E noʻonoʻo ʻoe ua loaʻa koke iā ʻoe ke kuni a ʻeha ke kino. A i ʻole ua ʻoi aku ka ʻeha o ke kua i lōʻihi. ʻO wai kā mākou e hele mua ai i ka manawa e like me kēia? Inā ʻaʻole he pilikia nui, ʻo ka mea mua a mākou e noʻonoʻo ai ʻo kā mākou 'Kauka ʻOhana', ʻeā? Pēlā mākou e kapa aku ai i ke kauka nāna e hoʻoikaika i nā mea āpau e pili ana i ko mākou olakino a ʻike maikaʻi loa iā mākou, he Luna Hoʻolako Mālama Mua (PCP) .
ʻO wai ka mea lawelawe mālama mua (PCP)?
I ka ʻōlelo maʻalahi, he kanaka ka PCP e hana pū me ʻoe e kōkua iā ʻoe e noho olakino, e like me kāu hoa ola kino. ʻO kāu PCP ke kanaka mua āu e kamaʻilio ai a ʻike no kekahi pilikia olakino ʻaʻole lawa ka nui e pono ai ke hele i ka Emergency Department (ETU). ʻO ia nō hoʻi ke kanaka āu e hele ai no kāu nānā makahiki.
Ke hele ʻoe i ke kauka hoʻokahi no ka manawa lōʻihi, e ʻike ʻo ia iā ʻoe, kou mau maʻi, ka mōʻaukala olakino o kou ʻohana, a me kāu mau mea makemake a me nā mea makemake ʻole. A laila e maʻalahi iā ia ke hāʻawi iā ʻoe i ka lāʻau āu e pono ai.
ʻO ka hapa nui o ka manawa, he kauka ka PCP. Eia nō naʻe, ma kekahi mau ʻāina, hāʻawi pū nā kahu hānai i hoʻomaʻamaʻa kūikawā ʻia (Nurse Practitioners) a me nā Kōkua Kauka (Physician Assistants) i kēia lawelawe. Ma Sri Lanka, kapa pinepine mākou i kēlā kauka he 'GP' (General Practitioner). ʻO ia hoʻi ke ʻano like.
Pehea e hiki ai i kahi PCP ke kōkua iā ʻoe?
ʻO ka hana nui a kāu PCP ka mālama ʻana iā ʻoe i ke olakino, a i ʻole e hoʻōla koke iā ʻoe inā maʻi ʻoe. ʻO kā lākou hana ia e hana i kēia mau mea.
| He aha e hana ai | He wehewehe wale nō |
|---|---|
| Nānā olakino makahiki | Hoʻokahi manawa i ka makahiki, e nānā pono ʻia ʻoe e hōʻoia i ka maikaʻi o nā mea a pau. |
| Nā maʻi ulia pōpilikia | Hoʻohana ʻia ia e mālama i ke kuni koke, ke anu, a i ʻole ka ʻeha ʻōpū. |
| Ke ʻike maikaʻi aku nei iā ʻoe | Me ka hala ʻana o ka manawa, e aʻo hou ʻoe e pili ana i kou mōʻaukala olakino, ka mōʻaukala ʻohana, a me kāu mau koho lapaʻau makemake ʻia. |
| Ke pane ʻana i nā nīnau | E pane mākou i kāu mau nīnau e pili ana i nā maʻi, nā maʻi mau, a me nā lāʻau lapaʻau. |
| Kōkua i ka pale ʻana i nā maʻi | Hāʻawi ʻia nā ʻōlelo aʻoaʻo no nā mea e like me ka haʻalele ʻana i ka puhipaka, ka ʻai ʻana i nā meaʻai momona, a me ka hōʻemi ʻana i ke kaumaha. |
| Ke noiʻi ʻana i nā lāʻau pale | E hōʻoia i ka loaʻa ʻana o kāu mau lāʻau pale e pono ai (e like me ka mumps, influenza, shingles) i ka manawa kūpono. |
| Kuhikuhi no nā hoʻokolohua nānā | Kuhi ʻia nā kuhikuhi no nā hoʻokolohua (e like me nā mammograms, colonoscopies) i hiki ke ʻike i nā maʻi koʻikoʻi (e like me ke kanesa) ma mua o ka puka ʻana o nā hōʻailona. |
| Ka mālama ʻana i nā maʻi lōʻihi | Kōkua ia i ka kaohi ʻana i nā maʻi lōʻihi e like me ka maʻi diabetes, ke koko kiʻekiʻe, a me ke kaumaha. |
| Kuhikuhi i nā loea | Inā pono, e kuhikuhi ʻia ka ʻike loea i ka loea kūpono no kekahi maʻi (e like me ka maʻi puʻuwai, maʻi māmā, maʻi iwi). |
I ka manawa hea mākou e ʻike ai i kahi PCP?
ʻOi aku ka maikaʻi o ka ʻike ʻana i kāu PCP ma ka liʻiliʻi hoʻokahi manawa i ka makahiki no ka nānā piha ʻana. Inā ʻoe e hoʻokaʻawale i kahi lā no kēia, e like me kou lā hānau, hiki iā ʻoe ke hōʻoia e hana ʻoe i kēlā me kēia makahiki.
Eia kekahi, e kamaʻilio me kāu PCP ma kēia mau kūlana:
- He mea nui e lawe i ka lāʻau lapaʻau inā loaʻa iā ʻoe nā hōʻailona o kahi maʻi (e like me ka ʻeha o ka puʻu, ka ʻūhū, a i ʻole ka maʻi ʻōpū mimi).
- Inā he ʻeha hou kou i wehewehe ʻole ʻia ma kekahi wahi o kou kino .
- Inā manaʻo ʻoe he hopena ʻaoʻao kou mai ka lāʻau āu e lawe nei.
- Inā he mau nīnau kāu e pili ana i ka lāʻau i kuhikuhi ʻia iā ʻoe.
He aha nā ʻoihana kūikawā o nā Kauka Mālama Ola Kino Mua?
ʻO nā kauka e hāʻawi ana i ka mālama mua he maʻamau ka hoʻomaʻamaʻa kūikawā ma kekahi o kēia mau kahua.
- Lapaʻau ʻOhana: Kāhea pū mākou i kēia poʻe he 'Kauka ʻOhana'. Mālama kēia mau kauka i ka ʻohana holoʻokoʻa, ʻo ia hoʻi, nā pēpē, nā keiki, nā ʻōpio, nā pākeke, a me ka poʻe ʻelemakule. Malia paha ʻo ʻoe, kāu mau keiki, a me kou mau mākua, ʻo ʻoukou ʻekolu, e hele i ke kauka hoʻokahi.
- Lapaʻau Kūloko: Ua kapa ʻia kēia mau kauka he 'Internists'. Hoʻōla wale lākou i nā pākeke ma luna o 18 mau makahiki.
- Nā Kauka Pediatrics: ʻO kēia nā 'Kauka Pediatrics' a mākou i ʻike ai. Mālama lākou i nā keiki mai ka hānau ʻana a hiki i ka wā ʻōpio.
Eia kekahi, loaʻa i kekahi mau kauka ʻohana a me nā internists ke aʻo kūikawā hou aʻe i ka mālama ʻana i nā pākeke. Kāhea mākou iā lākou he poʻe Geriatricians .
Pehea ʻoe e loaʻa ai i kahi PCP maikaʻi?
He mea nui e loaʻa kahi PCP āu e hilinaʻi ai a kūpono hoʻi iā ʻoe. Eia kekahi kōkua.
- E nīnau i kahi mea āu e hilinaʻi ai: ʻO kēia ka mea maikaʻi loa a mākou e hana ai ma Sri Lanka. E nīnau i kāu mau hoaaloha, ʻohana, e pili ana i ke kauka a lākou e hele ai. E ʻike i kā lākou makemake e pili ana i kēlā kauka.
- E nānā i kāu hoʻolālā ʻinikua: Inā he hoʻolālā ʻinikua olakino kāu, e nānā i nā kauka i uhi ʻia e ia. A laila, ʻaʻole ʻoe e hopohopo e pili ana i ke kumukūʻai.
- Huli ma ka pūnaewele: Hiki iā ʻoe ke huli ma ka pūnaewele. Hiki iā ʻoe ke nānā i nā kikoʻī o ke kauka a me nā loiloi o ka mea maʻi ma nā pūnaewele o nā haukapila ma kou wahi.
- Kāhea i ke keʻena: Inā he mau kauka āu e makemake ai, e kāhea i kā lākou kikowaena channeling a i ʻole dispensary e noi i nā kikoʻī. Hiki iā ʻoe ke ʻike inā e ʻike ana lākou i nā maʻi hou a me ko lākou mau hola.
E noʻonoʻo i kēia ma hope o ka hālāwai mua.
Ma hope o kou hele ʻana i ke kauka hou, e noʻonoʻo i ka ʻike no kekahi manawa. Inā ua manaʻo ʻoe i kēia mau mea, ʻo ia hoʻi he kūpono paha ʻo ia iā ʻoe.
- Ua palekana a hoʻomaha anei ʻoe?
- Ua manaʻo anei ʻoe ua mālama ʻia ʻoe me ka mahalo ?
- Ua hāʻawi ʻia anei iā ʻoe ka manawa kūpono e nīnau ai ?
- Ua maopopo a pono anei nā pane?
He manawa iki paha ka loaʻa ʻana o ke kauka kūpono nāu. ʻAʻole pilikia. ʻO ka mea nui loa, ʻo ia ka loaʻa ʻana o kahi kanaka āu e ʻoluʻolu ai a hilinaʻi hoʻi e kamaʻilio pū me ia. No ka mea, ʻo ka nui o kou manaʻo pēlā, ʻo ka nui o kou mālama ʻana i kou olakino.
Leka Lawe-Home
- ʻO ka Luna Hoʻolako Mālama Ola Kino (PCP) ka hoa hana e alakaʻi iā ʻoe i kou olakino a ʻike maikaʻi loa iā ʻoe. Ma Sri Lanka, kapa pinepine mākou i kēia ʻano kauka he GP.
- Kōkua lākou iā ʻoe me nā maʻi ʻaʻole koʻikoʻi, nā nānā makahiki, a me ka mālama ʻana i nā maʻi lōʻihi e like me ka maʻi diabetes a me ke koko kiʻekiʻe.
- ʻO kahi PCP maikaʻi kekahi kanaka hiki iā ʻoe ke hilinaʻi a ʻoluʻolu hoʻi e kamaʻilio pū me ia e pili ana i kekahi o kāu mau pilikia olakino.
- No ka loaʻa ʻana o ke kauka kūpono iā ʻoe, he mea nui loa e nīnau i nā poʻe ʻē aʻe, e ʻimi ma ka pūnaewele, a noʻonoʻo i kāu ʻike ma hope o kāu hālāwai mua ʻana.
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