[转帖]做出治疗决定之前需要向你的医生提出的疑问

　　以下内容转帖自：http://www.psoriasis.org/treatment/yourdoctor/treatment.php
　If you and your doctor have trouble deciding which treatment is most appropriate, ask the following questions:
How long has this treatment been used for psoriasis?
What are the potential benefits of the treatment?
What are the potential risks?
What percent of people are on this treatment?
What percent of people improve on this treatment?
How quickly will the treatment work?
How long have you (the doctor) been prescribing this treatment?
What are the most common side effects of the treatment?
Will I be tested regularly for unwanted side effects? If so, what kinds of tests and how often?
Which side effects will go away if I stop taking the medication? Which side effects might be permanent?
Will I take or apply this drug continuously?
Will it make me more sensitive to sunlight?
Can I use/take this medicine for a short time, just to clear my psoriasis, then switch to a milder medication with fewer risks? Could I control my psoriasis this way?
Can this treatment be combined with another to make it more effective or decrease unwanted side effects?
Can this treatment be stopped suddenly, or do I need to stop it gradually?
Ordinarily, how long will the drug stay effective?
If it works but I have to stop using it, is it likely to work again if it is resumed?
What will the treatment cost?
If I decide against this treatment, what are my other options?
Special considerations for women:
Can I take it if I am trying to get pregnant?
Do I need to stop treatment if I am pregnant or nursing?

More information about psoriasis treatments and conception and pregnancy.
One of the first principles of psoriasis treatment is to not create anything worse than the disease, according to Steve Feldman, M.D., Ph.D., professor of dermatology, pathology and public health sciences at Wake Forest University in Winston-Salem, N.C. "I tell my patients that if I recommend to them anything that they find worse than having the disease itself, they should ignore my advice," he says.
Staying with the treatment
Once you and your doctor settle on a plan, follow through with it. It is good to give a new treatment eight to 12 weeks to see if it will work. Half of all patients do not adhere to the treatment plan prescribed by their doctors. Taking methotrexate, for example, means no alcohol consumption. Phototherapy treatments can be very inconvenient. Some topical medications are messy, smelly and expensive. Still, using them properly–for example, twice a day as prescribed, instead of once–can make a significant difference in results in some cases. Sticking with a treatment takes time and commitment.
If you are on several medications, it can be difficult to keep all of the doctor's orders straight. Try to write down all of the directions in one place. Keep a journal of the various medications that you are on, when you need to take or apply them, and how you are reacting to the treatment. This journal will be helpful when you follow up with your doctor at your next appointment.

[此贴子已经被作者于2006-6-8 15:23:18编辑过]

<>看不懂啊,5555,麻烦那位英语高手翻译一下,这不是难为我们这些没文化的么?

<>[em08]

不懂英文,我是学俄语的,能不能翻译一下呀!

If you and your doctor have trouble deciding which treatment is most appropriate, ask the following questions:

如果你与你的医生在采取何种治疗方式上产生了分歧，最好的处理方式是向他提出如下问题：

• How long has this treatment been used for psoriasis?


• 这种方法被用于治疗银屑病有多久了?


• What are the potential benefits of the treatment?


• 这种方法的最大的可能的好处是什么?


• What are the potential risks?


• 潜在的风险是什么?


• What percent of people are on this treatment?


• 用这种方法治疗的病人点病人总数的百比是多少?


• What percent of people improve on this treatment?


• 被改善了病情的人又占使用这种方法治疗的人的百分之多少呢?


• How quickly will the treatment work?


• 要治疗多久才能看到效果?


• How long have you (the doctor) been prescribing this treatment?


• 你本人(医生)使用这种方法多长时间了?


• What are the most common side effects of the treatment?


• 这种方法最糟糕的副作用是会什么?


• Will I be tested regularly for unwanted side effects? If so, what kinds of tests and how often?


• 我需对那些不希望看到的副作用做定期的检查吗?如果要做，是做哪些项目、多久做一次呢？


• Which side effects will go away if I stop taking the medication? Which side effects might be permanent?


• 哪些副作用将在我停止用药后消失，哪些副作用将是永久性的呢？


• Will I take or apply this drug continuously?


• 我将会要长期不间断地依靠这种药物（或方法）吗？


• Will it make me more sensitive to sunlight?


• 它会使得我对于太阳光生产更加敏咸的反应吗？


• Can I use/take this medicine for a short time, just to clear my psoriasis, then switch to a milder medication with fewer risks? Could I control my psoriasis this way?


• 能否短期使用这一药物来仅将P清扫干净，然后转用另一种温和的、副作用较小的药呢？这一治疗方式能否用来控制P?


• Can this treatment be combined with another to make it more effective or decrease unwanted side effects?


• 当这种方法与别的方法结合起来用是，是会加强还是会减弱它的毒副作用呢？


• Can this treatment be stopped suddenly, or do I need to stop it gradually?


• 这种方法能否突然停止，还是需要慢慢地逐渐停止？


• Ordinarily, how long will the drug stay effective?


• 通常情况下要持续使用多久才见到效果？


• If it works but I have to stop using it, is it likely to work again if it is resumed?


• 如果它是有效的，而我又由于种种原因被迫停止了使用，如果我以后又恢复使用，它还能有效吗？


• What will the treatment cost?


• 这个方法的花费是多少？


• If I decide against this treatment, what are my other options?


• 如果我反对采用这个方法，什么是我的另外的选择？

Special considerations for women:

妇女必须要问的特殊问题：

• Can I take it if I am trying to get pregnant?


• 如果我准备要怀孕了，我能采用这种方法吗？


• Do I need to stop treatment if I am pregnant or nursing?


• 如果我是处于孕期或哺乳期，我需要停止这种方法吗？

（注：我是在Heather的帮助下在完成的，致谢！）

[此贴子已经被作者于2008-7-7 0:58:15编辑过]

<>晕，我没什么贡献的．都是橄榄翻译的

<>What are the most common side effects of the treatment?
这种方法最常见的副作用是什么?

再谈有关牛皮癣的治疗、理念及怀孕问题
维克服莱斯特大学的医学博士、病理及公共卫生专家Steve Feldman教授认为，治疗牛皮癣疾病的首要原则之一就是在治疗过程中要避免产生比该疾病更糟糕的结果，他说“我告诉我的患者如果我给他们提供的治疗建议给他们带来比疾病本身更糟糕的东西，他们应该拒绝接受。”
一旦你与医生达成治疗方案后，应该坚持治疗8-12周以观察其是否奏效，有半数以上的患者不能坚持按照医生开具的方案坚持治疗，例如，甲氨喋呤(MTX治疗肿瘤药物)疗法就要求患者避免饮酒；光疗极不方便；有些外敷疗法不是很脏就是有异味或者花费太高。尽管如此如能够恰当使用（比如遵医嘱两天一次而不是每天一次）对某些病例还是会收到良好效果。坚持某种疗法需要时间和决心！
如果同时接受几种治疗方法就很难遵照所有医嘱了，这时我们可以采用记日记的办法，把何时接受何种治疗方法有何反应都记录下来，这种记录将有助于患者在复诊时同医生交流。

我暂时没考虑出国,完全可以用中文和医生交流,嘿,开玩笑..向医生提的这些问题还是很专业的,感谢

叔、婶，哥，姐、、、你们有心了！[em27]

呵呵 看来我就不用辛苦翻译了 上回那位同志的理论我翻译了好久

这堆英语要问江湖医生,估计马上关门走人!
还是楼主厉害!

[此贴子已经被作者于2006-6-16 12:04:22编辑过]