Odokotela Besilisa

-Delile

• Udokotela wokunakekelwa okuyisisekelo
• Ingaphakathi
• Udokotela wamazinyo
• Udokotela wamehlo noma udokotela wamehlo
• Ochwepheshe
• Izazi ze-Urologists
• Ukudla okudlela endlini
• Ukuthola udokotela: I-Q & A.
• Q:
• A:

Odokotela besilisa

Bonke abantu abadala abaneminyaka engaphezu kwengu-18 kufanele bahlolwe futhi bahlolwe njalo ngudokotela wokunakekelwa okuyisisekelo njengengxenye yemithi yabo yezempilo. Kodwa-ke, amadoda mancane amathuba okuthi athobele lo mhlahlandlela futhi enze ukuhambela kwawo kwezempilo kube yinto eza kuqala. Ngokwe-American Heart Association, ukungaphatheki kahle nokufuna ukonga isikhathi nemali kungezinye zezizathu eziyishumi eziphezulu ezenza abesilisa bagweme ukuya kudokotela.

Isifo senhliziyo nomdlavuza yikho kokubili, ngokusho kweCenters for Disease Control and Prevention (CDC). Lezi zinkinga ezimbili zingabonwa kusenesikhathi futhi ziphathwe uma umuntu esebenza ngokunakekelwa kwezempilo nokuhlolwa. Okunye ukuxilonga okukhethekile emadodeni, njengomdlavuza wamasende nowendlala yesinye, kunemiphumela engcono kakhulu uma ibanjwa ezigabeni zayo zokuqala.

Uma uyindoda, ukuzikhandla empilweni yakho kungakwandisa isikhathi sakho sokuphila futhi kuthuthukise ikhwalithi yempilo yakho. Odokotela abagxile ekuhloleni impilo yamadoda baseqenjini lakho futhi bafuna ukukusiza.

Udokotela wokunakekelwa okuyisisekelo

Kwesinye isikhathi kubizwa ngokuthi odokotela abajwayelekile, odokotela bokunakekelwa okuyisisekelo baphatha izifo eziningi ezivamile, ezingalapheki nezihlasela kakhulu. Odokotela bokunakekelwa okuyisisekelo baphatha yonke into kusuka emiphinjeni kuya ezimeni zenhliziyo, yize ezinye izimo zingadinga ukuthunyelwa kochwepheshe. Isibonelo, umuntu otholwe enesifo senhliziyo esiminyene (CHF) angathunyelwa kudokotela wenhliziyo ayohlolwa ngesikhathi sokuxilongwa kokuqala. Kodwa-ke, udokotela wokunakekela oyinhloko kungenzeka ukuthi aphathe iziguli ezingapheli, ezizinzile ze-CHF esikhathini eside.

Ezinye izifo ezivamile eziphathwa odokotela bokunakekela okuyisisekelo zifaka:

• isifo segilo
• isifo samathambo
• ukudana
• isifo sikashukela
• umfutho wegazi ophakeme

Odokotela bokunakekelwa okuyisisekelo nabo babheka isimo sakho sokugoma futhi banikeze ezinye izinhlobo zokunakekelwa kokuvikela, njengezindlela ezifanele zeminyaka zokulondolozwa kwezempilo. Isibonelo, abesilisa abaneminyaka ephakathi nendawo bangalindela ukuthi bahlolwe njalo umdlavuza wesinye. Ngokufanayo, wonke umuntu onobungozi obuphakathi komdlavuza wekoloni kufanele ahlolwe ngawo kusukela eneminyaka engama-50. Kusukela eminyakeni engaba ngu-35 ubudala, abesilisa kufanele bahlolwe ne-cholesterol ephezulu. Udokotela wakho uzoncoma ukuthi uhlolwe iphrofayili yakho yegazi lipid minyaka yonke.

Udokotela wakho oyinhloko uzosebenza njengesisekelo sokunakekelwa kwakho kwezokwelapha. Bazokudlulisela kochwepheshe njengoba kudingeka futhi bagcine amarekhodi akho ezempilo endaweni eyodwa ukuze asetshenziswe esikhathini esizayo. Abesilisa nabafana kufanele bahlolwe ngokomzimba okungenani kanye ngonyaka.

Kwabesilisa, udokotela wokunakekelwa okuyisisekelo angaba owokuqala ukukhomba izimo ezithile, kufaka phakathi:

• i-hernia noma i-herniated disk
• amatshe ezinso
• umdlavuza wamasende noma umdlavuza wesinye
• i-melanoma

Ingaphakathi

I-American College of Physicians iveza ukuthi ukubona i-internist kungahle kube lusizo kubantu abafuna udokotela onolwazi ezintweni eziningi. Uma unesimo esingelapheki, njenge-hypertension noma isifo sikashukela, ungafisa ukubona i-internist.

Eyaziwa nangokuthi ochwepheshe bezokwelapha zangaphakathi, abafundela umsebenzi bangabantu abadala njengoba odokotela bezingane bezingane. Abangaphakathi baqeqeshelwe ukwelapha izifo zabantu abadala. Abangaphakathi baqeqeshwa futhi bafundiswa ngohlelo olunzulu olubandakanya ukutadisha amakhono ahlukile nokuqonda ukuthi ukuxilongwa okuningi kuhlobana kanjani. Abanye abafundela umsebenzi basebenza ezibhedlela, kanti abanye basebenza emakhaya asebekhulile. Bonke banokuhlangenwe nakho okujulile kokutadisha imikhakha eyahlukene yezokwelapha.

Udokotela wamazinyo

Bheka udokotela wamazinyo ukuze kuhlanzwe amazinyo akho kabili ngonyaka. Uma uthuthukisa umgodi noma enye inkinga yamazinyo, udokotela wakho wamazinyo uzophatha ukuyelapha. Udokotela wamazinyo wanamuhla awunabuhlungu futhi uvame ukusebenza ngempumelelo ekubhekaneni nezinkinga eziningi eziyinkimbinkimbi.

Odokotela bamazinyo bangahlola izimo ezifana ne-periodontitis noma umdlavuza womlomo. Ukunakekelwa okufanele nokuhlanzwa kwamazinyo kunciphisa izehlakalo ze-periodontitis. I-periodontitis engalashiwe ixhunyaniswe nengozi eyengeziwe yesifo senhliziyo kanye nokutheleleka kwamaphaphu, okwenza ukunakekelwa kwamazinyo okufanele kubaluleke kakhulu.

Udokotela wamehlo noma udokotela wamehlo

Odokotela bamehlo nodokotela wezifo zamehlo bagxile ekwelapheni izinkinga ezihlobene namehlo nokubona. Odokotela bamehlo bakulungele ukuhlola izinkinga ezahlukahlukene zezempilo ezihlobene namehlo, kufaka phakathi i-glaucoma, i-cataract, kanye nezifo zamehlo. Ophthalmologists odokotela bezokwelapha abakulungele ukwenza imisebenzi ephelele ehlobene neso, kufaka phakathi ukuhlinzwa kwamehlo. Uma udinga nje ukuthi uhlolwe umbono wakho, ngokunokwenzeka uzobona udokotela wamehlo. Uma uba nenkinga ngamehlo akho adinga ukuhlinzwa, ungathunyelwa kudokotela wezifo zamehlo.

Emadodeni anombono ophelele, kusanconywa ukuvakashela udokotela wamehlo ukuze ahlole ukuthi kukhona yini amehlo, i-glaucoma, kanye nokulahleka kombono njalo eminyakeni emibili kuya kwemithathu. Abesilisa abagqoka izingilazi noma ama-lens kufanele bahlolwe minyaka yonke ukuqinisekisa ukuthi imishanguzo yabo ayikashintshi.

Ochwepheshe

Ochwepheshe odokotela okungenzeka ungababoni njalo. Bangenza izinqubo zokuhlola ngokususelwa ekudlulisweni komunye udokotela.

Izazi ze-Urologists

Ama-Urologists agxile ekwelapheni amapheshana abesilisa nabesifazane. Zibuye zigxile ohlelweni lokuzala lwabesilisa.Abesilisa babona odokotela bezindlala bezimo ezinjenge-prostate enwetshiwe, amatshe ezinso, noma umdlavuza womgudu womchamo. Okunye ukukhathazeka okuvamile okukhulunywe ngakho yi-urologists kufaka ukungabi namuntu kwabesilisa nokungasebenzi ngokocansi. Amadoda angaphezu kweminyaka engama-40 ubudala kufanele aqale ukubona udokotela womchamo minyaka yonke ukuze ahlole umdlavuza wendlala yabesilisa.

Udokotela we-urologist angakweluleka ngempilo yakho yezocansi, kepha khumbula ukuthi udokotela oyinhloko angakunakekela izifo ezithathelwana ngocansi (STIs) nezifo. Noma yimuphi umuntu wesilisa ocansini kufanele aqinisekise ukuthi uhlolwa udokotela ngezifo zocansi, ikakhulukazi uma enabalingani abaningi kwezocansi.

Ukudla okudlela endlini

Abantu abaningi, ikakhulukazi abesilisa, abathandi ukuya kudokotela. Ukwakha ubudlelwano nodokotela wokunakekela oyinhloko onethezekile naye kungashintsha umbono wakho kuleyo aphoyintimenti engalungile ongazizwa sengathi unesikhathi sayo. Okubaluleke kakhulu, kungasindisa impilo yakho. Thola udokotela wokunakekelwa okuyisisekelo noma osebenza ngaphakathi owenza ukunakekelwa kokuvimbela, bese uhlela i-aphoyintimenti yokuthatha isinyathelo sokuqala sokwenza impilo yakho iphile kahle.

Ukuthola udokotela: I-Q & A.

Q:

Ngizokwazi kanjani ukuthi udokotela wami ungifanele yini?

Isiguli esingaziwa

A:

Ubudlelwano umuntu anabo nodokotela wabo bubaluleke kakhulu futhi bususelwa ekwethembekeni. Uma ungazizwa ulingana kahle nodokotela wakho, ungahle ube amathuba okugwema ukubabona kuze kube yilapho izinkinga zempilo ziqhubekela phambili. Ngokuvamile ungatshela ngemuva kokuvakashelwa okumbalwa ukuthi wena nodokotela wakho nilungile yini noma cha. Isibonelo, kufanele ube nomuzwa wokuthi udokotela wakho uyakukhathalela wena nempilo yakho futhi uyakulalela okukukhathazayo. Kufanele wazi ukuthi kwesinye isikhathi udokotela wakho kungadingeka anikeze iseluleko ongahle ungafuni ukusizwa. Isibonelo, bangahle banciphise isisindo noma bayeke ukubhema. Lona ngudokotela wakho owenza umsebenzi wakhe futhi akufanele akuvimbele ekuboneni kwabo.

UTimothy J. Legg, PhD, Izimpendulo zeCRN zimelela imibono yochwepheshe bethu bezokwelapha. Konke okuqukethwe kunolwazi oluqinile futhi akufanele kuthathwe njengezeluleko zezokwelapha.