Zomwe Zidzakhala Zokha Zomwe Zingathe Kuchita Mbali pa Kupeza Dokotala Wabwino
Nthawi iliyonse matenda a chiwindi a shuga amapezeka, munthu amatchulidwa chimodzi kapena akatswiri ambiri. Kumvetsetsa zomwe akatswiriwa amachita-komanso ntchito yofunika kwambiri dokotala wanu wothandizira-angathandize kuti mupeze chisamaliro choyenera chofunikira payekha.
Dokotala Wanu Wachikulire Monga Thandizo Lanu Lomasamalira
Kawirikawiri, dokotala wamkulu ndi amene angakhale munthu woyamba kudziwa kuti ali ndi matenda a chiwindi.
Nthaŵi zambiri, dokotala adzakhala ndi chithandizo chachikulu pa chithandizo ndi kasamalidwe ka matendawa, makamaka m'madera kumene chiwindi cha chiwindi chimafala. Nthawi zina, iye sangadziwe zambiri ndi matenda a chiwindi koma amachitabe mbali yofunikira pokonza chisamaliro pakati pa anthu ambiri.
Udindo waukulu wa dokotala wamkulu, mosasamala kanthu za zomwe waphunzira, ndiko kulimbitsa chiopsezo kuti chisamaliro chikhale chosasunthika komanso chosasokonezeka. Amatha kuchita kafukufuku woyamba ndikuthandiza wodwala (ndi banja) kusankha mwanzeru pazochitika zoyenera.
Ngakhale zambiri, dokotala wamkulu angathandize odwala kukhazikitsa zolinga zowonjezera thanzi lawo lonse, kaya kuchepetsa kumwa mowa , kugwiritsira ntchito mankhwala osokoneza bongo, kuthana ndi vuto la mankhwala, kapena kugwirizanitsa wodwalayo kuti azitha kugwira bwino ntchito zamaganizo kapena ntchito za anthu.
Pamapeto pake, palibe matenda omwe ayenera kuperekedwa paokha.
Pogwiritsa ntchito wina "kugwirizanitsa madontho" pakati pa opereka maulendo angapo, kuonetsetsa kuti mauthenga ndi omveka bwino komanso ogwirizana bwino, mumatha kupeza zofunikira monga wodwala.
Kodi Mtundu Wopatsa Chiwindi Ndi Wotani?
Anthu omwe amapezeka kuti ali ndi matenda a chiwindi (komanso nthawi zina, matenda oopsa ) amatchulidwa kuti gastroenterologist kapena hepatologist , omwe onse amatha kuchiza matenda a chiwindi.
Nthawi zambiri mumakhala chisokonezo, komabe, omwe angakhale "oyenerera," makamaka ngati pali zovuta ngati matenda a chibwibwi .
Mwa kutanthauzira, gastroenterologist (choyambirira "gastēr" chimene chimachokera ku Chigiriki chakale kwa mimba) ndi munthu wodziwa ntchito zapamwamba yemwe waphunzira kuphunzitsa katswiri pa zovuta za m'mimba, kuphatikizapo m'mimba, matumbo, chiwindi, mphukira, ndi ndulu .
Ponena za kuphunzitsa, gastroenterologist ayenera kukhala kovomerezeka m'bungwe la mankhwala, ndipo pambuyo pake ayenera kumaliza chiyanjano cha zaka ziwiri kapena zitatu mu gastroenterology kuti athe kulandira mayeso. Maluso amasiyana kwambiri pakati pa munthu ndi munthu, ndipo akatswiri ena amadziwika kwambiri ndi matenda a chiwindi kuposa ena.
Mosiyana ndi zimenezi, katswiri wa zamagetsi ("hēpar" wochokera ku Chigiriki chakale cha chiwindi) ndi katswiri wa zachipatala amene amachitira mosamala chiwindi. Hepatology imaonedwa ngati yapadera ya gastroenterology pamene imangoganizira pachiwindi ndi ziwalo zake zogwirizana, monga kansalu ndi ndulu.
Mosiyana ndi maphunziro a gastroenterology, palibe chidziwitso chotsimikizirika cha matenda a hepatology. Komabe, pali mgwirizano wa zaka chimodzi ndi ziwiri pamene katswiri wodziwa maphunziro adzadziwika kwambiri ndi matenda osiyanasiyana a chiwindi.
Kukula kwakukulu kwa maphunziro, makamaka, sikungakhale kofanana ndi kugwirizana kwa gastroenterology.
Hepatologist vs. Gastroenterologist: Kodi Ndi Yabwino Koposa Zina?
Ngakhale kuti nzeru zogwira mtima zimatha kunena kuti dokotala wophunzitsidwa ndi matenda a chiwindi amatha bwino kuchiza matenda a chiwindi, osati nthawi zonse. Ngakhale kuti hepatologist idzadziŵika bwino pa zamachiritso zamakono komanso zamayesero kwa matenda a chiwindi, palibe chifukwa chachikulu chomwe chiwopsezo cha hepatologist chikuyenera kwambiri kuchiza chiwindi cha hepatitis kuposa gastroenterologist.
Ndipotu, ambiri a gastroenterologists ali ndi luso lapadera lochizira matenda a chiwindi, kaya atsimikizireni kuti chiwindi ndi chiyani kapena amapereka mankhwala omwe ali oyenerera kwa mtundu wanu wa tizilombo .
Ndikunenedwa kuti, zochitika pakati pa gastroenterologists zimasiyana kwambiri. Kusankha woyenera kumadalira kwambiri pa kutchulidwa kwa chitsimikizo chachipatala chodalirika-makamaka dokotala wanu wamkulu wa chisamaliro-komanso kukambirana momveka bwino komanso kotseguka pazochita zadokotala.
Poyerekeza, hepatologist, mwachindunji chake, ndi katswiri waluso kwambiri pa matenda a chiwindi, ndi kupeza mwayi wonse wa deta yokhudzana ndi zamakono komanso zamakono.
Malangizo pa Kusankha Katswiri Wolondola
Kusankha katswiri wodziwa bwino ndikutsiriza, ndipo chisankhocho sichinangokhala zidziwitso zokhazokha koma chifukwa chotha kugwira ntchito pamodzi ndi kukhulupirirana ndi kuwonetseredwa. Yambani mwa kufunsa mafunso ochepa, ofunikira kuti muwone zomwe zimachitika ndi chiwonetsero chazomwe wodwala akufuna:
- Kodi maphunziro anu amaphatikizapo chiyanjano cha chiwindi?
- Kodi ndi chiwerengero chotani chomwe mwakhala mukuchizira matenda a chiwindi?
- Ndi odwala angati a chiwindi omwe mwamuchitira?
- Kodi mumapitiliza bwanji kuwona za chithandizo cha chiwindi?
Kufunsa mafunso awa si udindo wanu wokha, ndiko kulondola kwanu. Ngati mukumverera kuti mukutsutsidwa ndi dokotala, mungafunike kukayikira ngati kukana komweku kungakulepheretseni kuthetsa chidziwitso chodziwitsa za mankhwala ndi chisamaliro chanu.
Maofesi azachipatala monga Zolemba zaumoyo angathandizidwe mwa kupereka zowonjezera zokhudzana ndi zovomerezeka za dokotala, malo ogwira ntchito, ndi zilango zilizonse kapena zopanda pake pa fayilo.
Kuchiza matenda a chiwindi ndi HIV
Zomwe zimayambitsa matenda a hepatitis zingakhale zambiri ndipo nthawi zambiri zimafuna chithandizo chamaganizo kapena chogwirizana. Izi ndizowona makamaka kwa anthu omwe ali ndi kachilombo ka HIV ndi HIV .
Mwachitsanzo, ngati matenda a chiwindi a mtundu wa chiwindi , omwe ali ndi kachilombo ka HIV, amatha kufika 30 peresenti.
Ngati kachilombo ka HIV / hepatitis kamakhala ndi kachilombo ka HIV, katswiri wodwala matenda opatsirana ayenera kuyesedwa kuti awonetsetse kuti munthuyo apatsidwa mankhwala opatsirana pogonana komanso kuti mankhwala osankhidwa sakutsutsana kuti agwiritsidwe ntchito ndi mankhwala a hepatitis. Katswiri angathenso kuyang'ana mavitamini a chiwindi kuti atsimikizire kuti ma antiretroviral sangayambitse mavuto omwe angasokoneze chiwindi .
Ngakhale akatswiri ena a chiwindi angakhale ndi chithandizo pa chithandizo ndi kasamalidwe ka HIV, ambiri samatero. Kukhala ndi katswiri wa matenda opatsirana pa bolodi sikungathandize kokha kupewa zotsatira zokhudzana ndi mankhwala koma kuonetsetsa kuti kachilombo ka HIV kamayang'aniridwa nthawi yonse ya matenda a hepatitis.
Zotsatira:
American College of Gastroenterology. "Njira Yabwino Yophunzitsira Zotsatira za Gastroenterologist." Gondroenterology Core Curriculum (Gulu lachitatu); Bethesda, Maryland; May 2007.
Association Association ya Kuphunzira za Matenda a Chiwindi (AASLD). "Msonkhano Wapachaka wa 65 wa American American Association for the Study of Liver Diseases: Msonkhano wa Chiwindi 2014." Hepatology. October 14, 2014; 60 (S1): 225A-258A.
American College of Gastroenterology. " Kodi Gastroenterologist ndi chiyani? " Bethesda, Maryland; January 20, 2014.