Impacting the Succe of Treatment
Ugqirha ugqirha uphatha isifo; Ugqirha omkhulu uphatha isigulane esinesi sifo ~ uWilliam Osler (ugqirha waseCanada, 1849-1919)
Ngaba uye wakha wazibuza ukuba zeziphi izigulana zifuna ukudibana nodokotela? Kwiingcamango zonyango omnye (Delbanco, 1992) :
- Izigulana zifuna ukukwazi ukuzithemba ubuchule kunye nokusebenza kwabanonophelo.
- Izigulana zifuna ukukwazi ukuxoxisana ngokufanelekileyo kwinkqubo yokunakekelwa kwezempilo kwaye ziphathwe ngesidima nangenhlonipho.
- Izigulana zifuna ukuqonda indlela ukugula okanye unyango lwabo luya kuthintela ngayo ubomi babo, kwaye ba soloko beyika ukuba oogqirha babo ababaxeleli konke bafuna ukwazi.
- Izigulana zifuna ukuxoxa ngesiphumo sabo esiya kuba nesifo kwiintsapho zabo, abahlobo kunye nemali.
- Iziguli zixhalabele ngekamva.
- Izigulane zixhalabele kwaye zifuna ukufunda indlela yokuzinyamekela ngaphandle kwendawo yeklinikhi.
- Izigulanga zidinga ukuba oogqirha bagxininise intlungu , ukukhathazeka ngokomzimba kunye nokukhubazeka okusebenzayo .
Ubudlelwane
Ulwalamano phakathi kwesigulane kunye nodokotela luye lwahlaziywa ukususela ekuqaleni kwawo-1900. Ngaphambi kokuba iyeza lingaphezulu kwezesayensi kunobungcali, oogqirha basebenze ukucokisa indlela yabo yokulala, njengoko ukunyanga kwakungenakwenzeka kwaye unyango lwaluphelelanga.
Ephakathi kwekhulu xa inzululwazi kunye neteknoloji zivela, iinkalo zomntu kunye nolondolozo lwezempilo zazingekho.
Kukho ngoku unomdla ohlaziyiweyo kunyango njengenkqubo yentlalo. Ugqirha unokwenza umonakalo omkhulu kwisigulane ngesalathisi segama nje ngesiphakamiso somkhwa.
Iimpawu eziCacisayo kunye neziCacisayo
Ubudlelwane boogqirha nesigulane buwela emibini ubukhulu:
- zixhobo
- ngokucacileyo
Icandelo "leengoma" libandakanya ubuchule begqirha ekwenzeni imiba yobugcisa njengokwenza:
Icandelo "elicacileyo" libonisa ubugcisa bezokwelapha, kubandakanywa inxalenye echaphazelekayo yokusebenzisana okunjengomfudumalo novelwano, kunye nendlela ugqirha efikelela ngayo isigulane.
Umonde oqhelekileyo-Ugqirha Ulwalamano lweModeli
Umsebenzi-Umzekelo Wokunyusa - Awukho Umzekelo Olungcono Ngayo I-Arthritis Engapheliyo
Ngoluvo lwabanye abantu ukuba ukwahlukana kwamandla phakathi kwesigulane kunye nodokotela kuyimfuneko kwiinkqubo ezizinzileyo zonyango. Isigulana sifuna ulwazi kunye noncedo lobuchwepheshe, kwaye ugqirha wenza izigqibo ezifunekayo isigulane. Nangona oku kubonakala kulungile kwiimeko eziphuthumayo zezokwelapha, lo mzekelo, owaziwa ngokuba ngumzekelo-umzekelo wokunyusa, ulahlekelwe ukuthandwa kwiimeko ezingapheliyo, njenge- rheumatoid arthritis kunye ne- lupus . Kulo mzekelo, ugqirha unomdla ngokunyamekela isigulane, kodwa isigulane asixhasi kwaye asikwazi ukulawula.
Isikhokelo-Ukusebenzisana Isibonelo - Isibonelo Esiqingqiweyo
Inkqubo -yokubambisana-ndlela yokusebenzisana yinto exhaphake kakhulu kwiindlela zonyango. Kulo mzekelo, ugqirha uncoma unyango kunye nesigulane sisebenzisana. Oku kuyahambelana ne "Ugqirha uyazi kakuhle" inkolelo apho ugqirha exhasa kwaye engekho igunya, kodwa unembopheleleko yokukhetha unyango olufanelekileyo.
Isigulane, esinamandla angaphantsi, kulindeleke ukuba silandele iziphakamiso zonyango.
Umzekelo wokuThatha inxaxheba - Uxanduva lokwabelana
Kwimodeli yesithathu, umzekelo wokuthatha inxaxheba , udokotela kunye nesigulane sabelo sokwabelana ngokwenza izigqibo nokucwangcisa inkqubo yokonyango. Isigulane kunye nodokotela bahlonipha omnye nomnye ukulindela, imbono nembono.
Abanye baye baxela ukuba le yimizekelo efanelekileyo kakhulu yezifo ezingapheliyo, ezinjenge-rheumatoid arthritis kunye ne-lupus, apho izigulane zijongene nokuphumeza unyango lwabo kwaye zichonge ukusebenza kwayo.
Ukutshintshwa kwimeko yeemeko ezingapheliyo zengxubusho kudinga ugqirha kunye nesigulane ukuba sibe noqhagamshelwano oluvulekileyo.
Yintoni Ngokwenene Eyona Mzekelo Yomzekelo We-Arthritis Engapheliyo?
Ezinye i-rheumatologists zinokuvakalelwa kukuba imodeli yobudlelwane obugqirha kunye nesigulane esithile phakathi kwenkxaso-intsebenziswano nokuthatha inxaxheba. Enyanisweni, ubuhlobo bobudlelwane bobugqirha-patent bunokutshintshwa kwixesha. Ekuqaleni, ngexesha lokuxilongwa, imfundo nokhokelo luncedo ekufundeni ukulawula eso sifo. Emva kokuba kusetyenziswe izicwangciso zonyango, isigulane sitshintshela kumzekelo wokubambisana-nxaxheba njengoko zijonga iimpawu zabo, zichaze ubunzima, zize zisebenze nogqirha ukuze ziguqule isicwangciso sazo.
Ukusebenza kweNyango
Ukusebenza konyango kuxhomekeka kakhulu kwisigulane esenza izikhokelo zonyango (okt, ukuthotyelwa). Izinyango zokwelapha i-arthritis zingabandakanya:
- kuthatha imithi e miselwe
- uluhlu lwesinyanzelo kunye nokuqinisa izinto
- iindlela zokukhusela ezihlangeneyo
- izixhobo zendalo
- iindlela zokuphucula ubuhlungu
- ukutya okunokutsha
- ukulawula ubunzima
- ulungiso lwenyama
Ukungahambelani kwiplani yokwenza unyango kubonisa ukuba kukho imiphumo emibi, ngokucinga ukuba:
- unyango lufanelekileyo kwaye luvame ukusebenza
- kukho ubudlelwane phakathi kokumamela nokuphucula impilo
- isigulane sinako ukwenza isicwangciso sonyango
Ziziphi Iimpembelelo Zomonde Ophumelelayo-Udokotela Ulwalamano?
Xa ulwalamano nodokotela lubandakanya ubuchule kunye noqhagamshelwano, ngokuqhelekileyo kunamathela kunyango. Xa ukuthobela ngakumbi ukonyango kuhlanganiselwe ukwaneliseka kwesigulane kunye nokunyamekela, UKUPHILWA KWEMPILO kunye NOKUPHAKATHI KWEMPILO kuyimiphumo ekulindelekileyo. Ngaphantsi: Impumelelo yonyango inokuchaphazeleka kakhulu ngobudlelwane nodokotela.
Umthombo:
Ukuqonda i-Rheumatoid Arthritis nguStanton Newman, uRay Fitzpatrick, u-Tracey A. Revenson, uSuzanne Skevington kunye noGareth Williams. Epapashwe nguRoutledge. 1996.