Chiremba wemhuri - nyanzvi inobatsira sei uye mushanduki anobva sei kune mutungamiriri mukuru?

Munyika dzakabudirira, zvinetso zvakawanda zvezvehutano zvinogadziriswa pamusana pekugamuchira kubvumirwa kwechirongwa mukuru. Chiremba wemhuri anobatsira kuchengetedza kwete nguva chete yevarwere, asiwo mari. Muzviitiko zvizhinji, anokwanisa kuchinja vanachiremba vepfumi shoma uye kunyange boka rekutsvaga.

Mukuru wevashandi - ndiani uyu?

Kushanyira kuchipatara nehupi zviratidzo, munhu anoedza kusvika kumurapi kutanga. Muchiitiko ichi, varwere vanowanzobvunza: mutungamiriri mukuru mumwe munhu muchechi. Imwe nyanzvi yemhuri inoitawo kugamuchirwa mumasangano ezvokurapa, asi kuwanda kwebasa rake kunowedzera. Kuonga mazano echiremba akadaro, iwe unogona kukurumidza kugadzirisa kuongororwa pasina ruzivo rusina basa nekuongorora kwerabhoreti.

Muongorori uye mutungamiri mukuru mutsauko

Chiremba wemudzidzisi akakodzera ndeye nyanzvi yemarudzi akawanda ane ruzivo mumativi ose emishonga. Chinonyanya kukosha, kuti mushandi anobva sei kune mutungamiriri mukuru, ihwo huwandu hwebasa rake. Izvo zvinotarisirwa nemudzimai wemhizha zvinosanganisira mamwe mapepa. Kusiyana nemudzidzisi, chiremba anotsanangurwa anogona kuita zvinyorwa zvisinganzwisisiki nekurapa maitiro, zvigadzirwa zvake zvakagadzirirwa muhofisi yake.

Mukuru wevashandi - dzidzo

Iye anoongorora nyanzvi yekutanga anogamuchira dzidzo yepamusoro yezvokurapa. Havasi varwere vose vanonzwisisa kuti "mukuru wevashandi" zvinorevei, vachimuvhiringidza nemudzidzisi. Chiremba wakadaro ane chikwata chepamusoro. Kuti uigamuchire mushure mekudzidzira dhipatimendi uye kudzidzira, iwe unofanira kupedzisa kugara kwehutano "Family Medicine (General Practice)". Vashandirwi vezvipatara, avo vakagamuchira dzidzo yepamusoro vasati vatanga kupiwa chikwata ichi, vanogona kukurumidza kudzidzira kudzidzira.

Ndeupi mutungamiri mukuru angashanda kupi?

Chiremba wemhuri chinhu chakasiyana-siyana chinokubvumira kuti ushande mumakiriniki ehurumende nevanhu. Kunyange zvazvo basa rezvekugadzirisa hurumende risingakosheswi maererano nekubhadharwa kwezvinhu, vazhinji vanoziva ruzivo vanozarura makamuri avo okugamuchira. Vamwe vanachiremba vanotarisana nehupi hwekupa mazano kune mumwe kana mamwe mhuri.

Zvishandiso zvehofisi yehurumende

Iyo inotsanangurwa nyanzvi inogona kuita zvakasiyana-siyana kuongororwa uye kurapa maitiro. Chiremba wemhuri haasi chete phonendoscope, thermometer uye tonometer, asiwo mamwe majaira. Muenzaniso muhofisi yechiremba unofanirwa kuva midziyo yose inofanirwa yebasa reimwe nyanzvi, mukoti nemhando inotevera:

• portable electrocardiograph;
• defibrillator;
• kurondedzera vaongorori vorino, glucose level, cholesterol, cardiomarkers muropa;
• Smokey;
• pulse oximeter;
• midziyo yekuyera zviratidzo zvemuviri (zviyero, rostometer, stopwatch, pedometer, chirwere chekurapa uye yevamwe);
• negatoscope;
• spirometer;
• zvigadziri zvemhepo inoita mhepo;
• pikfluometer;
• Tonometer kuti ienzane nekudzvinyirirwa kwekambani;
• sterilizers;
• kitambo che conicotomy;
• dynamometers;
• Breathalyzer;
• gynecological set, armchair;
• otolaryngological devices (rurimi-holder, rotor-expander, mattural forceps nevamwe);
• tracheotomy kit;
• ophthalmoscope;
• midziyo yekushungurudzika kwekutanga uye kushandiswa kwekuvhiya (mabheti, nhoo yehuni, makanda, glasi uye vamwe);
• otorinoscope;
• styling;
• oksijeni inhaler;
• aspirator;
• bactericidal irradiator;
• neurological equipment (hammer, light guide);
• kufema mabhesi uye zvigadzirwa;
• Sterile scalpels nemamwe majaira.

Chii chinonzi mukuru wezvekuita?

Mumwe chiremba wemudzidzisi akakodzera anoshanda mukupa marudzi ose ekurapa kwechirwere chepfungwa. Kana murwere achibata chirwere chisina kuiswa mune zvakarongwa zvinowanzoitwa nevakuru, anotumirwa kune imwe nyanzvi. Chiremba anotarisa zvikamu zvose zvekuongororwa uye kurapwa kwe "ward" yake, kana zvichidiwa, kunoita zvigadziriswe.

Mukuru wevashandi - basa rekushanda

Mishonga yemhuri inotora nguva yakareba yekucherechedza kwemamiriro ezvinhu evarwere, sangano rekutsvakurudza kwevamwe vanachiremba vanoongorora uye vanoongorora mabhiritori, kurapwa kwezvirwere uye kudzivirira zvirwere. Mabasa ekutanga eGP:

• tsananguro yakanyatsonzwisiswa anamnesis yemhuri yese;
• kunyatsoongorora vavarwere vachishandisa nzira dzechirongwa chinangwa;
• tsanangudzo yezvidzidzo zvakananga nekuongorora;
• kuongorora;
• kupinda mukati rose ruzivo mumakadhi ega;
• kusarudzwa kwehutano hunobudirira, kutumirwa kuchipatara sezvinodiwa;
• kuzivikanwa kwezvipingamupinyi zvekusimudzira kana kuwedzera kwezvirwere zvisingaperi;
• vaccination ;
• kunyoresa magwaro ezvokurapa (kunze kwepachikoro, sanatorium-resort card, zvitikiti, chirwere chekusiya kadi uye vamwe);
• kutora mimba (kazhinji, kakawanda inobatanidzwa gynecologist pamwe nechiremba wemhuri);
• rubatsiro rwekutanga uye mazano.

Zvidzidzo zvinodiwa

Chiremba wemishonga yemhuri inokurudzira kunyanya kuongororwa kwema laboratory. Mushure memubvumo wokutanga, chiremba anosarudza:

• kazhinji kuongorora ropa neropa ;
• bacteriological culture ;
• immunological uye biochemical blood test ;
• bacterioscopy;
• biochemistry yemurini.

Kana nheyo yekutanga yekuedza isingakwanisi, nyanzvi yemhuri inotungamirira kune mimwe miedzo yekuwedzera:

• hormonal panel;
• kuongorora ropa kune shuga;
• kuonekwa kwevanokunda ;
• virology;
• analysis for helminthic invasion;
• cytology and others.

Aina dzekuongorora

Pane zvakawanda zvinoshandiswa nechiremba wemhuri - mabasa anosanganisira:

• kunyatsoteerera mwoyo uye mapfupa ekufema anonzwika;
• kuongorora lymph nodes;
• kukanganisa kwemashure nebhokisi;
• kuongorora nzeve, marara, mhino;
• kunyorera kwezvokudya uye urinary system;
• miedzo yevakadzi;
• kuongororwa kwenyika ye musculoskeletal system;
• kuongorora nhengo dzemaonero;
• nyanzvi yekuongorora uye zvimwe zvirwere zvokuongorora.

Ndeipi nguva yekuona GP?

Chikonzero chekutaurirana nemudzimai wehutano kunogona kuva chero shanduko muhutano hwehutano kana muviri, kusanganisira kubata. Mutungamiri mukuru haazongogadziri kutsvaga uye achapa mazano anokosha, asiwo anozogadzira hutano hwehutano hwakanaka. Kana iyo yakaonekwa chirwere iri kunze kwerutivi rwenyanzvi, murwere anotumirwa kune nyanzvi dzemakwikidzi akaenzana akadai, urongwa hwekuongorora hunyanzvi hwemabara hunopiwa.

Mhuri yakaona chiremba ichabatsira nezviratidzo zvinotevera:

• kupisa kwemuviri wepamusoro;
• kuputika paganda;
• dambudziko rekudya;
• kurwadziwa kwepamuviri chero upi noupi hwekuwedzera uye kunzvimbo;
• kusingaperi kuneta;
• kugona;
• kuora kwemaonero anooneka kana kunzwa;
• chimiro chemashure matsva kana kuchinja kuonekwa kweveviyo iripo;
• kupfupika kwemhepo, kutambudzika kufema;
• chizoro, kuderedza pfungwa dzekucherechedza;
• chifuva, kutinhira kwezwi;
• manyore kusangana;
• rinoputika rinopinda muropa;
• kuora kwekushanda nesimba;
• kurasikirwa kusina maturo kana kuwedzera kwemafuro asina musoro;
• nyota, muromo wakaoma;
• kutinhira mumakumbo, kupera;
• kukanganisa kwekufamba kwemashure, mitezo;
• neuroses;
• depressive episodes uye zvimwe zviratidzo.

Chiremba mazano

Mukuwedzera pakurapa zvirwere zviripo, nyanzvi yemhuri inotarisira kudzivirirwa kwekuitika kwezvirwere. Zano rekuchiremba chiremba rinosanganisira mazano anotevera ekuchengetedza mararamiro akazara uye ane hupenyu hwakakwana:

1. Wana zvakakwana kurara. Zvinokurudzirwa kuenda kuzorora mushure maawa makumi maviri nemaviri nemaviri. Nguva yose yehope inguva maawa 8-10.
2. Zvakanaka kudya. Zvokudya zvinofanira kuva nemavitamini, mapuroteni, mineral, amino acids uye makhahydrates. Zvakakosha kugutsa zvinodikanwa zvezuva nezuva zvemuviri we simba.
3. Kupa nguva yekuita basa. Yakakurudzirwa nechiremba wemhuri zvishoma-maminitsi mashanu-maminetsi gumi nemangwanani mangwanani.
4. Dzivisa kukanganiswa mupfungwa. Kushushikana mupfungwa kunobatsira zvakaipa kwete kungofunga nezvepfungwa, asi kunowedzera kukanganiswa kwezvirwere zvemuviri.
5. Nguva yakakodzera kubata zvirwere zvisingaperi. Kana kusvibiswa kwezvirwere zviripo, zvakakosha kudzivirira kudzokorora kwavo, kunyatsoteerera kuzvidzivirira zverapi zvakatemerwa nechiremba wemhuri.
6. Nguva dzose shanyira kuongororwa kwezvirongwa. Zvinokurudzirwa kupinda muchiremba chizere chekuongororwa kamwechete pagore, kutaurirana nachiremba wemazino, gynecologist mwedzi mitanhatu.