Ushobora kuba utwara imodoka nini, nka bisi cyangwa ikamyo. Cyangwa se ushobora kuba ufite inshuti cyangwa umuvandimwe ukora akazi nk'aka. Niba rero utwara imodoka y'ubucuruzi, reka tuvuge "Imodoka y'ubucuruzi - CMV", ushobora gukorerwa ikizamini cya muganga cyitwa "DOT Physical". Ibi ni ingenzi cyane. Reka tubiganireho birambuye uyu munsi.
Mu by'ukuri DOT physical ni iki?
Mu magambo make, "DOT Physical" ni ikizamini cy’ubuvuzi gisabwa na Minisiteri y’Ubwikorezi muri Amerika (DOT). Kigenzura niba wujuje ibisabwa kugira ngo utware imodoka y’ubucuruzi, nk’ikamyo nini, bisi, cyangwa imodoka itwara ibikoresho byangiza. Tekereza inshingano zo gutwara imodoka nk’iyi. Rero, abakoresha bawe nabo barashaka kwemeza ko uri mu mutekano wo gukora aka kazi.
Urugero, ugomba kuba ushobora kumva amajwi akukikije, ukabona neza ibimenyetso by'umuhanda, kandi ukaba maso kandi ukaba maso mu gihe utwaye imodoka. Hari indwara zimwe na zimwe cyangwa imiti ufata bishobora kukubuza gukora ibi bintu neza. Cyangwa, hari indwara zishobora gutuma ugira ikibazo cyihutirwa cy'ubuvuzi. Niba ibyo bibaye mu gihe utwaye imodoka, wowe n'abandi mu muhanda mushobora kuba mu kaga, si byo se?
Ishami rishinzwe gutwara abantu n'ibintu (DOT) ni ryo rigena abakeneye iki gikorwa (DOT Physical)`. Muri rusange, ibi birakenewe ku muntu wese utwaye imodoka ya `(CMV)` hagati ya leta. Nanone, buri leta ishobora kugira amategeko n'amabwiriza atandukanye kuri ibi. Rero, niba utwaye imodoka ya `(CMV)` muri leta imwe, ushobora no gukenera iki kizamini.
Ubusanzwe ugomba kuba ufite DOT physical buri myaka ibiri kugira ngo umenye neza ko ufite ubuzima bwiza bwo gutwara CMV. Ariko, bitewe n'amateka y'ubuzima bwawe, ushobora gukenera gukora iki kizamini vuba. Niba wujuje ibisabwa mu buvuzi bya Minisiteri y'Ubwikorezi, uzahabwa icyemezo cy'umuganga. Abantu benshi babyita "ikarita yo kwa muganga."
Ni nde ukora ibizamini bya DOT by'umubiri?
Ibi bizamini bya "DOT Physical" bikorwa gusa n'" Abaganga bemewe ". Aba ni abakora mu buvuzi bahawe amahugurwa y'inyongera kugira ngo bamenye niba umuntu ashobora gutwara imodoka ya "CMV" mu mutekano. Basobanukiwe neza imyiteguro y'umubiri n'iy'ubwonko ikenewe kuri ako kazi.
Aba baganga bagomba gutsinda ikizamini cy’impamyabushobozi no kongera guhugurwa buri myaka itanu. Bagomba kandi gukora ikizamini cy’impamyabushobozi buri myaka icumi. Bityo, ushobora kugira icyizere cyuzuye mu bushobozi bwabo bwo gusuzuma ubuzima bwawe mu gihe utwaye imodoka ya ``(CMV)``.
Ushobora kubona umuganga usuzuma hafi yawe binyuze kuri serivisi yo kuri interineti yitwa ``National Registry of Certified Medical Examiners```.
Witegura ute ikizamini cya DOT?
Ni byiza guhamagara ibiro by'umuganga mbere y'itariki yo kwipimisha ukamubaza ibyo ukeneye gutegura no kuzana. Ubusanzwe, uzakenera gukora ibi bikurikira:
Kusanya amateka yawe yose y'ubuvuzi.
Ibi birimo ibimenyetso byawe bya kera n'iby'ubu, indwara wavuwe, kubagwa, uburyo bwo kuvura, n'imiti iyo ari yo yose ufata. Ushobora kubona aya makuru muri Electronic Health Record yawe. Cyangwa, ushobora kubaza muganga w'umuryango wawe cyangwa inzobere. Kugira aya makuru bizagufasha kuzuza igice cy'amateka y'ubuzima bw'umushoferi kiri muri Fomu yawe ya Raporo y'ibizamini by'ubuvuzi.
Shaka ifishi ya raporo y'ibizamini by'ubuvuzi
Ushobora kubikura ku rubuga rwa interineti rwa Minisiteri y’Ubwikorezi muri Amerika. Amapaji abiri ya mbere y’iyi raporo afite ibice ugomba kuzuza. Urugero, hari urutonde rw’ibibazo rubaza niba warigeze kugira indwara cyangwa ibimenyetso by’uburwayi. Hari kandi uburyo bwo kongeramo ibindi bisobanuro. Ushobora gutangira kuzuza iyi fomu uri mu rugo, mbere yo kujya kwipimisha.
Uzuza andi mafishi niba ari ngombwa.
Muganga wawe ashobora gukenera kuzuza andi mafishi, ushobora kujyana mu isuzuma ryawe rya DOT. Ingero zirimo Raporo yo Gusuzuma Iyerekwa, Ifishi yo Gusuzuma Diyabete Yavuwe na Insulini, n'Ifishi yo Gupima Umuti wa CMV. Aya mafishi yose urashobora kuyasanga ku rubuga rw'ishami. Niba utazi neza amafishi akureba, hamagara ibiro by'umuganga wo mu gace utuyemo.
Niba ufite indwara zimwe na zimwe zisanzwe, ushobora gukenera ibi bikurikira:
- Niba urwaye diyabete: Ibisubizo by'ikizamini cya A1C cya nyuma.
- Niba ufite ikibazo cyo guhumeka mu gihe cyo gusinzira: Rekodi y'amezi atatu yo gukoresha imashini ya CPAP.
- Niba ufata warfarin (Coumadin®): Ibisubizo bya vuba aha by'ibizamini bya INR.
Kubimenya mbere bizagufasha kwirinda gutinda kubona icyemezo cyawe.
Ifishi yo gusuzuma icyerekezo
Kugira ngo ugire "(CMV)" ugomba kuba wujuje ibipimo ngenderwaho by'icyerekezo. Niba icyerekezo cyawe kitujuje ibyo bipimo ngenderwaho, ugomba gutanga iyi fomu yo gusuzuma icyerekezo nibura rimwe mu mwaka.
Ibi byuzuzwa n'umuganga w'amaso cyangwa umuganga w'amaso. Bazaguha amakuru ajyanye n'amaso yawe n'ubuzima bw'amaso yawe, kandi bazaguha igitekerezo niba ushobora gutwara CMV mu mutekano. Iyi fomu igomba kuzuzwa bitarenze iminsi 45 mbere y'uko DOT Physical yawe itangira.
Ifishi yo gusuzuma diyabete ivuwe na insuline
Iyi fomu ikenewe gusa iyo ufata insuline kugira ngo ugenzure diyabete yawe. Umuganga uvura diyabete yawe ni we uzayuzuza. Azaguha amakuru ajyanye n'ubuzima bwawe, harimo:
- Umunsi watangiye gukoresha insuline.
- Uburyo ukurikirana indwara yawe (`Uburyo bwo kwigenzura`).
- Niba hari ibihe bikomeye byo mu mutwe biherutse kubaho.
- Igipimo cyawe cya hemoglobin ``(Hemoglobin A1C)``.
- Ingorane ziterwa na diyabete.
- Indwara z'amaso ziterwa na diyabete.
Muganga wawe azasinya kandi ashyireho itariki kuri iyi fomu hanyuma ayiguhe kugira ngo uyijyane kuri '(DOT Physical)' yawe. Ibi kandi ntibigomba gukorwa iminsi irenga 45 mbere y'itariki yo gupimwa '(DOT)'.
Fomu y'imiti yo gutwara imodoka ya CMV
Iyi fomu isobanura imiti ufata. Abaganga basaba iyi fomu kugira ngo barebe neza ko imiti yawe itazagira ingaruka ku bushobozi bwawe bwo gutwara imodoka. Kubwibyo, ushobora kutamenya ko ukeneye iyi fomu kugeza nyuma yo gusuzuma. Urugero, umuganga ashobora kukubwira ko adashobora gufata icyemezo cya nyuma ku cyemezo cyawe kugeza igihe azabona andi makuru aturutse kwa muganga wawe.
Iyi fomu y'imiti ifite ahantu muganga wawe yuzuza, harimo imiti yihariye ufata, ingano, n'imiterere y'imiti ufata. Iyo amaze kuyuzuza no kuyigusubiza, ugomba kuyijyana kwa muganga wawe.
Ukora iki mu gihe cyo gukora imyitozo ngororamubiri ya DOT?
Iki ni isuzuma ry’ubuvuzi rirambuye cyane. Rireba ibintu byinshi bijyanye n’ubuzima bwawe. Umuganga azagusobanurira buri ntambwe. Ubwa mbere, azakubwira amateka yawe y’ubuvuzi. Ni ukuvuga amakuru wujuje ku mapaji abiri ya mbere y’ifishi ya raporo y’isuzuma ry’ubuvuzi. Ushobora kandi kubazwa ibibazo kugira ngo ubone amakuru arambuye ku bisubizo watanze.
Hanyuma, umugenzuzi akora ibi bikurikira:
- Igipimo cy'umutima wawe kiragenzurwa.
- Umuvuduko w'amaraso yawe urapimwa.
- Uburebure n'uburemere bwawe birapimwa.
- Baragusaba gutanga icyitegererezo cy'inkari (kugira ngo umenye neza `inkari zisanzwe`).
- Amaso yawe n'amaso yawe bizagenzurwa.
- Amatwi yawe n'uburyo wumva bizagenzurwa.
- Imashini ikoresha stethoscope mu kumva amajwi y'umutima wawe, ibihaha, imiyoboro minini y'amaraso n'inda .
- Ingendo yawe irakurikiranwa.
- Imitekerereze yaweIbizamini (`Reflexes`).
Buri ntambwe muri izi zizafasha umusuzuma kumenya ubuzima bwawe muri rusange. Azareba ibimenyetso by'uburwayi bishobora kugira ingaruka ku bushobozi bwawe bwo gutwara imodoka (CMV). Gerageza gutuza muri iki gihe. Ushobora kumva uhangayitse cyangwa ufite ubwoba ku bisubizo. Ariko ibuka ko intego y'iki kizamini ari ukwirinda wowe ubwawe n'abandi.
Ni iki kibaho nyuma yo gukorerwa DOT physical?
Umukozi uzagusuzuma azakubwira ibyavuye mu kizamini kandi agusobanurire icyo ugomba gukora ubutaha.
Hari igihe ushobora gukenera kubona undi muganga kugira ngo agufashe gupimwa, kuvurwa, cyangwa impapuro. Ibi bibaho iyo umuganga abonye ikibazo gikeneye kwitabwaho. Ushobora kubona icyemezo cy'ubuvuzi, ariko nyuma y'uko ikibazo cy'ubuzima cyangwa impapuro zigomba gukosorwa. Mu bindi bihe, ushobora kutabona icyemezo cy'ubuvuzi bitewe n'indwara runaka. Ibi nibibaho, umuganga azagusobanurira impamvu kandi agusubize ibibazo byose ushobora kuba ufite.
Ni izihe ngaruka zo gukora DOT physical?
Umuganga wawe azakubwira ibyavuye mu bushakashatsi kandi abyandike ku ifishi ya raporo y'ibizamini byawe. Ibisubizo bishoboka birimo:
- Icyemezo : Ibi bivuze ko wujuje ibisabwa byose.
- Yemejwe n'amategeko : Impamyabushobozi ishobora gutangwa hamwe n'amabwiriza amwe cyangwa hashingiwe ku kuba igomba gusuzumwa buri gihe.
- Ntabwo wujuje ibisabwa / `Utarahawe ibyangombwa` : Ibi bivuze ko utujuje ibisabwa ubu.
- Bitegereje : Ibi bisubizo bishobora kugaragara niba hakenewe andi makuru cyangwa ibizamini.
Ntuzigere utinya kubaza umuganga usuzuma ibibazo byawe kugira ngo akubwire amakuru arambuye ku bisubizo byawe n'icyo wakora nyuma yaho.
Ni ryari ngomba guhamagara muganga wanjye?
Vugana na muganga w'umuryango wawe cyangwa inzobere muri ibi bihe:
- Niba ushaka kumenya byinshi ku mateka yawe y'ubuzima, tegura `(DOT Physical)`.
- Niba ufite impungenge ku bijyanye no kuba uzashobora kuzuza ibisabwa na `(DOT Physical)`.
- Niba ukeneye gusaba impapuro cyangwa inyandiko zo kujyana kuri `(DOT Physical)`.
Kuki nkeneye DOT physical?
Ibi bizamini bya ``(DOT Physical)`` bigufasha kurinda wowe n'abandi bose mu muhanda. Abakoresha bashaka kumenya neza ko nta ndwara ufite zishobora kukubuza gukora akazi kawe neza. Bitewe n'imiterere y'akazi kawe, ushobora gusabwa gukora ibintu nk'ibi:
- Kugira gahunda y'akazi ihuze cyane cyangwa ihindagurika (`Gahunda yo kuzunguruka`).
- Kugira imiterere idahwitse yo gusinzira.
- Gufata ibyemezo byihuse mu bihe bigoye.
- Kugenzura uruziga runini rw'imodoka cyangwa gukoresha sisitemu yo gutwara amashanyarazi ikoresheje intoki.
- Gutwara imodoka ahantu hahurira abantu benshi.
- Guterura ibintu biremereye, gupfunyika cyangwa gukuramo amapine, kuzamuka urwego.
- Guhangana n'abagenzi.
- Kumara igihe kirekire kure y'abakunzi.
Iyi `(DOT Physical)` izamenyesha umukoresha wawe ko witeguye gukora imirimo isabwa mu mutekano. Bizagufasha kandi kugira icyizere mu bushobozi bwawe bwo guhangana n'ibibazo by'akazi kawe.
Hanyuma, ubutumwa bwo kujyana mu rugo:
Kujya kwipimisha kwa muganga bishobora kugutera imihangayiko, cyane cyane niba ibisubizo bizagira ingaruka ku kazi kawe. Ariko ibuka ko indwara nyinshi zitagira ingaruka ku bushobozi bwawe bwo gutwara imodoka y’ubucuruzi (CMV), cyangwa zishobora kuvurwa no kugenzurwa byoroshye. Byaba byiza uganiriye na muganga wawe mbere yo kujya kwipimisha DOT. Baza niba hari ibibazo by’ubuzima bishobora kugira ingaruka ku kazi kawe n’icyo wakora kugira ngo ubicunge. Wibuke ko umutekano wawe n’uw’abandi ari ingenzi cyane!
` DOT physical, uruhushya rwo gutwara ibinyabiziga rw'ubucuruzi, ikizamini cya muganga, ubuzima bwo gutwara ibinyabiziga, CMV, Ishami rishinzwe gutwara abantu n'ibintu, ikarita yo kwa muganga, umuganga wemewe











💬 Comments (0)
Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.