Indlela yokwazi uma udinga umbono wesibili
Abantu benza amaphutha nsuku zonke, futhi odokotela abavikelekile kuleli qiniso. Ngaphezu kwalokho, odokotela abathile banokuzethemba kakhulu kuyilapho abanye bevame ukuhlukumezeka. Ngakho ukutholakala kwabo nezincomo zingahluka ngokuphawulekayo. Ngenxa yalesi sizathu, iziguli ezengeziwe zithola imibono yesibili ngemva kokuxilongwa. Kungakhathaliseki ukuthi udokotela wakho uncoma ukuhlinzeka , uhlinzekela ukuhlolwa kwesifo somdlavuza noma uveza isifo esingavamile, kunezinzuzo eziningi ukuthola umbono wesibili.
Lezi zinzuzo zifaka konke okuvela ekuthuleni kwengqondo nokuqinisekiswa, ekuxilongweni okusha noma ohlelweni lwezokwelapha oluhlukile.
Ngisho noma umbono wakho wesibili uqinisekisa nje ukuthi usuvele uyayazi, kungase kuzuze. Ngemuva kwalokho, uzokwazi ukuthi wenze konke ongakwenza ukuqinisekisa ukuthi unesifo sokuxilongwa esifanele kanye nenqubo yokwelashwa ozizwa kahle kuwe. Umbono wesibili nawo unganikeza ukuqonda kwezinye izinketho zokwelapha okungenzeka ukuthi udokotela wokuqala angakhulumanga. Ngenxa yalokho, uthola ulwazi oluthe xaxa ngalokho okutholakala kuwe futhi ungenza isinqumo esikoleni mayelana nokunakekelwa kwezempilo kanye nesiphakamiso sakho sokwelashwa.
Ucwaningo Lithini Ngezici Zesibili?
Ucwaningo olwenziwe yi-Mayo Clinic lathola ukuthi cishe amaphesenti angu-88 eziguli afuna umbono wesibili azoshiya ehhovisi nge-diagnostic entsha noma ehlanjululwe. Phakathi naleso sikhathi, amaphesenti angu-21 abantu azohamba "ngokuhluke ngokuphelele" ukuxilongwa.
Ngakolunye uhlangothi, isifundo, esanyatheliswa kuyi- Journal of Evaluation ku-Clinical Practice , sathola ukuthi amaphesenti angu-12 weziguli azofunda ukuthi ukuxilongwa kwangempela kwakungalungile. Lokhu kusho ukuthi omunye weziguli eziyisihlanu ababonayo kwakutholakalisiwe ngokungalungile.
Ngesikhathi sokucwaninga, abacwaningi bahlaziya amarekhodi eziguli ezingama-286 ezibhekiswe odokotela bokunakekelwa okuyinhloko eMtholampilo kaGeneral General Internal Medicine Division eRochester.
Lolu cwaningo lwenzeka kusukela ekuqaleni kuka-2009 kuze kube sekupheleni kuka-2010. Izici ezashukumisela abantu ukuba bathole imibono yesibili zihlanganisa ukuthola ukuqinisekiswa kokutholakala kwabo, ukunganeliseki ngokubonisana, ukufuna ulwazi oluthe xaxa, nokubhekana nezimpawu eziqhubekayo.
Phakathi naleso sikhathi, ucwaningo oluphikisanayo olwenziwa ngabacwaningi kuJohns Hopkins Medicine luthi amaphutha ezempilo kufanele abe yizona eziyisikhombisa ezibangela ukufa e-United States, eqhubeka exhasa isidingo semibono yesibili. Ekutadisheni kwabo, balinganisela ukuthi abantu abangaphezu kuka-250 000 baseMelika bafa njalo ngonyaka ngenxa yeziphambeko zezokwelapha, okwenza amaphutha isisusa sesithathu esibangela ukufa ngemuva kwesifo senhliziyo nomdlavuza. Kodwa bathi lezi mphutha azibhalwa ngokunembile yizikhungo zokulawula izifo.
Ngabe Kufanele Uthole Yini Umbono Wesibili?
Ngenkathi ungadingi isizathu sokuthola umbono wesibili, kunezikhathi lapho ukuthola umbono wesibili kungaba yindlela engcono kakhulu yokusebenza. Ngaphezu kwalokho, uma odokotela ababili obona kakhulu bengavumelani, kungaba ukuhlakanipha ukuthola umbono wesithathu. Khumbula futhi ukuthi umbono wesibili awuwona umbono omuhle. Isihluthulelo ukugcina ukumba kuze kutholakale ukuthi ukuxilongwa nokwelapha kunengqondo kuwe:
- Thola umbono wesibili uma uthola ukwelashwa kodwa izimpawu zakho ziyaqhubeka . Akekho owazi umzimba wakho kangcono kunakho. Futhi uma izimpawu zakho ziphikelela ngisho nangemva kokwelashwa, kungase kube yisikhathi sokufuna iseluleko sabodokotela nabachwepheshe abahlukene. Ngokuvamile, abantu abaziphakamisi ngokwabo. Esikhundleni salokho, bacabanga ukuthi bazohlale behlala nobuhlungu obungapheli noma imizwa engakhululekile. Kodwa khumbula, indlela kuphela ozoyithola ukuthola ukwelashwa okusebenzayo uma uthola ukuhlonza kahle. Ngakho-ke uma ungazizwa ungcono futhi izimpawu zakho azihambanga, ungalungisi lokho. Finyelela kwabanye odokotela ngemibono yabo.
- Thola umbono wesibili uma uthola ukuthi unesifo esingavamile . Ngezinye izikhathi izifo zivame kakhulu ukuthi kukhona ucwaningo oluncane kakhulu emva kwabo. Uma lokhu kwenzeka, kungakhungathekisa futhi kusabise ukuthola ukuthi uthola ukuthi kukhona into engavamile. Kodwa awodwa. Cishe umuntu oyedwa kwabangu- 10 baseMelika uthola ukuthi unesifo esingavamile . Ngaphezu kwalokho, kunezinkinga ezingavamile ezingaziwa ezingu-7 000 ezitholakala ngokungazitholi ngokuthola okuningi ngonyaka ngamunye ngokusho kweNational Organization for Rare Disorders. Ngenxa yokuthi kunolwazi oluncane olutholakalayo mayelana nezifo ezingavamile nezinkinga, kubalulekile ukwenza ucwaningo lwakho, ngoba ubungozi bokungaboni kahle ngendlela efanele kubalulekile. Funa odokotela kanye nochwepheshe abaye baphatha isifo sakho futhi bathola umbono wabo. Ufuna ukuqinisekisa ukuthi uthola ukwelashwa okungcono kunesimo sakho.
- Thola umbono wesibili uma ukwelashwa okunconywe kuyingozi, kuhilela ukuhlinzwa, kuyingozi noma kunemiphumela yesikhathi eside . Akukaze kuhlakaniphe ukuvuma ukuhlinzwa noma enye inqubo engavamile ngaphandle kokuhlola izinketho zakho. Noma kunjalo, abanye abantu banomuzwa wokuthi uma udokotela ebonisa inqubo, kufanele bavumelane nayo. Kodwa khumbula ukuthi ngumzimba wakho nokuphila kwakho. Wena unayo yonke into lapho uvumelana khona. Ngenxa yalokho, kungase kube ukuhlakanipha ukuthola umbono wesibili uma udokotela wakho ekhuthaza okuthile okubalulekile njengokuhlinzwa. Ukuzibandakanya nokuqoqa ulwazi oluthe xaxa kuzokunika izinga eliphakeme lokulawula ukwelashwa kwakho ekugcineni.
- Thola umbono wesibili uma utholakala unomdlavuza. Ngento enzima njengomdlavuza, ukufaka okuvela kwesinye isazi kumane kunengqondo. Akukhona nje kuphela ukuthi ukuxilongwa komdlavuza kungadideka futhi kuphazamiseke, kodwa kuyisenzakalo esishintsha ukuphila. Ngakho-ke, kubalulekile ukuba ukwazi kabanzi mayelana nokubikezela kwakho kanye nezinketho zokwelapha ezingatholakala kuwe. Khumbula ukuthi akekho udokotela owaziyo ngokuphelele mayelana nokuthola okuvela kulowo nalowo cwaningo olulodwa kanye nokuhlolwa kwezomtholampilo ezweni. Odokotela bangabantu kuphela. Yingakho udinga ukuzimela . Ukuthola imibono eyengeziwe kuthuthukisa amathuba okuba uhambe ngezinhlelo zokwelashwa ezingcono kakhulu, Ngaphezu kwalokho, abanye abahlinzeki bomshuwalense badinga umbono wesibili uma kuziwa ekuxilongweni komdlavuza.
- Thola umbono wesibili uma ukusabela kwakho kwamathambo kukutshela ukuthi kukhona okuphelile. Ngandlela-thile uma ungakhululekile ukuxilongwa noma ukwelashwa okunconywayo, thola umbono wesibili. Akufanele nanini uvumelane nenqubo noma uhlelo lwezokwelapha uma ungajabuli ngakho. Thembela emathunjini akho bese ubutha ulwazi oluthe xaxa. Buza imibuzo mayelana nemigomo yakho . Khuluma nabangani. Hlangana nodokotela omusha. Futhi funda ngesimo sakho. Akekho okufanele abe nomuzwa wokuthi kufanele alandele imiyalo kadokotela ngaphandle kokubuza imibuzo nokuqoqa ulwazi oluthe xaxa. Izinqumo ezimbalwa zokunakekelwa kwezempilo kufanele zenziwe lapho. Ngakho uma kukhona okungazizwa kahle, ngakho-ke, cwaninga isimo sakho bese ukhuluma nomunye udokotela.
Izwi elivela
Khumbula, awunzima noma awuphiki ngesimo sakho uma ucela umbono wesibili. Uhlakaniphile futhi unikwe amandla . Kufanele ngaso sonke isikhathi uthathe ingxenye ekhuthele ekunakekeleni kwezempilo, futhi ukuthola umbono wesibili yingxenye ebalulekile yale nqubo. Ngaphezu kwalokho, odokotela abaningi balindele futhi bakhuthaze imibono yesibili. Ngakho, vuka phambili nodokotela wakho ngesifiso sakho sokuqoqa ulwazi oluthe xaxa. Futhi uma engakusekeli noma ekunika isikhathi esinzima, kungase kube yisikhathi sokuba udokotela omusha.
> Imithombo:
> I-National Institute of Health. "Imibono yesibili eyenziwe ngesineke: ukubuyekezwa okuhlelekile kwezici nomthelela ekuxilongweni, ukwelashwa, nokwaneliseka," I-US National Library of Medicine, Meyi 2014. https://www.ncbi.nlm.nih.gov/pubmed/24797646
> I-NPR. "Iziphambeko Zezokwelapha ZinguNo. 3 Imbangela Yokufa Kwe-US, Abacwaningi Bathi", Meyi 3, 2016. http://www.npr.org/sections/health-shots/2016/05/03/476636183/death-certificates-undercount -i-toll-of-medical-amaphutha
> Young, EZ. "Abacwaningi baseMayo Clinic babonisa ukubaluleka kwemibono yesibili," iMayo Clinic News Network, ngo-Ephreli 2017. https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-researchers-demonstrate-value-of-second-opinions/