Nā Kauoha Kauka 3 Pono ʻoe e nīnau

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Ke ʻōlelo nei kāu kauka pono ʻoe i kahi hana piha-scans, hoʻāʻo koko, ka shebang holoʻokoʻa. Akā ma mua o kou ʻae ʻana, e ʻike i kēia: Hoʻonui ke kālā a nā kauka ma ke kauoha ʻana i nā kaʻina hana hou aʻe no nā mea maʻi-ʻaʻole na ike ana ʻoi aku ka nui o nā maʻi, wahi a ka noiʻi mai ke Kulanui o Kaleponi Los Angeles (UCLA). (Maopopo iā ʻoe pehea ʻoe e ʻike ai i ke kauka?)

Manaʻo mākou e mālama kā mākou M.D. iā mākou ma nā ʻano āpau, me ke kālā, ʻeā? Minamina, ʻaʻole kēlā ka manawa mau: Kau ʻia kekahi mau kumukūʻai a me nā lāʻau lapaʻau me ka hōʻike ʻole i kauoha pinepine ʻia, e hōʻoia ana ʻo David Fleming, MD, he luna lapaʻau ma ke Kulanui o Missouri a me ka pelekikena o ka American College Of Physicians. Ua ʻae nā kauka ʻē aʻe: Ma kahi kokoke i ʻekolu hapaha o nā kauka e hōʻoia i ka pinepine o nā hoʻokolohua pono ʻole a me nā kaʻina hana i loko o ka ʻōnaehana mālama olakino he pilikia koʻikoʻi loa ia, e like me ka noiʻi 2014 mai ka American Board of Internal Medicine Foundation's Choosing Wisely Campaign-he papahana e ʻimi nei. e kuhikuhi overuse a hoʻohana hewa paha i nā hoʻokolohua a me nā kaʻina hana.

ʻO ka nūhou ʻo ka hapa nui o kā mākou docs ʻaʻole i panakalupa iā mākou-kēnā lākou i nā hoʻokolohua hou aʻe e uhi i kā lākou mau puʻupuʻu inā loaʻa nā hoʻopiʻi malpractice, ua ʻike ʻia ke ana like.

No laila pehea ʻoe e uhi ai i kāu? "E nīnau i nā nīnau," wahi a Fleming. "Makemake ka poʻe maʻi i nā nīnau a lākou e nīnau ai i kā lākou kauka no ka mea ʻaʻole lākou makemake e hoʻonāukiuki iā lākou, a ke hilinaʻi nei lākou e hana nā kauka i ka mea kūpono." Hoʻi ke hiki mai i kou olakino, pono ʻoe e kau ʻo ʻoe iho ka mua. No laila e pahu i hope i nā mea āpau e pono ʻole a i ʻole wehewehe ʻole ʻia iā ʻoe i loko o ka piha, akā ʻo kēia mau helu ʻekolu, a Fleming i ʻōlelo ai ʻo nā hōʻike i kauoha pinepine ʻia.

Kaomi ma aneʻi e ʻike ai i nā hoʻokolohua maʻamau ʻekolu a me nā labs āu e nīnau ai i kāu palapala.

Kiʻi kiʻi

"Ma ka mōʻaukala, ua hoʻohana nui nā kauka i ke kiʻi kiʻi," wahi a Fleming. ʻO nā kukuna X no ka ʻeha o ke kua, MRI no nā kuli ʻeha, CT scan no kēlā me kēia ʻano ʻeha poʻo-akā ʻo nā hōʻike e pale aku nā scans iā ʻoe mai kahi hopena maikaʻi ʻole, wahi a ia. A ʻo ka hapa nui o nā scans e uku iā ʻoe i kahi peni maikaʻi.

He aha e ʻōlelo ai: "Pono maoli kēia e noʻonoʻo nei? Hopohopo wau i nā kumukūʻai." Ma hope o ka noi ʻana i nā deets, e hoʻopili me ia ma ka pae kanaka, a kuhikuhi i kou hopohopo no nā pili kauka lāʻau lōʻihi. ʻO nā kauka i ʻike i nā kumukūʻai o nā hoʻokolohua lapaʻau a me nā kaʻina hana maʻamau e koho e hana liʻiliʻi o ia mau mea ma mua o ka poʻe ʻike ʻole hiki ke uhaʻi i kāu panakō, ʻike ʻia kahi haʻawina 2013 Johns Hopkins University School of Medicine.

Nā ʻōlelo kuhikuhi

"E hele i kahi kauka no ka mea maʻi ʻoe a haʻalele me ka ʻole o kahi lāʻau i kou lima me ka maopopo ʻole o ka mea e hana nei hiki ke hoʻonāukiuki loa," nā ʻōlelo a Fleming. ʻO ka ʻoiaʻiʻo, ʻo kēia kaomi ke kumu i ka nui o nā kauka e kākau i nā palapala pono ʻole, e hana maoli ana iā mākou. "Ke hāʻawi nei mākou i nā lāʻau antibiotic he nui, a ma muli o ka nui o nā mea ola kūpaʻa a mākou e mālama ai i kēia manawa," wehewehe ʻo Fleming. ʻO ia ka koi o nā antibiotic hou, a ʻoi aku ka paʻakikī no ka mea ʻoi aku ka nui o nā pale.

ʻO ke kumu ʻē aʻe ka hoʻopaʻa ʻana o nā palapala? I ka hihia wale nō: "Hele mai nā mea maʻi me ka mea i hiki ʻole a maʻi maʻi maʻi paha. Aia kahi manawa maʻi maikaʻi loa lākou, a ʻaʻole makemake mākou e hoʻopaneʻe i ka mālama ʻana, ʻoiai inā ʻaʻohe o mākou ʻike paʻa ikaika he maʻi bacteria," wehewehe ʻo Fleming.

He aha e olelo: "He aha nā hōʻike āu e ʻike ai e hana nei wau a i ʻole ʻaʻohe maʻi e koi ai i kahi antibiotic?" ʻO ka nīnau ʻana iā ia e koi iā ia e kū a noʻonoʻo inā noʻonoʻo ʻo ia i nā koho ʻē aʻe a pau, a hāʻawi iā ʻoe i kahi manaʻo ua noʻonoʻo nui ʻia kāu mau hōʻailona.

Hana Koko

ʻO ka hapa nui o nā kauka e kauoha i ka hana koko me kāu hōʻike makahiki, akā ʻaʻole pono ʻoe i ka panel chemistry piha, e komo pū ana me ʻelua mau kakini hoʻokolohua, wahi a Fleming. (Kahakaha: I kekahi mau hihia, ʻoi aku ka maʻalahi o ka lab no ka holo ʻana i kahi hana piha ma mua o kekahi mau hoʻokolohua koko.)

He aha e olelo: "ʻO kahi hana piha i kaʻu hoihoi nui, a i ʻole he ala e hana ai i kahi hōʻike pilikino?" ʻO ka hōʻoia ʻana inā pono ʻoe i nā hoʻokolohua āpau a ʻaʻole paha he mea nui - hiki ke loaʻa kahi pōʻino i nā hopena kūpono ʻole: "ʻO ka manawa pinepine mākou e ʻike i nā mea ʻino ʻole i ka hana koko, e alakaʻi i nā hoʻokolohua hou aʻe a me nā kaʻina hana ʻaʻole pono i ka mea maʻi maikaʻi loa. , "wehewehe ʻo ia. (E ʻike i nā maʻi i nalo nui ʻia e nā kauka.) A inā he papa kemika piha ʻaʻole ʻoi aku ka liʻiliʻi iā ʻoe, ʻoiaʻiʻo e hoʻihoʻi i nā hoʻāʻo hoʻokahi ʻaʻole i hele mai ma ke kumukūʻai pūʻolo ʻo ia ke uku nei ʻoe no kēlā me kēia loiloi nui.

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