Ukuthola udokotela kuyisinyathelo sokuqala nesibaluleke kakhulu oyoyithatha ngemuva kokuthola ukuthi une-HIV . Naphezu kwezimo zemithi ezilula, i-HIV isisifo esithinta kakhulu esidinga odokotela abaqeqeshiwe ngokukhethekile abakwazi ukuletha amazinga aphezulu okunakekelwa okuqondene nezidingo zakho zezempilo.
Ngakho yiziphi izimfanelo zesandulela ngculazi omuhle? Zikhona izindlela zokuqinisekisa lokhu noma amathuluzi ongawasebenzisa ukuze unciphise usesho?
Imibuzo Yokubuza
Lapho uhlangana nodokotela ngesikhathi, kufanele uthathe ithuba lokubuza yonke imibuzo edingeke ibuzwe. Phakathi kwazo:
- Yeka ukuthi i-HIV yakho inkulu kangakanani?
- Ingabe i-HIV ibonisa ukugxila komsebenzi owenzayo?
- Yiziphi izinsizakalo umtholampilo wakho ozinikezayo?
- Uthanda ukusebenzelana kanjani neziguli? Uyamukela ukwengeza nokuxoxa?
- Ngikude kangakanani kusengaphambili ukuthi ngidinga ukwenza i-aphoyintimenti?
- Ngingakubona yini zonke izivakashi, ngisho nokulandela okulandelayo? Noma nje umsizi?
- Ngithola kanjani imiphumela yami yegazi njalo ? Ngishayela noma ungishayela ucingo?
- Uma ngidinga ukukushayela ucingo oluphuthumayo lwezokwelapha, yiziphi izinqubo?
- Uyamukela i-Medicaid noma i-Medicare?
Ungakwazi-futhi kufanele ulandele ngokuhlola iziqiniseko zodokotela kanye nomlando wezokwelapha. Izinsizakalo eziningi ze-intanethi zingasiza, kufaka phakathi i-Docinfo (iwebhusayithi ephethwe yi-Federation of State Medical Boards) kanye ne-HealthGrades (isayithi lokubukeza ngesiguli esilandelayo).
Amalungelo akho njengesiguli se-HIV
Ukukhetha udokotela ongcono kakhulu kudinga ukuba uqonde ukuthi yimaphi amalungelo onelungelo lokugula njengesiguli. Iqala ngokwazi umThethomlingwa wamaLungelo weGciwane lesandulela ngculazi, oveza izinyathelo eziyi-17 uhlobo lokunakekelwa nokwelashwa okufanele ukwemukele njengomuntu ophila negciwane lesandulela ngculazi.
UmThethomlingwa wamaLungelo weGciwane lesandulela ngculaza
Umuntu onesandulela ngculaza unelungelo lokukhathalela nokuhlonipha kungakhathaliseki ukuthi uhlanga, ubuhlanga, isizwe esingakanani, inkolo, ubudala, ubulili, ubulili noma umthombo wokukhokha.
- Umuntu onesandulela ngculazi unelungelo, futhi uyakhuthazwa ukuba, athole ulwazi lwamanje nolwazilekayo mayelana nokuxilongwa , ukwelashwa , nokubikezelwa.
- Umuntu onesandulela ngculazi unelungelo lokukwazi ukuthi ungubani udokotela, abahlengikazi kanye nabanye abathintekayo ekunakekeleni kwakhe, kubandakanya labo abafundi, izakhamuzi, noma abanye abaqeqeshwayo.
- Umuntu onesandulela ngculazi unelungelo lokusebenza nodokotela noma umhlengikazi ekuqaliseni uhlelo lokunakekelwa kwabo, kuhlanganise nokwenqaba ukwelashwa okunconywayo, ngaphandle kokwesaba ukuhlambalaza noma ukubandlululwa .
- Umuntu ophila ne-HIV unelungelo lobumfihlo.
- Umuntu ophila negciwane lesandulela ngculazi unelungelo lokulindela ukuthi wonke amarekhodi kanye nokukhulumisana athathwa njengeyimfihlo ngaphandle uma kwenzeka ukuxhashazwa.
- Umuntu ophila negciwane lesandulela ngculaza unelungelo lokubuyekeza amarekhodi akhe ezokwelapha futhi acele amakhophi abo.
- Umuntu ophila negciwane lesandulela ngculazi unelungelo lokulindela ukuthi umyalelo osengaphambili (njengokuthanda okuphilayo noma amandla okunakekela ummeli) uzohlonishwa ngabasebenzi bezokwelapha.
- Umuntu ophila negciwane lesandulela ngculazi unelungelo lokuthola isaziso esifike ngesikhathi kanye nokuchazwa kwezinguquko kumakhokhelo noma imikhuba yokukhokha.
- Umuntu ophila negciwane lesandulela ngculazi unelungelo lokulindela isikhathi esifanele ngesikhathi sokuvakasha kwakhe kwezokwelapha ukuxoxa ngokukhathazeka nemibuzo yabo.
- Umuntu ophila negciwane lesandulela ngculazi unelungelo lokulindela ukuthi abanakekeli bakhe bezokwelapha bazolandela izinyathelo zokuqapha.
- Umuntu ophila negciwane lesandulela ngculazi unelungelo lokukhuluma ngezinto ezikhathazayo, izikhalo, kanye nemibuzo mayelana nokunakekelwa futhi alindele impendulo efika ngesikhathi.
- Umuntu ophila negciwane lesandulela ngculazi unelungelo lokulindela ukuthi abahlinzeki bezokwelapha bazonikeza izinsizakalo zezempilo ezidingekayo ngokusemandleni abo. Uma ukudluliselwa kokunakekelwa kunconywa, kufanele aziswe ngezinzuzo nezinye izindlela.
- Umuntu ophila negciwane lesandulela ngculazi unelungelo lokukwazi ubudlelwane bakhe abanakekeli bezokwelapha abanezinhlangano zangaphandle (njengabanikezeli bezempilo noma abathinteli) abangathinta ukwelashwa nokunakekelwa.
- Umuntu ophila negciwane lesandulela ngculazi unelungelo lokutshela izindlela zokunakekelwa okungokoqobo lapho ukwelashwa kwamanje kungasasebenzi.
- Umuntu ophila negciwane lesandulela ngculaza unelungelo lokulindela usizo olufanele lokunqoba ulimi (kubandakanya ukuqeqeshwa okungalinganiselwe kwe-English), amasiko, izempilo noma zokuxhumana.
- Umuntu ophila negciwane lesandulela ngculazi unelungelo lokugwema ukulibaziseka isikhathi eside ekuboneni abahlinzeki bezokwelapha; lapho ukulibaziseka kwenzeka, kufanele alindele incazelo yokuthi kungani kwenzeka futhi, uma kufanelekile, ukuxolisa.
Ochwepheshe bayavuma ukuthi ukuze bathole ukunakekelwa okungcono kakhulu kwe- HIV , abantu abanegciwane kufanele bathole ukunakekelwa kwezokwelapha kumchwepheshe we-HIV.
Yini eyenza isazi se-HIV?
Kunemihlahlandlela nezimfuneko okumelwe zihlangane ukuze zibhekwe njengengcweti ye-HIV. I-American Academy ye-HIV Medicine (AAHIVM) ichaza ochwepheshe be-HIV njengoba behlangabezana nalezi zindlela ezijwayelekile zokulinganisa ulwazi lwe-HIV:
- Okuhlangenwe nakho -Udokotela kumele agcine ukugunyazwa kwezwe futhi ahlinzekele ngokuqondile, okuqhubekayo, ukunakekelwa okuqhubekayo okungenani iziguli ezingu-20 ze-HIV eminyakeni emibili edlule.
- Imfundo -Udokotela kumele agcwalise okungenani izikweletu ezingama-30 zemfundo yezokwelapha eqhubekayo ehlobene ne-HIV (CME) njalo eminyakeni emibili noma kumele ukuthi agcwalise ukuhlobene noma i-HIV emphakathini eminyakeni emibili edlule.
- Ukuqinisekiswa kwangaphandle - Udokotela kumele aqaphelwe yinhlangano yangaphandle yokuqinisekisa, njenge-AAHIVM. Lokhu kufezwa ngokudlulisa i-HIV Medicine Credentialing Exam.
- Ilayisense - Udokotela kumele agcine isimo seMDC noma senze ilayisensi yezokwelapha.
Uma ufuna udokotela we-HIV, qinisekisa ukuthi uhlangabezana nalezi zinqubo. Uma kunjalo, udokotela wakho angabhekwa njengomchwepheshe we-HIV.
Izinzuzo ze-HIV Specialist
Kunezinzuzo ezihlukile zokuthola ukunakekelwa kwakho nge-HIV kumuntu onguchwepheshe we-HIV. Lokhu kufaka:
- Ulwazi nolwazi -Lezi zihamba ndawonye. Ochwepheshe be-HIV abaphatha izinqwaba noma amakhulu abantu abanegciwane lesandulela ngculazi banolwazi oluthe xaxa oluqaphela izimpawu, ukuxazulula izinkinga, nokuthuthukisa imithi yokwelashwa kunomsebenzi ojwayelekile onakekela iziguli ezimbalwa ze-HIV unyaka ngamunye.
- Ukuxhumana nokuqonda -Njengoba i-HIV ithinta wonke umuntu, kokubili ngokomzimba nangokomzwelo, labo abanakekela abantu abanegciwane lesandulela ngculaza kudingeka bakwazi ukuxhumana neziguli zabo futhi baqonde izidingo ezikhethekile ukuthi i-HIV inikeze. Ochwepheshe be-HIV banamakhono kokubili ngenxa yesibalo segciwane lesandulela ngculaza abaphathayo kanye nesipiliyoni abaye bazuza ngokubakhathalela.
- I-edge edge ye-HIV yomuthi- Ukuze ube yingcweti ye-HIV, udokotela kumele agcine manje ngezinguquko ezisheshayo kwisayensi ye-HIV. Ngokuqhubeka kwemfundo, amaphephandaba, nezinkomfa, ochwepheshe be-HIV baqhubeka befunda indlela yokuphatha kangcono i-HIV. Isibonelo, izindlela zokwelapha ezicatshangwa ukuthi ziwusizo esikhathini esizayo zingasenconywa. Ochwepheshe be-HIV bayokwazi lokhu ngokushesha, kanti udokotela jikelele angeke azwe ngaleyo ndlela ukwelashwa okunjalo kuze kube yilapho.
Ukuthola i-HIV Specialist
Ochwepheshe be-HIV bangatholakala emadolobheni amakhulu amakhulu. Futhi ochwepheshe be-HIV bavame ukukhonza imiphakathi yasemaphandleni. Nazi ezinye izindlela ezizokusiza ukuthi uthole:
- Xhumana nezibhedlela ezinkulu endaweni yakini, ikakhulukazi ezihambisana neyunivesithi. Ochwepheshe be-HIV bavame ukutholakala eminyangweni yezifo ezithathelwanayo zalezi zibhedlela. Sicela uqaphele ukuthi akuzona zonke izifo ezithathelwanayo odokotela abachwepheshe be-HIV. Uma wenza ucingo, qiniseka ukuthi ucela isazi se-HIV.
- Khuluma nama-ejensi ensizakalo ye-HIV / AIDS endaweni yakini. Bayothola uhlu lwabachwepheshe be-HIV yangakini futhi, ezimweni eziningi, bazokusiza ukuthi uxhumeke nomunye wabo.
- Amazwi omlomo ngumthombo omuhle lapho efuna isazi se-HIV. Lalela abanye abaphila ne-HIV. Bangase bakwazi ukuphakamisa ochwepheshe.
> Imithombo:
> I-American Academy ye-HIV Medicine. Ukusebenzisa isazi se-HIV (AAHIVS). 10/14/15.
> Wilder, T. "Umhlahlandlela Wokuthola Ukwelashwa Okungenayo I-HIV / AIDS." Ukusinda Izindaba. NgoJulayi 1, 2000: 1-3.