Kweli phulo lokulungelelanisa uthotho lonyango, funda malunga nokungalingani kwembali kunye nokungekhoyo ngoku kwimfundo yezonyango, ingqesho, kunye namathuba obunkokeli.
Ukubeka phambili uqoqosho lwevidiyo yokulingana kuphonononga ukuba njani ukulingana kukhathalelo lwempilo kukujonga njani ukhathalelo lwempilo ngexesha leCovid-19 ubhubhane.
Umgangatho wononophelo alumiswanga ngendlela ihanjiswa ngayo, ke iinkonzo ze-telehetheal kufuneka zibanjelwe kwimigangatho efanayo nakukhathalelwa ngumntu.
Kwi-2023 Intuthuzelo ye-2023 Ingqungquthela®, iBrian George, MD, Nks, ifumene utshintsho olukhawulezileyo kwi-2023 yokukhawulezisa utshintsho kwimbasa yemfundo yezonyango. Ukuze ufunde ngakumbi.
Ukwazisa iSayensi yezeMpilo kwizikolo zezonyango kuthetha kuqala ukufumana ikhaya. Funda ngakumbi ngootitshala bezonyango abayenzile.
Uhlaziyo lwe-AMA lugubungela uluhlu lwezihloko zempilo ezichaphazela ubomi bogqirha nezigulana. Fumanisa ukuba uyifumana njani imfihlo yenkqubo yokuhlala impumelelo.
Uhlaziyo lwe-AMA lugubungela uluhlu lwezihloko zempilo ezichaphazela ubomi bogqirha nezigulana. Fumanisa ukuba uyifumana njani imfihlo yenkqubo yokuhlala impumelelo.
Ukunqumama kwintlawulo yemali mboleko yomfundi iphelile. Fumana ukuba le nto kuthetha ukuthini koogqirha kwaye zeziphi iinketho ezinazo.
Umfundi okanye umhlali unokwakha njani intetho enkulu? Ezi ngcebiso zine ziqala kakhulu.
I-AMA ukuya kwi-CMS: Thatha inyathelo lokuqinisekisa ukuba oogqirha abalufumani uhlengahlengiso lokuhlawula ngo-2024 ngokusebenza kwe-2022 yokusebenza kwi-2022 yokusebenza kwi-2022 yokusebenza kunye nenye idatha echongiweyo kuhlaziyo lwamva nje.
Funda ukuba i-CCB icebisa ukuba itshintshe njani uMgaqo-siseko wama-Ama kunye nemithetho kwaye inceda ekuhlaziyeni imigaqo, imigaqo kunye neenkqubo zamacandelo ahlukeneyo e-Amasa.
Fumana iinkcukacha kunye nolwazi lobhaliso loogqirha boogqirha boochwephesha (i-YPS) kunye nemicimbi.
Fumana i-ajenda, amaxwebhu kunye nolwazi olongezelelekileyo kwintlanganiso ye-2023 ye-YPS nge-10 kaNovemba kwi-geylord yeSizwe kunye neZiko leNgqungquthela kwiZiko leNgqungquthela kwiZizwe leSizwe, uMaryland.
INkomfa ye-2024 yaseMelika yeMvumelwano yeZempilo yoNyango lwezoNyango (MAC) iya kubanjwa nge-7-8, 2024.
Izinto ezibalulekileyo ze-sepsis: iWebinar yokugqibela kumaZiko enza ulawulo lwezifo kunye noThintelo (i-CDC) ixoxa ngefuthe lemfundo ye-sepsis ekuqeshweni kwabasebenzi bezempilo. Irejista.
Uhlaziyo lwe-AMA lugubungela uluhlu lwezihloko zempilo ezichaphazela ubomi bamagqirha, abahlali, abafundi bezonyango kunye nezigulana. Yiva kwiingcali zezonyango, ukusuka ekuziqhelanise phambili kwezonyango kunye neenkokeli zenkqubo yezempilo kunye namagosa ezempilo esidlangalaleni, kwiCovide-19, imfundo yezonyango, ukubhengeza, ukugoba, ngaphezulu, ngaphezulu.
Kwiindaba zanamhlanje ze-AMA, owayengumongameli waseAm gerald i-viran, i-MD, edibanisa ingxoxo malunga nokunqongophala kwabasebenzi bezonyango kunye nexabiso loogqirha. UGqr Rason wabelana ngendima yakhe kwindima yakhe entsha njengoDenan weDyunivesithi yaseSouth Calina, umsebenzi wakhe njengomongameli weTewleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePawleys ePiwleys ePawleys kwi Intsimi yezonyango. intsimi njengogqirha. Iingcebiso malunga nendlela yokuhlala esebenza. Oogqirha abangaphezu kweminyaka engama-65 ubudala. Umamkeli
Emva kokulwa noogqirha ngexesha lebhulukhwe, umbutho wezonyango waseAmerican uthatha umngeni wayo oqhelekileyo: Ukuqinisekisa ukuzibophelela kwesizwe koogqirha.
I-UNGRR: Molo kwaye wamkelekile kwividiyo yevidiyo ehlaziyiweyo kunye nePodcast. Namhlanje sithetha malunga nokunqongophala kwabasebenzi kunye nokubaluleka kwabagqirha abadala ekusombululeni le ngxaki. Lo mbandela uxoutyushwe apha nguGqr Gerald Componis, i-Dean yethutyana yeDyunivesithi yaseSouth Carolina, eSouth Carolina, owayesakuba ngumongameli we-Amaya, "uMongameli wama-Ama." Ndingu-Todd Angerg, amava oyiNtloko weGosa le-Ama Cha Chicago. UGqirha Common, kuhle ukudibana nawe. Unjani?
UGqr. Raramon: UTodd, ngumbuzo onomdla. Ukongeza kwindima yam njengoSihlalo wokuCoca i-AMA, ndiyifumene indima entsha. Ndiyinyanga nje kule nyanga, ndaqala indima entsha kumsebenzi wam weNkqubo yezeMpilo kunye nexeshana lesikolo samayeza eCarolina, eMzantsi Carolina.
UGqr Rasomon: Ewe, ziindaba ezikhulu. Yayingumsebenzi ongalindelekanga kum. Umntu othile wandichazela malunga neziqinisekiso zabo kunye nolindelo lwabo. Ndiziva ndim lo ngumdlalo osekwe ezulwini, ukuba akungomdlalo osezulwini, ubuncinci phakathi kweenkwenkwezi.
U-Urger: Kulungile, ndiqinisekile xa babejonga ukuphinda baqhubeke, bachukunyiswa zizinye zokufezekisa kwakho. Ube ngugqirha oqhelisela i-35 iminyaka engama-35, umncedisi kagqirha oPhakathi ye-United States Air, ugqirha Jikelele weSizwe, kwaye, kunjalo, uMongameli we-Amasa. Ayisiyo isiqingatha sedabi. Ngokuqinisekileyo ulifumene ilungelo lokuthatha umhlala phantsi, kodwa uqala isahluko esitsha sonke. Yintoni ebangela oku?
UGqr Rason: Ndicinga ukuba ndiqonda ukuba ndisenalo ithuba lokwabelana nabanye ngobomi bam nabanye. Igama elithi "gqirha" livela kwisiLatin kwaye lithetha "ukuthwala okanye ukufundisa." Ndivakalelwa kukuba ndingakwazi ukufundisa, ndabelana ngamava obomi bam, ndikhokele (ukuba asikokukhokelwa) kwisizukulwane sabemi bogqirha kuqeqesho kunye nokuziqhelanisa namagqirha. Ke kwakumnandi kakhulu ukuba kubaluleke kakhulu ukuba uthathe inxaxheba kumncedisi oncedisayo ngelixa ugcina ubuchule bokufundisa kweklinikhi. Ke andikwazanga ukulibala eli thuba.
UGqr Ramon: Ewe, indima ye-prosost yinto endingazange ndiyifumene ngaphambili. Ndandingunjingalwazi wasekholejini ndafundisa iiklasi (ndifundiswe) ngokoqobo) ngokwakho kunokuba ndinike abafundi amabanga, abahlali, kunye nabanye oogqirha, abancedisi, abancedisi bogqirha). Uninzi lweminyaka yam engama-35- 440 yokuziqhelanisa, bendingutitshala, utitshala osebenzayo. Ke le ndima ayisiyongxaki.
Isibheno sesifundo esingaqwalaselwanga. Ndiyafunda - ndisebenzisa lo mfanekiso, kungekuko nge-hose yomlilo, kodwa ngebhakethi. Ndicela abantu ukuba bandifundise isiqwenga esinye sexesha. Ke isebe elinye lizisa ibhakethi labo, elinye isebe lizisa ibhakethi labo, umphathi uzisa ibhakethi labo. Emva koko ndathatha ibhakethi endaweni yokuba ndikhukuliswe nge-hose yomlilo kwaye irhangqa. Ke ndingalawula amanqaku edatha kancinci. Siza kuzama enye i-bhacket kwiveki ezayo.
I-UNGRR: UGqr. Raramon, imigaqo apho uvula isahluko esitsha apha sinomdla. Kwangelo xesha, siyazi ukuba ogqirha abaninzi banyula ukuthatha umhlala phantsi okanye ukukhawulezisa ngenxa yebhubhane. Ukhe wakubonayo okanye ukhe wakuva oku kwenzeka phakathi koogxa bakho?
UGqr. Raramon: Ndayibona iveki ephelileyo, Todd, ewe. Sinedatha ephakathi, mhlawumbi i-Ama ka-2021 ukuya ku-2022 yedatha, ebonisa ukuba i-20%, okanye enye kubagqirha abahlanu, bathi baya kuthatha umhlala phantsi. Baza kuthatha umhlala phantsi kwiinyanga ezingama-24 ezizayo. Oku sikubonayo phakathi kwezinye iinkqubo zenkqubo yezempilo, ngakumbi abongikazi. Iipesenti ezingama-40 zabongikazi (zimbini)) zithi ndiza kuba ndiphuma kwindima yoLungile kwiKlinikhi yeKlinikhi kule minyaka mibini izayo.
Ke ewe, ndinjengathi, ndayibona le veki iphelileyo. Ndandinogqirha ophakathi owazisa umhlala phantsi. Ungugqirha otyandayo, uneminyaka engama-60. Uthe: Ndiyaphuma ndisebenza ngokusebenzayo. Lo chidemic uye wandifundisa ukuba uthathe izinto ngokungakhathali izinto kunendlela yam. Ndikwimeko entle yemali. Kwikhaya ngaphambili, kufuneka achithe ixesha elininzi nentsapho yakhe. Ke wagqiba kwelokuba athathe umhlala-phantsi ngokupheleleyo.
Ndinomnye umntu osebenza naye kwiyeza losapho. Ngapha koko, umfazi wakhe weza kum kwiinyanga nje ezimbalwa kwaye wathi, "Uyazi, lo mbhakani ube noxinzelelo olukhulu kusapho lwethu." Ndibuze uGqr. X, umyeni wakhe, kunye nomntu osebenza naye emsebenzini wam ukuthoba umthamo. Kuba uchitha ixesha elingakumbi eofisini. Xa wagodukayo, wahlala ekhompyuter kwaye wenza yonke ikhompyuter ukuba wayengenalo ixesha lokufumana. Wayexakekile ebona inani elikhulu labaguli. Ke uyabuya umva. Wayephantsi koxinzelelo oluvela kwintsapho yakhe. Unabantwana abahlanu.
Konke oku kubangela uxinzelelo olukhulu kumagqirha amaninzi abadala, kodwa abo bakumsebenzi ophakathi, ubudala, abaneminyaka engama-50 nangaphezulu, basengozini enkulu yoxinzelelo, kanye njengokuba izizukulwana zethu ezincinci.
I-UNRY: Ubuncinci busebenzeke imeko yokunqongophala kwegqirha esisibonayo. Ngapha koko, ukufundisisa nguMbutho weekholeji zeOmerican zonyango ugqirha wokunqongophala ukuya kuthi ga kwi-124,000 nge-2034, ebandakanya indibaniselwano yezinto esizixoxa ngazo, uninzi lwabantu kunye nabasebenzi abalupheleyo.
Njengogqirha wamayeza osapho owayeyigqirha lentsapho elungiselela abantu basezilalini, zithini iingcinga zakho kule nto?
UGqr Rason: I-Todd, ulungile. Ukunqongophala kukagqirha kuya kuba nzima kakhulu, okanye ubuncinci belogithmithmithmindIlly, kungekuphela nje ngokongeza kunye nokukhupha. Oogqirha bayaluphala. Sithetha ngento yokuba kule minyaka ilishumi izayo, izigulana e-US ziya kuba yiminyaka engama-65 ubudala okanye ngaphezulu, kwaye ama-34% abo ngoku afuna ukhathalelo lwezonyango. Kule minyaka ilishumi izayo, i-42% ukuya kwi-45% yabantu iya kufuna ukhathalelo lwezonyango. Badinga ukhathalelo olungaphezulu. Ukhe wakhankanya ukunqongophala koogqirha. Izigulana ezindala zifuna inqanaba eliphezulu lononophelo, kwaye abaninzi bahlala kwiindawo ezisemaphandleni abaninzi.
Ke njengogqirha ubudala, umhlala-phantsi akayeki umkhukula woogqirha kunye nabasebenzi bempilo-nxaxheba abafuna ukuya kwiindawo ezisemaphandleni, abafuna ukuya kwiindawo ezibini zisetyenziswe. Ngenxa yoko, imeko kwiindawo ezisemaphandleni iya kuba nkulu kakhulu. Ingathi izigulana ezikule ndawo ziyaguga kwaye inani labemi kwiindawo ezisemaphandleni alikhuli. Asiboni ukwanda kwenani labasebenzi bezempilo abasa kwiindawo ezisemaphandleni.
Ke kufuneka senze ubuchwepheshe obutsha, izimvo ezinobuchule, iTeleledidine, ukhathalelo lweqela lokunceda ukuhlangabezana neemfuno zeMelika engaphantsi kweMelika.
I-UNRY: inani labemi liyakhula okanye ukwaluphala, nogqirha kukwaluphala. Oku kudala umsantsa obalulekileyo. Ngaba ungajonga nje i-daw yedatha ebukeka njani?
UGqr. Njengeminyaka ye-US, ingama-34% ngoku kwaye i-400% ukuya kwi-45% kwiminyaka elishumi, njengoko uqalile, ndicinga ukuba la manani ngabantu abangama-400,000. Ke lo ngumsantsa omkhulu. Ukongeza kwimfuno eqikelelweyo yokufumana ogqirha ngakumbi, uya kudinga oogqirha abaninzi ukuze basebenze abantu abalupheleyo.
Makhe ndikubalisele. Hayi nje ogqirha. Lo ngugqirha we-radiologist, lo ngumongikazi, ukuba ungayikhankanyi indlela abongikazi. Iinkqubo zethu zesibhedlele emalayeni i-American zityhutywe: Akukho manyamba aneleyo, oochwephesha be-raidlogists, kunye neengcali zelebhu. Yonke inkqubo yezempilo e-United States sele yoluliwe kancinci kukunqongophala kwabasebenzi bezempilo zazo zonke iintlobo.
I-UNRY: Ukulungisa okanye ukusombulula ingxaki yokunqongophala kwegqirha ngoku kufuna isisombululo se-amaninzi. Kodwa masithethe ngakumbi. Ucinga ukuba ogqirha abadala bafaneleke njani kwesi sisombululo? Kutheni belungele ngokukhethekileyo ukuhlala kwabo bakhulileyo?
UGqr Rason: oko kunomdla. Ndicinga ukuba akukho mathandabuzo ukuba abaya kubuna, ukuba abanovelwano, nezigulana ezizayo. Kanye njengokuba sithetha ngabantu baseMelika abangama-65 nangaphezulu besenza i-42% yabemi, le ndawo ibonakaliswa kwi-Dest Abenzi: 42-45% yogqirha nayo ikwaneminyaka engama-65. Ke baya kuba namava afanayo ngobomi. Baza kuba nakho ukuqonda ukuba ngaba sisithintelo esidibeneyo se-mictusosketal, ukwehla okanye ukwehla kwengqondo okuqondayo, okanye umda wokuva kunye nokugcinwa komda, okanye mhlawumbi noxolo esilufumanayo, isifo sentliziyo. isifo seswekile. .
Sithethe ngendlela ipodcast ndiyibonisile ukuba malunga nezigidi ezingama-90 zaseMelika zino-Merica Merical, kwaye ezingama-85 ukuya kwi-95 ukuya kwi-90 pesenti abazaziyo ukuba banesifo seswekile. Ngenxa yoko, inani labalilayo laseMelika likwathwala umthwalo wesifo esinganyangekiyo. Xa singena kwizikhundla zoogqirha, uya kufumanisa ukuba banovelwano, kodwa banamava obomi. Baneseti yezakhono. Bayayazi indlela yokwenza isifo.
Ngamanye amaxesha ndiyathanda ukucinga ukuba ogqirha ubudala bam kwaye ndingacinga kwaye ndide ndibaxinwe ngaphandle kwetekhnoloji ethile. Akunyanzelekanga ukuba sicinge ngento yokuba lo mntu unengxaki encinci ngale okanye le nkqubo ye-org, andizukuyenza i-mri okanye iskena lesilwanyana okanye naluphi na uvavanyo lwelebhu. Ndiyakwazi ukuxelela le nkqonkqozo. Oku akuqhelekanga uqhagamshelo lwe-dermatitis. Kodwa kuphela kuba bendibona izigulana iminyaka engama-35 okanye engama-40 endinayo i-Indel yengqondo endincedayo ndisebenzisa ubukrelekrele bobuntu bokwenyani, ukungafumani sifo.
Ke akufuneki ndenze zonke ezi mvavanyo. Ndingafumanisanga uqiniseke ngakumbi, ndinyange kwaye ndiqinisekise ukuba abantu abalupheleyo.
I-UNERRY: Lo ngumlandeli omkhulu. Ndifuna ukuthetha nawe ngakumbi ngalo mbandela malunga netekhnoloji. Ulilungu elisebenzayo lecandelo eliphezulu legqirha, ukubonisa izimvo kunye nokwenza izindululo kwimiba echaphazela amagqirha aphezulu. Enye yezinto ezenzeka kakhulu kamva (enyanisweni, bendithetha kakhulu malunga nobukrelekrele bokufakelwa kwiiveki ezimbalwa ezidlulileyo) ngumbuzo wokuba oogqirha abakhulileyo abazokuziqhelanisa neetekhnoloji ezintsha. Ngawaphi amacebiso onawo oku? Inokukunceda njani i-Amama?
UGqirha Common: Ewe, undibonile ngaphambili - ndithetha esidlangalaleni kwizifundo nakwiipaneli-kufuneka simkeleni le teknoloji intsha. Ayizukuhamba. Into esiyibonayo kubuchule bokufakelwa (i-Amaka isebenzisa eli gama kwaye ndiyavumelana ngakumbi) kukhula olwenziwe ngobuchule. Kuba ayisoze ndiyithathele ingqalelo le khomputha apha. Sinomgwebo oqinisekileyo kunye nokwenza izigqibo-okwenza izigqibo kangangokuba olona matshini ulungileyo alunakufunda.
Kodwa kufuneka sikwazi ukufumana itekhnoloji. Akukho mfuneko yokuba silibazise inkqubela yakhe. Akukho mfuneko yokuba silibazise ukuyisebenzisa. Akukho mfuneko yokuba sisuse iirekhodi ezi-elektroniki esithetha ngazo ngokungakhathali. Le yitekhnoloji entsha. Ayizukuhamba. Oku kuyakuphucula ukubonelelwa ngeenkonzo zononophelo. Oku kuyakuphucula ukhuseleko, ukunciphisa iimpazamo kwaye, ndiyacinga, ndiphucule ukuchaneka koxinzelelo.
Ke ogqirha kufuneka ngokwenene bayamkela le nto kwaye babeke iliso. Sisixhobo, njengenye into. Kufana nokusebenzisa i-stethoscope, usebenzisa amehlo akho, ukuchukumisa nokujonga abantu. Kukuphucula izakhono zakho, hayi isithintelo.
I-UNGRR: UGqr. Raramon, umbuzo wokugqibela. Zeziphi ezinye iindlela onokuthi oogqirha abazithathayo abanokuphinda bakhathalele abaguli bahlala besebenza kwimisebenzi yabo? Kutheni iluncedo ngoogqirha kunye nomsebenzi wokugcina unxibelelwano olomeleleyo?
UGqr. Raramon: UTodd, wonke umntu wenza izigqibo kwindalo iphela esebenzisa eyabo idatha. Ke, ngelixa ugqirha ongugqirha usenokuba nemibuzo malunga nobuchule bakhe, ukhuseleko lwayo, nokuba likwigumbi lokusebenza okanye kwisithuba sokuphuma apho usenza nje isixhobo, awuyomfuneko. Kukho ukuguquguquka okuqhelekileyo. Sonke kufuneka sikhathazeke ngale nto.
Okokuqala, ukuba ukhathazeke ngokwenene, ukuba uyabuthandabuza ubuchule bakho, ukuqonda okanye ngokwasemzimbeni, thetha nomntu osebenza naye. Sukuba neentloni. Sinengxaki efanayo nempilo yokuziphatha. Xa ndithetha namaqela ogqirha, ndiyazi ukuba sithetha ngogqirha. Sithetha ngeengxaki zabasebenzi kunye nokuba sikhathazekile kangakanani. Idatha yethu ibonisa ukuba ngaphezulu kwe-40% yoogqirha bajonga iindlela zabo zomsebenzi-ndithetha, linani elothusayo.
Ixesha lokuposa: I-Oct-13 ukuya kwi-2023