Mankhwala a Banja, Matenda, Matenda a Geriat and Internists
Timamva "dokotala wamkulu" nthawi zambiri polankhula za madokotala. Ambiri a ife timadziwa kuti tikuyenera kuwona PCP. Koma kodi chithandizo choyambirira ndi chiyani ndipo ndichifukwa chiyani ali ofunika ku chisamaliro chathu?
Ma PCP kawirikawiri ndi madokotala, komabe angakhalenso namwino wothandizira kapena othandizira dokotala. Zimatithandiza kusamalira zofunikira za chisamaliro chathu, poyang'ana ubwino ndi kupewa.
Popeza tikulangizidwa kuti tiwone PCP poyamba pamene tikudwala kapena kupwetekedwa, iwo amaonedwa ngati apamwamba.
Nthaŵi zina inshuwalansi ya umoyo imatilimbikitsa kuti tigwire ntchito ndi wothandizira. Odwala ambiri angakonde kupeza akatswiri popanda "kuwononga" nthawi yawo powona PCP poyamba. Izi zingakhale zolakwitsa.
Nthaŵi zambiri-komanso thandizo lalikulu kwa wodwala-PCP ndiwonso alangizi a chisamaliro. Ngakhale kuti odwala onse sagwiritsa ntchito mwayi wothandizira, wodwala wanzeru amadziwa kuti kukhala ndi mayi mmodzi wachisamaliro cha thanzi lake kumapanga zambiri. PCP ndi mnzanu wapamtima kuti mudziwe kuti ndi ndani amene akufunsidwa kuti akufunseni pamene akuyang'ana chithunzi chachikulu cha chisamaliro chanu chonse.
Maphunziro ndi machitidwe a PCP
Madokotala omwe ali ndi PCP amayamba ntchito zawo ngati madokotala (MDs), madokotala osteopathic (DOs), kapena amatsatira chitsanzo chophatikiza.
Zipatala
MDs amaonedwa kuti ndi allopathic; ndiko kuti, amagwiritsa ntchito mankhwala am'madera akumidzi, omwe timawaona kuti ndi ochiritsira ku United States Kawirikawiri, PCP zomwe MDS zidzasamalira zofunikira za wodwalayo, ndiye mutumize wodwalayo kwa katswiri wa MD yemwe angadziwe ndi kuchiritsa mkati mwa thupi limodzi.
MDs amapita ku sukulu ya zachipatala, angaphunzire zaka zowonjezera mu chisamaliro cha banja kapena malo ena olamulira ambiri, angakhale azindikiritsa bungwe, ndipo ali ndi chilolezo ndi boma limene akuchita.
Makhalidwe Osteopathic
Dokotala wodwala matenda osteopathic (DO), ofanana ndi MD, amaliza sukulu yachipatala ndipo angasankhe wapadera, nayenso. Komabe, DO idzachita masewera ena ophunzirira za musculo-mafupa kuti aphunzire momwe angagwiritsire ntchito thupi.
ZIMENE zimayendera thupi la munthu monga dongosolo lonse, osati mchitidwe wambiri wa thupi. Monga MDs, MA amavomerezedwa ndi boma limene amachita. Angakhalenso adiresi yoyenera.
Makhalidwe Ophatikizana (kapena Ophatikizidwa)
Kuthamanga ndi MDs kapena MA, ndipo nthawi zina amachiritsira, machitidwewa samagwiritsa ntchito mankhwala achikhalidwe chakumadzulo koma amaphatikizapo njira zina zabwino zothandizira ndi mankhwala osakaniza (CAM).
Zindikirani: Pali kutsutsana ku US chifukwa cha kugwiritsa ntchito CAM; Komabe, njira zambiri zothandizira tsopano zikudziwika bwino ndipo zakhala zowonjezereka panthawi yambiri, kuphatikizapo kuchulukitsa thupi , yoga, kusisita, komanso kugwiritsa ntchito zakudya zina zowonjezera. amapereka gawo lonse la mankhwala othandizira ndi othandizira. Boma la federal limapereka limodzi mwa Institutes of Health kuti lizindikire ubwino wa CAM.
Makhalidwe Abwino Pakati pa Opereka Chithandizo Chachikulu
Otsogolera anthu oyambirira akulandira maudindo osiyanasiyana ndi maukulu, ndipo angasankhe kuika zochitika zawo motere:
- A nurse Practitioners (NP) ndi a Dokotala Wothandizira (PA) , omwe amatchedwanso dokotala wothandizira , angathenso kukhala osowa chithandizo.
- Akuluakulu Ophunzira (GPs) ali ndi maphunziro ochepa pamene adzalandira MD kapena DO. Amaliza chaka chimodzi chokhalamo ndipo akhoza kuchita okhaokha, koma alibe maphunziro okwanira omwe angapangidwe kuti apange chikole , zomwe zimafuna zaka zitatu zokhalamo.
- Aphunzitsi a Banja (MDs kapena DO) amaphunzira osachepera zaka zitatu kupyolera mu GP akuwapangitsa kukhala ovomerezeka ku bwalo la certification. Amagwiritsa ntchito mawu oti "banja" m'dzina lawo chifukwa nthawi zambiri anthu onse a m'banja adzakhala odwala awo. Amatha kuona odwala obadwa pokalamba. Iwo amadziwa, akhoza kuchita opaleshoni yaying'ono, ndipo akhoza kuchita ntchito za OB-GYN (matenda opatsirana ndi amayi) kwa odwala awo.
- Odwala aamuna ndi a generalists omwe amagwiritsa ntchito malo awo okhala mosamala kwambiri, kusamalira ana, ana, ndi achinyamata. Popeza adakhala zaka zambiri ndikukhalamo, iwo ndi oyenerera. Ana amadziwa zamakhalidwe okhudzana ndi mavuto okhudzana ndi ubwana ndi ubwana monga matenda a ubwana, kukula kwa ana (matenda a ubongo), kutha msinkhu komanso zina zokhudzana ndi thanzi.
- Akatswiri a zachipatala amakhalanso odziwa bwino maphunziro awo, koma amaikira anthu okalamba. Iwo, nawonso, angakhale adiresi yotsimikiziridwa. Iwo amadziwa bwino za thanzi la anthu okalamba kuphatikizapo matenda a Alzheimer, matenda a Parkinson, mtima, ndi mapulaneti, ndi khansa. Pofuna kuvulala kapena matenda ovuta nthawi zambiri amapititsa kwa katswiri wodziŵa momwe thupi lirili likuyambitsa vutoli.
- Otsutsana nawo nthawi zambiri amawoneka kuti amachita zambiri, nayonso. Internists, monga mwina mungaganizire, kusamalira mawonekedwe a mkati mwa thupi, ndipo alidi-certification woyenera. Pali zinthu zamtengo wapatali zomwe zimapezeka mkati mwa internist kuphatikizapo mtima (cardiology), mapuloteni (glands, metabolism, ndi mahomoni), gastroenterology (digestive system) ndi ena ambiri.
- OB-GYN (matenda opatsirana pogonana ndi amayi) ndi madokotala omwe amagwiritsa ntchito njira zowonetsera amayi komanso kugonana ndi kubereka ana. Popeza amayi amalimbikitsidwa kuti apite ku OB-GYs awo chaka ndi chaka, kaya ali ndi ana kapena ayi, ambiri amadalira OB-GYN kuti aziwasamalira.
Maganizo Otseka
Chisamaliro chapamwamba chikhoza kuonedwa ngati wapadera monga wina aliyense wapadera wa zamankhwala. Maluso ake amalembedwa ndi mabungwe azachipatala , ndipo madokotala ambiri osamaliridwa apakati ndi mamembala a zachipatala. Odwala anzeru amadziwa kufufuza amembala awo a PCP ku bungwe la zamankhwala monga njira yothetsera mphamvu za dokotala.
Dziwani zambiri za Medical Board Certification