Idan ka yi tafiya a cikin gidan ajiya na mota-da-pop a karshen mako, za ka ga cewa sabis ɗin yana jinkirin. Ƙarshen lokaci na yau da kullum ne ga kasuwancin da yawa, kuma yawancin kantin sayar da kantin sayar da kantin sayar da kantin sayar da kantin sayar da kantin sayar da kantin sayar da kantin sayar da kantin sayar da kayayyaki suna da kwarewa a lokacin lokacin ƙananan yanayi kamar karshen mako, da dare da kuma lokuta.
Duk da haka, ƙila ka yi mamakin sanin cewa rashin aiki da raguwa sabis a lokacin lokuta suna samun asibiti a asibiti.
Wannan abin mamaki, wanda ake kira "Weekend Effect", ya danganta da karuwar mutuwa tsakanin marasa lafiya da aka shigar a asibiti. Har ila yau, an danganta mahimmancin halayen mako-mako tare da wasu matsaloli masu tsanani, irin su zub da jini da kamuwa da cuta.
A bayyane yake, Harshen Zaman Lafiya ya jinkirta lokaci zuwa magani mai rai, kuma tare da gabatarwar gaggawa a cikin asibiti, wani bambanci na 'yan mintoci kaɗan na iya zama mahimmanci. Wannan abu ne mai yiwuwa a haɗa shi da rashin aikin bincike (bincike) da ake samu a karshen karshen mako har ma da rashin samun dama ga likitoci na musamman, wadanda suke "kira" kuma ba a cikin asibiti a karshen mako.
Kodayake an rubuta Yarjejeniyar Zunubi a wasu ƙasashe-musamman ma a Ƙasar Ingila inda ya kawo damuwa mai girma - an rubuta shi a kwanan nan a Amurka. Bugu da ƙari kuma, kodayake akwai binciken da ba zai iya tallafawa ingancinta ba, wata hujja ta kara girma tana nuna alamar wannan abin mamaki.
Bari mu fara kallo wasu misalai na Harshen Zaman Lafiya kamar yadda aka nuna a cikin wallafe-wallafe. Sa'an nan kuma, zamu bincika muhimmancin wannan lamari.
Kwanar Wuta da Tashi
Tare da ingantaccen kulawa, mutane da yawa da ke fama da shanyewa suna tsira. Duk da haka, a cikin binciken da aka yi a 2015 wanda aka wallafa a PLOS ONE, masu bincike sun gano cewa Tsarin Wuta na da rai da kuma a Birtaniya.
A cikin wannan nazari na baya-bayan nan, masu bincike sun yi nazarin mace-mace (37,888) wadanda aka kamu da cutar a asibiti tsakanin 2004 da 2012. A lokacin da aka kwatanta da lokutan mako-mako don gudanar da fashewa, mace-mace ta kwana bakwai bayan kammala karshen mako ya kashi 19 cikin 100 mafi girma-ko da yake akwai kashi 21 cikin dari na shiga! An gwada nazarin bayanai akan shekaru, jima'i da goma sha 11, ko wasu lokutta na yau da kullum, ciki har da malignancies, sauran cututtukan cututtuka, ciwon sukari , da nakasa .
A bayanin, a cikin wannan binciken, mace-mace ta kasance mafi ƙasƙanci a asibiti tare da ɗakin ɗakin kwalliya mai tsabta. Bugu da ƙari kuma, mace-mace ta fi girma ga shanyewar jiki tare da hanyar da ba a bayyana ba, fiye da yadda aka yi amfani da ƙwayar ƙwayar cuta, inda jini ya shafe jini da kwakwalwa.
Har ila yau, masu binciken sun bincika sakamakon wasu abubuwa uku akan mummunan cututtuka: shiga cikin watanni na hunturu, shiga cikin asibiti a cikin asibiti da kuma mafi nisa tsakanin wurin haƙuri da asibiti kanta (fiye da kilomita 20). Kodayake binciken su ba su da mahimmanci game da tasiri daga cikin waɗannan nau'ikan da ke kan yawan ƙwayar mutuwa, masu bincike sun nuna cewa wadannan abubuwa uku zasu iya zama wani abu a cikin yiwuwar samun lafiyar bayan kisa.
Har ila yau, an lura da yadda ake aiwatar da mako-mako game da mummunan cututtuka a Amurka. A cikin wasikar bincike da ake kira "'Ƙafin Wuta' ko 'Farawar Asabar'? Wani Masarufi na Ciwon Marau na Ƙari ga marasa lafiya tare da Ischemic Stroke a Kudancin Carolina, "masu bincike sun bincikar duk wani mummunan cututtuka na jijiyar warkaswa a cikin kudancin Carolina tsakanin 2012 da 2013. Masu bincike sun tantance yawan mutuwar marasa lafiya da aka yarda da su saboda fashewar ranar ta hanyar shiga, kuma an gyara matakan da aka yi wa mace mai cin gashin kanta don yin jima'i, shekaru, tseren, shekara ta shiga, lokacin shiga, nau'in biya, da kuma Charlson Comorbidity Index (wanda ya ƙunshi wasu lokuta masu mahimmanci).
Daga cikin mutanen Carolina na Kudu ta Kudu, yawancin mutum ya mutu ne a ranar Asabar saboda haka yana nuna sakamako na ƙarshe a kwanan wata.
A wani bayanin da ya dace, sakamakon binciken da aka yi a Amurka ya nuna cewa mummunar cututtuka ya fi girma a lokacin karshen mako don haka ya nuna babbar hanyar shiga; marasa lafiya sun yarda da cutar ta bugun jini a karshen mako sun kasance marasa lafiya fiye da waɗanda aka yarda a lokacin mako-mako. Wannan bincike zai iya rikitar da sakamakon kuma ya bayyana wasu bambance-bambance a cikin mace-mace. A wasu kalmomi, saboda marasa lafiya da suka kamu da ciwo da suka kamu da su a karshen mako sun kasance marasa lafiya, suna iya samun haɗarin mutuwa.
Hanyoyin Watan Kwafi da Harkokin Hoto na Pediatric
A cikin nazarin binciken da aka buga a cikin jarida a littafin Journal of Pediatrics , masu bincike daga Jami'ar Johns Hopkins sun dubi Maganar Kwanan nan a tsakanin tasirin jinin yara na mata 439,457 da aka yi a tsakanin 1988 da 2010. Wadannan tarin fuka sun hada da tsawace ƙwayar ƙwayar ƙwayar jiki, gyare-gyare, gyaran gyare-gyare na inguinal, gyaran fracture tare da gyare-gyare na ciki (ORIF) , sanyawa na m shunt, ko gyara wani m shunt.
Masu bincike sun gano cewa mace mai mutuwa ta fi girma a cikin yara da ke da lalacewa a karshen mako fiye da yadda ya kasance a cikin yara da ke da kwakwalwa a cikin mako. Bugu da ƙari kuma, yara da suka karbi aikin likita a karshen mako sun kasance mafi haɗari ga hadarin jini da karuwa jini, cututtuka na ciwo, raunuka (raunuka) da sauran cututtuka. Kamar yadda yake tare da sauran nazarin nazarin Binciken Kwana na Ƙarshe, waɗannan binciken da aka gabatar da kansu daga wasu halaye masu haƙuri da kuma asibiti.
Ya kamata a lura cewa raunin mutuwa a aikin tiyata na da wuya a Amurka da wasu ƙasashe masu tasowa. Duk da haka, sakamakon wannan binciken yana da mahimmancin asibiti saboda Hukuncin Weekend yana danganta da ƙananan mutuwar, kuma mutuwar da aka hana mutuwa ko ɗayan ya zama babban hasara ga iyalinta, abokai, da kuma al'umma.
Hanyoyin Watan Kwafi da kuma Ma'aikatar gaggawa
A cikin lokuta na mako da sauran lokuta, ma'aikatar gaggawa ita ce wurin da yawancin marasa lafiya suka shigar da su daga. A cikin binciken da aka yi a shekarar 2013 da ake kira "Kada Ka Riga lafiya a karshen mako: Binciken Binciken Kwana na Kwana na Mutuwa ga Magunguna Ziyarci US EDs," masu bincike daga Jami'ar Michigan sun nema a tabbatar da Maganar Weekend tsakanin marasa lafiya da aka shigar da su a asibiti da sashen gaggawa.
A cikin wannan nazari na baya-bayan nan, an samu kimanin mutane 4,225,973 wadanda ke wakiltar kashi 20 cikin 100 na yawan shigarwar da aka samu ta hanyar aikin gaggawa a 2008. An lura da sakamako na mako-mako a cikin wannan samfurin, kuma mutane da dama da aka shigar a karshen mako sun mutu fiye da wadanda aka yarda a ranar mako. An tabbatar da wannan tasiri ba tare da la'akari da samun kudin shiga na haƙuri ba, matsayin asibiti, mallakin asibiti (jama'a ko masu zaman kansu), halin koyarwar asibitin da ƙididdigar gaggawa. Bugu da ƙari kuma, an yi amfani da Harshen Kwana na ƙarshe a cikin manyan batutuwa 10 da suka fi sani, irin su bugun jini, ciwon zuciya, malignancy da rauni na kai, yana nuna cewa wannan batu ba ƙayyadadde ba ne ga wani ganewar asali.
Abin da Ba Mu sani ba
Kodayake ana yin la'akari da ma'aikata na karshen mako a matsayin cikakkiyar bayani game da Harshen Kwana na Ƙarshe, ba mu tabbatar da ainihin ma'anar wannan abu ba. Alal misali, ba mu san ko wa] annan matsalolin na ma'aikata ba ne ga likitoci, kwararru, likitoci ko wasu hade. Har ila yau, ba mu san ko yawan asibiti da ke cikin asibiti ba, da kuma wajaba a lokacin karshen mako, na taka muhimmiyar rawa. Abu mahimmanci, canje-canje na karshen mako lokacin da kulawa yake canzawa zai iya taimakawa wajen wannan batu.
Daga ƙarshe, binciken da ke bincika Harshen Kwana na ƙarshe yana iyakance ne daga tsarin zane-zane na baya-baya (ba a ba da izini ba), kuma ana buƙatar ci gaba da bincike don bayar da shawarar mafita. A halin yanzu, wataƙila wata mummunan ra'ayi ne don yanke hukunci ko rashin amincewa da kudade wanda zai shafi ma'aikatan asibiti.
Mene Ne Yake Ma'anar?
Bari muyi la'akari da abin da Ma'anar Karshe ta nufi ga mutane. A cikin binciken da aka ambata, an lura da wannan lamarin a tsakanin mutane da aka shigar da su a asibiti don gabatarwa da dama. Saboda wadannan matsalolin gaggawa, marasa lafiya basu da iko akan lokacin gabatarwa kuma basu iya zaɓar ko za su shiga asibiti a ranar mako ko karshen mako.
Bugu da ƙari, idan kai ko ƙaunatacciyarsa ke fuskantar gaggawa na gaggawa, shigarwa ya kamata ya gaggauta ko da kuwa ranar. A wasu kalmomi, ƙwaƙwalwar zuciya da take faruwa a ranar Asabar ba zai iya jira a shiga Litinin ba. Bugu da ƙari kuma, don Allah ka yi tunanin cewa duk da damuwa game da Harshen Wuta, kulawa da yawancin asibitocin Amurka yana da kyau kuma sun bi ka'idodin kulawa da marasa lafiya - ƙananan mutuwar suna da mawuyaci har ma a karshen mako.
Maimakon ya shafi mutum, sakamakon binciken nan ya nuna a cikin wata mawuyacin hali da ƙwararrun likitoci, masu gudanarwa, masu bada shawara, da masu tsara manufofi suka fuskanta: yadda za a rage yawan mutuwar da ba'a dacewa da rashin daidaituwa a kulawa a cikin makonni da sauran lokuta. Tare da farashin kula da lafiyar kiwon lafiya, akwai mai yawa magana game da yanke kudade. Duk da haka, dole ne mu yi watsi da maganganun kuma muyi la'akari da yadda za a yanke abin da zai shafi ma'aikata ko ingancin kulawa a cikin saitunan kiwon lafiya.
Idan wani asibiti yana aiki a karshen mako, dole ne sabis ya kasance har zuwa snuff. Asibitoci bazai da kima ba idan yazo da albarkatun da ma'aikata. Bugu da ƙari kuma, idan sauyawa canje-canje da kulawa da haƙuri suna canjawa wuri, to lallai babu wani raguwa a ayyukan da za a iya haifar da waɗannan canje-canje. Daga ƙarshe, idan asibiti ba zai iya samar da irin wannan kulawa ba a lokacin karshen mako da mako-mako, yana da damuwa ko ya kamata ya ba da kulawa a karshen mako. Musamman, karatun sun nuna cewa 24/7 samun dama ga cibiyoyin bugun ƙwararraji, tsarin cututtuka, da kuma tsarin kula da ƙananan kulawa na yara wanda ke da damar samun dama da kuma ma'aikatan aiki kullum-duk sun nuna ikon da za a kawar da Harshen Kwana.
Lokaci na gaba da ka ji wani dan siyasa yana magana game da cuts zuwa lafiyar lafiya, don Allah ka yi la'akari da cewa waɗannan cututtuka zasu iya fassarawa sakamakon abin da zai shafi mu duka, kamar Ƙarshen Yau. Ba asibiti ba gidan ajiya mai kyau na mom-da-pop inda za ku iya jira dan kadan don kopin kofi ko shirya kirki ba tare da damuwa ga lafiyarku ba. A asibiti wani wuri ne da lokaci da wadataccen kayan aiki suna da mahimmanci kuma ƙididdiga ƙidaya.
> Sources
> Goldstein SD et al. "Hanyoyin 'sakamako na karshen mako' a aikin tiyata na yara - ƙara yawan mace-mace ga yara da ke fama da tiyata a karshen mako." Littafin Lafiya na Pediatric. 2014; 49: 1087-1091.
> Roberts SE, et al. "Mortality following Stroke, Sakamako na Watan Kasuwanci da Abubuwan Dangantaka: Nazarin Nazarin Lissafi." KUMA KUMA . 2015.
> Sharp AL, Choi H da Hayward RA. "Kada ku yi rashin lafiya a karshen mako: kimantawa game da sakamako na karshen mako akan mace-mace saboda marasa lafiya da ke ziyarci US EDs." Jaridar American Journal of Medicine Emergency . 2013; 31.
> Shi, L, et al. "'Ƙaƙafi na Ƙarshe' ko 'Farawar Asabar'? Bincike na rashin lafiyar asibitin ga marasa lafiya tare da Ischemic Stroke a cikin South Carolina. " Yanayin . 2016; 134: 1510-1512.