Amathiphu Ekutholeni Ochwepheshe Abafanelekile Abaqeqeshwe Ngezifo Zesibindi
I-hepatologist ingumchwepheshe ohlola futhi uphatha ukuphazamiseka kwesibindi, ama-pancreas, i-gallbladder, nesihlahla se-biliary. Lokhu kubhekwa njenge-sub-specialty ye- gastroenterology , efunda izinhlelo zokugaya ukudla ngokuphelele.
I-hepatitis ingenye yezizathu eziyinhloko zokufuna iseluleko esikhethekile ku-hepatologist eqinisekisiwe, nakuba iziguli zivame ukubhekiswe kwezinye izimbangela, kuhlanganise:
- Pancreatitis
- Amanqamu wegazi
- I-cirrhosis enotshwala
- Ukudlulela kwezidakamizwa lapho isibindi sithintekile (isb., Ukudlula ngokwe-paracetamol)
Ngenkathi kungekho isitifiketi sebhodi esahlukileyo se-hepatologist, ukubambisana kweminyaka emibili kuphelile ngokugxila kwezifo zesibindi. Nakuba izinhlanzi eziningi ze-hepatologists ziyi-gastroenterologists eqinisekisiwe ebhodini, abanye bangama odokotela abaye bagcwalisa ngempumelelo igastroenterology ne-hepatology ubudlelwane.
Labo abaqinisekisiwe njenge-gastroenterologists bathola ukuqashelwa okukhethekile ngendlela ye-suffix FACG (Ukubambisana kwe-American College of Gastroenterology) ngokulandela amagama abo.
Ukukhetha i-Hepatologist noma i-Gastroenterologist
Uma unesifo esifana ne- hepatitis C , akusikho isizathu sokuthi kungani i-hepatologist ingaba yindlela engcono kunawe kune-gastroenterologist. Ngenkathi isifo se-hepatologist singase sibe nokufinyelela okukhulu kokukhethwa kwesikhashana (okufaka imithi yokwelapha), isifo se-gastroenterologist esazibonela futhi esisebenza ku-hepatitis C cishe siyokwazi ukukuphatha kahle.
Uma ukuhanjiswa kutholakele, ukhetho kufanele lusekelwe ekutheni usebenze ngokubambisana nanoma yikuphi udokotela owukhethayo. Lokhu kuhlanganisa ukushintshaniswa okuphelele nokwethembeka kolwazi phakathi kwakho nodokotela, kanye nekhono lokusebenzisana nodokotela wakho njengobambiswano ekunakekeleni kwakho.
Kanti futhi kuyinto engavamile ukufuna izeluleko ezivela kwabanye ochwepheshe, ikakhulukazi uma unesifo esine-hepatitis C ne-HIV .
Ngenxa yokuthi kunezinga eliphakeme kangaka lokutheleleka ngokuhlanganyela-eliphakeme kakhulu elingama-20% noma ngaphezulu kwamanye amazwe-ochwepheshe abaningi be-HIV namuhla baqeqeshwe kahle ekwelashweni kwe-hepatitis C. Kwezinye izimo, zingase zikwazi ngisho nokwengamela ukwelashwa kwezifo zombili (nakuba kungenzeka ukuthi zingabhekana nezinkinga zesibindi se-forhosis ne-hepatocellular carcinoma).
Ngokuphambene nalokho, izifo ze-hepatologist kanye ne-gastroenterologists ngokuvamile abanalo i-acumen yezobuchwepheshe ukuphatha noma ukuphatha i-HIV.
Uma uhlangana nomuntu onguchwepheshe, kukhona imibuzo eningi okufanele ucele ukuba iqiniseke kangcono amakhono nezimfanelo zalowo dokotela. Phakathi kwazo:
- Yiziphi izitifiketi zakho zebhodi eziqondile?
- Ungakanani umkhuba wesi-hepatitis C onayo?
- Ngikude kangakanani kusengaphambili ukuthi ngidinga ukuqoka?
- Kuthatha isikhathi esingakanani ukubuyisela amakholi wefoni?
- Yimiphi imigomo yakho mayelana nokubonisana kwefoni noma ukuvuselelwa kwemithi?
- Ingabe umkhuba wakho udinga ukukhokhelwa phezulu, noma ingabe uzokwamukela ukukhokha kwakho ukubambezeleka kusuka kwinkampani yami yomshuwalense?
- Uyamukela i-Medicaid?
Ungaphinde ufinyelele imithombo yokunakekelwa kwempilo e-inthanethi ukuze ikunikeze ulwazi lomlando mayelana nodokotela, kanye nedatha yezibuyekezo zesiguli nesiguli. Lokhu kufaka:
- I-CertificationMatters.org eyenziwe yi-American Board of Medical Specialties, evumela abasebenzisi ukuthi baqinisekise isitifiketi sebhodi labangaphezu kuka-800,000 odokotela eMelika.
- I-Healthgrades.com, i-database yokuqala yesilinganiso sokudokotela, esenza abasebenzisi bafune odokotela ngendawo / okukhethekile; buka izimpawu zabo, izigwebo, kanye nezikhwama zokungahambi kahle; futhi ubuyekeze odokotela kokubili ikhwalithi nokwaneliseka.
Umthombo:
I-American College of Gastroenterology. "Uhambo Oluhle: Ukuqeqesha I-Gastroenterologists Yesikhathi Esizayo" I-Curriculum Core Curriculum (I-Edition Yesibili). Bethesda, Maryland.