Bɔku tin dɛn de we kin mek yu gɛt di sik? Lɛ wi lan aw dɔktɔ dɛn kin fɛn dɛn (Differential Diagnosis)!

We yu go to dɔktɔ wit kol, fiva, ɔ ɔda sik, sɔntɛnde di dɔktɔ nɔ kin se wantɛm wantɛm se, "Na dis yu gɛt," nɔto so? Yu go dɔn yɛri pipul dɛn de tɔk tin lɛk, "Bays pan dɛn sayn ya, i kin bi dis sik, ɔ da sik de. Lɛ wi luk insay am smɔl mɔ, sɔntɛm wi nid fɔ du tɛst." Na so wi go tɔk bɔt wan rili impɔtant we we dɔktɔ dɛn kin yuz fɔ no ustɛm yu gɛt, pan sɔm sik dɛn we gɛt di sem kayn sayn. dis na wetin dεn kכl ``Difrεnshal Diagnosis'' na mεdikal. Fɔ tɔk am simpul wan, i tan lɛk "difrɛns diagnosis."

Wetin na ``Difrɛnshal Dayagnɔz'' simpul wan?

Imajin se yu gɛt sɔm sayn dɛn. Fɔ ɛgzampul, yu ed kin at bad bad wan ɛn yu kin fil se yu wik. Naw, i kin pas wan sik we gɛt dɛn sayn ya. I kin bi di kɔmɔn flu, ɔ i kin bi sɔntin we rili siriɔs.

So, wetin dɔktɔ de du na fɔ mek wan list fɔ di sik dɛn we pɔsin kin gɛt bay di sayn dɛn we yu gɛt. Dɛn kɔl da list de ``Differential Diagnosis.'' Dis tan lɛk polis ditektiv we de mek wan list fɔ pipul dɛn we dɛn tink se de apin. Dis nɔto yu ``Final Diagnosis,'' bɔt na impɔtant step fɔ rich de. Na frɔm dis list yu kin du tɛst, aks ɔda kwɛstyɔn dɛn, ɛn pul di wan dɛn we nɔ impɔtant fɔ no ustɛm na di prɔblɛm.

Aw dɔktɔ kin no se pɔsin gɛt dis sik? (Diagnostik prɔses) .

Dɔktɔ kin fala sɔm tin dɛn fɔ no di sik kɔrɛkt wan. Dis tan lɛk we sayɛnsman dɛn de du tin.

1. Fɔs, wi go tek tɛm aks yu bɔt di sayn dɛm we yu gɛt.

We yu go si di dɔktɔ, i go bigin fɔ aks yu kwɛstyɔn dɛn fɔs.

• "Wetin na yu simptom dɛm?"
• "Aw lɔŋ dɛn simptom ya dɔn de go?"
• "Wetin dis pen, dis diskɔmfɔt tan lɛk? I rili bad? I mild?"
• "Eni oda tin de fil strenj?"

De dɔktɔ de tray fɔ gɛt wan bɛsik aidia bɔt yu sik tru kwɛstyɔn dɛn lɛk dis.

2. Wi go luk pan yu past sik ɛn wɛl bɔdi abit dɛm (`Medical History`)

Neks, di dɔktɔ go aks yu bɔt yu kɔmplit mɛdikal istri .

• "Yu don get simptom laik dis bifo?"
• "Yu don notis eni tin (fud, wok, envairoment) we de inkrise o decrease dis karakta?"
• "Eni big chenj o preshos don de fo yu laif dis dez?"
• "Us mɛrɛsin, vaytamɛn, ɛn supamakit yu de tek naw?"

Dis infɔmeshɔn rili impɔtant, bikɔs sɔm sayn dɛm kin kam bikɔs ɔf wan mɛrɛsin wae yu de tek ɔr bay wan sik wae bin dɔn de bifo.

3. Fɔ Ɛgzamin di Fizik

Dɔn di dɔktɔ go chɛk yu. Dis go mɔs inklud yuDis kin min fɔ chɛk yu blɔd prɛshɔn, chɛk yu at rit, ɛn lisin to yu lɔng dɛn wit stetɔskɔp. Sɔntɛnde, dɛn kin palpate yu bɛlɛ bak ɛn luk yu trot. Dis kin ɛp yu dɔktɔ fɔ no if ɛnitin de we nɔ fayn na yu bɔdi.

4. Na da tɛm de dɛn kin mek di ``Differential Diagnosis'' list.

Bay di infɔmeshɔn wae yu gi ɛn di tin dɛm wae yu dɔn fɛn fɔ chɛk yu bɔdi, yu dɔktɔ go no sɔm kayn sik dɛm wae kin mach yu sayn dɛm. dis list fכ di poshubul kכndyushכn dεm dεn kכl am ``Difrεnt Diagnosis.''

5. Dɔn, if nid de, dɛn kin du mɔ tɛst dɛn.

Naw, fɔ no uswan pan di sik dɛn we de na da list de yu gɛt, yu dɔktɔ kin ɔda fɔ mek dɛn du ɔda tɛst dɛn. Dɛn tɛst ya go difrɛn difrɛn wan fɔ di sayn dɛm wae yu gɛt.

Fɔ ɛgzampul:

• Labɔrɔtɔri tɛst: Tin dɛn lɛk blɔd tɛst ɛn urine tɛst.
• Imej tɛst: Lɛk ɛkstrem rayt ɔ ɔltra saund skan.
• sכmtεm dεn kin du ``bayopsi'' , we min fכ tek sכm sכm tisu εn egzamin am.

6. Dɛn kin kɔmpia di tɛst rizɔlt ɛn di sayn dɛm bak.

Afta di tɛst rizɔlt kam, di dɔktɔ go tek tɛm stɔdi di rizɔlt, yu sik dɛn, ɛn yu mɛdikal istri.

7. De fainal diagnosis na di wan wae de tel yu wetin na di rial sik.

Na afta yu dɔn du ɔl dis ɛn tek tɛm tink bɔt di tru tin dɛn, na in di dɔktɔ go tɛl yu wetin na yu rial mɛdikal kɔndishɔn (`Final Diagnosis`) . Na da tɛm de nɔmɔ dɛn go ebul fɔ bigin di tritmɛnt we dɛn nid.

Ustɛm dɛn kin du ``Difrɛns Dayagnɔz''?

Fɔ tɔk am simpul wan, dis ``Differential Diagnosis`` prɔses nid fɔ de we yu simptom dɛn kɔmɔn fɔ mɔ pas wan sik . fכ egzampl, we yu gεt chεst pen, i kin bi fכ ``Hat Atak``, i kin bi fכ gastritis, כ i kin bi fכ ``Mכsul Strεin``. Dɔn di dɔktɔ kin tink bɔt ɔl dɛn tin ya. Dɛn kin yuz ɔda tɛst dɛn fɔ pul dis sɔprayz ɛn fɔ no di rayt tin we mek i apin.

Wetin yu fɔ ɛkspɛkt we yu de du dis wok?

Bifo dɛn no di sik

We yu go to dɔktɔ, i rili impɔtant fɔ kam wit wan list we gɛt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek. Na bikɔs sɔm mɛrɛsin dɛn kin mek pɔsin gɛt sɔm sayn dɛn. Di dɔktɔ go aks yu bɔt yu wɛlbɔdi ɛn di sik dɛn we yu bin dɔn gɛt trade. I impɔtant fɔ ansa dɛn ɔnɛs wan.

We dɛn de chɛk di sik

We yu dɔktɔ gi yu wan list fɔ ``difrɛn diagnosis'' we se, "Dis kin bi dɛn sik ya," yu kin fil fɔ fred smɔl. Yu kin tink se, "O, a gɛt ɔl dɛn sik ya?" Bɔt nɔ fred so.I nɔ min se yu gɛt ɔl dɛn sik dɛn de. I tan lɛk wan list we gɛt pipul dɛn we dɛn de sɔpɔt. Di nɛks tɛst dɛn we di dɔktɔ kin du na fɔ pul di wan dɛn we nɔ impɔtant na da list de ɛn kam wit ɛksaktɔli wan. Na "proses of elimination," dat na, na proses of exclusion.

Afta dɛn dɔn no se i gɛt di sik

I impɔtant fɔ mɛmba se ``Difrɛn Diagnosis`` nɔto kɔmplit diagnosis. Na jɔs wan tin we di dɔktɔ kin du bifo i rich wan las tin. Insay sɔm kɔmpleks sik dɛn, i kin tek sɔm tɛm fɔ no di rayt tin we kin mek i sik ɛn i nɔ kin pɔsibul fɔ tɔk am wantɛm wantɛm. Di dɔktɔ kin ɔda fɔ mek dɛn du ɔda tɛst dɛn. Wae dεn dכn mek ``Final Diagnosis``, di dכkta go rεkomεnd di aprכpriet tritmεnt fכ yu.

Ɛni risk de pan ``Difrɛn Diagnosis''?

infakt, dεn kin yuz dis prכsεs we dεn kכl ``Difrεnshal Diagnosis`` fכ ridyus di chans fכ misdiagnosis. Di dɔktɔ in gol na fɔ trit di rayt sik, nɔto fɔ put yu pan denja. If yu mek wan list fɔ di sik dɛn we pɔsin kin gɛt dis kayn we ɛn du tɛst, i pɔsibul fɔ fɛn ɛn trit di tin we de mek pɔsin gɛt di sik, pas fɔ jɔs trit di sayn dɛm.

Bɔt if dɛn mis ɛni step na dis diagnostik prɔses, ɔ if dɛn nɔ invɛstigat di tru tin dɛn fayn fayn wan, smɔl chans de fɔ mek dɛn rich di rɔng kɔnklushɔn. Bɔt if dɛn du ɔl di tɛst dɛn we dɛn nid ɛn fala dis prɔses fayn fayn wan, di chans fɔ mek mistek rili smɔl.

Ustɛm a go ebul fɔ no di rizɔlt fɔ dis ``Difrɛns Dayagnɔz''?

I at fɔ tɔk ustɛm i go tek fɔ no. E kin dipen pan bɔrku tin, lɛk di kayn sik wae yu gɛt ɛn aw di sik wae dɛn kin tink se kin tranga. Sɔntɛnde, i go pɔsibul fɔ no insay wan ɔ tu dez. Sɔntɛnde, i kin tek wan ɔ tu wiks. Di tin we impɔtant pas ɔl na fɔ de tɔk to yu dɔktɔ insay dis tɛm. I impɔtant mɔ fɔ tɛl yu dɔktɔ wantɛm wantɛm if ɛni chenj de na yu sik (inkris, de dɔŋ, nyu simptom) ɔ if ɛni chenj de na yu mɛdikal histri (e.g., fɔ bigin fɔ tek nyu mɛrɛsin, fɔ de na ɔspitul).

Us tɛm a fɔ go to di dɔktɔ bak?

If yu si dɔktɔ ɛn dɛn tin ya apin we yu de du di diagnostik, i go fayn fɔ mek yu go to di dɔktɔ bak:

• If yu sik dɛn de wɔs, ɔr nɔr de igen wantɛm wantɛm.
• If nyu sayn dɛn de sho.
• If yu de na ɔspitul fɔ ɛni ɔda rizin.
• If chenj de pan di mɛrɛsin dɛm wae yu de tek naw.

Lɛ wi luk sɔm ɛgzampul dɛm fɔ ``Difrɛnshal Dayagnɔz''.

Bɔrku sik de wae kin gɛt dis kayn sayn. Yu dɔktɔ go no ɛn trit yu sik bay di sayn dɛm we yu gɛt. Lɛ wi luk sɔm ɛgzampul dɛn.

1. Pen na di bɛlɛ

Sayn dɛn:Filin fɔ tayt sɔmsay na yu bɛlɛ, pen we de twist, ɔ shap pen lɛk naif we de chuk yu, dɛn tin ya kin apin mɔ ɔ smɔl.

Di sik dɛn we pɔsin kin gɛt (Difrɛn Diagnosis):

• Apɛndiks sik
• Gastritis we gɛt sik
• Inflammatory Bowel Disease we pɔsin kin gɛt
• Intestinal ɔ Bɔwel Blɔk
• Pankriaytis we gɛt sik

2. Kɔf (`Kɔf`) .

Di sayn dɛm: Yu kin fil lɛk yu trot, ɔ yu kin kɔf dray, yu trot kin at.

Di sik dɛn we pɔsin kin gɛt (Difrɛn Diagnosis):

• Asma we gɛt asma
• Bronkitis we dɛn kɔl Bronchitis
• Nyumonia
• Asid riflɔks (ɔ riflɔks) .
• Alɛji dɛn we kin apin insay di sizin

3. Fɔ taya

Di sayn dɛm: Fɔ fil taya ɔltɛm, fil taya, fil taya ivin afta yu dɔn slip, fil wik.

Di sik dɛn we pɔsin kin gɛt (Difrɛn Diagnosis):

• Anemia we nɔ gɛt bɛtɛ blɔd
• Pwɛl at
• Nɔ ebul slip
• Tayrɔyd Sik we pɔsin kin gɛt

4. Ɛd we de at

Di sayn dɛm: Ɛd de at, sɔmtɛm nɔr kin at, sɔmtɛm i kin rili bad, lɛk ed we de split, yu kin fil fɔ noys na do. I kin las fɔ sɔm awa ɔ sɔm dez.

Di sik dɛm we pɔsin kin gɛt (Differential Diagnosis): (Bɔku tin kin de we kin mek i sik ya, fɔ ɛgzampul) .

• Tɛnshɔn Ɛd we de at
• Maygren we gɛt di sik
• Sayn Infεkshכn
• Ɛd we kin at we pɔsin gɛt ay blɔd prɛshɔn (haypa prɛshɔn) .

Impɔtant: Dɛn ɛgzampul ya na jɔs fɔ gi yu wan aidia bɔt di prɔses. If yu gɛt ɛni wan pan dɛn sik ya, yu fɔ rili go to dɔktɔ fɔ advays.

Faynal Mɛsej fɔ Tek-Hom

So, ``Differential Diagnosis'' na wan rili impɔtant, sistɛm we dɔktɔ dɛn kin yuz fɔ fɛn di rayt tin we kin mek pɔsin sik.

• ``Difrεnt Diagnosis'' nכto yu fainal diagnosis. Na jɔs wan list we de sho di sik dɛn we pɔsin kin gɛt.
• Nɔ fred we yu si dis list. Di dɔktɔ de du dis spɛshal wan fɔ ɛp yu.
• I kin tek sɔm tɛm fɔ no di rayt sik, so peshɛnt.
• Mek dɛn du di tɛst dɛn we yu dɔktɔ tɛl yu fɔ du ɛn fala di instrɔkshɔn dɛn.
• If yu sik chenj, tɛl yu dɔktɔ wantɛm wantɛm.

If yu wok togɛda wit yu dɔktɔ dis kayn we, yu go ebul fɔ no di rayt tin we mek yu gɛt di sik, gɛt di rayt tritmɛnt kwik kwik wan, ɛn yu go wɛl.

`Diagnosis, Difrɛn Diagnosis, Simptom dɛm, Mɛdikal Tɛst dɛm, Wɛlbɔdi, Sik dɛm, Mɛdikal Advays