Ukuthinta Impumelelo Yokwelapha
Udokotela omuhle uphatha lesi sifo; udokotela omkhulu uphatha isiguli esinesifo ~ uWilliam Osler (iCanada Physician, 1849-1919)
Wake wazibuza ukuthi iziphi iziguli ezifuna ukuhlangana nodokotela? Emicabangweni yodokotela oyedwa (Delbanco, 1992) :
- Iziguli zifuna ukukwazi ukwethemba ikhono nokusebenza kwabanakekeli babo.
- Iziguli zifuna ukukwazi ukuxoxisana ngokucophelela uhlelo lokunakekelwa kwezempilo futhi ziphathwe ngesithunzi nenhlonipho.
- Iziguli zifuna ukuqonda ukuthi ukugula noma ukwelashwa kwabo kuzothinta kanjani izimpilo zabo, futhi bavame ukwesaba ukuthi odokotela babo ababalitsheli konke abafuna ukwazi.
- Iziguli zifuna ukuxoxa ngomphumela ukugula kwabo kuzoba nazo emndenini, kubangani, nakwezimali zabo.
- Iziguli zikhathazeka ngekusasa.
- Iziguli zikhathazeka futhi zifuna ukufunda indlela yokuzinakekela zona ngaphandle kwendawo yokuthola imitholampilo.
- Iziguli zidinga odokotela ukuba bagxile ebuhlungu babo, ukukhathazeka ngokomzimba, nokukhubazeka okusebenzayo .
Ubuhlobo
Ubuhlobo phakathi kwesineke nodokotela buye kwahlaziywa kusukela ekuqaleni kwawo-1900. Ngaphambi kokuba umuthi ube nesayensi ngaphezulu kunezobuciko, odokotela basebenze ukucwenga indlela yabo yokulala, ngoba ukuphulukiswa kwakungenakwenzeka futhi ukwelashwa kwaba nomphumela ongenamkhawulo.
Phakathi nekhulu leminyaka lapho isayensi nobuchwepheshe bevela khona, izici zobuntu zokunakekelwa kwezempilo zavalwa.
Manje kunesithakazelo esivuselelwe emithi njengendlela yenhlalo. Udokotela angenza umonakalo omkhulu kumguli ngesigxobo segama njengokuthi isigaxa sommese.
Izingxenye ze-Instrumental and Expressive
Ubuhlobo bodokotela nesiguli buwela ubukhulu obubili:
- insimbi
- okucacile
Ingxenye "yezinsimbi" ihilela ikhono lomdokotela ekwenzeni izici zobuchwepheshe zokunakekelwa okufana nalokhu:
Isici "esichazayo" sibonisa ubuciko bemithi, kufaka phakathi ingxenye ebuthintekayo yokuxhumana njengokufudumala nozwela, nokuthi udokotela usondela kanjani esigulini.
Abaguli Abavamile-Odokotela Ubudlelwano Amamodeli
Umsebenzi-Wokunciphisa Isibonelo - Akuyona Isibonelo Esihle Kunazo zonke I-Arthritis Esingapheli
Ngombono wabanye abantu ukuthi umehluko phakathi kwamandla phakathi kwesiguli nodokotela kuyadingeka ekwenzeni ukwelashwa okuqhubekayo. Isiguli sifuna ulwazi kanye nosizo lwezobuchwepheshe, kanti udokotela udala izinqumo okufanele isiguli esamukele. Yize lokhu kubonakala kulungile ezimweni eziphuthumayo zezokwelapha, lo modeli, owaziwa ngokuthi imodeli yomsebenzi-wokungahambi kahle, uye walahlekelwa ukuthandwa kakhulu ekuphatheni izimo ezingapheli, njenge- rheumatoid arthritis ne- lupus . Kulo modeli, udokotela uthatha isiguli ngesibindi, kodwa isiguli asihambisani futhi asikwazi ukulawula.
Isibonelo Sokubambisana - Isibonelo Esivame kakhulu
Imodeli yokuqondisa-yokubambisana yilapho ivame kakhulu emisebenzini yezokwelapha yamanje. Kulesi sibonelo, udokotela uncoma ukwelashwa futhi isiguli sisebenzisana. Lokhu kuyavumelana ne "udokotela uyazi kangcono" inkolelo lapho udokotela ewasekela futhi engesilo igunya, kodwa unesibopho sokukhetha ukwelashwa okufanele.
Isiguli, esinamandla amancane, kulindeleke ukuba silandele izincomo zodokotela.
Isibonelo sokubamba iqhaza kokubambisana - Isibopho esabiwe
Kwimodeli yesithathu, imodeli yokubambisana , udokotela nesiguli banomthwalo wemfanelo wokwenza izinqumo nokuhlela inkambo yokwelapha. Isiguli nodokotela bahlonipha omunye nomunye ngokulindela, iphuzu lokubuka, kanye namagugu.
Abanye baye bathi lokhu kuyisibonelo esifanele kunazo zonke izifo ezingapheli, njenge-arthritis ye-rheumatoid ne-lupus, lapho iziguli zinomthwalo wemfanelo wokusebenzisa ukwelashwa kwazo nokunquma ukusebenza kwayo.
Izinguquko esimweni sezimo zengqondo ezingapheli zidinga udokotela nesiguli ukuba babe nokuxhumana okuvulekile.
Yikuphi Ngempela Isibonelo Esifanele Sokwelashwa Okungapheli?
Amanye ama-rheumatologists angase abe nomuzwa wokuthi ukulinganisa okuhambisana nodokotela nesiguli kunendawo phakathi kokuqondisa-ukubambisana nokuhlanganyela ngokuhlanganyela. Empeleni, uhlobo lobuhlobo lobunikazi-lobunikazi lungase luguquke ngokuhamba kwesikhathi. Ekuqaleni, ngesikhathi sokuxilongwa, imfundo nesiqondiso kuyasiza ekufundeni ukuphatha lesi sifo. Uma sekuhlelwe izinhlelo zokwelapha, isiguli sigxila ekuboniseni imodeli yokubambisana njengoba kuqapha izimpawu zabo, kubika ubunzima, futhi basebenze nodokotela ukuze bashintshe uhlelo lwabo lwezokwelapha.
Ukuphumelela Ukwelashwa
Ukuphumelela kokwelashwa kuncike ekutheni isiguli senza iziqondiso zodokotela (okungukuthi, ukulandela). Izinketho zokwelashwa ze-arthritis zingabandakanya:
- ukuthatha imithi enqunyiwe
- uhla lwezinyathelo nokuqinisa umzimba
- amasu wokuvikelwa okuhlangene
- izidakamizwa zemvelo
- amasu okusiza ubuhlungu
- ukudla okulwa nokuvuvukala
- ukulawula isisindo
- ukwelashwa ngokomzimba
Ukungahambisani nomsebenzi wokwelashwa kubonisa ukuthi umphumela omubi, ngokucabanga ukuthi:
- ukwelashwa kufanelekile futhi ngokuvamile kusebenza kahle
- kukhona ubudlelwane phakathi kokunamathela kanye nempilo ethuthukisiwe
- isiguli sikwazi ukwenza uhlelo lokwelapha
Yiziphi Imiphumela Zomuthi Ophumelelayo-Udokotela Ubudlelwane?
Uma ubudlelwane nodokotela-isiguli kuhlanganisa ikhono nokuxhumana, ngokuvamile kunamathela okubhekele ukwelashwa. Uma ukunamathela kangcono kokwelapha kuhlangene nokwaneliseka kwesiguli ngokunakekelwa, UKUTHUTHUKISWA KWEMPILO kanye NEMPILO EPHAMBILI YOKUPHILA yimiphumela elindelekile. Ngezansi: Impumelelo yokwelashwa ingathinteka kakhulu ubuhlobo nodokotela-isiguli.
Umthombo:
Ukuqonda I-Arthritis Ye-Rheumatoid ka-Stanton Newman, uRay Fitzpatrick, u-Tracey A. Revenson, uSuzanne Skevington noGareth Williams. Ishicilelwe nguRoutledge. 1996.