Lezi zindinganiso zenkinga uma uhlela inqubo yakho
Ukuhlinzwa okuhlanganyelwe okuhlanganyelwe kusebenza ngokuphindaphindiwe-ngaphezu kwesigidi esiphezulu se-hip kanye namadolo asetshenziswa minyaka yonke e-United States, futhi imiphumela ihle kakhulu. Lokho kusho ukuthi kunezinkinga ezingase zenzeke, futhi ngezinye izikhathi imiphumela ingaba yimbi kakhulu uma yenza.
Ngenxa yalesi sizathu, iziguli kanye nodokotela abahlinzayo bazama kakhulu ukuthatha izinyathelo ezidingekayo ukuze bagweme ukucindezeleka .
Isinyathelo esisodwa ongazithatha ukukhomba udokotela ohlinzayo ofanele nesibhedlela esifanele ukwenza inqubo yakho. Lezi ezinye izindlela ongazisebenzisa ukuhlola uma ukhetha.
Ukukhetha udokotela ohlinzayo
Kunezici eziningi abantu abazozisebenzisa ukuze babone udokotela ohlinzayo abathembele futhi abathembele kuye. Isici esisodwa esibucayi yilokho okuhlangenwe nakho kwakhe. Okuhlangenwe nakho akuncane ngokuthola udokotela ohlinzayo oye wenza ukushintshwa okuhlanganyelwe amashumi eminyaka nangaphezulu ngokuthola udokotela ohlinzayo ovame ukusebenza ngokuhlinzwa ngokuhlanganyela.
Ayikho inombolo enomlingo okumele ihlose yona, kodwa izifundo zibonise njalo ukuthi odokotela abahlinzayo abanevolumu ephezulu yokuhlinzwa okwenziwe ngaphansi kwemiphumela yabo yokukhiqiza ibhande nezinkinga ezimbalwa. Ucwaningo oluthile luye lwabala izinombolo ezinqunywe ku-25, ezinye ezingu-30, kanye nabanye abahlinzeki abangu-50 ngonyaka.
Akufanele uzizwe unganqikazi ukubuza udokotela wakho odokotela ngevolumu yabo. Nginakuqinisekisa ukuthi lokhu akuyona umbuzo ongavamile, futhi odokotela kufanele baphelele ngokukhululekile ukwabelana ngesimiso neziguli ezingenzeka.
Ngezinye izikhathi kulula ukubuza udokotela wakho ohlinzayo uma enza izinguquko ezihlangene njalo ngesonto noma ngenyanga, kunokuba acele inombolo eyenziwa ngonyaka.
Okunye okucatshangwayo
Inani lezinqubo zokuhlinzwa umuntu azenzayo kuphela umgomo ongayisebenzisa ukuhlola okuhlangenwe nakho kwabo.
Ezinye iziguli zizophinde ziqhathanise ukuqeqesha kwabo odokotela abahlinzayo, izitifiketi zabo zebhodi, nezinye izici, kodwa lokhu akubonwanga ukuthi kunomthelela omkhulu njengendlela ivolumu yokuhlinzwa eyenziwa minyaka yonke.
Ukuhamba amabanga amade ukuba ube nokujoyina ngokuhlanganyela akudingekile, njengoba kunabaningi abahlinzayo abanekhono ezweni lonke. Ngaphezu kwalokho, ukuhamba amabanga amade kungenza kube nzima ukulandelela, isici abantu abaningi abahluleka ukukucabangela.
Okokugcina, ngihlale ngikhuthaza abantu ukuba bazi udokotela wabo odokotela futhi baqiniseke ukuthi banobungane obuhle nobuhlobo.
Ukukhetha Isibhedlela
Okufana nokuhlangenwe nakho kokuhlinza kubalulekile, isipiliyoni esibhedlela siye saboniswa ukuthi siyinto ebalulekile. Ucwaningo lubonisa ukuthi izibhedlela ezenza izinqubo zokuhlinzekwa ezihlangene ezingaphansi kwezingu-100 minyaka yonke zinamazinga aphezulu okuhlukumezeka kanye nezindleko ngaphezu kwezibhedlela ezenza izinguquko ezingaphezu kwezingu-100 ngonyaka. Njengomsebenzi wokuhlinza udokotela, ayikho inamba yemilingo, kanti ezinye izifundo zisebenzisa ukuhlukaniswa okuhlukile, kodwa ukufuna isibhedlela esenza okungenani ukushintshwa okuhlanganyelwe okungu-100 njalo ngonyaka kuyindawo enhle yokuqala.
Izibhedlela eziningi ezivame ukwenziwa ngokuhlinzwa okuhlangene nazo zinikeza uhlelo oluthile lwezinhlelo zokujoyina okubandakanya imfundo ye-preoperative kanye nezinqubo eziqinisekisiwe ukuqinisekisa ukuthi iziguli zithola ukunakekelwa okufanele ngesikhathi esifanele ngesikhathi nangemva kokuhlala esibhedlela.
Idatha ongayisebenzisa
Kunezindlela zokuqhathanisa imiphumela yesibhedlela kusukela ekusebenziseni okuhlanganyelwe kokujoyina. Isibonelo, i-Medicare ilandela izinkinga ezihlobene nesibhedlela ngemuva kokunyakaza nokuguqulwa kwamadolo, futhi lezi zinkinga zokuxilongwa zingacutshungulwa kalula kwi-intanethi. I-Medicare's Hospital Qhathanisa iwebhusayithi ikuvumela ukuba useshe amazinga okucindezeleka ezingaphezu kuka-4,000 izibhedlela zase-United States. Kuhlanganiswe idatha yokusesha ulwazi mayelana kokubili ukuguqulwa kwe-hip nokuhlinzwa kokuguqula amadolo.
Ngenkathi idatha etholakalayo kungeyona imininingwane yamuva kakhulu, ikunika umqondo wokuthi isibhedlela senze kanjani eminyakeni embalwa edlule.
Izibhedlela eziqinisekisiwe
I-Joint Commission, inhlangano ehloniphekile yesitifiketi esibhedlela, inikeza isitifiketi sezikhungo zobuhle ngokufakwa esikhundleni se-hip namadolo. Ukuze kufinyelele leli zinga lesitifiketi, izibhedlela kumele zibonise amazinga aphezulu enhlangano ezungeze izinhlelo zabo zokuqhafaza endaweni.
Ngokucacile, isitifikedi se-Joint Commission sigxile ekuqinisekiseni ukuthi kunezinqubo nezindinganiso ezikhona ukuqinisekisa ukuxhumana okuphumelelayo nokunamathela emisebenzini esekelwe ebufakazini. Lesi esinye seziguli zamathuluzi e-intanethi angasebenzisa ukuhlola ukuthi isibhedlela senza kahle kanjani uma kuziwa ekugumbeni nasekuguqeni ngamadolo.
Izwi elivela
Ukukhetha udokotela ohlinzayo kanye nesibhedlela kukhona izinqumo ezimbili eziningi ezingathinta amathuba okuphumelela ngemuva kokuhlinzwa okuhlanganyelwe kokujoyina. Kunezinye izinyathelo eziningi iziguli ezingathatha ukuze zithuthukise imiphumela yazo kusukela ekuhlinzekeni. Ngokuqonda kabanzi mayelana nokuhlinzwa kokujoyina okuhlanganyelwe, izinkinga ezingase zenzeke, nezinyathelo ongayithatha ukuze ugweme lezi zinkinga, uzozibeka ngendlela engcono kakhulu yokuthola indawo ehlangene yokuhlala, engenabuhlungu.
Kubalulekile ukuqonda ukuthi ayikho inqubo eyodwa ebaluleke kakhulu. Kunalokho, ukuthatha izinyathelo ezincane ezincane kungasiza ekuthuthukiseni amathuba akho kumphumela ophumelelayo. Njengoba nje ubheka udokotela ohlinzayo ofanele kanye nesibhedlela esifanele, kufanele uqaphele impilo yakho ejwayelekile, ugcine isisindo sakho esihle, uhlanganyele emisebenzini yangaphambi kokusebenza, ungabhemi, ugweme utshwala, futhi uthathe ezinye izinyathelo ukuze uthole ithuba eliphakeme kakhulu yomphumela ophumelelayo.
> Imithombo:
> Bozic KJ, Maselli J, Pekow PS, Lindenauer PK, Vail TP, Auerbach AD. "Ithonya lezinqubo eziningi kanye nokulinganisa ukunakekelwa kwekhwalithi kanye nokusebenza kahle ngokubambisana okuphelele kokujoyina" J Bone Joint Surg Am. 2010 Nov 17; 92 (16): 2643-52.
> I-Courtney PM, uFrisch NB, uBohl DD, uDella Valle CJ. "Ukwenza ngcono i-Value in Total Hip and Knee Arthroplasty: I-Role of High Volume Hospital" J Arthroplasty. 2018 Jan; 33 (1): 1-5.
> Critchley RJ, Baker PN, Deehan DJ. "Ingabe ivolumu yokugqoka iyathinta umphumela ngemva kokuqala futhi ubuyekezwe i-knee arthroplasty? Ukubuyekezwa okuhleliwe kwezincwadi" Knee. 2012 Oct; 19 (5): 513-8.