3 Mirairo yaChiremba Iwe Unofanira Kubvunza
Zvemukati
Yako doc inoti iwe unoda kuzara kwekutakura-kutarisisa, kuongororwa kweropa, iyo yose shebang. Asi usati wabvumirana, ziva izvi: Vanachiremba vanoita mari yakawanda nekuraira mamwe maitiro evarwere-kwete ne vachiona varwere vakawanda, inodaro tsvakurudzo kubva kuYunivhesiti yeCalifornia Los Angeles (UCLA). (Unoziva Iwe Kuti Unoda Kuona Iyo Nyowani Sei?)
Tinotarisira kuti ma MD edu atidzivirire munzira dzese dzinobvira, kusanganisira nemari, handiti? Nehurombo, handizvo zvinogara zvakadaro: Dzimwe nzira dzinodhura, dzisiri-humbowo-hwakavakirwa uye marapirwo anowanzo kurairwa, anosimbisa David Fleming, MD, sachigaro wemishonga paYunivhesiti yeMissouri uye mutungamiri weAmerican College Of Physicians. Mamwe magwaro anobvumirana: Inenge matatu-makota evarapi vanobvuma kuwanda kwemiyedzo isingakoshi uye maitiro muhutano hwechinetso idambudziko rakakomba, maererano neongororo ya2014 kubva kuAmerican Board of Internal Medicine Foundation's Kusarudza Nenjere Campaign- chirongwa chinotsvaga kuona kunyanyisa kana kushandisa zvisirizvo bvunzo kana maitiro.
Nhau dzakanaka ndedzekuti mazhinji edu maHTML haana kuenda kuzotibhurisa-ivo vanoraira mimwe bvunzo yekuvhara mabutts avo kana zvikaitika masutu, kumwe kuongorora kwakawanikwa.
Saka unovhara sei rako? “Bvunza mibvunzo,” anodaro Fleming. "Varwere vanowanzo kuve vasina hanya mumibvunzo yavanobvunza chiremba wavo nekuti havadi kuvatsamwisa, uye vanovimba kuti varapi vari kuzoita zvakanaka." Kudzoka kana zvasvika kune hutano hwako, unofanirwa kuisa iwe pachako chekutanga. Saka dzosera kumashure pane chero chinhu chinoita sechisina basa kana chisina kutsanangurirwa kwauri zvizere, asi kunyanya aya mapoinzi matatu, anonzi naFleming ndiwo bvunzo dzinozivikanwa zvakanyanya.
Dzvanya apa kuti uwane iwo matatu anowanzo bvunzo uye maLab iwe aunofanirwa kubvunza chiremba wako.
Kufungidzira
"Nhoroondo, vanachiremba vakanyanyisa kufungidzira zvakanyanya," Fleming anodaro. X-rays yekurwadziwa kumashure, MRIs yemabvi anorwadza, CT inoongorora chero mhando yemusoro-asi humbowo hwekuti scans iri kuzokudzivirira kubva pamhedzisiro yakaipa hushoma, anodaro. Uye mazhinji ezvekuwongorora anozobhadhara iwe peni yakanaka.
Zvekutaura "Iyi imagining inodiwa zvechokwadi here? I'm concerned about cost." Mushure mekukumbira madhiri, batana naye padanho revanhu, uye unongedze kuti unonetsekana nezvezvikwereti zvekurapa zvinogara. Vanachiremba vanoziva mutengo webvunzo dzekurapa uye maitiro vanowanzosarudza kuita mashoma pane avo vasingazive kuti zvinogona kuputsa bhangi rako, 2013 Johns Hopkins University Chikoro cheMishonga chidzidzo chakawana.
Zvinyorwa
“Kuuya kuna chiremba nemhaka yokuti uri kurwara wobva waenda usina tsamba yawakanyora muruoko usina kunyatsonzwisisa zviri kuitika kunogona kuodza mwoyo zvikuru,” anodaro Fleming. Muchokwadi, kumanikidza uku kunokonzeresa vanachiremba vazhinji kunyora zvinyorwa zvisina basa, izvo zvinonyatsoshanda kupokana nesu. "Tinopa mishonga yakawanda inorwisa mabhakitiriya, uye nekuda kweizvozvo kune zvakawanda zvipenyu zvinodzivirira izvo zvatiri kufanira kurapa," Fleming anotsanangura. Izvi zvinoreva kuti mishonga mitsva inorwisa mabhakitiriya iri kuramba ichidikanwa, uye zvakaoma nekuti zviputi zviri kuramba zvichirwisa.
Icho chimwe chikonzero magwaro akawandisa? Zvingoitika: "Varwere vanouya vaine hutachiona hwehutachiona kana husiri. Pane mukana wekuti vari kurwara zvakanyanya, uye hatidi kunonoka kurapwa, kunyangwe isu tisina humbowo hwakasimba hwekuti ichokwadi. hutachiona hwehutachiona, "Fleming anotsanangura.
Zvekutaura: "Uchapupu hupi hwaunoona kuti ndinayo kana kuti handina hutachiona hunoda mushonga unorwisa mabhakitiriya?" Kumubvunza kunomukurudzira kuti amire uye afunge kana akafunga zvimwe zvese sarudzo, uye ndokupa chidimbu chendangariro kuti zviratidzo zvako zvakanyatsofungidzirwa.
Ropa Rinoshanda
Vanachiremba vazhinji vanozoodha basa reropa nebvunzo yako yegore, asi iwe kazhinji haudi yakazara chemistry panel, iyo inosanganisira ingangoita gumi nemaviri miedzo, Fleming anodaro. .
Zvekutaura: "Iko kuzara kuzere mune zvandinofarira, kana pane nzira yekuyedza wega?" Kusimbisa kana uchinyatsoda bvunzo dzese kana kwete kwakakosha-panogona kuve nekukanganisa mune zvisingakodzeri mhedzisiro: "Kazhinji tinowana hunyoro husina kunaka pabasa reropa, izvo zvinotungamira kuongororwa kwakawanda uye maitiro ayo angave asiri iwo zvakanakira kufarirwa kwemurwere. , "anotsanangura. (Tsvaga Izvo Zvirwere Vanachiremba Vanoshaya Zvakawanda.) Uye kana izere kemisitiri pani haisi zvakachipa kwauri, zvechokwadi kusundira kumashure-yega-yega bvunzo iyo isingauye nemutengo wepasuru zvinoreva kuti uri kubhadhara kune yega yega kuongororwa.