ʻO kāu loea akepaʻa: ʻO wai ka hepatologist?

Ua lohe paha ʻoe i kahi "Hepatologist"? Malia paha ua kuhikuhi aku kāu kauka ʻohana (PCP) iā ʻoe i kēlā ʻano loea, a i ʻole ke noʻonoʻo nei ʻoe i ka mea e ʻike ai no kahi maʻi e pili ana i ke akepaʻa. No laila, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā? E wehewehe nui kēia ʻatikala iā ʻoe e pili ana i ia mea.

ʻO wai kēia kauka hepatopath? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, he kauka hepatologist kahi kauka loea i nā maʻi a me nā kūlana e pili ana i ke akepaʻa. ʻO ka ʻāpana "hepatologist" ʻo ia hoʻi "akepaʻa" a ʻo ka "-ologist" ʻo ia hoʻi he loea i kahi kumuhana kikoʻī. No laila, i ka wā e hui pū ʻia ai kēia mau mea ʻelua, kū mai ka manaʻo o "hepatologist".

Eia kekahi, loaʻa i kēia poʻe loea kahi ʻike nui i nā maʻi o ke ala biliary, ʻo ia hoʻi nā ʻōpū e pili ana i ke akepaʻa, e like me ka gallbladder a me ka pancreas.

He aha nā ʻano o nā kino e mālama ai kahi hepatologist?

He nui ka poʻe e kipa aku i kahi hepatologist e ʻike a mālama i nā maʻi akepaʻa, ʻoiai hoʻi ka maʻi akepaʻa mau loa a me kona mau pilikia . Eia nō naʻe, aia paha kahi pilina ma waena o ka maʻi akepaʻa a me nā maʻi o nā kino ʻē aʻe.

E noʻonoʻo e pili ana i ia mea, ʻo kou akepaʻa he ʻāpana o ke ala biliary. ʻO nā kino ʻē aʻe o kēia ʻōnaehana ʻo ia ka gallbladder a me ka pancreas. Ua pili pū lākou a pau. No laila, inā pilikia kekahi kino, hiki iā ia ke hoʻopilikia i nā kino ʻē aʻe.

He ʻelua kānaka ʻokoʻa anei ke kauka hepatology a me ke kauka gastroenterologist? A i ʻole he kanaka hoʻokahi lāua?

Eia kahi nīnau a ka poʻe he nui. He gastroenterologist kēlā me kēia hepatologist. ʻO ia hoʻi, he kanaka i loaʻa ka hoʻomaʻamaʻa kūikawā ma ka ʻōnaehana hoʻoheheʻe. Eia naʻe, ʻaʻole he hepatologist kēlā me kēia gastroenterologist.

I mea e wehewehe hou aku ai, ʻo Gastroenterology ke kahua lapaʻau e aʻo ana i nā ʻōkana āpau o ka ʻōnaehana hoʻoheheʻe (me ke akepaʻa). ʻO Hepatology kekahi ʻoihana kūikawā o ia mea. ʻO ia hoʻi, hiki i kahi gastroenterologist ke kālele i kāna aʻo ʻana i nā maʻi akepaʻa a lilo i hepatologist.

I ka ʻōlelo maʻalahi, hiki i kahi gastroenterologist ke mālama i nā maʻi akepaʻa. Eia nō naʻe, ʻo kahi hepatologist kekahi kanaka i hele hohonu a loaʻa ka ʻike loea ma ia kahua.

A laila hiki iā ʻoe ke nīnau i kahi hepatologist e pili ana i ka gallbladder a me ka pancreas?

ʻAe, hiki iā ʻoe ke nīnau i kahi hepatologist e pili ana i kahi pilikia e pili ana i kāu gallbladder a i ʻole pancreas. No ka mea, ua aʻo ʻia lākou i kēlā mau ʻōpū. Eia naʻe, ʻo kā lākouʻO ke kiko nui ma ke akepaʻa.

ʻO ka maʻamau, no ka pilikia o ka gallbladder a i ʻole ka pancreas, e ʻike pinepine ʻoe i kahi gastroenterologist. Aia kekahi mau kauka loea i ka pancreas (Pancreatologists), akā he kakaikahi iki lākou.

No ke aha e kuhikuhi mai ai koʻu kauka iaʻu i kahi hepatologist?

Hiki i kāu kauka mālama mua (PCP) ke kuhikuhi iā ʻoe i kahi hepatologist inā manaʻo lākou he maʻi akepaʻa kou. Malia paha kēia no ka mea ʻike lākou i nā ʻano ʻē i kāu panela koko a i ʻole nā ​​​​hoʻokolohua hana akepaʻa.

I kekahi manawa, ʻoiai kekahi gastroenterologist nāna i mālama mua iā ʻoe no ka maʻi akepaʻa e kuhikuhi iā ʻoe i kahi hepatologist inā manaʻo lākou e pono ana kou kūlana i ka ʻike loea o kahi hepatologist.

He aha nā kūlana e mālama ai kahi hepatologist?

Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi hepatologist e ʻike a mālama i nā kūlana penei:

Nā maʻi o ke akepaʻa:

• ʻO ka mumū o ke akepaʻa i hoʻokumu ʻia e kahi maʻi, no ka laʻana, ka hepatitis B a i ʻole C.
• ʻO ka maʻi hepatitis a me ka steatohepatitis i hoʻoulu ʻia e ka waiʻona.
• ʻO ka maʻi ʻaʻai momona e pili ʻole ana i ka waiʻona a me ka Steatohepatitis. He mea maʻamau loa kēia i kēia manawa.
• ʻO ka Hepatitis Autoimmune kahi mumū o ke akepaʻa i hana ʻia e ka ʻōnaehana pale ponoʻī o ke kino e hoʻouka ana i ke akepaʻa.
• Hepatitis ʻawahia.
• ʻO ka maʻi Wilson - He maʻi hoʻoilina kēia.
• ʻO ke kīpē o ke akepaʻa. He maʻi koʻikoʻi loa kēia.
• Ka Holo ʻole ʻana o ke Ake ʻAkika a Mau Loa paha.
• Ka maʻi ʻaʻai mua o ke akepaʻa.

Nā maʻi o ke ala biliary:

• Ka ālai ʻana o ke kahe ʻana o ka bile (Cholestasis).
• ʻO ke koʻikoʻi o ka biliary.
• ʻO ke Cholangitis Sclerosing mua.
• ʻO ka cholangitis biliary mua.
• Ka maʻi ʻaʻai o ka ʻauwai bile.

Ke ʻike ʻoe i kēia papa inoa, maopopo paha iā ʻoe ke koʻikoʻi o ka hana a kahi hepatologist, ʻeā?

ʻO wai kēia Kauka Hepatope Hoʻololi?

ʻO ka Transplant Hepatology kekahi wahi hōʻoia kūikawā e hiki ai i kahi Gastroenterologist ke alualu. Eia kēia mau mea:Hoʻolohe nui ʻia ka maʻi akepaʻa hope loa a me kona mau pilikia, a me ka mālama ʻana ma mua a ma hope o ke kāpili ʻana i ke akepaʻa.

Hana nā kauka hepatology hoʻololi ma nā haukapila nui e hana ana i nā hoʻoili ake. Loaʻa iā lākou ke aʻo kūikawā e ʻike ai inā ʻo ka hoʻoili ake ka koho maikaʻi loa nāu a e mālama iā ʻoe ma ke kaʻina holoʻokoʻa .

He aha nā pilikia e mālama ai kahi hepatologist transplant?

I nā pae hope loa o ka maʻi akepaʻa, lilo kāu mau pono olakino i mea paʻakikī. Ua aʻo ʻia nā hepatologists transplant e hoʻokō i kēia mau pono. Hoʻokele lākou i nā ʻano pilikia like ʻole, me:

• Ke kaomi kiʻekiʻe i loko o nā aa koko e pili ana i ke akepaʻa (Portal Hypertension).
• ʻO ka ʻūlū ʻana.
• Ka hoʻonui ʻia a me ka hana nui o ka spleen (Hypersplenism).
• ʻO nā ʻano varices esophageal a me ke kahe koko ʻana o ka ʻōpū.
• ʻŌhū a i ʻole ka maneʻo mai ka maʻi akepaʻa.
• ʻO ka Hepatic Encephalopathy kahi maʻi e hoʻopilikia ai ke akepaʻa i ka lolo.
• Ka hāʻule ʻana o ka puʻupaʻa (Hepatorenal Syndrome)
• Ka hāʻule ʻana o ka hanu (hepatopulmonary syndrome)

ʻOiai ma hope o ka hoʻoili ʻana o ke akepaʻa holomua, hiki ke kū mai nā pilikia hou ma muli o nā lāʻau lapaʻau immunosuppressant āu e lawe nei. Hoʻokele pono ʻia kēia mau mea e kahi hepatologist. Nā Laʻana:

• Ke maʻi pinepine nei a me ka maʻi nui.
• Ke koko kiʻekiʻe (Hypertension).
• ʻO ke kō koko kiʻekiʻe a me ka maʻi diabetes Type 2.
• Ka lahilahi o nā iwi (Osteoporosis).
• Ka Holomua ʻana o ka Maʻi Puʻupaʻa a me ka Hāʻule ʻana o ka Puʻupaʻa.
• Ka Maʻi Ake Hoʻi Hou.

Pehea e lilo ai i hepatologist?

Ma hope wale nō o ka hoʻopau ʻana i ka palapala hōʻoia lapaʻau laulā hiki iā ʻoe ke koho e loea i ka Hepatology. ʻO ke ʻano kēia o ka hoʻopau ʻana i kahi kekelē lapaʻau ʻehā makahiki a me kahi papahana noho ʻekolu makahiki.

Ma hope o kēlā, hoʻopau nā hepatologists i kahi papahana pilina ʻekolu makahiki ma ka gastroenterology. Hoʻolilo lākou i kahi manawa nui e aʻo ana i ka hepatology.

Loaʻa mua kekahi poʻe i ka palapala hōʻoia ma ke ʻano he gastroenterologist a laila hana i kahi papahana hoʻomaʻamaʻa kūikawā e kālele ana i ka hepatology. ʻO ka maʻamau, hoʻokahi a ʻelua mau makahiki ka lōʻihi o kēia mau papahana fellowship.

Koho kekahi e lilo i Transplant Hepatologist. No ka hana ʻana pēlā, pono nā gastroenterologists e hoʻopau i kahi papahana hoʻomaʻamaʻa hoʻokahi makahiki, e hala i kahi hoʻokolohua, a loaʻa ka palapala hōʻoia.

ʻO wai kēia kauka Hepatope keiki?

He kauka hepatologist pediatric kahi kauka pediatric i loaʻa i ke aʻo hou ʻana ma ka gastroenterology a me ka hepatology. Hoʻōla lākou i nā maʻi o ka gastrointestinal ( GI), ke akepaʻa, a me ke ala biliary i nā pēpē, nā kamaliʻi liʻiliʻi, a me nā kamaliʻi ʻōpio.

Hoʻomaka kēia huakaʻi me ke kēkelē lapaʻau a me kahi noho ʻekolu makahiki ma ka Lapaʻau Pediatric Laulā. Ma hope o kēlā, kahi noho ʻekolu makahiki ʻē aʻe ma Pediatric Gastroenterology.

Hiki i kahi gastroenterologist pediatric ke loea i ka hepatology i ko lākou noho ʻana, a i ʻole hiki iā lākou ke hoʻopau i kahi pilina ma ka hepatology a lilo i hepatologist pediatric.

Eia kekahi, hiki ke hōʻoia ʻia kahi gastroenterologist pediatric ma Pediatric Transplant Hepatology. Ua kūpono kēia mau loea e mālama i nā keiki me ka hāʻule ʻana o ke akepaʻa a me ke kanesa o ke akepaʻa.

He ʻōkana nui a kikowaena kou akepaʻa i loko o kou kino. ʻAʻole wale no ka mea, ʻoiaʻiʻo nō. Hiki i nā mea he nui ke hoʻopilikia i ke akepaʻa. Eia kekahi, inā maʻi ke akepaʻa, hiki iā ia ke hoʻopilikia i nā ʻōkana a me nā ʻōnaehana kino he nui. No laila, he hana paʻakikī iki ka mālama ʻana i nā maʻi akepaʻa. He ākea a hohonu ke aʻo ʻana e pono ai. Eia kekahi, he nui ka hoʻoikaika noʻonoʻo e pono ai. Akā, ʻo ka mea nui loa, ʻo ia ka hopena, hoʻopakele nā ​​hepatologists i nā ola he nui.

Nā mea nui e hoʻomanaʻo ai (Leka Lawe-Home)

• He kauka lapaʻau ka hepatologist i loea i nā maʻi o ke akepaʻa a me ka ʻōnaehana biliary.
• He gastroenterologist kēlā me kēia hepatologist, akā loea lākou i ka ʻike hohonu o nā maʻi akepaʻa.
• Inā manaʻo kāu kauka ʻohana a i ʻole kahi gastroenterologist he maʻi ate kou, hiki iā lākou ke kuhikuhi iā ʻoe i kahi hepatologist.
• Hoʻōla lākou i nā maʻi like ʻole o ke akepaʻa e like me ka Hepatitis, Cirrhosis, a me ka Fatty Liver Disease.
• Aia kekahi mau hepatologists transplant e loea i ka hoʻoili ʻana i ke ake.
• Hiki iā ʻoe ke ʻimi i ke kōkua o kahi hepatologist pediatric no nā maʻi akepaʻa i nā keiki.

No laila, inā he pilikia kou akepaʻa a i ʻole kekahi āu i ʻike ai, ʻo ka mea nui loa, ʻo ia ke ʻike ʻana i ke kauka loea kūpono.

ʻAkepaʻa , maʻi akepaʻa, loea, hepatologist, gastroenterologist, hoʻoili akepaʻa, ʻōpū puʻuwai