Uchwepheshe wakho wesibindi: Ngubani udokotela wesibindi?

Wake wezwa ngo "Hepatologist"? Mhlawumbe udokotela womndeni wakho (PCP) ukuthumele kuchwepheshe onjalo, noma ubulokhu uzibuza ukuthi uzobona bani ngesimo esihlobene nesibindi. Ngakho-ke, ingabe sizoxoxa ngalokhu ngemininingwane ethe xaxa namuhla? Lesi sihloko sizokuchazela okuningi ngakho.

Ungubani lo dokotela wezifo zesibindi? Kalula nje...

Kalula nje, isazi se-hepatologist udokotela ogxile ezifweni nasezimweni ezihlobene nesibindi. Ingxenye ethi "hepatologist" isho "isibindi" kanti ethi "-ologist" isho uchwepheshe esifundweni esithile. Ngakho-ke, lapho lokhu kokubili kuhlanganiswa, kuvela umqondo "we-hepatologist".

Ngaphezu kwalokho, laba ochwepheshe banolwazi olukhulu ngezifo zendlela yenyongo, okuhlanganisa izitho ezixhumene nesibindi, njengenyongo kanye ne-pancreas.

Hlobo luni lwezitho oluphathwa yisazi sezifo zesibindi?

Abantu abaningi baya kudokotela wezifo zesibindi ukuze baxilonge futhi belaphe izifo zesibindi, ikakhulukazi izifo zesibindi ezingamahlalakhona kanye nezinkinga zazo . Kodwa-ke, kungase kube nokuxhumana phakathi kwezifo zesibindi nezifo zezinye izitho zomzimba.

Cabanga ngakho, isibindi sakho siyingxenye yomgudu wenyongo. Ezinye izitho kulesi simiso yinyongo kanye ne-pancreas. Zonke zixhumene. Ngakho-ke, uma isitho esisodwa sithintekile, singathinta nezinye izitho.

Ingabe isazi sezifo zesibindi kanye nodokotela wezifo zamathunjini bangabantu ababili abahlukene? Noma ingabe bangumuntu ofanayo?

Nasi umbuzo abantu abaningi abanawo. Wonke udokotela wezifo zesibindi ungudokotela wezifo zesisu. Okusho ukuthi, umuntu oqeqeshwe ngokukhethekile ohlelweni lokugaya ukudla. Kodwa-ke, akuwona wonke udokotela wezifo zesisu ongudokotela wezifo zesisu.

Ukuchaza kabanzi, i-Gastroenterology yinkambu yezokwelapha efunda zonke izitho zesimiso sokugaya ukudla (kufaka phakathi nesibindi). I-Hepatology ingenye ingxenye ekhethekile efanayo. Okusho ukuthi, udokotela wezifo zesisu angagxila ukuqeqeshwa kwakhe ezifweni zesibindi kuphela futhi abe yi-hepatologist.

Kalula nje, udokotela wezifo zesisu angelapha nezifo zesibindi. Kodwa-ke, udokotela wezifo zesibindi ngumuntu oye wajula futhi wathola ulwazi kulowo mkhakha.

Ungabuza nodokotela wezifo zesibindi nge-gallbladder kanye ne-pancreas?

Yebo, ungabuza udokotela wezifo zesibindi ngenkinga ehlobene nenyongo yakho noma i-pancreas. Ngoba ziqeqeshwe nakulezo zitho. Kodwa-ke,Ukugxila okuyinhloko kusesibindini.

Ngokuvamile, uma unenkinga yenyongo noma i-pancreas, uzovame ukubonana nodokotela we-gastroenterologist. Kukhona nodokotela abangochwepheshe be-pancreas (Pancreatologists), kodwa bambalwa kakhulu.

Kungani udokotela wami engithumela kudokotela wezifo zesibindi?

Udokotela wakho oyinhloko (PCP) angakudlulisela kudokotela wezifo zesibindi uma esola ukuthi unesifo sesibindi. Lokhu kungenzeka ngoba ebona ukungasebenzi kahle kwephaneli yakho yegazi noma ukuhlolwa kokusebenza kwesibindi.

Ngezinye izikhathi, ngisho nodokotela wezifo zesisu owake wakwelapha isifo sesibindi angakudlulisela kudokotela wezifo zesibindi uma enomuzwa wokuthi isimo sakho sidinga ubuchwepheshe bukadokotela wezifo zesibindi.

Yiziphi izimo ezelashwa yi-hepatologist?

Udokotela wakho angakudlulisela kudokotela wezifo zesibindi ukuze axilonge futhi elaphe lezi zimo ezilandelayo:

Izifo Zesibindi:

• Ukuvuvukala kwesibindi okubangelwa yigciwane, isibonelo, i-hepatitis B noma i-C.
• I-hepatitis ebangelwa utshwala kanye ne-steatohepatitis.
• Isifo Sesibindi Esinamafutha Esingenalo Utshwala kanye ne-Steatohepatitis. Lokhu sekuvamile kakhulu manje.
• I-Autoimmune Hepatitis ukuvuvukala kwesibindi okubangelwa amasosha omzimba ahlasela isibindi.
• I-Hepatitis Enobuthi.
• Isifo SikaWilson - Lesi yisimo sofuzo.
• I-cirrhosis yesibindi. Lesi yisimo esibi kakhulu.
• Ukwehluleka Kwesibindi Okukhulu Noma Okungapheli.
• Umdlavuza wesibindi oyinhloko.

Izifo Zendlela Yenyongo:

• Ukuvaleka kokugeleza kwenyongo (i-Cholestasis).
• Ukuqina kwe-biliary.
• I-Primary Sclerosing Cholangitis.
• I-Cholangitis Eyinhloko Ye-Biliary.
• Umdlavuza Wemibhobho Yenyongo.

Ngemva kokubona lolu hlu, cishe uyaqonda ukuthi kubaluleke kangakanani isazi sezifo zesibindi, akunjalo?

Ubani lo dokotela wezifo zesibindi osebenzisa i-Transplant Hepatologist?

I-Hepatology yokufakelwa kwezitshalo ingenye indawo ekhethekile yokuqinisekisa isitifiketi engayilandela udokotela we-Gastroenterologist. Lezi yizi:Kunakekelwa ngokukhethekile isifo sesibindi esisesigabeni sokugcina kanye nezinkinga zaso, kanye nokwelashwa ngaphambi nangemva kokufakelwa kwesibindi.

Odokotela bezifo zesibindi abafakelwa izitho basebenza ezibhedlela ezinkulu ezenza ukufakelwa kwesibindi. Banokuqeqeshwa okukhethekile ukuze babone ukuthi ukufakelwa kwesibindi kuyindlela engcono kakhulu kuwe futhi bakunakekele kuyo yonke inqubo .

Yiziphi izinkinga ezisingathwa yi-hepatologist yokufakelwa?

Ezigabeni zokugcina zesifo sesibindi, izidingo zakho zezempilo ziba nzima kakhulu. Odokotela bezifo zesibindi abafakelwa izitho baqeqeshwe ukuhlangabezana nalezi zidingo. Baphatha izinkinga ezahlukahlukene, okuhlanganisa:

• Ukucindezeleka okuphezulu emithanjeni exhunywe esibindini (i-Portal Hypertension).
• Ama-Ascites.
• Ukwanda nokusebenza ngokweqile kwe-spleen (i-Hypersplenism).
• Ama-Varice Esophageal kanye nokopha kwamathumbu.
• Ukuqunjelwa noma ukulunywa yisifo sesibindi.
• I-Hepatic Encephalopathy yisimo lapho isibindi sithinta khona ubuchopho.
• Ukwehluleka Kwezinso (Isifo Se-Hepatorenal)
• Ukwehluleka kokuphefumula (i-hepatopulmonary syndrome)

Ngisho nangemva kokufakelwa isibindi ngempumelelo, kungase kuvele izinkinga ezintsha ngenxa yemithi yokucindezela amasosha omzimba oyithathayo. Lezi ziphathwa ngokucophelela ngudokotela wezifo zesibindi. Izibonelo:

• Ukugula njalo futhi kakhulu.
• Umfutho wegazi ophezulu (i-Hypertension).
• Ushukela ophezulu egazini kanye nesifo sikashukela sohlobo lwesibili.
• Ukuncipha kwamathambo (i-Osteoporosis).
• Isifo Sezinso Esiqhubekayo Nokwehluleka Kwezinso.
• Isifo Sesibindi Esiphindaphindayo.

Ungaba kanjani udokotela wezifo zesibindi?

Kuphela ngemva kokuphothula iziqu zobudokotela ezijwayelekile lapho ungakhetha khona ukugxila kwi-Hepatology. Lokhu kusho ukuqedela iziqu zobudokotela zeminyaka emine kanye nohlelo lokuhlala iminyaka emithathu.

Ngemva kwalokho, odokotela bezifo zesibindi baqeda olunye uhlelo lweminyaka emithathu lokufundela i-gastroenterology. Bachitha isikhathi esiningi befunda i-hepatology.

Abanye abantu baqala ngokuthola isitifiketi sokuba yi-gastroenterologist bese benza uhlelo lokuqeqesha olukhethekile olugxile kwi-hepatology. Lezi zinhlelo zobudlelwano zivame ukuhlala unyaka owodwa kuya kwemibili.

Abanye bakhetha ukuba yi-Transplant Hepatologist. Ukuze benze kanjalo, odokotela be-gastroenterologist kumele baqedele uhlelo lokuqeqeshwa lonyaka owodwa, baphumelele ukuhlolwa, futhi babe nesitifiketi.

Ubani lo dokotela wezifo zesibindi wezingane?

Udokotela wezifo zesibindi ezinganeni ungudokotela wezingane othole ukuqeqeshwa okwengeziwe kwezokwelapha izifo zesisu kanye nezifo zesibindi. Belapha izifo zesisu ( GI), isibindi kanye ne-biliary tract ezinganeni ezincane, izingane ezincane kanye nezingane ezincane.

Lolu hambo luqala ngeziqu zobudokotela kanye nokuhlala iminyaka emithathu ku-General Pediatric Medicine. Ngemuva kwalokho, okunye ukuhlala iminyaka emithathu ku-Pediatric Gastroenterology.

Udokotela wezifo zesisu ezinganeni angakwazi ukugxila kwi-hepatology ngesikhathi sokuhlala kwakhe, noma kamuva angaqeda i-fellowship kwi-hepatology abe yi-hepatologist yezingane.

Ngaphezu kwalokho, udokotela wezifo zamathumbu ezingane angase aqinisekiswe kwi-Pediatric Transplant Hepatology. Laba ochwepheshe bafanelekela ngokukhethekile ukwelapha izingane ezinesifo sesibindi kanye nomdlavuza wesibindi.

Isibindi sakho siyisitho esikhulu kakhulu nesiphakathi emzimbeni wakho. Hhayi ngoba nje, empeleni sinjalo. Izinto eziningi zingathinta isibindi. Futhi, uma isibindi sigula, singathinta izitho eziningi zomzimba. Ngakho-ke, ukwelapha izifo zesibindi kuwumsebenzi onzima kancane. Ukuqeqeshwa okudingekayo kubanzi futhi kujulile. Futhi, kudinga umzamo omkhulu wengqondo. Kodwa, into ebaluleke kakhulu ukuthi ekugcineni, odokotela bezifo zesibindi basindisa izimpilo eziningi.

Izinto ezibalulekile okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

• Udokotela wezifo zesibindi nohlelo lwe-biliary ungudokotela ogxile ezifweni zesibindi kanye nohlelo lwe-biliary.
• Bonke odokotela bezifo zesibindi bangodokotela bezifo zesisu, kodwa bangochwepheshe olwazini olujulile ngezifo zesibindi.
• Uma udokotela womndeni wakho noma udokotela wezifo zamathumbu esola ukuthi unesifo sesibindi, bangakudlulisela kudokotela wezifo zamathumbu.
• Belapha izifo zesibindi ezahlukahlukene njenge-Hepatitis, i-Cirrhosis, kanye ne-Fatty Liver Disease.
• Kukhona nodokotela bezifo zesibindi abangochwepheshe ekufakweni kwesibindi.
• Ungacela usizo kudokotela wezifo zesibindi ezinganeni ukuze uthole usizo ngezifo zesibindi ezinganeni.

Ngakho-ke, uma wena noma othile omaziyo enenkinga yesibindi, into ebaluleke kakhulu ukubona uchwepheshe ofanele.

Isibindi , isifo sesibindi, uchwepheshe, isazi se-hepatologist, isazi se-gastroenterologist, ukufakelwa kwesibindi, i-gallbladder