Ukuba une-hepatitis, unokuzibuza ukuba ubani ongaphatha i- hepatitis yakho. Ewe, i-hepatitis ingcali inokukunceda. Kodwa ngaba uyayazi umahluko phakathi kweentlobo ezahlukeneyo zeeklinikhi ezingakwazi ukuphatha i-hepatitis yakho? Ukukunceda ukwazi ukuba ngubani owenzayo, nantsi inkcazo emfutshane yabathengi abahlukeneyo abanokusebenza kwindawo yokunakekelwa kwezempilo.
Iintlobo zeeNklinikhi
Ngexesha elizayo xa u tyelela isibhedlele, ikliniki okanye iofisi, thabatha umzuzu ukujonga isixhobo sokungena. Kwixesha elidlulileyo, umntu unokubona kuphela enye okanye ezimbini iintlobo zeeklinikhi ezidweliswe. Namhlanje, kunjalo, zininzi iintlobo, ngasinye sinamazinga ahlukeneyo oqeqesho anika inxalenye exabisekileyo yemfuno zakho zonyango.
- Oogqirha abafumana ugqirha wezobugqirha (MD) okanye ugqirha we-osteopathic (DO) degree lingenalo ilayisenisi yokusebenzisa unyango kunye nokuhlinzwa ngecandelo lezokwelapha zelizwe. La oogqirha bagqiba iminyaka emine yoqeqesho kwisikolo sezonyango baze bazalise inkqubo yoqeqesho olongezelelweyo okungenani iminyaka emithathu (ebizwa ngokuba yindawo yokuhlala) ekulungiseleleni okhethekileyo. Inkqubo nganye yeemfuno ifuna ixesha elide lokufunda. Ngokomzekelo, uninzi lwezakhono eziphambili zokunakekela, njengezonyango zentsapho okanye unyango lwangaphakathi, ziyiminyaka emithathu okanye emine ubude. Iingcali zokuphanda zifuna okungenani ubuncinane iminyaka emihlanu yoqeqesho. Oogqirha banalo uqeqesho lokulawula ngokupheleleyo i-hepatitis yakho, ingaba iyingozi okanye ingapheliyo, ingaba yintsholongwane okanye ayiyiyo ingcola.
- Abahlengikazi yingxenye ebalulekileyo kwinkqubo yokunakekelwa kwezempilo kwaye bahlala bechazwa njengamehlo kunye neengalo zamagqirha. Zizalisekisa izicwangciso zonyango kwaye ziqaphele ugqirha ngazo nayiphi na ingxaki. Ngaloo nto kuthiwa, uqeqesho luyinto eyahlukeneyo kwaye abantu abane-degrees degrees bafumaneka kwizicwangciso ezininzi ezahlukeneyo, kungekhona nje ngeklinikhi. Abahlengikazi bazalisa amanqanaba amanqanaba okuqeqesha, kodwa umgangatho uzuza iminyaka yesine ye-bachelor ye-sayensi ekongika (BSN) elandelwa ukuvavanywa okukhulu kunye neelayisenisi njenge-RN. Abahlengikazi kweli nqanaba loqeqesho abayi kuhlola iigulo okanye banganikezeli unyango kodwa baza kuba namava amanonophelo omonde.
- Abahlengikazi AbaSebenzi ngabahlengikazi abafumana ukuqeqeshwa kwangaphambili kweeklinikhi (NP) kwaye banelungelo lokufumana izifo ezithile baze bacele amanye amayeza. Ezi klinikhi ziqeqeshelwa ukunyamekela okuphambili, kwaye kuxhomekeke kwimisebenzi yazo, ingaba namava amaninzi ekuxilongeni nasekuphatheni iintlobo ezahlukeneyo ze-hepatitis.
- AbaNcedisi bezonyango (ababizwa ngokuba yi-PAs) baqeqeshwe ukuba basebenze phantsi kolawulo lomgqirha onelayisenisi. Ngalolu lungiselelo, ii-PA ziyakwazi ukujongana namatyala aphantsi kancinci okukhupha ama-odokotela ukuba aphathe amacala anzima nakakhulu. Ngendlela, ii-PA zigqirha ugqirha, kunika ugqirha ukuba akwazi ukubona izigulane ezininzi ngexesha elithile.
- Elinye ilanga , kwiindlela zayo ezininzi, liba libalaseleyo kodwa lingahambelani nonke. Uninzi lwezonyango ezithatyathwa njengezinye iindlela zisoloko zingenalo ubungqina obungqina bokubaluleka kwazo. Imizekelo yeekliniki eziqhuba kule ndawo ziyi-chiropractic (DC) kunye nama- naturopathic (ND), kwaye oogqirha baqeqeshwe ngamayeza ase-Asia (OMD). Nangona la maeklinikhi angaqeqeshwa kakuhle kwaye anika unyango oluncedo, kulungile ukukhumbula ukuba ukuba elinye unyango lusebenza kwaye luncedo lwenzululwazi, ekugqibeleni luya kufakwa kwiyeza eliqhelekileyo.
Iikliniki zoNonophelo zeNtloko
Uninzi lwabantu luyakwazi ukufunda ngovavanyo lwabo lwe-hepatitis ukuxilongwa kwipilisi. Ukunyamekela okubalulekayo ngokuqhelekileyo kuchazwa njengoluhlobo lwenkcazo yonyango lwe-head-to-toe eyenziwa ngumntu wonke ebomini babo njengengxelo yokuhlola i-annually, imfundo yezempilo kunye nokunyamekela ukugula okungapheliyo, kodwa ngokuqhelekileyo yinqanaba lokuqala lempilo ukunyamekela ukufumanisa iingxaki zempilo, ezinjenge-hepatitis. Ngomnye umzekelo, ukunakekelwa okuphambili kukuphela apho ufumene unyango olona lukhulu kodwa lona nqanaba lokuqala lokungena kwinkqubo yokunakekelwa kwempilo yaseMerika.
Abanikezeli bokunakekelwa kweprayimari ngamagqirha abaqhelekileyo kwiiyeza zentsapho okanye ngamachiza angaphakathi.
Laba bahlinzeki baya kuba noqeqesho oluyimfuneko ukulawula amaninzi amatyala e-viral and infections of hepatitis. Abanye oogqirha, njengabahlengikazi kunye nabancedisi boogqirha, banikezela ngeenkonzo zokunyamekela eziphambili kwaye banokufumana amava amaninzi okulawula i-hepatitis ngokuxhomekeke kumazinga abo oqeqesho.
Iingcali eziphethe i-Hepatitis
Akuyena wonke umntu onesi-hepatitis ofuna ukufumana ingcali. Nangona kunjalo, ngelixa izigulane ezininzi zinokunyangwa ngugqirha wazo ozinyango okanye umongikazi, ngezinye iingcali kufuneka zibandakanyeke kwiziganeko ezinzima okanye ezingavamile ze-hepatitis. Kukho izakhono ezintathu zoogqirha kunye noqeqesho ekulawuleni i-hepatitis. Bonke abathathu baqala uqeqesho lwabo njengomqeqeshi wezemfundo okanye wezingane. Kulo qeqesho olubanzi, baqhubela phambili kwiindawo ezithile zonyango.
- Izifo ezithathelwanayo: Ugqirha wesifo esithathelwanayo senza ugulo olubangelwa zizilwanyana ezincinci, ezinjenge-virus kunye neebhaktheriya. I-hepatitis ephambili ye-virus eyenziwa yi-virus ye-hepatotropic (umzekelo we-hepatitis A, B kunye ne-viruses) iyaphathwa ngokuchanekileyo ngala magqirha. I-hepatitis engabangelwa yiintsholongwane, ezinjenge-hepatitis yobunxila, ziphathwe kakuhle kwezinye iingcali.
- I-Gastroenterologist : I- Gastroenterology yi-subspecialty yeyeza langaphakathi. Ezi ngcali zijolise kuzo zonke izitho zokutya kunye neenkqubo zomzimba. Ekubeni isibindi sisinxalenye ebalulekileyo ye-metabolism kunye nokugaya, i-gastroenterologists inolwazi kakhulu ekuphatheni i-hepatitis.
- I-Hepatologist: I-gastroenterologist enokuqeqeshwa ngokubanzi kwizifo zesibindi isifo se- hepatologist . La magqirha abango-subspecialists abaneminyaka emininzi yoqeqesho kunye neengcali kuzo zonke izifo ezichaphazela isibindi, ngakumbi i-hepatitis.
Yiyiphi iNgcali oyikhethayo?
Ukunyanga kwesifo se-hepatitis, ingaba sisuka kwi-viral, isifo esingapheliyo sesifo okanye enye imvelaphi, ngokuqhelekileyo idinga indlela ekhethekileyo. Oku kuthetha ukuba iintlobo ezininzi zamagqirha ziyahlangana ukuze zinike inkxaso ngononophelo. Kungenzeka ukuba ekunyamekelweni kwakho, uza kunyangwa ngamaqela angaphantsi kweengcali. Ngokomzekelo, omnye onguchwepheshe unokwenza i-biopsy yesibindi kodwa omnye uya kulawula unyango lwexesha elide kunye neziyobisi ezinemiphumo ebalulekileyo yecala. Nangona ezi zinokulawulwa kwinqanaba lokunyamekela lokuqala, ukunyanga kwe-hepatitis kusebenza ngokufanelekileyo kwizinga le-subspecialty, ngokukodwa unyango lwe-hepatitis yentsholongwane.
AbaPhakathi okanye abaPhezulu
Inye yeengcali ezichazwe ngasentla zinokugxila kubantu abadala okanye abantwana. Ngokomzekelo, ugqirha unokuba ngumntu omdala we-gastroenterologist okanye umntwana wegastroenterologist. Ukwahlula kwingqwalasela kubangelwa ukhetho lokuhlala emva kwesikolo sezonyango. Ngokuqhelekileyo, ugqirha ungena kwinkqubo yokuhlala ngokukhawuleza emva kokugqiba esikolweni. Ukuba ugqirha unomdla ekuphatheni abantwana kunye nabaselula kuphela, uya kuzalisa inkqubo yokuhlala kwabantwana, eyiminyaka emithathu yonyango olubhekiselweyo. Emva kwalolu hlelo, ugqirha unako ukuxhomekeka kwihlobo oluthile lonyango, njenge-gastroenterology.
Ukuba ugqirha unomdla kuphela ekuphatheni abantu abadala, ugqirha uya kugqiba inkqubo yokuhlala kwiyeza langaphakathi. Emva koko, unokukwazi ukuxhomekeka kwihlobo oluthile lonyango.
Nangona kulula ukucinga ukuba abantwana "nje ngabantu abadala" xa kuziwa kwinkathalo yonyango, oku akunjalo ngokwenene. Ekubeni abantwana banenkxalabo ethile yezokwelapha kwaye bafuna unyango oluthile lwezonyango, lisoloko liluvo oluhle kubantwana okanye abaselula ukuba babone ingcali yezonyango . Ngelishwa, eli nqanaba lonyango lingafumaneki kuzo zonke iindawo, ingakumbi kwiidolophu ezincinci okanye kwimimandla yasemaphandleni.
> Imithombo:
> I-American Academy yooNtsapho beeNtsapho. "Unonophelo olusisiseko."
> I-Bureau of Labor Statistics. Abahlengikazi ababhalisiweyo. Disemba 2007.
> IKharityhulam yeKharityhulam yeGastroenterology, iphepha 29-31. Meyi, 2007.