Kumvetsetsa Chisamaliro Chokhalitsa Oleza Mtima ndi Mapindu Ake
Madokotala ambiri lerolino amaphunzitsidwa kuti azikhala ndi maganizo okhudzidwa kwambiri pazochita zamankhwala. Izi zikutanthawuza kuti iwo amatenga nthawi kuphunzitsa odwala awo za matenda awo. Zimatanthauzanso kuti zimalimbikitsa mafunso ndi mgwirizano komanso kukambirana momwe chikhalidwe chidzakhudzire wodwalayo, osati mthupi komanso m'maganizo.
Ndipo chofunika kwambiri, iwo amawakhudza odwala awo ndipo nthawi zambiri am'banja-muzochita zothandizira .
Kodi Njira Yopirira Ndi Yotani?
Njira yothandizira odwala ndi njira yothandizira ogwira ntchito zachipatala kukhazikitsa mgwirizano pakati pa odokotala, odwala, ndi mabanja awo. Kaya akatswiriwa ndi madokotala, anamwino, kapena akatswiri, cholinga chake ndi kugwirizanitsa malangizowo onse ndi zokhumba, zosowa, ndi zofuna za wodwalayo.
Njira imeneyi ikuphatikizapo kuganizira za umoyo wabwino wa wodwalayo kuyambira tsiku limodzi mwa kukhazikitsa kuyankhulana bwino kwa odwala . Kumatanthauzanso kupereka njira zokhazokha zothandizira koma njira zothandizira komanso kuyambanso kuyambanso. Zonsezi zimaphatikizidwa ndi makhalidwe ndi zolinga za wodwalayo.
Lingaliro la chisamaliro chokhalitsa odwala likukula ku United States. Komanso, mfundoyi imathandizidwa ndi American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, ndi American Osteopathic Association.
Chotsatira chake, madokotala ambiri akuphatikizapo njira zolimbana ndi matenda.
Pakalipano, chisamaliro chokhalira oleza mtima sayenera kusokonezedwa ndi chisamaliro cha "wotsogoleredwa ndi odwala." Pachifukwa ichi, wodwalayo amafuna mayesero kapena mankhwala ena ndikuwona udindo wa dokotala ngati kuchita chilichonse chomwe akufuna.
Ichi si cholinga cha chisamaliro cha odwala. Kusamalira oleza mtima ndi njira yothandizana ndi dokotala, wodwala, ndi nthawi zina abanja, amapanga gulu lopanga zisankho.
Kodi Mapindu (ndi Zovuta) za Njira Yopirira Pakati?
Kafukufuku wasonyeza kuti mgwirizano pakati pa wodwala ndi dokotala wake umakhudza kwambiri wokhutira ndi chisamaliro chake , komanso zotsatira zake za mankhwala. Ndipotu kafukufuku wina wasonyeza kuti odwala amatsatira malangizo a dokotala akamva kuti dokotala ndi wachifundo komanso akugwirizana ndi zosowa zawo.
Kawirikawiri, anthu amamva kuti dokotala ndi wachifundo pamene amavomereza momwe wodwala amamvera komanso amagawana nzeru kapena malingaliro ake momwe angachitire vuto lake. Mosiyana ndi zimenezi, kusowa kwa ubale, kuphatikizapo kusowa kuyankhulana ndi kumvetsa chisoni, kungapangitse kuti thanzi la munthu liwonongeke komanso kukhala wofunitsitsa kutsatira dokotala.
Zothandiza zina zomwe zimaphatikizapo wodwalayo zimaphatikizapo kumvetsa bwino zolinga ndi zilakolako za dokotala komanso kumvetsetsa bwino matendawa kapena chikhalidwe cha wodwalayo, kuphatikizapo ngozi ndi phindu la njira zosiyana siyana za chithandizo.
Kuphatikizidwa kwa zinthu ziwirizi kumapangitsa kupanga kupanga zisankho zabwino chifukwa onse adokotala ndi wodwala akugwira ntchito limodzi kuti athetse vutoli. Chotsatira chake chimakhala bwino bwino komanso chisamaliro chaumoyo.
Mosiyana ndi zimenezi, kufufuza kwa yunivesite ya Iowa kukusonyeza kuti chisamaliro cha odwala sichiri kwa aliyense. Ngakhale odwala ambiri amapindula ndi njira imeneyi pakadalibe odwala omwe sangachite bwino kutsatira madokotala awo ndipo samakhala okhutira ndi chisamaliro chawo pamene madokotala amatenga njira yokhudzana ndi odwala.
Malinga ndi kafukufukuyu, lofalitsidwa mu Annals of Behavioral Medicine , odwala ena, makamaka odwala achikulire, amasankha dokotala ndi kalembedwe ka "chikhalidwe chachipatala".
Madokotalawa samakhala ndi nthawi yochepa yofotokozera zomwe zimachitika ndikupeza zochepa zowunikira odwala pankhani ya chisankho. Koma pali odwala omwe ali choncho mwanjira imeneyo. Ndipotu, kafukufukuyu anapeza kuti odwalawa ali ndi madokotala omwe ali ndi matenda odwala, sakhala ndi mwayi wotsatira malangizo othandizira odwala kapena amakhala okhutira ndi chisamaliro chawo kuposa momwe amachitira ndi dokotala.
Chifukwa chake, ndikofunikira kufunafuna dokotala wokhala ndi wodwala pokhapokha ngati ndiwo mtundu wa njira zomwe mumakonda. Chifungulo cha chithandizo cha umoyo wabwino ndi kupeza wothandizira omwe akugawana zolinga zanu ndi zomwe mumakonda - zomwe mudzamvetsera ndi kutsatira ndondomeko ya mankhwala.
Kodi Zizindikiro Zotani Dokotala Wanu Ali ndi Njira Yopirira Pakati?
Pali zizindikiro zitatu zosiyana ndi dokotala wodwalayo. Izi zikuphatikizani kukuchititsani ngati munthu, kumanga mgwirizano ndi inu ndikukhala ndi chibwenzi chokhazikika. Pano pali mwachidule cha zomwe zikuwoneka:
- Madokotala odwala odwala amakuchitirani ngati munthu . Nthaŵi zambiri, madokotala akuyang'anitsitsa kwambiri matendawa kapena chikhalidwe chawo kuti amaiwala kuti akuchita ndi munthu weniweni yemwe ali ndi nkhawa, nkhawa, ndi mantha. Ngati dokotala wanu atenga nthawi kuti akuchitireni monga munthu, kuzindikira ndi kuvomereza mantha anu ndi nkhawa zanu, ndiye kuti mwina ndi dokotala woleza mtima. Madokotala odwala odwala amadziwa kuti samangotenga matenda anu kapena matenda anu. Amakhudzidwanso ndi thanzi labwino komanso umoyo wabwino. Chotsatira chake, iwo ali okonzeka kudziŵa zambiri za thanzi lanu kusiyana ndi zizindikiro zanu. Amakhalanso ndi chidwi ndi malingaliro anu, malingaliro anu, moyo wanu, ndi zizoloŵezi zanu. Zonsezi zimathandiza kujambula chithunzi cha yemwe inu muli, zomwe zimawathandiza kupanga njira yothandizira zofuna zanu.
- Madokotala oleza mtima amapanga mgwirizano ndi inu . Dokotala wanu atakhala ndi maganizo oleza mtima, amakuchitirani ngati wokondedwa mukamasankha zochita zaumoyo. Mmalo mokhala ngati udindo womaliza, dokotala wodwala-wodwalayo amakulolani kuti mukhale ndi liwu pakudza dongosolo lanu la mankhwala. Kuonjezera apo, dokotala amatha kupereka zonse zomwe mungasankhe kuphatikizapo zoopsa ndi zopindulitsa ndikulola wodwala kupanga chisankho mogwirizana ndi zolinga zake, zoyenera, ndi zokonda zake. Amalimbikitsa mafunso ndipo ali oleza mtima pokambirana njira zina. Ngati mumamva ngati dokotala akukulankhulani kapena akukukakamizani kuti muchite chisankho, dokotala uyu sakuphatikizirapo maganizo ake. Dokotala wokhudzana ndi wodwala akufuna kukupatsani mphamvu kuti muzipanga chisankho chodziwikiratu chomwe chili choyenera kwa inu. Komanso, muli ndi ufulu wokana mankhwala ngati mukufuna.
- Madokotala oleza mtima amakhalabe paubwenzi wokhazikika . Njira iyi ikutanthauza kuti wodwala ndi dokotala ali ndi chibwenzi kumene dokotala amadziŵa zochitika zapadera za wodwalayo. Mwa kuyankhula kwina, dokotala akufuna kudziwa zomwe zikuchitika m'moyo wa wodwalayo kuphatikizapo akatswiri omwe akuwona ndi zina zomwe ali nazo. Dokotala akakhala ndi chithunzi chokwanira cha thanzi la wodwala, amatha kuthetsa thanzi lake lonse. Ayeneranso kukhala ndi machitidwe omwe angayang'anire chisamaliro ndi ena othandizira, ndipo amatenga njira yogwira ntchito polankhulana ndi madokotala ndi akatswiri ena odwala.
Mawu Ochokera
Pamene mukufunafuna dokotala, fufuzani munthu yemwe akugwirizana ndi kalembedwe ndi zokonda zanu. Kumbukirani, maganizo a madokotala ndi umunthu ndi osiyana komanso kupeza macheza abwino n'kofunika. Kuchita zimenezi sikungakuthandizeni kudziwa m'mene mumakhudzidwira ndi chisamaliro chomwe mumalandira komanso kungathenso kudziwa ngati mukutsatira malangizo awo kapena ayi.
> Zotsatira:
> Epstein, Ronald M. ndi Street, Richard L. "Makhalidwe ndi Phindu la Thandizo la Pakati pa Odwala," The Annals of Family Medicine , 2011. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3056855 /