Kuenzanisa maitirwo anopiwa uye mari
Kana murwere ari kurwadziwa mubhokisi ravo , vangangodaro vasina chokwadi nezvekuenda kupi: vanodana 911 , enda kune dhipatimendi rekukurumidzira , kuenda kune imwe nzvimbo yekukurumidzira yekuchengetedza, kana kugadzirira musangano nechiremba wekuchirapa ?
Haisi chisarudzo chiri nyore uye hazvisi nyore kutsanangura.
Kukurumidzira kana Emergency?
Mimwe mamiriro ezvinhu anonzi inongoerekana yakangoerekana yaitika: kurwadziwa kwemwoyo , kurohwa , sepsis, anaphylaxis , uye mapfupa ari pfuti ndezvimwe zvezvoutano izvo zvinowanzoonekwa kuti zvinotyisa.
Vanofanira kuongororwa uye kubatwa mune dhipatimendi rekukurumidzira. Kana murwere achienda kunzvimbo yekukurumidzira yekuchengetedza nehutano hwehutano hwekukurumidzira, vashandi vanokurumidza kukurumidza vanofanira kuvatumira kune dhipatimendi rekukurumidzira chero zvakadaro, kazhinji nema ambulensi uye kazhinji pamutengo mukuru.
Icho chaingova chiduku chiduku chezvinhu zvinotyisa . Nhamba yacho yakareba kwenguva refu uye inowanzobatanidza kuongororwa. Mune mamwe mazwi, mumwe anenge ava kuda kuziva kuti vane chirwere chepfungwa kuitira kuti ive yakaoma chaiyo.
Icho hachisi mutoro webazi rekukurumidzira kunoudza varwere kana zviratidzo zvavari kuitika zviratidzo zvekukurumidza here? Ini ndingati ndizvo uye America College of Emergency Physicians inobvumirana neni, asi kwete yose yekuchengetedzwa kwezvokurapa kuita. Zvimwe pane zviri pasi apa.
Kukurumidza Kuchengetedza Nzvimbo
Saka, ndeipi apo vatano vanofanira kuendesa kunzvimbo yekukurumidza yekuchengetedza? Icho hachisi mubvunzo wakaoma kupindura.
Mumwe anogona kunzwa izwi rokuti "kukurumidza kuchengetedza nzvimbo" uye kufunga kuti "kukurumidzira" zvinoreva iyi inzvimbo iyo chirwere chakakomba chinogona kurapwa mune zvimwechetezvo, kana zvisingafananidzi, nenzira yakafanana nedhipatimendi rekukurumidzira.
Ichokwadi ndeyekuti: nyika yose yakasiyana. Vamwe vanoti vanofunga nezvekuchengetedzwa kwekukurumidzira zvimwe zvacho kunze kwekukudza mahofisi echiremba. Dzimwe hurumende dzinovabata sevanomira-voga dhipatimendi rekukurumidzira (imwe nzira yechitatu yatinozoisa pasi apa) pasinei kana nzvimbo dzekukurumidzira dzoga dzinosarudzwa mune izvozvi.
Nzvimbo dzekuchengetedza dzichikurumidza dzinogona kunge dzichishanda navanachiremba kana dzinogona kunge dzichishanda nevanamukoti vashandi kana vatsigiri vechiremba, zvichienderana nehurumende. Sezvo humwe hurumende yezvematongerwo enyika ichitaura zvido zvevanhu vayo, mitemo inoshanduka nokukurumidza.
Nokurayira kwakadaro kusina kukwana, kuenda kune imwe nzvimbo yekukurumidzira yekuchengetedza kwechokwadi kwehutano hwekukurumidzira ndeyomutambo kunze kwekuti murwere ari kunyatsofanoziva kuti chii chinonyanya kukosha chinogona kuchengetwa. Muzviitiko zvakawanda, vanhu vanofanira kubata chirwere ichi nokukurumidza zvakafanana nehofisi yechiremba. Inongova nemaawa akawanda anochinja.
Waizoshanyira chiremba nokuda kwehuro? Zvechokwadi, uye iyo ndiyo nzira yakanaka yekukurumidzira kuchengetedza nzvimbo. Mutsara unoruma kana chirwere cheganda here? Yakakwana nokuda kwekukurumidza kuchengetedza doc, zvakare.
Ndiani anoronga Tab?
Pfungwa yose yekukurumidza kuchengetwa nzvimbo yakaberekerwa kunze kwekurasikirwa kwehutano hwehutano. Vanhu vanowanzoenda kuna ER kana vakangodaro vakaenda kuchiremba wavo pachavo kune mari shoma shoma. Enzanisa zvikwereti zvebazi rekukurumidzira uye nekuchengetedzwa kwekukurumidza kune rimwe divi, uye iwe uchaona kuti nguva dzekuchengetedza dzinokurumidza nguva dzose dzinodhura zvakanyanya kana chirwere chechirwere chiri chinhu chavanogona kubata.
Izvozvo hazvirevi kuti nguva dzose inodhura kuti murwere aende kune imwe nguva yekuchengetedza.
Kunyangwe kubvisa ukana hwehutano husinganzwisisiki hwehutano-inoda kuti ambulensi inotakura kubva kunzvimbo yekukurumidza yekuchengetedza kusvika kuEER-kuenzanisa mari inenge isiri maapulo nemaapuro.
Makambani emishuwarenzi (anozivikanwawo sevateresi ) kazhinji anobvumirana nezvivako uye vanachiremba (uye dzimwe nguva makambani emakambani) kuwana zvigaro zvakanakisisa. Kune mitsara yezvivako uye vanachiremba vangangodaro kushandiswa kwepamusoro kune vateresi. Chikamu chevarwere chemutemo (kubhadhara mari, kubhadharwa, kana co-inshuwarisi) zvakasiyana zvikuru zvichienderana nekambani yavo ye inshuwarisi, hurongwa hwavo hwekugovera, uye kana nzvimbo yacho kana kuti chiremba ari munhare kana kwete.
Ndiyo imwe yenzira dzakaoma zvikuru mune zvemari izvo vatengi vakawanda vachazombosangana nazvo.
Kana kutarisirwa kwekukurumidzira hakusi mumutambo, asi dhipatimendi rekukurumidzira ndeye, inogona kupedzisa kugadzirisa murwere asingasviki kuti ashanyire nzira inodhura.
Ngatitorei pasi: Kana iyo yese yedhipatimendi inokurumidzira uye iyo yekuchengetedzwa kwekukurumidzira iri mune (kana kunze) yemusangano, vateresi usiku havadi kubhadhara ER kana zvisingasvike. Vatengi vanowanzofunga kuti mari isingakoshi yekubhadhara chiremba anokurumidzira kuti aongorore uye aongorore kunyunyuta, kunze kwekuti zvinoratidza kuti kunyunyuta kwakakodzera zvakakodzera dhipatimendi rinokurumidza.
Ko varwere vanoziva sei kana chirwere chechirwere chavo chakakosha? Mubhadharo anogadza kuti chirwere chacho chiri chakarurama kushandisa chirwere chokuongororwa, chimwe chinhu chavasingazivi kusvikira vasvika ikoko.
Kazhinji, vateresi vachashandisa kubvuma kuchipatara semuedzo wekutenda kuti vaone kana murwere wacho ari kurwara zvakakwana kuenda kuE ER. Kana murwere achibvumirwa kuenda kuchipatara, mubhadhari anogona kuderedza kana kurega chero mari inobhadharwa kana kubhadhara. Kune rumwe rutivi, kana murwere asingabvumirwi, ivo vari pachikwereti chese re deductible kana co-pay. Ndiko kubatsiridza hindsight uye kunobatsira bhizinesi chete.
Mamwe madhipatimendi ekukurumidzira anochengetedzwa nekukurumidzira nzvimbo dzakagadzirwa, uye murwere anonyoresa kubva kune imwe nzvimbo kuenda kune imwe zvichienderana nemamiriro ekurapa. Izvi ndizvo zvandinoda. Murwere (kana inshuwarisi) anotongwa zvichienderana nenzira iyo murwere aidiwa kutora. Nenzira iyo, varwere vanowana zviduku zvakaderedzwa zvekushanyira ER chete kana kuongororwa kwekukurumidzira kwekukurumidzira hakukwanisi kutengesa mari yakawedzerwa kana vakaipa. Vanongotarirwa chete mari inodhura mari yedhipatimendi musangano kana yakakodzera, uye apo inshuwarisi ichatora chunk yakakura yebhuku.
Vatengi vanoita zvidhori zvakasununguka sekusavhiringidza pakusarudza dhipatimendi rekukurumidzira sekurapa kwekutanga kwechiremba. Vakawanda varwere, zvisinei, havana chavanosarudza. Chiremba anoshanyira angasawanika zuva rimwe chete. Varwere havasi kuronga kurwara, uye ERs inowanzosvitsa maawa makumi mana nemazuva. Nzvimbo dzekuchengetedza dzinokurumidza dzakagadzirirwa kuvhara chiyero ichocho. Ihofisi yechiremba iyo inoita kuti kugadziriswa kwemaminitsi ekupedzisira uye kufamba-ins. Zvinosuruvarisa, kwete zvinhu zvose zvinoita semakiriniki zvakafanana.
Freestanding Emergency Rooms
AE freestanding kana stand-alone ER inenge ichangobva kuumbwa munyika yose. A 2017 NBC News nhau yakataura kuti zvikamu makumi matatu nemakumi maviri nemashanu zvakabvumira nzvimbo dzekukurumidzira dzinotyisa. Izvi hazvisi dambudziko rekuita dhipatimendi , nokuti haisi nguva dzose inobatanidzwa nezvipatara chaiwo. Munyika dzakawanda, nzvimbo idzi dzekukurumidzira dzinobvumirwa kuva nevechiremba.
Mirai-yega inzvimbo dzekukurumidzira dzinogona kutarisa zvakangofanana nechepamusoro yekuchengetedza nzvimbo. Vanowanzotanga munzvimbo dzakafanana: maguta uye nzvimbo dzekutengesa. Havazove vari pedyo nechipatara-zvichida kwete muchivako chimwechete-uye vanogona kana kuti vangave vasina mukova weku ambulensi.
Zvizhinji zvezvivako zvinoshambadza huwandu huzhinji hweshumiro, asi chokwadi ndechokuti chero murwere anenge achida kubvumirwa kuchipatara angangodaro aifanira kutorwa ikoko ne ambulensi. Kuratidzira nemuroyo kana chirwere chemwoyo uye kunyatsojekeswa kwechokwadi kunogona kumira kusvikira ambulensi inopindura uye inotumira kune imwe nzvimbo yedambudziko rekukurumidzira.
The Bottom Line
IE ER, inozivikanwawo sebazi rekukurumidzira , ndiyo inoshandiswa pakarepo-inoda utano hwekudya. Iyi ndiyo nzvimbo vatano vanogona kuenda kune imwe nhamba yehutano hwehutano, pasinei nokuti yakaoma kana kuti yakaipa. Emergency departments ndiyo inonyanya kukosha.
An ER kushanyira musangano inenge iri nguva dzose iri kuchamhembe kune guru. Rwendo rwokuenda kunzvimbo yekukurumidzira yekuchengetedza kana kuhofisi yechiremba, kune rumwe rutivi, inogona kuva maviri kana matatu mazana mabhuruki, misoro. Zvakakosha kunzwisisa kusiyana-uye kudzidzisa varwere pamusiyano-kuitira kuti vagone kuita chisarudzo chiri nani.
> Sources:
> Fact Sheets . (2017). American College of Emergency Physicians | News Room . http://newsroom.acep.org/fact_sheets?item=30033
> Iwe wakafunga kuti yakanga iri kukurumidza kuchengetedza nzvimbo, kusvikira wagamuchira bhiri . (2017). NBC News . https://www.nbcnews.com/health/health-care/you-thought-it-was-urgent-care-center-until-you-got-n750906