Bobabini Iingcali zingaphatha izifo zengqondo
Kukho iintlobo ezahlukeneyo zoogqirha abaphatha kwaye bavavanya abantu abaneengxaki zentsholongwane. I-Gastroenterologists kunye ne-hepatologists enye yazo. Kodwa, yintoni ukungafani kwabo? Ngaba bayahlawulwa imivuzo efanayo?
Gastroenterologist
I-Gastroenterologists ngokuqinisekileyo i- internists abagqibile ukuqeqeshwa okuzodwa ekuphatheni izifo zokugula , kuquka ukukhathazeka kwesisu, isisu, gallbladder, pancreas, emathunjini amancinci amakhulu kunye nesibindi.
Ukuze ube yi-gastroenterologist eqinisekisiwe e-US, umntu kufuneka abe ne-bhodini yangaphakathi. Ukuze uvumeleke kwisigulane, kufuneka umntu azalise iminyaka engaphezu kwezi-2 ukuya kwe-3 kwimibutho yesondlo.
Ngethuba leminyaka engama-2-3 yokuqeqeshwa kwe-gastroenterology eyongezelelweyo, i-gastroenterologists eziliqela zinokubambisana nabantu abanesifo sesibindi. Ngokuphambene noko, ezinye i-gastroenterologists zinokugqithisa okukhulu kwizigulane ezinezifo zesibindi ngexesha loqeqesho olukhethekileyo kwi-gastroenterology. Ngoko ke, izinga lobuchule kunye namava phakathi kwe-gastroenterologists ekupheni nasekuxileni izifo zesibindi ziyahluka kakhulu. Kubalulekile ukuba izigulane zikwazi ukuqonda ubunqanaba be-gastroenterologist kwisifo sesibindi ngaphambi kokuba nolwalamano lwexesha elide kunye nolo hlobo logqirha.
Hepatologists
I-Hepatologists yindlela efanelekileyo yokugqirha abantu abanesifo sesibindi.
Kukho neenkqubo zoqeqesho ezizodwa kulabo abajolise kuphela kwizifo zesibindi, ezaziwa ngokuba yi-hepatology ubudlelane kwaye zihlala zihlala kwiminyaka eyi-1 ukuya kweyesi-2. Ngaphandle kwekhosi ye-hepatology yobudlelwane, udokotela uya kufumana uqeqesho olunzulu kunyango kunye nokuxilongwa kwesifo sesibindi.
Ngokuqhelekileyo, ukuqeqeshwa okhethekileyo kubandakanya ukubonakaliswa ngokubanzi kuzo zonke iintlobo zesifo sesibindi njengalezo ezibonakalayo okanye ezingaqhelekanga. Olu qeqesho kwisifo sesibindi alufanekanga kwaye alufaneki ngokufanayo kwi-gastroenterology ubudlelwane.
Oogqirha abaphumelele ukuzalisa ubudlelwane be-hepatology babizwa ngokuthi yi-hepatologists. Uninzi lwabahlengikazi be-hepatologists nabo babecastroenterologists. Ezi zonyango ziye zagqiba isifo se-gastroenterology kunye nobudlelwane be-hepatology. Ngamanye amaxesha, oogqirha abangazange bazalise ubudlelwane be-hepatology bagxila kwiinkqubo zabo ngokukodwa kunyango kunye nokuxilongwa ngabantu abanobunzima besibindi.
Ngenxa yezizathu zenzululwazi, kukuxhamla isigulane ukukhetha i-hepatologist okanye i-gastroenterologist ukunyanga isifo sakhe sesibindi. Izigulane zinokuqiniseka ukuba aba baqeqeshi baya kuba namava aneleyo ekuphatheni nasekuhloleni izifo ezahlukeneyo zesibindi. Ukongezelela, i-hepatologists kuthiwa yileyokuqala ukukwazi malunga neendlela zakutshanje ezivunyiweyo yi-FDA. Kodwa, kuxhomekeke ekukhethweni kwakho, kubalulekile ukufuna ugqirha ozinikezele kwaye usebenza nawe njengomlingani olinganayo kwinkqubo yokuphulukisa.
Umyinge wemvuzo
I-Gastroenterologists kunye ne-hepatologists ngabagqirha abanezonyango kwizonyango, ukuxilongwa, kunye nokufunda ngezifo kunye nezifo ezichaphazela i-digestive tract like fover.
Ezi zonyango zivame ukuba ngabazuzi abaphezulu nakuba umvuzo wabo wonyaka uhluka ngohlobo lwentsebenzo, indawo yoluntu kunye neendawo zendawo.
Inkxaso yeSizwe
Ngokusekelwe kuphando oluqhutywe, i-hepatologists kunye ne-gastroenterologists babike umvuzo ophakathi kwama-300,000. Imivuzo ephantsi kunazo zonke ezichazwe ngamanye ama-gastroenterologists ayi-$ 100,000 okanye ngaphantsi, kodwa umvuzo ophezulu ochazwe yi-$ 500,000 okanye ngaphezulu. Ngokwamanye uphando, oogqirha bezonyango bendoda bafumana ngaphezu kwe-100,000 yeefayili xa kuthelekiswa nabalingani besetyhini.
I-Gastroenterologists kunye ne-Hepatologists Umvuzo ngeNgingqi
I-Gastroenterologists kunye ne-hepatologists e-US North Central yabika umvuzo ophakathi kwamadola angama-540,500 ngonyaka, oku kuthiwa phakathi kweyona nto ephezulu kwizonyango.
Abo baqeshwe kwi-Northwestern babika umvuzo malunga ne-$ 500,000. Kwimimandla yasemzantsi-ntshona, umvuzo womlambo walaba baqeqeshi i $ 370,000 ngonyaka. Kwimimandla esempuma, umvuzo we-hepatologist kunye ne-gastroenterologist ihlala ingaphantsi koko, kodwa kwimibiko yakutshanje, abo basebenza kwi-Northeast esifundeni sase-US bafumana umvuzo ophantsi, oyingama-248,000 kuphela.
Umvuzo ngoLuntu loLuntu
I-Hepatologists kunye ne-gastroenterologists kwiidolophana ezincinane zixela imali yokufumana imali phakathi kwama-$ 350,000 kunye ne-400,000 zamawaka ngonyaka. Abo bahlala kwiidolophu eziphakathi bafumana ngaphezulu kwama-350,000. Abo basebenza kwimimandla yasemaphandleni kunye needolophu ezincinci bafumana ngaphantsi. Kodwa, kukho kwakhona uphando olubonisa ukuba abo basebenza kwimimandla yemimandla babike ukuba nemivuzo ephantsi kakhulu ifumana i-$ 275,000 kuphela ngonyaka.
Inkxaso yeCandelo lezeNgqesho
I-Hepatologists kunye ne-gastroenterologists njengamanye amaqabane kwindawo yokuzimela eyimfihlo yabika iholo eliphezulu (i-$ 400,000 nangaphezulu). Abo baqhuba i-solo practice bafumana i $ 300,000 nangaphezulu. Abo baqeshwe zizibhedlele ezininzi bafumana i-$ 300,000- $ 400,000 ngonyaka. I-Hepatologists kunye ne-gastroenterologists ezikwe kwizikolo zifumana i-$ 200,000 ngonyaka ngelixa abo baqeshwe kwi-private practice bafumana i-$ 100,000. Abo basebenza ngokuzimeleyo bafumana umvuzo ophantsi, ophakathi ne-100,000 ngonyaka ngamnye.
Ngaphandle kwemivuzo yabo, i-gastroenterologists kunye ne-hepatologists nazo zinenzuzo ekhangayo. Ezi ziquka iipensheni ezizayo, imali yokhuseleko lomntu, izicwangciso ezingama-401K, iinzuzo zezempilo, ixesha lokuhlawula kunye neebhonasi. Ngokubanzi, umvuzo we-hepatologist kunye ne-gastroenterologist ithathwa njengowokuphakamileyo kwihlabathi lezempilo.
Imithombo:
Dev AT, Kauf TL, Zekry A, et. al. Izinto ezichaphazela ukuthatha inxaxheba kwegastroenterologists kunye ne-hepatologists kwiphando lwezonyango. IMetroC Health Serv Res. 2008 Oktobha 8; 8: 208.
I-Bass NM, i-Feagan B. Imiba evelayo kwi-gastroenterology kunye ne-hepatology. I-Gastroenterol Hepatol (NY). Agasti 2009; 5 (8 iSiza 17): 3-20.