Neurology Yophatikizika Kwambiri ya Epileptology ikupitiriza kukula
Munda wa matenda a khunyu ukukula kwambiri, zomwe zikuwonjezereka kufunikira kwa akatswiri a sayansi ya m'maganizo omwe amadziŵa bwino ndi kuchiza khunyu. Mapulogalamu othandizira anthu akuyanjano akuwonjezeredwa ndipo odwala matenda a khunyu ali osowa kuposa kale lonse.
Malinga ndi Epilepsy Foundation, matenda a khunyu ndi matenda achinayi omwe amachititsa kuti anthu azidwala matendawa, ndipo amakhudza anthu a misinkhu yonse.
Matenda a khunyu ndi matenda opatsirana, omwe amadziwika kuti amatha kugwiritsidwa ntchito mobwerezabwereza, omwe amachititsa mavuto ena osiyanasiyana. Kuwonjezera apo, matenda a khunyu ndi matenda a magulu, omwe amatanthauza kuti pali osiyana komanso osiyanasiyana odwala ndi odwala, zomwe zimapangitsa kuti matenda ndi zovuta kwambiri.
Popeza chizoloŵezi cha matenda a khunyu monga chidziwitso cha neurology ndi munda watsopano, wongowonjezeredwa ku dipatimenti yachipatala ya chizindikiritso mu 2013, palibe mbiri yambiri ya ntchito kapena chitsogozo cha ntchito kwa madokotala amene ali okondwa kuti aloŵe kumunda wamankhwala wothamanga.
Mofanana ndi ntchito zina zambiri zachipatala , pali mitundu yosiyanasiyana ya machitidwe omwe munthu angagwire ntchito, ngakhale m'munda wachitsulo monga epileptology. Odwala matenda a khunyu, monga onse odwala matenda a ubongo, angagwiritsidwe ntchito ndi dongosolo lalikulu, azidziyesa okha monga gawo la kagulu kachitidwe kapena mgwirizano, kapena ngakhale kugwira ntchito ngati dokotala wodziimira yekha.
Ngakhale kuti chizoloŵezi chaumoyo chakhala chikucheperachepera m'zaka zaposachedwapa, madokotala ena amapeza kuti ndi yopindulitsa kwambiri, malinga ngati akuchepetsera pamutu wawo, ndipo amagwira ntchito ndi mizere yambiri ya ndalama.
Chitsanzo chimodzi chabwino cha kupambana, wodziwa yekha khunyu ndi Dr. Puja Naik. Iye ndi katswiri wodziŵa ntchito zamagulu ndi katswiri wa zaumoyo wa Neurology and Epilepsy Specialists, LLC.
Kuwonjezera apo, Dr. Naik ndi amene amagwira ntchito ku Choice Neurology LLP, ndipo ali membala wa Epilepsy Operational Committee ya Baptist Baptist System ku Miami, FL.
Dr. Naik wakhala ngati khunyu kwa zaka pafupifupi ziwiri ndi theka, atamaliza chiyanjano chake mu 2015 ndikukhala bungwe lovomerezeka mu 2016.
Anakopeka kumalo a matenda a ubongo pamene anali ku sukulu ya zachipatala , ndipo chidwi chake pambuyo pake chinayang'ana pa matenda a khunyu, chifukwa cha zotsatira zenizeni zomwe angapange ndi odwala. "Mankhwala ambiri amachititsa kuti munthu azidwala matenda osapitirira nthawi, omwe amapita patsogolo, omwe amachititsa kuti matendawa asokonezeke. Nthawi zambiri, [monga asayansi] timauza odwala kuti amadziwa kuti ali ndi matenda kapena matenda, koma sitingathe kuchiza matenda awo. Dr. Naik akufotokoza kuti: "Ndimapindula kwambiri kuona wodwalayo [yemwe akubwera] ndi vuto [lokhazika mtima pansi] kukhala wosasamala," akutero Dr. Naik.
Tsiku M'moyo wa Khunyu
Monga ndi ntchito iliyonse yamankhwala, palibe "tsiku" la ntchito. Tsiku lililonse amabweretsa odwala osiyana, omwe ali ndi mavuto atsopano, komanso mavuto atsopano. Monga dokotala wodziimira yemwe amagwira ntchito ndi machitidwe osiyanasiyana ndi makampani, Dr. Naik nthawi yake imasiyanasiyana tsiku ndi tsiku.
Komanso, akuwonjezera kuti nthawi yake ndi yosiyana kwambiri ndi ya dokotala yemwe amagwiritsidwa ntchito nthawi zonse ndi chipatala kapena dongosolo limodzi. Dokotala wogwira ntchito angakhale ndi nthawi yambiri, yowonongeka, yowakhazikika, komanso amayenera kulumikiza odwala ambiri tsiku lililonse.
Ambiri mwa mapulogalamu a ubongo amakhala ndi ndondomeko yomwe imaphatikizapo kugwira ntchito mu malo osungirako odwala komanso odwala.
"Ndimawerenga electroencephalograms (EEGs) ndikuwona odwala asanu mpaka khumi patsiku. Ngati wodwala ali ndi chiwopsezo cha khunyu chifukwa cha mbiri yawo, thupi, malingaliro ndi mbiri, ndipo ndakhala ndikugonjetsa ziwiri kapena zambiri, nthawi zambiri ndimayamba pa mankhwala, kuphunzitsa zokhudzana ndi zotsatira zake, ndi kusamala zotsutsana ndi moyo, ntchito ndi luso loyendetsa galimoto, "akutero Dr. Naik.
Mmene mankhwalawa amatha kukhalira kunja kwa mthupi. Panthawi yomwe tikudwala matendawa, timatha kuyang'ana ntchito ya magazi, zotsatira za mankhwala, ndi kusankha ngati akufunikira kuyang'anitsitsa kwa nthawi yayitali kuti adziwe ndikuwonetsa zochitika pa malo oyendetsa abambo kapena kufooka kwa khunyu. Muyunivesite mumapita ku msonkhano wa opaleshoni kuti mugwirizane ndi gulu la akatswiri a EEG, odwala matenda a m'maganizo, ndi maopaleshoni kuti azindikire mliri wodwalayo pogwiritsa ntchito masewerawo, ndipo EEG ikhoza kudziwa ngati wodwala ndi wofunsira opaleshoni, ndipo ndiyeso yowonjezereka yowunika kapena kuyesera imagwiritsa ntchito. "
Imodzi mwa zovuta kwambiri kwa Dr. Naik ndi ena odwala matenda a khunyu ndi matenda oyambirira. Amati nthawi zambiri akatswiri ena sangatchule odwala kwa khunyu mpaka zaka zomwe akudwala. "Kuzindikira khunyu kumayambiriro koyamba kungathandize odwala matenda a khunyu kuthandiza odwala kuti akwaniritse moyo wawo wosagwidwa ndi matendawa." Pamene mukudikirira molimbika kuti mukwaniritse cholinga chimenecho, "adatero.
Kusankha Ntchito Monga Khunyu - Kodi Ndizo kwa Inu?
Ngakhale kuti pali mavuto, Dr. Naik akuwoneka kuti ali ndi chidwi kwambiri ndi ntchito yake yokhala ndi odwala matenda a khunyu. "Ndimakonda kuthandizira odwala pogwiritsa ntchito mbiri yawo, kusonkhanitsa mfundo zofunika kuchokera ku zochitika zawo za thupi, kujambula, komanso, electroencephalogram ndi kanema, kuti athe kuchiritsa wodwalayo ndikuwona kuti mankhwalawa akupindulitsa!" Iye akuwonjezera kuti neurology ambiri ndi munda umene madokotala atsopano amawombera, kapena kupeŵa kwathunthu. Dr. Naik anali ndi chidwi ndi matenda a ubongo kuyambira pachiyambi cha maphunziro ake azachipatala. "Ndinkamva kuti kumvetsa kusinthasintha kwa dongosolo la mitsempha, kutengera kwa thupi, momwe mitsempha ya mitsempha imakhudzira mbali zina za thupi ndi kuthetsera matenda m'thupi mwa njira inayake ya thupi ndi imodzi mwa zinthu zomwe zimapangitsa kuti tizilombo toyambitsa matenda tizilumikizane, zochititsa chidwi, ndi zokondweretsa . "
Ngakhale kuti matenda a khunyu ndi opindulitsa, akukula, kukhala khunyu sangakhale abwino kwambiri kwa aliyense. Dokotala aliyense wokondweretsedwa ndi matenda a khunyu ayenera kusonkhanitsa uthenga kwa odwala matenda a khunyu, ndi kulingalira za ndondomeko, maola, ndi moyo, ziyeneretso ndi maphunziro, komanso mphamvu zake ndi zofooka monga dokotala, mogwirizana ndi ntchito ya matenda a khunyu. Dr. Naik akulangiza kuti anthu "asinthe ndi dipatimenti ya khunyu kuti azimva kuwerenga kwa electroencephalograms, kugwirizanitsa zolakwika ndi kujambula, ndikukhala pa msonkhano wochita opaleshoni kuti muwone ngati mundawu ulidi kwa inu. kusinthasintha mosalekeza kuti ziphatikize zamakono zamakono. "
Mbali imodzi yothandiza yomwe akufuna odwala matenda a khunyu sayenera kudandaula ndifunika kwa ntchito zawo. Epileptology ikupitiriza kukula pamene sayansi ya zamagulu ikusintha, malinga ndi Dr. Naik. "Pali kafukufuku wokhudzana ndi mankhwala atsopano, ndipo pakhala pali zipangizo zosiyanasiyana zopangira opaleshoni zomwe zatulutsidwa zaka zisanu zapitazo." Iye ananenanso kuti wakhala akuwona kale zizindikiro zambiri za kuwonjezeka kwa chifuwa cha odwala matenda a khunyu. za mwayi ku US kuchitapo kanthu pa malo a khunyu. Mphamvu yapaderayi yozindikiritsa kugwidwa ndi / kapena kuperewera kwa electroencephalogram ndi yodabwitsa kwambiri pa ntchito ya sayansi, ndipo oyenerera kwambiri ndi ophunzitsidwa kuti achite zimenezo, ndithudi, ndi odwala matenda a khunyu. Panopa palibe malo ena omwe angathe kupereka mayesowa, omwe ndi mbali yofunikira kwambiri ya matenda a khunyu, omwe amakhudza gawo limodzi la anthu, "akutero Dr. Naik.
Atafunsidwa kuti adziŵe zotani zokhudzana ndi matenda a khunyu, Dr. Naik anapereka nzeru zomveka. "Ndikuganiza kuti ndikofunikira kumvetsetsa kuti khunyu ndi matenda a ubongo ndi ntchito yovuta ndi odwala ovuta omwe nthawi zambiri amakhala ndi ma-morbidity ambiri kuphatikizana ndi machitidwe osiyana-siyana ndi matenda a maganizo. Choncho, ndikofunikira kuti tifikire odwala kuchokera m'magulu ambiri, kuti azindikire matenda awo komanso amuthandize kulandira chithandizo chabwino, Dr. Naik akuti: "Kugwira ntchito monga khunyu kumafuna nthawi, kuleza mtima, mokwanira, luso lotha kutenga mbiri, kumvetsera, ndi kuchitapo kanthu kafukufuku wamaganizo. Zimatenganso umunthu umene umatha kugwiritsira ntchito kuti matenda ambiri a ubongo ndi ovuta, sangathe kuchiritsidwa ndipo nthawi zambiri chifundo ndi chifundo zimathandiza kwambiri moyo wa tsiku ndi tsiku. "Dr. Naik anamaliza.
Avereji Malipiro kapena Mapindu kwa Odwala matenda a Epileptologists
Popeza akatswiri a khunyu amapanga gawo laling'onoting'ono la dokotala, ndipo popeza ndi munda watsopano, palibe madokotala ambiri omwe amawadziwa bwino za matenda a khunyu. Ndiponso, chifukwa cha mitundu yosiyanasiyana ya machitidwe, pali njira zosiyanasiyana zomwe amwazi amalipilira, malingana ndi mtundu wa ntchito zomwe amagwira ntchito.
Malingana ndi Medical Group Management Association (MGMA), malipiro ambiri a katswiri wa zamagetsi mu 2016 anali $ 305,989, kuchulukitsa pafupifupi 7 peresenti pa chaka chatha. Chiwerengerochi chimaphatikizapo onse odwala matenda a ubongo, koma kawirikawiri chidziwitso chomwe chimakhala chofunika kwambiri chikhoza kulamulira chaka chochulukirapo kuposa kafukufuku wamagulu a "general" kapena katswiri wina yemwe alibe chidziwitso chokwanira ku msika wogulitsa.
Apanso, ndalama zimasiyanasiyana pakukhazikitsa, chigawo cha dziko, dziko, ndi malipiro / malipiro obwezera m'madera.
Zofunika pa Maphunziro ndi Maphunziro kwa Odwala Epileptologists
Kukhala dokotala muzipadera zirizonse kumafuna zaka za sukulu ndi maphunziro. M'munsimu muli zowonjezereka za nthawi yopanga khunyu:
Bachelor's degree (Bachelor's) - zaka 4
Dipatimenti ya Zamankhwala (MD / DO) - zaka 4
Neurology Residency - zaka 4
Epileptology Fellowship - zaka 2 (wamkulu) kapena 1 chaka (Matenda - ngakhale zaka 2 zimasankhidwa.)
Dipatimenti ya bungwe la matenda a khunyu imapezeka kudzera ku American Board of Psychiatry ndi Neurology.