Somurwere, chimwe chekutya kwako kwakanyanya kungave kuti chimwe chinhu chinopera panguva yekurapa kwako. Kana kukanganisa kwakaipisisa - chirwere chitsva kana kukuvadzwa-kunokonzerwa nekutarisira kubva kwachiremba kana mumwe mushandi wehutano, inorondedzerwa se "iatrogenic."
Iatrogenic zviitiko hazviwanzovi nechinangwa, kunyange vatapi vezvokurapa vanhu uye zvikanganiso zvinogona kuitwa.
Izvi zvingaguma nekugadzirisa mamiriro ekurapa aripo kana kuti kukonzera nyaya dzehutano dzisina kufanana nechirwere chawakatsvaga kurapwa kwepakutanga.
Iatrogenic Inorevei?
"Iatrogenic" inobva mumutauro wechiGiriki. " Iatros " zvinoreva chiremba kana mushandi uye " gennan " zvinoreva "semugumisiro." Saka, shoko rinoreva kuti "sechikonzero chechiremba."
Apo murwere anowana chirwere chitsva kana akakuvadzwa nekuda kwebasa rakapiwa nemupi wehutano, chigumisiro chinoonekwa se "iatrogenic." Iatrogenic zviitiko zvinogona kuguma kuongororwa kana kurapwa. Zvinogona kutungamirira kumatambudziko emumuviri, mupfungwa, kana mupfungwa kana, mune dzimwe nguva, kunyange rufu.
Chinokosha chetsanangudzo ndechokuti dambudziko idzva rezvehutano rakagadziriswa semagumisiro emabasa ekurapa. Chaizvoizvo, iri kutaura kuti murwere haangadai akarwara kana kurwadziwa dai vasina kupinda nechiremba kana chiremba.
Chikuvadza iatrogenic chimiro chemhosva yezvokurapa . Izvozvikanganiso hazvina kumbobvira zvarongwa, hongu, asi hazvisi zvishoma zvinokuvadza murwere.
Mienzaniso
Iatrogenic zviitiko zvinogona kukonzerwa nenhamba ipi zvayo yehutano hwepamusoro kana zvikanganiso. Zvinogona kuitika munguva yekugara muchipatara kana kushanya kwechiremba wenguva dzose; hapana chikonzero chimwe chete, chirwere chezvehutano, kana mamiriro akabatanidzwa kune zviitiko izvi.
Kukupa imwe pfungwa yezvingave zvichitsanangurwa sechikanganiso chakaipa kubva kurapwa kwezvokurapa, heino mienzaniso mishomanana.
- Iatrogenesis inogona kuitika apo murwere anotapukirwa nokuti chiremba kana mukoti haana kushamba maoko avo mushure mokubata murwere wekare.
- Kukanganisa kwekuporesa, kwakadai sekuchidzira murwere nechirongwa chokuvhiya, kubvisa mafungiro asina kunaka, kana kutora bheji risina kunaka zvakare kunonzi iatrogenic.
- Kurwisana kwezvinodhaka izvo zvakanyorwa, asi zvisingazivikanwi kumunyora ndezvokuti iatrogenic.
- Kana chirwere chepfungwa chinowedzera mune mamwe maitiro epfungwa kana mishonga yevarwere, inogona kuonekwa seyatrogenic.
Ndezvipi Zvakawandisa Iatrogenic Events?
Zvakaoma kusungiridza pasi chero zvikwereti zvakajeka zveIatrogenisis uye hapana mitsva miviri inogona kubvumirana. Nhamba dzehuwandu dzinoshushwa hadzina kuongororwa nguva dzose kana kuti dzinofanirwa kuisa pfungwa pavakafa panzvimbo pemigumisiro yese yakaipa.
Kuti uwedzere kuomesa nyaya, zvipatara zvine hurongwa hwekubika panzvimbo yekuunganidza maitiro eatrogenic. Zvisinei, maererano nezvinyorwa zvakawanda mumakambani, zviitiko zvakawanda hazvitauri. Zvikonzero zveizvi zvinosiyanawo.
Mukutsvakurudza kwe2011 vatariri vezvipatara neHofisi yeAtector General (OIG kubva kuDhipatimendi reMweya neHuman Services), zvimwe zvikamu 86 zvezviitiko zvisati zvataurwa.
Mune zviitiko zvizhinji, vashandi vezvipatara havana kuzviona sekuita zvakakwana kukuvadza murwere kuti ataure mushumo.
Mune chiitiko chepakutanga neOIG, ripoti ra2010 rakaedza kuenzanisa zviitiko zvinotambudza zvinowanikwa nevaMedare vanobhadhara. Zvakawanikwa zvinoratidza kuti muna Gumiguru 2008, vanenge 13,5 muzana yevarwere ava "vakaona zviitiko zvinotambudza munguva yavo yekugara muchipatara." Pakati pavo, vaongororori vakaona kuti 44 muzana vakanga "zvakajeka kana kuti vangadzivirirwa."
Izvi zvidzidzo zvinokurudzira kuti vatungamiri vezvipatara vanovandudza maitiro ekutaura uye kuti vanochengeta vachengetedze zviito zvavo. Kuchengetedza kunoramba kuri chinhu chinokosha pane zvipatara nekuenderera mberi chiito chekuvandudza nhamba idzi dziri kushandiswa.
Somurwere, edza kunzwisisa marapirwo ako uye kubvunza mibvunzo yakawanda sezvaunoda kuti udzikise pfungwa dzako. Uyewo, mushure mokunge maitiro ega, ramba uchiziva chero zvipi zvingava nemigumisiro yakaipa uye taura nachiremba pakarepo kana ukacherechedza chero chinhu.
> Sources:
> Office of Inspector General. "Zviitiko Zvokupindira Kwezvipatara Zvisingatauri Hazviiti Nzvimbo Yakaipisisa Mwoyo Murefu." 2012 https://oig.hhs.gov/oei/reports/oei-06-09-00091.pdf
> Office of Inspector General. "Zvakaipa Zviitiko Muzvipatara: Nharaunda Yenyika Pakati peMedare Vanobatsira." 2010. https://oig.hhs.gov/oei/reports/oei-06-09-00090.pdf