Imithi Yomndeni, Izifo Zengqondo, I-Geriatrics ne-Internists
Sizwa njalo "udokotela oyinhloko" lapho ekhuluma ngodokotela. Abaningi bethu bayazi ukuthi kufanele sibone i-PCP. Kodwa yini umhlinzeki wokunakekela oyinhloko futhi kungani kubalulekile ekunakekeleni kwethu?
Ama-PCP ngokuvamile ayedokotela, kodwa angase abe ngumhlengikazi noma abasizi bezokwelapha. Basisiza ukuba sinakekele izinto eziyisisekelo zokunakekelwa kwethu, sigxile ebuhleni kanye nokuvimbela.
Njengoba seseluleka ukuba sibone i-PCP kuqala uma sigula noma silimala, kubhekwa njengenhloko.
Ngezinye izikhathi umshwalense wezempilo usho ukuthi sisebenza nomhlinzeki wokunakekela oyinhloko. Iziguli eziningi zingathanda ukuthola izakhamuzi ngaphandle kokuthi "zichitha" isikhathi sazo zibona i-PCP kuqala. Lokho kungaba iphutha.
Ezimweni eziningi-futhi usizo olukhulu kumguli-PCPs nabo bangabaxhumanisi bokunakekelwa. Nakuba kungukuthi zonke iziguli zikhetha ukusebenzisa lezi zinsizakalo zokuxhumana, isiguli esihlakaniphile siyaqonda ukuthi ukuba nesimiso esisodwa se-symphony yokunakekelwa kwempilo kwenza umqondo omkhulu. I-PCP ingumlingani wakho oyinhloko wokunquma ukuthi yiziphi ezinye izazi okufanele zibonisane ngenkathi ubheka isithombe esikhulu kakhulu sokunakekela kwakho jikelele.
Ukuqeqeshwa Nezenzo ze-PCP
Odokotela abano-PCP baqala imikhuba yabo njengodokotela wezokwelapha (MDs), odokotela bama-osteopathic (DOs), noma balandela imodeli yokuhlanganisa.
Izenzo Zokudokotela
Ama-MDs abhekwa njenge-allopathic; okungukuthi, basebenzisa imithi yaseNtshonalanga, esiyibheka njengokwelapha ejwayelekile e-US Ngokuvamile, ama-PCP anama-MDs azophatha izidingo eziyisisekelo zesiguli, bese athumela isiguli kumchwepheshe we-MD ozoyihlola futhi aphathe ngaphakathi kwesistimu eyodwa yomzimba.
I-MDs iya esikoleni sezokwelapha, ingatadisha iminyaka eyengeziwe ekunakekelweni komndeni noma kwenye indawo jikelele, ingaba ibhodi eliqinisekisiwe, futhi ilayisensi yombuso abenza kuwo.
Ama-Osteopathic Practices
Udokotela we-osteopathic (DO), ofana ne-MD, uqedela isikole sezokwelapha futhi angakhetha ukhethekile, naye. Kodwa-ke, i-DO izosebenzisa izibalo ezengeziwe ezifunda isistimu ye-musculo-squelette ukuze ifunde indlela yokusebenzisa umzimba.
I-DO iya emzimbeni womuntu njengendlela yonke uhlelo, hhayi nje uchungechunge lwezinhlelo zomzimba. Njengama-MDs, ama-DOs anikezwe ilayisensi yombuso abawenza kuwo. Bangase futhi babe yibodi eliqinisekisiwe.
Izenzo ezihlanganisiwe (noma ezihlanganisiwe)
Ukugijima yi-MDs noma i-DOs, futhi ngezinye izikhathi ukwelapha abahlinzeki, lezi zenzo azisebenzisi nje kuphela imithi yendabuko yaseNtshonalanga kodwa futhi zihlanganisa ezinye zezindlela ezinhle kakhulu zokwelashwa okuhambisanayo nokunye (CAM).
Qaphela: Kukhona impikiswano e-US mayelana nokusetshenziswa kwe-CAM; Kodwa-ke, eziningi zezokwelapha manje ziyabonakala kahle futhi seziye zaba khona ngokwengeziwe phakathi kwesikhathi, kufaka phakathi ukukhwabanisa , i-yoga, ukusikhipha, nokusebenzisa ezinye izithako zokudla okunomsoco. inikeza isigaba sonke semithi ehambisanayo neyehlukile. Uhulumeni wesifundazwe uhlinzekela enye yezikhungo zayo zezempilo ukuze aqaphele izinzuzo ze-CAM.
Izenzo ezigxilwe phakathi kwabahlinzeki bokunakekelwa ngokuyinhloko
Abahlinzeki bokunakekelwa okuyisisekelo bayamukela iziqu eziningi namanqanaba emfundo, futhi bangakhetha ukugxila emisebenzini yabo kanje:
- Abahlengikazi Abahlengikazi (NP) kanye Nabaxhasi Abahlengikazi (PA) , obizwa nangokuthi udokotela owandisa , bangabhekwa njengabahlinzeki bokunakekela abayinhloko.
- AbaSebenzi Abajwayelekile (GPs) banenani lemfundo encane ngenkathi bethola i-MD noma DO. Baqedile unyaka owodwa wokuhlala futhi bangazimela ngokuzimela, kodwa abanayo imfundo eyanele yokubhekwa njengesitifiketi sebhodi , okudinga okungenani iminyaka emithathu yokuhlala.
- AbaSebenzi Bomndeni (MDs noma i-DOs) bacwaninga okungenani iminyaka emithathu ngaphesheya kwe-GP okwenza bakwazi ukuthola isitifiketi sebhodi. Basebenzisa igama elithi "umndeni" egameni labo ngoba ngokuvamile amalungu omndeni azoba iziguli zabo. Bangase babone iziguli ezizalwa ngokuguga. Bahlola, bangenza ukuhlinzekwa okuncane, futhi bangase benze ngisho nezinsizakalo ze-OB-GYN (izithiyo zokuzivikela nezigciwane) eziguli zabo.
- Abahlengikazi bangama-generalists abachitha izindlu zabo zokuhlala ngokukhethekile ukunakekelwa kwezingane, izinsana, izingane kanye nentsha. Njengoba sebeqedile iminyaka eyengeziwe lapho behlala khona, banamabhodi afanelekile. Ochwepheshe bezingane banolwazi olukhethekile ezinkingeni eziphathelene nokusana nabantwana njengezifo zobuntwana, ukukhula (endocrinology yezingane), ukukhulelwa kanye nezinye izici eziphathelene nokuphila kwentsha.
- AbaGeriatriya nabo bangama-generalists nokuqeqeshwa okuqhubekayo kokuhlala, kodwa bagxila ekusebenzeni kwabo asebekhulile. Futhi, nabo bangahle baqinisekiswe ibhodi. Bayazi kahle izinkinga zempilo zabantu asebekhulile, kuhlanganise nesifo se-Alzheimer, isifo sika-Parkinson, inhliziyo, nezifo ze-pulmonary, kanye ne-cancer. Ukulimala noma izifo ezinzima ngokuvamile kuzokwenza ukuthi kuhanjiswe ochwepheshe ogxile kunoma yikuphi uhlelo lomzimba olubangela inkinga engaphansi.
- Abangaphakathi bevame ukubhekwa njengento evamile, futhi. Abangaphakathi, njengoba ungase ucabange, unakekele izinhlelo zangaphakathi zomzimba, futhi isitifiketi sebhodi esifanelekile. Kunezinto ezikhethekile eziqukethwe ngaphakathi kwegama elithi internist kuhlanganise ne-cardiology (inhliziyo), i-endocrinology (izigulane, imetabolism, namahomoni), i-gastroenterology (uhlelo lokugaya ukudla) nezinye eziningi.
- I-OB-GYN (izivimbela kanye nezinkinga zokubeletha) yilaba odokotela abasebenza ngokukhethekile emisebenzini yokuzala yabesifazane kanye nokubeletha nokubeletha kwezinsana. Njengoba abesifazane bekhuthazwa ukuba bavakashele ama-OB-GYN abo njalo ngonyaka, kungakhathaliseki ukuthi banezinsana, baningi bathembele ku-OB-GYN yabo yokunakekelwa okuyinhloko.
Imicabango yokuvala
Ukunakekelwa okuyinhloko kungabhekwa njengokhethekile njenganoma yikuphi okukhethekile okwelashwa. Amakhono ayo aqondiswa ngamabhodi wezokwelapha , futhi odokotela abaningi ukunakekelwa okuyinhloko bangamalungu ala maphovisi wezokwelapha. Iziguli ezihlakaniphile ziyakwazi ukucwaninga ubulungu babo be-PCP ebhodini lezokwelapha njengendlela yokusungula amandla omdokotela.
Funda kabanzi mayelana nesitifiketi seBhodi lezokwelapha