I-Neurology Sub-Specialty ye-Epileptology iqhubeka ikhula
Insimu ye-epileptology iyanda kakhulu, okwandisa isidingo sezinzwa zezinzwa ezisebenza ngokukhethekile ekuxilongweni nasekuphatheni isisu. Izinhlelo zokuqeqesha izinhlangano zenziwa futhi izithuthwane ze-epileptologists ziyadingeka kunanini ngaphambili.
Ngokwe-Epilepsy Foundation, ukuwa nesifo yisifo sesine esiyinkimbinkimbi yesifo senhliziyo, futhi sithinta abantu bazo zonke ubudala.
Ukufa kwesifo kuyisifo sokuqhwala, okubonakala ngokuphindaphindiwe, ukuqubuka okungalindelekile okubangela izinkinga ezihlukahlukene zezempilo. Ukwengeza, ukuqubuka kwesifo kuyisifo se-spectrum, okusho ukuthi kunezinhlobonhlobo ezihlukahlukene futhi ezihlukahlukene zezigulane neziguli phakathi kweziguli, okungeze kube yinkimbinkimbi yokuxilongwa nokuphathwa.
Njengoba umkhuba wokuhlukumeza isifo se-neurological kuyinto encane kakhulu, njengoba usanda kuhlanganiswa ebhodini lezokwelapha ngo-2013, akuyona emlandweni omkhulu womsebenzi noma isiqondiso somsebenzi walabo odokotela abanesithakazelo sokungena kulo mkhakha wezokwelapha okhulayo.
Njengamanye imisebenzi amaningi odokotela , kunezilungiselelo ezihlukahlukene zokusebenza lapho umuntu angasebenza khona, ngisho nasezindaweni ze-niche njenge-epileptology. Izifo ze-Epileptologists, njengezo zonke izazi zezinzwa, zingasetshenziswa uhlelo olukhulu, zizenzele zona njengengxenye yomkhuba weqembu noma ubambiswano, noma zize zisebenze kuphela njengodokotela ozimele.
Nakuba umkhuba we-solo uye wehla ekuthandeni eminyakeni yamuva, odokotela abathile bakuthola ukuthi kuwuzuzisa kakhulu, uma nje bencishisa ngaphezulu kwabo, futhi basebenza ngemifudlana eminingi engenayo.
Isibonelo esisodwa esihle sokuphumelela, ngokuzimela esikwenza isifo sofuba is Dr. Puja Naik. Ungumhlengikazi osebenza ngokweqile kanye ne-solo practitioner for Neurology and Epilepsy Specialists, LLC.
Ukwengeza, uDkt. Naik ungumlingani we-First Choice Neurology LLP, futhi uyilungu leKomiti Yokusebenza Ye-Epilepsy ye-Operational System System eMabami, FL.
UDkt. Naik uye waziphatha njengomuntu wesifo sofuba cishe iminyaka emibili nesigamu, ngemuva kokuqedela ukuhlanganyela kwakhe ngo-2015 futhi waba ibhodi eqinisekisiwe ngo-2016.
Wadonsela emkhakheni wezinzwa zegazi ngesikhathi esesikoleni sezokwelapha , futhi isithakazelo sakhe kamuva sagxila ekuthwaleni izifo zesifo sofuba, ngenxa yethonya elibalulekile alenzayo neziguli. "Umkhuba omkhulu wezinqubo ze-neurology uhilela ukulawula izifo ezingapheli, eziqhubekayo nezikhubazayo. Ngokuvamile, [njengezinzwa zezinzwa] sitshela iziguli ukuthi zixilongwa noma zibikezela, kodwa kungenzeka ukuthi asinaso ukwelashwa kwezifo. kusho ukwelashwa okukhulu, kuhlanganise nemithi kanye nezinqubo zokuhlinza, ukuphulukisa iziguli. Kujabulisa kakhulu ukubona isiguli [esangena] nesimo esilimaza [esisodwa] esiyingozi esiyingozi. "
Usuku Ekuphileni Kwesifo Sezifo
Njenganoma yimuphi umsebenzi wezokwelashwa, akukho "usuku olujwayelekile" lomsebenzi. Nsuku zonke uletha isimiso esisha, esigcwele seziguli ezahlukene, ngasinye sinenkinga entsha, nezinkinga ezintsha zokuxazulula. Njengoba udokotela ozimele osebenza ngemikhakha eminingi nezinkampani ezahlukene, isimiso sikaDkt. Naik sihluka kakhulu usuku nosuku.
Futhi uyanezela ukuthi isimiso sakhe cishe sihluke kakhulu kunokwedokotela oqashwe isikhathi esigcwele esibhedlela noma ohlelweni olulodwa. Udokotela oqashiwe cishe uzobe ehleliwe, ejwayelekile, ehleliwe amahora, futhi kufanele afanele iziguli eziningi ngosuku ngalunye.
Iningi lama-neurologists linemishanguzo ehlanganisa ukusebenza esimweni sokugulisa iziguli kanye nesilungiselelo sokugula.
"Ngivame ukufunda i- electroencephalograms (EEGs), futhi ngibone iziguli ezinhlanu kuya kwezi-10 ngosuku. Uma isiguli sinengozi yokufa kwesisu ngokusekelwe emlandweni wabo, ngokomzimba, imidwebo kanye nesimo sangemuva, futhi sinezinkinga ezimbili noma ngaphezulu, ngangivame ukuziqala emithi, efundisa mayelana nemiphumela emibi, nokuqapha ngokuphathelene nemingcele yokuphila, umsebenzi nokukwazi ukushayela, "kusho uDkt. Naik.
"Imithi ingaphathwa ngendlela yokugulisa iziguli. Esikhathini sokubeka iziguli sizobe siqaphele umsebenzi wegazi wesiguli, nemiphumela emibi yemithi, futhi sinqume ukuthi ngabe udinga ukuqapha isikhathi eside ukuthatha futhi ukuveza imicimbi esenzweni sokuqapha ekhaya noma ekuqaphelweni kwe-epilepsy iyunithi. Izilungiselelo zaseyunivesithi uzoya enkomfeni yokuhlinza ukuze usebenze neqembu labachwepheshe be-EEG, izazi ze-neuropsychologists, kanye nama-neurosurgeons ukuze bathole lesi sifo esigulini esisekelwe esimweni semvelo yomcimbi, kanti i-EEG iveza ukuthi ngabe isiguli ungumfundi ohlinzayo, futhi yiluphi olunye uhlobo lokuhlolwa okunjengokuqapha noma ukucabanga okudingekayo. "
Enye yezinselelo ezinkulu kunazo zonke uDkt. Naik kanye nezinye izifo zokuphefumula isifo sokutholwa. Uthi ngokuvamile abanye abahlinzeki bangase bangabhekiseli iziguli ku-epileptologist kuze kube yiminyaka eminzini yezempilo yesiguli. "Ukuthola isifo sofuba ekuqaleni kungasiza izifo zesifo sofuba ekusizeni iziguli ukuba zifinyelele ukuphila okungenayo ingozi. Uma usalinde isikhathi eside ukufeza lowo mgomo," esho.
Ukukhetha Umsebenzi njengomuntu we-Epileptologist - Ingabe Kuwe?
Naphezu kwezinselele, uDkt. Naik ubonakala enesithakazelo ngokusebenza kwakhe ngokuphatha iziguli zesithuthwane. "Ngiyathanda ikhono lokuxilonga iziguli ngokusekelwe emlandweni wabo, ukuqoqa ulwazi olubalulekile ekuhlolweni kwabo ngokomzimba, ekucabangeni, futhi, ngokuqinisekile, i-electroencephalogram nevidiyo, ukuphatha isiguli futhi ukwazi ukubona ukwelashwa empeleni kuvuza!" Uyanezela ukuthi i-neurology ejwayelekile yinkambu lapho odokotela abasha abazokwazi ukukufaka khona, noma bagweme ngokuphelele. UDkt. Naik wayenesithakazelo kwi-neurology kusukela ekuqaleni kwezifundo zakhe zokwelashwa. "Ngangicabanga ukuthi ukuqonda ubunzima besimiso sezinzwa, isisu, indlela isimiso sezinzwa esizenza ngayo ezinye izingxenye zomzimba kanye nokwazi ukuthola indawo ngesifo esisodwa ngesinye sezimo ezenza i-neurology ibe yinkimbinkimbi, iyathandeka futhi iyathandeka . "
Nakuba isifo sofuba singumkhakha okhulayo, okhulayo, ekubeni isifo sokuphulukisa isifo sofuba kungase kungabi yinto ephelele kubantu bonke. Noma yimuphi udokotela onentshisekelo emkhakheni we-epileptology kufanele abuthe ulwazi oluvela kubantu abanolwazi lwesifo sofuba, futhi acabangele isimiso, amahora, nendlela yokuphila, izidingo kanye nokuqeqeshwa okudingekayo, kanye namandla akhe kanye nobuthakathaka njengodokotela, ngokuphathelene nomsebenzi we-epileptology. UDkt. Naik uncoma ukuthi izakhamuzi "zijikeleze nomnyango wokuthumba ukuze zizwele ukufundwa kwe-electroencephalograms, zivumelanise nokungafani nokucabanga, futhi zihlale engqungqutheleni yokuhlinza ukuze ubone ukuthi le nsimu ikuphi ngempela. Inamathuba amaningi amnandi futhi iqhubeka njalo ihlanganisa ubuchwepheshe obusha obuningi. "
Esinye isici sezobuchwepheshe esifisa abahlukumezekayo akudingeki sikhathazeke mayelana nokufunwa kwezinsizakalo zabo. I-Epileptology iqhubeka ikhula njengoba isayensi yezokwelapha iguqukela, ngokusho kukaDkt. Naik. "Kukhona ucwaningo oluthile mayelana nokuphathwa okusha, futhi sekuye kwaba nezinsiza eziningi zokuhlinzeka ezihlukahlukene ezisungulwe eminyakeni emihlanu edlule." Wanezela ukuthi usuvele ebona izimpawu eziningi zokwenyuka kwesidingo sezifo eziphuthumayo. ngamathuba kulo lonke elase-US ukuthi lihileleke esikhungweni sokufa kwesithuthwane. Ikhono elikhethekile lekhono lokukhomba ukuhlukunyezwa kanye / noma ukungavamile kwe-electroencephalogram kuyingqayizivele emisebenzini ye-neurology, kanti labo abaqeqeshiwe kakhulu futhi abaqeqeshwe ukwenza kanjalo, yibo abaphethwe yi-epileptologists. Okwamanje azikho ezinye izinkambu ezikwazi ukuhlinzeka lokhu kuhlolwa, okuyingxenye ebaluleke kakhulu yokuxilongwa kwesithuthwane, okuthinta amaphesenti owodwa abantu, "kusho uDkt. Naik.
Lapho ebuzwa ukuthi yini enye abazokwazi ukuthola isifo sofuba bangase bafune ukwazi ngale nsimu, uDkt. Naik wanikeza ukuqonda okunengqondo. "Ngicabanga ukuthi kubaluleke kakhulu ukuqonda ukuthi isifo sofuba kanye neurology kuyinkinga enzima neziguli eziyinkimbinkimbi ezivame ukubhekana nokuhlukunyezwa okuningi okubandakanya ubudlelwane obuhambisana nezifo nezifo zengqondo. Ngakho-ke, kubalulekile ukuhambela iziguli ezivela emazingeni amaningi, uDkt. Naik uthi: "Ukusebenza njengesifo sofuba kudinga isikhathi, ukubekezela, ukuqonda kahle, ukuqonda kahle, ukulalela nokuziphatha ngokucophelela. Kuthatha nobuntu obukwazi ukusingatha ukuthi iningi lezifo zezinzwa zinkimbinkimbi, kungenzeka ukuthi alinaso ukwelashwa futhi ngokuvamile uzwela nozwela luba nendima ebalulekile empilweni yansuku zonke yezinzwa, "kusho uDkt. Naik.
Isilinganiso Semiholo noma Imali Yezinhlanzi Ze-Epileptologists
Njengoba izahlukumezi zakha ingxenye encane yabasebenzi basezidokotela, futhi njengoba insimu entsha, akukho ulwazi oluningi olutholakalayo mayelana nesinxephezelo esiphezulu sodokotela abasebenza ngokukhethekile epileptology. Futhi, ngenxa yezinhlobonhlobo zezakhiwo zomkhuba, kunezindlela eziningi ezihlukene zokuthi ama-epileptologists akhokhelwa, kuye ngokuthi hlobo luni lomkhuba osebenza kuwo.
Ngokusho kwe-Medical Group Management Association (MGMA), isinxephezelo sesilinganiso se-neurologist ngo-2016 kwakuyizigidi ezingama-305,989, okwenyuka ngamaphesenti angaba ngu-7 ngonyaka odlule. Lesi sibalo sihlanganisa wonke ama-neurologists, kepha ngokuvamile okukhethekile okudingekayo kuyakuyala kancane ngonyaka ngaphezu kwesazi sezinzwa "jikelele" noma esinye isazi-mkhakha esingabhekene nesidingo esikhulu emakethe yezempilo.
Kanti, imali engenayo ihluka ngokuhlelwa kokusebenza, isifundazwe, izwe, kanye nokukhokhela amaholo / izinga lokubuyisela endaweni.
Izimfuneko Zezemfundo Nokuqeqesha Epileptologists
Ukuba udokotela kunoma yikuphi okukhethekile kudinga iminyaka yesikole nokuqeqesha. Ngezansi ukuhlolisisa isikhathi-sesikhathi sokuba isifo se-epileptologist:
I-Undergraduate degree (Bachelor's) - iminyaka engu-4
Isiqu sezokwelapha (MD / DO) - iminyaka engu-4
I-Neurology Residency - iminyaka engu-4
I-Epileptology Fellowship - iminyaka emibili (omdala) noma unyaka ongu-1 (Izingane - nakuba iminyaka engu-2 ikhethwa.)
Isitifikedi seBhodi ku-epileptology siyatholakala nge-American Board of Psychiatry ne-Neurology.