Ugqirha ufumanisa njani isifo sakho ngokuchanekileyo? Masifunde ngokuxilongwa ngendlela elula!

Ngaba wakha weva "ngokuxilongwa" xa usiya kugqirha? Usenokuba uzibuza, "Yintoni le nto yokuxilonga?" Kulungile, ungakhathazeki. Asiyonto inkulu kangako. Ngamafutshane, "ukuxilongwa" yindlela ugqirha afumanisa ngayo ukuba siyintoni na isigulo okanye isifo sakho. Ugqirha wenza umsebenzi omninzi, njengomcuphi osombulula ityala. Singathetha ngakumbi ngale nto?

Yintoni kanye kanye `ukuxilongwa`?

Khawuthelekelele uzive ungaphilanga kakuhle. Unefiva, ukhohlela, kwaye uneentlungu emzimbeni wakho. Ngoku xa uya kugqirha, uza kukubuza imibuzo, akuhlole, mhlawumbi enze uvavanyo oluthile, aze athi, "Unale sifo." Yiloo nto siyibiza ngokuba yi-'Diagnosis', okanye ukuxilongwa .

Oko kukuthi, inika igama elithile imeko engaqhelekanga okanye isifo emzimbeni wakho. Olu `xilongo` lufana nemephu yendlela. Xa usazi kakuhle ukuba siyintoni isifo, indlela eya kunyango olufanelekileyo iyalungiswa.

Ngamafutshane: `Ukuxilongwa` ligama elisemthethweni elinikwa isigulo sakho. Ukusilungisa linyathelo lokuqala lokuchacha.

Kutheni le nto 'Ukuxilongwa' kubaluleke kangaka?

Usenokucinga, "Kutheni na ukunika isifo igama? Ndiza kuthatha nje amayeza kwaye kuya kulunga." Kodwa 'ukuxilongwa' kungaphezulu kakhulu kokunika igama. Cinga ngokubaluleka kwako:

• Ukufumana unyango olufanelekileyo: Ungawunika njani amayeza afanelekileyo ngaphandle kokwazi kakuhle ukuba sisifo sini, akunjalo? Umzekelo, amayeza anikwe usulelo lwebhaktiriya awazukusebenza usulelo lwentsholongwane. Ngoko ke, unyango olusebenzayo lunokuqaliswa kuphela ukuba 'Uxilongo' luchanekile.
• Ukuqonda Isifo Esiqhubekayo: Ezinye izifo ziyaphola ngokukhawuleza, ezinye zithatha ixesha, kwaye ezinye zihlala ubomi bonke. Emva kokuxilongwa, ugqirha angakuchazela indlela esi sifo esiya kuziphatha ngayo, ixesha esiza kuhlala ngalo, kunye nento onokuyilindela.
• Ukuze uqaphele esi sifo: Ukwazi ukuba siyintoni esi sifo, wena nosapho lwakho ninokwenza uphando nize nizifundise ngaso. Oku kuya kukunceda kakhulu ukuba uphile nesi sifo kwaye wenze utshintsho olufunekayo.
• Ukuthintela iingxaki: Ezinye izifo zinokubangela iingxaki eziyingozi ukuba azichongwanga kakuhle kwaye azinyangwa ngexesha elifanelekileyo. Umzekelo, ukuba iDiabetes Mellitus ayilawulwa kakuhle, inokonakalisa amalungu omzimba afana namehlo, izintso kunye nentliziyo.
• Ukufumana uxolo lwengqondo: Kunzima emzimbeni, kodwa xa ungazi ukuba kwenzeka ntoni, uziva umthwalo omkhulu engqondweni yakho. Xa ufumana 'ukuxilongwa', xa usazi ukuba, "Owu, yile nto yenzekileyo kum," uziva uxolo oluthile.

Uyabona? 'Ukuxilongwa' akulogama nje. Linyathelo elibalulekileyo kuhambo lwakho lokuchacha.

Ugqirha ufikelela njani kwi-'Diagnosis'?

Ugqirha ufikelela kwi-'Diagnosis' ngokulandela indlela yesayensi. Awunakusitsho isifo kwangoko. Kuya kufuneka wongeze izinto ezininzi kuso. Masibone ukuba zithini.

1. Ukumamela ibali lakho (Imbali Yezonyango)

Eli linyathelo lokuqala nelibaluleke kakhulu. Ugqirha uza kukubuza imibuzo emininzi.

• Zithini iimpawu zakho? (umz., unexesha elingakanani ukhwehlela? Unjani umkhuhlane wakho? Ngaba kukho i-phlegm? Ngowuphi umbala?)
• Ziqale njani ezi mpawu? Ngaba zivele ngequbuliso? Ngaba ziye zanda kancinci kancinci?
• Ngaba ukwenza into ethile kuyenza ibe mandundu le mpawu? Ngaba iba mandundu? (umzekelo, ngaba ukutya ukutya kuyenza ibe mandundu intlungu yesisu?)
• Ngaba wakha wanayo le ngxaki ngaphambili? Ngaba unazo ezinye izifo ezingapheliyo? (umz. Isifo seswekile, uxinzelelo lwegazi oluphezulu, i-Asthma)
• Ngaba okwangoku usebenzisa amayeza? (Amayeza anikwe ngomnye ugqirha, athengiswa ngaphandle kwemvume kagqirha, amayeza e-Ayurvedic, nantoni na)
• Ingaba kukho nto ikwenza ungabi namdla kwizinto ezithile? (amayeza, ukutya)
• Zeziphi izifo ezithwalwa lusapho lwakho (umama, utata, abantakwenu noodadewabo)? (Umzekelo, ngaba kukho umntu kusapho lwakho onesifo sentliziyo, umhlaza, okanye isifo seswekile?) Oku kubizwa ngokuba yi-'Family History'.
• Injani indlela ophila ngayo? (Ngaba uyatshaya? Ngaba uyasela utywala? Ngaba uyazilolonga? Uyintoni umsebenzi wakho?) Oku kukwabizwa ngokuba yi-'Social History'.

Cinga ngayo, yonke le mibuzo ifana neziqwenga zolwazi ezincinci. Ugqirha uzama ukuyidibanisa yonke into aze adale umfanekiso omkhulu. Ngoko ke kubaluleke kakhulu ukuba ugqirha akuxelele yonke into ngokucacileyo nangendlela enyanisekileyo.

2. Uvavanyo lomzimba

Emva kokukubuza iinkcukacha, ugqirha uza kukuxilonga.

• Inkangeleko ngokubanzi: Bajonga izinto ezifana nenkangeleko yakho, umbala wolusu, kunye nokuba ulumkile na.
• Iimpawu ezibalulekileyo: Ukujonga ubushushu, ukubetha kwentliziyo, izinga lokuphefumla, kunye noxinzelelo lwegazi.
• Uvavanyo oluthile:
• Faka i-stethoscope uze umamele isifuba, imiphunga kunye nentliziyo.
• Ukujonga umqala, iindlebe, kunye nempumlo.
• Ukutsalwa kwesisu.
• Ngamanye amaxesha kwenziwa uvavanyo olunxulumene nenkqubo yemithambo-luvo (umz., ukubona, amandla omzimba, ukusabela).

Ngolu vavanyo, ugqirha uhlola umzimba wakho ukuba akukho nakuphi na ukungaqheleki okanye iimpawu zokugula.

3. Uvavanyo lwezonyango

Ngamanye amaxesha, kunokuba nzima ukufikelela kwi-'Diagnosis' ngokusekelwe kulwazi olunikiweyo kunye novavanyo lomzimba kuphela. Okanye, ulwazi oluthe kratya lunokufuneka ukuze 'kuqinisekiswe' ukuba kukho i-'Diagnosis' ekrokrelwayo. Kulapho ugqirha anokuyalela khona iimvavanyo ezahlukeneyo zonyango. Ezinye zezi ziquka:

• Uvavanyo lwegazi:
• Ungafumana izinto ezininzi kwezi. Umzekelo,
• Inani leGazi elipheleleyo (FBC): Oku kunokunika umbono ngezinto ezifana ne-anemia, usulelo, kunye nomhlaza wegazi.
• I-ESR, i-CRP: Ixela ngokudumba emzimbeni.
• Iswekile Egazini: Jonga ukuba awunaso isifo seswekile.
• Uvavanyo Lokusebenza Kwezintso Nesibindi: Jonga ukuba la malungu asebenza kakuhle na.
• I-Cholesterol (Iprofayili yeCholesterol / Lipid): Jonga umngcipheko wesifo sentliziyo.
• Ezinye izinto ezininzi zinokujongwa ngegazi, njengovavanyo oluthile lweehomoni kunye namanqanaba eevithamini.

• Uvavanyo lomchamo:
• Ungafumana ulwazi malunga nezinto ezifana ne-Urinary Tract Infections (UTI), i-Kidney Disease, kunye ne-Diabetes.

• Ezinye iimvavanyo zolwelo lomzimba: Ngamanye amaxesha i-sputum, indle, okanye ezinye izinto ezilulwelo lomzimba nazo zinokuvavanywa.

• Uvavanyo lweMifanekiso: Olu luthatha imifanekiso yangaphakathi yomzimba.
• Ii-X-reyi: Zisetyenziselwa ukubona izinto ezifana namathambo aphukileyo kunye nosulelo lwemiphunga (umz. i-pneumonia).
• Ii-Ultrasound Scans: Sebenzisa amaza esandi ukujonga amalungu angaphakathi (umz. isibindi, izintso, isibeleko) kunye nokujonga ukukhula komntwana ngexesha lokukhulelwa.
• Ii-CT Scans (i-Computed Tomography): Kusetyenziswa iteknoloji ye-X-ray, kuthathwa umfanekiso womzimba onqamlezileyo. Oku kunokubonisa iingxaki kwiindawo ezifana nengqondo, isifuba, kunye nesisu ngokweenkcukacha.
• Ii-MRI Scans (iMagnetic Resonance Imaging): Isebenzisa amandla emagnethi aqinileyo kunye namaza erediyo ukuvelisa imifanekiso ecacileyo neneenkcukacha. Oku kuluncedo kakhulu ekujongeni izinto ezifana nengqondo, umqolo, kunye namalungu.

• Ezinye iimvavanyo ezizodwa:
• I-ECG (i-Electrocardiogram): Ijonga umsebenzi wombane wentliziyo ukuze kufunyanwe isifo sentliziyo.
• I-Endoscopy: Ityhubhu enekhamera encinci idluliselwa emzimbeni (umz., esiswini, emathunjini amakhulu) ukuze kuhlolwe ngaphakathi. Ngamanye amaxesha, iqhekeza elincinci lesicwili (i-biopsy) linokuthathwa ngale ndlela.
• I-Biopsy (`I-Biopsy`):Ngokuthatha iqhekeza elincinci lesicwili kwindawo ekrokrisayo (umz., ithumba lolusu, inxalenye yelungu langaphakathi) uze ulihlolisise phantsi kwemakroskopu, kunokwenzeka ukufumanisa ngokuqinisekileyo ukuba kukho izifo ezifana nomhlaza.

Kubalulekile: Ayizizo zonke ezi mvavanyo ezifunekayo kuzo zonke iimeko. Ugqirha wakho uya kugqiba ukuba zeziphi iimvavanyo oza kuzenza ngokusekelwe kwiimpawu zakho kunye noko ugqirha akufumanisileyo ngexesha lovavanyo.

4. Qokelela ulwazi, uluhlalutye, uze ufikelele kwisigqibo

Ugqirha uza kuhlanganisa ulwazi olunikileyo, iziphumo zovavanyo lwakho lomzimba, kunye neziphumo zalo naluphi na uvavanyo olunokuba lwenziwe, ukuba kuyimfuneko, aze aluthelekise nolwazi namava akhe kwezonyango.

Ngamanye amaxesha kunokubakho izifo ezininzi ezineempawu ezifanayo. Emva koko ugqirha ucinga ngazo zonke ezi zinto zinokwenzeka, azithelekise nolwazi oluvela kwiimvavanyo, aze akhethe eyona `Diagnosis` ifanelekileyo . Oku ngamanye amaxesha kubizwa ngokuba yi`Differential Diagnosis`. Kuthetha ukufika kwinqanaba apho, "Esi sifo sinokuba yile, kwaye le inokuba yileya, kodwa ngokwale vavanyo, oku kunokwenzeka kakhulu."

Kwenzeka ntoni emva 'kokuxilongwa'?

Kulungile, masithi ugqirha uza `kuxilonga`. Kuza kwenzeka ntoni emva koko?

1. Ugqirha uza kukuchazela ngesi sifo: ukuba sisifo sini na, sikhula njani , kwaye sinjani na.

2. Uxoxa ngeendlela zonyango: Zeziphi iindlela zonyango ezikhoyo zesi sifo, zeziphi ezikulungeleyo, yintoni onokuyilindela kunyango, kunye nokuba kukho naziphi na iziphumo ebezingalindelekanga.

3. Uxela ngemeko yexesha elizayo (Isifo sokuxela kwangaphambili): Uxela ngezinto ezinje ngokuba kuza kuthatha ixesha elingakanani ukuze umntu aphile kwesi sifo kunye nezinto ekufuneka azixhalabele.

4. Ikunika ithuba lokubuza imibuzo: Eli lixesha elifanelekileyo lokubuza ugqirha nayiphi na imibuzo okanye amathandabuzo onokuba nawo. Buza ngaphandle koloyiko okanye iintloni.

5. Unika imiyalelo ekufuneka ilandelwe: Indlela yokusebenzisa amayeza, indlela yokulawula ukutya kwakho, utshintsho ekufuneka ulwenze kwindlela ophila ngayo, kunye nexesha lokubuya.

Khumbula, ukuxilongwa sisiqalo nje sohambo. Ukulandela imiyalelo kagqirha wakho ngononophelo kubalulekile ekuchacheni kwakho.

Ngamanye amaxesha kuthatha ixesha ukuba `uxilongwe`... Ingaba kuqhelekile oko?

Ewe, ngamanye amaxesha oko kunokwenzeka. Asizizo zonke izifo ezinokuchongwa ngaxeshanye.

• Iimpawu zezinye izifo zisenokungabonakali kangako kwizigaba zokuqala, okanye zisenokufana nezinye izifo ezincinci.
• Ezinye izifo zinokuba zinqabile kakhulu , uze emva koko uthathe ixesha ukucinga ngazo.
• Ngamanye amaxesha, zinokubakho izizathu ezininzi zophawu olunye , ngoko ke kungathatha ixesha "ukuzisusa" zonke uze ufumane oluchanekileyo.
• Ngamanye amaxesha kunokufuneka uvavanyo olukhethekileyo ngakumbi , okanye kufuneke uluvo lwengcali .

Ngoko ke, ungakhathazeki ukuba 'Uxilongo' lwakho luthatha ixesha. Ugqirha uzama ukukunika 'Uxilongo' oluchanekileyo . Kubalulekile ukuthatha ixesha elifunekayo kuloo nto.

Iyintoni indima yakho 'kwiDiagnosis'?

Ukwanayo nendima enkulu ekufuneka uyidlale kule nkqubo 'yokuxilonga'.

• Thembeka kugqirha wakho: Xelela inyani ngeempawu zakho, imikhwa yakho, kunye namayeza owasebenzisayo ngaphandle kokufihla nantoni na.
• Buza imibuzo: Ukuba kukho into ongayiqondiyo okanye ongathandabuziyo, qiniseka ukuba uyayibuza. Akukho nto imbi ngokubuza izinto ezinje ngokuthi "Kutheni olu vavanyo lwenziwa?" okanye "Kuza kwenzeka ntoni ngale mithi?"
• Landela imiyalelo: thatha amayeza akho njengoko ugqirha ekuyalele, yiya kuvavanyo, uze ubuye ngeentsuku oza kuxelelwa ngazo.
• Qaphela utshintsho: Xelela ugqirha wakho ukuba kukho utshintsho kwiimpawu zakho (nokuba zingcono okanye zimbi) emva kokuqala unyango.

Ngaba sifanele soyike ukuba kukho ukuxilongwa okungafanelekanga?

Oogqirha bazama konke okusemandleni abo ukunika 'uXilongo' oluchanekileyo. Nangona kunjalo, iimpazamo zinokwenzeka rhoqo. Kuba amayeza yintsimi entsonkothileyo ehlala ifundwa.

Ukuba unamathandabuzo anzulu malunga nokuxilongwa okanye unyango lwakho, thetha nogqirha wakho ngaloo nto. Okanye, akukho nto imbi ngokufumana uluvo lwesibini komnye ugqirha. Lilungelo lakho elo.

Umyalezo Wokuya Ekhaya

Kulungile, ngoko ke ndiyathemba ukuba ngoku uyaqonda kakuhle ukuba yintoni 'ukuxilongwa', kutheni kubalulekile, kunye nendlela ugqirha afikelela ngayo kuko.

'Ukuxilongwa' linyathelo lokuqala nelibalulekileyo ekuchongeni ngokuchanekileyo isifo sakho, ukuqalisa unyango olufanelekileyo, kunye nokukuphilisa ngokukhawuleza.

Oku kufana nokwazi indlela echanekileyo ngaphambi kokuba uhambe uhambo. Oogqirha basebenzisa iindlela ezahlukeneyo zoku (ukukubuza imibuzo, ukukuhlola, ukwenza iimvavanyo). Konke oku kwenzelwa ukukunika unyango olungcono kakhulu. Ngoko ke, xa usiya kugqirha, xa bethetha 'ngokuxilongwa', thatha inxaxheba ngaphandle koloyiko okanye amathandabuzo. Ngenkxaso yakho, ungafikelela 'kukuxilongwa' okuchanekileyo kwaye uphile ngokukhawuleza!

Uxilongo , Uvavanyo lwezonyango, Iimpawu, Unyango, Impilo, Ugqirha