I-cardiology yi-subspecialty yemithi yangaphakathi. Ngakho-ke, udokotela ohlela ukwenza isifo sezinhliziyo kuqala uhamba ngokusebenzisa uhlelo lwangaphakathi lokuhlala emithi bese ehambela izinhlangano ukuze athole ukuqeqeshwa okukhethekile nokusebenza ngendlela efana neyomzimba oyifunayo.
I-cardiologists inikeza ukunakekelwa kwempilo ukuvimbela, ukuxilonga nokuphatha izifo kanye nemibandela yenhliziyo nesistimu yemisindvo yenhliziyo, kuhlanganise nemithambo yegazi.
Ngenxa yokuthi insimu yezinhliziyo ihlanganisa izinhlobo eziningi zezifo nezinqubo, kunezinhlobo eziningi ezihlukahlukene zezinhliziyo ezinokuthi umuntu angazikhethela ngokuya ngezintshisekelo zakhe namasethi wamakhono, nohlobo lomsebenzi abangathanda ukukwenza. I-cardiologist akuyona udokotela ohlinzayo. Odokotela abavula ukuhlinzwa kwenhliziyo abahlinzayo abahlinzeki be-cardio-thoracic, futhi baqedela uhlelo lokuhlala lokuhlinzeka, hhayi ukuhlala kwamakhemikhali wangaphakathi njengoba izazi ze-cardiologists zenza.
Ukuqeqesha kanye nemfundo
Okunye futhi, izazi ze-cardiologists ziqala ngokuqeqesha njengabaqeqeshi bezemfundo, kuhlanganise neminyaka engama-4 esikoleni sezokwelapha, kanye neminyaka emithathu yokuqeqeshwa kokuhlala. Ngemuva kokuqedela ukuhlala komuthi wangaphakathi, isazi sezinzwa sezinzwa singangena ezinhlobonhlobo eziningi zezinhlobo zezinhliziyo. Ukubambisana kwezinto eziphilayo kuneminyaka engama-2-3 kuye ngokuthi uhlobo lwenhlanganyelo.
I-cardiologist engavumelekile
I-cardiologist engeyona engavumayo ngokuyinhloko iqhuba umkhuba osekelwe ehhovisi, ukubona iziguli ukuvimbela nokuphatha izinkinga zenhliziyo ezingenzeka.
I-cardiologist ye-non-invasive engabonakali ibona iziguli ezingaba ngu-25-30 ngosuku ngosuku ehhovisi. Izinhliziyo ze-cardiologists ezingenasidingo azenzi izinqubo; ikakhulukazi benza izivivinyo zokuxilonga ukuthola izinkinga zenhliziyo. Uma inkinga ilashwa ngokudla noma imithi, udokotela uzohlinzeka ngezidakamizwa ezifanele noma izidakamizwa zokudla.
Kodwa-ke, uma inkinga yenhliziyo idinga noma yiluphi uhlobo lwenqubo yokuhlinzwa, isifo se-cardiologist esingenabungozi sizobe sesithumela isiguli kunomunye udokotela.
Izifo ze-cardiologists ezingenasidingo zenza izivivinyo ezifana ne- ECHO , ukuhlolwa kokucindezeleka, ne-EKG's ( electrocardiograms ). Enye yentuthuko yakamuva yezinhliziyo ezingekho emangcwabeni, okuye kwaba yintuthuko ezuzisayo kubo, iyisifo senhliziyo yenuzi. I-cardiology ye-nyukliya ihilela ikhamera ye-tech ekhethekile ekhethekile esetshenziselwa ukuthatha izithombe zenhliziyo ngemva kokuba isiguli sigwetshwe ngombala omsakazo. Lezi zithombe zenuzi zisebenza kangcono kunezinye izivivinyo zokuthola inqwaba yezinkinga zenhliziyo.
Ukuvuselelwa Kwezinhliziyo Ze-Cardiologists Ezingavamile: Cishe u-$ 400,000 ngonyaka, ngokusho kwe-MGMA.
I-Cardiologists engavamile
I-cardiologists engabonakali yenza zonke izinto ezingezona ezihlaselayo ze-cardiologists ezingakwenza, kanye nokunye okuningi. I-cardiologists evamile iqeqeshwa ngenqubo yokuxilonga okuthiwa i-catheterization ye-cardia, esetshenziselwa ukuthola ukuvinjelwa kwezidakamizwa. Ngakho-ke, isikhathi se-cardiologist esingeyona engavamile sihlukaniswa phakathi kokuvakashelwa kwehhovisi kanye nesikhathi "ematheni wokuziphatha" okwenza lezi catheterizations. Uma ukuvinjelwa kutholakala, futhi inqubo eyengeziwe iyadingeka, umuntu ongenayo-interventional cardiologist angeke angenele ukuze alungise inkinga.
Ngakho-ke, i-cardiologist engeyona engenelela ingayithumela isiguli kumuntu we-cardiologist ongenelela we-angioplasty noma noma iyiphi inqubo edingekayo.
Ukuvuselelwa kwe-Cardiologists engavamile, engeyona yokungenelela: I-cardiologist engavamile, engenazo izinsiza ezitholakele ihola cishe ngama-dollar 454,000, ngokusho kwe-MGMA.
I-Cardiologists yangaphakathi
Lolu hlobo lwe-cardiology ludinga ukuqeqesha okuhlanganyelwe okungeziwe, kweminyaka engu-1-2 ngaphezu kweminyaka engu-3 yokusebenzelana kwezinhliziyo. I-cardiologist engenelela iyakwazi ukwenza izinqubo eziphambili kakhulu kune-cardiologist engavamile futhi engeyona engavamile.
I-cardiologists engenazo zizochitha isikhathi esiningi esibhedlela esenza izinqubo ezifana ne-balloon angioplasty ukuvula imishanguzo evinjiwe, noma ukubeka ama-stents amancane emithambo ye-artery.
Abaningi bezinzwa ze-cardiologists nabo bachitha isikhathi esithile ngesonto ehhovisi, belandela iziguli emva kwezinqubo, noma baxoxisana nabo ngaphambi kwenqubo. I-cardiologists yangaphakathi ngokuvamile igcwalisa amakhulu ezinqubo zonyaka, kufaka phakathi ama-catheterizations angu-300 kanye nama- angioplasties angama-100.
Inxephezelo yeCardiologist yangaphakathi: Amaphesenti angama $ 545,000 ngonyaka, ngokusho kwe-MGMA.
I-Electrophysiologists (EP)
Kodwa enye inketho yezinhliziyo ze-cardiologists iwukuqedela ukuhlanganiswa okungaphezulu kokungu-2 kuya kweyesibili ku-electrophysiology, okuwukutadisha kwemizwa ye-bio-electric yenhliziyo elawula ijubane lenhliziyo. Lapho izimpembelelo zikagesi zingasebenzi ngendlela efanele, lokhu kungabangela inhliziyo yokuhleleka okungaba yingozi uma ishiywe ingalashwa. Kungekudala, ikhambi elilodwa lokulungisa izinhliziyo ezingavamile kwakuwukufaka i-pacemaker. Manje, nakuba lokho kuyingxenye yalokho okwenziwa yi-EP, kunezinye izindlela ezihlukahlukene zokuhlinzwa ezifana ne-ablation okuyinto ekhubaza ngempela ingxenye yenhliziyo engasebenzi kahle, kanye nokwelapha izidakamizwa ukuphatha ama-arrhythmias anamandla.
Isinxephezelo se-Electrophysiologists: Ama-EP ahola cishe ngama-$ 480,000 ngonyaka, ngokusho kwe-MGMA.
Uma Ucabanga Ngomsebenzi Wokusebenza Kwezinhliziyo
Ngoba kuthatha iminyaka eminingi yokuqeqesha ukuba abe yi-cardiologist, futhi ngoba insimu ixhomeke kakhulu kwezobuchwepheshe kanye nentuthuko yezokwelapha, umuntu kufanele aqaphele ukuthambekela kwezinto ezizayo ze-cardiology. Ngeke ufune ukuthi uhambe no "okushisayo manje", kodwa wenze ucwaningo ngalokho okungahle kudingeke eminyakeni eyishumi kusukela manje.
Isibonelo esisodwa ukuhlinzwa komzimba. Eminyakeni eyishumi nambili noma engamashumi amabili eyedlule, ukuhlinzeka ngokweqile kwakubhekene nokuphakama ekuthandweni njengenye yezindlela zokuphela kokuvimbela ukuvinjelwa. Ngakho-ke, odokotela abaningi abafake amathrekhi okuhlinza banquma ukuphishekela ukuhlinzwa kwe-cardiothoracic. Kodwa-ke, manje ukuthi ezinye izinqubo eziningi zitholakalayo ukuvimbela ukuhlinzwa kwe-cardiac bypass njengama-stents namabhaluni afakwe yizinyanga ezingekho odokotela abahlinzayo, manje kukhona abahlinzayo abaningi benhliziyo abalwa nemisebenzi engcono kakhulu. Nakuba kusekhona imisebenzi ngaphandle kwalabo ohlinzayo, inhliziyo engcono kakhulu iyincintiswano, kanti izazi ze-cardiologists zikwazi ukukhetha imisebenzi yazo ngoba zinikezwa futhi zifuna izidakamizwa ze-cardiologists.