Inobata Jovhangeri Jobho Akakunakira Here?
Chii chinonzi usiku, sezvinopindirana nehutano hwehutano? Nenzira chaiyo, usiku hunobatsira chero upi zvake unyanzvi hwehutano anoshanda usiku hwose. Kunyange zvakadaro, kushandiswa kunowanzoitwa kwe "chinyorwa chemasikati" chiri kureva chiremba anogara muchipatara uyo anoshanda chete panguva yeusiku.
Sezvo utano hwehutano huchiwedzera hunokosha uye huri pakati pemakore mashoma apfuura, kunyanya mukati memakore 10 kusvika kumakore akapfuura, chipatara-based practice model yakabata, yakakura pakuzivikanwa uye kupararira mukati mekutanga kwema2000, uye inoenderera mberi kukura mukudiwa kuburikidza nhasi.
Vanachipatara ndivo vanachiremba vanopa zvizere-awa-awa, kunyatsotarisirwa kuvarwere vechipatara, pasina kuchengetedza chero kliniki purogiramu kana mabasa ekurapa zvachose. Vazhinji vezvipatara vakarovedzwa mumishonga yemhuri kana mishonga yekugara mishonga, uye vamwe vanogona kuwana huwandu hwekurovedzwa mumishonga yezvipatara kuburikidza negore rezvekudyidzana kwekudyidzana mune mishonga yezvipatara, kana chidziro chekuwedzera chikwata (CAQ).
Zvimwe zvipatara zvakatanga kutsvaga vanachiremba uye vanachiremba vemhuri kuti vazadze basa rechipatara, vachichera muvashandi vevana vekuchengeta vanachiremba, uye vachiri kuputsa muzvikamu zviduku zvinoumbwa nevaya vanoda kutarisira kuchipatara-kutarisirwa, uye avo vanoda kungoona chete varwere muhofisi. Nzira yemhando yekuchengetedza kwepamusoro, iyo inosanganisira kusanganiswa kwechirwere chepachirwere uye yekurapa kwechirwere, yakange isingawanzoitiki mumusika wehutano hwemazuva ano.
Mishonga yakawanda yemishonga yemhuri navanachiremba vakashongedzwa kune muenzaniso wezvipatara, kusanganisira kubhurwa kwemaitiro ekudzosa, iyo inobvumira vhiki imwe imwe neimwe vhiki imwe neimwe, pamwe chete nehuwandu hwekubhadhara mari, kana zvichienzaniswa nemitambo yepamusoro yekuchengeta maitiro.
Kushanda seChichtonist
Mukoti hwemazuva ano hwehutano hwehutano, vazhinji, kana zvipatara zvese zvisingashandisi vashandi vezvipatara kana chibvumirano neboka ravo.
Chirwere chechipatara chikagadzira chido chechiremba vanoda kushanda mukati meusiku kwemaawa sechipatara, sezvo paive pasina zvino vanachiremba pavanofonera. Ava vepatara vehusiku husiku vanozivikanwa kuti vanotsvaga.
Kunyange zvazvo vezvipatara "nguva dzose" (masikati) vanowanzoshanda 7:00 am kusvika 7:00 masikati, purogiramu yemanheru anotora 7:00 masikati kusvika 7:00 mangwanani. Maawa nemashanduko anogona kusiyaniswa nechinzvimbo, asi chinonyanya kukosha ndechokusimuka kwemaawa 12 uye kunotanga pa7: 00.
Kana kushanda husiku hunoita sekunakidza kana kunokwanisika kwauri, ramba uchiyeuka kuti zvipatara zvinowanzoshanda purogiramu yekuvhara, zvinoreva kuti zvinoshanda masere kusvika ku14 maawa gumi nemaviri-awa zvichienderana, uye zvino mazuva manomwe kubva pa14 kusvika pane. (Zvimwe zvikamu zvinogona kunge zviri mazuva mashanu, mazuva mashanu kubva.) Saka, sechipatara, mhuri yako uye nguva yako pachako zvichange zvisinganyanyi nguva panguva yaunenge uri pabasa, pasinei nokuti unoshanda mazuva kana usiku.
Pamusoro peflip, iwe uine 7-14 mazuva anotevera, panguva iyo iwe unogona kurarama maererano nesheti inokubatsira iwe.
"Sezvo ndiri baba vasina baba, kuva mhizha dzenguva yakaita nguva yokuti ndipedze nevakomana vangu vane makore matanhatu panguva yemasikati ... ndichivatora kuchikoro, ndichivatora, ndichivatora kuenda paki, kana zvisina kudaro ndingadai ndiri kubasa. " -Jorge Sallaberry, MD
Jorge Sallaberry, MD, SFHM, akashanda sechipatarare kubva pakupedzisa kudzidziswa muna 2003. Akashanda "nguva dzose" maawa masikati, kusvika makore anenge matatu apfuura, paakazova nocturnist. Dr Sallaberry iye zvino anoshandiswa neCentura Health Physician Group (CPHG) muChongo Rock, CO.
"Nenjere ndakasarudza chipatara chakapi uko pandakaziva kuti ndaizoda kushanda sechinhu chine usiku," anodaro Dr. Sallaberry. "Ndakatamira ku Castle Castle kubva kuReno kwandakanga ndaita usiku husiku.Ikoko, ndakasimuka usiku hwose, ndichibvuma kuvarwere 18 usiku humwe, kunze kwekupa kuvhura pasi.Ndakanga ndisingafariri kuita izvi [nguva yakazara] , saka, pakutsvaga basa rekugara kwenguva yakazara, ndakasarudza zvipatara zviduku zvemukati apo basa remanheru raizova rakanyanya kujeka. "
Pros uye Cons ye Night Shift
Kuenzaniswa nemazuva ekushanda, "basa redu rakaderera zvikuru (Ndinoshanda mune imwe chipatara chipatara munharaunda yeDenver), nokudaro nekuvandudza hupenyu hwehupenyu (Ndinowanzowana 2-4 hrs kurara usiku hwoga hwoga.) Ndine mazuva kutamba, uye nguva yevhiri remaawa maviri kusvika kwemaawa matatu asati apinda mubasa, "anodaro.
Kuchinja kweusiku kunogona kupawo huwandu hwakawanda hwokuzvimirira, kuzvimiririra, uye kuchinja, kusanganisira kukwanisa kunyanya kudzivisa zvematongerwe enyika muhupfumi kana kusangana nechipatara chirongwa nguva dzose. "Purogiramu yangu inenge yakasununguka, ini ndinotanga kugadzirisa pakuronga, sezvo masikati emasikati achazadza husiku hwavo husiku husiku." Chipatara chakanyengedza nzvimbo yechinamato nekubhadhara mubhadharo wakafanana sekushanda kwangu masikati kubasa zvina [mashoma] mwedzi mumwe nomumwe. "
Pasinei nezvakawanda zvekushanda sechinhu chinyaradzi, uye zvakakonzera kuti ave nehupenyu hwake, Dr. Sallaberry anobvuma kuti basa rezuva rezuva harisi revanhu vose. Anowedzera kuti: "Inoita kuti vasarudze vashoma vasarudze avo vanoda kushanda vakasununguka uye vane imwe nyaradzo yepamusoro mumakiriniki avo." Nocturnists vanofanira kunge vachida kupa zvibayiro usiku huzhinji hwebasa, uye zvingava zvakaoma kushandura shizha nevamwe vanachiremba pazvinenge zvichidiwa, zvichienderana nekukura kwechikwata chechipatara, uye nhamba yevanotsvaga usiku vanogovera purogiramu yeusiku. Muchiitiko chaDkt. Sallaberry, iye ndiye oga anozvitsaurira pachinzvimbo chake.
Uyezve, Dr. Sallaberry anotsanangura kuti kana iwe ukashanda usiku, iwe hauna kuwana zvishoma zvigadziro zvekushanda pamwe uye kugadzirisa zvirwere zvinokurumidza. Kunyange zvakadaro, basa remanheru rakanyanya kuderera kupfuura masikati. "Basa rangu senharaunda ndeyekuti 'kubudisa moto' kune vanobvuma varwere, uye kubvuma varwere vatsva. Handisi kuita misangano yemhuri kunze kwekuti murwere ari kurwara zvikuru uye pasi pekutarisira kwangu kwakakwana," anodaro Dr. Sallaberry.
Mari Inotaurirana: Mubayiro weNoacturnists Ipamusoro Kune Zvimwe Zvipatara
Pamusana pekuderedza kwechiremba vanachiremba varipo uye vanofarira kushanda manheru, vanotsvaga usiku vanowanzowana mari yakawanda kupfuura vezvipatara vanoshanda zuva rekushandura. Kana, sezvakaitika muDkt. Sallaberry, madhimoni angashanda mashomanana mashoma pamwedzi, nokuda kwemari yakafanana sevamwe vavo vemazuva ose.
Vaverengi vanoverengera kuThe Medicus Firm, chiremba chekutsvaga chiremba wenyika, iye zvino vanomiririra zvipatara zvakawanda zvekutsvaga madhigirii munzvimbo dzakasiyana-siyana munyika yose. Vanofungidzira kuti mubhadharo wevanamatozha anokwana $ 20,000 kusvika ku $ 40,000 kupfuura gore rimwe nerimwe, zvichienzanisa nekubhadhara kune vanogara muchipatara vanoita basa rezuva. Zvisinei, izvozvo zvinogona kusiyanawo.
Kiersten Feldman, chiremba anochera mazano kubva kuhofisi yeItlanta yakasimba, inoshuma kuti mumwe wevashandi vake ari kumaodzanyemba kwakadziva kumabvazuva kwenyika inopa $ 100 000 mamwe mubhadharo wegore negore wevanomwe. Anowedzera kuti, kune vanachiremba vanogona kugadzirisa purogiramu yakasiyana-siyana, mikana inobhadharisa mari yakadai seyake inopa nzira yakakura yokuti vanachiremba vabhadhara chikwereti, kuchengetedza mari, kana kusangana nezvimwe zvinangwa zvemari pamwe chete nemari inowanikwa.
Chris Miller, chiremba mukuru muchengeti wemudhi weThe Medicus Firm muDallas, akabudirira kuisa vanhu vanoverengeka usiku vachiita mabasa echipatara. Anobvuma kuti, nepo basa reusiku rinobhadharisa, harisi basa rakakosha kune vose. Anotaura kuti vamwe vanachiremba vane mhuri vanowana purogiramu yeusiku yakaoma, pamwe chete nebasa pacharo. "Nocturnists havakwanisi kudzokera shure sevashandi vezuva vese vezvipatara, saka saka vanotsvaga usiku vanogona kunge vachida kuita maitiro akawandisa emitemo kana maitiro kunze kwechipatara pane rimwe zuva rekushanduka." Anowedzera kuti manheru anove nevane varwere vashomanana kupfuura vose vari kuchinja, asi vanozobvuma, (kureva varwere vanobvuma kupinda muchipatara) uye saka mamwe mapepa, kupfuura chipatara chichange chiine chenguva yezuva.
Shoko Rinobva
Kana iwe uri chipatara uchifunga nezvebasa rechinomwe, kune zvinhu zvakawanda zvingafanira kufunga, sekune kune chero basa guru rekushandura basa. Iwe iwe nemhuri yako chete munogona kugona kuti danho rini uye basa raizobatsira zvikuru pane zvaunoda uye zvepamhizha zvido uye zvinangwa. Hapana basa rimwe chete mumunda chero upi zvake unosangana nezvido zvevanhu vose, uye naizvozvo umwe neumwe unyanzvi uye mhuri yake inofanira kutanga kutarisisa zvakanakira kubudirira uye kushaya kwechinangwa chekushandura kwebasa, uye funga kuti ingakanganisa hupenyu hwevanhu sei vasati vasarudza .