Phunzirani za Ntchito za Dokotala mu Ulonda Wowawa
Utsogoleri wa ululu ndizopadera zachipatala zomwe zimagwirizanitsidwa ndi anesthesiology. Madokotala ambiri opaleshoni opweteka nthawi zambiri amaphunzitsidwa ngati anesthesiologists . Potero, iwo angasankhe kuchita kuchipatala chogonjera, m'malo mochita opaleshoni. Madokotala ena oyang'anira ululu angakhale ndi mbiri muzipadera zina monga chisamaliro chapadera.
Chifukwa cha kufunika kozunzidwa, palibe madokotala otsogolera odwala opaleshoni kuti athe kuchiritsa odwala onse, choncho, madokotala ambiri amasamalidwa ndi odwala.
Munda wothandizira ululu kawirikawiri umakambirana nkhani pazofalitsa komanso pakati pa ndale ndi pundits chifukwa cha kuwonjezeka kwa chiwerengero cha imfa chifukwa cha kuonjezera kapena kuwonjezera pa mankhwala osokoneza bongo. Akatswiri ambiri amaganiza kuti kafukufuku amafunika kuchitidwa chifukwa cha ululu wosaneneka, m'malo mwa mankhwala opatsirana pogwiritsa ntchito painkillers.
Izi zikunenedwa, munda wa ululu umakula ndikusintha, madokotala amatha kupereka chithandizo kwa odwala ambiri omwe sagwidwa ndi ululu wosatha. M'munsimu muli mwachidule cha ntchito kwa madokotala omwe amapanga chisamaliro chakumva kupweteka kwa msanga.
Sabata Yoyenera Ntchito
Madokotala oyang'anira ululu (aesthesiologists) amachokera ku ofesi nthawi zambiri, kumene amawona odwala 22-27 tsiku lililonse.
Angagwire ntchito paokha pa bizinesi, kapena angagwiritsidwe ntchito ndi chipatala kapena chipatala. Akatswiri odziwa ululu amathandiza odwala kuti azikhala ndi mavuto aakulu, omwe amayamba chifukwa cha matenda osiyanasiyana, kapena kuvulala.
Dokotala wothandizira ululu kapena wogwira ntchitoyo amamufunsa wodwalayo za ululu wake ndipo akhoza kuchita mayesero ophweka ngati kufufuza kwa kayendetsedwe ka kayendetsedwe ka kayendetsedwe kake.
Ndiponso, pangakhale mayesero ena opatsirana omwe amachitidwa.
Pambuyo poyezetsa ndikuyezetsa ululu, dokotala wothandizira ululu angathe kuthana ndi ululu m'njira zosiyanasiyana kuphatikizapo:
- Kuchiza thupi
- Mankhwala amlomo
- Majekeseni amodzi a Trigger
- Zovuta
- Kuchiza mankhwala
- Kuchiza mankhwala
- Kupangidwanso
Sikuti njira zonse zothandizira zimaperekedwa pokhapokha. Dokotala akhoza kutchula wodwalayo kwinakwake pazinthu zina, kapena kwa wina yemwe ali mu chizolowezi ngati odwala ali ogwira ntchito. Ngati vutoli liri lovuta kwambiri, kapena ngati likuyambitsidwa bwino ndi katswiri wina, dokotala wodwala ululu angamuuze wodwalayo kuti adziwe odwala.
Kuwonjezera kwa madokotala, akatswiri ena azachipatala angathandize odwala opaleshoni monga asing'anga, othandizira madokotala, anamwino ena ndi othandizira azachipatala.
N'chifukwa Chiyani Mumayendetsa Ntchito Yopweteka?
Utsogoleri wa ululu ukhoza kukhala wapadera kwambiri chifukwa cha momwe mungathandizire miyoyo ya odwala. Komanso, akatswiri a zachipatala omwe amasankha kugwira ntchito paofesi angathe kukhala ndi ululu chifukwa cha ofesi ya ofesi kusiyana ndi kupereka chithandizo chamankhwala kuchipatala kapena chipatala.
Maola otsogolera kupweteka ndi okhwima komanso osadalirika chifukwa dokotala sayenera kupezeka kapena kuyitanitsa opaleshoni yosayembekezereka.
Mavuto
Imodzi mwa zovuta kwambiri zomwe madokotala akuyang'anira kupweteka ndi ogwira ntchito awo akutsutsana ndi anthu omwe amamwa mankhwala osokoneza bongo komanso ofuna mankhwala osokoneza bongo ndi kuwaletsa kuti asamakhale ndi mankhwala omwe sali oyenera pazinthu zamankhwala. Ndipotu, ngati madokotala samapweteka odwala awo ndi kuphunzitsa antchito awo kuti azindikire khalidwe la mankhwala, kachipatala ndi dokotala akhoza kuimbidwa mlandu wa mankhwala osokoneza bongo. Kuonjezera apo, odwala ena, ngati akuledzeretsa, amakhala amwano kapena achiwawa pamene akuletsedwa mankhwala opweteka.
Choncho, ndizofunika kwambiri kuti ogwira ntchito onse azilembera odwala bwinobwino ndikuyang'anitsitsa khalidwe lililonse kapena zizindikiro zomwe wodwala angakhale akungofunafuna mankhwala osokoneza bongo (kapena kugulitsa kwa ena osokoneza bongo) m'malo mozunza.
Kuwonjezera pa kuwonetsetsa bwino kwa odwala, (kuphatikizapo mankhwala osokoneza bongo), zolembedwa, ndi matenda, opaleshoni opanga kupweteka amachititsanso kufufuza kwa odwala, kuphatikizapo "mapiritsi" osasintha omwe odwala amasankhidwa nthawi zosadziwika kuti apereke mankhwala awo kwa dokotala kuti atsimikizidwe . Dokotala kapena ogwira ntchito angathe kutsimikizira kuti wodwala ali ndi mapiritsi oyenerera pamanja, pogwiritsa ntchito mankhwala oyambirira, ndipo sakugulitsa kapena kupitirira mlingo woyenera.
Maphunziro
Madokotala ambiri odwala ululu amaphunzitsidwa ngati anesthesiologists. Iwo akhoza kuchita chiyanjano kapena maphunziro owonjezera omwe amadziwa bwino kuvutika kwa ululu, koma maphunziro owonjezereka sali oyenerera kuti azitha kuyendetsa ululu. Madokotala muzipadera kupatula mankhwala osokoneza bongo, monga mankhwala amkati, amatha kupweteka ululu ndi maphunziro ena monga chiyanjano kapena CAQ mukumva ululu.
Malipiro
Kawirikawiri ndalama zomwe amapeza pachaka kwa munthu wodwala matenda a anesthesiologist amene amachititsa kusamalira ululu pafupifupi $ 502,000. Kwa madokotala odwala kupweteka omwe sali odwala matenda opatsirana pogonana, pafupifupi ndalama zapakati pa chaka ndizochepa. Kusiyanasiyana kwa phindu kungayambike chifukwa chakuti odwala matenda am'thupi amatha kukwanitsa kuchita njira zina, monga zoopsa, kuposa madokotala osamalidwa kupweteka kwa anesthesia.
Ntchito Zofanana
Ngati mukufuna kuthandiza odwala chifukwa cha ululu wosatha, mukhoza kukhala ndi chidwi ndi ntchito zina zomwe sizinagwiridwe:
Kuwonjezera pamenepo, mukhoza kukhala ndi chidwi ndi madokotala ena monga Physical Medicine ndi Rehabilitation (PM & R), kapena chisamaliro chachikondi , zonsezi zikuphatikizapo kuyang'anira ululu monga gawo la ntchito yawo.