Izimpawu Zokuzijabulisa Zidlala Iyingxenye Ekutholeni Udokotela Ofanele
Noma nini lapho kutholakala ukutheleleka kwesifo sofuba esingapheli, umuntu ubizwa ngokukhethekile kumuntu oyedwa noma ochwepheshe abaningi. Ukuqonda ukuthi lezi zincani zenzani-kanye nomsebenzi obalulekile udokotela wakho wokunakekela oyinhloko-angasiza ekuqinisekiseni ukuthi uthola ukunakekelwa okungcono okuhambisana nezidingo zakho.
Udokotela wakho Wokunakekela Okuyinhloko Njengengeniso Yakho Yokunakekelwa
Ngokuvamile kunalokho, udokotela oyinhloko uzobe engumuntu wokuqala ukuxilonga ukutheleleka kwesifo sofuba.
Ezimweni eziningi, udokotela uzoba nesipiliyoni esikhulu ekwelapheni nasekuphatheni lesi sifo, ikakhulukazi emiphakathini lapho i-hepatitis enegciwane egcwele khona. Ngezinye izikhathi, angase angazi kangako izifo zesibindi kodwa aqhubeke edlala indima ebalulekile ekuxhumaniseni ukunakekelwa phakathi kwabahlinzeki abaningi.
Indima eyinhloko yodokotela oyinhloko yokunakekelwa, kungakhathaliseki ukuthi kwenzeke kanjani, ukugqugquzela ukubandakanyeka ukuze ukunakekelwa kokubili kuqhubeke futhi kungaphazanyiswa. Bangakwazi ukwenza uphenyo oluyinhloko futhi basize isiguli (nomndeni) benze ukhetho olunolwazi ngokuqondene nokunakekelwa okufanele kakhulu.
Ngisho nangokwengeziwe, udokotela oyinhloko ongakusiza angasiza iziguli zibeke imigomo yokuthuthukisa impilo yazo yonke, kungakhathaliseki ukuthi kuncishiswa ukuphuza utshwala , ukubhekana nokusetshenziswa kabi kwezidakamizwa, ukubhekana nokukhathazeka kokunakekelwa kwezidakamizwa, noma ukuxhumanisa isiguli emisebenzini efanele yengqondo noma imisebenzi yomphakathi.
Ekugcineni, akukho sifo okufanele siphathwe ngaphandle.
Ngokwenza othile "axhumane amachashazi" phakathi kwabahlinzeki bakho abaningi, ukuqinisekisa ukuthi ukuxhumana kucacile futhi kuqondiswe kahle, cishe uyothola izinzuzo njengesiguli.
Yiziphi Izinhlobo Zobungqingili Bezinhliziyo Ezikhona?
Abantu abatholakala benesifo sengculaza esingapheli (futhi, kwezinye izimo, ukutheleleka okunzima ) bavame ukubizwa ngokuthi i-gastroenterologist noma i- hepatologist , bobabili abafanelekayo ukuphatha isifo sobindi.
Ngokuvamile kuvame ukudideka, noma kunjalo, ngokuqondene nokuthi ubani ongase "afaneleke kakhulu," ikakhulukazi uma kunezinkinga ezifana ne- cirrhosis .
Ngencazelo, i- gastroenterologist (isiqalo "gastēr" esitholakala kwisiGreki sasendulo sesisu) ngumuntu oqeqeshiwe oqedile ukuqeqeshwa okwezingcweti ezinkingeni zendlela yokugaya, kuhlanganise nesisu, amathumbu, isibindi, ama-pancreas, ne-gallbladder .
Ngokuphathelene nokuqeqeshwa, i-gastroenterologist kumele iqale ibhodi eqinisekisiwe emithi yangaphakathi, emva kwalokho kumele iqedele ubudlelwane obuphakathi kweminyaka emibili kuya kwezintathu ku-gastroenterology ukuze ivumeleke ukuthatha ukuhlolwa kwebhodi. Ubuchwepheshe bungahlukana kakhulu kumuntu nomuntu, kanti ezinye izazi zikwazi ukutholakala okukhulu kwezifo zesibindi kunezinye.
Ngokuphambene nalokho, i- hepatologist ("hēpar" etholakala kwisiGreki sasendulo sesibindi) isazi sezokwelapha esithinta ngokuqondile ukuphazamiseka kwesibindi. I-hepatology ibhekwa njenge-special-specialty ye-gastroenterology njengoba igxila kuphela esibindi kanye nezitho zayo ezihlobene, njenge-pancreas ne-gallbladder.
Ngokungafani nokuqeqeshwa kwe-gastroenterology, ayikho isitifiketi esithile esithile sokuhlolwa esiqenjini se-hepatology. Kodwa-ke, kukhona ubudlelwane obunyaka obunye neminyaka emibili lapho ochwepheshe-ekuqeqeshweni azobe evezwe ngokubanzi ebanzi lobubanzi bezinkinga zesibindi.
Ukuqina okukhulu kokuqeqeshwa, eqinisweni, kungavamile ukulingana nokuhlangana komzimba we-gastroenterology.
I-Hepatologist vs. I-Gastroenterologist: Ingabe Enye Enhle Kunomunye?
Nakuba ukuqonda okuvamile kungase kudinge ukuthi udokotela oqeqeshwe ezinkingeni zesibindi kulungele kangcono ukuphatha izifo zesifo sofuba, akuzona njalo. Ngenkathi i-hepatologist ihlale iyazi kahle kokubili ukwelashwa kwamanje nokuhlolwa kwesifo sesibindi, asikho isizathu esiyisisekelo sokuthi kungani isifo sofuzo sifana kangcono nokuphatha isifo sofuba kunesifo se-gastroenterologist.
Eqinisweni, eziningi ze-gastroenterologists zinekhono eliphakeme ekwelapheni kwesifo sofuba, kungakhathaliseki ukuthi sinquma impilo ejwayelekile yesibindi noma sichaza indlela yokwelapha efanele kakhulu uhlobo lwakho olulodwa lwegciwane .
Uma kuthiwa, ukuhlangenwe nakho phakathi kwe-gastroenterologists kungahluka kakhulu. Ukukhetha okulungile kuncike kakhulu ekudlulisweni komthombo wezokwelapha othembekile-ngokuyinhloko udokotela wakho wokunakekelwa oyinhloko-kanye nengxoxo engagwegwesi futhi evulekile mayelana nobuchwepheshe bodokotela odokotela.
Uma kuqhathaniswa, i-hepatologist, ngencazelo yayo, ingumchwepheshe onamandla kakhulu ekwelapheni izifo zesibindi, nokufinyelela emzimbeni ogcwele wezinto eziphathelene nemithi yamanje neyathuthuka.
Amathiphu ekukhetheni ochwepheshe abafanele
Ukukhetha isazi esifanele ekugcineni kuyinkqubo, ngesinqumo esisekelwe ekuqinisekisweni kuphela kodwa nangokwazi kwakho ukusebenza ngokubambisana nokwethembeka. Qala ngokubuza imibuzo embalwa, eyisisekelo ukuhlola okuhlangenwe nakho kanye nokuziphatha okuhle komuntu odokotela odokotela:
- Ingabe ukuqeqesha kwakho kufaka ukuhlanganyela kobindi?
- Yimaphi amaphesenti omkhuba wakho ozinikezelwe izifo zesibindi?
- Zingaki iziguli zesibindi oziphathe?
- Uhlala kanjani uhlaziywa mayelana nokwelashwa kwesibindi kanye / noma ukuhlolwa?
Ukubuza le mibuzo eningi akuyona nje umthwalo wakho wemfanelo, kulungile. Uma uzizwa unqotshwa udokotela, kungase kudingeke uzibuze ukuthi ukuphikisana okufanayo kuzokwenza yini ukuthi ungakwazi ukugwema ikhono lakho lokwenza ukwahlulela okunolwazi mayelana nokwelapha nokunakekelwa kwakho.
Amawebhusayithi wezokwelapha njengeMpilogrades angasiza ngokuhlinzeka ngolwazi olwengeziwe mayelana nezitifiketi zesigqirha, izindawo zokusebenza, nanoma yimaphi ama-sanction noma ukukhwabanisa okufanelwe kwifayili.
Ukwelapha isifo sofuba nesandulela ngculaza
Izimbangela ze-hepatitis zingaba eziningi futhi zivame ukudinga ukwelashwa kwesimo esiphansi noma esihambisanayo. Lokhu kuyiqiniso ikakhulukazi kubantu abanesifo sofuba nesandulela ngculaza .
Endabeni ye- hepatitis C , isibonelo, izinga lokutheleleka nge-HIV lingangena ngamaphesenti angama-30 kwezinye izimbangi futhi liphakeme ngamaphesenti angu-92 phakathi kwabasebenzisi bezidakamizwa abajova (IDUs ).
Uma kwenzeka i-HIV / i-hepatitis co-infection, ingcweti yesifo esithathelwanayo kufanele ihlolwe ukuqinisekisa ukuthi lowo muntu ubekwe ukwelashwa ngezidambisigciwane nokuthi izidakamizwa ezibekiwe aziphikisiwe ukuze zisebenzise imishanguzo ye-hepatitis. Ochwepheshe bangakwazi futhi ukuqapha ama-enzyme yesibindi ukuqinisekisa ukuthi izidambisigciwane azibangeli noma yimiphi imiphumela emibi engaphazamisa ukusebenza kwesibindi .
Nakuba ezinye izazi zesibindi zingase zibe nolwazi ekwelapheni nasekuphathweni kwe-HIV, abaningi abakwenzi. Ukuba nesazi sezokwelapha esithathelwanayo ebhodini angeke nje kusize ukugwema imiphumela emibi ehlobene nokwelapha kodwa uqinisekise ukuthi umthamo wegciwane lesandulela ngculaza ulawulwa ngokuphelele ngenkathi ulwa nesifo sofuba.
Imithombo:
I-American College of Gastroenterology. "Uhambo Oluhle Lokuqeqesha Ukuqeqesha I-Gastroenterologists Yesikhathi Esizayo." I-Curriculum Core Curriculum (I-Edition Yesibili); I-Bethesda, e-Maryland; May 2007.
I-American Association ye-Study of Liver Illness (AASLD). "Umhlangano Wonyaka Wengu-65 we-American Association for the Study of Liver Diseases: Umhlangano Wesibindi 2014." I-Hepatology. Okthoba 14, 2014; 60 (S1): 225A-258A.
I-American College of Gastroenterology. " Ungubani uGastroenterologist? " Bethesda, Maryland; NgoJanuwari 20, 2014.