Mafunso oti mufunse dokotala wanu mukamakuyenderani pachaka
Maphunziro a ZaumoyoZakuthupi. Kuyesedwa kwapachaka. Mayeso apachaka. Kuyendera mwachizolowezi kwanu ndi omwe amakuthandizani pa zaumoyo kumachitika ndi mayina ambiri — ndipo onse atha kuchititsa mantha. Anthu ambiri amapewa kusungitsa nthawi yoikidwiratu chaka chilichonse chifukwa chokhala otanganidwa kwambiri, alibe cholakwika chilichonse, kapena sakudziwa chochita funsani dokotala . Koma aliyense ayenera kuyezetsa thupi pachaka, ngakhale anthu athanzi.
Ganizirani za maimidwe awa omwe amakonzekera thupi lanu. [Amapereka nthawi kwa wodwala kuti alankhule ndi dokotala wawo, amveketse mavuto aliwonse omwe angakhale nawo okhudzana ndi thanzi lawo, ndikukhazikitsa ndikuwonetsetsa zolinga zawo, atero a Gabrielle Samuels, DO, dokotala ku Summit Gulu Lachipatala ku New Jersey.
Mafunso a 8 oti mufunse adokotala poyesedwa
Mukusowa choti mupemphe? Izi zingakuthandizeni kuti muyambe, ndikupangitsani kuzindikira kuti ulendo wanu wapachaka ndiwofunika kuposa momwe mumaganizira:
- Kodi izi ndi zachilendo?
- Kodi ndikufuna zina zowunikira kapena zoyeserera?
- Kodi ndiyenera kukaonana ndi katswiri?
- Kodi ndikufunika katemera wina?
- Kodi malangizo anga akadali bwino?
- Ndiyenera kukhala wokhudzidwa motani?
- Kodi ndingatani kuti ndikhalebe wathanzi mtsogolo?
- Kodi ndibwerere liti kudzacheza kwina?
Onetsetsani kuti mwalemba mafunso anu musanapite ku msonkhano wanu. Tonse talowa mchipinda chomayeserera ndipo malingaliro athu anali opanda kanthu. Ndikosavuta kuiwala zomwe mumafuna kunena mukakhala patebulo, chifukwa chake kukhala ndi mndandanda woti mutchulidwe kumakupangitsani kutsatira njira.
Mukakhala pa nthawi yoikidwiratu, lembani chilichonse chomwe muyenera kukumbukira mtsogolo, monga malangizo a vitamini kapena masiku otsatila nthawi yokumana.
1. Kodi izi ndi zachilendo?
Kuyezetsa thupi kwanu kwapachaka ndi mwayi wanu wodziwa ngati chizindikiro chatsopanocho ndichinthu chomwe muyenera kuda nkhawa, kapena gawo wamba la msinkhu wanu kapena moyo wanu-kaya ndi mole, nkhawa zatsopano, kapena kusintha magonedwe anu. Wothandizira zaumoyo wanu adzayesa kuti adziwe zizindikilo zofunika: kutalika, kulemera, kuthamanga kwa magazi, komanso kugunda kwa mtima. Kenako funsani mafunso ena kuti mudziwe zina zomwe zingakhudze thanzi lanu, monga: mbiri yanu yamankhwala, mbiri yazachipatala yabanja, moyo wanu ndi zizolowezi zanu, zopsinjika kwanu, komanso kugwiritsa ntchito mankhwala osokoneza bongo, mowa, komanso fodya. Mayankho anu atha kuthandizira kudziwitsa ngati nkhani yazaumoyo ikudetsa nkhawa, kapena ayi.
Odwala ayenera kuyembekezera nthawi ndi dokotala kuti akambirane zaumoyo wawo wonse kuphatikizapo matenda aposachedwa kuyambira paulendo wawo womaliza, zakudya / masewera olimbitsa thupi, komanso njira zodzitetezera monga katemera komanso mayeso owunikira, atero Dr. Samuels.
Yakwana nthawi yoti musinthe zolemba zanu zamankhwala ndi zambiri zamalumikizidwe, ndikubwezeretsanso mankhwala, malinga ndi Natalie Ikeman, wothandizira wa dokotala Chipatala cha Hennepin Healthcare's Golden Valley ku Minneapolis. Kusankhidwa uku ndi mwayi wosintha zambiri kumbali zonse ziwiri za tebulo la mayeso. Zimapatsa dokotala mwayi wogawana malangizo ndi wodwala wawo, a Samueli akutero.
2. Kodi ndikufunika kuyesedwa kowonjezera?
Kuyezetsa thupi ndi mwayi kwa wothandizira zaumoyo kuti akuyeseni, kuyesa mayeso a labotale, kuyankha mafunso, ndikuwonetsetsa kuti zonse zikuyenda bwino. Kuyezetsa thupi pachaka kumatha kuthana ndi mavuto omwe akungoyamba kumene asanapite patsogolo, kapena kuti wodwalayo sangadziwe kuti nthawi yotsala ya ntchito zodzitetezera ingachitike. Tsoka ilo zinthu zitatu zomwe zimafala kwambiri zomwe timaziwona ndi kuthamanga kwa magazi, cholesterol, komanso matenda ashuga, ndipo ambiri alibe zisonyezo kotero kuti anthu amaganiza kuti ali bwino, atero a Jeffrey Gold, MD Kusamalira Golide Mwachindunji ku Massachusetts.
Wothandizira zaumoyo wanu amatha kuyitanitsa zoyezetsa magazi zowonjezera kapena zowunikira kutengera zaka ndi zoopsa pazifukwa zina. Kutengera zaka, kugonana, matenda osachiritsika, ndi ma lab omwe amalizidwa posachedwa, adotolo atha kuyitanitsa mayeso awa, Ikeman akuti:
- Kuyesa kwamadzimadzi kwa cholesterol
- Chithunzi cha hemoglobin A1c cha matenda ashuga
- Colonoscopy yowunika khansa ya m'matumbo
- Kuyesedwa kwa Pap kwa khansa ya pachibelekero
- Kuyesa kwa PSA kwa khansa ya prostate
- Mammogram yowunika khansa ya m'mawere
- Chithunzi cha TSH cha matenda a chithokomiro
- Chithunzi chosowa cha vitamini D
- CBC yowerengera magazi
- BMP yama electrolyte ndi mawonekedwe amadzimadzi
Awa ndi ena mwa mayeso ofala kwambiri, koma wodwala aliyense ndi wosiyana.
3. Kodi ndiyenera kukaonana ndi katswiri? Kodi mbiri ya banja langa imandiika pachiwopsezo?
Dokotala wanu akhoza kuyang'anitsitsa zizindikiro zina, kapena kuyesa mayeso ena ngati muli ndi mbiri yokhudza banja. Mwachitsanzo, ngati muli ndi mbiri yothamanga magazi kapena cholesterol, dokotala wanu akhoza kukuyesani pafupipafupi kapena kukupatsirani malangizo othandizira kupewa. Zina mwazinthu zimatha kukhala ndi chibadwa, monga khansa zina, zomwe zingalimbikitse dokotala wanu kuti akuyang'anitseni kwambiri.
Nthawi zina dokotala wanu amatha kuzindikira china chake chomwe chiyenera kuyesedwa kapena kuchiritsidwa. Pachifukwa ichi, dokotala wanu wamkulu angakutumizireni kwa katswiri. Zitsanzo zina za izi zingaphatikizepo izi: Kuyesedwa kosasinthika kwa Pap kapena kuyesa mawere; zikhalidwe zomwe zimafuna kuchitidwa opaleshoni ngati ma gallstones; zikhalidwe zomwe zimafunikira dokotala wodziwa zambiri komanso zothandizira monga oncologist wa khansa kapena katswiri wamatenda pamatenda amtima monga matenda amtima.
4. Kodi ndikufunika katemera wina?
Dokotala wanu ayenera kukhala ndi mbiri yanu yoteteza pa fayilo. Ngati simukudziwa katemera amene mwalandira m'mbuyomu, dokotala wanu atha kusankha kuchita magazi kapena kukupatsaninso katemera.
Katemera wina amafuna zokulitsira , monga kafumbata ndi diphtheria. Zina zimayenderana ndi zochitika. Anthu apakati ayenera kulandira katemera wa Tdap pa mimba iliyonse, mwachitsanzo. Katemera wapaulendo angafunike katemera wosiyanasiyana kutengera komwe akupita.
Monga momwe ana adalandira katemera pazaka zapadera, palinso katemera wa akuluakulu magawo osiyanasiyana. Katemera wa HPV amaperekedwa kwa achinyamata komanso achikulire, pomwe katemera wa shingles ndi katemera wina wa pneumococcal amaperekedwa kwa okalamba. Katemera wa Pneumococcal amaperekedwanso kwa odwala omwe ali ndi matenda enaake amthupi / osachiritsika, chifukwa chake kugawana mbiri yanu yazachipatala ndi dokotala ndikofunikira.
Chiwombankhanga ndi katemera wofunika pachaka kwa aliyense wazaka zisanu ndi chimodzi kapena kupitirira.
5. Kodi malangizo anga akadali abwino?
Uwu ndi mwayi wowunikiranso zomwe zaperekedwa pano ndikusintha zina ndi zina. Kambiranani ndi dokotala momwe mankhwala anu akugwirira ntchito, ngati mukukumana ndi zovuta zilizonse, ngati mukusintha zina ndi zina pamoyo wanu zomwe zingakhudze mankhwalawa, komanso ngati mukufunikirabe kumwa mankhwalawa. Mwachitsanzo, ngati mukukonzekera kutenga pakati, dokotala angafune kusintha kapena kusiya mankhwala ena. Ngati mwasintha zina ndi zina pamoyo wanu monga kuchita masewera olimbitsa thupi, kuchepa thupi, kapena kudya zakudya zopatsa thanzi, mutha kuchepetsa kapena kusiya kugwiritsa ntchito mankhwala othamanga magazi kapena cholesterol.
Mankhwala ena, monga antidepressants, angafunike kusintha kwa mlingo pakapita nthawi, kapena mungafunikire kusintha mtundu wina. Osayimitsa mankhwala kapena kusintha mlingo osalankhula ndi dokotala. Dokotala wanu adzakuthandizani kudziwa ngati pakufunika kusintha, ndipo angakupatseni malangizo amomwe mungasinthire mlingo kapena kumwa mankhwala mosamala.
Ngati dokotala akupatsani mankhwala atsopano, musawope kufunsa adotolo kuti mumve zambiri monga momwe mankhwalawo amagwirira ntchito, zovuta zomwe zingachitike, komanso zoopsa zomwe zimadza chifukwa cha mankhwalawa. Ndikofunikanso kuuza dokotala kuti ndi mankhwala ati kuphatikiza mankhwala owonjezera, ndi ena mankhwala osokoneza bongo -Mukutenga kuti mupewe kuyanjana kulikonse. Dokotala wanu akhoza kufunsa mafunso anu pazinthu monga kumwa mowa. Yankhani moona mtima. Izi ndizofunikira kwa dokotala kuti awonetsetse kuti akukupatsani mankhwala otetezeka komanso othandiza.
6. Ndiyenera kukhala okhudzidwa motani?
Matenda anu atsopanowa atha kukhala china chake chomwe chimafunikira kuwunika mosamala ndi chithandizo kuti musayang'ane. Kapenanso, zitha kukhala zowoneka ngati zowopsa, koma ndizofala kwambiri. Gawani nkhawa zanu ndi dokotala wanu. Mukakhala owona mtima pazovuta zomwe vuto latsopano limabweretsa, wothandizira zaumoyo wanu amatha kukuthandizani, kapena kukupatsani njira zochepetsera chiopsezo chanu. Mwina simukudandaula chilichonse.
7. Ndingatani kuti ndikhalebe wathanzi mtsogolo?
Kuyezetsa thupi kwanu kwapachaka ndi nthawi yabwino kukhazikitsa zolinga zathanzi, kukambirana za momwe mungathetsere matenda osachiritsika ndi matenda, ndikukonzekera njira zotsatila.
Funsani dokotala ngati pali zinthu zomwe mungachite kuti mupewe matenda kapena matenda omwe mungakhale pachiwopsezo chake, monga matenda ashuga, kuthamanga kwa magazi, cholesterol, nyamakazi, kufooka kwa mafupa, ndi zina zambiri. Kambiranani ndi moyo wanu wapano ndi dokotala wanu kuti muwone ngati alipo ndi madera aliwonse omwe mungasinthire-momwe dokotala angakuthandizireni kuti musiye kusuta, mwachitsanzo. Ngati magazi kapena zizindikilo zanu zikuwonetsa kuchepa kwa mavitamini, adokotala angakuuzeni zakudya zina zomwe mungawonjezere pachakudya chanu kapena mtundu wa mavitamini.
Nthawi zina, kuchita masewera olimbitsa thupi kungathandize. Mwachitsanzo, kusambira kungakhale bwino kuposa kuthamanga ngati muli ndi maondo owawa. Zochita zolimbitsa thupi zingathandize pamavuto am'mbuyo. Kuwona physiotherapist kapena othandizira kutikita minofu nthawi zonse kumatha kuthandizira kupweteka komanso kuyenda.
8. Ndibwererenso liti kudzacheza kwina?
Yankho la izi lidzasiyana ndi dokotala. Chaka chilichonse munthu wamkulu amayenera kukaonana ndi wodwala kuti akapimidwe ndi kumuyesa, akuti Ikeman. Dr. Samuels, Dr. Gold, ndi asing'anga ena ambiri amavomereza, ndikuwonjezera kuti kutengera thanzi komanso zotsatira zoyesedwa, pamafunika maulendo obwereza pafupipafupi.
Kafukufuku wina akuwonetsa Pali chifukwa chodikira nthawi yayitali pakati paulendo. Phunziro limodzi akumaliza kuti achikulire omwe alibe zodwala safuna mayeso apachaka, ndipo amayenera kuyezetsa pafupipafupi monga kuthamanga kwa magazi, kuchuluka kwa thupi, ndi Pap smears 1 mpaka 3 patadutsa zaka kutengera wodwalayo.
Kaya mukulangizidwa kuti mukayezedwe chaka chilichonse kapena kudikirira nthawi yayitali pakati pa nthawi yomwe mwasankhidwa kudalira zomwe okondedwa anu amakonda, momwe zinthu ziliri, komanso thanzi lanu. Ndibwino kufunsa dokotala kuti adziwe zambiri za thanzi lanu.
Ngakhale kuti kupimidwa chaka ndi chaka sikungakhale pamwamba pazosangalatsa, ndizothandiza kwambiri kuti mukhale ndi thanzi labwino. Ngati simunafike kale, pitani ku ofesi ya adotolo anu ndikusungani kusungaku.











