DOT Physical: Nigute Kwemerwa, Igaragara iki, kandi ibyo biguhagarika

DOT physical ni ikizamini gisabwa na leta kiguhana ko ufite ubuzima buhagije bwo gutwara imodoka nini y'ubucuruzi. Bifata iminota 30 kugeza kuri 45, bishobora kugura amafaranga yikuboko hagati ya $50 kugeza kuri $150, kandi bigomba gukorwa n'umuganga wemewe ku rutonde rwa FMCSA. Nimukwemezwa uzahabwa ikarita yujuje ibisabwa kugeza ku mezi 24.

TL;DR: Ibintu by'ingenzi

• Ubwiza bw'amaso: 20/40 mu jisho buri kimwe kandi nibura impande 70 z'ubwiza buri jisho, wambaye cyangwa utambaye imbago.
• Kwitonda: Kwumva ijwi ryakuvuyemo mu metero 5 mu jisho ryawe ryiza.
• Umuvuduko w'amaraso usanzwe utuma ikarita yawe iramba, aho kugira ngo ubone cyangwa utabona.
• Diyabete ivurwa na insuline hamwe na epilipisi nibyo bibazo bibiri bisaba inzira yuzuye ya leta.
• Zana imbago, ingufi zo kwitonda, urutonde rw'imiti, hamwe n'inyandiko zawe za A1C, CPAP, cyangwa INR.

DOT physical ni ikizamini cy'ubuzima cy'ugutwara, ntabwo ari gusuzumwa kwa buri mwaka

Iki kizamini gipima ikintu kimwe: ko ufite ubuzima buhagije bwo gutwara imodoka nini y'ubucuruzi hakurikijwe ibisabwa by'ubuzima bya leta mu 49 CFR 391.41, ntabwo ko ufite ubuzima bwiza muri rusange. Bugomba gukorwa ku mugaragaro n'umuganga wemewe ku rutonde rwa FMCSA, kandi bugatanga Icyemezo cy'Umuvugizi w'Ubuganga, ikarita yawe y'ubuzima, yujuje ibisabwa kugeza ku mezi 24.

Iyo tsindamira ituma abatwara benshi bibaza. Umuganga wawe wo mu muryango ashobora kuguhereza icyemezo cy'ubuzima bwiza kandi ntibizagufasha gutwara, kuko uwemerewe kubemeza ari umuganga watojwe kandi wagenewe ibisabwa bya leta, ibyo bikaba byariho kuva kuva kuwa 21 Gicurasi 2014. Kandi hari iherezo ry'ibintu birindwi, ntibiri: icyemezo cy'imyaka ibiri, icyemezo cy'igihe gito, guhagarikwa, ikizamini cy'umutekano mu gihe umuganga atari gutegereza inyandiko, cyangwa ikizamini kiduzuye.

Intego ntabwo ari ugutsinda. Ni uguhabwa ikemezo cy'igihe kirekire ushobora kubona

Inshuro ugomba gukoresha DOT physical biterwa n'ubuzima bwawe kuruta kalendari: imyaka 24 ni ikigereranyo kiri munsi ya 49 CFR 391.45, kandi gusubira kwemezwa bisabwa ako kanya niba ubuzima bwawe buhindutse.

Umuvuduko w'amaraso werekana uko iyo nshuro igabanuka. Munsi ya ibisabwa by'inama y'ubuvuzi muri Appendix A kuri Part 391, ibipimo by'icyiciro cya 1 bya 140 kugeza 159 hejuru ya 90 kugeza 99 mmHg bikwemera, ariko ufite ikarita y'umwaka 1. Igice cya 2, 160 kugeza 179 hejuru ya 100 kugeza 109, gihabwa ikarita y'inshuro imwe y'amezi 3, hanyuma ikarita y'umwaka 1 umaze kugera kuri 140/90 cyangwa munsi. Igice cya 3, 180 cyangwa hejuru cyangwa 110 cyangwa hejuru, byihutirwa guhagarika kugeza iyo byagenzuwe kuri 140/90 cyangwa munsi, nyuma y'aho kwemeza birakomeza amezi 6 icyarimwe. Abatwara bemejwe munsi y'ikibazo cyo kuvurwa na insuline ku ndwara ya diyabete cyangwa guhagarikwa kw'ubwiza bw'amaso bakomeza kwemeza buri mezi 12.

Ikibazo: icyo gice ni ibisabwa by'inama, ntabwo ari urutonde rw'amategeko. Abaganga babikoresha bafite ubuhanga, kandi bikugira inama. Zana ibimenyetso aho kuvugwa inshuro imwe. Porogaramu y'ubuzima ya mugenzi wawe nka August AI irashobora kugufasha kwandika ibipimo by'umuvuduko w'amaraso cyangwa glukosi mu rugo hagati y'ibizamini, kugira ngo ube ufite uko bikomeza kuruta umubare umwe wafashwe mu cyumba cy'ubutabazi nyuma yo gusinzira nabi.

Birashobora kuba ubyumva utagifite CDL: umurongo wa 10.001-pound

Ibisabwa muri DOT physical biterwa n'imodoka n'urugendo, ntabwo n'ikinyirizo kiri mu gikapu cyawe. Niba utwara mu bucuruzi bw'amahanga, amategeko akugera aho imodoka cyangwa imodoka ihujwe ifite uburemere bw'imodoka bugera kuri 10.001 pounds cyangwa hejuru, igihe itwaye ibintu bifatwa nk'ibyahungabanya mu bihe bisaba ibimenyetso, cyangwa igihe yagenewe gutwara abagenzi 9 cyangwa benshi ku gihembo (16 cyangwa benshi uko kwishura bibayeho).

Ni kuki abashoferi b'imodoka z'imyambaro, abashinga imirima batwara amapine maremare, n'abashinzwe gutwara abagenzi bagerwa n'ibibazo badafite aho bajya. Ntabwo bakunze kugira CDL, bityo ntawigeze avuga kuri ayo mategeko. Amategeko y'intara n'imodoka z'ubuhinzi biratandukana ku ntara kandi bisaba ibisobanuro byabo. Abakoresha, mwiteho impande z'inyandiko: kopi y'icyemezo isigara mu bubiko bw'ubuyobozi bw'umushuferi igihe cy'imyaka 3.

Ibizamini byose bifite ibintu bitanu by'umubare ufite ibipimo bifitanye isano

Ibizamini bya DOT physical bifite uburyo bupfuye, buvuguruye, kandi bw'imibare, bivuze ko ushobora kwipimisha mbere yo kwiyandikisha aho gutegereza ku munsi w'ikizamini:

• Ubwiza bw'amaso. Nibura 20/40 y'ubuhanga bw'amaso buri jisho buri wenyine na bibiri, wambaye cyangwa utambaye imbago, nibura impande 70 z'ubwiza buri jisho, n'ubushobozi bwo kumenya amabara atukura, icyatsi kibisi, n'ibitara by'umuhondo, bisuzumwa na Snellen chart.
• Kwitonda. Kumva ijwi ryakuvuyemo mu metero 5 cyangwa hejuru mu jisho ryiza, wambaye cyangwa utambaye ingufi zo kwitonda, cyangwa ubushobozi bw'amajwi bwigere kure burenze 40 dB kuri 500, 1.000, na 2.000 Hz kuri audiometer.
• Vitals. Umuvuduko w'amaraso n'umururumba, hamwe n'uburebure n'uburemere.
• Urinalysis. Icyapa cy'ibirahure kubijyanye n'imitsi, amaraso, na sukari. Ibi si ikizamini cya leta cy'ibiyobyabwenge.
• Amateka n'ikizamini cy'amaboko. Urundi rw'amateka y'ubuzima, hanyuma ikizamini cy'umutima, ibihaha, igitere, umugongo, ibice byo hejuru, n'imikorere y'imitsi.

Reba ibyabuze. Nta panel ya kolesteroli kandi nta A1C, bityo abatwara biteze ibizamini bisanzwe by'amaraso mu buzima akenshi batangaye. Igikombe cy'umuyoboro gishakisha ibimenyetso byambere by'indwara z'impyiko n'indwara ya diyabete itaraboneka, nicya buri kimwe.

Ibyo uzana bituma iki kizamini gishobora gufata iminota 30 cyangwa ibindi bikorwa bibiri

Inzira DOT physical isanzwe bifata iminota 30 kugeza kuri 45, nubwo ugomba kwitega amasaha abiri mu gihe uje mu ikizamini. Kwiyandikisha n'inyandiko bifata iminota 10 kugeza kuri 15, ibipimo by'umubiri bifata iminota 5, umuyoboro ufata iminota 5, ubwiza bw'amaso n'ukwitonda bifata iminota 5 kugeza 10, kandi ikizamini cy'amaboko gifata iminota 10 kugeza 15. Ibisubizo bisanzwe biba ku munsi wawe.

Impamvu isanzwe ituma umushoferi avayo afite igisubizo cy'umutekano ni inyandiko, aho kugira ngo indwara. Zana:

• Indangamuntu ifite ifoto cyangwa CDL yawe, imbago zawe cyangwa contact z'amaso, n'ingufi zawe zo kwitonda. Kwambara izo ntacyo bitwaye; ibisabwa byanditswe kugira ngo byemerwe kuvugururwa.
• Uru rutonde rw'imiti muri iki gihe hamwe n'impinduka n'abavuzi, hamwe n'inyandiko zose zo guhamagara kuva kwa muganga wigisha.
• Inyandiko zidasanzwe: kopi ya A1C iheruka niba ufite diyabete, raporo y'iminsi 90 yo kwitonda kwa CPAP kubera gusinzira, INR yawe iheruka niba unywa warfarin.

Ikindi gikorwa cyiza cyo ku munsi w'ikizamini cyo gukora. Twara kandi uhore iminota 5 mbere y'uko urushingo rugerwaho, kandi wirinde kafeine na nikotini mbere, kuko ubwoba bushobora gutuma igipimo kibabaje kigira inshuro yambere. Niba uhoza mu cyumba cyo kwicara byongera umutima wawe, bifasha kumenya uko ubwoba bwihutisha ibimenyetso by'umubiri mbere yo gushinja umutima wawe.

Ibibazo byinshi bifatwa mugihe gito, kandi ibibazo bibiri gusa bisaba uruhushya rwa leta

Ibihagarika DOT physical bigabanyijemo ibice bibiri bitandukanye, kandi kubihuranya ni ikituma abatwara bagitekereza ko akazi karangiye kandi kari karengana.

Inzira y'insuline irahari ariko ntabwo iba yoroshye. Umuganga wigisha arangiza form MCSA-5870 nyuma yo gusuzuma nibura amezi 3 y'inyandiko zo kwigenzura kuri glukosi yo mu maraso, kandi umuganga wemewe agomba kurangiza ikizamini ntarenze iminsi 45 nyuma y'iyo gusinya. Abatwara bemewe bashobora kubona kugeza ku mezi 12; ubundi ikarita irakora amezi 3.

Niba utatsinze, usabe umuganga mu nyandiko impamvu wabuze kandi ni ibihe bimenyetso byagukiza icyo kibazo. Vura indwara, hanyuma usubire mu ikizamini ufite inyandiko mu kuboko. Ikarita yawe isanzwe iracyujuje ibisabwa kugeza ku gihe cyayo cyanditseho, bityo amasaha araboneka. Igitabo cya August cyo kwita ku bantu mu gihe cy'ubutabazi cyo ku giciro cy'amadolari 39 gishobora kuba inzira yihuse yo gutangira umuvuduko w'amaraso cyangwa gusuzuma imiti mbere. Umuganga ni we ugena uburyo bwo kuvura bukwiye, kandi igikorwa ntikishobora gukora, kwemeza, cyangwa gusubiza ikarita y'ubuzima, ibyo bisaba umuganga wo ku rutonde rwa leta w'umuganga.

Impamvu igiciro cy'ikizamini kimwe gikoresha 65 $ mu gihe muri kimwe gikoresha 150 $ mu kindi

Igiciro cya DOT physical gikunze kugera hafi ya $50 kugeza ku $100 kwishyura wenyine ku kizamini, mu gihe CVS MinuteClinic yanditseho $150. Ibyo bitandukanye si urutonde rw'ubwiza. Ni ikimenyetso cyo guhuza no kwandika.

Ibintu bine bigenda bifata umubare: niba ikizamini cya leta cy'ibiyobyabwenge kirimo cyangwa cyanditse gukoreshwa, niba ukeneye audiogram yongeraho cyangwa gusubiramo kw'amaso, niba uteye mu gikoresho cy'ubucuruzi cyangwa ikigo cy'ubuzima bwo gukora bivuguruye amasezerano y'abakoresha, kandi niba umukoresha wawe yishyura cyangwa akishyura.

Dore ibyo impapuro nyinshi zizabibwirako: iki gihe cyose gikoreshwa nk'ikizamini cy'umukoresha kwishyura wenyine aho kugira ngo gikoreshwe kuri ubwishingizi bwawe bw'ubuzima, uko kwitonda kwa buri mwaka kwa Medicare bitandukanye n'ikizamini bigena ibizishyurwa. Bityo usabe ibibazo bitatu igihe wahamagaye. Ese ikizamini cy'ibiyobyabwenge kirimo? Ese umuganga ari ku rutonde rwa Net? Ese ubaha ikarita ku munsi ubwo?

Igihe ikizamini cy'umusubiramo kiboneka cyizaba kigikeneye kwita mbere yo kwandikisha ikizamini cy'inyongera

Hamagaza 911 cyangwa jya ku gikoni cy'ibibazo bikomeye ubu niba:

• Ufite ububabare mu gatuza, igitutu, cyangwa guhumeka bikomeye cyane mu gihe cyangwa bidatinze nyuma y'ikizamini
• Igapimo ryawe riri kuri 180/110 mmHg cyangwa hejuru hamwe n'ububabare mu mutwe, guhinduka kw'amaso, cyangwa kwibeshya
• Ushaka kugwa, ufite ikibazo cyo kwitsina, cyangwa udahumeka
• Ufite ibimenyetso bikomeye by'amaraso bidagenzuwe nk'imyumvire, umwuma ukabije, guhumeka kw'imbuto, cyangwa kuruka

Kugeza kuri ubu, ibibazo byinshi ni ikibazo cy'iki cyumweru aho kugira ngo kiboneke uyu munsi.

Wiyandikishe ku munsi wa mbere w'icyumweru niba:

• Wahawe ikarita y'amezi 3 kubera igice cya 2 cy'umuvuduko w'amaraso
• Wabonye impinduka z'amaso z'umwanya utari
• Witsamye cyane kandi ufite ibyumvi mu masaha yamanywa
• Ukeneye kuvugurura imiti mbere y'ikizamini cy'inyongera

Kandi ibintu bimwe byorohawe mbere yo kwicara ku ntebe.

Vugana n'umuganga mbere yo gutangira niba:

• Unywa insuline, warfarin, cyangwa imiti yose yo kuruhura
• Ufite igihe cyose cy'ibibazo byo kwitsina cyangwa kudahumeka

Muri ibyo bihe, zana inyandiko n'inyandiko mbere, hanyuma wiyandikishe ku ikizamini. Niba utazi uko ikibazo gikomeye, August AI Symptom Checker yabereye ubuntu irashobora kugufasha kwitegura uyu munsi kugeza ku cyumweru.

Ibibazo bikunze kwibazwa

Mbabarirwa kwiyiriza iminsi mbere ya DOT physical?

Oya. Nta maraso akurwa, bityo kwiyiriza ntacyo bitwaye usibye gutuma ugwa kandi igipimo cyawe nticyizere. Rya nk'ibisanzwe kandi unywe amazi ahagije kugira ngo ushobore gutanga umuyoboro iyo usabye. Ikintu kimwe cyiza cyo kwirinda ni kafeine mu isaha mbere, kuko ishobora kwongera igipimo cy'umuvuduko w'amaraso utari ufite.

Umuganga wanjye usanzwe ashobora gukora DOT medical exam yanjye?

Rimwe na rimwe. Ni niba uwo muganga wihariye ari ku rutonde rwa FMCSA rwa Abaganga bashingiye ku rutonde. Icyemezo ni cy'umuntu ku giti cye, ntabwo ari icy'ikigo, bityo ikigo kinini gishobora kugira umuganga umwe wujuje ibisabwa n'abandi batandatu badashobora kuguha icyemezo. Shaka umuganga wawe ku izina rye mu rutonde mbere yo kwiyandikisha.

Umuyonone w'umuyoboro ugerageza ibiyobyabwenge?

Oya. Icyapa gishakisha ibiruhuko, amaraso, na sukari nk'ibimenyetso by'indwara z'impyiko n'imitsi. Ikizamini cya leta cy'ibiyobyabwenge ni umwanya ucuritse, umukusanyirizo w'ubuyobozi wasabye n'umukoresha wawe, akenshi ukorwa mu gihe kimwe mu kigo kimwe. Ibyo bihuriro ni nabyo bituma ibi bibiri bihuranya kandi impapuro zishobora kureba inshuro ebyiri kuruta izindi.

Nshobora kwemerwa niba mfite gusinzira kwa apnea?

Yego, kenshi na kenshi, niba bivuwe kandi ushobora kubihamya. Apnea ntabwo ari kimwe mu bibazo byerekanwa byihutirwa mu mategeko; ibigabanya amakarita ni apnea idavuwe hamwe n'ibyishimo mu masaha yamanywa, umuganga akaba yibaza ko ari impamvu yo kugongana. Zana amahitamo y'iminsi 90 muri CPAP machine yawe aho kuvuga ko uyikoresha.

Nshobora gufata imiti y'umuvuduko w'amaraso mu gitondo cy'ikizamini?

Yego. Fata nk'uko byagenwe. Kwirengagiza igipimo kugira ngo ubone ko utafashe imiti ni ibinyuranyo, kuko abasuzumwa biteze igitutu kivuwe kandi bakunda igipimo, aho kugira ngo bifuze kwandika. Zana ibikoresho cyangwa urutonde rw'inyandiko hamwe n'impinduka. Niba igipimo cyawe gikomeye ku buvuzi, witega ko umuganga ashaka inama kwa muganga wawe.

CDL yanjye irihagije umunsi ikarita y'ubuzima bwanjye irangirira?

Oya, ariko ntabwo ari uko bisanzwe. Iyo icyemezo kirangiye, nturi mwiza mu buryo bw'ubuzima bwo gutwara imodoka y'ubucuruzi mu bucuruzi bw'amahanga, kandi leta yawe izahindura CDL yawe mu miterere idafite uburenganzira, idashinze. Impinduka zitandukanye ku ntara, bityo wongere kwemeza mbere y'igihe cyo kurangirira aho kugira ngo wirangirire.

Ibyo wanditse ku DOT physical yawe

Genzura indwara kandi uzahabwa ikarita ndende. Iyo nshuro 24 y'imyaka myinshi itanga inyandiko, aho kugira ngo ugire amahirwe ku munsi w'ikizamini. Zana imbago zawe, ingufi zo kwitonda, urutonde rw'imiti, n'inyandiko zidasanzwe. Ibibazo byinshi bifatwa mugihe gito kandi bikongera kwemeza, bityo igipimo cy'ikibazo ni ukwihererana aho kugira ngo ukinzwe. Kandi wemeze ko umuganga wawe ari ku rutonde rwa FMCSA mbere yo kwishura.

Inyandiko: Iki gitabo ni igikorwa cy'amakuru gusa kandi ntikwemerera ubujyanama bw'ubuzima. Ihagaze uhagane n'umuganga ufite ubuzima bwiza kubijyanye n'ibyo witeze n'ibyemezo byo kuvura. Niba ufite ikibazo gikomeye cy'ubuzima, hamagaza 911 cyangwa jya ku gikoni cy'ibibazo bikomeye ubu.