Ngaba ugqirha wakho wakha wakuxelela ukuba, "Siza kubona ingcali yesibindi"? Okanye wakha woyika okanye wakhathazeka kancinci xa wabona ukuba ii-enzymes zesibindi sakho zinyuswe kancinci kuvavanyo lwegazi? Emva koko ucinge, "Ngubani le ngcali yesibindi?" Yiyo leyo impendulo yaloo mbuzo esiza kuwuxoxa kweli nqaku namhlanje. Akukho sizathu sokoyika, masiziqonde lula ezi zinto.
Ngubani lo gqirha wezifo zesibindi?
Ngamafutshane, ingcali ye-hepatologist ngugqirha onolwazi olunzulu kwizifo ezinxulumene nesibindi sakho, i-gallbladder, i-bile ducts kunye ne-pancreas.
Kulula nangakumbi ukulichaza eli gama. Igama elithi "Hepato" lithetha "isibindi" ngesiGrike. Igama elithi "-ologist" lithetha ingcali kwisifundo esithile. Ngoko ke xa uzidibanisa zombini ezi zinto, igama elithi "hepatologist" lithetha ingcali kwisibindi. Kodwa akajongi nje isibindi, kodwa unolwazi oluhle ngamanye amalungu anxulumene nesibindi.
Cinga ngale ndlela, la malungu emzimbeni wethu afana nenkqubo esebenza kunye. Njengenkqubo yokuhambisa amanzi endlwini. Ukuba kukho ingxaki kwenye indawo, inokuchaphazela nezinye iindawo. Ngendlela efanayo, isifo sesibindi sinokuchaphazela inyongo okanye ipancreas. Ngoko ke udinga umntu onolwazi ngale nkqubo yonke.
Ngoko ke ngaba ingcali yezifo zesisu kunye nengcali yezifo zesibindi ngumntu omnye?
Le yindawo apho abantu abaninzi badideka khona. Ngumbuzo olungileyo kakhulu.
Ingcali yezifo zesisu ngugqirha ogxile kwinkqubo yethu yokwetyisa. Oko kuthetha ukuba unolwazi ngayo yonke into ukususela emlonyeni ukuya kwimpundu, kuquka umphimbo, isisu, amathumbu amancinci, amathumbu amakhulu, isibindi, inyongo kunye nepancreas.
Ingcali yesibindi yingcali yezifo zesisu eye yafumana uqeqesho olongezelelweyo kunye nemfundo ukuze ibe yingcali egqwesileyo kwisibindi kunye nezifo ezinxulumene naso.
Ngamafutshane, khawucinge ukuba zonke iingcali zezifo zentliziyo zingugqirha wezifo zentliziyo, kodwa ayizizo zonke iingcali zezifo zentliziyo ezingogqirha wezifo zentliziyo. Njengokuba zonke iingcali zezifo zentliziyo zingugqirha wezifo zentliziyo, kodwa ayizizo zonke iingcali zezifo zentliziyo ezingogqirha wezifo zentliziyo.
Ngokwesiqhelo, iingxaki zesibindi ezilula zinokunyangwa ngugqirha wezifo zesisu. Nangona kunjalo, ukuba imeko inzima ngakumbi, umzekelo, iimeko ezinzima ezifana ne-cirrhosis, umhlaza wesibindi, okanye ukufakelwa kwesibindi, ubuchule bengcali yesibindi ngokuqinisekileyo buyadingeka.
Xa ugqirha wakho ekuthumelela kwi-hepatologist, uzama ukukunika unyango oluphezulu olukhethekileyo, ngoko ungoyiki ukubuza.
Kutheni ugqirha enokukuthumela kwi-hepatologist?
Ngokwesiqhelo, uza kuqala ubonane nogqirha wakho oyintloko (PCP). Ukuba uneempawu, ezinje ngokutyheli kwamehlo, isisu esidumbileyo, okanye ukudinwa kakhulu, okanye ukuba uneemvavanyo zokusebenza kwesibindi ezingaqhelekanga (ii-LFT) kwigalelo legazi, usenokurhanela ukuba kukho ingxaki yesibindi.
Kwimeko enjalo, unokukuthumela kwingcali yezifo zesibindi ukuze akunike uxilongo oluchanekileyo kunye nonyango.
Ngamanye amaxesha, ukuba ugqirha wakho wezifo zamathumbu uvakalelwa kukuba imeko yakho ihambele phambili ukuya kwinqanaba apho efuna khona ulwazi olungaphezulu kunolwakhe, uza kukuthumela kwingcali yezifo zamathumbu. Le yeyona ndlela ifanelekileyo yezonyango.
Zeziphi izifo ezinyangwa yingcali yezifo zesibindi?
Uluhlu lwezifo ezinyangwa ziingcali ze-hepatologists lubanzi kakhulu. Masiwahlule abe ngamacandelo amabini.
| Izifo zesibindi ikakhulu | |
|---|---|
| Igama lesifo | Ingcaciso elula |
| I-Hepatitis ebangelwa yintsholongwane | Ukudumba kwesibindi okubangelwa ziintsholongwane ezifana nehepatitis B kunye neC. |
| Isifo Sesibindi Esibangelwa Butywala | Ukonakala kwesibindi ngenxa yokusela utywala kakhulu. |
| Isifo sesibindi esinamafutha | Ukugcwala kwamafutha esibindini, nakubantu abangaseliyo utywala, kuxhaphake kakhulu kwilizwe lethu ngoku. |
| I-Hepatitis ye-Autoimmune | Inkqubo yomzimba yokuzikhusela ihlasela isibindi. |
| Isifo sikaWilson | Ukonakala kwesibindi ngenxa yokuqokelelwa kakhulu kobhedu emzimbeni. |
| Isifo sesibindi | Isifo sesibindi esingapheliyo sibangela ukuba isibindi sinciphe, sibe namanxeba, size singasebenzi kakuhle. |
| Ukusilela kwesibindi | Ukuyeka ukusebenza kwesibindi ngequbuliso okanye kancinci kancinci. |
| Umhlaza wesibindi oyintloko | Umhlaza owenzeka esibindini. |
| Izifo Zendlela Yebilini | |
|---|---|
| I-Cholestasis | Ukuvaleka kokuhamba kwenyongo eveliswa sisibindi. |
| Ukuqina kwenyongo | Ukuncitshiswa okanye ukuvaleka kwemibhobho yenyongo. |
| I-Primary Biliary Cholangitis | Isifo sokuzikhusela komzimba esonakalisa imibhobho yenyongo. |
| Umhlaza weBile Duct | Umhlaza owenzeka kwimibhobho yenyongo. |
Ngubani lo gqirha wezifo zesibindi obizwa ngokuba yi-Transplant Hepatologist?
Olu lolunye uhlobo lobuchwephesha oluphezulu. Ingcali yeHepatologist yokufakelwa kwezityalo ngugqirha ofumene uqeqesho olukhethekileyo ekunyamekeleni izigulana ezinesifo sesibindi esikwinqanaba lokugqibela ngaphambi nasemva kotyando lokufakelwa kwesibindi.
Aba gqirha basebenza kwizibhedlele ezinkulu ezenza utyando lokufakelwa isibindi. Banolwazi olunzulu ngayo yonke into ukususela ekugqibeni ukuba ukufakelwa isibindi yeyona ndlela ifanelekileyo kwisigulana, ukulungiselela isigulana oko, kunye nokulawula iingxaki emva kotyando.
Impilo yesigulana esikwinqanaba lokugqibela lokungasebenzi kakuhle kwesibindi inzima kakhulu. Iingxaki ezininzi zinokuvela ngaxeshanye. Ingcali yezifo zesibindi ezifakelweyo iyazilawula zonke ezi zinto.
Zeziphi iingxaki abahlangabezana nazo?
Omnye wemisebenzi yabo ephambili kukulawula iingxaki ezinokuvela ngaphambi nasemva kokufakelwa isibindi.
- Uxinzelelo lwegazi oluphezulu: Uxinzelelo oluphezulu kwimithambo yegazi ehambisa igazi esibindini.
- Ii-Ascites: Oku kubizwa ngokuba kukuqokelelwa kolwelo esiswini .
- Ii-Esophageal Varices: Ezi zinokuqhekeka zize zophe.
- I-Hepatic Encephalopathy: Ukusebenza kobuchopho kuyachaphazeleka kuba isibindi asikwazi ukucoca iityhefu. Isigulana sinokulahlekelwa yinkumbulo.
- Isifo seHepatorenal: Iingxaki zesibindi ezichaphazela izintso.
Kuvela iingxaki ezintsha emva kokufakelwa isibindi, njengoko umzimba kufuneka uqhubeke nokuthatha amayeza okunciphisa amasosha omzimba ukuthintela ukwaliwa kwesibindi esisandula ukufakelwa. La mayeza anokubangela ezinye iingxaki.
- Izifo ezixhaphakileyo.
- Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu).
- Isifo Seswekile (Uhlobo Lwesibini Lwesifo Seswekile).
- Ukuncitshiswa kwamathambo (i-Osteoporosis).
- Ukuphinda kwesifo sesibindi.
Luxanduva lwengcali yezifo zesibindi ezifakelwa kwezinye izityalo ukuba iqwalasele konke oku kwaye igcine isigulana siphilile.
Ngubani ingcali yeHepatologist yabantwana?
Njengoko igama lisitsho, i-Pediatric Hepatologist ngugqirha ogxile kwizifo zesibindi kunye nenkqubo yokugaya ukutya kweentsana, abantwana abancinci kunye nabantwana abancinci.
Imizimba yabantwana ayifani nemizimba yabantu abancinci. Izifo zabo zahlukile, indlela abasabela ngayo kwizifo yahlukile, kwaye imilinganiselo yamayeza anikwayo yahlukile. Ngoko ke, ukuze unyange abantwana, udinga umntu ofumene uqeqesho olukhethekileyo ebantwaneni.
Ingcali yezifo zesibindi yabantwana iqala ngokuba ngugqirha wabantwana, ize ifumane uqeqesho olukhethekileyo kwi-gastroenterology yabantwana, ize ifumane uqeqesho olukhethekileyo kwisibindi. Ezi ngcali zikwajongana neemeko ezinzima ezifana nokufakelwa kwesibindi ebantwaneni.
Isibindi sesinye sezitho ezinkulu emzimbeni wethu. Kwaye indima yaso inkulu kakhulu. Isibindi senza imisebenzi emininzi, njengokucoca iityhefu emzimbeni, ukugcina amandla, kunye nokunceda ekugayeni ukutya. Ke ngoko, ukuba isibindi siyagula, sichaphazela umzimba wonke.
Ukuba yingcali yezifo zesibindi akuyonto ilula. Kufuna ukuzinikela okukhulu, ulwazi, kunye noqeqesho. Kwakhona, kufuneka ube namandla engqondweni kunye nezigulana kunye neentsapho zazo. Kodwa ekugqibeleni, basindisa ubomi obuninzi. Lolo lolona lonwabo lukhulu abalufumanayo.
Umyalezo Wokuya Ekhaya
- Ingcali ye-hepatologist ngugqirha onolwazi oluphezulu kwizifo ezinxulumene nesibindi kunye namalungu anxulumene naso (i-gallbladder, i-pancreas).
- Bonke oogqirha bezifo zesibindi bangoogqirha bezifo zesisu, kodwa baye bafunda ngesibindi nzulu nangakumbi.
- Ukuba ugqirha wosapho lwakho okanye omnye umntu ochwephesha ukukuthumela kwi-hepatologist, ungoyiki. Oko kuthetha ukuba bazama ukukunika unyango olungcono.
- Banyanga yonke into ukususela kwizifo eziqhelekileyo ezifana ne-hepatitis kunye nesifo sesibindi esinamafutha ukuya kwiimeko ezinzima ngakumbi ezifana ne-cirrhosis, umhlaza wesibindi, kunye nokufakelwa kwesibindi.
- Ukuba unemibuzo okanye unenkxalabo malunga nesibindi sakho, thetha nogqirha wakho kuqala. Ukuba kuyimfuneko, uza kukuthumela kwingcali efanelekileyo.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho