Malangizo Opeza Akatswiri Oyenerera Ophunzitsidwa Chilombo cha Chiwindi
A hepatologist ndi katswiri yemwe amadziŵa komanso amachitira matenda a chiwindi, mapasitiki, ndulu, ndi biliary. Zimatengedwa kuti ndizopadera kwambiri za gastroenterology , zomwe zimaphunzira njira za m'mimba.
Chiwindi cha chiwindi ndi chimodzi mwa zifukwa zazikulu zopempha uphungu wa katswiri wa hepatologist, ngakhale kuti odwala amatchulidwa kawirikawiri pa zifukwa zina, kuphatikizapo:
- Pancreatitis
- Khansa ya chiwindi
- Kachilombo koledzera
- Kuwonjezera pa mankhwala omwe chiwindi chimakhudzidwa (mwachitsanzo, kupitirira kwa paracetamol)
Ngakhale kuti palibe kachilombo ka HIV kogwiritsira ntchito hepatologist, chiyanjano cha zaka ziwiri chimatsirizika ndi kuganizira za matenda a chiwindi. Ngakhale ambiri a hepatologists ali pabungwe lovomerezeka ndi gastroenterologists, ena ndi madokotala omwe atha kukwaniritsa gastroenterology ndi hepatology mabwenzi.
Amene ali ovomerezeka ngati gastroenterologists amalandira ulemu wapadera mwa njira yokwanira FACG (Kuyanjana kwa American College of Gastroenterology) motsatira mayina awo.
Kusankha Hepatologist kapena Gastroenterologist
Ngati muli ndi matenda monga chiwindi cha C , palibe chifukwa chenicheni chomwe chiwopsezo cha hepatologist chingakhale bwino kwa inu kusiyana ndi gastroenterologist. Ngakhale katswiri wamagetsi angakhale ndi mwayi wambiri wosankha mankhwala (kuphatikizapo chithandizo chamayesero), gastroenterologist amene anadwala matenda a hepatitis C akhoza kukuchitirani chimodzimodzi.
Mukangotumizidwa, chisankho chiyenera kukhazikitsidwa chifukwa cha luso lanu lochita ntchito mogwirizana ndi dokotala amene mumasankha. Izi zimaphatikizapo kusinthanitsa kwathunthu komanso moona mtima pakati pa inu ndi dokotala, komanso kuti mutha kugwira ntchito limodzi ndi dokotala wanu monga mgwirizano.
Ndizodziwikiranso kupeza uphungu kwa akatswiri ena, makamaka ngati muli ndi kachilombo ka HIV ndi HIV .
Chifukwa chakuti anthu ambiri ali ndi kachilombo koyambitsa matendawa, omwe amakhala ochuluka kuposa 20% kapena kuposa ena m'mayiko ena, akatswiri ambiri a kachilombo ka HIV masiku ano amaphunzitsidwa bwino pa matenda a chiwindi a chiwindi. Nthawi zina, amatha kuyang'anira chithandizo cha matenda onsewa (ngakhale kuti sangathe kuthana ndi mavuto a chiwindi cha chiwindi ndi hepatocellular carcinoma).
Mosiyana ndi zimenezi, a hepatologists ndi gastroenterologists alibe katswiri wa acumen kuti athetse kapena kusamalira HIV.
Mukakumana ndi katswiri wodziwa zambiri, pali mafunso ambiri omwe muyenera kufunsa kuti muwone bwino luso ndi makhalidwe a dokotalayo. Mwa iwo:
- Kodi matchulidwe anu enieni a bolodi ndi ati?
- Kodi mumakhala ndi chizoloŵezi chotani cha chizolowezi cha hepatitis C?
- Kodi ndisanapite nthawi yaitali bwanji ndikuyenera kuika?
- Kodi mumatenga nthawi yaitali bwanji kubwezera foni?
- Kodi ndondomeko zanu ndi zotani pazowunikira foni kapena pazomwe mukulembedwera?
- Kodi chizoloŵezi chanu chimafuna kuti mutha kulipiritsa patsogolo, kapena kodi mungavomereze kulandira kulipira kwa kampani yanga ya inshuwalansi?
- Kodi mumalola Medicaid?
Mukhozanso kupeza chithandizo cha intaneti pa intaneti kuti mudziwe zambiri zokhudza dokotala, komanso ndondomeko ya ndemanga ya odwala komanso akatswiri. Izi zikuphatikizapo:
- CertificationMatters.org yokonzedwa ndi American Board of Medical Specialties, yomwe imalola ogwiritsa ntchito kutsimikizira bungwe la madokotala oposa 800,000 ku US
- Healthgrades.com, nambala yoyamba yosungira dokotala, yomwe imathandiza ogwiritsa ntchito kufufuza madokotala ndi malo / apadera; onetsetsani zizindikiro zawo, zotsutsa, ndi suti zolakwika; ndi kubwereza madokotala ndi khalidwe komanso kukhutira.
Chitsime:
American College of Gastroenterology. "Ulendo Wapamwamba: Kuphunzitsa Tsogolo la Gastroenterologists" Gourroenterology Core Curriculum (Gulu lachitatu). Bethesda, Maryland.