Ii-Orders zikaGqirha ezi-3 kufuneka uzibuze

Umxholo

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Ugqirha wakho uthi ufuna i-workup-scans epheleleyo, uvavanyo lwegazi, yonke iShebang. Kodwa ngaphambi kokuba uvume, yazi oku: Oogqirha benza imali eninzi ngoku-odola iinkqubo ezongezelelweyo kwizigulana-hayi ngoku uyabona izigulane ezininzi, luthi uphando kwiYunivesithi yaseCalifornia Los Angeles (UCLA). (Ngaba uyazi ukuba ufuna kangakanani ukubona uGqirha?)

Silindele ukuba ii-MD zethu zisikhusele ngandlela zonke, kubandakanya nemali, akunjalo? Ngelishwa, akusoloko kunjalo: Olunye ungenelelo olubiza kakhulu, olungenabungqina-olusisiseko kunye nonyango zihlala zi-odolwa, kuqinisekisa uDavid Fleming, MD, usihlalo wamayeza kwiYunivesithi yaseMissouri kunye nomongameli we-American College Of Physicians. Amanye amaxwebhu ayavuma: Phantse iikota ezintathu zoogqirha bayavuma ukuba amaxesha eemvavanyo kunye neenkqubo ezingeyomfuneko kwinkqubo yokhathalelo lwempilo yingxaki enkulu, ngokutsho kovavanyo olwenziwe ngo-2014 kwi-American Board of Internal Medicine Foundation's Iphulo lokukhetha ngobulumko- inkqubo efuna Ukuchonga ukusetyenziswa gwenxa okanye ukusetyenziswa gwenxa kweemvavanyo okanye iinkqubo.

Iindaba ezimnandi zezokuba uninzi lwamaxwebhu ethu awaphumelelanga ukuba asenze singabinamali-bayalela iimvavanyo ezingaphezulu zokugubungela iimpundu zabo xa kunokwenzeka iisuti zokungaziphathi kakuhle, kwafunyanwa olu vavanyo.

Uyivala njani eyakho? "Buza imibuzo," utsho uFleming. "Izigulane zivame ukuba zingabonakali kwimibuzo abayibuza ugqirha wabo ngenxa yokuba abafuni ukubacaphukisa, kwaye bathemba ukuba oogqirha baya kwenza okulungileyo." Emuva xa kuziwa kwimpilo yakho, kuya kufuneka ubeke ngokwakho Ekuqaleni. Ngoko tyhalela emva kuyo nayiphi na into ebonakala ingekho mfuneko okanye engekacaciswa kuwe ngokupheleleyo, kodwa ngakumbi la manqaku mathathu, athi uFleming lolona vavanyo luxhaphakileyo oluyalelwe ngokugqithisileyo.

Cofa apha ukufumanisa ezona mvavanyo zixhaphakileyo kunye neelebhu ekufuneka ubuze kuzo kwi-doc yakho.

Ukucinga

"Ngokwembali, oogqirha baye basebenzisa ukucinga kakhulu, utshilo uFleming. I-X-reyi yeentlungu zangasemva, ii-MRIs zamadolo abuhlungu, i-CT iskena naluphi na uhlobo lwentloko-kodwa ubungqina bokuba iiskrini ziya kukukhusela kwisiphumo esibi bunqabile, utshilo. Kwaye uninzi lwezikena ziya kukubiza isenti entle.

Into omawuyithethe: "Ngaba lo mfanekiso uyimfuneko ngokwenene? ​​Ndixhalabile ngeendleko." Emva kokucela iideti, nxibelelana naye kwinqanaba lomntu, kwaye uchaze ukuba ukhathazekile malunga namatyala ezonyango angapheliyo. Oogqirha abazaziyo iindleko zovavanyo lwezonyango kunye neenkqubo ngokuqhelekileyo bakhetha ukwenza ezimbalwa kuzo kunabo bangayiqondiyo ukuba ingakophula ibhanki yakho, uphando lwe-Johns Hopkins University School of Medicine luka-2013 lufunyenwe.

Imigqaliselo

“Ukuza kugqirha ngenxa yokuba ugula kwaye ushiye ngaphandle kwencwadi kagqirha esandleni sakho ngaphandle kokuqonda ngokupheleleyo ukuba kuqhubeka ntoni kunokukukhathaza kakhulu,” utshilo uFleming. Ngapha koko, olu xinzelelo lubangela ukuba oogqirha abaninzi babhale izikripthi ezingeyomfuneko, ezisebenza ngokuchasene nathi. UFleming uthi: “Sikhupha amayeza okubulala iintsholongwane amaninzi, yaye ngenxa yoko kukho izinto ezininzi ezixhathisayo ekufuneka sizinyange ngoku. Oko kuthetha ukuba amayeza okubulala iintsholongwane amatsha ahlala efunwa, kwaye kunzima kuba iibugs ziya zixhathisa ngakumbi.

Esinye isizathu sokuba amaxwebhu agqithise ngaphezulu? Kwimeko nje: "Izigulana ziza nento enokuthi okanye ingabikho usulelo lwebhaktheriya. Kukho ithuba lokuba bagula kakhulu, kwaye asifuni ukulibazisa unyango, nangona singenabo ubungqina obuqinileyo bokuba ngokwenene luyisifo. usulelo lwebhaktiriya, "ucacisa uFleming.

Into omawuyithethe: "Bubuphi ubungqina obubonayo bokuba ndinalo okanye andinalo usulelo olufuna i-antibiotic?" Ukumbuza kuya kumbangela ukuba eme kwaye acinge ukuba uzithathele ingqalelo zonke ezinye iindlela, kwaye akunike ingqondo yokuba iimpawu zakho ziqwalaselwe nzulu.

Umsebenzi weGazi

Uninzi loogqirha baya ku-odola umsebenzi wegazi ngovavanyo lwakho lonyaka, kodwa uhlala ungayidingi ipaneli yekhemistri epheleleyo, ebandakanya iimvavanyo eziphantse zibe zimbini, utshilo uFleming. (Qaphela: Ngamanye amaxesha, kubiza kakhulu ukuba ilebhu iqhube ngokupheleleyo kunokuvavanywa kwegazi.)

Into emayithethwe: "Ngaba umsebenzi opheleleyo ngowona mdla wam, okanye ngaba ikhona indlela yokwenza uvavanyo lomntu ngamnye?" Ukuqinisekisa ukuba uzifuna ngokwenene zonke iimvavanyo okanye akunjalo kubalulekile-kunokubakho ukungalunganga kwiziphumo ezingeyomfuneko: "Rhoqo sifumana ukuphazamiseka okuthe gca ekusebenzeni kwegazi, okukhokelela kuvavanyo olungaphezulu kunye neenkqubo ezinokuthi zinganyanzelisi isigulana. ," uyacacisa. (Fumanisa oGqirha beZifo baphoswa kakhulu.) Kwaye ukuba ipaneli yechemistry epheleleyo akunjalo zitshiphu kuwe, ngokuqinisekileyo tyhala umva-emvavanyo zomntu ngamnye ezingezi ngexabiso lephakheji kuthetha ukuba uhlawulela uhlalutyo olugqithisileyo ngalunye.

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