Ua hele anei ʻoe i ke kauka no kahi pilikia ʻili a lohe iā lākou e ʻōlelo ana, "Pono mākou e lawe i kahi ʻāpana liʻiliʻi o kēia a hoʻāʻo iā ia"? Kāhea pinepine mākou i kēia he ' biopsy .' Pēlā ke lawe ʻana o ke kauka loea i kahi ʻāpana liʻiliʻi o kou ʻili, kui, a lauoho paha a ʻike pono i ke ʻano o ka maʻi. ʻO ka mea kupanaha, ʻaʻole mākou i hālāwai kino me kēia kauka. I kēia lā ke kamaʻilio nei mākou e pili ana i ke koa ma hope o nā hiʻohiʻona nāna e kōkua iā ʻoe e ʻike pololei i kāu maʻi, he Dermatopathologist.
I ka ʻōlelo maʻalahi, ʻo wai kēia kauka ʻili?
He mea paʻakikī paha kēia inoa, akā maʻalahi loa ke hoʻomaopopo. He hui pū ʻana ia o ʻelua mau huaʻōlelo.
1. ʻIli : ʻO kēia ka ʻepekema a me ka lāʻau lapaʻau o nā maʻi ʻili. Hele ʻoe i kahi kauka ʻili no kahi pilikia ʻili.
2. Pathology: ʻO kēia ke ʻepekema e aʻo ana i nā maʻi. Nānā lākou i nā ʻiʻo a me nā cell mai ko mākou kino ma lalo o kahi microscope e ʻike i nā maʻi. Hiki i kēia mau kauka ke ʻike pololei inā he maʻi kanesa a he maʻi paha.
Ke hui pū ʻia kēia mau kahua ʻelua, ua hoʻokumu ʻia ka subspecialty o dermatopathology . No laila, he kauka dermatopathologist i loaʻa i ka hoʻomaʻamaʻa kūikawā e nānā i nā laʻana i lawe ʻia mai ka ʻili, ka lauoho, a me nā kui ma lalo o kahi microscope a ʻike pololei i nā maʻi. I mea e pololei ai, ua like kekahi me kahi mākaʻi e ʻike i nā maʻi ma ke kahua o dermatology .
He aha ka hana a kēia mau kauka?
E noʻonoʻo e ʻike ana kāu kauka ʻili i kahi wahi ʻē ma kou ʻili a lawe i kahi laʻana liʻiliʻi (biopsy) o ia mea. He aha ka mea e hiki mai ana?
Hoʻomākaukau ʻia kēlā ʻāpana ʻili liʻiliʻi e like me ke kaʻina hana kūikawā a hoʻouna ʻia i ka lab. Ma laila e hoʻomaka ai ka hana a ke kauka ʻili. Hoʻohana ʻo ia i nā microscope ikaika loa (nā microscope māmā, nā microscope electron) e aʻo i nā loli i loko o kēlā ʻāpana ʻili ma ka pae cellular.
Nānā lākou e ʻike inā he mea ʻokoʻa mai nā ʻāpana olakino maʻamau. He ʻāpana maʻi kanesa paha? He loli paha ia i hana ʻia e kahi maʻi allergy? Bacteria a fungi paha.Ma hope wale nō o kēia hoʻāʻo hiki iā mākou ke ʻōlelo maopopo inā he maʻi ia a he pilikia paha me ka ʻōnaehana pale.
A laila, e kākau kēia loea i kahi hōʻike piha me kāna mau ʻike āpau. E hoʻouna ʻia kēlā hōʻike i kāu kauka ʻili. E hoʻomaka kāu lāʻau lapaʻau ma muli o kēlā hōʻike.
Pehea ka paʻakikī o ka lilo ʻana i Dermatopathologist?
ʻAʻole kēia he huakaʻi maʻalahi e like me kou manaʻo. He kahua lapaʻau kēia e pono ai ke aʻo kiʻekiʻe. ʻO ka maʻamau, penei ka huakaʻi:
- Kekelē kumu: He kekelē laepua ʻepekema 4 makahiki.
- Kula Lapaʻau: kekelē lapaʻau 4-5 makahiki (MBBS).
- Internship : 1 makahiki o ke aʻo ʻana.
- Hoʻomaʻamaʻa Postgraduate (Residency): Maanei lākou e loaʻa ai i 3-4 mau makahiki o ke aʻo loea ma Dermatology a i ʻole Pathology.
- Fellowship: Ma hope o kēlā, aia kekahi 1-2 mau makahiki o ke aʻo hohonu ma kēia kahua subspecialty i kapa ʻia ʻo Dermatopathology .
E noʻonoʻo wale, i ka pau ʻana o kēia mau mea a pau, pono ʻoe e hoʻolaʻa ma mua o 10-12 mau makahiki i ka hoʻonaʻauao a me ke aʻo ʻana. Hōʻike kēia i ke koʻikoʻi o kēia kahua a me ka hoʻolaʻa e pono ai no ia.
He aha nā ʻano kūlana i ʻike ʻia e kēia poʻe loea?
ʻAʻole mālama pololei kahi kauka ʻili i nā maʻi. Eia nō naʻe, na kā lākou hōʻailona e hoʻoholo i ka lāʻau āu e loaʻa ai. E nānā kākou i kekahi o nā maʻi nui a lākou e hōʻailona ai.
| Kūlana olakino | Ke kuleana o ka dermatopathologist |
|---|---|
| Nā maʻi ʻili | Ke ʻike ʻana i nā ʻano maʻamau a koʻikoʻi o ke kanesa, e like me ka Basal Cell Carcinoma a me Melanoma . Hāʻawi ia i ka ʻike e pili ana i ka hohonu o ka laha ʻana o ke kanesa a me ka wikiwiki o ka māhele ʻana o nā cell. He mea nui kēia ʻike no ka hoʻolālā ʻana i ka mālama ʻana. |
| ʻO ka psoriasis | He maʻi kēia i hoʻokumu ʻia e kahi pilikia me ka ʻōnaehana pale. I kekahi manawa hiki ke huikau ʻia me nā maʻi ʻili ʻē aʻe. Hiki i kahi biopsy ke hōʻoia inā he psoriasis kēia a ʻaʻole paha a he aha ke ʻano. |
| Ka nalowale o ka lauoho (Alopecia Areata) | ʻO kēia kūlana, kahi e hāʻule ai ka lauoho i nā ʻāpana, he pilikia nō hoʻi ia me ka ʻōnaehana pale. Hiki ke hōʻoia ʻia kēia maʻi ma ka nānā ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo i lawe ʻia mai ke poʻo a ʻike inā ua hōʻuluʻulu ʻia nā hunaola pale a puni ka follicle lauoho. |
| Nā maʻi ʻaleka a me nā maʻi ʻaleka | ʻO ka nānā ʻana i nā ʻeha ʻili ma ke ʻano microscopic, e like me nā pehu, eczema, a me nā rashes, e hōʻoia inā ua hana ʻia e kahi maʻi allergy, bacteria, viral, a fungal paha. |
No ke aha ʻoe e pono ʻole ai e ʻike i kahi dermatologist?
Inā he pilikia kou me kou ʻili, nā kui, a i ʻole ka lauoho, pono ʻoe e ʻike mua i kahi kauka ʻili . Eia kekahi laʻana:
- Ka loli ʻana o ke kala, ke ʻano, a i ʻole ka nui o kahi kaha hānau ma ka ʻili.
- ʻAkika mau.
- Nā hives a i ʻole nā ʻano ʻulaʻula like ʻole.
- Ka ʻōpala.
- Nā maʻi fungal o nā kui.
- Ka nalowale lauoho maʻamau ʻole.
E nānā kāu kauka i kēia mau hōʻailona, lawe i kahi biopsy inā pono, a kūkākūkā me kahi dermatopathologist no kahi manaʻo. ʻO ke ʻano kēia, ʻaʻole pono ʻoe e ʻike pololei i kahi dermatopathologist.
No ke aha he mea nui ka ʻike pololei?
Inā loaʻa iā ʻoe ka hōʻailona hewa, hiki iā ʻoe ke loaʻa i ka lāʻau lapaʻau hewa. Hiki iā ia ke hoʻonui i kou kūlana. E noʻonoʻo i ka mea e hiki ke hana inā he mea koʻikoʻi e like me ke kanesa ʻili i kuhi hewa ʻia he maʻi ʻili maʻamau. Hiki paha ke hoʻoweliweli i ke ola.
No laila, ʻoiai inā kānalua ʻoe i kahi maʻi koʻikoʻi e like me ke kanesa ʻili, he mea nui loa ia e nīnau i kāu kauka inā e nānā ʻia ka hāpana biopsy e kahi dermatopathologist. Inā pono, hiki iā ʻoe ke kiʻi i ka manaʻo ʻelua mai ia ʻano loea.
Hōʻike kēia i ka waiwai nui o nā lawelawe a ia mau kauka loea e hana ana ma hope o nā pale no ko kākou olakino, ʻoiai ʻaʻole kākou e ʻike iā lākou.
Leka Lawe-Home
- He kauka dermatopathologist kahi kauka i loaʻa i ka hoʻomaʻamaʻa kūikawā e ʻike i nā maʻi ma ka nānā ʻana i nā ʻili, ka lauoho, a me nā kui ma lalo o kahi microscope.
- Inā loaʻa iā ʻoe kahi biopsy no kahi maʻi ʻili, e nānā kēia loea i ka hāpana. Akā, ʻaʻole ʻoe e hālāwai kino me ia.
- E hoʻoholo kāu kauka ʻili i ka lāʻau lapaʻau e pili ana i ka hōʻike i hāʻawi ʻia e ka dermatopathologist.
- He mea nui ko lākou ʻike loea no ka ʻike pololei ʻana i nā maʻi he nui e like me ke kanesa ʻili, psoriasis, a me ka nalowale o ka lauoho.
- Inā kānalua ʻoe i kahi maʻi ʻili koʻikoʻi, he mea nui e nīnau i kāu kauka inā hiki ke nānā ʻia ka hāpana ʻiʻo e kahi dermatopathologist.
Kauka ʻIli, Dermatopathology, Maʻi ʻIli, Maʻi ʻIli, Biopsy, Biopsy, Kanesa ʻIli, Melanoma, Psoriasis
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