Yintoni omawuyilindele ekutyunjweni kwakho okulandelayo kwe-Ob-Gyn phakathi-nasemva koko- ubhubhane weCoronavirus

Umxholo

• I-Telehealth vs. Ukuqeshwa kwe-Ofisi
• Kutheni ufuna ukuTyunjwa kwiOfisi
• Kutheni unokuhamba ngeNgqesho ebonakalayo
• Yintoni onokuyilindela ngexesha lokundwendwela i-Telehealth Ob-Gyn
• Yintoni omele uyilindele ngexesha lokundwendwela i-Ob-Gyn yangaphakathi
• Uphengululo lwe

Njengemisebenzi emininzi yesiqhelo yaphambi kobhubhane, ukuya kwi-ob-gyn ibikade ingenangqondo: Ubusithi, usokola ngokurhawuzelelwa okutsha (usulelo lwegwele?) Kwaye ufuna ukujongwa li-doc. Okanye mhlawumbi iminyaka emithathu yabaleka kwaye ngequbuliso yaba lixesha lokuba wenze i-Pap smear. Nokuba yeyiphi na imeko, ishedyuli kunye nokubona i-gyno yakho yayihlala ikho rhoqo ngokuthe ngqo. Kodwa njengokuba usazi kakuhle, ubomi bohluke ngokupheleleyo ngoku enkosi kwi-COVID-19, kwaye uhambo oluya kugqirha wamalungu eenenekazi nawo atshintshile.

Ngelixa ukuqeshwa kwezigulana kusenzeka, uninzi lwee-ob-gyns zikwabonelela ngotyelelo lwezefowuni ngokunjalo. U-Lauren Streicher, MD, uprofesa wezonyango kunye ne-gynecology kwiYunivesithi yaseNyakatho-ntshona ye-Feinberg School of Medicine uthi: "Ngokuxhomekeke kwimeko, sixelela abanye abaguli ukuba bangene, ngelixa abanye sibakhuthaza ukuba bangangeni. Abanye, sibanika ukhetho."

Kulungile, kodwa njani yenza Ngaba i-telehealth ingasebenza ngokuqeshwa kwe-ob-gyn, ngokuchanekileyo? Kwaye, ndicela umhlobo: Ngaba sithetha iincoko zevidiyo apho uncamathisela ifowuni yakho phantsi kwempahla yangaphantsi? Hayi okuninzi. Nantsi into onokuyilindela kwixesha elizayo xa ufuna ukubona i-ob-gyn yakho.

I-Telehealth vs. Ukuqeshwa kwe-Ofisi

Kwimeko apho awuqhelanga, i-telehealth (aka i-telemedicine) kukusetyenziswa kwethekhnoloji ukubonelela kunye nokuxhasa unyango lwezempilo kude, ngokweNational Institutes of Health (NIH). Oko kunokuthetha uluhlu olubanzi lwezinto, kubandakanya oogqirha ababini bathetha omnye nomnye kwifowuni yokulungelelanisa ukhathalelo lwesigulana, okanye unxibelelana nogqirha wakho ngombhalo, i-imeyile, umnxeba, okanye ividiyo. (Idibeneyo: Indlela iTekhnoloji etshintsha ngayo ukhathalelo lwezeMpilo)

Nokuba uza kumbona ugqirha wakho phantse okanye i-IRL ihlala ixhomekeke kwinkqubo yomntu ngamnye yokusebenza kunye nesigulana. Emva kwayo yonke loo nto, zininzi kakhulu iimviwo onokuzenza ngempumelelo kwifowuni okanye kwividiyo. Kwaye ngelixa kukho, enyanisweni, isikhokelo esisemthethweni esivela kwiAmerican College of Obstetricians kunye neGynecologists (ACOG), ayicacanga ncam.

Kwingxelo yabo esemthethweni, "Ukuphumeza i-Telehealth in Practice," umbutho uyakuqonda ukukhula okukhulayo kwe-telehealth kwaye, yiyo loo nto, igxininisa indlela ekubaluleke ngayo ukuba iingcali "zikhumbule" izinto ezinjengokhuseleko olupheleleyo kunye nemfihlo kunye nokuqinisekisa izixhobo eziyimfuneko. Ukusuka apho, i-ACOG icaphula uphononongo olucwangcisiweyo olucebisa ukuba i-telehealth inokuba luncedo ekujongweni kwangaphambi kokuzalwa koxinzelelo lwegazi, amanqanaba eswekile yegazi, kunye neempawu ze-asthma, uncedo lokuncancisa, iingcebiso zokulawulwa kokuzalwa, kunye neenkonzo zokuqhomfa amayeza. Nangona kunjalo, i-ACOG ikwavuma ukuba zininzi iinkonzo ze-telehealth, kubandakanya neencoko zevidiyo, ekusafuneka zifundwe ngokubanzi "kodwa zinokuba sengqiqweni kwimpendulo engxamisekileyo."

I-TL; i-DR-uninzi lwe-ob-gyns kuye kwafuneka luze nezikhokelo zabo zokuba baya kubona nini isigulana ngaphezulu kwe-telehealth vs. eofisini.

"Uninzi lokuqeshwa kwe-ob-gyn lunokuguqulwa lube kwi-telehealth, kodwa ayingabo bonke," utshilo uMelissa Goist, MD, i-ob-gyn kwi-Ohio State University Wexner Medical Centre. "Ukutyelela okuninzi okufuna kuphela ukubonisana, okufana neengxoxo zokuzala, ukucebisa ngokuthintela ukukhulelwa, kunye nolunye utyelelo olulandelayo lokubeleka, lunokwenziwa phantse. utshintshelwe kwi-telehealth, njengefowuni okanye ingxoxo yevidiyo. "

Oko akuthethi ukuba olunye utyelelo lokubelekisa alunakwenziwa ngefowuni okanye ngevidiyo, kunye nokuba nezixhobo ekhaya, ezifana nekhafu yoxinzelelo lwegazi, oko kukuthi, i-Omron Automatic Blood Pressure Monitor (Yithenge, $ 60, bedbathandbeyond.com), kwaye Ukujonga iliso kwidoppler ukuvavanya ukubetha kwentliziyo yosana olungekazalwa, kunokwenza ukuba kuqeshwe i-telehealth isebenze ngakumbi. "Oku akusoloko kusenzeka, utyelelo oluninzi lwe-OB kufuneka lwenziwe ngokobuqu," utshilo uGqr. Goist. (Izinto eziNxulumeneyo: Abasetyhini aba-6 Babelana Ngokufumana Ukhathalelo lwangaphambi kokubeleka kunye nasemva kokubeleka bekunje)

Okwangoku, ukuba unayo indlela yemali yokuthenga ezi zinto-i-inshurensi ingabhatala ezinye okanye zonke iindleko- okanye ube ne-doc enokuzinika kwaye uxhalabise ngakumbi umngcipheko wakho we-COVID-19 (okt mhlawumbi awunasiphazamiso), ungafuna ukuhamba ngale ndlela ukunciphisa ukubonwa kwabanye abantu, uyachaza.

Kutheni ufuna ukuTyunjwa kwiOfisi

Ukopha, iintlungu, nayo nayiphi na into efuna uviwo lwe-pelvic kufuneka yenziwe eofisini, utshilo uChristine Greves, MD, i-ob-gyn eqinisekisiweyo yebhodi kwiSibhedlele saseWinnie Palmer sabaseTyhini nakwiintsana eOrlando, eFlorida. Kodwa, xa kufikwa kwizinto ezinje ngeemviwo zonyaka- nazo ezingenakwenziwa phantse- kulungile ukubatyhalela umva kancinci ukuba ityala le-coronavirus libala kwindawo yakho liphezulu okanye ukhathazeke kakhulu ngomngcipheko wakho, utshilo uGqr. Oothixo. "Abanye abaguli bam bakhethe ukulinda utyelelo lwabo lonyaka ngenxa yecoronavirus," utshilo, eqaphela ukuba uninzi luye lwazityhalela emva kwiinyanga ezimbalwa. '

Kutheni unokuhamba ngeNgqesho ebonakalayo

Olunye ukhetho lolawulo lokuzalwa, abanye abantu bacela nje ipilisi yonyango, kwaye inokuthi iphathwe nge-telehealth. Xa kuziwa kwi-IUD, nangona kunjalo, kuya kufuneka ungene e-ofisini (i-doc yakho ifuna ukuyifaka ngokuchanekileyo-akukho DIY apha, bantu.) "utshilo ingcali yezempilo yabasetyhini uSherry Ross, MD, ob-gyn kwiziko lezempilo eProvidence Saint John eSanta Monica, California kunye nombhali I-She-ology. "Mhlawumbi ngoku ndenza i-30-to-40 ipesenti yokuqeshwa kwam kwi-telemedicine."

Konke kuxhomekeke kwinkxalabo onayo, kwaye ukuba ukhulelwe okanye akunjalo, utshilo uGqirha Greves. Oko akutsho wena kufuneka ngena eofisini ukuba ukhulelwe. Enyanisweni, i-ACOG ikhuthaza i-ob-gyns kunye nabanye oogqirha abakhulelweyo ukuba basebenzise i-telehealth "kwiinkalo ezininzi zokunakekelwa kwangaphambi kokubeletha ngokusemandleni"

Yintoni onokuyilindela ngexesha lokundwendwela i-Telehealth Ob-Gyn

Isikhokelo esikhutshwe ngoFebruwari yi-ACOG sicebisa ukuba ii-ob-gyns zine-software eziyimfuneko kunye nonxibelelwano lwe-intanethi lokhathalelo olusemgangathweni, kwaye zikhumbuza oogqirha ukuba utyelelo lwabo lwezefowuni kufuneka bathobele umthetho we-Inshurensi yezeMpilo yokuPhatheka kunye noXanduva (HIPAA) umthetho wabucala nokhuseleko. (I-HIPAA, ukuba awuqhelekanga, ngumthetho womanyano onika amalungelo kulwazi lwakho lwezempilo kwaye usete imigaqo yokuba ngubani onokukwazi ukujonga ulwazi lwakho lwezempilo.)

Ukusuka apho, kukho umahluko. I-FWIW, akunakulindeleka ukuba ugqirha wakho abambelele kwifowuni yakho ebhulukhweni ngexesha lotyelelo. Kodwa banokukucela ukuba uthumele iifoto kwangaphambili, kuxhomekeke kwisizathu sokundwendwela kwakho kunye nokhuseleko lwesoftware yokusebenza. (Inxulumene: Ngaba uFacebook ungancokola noGqirha wakho?)

"Kuyinto enye ukuba umntu uthatha umfanekiso wengalo yakhe ukubonisa i-rash; enye into ukuba ngumfanekiso we-vulva yabo," kusho uDkt Streicher. Ezinye iindlela zineendlela ezihambelana ne-HIPAA zokuthumela iifoto kunye neevidiyo kwisoftware yazo, ngelixa ezinye zingenayo i-HIPAA-ehambelana nezempilo ezivumela ividiyo kunye nokutshintshiselana ngeefoto. Njengakwimeko kaGqirha Streicher, ovumela abaguli bakhe bazi ukuba akanayo inkqubo ehambelana ne-HIPAA ngaphambili. "Ndithi, 'Jonga, okwangoku, ndifuna ukubona ukuba kuqhubeka ntoni kwi-vulva yakho. Andikwazi ukuxela kwinkcazo yakho. Ungangena kwaye ndingayijonga buqu okanye ukuba ukhetha Ndithumele ifoto, ungenza njalo, ukuba nje uyaqonda ngokucacileyo ukuba le ayithobeli i-HIPAA, kodwa ndiza kuyicima emva kokuba ndiyibonile. Abantu ababonakali bekhathala. " (Ngubani kanye kanye? Kulungile, uChrissy Teigen ngomnye-wakhe waseta umfanekiso werhash rash kwi-doc yakhe.)

Le ayisiyiyo inkqubo egqibeleleyo, nangona kunjalo. UGqr. "Xa umntu ezama ukuzenza ngokwakhe, kuhlala kungenaxabiso. Kufuneka ufumane umntu oza kumnceda, ukuze basasaze imilenze yabo kwaye bafumane umbono ohloniphekileyo phaya." Kwaye nokuba umfoti-iqabane lakho ngu-Annie Leibovitz, unokufuna isikhokelo esincinci xa kufikwa ekuthatheni imifanekiso yabucala. Thatha nje kuGqr Streicher, osandul 'ukubonisa isigulane kunye nomyeni wakhe iifoto zonyango ukuze azame ukucacisa oko wayekufunayo kwi-snaps yabo. Into entle ayenzileyo kuba "wangena apho kwaye wafumana imifanekiso emihle," utshilo.

Ugqirha Greves uthi unezigulana ezithatha iifoto zokungqubeka kwaye azithumele kuye kwi-portal ekhuselekileyo. Kodwa uthi "akachasi" ukuba izigulana zibonise imiba yakhe ngexesha lotyelelo lwe-telemedicine "ukuba nje baziva bekhululekile ukwenza loo nto." Kwelinye icala, "ayindenzi nto ukuba ndifumane ividiyo eshukumayo, ephantsi yokukhanya kwe-vulva" utshilo uGqirha Streicher. (Jonga kwakhona: Ungayiqonda njani imeko yoLusu, iiRash, kunye neeBumps kuVagina yakho)

Ngokubanzi, utyelelo oluninzi lwe-telemedicine luhlala malunga nemizuzu engama-20, nangona kungathatha ixesha elide ukuba ungumguli omtsha, ngokutsho kukaGqr Goist. Ngethuba lokutyelela kwakho, uya kuthetha nodokotela wakho malunga neenkxalabo zakho kwaye baya kuzama ukuxilonga okanye ukukucebisa-njengokuba wenzayo xa ungena eofisini. "Ingafana kakhulu notyelelo e-ofisini kodwa, endaweni yokuhlala esihlalweni seofisi esingaginyisi mathe, isiguli sinokukwenza oku sivela kwintuthuzelo kunye nokhuseleko lwendawo esingqongileyo," uyacacisa. "Izigulana ezininzi ziyakuxabisa ukukhululeka koku kuqeshwa ngokubhekiselele kukuzifaka kwiishedyuli zabo ezixakekileyo. Kananjalo, ukuba ngoku abatyeleli bavunyelwe ukuba bangene eziofisini, ezi zikhundla zisusa lo mthwalo ekufumaneni umntu wokufumana unonophelo oluxhomekeke kuye."

Yintoni omele uyilindele ngexesha lokundwendwela i-Ob-Gyn yangaphakathi

Yonke inkqubo inezikhokelo ezahlukeneyo ezikhoyo, kodwa uninzi lweeofisi zinezilumkiso ezintsha.

• Lindela ukukhangelwa kwefowuni ngaphambi kokuba ubonakale. Uninzi loogqirha ekwenziwe udliwanondlebe nabo kweli nqaku bathi umntu ovela e-ofisini yakhe uza kwenza udliwanondlebe kunye nawe ngaphambi kokuba ungene eofisini ukumisela umngcipheko wakho we-COVID-19. Ngexesha lencoko, bayakubuza ukuba wena okanye ilungu losapho lwakho nineempawu ezithile okanye ninxibelelane nomntu one-COVID-19 eqinisekisiweyo ekhokelela kutyelelo. Zonke izenzo zahluke kancinane, nangona kunjalo, kwaye umda wento nganye unokwahluka (ithetha ukuba, yintoni enye i-ofisi enokuthi ithathelwe ingqalelo ukuba inokwenzeka, enye inokukhetha ukuyenza ngokobuqu).
• Nxiba imaski. Nje ukuba ufike eofisini, ubushushu bakho buza kuthathwa kwaye unokunikwa imaski okanye ucelwe ukuba unxibe eyakho. "Sithathe isigqibo njengeklinikhi sokuba sifuna abantu abanxibe iimaski [zonyango] ngaphezulu kweemaski ezenziwe ekhaya kuba asazi ukuba iimaski ezenziwe ekhaya zihlanjwe kwaye ukuba isigulana besisoloko siyiphatha imini yonke, utshilo uGqirha Streicher. Nokuba yenzelwe ekhaya okanye inikezelwe kuwe, zilungiselele ukuyinxiba into ethile phezu kobuso bakho. "Kwindlela yethu yokusebenza, awunakungena ngaphandle kokuba unxibe imaski," wongeza uGqirha Ross. (Kwaye khumbula: Ngaphandle kokungena ekuhlaleni, mhle ndiyacela Nxiba imaski- nokuba yenziwe ngomqhaphu, ubhedu, okanye ezinye izinto.)
• Ukungena kunokwenzeka ukuba kungabinasandla kangako. Ngokomzekelo, kwiofisi kaDkt Streicher, abasebenzi bedesksi yangaphambili bahlulwe ngesahlulo se-plexiglass, kwaye ekusebenzeni kukaDkt Goist, kukho imiqobo efana nayo yonke indawo ukukhusela izigulane kunye nabasebenzi. Kwaye, kwezinye iindlela, unokugcwalisa iifom zesigulana sakho kwangaphambili kwaye uzise nazo.
• Amagumbi okulinda aya kubonakala ahlukile. Njengakwimeko yeofisi kaGqirha Goist, apho ifanitshala ibekwe ngakumbi ukukhuthaza ukudideka kwezentlalo. Okwangoku, ezinye iindlela ziyilibale ingcinga yegumbi lokulinda xa lilonke ngokulinda emotweni yakho de waziswe ukuba igumbi lokubhala sele lilungile. Nokuba ulinda phi, unokufuna ukuza nezinto zakho zokufunda njengoko ii-ofisi ezininzi, kubandakanya uGqirha Streicher, enamaphephancwadi ancanyathiselwe ukunceda ukunciphisa iindawo ezichukunyiswayo. (Jonga kwakhona: Yonke into ekufuneka uyazi ngeCoronavirus Transmission)
• Kuya kuba njalo namagumbi eemviwo. Baza kugqagqana ngakumbi. "Igumbi licwangcisiwe ngoko ugqirha ukwikona enye kwaye isigulana sikwenye," utshilo uGqirha Streicher. "Ugqirha wenza imbali yesigulana ukusuka kwiinyawo ezintandathu ngaphambi kokwenza uvavanyo." Ngelixa i-ob-gyn "icacile ukuba isondele" ngexesha loviwo kanye, "imfutshane," ucacisa. Ngokuxhomekeke kwisenzo, abancedisi bakagqirha kunye nabongikazi baya kuthatha imbali yakho yesigulana kwaye bahambe, wongeza uGqr Streicher.
• Amagumbi aya kubulala iintsholongwane phakathi kwezigulana. Iiofisi zoogqirha bezisoloko zicoca amagumbi phakathi kwezigulana, kodwa ngoku, kwihlabathi le-post-coronavirus, inkqubo iyanyuswa. UGqirha Streicher uthi: "Phakathi kwesigulana ngasinye, umncedisi wezonyango ungena kwaye wosula wonke umhlaba ngesibulali-ntsholongwane, utshilo uGqirha Streicher. Ii-ofisi zisazama ukukhuphela ngaphandle izigulana ukuze zishiye ixesha lokubulala iintsholongwane kunye nokugcina izigulana zingahlali kwigumbi lokulinda, utshilo uGqirha Greves.
• Izinto zinokuqhuba ngakumbi ngexesha. "Silinciphisile inani lezigulana [zizonke], utshilo uGqirha Streicher. “Ngaloo ndlela, zimbalwa izigulana kwigumbi lokulinda.

Kwakhona, zonke iindlela zokuziqhelanisa zahlukile kwaye, ukuba ufuna izinto ezithile ezenziwa yiofisi ye-ob-gyn, vele ubafowunele kwangethuba ukuze ufumanise. Ngapha koko, oogqirha bathi olu tshintsho kusenokwenzeka ukuba luza kubakho okwethutyana. "Le yinto yethu yesiqhelo yokuza kusibona, kwaye iza kuhlala ixesha elithile, utshilo uGqirha Ross.

Uphengululo lwe