Tō tohunga ate: Ko wai te tohunga ate?

Kua rongo koe i tētahi "Tohunga Matepukupuku"? Tērā pea kua tukuna koe e tō tākuta whānau (PCP) ki tētahi tohunga pēnei, kei te whakaaro rānei koe ko wai hei toro atu mō tētahi mate e pā ana ki te ate. Nō reira, me kōrero taipitopito atu tātou mō tēnei i tēnei rā? Mā tēnei tuhinga koe e whakamārama he nui mō tēnei.

Ko wai tēnei tohunga mate pukupuku? He māmā noa iho...

I te whakarapopototanga, he tākuta hepatologist te tohunga ki ngā mate me ngā āhuatanga e pā ana ki te ate. Ko te tikanga o te "hepatologist" ko te "ate" ā, ko te tikanga o te "-ologist" he tohunga ki tētahi kaupapa motuhake. Nō reira, ina honoa ēnei mea e rua, ka puta ake te whakaaro o te "hepatologist".

Hei tāpiri, he māramatanga nui anō hoki tō ēnei tohunga ki ngā mate o te ara biliary, tae atu ki ngā whekau e hono ana ki te ate, pērā i te gallbladder me te pancreas.

He aha ngā momo whekau e rongoatia ana e te tohunga hepatology?

He tokomaha te hunga e toro atu ana ki te tākuta ate ki te tātaritanga me te rongoā i ngā mate ate, inā koa ko te mate ate mau tonu me ōna raruraru . Heoi anō, tera pea he hononga i waenga i te mate ate me ngā mate o ētahi atu whekau.

Whakaarohia, ko tō ate he wāhanga o te ara biliary. Ko ētahi atu okana o tēnei pūnaha ko te aupūnga me te repeure. He hononga katoa ēnei. Nō reira, ki te pāngia tētahi okana, ka pāngia anō hoki ētahi atu okana.

He rerekē te tohunga ate me te tohunga puku? He tangata kotahi rānei rāua?

Anei tētahi pātai a te tini tāngata. He tohunga puku ia tohunga puku. Arā, he tangata whai mātauranga motuhake ki te pūnaha nakunaku. Heoi, ehara i te mea he tohunga puku ia tohunga puku.

Hei whakamārama atu, ko te Gastroenterology te mara hauora e ako ana i ngā okana katoa o te pūnaha nakunaku (tae atu ki te ate). Ko te Hepatology tētahi atu tohungatanga iti o taua mea. Arā, ka taea e te gastroenterologist te arotahi i tana whakangungu ki ngā mate ate anake, ā, ka noho hei hepatologist.

Ki te kī ngāwari, ka taea hoki e te tākuta puku te rongoā i ngā mate ate. Heoi, ko te tākuta hepatopath he tangata kua hohonu ake te tūhuratanga, ā, kua whiwhi tohungatanga ki taua mara.

Kātahi ka taea e koe te pātai ki tētahi tohunga ate mō te puku o te puku me te repe taiaki?

Ae, ka taea e koe te pātai ki tētahi tohunga ate mō tētahi raruraru e pā ana ki tō pūkahukahu, ki tō repeure rānei. Nā te mea kua whakangungua rātou ki aua whekau anō hoki. Heoi, ko ā rātouKo te ate te arotahi matua.

I te nuinga o te wā, mō te raruraru o te puku pūkahukahu, te repe taiaki rānei, ka kite koe i te tohunga puku. Tērā anō hoki ngā tākuta e tohunga ana ki te repe taiaki (Ngā Tohunga Pankreatika), engari he onge noa iho.

He aha ahau i tukuna ai e taku tākuta ki tētahi tohunga mate ate?

Mēnā e whakapae ana tō tākuta tiaki tuatahi (PCP) he mate ate tōu, ka tukuna pea koe e ia ki tētahi tohunga ate. Tērā pea nā te mea ka kitea e rātou he rerekētanga i roto i ō whakamātautau toto, i ō whakamātautau mahi ate rānei.

I ētahi wā, ahakoa te tākuta puku kua rongoatia koe mō te mate ate i mua, ka tukuna pea koe ki te tākuta hepatologist mēnā ki tā rātou whakaaro me whai tohungatanga tō te tākuta hepatologist mō tō mate.

He aha ngā mate e rongoatia ana e te tohunga hepatology?

Tērā pea ka tukuna koe e tō tākuta ki tētahi tohunga hepatology hei tātaritanga me te rongoā i ngā āhuatanga e whai ake nei:

Ngā mate ate:

• Te mumura o te ate i puta mai i te huaketo, hei tauira, te Hepatitis B, C rānei.
• Te mate hepatitis me te steatohepatitis i puta mai i te waipiro.
• Te Mate Ate Ngako me te Steatohepatitis kāore e pā ana ki te waipiro. He mea tino noa tēnei i ēnei rā.
• Ko te Hepatitis Ā-aunoa he mumura o te ate e puta mai ana i te whakaekenga a te pūnaha ārai mate o te tinana i te ate.
• Hepatitis paitini.
• Te Mate a Wilson - He mate ira tēnei.
• Te mate ate. He mate tino kino tēnei.
• Te ngoikore o te ate, te ngoikore rānei o te ate mau tonu.
• Te mate pukupuku ate tuatahi.

Ngā mate o te ara biliary:

• Te aukati i te rere o te au (Cholestasis).
• Te whakawhāititanga o te biliary.
• Te Cholangitis Sclerosing Tuatahi.
• Te cholangitis biliary tuatahi.
• Te Mate Pukupuku o te Āhua Au.

Ina kite koe i tēnei rārangi, kua mārama pea koe ki te hiranga o te mahi a te tohunga ate, tika?

Ko wai tēnei Tohunga Whakatō Hepato?

Ko te Transplant Hepatology tētahi atu wāhanga tiwhikete motuhake ka taea e te Gastroenterologist te whai. Ko ēnei:Ka aro nui ki te mate ate wāhanga whakamutunga me ōna raruraru, tae atu ki te maimoatanga i mua atu me muri i te whakawhitinga ate.

Kei ngā hōhipera nui e mahi ana ngā tohunga whakawhitinga ate i ngā whakawhitinga ate, ā, he whakangungu motuhake tā rātou hei tautuhi mēnā ko te whakawhitinga ate te kōwhiringa pai rawa atu māu, me te tiaki i a koe puta noa i te tukanga katoa .

He aha ngā raruraru ka taea e te tohunga hepatologist whakawhitinga toto te whakahaere?

I ngā wāhanga whakamutunga o te mate ate, ka uaua haere ō hiahia hauora. Kua whakangungua ngā tohunga hepatologist whakawhitinga toto ki te whakatutuki i ēnei hiahia. Ka whakahaerehia e rātou he maha ngā raruraru, tae atu ki:

• Te pēhanga teitei i roto i ngā uaua e hono ana ki te ate (Portal Hypertension).
• Ngā ascites.
• Te whakanui me te kaha rawa o te whēkau (Hypersplenism).
• Ngā Varices Essophageal me te Toto Puku.
• Te mākūkū, te kati rānei i te mate ate.
• Ko te Hepatic Encephalopathy he mate e pāngia ai te roro e te ate.
• Te ngoikore o te whatukuhu (te mate hepatorenal)
• Te ngoikore o te manawa (te mate hepatopulmonary)

Ahakoa i muri i te angitu o te whakawhitinga ate, tera pea ka ara ake ngā raruraru hou nā ngā rongoā ārai mate e tangohia ana e koe. Ka ata whakahaerea hoki ēnei e te tohunga hepatology. Hei tauira:

• Te pāngia e te mate pinepine me te kino.
• Te toto toto tiketike (hypertension).
• Te huka toto tiketike me te mate huka momo 2.
• Te angiangi o ngā wheua (Osteoporosis).
• Te Haere Whakamua o te Mate Tākihi me te ngoikore o te Tākihi.
• Te mate ate e hokihoki ana.

Me pēhea te noho hei tohunga hepatologist?

Kia oti rā anō te tohu mātauranga rongoā whānui ka taea e koe te whiriwhiri ki te tohunga ki te Hepatology. Ko te tikanga tēnei me whakaoti i tētahi tohu hauora e whā tau te roa, me tētahi kaupapa noho mō ngā tau e toru.

Whai muri i tēnā, ka whakaotihia e ngā tohunga ate he kaupapa karahipi e toru tau te roa mō te gastroenterology. He nui te wā e pau ana i a rātou ki te ako i te ate hepatology.

Ko ētahi tāngata ka whiwhi tohu hei tohunga gastroenterologist, kātahi ka whai i tētahi kaupapa whakangungu motuhake e aro ana ki te hepatology. Ko te tikanga, kotahi ki te rua tau te roa o ēnei kaupapa karahipi.

Ko ētahi e whiriwhiri ana kia noho hei Tohunga Whakatō Hepa. Hei mahi i tēnā, me whakaoti e ngā tohunga puku he kaupapa whakangungu kotahi tau te roa, me paahi i te whakamātautau, ā, me whiwhi tohu.

Ko wai tēnei Tākuta Matepukupuku Tamariki?

He tākuta tamariki te tākuta tamariki he tohunga tākuta tamariki kua whiwhi whakangungu tāpiri ki te gastroenterology me te hepatology. Ka rongoā rātou i ngā mate o te gastrointestinal ( GI), te ate, me te ara biliary i roto i ngā pēpi, ngā tamariki nohinohi, me ngā tamariki nohinohi.

Ka tīmata tēnei haerenga me te tohu hauora me te noho roa e toru tau i roto i te Rongoā Tamariki Whānui. Whai muri i tēnā, ka noho roa anō e toru tau i roto i te Gastroenterology Tamariki.

Ka taea e te tohunga gastroenterologist tamariki te tohunga ki te hepatology i a rātou e noho ana ki te whare wānanga, ka taea rānei e rātou te whakaoti i te karahipi i roto i te hepatology ka noho hei tohunga hepatology tamariki.

Hei tāpiritanga, tera pea he tohunga puku tamariki kua whai tohu mō te Pediatric Transplant Hepatology. He tohunga motuhake ēnei tohunga ki te rongoā i ngā tamariki e pāngia ana e te ngoikore o te ate me te mate pukupuku ate.

He tino nui tō ate, he okana matua hoki i roto i tō tinana. Ehara i te mea nā te mea anake, engari he pono. He maha ngā mea ka pā ki te ate. Waihoki, ki te pāngia te ate e te mate, ka pā ki ngā okana me ngā pūnaha tinana maha. Nō reira, he mahi uaua te rongoā i ngā mate ate. He whānui, he hohonu hoki te whakangungu e hiahiatia ana. He nui hoki te kaha hinengaro e hiahiatia ana. Engari, ko te mea nui ko te mutunga, ka whakaorangia e ngā tohunga mate ate he maha ngā oranga.

Ngā mea nui hei maumahara māu (Karere hei kawe ki te kāinga)

• He tākuta te tohunga ate hepatopath e tohunga ana ki ngā mate o te ate me te pūnaha biliary.
• He tohunga puku ia tohunga ate, engari he tohunga rātou ki te mōhiotanga hōhonu ake mō ngā mate ate.
• Mena kei te whakapae tō tākuta whānau, tō tākuta puku rānei kei te mate ate koe, ka tukuna pea koe e rātou ki tētahi tākuta hepatologist.
• Ka rongoatia e rātou ngā mate ate maha pērā i te Hepatitis, te Cirrhosis, me te Ngako Liver Disease.
• Kei reira anō ngā tohunga hepatologist whakawhitinga ate e tohunga ana ki te whakawhitinga ate.
• Ka taea e koe te rapu awhina i tētahi tākuta ate tamariki mō ngā mate ate o ngā tamariki.

Nō reira, ki te mea he mate ate tōu, tō tetahi rānei e mōhiotia ana e koe, ko te mea nui ko te toro atu ki te tohunga tika.

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