Wake waya kudokotela wazizwa sengathi bakhuluma kuphela ngamafutha omzimba wakho kodwa abazange balalele ukugula kwakho kwangempela? Noma, ingabe wazizwa sengathi bakubiza ngokuthi uvilapha futhi awuzithibi ngenxa yesisindo sakho? Lokhu kuyinto ebuhlungu, engakhulunywa ngayo abantu abaningi ababhekana nayo. Namuhla sikhuluma ngalesi simo esibizwa ngokuthi 'Ukukhetha Isisindo'. Okusho ukuthi, ukuphatha umuntu ngendlela ehlukile ngokusekelwe esisindweni sakhe kanye nesimo somzimba wakhe.
Ake siqale ngale ndaba. ULekan ungowesifazane oneminyaka engu-27 ubudala. Ukholelwa ukuthi ukucindezeleka kwakhe kwakufihliwe kuwo wonke umuntu ngenxa yokukhuluphala kwakhe emzimbeni. Ngesikhathi eseyunivesithi, akazange alale kahle. Waze wakhohlwa nokudla. Wehlisa amakhilogremu angaphezu kwangu-13 ngesemester eyodwa. Ngokuvamile, ukwehla kwesisindo ngokuzumayo ngaphandle kwesizathu kungaba uphawu lokugula okukhulu. Kodwa akekho owayesola ukuthi wehlise isisindo. "Abangane bami nothisha bonke bathi ngimncane futhi ngimuhle. Kodwa empeleni, ngangisebuthaka kakhulu empilweni yami, kokubili ngokwengqondo nangokomzimba," usho kanje.
Wafuna usizo lwezempilo yengqondo waya kudokotela. Iseluleko sikadokotela sasithi, "Uma wehlisa isisindo kancane, uzozizwa ungcono." Ngemva kwezinyanga, wasinda ngokulambisa emzamweni wokuzibulala. Manje usebuyele esisindweni sakhe esijwayelekile futhi welashwa ukucindezeleka. Uzizwa engcono ngomzimba wakhe manje. Kodwa usazibuza, "Ukube bengimncane, abantu bebengazibona lezi zimpawu eziyisixwayiso? Bebengangithatha ngokungathi sína?"
"Ngenxa yokuthi ngangikhuluphele, abantu baqaphela kuphela ukuthi nginciphile. Babecabanga ukuthi lokho kumelwe ukuba kungenze ngaba nempilo engcono ."
Kuyini Ukucwaswa Kwesisindo kanye Nokucwaswa Kwesisindo?
Nakuba la magama amabili angase abonakale esho into efanayo, kunomehluko omncane. UProfesa Rebecca Poole, ocwaninga ngalokhu, ukuchaza ngale ndlela.
- Ihlazo Lokukhuluphala: Kalula nje, ihlazo lomphakathi lokuthi abantu abanemizimba ekhuluphele baphathwa kabi. Okusho ukuthi, inkolelo evamile yokuthi "ukukhuluphala akukuhle."
- Isisindo Bi AS : Lokhu kudlulela phambili kancane kunalokho. Okusho ukuthi, izimo zengqondo ezingalungile njengokuthi abantu abakhuluphele “bayavilapha,” “abangalawuleki”, “bangcolile” futhi babaphathe ngokungafanele ngokusekelwe kulokho.
Lezi zimo zingavela kumqashi wakho, othisha, abathandekayo bakho, noma ngisho nodokotela okwelaphayo. Uma uqala ukwenza lezi zahlulelo ngawe, kubizwa ngokuthi 'Internalized Weight Stigma'. Kusho ukuthi uzitshela ukuthi, "Angilutho ngoba ngikhuluphele."
Iyini imiphumela ye-Weight Bias?
Lokhu kungaba nomthelela omkhulu empilweni yakho yansuku zonke kanye nokunakekelwa kwezokwelapha okutholayo. Ngokuvamile, abantu abakhuluphele ngokweqile bathi babhekana nalolu hlobo lokungakhululeki kakhulu kodokotela.
| Indlela okwenzeka ngayo umthelela | Incazelo nezibonelo |
|---|---|
| Ekwelashweni kwezokwelapha | Uma i-body mass index yakho (BMI) iphezulu, abanye odokotela bangenza okulandelayo: - Ukuchitha isikhathi esincane ngikhuluma nawe. - Ukunikeza ulwazi oluncane ngempilo. - Ukuphatha ngenhlonipho encane. - Ukusebenzisa amagama ahlabayo ngomzimba wakho. - Ukusola isisindo sakho ngezinye izifo onazo nakho kuyinto embi. |
| Ngempilo yengqondo | Uma umuntu enziwa abe namahloni ngesisindo sakhe, kungaba umthombo wokucindezeleka. Yingakho: - Ukwehla kokuzethemba. - Izimpawu ezandayo zokukhathazeka nokucindezeleka. - Ukuzizwa kabi ngomzimba wakho (Isithombe somzimba esibi kakhulu). - Ingozi eyengeziwe yokusebenzisa izidakamizwa kanye nemicabango yokuzibulala. |
| Empilweni yansuku zonke | Kufanele sibhekane nezimo ezinjengokuthi, "Kunzima ukuthola izingubo ezisifanelayo, abantu bayasibheka lapho sidla ngaphandle, futhi kufanele singene ezihlalweni emabhasini nasezindizeni." |
Ngenxa yezenzakalo ezinjengalezi, abantu abaningi abayi kudokotela kuze kube yilapho ukugula kwabo sekuqhubeke kakhulu , ngoba besaba futhi benamahloni ngokunakekelwa abazokuthola.
Qonda lokhu. Ukucwaswa ngesisindo akuyona nje indaba yobulungiswa bezenhlalo, kuyinkinga yezempilo yomphakathi ngoba kulimaza ngqo impilo yabantu engokomzimba nengokwengqondo.
Umelana kanjani nalokhu kungabi nabulungisa?
Yebo, kuyinselele. Kodwa uma kwenzeka into efana nalena kuwe, unelungelo lokukhuluma. Uma othile esho into engeyinhle ngesisindo sakho, mtshele ukuthi unephutha. Akulula njengoba kuzwakala. Kodwa ngezinye izikhathi ezinjengalezi, kufanele uzikhulumele. Ngisho nodokotela wakho.
Lawa macebiso azosiza lapho uvakashela udokotela:
- Hlela kusenesikhathi: Ngaphambi kokuthi uye kudokotela , bhala phansi imibuzo ofuna ukuyibuza. Uma udokotela eqala ukukhuluma ngesisindo sakho, kodwa unesinye isimo sempilo, chaza ngokucacile ukuthi, "Dokotela, angikho lapha namuhla ukuzokhuluma ngale nkinga. Ngilapha ukuzokhuluma ngenye inkinga enginayo."
- Yehlisa umoya: Ukukhuluma ngesisindo kungaba yinto ekucindezelayo. Ngezikhathi ezinjengalezi, thatha umoya ojulile, ukhulume wedwa, bese ucabanga ukuthi, "Kulungile, ngizobhekana nalokhu ngokuthula," ngaphambi kokujoyina ingxoxo.
- Hamba nothile ozokusiza: Hamba nomngane noma ilungu lomndeni. Ngaphambi kokuba uhambe, mchazele ukuthi umgomo wakho uyini. Uma ukuthola kunzima ukukhuluma, mcele ukuthi akukhulumele.
- Yazisa udokotela wakho: Khuluma ngqo ngokukhetha isisindo. Ukutshela udokotela wakho ukuthi uke waba nokuhlangenwe nakho okubi okufana nalokhu ngaphambili kungamsiza ukuthi ashintshe indlela asebenza ngayo. Kukhona odokotela abaningi abawusizo nabaqondayo.
Ungamthola kanjani udokotela okuhloniphayo?
Okwamanje, odokotela abaningi sebeyazi ukuthi ukuthambekela kwesisindo kuyinkinga. Abanye baze bakhangise emitholampilo yabo ukuthi bazoxoxa ngesisindo kuphela uma isiguli sizimisele.
Ungabuza udokotela ukuthi bayayilandela yini indlela ye-Health at Every Size (HAES) . Kalula nje, kusho ukuthi, "Angisho ukuthi uzokwehlisa isisindo noma cha, ukuthi ngizokunikeza ukunakekelwa kwezokwelapha okungcono kakhulu."
Buza abangani bakho abakhuluphele ngokweqile futhi abakhuluphele ukuthi batholaphi ukwelashwa kwabo. Leyo futhi yindlela enhle ongayithatha. Kungathatha iminyaka ukuthola udokotela omethembayo nohloniphayo. Kodwa ungayeki ukuzama.
Zithande futhi uthole ukwesekwa.
Akulula ukususa lezi zinhlamba ezingaphakathi. Kodwa amasu okuziphatha kwengqondo angasiza. Cela udokotela wakho akuthumele kumeluleki osebenza nabantu abanokukhuluphala ngokweqile. Angakusiza ukuthi ubone imicabango emibi efika engqondweni yakho bese uyishintsha ibe ngemihle.
Kunamaqembu amaningi ezinkundleni zokuxhumana akhuluma ngemibono efana ne-'Body Positivity', 'Body Neutrality', kanye ne-HAES. Ungathola amandla amaningi kuwo.
"Ukungathathi-hlangothi Komzimba" kusho ukuthi "Umzimba wakho akudingeki uhlale umuhle noma umangalisa." Kodwa "Ukuma Komzimba" kusho ukuthi "Gubha umzimba wakho, uwuthande, futhi ujabule ngalokho ongakwenza."
Ukuba Nomzimba Omuhle akusho ukunganaki impilo yakho. Kusho ukuthi akudingeki uzonde umzimba wakho, noma ngabe awuhambisani nomqondo "owondlekile" womphakathi.
Umlayezo Wokuya Nawe Ekhaya
- Ukucwasa ngokwesisindo kungokoqobo: Kungokoqobo. Futhi kuyingozi empilweni yakho yomzimba neyengqondo.
- Khuluma ngokwakho: Unelungelo lokukhuluma uma uphathwa kabi, kungaba sehhovisi likadokotela noma kwenye indawo.
- Thola ukunakekelwa okunenhlonipho: Kungakhathaliseki ukuthi unesisindo esingakanani, unelungelo lokuthola ukunakekelwa kwezokwelapha okunenhlonipho. Unganeliseki nganoma yini engaphansi kwalokho.
- Thola ukwesekwa: Awuwedwa kulolu hambo. Funa ukwesekwa kubangani abakusekelayo, amaqembu ezinkundla zokuxhumana, futhi, uma kudingeka, uchwepheshe wezempilo yengqondo.
- Ukubaluleka kwakho akunqunywa yisisindo: Ukubaluleka kwakho, amakhono akho, umusa wakho, akukho neyodwa yalezi zinto engalinganiswa ngenombolo esikalini.
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