Gastroenterology

Osati kale kwambiri, hepatogastroenterology yachipatala inali pafupi kuthetsa zilonda, kukhazika mtima pansi, kuyang'anira matenda a chiwindi, ndi kutsagana ndi wodwala khansa. Makhalidwe amakhudzidwa makamaka ndi kamvekedwe ka ubale ndi wodwalayo, womwe unali pachimake, ndipo unatetezedwa ku zofalitsa, milandu, mayanjano ogwiritsira ntchito: kusintha maganizo ndi kulankhula pamaso pa odwala ochokera kumadera osiyanasiyana; osagwiritsa ntchito mphamvu zamachiritso mopambanitsa kapena kukonda kwambiri abambo. Mutha kugwiritsa ntchito ntchito ya gastroenterology patsamba la chipatala cha aesthetic cosmetology.

Kukula koopsa pazaka zapitazi za 20, ndi matenda ndi endoscopy yolowererapo, kutuluka kwa mankhwala odana ndi khansa kapena chithandizo cha nthawi yaitali cha matenda otupa, omwe pamapeto pake adakhala othandiza, adasintha kwambiri mfundo za chilango chathu. Kumakhalidwe abwino kunawonjezedwa malamulo a chisankho chabwino chachipatala, chomwe chiyenera kutsatiridwa ndi kukambirana kwabwino. Ndikufuna pano kuti ndiwonetsere zina mwazovuta zatsopano zomwe zikuzungulira njira yopangira zisankho.

Kuchokera ku Medical Paternalism kupita ku Autonomy: Njira Yovuta kwa Onse

Wodwala wamasiku ano, wodziwa zambiri chifukwa nthawi zambiri amaphunzira kwambiri kuposa kale, ndipo ndani amakhalabe wodziimira payekha komanso woleza mtima m'matenda ake, mosasamala kanthu kuti atakhala aakulu bwanji, chosankha chomwe chimamudetsa nkhawa? Mfundo imeneyi ikuwoneka yosangalatsa kwa dokotala yemwe akukhulupirira kuti lingaliro lake la zomwe "libwino kwa winayo" limagawidwa ndi munthu amene amamulangiza. Chowonadi chikuwoneka chosiyana kwambiri: wodwala aliyense mwachibadwa amadyetsa zikhulupiriro zake, zomwe amaika patsogolo, chikhalidwe chake: m'malo mwake "nyerere", adzaika ndalama mu njira zaukhondo ndi zodzitetezera, ngakhale zitakhala zoopsa, kuti apindule. zaka zingapo za moyo. moyo; m'malo mwake "cicada", angakonde kudikirira m'mapiko, kuthawa malangizo a dokotala.

Komabe, kusinthika kwapang'onopang'ono kwa utate wa zachipatala kulinga ku kudzilamulira sikuli kopanda mavuto. Njira zokhudzidwa kwambiri ndi izi zoyendetsera zokambirana zomwe zingathandize wodwalayo, kuwunikira, popanga zisankho. Zowonadi, posankha pakati pa njira ziwiri zochiritsira kapena kusankha ngati angayesedwe kapena ayi, wodwalayo sali m'malo mwa woweruza. Mtsutsowu ulibe monga maziko ake malo amwayi a khothi ndi malamulo ake ndi malingaliro ake. Nanga angakhale bwanji osalowerera ndale pakuwunika kwake zinthu za mlandu (zowopsa) ndi chitetezo (zopindulitsa)? Polemedwa ndi ufulu ndi malamulo, wodwalayo kaŵirikaŵiri amadzimva kukhala wosungulumwa kwambiri ndi wopanda chochita.

Kukhulupirika, kusintha ndi nthawi

Dokotala yemwe amamudziwitsa ayenera, kumbali yake, kuthana ndi zopinga zazikulu zitatu:

• musagogomeze zomwe mumakonda ndikuwulula moona mtima phindu la njira ina;
• kukonza zomwe zili ndi mawonekedwe a chidziwitso ku umunthu wa interlocutor, popanda kugonjera ku mayesero a mndandanda wa zoopsa komanso zosakwanira, monga Anglo-Saxons angachite.

kupeza nthawi yachidziwitso chopitilira komanso chosinthika pamene nthawi yokambilana kapena kuchezera sikokwanira nthawi zonse kuyankhulana momveka bwino komanso kothandiza pazambiri zokhudzana ndi vuto lachipatala.