Yu liva spɛshal pɔsin: Udat na ɛpatɔlɔjis?

Yu don eva yehri boht "Hepatologist"? Sɔntɛm yu famili dɔktɔ (PCP) dɔn rifer yu to da kayn spɛshal pɔsin de, ɔ yu dɔn de wɔnda udat fɔ si fɔ wan sik we gɛt fɔ du wit liva. So, yu tink se wi go tɔk bɔt dis smɔl mɔ tide? Dis atikul go ɛksplen bɔku tin bɔt am to yu.

Udat na dis hepatɔlɔjis? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, ɛpatɔlɔjis na dɔktɔ we spɛshal pan sik ɛn kɔndishɔn dɛn we gɛt fɔ du wit di liva. di "hepatologist" pat min "liva" εn di "-ologist" min spεshal savant pan wan patikyula sכbjek. So, we dεn tu tin ya kam togεda, di aidia fכ "hεpatologist" de kam.

Apat frɔm dat, dɛn spɛshal pipul ya ɔndastand bak di sik dɛn we de na di biliary tract, we inklud di ɔgan dɛn we gɛt kɔnekshɔn to di liva, lɛk di gal blad ɛn di pankrias.

Us kayn ɔgan dɛn we dɔktɔ we de mɛn di epa kin trit?

Bɔku pipul dɛn kin go to dɔktɔ we de mɛn epa fɔ no ɛn trit dɛn liva sik dɛn, mɔ di liva sik we nɔ de mɛn ɛn di prɔblɛm dɛn we kin apin to dɛn . Bɔt, kɔnekshɔn kin de bitwin di sik we de na di liva ɛn di sik dɛn we de na ɔda pat dɛn na di bɔdi.

Tink bɔt am, yu liva na pat pan di biliary tract. di כda כgan dεm na dis sistεm na di gal blad εn di pankrias. Dɛn ɔl gɛt sɔntin fɔ du wit dɛnsɛf. So, if wan ɔgan afɛkt, i kin afɛkt di ɔda ɔgan dɛn bak.

Yu tink se hepatologist ɛn gastroenterologist na tu difrɛn pipul dɛn? Ɔ na di sem pɔsin dɛn?

Na wan kwɛstyɔn we bɔku pipul dɛn gɛt. Ɛvri hepatɔlɔjis na gastroenterologist. Dat min se, pɔsin we gɛt spɛshal trenin fɔ di dijestiv sistɛm. Bɔt nɔto ɔl di dɔktɔ dɛn we de mɛn di bɛlɛ na di dɔktɔ we de mɛn di bɔdi.

fכ εksplen sכm mכr, Gastroenterology na di mεdikal fil we de stכdi כl di כgan dεm na di dijestiv sistεm (inklud di liva). Epatɔlɔji na ɔda sɔbspɛshal tin fɔ di sem tin. Dat min se, gastroenterologist kin fos in trenin onli pan liva sik dem en bi hepatologist.

Fɔ tɔk am simpul wan, dɔktɔ we de mɛn di bɛlɛ kin trit sik dɛn bak na di liva. Bɔt, ɛpatɔlɔjis na pɔsin we dɔn go dip ɛn gɛt ɛkspɛriɛns pan da wok de.

Dɔn yu kin aks ɛpatɔlɔjis bak bɔt di gal blad ɛn pankrias?

Yɛs, yu kin aks ɛpatɔlɔjis bɔt wan prɔblɛm we gɛt fɔ du wit yu gal blad ɔ pankrias. Na bikɔs dɛn tren dɛn bak pan dɛn ɔgan dɛn de. Bɔt, dɛnDi men tin we dɛn kin pe atɛnshɔn pan na di liva.

Bɔku tɛm, fɔ wan prɔblɛm wit gal blad ɔ pankrias, bɔku tɛm yu go go to dɔktɔ we de mɛn yu bɛlɛ. Dɔktɔ dɛn de bak we spɛshal pan di pankrias (Pancreatologists), bɔt dɛn nɔ kin bɔku.

Wetin mek mi dɔktɔ go sɛn mi to dɔktɔ we de mɛn mi epa?

Yu praymari kia dɔktɔ (PCP) kin rifer yu to ɛpatɔlɔjis if dɛn sɔprayz se yu gɛt liva sik. Dis kin bi bikɔs dɛn kin si tin dɛn we nɔ fayn na yu blɔd panɛl ɔ di tɛst we yu de du we yu liva de wok.

Sɔntɛnde, ivin dɔktɔ we de mɛn yu bɛlɛ ɛn we dɔn trit yu fɔ yu liva sik kin sɛn yu to dɔktɔ we de mɛn yu epa if dɛn fil se yu sik nid fɔ gɛt di ɛkspɛriɛns frɔm ɛpatɔlɔjis.

Us kɔndishɔn dɛn we hepatɔlɔjis kin trit?

Yu dɔktɔ kin rifer yu to ɛpatɔlɔjis fɔ no ɛn trit dɛn sik ya:

Liva Sik dɛn:

• Liva inflameshn we wan vayrɔs kin mek, fɔ ɛgzampul, epataytis B ɔ C.
• Epataytis we pɔsin kin gɛt we i de drink rɔm ɛn stiatohepatitis.
• Fati Liva Sik we nɔ gɛt fɔ du wit rɔm ɛn Stiatohepatitis. Dis na tin we kɔmɔn naw.
• Awtoimyun Epataytis na inflamɛns na di liva we di bɔdi in yon imyun sistɛm de atak di liva.
• Pɔyzin Ɛpataytis.
• Wilson in sik - Dis na wan jenɛtik kɔndishɔn.
• Sirosis na di liva. Dis na wan sik we rili siriɔs.
• Akyu ɔ Kronik Liva Fɛil.
• Praymari liva kansa.

Di sik dɛn we kin kam pan pɔsin we gɛt di sik dɛn we de na di biliary:

• Blɔk we di bayl de flɔ (Cholestasis).
• Di biliary strikt we dɛn kin mek.
• Praymari Sklerosing Kɔlangitis.
• Praymari Bilari Kɔlangitis.
• Bayle Dakt Kansa we de mek pɔsin gɛt.

We yu si dis list, yu go dɔn ɔndastand aw impɔtant pɔsin we de mɛn ɛpatɔlɔji kin du sɔntin, nɔto so?

Udat na dis Transplant Ɛpatɔlɔjis?

Transplant Hepatology na ɔda spɛshal sɛtifiket eria we Gastroenterologist kin du. Dɛn tin ya na:Dɛn kin pe spɛshal atɛnshɔn to di ɛnd-stej liva sik ɛn di prɔblɛm dɛn we i kin gɛt, ɛn bak fɔ trit bifo ɛn afta dɛn transplant di liva.

Transplant hepatologist dɛn kin wok na big ɔspitul dɛn we kin du liva transplant. Dɛn gɛt spɛshal trenin fɔ no if fɔ transplant yu liva na di bɛst tin fɔ yu ɛn fɔ kia fɔ yu ɔl di tɛm we yu de du di wok .

Us kɔmplikɛshɔn dɛn we transplant ɛpatɔlɔjis kin manej?

Na di las stej dɛm fɔ di liva sik, yu wɛl bɔdi nid kin bi mɔr kɔmpleks. Dɛn tren di wan dɛn we de mɛn di transplant ɛpatɔlɔjis fɔ mit dɛn nid ya. Dɛn kin ebul fɔ kɔntrol difrɛn prɔblɛm dɛn, lɛk:

• di hכy prεshכn na di vein dεm we kכnekt to di liva (Portal Hypertension).
• Asayt we de mek pɔsin gɛt sik.
• di splin de big εn di haypa aktiviti (Hypersplenism).
• εsophageal Varices εn Gεstrointestinal Bliding.
• Pruritus ɔ it frɔm liva sik.
• Epatik Ɛnsɛfalopati na wan sik we di liva kin afɛkt di bren.
• Kidni we nɔ de wok fayn (Epatorenal Syndrome) .
• Di we aw pɔsin de blo fayn (hɛpatopulmonary syndrome) .

Ivin afta yu dɔn transplant yu liva fayn fayn wan, nyu prɔblɛm dɛn kin kam bikɔs ɔf di mɛrɛsin dɛn we de mek yu nɔ gɛt di sik we yu de tek. Dɛn kin tek tɛm kia fɔ dɛn tin ya bak na wan dɔktɔ we de mɛn di epa. Ɛgzampul dɛn:

• Fɔ sik ɔltɛm ɛn fɔ sik bad bad wan.
• Ay blɔd prɛshɔn (Hypertension).
• Di blɔd shuga we bɔku ɛn Tayp 2 Dayabitis.
• Tin we di bon dɛn kin tan (Osteoporosis).
• Kidni sik we de go bifo ɛn di kidni we nɔ de wok fayn.
• Liva Sik we kin kam bak.

Aw fɔ bi hepatɔlɔjis?

Na afta yu dɔn kɔmplit di jenɛral mɛrɛsin kwalifayeshɔn nɔmɔ yu go pik fɔ spɛshal pan Ɛpatɔlɔji. Dis min se yu fɔ dɔn fɔ 4 ia mɛdikal digri ɛn tri ia rɛzidɛns program.

Afta dat, di hepatɔlɔjis dɛn kin dɔn ɔda tri ia feloship program insay gastroenterology. Dɛn kin spɛn bɔku tɛm fɔ stɔdi bɔt ɛpatɔlɔji.

Sɔm pipul dɛn kin gɛt sɛtifiket fɔs as gastroenterologist ɛn afta dat dɛn kin du spɛshal trenin program we de pe atɛnshɔn pan ɛpatɔlɔji. Dɛn feloship program ya kin las fɔ wan to tu ia.

Ɔda wan dɛn kin disayd fɔ bi Transplant Hepatologist. Fɔ du dat, di wan dɛn we de mɛn di bɛlɛ fɔ dɔn wan ia trenin program, pas ɛgzam, ɛn gɛt sɛtifiket.

Udat na dis Pikin Ɛpatɔlɔjis?

Pikin dɛn ɛpatɔlɔjis na pikin dɛn we dɔn gɛt ɔda trenin pan gastroɛnterɔlɔji ɛn ɛpatɔlɔji. Dɛn kin trit sik dɛn we de na di bɛlɛ ( GI), liva, ɛn biliary tract pan bebi dɛn, smɔl pikin dɛn, ɛn smɔl pikin dɛn.

Dis joyn bigin wit mɛdikal digri ɛn tri ia rɛzidɛns na Jɛnɛral Pidiatrik Mɛdisin. Afta dat, ɔda tri ia rɛzidɛns na Pidiatrik Gastroɛntɛrɔlɔji.

Wan pikin dɛn we de mɛn dɛn bɛlɛ kin spɛshal pan ɛpatɔlɔji di tɛm we dɛn de de, ɔ leta dɛn kin dɔn wan feloship pan ɛpatɔlɔji ɛn bi pikin dɛn ɛpatɔlɔjis.

Apat frɔm dat, pikin dɛn we de mɛn dɛn bɛlɛ kin gɛt sɛtifiket fɔ Pikin Transplant Ɛpatɔlɔji. Dɛn spɛshal pipul ya spɛshal fɔ trit pikin dɛn we gɛt liva we nɔ de wok fayn ɛn we gɛt kansa na dɛn liva.

Yu liva na wan rili big ɛn sɛntral ɔgan na yu bɔdi. Nɔto jɔs bikɔs, i rili bi. Bɔku tin kin afɛkt di liva. Dɔn bak, if di liva sik, i kin afɛkt bɔku ɔgan dɛn ɛn di bɔdi sistɛm dɛn. So, fɔ trit liva sik na smɔl wok we nɔ izi fɔ du. Di trenin we dɛn nid fɔ tren na bɔku ɛn dip. Dɔn bak, i kin tek bɔku tɛm fɔ tray tranga wan na yu maynd. Bɔt, di tin we impɔtant pas ɔl na dat, na di ɛnd, di ɛpatɔlɔjis dɛn kin sev bɔku pipul dɛn layf.

Impɔtant tin dɛn fɔ mek yu mɛmba (Take-Home Message) .

• Hepatologist na dɔktɔ we spɛshal pan sik dɛn na di liva ɛn biliary system.
• Ɛvri ɛpatɔlɔjis na gastroenterologist, bɔt dɛn spɛshal fɔ no mɔ dip no bɔt liva sik dɛn.
• If yu famili dɔktɔ ɔ dɔktɔ we de mɛn yu bɛlɛ tink se yu gɛt liva sik, dɛn kin sɛn yu to dɔktɔ we de mɛn yu epa.
• Dɛn kin trit difrɛn sik dɛn na di liva lɛk Epataytis, Sirosis, ɛn Fat Liva Sik.
• I gɛt bak transplant ɛpatɔlɔjis dɛn we spɛshal pan liva transplant.
• Yu kin aks fɔ ɛp frɔm pikin dɛn ɛpatɔlɔjis fɔ di liva sik dɛn na pikin dɛn.

So, if yu ɔ pɔsin we yu sabi gɛt liva prɔblɛm, di tin we impɔtant pas ɔl na fɔ go to di rayt spɛshal pɔsin.

` Liva, liva sik, spɛshal pɔsin, ɛpatɔlɔjis, gastroenterɔlɔjis, liva transplant, gal blad