Ingcali yesibindi sakho: Ngubani ingcali yesibindi?

Ngaba wakha weva nge "Hepatologist"? Mhlawumbi ugqirha wakho wosapho (PCP) ukuthumele kwingcali enjalo, okanye ubuzibuza ukuba ngubani omele umkhangele xa uneengxaki zesibindi. Ngoko ke, singathetha ngale nto ngokweenkcukacha namhlanje? Eli nqaku liza kukuchazela okuninzi ngayo.

Ngubani lo gqirha wezifo zesibindi? Ngamafutshane...

Ngamafutshane, ingcali ye-hepatologist ngugqirha ogxile kwizifo neemeko ezinxulumene nesibindi. Icandelo elithi "hepatologist" lithetha "isibindi" kwaye elithi "-ologist" lithetha ingcali kwisifundo esithile. Ngoko ke, xa ezi zimbini zidityanisiwe, kuvela ingcamango "ye-hepatologist".

Ukongeza, ezi ngcali zinolwazi olukhulu ngezifo zendlela yenyongo, eziquka amalungu adibene nesibindi, njengenyongo kunye nepancreas.

Luhlobo luni lwamalungu omzimba olunyangwa yingcali yesibindi?

Abantu abaninzi baya kugqirha wesibindi ukuze baxilonge baze banyange izifo zesibindi, ingakumbi isifo sesibindi esingapheliyo kunye neengxaki zaso . Nangona kunjalo, kunokubakho unxibelelwano phakathi kwesifo sesibindi kunye nezifo zamanye amalungu omzimba.

Cinga ngayo, isibindi sakho siyinxalenye yendlela yenyongo. Amanye amalungu ale nkqubo yinyongo kunye nepancreas. Zonke zidibene. Ngoko ke, ukuba elinye ilungu liyachaphazeleka, linokuchaphazela namanye amalungu.

Ngaba ingcali yesibindi kunye nengcali yesisu ngabantu ababini abahlukeneyo? Okanye ngaba bangumntu omnye?

Nanku umbuzo abantu abaninzi abanawo. Wonke ugqirha wezifo zesibindi yingcali yezifo zesisu. Oko kukuthi, umntu oqeqeshwe ngokukhethekileyo kwinkqubo yokugaya ukutya. Nangona kunjalo, ayinguye wonke ugqirha wezifo zesisu oyingcali yezifo zesisu.

Ukucacisa okungakumbi, iGastroenterology yintsimi yezonyango efunda zonke izitho zenkqubo yokwetyisa (kuquka nesibindi). IHepatology yenye into ekhethekileyo efanayo. Oko kukuthi, ingcali ye-gastroenterology inokugxila uqeqesho lwayo kwizifo zesibindi kuphela ize ibe yingcali ye-hepatologist.

Ngamafutshane, ingcali yezifo zesibindi inganyanga nezifo zesibindi. Nangona kunjalo, ingcali yezifo zesibindi ngumntu oye wafunda ngakumbi waza wafumana ulwazi kuloo nkalo.

Ungabuza ugqirha wezifo zesibindi malunga ne-gallbladder kunye ne-pancreas?

Ewe, ungabuza ugqirha wezifo zesibindi ngengxaki enxulumene nenyongo yakho okanye ipancreas. Kuba baqeqeshwe kwezo zitho. Nangona kunjalo,Eyona nto iphambili ijoliswe kwisibindi.

Ngokwesiqhelo, xa uneengxaki zenyongo okanye i-pancreas, uya kubona ugqirha we-gastroenterologist rhoqo. Kukwakho noogqirha abagxile kwi-pancreas (ii-Pancreatologists), kodwa banqabile.

Kutheni ugqirha wam endithumela kwingcali yezifo zesibindi?

Ugqirha wakho oyintloko (PCP) unokukuthumela kwi-hepatologist ukuba ukrokrela ukuba unesifo sesibindi. Oku kusenokuba kungenxa yokuba babona ukungasebenzi kakuhle kwi-blood panel yakho okanye kuvavanyo lokusebenza kwesibindi.

Ngamanye amaxesha, nogqirha wezifo zesisu okhe wakunyanga isifo sesibindi angakuthumela kwingcali yezifo zesibindi ukuba bacinga ukuba imeko yakho ifuna ubuchule bengcali yezifo zesibindi.

Zeziphi iimeko ezinyangwa yingcali yezifo zesibindi?

Ugqirha wakho unokukuthumela kwi-hepatologist ukuze akuxilonge aze akunyange ezi meko zilandelayo:

Izifo zesibindi:

• Ukudumba kwesibindi okubangelwa yintsholongwane, umzekelo, i-hepatitis B okanye i-C.
• I-hepatitis ebangelwa butywala kunye ne-steatohepatitis.
• Isifo sesibindi esinamafutha esingabangelwa butywala kunye ne-Steatohepatitis. Oku kuqheleke kakhulu ngoku.
• I-Autoimmune Hepatitis kukudumba kwesibindi okubangelwa yinkqubo yomzimba yokuzikhusela ehlasela isibindi.
• IHepatitis Enobuthi.
• Isifo sikaWilson - Esi sisifo esibangelwa yimfuza.
• Isifo sokuqaqamba kwesibindi. Esi sisifo esibi kakhulu.
• Ukusilela kwesibindi okukhawulezileyo okanye okungapheliyo.
• Umhlaza wesibindi oyintloko.

Izifo Zendlela Yebilini:

• Ukuvaleka kokuhamba kwenyongo (iCholestasis).
• Ukuqina kwenyongo.
• I-Primary Sclerosing Cholangitis.
• I-Primary Biliary Cholangitis.
• Umhlaza weBile Duct.

Emva kokubona olu luhlu, mhlawumbi uyaqonda ukuba kubaluleke kangakanani ingcali yezifo zesibindi, akunjalo?

Ngubani lo gqirha wezifo zesibindi obizwa ngokuba yi-Transplant Hepatologist?

I-Transplant Hepatology yenye indawo ekhethekileyo yokuqinisekisa enokuthi ingcali yeGastroenterologist iyilandele. Nazi:Ingqwalasela ekhethekileyo inikwa kwisifo sesibindi esikwinqanaba lokugqibela kunye neengxaki zaso, kunye nonyango ngaphambi nasemva kokufakelwa kwesibindi.

Iingcali ze-hepatologists ezifakelwa utyando lwesibindi zisebenza kwizibhedlele ezinkulu ezenza utyando lwesibindi. Zinoqeqesho olukhethekileyo lokuchonga ukuba utyando lwesibindi lolona khetho lufanelekileyo kuwe kwaye zikunyamekele kuyo yonke inkqubo .

Zeziphi iingxaki eziphathwa yingcali ye-hepatologist yokufakelwa kwesibindi?

Kwinqanaba lokugqibela lesifo sesibindi, iimfuno zakho zempilo ziya zisiba nzima ngakumbi. Iingcali ze-hepatologists zokufakelwa izityalo ziqeqeshwe ukuhlangabezana nezi mfuno. Zilawula iingxaki ezahlukeneyo, kuquka:

• Uxinzelelo oluphezulu kwimithambo edibene nesibindi (iPortal Hypertension).
• Ii-Ascites.
• Ukwanda kunye nokusebenza kakhulu kwespleen (i-Hypersplenism).
• IiVarices ze-Esophageal kunye nokopha kwamathumbu.
• Ukurhawuzelelwa okanye ukurhawuzelelwa sisifo sesibindi.
• I-Hepatic Encephalopathy yimeko apho isibindi sichaphazela ingqondo.
• Ukusilela Kwezintso (Isifo SeHepatorenal)
• Ukungaphumeleli kokuphefumla (i-hepatopulmonary syndrome)

Nokuba emva kokufakelwa isibindi ngempumelelo, iingxaki ezintsha zinokuvela ngenxa yamayeza okunciphisa amasosha omzimba owasebenzisayo. La mayeza alawulwa ngononophelo yingcali yesibindi. Imizekelo:

• Ukugula rhoqo nangokubi kakhulu.
• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu).
• Iswekile ephezulu egazini kunye nesifo seswekile sohlobo lwesibini.
• Ukuncitshiswa kwamathambo (i-Osteoporosis).
• Isifo Sezintso Esiqhubekayo kunye Nokungasebenzi Kwezintso.
• Isifo Sesibindi Esiphindaphindayo.

Ungaba njani yingcali ye-hepatologist?

Kuphela emva kokugqiba isiqinisekiso sezonyango ngokubanzi apho unokukhetha khona ukugxininisa kwiHepatology. Oku kuthetha ukugqiba isidanga sezonyango seminyaka emine kunye nenkqubo yokuhlala iminyaka emithathu.

Emva koko, iingcali ze-hepatologists zigqibezela enye inkqubo yeminyaka emithathu yobudlelwane kwi-gastroenterology. Bachitha ixesha elininzi befunda i-hepatology.

Abanye abantu baqala bafumane isiqinisekiso sokuba yi-gastroenterologist baze emva koko benze inkqubo yoqeqesho olukhethekileyo olugxile kwi-hepatology. Ezi nkqubo zobudlelwane zihlala unyaka omnye ukuya kwemibini.

Abanye bakhetha ukuba yi-Transplant Hepatologist. Ukuze benze njalo, iingcali ze-gastroenterologists kufuneka zigqibe inkqubo yoqeqesho yonyaka omnye, ziphumelele uviwo, kwaye zibe nesatifikethi.

Ngubani lo gqirha wezifo zesibindi zabantwana?

Ingcali yezifo zesibindi sabantwana ngugqirha wabantwana ofumene uqeqesho olongezelelweyo kwi-gastroenterology kunye ne-hepatology. Banyanga izifo zesisu ( GI), isibindi, kunye ne-biliary tract kwiintsana, abantwana abancinci, kunye nabantwana abancinci.

Olu hambo luqala ngesidanga sezonyango kunye nokuhlala iminyaka emithathu kwi-General Pediatric Medicine. Emva koko, omnye umhlali weminyaka emithathu kwi-Pediatric Gastroenterology.

Ingcali yezifo zesisu zabantwana inokuba yingcali kwi-hepatology ngexesha lokuhlala kwayo, okanye kamva ingagqiba i-fellowship kwi-hepatology ize ibe yingcali yezifo zesibindi zabantwana.

Ukongeza, ugqirha wezifo zabantwana unokuqinisekiswa kwi-Pediatric Transplant Hepatology. Ezi ngcali zifanelekile ngokukodwa ukunyanga abantwana abanesifo sesibindi kunye nomhlaza wesibindi.

Isibindi sakho sisitho esikhulu nesiphambili emzimbeni wakho. Asikuko nje ukuba sinjalo, ngokwenene. Zininzi izinto ezinokuchaphazela isibindi. Kwakhona, ukuba isibindi siyagula, sinokuchaphazela amalungu amaninzi kunye neenkqubo zomzimba. Ke ngoko, ukunyanga izifo zesibindi ngumsebenzi onzima kancinci. Uqeqesho olufunekayo lukhulu kwaye lunzulu. Kwakhona, kufuna umgudu omkhulu wengqondo. Kodwa, eyona nto ibalulekileyo kukuba ekugqibeleni, iingcali ze-hepatologists zisindisa ubomi obuninzi.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

• Ingcali ye-hepatologist ngugqirha ogxile kwizifo zesibindi kunye nenkqubo ye-biliary.
• Zonke iingcali ze-hepatotherapy zingcali ye-gastroenterologist, kodwa zigxile kulwazi olunzulu ngezifo zesibindi.
• Ukuba ugqirha wosapho lwakho okanye ingcali yezifo zesisu ikrokrela ukuba unesifo sesibindi, banokukuthumela kwingcali yezifo zesibindi.
• Banyanga izifo ezahlukeneyo zesibindi ezifana neHepatitis, iCirrhosis, kunye neFatty Liver Disease.
• Kukwakho neengcali ze-hepatologists ezijongene nokufakelwa kwesibindi.
• Ungacela uncedo kwingcali yezifo zesibindi ebantwaneni kwi-hepatologist yabantwana.

Ngoko ke, ukuba wena okanye umntu omaziyo unengxaki yesibindi, eyona nto ibalulekileyo kukubona ingcali efanelekileyo.

---

Isibindi , isifo sesibindi, ingcali, ingcali ye-hepatologist, ingcali ye-gastroenterologist, ukufakelwa kwesibindi, i-gallbladder