Ulwabiwo lwezentsapho, i-Pediatrics, iGeriatrics kunye nabaPhakathi
Siva "ugqirha wokunyamekela ngokusisiseko" xa uthetha ngoogqirha. Abaninzi bethu bayazi ukuba kufuneka sibone i-PCP. Kodwa ngubani umboneleli oyintloko kunye nokuba kutheni kubalulekile ekunyamekeleni kwethu?
Ii-PCP zidla ngoogqirha, kodwa zingaba ngabahlengikazi okanye ootitshala abancedisayo. Basinceda sinyamekele izinto ezisisiseko zokunyamekela kwethu, sigxininise ekuphatheni kakuhle nokukhusela.
Ekubeni sicetyiswa ukuba sibone i-PCP kuqala xa sigula okanye sikhathazekile, zibhekwa njengezona ziprayimari.
Maxa wambi i-inshurensi yempilo ibambelela ukuba sisebenze nomboneleli wokukhathalela. Izigulane ezininzi zinokukhetha ukufumana iingcali ngaphandle "ukuchitha" ixesha lokubona i-PCP kuqala. Oku kungayiphutha.
Kwiimeko ezininzi-kwaye uncedo olukhulu kumguli-PCPs nabo baququzeleli benonophelo. Nangona akubona zonke izigulana zikhetha ukuzisebenzisela ezi nkonzo zoqhagamshelwano, isigulane esilumkileyo siqonde ukuba ukuba nomnye umama we-symphony yokunakekelwa kwempilo wenza unengqiqo eninzi. I-PCP ingumlingani wakho oyintloko ekuqaliseni ukuba yiziphi ezinye iingcali ezifunekayo ukubonisana ngelixa ukhangele umfanekiso omkhulu wokunyamekela kwakho.
Uqeqesho kunye neZenzo zePCP
Oogqirha abano-PCP baqhelanisa nezenzo zabo njengogqirha bezonyango (MDs), oogqirha be-osteopathic (ii-DOs), okanye balandela umzekelo wokudibanisa.
ZoNyango
Ii-MDs zibhekwa njenge-allopathic; oko kukuthi, basebenzisa iyeza leNtshona, esiyicinga ukuba yinto eqhelekileyo e-US Ngokuqhelekileyo, ii-PCP ezi-MDs ziza kunceda izigulane zezigulana zezigulane, ngoko-thumela isigulane kwi-specialist MD eya kuthi ixilonge kwaye ilawule ngaphakathi kwenkqubo yomzimba omnye.
Ii-MDs ziya esikolweni sezokwelapha, zinokufunda iminyaka eyongezelelweyo kwiinkathalo zentsapho okanye enye indawo jikelele, ingaba yi-certified-certified, kwaye ilayiseniswe nguRhulumente apho baqhuba khona.
Iindlela ze-Osteopathic
Ugqirha we-osteopathic (DO), ofana ne-MD, ugqiba isikolo sezonyango kwaye unokukhetha okhethekileyo, naye. Nangona kunjalo, i-DO iya kuchitha i-semesters eyongezelelweyo ifunda inkqubo ye-musculo-skeletal ukuze ifunde indlela yokusebenzisa umzimba.
Ii-DO zijongene nomzimba womntu njengenkqubo yonke, kungekhona nje uchungechunge lweenkqubo zomzimba. Njengama-MDs, ii-DO zivunyelwe nguRhulumente apho ziqhuba khona. Basenokuba ngabaqinisekisiweyo bhodi.
Ukuhlanganiswa (okanye okuHlangeneyo) Iinkqubo
Ukuqhutywa yi-MDs okanye ii-DOs, kwaye ngamanye amaxesha kunika abaqeqeshi, le ndlela ayisebenzisi nje kuphela iyeza zendabuko zaseNtshona kodwa zibandakanya ezinye zeendlela eziphambili zonyango olongezelelweyo kunye nolunye uhlobo (i-CAM).
Qaphela: Kukho imbambano e-US malunga nokusetyenziswa kweCAM; Nangona kunjalo, ezininzi iinkqubo zonyango ziyabonakala kakuhle kwaye ziye zagqithisa kakhulu kwixesha, kubandakanywa i- acupuncture , yoga, i-massage, kunye nokusetyenziswa kwezinye izondlo. inikeza icandelo lonke leyeza kunye neyeza. Urhulumente wezepolisi unika enye yeeNkxaso zeeMpilo zeZikolo ukuze zifumane iinjongo zeCAM.
Iinkqubo ezigxilwe phakathi kwabanikezeli bokuNakekela abaPhambili
Abanikezeli bonyango beprayimari bayamkela inani leenhloko kunye namanqanaba emfundo, kwaye banokukhetha ukugxila kwizinto ezilandelayo:
- Abahlengikazi Abasebenzi (NP) kunye nabaNcedisi bezeMpilo (PA) , obizwa ngokuba ngabagqirha banweba , bangabonwa njengabaninikeli bonyango.
- AbaSebenzi abaPhezulu (GPs) banomlinganiselo omncinane wemfundo ngelixa befumana i-MD okanye i-DO. Baye bagqiba omnye unyaka wokuhlala kwaye banokuzimela ngokuzimeleyo, kodwa abanakho imfundo eyaneleyo yokuqwalaselwa ebhodini lokuqinisekisa , elifuna okungenani iminyaka emithathu yokuhlala.
- AbaSebenzi Bentsapho (MDs okanye ii-DOs) bafunde ubuncinane kwiminyaka emithathu ngaphaya kwe-GP eyenza bakwazi ukufumana isatifikethi sebhodi. Basebenzisa igama elithi "intsapho" egameni labo ngenxa yokuba onke amaninzi entsapho aya kuba zizigulane zabo. Basenokubona izigulane zokuzalwa ngokuguga. Baxilonga, banokwenza utyando oluncinane, kwaye banokwenza iinkonzo ze-OB-GYN (iintsholongwane kunye nobuchopho benkozo) kwizigulane zabo.
- Oogqirha bezilwanyana bavelisa ii-generalists abachitha iindawo zabo zokuhlala ngokubhekiselele ekunakekeleni abantwana, abaselula, abantwana nabaselula. Ekubeni bachithe iminyaka eyongezelelweyo kwindawo yokuhlala, bafanelekile ibhodi. Oogqirha bezilwanyana banolwazi olukhethekileyo kwiingxaki ezinxulumene nokusana kunye nobuntwaneni ezifana nezifo zobuntwana, ukukhula (i-endocrinology yezingane), ukutshatyalaliswa kweminye kunye nezinye iinkalo ezinxulumene nempilo yobutsha.
- AbaGeriatrizi nabo banama-generalists kunye noqeqesho olongezelelweyo lokuhlala, kodwa bagxila kwizenzo zabo kwiindawo ezikhulile. Bona, nabo, banokuqinisekiswa kwebhodi. Bayazi kakuhle kwiingxaki zempilo zabantu abaguga kuquka ne-Alzheimer's disease, isifo sika-Parkinson, intliziyo, nezifo ze-pulmonary, kunye neentsholongwane. Ngenxa yokonzakala kanzima okanye izifo ziza kubakho ukuthunyelwa kwizakhono ezijolise kuyo nayiphi na inkqubo yomzimba ebangela ingxaki engundoqo.
- Abangaphakathi bavame ukujongwa ngokuqhelekileyo, ngokunjalo. Abangaphakathi, njengoko unokucinga ukuba, unakekele iinkqubo zangaphakathi zomzimba, kwaye uqinisekiso lwebhodi olufanelekileyo. Kukho izakhono eziqulethwe ngaphakathi kwixesha lokuhlala ngaphakathi kubandakanya i-cardiology (intliziyo), i-endocrinology (i-glands, i-metabolism, ne-hormone), i-gastroenterology (inkqubo yokutya) kunye nabanye abaninzi.
- I-OB-GYN (iintsholongwane kunye nomzimba wesifo somzimba) ngaba oogqirha abakhethekileyo kwiinkqubo zokuzala zowesifazane kunye nokubelethwa nokuhanjiswa kweintsana. Ekubeni abasetyhini bakhuthazwa ukuba batyelele i-OB-GYN rhoqo ngonyaka, nokuba ngaba abanabantwana okanye abanalo abantwana, baninzi bathembela kwi-OB-GYN yabo yononophelo.
Iingcamango Zokuvala
Unonophelo olusisiseko luya kuthatyathwa njengezodwa ezizodwa njengezonyango. Ubuchule balo bubhekiswe ngamabhodi ezonyango , kwaye amaninzi amanqanaba okunyamekela aphezulu ngamalungu ale mabhodi ezonyango. Izigulane ezihlakaniphile zikwazi ukuphanda ubulungu babo be-PCP kwibhodi yezokwelapha njengendlela yokuseka amandla ogqirha.
Funda ngakumbi malunga neBhodi yeZonyango