Kodi dokotala wanu anakuuzanipo kuti, "Tipita kukawonana ndi katswiri wa chiwindi"? Kapena munayamba mwachita mantha pang'ono kapena kuda nkhawa mutaona kuti ma enzymes a chiwindi chanu akwera pang'ono poyesa magazi? Kenako mumaganiza kuti, "Kodi katswiri wa chiwindi uyu ndi ndani?" Imeneyo ndiye yankho la funso limene tikambirana m'nkhaniyi lero. Palibe chifukwa choopera, tiyeni timvetse zinthu izi mosavuta.
Kodi katswiri wa matenda a chiwindi uyu ndi ndani?
Mwachidule, katswiri wa chiwindi ndi dokotala yemwe ali ndi luso lapadera pa matenda okhudzana ndi chiwindi chanu, ndulu, ndulu, ndi kapamba.
N'zosavuta kufotokoza mawuwa. "Hepato" mu Chigiriki amatanthauza "chiwindi" ndipo "-ologist" amatanthauza katswiri pa nkhani inayake. Choncho mukaphatikiza zonsezi, "hepatologist" amatanthauza katswiri pa chiwindi. Koma samangoyang'ana chiwindi, komanso amadziwa bwino ziwalo zina zokhudzana ndi chiwindi.
Taganizirani motere, ziwalo izi m'thupi lathu zili ngati dongosolo lomwe limagwira ntchito limodzi. Monga momwe mapaipi amagwirira ntchito m'nyumba. Ngati pali vuto pamalo amodzi, lingakhudzenso malo ena. Mofananamo, matenda a chiwindi amatha kukhudza ndulu kapena kapamba. Chifukwa chake mufunika munthu wodziwa bwino za dongosolo lonseli.
Kodi dokotala wa matenda a m'mimba ndi dokotala wa chiwindi ndi munthu mmodzi?
Apa ndi malo omwe anthu ambiri amasokonezeka. Ndi funso labwino kwambiri.
Katswiri wa matenda a m'mimba ndi dokotala amene amadziwa bwino za kugaya chakudya m'thupi lathu lonse. Izi zikutanthauza kuti ali ndi chidziwitso cha chilichonse kuyambira pakamwa mpaka ku anus, kuphatikizapo m'mero, m'mimba, m'matumbo ang'onoang'ono, m'matumbo akuluakulu, chiwindi, ndulu, ndi kapamba.
Katswiri wa chiwindi ndi katswiri wa matenda a m'mimba amene waphunzitsidwa bwino komanso waphunzira zambiri kuti akhale katswiri wa chiwindi ndi matenda ena okhudzana ndi chiwindi.
Mwachidule, tangoganizani kuti dokotala aliyense wa chiwindi ndi dokotala wa matenda a m'mimba, koma si dokotala aliyense wa matenda a m'mimba amene ali dokotala wa matenda a m'mimba. Monga momwe dokotala aliyense wa mtima alili dokotala wamkulu, koma si dokotala aliyense wa matenda a mtima amene ali dokotala wamkulu.
Kawirikawiri, matenda osavuta a chiwindi amatha kuchiritsidwa ndi dokotala wa matenda a m'mimba. Komabe, ngati vutoli ndi lovuta kwambiri, mwachitsanzo, matenda oopsa monga matenda a chiwindi, khansa ya chiwindi, kapena kuikidwa kwa chiwindi, ukatswiri wa dokotala wa chiwindi ndi wofunikira kwambiri.
Dokotala wanu akakutumizani kwa dokotala wa chiwindi, akuyesera kukupatsani chithandizo chapamwamba kwambiri cha akatswiri, choncho musaope kufunsa.
N’chifukwa chiyani dokotala angakutumizireni kwa dokotala wa chiwindi?
Kawirikawiri, choyamba mudzaonana ndi dokotala wanu wamkulu (PCP). Ngati muli ndi zizindikiro monga chikasu cha maso, kutupa m'mimba, kapena kutopa kwambiri, kapena ngati muli ndi mayeso osazolowereka a chiwindi (LFTs) pa bolodi la magazi, iye angaganize kuti ali ndi vuto la chiwindi.
Zikatero, angakutumizireni kwa dokotala wa chiwindi kuti akupatseni chithandizo cholondola komanso cholondola.
Nthawi zina, ngati dokotala wanu wa matenda a m'mimba akuona kuti vuto lanu lafika poti akufunika ukatswiri wochulukirapo kuposa wake, adzakutumizirani kwa dokotala wa matenda a chiwindi. Iyi ndiyo njira yoyenera kwambiri yachipatala.
Ndi matenda ati omwe dokotala wa chiwindi amachiritsa?
Matenda osiyanasiyana omwe akatswiri a chiwindi amachiritsa ndi ambiri. Tiyeni tigawane m'magawo awiri.
| Matenda a chiwindi makamaka | |
|---|---|
| Dzina la matenda | Kufotokozera kosavuta |
| Matenda a chiwindi a virus | Kutupa kwa chiwindi komwe kumachitika chifukwa cha mavairasi monga hepatitis B ndi C. |
| Matenda a Chiwindi Oyambitsidwa ndi Mowa | Kuwonongeka kwa chiwindi chifukwa cha kumwa mowa mopitirira muyeso. |
| Matenda a Chiwindi Chonenepa | Kuchuluka kwa mafuta m'chiwindi, ngakhale mwa anthu omwe samwa mowa, n'kofala kwambiri m'dziko lathu masiku ano. |
| Chiwindi cha Autoimmune | Chitetezo cha mthupi cha thupi chikuukira chiwindi. |
| Matenda a Wilson | Kuwonongeka kwa chiwindi chifukwa cha kuchuluka kwa mkuwa m'thupi. |
| Matenda a chiwindi (cirrhosis) | Matenda a chiwindi osatha amachititsa kuti chiwindi chichepe, chikhale ndi zipsera, komanso chisamagwire ntchito bwino. |
| Kulephera kwa Chiwindi | Kusiya kugwira ntchito kwa chiwindi mwadzidzidzi kapena pang'onopang'ono. |
| Khansa Yaikulu ya Chiwindi | Khansa zomwe zimachitika m'chiwindi. |
| Matenda a Biliary Tract | |
|---|---|
| Cholestasis | Kutsekeka kwa kutuluka kwa ndulu komwe kumachitika ndi chiwindi. |
| Kuchepa kwa ndulu | Kuchepetsa kapena kutsekeka kwa njira zotulutsira ndulu. |
| Cholangitis Yoyamba ya Biliary | Matenda a autoimmune omwe amawononga ducts ya ndulu. |
| Khansa ya Mtsempha wa Bile | Khansa zomwe zimachitika m'mitsempha ya ndulu. |
Kodi katswiri wa za chiwindi wosinthana ndi zomera uyu ndi ndani?
Uwu ndi ntchito ina yapamwamba kwambiri. Katswiri wa za chiwindi wosintha chiwindi ndi dokotala amene waphunzitsidwa mwapadera kusamalira odwala omwe ali ndi matenda a chiwindi omwe ayamba kale opaleshoni yosintha chiwindi isanayambe komanso itatha.
Madokotala awa amagwira ntchito m'zipatala zazikulu zomwe zimachita opaleshoni yoika chiwindi. Ali ndi chidziwitso chakuya cha chilichonse kuyambira kusankha ngati kuyika chiwindi ndi njira yabwino kwambiri kwa wodwala, kukonzekera wodwalayo, komanso kuthana ndi mavuto pambuyo pa opaleshoni.
Thanzi la wodwala yemwe ali ndi vuto la chiwindi ndi lovuta kwambiri. Mavuto ambiri amatha kuchitika nthawi imodzi. Dokotala wochizira matenda a chiwindi amasamalira zonsezi.
Kodi ndi mavuto otani omwe amakumana nawo?
Chimodzi mwa ntchito zawo zazikulu ndi kuthana ndi mavuto omwe angabuke asanayambe komanso atapatsidwa chiwindi.
- Kuthamanga kwa magazi m'thupi: Kuwonjezeka kwa kuthamanga kwa magazi m'mitsempha yomwe imabweretsa magazi ku chiwindi.
- Ascites: Izi nthawi zambiri zimatchedwa kuti madzimadzi omwe amasonkhana m'mimba .
- Matenda a m'mimba: Izi zimatha kuphulika ndikutuluka magazi.
- Matenda a Chiwindi: Ntchito ya ubongo imasokonekera chifukwa chiwindi sichingathe kusefa poizoni. Wodwalayo angaiwale zinthu.
- Matenda a Hepatorenal: Mavuto a chiwindi omwe amakhudza impso.
Mavuto atsopano amabuka munthu akangoikidwa chiwindi, chifukwa thupi liyenera kupitiriza kumwa mankhwala oletsa chitetezo chamthupi kuti chiwindi chomwe changoikidwa kumene chisakanidwe. Mankhwalawa angayambitse mavuto ena.
- Matenda obwerezabwereza.
- Kuthamanga kwa magazi (BP).
- Matenda a Shuga (Mtundu wachiwiri wa Matenda a Shuga).
- Kuchepa kwa mafupa (Osteoporosis).
- Kubwerezabwereza kwa matenda a chiwindi.
Ndi udindo wa dokotala wa chiwindi woika ziwalo zina kuti azisamala zonsezi ndikusunga wodwalayo bwino.
Kodi Dokotala wa Chiwindi wa Ana ndi Ndani?
Monga momwe dzinalo likusonyezera, Dokotala wa Chiwindi cha Ana ndi dokotala yemwe ndi katswiri pa matenda a chiwindi ndi m'mimba mwa makanda, ana aang'ono, ndi ana aang'ono.
Matupi a ana sali ngati matupi a ana aang'ono. Matenda awo ndi osiyana, momwe amachitira matenda ndi osiyana, ndipo mlingo wa mankhwala operekedwa ndi wosiyana. Chifukwa chake, kuti muchiritse ana, mufunika munthu amene waphunzitsidwa mwapadera za ana.
Katswiri wa chiwindi wa ana amayamba kukhala dokotala wa ana, kenako amaphunzitsidwa mwapadera za matenda a m'mimba mwa ana, kenako amaphunzitsidwanso mwapadera za chiwindi. Akatswiriwa amasamaliranso milandu yovuta monga kuikidwa chiwindi mwa ana.
Chiwindi ndi chimodzi mwa ziwalo zazikulu kwambiri m'thupi lathu. Ndipo ntchito yake ndi yayikulu kwambiri. Chiwindi chimagwira ntchito zambiri, monga kusefa poizoni m'thupi, kusunga mphamvu, komanso kuthandiza kugaya chakudya. Chifukwa chake, ngati chiwindi chikudwala, chimakhudza thupi lonse.
Kukhala katswiri wa matenda a chiwindi si ulendo wophweka. Kumafuna kudzipereka kwambiri, chidziwitso, ndi maphunziro. Komanso, muyenera kukhala olimba m'maganizo ndi odwala ndi mabanja awo. Koma pamapeto pake, amapulumutsa miyoyo yambiri. Ndicho chisangalalo chachikulu chomwe amapeza.
Uthenga Wopita Nawo Kunyumba
- Katswiri wa chiwindi ndi dokotala yemwe ali ndi luso lapamwamba kwambiri pa matenda okhudzana ndi chiwindi ndi ziwalo zake (chikhodzodzo cha ndulu, kapamba).
- Katswiri aliyense wa chiwindi ndi katswiri wa matenda a m'mimba, koma aphunzira bwino kwambiri za chiwindi.
- Ngati dokotala wa banja lanu kapena katswiri wina akutumizani kwa dokotala wa chiwindi, musachite mantha. Izi zikutanthauza kuti akuyesera kukupatsani chithandizo chabwino kwambiri.
- Amachiza matenda onse kuyambira matenda ofala monga matenda a chiwindi ndi matenda a chiwindi chamafuta mpaka matenda ovuta kwambiri monga matenda a chiwindi, khansa ya chiwindi, ndi kusamutsa chiwindi.
- Ngati muli ndi nkhawa kapena mafunso okhudza chiwindi chanu, kambiranani ndi dokotala wanu kaye. Ngati pakufunika kutero, adzakutumizani kwa katswiri woyenera.
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