Ukuqonda Ukunakekelwa Okuneziguli Nenzuzo Yalo
Odokotela abaningi namuhla baqeqeshwe ukuthatha ukugxila okugxilwe kakhudlwana emisebenzini yezokwelapha. Lokho kusho ukuthi bathatha isikhathi ukufundisa iziguli zabo ngezifo noma izimo zabo. Kusho futhi ukuthi bakhuthaza imibuzo nokusebenzisana futhi baxoxe ngokuthi isimo sizoba nomthelela kanjani isiguli, hhayi kuphela ngokomzimba kodwa ngokomzwelo kanye.
Futhi okubaluleke kakhulu, zihilela ngokugcwele iziguli zabo-futhi kaningi amalungu omkhaya- ezinqumweni zokwelapha .
Iyiphi Inqubo Eyisisekelo Esibekezelayo?
Indlela yokugulisa imithi yindlela yokuhlinzeka ngempilo kuyindlela yokuhlinzeka ngokubambisana phakathi kwabahlinzeki, iziguli kanye nemindeni yabo. Kungakhathaliseki ukuthi lezi zisebenzi zingodokotela, abahlengikazi, noma ochwepheshe, umgomo ukuvumelanisa zonke izincomo zokunakekelwa kwezempilo nezifiso, izidingo, kanye nezintando zesiguli.
Le ndlela ihlanganisa ukugxila enhlalakahleni yonke yesiguli kusukela ngosuku olulodwa ngokusungula ukuxhumana okuhle nodokotela neziguli . Kubuye kusho ukuhlinzeka ngezinketho zokwelashwa kuphela kodwa nezinqubo zokuvimbela kanye nokutholakala kokuqala kanye. Lonke lolu lwazi luhambelana nezici nezinhloso ezihlukile zesiguli ngasinye.
Umqondo wokunakekelwa okugxilwe ngesineke ukhula e-United States. Ngaphezu kwalokho, umqondo usekelwa yi-American Academy of Family Physicians, i-American Academy of Pediatrics, i-American College of Physicians, ne-American Osteopathic Association.
Ngenxa yalokho, odokotela abengeziwe bafaka izindlela ezigxilwe ngesiguli emisebenzini yabo.
Phakathi naleso sikhathi, ukunakekelwa okugxilwe ngesineke akufanele kudidaniswe nokunakekelwa "okuqondiswe ngesineke". Kulesi simo, isiguli sidinga ukuhlolwa okunye noma ukwelashwa nokubuka indima kadokotela njengokwenza noma yini eceliwe.
Lokhu akuyona injongo yokunakekelwa okugxilwe ngesineke. Ukukhathazeka okugxilwe ngesineke kungokwendlela yokusebenzisana lapho udokotela, isiguli, kanye namalungu omndeni ngezinye izikhathi, bakha ithimba lokwenza izinqumo.
Yiziphi Izinzuzo (kanye Nezihibe) Zendlela Yokubhekana Neziguli?
Ucwaningo luye lwabonisa ukuthi ubudlelwane phakathi kwesiguli nodokotela wakhe kunquma kakhulu ukwaneliseka kwesiguli ngokunakekelwa kwakhe , kodwa nemiphumela yokwelashwa kwakhe. Eqinisweni, ucwaningo oluthile lubonise ukuthi iziguli cishe zilandela imiyalo kadokotela lapho zizwa sengathi udokotela wabo uzwela futhi uhambisana nezidingo zabo nezidingo zabo.
Ngokuvamile, abantu banomuzwa wokuthi udokotela uzwela lapho evuma ukuthi isiguli sifikelwa kanjani futhi wabelane ngolwazi noma imibono yokuthi angayisingatha kanjani isimo sakhe esiyingqayizivele. Ngokuphambene nalokho, ukungabi nobuhlobo, kuhlanganise nokuntuleka kokuxhumana nozwela, kungathinta impilo yomuntu ngokungathandeki nokuzimisela kwakhe ukulandela imiyalelo kadokotela.
Ezinye izinzuzo zezindlela ezibhekene nesiguli zihlanganisa ukuqonda okungcono imigomo yesiguli kanye nezifiso zikadokotela nokuqonda okungcono lesi sifo noma isimo sesiguli, kufaka phakathi izingozi nezinzuzo zokhetho ezahlukene zokwelashwa.
Ukuhlanganiswa kwalezi zinto ezimbili kuholela ekwenzeni izinqumo ezingcono ngoba kokubili udokotela nesiguli basebenza ndawonye ukuxazulula inkinga. Umphumela wokuphela uphuthukisiwe inhlalakahle nokunakekelwa kwezempilo.
Ngakolunye uhlangothi, ukutadisha kwe-University of Iowa kuphakamisa ukuthi ukunakekelwa okugxilwe ngesineke akuwona wonke umuntu. Nakuba iziguli eziningi zizuza ngalolu daba kunezinye iziguli ezingenakukwazi ukulandela imiyalo yabo odokotela futhi zizwe zingenelisekile ukunakekelwa kwazo lapho odokotela bethatha indlela ehambisana nesiguli.
Ngokwesifundo, eshicilelwe ku- Annals of Behavioral Medicine , ezinye iziguli, ikakhulukazi iziguli zakudala, zikhetha udokotela ngesitayela sendabuko "esekelwe udokotela".
Laba odokotela bavame ukuchitha isikhathi esincane bechaza isimo futhi bafune ukufaka kancane ngesineke uma kuziwa ezinqumweni zokwelapha. Kodwa kukhona iziguli ezinjengaleyo ndlela. Eqinisweni, ucwaningo lwathola ukuthi lezi zinhlobo zeziguli zihanjiswe nodokotela abaneziguli, abanamathuba okulandela izincomo zokwelapha noma bazizwa banelisekile ngokunakekelwa kwabo kunokuba benesidingo esiphakathi nodokotela.
Ngenxa yalokho, kubalulekile ukufuna udokotela ogxilwe ngesiguli kuphela uma lokho kuyindlela yokukhetha oyithandayo. Isihluthulelo sokunakekelwa kwempilo kwekhwalithi sithola umhlinzeki ohlanganyela ngemigomo nemigomo yakho - ozoyilalela futhi ulandele uhlelo lwezokwelapha.
Yiziphi Izibonakaliso Udokotela Wakho Unendlela Eyisineke?
Kunezimpawu ezintathu ezihlukile ezidokotela ezigxilwe ngesiguli. Lokhu kubandakanya ukuphatha njengomuntu, ukuthuthukisa ubudlelwane nawe nokugcina ubuhlobo obuqhubekayo. Nansi ukubuka konke okubukeka kanje:
- Odokotela ababhekene neziguli bakuthinta njengomuntu . Izikhathi eziningi, odokotela bagxile kakhulu kulesi sifo noma isimo sokuthi bayakhohlwa ukuthi babhekene nomuntu wangempela onemizwa, ukukhathazeka, nokwesaba. Uma udokotela wakho ethatha isikhathi ukukuphatha njengomuntu, ekuqapheliseni nasekuqapheliseni ukwesaba nokukhathazeka kwakho, kungenzeka ukuthi udokotela ogxilwe ngesineke. Odokotela abagxilwe ngesineke bayaqaphela ukuthi abagcini nje ukwelapha isifo sakho noma isimo sakho. Bakhathazekile futhi ngokugcwele kwezempilo kanye nenhlalakahle. Ngenxa yalokho, bazimisele ukuthola okuningi mayelana nempilo yakho kunezimpawu zakho kuphela. Futhi banesithakazelo emicabangweni yakho, imizwa yakho, indlela yakho yokuphila, nemikhuba yakho. Zonke lezi zinto zisiza ukudweba isithombe sokuthi ungubani, okuzisiza ukuhlela uhlelo lwezokwelapha ezifunayo nezidingo zakho ezithile.
- Odokotela abagxilwe ngesineke baqala ukusebenzisana nawe . Uma udokotela wakho egxile ekubekezeleni, uyakuthinta njengomlingani lapho wenza izinqumo zokunakekelwa kwezempilo. Esikhundleni sokusebenza njengegunya lokugcina, udokotela ogxilwe ngesiguli uzokuvumela ukuba ube nezwi uma kuziwa ohlelweni lwakho lwezokwelapha. Ngaphezu kwalokho, udokotela ujwayele ukunikeza zonke izinketho kubandakanya izingozi nezinzuzo futhi kuvumela isiguli ukuba senze isinqumo ngokusekelwe emigomeni, izindinganiso, nezintandokazi zakhe. Ukhuthaza imibuzo futhi unesineke ekuxoxiseni zonke izindlela. Uma uzizwa sengathi udokotela wakho ukhuluma nawe noma uzama ukukuphoqa ukuba wenze isinqumo esithile, lo dokotela akafaki ukugxila okugxilwe ngesiguli. Udokotela ogxilwe nesiguli ufuna ukukunika amandla okwenza izinqumo ezisekelwe ezempilo ezifanelekile. Ngaphezu kwalokho, unelungelo lokunqaba ukwelashwa uma ufuna.
- Odokotela ababhekene neziguli balondoloza ubuhlobo obuqhubekayo . Le ndlela isho ukuthi isiguli nodokotela babe nobuhlobo lapho udokotela ejwayele izimo ezihlukile zesiguli. Ngamanye amazwi, udokotela ufuna ukwazi ukuthi yini enye eyenzekayo empilweni yesiguli kuhlanganise nalokho ochwepheshe ababonayo nokuthi yiziphi ezinye izimo abhekene nazo. Uma udokotela enesithombe esiphelele sempilo yesiguli, ukwazi kangcono ukubhekana nayo yonke impilo yakhe. Futhi angase abe nezinhlelo ezikhona ukuze aqondise ukunakekelwa nabanye abahlinzeki, futhi uthathe indlela esebenzayo ekukhulumeni nabanye odokotela nodokotela.
Izwi elivela
Uma ufuna udokotela, tshela umuntu ofanayo nesitayela sakho nezintandokazi zakho. Khumbula, izimo zengqondo nodokotela zihlukile futhi ukuthola umdlalo omuhle kubalulekile. Ukwenza kanjalo ngeke kusize kuphela ukuthi uneliseke kangakanani ngokunakekelwa okwenziwe kodwa futhi kungase kunqume ukuthi kungenzeka yini ukuthi ulandela iseluleko sabo noma cha.
> Imithombo:
> Epstein, uRonald M. kanye noMgwaqo, uRichard L. "Izimiso Nokubaluleka Kwezokunakekelwa Okuneziguli," I-Annals of Medicine Family , 2011. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3056855 /