Iingcebiso malunga nokufumana iingcali ezifanelekileyo eziqeqeshwe kwiZifo zengcinezelo
I-hepatologist yinkwenkwezi ehlola kwaye iyakhathaza izibilini zesibindi, i-pancreas, gallbladder, kunye nomthi we-biliary. Kuqwalaselwa njengecandelo elincinci le- gastroenterology , oluphonononga iinkqubo zokugaya ukutya ngokupheleleyo.
I-hepatitis yenye yezona zizathu eziphambili zokufuna iingcebiso zeengcali kwi-hepatologist eqinisekisiweyo, nangona izigulane zihlala zibhekiswe kwezinye izizathu, kubandakanywa:
- Pancreatitis
- Cancer
- I-cirrhosis yotywala
- Ukugqithisa izidakamizwa apho isibindi sichaphazelekayo (umz., I-paracetamol overdose)
Nangona kungekho ziqinisekiso zebhodi ezihlukeneyo ze-hepatologist, ubuhlobo beminyaka emibili bugqityiwe ngokugqitywa kwezifo zesibindi. Ngelixa ezininzi ze-hepatologists zi-gastroenterologists eziqinisekisiweyo zebhodi, abanye bafana nje oogqirha abaphumelele ngokugqibeleleyo i-gastroenterology kunye ne-hepatology ubudlelwane.
Abo baqinisekisiwe njenge-gastroenterologists bafumana ukuqaphela ngokukhethekileyo ngendlela ye- FACG (Ubambiswano be-American College of Gastroenterology) elandela amagama abo.
Ukukhetha i-Hepatologist okanye iGastroenterologist
Ukuba unesifo esifana nesifo se- hepatitis C , akukho isizathu esenza ukuba i-hepatologist ibe yindlela engcono kunokuba isifo se-gastroenterologist. Nangona i-hepatologist inokufumana ukufikelela okukhulu kwiinkqubo zokwenza unyango olusesikhathini (kubandakanywa neendlela zokwenziwa kwonyango), isifo se-gastroenterologist esiye sazifumana kwaye senziwa kwi-hepatitis C siya kuba nako ukunokuphatha kakuhle.
Xa ukuhanjiswa kufunyenwe, ukukhethwa kufuneka kusekelwe ekusebenzeni kwakho kunye nantoni na ugqirha owukhethayo. Oku kubandakanya ukutshintshiselana ngokupheleleyo kunye nokwenene phakathi kolwazi kunye nogqirha, kunye nokukwazi ukusebenza kunye nodokotela wakho njengobambiswano ekunyamekeleni kwakho.
Kwakhona akuqhelekanga ukuba ufune iingcebiso kwezinye iingcali, ingakumbi ukuba unesifo esifanayo kunye ne-hepatitis C kunye ne-HIV .
Ngenxa yokuba kukho izinga eliphezulu losulelo-olukhuselekileyo njengama-20% okanye ngaphezulu kwamanye amazwe-iingcali ezininzi ze-HIV namhlanje ziqeqeshwe kakuhle kwi-hepatitis C zonyango. Kwezinye iimeko, banokukwazi ukunyamekela unyango lwezi zimbini izifo (nangona kuncinci ukujongana neengxaki ze-cirrhosis yesibindi kunye ne-hepatocellular carcinoma).
Ngokwahlukileyo, i-hepatologists kunye ne-gastroenterologists ngokubanzi abanalo i-acum ekhethekileyo yokuphatha okanye ukulawula i-HIV.
Xa udibana neengcali, unemibuzo enombuzo omele uyibuze ukuze uqiniseke ngakumbi izakhono neempawu zale dokotela. Phakathi kwabo:
- Ziziphi iziqinisekiso zakho zebhodi ?
- Inkulu kangakanani umkhuba we-hepatitis C onayo?
- Kude kangakanani ixesha elide ndifuna ukwenza ukuqeshwa?
- Kuthatha ixesha elide ukuthatha iifowuni?
- Ziziphi iinkqubo zakho malunga nokubonisana kwefowuni okanye ukuvuselelwa kwemigomo?
- Ingaba umkhwa wakho ufuna ukuhlawula phambi, okanye uya kwamkela ukuhlawulwa kwentlawulo kwenkampani yam inshorensi?
- Ngaba uyamkela iMedicaid?
Ungakwazi nokufikelela kwiinkonzo zonyango lwe-intanethi ukunikezela ngolwazi olumlando malunga nogqirha, kwakunye neenkcukacha zesigulana kunye nokuhlolwa kweengcali. Ezi ziquka:
- I-CertifiedMatters.org ephuhliswe yi-American Board yezoNyango zezoNyango, evumela abasebenzisi ukuba baqinisekise ubungqina bebhodi labangcali abangaphezu kwama-800,000 e-US
- I-Healthgrades.com, isiseko sokuqala soogqirha esibanzi, esenza abasebenzisi ukukhangela oogqirha ngendawo yokuhlala; bajonga iimpawu zabo, izigwebo, kunye nezikhwama zokukhwabanisa; kwaye uhlolisise oogqirha ngemimiselo kunye nokwaneliseka.
Umthombo:
Ikholeji yaseMerika yaseGastroenterology. Uhambo oluya kuBugqwesa: Uqeqesho lweeGastroenterologists kwikamva le-Curriculum Core Curriculum (I-Edition yeThathu). EBethesda, eMaryland.