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Kev Noj Qab Haus Huv Thawj Colorado thiab CHP + yuav rov qab mus rau cov txheej txheem rov ua dua tshiab.
Tshawb xyuas koj tus email, xa ntawv, thiab PEAK inbox. Ua haujlwm thaum koj tau txais cov lus raug cai. Koj tuaj yeem pom koj hnub rov ua dua tshiab no thaum twg los tau. Yog tias koj tau txais daim ntawv txuas ntxiv, nco ntsoov sau nws. Nco ntsoov kos npe rau nws thiab xa rov qab los ntawm hnub kawg.
Kawm ntxiv ntawm no

Nco lub Gap

By Bill W, MD

Tsis yog, Kuv tsis tau hais txog cov paib thoob plaws London Underground chaw nres tsheb ciav hlau. Qhov "gap" muaj yog hais txog qhov chaw nruab nrab ntawm lub platform thiab lub tsheb ciav hlau tiag tiag. Cov Brits xav kom koj hla qhov chaw no, lossis qhov sib txawv, thiab tau txais kev nyab xeeb ntawm lub tsheb ciav hlau.

Es, kuv tab tom tham txog lwm qhov sib txawv. Namely, qhov sib txawv ntawm cov kev pab cuam ib tug ntawm peb tej zaum yuav muaj uas tau txais nyob rau hauv txoj kev ua kom peb tus kheej noj qab nyob zoo.

Wb rov qab ib pliag.

Cov kws kho mob uas muaj neeg coob coob feem ntau muaj ntau lub hom phiaj thaum lawv pom tus neeg mob. Lawv mloog txhua yam kev txhawj xeeb lossis kev txhawj xeeb ntawm tus neeg mob. Tib lub sijhawm, lawv tab tom tsom mus rau txhua yam mob uas lawv paub thiab ua kom paub tseeb tias muaj kev hloov kho rau cov tshuaj lossis kev kuaj mob. Thaum kawg, feem ntau cov kws kho mob tseem ceeb muaj cov txheej txheem los ceeb toom lawv txog txhua yam kev tshuaj ntsuam xyuas, kuaj, lossis txhaj tshuaj tiv thaiv uas yuav xav tau. Ntau tus kws kho mob thiab cov kws kho mob nruab nrab hais txog qhov no yog "qhov sib txawv." Qhov no tshwj xeeb txhais tau hais tias thaum twg peb pom, muaj cov kev pab cuam pom zoo raws li peb cov poj niam txiv neej, hnub nyoog, lossis kev kho mob. Qhov no kuj suav nrog kev txhaj tshuaj pom zoo. Lawv xav kaw qhov sib txawv no kom ntau li ntau tau. Nco qhov sib txawv.1

Kev saib xyuas kev noj qab haus huv rau peb txhua tus nyob ntawm seb peb nyob qhov twg hauv lub neej. Cov me nyuam mos, me nyuam yaus thiab cov tub ntxhais hluas, cov poj niam laus, thiab cov txiv neej txhua tus muaj ntau yam kev ua ub no uas kev tshawb fawb tau pom tias txo cov kab mob. Cov dej num no yuav muaj li cas? Hauv cov menyuam yaus thiab cov tub ntxhais hluas, piv txwv li, tus kws kho mob feem ntau hais txog cov kev txhawj xeeb ntawm tus neeg mob thiab niam txiv/tus neeg saib xyuas thiab nug txog lub chaw saib xyuas xwm txheej kub ntxhov lossis kev saib xyuas hauv tsev kho mob txij thaum mus ntsib zaum kawg; kev ua neej nyob (kev noj haus, kev tawm dag zog, lub sijhawm tshuaj ntsuam, kev haus luam yeeb, teev pw tsaug zog ib hmos, kev kho hniav, kev nyab xeeb); thiab kev ua haujlwm hauv tsev kawm ntawv. American Academy of Pediatrics pom zoo kom kuaj txhua xyoo rau cov ntshav siab, tshuaj xyuas txhua ob xyoos rau cov teeb meem tsis pom kev thiab hnov ​​lus, thiab tshuaj xyuas cov roj (cholesterol) siab ib zaug thaum muaj hnub nyoog 9 txog 11 xyoos. Kev tshuaj xyuas tsis tu ncua rau kev txiav txim siab txog kev noj qab haus huv cuam tshuam txog kev noj qab haus huv kuj raug pom zoo. Yuav tsum tau txhaj tshuaj tiv thaiv hnub nyoog tsim nyog thiab ntes tau. Tseem muaj cov lus pom zoo sib xws rau txhua pawg hnub nyoog thiab poj niam txiv neej.2

Cov lus pom zoo no tuaj qhov twg? Lawv feem ntau yog los ntawm cov chaw hwm xws li United States Preventive Services Taskforce (USPSTF) lossis cov koom haum tshwj xeeb xws li American Cancer Society, American Academy of Family Practice, American Academy of Pediatrics, thiab lwm yam.3

Kev siv cov ntaub ntawv kho mob hauv hluav taws xob (EHRs) tau pom tias yuav txhim kho tus nqi ntawm kev tshuaj ntsuam xyuas kev loj hlob, kev ntsuas kev pheej hmoo, thiab kev taw qhia kev cia siab. Qhov no tuaj yeem yog vim "kev sib xyaw ntawm cov ntaub ntawv tsim qauv, cov cuab yeej txhawb kev txiav txim siab, kev saib ntev ntev ntawm cov ntaub ntawv tus neeg mob, thiab txhim kho kev nkag mus rau chav kuaj thiab cov ntaub ntawv qhia txog kev noj qab haus huv." Kev txhaj tshuaj tiv thaiv kab mob tuaj yeem txhim kho tau los ntawm kev siv cov txheej txheem ceeb toom lossis rov qab, uas tuaj yeem xa tawm ntawm lub xov tooj siv lub tshuab hluav taws xob, ntawv lossis ntawv xa ntawv, lossis ntawm tus kheej thaum mus ntsib lwm lub tsev kho mob.4

Nws yog vim tias cov "kev ua haujlwm" no uas tus kws kho mob thawj zaug tau txais kev cuam tshuam nrog kev noj qab haus huv zoo dua qub, suav nrog txhua qhov ua rau, mob qog noj ntshav, kab mob plawv, mob stroke, thiab cov menyuam mos tuag; yug me nyuam tsawg; lub neej expectancy; thiab tus kheej ntsuas kev noj qab haus huv.5

Yog li, cov ntaub ntawv tshwm sim los xyuas qhov tseem ceeb ntawm kev tsim kev sib raug zoo nrog tus kws kho mob dav dav kom tau txais kev pabcuam tiv thaiv. Koj tuaj yeem nkag siab sai sai yog vim li cas cov kws kho mob tseem ceeb tsis txaus ntseeg thiab tias lub sijhawm tsim nyog rau kev tiv thaiv tuaj yeem raug txwv tom qab muaj lwm yam kev xav tau.

Ib qho ntxiv yuav tsum tau hais txog kev tiv thaiv. Muaj kev txav mus los (Xaiv Txawj Ntse) 10+ xyoo dhau los txhawm rau txheeb xyuas cov kev pabcuam uas tsis muaj txiaj ntsig. Ntau tshaj 70 lub koom haum tshwj xeeb tau pom tias muaj peev xwm siv ntau dhau kev sim lossis cov txheej txheem hauv lawv qhov tshwj xeeb. Muaj ib qhov txuas hauv qab no uas qhia tau tias cov kev pab cuam twg hauv American Academy of Family Practice tau pom tias tsis muaj txiaj ntsig, thiab qee zaum muaj teeb meem.6

Thiab yog, tam sim no ib feem ntawm cov kev pabcuam pom zoo suav nrog tus menyuam tshiab ntawm lub block. Kev txhaj tshuaj tiv thaiv COVID-19. Qee tus tau hais tias tam sim no COVID-19 zoo ib yam li tus mob khaub thuas uas yuav muaj kev pom zoo txhaj tshuaj tiv thaiv, zoo li tsawg kawg ib xyoos, rau yav tom ntej. Lwm tus tau hais tias qhov cuam tshuam ntawm Covid cov tshuaj tiv thaiv zoo li qhia ib tus neeg kom tsis txhob haus luam yeeb. Kev haus luam yeeb tau txuas nrog rau emphysema, bronchitis, mob ntsws cancer thiab ntau lwm yam kab mob. Tsis tau txais cov tshuaj tiv thaiv COVID-19 tuaj yeem sib cav ntau dua li xaiv haus luam yeeb. Koj muaj kwv yees li 64 npaug ntau dua yuav mus pw hauv tsev kho mob nrog COVID-19 yog tias koj xaiv tsis tau txhaj tshuaj.7

Yog li, lwm zaus koj mus ntsib koj tus kws kho mob tsis tu ncua, paub tias lawv tab tom saib koj ntawm qhov kev xav ntawm kev muab cov kev pabcuam uas koj lub hnub nyoog, poj niam txiv neej, thiab kev kho mob tuaj yeem lav. Lub hom phiaj yog txhawm rau txhim kho koj txoj kev noj qab haus huv, yog li koj tau tso koj lub neej kom muaj peev xwm ua tiav.

 

References

  1. https://www.aafp.org/family-physician/patient-care/clinical-recommendations/clinical-practice-guidelines/clinical-practice-guidelines.html
  2. https://www.aafp.org/pubs/afp/issues/2019/0815/p213.html
  3. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations
  4. https://www.aafp.org/pubs/afp/issues/2011/0315/p659.html
  5. https://pubmed.ncbi.nlm.nih.gov/17436988/
  6. https://www.aafp.org/family-physician/patient-care/clinical-recommendations/choosing-wisely.html
  7. https://www.theatlantic.com/health/archive/2022/02/covid-anti-vaccine-smoking/622819/