dalilin da yasa mutumin da ke da 'M' akan fayil ɗin su zai buƙaci wannan hanyar ba," in ji DeChants. (Ƙari a ƙasa akan yadda kai, a matsayin mai haƙuri ko abokin tarayya, na iya taimakawa ƙarfafa canji, a ƙasa.)

Yadda Ake Neman Kula da Lafiya Mai Ruwa

Breitenstein ya ce "Ya kamata mutane su sami 'yancin yin tunanin cewa masu samar da kayan aikin za su kasance masu rarrabewa da rarrabewa, amma ba haka ba ne duniya take a yanzu," in ji Breitenstein. Sa'ar al'amarin shine, yayin da kulawar da ba ta cancanta ba (har yanzu) al'ada ce, tana wanzu. Waɗannan nasihu guda uku zasu iya taimaka muku gano shi.

1. Bincika yanar gizo.

Fosnight yana ba da shawarar farawa a kan gidan yanar gizon masu aikin/ofisoshin don jumlolin kama-karya kamar "trans-inclusive," "tabbatar da jinsi," da "keɓewa," da bayani game da yadda suke kula da jama'ar LGBTQ. Hakanan ya zama ruwan dare ga masu samar da ƙwarewa su haɗa da karin maganarsu a cikin tarihin rayuwarsu ta yanar gizo da blurbs. (Mai Dangantaka: Demi Lovato Ya Buɗe Game da Yin Batanci Tunda Sauya Sunayensu)

Shin duk mai bada sabis wanda ya gano ta wannan hanyar zai zama mai tabbatuwa? Ba.

2. Kira ofis.

Da kyau, ba kawai likita ne ke da ƙwarewa ba, yakamata ya zama duka ofis, an haɗa da mai karɓan baƙi. Fosnight ya ce "Idan majiyyaci ya sadu da wasu nau'ikan microaggressions na transphobic kafin ya shiga ofishina, wannan babbar matsala ce," in ji Fosnight.

Tambayi tambayoyin liyafar kamar, "Shin [saka sunan likitoci a nan] ya taɓa yin aiki tare da wasu masu transgender ko waɗanda ba na binary ba a baya?" da "Mene ne ofishin ku ke yi don tabbatar da cewa mutane masu wucewa za su ji daɗi yayin ziyarar su?"

Kada ku ji tsoron yin takamaiman tambayoyinku, in ji ta. Misali, idan kai mai girma ne kuma akan maganin maye gurbin hormone, tambaya idan mai aikin yana da gogewa tare da mutanen da ke da ƙwarewar rayuwa. Hakanan, idan kun kasance mace mai juzu'i akan isrogen da ke buƙatar gwajin kansar nono, tambaya idan ofishin ya taɓa yin aiki tare da mutanen da ke da asalin ku. (Mai alaƙa: Mj Rodriguez Ba 'Ba Zai Taba Daina' Ba' Ba da Shawarwari don Tausayi Ga Jama'ar Jama'a)

3. Tambayi alƙawarin ku na gida da na kan layi don shawarwari.

Fosnight ya ce "Yawancin mutanen da ke neman magani daga gare mu sun koya ta hanyar aboki cewa muna tabbatar da masu samar da kayayyaki," in ji Fosnight. Kuna iya buga zane-zane a kan labarun IG ɗinku wanda ke cewa, "Neman ob-gyn mai tabbatar da jinsi a cikin mafi girma yankin Dallas. DM me your recs!" ko aikawa a shafin Facebook na al'ummar LGBTQ na gida, "Shin akwai masu tabbatar da aikin tabbatarwa a yankin? Taimaka wa enby fita da rabawa!"

Kuma a cikin yanayin da al'ummar ku ba su zo da shawarwari ba? Gwada kundayen adireshi na kan layi kamar Rad Remedy, MyTransHealth, Lissafin Kulawa na Transgender World Professional Association for Transgender Health, da Gay and Lesbian Medical Association.

Idan waɗannan dandamali ba su ba da sakamakon bincike ba - ko kuma ba ku da sufuri zuwa ko daga alƙawari, ko kuma ba za ku iya ɗaukar lokacin hutu don isa wurin a kan lokaci ba - la'akari da yin aiki tare da mai ba da sabis na kiwon lafiya na abokantaka kamar FOLX, Plume. , da QueerDoc, waɗanda kowannensu ke ba da sabis na musamman na musamman. (Dubi Ƙari: Ƙara Koyi Game da FOLX, Tsarin Sadarwar Sadarwar Sadarwar Sadarwar Sadarwar Ƙimar Ƙirar Ƙirar Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙwararrun Ƙwararrun Mutane

Yadda Abokai Za Su Taimaka

Hanya don tallafawa transgender da mutanen da ba sa shiga don samun damar kula da lafiya yana farawa tare da tallafa musu a rayuwar yau da kullun ta abubuwan da suka haɗa da:

1. Bayyana kanku a matsayin abokin tarayya da kuma raba sunayenku da farko.
2. Kallon manufofi a aikin ku, kulake, wuraren addini, da motsa jiki da tabbatar da cewa sun isa ga mutane a duk faɗin jinsi.
3. Cire lingo masu jinsi (kamar "mata da maza") daga ƙamus ɗin ku.
4. Saurara da cinye abun ciki ta hanyar trans folks.
5. Bikin mutanen trans (lokacin da suke raye!).

Dangane da kula da lafiya musamman, yi magana da likitanka (ko mai karɓan maraba) idan fom ɗin cin abinci bai haɗa ba. Idan mai ba da sabis ɗin ku yana amfani da yaren ƙin luwaɗi, transphobic, ko yaren jima'i, barin bita na yelp wanda ke tallata wannan bayanin don haka mutane masu wucewa su sami damar yin amfani da su, sannan shigar da ƙara. Hakanan kuna iya yin la'akari da tambayar likitan ku game da irin horon ƙwarewar da suka samu, wanda zai iya aiki azaman ƙira a madaidaiciyar hanya. (Mai dangantaka: LGBTQ+ Ƙamus na Jinsi da Jima'i Ma'anar Abokan Hulɗa Ya Kamata Su Sani)

Hakanan yana da mahimmanci a yi abubuwa kamar kiran wakilan ku na gida idan lissafin wariyar launin fata ya kasance don yin bita (wannan Sayar da Jagoran Muryar ku na iya taimakawa), tare da ilimantar da waɗanda ke kewaye da ku ta hanyar tattaunawa da fafutukar kafofin watsa labarun.

Don ƙarin nasihu akan tallafawa al'ummar transgender, duba wannan jagorar daga Cibiyar Daidaituwar Transgender ta ƙasa da wannan jagorar kan Yadda Za a Kasance Aboki na Gaskiya da Taimako.

Bita don