Ukwengeza KuDokotela We-Asthma Wakho
Udokotela oyinhloko wokunakekelwa , obizwa nangokuthi udokotela we-PCP noma umndeni, uvame ukukhonza njengomholi wethimba lakho lezempilo. Nakuba ezinye izazi ze-asthma zisebenza njengomhlengikazi oyinhloko weziguli zabo, ngezinye izikhathi ngithola ukuhanjiswa okuyinhloko kwabachwepheshe be-asthma. Iziguli ngezinye izikhathi zididekile ngokuthi kungani lokhu kwenzeka futhi ngiye ngaba neziguli ezazicabanga ukuthi zishiywe (hhayi icala) udokotela wabo othandekayo we-asthma.
Yeka ukuthi udokotela oyinhloko uyayithatha kanjani
Umbuzo wokuqala engiwuthola ezigulini ze-asthma noma abazali mayelana nokuthi badinga udokotela oyinhloko oyinakekela noma cha? Kuhamba into enjengale "Kungani sidinga ukubona omunye udokotela," noma "Ingabe wena noDkt. X uyavumelana ngokunakekelwa kwethu?" Ngokudalulwa ngokugcwele, ngingudokotela oyinhloko wokunakekela emsebenzini wami wangempela, ngakho kufanele akukumangazi ukuthi ngizosho yebo-ngicabanga ukuthi cishe wonke umuntu udinga i-PCP. Ngiyazi ukuthi lokhu kungase kungabi umsebenzi olula njengoba iziguli eziningi zikhononda ukuthi zinenkinga enzima ukuthola i-PCP . Izingxenye eziningi zase-US, ikakhulukazi ezindaweni zasemaphandleni zibhekene nokuntuleka kokunakekelwa okuyinhloko. Ukwengeza, umshuwalense wakho ungase futhi uqondise ngendlela ethile ukuthi uyakwazi ukubona.
Udokotela wakho wokunakekela oyinhloko uhlela konke ukunakekelwa kwezempilo futhi kufanele asebenze njengomholi wethimba lakho lezempilo. Ezimweni eziningi, kuyoba udokotela wakho wokunakekela oyinhloko okhomba isidingo sokudluliselwa okukhethekile futhi cishe uzokwenza iziphakamiso ngokusekelwe ezidingweni zakho.
Uma, isibonelo, udinga ukubona i- allergen ne- pulmonologist , i-PCP yakho izoxhumanisa ukunakekelwa phakathi kwalaba ababili. I-PCP yakho ingakusiza futhi uqonde futhi wenze izinqumo uma uthola izincomo ezihlukile kusuka kokubonisana kwakho okukhethekile.
Udokotela wakho okhethekile we-asthma angase angafuni ukukubona ukutheleleka kwamagciwane, ubuhlungu besisu noma ezinye izinkinga zezokwelapha.
Abanye ochwepheshe be-asthma bangase bangazizwa bekhululekile ukuphatha izinkinga zokukhulelwa noma ngisho nokuphatha ezinye izinkinga zezokwelapha ezifana nesifo sikashukela noma umfutho wegazi ophakeme. Ngisho noma bekhululekile, umkhuba wabo ungase ube matasa kangangokuthi abanaso isikhathi sokubhekana nosuku olulodwa nezidingo zezinsuku zempilo yakho jikelele.
Okunye okunye engikubonayo ngezinye izikhathi abantu abahlala nochwepheshe babo bezingane isikhathi eside kakhulu. Ngesinye isikhathi isazi sezingane siyanqika ukuyeka, noma isiguli noma abazali abafuni nje. Nakuba i-philphysiology ye-asthma ingaba yinto efanayo, ngicabanga ukuthi odokotela abadala akufanele banakekele izingane, futhi izingane zidinga ukuqhubekela kudokotela omdala uma zisezingeni elifanele. Ngenkathi i-age ngqo ingabonakali, isifo se-asthmatic eneminyaka engama-40 akufanele, ngokombono wami, sibheke udokotela wezingane noma udokotela wezinsipho zabo.
I-PCP yakho cishe izokwazi (futhi kufanele ikwazi) ukuphatha i-asthma kuze kufike iphuzu kuhlanganise nokuphathwa okunamandla nokuhlala njalo. I-PCP yakho inikeza futhi ukuhlolwa nokwelashwa kwezinye izimo. Isazi se-asthma singakwazi noma singanikezi lezi zinsizakalo. Isibonelo, isazi singase singanikezeli ukunakekelwa kowesifazane kahle njengoba indodakazi yakho ikhula, angeke inikeze ngezinsizakalo zendodana yakho uma iqala ukwenza kahle esikoleni, noma ikunikeze ukuhlaziywa okuphelele kokugoma.
Ngakolunye uhlangothi, udokotela wakho wokunakekela oyinhloko angeke abe nomshini we- PFT kanye nezinye izinto ezikhethekile ehhovisi labo ochwepheshe be-asthma abakwenzayo.
Udokotela oyinhloko wokunakekelwa ukhathalela ngomlando wakho wezokwelapha nomndeni wakho engqondweni. Ukuya kwelinye uhlobo lokunakekelwa okusheshayo noma ukunakekelwa okuphuthumayo kungaholela endleleni encane. Udokotela oyinhloko wokunakekelwa kungenzeka ukuthi aqonde izinto ezithile mayelana nawe njengesiguli esinjengakho kungani uqhubeka ukubhema, kungani wenza ukudla okuthile noma ukuzikhethela ukuzikhethela. Udokotela oyinhloko wokunakekelwa uzokwenza izincomo mayelana nokunakekelwa kwezempilo okuvikelayo futhi uzoqapha i-asthma yakho ngecebo lakho lesenzo se-asthma.
Ucwaningo luye lwabonisa ukuthi abantu abanezihlobo nama-PCP ngokuhamba kwesikhathi banemiphumela engcono yempilo kubandakanya izindleko eziphansi kanye namazinga okufa okuphansi. Abantu abaningi bathuthukisa izibopho ezinamandla ngaphezu kweminyaka nodokotela wabo wokunakekela oyinhloko.
Umehluko Phakathi Kokuchwepheshe We-Asthma neDokhumenti Yakho Yonke
Uchwepheshe we-asthma cishe udokotela oye waqhubeka nokuqeqeshwa okwengeziwe kwipulmonology (ukuxilongwa nokwelashwa kwezifo zamaphaphu) noma ukulwa nokugula / ukuzivikela (ukuxilongwa nokwelashwa kwezifo ezithathelisayo). Zombili lezi zici zidinga ukuphothulwa esikoleni sezokwelapha kanye nohlelo lokuhlala, cishe imithi yangaphakathi noma izingane.
Lokhu kuqeqeshwa kufana kakhulu nokuqeqeshwa udokotela wakho wokunakekela oyinhloko ophelile. Isazi se-asthma sichitha iminyaka engaphezu kwemibili kuya kwemi-3 egxile ekukhethweni kwabo abakhethiwe. Ekuqeqesheni okukhethekile, udokotela wakho ugxile eqenjini elincane futhi elithile lezifo ezibandakanya i-asthma.
Ingabe i-PCP yakho idinga ukuba yi-MD?
Namuhla kunezinketho eziningi ezahlukene zokuba ne-PCP. Ezinye izinhlobo zabahlinzeki ezifana nomhlengikazi nodokotela osizayo ongakwazi ukukugcwalisa le ndima. Ngoba laba bahlinzeki bavame ukuchitha isikhathi esiningi neziguli, ezinye iziguli zizithanda.
Kuye ngokuqeqeshwa kwabo, amazwe amaningi adinga ukuqondisa okuqondile noma okungaqondile kanye nesivumelwaneni sokusebenza nomdokotela onelayisense kumbuso wakho. Izikhathi eziningi ama-PAs nama-NPs asebenza ngaphakathi ehhovisi nabanye odokotela abaningi. Uma ngabe i-PA noma i-NP idinga, bangakwazi ukugijima umbuzo ngumuntu osebenza naye noma ubonile nge-MD uma kudingeka.
Kungakhathaliseki ukuthi ngumuphi udokotela ozohola iqembu lakho le-asthma, ufuna ukuqinisekisa ukuthi uyaqonda uma kunzima ukuthola i-aphoyintimenti. Into yokugcina oyifunayo ukugula bese utshelwe ukuthi kuyoba amaviki amathathu ngaphambi kokuba uthole i-aphoyintimenti. Ungase futhi ufune ukubuza udokotela wakho ukuthi yini entsha ngokunakekelwa kwe-asthma. Ngenkathi i-albuterol isilokhu ihlala isikhathi eside futhi imithi yokuhlola i-asthma, kukhona izindlela zokwelashwa ezintsha ezitholakalayo futhi imithi ka-1970 ingase ingabi yindlela engcono kakhulu yokukhetha i-asthma yakho namuhla. Omunye umbuzo ongase uthande ukucabangela ukubuza ukuthi yimiphi imithi engase ikwazi ukumiswa noma iyancipha emthamo. Okokugcina, ungase ufune ukubuka amarekhodi akho. Uma udokotela wakho ephikisana nesicelo sakho, yazi ukuthi i-HIPAA noma iMtsetfo weMtsetfo weMtsetfo wekuPhatfwa kweMtsetfo wekuPhatfwa kweMtsetfo newekuPhatfwa kweMtsetfo kutsi utfola ikhophi yemarekhodi akho etikwelapha uma uceliwe kuto bobabili odokotela kanye nezibhedlela lapho uthola khona ukunakekelwa.
Ngidinga Ochwepheshe?
Siyazi ukuthi i-asthma yisifo esiyinkimbinkimbi kakhulu, ngakho ukunakekelwa kwekhwalithi kubaluleke kakhulu kuwe. Ngaphandle kokunakekelwa okuhle, ikhwalithi, cishe uyothola imiphumela engathandeki njenge:
- Ungeniswe esibhedlela
- Vakashela umnyango ophuthumayo ukuhlaselwa yisifo se- asthma
- Thuthukisa izimpawu ezinzima ze-asthma
- Unganeliseke kancane nge-asthma yakho
Lokhu okulandelayo kungukuthi kufanele ucabange ukubona isazi se-asthma:
- Ukulandela ukuhlasela kwe-asthma okusongela impilo, ukuzwa, noma ukungena kwi-unit yokunakekelwa okukhulu kwe-asthma.
- Ukulandela ukuhlaselwa kwesifo se-asthma okudinga ukunakekelwa esibhedlela.
- Ukuze uthole i- asthma engalawulwa kabi naphezu kokulandela imiyalelo kadokotela wakho nokuthatha imithi ngokufanele emva kwezinyanga ezintathu kuya kwezingu-6 zokwelashwa.
- Uma ufuna ukuhlaziywa kwezibhamu zokungalingani ukuze usize ukulawula izifo ze-asthma.
- Uma usebenzisa i- oral steroids ukuze ukhathazeke ngokweqile izimpawu ze-asthma
- Uma ukuqina kwesimo sakho se-asthma okwamanje kunomqondo oqhubekayo noma okubi kakhulu.
- Uma wena noma ingane yakho udinga imfundo eyengeziwe ye-asthma.
> Umthombo
> Ukukhetha umhlinzeki wokunakekela oyinhloko. I-Medline.