Kodi Mukufunikiradi Dokotala Woyamba?

Zamkati

• Chifukwa Chachichepere Achichepere Ali Ndi Madokotala Osamalira Oyambirira
• Choyipa Chothekana ndi GP Wanu
• Onaninso za

Kutha kumapita, inali yosangalatsa kwambiri. Chloe Cahir-Chase, wazaka 24, atachoka ku Colorado kupita ku New York City, adadziwa kuti ubale wapamtunda sukadagwira ntchito. Munthu amene adataya? Dokotala wake—ndipo wakhala wosakwatiwa kuyambira pamenepo. "Sindinakhale ndi dokotala woyang'anira kuyambira pomwe ndinachoka kwathu komweko zaka zapitazo," akutero. "Ndimapita kwa akatswiri, monga dermatologist kapena ob-gyn, koma ndimakonda kupita kuchipatala mwachangu china chilichonse."

Chisankho chake chowuluka (mwina) payekha kudutsa dziko lazaumoyo chikuchulukirachulukira. Malinga ndi lipoti la 2016 la Transamerica Center for Health Study, opitilira theka la zaka zikwizikwi alibe dokotala woyang'anira chisamaliro choyambirira, ambiri akuwonetsa kuti amapita kuchipatala kapena kuchipatala. Kafukufuku wosiyana ndi FAIR Health adafika pamapeto omwewo-53 peresenti ya zaka zikwizikwi adanena kuti akutembenukira ku chipinda chodzidzimutsa, chithandizo chachangu, kapena chipatala chogulitsira pamene akusowa chithandizo chamankhwala chifukwa chosachitika mwadzidzidzi.(Zogwirizana: Pamene Muyenera Kuganiza Kawiri Musanapite Ku Malo Odzidzidzimutsa) "Zaka zikwizikwi zimapezeka atakhala muofesi yazachipatala monga zachikale monga a Gen Xers amayendera popita ku banki," atero a Elizabeth Trattner, A.P., katswiri wazamankhwala wophatikiza ku Miami.

Koma kodi ndizabwino kudumpha kukaonana ndi a GP pafupipafupi? Tinalankhula ndi akatswiri.

Chifukwa Chachichepere Achichepere Ali Ndi Madokotala Osamalira Oyambirira

Muzitcha mankhwala amakono. "Azimayi azaka chikwi amafuna kupeza mayankho azachipatala mwachangu, mwina kuchokera ku telefoni kapena kuchipatala chachangu komwe sikufunikira," adatero Trattner. "Ngati awonana ndi dokotala, nthawi zambiri amakhala ob-gyn awo, choncho zimakhala zongogula kamodzi kokha." (Nazi zomwe ob-gyn akufuna kuti mumve za chonde.)

Chosangalatsa, Trattner akufotokoza, ndikofunikira kuposa kukhala ndi dzina loyamba ndi dokotala wanu. (Lipoti la Transamerica Center for Health Studies linanena kuti "zosavuta" monga chifukwa chachikulu cha zaka chikwi cha GP wawo.) Cahir-Chase akuvomereza kuti: "Kupita kuchipatala mwamsanga pa nthawi yopuma masana kapena pambuyo pa ntchito n'kosavuta." (Zogwirizana: Makampani Otumiza Awa Akusintha Dziko Lathanzi)

Palinso zinthu zina zomwe zimayamba kugwira ntchito. Millennials amasintha ntchito pafupipafupi kuposa m'badwo womwe udalipo, ndipo kubweza kuchokera ku inshuwaransi kupita ku inshuwaransi kumapangitsa kukhala kovuta kukhala ndi dokotala yemweyo. Palinso mtengo (opitilira theka la zaka zikwizikwi mu kafukufuku wa TCHS adayankha kuti sangakwanitse kapena kukhala ndi zovuta kwambiri kupeza chithandizo chamankhwala) komanso chisamaliro.

Chifukwa chake sikuti DGAF ya zaka zikwizikwi yokhudza thanzi lawo, ndikuti atopa ndi chisamaliro chathanzi. "Ndidachoka pazovuta zingapo pomwe ndimayesetsa kupeza dokotala wamba," akutero a Cahir-Chase. "Zochita zidachulukitsa kuchuluka kwa odwala omwe amawonedwa kotero ndimadikirira kwa maola ambiri kuti ndikawone dokotala, kapena ndikafika kuti ndikalankhule ndi munthu, ndimamva ngati sakupatula nthawi yofufuza mbiri yaumoyo wanga."

Ngakhale mapulogalamu azaumoyo komanso kuyendetsedwa ndi madotolo atha kuwoneka ngati a Band-Aid, ndipo ngakhale wotchova njuga-wamoyo-kapena-imfa-Shoshana Ungerleider, MD, dokotala wachipatala ku Sutter Health California Pacific Medical Center ku San Francisco, akuti kukhala wopanda GP sikuli koyipa kwenikweni. "Ndi bwino kuti amayi achichepere, athanzi apeze chithandizo chamankhwala kunja kwa chisamaliro choyambirira, monga kugwiritsa ntchito dokotala wamkulu," akutero. Palinso mwayi wogwiritsa ntchito digito kapena malo operekera chisamaliro mwachangu, kuphatikiza kusadikirira masiku kuti muwonekere ngati mukudwala, Dr. Ungerleider akuwonjezera. (Kuyesedwa kwakubala kunyumba kwak $ 149 ndikusintha masewerawa kwa azaka chikwi.)

Ndipo miyezo yapamwamba yomwe zaka zikwizikwi zikuyang'ana kuchokera ku malaya oyera atha kukhala mankhwala osinthira. "Zaka zikwizikwi ndi gulu lotsogola lomwe silimachita chidwi ndi zovuta m'ndondomeko yathu yazaumoyo," akutero. "Chiyembekezo changa ndikuti athandizire kuyendetsa ntchito yathu yazaumoyo kuti tiganizire kwambiri za makasitomala, chidwi cha anthu, chisamaliro chofikirika, komanso chidziwitso chambiri."

Choyipa Chothekana ndi GP Wanu

Sikuti aliyense m'gulu lachipatala amafunitsitsa kutsata lamulo la dokotala-pamene-ndilifuna. "Ndikofunika kwambiri kukhala ndi dokotala wamkulu," akutero Wilnise Jasmin, M.D., dokotala wamankhwala a banja ku Baltimore. "Anthu omwe amapita kuchipatala chawo amakhala ndi mwayi wopeza chithandizo chodzitetezera-monga kuyezetsa magazi ndi matenda ena a khansa a matenda aakulu, komanso kuchepa kwaimfa msanga."

Ndi chifukwa chakuti pambali pa thupi lapachaka lomwe limakupatsani kufufuza kwa thanzi lapamwamba mpaka pansi, kupitirizabe chisamaliro kumapindulitsa kugwira ntchito zina za thanzi zomwe sizingakhale ndi zizindikiro zoonekeratu, Dr. Jasmin akuwonjezera. "Kuwona dokotala wanu chaka chilichonse kumapangitsanso malo oyambira munthawi ya matenda kuti muthandizire pakupanga zisankho zachipatala."

Ndi zomwe Christine Coppa, 37, waku Riverdale, New Jersey, adadziwonera yekha. "Nthawi zonse ndimakhala ndi dokotala woyang'anira odwala, koma ndinali pakati pa madotolo pomwe ndimayamba kumva kutopa, pakhosi panga pamatuluka, makutu anga adamva kuwawa, ndimapuma pang'ono," akutero. "Ndinapita kwa dokotala wamsanga ndipo anali wopunduka kwambiri. Anandipatsa mankhwala opumira ziwengo." Coppa sanakhulupirire, ndipo zizindikiro zake zitakula, adapita kwa GP yemwe mnzake adamulimbikitsa. "Atandiyesa, adamva chotupa, ndipo pamapeto pake adayambitsa zomwe zidzapezeka ndi khansa ya chithokomiro."

Inde, pali madokotala abwino ndi oipa kulikonse. Koma vuto ndi chisamaliro chofulumira, pakadali pano, ndikuti mukupeza dokotala yemwe simunamusankhe-mosiyana ndi GP wamuyaya yemwe mudasanthula ndikumasuka ndi-ndi omwe simunakhazikitse kupitiriza kwa chisamaliro Koma monga nkhani ya Coppa ikutsimikizira, ndikofunikira kumvera thupi lanu ndikupempha chisamaliro choyenera, kulikonse komwe mungakhale.

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