Zomwe Muyenera Kuyembekezera Kusankhidwa Kwanu kwa Ob-Gyn Pakati Pakati — komanso Pambuyo pake - Mliri wa Coronavirus

Zamkati

• Telehealth vs. Kusankhidwa kwa Muofesi
• Chifukwa Chake Mungafunikire Kusankhidwa Muofesi
• Chifukwa Chomwe Mungathe Kutha Ndi Kusankhidwa Kwapafupifupi
• Zomwe Muyenera Kuyembekezera Mukamayendera Tele-Health Ob-Gyn
• Zomwe Muyenera Kuyembekezera Mukapita Kuofesi Ob-Gyn
• Onaninso za

Monga zochitika zambiri zamasiku ano zomwe zimachitika mliri usanachitike, kupita ku ob-gyn sikunakhale kovuta: Munali, mukuti, mukulimbana ndi kachilombo katsopano (matenda a yisiti?) Kapenanso zaka zitatu zidadutsa ndipo inali nthawi yoti apange Pap smear. Mulimonse momwe zingakhalire, kukonza ndikuwona gyno yanu kunali, nthawi zambiri, molunjika patsogolo. Koma monga mukudziwa, moyo ndiwosiyana tsopano chifukwa cha COVID-19, ndipo maulendo opita kwa dotolo wazigawo asinthanso.

Pomwe maimidwe a odwala akucheperabe, ma ob-gyns ambiri amaperekanso maulendo a telehealth. "Ndikuchita maulendo osakanikirana komanso kucheza ndi anthu," akutero a Lauren Streicher, M.D., pulofesa wa zamankhwala azachipatala ndi azimayi ku Feinberg School of Medicine ku Northwestern University. "Kutengera momwe ziriri, timauza odwala ena kuti alowe, pomwe ena timawalimbikitsa kuti asalowe. Ena, timapereka chisankho."

Chabwino, koma bwanji amachita Kodi telehealth ingagwire ntchito ndi msonkhano wa ob-gyn, ndendende? Ndipo, kufunsa bwenzi: Kodi tikulankhula ndi makanema apa kanema pomwe mumayika foni yanu chovala chamkati? Osati kwambiri. Izi ndi zomwe mungayembekezere nthawi ina mukafuna kuwona ob-gyn wanu.

Telehealth vs. Kusankhidwa kwa Muofesi

Ngati simukudziwa, telehealth (aka telemedicine) ndi kugwiritsa ntchito ukadaulo kupereka ndi kuthandizira azaumoyo patali, malinga ndi National Institutes of Health (NIH). Izi zitha kutanthauza zinthu zosiyanasiyana, kuphatikiza madotolo awiri omwe amalankhulana pafoni kuti agwirizane ndi chisamaliro cha wodwala, kapena inu polankhula ndi dokotala pamakalata, imelo, foni, kapena kanema. (Zokhudzana: Momwe Tekinoloje Ikusintha Zaumoyo)

Kaya muwona dokotala wanu kapena IRL nthawi zambiri zimadalira zomwe munthu amachita komanso wodwalayo. Kupatula apo, pali mayeso ochepa chabe omwe mungachite moyenera pafoni kapena kanema. Ndipo ngakhale pali, kwenikweni, chitsogozo chovomerezeka kuchokera ku American College of Obstetricians and Gynecologists (ACOG), ndizosamveka.

M'mawu awo ovomerezeka, "Implementing Telehealth in Practice," bungweli likuzindikira kufunikira kwakukula kwa zamalonda ndipo, motero, likugogomezera kufunikira kwakuti akatswiri "azikumbukira" zinthu monga chitetezo chokwanira komanso chinsinsi ndikuwonetsetsa zida zofunikira. Kuchokera pamenepo, ACOG idanenanso kuwunika mwadongosolo komwe kumafotokoza kuti ma telehealth amatha kukhala othandiza pakuwunika magazi asanakwane, kuchuluka kwa shuga m'magazi, ndi zizindikiritso za mphumu, thandizo loyamwitsa, upangiri wa zakulera, ndi ntchito yochotsa mimba. Komabe, ACOG ikuvomerezanso kuti pali mautumiki ambiri a telehealth, kuphatikiza makanema apa kanema, omwe sanaphunzirebe zambiri "koma atha kukhala oyenera poyankha mwadzidzidzi."

TL; DR-ma ob-gyns ambiri adayenera kubwera ndi malangizo awo pomwe adzawona wodwala pa telehealth vs. kuofesi.

"Maudindo ambiri a ob-gyn amatha kusinthidwa kukhala telehealth, koma si onse," akutero Melissa Goist, MD, ob-gyn ku The Ohio State University Wexner Medical Center. "Maulendo ambiri omwe amangofunika kukambitsirana, monga kukambirana za chonde, uphungu wa kulera, ndi maulendo ena otsatila oyembekezera ndi amayi, akhoza kuchitika pafupifupi. kusinthidwa kukhala telehealth, monga kuyimbira foni kapena kucheza pavidiyo. "

Izi sizikutanthauza kuti maulendo ena azachipatala sangachitike pafoni kapena kanema, ndikukhala ndi zida kunyumba, monga khafu yamagazi, mwachitsanzo Omron Automatic Blood Pressure Monitor (Buy It, $ 60, bedbathandbeyond.com), ndi doppler monitor kuti iwunike kugunda kwa mtima wa fetal, imatha kupanga matelefoni kuti agwire bwino ntchito. "Izi sizotheka nthawi zonse, kotero maulendo ambiri a OB amafunika kuchitidwa pamasom'pamaso," akutero Dr. Goist. (Zokhudzana: 6 Akazi Amagawana Zomwe Zimakhala Zosamalira Pafupipafupi pa Kubereka ndi Pambuyo Pobereka Zimakhala Ngati)

Komabe, ngati muli ndi ndalama zogulira zinthuzi — inshuwaransi ikhoza kulipira zina kapena mtengo wonse — kapena kukhala ndi dotolo yemwe angakupatseni ndipo akuda nkhawa kwambiri ndi chiwopsezo chanu cha COVID-19 (mwachitsanzo, mwina simukudwala), mungafune kupita njira iyi kuti muchepetse kuwonekera kwa anthu ena, akufotokoza.

Chifukwa Chake Mungafunikire Kusankhidwa Muofesi

Kukhetsa magazi, kupweteka, ndi china chilichonse chomwe chingafune kuyezetsa m'chiuno chiyenera kuchitidwa muofesi, akutero Christine Greves, M.D., wovomerezeka ndi board pachipatala cha Winnie Palmer cha Akazi ndi Ana ku Orlando, Florida. Koma, zikafika pazinthu monga mayeso apachaka - omwenso sangathe kuchitidwa pafupifupi - ndibwino kuwabweza pang'ono ngati chiwerengero cha coronavirus mdera lanu ndichokwera kapena mukukhudzidwa kwambiri ndi chiwopsezo chanu, akutero Dr. . Manda. "Odwala anga ena asankha kudikirira maulendo awo apachaka chifukwa cha coronavirus," akutero, powona kuti ambiri adabwezeretsa maulendo awo miyezi ingapo. (Kumva kuda nkhawa pang'ono kutuluka kwaokha? Malingana ngati mulibe zovuta zamankhwala, mutha kukankhanso ulendo wanu wokha.)

Chifukwa Chomwe Mungathe Kutha Ndi Kusankhidwa Kwapafupifupi

Pazomwe mungachite pakulera, anthu ena amangopempha mankhwala a mapiritsi, ndipo omwe atha kuthandizidwa kudzera pa telehealth. Pankhani ya IUD, komabe, mudzafunikabe kubwera ku ofesi (doc yanu iyenera kuyiyika molondola-palibe DIY pano, anthu.) "Anatero Katswiri wa Zaumoyo wa Amayi Sherry Ross, MD, dokotala ku Providence Saint John's Health Center ku Santa Monica, California komanso wolemba She-ology. "Mwina tsopano ndimapanga 30 mpaka 40 peresenti ya omwe adandisankhira ntchito telemedicine."

"Zonse zimatengera nkhawa yomwe muli nayo, komanso ngati muli ndi pakati kapena ayi," akutero Dr. Greves. Izo sizikutanthauza inu ayenera pitani muofesi ngati muli ndi pakati. M'malo mwake, ACOG imalimbikitsa ma ob-gyns komanso asing'anga ena kuti agwiritse ntchito telehealth "m'malo ambiri azisamaliro asanabadwe momwe angathere"

Zomwe Muyenera Kuyembekezera Mukamayendera Tele-Health Ob-Gyn

Malangizowo omwe adatulutsidwa mu February ndi ACOG amalimbikitsa kuti ma ob-gyns akhale ndi mapulogalamu oyenera komanso kulumikizidwa kwa intaneti kuti athe kusamalidwa bwino, ndikukumbutsa madotolo kuti kuyendera kwawo pa televizioni kuyenera kutsatira malamulo achinsinsi ndi chitetezo cha Health Insurance Portability and Accountability Act (HIPAA). (HIPAA, ngati simukudziwa, ndi lamulo lamilandu lomwe limakupatsani ufulu wodziwa zambiri zaumoyo wanu ndipo limakhazikitsa malamulo okhudza omwe sangayang'ane zaumoyo wanu.)

Kuchokera pamenepo, pali kusiyanasiyana. FWIW, ndizokayikitsa kuti dokotala wanu angakupangitseni kuyika foni yanu pansi pa thalauza lanu panthawi yochezera. Koma angakufunseni kuti mutumize chithunzi pasadakhale, malingana ndi chifukwa chimene mwayendera ndi kutetezedwa kwa mapulogalamu a mchitidwewo. (Zogwirizana: Kodi Facebook Mungakambirane ndi Dokotala Wanu?)

"Ndi chinthu chimodzi ngati wina akutenga chithunzi cha mkono wake kuti awonetse zidzolo; ndi chinanso ngati chithunzi cha maliseche ake," akutero Dr. Streicher. Zochita zina zimakhala ndi njira zovomerezeka za HIPAA zotumizira zithunzi ndi makanema kudzera pa pulogalamu yawoyawo, pomwe zina zilibe zipata zathanzi zogwirizana ndi HIPAA zomwe zimalola kusinthanitsa makanema ndi zithunzi. Monga nkhani ya Dr. Streicher, yemwe amalola odwala ake kudziwa kuti alibe pulogalamu yovomerezeka ya HIPAA patsogolo pake. "Ndikuti, 'Tawonani, pakadali pano, ndiyenera kuti ndiwone zomwe zikuchitika kumaliseche kwanu. Sindingathe kudziwa malinga ndi momwe mumafotokozera. Mutha kulowa ndikutha kuziyang'ana pamaso kapena ngati mukufuna nditumizireni chithunzi, mungathe kutero, malinga ngati mukumvetsa bwino kuti izi sizikugwirizana ndi HIPAA, koma ndidzazichotsa nditatha kuziwona.' Anthu akuwoneka kuti alibe nazo ntchito. " (Ndani, kwenikweni? Chabwino, Chrissy Teigen pa chimodzi - nthawi ina adayika chithunzi cha zidzolo za butt kwa dotolo wake.)

Komabe, iyi si njira yabwino. "Vuto la zinthu za vulvar sikophweka kuti uwoneke bwino," akutero Dr. Streicher. "Munthu akayesa kuchita yekha, nthawi zambiri zimakhala zopanda phindu. Muyenera kupeza wina woti amuthandize, kuti athe kutambasula miyendo yawo ndikuwona bwino mmenemo." Ndipo ngakhale mnzanu wojambula zithunzi atakhala Annie Leibovitz weniweni, angafunike chitsogozo pokhudzana ndi kujambula zithunzi za anzanu. Ingotengani kuchokera kwa Dr. Streicher, yemwe posachedwapa adawonetsa wodwala ndi mwamuna wake zithunzi zachipatala kuti ayese kufotokoza zomwe ankafuna kuchokera pazithunzi zawo. Ndipo zabwino zomwe adachita chifukwa "adalowa mkatimo ndikupeza zithunzi zabwino," akutero.

Dr. Greves akuti adaperekanso odwala kutenga zithunzi za zotumphukira ndikumutumizira iye kudoko lotetezeka. Koma akuti "satsutsana" kuti odwala awonetse mavuto ake paulendo wa telemedicine "bola atakhala omasuka kuchita izi." Kumbali inayi, "sizimandichitira chilichonse kuti ndipeze kanema wonthunthumira, wamaliseche" akutero Dr. Streicher. (Onaninso: Momwe Mungasankhire Khungu, Rashes, ndi Bumps Kumaliseche Kwanu)

Kawirikawiri, maulendo ambiri a telemedicine amatha pafupifupi mphindi 20, ngakhale kuti zingatenge nthawi yaitali ngati muli wodwala watsopano, malinga ndi Dr. Goist. Mukamapita kukacheza, mukalankhula ndi dokotala zakukhosi kwanu ndipo adzayesa kukudziwani kapena kukulangizani-monga momwe mumachitira mukamalowa muofesi. "Zingakhale zofanana kwambiri ndi kuchezera ofesi koma, m'malo mokhala pampando wovuta kuofesi, wodwalayo atha kuchita izi potonthoza komanso chitetezo cha malo awo," akufotokoza. "Odwala ambiri amayamikira kumasuka kwa kuikidwa kumeneku ponena za kuwalowetsa m'ndandanda zawo zotanganidwa zaumwini. Komanso, ngati alendo tsopano akuloledwa kulowa m'maofesi, nthawi yoikidwiratu imeneyi imachotsa mtolo umenewo chifukwa chofuna kupeza munthu woti azimusamalira."

Zomwe Muyenera Kuyembekezera Mukapita Kuofesi Ob-Gyn

Zochita zilizonse zimakhala ndi malangizo osiyanasiyana m'malo mwake, koma maofesi ambiri amakhala ndi zodzitetezera zatsopano.

• Yembekezerani kuwunikira foni musanawoneke. Madokotala ambiri omwe adafunsidwa pankhaniyi akuti munthu wina wochokera kuofesi yawo adzakufunsani foni musanabwere kuofesi kuti adziwe za chiwopsezo chanu cha COVID-19. Mukamacheza, amakufunsani ngati inu kapena munthu wina wa m'banja mwanu munakhalapo ndi zizindikiro zinazake kapena mwakhalapo ndi munthu yemwe ali ndi vuto la COVID-19 lomwe likubwera. Zochita zilizonse ndizosiyana pang'ono, komabe, ndipo gawo lililonse lingasiyane (kutanthauza, ofesi yomwe angaganize kuti ndiyotheka, wina angasankhe kuchita mwa-munthu).
• Valani chigoba. Mukafika kuofesi, kutentha kwanu kudzatengedwa ndipo mutha kupatsidwa chigoba kapena kufunsidwa kuvala nokha. "Tinaganiza ngati chipatala kuti tikufuna anthu ovala maski [azachipatala] pazovala zopangidwa kunyumba chifukwa sitikudziwa ngati maski opangidwa ndiwokha atsukidwa komanso ngati wodwalayo akhala akuwakhudza tsiku lonse," akutero Dr. Streicher. Kaya ndi zopangira kunyumba kapena kuperekedwa kwa inu, khalani okonzeka kuvala china pankhope panu. “M’zochita zathu, simungaloŵe pokhapokha mutavala chigoba,” akuwonjezera motero Dr. Ross. (Ndipo kumbukirani: Mosasamala kanthu zakutali, kokongola Chonde Valani chigoba—chikhale chopangidwa ndi thonje, mkuwa, kapena zinthu zina.)
• Kulowa kumatha kukhala opanda manja momwe mungathere. Mwachitsanzo, kuofesi ya Dr. Streicher, ogwira ntchito pa desiki yakutsogolo amasiyanitsidwa ndi ma plexiglass partition, ndipo pakuchita kwa Dr. Goist, pali zotchinga zofananira ponseponse poteteza odwala ndi ogwira ntchito. Ndipo, mwazinthu zina, mutha kulembanso mafomu anu odwala ndikubwera nawo.
• Zipinda zodikirira ziziwoneka mosiyana. Monga momwe zinalili kuofesi ya Dr. Goist, komwe mipando imakhala yotalikirapo kuti ilimbikitse kusamvana. Pakadali pano, zochitika zina zaiwala lingaliro la chipinda chodikirira palimodzi mwakudikirira mgalimoto yanu mpaka mutauzidwa kuti chipinda choyeserera chakonzeka. Kulikonse komwe mungayembekezere, mungafune kubweretsa zolemba zanu momwe maofesi ambiri, kuphatikiza a Dr. (Onaninso: Chilichonse Chimene Muyenera Kudziwa Zokhudza Kutumiza kwa Coronavirus)
• Momwemonso zipinda zamayeso. Adzakhalanso otalikirana kwambiri. “Chipindacho chimakonzedwa kotero kuti dokotala ali pakona imodzi ndipo wodwala ali mbali ina,” akutero Dr. Streicher. "Dotolo amakhala ndi mbiri ya wodwalayo kuchokera kumayendedwe sikisi asanachite mayeso." Ngakhale kuti ob-gyn ali "mwachiwonekere pafupi" panthawi ya mayeso enieni, "ndichidule," akufotokoza. Kutengera ndi mchitidwewu, othandizira azachipatala ndi anamwino nthawi zambiri amatenga mbiri ya wodwala wanu ndikuchoka, akuwonjezera Dr. Streicher.
• Zipinda zidzakhala zotetezedwa bwino pakati pa odwala. Maofesi a madotolo nthawi zonse amatsuka zipinda pakati pa odwala, koma tsopano, m'dziko la post-coronavirus, njirayo ikukulirakulira. Dr. Streicher anati: “Pakati pa wodwala aliyense, wothandizira wachipatala amabwera n’kupukuta malo aliwonse ndi mankhwala ophera tizilombo. Maofesi akuyesabe kugawa nthawi yofikira odwala kuti asiye nthawi yoti aphedwe ndi matenda komanso kuti odwala asakhale mchipinda chodikirira, atero Dr. Greves.
• Zinthu zitha kuyenda nthawi yake. "Tinachepetsa chiwerengero cha odwala [onse]," akutero Dr. Streicher. “Motere, m’chipinda chodikirira muli odwala ochepa.

Apanso, machitidwe aliwonse ndi osiyana ndipo, ngati mukufuna zenizeni zomwe ofesi ya ob-gyn ikuchita, ingowaimbiranitu kuti mudziwe. Kupatula apo, madokotala amati kusintha kumeneku kuyenera kuti kwachitika kwakanthawi. "Ichi ndi chizolowezi chathu chatsopano chobwera kudzationa, ndipo tidzakhala kwakanthawi," akutero Dr. Ross.

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