He aha kāu e manaʻo ai i kāu koho ʻana iā Ob-Gyn ma waena o ka maʻi maʻi coronavirus

Anter

• Telehealth vs. In-Office Appointments
• No ke aha e pono ai ʻoe i kahi koho ma ke keʻena
• No ke aha e hiki ai iā ʻoe ke hele me kahi kau uila
• ʻO ka mea e manaʻo ai i ka wā o kahi kipa Telehealth Ob-Gyn
• He aha ka mea e manaʻo ai i ka wā o kipa ʻo Ob-Gyn ma ka Office
• Nānā no

E like me ka nui o nā hana maʻamau ma mua o ka maʻi maʻi, ʻo ka hele ʻana i ka ob-gyn ma mua o ka noʻonoʻo ʻole: ʻo ʻoe, e ʻōlelo nei, e hakakā nei me kahi maʻi hou (yeast infection?) A i ʻole ʻekolu paha mau makahiki i lele a ʻo ka manawa koke ia e kiʻi iā Pap smear. ʻO kēlā me kēia hihia, ʻo ka hoʻonohonoho ʻana a me ka ʻike ʻana i kāu gyno, ʻoi aku ka maʻalahi o ka pololei. Akā e like me kou maopopo, ʻokoʻa loa ke ola i kēia manawa mahalo iā COVID-19, a ua loli pū nā huakaʻi i ke kauka wahine hapa.

ʻOiai ke hoʻomau nei nā koho maʻi, nui nā ob-gyns e hāʻawi pū ana i nā kipa telehealth. "Ke hana nei au i nā hybrid o ke kipa ʻike pilikino a me ke kanaka hoʻi," i ʻōlelo ʻia ʻo Lauren Streicher, MD, he polofesa no nā keʻena lapaʻau a me nā gynecology ma ke Kula ʻo Medicine Feinberg o Northwestern University. "Ma muli o ka hanana, haʻi mākou i kekahi mau mea maʻi e pono lākou e komo i loko, ʻo ka poʻe ʻē aʻe e paipai nei iā lākou e komo ʻole i loko. ʻO kekahi, hāʻawi mākou i ke koho."

ʻAe, akā pehea hana hiki i ka telehealth ke hana me kahi appointment ob-gyn, pololei? A, e noi ana i kahi hoaaloha: Ke kamaʻilio nei mākou i nā kamaʻilio wikiō kahi āu e hoʻopaʻa ai i kāu kelepona ma lalo o kou lole? ʻAʻole nui loa. Eia ka mea hiki iā ʻoe ke manaʻo i ka manawa aʻe e pono ai ʻoe e ʻike i kāu ob-gyn.

Telehealth vs. In-Office Appointments

Inā ʻaʻole ʻoe kamaʻāina, telehealth (aka telemedicine) ka hoʻohana ʻana i ka ʻenehana e hāʻawi a kākoʻo i ka mālama olakino ma kahi mamao, e like me ka National Institutes of Health (NIH). Hiki iā ia ke manaʻo i nā ʻano mea like ʻole, me nā kauka ʻelua e kamaʻilio ana kekahi i kekahi ma ke kelepona e hoʻonohonoho i ka mālama ʻana o ka mea maʻi, a i ʻole ke kamaʻilio pū ʻana me kāu kauka ma ke kikokikona, leka uila, kelepona, a i ʻole wikiō. (E pili ana: Pehea e hoʻololi ai ka ʻenehana i ka mālama olakino)

E ʻike paha ʻoe i kāu kauka a i ʻole IRL ma muli o ke kaʻina hana o kēlā me kēia kanaka a me ka mea maʻi. Ma hope o nā mea a pau, he nui wale nā ​​hoʻokolohua hiki iā ʻoe ke hana maikaʻi ma ke kelepona a i ʻole wikiō. A ʻoiai aia, ʻoiaʻiʻo, ke alakaʻi kūhelu mai ka American College of Obstetricians and Gynecologists (ACOG), ʻaʻole maopopo.

I loko o kā lākou ʻōlelo kūhelu, "Implementing Telehealth in Practice," ʻike ka hui i ka ulu nui ʻana o ka telehealth a, no laila, ke koʻikoʻi nei i ka mea nui o nā mea hana e "noʻonoʻo" i nā mea e like me ka palekana kūpono a me ka pilikino a me ka hōʻoia ʻana i nā pono pono. Mai laila mai, ʻōlelo ʻo ACOG i kahi loiloi ʻōnaehana e hōʻike ana i ke olakino olakino hiki ke kōkua i ka nānā ʻana i ke koko prenatal, ke kiʻekiʻe o ke kō koko, a me nā hōʻailona hānō, kōkua hānai, ʻōlelo aʻoaʻo hoʻomalu hānau, a me nā lawelawe hoʻomake i ka lāʻau. Eia nō naʻe, ʻae pū ʻo ACOG aia he nui nā lawelawe kīwī, e like me nā kamaʻilio wikiō ʻana, i hoʻopaʻa ʻia ʻole ʻia "akā he kūpono paha i ka pane ulia pōpilikia."

TL; DR—he nui nā ob-gyns i hoʻokumu i kā lākou mau alakaʻi no ka wā e ʻike ai lākou i kahi maʻi ma luna o ka telehealth vs. ma ke keʻena.

"Hiki ke hoʻolilo i nā koho ob-gyn he nui i ka telehealth, akā ʻaʻole lākou a pau," wahi a Melissa Goist, MD, kahi ob-gyn ma Ke Kulanui Lapaʻau Kula ʻo Wexner ʻo Ohio State. "He nui nā kipa e koi wale i kahi kūkākūkā, e like me nā kūkākūkā fertility, contraception counseling, a me kekahi obstetric and gynecological follow-up visits, hiki ke hana kokoke. hoʻololi ʻia i ka telehealth, e like me ke kelepona a i ʻole ke kamaʻilio wikiō ʻana. "

ʻAʻole ia he ʻōlelo ʻaʻole hiki ke hana ʻia nā kipa obstetric ʻē aʻe ma ke kelepona a i ʻole wikiō, a loaʻa nā mea hana ma ka home, e like me ka puʻu koko, ʻo ia hoʻi ʻo Omron Automatic Blood Pressure Monitor (Buy It, $60, bedbathandbeyond.com), a doppler monitor e nānā i ka helu o ka puʻuwai fetal, hiki ke hana i nā koho telephealth i ʻoi aku ka maikaʻi. "ʻAʻole hiki kēia i nā manawa a pau, no laila he nui nā kipa ʻana o ka OB e pono e hana ʻia i ke kino," wahi a Dr. Goist. (Pili: 6 mau wahine e kaʻana like i ka loaʻa ʻana o ka mālama Prenatal Virtual and Postpartum Care e like me)

Eia nō naʻe, inā loaʻa iā ʻoe ka waiwai kālā e kūʻai ai i kēia mau mea — hiki i ka ʻinikua ke uhi i kekahi o nā koina āpau paha - a i ʻole he palapala i hiki ke hāʻawi iā lākou a hopohopo nui paha e pili ana i kāu pilikia COVID-19 (ʻo ia hoʻi, ua pale ʻia paha ʻoe), makemake paha ʻoe e hele i kēia ala e kaupalena i ka ʻike ʻana i nā poʻe ʻē aʻe, wehewehe ʻo ia.

No ke aha e pono ai ʻoe i kahi koho ma ke keʻena

ʻO ke koko, ka ʻeha, a me nā mea ʻē aʻe e koi ai i kahi hōʻike pelvic e pono ai e hana ʻia ma ke keʻena, wahi a Christine Greves, MD, kahi ob-gyn i hōʻoia ʻia e ka papa ma ka Halemai ʻo Winnie Palmer no nā Wahine a me nā pēpē ma Orlando, Florida. Akā, i ka wā e pili ana i nā mea e like me nā hoʻokolohua makahiki - ʻaʻole hiki ke hana ʻia - ʻaʻole hiki ke hoʻihoʻi iki iā lākou inā he kiʻekiʻe ka hihia coronavirus ma kou wahi a i ʻole ʻoe hopohopo nui i kou pilikia, wahi a Dr. . Greves. "Ua koho kekahi o kaʻu mau mea maʻi e kali no kā lākou kipa makahiki ma muli o ka coronavirus," i ʻōlelo ai ʻo ia, me ka ʻike ʻana he nui ka poʻe i hoʻohuli i kēlā mau kipa i kekahi mau mahina. (Ke manaʻo iki nei i ka hopohopo e puka mai ana mai ka quarantine? Inā ʻaʻohe ou hopohopo olakino koke, hiki paha iā ʻoe ke kāpae i kāu kipa pilikino ʻana.)

No ke aha e hiki ai iā ʻoe ke hele me kahi kau uila

No nā koho hoʻomalu hānau, ke noi wale nei kekahi poʻe i ka lāʻau lapaʻau no ka pila, a hiki ke mālama ʻia ma o ka telehealth. Ke hiki i kahi IUD, eia nō naʻe, pono ʻoe e hele i loko o ke keʻena (pono e hoʻokomo pono kāu doc-ʻaʻohe DIY ma aneʻi, e nā poʻe.) "Hiki iaʻu ke hana i nā mea āpau koe ka hoʻopā ʻana i ka mea maʻi a hana i kahi hōʻike pelvic, " wahi a ka loea olakino wahine ʻo Sherry Ross, MD, he ob-gyn ma Providence Saint John's Health Center ma Santa Monica, Kaleponi a me ka mea kākau o She-ology. "Hana paha wau i kēia manawa i ka 30-a-40 pākēneka o kaʻu mau koho ma luna o telemedicine."

"Aia ia i ka hopohopo āu i loaʻa ai, a inā hāpai ʻoe a ʻaʻole paha," wahi a Dr. Greves. ʻAʻole kēlā e ʻōlelo iā ʻoe pono e hele i loko o ke keʻena inā hāpai ʻoe. I ka ʻoiaʻiʻo, paipai ʻo ACOG i nā ob-gyns a me nā kauka prenatal ʻē aʻe e hoʻohana i ka telehealth "ma o nā ʻāpana like o ka mālama prenatal i hiki"

ʻO ka mea e manaʻo ai i ka wā o kahi kipa Telehealth Ob-Gyn

Paipai ke alakaʻi i hoʻokuʻu ʻia i Pepeluali e ACOG e loaʻa i nā ob-gyn ka lako pono e pono ai a me ka pūnaewele no ka mālama pono ʻana, a hoʻomanaʻo i nā kauka e pono i kā lākou kipa kelepona ʻana e like me ka Health Insurance Portability and Accountability Act (HIPAA). (HIPAA, inā ʻaʻole ʻoe i kamaʻāina, he kānāwai federal e hāʻawi iā ʻoe i nā kuleana i kāu ʻike olakino a hoʻonohonoho i nā lula no ka mea hiki a hiki ʻole ke nānā i kāu ʻike olakino.)

Mai laila mai, aia kekahi ʻano. FWIW, ʻaʻole paha ia e kau kauka e kau i kāu kelepona i lalo i kou mau lole wāwae i ka wā o kahi kipa maoli. Akā noi paha lākou iā ʻoe e hoʻouna i kahi kiʻi ma mua, kaukaʻi ʻia i ke kumu o kou kipa ʻana a me ka palekana o ka polokalamu o ka hoʻomaʻamaʻa. (Pili: E kamaʻilio paha ʻoe ma Facebook i kāu kauka?)

"He mea ʻē aʻe ke kiʻi nei kekahi i ke kiʻi o ko lākou lima e hōʻike i kahi ʻūlū; he kiʻi ʻē aʻe ia inā he kiʻi ia no kā lākou puʻupuʻu," wahi a Kauka Streicher. Loaʻa i kekahi mau hana i nā ala HIPAA e hoʻouna ai i nā kiʻi a me nā wikiō ma o kā lākou polokalamu ponoʻī, aʻo nā mea ʻē aʻe ʻaʻole i loaʻa nā puka ola olakino HIPAA e hiki ai ke hoʻololi wikiō a me nā kiʻi. E like me ka hihia no Kauka Streicher, nāna e hōʻike i kāna poʻe maʻi ʻaʻohe ona papahana HIPAA-i kū i mua. "'Ōlelo wau, 'E nānā, i kēia manawa, pono wau eʻike i nā mea e hana nei i loko o kou vulva. ʻAʻole hiki iaʻu ke haʻi mai kāu wehewehe. Hiki paha iāʻoe ke komo i loko a hiki iaʻu ke nānā pono iā ia a ināʻo kou makemake e hoʻouna mai iaʻu i kiʻi, hiki iā ʻoe ke hana pēlā, inā maopopo iā ʻoe ʻaʻole ia he kūlike i ka HIPAA, akā e holoi wau iā ia ma hope o kaʻu ʻike ʻana. ʻAʻole nānā ka poʻe. " (ʻO wai, pololei? ʻĀ, ʻo Chrissy Teigen no hoʻokahi - ua hoʻonohonoho ʻo ia i kahi kiʻi o kahi wīwī i kāna doc.)

ʻAʻole naʻe kēia kahi ʻōnaehana maikaʻi loa. "ʻO ka pilikia me nā mea vulvar ʻaʻole maʻalahi e kiʻi i kahi nānā maikaʻi," wahi a Dr. Streicher. "Ke ho'āʻo kekahi e hana iā lākou iho, he mea waiwai ʻole ia. Pono ʻoe e kiʻi i kekahi e kōkua iā lākou, i hiki iā lākou ke hohola i ko lākou mau wāwae a loaʻa ka ʻike maikaʻi ma laila." A ʻoiai ʻo Annie Leibovitz ʻoiaʻiʻo kāu mea paʻi kiʻi-slash-hoa, pono paha ʻo ia i kahi alakaʻi liʻiliʻi e pili ana i ka lawe ʻana i nā kiʻi o kāu poʻe pilikino. E lawe wale iā Kauka Streicher, nāna i hōʻike i kahi maʻi a me kāna kāne i nā kiʻi olakino e hoʻāʻo e wehewehe i kāna mea e ʻimi nei mai kā lākou mau paʻi. A maikaʻi kāna hana ʻana no ka mea "ua komo ʻo ia i laila a loaʻa kekahi mau kiʻi maikaʻi," i ʻōlelo ʻo ia.

Ua ʻōlelo ʻo Kauka Greves ua loaʻa iā ia kekahi mau maʻi e kiʻi i nā kiʻi o nā puʻupuʻu a hoʻouna iā ia iā ia ma kahi puka paʻa. Akā ua ʻōlelo ʻo ia "ʻaʻole kūʻē" i ka hōʻike maoli ʻana o nā mea maʻi i kāna pilikia i ka wā o ke kipa telemedicine "ke ʻoluʻolu lākou e hana i kēlā." Ma ka ʻaoʻao ʻē aʻe, "ʻaʻole ia he mea maikaʻi iaʻu e kiʻi i ka wikiō haʻalulu a me ka haʻahaʻa o kahi vulva" wahi a Kauka Streicher. (E nānā pū: Pehea e wehewehe ai i nā kūlana ʻili, nā rashes, a me nā puʻupuʻu ma kāu wana)

Ma ka laulā, ʻo ka hapa nui o nā kipa telemedicine ma kahi o 20 mau minuke, ʻoiai hiki ke lōʻihi inā he maʻi hou ʻoe, e like me ka Dr. Goist. I kāu kipa ʻana, e kamaʻilio ʻoe me kāu kauka e pili ana i kāu mau hopohopo a e hoʻāʻo lākou e hōʻoia a ʻōlelo aʻo paha iā ʻoe — e like me ʻoe ke hele maoli i ka keʻena. "E like loa ia me kahi kipa keʻena akā, ma mua o ka noho ʻana ma luna o kahi noho keʻena ʻoluʻolu, hiki i ka mea maʻi ke hana i kēia mai ka hōʻoluʻolu a me ka palekana o ko lākou kaiapuni ponoʻī," wehewehe ʻo ia. "Mahalo nā mea maʻi he nui i ka maʻalahi o kēia mau hoʻokohu e pili ana i ka hoʻopili ʻana iā lākou i kā lākou papa hana pilikino ponoʻī. Pēlā nō hoʻi, inā ʻae ʻia nā poʻe kipa i kēia manawa i nā keʻena, wehe kēia mau koho i kēlā ukana mai ka loaʻa ʻana o kekahi no kekahi mālama kūkaʻi."

He aha ka mea e manaʻo ai i ka wā o kipa ʻo Ob-Gyn ma ka Office

He mau alakaʻi ʻokoʻa kēlā me kēia hana ma kahi, akā ʻo ka hapa nui o nā keʻena he mālama hou.

• Kuhi i kahi loiloi kelepona ma mua o kou hōʻike. ʻO ka hapa nui o nā kauka i ninaninau ʻia no kēia ʻatikala e ʻōlelo ana e hana kekahi kanaka mai kā lākou keʻena i kahi nīnauele kelepona me ʻoe ma mua o kou komo ʻana i loko o ke keʻena e hoʻoholo ai i kāu pilikia o COVID-19 i kēia manawa. I ke kamaʻilio ʻana, e nīnau lākou inā loaʻa iā ʻoe a i ʻole kekahi lālā o kou ʻohana nā hōʻailona kikoʻī a i launa pū me kekahi me kahi hihia i hoʻopaʻa ʻia o COVID-19 a hiki i ke kipa ʻana. ʻOkoʻa iki kēlā me kēia hana, akā ʻokoʻa ka paepae no kēlā me kēia (ʻo ia hoʻi, ka mea a kekahi keʻena e manaʻo ai he hiki ke hana, makemake paha kekahi i ka hana pilikino ʻana.
• E ʻaʻahu i ka maka. Ke hōʻea ʻoe i ke keʻena, e lawe ʻia kāu mahana a hāʻawi ʻia iā ʻoe i kahi mask a i noi ʻia e komo i kāu ponoʻī. "Ua hoʻoholo mākou ma ke ʻano he keʻena kino makemake mākou i ka poʻe e kau ana i nā masks [lapaʻau] ma luna o nā pale maka homemade no ka mea ʻaʻohe o mākou manaʻo inā ua holoi ʻia nā pale maka a inā ua hoʻopā ka mea maʻi i ka lā holoʻokoʻa," wahi a Dr. Streicher. He homemade paha a hāʻawi ʻia iā ʻoe, e mākaukau e komo kekahi mea ma luna o kou alo. "I kā mākou hoʻomaʻamaʻa, ʻaʻole hiki iā ʻoe ke komo i loko ke ʻole ʻoe e kau ana i ka pale maka," wahi a Kauka Ross. (A e hoʻomanaʻo: ʻAʻole pili i ka hele ʻana i ka nohona, nani e 'oluʻolu komo i ka pale maka - hana ʻia i ka pulupulu, keleawe, a i ʻole nā ​​mea ʻē aʻe.)
• ʻAʻole hiki ke hoʻopaʻa ʻia me ka lima ʻole. ʻO kahi laʻana, ma ke keʻena ʻo Kauka Streicher, hoʻokaʻawale ʻia nā limahana o ka pākaukau mua e kahi paku plexiglass, a ma kā Kauka Goist hana, aia nā pale like ma loko o ka hakahaka e pale aku ai i nā mea maʻi a me nā limahana. A, i kekahi mau hana, hiki iā ʻoe ke hoʻopihapiha i kāu mau ʻano hoʻomanawanui ma mua a lawe pū me lākou.
• E nānā ʻokoʻa nā lumi kali. E like me ka hihia o ke keʻena ʻo Kauka Goist, kahi e hoʻonui ʻia ai nā lako e hoʻolalelale ai i ka nohona kaiaulu. I kēia manawa, ua hoʻopoina kekahi mau hana i ka manaʻo o kahi lumi kali āpau ma ke kali ʻana i kāu kaʻa a haʻi ʻia ʻoe ua mākaukau ka lumi hoʻāʻo. ʻAʻohe wahi āu e kali ai, makemake paha ʻoe e lawe pū i kāu mau mea heluhelu ponoʻī no ka mea he nui nā keʻena, me Dr. Streicher's, i hoʻopau i nā makasina e kōkua i ka hōʻemi ʻana i nā wahi i hoʻopā pinepine ʻia. (E nānā hoʻi: ʻO nā mea āpau āu e ʻike ai e pili ana i ka lawe ʻana i Coronavirus)
• Pela no na keena hookolokolo. E ākea paha lākou i waho. "Hoʻonohonoho ʻia ka lumi no laila aia ke kauka i hoʻokahi kihi a aia ka mea maʻi ma kahi ʻē aʻe," wahi a Dr. Streicher. "Hana ke kauka i ka moʻolelo hoʻomanawanui mai ka ʻeono kapuaʻi ka mamao mai mua o ka hana ʻana i ka hōʻike." ʻOiai ʻo "ob-gyn" kahi kokoke loa "i ka wā o ka hoʻokolohua maoli," pōkole loa ia, "wehewehe ʻo ia. Kaukaʻi ʻia i ka hoʻomaʻamaʻa, lawe mau nā kauka a me nā kahu hānai i kāu mōʻaukala hoʻomanawanui a laila haʻalele, hoʻohui ʻo Dr. Streicher.
• E hoʻomaʻemaʻe loa ʻia nā lumi ma waena o nā maʻi. Ua hoʻomaʻemaʻe mau nā keʻena o ke kauka i nā keʻena ma waena o nā mea maʻi, akā i kēia manawa, i ka honua post-coronavirus, ua haki ka hana. "Ma waena o kēlā me kēia maʻi, hele mai kahi mea kōkua lapaʻau a holoi i kēlā me kēia wahi me kahi disinfectant," wahi a Kauka Streicher. Ke hoʻāʻo nei nā keʻena e hoʻokaʻawale i kahi manawa i nā manawa maʻi no ka haʻalele ʻana i ka manawa no ka disinfecting a no ka mālama ʻana i nā mea maʻi mai ka noho ʻana i ka lumi kali, wahi a Kauka Greves.
• E holo hou paha nā mea i ka manawa. "Ua hōʻemi mākou i ka helu o nā mea maʻi [ma ke ʻano holoʻokoʻa]," wahi a Dr. Streicher. "Pēlā kēlā, he kakaikahi nā mea maʻi i ka lumi kali.

Eia hou, ʻokoʻa nā hana āpau a, inā makemake ʻoe i nā kikoʻī e pili ana i kā ke keʻena o ob-gyn e hana nei, e kāhea wale iā lākou ma mua e ʻike. Ma hope o nā mea a pau, ʻōlelo nā kauka e pili ana kēia mau loli i kekahi manawa. "ʻO kā mākou maʻamau maʻamau kēia no ka hele ʻana mai e ʻike iā mākou, a no kekahi manawa," wahi a Kauka Ross.

Nānā no