Mhuri Mishonga, Vanachiremba, Geriatrics uye Internist
Tinonzwa "chiremba wepamusoro" kakawanda paanenge achitaura nezvechiremba. Vazhinji vedu tinoziva kuti tinofanira kuona PCP. Asi chii chinonyanya kuchengetedza uye nei zvichikosha kwatiri kutarisira?
PCPs inowanzotora vanachiremba, asi inogona kuvawo mukoti vadzidzisi kana vatsigiri vezvechiremba. Dzinotibatsira kutarisira zvidzidzo zvekutarisira kwedu, kutarisa hutano nekudzivirira.
Kubva isu tinorayirwa kuti tione PCP pakutanga patinenge tichirwara kana kukuvadzwa, vanoonekwa sevanotanga.
Dzimwe nguva inshuwarisi yehutano inomiririra kuti tinoshanda nemukuru wekutarisira. Varwere vazhinji vangasarudza kuwana nyanzvi pasina "kuparadza" nguva yavo vachiona PCP kutanga. Izvozvo zvingakanganisa.
Muzviitiko zvakawanda-uye zvekubatsira kwakanyanya kune murwere-PCPswo ndivo vamiririri vekuchengeta. Kunyange zvazvo varwere vose vasingasarudze kushandisa mazano ekubatanidza, mumwe murwere akachenjera anonzwisisa kuti kuva nemaestro mumwechete wehutano hwake hutano hune hutano hunoita zvakawanda. ICPP ndiyo inonyanya kushamwaridzana yako pakusarudza kuti ndeapi dzimwe nyanzvi dzinoda kubvunzurudzwa pachitarisa mufananidzo mukuru wekutarisira kwako kwose.
Kudzidziswa uye maitiro eCPP
Vanachiremba avo vane PCPs vanotungamira maitiro avo sechiremba (MDs), vanachiremba veansteopathic (DO), kana kuti vanotevedzera muenzaniso unobatanidza.
Practic Medical
MDs dzinofungidzirwa kuti allopathic; zvinoreva kuti, vanoita mishonga yekuMadokero, iyo yatinofunga kuti inowanzoshandiswa muUnited States Kazhinji, PCP ivo vane MDs vachabata zvinodiwa nevarwere, zvino vatumira murwere kune mumwe muongorori MD uyo achaongorora uye kubata mune imwe muviri.
MDs inopinda kuchikoro chezvokurapa, inogona kudzidza mamwe makore ekuchengetedza mhuri kana imwe nzvimbo huru, inogona kuva bhodhi-yakavimbiswa, uye inobvumirwa nehurumende yavanoita.
Osteopathic Practices
Chiremba anonzi osteopathic (DO), akafanana neMDC, anopedza chikoro chezvokurapa uye angasarudza unhu, zvakare. Zvisinei, aID achashandisa mamwe masesita achidzidza musculo-skeletal system kudzidza nzira yekushandisa muviri.
IYE inosvika mumuviri wemunhu seyese yakarongeka, kwete kungongorongedza miviri yemitambo. Kufanana neMDC, DHS dzinobvumirwa nehurumende yavanoita. Vanogonawo kuva bhokisi rakavimbiswa.
Kubatana (kana kubatanidzwa) Zviito
Mhanya nemamwe MDs kana maDZ, uye dzimwe nguva mukoti vashandi, maitiro aya haashandisi chete mishonga yemagariro eNyika asiwo anowedzera mamwe maitiro akanaka ekugadzirisa uye kushandiswa kwemishonga (CAM).
Cherechedza: Kune imwe gakava muUnited States pamusoro pekushandisa kweCAM; zvisinei, dzakawanda zvemishonga zvino zvinozivikanwa zvakanaka uye dzave dzakanyanya kudarika nguva, kusanganisira acupuncture , yoga, massage, uye kushandiswa kwezvimwe zvinovaka muviri. inopa chikamu chose chemishonga inobatsira uye inoshandiswa. Hurumende yehurumende inopa imwe yezvikamu zvayo zveHutano kuti ione kukosha kweCAM.
Kurongedza Maitiro Pakati Pakati Pakati Panovabatsira
Vanonyanya kuchengetedza vakagamuchira huwandu hwezvinyorwa uye mazinga edzidzo, uye vangasarudza kuisa maitiro avo sezvinotevera:
- Nurse Practitioners (NP) uye Physician Assistants (PA) , anonziwo chiremba anowedzera , anogona kuonekwa sevanotarisira kuvabatsira.
- General Practitioners (GPs) vane zvishoma zvedzidzo vachiri kuwana MD kana DO. Vakapedza gore rimwe chete rekugara uye vanogona kuzviita vakasununguka, asi havana ruzivo rwakakwana kuti vaongorore sebhodhi rekuita , iro rinoda makore matatu ekugara.
- Vashandi veMhuri (MDs kana DZ) vanoongorora makore matatu apfuura GP vachiita kuti vakwanise kubhodhi rekupikira. Vanoshandisa izwi rokuti "mhuri" muzita ravo nokuti kazhinji nhengo dzemhuri dzose dzichava varwere vavo. Vanogona kuona varwere kubva pakuberekwa kuburikidza nekukwegura. Vanoona, vanogona kuita chirwere chiduku, uye vangatoita maB-GY services (kuvhiringidzika uye gynecology) kune varwere vavokadzi.
- Vanachiremba vatori venyika vanopedza mararamiro avo anoona nezvekuchengetwa kwevana, vaduku, vana, uye vechidiki. Sezvo vakashandisa makore akawedzerwa mukugara, ivo vakagadzirira kukodzera. Vanachiremba vane ruzivo rwakakwana mumatambudziko ane chokuita nechecheche uye huduku hwakadai sezvirwere zvehucheche, kukura (chirwere chemagedhi endocrinology), kuberekwa uye zvimwe zvehutano zvine chokuita nekuyaruka.
- VaGeriatori vese vane hutungamiri nehuwandu hwekugara kwekudzidzira, asi vanoisa maitiro avo kune vanhu vakwegura. Izvo, zvakare, inogona kuva bhodhi-yakavimbiswa. Vanonyatsoziva nezvehutano hwehutano hwevanhu vanokwegura, kusanganisira chirwere cheAlzheimer, chirwere chePalinson, moyo, uye zvirwere zvepammune, uye kanzira. Nokuda kwekukuvadzwa kwakaoma kana zvirwere ivo vanowanzoita kutumirwa kune unyanzvi uyo anonyanya kushandiswa mune chero zviratidzo zvemuviri zvinokonzera dambudziko guru.
- Vanopindira munharaunda vanowanzoonekwa sevanhu vakawanda, zvakare. Internists, sezvaunogona kufungidzira, kuchengetedza zvirongwa zvemukati zvemuviri, uye ibhodi-chiyeuchidzo chakakodzera. Pane zvinhu zvinoshandiswa mukati memutauro we internist kusanganisira cardiology (mwoyo), endocrinology (glands, metabolism, uye hormone), gastroenterology (digestive system) uye nezvimwe zvakawanda.
- OB-GYN (kuvhiringidzika uye gynecology) ndivo vanachiremba vanonyanya kugadzirisa zvirongwa zvekuberekwa kwevakadzi uye kubata uye kubereka kwechecheche. Sezvo vakadzi vachikurudzirwa kushanyira ma-OB-GYN avo gore negore, zvichida kana vasina vana, vazhinji vanovimba neO-GYN yavo yekutarisira.
Closing Thoughts
Kunyanya kuchengetwa kunogona kuonekwa sechinhu chinokosha sechinhu chipi nechipi chezvokurapa. Unyanzvi hwahwo hunotarirwa nemapurisa ezvehutano , uye vazhinji vanowanzochengeta vanachiremba vari nhengo dzematare emakirini aya. Vashandi vakachenjera vanoziva kutsvakurudza hutungamiri hwavo hwePCP mune rimwe rezvechipatara senzira yekugadzirisa unyanzvi hwechiremba.
Dzidza Zvakawanda Pamusoro peBhidhiyo Bhuku Chiratidzo