Chii Chaunotarisira Pane Yako Inotevera Ob-Gyn Kusarudzwa Pakati Pakati-uye Mushure - Coronavirus Pandemic

Zvemukati

• Telehealth vs.In-Office Kusarudzwa
• Nei Iwe Unogona Kuda In-Hofisi Kugadzwa
• Nei Uchigona Unogona Kubva Uine Kusarudzwa Kwechokwadi
• Zvekutarisira Panguva yeTelehealth Ob-Gyn Kushanya
• Zvaunotarisira Panguva YeIn-Office Ob-Gyn Kushanya
• Ongororo ye

Kufanana nezvakawanda zvakajairika zviitiko pre-denda, kuenda ku ob-gyn yaimbove isiri brainer: Iwe wanga uri, uchiti, uchinetseka nechitsva chitsva (mbiriso hutachiona?) Uye waida kuti zviongororwe nedoc. Kana pamwe makore matatu akabhururuka uye yaive nguva yekuwana Pap smear. Chero zvingave zvakadaro, kuronga uye kuona gyno yako yaive, kazhinji pane kwete, yakatwasuka-mberi. Asi sezvamunonyatsoziva, hupenyu hwasiyana zvachose izvozvi nekutenda kuna COVID-19, uye nzendo kune mukadzi-zvikamu chiremba zvachinja futi.

Ipo kugadzwa kwevarwere kuchiri kuitika, vazhinji ob-gyns vari kupawo kushanya kwefoni. "Ndiri kuita zvemhando yepamusoro uye zvekushanya," anodaro Lauren Streicher, MD, purofesa wezvekurapa uye gynecology kuNorthwestern University kuFeinberg School of Medicine. "Zvichienderana nemamiriro ezvinhu, tinoudza vamwe varwere kuti vanofanira kupinda, asi vamwe tinovakurudzira kuti vasapinde. Vamwe, tinopa sarudzo."

Zvakanaka, asi sei zvinoita inogona here telehealth kushanda ne-ob-gyn kugadzwa, chaizvo? Uye, uchikumbira shamwari: Tiri kutaura hurukuro dzevhidhiyo kwaunonamira foni yako pasi pemukati? Kwete zvakanyanya. Hezvino izvo zvaunogona kutarisira inotevera nguva iwe yaunoda kuona yako ob-gyn.

Telehealth vs.In-Office Kusarudzwa

Kana iwe usina kujaira, telehealth (aka telemedicine) iko kushandiswa kwetekinoroji kupa uye kutsigira hutano kure, maererano neNational Institutes of Health (NIH). Izvozvo zvinogona kureva zvinhu zvakasiyana-siyana, kusanganisira vanachiremba vaviri vachitaurirana pafoni kuti varongedze kutarisirwa kwemurwere, kana iwe kutaurirana nachiremba wako pamusoro pemashoko, email, foni, kana vhidhiyo. (Yakabatana: Sei Tekinoroji Iri Kuchinja Hutano)

Kuti uchaona chiremba wako kana kuti IRL kazhinji zvinoenderana neprotocol yemunhu wega uye murwere. Mushure mezvose, kune bvunzo dzakawanda chete dzaunogona kuita zvinobudirira parunhare kana vhidhiyo. Uye apo paine, muchokwadi, kutungamira kwepamutemo kubva kuAmerican College yeVadzvanyiriri uye neGynecologists (ACOG), hazvina kujeka.

Mutsamba yavo yepamutemo, "Implementing Telehealth in Practice," sangano rinoona kukosha kuri kukura kweterehealth uye, nekudaro, rinosimbisa kukosha kwazvo kune varapi "kurangarira" zvinhu zvakaita sekuchengetedzwa kwakanaka uye kuvanzika uye kuona michina inodiwa. Kubva ipapo, ACOG inotaurisa ongororo yakarongeka inoratidza kuti telehealth inogona kubatsira pakuongorora prenatal kweropa, mashuga eropa, uye zviratidzo zveasima, rubatsiro rwekuyamwisa, kurairirwa kwekuberekwa, uye mishonga yekubvisa nhumbu. Zvisinei, ACOG inobvumawo kuti kune zvakawanda zve telehealth services, kusanganisira mavhidhiyo ehurukuro, izvo zvisati zvadzidzwa zvakanyanya "asi zvingave zvine musoro mumhinduro yechimbichimbi."

TL; DR—maob-gyns akawanda aifanira kuuya negwara rawo rekuti pavachaona murwere parunhare achipikisana nemuhofisi.

"Vanhu vazhinji vanogadziriswa vanogona kushandurwa kuita telehealth, asi kwete vese," anodaro Melissa Goist, MD, ob-gyn kuOhio State University Wexner Medical Center. "Kushanya kwakawanda kunongoda kubvunzurudzwa, senge hurukuro dzekubereka, kuraira nezvekudzivirira kubata pamuviri, uye kumwe kushanya kwekutevera uye kwekubereka. kuchinjira kuita telehealth, sekufona kana kutaura kwevhidhiyo."

Izvo hazvireve kuti kumwe kushanya kwekuzvara hakugone kuitwa parunhare kana vhidhiyo, uye kuve nemidziyo kumba, senge yeropa cuff, kureva Omron Automatic Blood Pressure Monitor (Tenga, $60, bedbathandbeyond.com), uye doppler monitor yekuongorora kurova kwemoyo we fetus, inogona kuita kuti kugadzwa kwefoni kushande zvakanyanya. "Izvi hazviwanzo kuitika, saka kushanya kwakawanda kweOB kunofanirwa kuitirwa munhu," anodaro Dr. Goist. (Zvakafanana: Vakadzi ve6 Vanogovana Chii Kuwana Virtual Prenatal uye Postpartum Care Zvave Zvakafanana)

Zvakadaro, kana uine mari yekutenga zvinhu izvi - inishuwarenzi inogona kubhadhara imwe kana yese yemutengo - kana uine chiremba anogona kuzvipa uye ari kunyanya kunetseka nezve njodzi yako yeCCIDID-19 (kureva kuti pamwe hauna kudzivirirwa), ungangoda kuenda nenzira iyi kudzikisira kusangana nevamwe vanhu, anotsanangura.

Nei Iwe Unogona Kuda In-Hofisi Kugadzwa

Kubuda ropa, kurwadziwa, uye chero chimwe chinhu chingade bvunzo dzechiuno chinoda kuitirwa muhofisi, anodaro Christine Greves, MD, bhodhi-rakasimbiswa bhodhi kuWinnie Palmer Hospital yeVakadzi neVacheche muOrlando, Florida. Asi, kana zvasvika pazvinhu zvakaita bvunzo dzegore - izvo zvakare zvisingakwanise kuitwa zvirinani - zvakanaka kuvadzosera kumashure zvishoma kana iyo coronavirus kesi inoverengeka munharaunda yako yakakwira kana iwe uri kunyanya kunetsekana nenjodzi yako, anodaro Dr. Greves. "Vamwe vevarwere vangu vakasarudza kumirira kushanya kwavo kwegore nekuda kwecoronavirus," anodaro, achiona kuti vazhinji vakasundira kushanya ikoko kumashure mwedzi mishoma. '

Nei Uchigona Unogona Kubva Uine Kusarudzwa Kwechokwadi

Nezvesarudzo dzekudzivirira kubereka, vamwe vanhu vari kungokumbira gwaro repiritsi, uye iro rinowanzo gadziriswa kuburikidza nefoni. Kana zvasvika kune IUD, zvakadaro, iwe uchazoda kuuya muhofisi (yako doc inoda kuiisa nenzira kwayo - hapana DIY pano, vanhu.) "Ini ndinogona kuita zvese kunze kwekubata murwere uye kuita bvunzo dzechiuno, "anodaro nyanzvi yezvehutano hwevakadzi Sherry Ross, MD, chiremba-gyn paProvidence Saint John's Health Center muSanta Monica, California uye munyori we Iye-ology. "Zvichida iye zvino ndinoita 30-ku-40 muzana yekugadzwa kwangu pamusoro pe telemedicine."

"Zvese zvinoenderana nekunetseka kwaunayo, uye kana uine pamuviri kana kwete," anodaro Dr. Greves. Hazvirevi kuti iwe anofanira pinda muhofisi kana iwe uine pamuviri. Muchokwadi, ACOG inokurudzira ob-gyns nevamwe varapi vepamuviri kuti vashandise telehealth "pane zvakawanda zvinhu zvekuchengetwa kwepamuviri sezvinobvira"

Zvekutarisira Panguva yeTelehealth Ob-Gyn Kushanya

Nhungamiro yakaburitswa muna Kukadzi naAACOG inokurudzira kuti ob-gyns ive neiyo software inodikanwa uye neinternet yekubatirira kwehutano, uye inoyeuchidza vanachiremba kuti kwavo telehealth kushanya kunofanirwa kutevedzera Hutano Inishuwarenzi Kubatika uye Kuzvidavirira Mutemo (HIPAA) yekuvanzika uye yekuchengetedza mitemo. (HIPAA, kana iwe usina kujaira, mutemo wezvematongerwo enyika unokupa iwe kodzero yeruzivo rwehutano hwako uye nekuisa mitemo pamusoro peanogona uye asingakwanise kutarisa ruzivo rwako rwehutano.)

Kubva ipapo, pane mamwe misiyano. FWIW, hazviite kuti chiremba wako aite kuti uise foni yako pasi pebhurugwa rako panguva yekushanya chaiko. Asi ivo vanogona kukukumbira iwe kuti utumire pikicha pamberi, zvichienderana nechikonzero chekushanya kwako uye kuchengetedzeka kwesoftware yekudzidzira. (Yakabatana: Iwe Facebook Ungataure Newe Chiremba?)

"Chinhu chimwe chete kana mumwe munhu achitora pikicha yeruoko rwake kuratidza kumhanyisa; chimwewo kana chiri chifananidzo chemuviri wavo," anodaro Dr. Streicher. Mimwe miitiro ine HIPAA-inoenderana nzira dzekutumira mafoto nemavhidhiyo kuburikidza neyavo software, nepo vamwe vasina HIPAA-inoteerera hutano zvivakwa zvinotendera vhidhiyo nemifananidzo kuchinjana. Sezvakangoitika kuna Dr. Streicher, uyo anoita kuti varwere vake vazive kuti haana HIPAA-inoenderana chirongwa pamberi. "Ini ndinoti, 'Tarisa, panguva ino, ndinofanira kuona zviri kuitika muhuro yako. Ini handigone kutaura kubva kutsananguro yako. Iwe unogona kupinda mukati uye ndinogona kuzvitarisa mumunhu kana kana iwe uchida nditumire pikicha, unogona kudaro, chero bedzi uchinyatsonzwisisa kuti iyi haisi HIPAA-inoenderana, asi ndichaibvisa kana ndangoiona. ' Vanhu vanenge vasina basa nazvo." (Ndiani, chaizvo? Zvakanaka, Chrissy Teigen kune mumwe-iye akambogadzira pikicha yekumhanyisa gumbo kuna doc wake.)

Iyi haisati iri yakakwana system, zvakadaro. "Chinetso chezvinhu zvevulvar hazvisi nyore kuti uonekwe," anodaro Dr. Streicher. "Kana mumwe munhu achiedza kuzviita ivo pachavo, zvinowanzove zvisina basa. Unoda kuti mumwe munhu avabatsire, kuti vagone kutambanudza makumbo avo uye vawane maonero akanaka mukati imomo." Uye kunyangwe kana wako mutori wemifananidzo-akacheka-shamwari ari chaiye Annie Leibovitz, angangoda nongedzo diki kana zvasvika pakutora mifananidzo yevakavanzika vako. Ingoitora kubva kuna Dr. Streicher, uyo achangobva kuratidza murwere nemurume wake mapikicha ezvokurapa kuti aedze kutsanangura zvaaitsvaga kubva pamifananidzo yavo. Uye chinhu chakanaka chaakaita nekuti "akapinda imomo ndokutora mifananidzo yakanaka," anodaro.

Dr. Greves anoti akamboitawo kuti varwere vatore mapikicha emabumps votumira kwaari pamusoro penzvimbo yakachengeteka. Asi anoti "haapikisane" nekuve nevarwere vanonyatsoratidza nyaya dzake panguva yekushanya kwetelemedicine "chero bedzi vachinzwa kugadzikana kuzviita." Kune rimwe divi, "hazvindibatsire chero chinhu kuti ndiwane kuzunza, yakaderera-mwenje vhidhiyo yevhavha" anodaro Dr. Streicher. (Onawo: Maitiro Ekumisikidza Ganda Mamiriro, Rashes, uye Bumps Pane Yako Vagina)

Kazhinji, kazhinji kushanya kweterevhizheni kunotora maminetsi makumi maviri, kunyangwe zvingatora nguva yakareba kana uri murwere mutsva, sekureva kwaDoctor Goist. Munguva yekushanya kwako, unozotaura nachiremba wako nezvezvinonetsa zvako uye ivo vanozoedza kuongorora kana kukuraira-sezvaunoita iwe paunopinda muhofisi. "Zvinenge zvakafanana nekushanya kwehofisi asi, pane kugara pachigaro chemahofisi chisina kugadzikana, murwere anogona kuita izvi kubva kunyaradzo uye kuchengetedzeka kwenzvimbo yavo," anotsanangura kudaro. "Varwere vazhinji vanokoshesa kurerukirwa nguva dzekugadzwa idzi maererano nekudzikamisa muzvirongwa zvavo zvega zvega. Zvakare, kana vashanyi vava kubvumidzwa kupinda mumahofisi, kugadzwa uku kunobvisa mutoro iwoyo kubva mukutsvaga mumwe munhu wekuchengetwa."

Zvaunotarisira Panguva YeIn-Office Ob-Gyn Kushanya

Yese tsika ine nhungamiro dzakasiyana munzvimbo, asi mahofisi mazhinji ane matanho matsva ekuzvidzivirira.

• Tarisira kutariswa kwefoni usati wazviratidza. Vazhinji vevanachiremba vakabvunzwa nezvechinyorwa chino vanoti mumwe munhu anobva kuhofisi kwavo achaita hurukuro newe nefoni usati wauya muhofisi kuti uone njodzi yako yazvino yeCOVID-19. Panguva yekutaura, vanozobvunza kana iwe kana nhengo yeimba yako yakambove nezviratidzo kana kusangana nemumwe munhu ane nyaya yakasimbiswa yeCCIDID-19 inotungamira kushanya. Zvese zviitwa zvakasiyana zvakasiyana, hazvo, uye chikumbaridzo cheumwe neumwe chingasiyana (zvichireva, izvo hofisi imwe ingangotaridzika sezvingabvira, imwe ingafarire kuita mu-munhu).
• Pfeka chifukidzo. Paunenge iwe wasvika kuhofisi, yako tembiricha inotorwa uye iwe unogona kupihwa mask kana kukumbirwa kupfeka yako wega. "Isu takasarudza sekiriniki kuti tinoda kuti vanhu vanopfeka masiki [ekurapa] pamusoro pemasiki epamba nekuti isu hatizive kana masks emumba akagezwa uye kana murwere aswera achiibata," anodaro Dr. Streicher. Ingave yakagadzirwa kumba kana kupihwa kwauri, gadzirira kupfeka chimwe chinhu pamusoro pechiso chako. "Mukuita kwedu, haugone kupinda kunze kwekunge wakapfeka chifukidzo," anowedzera Dr. Ross. (Uye yeuka: Zvisinei nekushamwaridzana nevanhu, zvakanaka Ndapota pfeka mask—ingave yakagadzirwa nedonje, mhangura, kana chimwe chinhu.)
• Kupinda kungangove sekusina maoko sezvinobvira. Semuenzaniso, pahofisi yaDkt Streicher, vashandi vepamberi vanoparadzaniswa nechikamu cheplexiglass, uye pakuita kwaDkt Goist, kune zvipingamupinyi zvakafanana munzvimbo yose yekudzivirira varwere nevashandi. Uye, mune mamwe maitiro, iwe unogona kutozadza mafomu ako evarwere pamberi uye uuye nawo.
• Makamuri ekumirira achaita zvakasiyana. Senge muhofisi yaDr. Goist, uko fenicha inoparadzaniswa zvakanyanya kukurudzira kushamwaridzana. Zvichakadaro, mimwe miitiro yakakanganwira pfungwa yekamuri yekumirira pamwe chete nekumirira mumota mako kusvikira iwe waziviswa kuti imba yekuongorora yakagadzirira. Hazvinei kuti wakamirira kupi, ungada kuuya nemabhuku ako ekuverenga sezvo mahofisi akawanda, kusanganisira aDr. Streicher, ane magazini anoshandiswa kubatsira kuderedza nzvimbo dzinowanzobatwa-batwa. (Onawo: Zvese zvaunoda Kuti Uzive Nezve Coronavirus Transmission)
• Saka nemakamuri ebvunzo. Vanogona kunge vakasiyana-siyana zvakare. "Kamuri rakarongedzwa saka chiremba ari mune imwe kona uye murwere ari mune imwe," anodaro Dr. Streicher. "Chiremba anoita nhoroondo yemurwere kubva pamamita matanhatu asati aita bvunzo." Nepo ob-gyn ari "pachena ari padyo" panguva yebvunzo chaiyo, "ipfupi," anotsanangura kudaro. Zvichienderana nekuita, vabatsiri vechiremba uye vanamukoti vanowanzotora nhoroondo yemurwere wako vobva vaenda, anowedzera Dr. Streicher.
• Makamuri achave akaiswa utachiona zvakakwana pakati pevarwere. Mahofisi eDhokotera agara achichenesa makamuri pakati pevarwere, asi izvozvi, mune yepashure-coronavirus nyika, maitiro acho akaomeswa. "Pakati pemurwere mumwe nemumwe, mubatsiri wezvekurapa anouya opukuta pasi pega pega pega neine utachiona," anodaro Dr. Streicher. Mahofisi achiri kuyedza kuisa-kunze kugadzwa kwevarwere kuti vasiye nguva yekuuraya utachiona uye zvakare kudzivirira varwere kuti vasagare mukamuri yekumirira, anodaro Dr. Greves.
• Zvinhu zvinogona kumhanya zvakanyanya pa-nguva. "Takadzora huwandu hwevarwere [zvachose]," anodaro Dr. Streicher. "Nekudaro, mune varwere vashoma mukamuri yekumirira.

Zvekare, maitiro ese akasiyana uye, kana iwe uchida chaizvo pane zviri kuitwa nehofisi ye-ob-gyn, ingovafonera pamberi kuti vazive. Pamusoro pazvo, vanachiremba vanoti kuchinja uku kuchange kuripo kwekanguva. "Iyi ndiyo tsika yedu itsva yekuuya kuzotiona, uye ichave kwenguva yakati," anodaro Dr. Ross.

Ongororo ye