Okungcono noma Okubi, Odokotela Bodwa Abazivikela
Imithi evikelayo yisimo lapho udokotela enza khona imithi, noma ngokuxilongwa noma ukwelashwa, hhayi ukusiza isiguli, kodwa kunalokho ukuvimbela isenzo somthetho (i- suit suit ) uma kwenzeka inkinga. Udokotela uhamba ngaphezu kwalokho okuvame ukudingwa ukuze ahlolwe futhi aphathe isiguli ukuze baqinisekise ukuthi abalahleki noma yikuphi isimo esingenakwenzeka kodwa kungenzeka.
Bangase benze izinyathelo isiguli esifuna noma zizilindele ngisho noma zingekho emitholampilo, ukuze kugcinwe isiguli. Ngenxa yalezi zizathu, kuthiwa imithi evikelayo iholela ekugqibeleni nasekukhulekeleni. Bafuna ukuvimbela imiphumela emibi (noma kungenakwenzeka) nokuvimbela ukuba nesiguli esithukuthele.
Esinye isici somuthi ovikelayo lapho udokotela noma ukwelashwa kugwema ukwelapha iziguli eziphezulu. Bayazikhethela-bakhethe iziguli okungenzeka ukuthi zibe nemiphumela emihle, noma zikhetha ukhetheka kwezokwelapha okungenengozi encane yezikhwama ezingasebenzi. Lokhu kungabangela odokotela abanethalente kakhulu abangaphathi iziguli ezidinga amakhono abo kakhulu.
Izibonelo ZeMithi Evikelayo
Ukuhleleka ukuhlolwa isiguli akudingi ngempela, ngomzamo wokuba nemiphumela ibonakale emarekhodi akhe, umkhuba wokuzivikela ovikelayo owenziwa odokotela abaningi. "Umuthi ovikelayo" uvame ukuphendula umbuzo othi, " Kungani udokotela wami engithumela ukuhlolwa okuningi kangaka?
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Udokotela ophuthumayo udokotela uyabona isiguli esishaywa ikhanda. Konke ekuhlolweni kwangokwenyama akukhomba lutho lwe-epidural hematoma futhi udokotela angakwazi ukukhipha isiguli ngaphandle kwe-CT scan. Kodwa-ke, ingozi encane kakhulu yokuthi bangaphuthelwa lokho ukuxilongwa futhi baqede ekugwetsheni imiphumela yokuthumela isiguli nge- CT scan .
Izindleko zemithi evikelekile
Odokotela kanye nezikhungo zokunakekelwa kwezempilo akugcini nje ukumboza ukuchayeka kwabo ngokomthetho besebenzisa imithi evikelayo, kodwa futhi benza imali eyengeziwe ekuhlolweni okunye kanye nezinqubo. Lokhu kunomthelela ekunyuseni kokuqothulwa nokugqithiswa.
Odokotela abenza izinto eziphakeme kakhulu engozini bayakwazi ukwenza umuthi ovikelayo. Ngo-2005, inhlolovo eyodwa yabonisa ukuthi abaningi abangu-93% babeyala ukuhlolwa, beka izidakamizwa, noma benza izinqubo ngokuzama ukuzivikela kunokuba bavikele iziguli lezo zinyathelo ezithathwe. Imizamo yokwethula imithetho yokubeka imiklomelo yokungahambisani nemisebenzi yindlela eyodwa ehlongozwayo.
Imithi evikelayo iyinzuzo enkulu ekukhuleni kwezindleko zezempilo e-United States. Imibuzo ye-DefensiveMedicine.org echaza ukuthi ukukala imithi evikelayo kunezela izindleko ezifinyelela ku-$ 850 billion minyaka yonke e-United States. Kungabandakanya imali engama-34% wezindleko zezempilo ngonyaka.
Izingozi ZeMithi Evikelayo
Ukwelashwa ngokweqile ngama-antibiotics yisinye isibonelo somuthi ovikelayo obeka umuntu wonke engozini. Umzali angalindela imithi ye-antibiotics lapho ethatha ingane yakhe kudokotela emakhazeni. Udokotela uyazi ukuthi akudingeki, kodwa umama ugxila ekutholeni imithi.
Udokotela uyangena. Manje amabhaktheriya ajwayelekile wengane abulawa yi-antibiotic, eshiya amabhaktheriya aphikisana namagciwane kuphela. Njengoba lokhu kwenzeka, ngokuphindaphindiwe, izinkinga ezifana ne- MRSA zithuthukisa eziphikisana nemithi eminingi yama-antibiotic futhi zingagula futhi zibulale iziguli eziningi.
Imithi yokwelapha efanelekile njenge-watch-and-waiting for cancer -slow growing cancer angase ingasetshenzisiwe ngoba iziguli zifuna ukwelashwa okusebenzayo noma zingase zibophe uma kunomphumela ombi. Inqubo yezokwelapha esebenzayo (njengokususwa kwe-trans-urethral of the prostate operation) akuyona ingozi yokulimala, ukufa, noma izinkinga eziqhubekayo ezifana nokungaziphathi kahle nokungabi namandla.