Iimpawu zobuncwane kuphela Dlala iNgxenye ekuFumeni ugqirha ofanelekileyo
Nanini na ukutheleleka kokutheleleka kwe-hepatitis kufumaneka, umntu ubizwa ngokubhekiselele kumnye okanye kwiingcali ezininzi. Ukuqonda ukuba zeziphi iingcali zenza ntoni-kunye nomsebenzi obalulekileyo ugqirha wakho wokunakekela-ungakunceda ukuba ufumane uncedo olulungileyo olufanelekileyo kwiimfuno zakho.
Unogqirha Wononophelo Lwenkcazo Njengengeniso Yakho Yokunakekelwa
Ngokudla kaninzi kunokuba, ugqirha wezempilo oyintloko uza kuba ngowokuqala ukufumanisa ukusuleleka kwe-hepatitis.
Kwiimeko ezininzi, ugqirha uya kuba namava amaninzi kunyango kunye nokulawulwa kwesi sifo, ngokukodwa kwiindawo apho i-hepatitis yentsholongwane ixhaphake. Ngamanye amaxesha, unokungakwazi ukuqonda ngesifo sesibindi kodwa edlala indima ebalulekileyo ekuququzeleleni ukunakekelwa phakathi kwabanikezeli abaninzi.
Indima ephambili yonyango lokuqala, kungakhathaliseki ukuba namava, kukukhuthaza ukubandakanyeka ukwenzela ukuba unyameko luqhubeka kwaye lungaphazamiseki. Baya kwenza uphando oluphambili kwaye bancede isigulane (kunye nosapho) benze ukhetho olunolwazi malunga nekhosi efanelekileyo.
Ngokubanzi nangakumbi, ugqirha wezobisi oluphambili lunokunceda izigulane zibeke iinjongo zokuphucula impilo yazo yonke, nokuba kuncitshiswa ukunyusa utywala , ukujongana nokusetyenziswa kakubi kweziyobisi, ukujongana nokuxhatshazwa kwemithi okanye ukudibanisa nesigulane kwimpilo yengqondo okanye inkonzo yezenhlalakahle.
Ekugqibeleni, akukho sifo sifanele siphathwe sisodwa.
Ngokuba nomntu "udibanise amachaphaza" phakathi kwabanikezeli bakho abaninzi, uqinisekise ukuba unxibelelwano lucacile kwaye lulungelelaniswe, unako ukufumana izibonelelo njengogulane.
Ziziphi iintlobo zeengcali zengqondo?
Abantu abafumene ukuba banesifo esingapheliyo sokutheleleka kwe-hepatitis (kwaye, kwezinye iimeko, ukusuleleka kakubi ) bahlala bebhekiselwe kwi-gastroenterologist okanye i- hepatologist , bobabini abafanelekile ukuphatha isifo sesibindi.
Kukho ukudideka, nangona kunjalo, ukuba ngubani "onokufaneleka ngakumbi," ngakumbi ukuba kukho iingxaki ezifana ne- cirrhosis .
Ngenkcazo, i- gastroenterologist (isiqalo "gastēr" esivela kwiGrike yamandulo kwisisu) ngumqeqeshi oye wagqiba uqeqesho lweengcali kwiingxaki zendlela yokutya, kuquka nesisu, amathumbu, isibindi, i-pancreas, ne-gallbladder .
Ngokuphathelele uqeqesho, i-gastroenterologist kufuneka kuqala ibhodi eqinisekisiwe kwiyeza langaphakathi, emva koko kufuneka igqibe ubudlelwane beeminyaka emibili ukuya emithathu kwi-gastroenterology ukwenzela ukuba afumaneke ukufumana uvavanyo lwebhodi. Ubungcali bunokuhluka ngokubanzi ukusuka kumntu kumntu, kunye neengcali ezithile ezivelele ngakumbi kwizifo zesibindi kunabanye.
Ngokwahlukileyo, i- hepatologist ("hēpar" evela kwiGrike yamandulo yesibindi) ingcali yonyango ejongene ngqo neengxaki zesibindi. I-Hepatology ithathwa njenge-specialty of gastroenterology njengoko igxile kuphela kwisibindi kunye nezitho zayo ezidibeneyo, njengepascreas kunye ne-gallbladder.
Ngokungafani nokuqeqeshwa kwe-gastroenterology, akukho mvavanyo eqinisekisiweyo kwi-hepatology. Kukho, nangona kunjalo, ubudlelwane beminyaka emibini kunye neyesibini phakathi kwexesha lochwepheshe-ekuqeqeshelweni kuya kuba nokubonakaliswa ngokubanzi kwiinkalo ezibanzi zeengxaki zesibindi.
Ubungqina obukhulu bokuqeqeshwa, eqinisweni, akunakufanekiswa ngokuhambelana nobudlelwane be-gastroenterology.
I-Hepatologist vs. Gastroenterologist: Ngaba Ungcono Kunomnye?
Nangona ukuqonda okuqhelekileyo kunokuthetha ukuba ugqirha oqeqeshwe kwiingxaki zentsholongwane ulungele ukuphatha unyango lwe-hepatitis, akunjalo ngaso sonke isikhathi. Nangona i-hepatologist iyakwazi ukuhlala ikwazi ukufumana unyango lwesifo sesibindi, akukho sizathu esibalulekileyo sokuba i-hepatologist ilungele ukunyanga i-hepatitis kune-gastroenterologist.
Enyanisweni, abaninzi be-gastroenterologists banekhono eliphezulu lokunyanga kwe-hepatitis, ingaba bayayiqonda impilo ebanzi yesibindi okanye baqaphele ikhosi yezobugqirha ezifanelekileyo kakhulu kumhlobo wakho wentsholongwane .
Xa kuthethwa oko, amava phakathi kwe-gastroenterologists anokungafani kakhulu. Ukukhetha okulungileyo kuncike kakhulu ekuthunjweni kumthombo wonyango othembekileyo-ngokugqithiseleyo ugqirha wakho wokunyamekela-kunye nencoko evulekileyo nevulekileyo malunga nobuchule bonyango.
Ngokuthelekiswa, i-hepatologist, ngokuchazwa kwayo, ingcali enezakhono kakhulu ekwenzeni izifo zesibindi, kunye nokufikeleleka kwiqela elipheleleyo leenkcukacha ngokumalunga nexesha elikhoyo kunye nokuphuhlisa imithi.
Iingcebiso malunga nokukhetha iNgcali
Ukukhetha uchwepheshe ochanekileyo ekugqibeleni yinkqubo, kunye nesigqibo esisekelwe kwiziqinisekiso kuphela kodwa ekusebenzeni kwakho kunye nokuthembela kunye nokungafihli. Qala ngokubuza ezimbalwa, imibuzo engundoqo yokuvavanya amava kunye nesimo sengqondo somsebenzi wegqirha:
- Ingaba uqeqesho lwakho lubandakanya ubudlelwane besibindi?
- Yiyiphi ipesenti yomsebenzi wakho ozinikele kwisifo sesibindi?
- Zingaphi izigulane zesibindi oziphathe?
- Uhlala njani uhlaziywa malunga nokuphucula kunye / okanye ukuhlola unyango lwebindi?
Ukubuza le mibuzo yeembuzo akuyiyo kuphela imbopheleleko yakho, kuyilungelo lakho. Ukuba uziva unqabile ugqirha, unokufuna ukubuza ukuba ngaba ukuchasana okufanayo kuya kunciphisa ikhono lakho lokwenza isigwebo esinolwazi malunga nokunyango lwakho kunye nokunyamekela.
Iiwebhsayithi zonyango ezifana ne-Healthgrades ziyakongeza ukuncedisa ngokunika ulwazi olongezelelweyo malunga nokuqinisekiswa koogqirha, indawo yokusebenza, kunye nayiphi na isithintelo okanye ukungalunganga okufanelwe kwifayili.
Ukunyangwa kwe-Hepatitis kunye ne-HIV Co-Infection
Iimbangela ze-hepatitis zinokuba zininzi kwaye zifuna ukuba unyango lwe-underlying or condition. Oku kuyinyani ngokukhethekileyo kubantu abanesifo se-hepatitis kunye ne-HIV .
Kwimeko ye- hepatitis C , umzekelo, izinga lokusuleleka kwe-HIV lingena kuma-30 ekhulwini kwezinye iindawo kunye nokuphakama kwama-92 ekhulwini kubasebenzisi beziyobisi (ii-IDU ).
Kwimeko yesifo se-HIV kunye nesifo se-hepatitis, isifo sesifo esithathelwanayo sifanele sihlolwe ukuqinisekisa ukuba umntu ubeka unyango lwe-antiretroviral kwaye izidakamizwa ezimiselweyo azichaswanga ukuba zisebenzise imishanguzo ye-hepatitis. Ingcali inokuphinda ilandele i-enzymes yesibindi ukuqinisekisa ukuba i-antiretrovirals ayibangeli nayiphi na imiphumo engathintekiyo engathintela ukusebenza kwesibindi .
Ngelixa ezinye iingcali zesibindi zingenamava kwonyango kunye nokulawulwa kwe-HIV, abaninzi abanalo. Ukuba nesifo esichaphazelekayo kwi-bhodi asikwazi nje ukukunceda ukuphepha kwimiphumo echaphazelekayo yonyango kodwa uqinisekise ukuba umthamo wentsholongwane kaGawulayo ulawulwa ngokupheleleyo ngexesha le-hepatitis.
Imithombo:
Ikholeji yaseMerika yaseGastroenterology. "Uhambo oluya kwiCandelo loQeqesho lweGastroenterologists kwikamva elizayo." IKharityhulam yeKharityhulam yeKharityhulam (iThididi yesithathu); EBethesda, eMaryn; Meyi 2007.
Umbutho waseMerika wokuFundisisa iSifo seMiyo (AASLD). Ingqungquthela ye-65 yonyaka ye-American Association for the Study of Liver Illness: Ingqungquthela yeSondlo 2014. " Hepatology. Oktobha 14, 2014; 60 (S1): 225A-258A.
Ikholeji yaseMerika yaseGastroenterology. " Yintoni iGastroenterologist? " UBetdada, eMaryn; NgoJanuwari 20, 2014.