Imajin se yu dɔn gɛt bad bad bɛlɛ pen fɔ sɔm dez. So yu go go to dɔktɔ. Di dɔktɔ aks yu kwɛstyɔn, ɛgzamin yu, ɛn se, "Hmm... i kin bi gastritis, i kin bi apɛndiks. Lɛ wi du sɔm tɛst." Yu dɔn ɛva wɔnda wetin mek dɔktɔ dɛn nɔ kin jɔs tɔk wetin na di prɔblɛm, dɛn kin jɔs tɔk sɔm tin dɛn we kin rɔng? Na dat wi kin kɔl difrɛns diagnosis na mɛrɛsin. Nɔ wɔri, na big wɔd, bɔt i rili simpul. Lɛ wi tɔk bɔt am tide.
Fɔ tɔk am simpul wan, wetin na difrɛns diagnosis?
Dis nɔto yu las diagnosis. Tink bɔt wan gud ditektiv. We i go na say usay dɛn de du kraym, i nɔ kin se wantɛm wantɛm se, "Dis na di pɔsin we du di bad tin," nɔto so? Di fɔs tin we i kin du na fɔ mek wan list fɔ pipul dɛn we i tink se go dɔn du di kraym. Dɔn i kin gɛda pruf, chɛk dɛnsɛf, pul pipul dɛn we nɔ gɛt natin fɔ du wit da list de, ɛn leta i kin kech di rial pɔsin we du di bad tin.
Dɔktɔ kin du dis sem tin. We yu kam insay wit sɔm sayn dɛn, di dɔktɔ kin kam wit wan list fɔ di sik dɛn we pɔsin kin gɛt we fit dɛn sayn dɛn de. Dat "list of possible diseases" na in wi kin kɔl (Differential Diagnosis). Dis na wan rili impɔtant fɔs step na di diagnostik prɔses.
Us step dɛn dɔktɔ kin yuz fɔ no di sik kɔrɛkt wan?
Wan sistamat joyn de wae de dɔktɔ kin tek fɔ no ustɛm na di sik. I tan lɛk se yu de klaym wan stej. Yu nɔ go ebul fɔ skip wan stɛp.
1. Dɛn kin aks yu bɔku bɔt yu simptom dɛm: "Aw yu de fil?", "Aw lɔng yu dɔn gɛt dis prɔblɛm?", "Aw di pen de fil? Na fɔ chuk yu? Ɔ i tan lɛk se sɔntin de prɛs?", "Us ɔda prɔblɛm yu de gɛt?" Dɛn kin tray fɔ gɛt kɔmplit pikchɔ bɔt yu kɔndishɔn bay wae dɛn kin aks kwɛstyɔn lɛk: "Aw yu de fil?", "Aw lɔŋ yu dɔn gɛt dis prɔblɛm."
2. Aks bɔt yu mɛdikal istri: "Yu dɔn ɛva gɛt dis apin to yu bifo?", "Yu gɛt ɔda sik lɛk dayabitis ɔ ay blɔd prɛshɔn?", "Ɛnibɔdi na yu famili gɛt dɛn sik ya?", "Yu de tek ɛni mɛrɛsin ɔ vaytamɛn?" Ɔl dis impɔtant.
3. Fɔ chɛk yu bɔdi: Insay dis, dɛn go tɔch yu bɔdi, palpate yu bɛlɛ, lisin to yu chɛst ɛn lɔng wit stetɔskɔp, mɛzhɔ yu blɔd prɛshɔn, ɛn chɛk yu tɛmpracha. Dɛn tin ya go gi di dɔktɔ bɔku tin dɛn fɔ no bɔt.
4. Dɛn kin mek wan list fɔ di sik dɛn we pɔsin kin gɛt (Differential Diagnosis) na di maynd: Naw, afta yu dɔn put ɔl di ditil dɛm we yu dɔn tɛl wi ɛn di tin dɛm we dɛn bin fil we dɛn bin de du di ɛgzam, di dɔktɔ tink se, "Okay, bays pan dɛn simptom ya, dis kin bi dis sik."
5. If nid de, dɛn go rayt mɔ tɛst dɛn:Mɔ pruf nid fɔ de fɔ fɛn di rial pɔsin we du di bad tin frɔm da list de fɔ pipul dɛn we dɛn tink se dɔn du bad. Na dat mek dɛn kin du tin dɛn lɛk blɔd tɛst, urine tɛst, skan, ɛn ɛkstrem rayt.
6. Rivyu di Tɛst Rizɔlt ɛn di Simptom dɛm: We di tɛst rizɔlt kam insay, di dɔktɔ go kɔmpia am wit yu simptom dɛm. Dɔn, i kin pul sɔm pan di sik dɛn we de na di list bay we i se, "Nɔ, dis nɔ kin bi."
7. Kam to Faynal Diagnosis: Afta ɔl dis dɔn, di dɔktɔ kin dɔn ebul fɔ se wit shɔ se, "Yɛs, yu gɛt dis sik." Na da tɛm de nɔmɔ dɛn go bigin fɔ gi di rayt tritmɛnt.
Dis prɔses kin tek sɔm tɛm. I nɔ kin izi fɔ no di sik wantɛm wantɛm, mɔ we pɔsin gɛt kɔmpleks tin. So, i rili impɔtant fɔ peshɛnt.
Wetin mek i nid fɔ mek wan list lɛk dis? Na bikɔs i kin rɔng?
Fɔ tɔk di kɔrɛkt tin, dɛn kin yuz dis we fɔ mek dɛn nɔ mek mistek . Imajin, if pɔsin kam insay wit chɛst pen, di dɔktɔ tink se, "Oh, dis na gastritis" ɛn gi dɛn mɛrɛsin fɔ am, bɔt wetin if na rili di biginin fɔ at atak? Dat kin bi big aksidɛnt, nɔto so?
Bɔt we dɔktɔ yuz di Differential Diagnosis method, i kin tink se, "Dis chɛst pen kin bi bikɔs ɔf gastritis. Na di sem tɛm, i kin bi bak bikɔs ɔf di mɔsul dɛn we de strɛs. Bɔt di tin we denja pas ɔl na dat, smɔl chans de fɔ mek i bi at atak." Dɔn i kin du di tɛst dɛn we i nid (e.g., ECG) fɔ no if di tin we denja pas ɔl kin apin ɔ nɔto so. We dɛn dɔn no se nɔto at atak, i kin luk fɔ ɔda tin dɛn we kin mek i sik. Dis na fɔ mek shɔ se yu sef.
Sɔm ɛgzampul dɛn bɔt sik dɛn we gɛt di sem kayn sayn
Fɔ ɔndastand aw dis prɔses impɔtant, lɛ wi luk sɔm kɔmɔn sayn dɛm ɛn de difrɛn mɛrɛsin wae kin kam wit am.
| Yu simptom dɛm | List fɔ di sik dɛm wae kin kam na di dɔktɔ in maynd (Differential Diagnosis) . |
|---|---|
| Bɛlɛ de at |
|
| Kɔf | |
| Chɛst de pen | |
| Ed de at | |
| Taya | |
| Infεkshכn na di urinary tract (UTI Simptom dεm) . |
Naw yu kin si ɔmɔs difrɛn tin dɛn kin de we kin mek pɔsin gɛt di sem sayn, nɔto so? So yu kin si aw i impɔtant fɔ yu sef fɔ mek dɔktɔ tink dis we.
Wetin nid fɔ apin pan yu pat pan dis prɔses?
Insay dis ditektiv joyn, na yu na di men witnɛs. So, di ɛp we yu de ɛp di dɔktɔ rili valyu .
- Bi ɔnɛs bɔt ɔltin: Nɔ ayd ivin di smɔl smɔl tin dɛn we yu de fil. Sɔmtɛm, sɔmtin wae yu tink se "dis nɔr rili impɔtant" kin bi big clue fɔ di dɔktɔ fɔ fɛn di prɔblɛm.
- Bring wan list fɔ yu mɛrɛsin dɛm: Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛm wae yu de tek (dɛn wan fɔ ɔda kɔndishɔn, vaytamɛn, paoda, ivin Sinhala mɛrɛsin dɛm). Sɔmtɛm, de kɔz fɔ yu sik kin bi ɔda mɛrɛsin wae yu de tek.
- Nɔ fred fɔ aks kwɛstyɔn: "Dɔkta, us kayn sik dis kin bi?", "Us kayn tɛst a nid fɔ du?", "Wetin a kin ɛkspɛkt frɔm dɛn tɛst ya?" Aks. Di mɔ we yu de no mɔ, na di mɔ yu nɔ go fred.
- Stay calm: Nɔr frayd wae dɔktɔ se, "I kin bi dis sik, e kin bi da sik de." Mɛmba se dat nɔ min se yu gɛt ɔl dɛn sik dɛn de. I jɔs min se dɛn de tink bɔt ɔl di tin dɛn we dɛn kin du bifo dɛn ebul fɔ no di rayt sik.
Ustɛm yu want fɔ si di dɔktɔ bak?
We yu de du di sik, i impɔtant fɔ tɛl yu dɔktɔ if ɛni chenj de na yu sik. Mek shɔ se yu kɔl ɔ si yu dɔktɔ bak pan dɛn tin ya:
- If yu sik dɛn kin wɔs wantɛm wantɛm ɔ nɔr de igen.
- If yu gɛt nyu sayn dɛn.
- If yu fɔ de na ɔspitul fɔ ɛni ɔda rizin.
- If yu nid fɔ mek ɛni chenj pan di mɛrɛsin dɛn we yu de tek naw (e.g. if difrɛn dɔktɔ gi yu nyu mɛrɛsin)
Dis infɔmeshɔn go ɛp di dɔktɔ fɔ no if yu sik.
Mɛsej we dɛn kin kɛr go na os
- Difrεnt diagnosis na "list of poshubul sik" wae yu gεt, nכto yu fainal diagnosis.
- Dis na rili impɔtant ɛn kɔmɔn tin we dɔktɔ dɛn kin yuz fɔ mek yu nɔ mek mistek ɛn mek shɔ se yu sef.
- If yu tɛl yu dɔktɔ ɔnɛs ɛn kɔmplit wan bɔt yu sik dɛn, di sik dɛn we yu bin dɔn gɛt trade, ɛn di mɛrɛsin dɛn we yu de tek, dat go ɛp dɛn fɔ no di rayt sik.
- Nɔ fred we dɔktɔ tɛl yu bɔt sɔm sik dɛn we yu kin gɛt. Dis min se dɛn go pul ɔda kɔndishɔn dɛn tru tɛst fɔ no di rial kɔz.
- If ɛni chenj de pan yu sik, nɔ ɛva shem fɔ tɛl yu dɔktɔ.
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