Abukho Ubufakazi Bokuthi Udinga Isivivinyo Sonyaka Sonyaka, Kusho Odokotela
-Delile
Kubantu abaningi, ukuya kudokotela ukuze bathole ukuhlolwa ngokomzimba kwaminyaka yonke phezulu lapho kanye nokuhlolwa kwesikhumulo sezindiza se-TSA entweni ejabulisayo-sikwenza ngoba sithanda ukuphila impilo enempilo kunokuzonda izingubo zephepha, amatafula abandayo, nezinalithi. Kodwa-ke kungenzeka ukuthi sizibeka kulo mkhuba waminyaka yonke ngokungadingekile, kusho u-Ateev Mehrotra, MD, no-Allan Prochazka, MD, endabeni ye I-New England Journal of Medicine. (Thola ukuthi ungasisebenzisa kanjani ngokunenzuzo isikhathi sakho ehhovisi likadokotela.)
Inkinga enkulu odokotela abanayo ngokuhlolwa kwaminyaka yonke ukuthi akuchazwa kahle. Ngaphandle kokukalwa nokuthi inhliziyo yakho ilalelwe, okutholayo ngesikhathi somzimba wakho wonyaka kungagijimisa umdlalo kusuka kokulula "ubukeka kahle" kuya ebhethri lezivivinyo ezibizayo-futhi lokho okutholayo kungenzeka kubhekiswe kulokho umshwalense wakho izohlanganisa kunalokho okuthakasele kakhulu wena.
Futhi izivivinyo zaminyaka yonke azibonakali zinciphisa izehlakalo zezifo noma zokufa, ngokusho kocwaningo lwakamuva. I-meta study eyodwa eshicilelwe ku Ijenali Yezokwelapha yaseBrithani ibike ukuthi ayikho imiphumela ezuzisayo yokuhlolwa kwezempilo okujwayelekile mayelana nokugula, ukulaliswa esibhedlela, ukukhubazeka, ukukhathazeka, ukuvakashelwa odokotela abengeziwe, noma ukungabikho emsebenzini. Futhi abazange babone ukuncipha kwesifo senhliziyo noma umdlavuza, ababulali ababili abakhulu baseMelika.
Okubi nakakhulu kunokungasebenzi kahle noma ukuphazamiseka, ukuhlolwa ngokomzimba kwaminyaka yonke kungase kube yingozi, kusho uMehrotra, echaza ukuthi iziguli zingahlolwa ngokungadingekile, imishanguzo, nokukhathazeka. “Angibuboni ubufakazi bokuthi wonke umuntu abonane nodokotela wakhe minyaka yonke,” usho kanje, wengeza ngokuthi ukukhansela lokhu kuqashwa kungonga u-$10 billion ezindlekweni zokwelashwa minyaka yonke.
Nakuba kungase kuzwakale kukuhle, akubona bonke odokotela abakhona ngalo mbono. "Kunenzuzo yangempela emzimbeni wonyaka," kusho uKristine Arthur, MD, osebenza e-Orange Coast Memorial Medical Center eFountain Valley, eCalifornia. "Ukwesaba ukuthi sizolahlekelwa yileli phuzu elilodwa lokuxhumana nabantu abangayinaki kakhulu impilo yabo futhi abangajwayele ukuza ukuzobona udokotela." (Ungathanda U-Facebook Ukuxoxa Nodokotela Wakho?)
Uyavumelana noMehrotra entweni eyodwa: ukudideka ngokuthi yini ukuhlolwa konyaka okufanele kwenziwe. “Kunombono oyiphutha wokuthi lolu wukuhlolwa kwekhanda nozwane okuzobala zonke izinkinga zakho,” usho kanje. "Kodwa empeleni kumayelana nento eyodwa futhi into eyodwa kuphela - ukunakekelwa kwezempilo okuvimbelayo." Uma kwenziwa kahle, lokhu kungase kuziqinise idolo kakhulu iziguli, uyanezela, kunciphise ukukhathazeka kwazo futhi kuzinikeze umuzwa wokulawula impilo yazo.
Umqondo ngukuthi abantu badinga ukuhlolwa njalo komdlavuza wekoloni, i-cholesterol, umfutho wegazi, noshukela wegazi kanti nabesifazane badinga nokuhlolwa njalo kwama-pap smear kanye nezivivinyo zamabele, kuchaza u-Arthur, futhi kuyasiza futhi kulula uma bengakuthola endaweni eyodwa kusuka kumhlinzeki oyedwa . "Yibize nganoma yini oyifunayo, kepha lezi zinto zidinga ukwenziwa njalo," esho. "Nokho asikho isidingo sokunakekelwa okungafuneki - uma uke wabonana nodokotela wakho izikhathi ezimbalwa onyakeni odlule ukuze uthole ezinye izikhathi futhi usuvele wenze zonke lezi zinto kusho ukuthi usuthole 'umzimba wakho wonyaka'," usho kanje.
Uyavuma ukuthi ukuhlolwa kungahle kungadingi ukwenziwa minyaka yonke uma uneminyaka engaphansi kwengama-40 ubudala, ungenazo izimo zempilo ezingamahlalakhona, awunawo umuthi, futhi awunawo umlando womndeni wesifo senhliziyo noma umdlavuza. Uma kunjalo, uncoma ukuhlolwa njalo eminyakeni emithathu. Kodwa-ke, uxwayisa ngokuthi akwanele ukucabanga nje ukuthi awunazo izimo zempilo ezingamahlalakhona-udinga ukuthi lokho kuqinisekiswe ngudokotela wakho. "Enye yezinto ezinhle kakhulu ukuhlolwa minyaka yonke ezingakwenza ukubamba isimo esingalapheki ebesingaziwa ngaphambili, njengesifo sikashukela noma isifo senhliziyo, ngaphambi kokuba silimaze ngempela," uyanezela. (P.S. Lolu hlelo lokusebenza luqhathanisa nemiyalo yakho ngezeluleko ezivela kodokotela bangempela.)