3 Malamulo a Dokotala Muyenera Kufunsa

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Doc wanu akuti mukufunika kusanthula kwathunthu, kuyezetsa magazi, shebang yonse. Koma musanavomereze, dziwani izi: Madokotala amapanga ndalama zambiri mwa kuitanitsa njira zowonjezera za odwala osati powona odwala ambiri, atero kafukufuku wochokera ku University of California Los Angeles (UCLA). (Kodi mukudziwa kuti Mukufunikiradi Nthawi Zambiri Kuwona Doc?)

Tikuyembekeza kuti ma MD athu atiteteze m'njira zonse, kuphatikiza ndalama, sichoncho? Tsoka ilo, sizikhala choncho nthawi zonse: Njira zina zokwera mtengo kwambiri, zopanda umboni ndi chithandizo nthawi zambiri zimalamulidwa, akutsimikizira David Fleming, MD, wapampando wazachipatala ku University of Missouri komanso Purezidenti wa American College Of Physicians. Zolemba zina zimavomereza: Pafupifupi magawo atatu mwa atatu a asing'anga amavomereza kuchuluka kwa mayeso osafunikira ndi njira zamankhwala ndizovuta kwambiri, malinga ndi kafukufuku wa 2014 kuchokera ku American Board of Internal Medicine Foundation's Choosing Wisely Campaign-pulogalamu yomwe ikufuna kuzindikira kugwiritsa ntchito molakwika kapena kugwiritsa ntchito molakwika mayeso kapena njira.

Nkhani yabwino ndiyakuti ma doc athu ambiri sanatipangitse kutilepheretsa-amayitanitsa mayeso ochulukirapo kuti aphimbe matako awo ngati atachita masuti osachita zolakwika, kafukufuku womwewo adapeza.

Ndiye mumaphimba bwanji zanu? “Funsani mafunso,” akutero Fleming. "Odwala amakonda kukhala opanda chidwi m'mafunso omwe amafunsa dokotala wawo chifukwa safuna kuwakhumudwitsa, ndipo amakhulupirira kuti madotolo achita zoyenera." Kubwerera pankhani yathanzi lanu, muyenera kuyika wekha choyamba. Chifukwa chake kanikizani chilichonse chomwe chikuwoneka kuti sichofunikira kapena chomwe simunafotokozedwe mokwanira, koma makamaka mfundo zitatu izi, zomwe Fleming akuti ndi mayeso olamulidwa mopitilira muyeso.

Dinani apa kuti mupeze mayeso atatu ndi ma lab omwe muyenera kufunsa doc yanu.

Kujambula

Fleming akutero: X-ray ya kupweteka kwa msana, ma MRIs a mawondo opweteka, ma scan a CT amtundu uliwonse wamutu - koma umboni woti ma scan akutetezani kuzotsatira zoyipa ndizosowa, akutero. Ndipo zowerengera zambiri zimakuwonongerani khobiri lokongola.

Zomwe munganene: "Kodi kulingalira kumeneku ndikofunikadi? Ndikuda nkhawa ndi ndalama." Pambuyo pofunsa ma deets, lumikizanani naye pamlingo wamunthu, ndikuwuzeni kuti mukuda nkhawa ndi zolipira zachipatala zosatha. Madokotala omwe amadziwa mtengo wazoyeserera zamankhwala ndi njira zomwe amasankhira kuchita zochepa kuposa omwe sazindikira kuti akhoza kukuwonongerani banki, kafukufuku waku University of Medicine ku 2013 a Johns Hopkins adapeza.

Malangizo

"Kubwera kwa dokotala chifukwa ukudwala ndikusiya wopanda mankhwala m'manja mwako osamvetsetsa bwino zomwe zikuchitika kungakhale kokhumudwitsa," akutero Fleming. M'malo mwake, kukakamizidwa kumeneku kumapangitsa asing'anga ambiri kuti alembe zolemba zosafunikira, zomwe zimatsutsana nafe. Fleming akufotokoza kuti: “Timapereka mankhwala ambiri opha maantibayotiki, ndipo zotsatira zake n’zakuti pali tizilombo tosamva mphamvu zambiri zimene tikufunika kuchiza tsopano. Izi zikutanthauza kuti maantibayotiki atsopano akufunika nthawi zonse, ndipo ndizovuta chifukwa nsikidzi zikuchulukirachulukira.

Chifukwa china chomwe madotolo amalembera mochulukira? Pokhapokha: "Odwala amabwera ndi omwe angakhale kapena sangakhale matenda a bakiteriya. Pali mwayi kuti akudwala, ndipo sitikufuna kuchedwetsa chithandizo, ngakhale titakhala opanda umboni wamphamvu kuti matenda a bakiteriya," Fleming akufotokoza.

Zomwe munganene: "Mukuwona umboni wanji kuti ndili ndi matenda kapena ndilibe matenda omwe amafunikira antibiotic?" Kumufunsa kumamupangitsa kuti ayime ndikuganiza ngati angaganizire zina zonse, ndikupatseni malingaliro kuti matenda anu aganiziridwa mozama.

Ntchito ya Magazi

Madokotala ambiri amayitanitsa ntchito yamagazi ndi mayeso anu apachaka, koma nthawi zambiri simusowa gulu lathunthu la chemistry, lomwe limaphatikizapo mayeso pafupifupi khumi ndi awiri, Fleming akuti. (Dziwani: Nthawi zina, zimakhala zotsika mtengo kuti labu ichitike mopitilira muyeso wamagazi ochepa.)

Zonena: "Kodi kulimbikira kwathunthu kumandikomera, kapena pali njira yodziyesera payekha?" Kutsimikizira ngati mukufunikiradi mayeso onse kapena ayi ndikofunikira - pakhoza kukhala zovuta pazotsatira zosafunikira: "Nthawi zambiri timapeza zolakwika pang'ono pantchito yamagazi, zomwe zimabweretsa mayeso ndi njira zina zomwe mwina sizingakhale zofunikira kwa wodwalayo , "akufotokoza. (Dziwani Madokotala Amatenda Akusowa Kwambiri.) Ndipo ngati gulu lonse lazamalonda ayi wotchipa kwa inu, kukankhira kumbuyo mayesero omwe simubwera pamtengo amatanthauza kuti mumalipira pakuwunika kulikonse.

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