Me yasa yake da wuya a ga wani likitan halitta?
Mutane suna kokawa akai-akai da cewa yawancin karancin malaman endocrinologists yana shafar lafiyar su. Jerin jirage don ganin likitancin likita a wasu yankuna shi ne watanni uku, watanni shida, wani lokaci ma har tsawon watanni tara ko fiye - idan har ma za ka iya samun sabon jerin jiran haƙuri.
Duk da haka, idan kun kasance a lokacin ganawa, yawancin lokutanku suna amfani da jiran, cika kullun, likita ko likitan likita, jinin jini, da sauransu.
Kayi murna idan ka sami fiye da mintoci kaɗan na lokacin fuska tare da likitan. Menene ke gudana? Muna fuskantar fuskantar gagarumar rashin lafiya na masu binciken endocrinologists, wanda zai yiwu ya zama sananne.
Yanayin
A shekara ta 2010, bisa ga Cibiyar Harkokin Kasuwancin Amirka ta Amirka, akwai 5,811 masu kula da aikin likita a cikin Amurka. Sabbin kididdigar ba a sake fitowa ba, amma wannan aikin Endocrine Society White Paper na 2014 zai kasance ci gaba, da kuma ci gaba, a gaba shekaru goma. Wasu masana sunyi tsammanin cewa an yi la'akari da raunin lambobi biyu a 2025.
Akwai ƙananan sababbin masu binciken likitancin da zasu shiga aiki, don maye gurbin waɗanda suke yin ritaya. A halin yanzu, akwai shirye-shiryen zumunci na endocrinology wanda aka yarda da su a cikin Amurka kusan 122, kuma waɗannan shirye-shirye suna horarwa da kuma shirya kawai game da sababbin magungunan endocrinologists a kowace shekara. (Kuma wasu daga cikin wadannan sababbin kwararru sun shiga bincike ko masana'antun magunguna, ba magunguna da kulawa da haƙuri ba.)
Ko da yin amfani da wannan lambar 5,800, kimanin 2,000 daga masu endocrinologists sune ilimi ne, tare da ƙananan nauyin haƙuri. Wasu ayyuka ga gwamnatin tarayya, ko kamfanoni na kamfanoni. Bugu da kari, bisa ga rahoton US News da World Report, akwai asibitoci 6,300 a Amurka. Wasu masana sunyi kiyasin cewa akwai ƙwararrun likitoci guda 1,000 da suka cancanta don hidimar asibitoci 6,000, da kuma al'umma masu haƙuri, wanda, yayin da suka hada da ciwon sukari, osteoporosis, haihuwa, matsalolin maganin karoid, da sauran matsaloli na hormone, zasu iya zama kamar mutane miliyan 100.
.
Me yasa yake da wuya a ga wani likitan halitta?
A cikin komi - yana da matsala da kuma buƙata matsala. A cewar wani sharhi a cikin Journal of Clinical Endocrinology da Metabolism :
"... rashin lafiya na endocrinologist ba shi da damar samun kulawa da marasa lafiya da ciwon sukari, kiba, ciwo na rayuwa, cutar kututtuka, thyroid nodules, ciwon maganin thyroid, osteoporosis, cutar pituitary, cututtuka na ciwon ciki, menopausal bayyanar cututtuka, da cututtuka na haihuwa. ya sadu da zuwan watanni 3 zuwa 9, kuma ana gudanar da ayyuka masu yawa na endocrinology ga sababbin marasa lafiya. "
A lokaci guda da cewa muna da kasawar endocrinologists, cutar endocrin kanta kanta ta tashi. Halin yawan ciwon sukari - musamman, salon da ciwon sukari-irin nau'in ciwon sukari na 2 - yana kai matakan annoba. Yayin da mutane ke rayuwa, yawancin mutane suna cigaba da buƙatar magani don osteoporosis. Fiye da mata miliyan 40 na Amurka suna cikin matsala. Hanyoyin cutar thyroid sun kasance a kan Yunƙurin.
Wannan yana nufin cewa yana da wuyar gaske, kuma wani lokacin kusan ba zai yiwu ba, don shiga cikin ganin likitancin likita. Kuma ya bar yawancin yankunan karkara da yankunan kewayen birni ba tare da samun dama ba har zuwa endocrinologists.
Matsalolin zai ci gaba da muni, sai dai idan an yi canje-canje da yawa a hanyar da ake horar da masu aikin likita.
Bayanan Jarida ya tsara jerin abubuwan da zasu taimaka:
- Haɓaka wayar da kan jama'a, da gaggawa da kuma hangen nesa da jama'a tare da gwamnati
- Bukatun asibitoci tare da shirye-shiryen horarwa na endocrinology don tallafawa ƙananan tarbiyyar horo
- Hukumomin da ake buƙata don ƙaddamar da ƙwarewa da kuma kula da abokan hulɗa na endocrin
- Ƙara wa masu biyan kuɗi na ɓangare na tarayya da na masu zaman kansu na masu biyan kuɗi don masu binciken endocrinologists don yin sana'a sosai tare da sauran fannoni
- Bayar da visa don kawar da likitoci na kasa da kasa wadanda suke so suyi aiki a ƙarshen duniya a Amurka
- Ƙara horo ga ƙwararru da masu aikin iyali a cikin ciwon sukari da kuma kulawa da kiba
- Ƙara yawan lambobi, horarwa, da kuma aiwatar da likitoci, likitocin likita, da kwararrun masu ilimin ciwon sukari
- Samar da biyan biyan bashin sabis na telemedicine zuwa yankunan da ba su da tabbacin da ba su da likita
- Harkokin kiwon lafiyar jama'a da tsararrun jama'a game da ciwon sukari da kuma rigakafin kiba
Sharhi Daga Maryamu
Abin sha'awa, jaridar Journal Clinical Endocrinology & Metabolism ta bayar da shawarar sake shuɗe wani abu mayar da hankali a kan thyroid jiyya . Suna magana ne game da ciwon sukari da kuma kiba da kwarewa, amma menene game da cutar thyroid? Me yasa basa sha'awar kara horarwa ga 'yan gwagwarmaya da masu aikin iyali a ganewar maganin matsalar karoid? Me yasa bamu kallon fadada lambobi, horarwa, da kuma tursasawa masu aikin likita da likitocin likita a fannin ganowar maganin karoid da magani? Kuma me ya sa ba mu da shirin don horar da certified thyroid malamai, kama da bokan masu ciwon sukari malamai ?
Abin baƙin ciki shine, ana ganin ciwon maganin thyroid da thyroid marasa lafiya har yanzu suna kallon ko da magungunan endocrinology kamar zama marasa mahimmanci idan aka kwatanta da ciwon sukari. Kuma ya ba karancin magungunan endocrinologists don farawa, wannan baya bode sosai ga marasa lafiya na thyroid, yayin da muke ƙoƙarin inganta ingantaccen asali da magani.
Shin kuna buƙatar wani likitan halitta?
Kuna iya yin imanin cewa likitancin likita shi ne likita mafi cancantar ganewa da kuma bi da dukan maganin thyroid. Gaskiyar ita ce, wannan ba lamari ba ne.
Ko dai kana bukatar wani likitancin likita na ainihi ya dogara da irin maganin thyroid da kake fuskanta, yanayin bayyanar cututtuka, da kuma inda kake cikin tsari.
Kara karantawa game da shi a cikin labarin, Me yasa Kullun dajinka bazai buƙaci likita ko likitan ka .
Sources:
Stewart, Andrew, "Cibiyar Endocrinology na Amurka: A Bukatar Mismatch," Jaridar Clinical Endocrinology & Metabolism Vol. 93, Nu. 4 1164-1166.
Endocrine A yau