Ubani udokotela wezinso? Ingabe udinga ukunakekela izinso zakho?

Wake wezwa ngodokotela wezifo zemizwa (Nephrologist )? Mhlawumbe udokotela wakho ukuthumele komunye. Noma mhlawumbe ukhathazekile kancane ngenkinga yezinso. Namuhla, ake sixoxe ngokuthi ungubani udokotela wezifo zemizwa, ukuthi benzani, nokuthi kufanele ubabone nini.

Ubani ngempela udokotela wezinzwa?

Kalula nje, isazi sezinso singudokotela ogxile ezifweni zezinso kanye nokwelashwa kwazo. Njengoba wazi, izinso emzimbeni wethu ziyingxenye yesimiso sethu somchamo. Zifana nezitho ezimbili ezimise okwebhontshisi. Zihlunga igazi lethu futhi zisuse ukungcola, amanzi angaphezulu, kanye nama-electrolyte njengomchamo. Ngakho-ke impilo yalezi zinso ibaluleke kakhulu.

Ubani uDokotela Wezingane Ongudokotela Wezinzwa?

Khona-ke, ngisho nezingane ezincane zingaba nezinkinga zezinso. Udokotela wezifo zezinso ezinganeni ungudokotela ogxile ekwelapheni izifo zezinso kanye nokwelashwa kwazo kuwo wonke umuntu kusukela ezinsaneni ezisanda kuzalwa kuya ezinganeni ezincane kanye nabantu abadala abasebasha. Bayazi nokuthi lezi zinkinga zithinta kanjani izingane ezincane njengoba zikhula.

Yini eyenziwa yi-nephrologist?

Kulungile, manje ake sibheke ukuthi yini ngempela eyenziwa yi-nephrologist. Bahlonza futhi baphathe izimo ezifana nesifo sezinso kanye nokwehluleka kwezinso . Akukhona lokho kuphela, futhi bazi kahle ukuthi isifo sezinso singathinta kanjani ezinye izingxenye zomzimba. Isibonelo:

• Izifo Ezizimele: Ngezinye izikhathi amasosha omzimba wethu angalimaza izinso zethu.
• Isifo Senhliziyo Nemithambo Yegazi: Izinkinga zezinso zingathinta inhliziyo, kanti izinkinga zenhliziyo zingathinta nezinso. Kukhona ukuxhumana okuqinile phakathi kwalokhu okubili.
• Umfutho wegazi ophezulu (Umfutho wegazi ophakeme): Umfutho wegazi ophezulu awulungile ezinso, futhi isifo sezinso singadala nomfutho wegazi ophezulu.

Kunzima kangakanani ukusebenza ukuze ube yi-nephrologist?

Ucabanga ukuthi ukuba yi-nephrologist kulula? Lutho neze! Luhambo olude noluzinikele. Cabanga nje ukuthi kungakanani okufanele bakufunde:

• Okokuqala, iminyaka emine yemfundo yasekolishi.
• Ngemuva kwalokho kufanele ufunde iminyaka emine esikoleni sezokwelapha .
• Akugcini lapho. Kufanele baqeqeshwe iminyaka emithathu yokuhlala. Phakathi nalokhu, bathola ukuqeqeshwa okukhethekile kwezokwelapha zangaphakathi noma kwezezingane.
• Ngemva kwalokho, udinga ukwenza ukuqeqeshwa okukhethekile kweminyaka emibili noma emithathu ngezifo zezinso, okungukuthi, "Ubudlelwano." Lena yingxenye ejulile kakhulu ye-nephrology.
• Abanye baqeqeshwa unyaka owengeziwe ukuze bagxile ekufakweni kwezinso (i-Transplant Nephrology) noma ukungenelela okuhlobene nezifo zezinso (i-Interventional Nephrology).
• Okokugcina, eSri Lanka, ukubhaliswa ne-Sri Lanka Medical Council kuyadingeka, kanti emazweni angaphandle, kudingeka izitifiketi ezikhethekile (i-Board Certification) ezivela kumabhodi aqashelwayo kulawo mazwe.

Uyabona, yeka ukuzibophezela okukhulu lokhu! Yingakho benolwazi olujulile ngezinso.

Iyini i-Transplant Nephrology kanye ne-Interventional Nephrology?

Ngaphambilini sikhulume ngokuqeqeshwa okukhethekile okwengeziwe okubizwa ngokuthi `( Transplant Nephrology)` kanye `(Interventional Nephrology)`. Ake sibheke ukuthi kuyini.

• I-Transplant Nephrology iwuchwepheshe obhekene nokufakelwa kwezinso kanye ne-pancreas, kanye nokunakekelwa kweziguli ezithole lokhu kufakelwa. Lokhu kusho ukuthi ngemva kokufakelwa kwezinso, kungumsebenzi wabo ukunikeza iseluleko ngemithi edingekayo ukuze iqhubeke isebenza kahle kuze kube yilapho ifakwa kahle emzimbeni.
• I-Interventional Nephrology iwuchwepheshe ogxile ekudaleni nasekulondolozeni ukufinyelela emithanjeni yegazi, ikakhulukazi i-dialysis (ukuhlanzwa kwegazi). Baphinde benze ama-biopsies ezinso, okuyizingcezu ezincane zezicubu ezithathwe ezinso. Baqeqeshwe kahle ku:
• Ukufaka nokukhipha ama-catheter (lawa amapayipi athambile, angenalutho asetshenziselwa ukufaka uketshezi emzimbeni nokulukhipha).
• Ukubeka ama-stents (lawa amapayipi epulasitiki afakwa ngaphakathi kwemithambo yegazi ukuze ahlale evulekile).
• Ukususa amahlule egazi.
• Ama-Fistulogram (lokhu kuhlola ukuxhumana okungajwayelekile ezinso, okungukuthi i-fistula).
• Ukwenza i-biopsy yezinso.

Yiziphi izimo ezivamile eziphathwa yi-nephrologist?

Yiziphi izinhlobo zezifo ezelashwa udokotela wezinzwa? Nazi ezinye zezimo abavame ukuzelapha:

• Isifo Sezinso Esibangelwa Yisifo Sikashukela kanye nezinye izifo zezinso ezibangelwa yisifo sikashukela. Isifo sikashukela siyisitha esikhulu sezinso.
• Umfutho wegazi ophezulu.
• Ukwehluleka Kwezinso.
• Isifo Sezinso Esibangelwa Ama-Cystic.
• Amatshe ezinso. Abantu abaningi sebezwile ngalokhu.
• Isifo Sokuqaqamba Kwamalunga.
• Isifo sezinso esisesigabeni sokugcina.
• I-Hemolytic Uremic Syndrome.
• Ukutheleleka Kwendlela Yomchamo (UTIs).
• Ukutheleleka Kwezinso.
• I-Hyponatremia (amazinga aphansi e-sodium emzimbeni) kanye nokunye ukungalingani kwama-electrolyte.
• Ukweqisa okunobuthi okudinga i-dialysis.
• I-Glomerulonephritis (GN): Lokhu kwenzeka lapho amayunithi amancane okuhlunga ezinso evuvukala.

Yiziphi izivivinyo nezinqubo ezenziwa udokotela wezinzwa?

Yiziphi izivivinyo nezinqubo ezisetshenziswa udokotela wezinzwa ukuze axilonge futhi elaphe izifo?

• Ukuhlolwa okuhlukahlukene kwezithombe: Lokhu kufaka phakathi ama-X-ray, ama-CT scan, kanye nama-ultrasound. Lokhu kungasiza ekuboneni ukuma, usayizi, kanye nokuba khona kwamathumba ezinso.
• Ukuhlolwa Kokusebenza Kwezinso: Lokhu ukuhlolwa okukutshela kahle ukuthi izinso zakho zisebenza kahle kangakanani. Kuhlanganisa ukuhlolwa kwegazi kanye nokuhlolwa komchamo.
• I-Dialysis: Njengoba sishilo ngaphambili, uma izinso zakho zingasebenzi kahle, umshini we-dialysis ungakwenzela umsebenzi. Lokhu kuhilela umshini othatha igazi lakho, ukhiphe udoti kanye noketshezi oluningi, bese ubuyisela igazi elihlanziwe emzimbeni wakho.
• Ukuhlolwa Kwezinso: Kulokhu, udokotela wezinso uthatha ingxenye encane kakhulu yezicubu ezinso lakho ayithumele elabhorethri. Lokhu kusiza kakhulu ekuxilongeni isifo sezinso.
• Ukunakekelwa Kokufakelwa Izinso: Uma ukufakelwa izinso, udokotela ohlinzayo uzofaka izinso ezinempilo (ezivela kumnikeli) ethangeni lakho. Ezimweni eziningi, izinso zakho ezihlulekayo zizohlala emzimbeni wakho. Udokotela wezinso uzosebenza nodokotela wakho ohlinzayo ukuze akusize ulungiselele ukuhlinzwa futhi akunikeze ukunakekelwa okudingayo ngesikhathi sokululama kwakho.

Uyini umehluko phakathi kwe-Nephrologist kanye ne-Urologist?

Lokhu kuyinto edida abantu abaningi. Uyini umehluko phakathi kwesazi sezinzwa kanye nodokotela wezinzwa? Lokhu kudideka kuvela ngoba umsebenzi wabo bobabili uhlobene ngandlela thile.

Kalula nje, udokotela wezinso ugxile ezimweni ezithinta izinso.Uma unenkinga ethinta izinso zakho noma ukusebenza kwezinso, udokotela ongcono kakhulu kuwe udokotela wezinso.

Udokotela wezifo zomchamo udokotela oxilonga futhi elapha izifo ezithinta uhlelo lomchamo. Uhlelo lwakho lomchamo luhlanganisa isinyi sakho, i-urethra, i-ureter, kanye nezinso. Baphinde bagxile ezimpawini, ezimweni, kanye nasekwelashweni kwezinhlelo zokuzala zabesilisa nabesifazane. Uma unenkinga ngohlelo lwakho lomchamo noma uhlelo lokuzala, kufanele ubonane nodokotela wezifo zomchamo.

Omunye umehluko obalulekile ukuthi odokotela bezifo zomchamo banokuqeqeshwa kokuhlinzwa. Bangenelela kuphela ezinkingeni zezinso lapho kudingeka ukuhlinzwa, njengomdlavuza wezinso noma amatshe ezinso. Odokotela bezifo zomchamo abenzi ukuhlinzwa. Belapha izinso ngemithi nangezinye izindlela.

Kufanele ngimbone nini udokotela wezinzwa?

Kulungile, manje cishe uyazibuza, 'Kufanele ngimbone nini udokotela wezinso?' Uma unezimpawu zesifo sezinso, kufanele nakanjani ubonane nodokotela wezinso. Nazi ezinye zezimpawu:

• Umlando Wempilo Yomndeni Wesifo Sezinso: Uma isihlobo sakho segazi sike saba nesifo sezinso, usengozini enkulu. Udokotela wezinso angasiza ekuvimbeleni isifo sezinso noma asithole futhi aselaphe kusenesikhathi.
• Isifo Sikashukela: Isifo sikashukela singalimaza izinso. Uma unesifo sikashukela, usengozini enkulu yokwehluleka kwezinso.
• Umfutho Wegazi Ophakeme: Umfutho wegazi ophezulu ungalimaza nezinso. Njengoba wazi, izinso zisebenzisa imithambo yegazi ukuhlunga igazi. Lapho umfutho wegazi ukhuphuka, ukuguquguquka kwale mithambo yegazi kuyancipha, okunganciphisa inani legazi nomoya-mpilo ofinyelela ezinso. Lokhu kungaholela ekuhlulekeni kwezinso.
• Izinguquko ekuchameni: Uma ubona noma yiziphi izinguquko emchameni wakho noma emikhubeni yokuchama, kungaba uphawu lwesifo sezinso. Isibonelo, kungadingeka ukuthi uchame kaningi, ukhiphe umchamo omncane, umchamo wakho ungase ubonakale unegwebu, noma umchamo wakho ungase ube nombala omnyama.
• Inkungu Yobuchopho: Lokhu kungaba uphawu lwesifo sezinso. Akuyona inkinga yezokwelapha, kodwa odokotela basebenzisa leli gama ukuchaza izinto ezifana nokucabanga kancane kanye nomuzwa wokuphazamiseka. Uma uzithola udideka, ukhohlwa, noma unenkinga yokugxilisa ingqondo, qaphela nalokho.

Kwenzekani ngosuku lokuqala lokubonana nodokotela wezinzwa?

Kwenzekani ngosuku lokuqala lapho uya kudokotela wezinzwa? Nakhu okuvame ukwenzeka:

• EyakhoUkubheka wonke amarekhodi ezokwelapha amadala.
• Ukubuza ngezimpawu zakho.
• Kuhlolwa umzimba .
• Kuye kuhlelwe izinto ezifana nokuhlolwa kwegazi, ukuhlolwa komchamo, kanye nokuhlolwa kwezithombe .

Ulungiselela kanjani ukuvakashela udokotela wezinzwa?

Kubaluleke kakhulu ukulungiselela usuku lwakho lokuqala lokubona udokotela wezinzwa. Nazi ezinye izinto ongazenza:

• Uma kukhona amafomu ocelwa ukuba uwagcwalise ngaphambi kokuya kudokotela, wagcwalise.
• Bhala phansi eminye imibuzo ocabanga ukuthi ibaluleke kakhulu ukuyixoxa nodokotela bese uhamba nayo ohlwini lwemibuzo .
• Uma kube nezinguquko empilweni yakho muva nje, zikhumbule.
• Gcina irekhodi lazo zonke izimpawu zakho "kwiDayari Yezimpawu". Bhala phansi izinto ezifana nosuku izimpawu ezaqala ngalo, isikhathi, nokuthi sezinesikhathi esingakanani zikhona.
• Yazi umlando wezokwelapha womndeni wakho. Lolu lwazi luzosiza udokotela wakho ukuthi athole ukuthi unesifo esingakanani.
• Gqoka izingubo ezikhululekile nezilula ukuzigqoka . Izinto ezifana nama-T-shirt, amahembe, iziketi, namabhulukwe.
• Bhala uhlu lwezindlela zokuhlinzwa oye wazenza .
• Uma unemiphumela yokuhlolwa evela kwabanye odokotela, hamba namakhophi ayo.
• Bhala amagama nezinombolo zocingo zikadokotela wakho oyinhloko kanye nabanye odokotela obabona njalo .
• Uma uhlola umfutho wegazi lakho ekhaya, hamba ne-blood pressure monitor yakho .
• Gcina uhlu lwazo zonke izidakamizwa ozithathayo njengamanje . Faka imithi kadokotela, imithi etholakala ngaphandle kwemithi kadokotela, amavithamini, kanye nezithasiselo.
• Thatha amakhadi akho omshwalense .
• Uma kungenzeka, letha umngane noma ilungu lomndeni nawe. Bangakubhala amanothi, bakusize ubuze imibuzo, bakukhumbuze lokho okushiwo udokotela, futhi bakusize uhlele ukuhlolwa.
• Buza futhi ngama -aphoyintimenti okulandelela .

Okokugcina, izinto okufanele uzikhumbule

Ngakho-ke, kusukela kulokho esikuxoxile namuhla, ngithemba ukuthi unombono omuhle wokuthi ungubani udokotela wezinso, benzani, nokuthi kufanele ubabone nini. Izinso ziyizitho ezithule, kodwa zibaluleke kakhulu emzimbeni wethu. Yingakho kubaluleke kangaka ukunakekela impilo yezinso zakho.

Uma unezinsolo mayelana nesifo sezinso, uma unezimpawu, noma uma othile emndenini wakho enesifo sezinso, ungangabazi ukufuna iseluleko sezokwelapha. Uma kudingeka, bona udokotela wezinso. Bakhona ukuzokusiza. Uma isifo sitholakala kusenesikhathi, kulula kakhulu ukwelapha. Ukunakekela izinso zakho kusezandleni zakho!

Izinso , isazi sezinso, isifo sezinso, i-dialysis, uhlelo lomchamo, umfutho wegazi ophakeme, isifo sikashukela