ʻO kāu wahi kū mua ma ke olakino: ʻO nā mea āpau e pili ana i kahi mea lawelawe mālama mua (PCP)!

Ke noʻonoʻo nei ʻoe i kekahi manawa, 'Auē, nani ka maikaʻi inā loaʻa iaʻu kaʻu kauka ponoʻī e kamaʻilio pū me a loaʻa ka ʻōlelo aʻo, ʻoiai inā he anu iki koʻu a he ʻeha iki paha i koʻu kino?' A i ʻole, 'Inā wale nō he ala e nānā ai i koʻu kino holoʻokoʻa ma ka liʻiliʻi hoʻokahi manawa i ka makahiki a mālama iā ia ma mua o ka ʻino'? ʻO ia ka manawa e pono ai mākou i kahi mea mālama mua, ʻo ia hoʻi, he kauka mālama mua ( Pono ke kōkua i ka Luna Hoʻolako Mālama Ola Kino (PCP) . I kēia lā, e kamaʻilio kākou e pili ana i kēia PCP, nā lawelawe hiki iā ʻoe ke loaʻa mai iā ia, a pehea e loaʻa ai kahi kūpono iā ʻoe.

ʻO wai ka mea lawelawe mālama mua (PCP)?

I ka ʻōlelo maʻalahi, ʻo kāu mea mālama ola mua (PCP) kāu hoa mālama ola e hana pū me ʻoe e kōkua iā ʻoe e noho olakino. ʻO kāu PCP ke kanaka mua āu e kamaʻilio ai a ʻike inā he mau pilikia olakino kou, me nā mea liʻiliʻi e like me kahi pilikia. ʻO ia nō hoʻi ke kanaka āu e hele ai no kāu nānā makahiki .

E noʻonoʻo ua hele ʻoe i ke kauka hoʻokahi no nā makahiki. ʻAʻole ʻo ia i ʻike wale i kou mau kūlana olakino, akā, i kāu ʻai ʻana, kou mau ʻano, a me ke olakino o kou ʻohana. No laila, i ka wā e koho ai i kahi lāʻau lapaʻau nou, ʻoi aku ka maʻalahi iā ia ke hana ia mea ma ke ʻano kūpono iā ʻoe. I ka hala ʻana o ka manawa, ʻike maikaʻi kāu PCP iā ʻoe a hoʻoponopono i ka mālama i kāu mau pono.

He mau kauka lapaʻau pinepine nā PCP. ʻO ia hoʻi, he kekelē lapaʻau ko lākou (MD a i ʻole DO) mai kahi kula lapaʻau i ʻae ʻia. Eia nō naʻe, ma kekahi mau ʻāina, hana pū nā kahu maʻi i aʻo ʻia (Nurse Practitioners) a me nā kōkua kauka (Physician Assistants) ma ke ʻano he ʻāpana o kahi hui mālama mua. Ma waho o Sri Lanka, kapa kekahi poʻe i kā lākou PCP he kauka lapaʻau maʻamau (GP). Ua kapa ʻia hoʻi ʻo ia he General Practitioner (GP) . Hoʻohana ʻia kēia huaʻōlelo GP ma ko kākou ʻāina, ʻeā?

Pehea e hiki ai i kahi PCP ke kōkua iā ʻoe?

Kōkua kāu PCP iā ʻoe e noho olakino a kōkua iā ʻoe e hoʻōla koke inā maʻi ʻoe. Eia kekahi mau ala e hiki ai iā ia ke kōkua iā ʻoe:

• A hui hou kākou no kāu nānā makahiki: He mea nui loa ia e kiaʻi pono i kou olakino. Hiki iā ʻoe ke ʻike i nā loli i ka wā mua.
• Ke ʻike ʻana iā ʻoe iho i ka wā e loaʻa koke ai kahi pilikia olakino : Inā loaʻa koke iā ʻoe ke kuni a ʻeha paha ka ʻōpū , ʻo ka mea mua āu e hana ai, ʻo ia ke hele i kahi PCP.
• Ke ʻike pono ʻana iā ʻoe iho: He mea nui loa kēia. Kou mōʻaukala lapaʻau, kāu mau lāʻau lapaʻau makemake ʻia, a me kou ʻano pilikino. ʻAe kēia iā ia e hāʻawi i ka lawelawe kūpono loa iā ʻoe.
• Ka pane ʻana i kāu mau nīnau: Inā he mau nīnau kāu e pili ana i nā maʻi, nā maʻi maʻi, a i ʻole nā ​​​​lāʻau lapaʻau āu e lawe nei, e ʻoluʻolu e nīnau iā lākou.
• Kāohi i nā maʻi Kōkua : ʻOi aku ka maikaʻi o ka pale ʻana i ka maʻi ma mua o ka lawe ʻana i ka lāʻau lapaʻau ma hope o ka hiki ʻana mai, ʻeā? Hiki i kāu PCP ke kōkua iā ʻoe me kēlā.
• Eia kekahi laʻana, inā makemake ʻoe e haʻalele i ka puhipaka , hiki iā ia ke aʻo a kōkua iā ʻoe.
• Malia paha pono ʻoe e hoʻololi iki i kāu papaʻai a hoʻomaʻamaʻa i ka papaʻai momona .
• A i ʻole, makemake paha ʻoe e kamaʻilio e pili ana i nā ala e hoʻokele ai i ke kaumaha i kou ola. Hiki i kāu PCP ke alakaʻi iā ʻoe ma o kēia mau mea āpau.
• Ke loaʻa ʻana o kāu mau lāʻau pale i ka manawa kūpono: E hōʻoia ʻo ia e loaʻa iā ʻoe kāu mau lāʻau pale i ka manawa kūpono e pale aku iā ʻoe mai nā maʻi e like me ka pana maʻi flu, ka pana tetanus, a me ka shingles.
• Ke kuhikuhi nei i nā hoʻokolohua nānā: Hiki ke ʻike ʻia kekahi mau maʻi ma mua o ka puka ʻana o nā hōʻailona. No ka laʻana, nā mammograms no ka maʻi ʻaʻai umauma a me nā colonoscopies no ka maʻi ʻaʻai colon, e aʻo mākou iā ʻoe e pili ana i kēia mau hoʻokolohua a kuhikuhi aku iā ʻoe e hana iā lākou.
• Ke paipai nei i nā lāʻau lapaʻau āu e pono ai: E hoʻoholo lākou i nā lāʻau lapaʻau kūpono no kou kūlana a kuhikuhi iā lākou nāu.
• Kōkua iā ʻoe e hoʻokele i nā kūlana lōʻihi e like me ka maʻi diabetes, ke koko kiʻekiʻe, a i ʻole ke kaumaha: Ke noho ʻoe me kēia mau kūlana, hiki i kāu PCP ke kōkua iā ʻoe e hoʻokele iā lākou a ola i kahi ola maikaʻi aʻe.
• Kuhikuhi i nā loea ʻē aʻe: Inā koi kou kūlana i ka ʻike loea hou aʻe, no ka laʻana, he kauka puʻuwai, kauka māmā, a kauka ʻokiʻoki orthopedic paha, e kuhikuhi ʻia ʻoe i kahi loea.

E noʻonoʻo wale, he waiwai nui ka loaʻa ʻana o kahi kauka nāna ʻoe i ʻike maikaʻi a hiki iā ʻoe ke kamaʻilio pū me ia e pili ana i nā mea āpau!

Āhea wau e ʻike ai i kahi PCP?

ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kāu PCP ma ka liʻiliʻi hoʻokahi manawa i ka makahiki no kahi nānā olakino piha. Inā ʻoe e hoʻonohonoho i kēia i kahi lā hoʻomanaʻo, e like me kou lā hānau, e maʻalahi ka hoʻomanaʻo e hana ia i kēlā me kēia makahiki. ʻO ka mea nui, ʻo ia ka hoʻolilo ʻana iā ia i ʻāpana o kāu hana maʻamau.

Eia kekahi, e ʻike pono i kāu PCP inā:

• Inā loaʻa iā ʻoe nā hōʻailona o kahi maʻi e pono ai ka mālama ʻana: no ka laʻana, ka ʻāʻī strep, ka ʻūhū whooping, a i ʻole ka maʻi urinary tract. ʻAʻole hiki iā ʻoe ke noho wale ma ka home a loaʻa ka mālama ʻana. Pono ʻoe e ʻike i ke kauka.
• Inā loaʻa iā ʻoe kahi ʻeha hou i wehewehe ʻole ʻia ma kekahi wahi o kou kino: ʻOiai inā he ʻeha liʻiliʻi ia, inā hoʻomau a ʻoi aku ka ʻino, e hōʻoia e haʻi i kāu PCP.
• Inā loaʻa iā ʻoe nā hopena ʻaoʻao ma hope o ka lawe ʻana i ka lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau ke hana i nā hopena ʻaoʻao liʻiliʻi. Akā inā hoʻopilikia ia iā ʻoe, e kamaʻilio me kāu PCP.
• Inā he mau nīnau kāu e pili ana i kāu hoʻolālā lapaʻau: Inā ʻaʻole ʻoe maopopo i kekahi mea e pili ana i ka lāʻau lapaʻau e hāʻawi ʻia nei iā ʻoe, ka mea e haʻi ʻia aku nei iā ʻoe e hana, a inā he kānalua kāu, e nīnau i nā mea āpau.

He aha nā wahi a nā PCP i loea ai?

Loaʻa i nā kauka lapaʻau mua ke aʻo kūikawā ma kekahi o nā wahi aʻe:

• Lapaʻau ʻOhana: Kāhea pū mākou i kēia poʻe he 'kauka ʻohana'. He kūikawā loa lākou no ka mea mālama lākou i nā pēpē, nā kamaliʻi liʻiliʻi, nā kamaliʻi ʻōpio, nā pākeke, nā poʻe ʻelemakule, ʻo ia hoʻi, nā kānaka o nā makahiki āpau i loko o kahi ʻohana. No laila, ʻo ʻoe, kāu mau keiki, kou mau mākua, hiki i kēia mau mea āpau ke hele i ke kauka ʻohana hoʻokahi. A laila ʻike ʻo ia i ka mōʻaukala olakino o ka ʻohana holoʻokoʻa.
• Lapaʻau Kūloko: Ua kapa ʻia kēia mau kauka he internists. Mālama lākou i nā poʻe he 18 mau makahiki a ʻoi. Loaʻa iā lākou ke aʻo kūikawā i ka ʻike ʻana a me ka mālama ʻana i nā maʻi paʻakikī i nā pākeke.
• Pediatrics: Ua ʻike mākou a pau iā lākou he 'pediatricians' a i ʻole pediatricians. ʻO lākou ka poʻe e mālama i nā pilikia olakino, ka ulu ʻana, a me ka ulu ʻana o nā mea a pau mai nā pēpē, nā kamaliʻi liʻiliʻi, a me nā kamaliʻi ʻōpio.

Loaʻa i kekahi mau kauka ʻohana a me nā internists ke aʻo kūikawā hou aʻe e mālama i ka poʻe ʻelemakule . Ua kapa ʻia lākou he geriatricians . Loaʻa iā lākou kahi ʻike maikaʻi o nā pilikia olakino kūikawā e kū mai ana i ka wā e ʻelemakule ai ka poʻe.

Pehea ʻoe e ʻike ai i kahi PCP kūpono iā ʻoe?

He mea nui e loaʻa i kahi PCP kūpono iā ʻoe a me kekahi hiki iā ʻoe ke hilinaʻi. Eia kekahi mau mea e hiki ke kōkua iā ʻoe me kēlā:

• E nānā i kāu hoʻolālā ʻinikua (inā loaʻa iā ʻoe kekahi): Inā loaʻa iā ʻoe ka ʻinikua olakino, e ʻike i nā PCP i uhi ʻia e kēlā ʻoihana ʻinikua a kokoke i kou home. Hiki i kēia ke kōkua i ka hoʻohaiki iki ʻana i kāu mau koho.
• E noi i nā ʻōlelo aʻoaʻo mai nā poʻe hilinaʻi: E nīnau i kāu mau hoaaloha, ʻohana, a me nā hoa hana e pili ana i nā PCP a lākou e hele ai. Ua hauʻoli anei lākou me kēlā kauka, a no ke aha lākou i koho ai i kēlā kauka?E nīnau i ke kauka i kāna mea e makemake ai a me ke ʻano o nā mea āna e hana maikaʻi ai. He mea waiwai nui ka ʻike o ke kanaka.
• E huli i ka Pūnaewele: Loaʻa paha i nā pūnaewele haukapila ma kou wahi ka ʻike e pili ana i nā PCP. I kekahi manawa hiki iā ʻoe ke nānā i nā ʻikepili o nā kauka a me nā loiloi o ka mea maʻi. (Ma Sri Lanka, ʻaʻole paha e nui nā loiloi, akā he kōkua nā pūnaewele haukapila.)
• Kāhea i nā keʻena PCP: Ke loaʻa iā ʻoe kekahi mau PCP i ka noʻonoʻo, e kāhea i kā lākou mau keʻena a i ʻole ka haukapila/keʻena lapaʻau kahi a lākou e hana ai. E nīnau inā ʻae lākou i kāu ʻinikua (inā loaʻa iā ʻoe kekahi) a inā e ʻae ana lākou i nā maʻi hou. E nīnau iā lākou i nā mea āu e pono ai e ʻike ma ke ʻano he maʻi hou. Inā hiki, e kipa i ke keʻena a i ʻole ke keʻena lapaʻau e ʻike i ke ʻano o ke kaiapuni a inā he aloha nā limahana.

Nā mea e noʻonoʻo ai ma hope o ka hālāwai mua

Ma hope o kou hālāwai ʻana me kahi PCP hou, e hoʻokaʻawale i kekahi manawa e noʻonoʻo ai e pili ana i ka hālāwai. Ma keʻano laulā, inā manaʻo ʻoe i kēia mau mea, he kūpono paha kēlā PCP iā ʻoe:

• Ua palekana a ʻoluʻolu anei ʻoe?
• Ua manaʻo anei ʻoe ua mahalo ʻia ʻoe ?
• Ua hāʻawi ʻia anei iā ʻoe ka manawa kūpono e nīnau ai ? Ua hoʻolohe anei ke kauka i kāu mea e ʻōlelo ai?
• Ua loaʻa anei iā ʻoe nā pane maopopo, hiki ke hoʻomaopopo ʻia, a pono hoʻi i kāu mau nīnau?

Inā ʻaʻole kūpono kekahi mea, inā ʻaʻole ʻoe e maikaʻi ana, ʻaʻohe hewa o ka hoʻomaka ʻana i kahi PCP hou. Pono paha kekahi mau hoʻāʻo e ʻike i ka mea kūpono iā ʻoe - he mea maʻamau kēlā. E hoʻomanaʻo, ʻo ke ʻano o ka ʻoluʻolu a me ka hilinaʻi iā ʻoe i ka wā o kāu mau manawa PCP e loaʻa ai ka hopena nui i ka pinepine o kou hele ʻana no nā nānā ʻana a me ka wikiwiki o kou ʻike ʻana i kāu kauka inā loaʻa kahi mea ʻē. ʻO ia ka mea e hoʻololi nui ai i kou olakino.

ʻO ka mea hope loa, e hoʻomanaʻo:

I kēia manawa ua maopopo iā ʻoe ke kumukūʻai o ka loaʻa ʻana o kahi mea mālama ola mua, ʻo ia hoʻi kāu PCP ponoʻī. E noʻonoʻo, loaʻa koke iā ʻoe kahi ʻāʻī ʻeha a ʻaʻole hiki ke ale. A i ʻole e ulu koke kahi ʻulaʻula e ʻoi aku ka ʻino. A i ʻole hoʻomaka ʻoe e lawe i kahi lāʻau lapaʻau hou a manaʻo ʻoe ua poniuniu. Hiki iā ʻoe ke kamaʻilio me kāu PCP e pili ana i kekahi pilikia olakino āu e loaʻa nei.

ʻAʻole wale ʻo ia e kuhikuhi iā ʻoe i ka lāʻau lapaʻau, akā e kōkua pū ʻo ia iā ʻoe e hoʻokele i kou mau maʻi maʻi , e kuhikuhi iā ʻoe i nā loea ʻē aʻe inā pono, a ʻo ka mea nui loa, e kōkua iā ʻoe e loaʻa ka ʻike maikaʻi aʻe i kou olakino ponoʻī. No laila, inā ʻaʻohe āu PCP āu e hilinaʻi nei, e hoʻomaka e ʻimi i hoʻokahi i kēia lā. ʻO ia ka hoʻopukapuka kālā nui loa hiki iā ʻoe ke hana i kou olakino!

ʻO ka mea lawelawe mālama mua, PCP, kauka ʻohana, kauka lapaʻau laulā, nānā olakino, pale ʻana i nā maʻi, ʻōlelo aʻoaʻo lapaʻau