3 Tus Kws Kho Mob Qhov Koj Yuav Tsum Nug

Zoo Siab

• Tshuaj xyuas rau

Koj tus kws kho mob hais tias koj xav tau kev kuaj xyuas tag nrho, kuaj ntshav, tag nrho shebang. Tab sis ua ntej koj pom zoo, paub qhov no: Cov kws kho mob tau nyiaj ntau los ntawm kev xaj cov txheej txheem ntxiv rau cov neeg mob-tsis yog los ntawm pom ntau tus neeg mob, hais tias kev tshawb fawb los ntawm University of California Los Angeles (UCLA). (Koj Puas Paub Ntau Npaum Li Cas Koj Thiaj Li Yuav Tsum Saib Tus Doc?)

Peb cia siab tias peb MD yuav tiv thaiv peb txhua txoj hauv kev, suav nrog nyiaj txiag, puas yog? Hmoov tsis zoo, qhov no tsis yog qhov xwm txheej: Qee qhov kim heev, tsis muaj pov thawj-cuam tshuam kev kho mob thiab kev kho mob feem ntau tau xaj, lees paub David Fleming, MD, tus thawj coj tshuaj ntawm University of Missouri thiab tus thawj tswj hwm ntawm American College Of Physicians. Lwm cov ntawv pom zoo: Yuav luag peb lub hlis twg ntawm cov kws kho mob lees paub qhov kev sim tsis tsim nyog thiab cov txheej txheem hauv kev saib xyuas kev noj qab haus huv yog qhov teeb meem hnyav heev, raws li kev tshawb fawb xyoo 2014 los ntawm American Board of Internal Medicine Foundation's Choosing Wisely Campaign-a program that seeks txhawm rau txheeb xyuas kev siv ntau dhau lossis siv tsis raug ntawm kev sim lossis txheej txheem.

Qhov xwm zoo yog tias feem ntau ntawm peb cov ntaub ntawv tsis tawm mus ua lag luam rau peb-lawv xaj ntau qhov kev ntsuam xyuas los npog lawv lub pob tw thaum muaj kev ua tsis zoo, tib daim ntawv tshawb fawb pom.

Yog li cas koj npog koj li cas? "Nug cov lus nug," hais tias Fleming. "Cov neeg mob feem ntau mob siab rau cov lus nug uas lawv nug lawv tus kws kho mob vim tias lawv tsis xav ua rau lawv chim siab, thiab lawv ntseeg tias cov kws kho mob yuav ua qhov raug." Rov qab thaum nws los txog rau koj txoj kev noj qab haus huv, koj yuav tsum tso koj tus kheej thawj. Yog li thawb rov qab rau txhua yam uas zoo li tsis tseem ceeb lossis tsis tau piav qhia rau koj tag nrho, tab sis tshwj xeeb tshaj yog peb lub ntsiab lus no, uas Fleming hais tias yog qhov feem ntau xaj xaj ntau dhau.

Nyem rau qhov no kom pom peb qhov kev sim ntau tshaj plaws thiab labs koj yuav tsum nug koj daim ntawv doc.

Kev yees duab

"Yav dhau los, cov kws kho mob tau siv cov duab ntau dhau," Fleming hais. Xoo hluav taws xob rau mob nraub qaum, MRIs rau lub hauv caug mob, CT kuaj rau txhua yam mob taub hau-tab sis cov pov thawj uas tau tshuaj xyuas yuav tiv thaiv koj los ntawm qhov tshwm sim tsis zoo yog qhov tsis zoo, nws hais. Thiab feem ntau ntawm cov scans yuav raug nqi koj ib npib zoo nkauj.

Yuav hais li cas: "Qhov kev xav no puas tsim nyog tiag? Kuv txhawj xeeb txog tus nqi." Tom qab nug txog deets, txuas nrog nws ntawm tib neeg qib, thiab taw qhia tias koj txhawj xeeb txog cov nqi kho mob ntev. Cov kws kho mob uas paub txog cov nqi ntawm cov kev kuaj mob thiab cov txheej txheem feem ntau xaiv ua tsawg dua li cov neeg uas tsis paub tias nws tuaj yeem ua rau koj lub txhab nyiaj tawg, ib qho kev tshawb fawb ntawm 2013 Johns Hopkins University School of Medicine pom.

Cov tshuaj

"Mus ntsib kws kho mob vim tias koj mob thiab tawm mus yam tsis muaj daim ntawv yuav tshuaj hauv koj txhais tes yam tsis tau nkag siab zoo txog qhov tshwm sim tuaj yeem ua rau muaj kev ntxhov siab heev," Fleming sau tseg. Qhov tseeb, qhov kev nyuaj siab no ua rau ntau tus kws kho mob sau ntawv tsis tsim nyog, uas ua haujlwm tiag tiag tawm tsam peb. "Peb muab tshuaj tua kab mob ntau heev, thiab vim li ntawd muaj ntau yam kab mob tiv taus uas peb tam sim no yuav tsum tau kho," Fleming piav qhia. Qhov ntawd txhais tau hais tias cov tshuaj tua kab mob tshiab yog qhov xav tau tas li, thiab nws nyuaj dua vim tias kab mob tau txais kev tiv thaiv ntau dua.

Lwm qhov laj thawj uas cov ntaub ntawv sau ntau dhau? Tsuas yog nyob rau hauv cov ntaub ntawv: "Cov neeg mob tuaj nrog dab tsi yuav los yog tsis yog ib tug kab mob. Muaj caij nyoog lawv mob heev, thiab peb tsis xav kom ncua kev kho mob, txawm tias peb tsis muaj pov thawj muaj zog tias nws yog ib tug tiag tiag ib tug. kis kab mob, "Fleming piav qhia.

Yuav hais dab tsi: "Pov thawj dab tsi koj pom tias kuv ua lossis tsis muaj tus kab mob uas xav tau tshuaj tua kab mob?" Nug nws yuav ua rau nws nres thiab xav yog tias nws tau txiav txim siab tag nrho lwm txoj hauv kev, thiab muab koj lub siab tias koj cov tsos mob tau raug txiav txim siab tiag.

Ntshav Ua Haujlwm

Cov kws kho mob feem ntau yuav xaj ntshav ua haujlwm nrog koj qhov kev kuaj mob txhua xyoo, tab sis koj feem ntau tsis xav tau cov txheej txheem tshuaj lom neeg tag nrho, uas suav nrog yuav luag ob lub xeem, Fleming hais. (Nco tseg: Hauv qee kis, nws yog qhov pheej yig dua rau lub chaw kuaj ntshav kom ua haujlwm tiav dua li ob peb tus neeg kuaj ntshav.)

Yuav hais dab tsi: "Puas yog tag nrho kev ua haujlwm hauv kuv qhov kev txaus siab zoo tshaj plaws, lossis puas muaj txoj hauv kev los ua tus neeg xeem?" Kev lees paub yog tias koj xav tau tag nrho cov kev ntsuam xyuas los yog tsis yog qhov tseem ceeb-yuav muaj qhov tsis zoo ntawm cov txiaj ntsig tsis tsim nyog: "Feem ntau peb pom qhov txawv txav me me ntawm cov ntshav ua haujlwm, uas ua rau muaj kev sim ntau dua thiab cov txheej txheem uas yuav tsis tas rau tus neeg mob qhov txiaj ntsig zoo tshaj plaws. , "nws piav qhia. (Nrhiav Tus Kab Mob Cov Kws Kho Mob Nco Ntsoov Feem Ntau.) Thiab yog tias muaj cov txheej txheem tshuaj lom neeg tag nrho tsis yog pheej yig dua rau koj, twv yuav raug hu thawb rov qab-tus neeg ntsuas uas tsis tuaj ntawm tus nqi pob txhais tau tias koj tau them rau txhua qhov kev tshuaj xyuas ntau dhau.

Tshuaj xyuas rau