Hauv cov tebchaws uas tau tsim, feem ntau cov teeb meem kev kho mob tau daws tau rau hauv cov kws kho mob hauv tsev neeg. Tsev neeg tus kws kho mob pab cawm tsis tau tsuas yog lub sijhawm ntawm cov neeg mob, tab sis tseem nyiaj. Feem ntau, nws muaj peev xwm hloov cov kws kho mob ntawm ib qho nqiam profile thiab txawm tias pab pawg neeg xwm txheej ceev.
Tus kws ntsuam xyuas neeg mob - leej twg?
Mus xyuas lub tsev kho mob nrog cov tsos mob, ib tug neeg sim mus rau tus kws kho mob ua ntej. Hauv qhov no, cov neeg mob tsis tshua nug: tus kws kho mob yog ib tug neeg hauv chaw kho mob. Tsev neeg tshwj xeeb kuj ua tau txais kev txais tos hauv cov tsev kho mob, tab sis qhov uas nws qhov kev ua si ntau dua. Ua tsaug rau cov lus qhia ntawm tus kws kho mob, koj tuaj yeem tsim kom muaj kev kuaj mob yam tsis muaj kev ntsuas thiab kev tshawb nrhiav.
Tus kws kho mob thiab tus kws kho mob yog qhov txawv
Ib tus kws kho mob hauv tsev neeg yog tus kws kho mob tshwj xeeb nrog kev paub txog txhua yam kev kho mob. Qhov loj tshaj plaws, ua li cas tus kws kho mob txawv ntawm ib tug kws tshaj lij, yog qhov uas nws ua haujlwm. Lub luag haujlwm ntawm tsev neeg tshwj xeeb muaj ntau yam ntsiab lus. Tsis zoo li tus kws kho mob, tus kws kho mob tau piav qhia tau yooj yim tshaj plaws thiab kho cov kev kho mob, nws cov khoom siv hauv nws chav ua haujlwm.
Tus kws kho mob - kev txawj ntse
Tus kws kho mob tshwj xeeb tshaj plaws tau txais kev kawm ntau dua kev kho mob. Tsis yog txhua tus neeg to taub tias "kws kho mob" txhais tau tias, nws tsis xav nrog tus kws kho mob. Xws li ib tus kws kho mob muaj qhov kev lees paub siab tshaj. Yuav kom tau txais nws tom qab daim ntawv pov thawj thiab xyaum ua haujlwm, koj yuav tsum ua tiav qhov chaw nyob ntawm tus kws kho mob "Family Medicine (General Practice)"). Cov neeg ua haujlwm ntawm cov tsev kho mob, uas tau txais kev kawm qib siab ua ntej nkag mus ntawm qhov kev tsim nyog no, tuaj yeem siv thawj zaug kev tuaj yeem ceev nrooj.
Tus kws kho mob twg ua haujlwm nyob qhov twg?
Ib tsev neeg tus kws kho mob yog tus kws kho mob tshwj xeeb uas tso cai rau koj mus ua haujlwm hauv ob lub tsev kho mob thiab chaw kho mob. Txawm hais tias txoj hauj lwm ntawm ib tug kws kho mob feem ntau tsis muaj nuj nqis rau cov khoom siv nyiaj, ntau tus kws tshaj lij qhib lawv cov chav txais tos. Qee cov kws kho mob tsuas yog siv tswv yim ntawm ib tug los yog ntau tsev neeg xwb.
Cov khoom ntawm cov kws kho mob hauv chaw ua haujlwm
Tus kws txhais lus tshwj xeeb tau ua ntau yam kev tshuaj ntsuam thiab kho kev mob. Tus kws kho mob tsis tau tsuas yog lub suab phonenoscope, tus pas ntsuas kub thiab lub tshuab ntsuas hluav taws xob, tab sis kuj yog lwm yam khoom siv. Tus txheej txheem hauv tus kws kho mob lub hoob kas yuav tsum yog tag nrho cov rooj tog tsim nyog rau kev ua hauj lwm ntawm tus kws kho mob tshwj xeeb, tus neeg saib mob thiab cov khoom nram qab no:
- portable electrocardiograph;
- defibrillator;
- nthuav qhia cov zis, cov ntshav qab zib, cov cholesterol, cardiomarkers hauv cov ntshav;
- Haus luam yeeb;
- pulse oximeter;
- cov khoom siv los ntsuas cov cim qhia lub cev (ntsuas, ib qho lauj kaub, ib lub stopwatch, pedometer, ib qho kev kho mob nkhaus thiab lwm tus);
- negatoscope;
- spirometer;
- apparatus rau cov khoom cua tsim;
- pikfluometer;
- Tonometer rau ntsuas qhov siab ntawm lub fundus;
- sterilizers;
- cov khoom siv rau kev sib tw;
- dynamometers;
- Tus kabmob;
- ginecological teeb, rooj zaum tes;
- otolaryngological cov khoom siv (tus nplaig-tuav, rotor-expander, guttural forceps thiab lwm tus);
- cov khoom siv cev tracheotomy;
- ophthalmoscope;
- khoom siv rau thawj kev raug mob thiab kev phais mob (phom ntas, ntoo ntaub thaiv npoo, pas nrig, lub zais zis thiab lwm tus);
- otorinoscope;
- styling;
- oxygen inhaler;
- aspirator;
- bactericidal irradiator;
- khoom xyaw neurological (rauj, lub teeb qhia);
- ua pa hlab thiab khoom;
- Muaj lub siab tawv thiab lwm yam khoom siv.
Tus kws kho mob li cas ua tau?
Ib tus kws kho mob hauv tsev neeg tau koom nrog muab txhua hom kev kho mob rau ib tus neeg mob sab nraud. Yog hais tias tus neeg mob kho tus kab mob pathology uas tsis muaj nyob rau hauv daim ntawv teev cov kws kho mob li cas, nws raug xa mus rau ib tus kws tshwj xeeb. Tus kws kho mob saib txhua theem ntawm kev ntsuam xyuas thiab kev kho mob ntawm nws "pawg", raws li tsim nyog, ua kev kho me ntsis.
Tus kws kho mob - kev ua haujlwm
Tsev neeg cov tshuaj xav tias ntev soj ntsuam ntawm cov neeg mob, kev koom tes ntawm cov kws kho mob tshwj xeeb thiab kev tshawb nrhiav, kev kho mob thiab kev tiv thaiv kab mob. Cov haujlwm tseem ceeb ntawm GP:
- sau ntawm cov ncauj lus kom ntxaws anamnesis ntawm tag nrho cov neeg hauv tsev neeg;
- ceev faj soj ntsuam ntawm cov neeg mob uas siv hom phiaj kho mob;
- txhais ntawm kev kawm tshwj xeeb thiab tshawb xyuas;
- kuaj mob;
- nkag rau txhua yam ntaub ntawv nyob rau hauv ib daim npav koj tus kheej;
- qhov kev teem caij kho mob zoo, xa mus rau tom tsev kho mob raws li xav tau;
- kev txheeb xyuas cov yam yuav raug rau kev loj hlob lossis kev mob kev ntshaus siab ntev;
- kev txhaj tshuaj ;
- kev sau npe ntawm cov ntaub ntawv kho mob (chaw noj qab haus huv, chaw kho mob daim npav, daim ntawv pov thawj, daim npav mob thiab lwm tus);
- kev xeeb tub (tsis tshua muaj, feem ntau nws yog koom nrog rau hauv ginecologist nrog tsev neeg tus kws kho mob);
- thawj pab thiab kev sab laj.
Cov kev ntsuam xyuas uas yuav tsum muaj
Tus kws kho mob ntawm tsev neeg cov tshuaj pom zoo yog cov kev sim kuaj mob. Tom qab pib nkag, tus kws kho mob tso cai:
- kev ntsuam xyuas ntshav thiab zis;
- bacteriological kab lis kev cai ;
- immunological thiab biochemical ntshav kuaj ;
- bacterioscopy;
- biochemistry ntawm cov zis.
Yog tias qhov kev ntsuam xyuas yooj yim tsis txaus, tsev neeg tus kws paub tshwj xeeb coj mus kuaj ntxiv:
- hormonal vaj huam sib luag;
- kuaj ntshav rau cov piam thaj;
- kuaj xyuas oncarkers ;
- virology;
- kev tsom xam rau kev pab cuam Helminthic;
- cyology thiab lwm tus.
Hom mob Diagnosis
Muaj ntau ntau txoj kev ua los ntawm tsev neeg tus kws kho mob - cov luag haujlwm muaj xws li:
- mloog lub plawv thiab txoj hlab ntsig txoj hlab ntsws;
- kev kuaj mob ntawm cov qog;
- percussion ntawm lub nraub qaum thiab hauv siab;
- kev kuaj mob ntawm pob ntseg, larynx, qhov ntswg;
- palpation ntawm digestive thiab urinary system;
- ginecological examinations;
- diagnostics ntawm lub xeev ntawm lub cev musculoskeletal;
- kev ntsuam xyuas ntawm cov kabmob ntawm qhov muag;
- kev ntsuam xyuas neurological thiab lwm cov txheej txheem kuaj mob.
Thaum twg mus ntsib GP?
Yog vim li cas rau kev sib tham nrog ib tus kws paub txog tsev neeg tej zaum yuav muaj kev hloov hauv lub xeev ntawm kev noj qab haus huv lossis lub cev nqaij daim tawv, nrog rau cev xeeb tub. Tus kws tshaj lij yuav tsis tsuas yog muab tso rau qhov kev kuaj mob thiab muab tswv yim zoo, tab sis kuj tsim ib qho kev kho mob zoo rau tus kheej. Yog tias tus kab mob uas pom tau tias yog nyob sab nraum nws qhov kev txawj ntse, tus neeg mob yuav raug xa mus rau cov kws kho mob tshwj xeeb ntawm qhov tsim nyog nqaim, ib daim ntawv teev cov kev ntsuam xyuas uas tsim nyog muaj.
Ib tsev neeg ntsib kws kho mob yuav pab nrog cov tsos mob nram qab no:
- siab kub cev;
- pob tawv nqaij ntawm daim tawv nqaij;
- digestive mob;
- mob syndrome ntawm kev siv khov thiab hauv zos;
- mob qaug zog;
- insomnia;
- deterioration ntawm kev pom tseeb los yog hnov lus;
- qhov tsos ntawm tus tshiab moles los yog hloov lub tsos ntawm tus uas twb muaj lawm;
- ua tsis taus pa, ua tsis taus pa nyuaj;
- kiv taub hau, tsis tshua mloog zoo;
- hnoos, txhaws suab ntawm lub suab;
- qhov ntswg qhov ntswg;
- ntse jumps nyob rau hauv cov ntshav siab;
- deterioration ntawm kev ua hauj lwm muaj peev xwm;
- causeless poob lossis tsis nce qeeb nce qib;
- nqhis dej, qhuav qhov ncauj;
- tingling nyob rau hauv lub nqua, loog;
- kev txwv tsis pub muaj txij nkawm rov qab;
- neuroses;
- depressive lub sijhawm thiab lwm yam cim.
Tus kws kho mob lub tswv yim
Ntxiv rau kev kho cov kab mob uas twb muaj lawm, tus kws paub txog tsev neeg yeej saib xyuas txog kev tiv thaiv ntawm qhov kev mob ntawm pathologies. Tus kws kho mob cov tswv yim muaj cov tswv yim tseem ceeb rau kev tswj hwm txoj kev noj qab nyob zoo thiab muaj txoj sia nyob:
- Tau pw tsaug zog txaus. Nws yog ib lub tswv yim kom mus so tsis pub dhau 22-23 xuab moos. Tag nrho cov sijhawm pw tsaug zog yog 8-10 teev.
- Noj qab haus huv. Qhov kev noj haus yuav tsum muaj cov vitamins, proteins, minerals, amino acids thiab carbohydrates. Nws yog ib qho tseem ceeb rau kev txaus siab rau txhua hnub kev xav tau ntawm lub cev rau lub zog.
- Txhawm rau muab sij hawm rau kev siv lub cev. Pom zoo los ntawm tsev neeg tus kws kho mob yam tsawg - tsib-kaum-feeb nqi them rau thaum sawv ntxov.
- Tsis txhob siab tshaj qhov siab. Kev nyuab siab muaj kev tsis zoo rau lub hauv paus ntawm lub hlwb, tab sis kuj ua rau lub cev tsis muaj zog.
- Kho cov kab mob ntev. Yog tias cov kabmob zij zis, nws yog ib qho tseem ceeb los tiv thaiv lawv cov kev rov ua haujlwm, nruj me ntsis ua raws li cov kev tiv thaiv ntawm cov kev kho mob uas tus kws kho mob hais.
- Mus ntsib kev kuaj mob tsis tu ncua. Nws yog ib qho kev pom zoo kom mus kuaj mob ib xyoo ib zaug, nrog ib tus kws kho hniav, kws kho mob txhua txhua 6 lub hlis.