Paunoenda kunoona chiremba, dzimwe nguva unonzwa mazita akasiyana, handiti? 'Chiremba wemhuri', 'Nyanzvi', uye dzimwe nguva 'Internist'... Ndiani chaizvo Internist? Vamwe vanhu vanofunga kuti izvi zvinoreva chiremba 'Intern', kureva chiremba ari kudzidziswa. Asi izvozvo zvisizvo zvachose. Internist chiremba ane hunyanzvi hwakazara ane ruzivo rwakasiyana muInternal Medicine. Nhasi, ngatidzidzei zvakawanda nezvechiremba uyu anonzi Internist.
Ndiani uyu mudzidzi wepachikoro chekudzidzira basa (Internist)?
Muchidimbu, chiremba weInternist chiremba ane hunyanzvi mukurapa vanhu vakuru. Vanonyanya hunyanzvi munhengo dzemukati nehurongwa hwemuviri, dzakadai semwoyo, mapapu, itsvo, nechiropa. Asi ruzivo rwavo harungogumiri munhengo idzodzo chete. Vanogona kurapa nekudzivirira chero dambudziko rehutano, kubva kuzvirwere zveganda kusvika kuchirwere cheshuga.
Chinhu chinonyanya kukosha ndechekuti chiremba wepfungwa anongorapa vanhu vakuru chete . Kureva kuti, kazhinji vanhu vane makore anopfuura 18. Havavhiyi.
Varwere vanowanzova nehukama hwenguva refu nechiremba wevanachiremba. Nekuti vanogona kurapa zvirwere zvakasiyana-siyana pasi pechiremba mumwe chete, vanoita sachiremba wemhuri yedu (Primary Care Doctor). Vane ruzivo rwakadzama rwekuti masisitimu ese emuviri anoshanda sei pamwe chete, zvichiita kuti vakwanise zvikuru kuongorora nekurapa zvirwere zvine chekuita nazvo.
Ndeupi musiyano uripo pakati peInternist neFamily Physician?
Kana uchida kusarudza chiremba wemhuri, ungangove uchinetseka kuti wosarudza chiremba wemukati mechipatara here kana kuti chiremba wemhuri. Musiyano mukuru pakati pezviviri izvi izera revarwere vavanorapa.
Zvese zvinorapa zvirwere zvakasiyana-siyana uye zvinopa rubatsiro rwekudzivirira. Zvisinei, chiremba wepfungwa ane ruzivo rwakadzama nezvematambudziko ehutano hwevanhu vakuru. Chiremba wemhuri ane ruzivo rwakakura nezvevana nevakuru.
| Pokufananidza | Nyanzvi yezvemukati menyika | Chiremba wemhuri |
|---|---|---|
| Boka rezera rakarapwa | Vakuru chete (kazhinji vane makore 18 zvichikwira) | Mazera ese kusanganisira vana nevakuru |
| Rudzi rweruzivo | Ane ruzivo rwakadzama nezvezvirwere zvevanhu vakuru. | Kune ruzivo rwakasiyana-siyana rwakakodzera mapoka ese ezera. |
| Kurapwa muchipatara | Kune katsika kakanyanya kekurapa varwere vari muchipatara. | Kazhinji varwere vari muchipatara vanotumirwa kunyanzvi. |
Ndedzipi nzvimbo dzinganyanya kusarudzwa nenyanzvi yezvekurapa?
Munhu anodzidzira basa rekudzidzira anogona kuva nyanzvi yezvekurapa, kana kuti anogona kuenderera mberi nehunyanzvi mune imwe nzvimbo. Kana vava nyanzvi, tinovadana nezita rehunyanzvi ihwohwo. Asi yeukai, vanhu ava vese vanotanga kudzidziswa sevadzidzisi vezvekurapa.
Semuenzaniso, chiremba wemwoyo inyanzvi yezvemukati ine kudzidziswa kwakakosha mumoyo.
| Hunyanzvi | Zvichitaurwa zviri nyore... |
|---|---|
| Dzidzo yemwoyo | Zvirwere zvemwoyo uye zvirwere zvine chekuita netsinga dzeropa |
| Endocrinology | Zvirwere zvine chekuita nemahormone zvakaita sechirwere cheshuga ne thyroid |
| Gastroenterology | Zvirwere zvemudumbu zvakaita semudumbu, ura, nechiropa |
| Nephrology | Chirwere cheitsvo |
| Oncology | Kenza |
| Mapumyology | Zvirwere zvemapapu nezvirwere zvekufema (semuenzaniso asthma) |
| Rheumatology | Zvirwere zvine chekuita nemajoini, tsandanyama, nemapfupa (semuenzaniso arthritis) |
| Neurology | Zvirwere zvepfungwa netsinga |
Unofanira kuona chiremba wepfungwa rini?
Ungangoda rubatsiro rwechiremba wepfungwa nekuda kwezvikonzero zvakasiyana-siyana.
Kutarisirwa kwezvirwere zvisingaperi
Fungidzira uine chirwere chisingaperi chakadai sechirwere cheshuga, BP, chirwere chemwoyo, kana arthritis. Munhu anoshanda paindaneti akakosha zvikuru kudzora nekutarisa zvirwere izvi zvisingaperi pasina kuwedzera kuipa.
Kuchengetedza kwekudzivirira
"Chinhu chakanakisa chekuita kudzivirira chirwere chisati chaitika." Chiremba wepamuviri achakubatsira neizvi.
- Kuongororwa kwegore negore
- Kubaiwa majekiseni
- Kuongororwa kweropa neweti
- Mazano ekuongorora kenza
Kutarisira Marwadzo
Chiremba wepfungwa anogona kukubatsira kuwana chikonzero chekurwadziwa kwauri kusangana nako. Kungava kurema kwetsandanyama, kana kuti kungave chimwe chinhu chakakomba. Vanogona kuona chikonzero chacho vokupa kurapwa kwaunoda.
Chero zvimwe zvinetso zvehutano
Kutaura zvazviri, chiremba wepfungwa ndiye munhu akakodzera kutaura naye nezvedambudziko rehutano ringave riripo kune mukuru. Vanogona kurapa dambudziko rako. Kana riri dambudziko risiri rake, vanogonawo kukutumira kuna nyanzvi yakakodzera .
Chii chinoitika kana ukaenda kuchiremba wepfungwa?
Paunoshanyira chiremba wepfungwa, matanho aya anowanzo kuteverwa:
1. Kuongorora kwekutanga: Zviratidzo zvako zvinokosha (BP, kurova kwemoyo, uye tembiricha) zvichaongororwa.
2. Kuwana ruzivo: Muchakurukura nhoroondo yenyu yezvekurapwa, mishonga yamuri kutora parizvino, uye zviratidzo zvamuri kuona zvakadzama. Zvakakosha kutaura chokwadi pano pasina kuvanza chero chinhu .
3. Kuongororwa kwemuviri: Chiremba achateerera mwoyo wako nemapapu ne stethoscope, uye achaongorora pahuro pako, nzeve, maziso, neganda.
4. Kutumirwa kunoongororwa: Kana zvichidikanwa, zvinoreva zvinhu zvakaita sekuongororwa ropa, kuongororwa weti, kana kuskenwa.
5. Hurongwa hwekurapa: Mushure mekufunga zvese izvi, chirwere chako chichaonekwa uye hurongwa hwakakodzera hwekurapa huchapihwa.
Chinonyanya kukosha ndechekuti kana usinganzwisisi zviri kutaurwa nachiremba, usatya kubvunza zvakare. Ikodzero yako kujekesa hutano hwako.
Kana uri kurapwa nevamwe vanachiremba, chiremba wepfungwa anogonawo kutaura nemumwe nemumwe wavo uye kuronga kurapwa kwako. Izvi zvinogona kubatsira kudzivirira matambudziko akadai sekusawirirana kwemishonga.
Mharidzo Yekuenda Nayo Kumba
- Chiremba wepamuviri chiremba anonyanya kubata nhengo dzemuviri uye anorapa vanhu vakuru. Usavasanganisa nevanachiremba 'vanodzidzira basa'.
- Vanogona kushanda sachiremba wako mukuru. Vakakosha zvikuru mukurapa zvirwere zvisingaperi zvakaita seshuga neBP.
- Musiyano mukuru uripo pakati peInternist neFamily Physician ndewekuti Internist anongorapa vanhu vakuru chete.
- Unogona kuona chiremba wepfungwa kuti mukurukure nezvematambudziko ehutano uye kutsvaga mazano. Kana zvichidikanwa, vachakutumira kuna nyanzvi yakakodzera.
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