Credentials Only Play Part in Finding the Right Doctor
Chero pose apo chirwere chisingaperi chinokonzera hepatitis chinowanikwa, munhu anowanzoreva kune imwe kana vamwe vanyori. Kunzwisisa zvinongoratidzwa nevanyanzvi ava-pamwe nebasa rinokosha chiremba wako wekuchirapa anoshanda-anogona kubatsira kuti uwane hurumende yakanakisisa yakakodzera pane zvaunoda.
Kunyanya Kuchengetedza Vanachiremba Sekupinda Kwako Kuchengetedza
Kazhinji kazhinji, kwete chiremba, chiremba wepamusoro ndiye achava munhu wokutanga kuziva kuti hepatitis inotapukirwa.
Mune zviitiko zvakawanda, chiremba achava nehukuru hukuru mukurapa uye kutarirwa kwechirwere, kunyanya munharaunda umo viral hepatitis yakawanda. Pane dzimwe nguva, iye angave asina ruzivo rwechirwere chepachiropa asi achiri kutamba basa rinokosha mukugadzirisa kutarisira pakati pevashandi vakawanda.
Basa guru rechiremba mukuru wekuchengeta, pasinei nezvakaitika, ndeyekusimudzira kubatana kuitira kuti kutarisirwa kunopfuurira uye kusinganzwisisiki. Vanogona kuita zvinyorwa zvitsva uye kubatsira murwere (uye mhuri) kuita sarudzo yakasarudzwa maererano nekodzero yakakodzera yekutarisira.
Kunyangwe zvakanyanya, chiremba mukuru wekurapa anogona kubatsira varwere kuisa zvinangwa zvekuvandudza hutano hwavo hwose, kunyangwe kuderedza kudhakwa kwewaini , kushandiswa nekushandisa zvinodhaka, kutarisa kurapwa kwekutengesa, kana kubatanidza murwere kuhutano hwakanaka hwehutano hwehutano kana hutano hwemagariro evanhu.
Pakupedzisira, hapana chirwere chinofanira kubatwa muga woga.
Nokuita kuti mumwe munhu "aungane madhandi" pakati pevashandi venyu vazhinji, vachiva nechokwadi chokuti kutaurirana kwakajeka uye kwakanyatsogadziriswa, iwe unowanzokwanisa kukohwa zvakanakira semurwere.
Ndeapi Mhando dzeChiropa Chirongwa Ariko?
Vanhu vanorwara vane chirwere chisingaperi chine hepatitis (uye, mune dzimwe nguva, chirwere chakaoma ) chinowanzotaurwa kune gastroenterologist kana hepatologist , vose vari vaviri vanogona kubata chirwere cheropa.
Iko kunowanzove nokuvhiringidzika, zvisinei, pamusoro pekuti ndiani angave "akakodzera," kunyanya kana pane zvinetso zvakadai sekushandura.
Nenzira, gastroenterologist (iyo chirevo chekutanga "gastēr" iyo inobva kuGreek chekare nokuda kwebonde) ndiye mudzidzi wekudzidzira uyo akazadzisa ruzivo rwehutano mukushungurudzika kwemuviri wezvokudya, kusanganisira mudumbu, mumatumbo, chiropa, pancreas, uye gallbladder .
Mukutaura kwekudzidziswa, gastroenterologist inofanira kutanga iine bhokisi rakagadziriswa mukati moutano hwemukati, mushure mekudaro iye anofanira kuzadzisa kusangana kwemakore maviri kusvika matatu mu gastroenterology kuitira kuti ave akakodzera kutora bvunzo yekuongorora. Unyanzvi hunogona kusiyanisa zvikuru kubva kune mumwe munhu kune vamwe, uye vamwe vadzidzisi vane hukuru hwechirwere chechiropa kupfuura vamwe.
Kusiyana neizvi, hepatologist ("hēpar" yakabva muchiGiriki chekare chechiropa) inyanzvi yezvokurapa iyo inonyatsobata zvinetso zvechiropa. Hepatology inofungidzirwa sehuwandu hunokosha hwe gastroenterology sezvo inotarisa chete pachiropa uye nhengo dzayo dzinobatanidzwa, dzakadai sepascreas uye gallbladder.
Kusiyana nekudzidziswa kwegastroenterology, hapana chizivo chaicho chekuongorora mumunda wehepatology. Kune, zvisinei, kushamwaridzana kwemakore maviri uye maviri panguva iyo nyanzvi-mukurovedza ichave yakanyatsojekesa kuwanda kwehutano hwechiropa.
Iyo yakasimba zvikuru yekurovedza, muzvokwadi, haigoni kuenzaniswa ne gastroenterology kubatana.
Hepatologist vs. Gastroenterologist: Icho Chimwe Chinokosha Kupfuura Chimwe Here?
Kunyange zvazvo pfungwa dzinowanzogona kutaura kuti chiremba akadzidziswa muhutano hwechiropa anonyatsokodzera kurapa zvirwere zvehepatitis, haisi nguva dzose. Kunyange zvazvo hepatologist ichange ichinyatsozivikanwa mune zvekurapa uye kuongororwa kwechirwere chechiropa, hapana chikonzero chikuru chinoita kuti hepatologist ive yakakodzera zvakakodzera kurapa hepatitis kupfuura gastroenterologist.
Muzvokwadi, vazhinji gastroenterologists vane unyanzvi hwepamusoro mukurapa hepatitis, kunyangwe kusarudza hutano hwehutachiona kana kuti kuraira maitiro ekurapa zvakakosha kune mumwe munhu wehutachiona .
Nezvo izvo zvataurwa, ruzivo pakati pegastroenterologists rungasiyana zvikuru. Kusarudza yakarurama kunonyanya kunamatira pakutumirwa kubva kune chiremba anovimbwa-chiremba iwe chiremba wekuchiremba-pamwe nehurukuro yakasununguka uye yakasununguka kune unyanzvi hwevanotarisira chiremba.
Nokuenzanisa, a hepatologist, neyo tsanangudzo yake, ndiye nyanzvi ane unyanzvi mukurapa zvirwere zvechiropa, nekugona kuwana muviri wose we data pamusoro pemazuva ano uye mukurapa kurapwa.
Mazano ekusarudza Mumiririri Akarurama
Kusarudza nyanzvi yakarurama ndeyekupedzisira nzira, nechisarudzo chisingarevi zvidzidzo chete asi pamusana pekukwanisa kwako kushanda pamwe chete nekuvimbana pamwe nekusvinura. Tanga nekubvunza mibvunzo mashomanana, inokosha kuti uongorore ruzivo uye unyanzvi hwehutarisiro hweanotarisira chiremba:
- Ko kurovedzwa kwako kunosanganisira kubatana kwechiropa here?
- Ndeipi yehuwandu hwemitambo yako yakagadzirirwa zvirwere zveropa?
- Ndeapi varwere vane chiropa mawabata?
- Chii chinoramba chichiongororwa nezvekugadzira uye / kana kuedza kurapa kwechiropa?
Kubvunza mibvunzo yemhando iyi hakusi kungoita basa rako chete, ndizvo zvako. Kana iwe uchinzwa kupikiswa kubva kuna chiremba, iwe unogona kunge uchida kubvunza kana kupikiswa kumwechete kuchapedza kukwanisa kwako kuita chikonzero chakanaka pamusoro pekurapa kwako uye kutarisirwa.
Masayiti ezvokurapa seChealthgrades anogona kubatsirazve nekupa ruzivo rwakawedzerwa kune zvigaro zvechiremba, nzvimbo dzekuita, uye chero zvikanganiso kana kusagadzirisa zvakagadzirirwa pane faira.
Kurapa Hepatitis uye HIV Co-Infection
Zvimwe zvinokonzera hepatitis zvinogona kuva zvizhinji uye zvinowanzodikanwa kurapwa kwechimwe chinhu chiri pasi kana chinosanganiswa nemamiriro ezvinhu. Izvi zvinonyanya kukosha kune vanhu vane utachiona hwehupatachi neHIV .
Muchiitiko che hepatitis C , somuenzaniso, chiyero che HIV chinokonzerwa nehutachiona chinogona kusvika 30 muzana kune vamwe vanhu uye sepamusoro pe 92 muzana pakati pevanoshandisa vashandisi vezvinodhaka (IDUs ).
Muchiitiko che HIV / hepatitis co-hutachiwana, chirwere chinotapukira chinotapurirwa chinofanira kutsvakwa kuti chive nechokwadi chokuti munhu anoiswa pararetroviral therapy uye kuti mishonga yakatemwa haipindirani kuti ishandiswe nemishonga yehepatitis. Nyanzvi inogonawo kutarisa micherechedzo yehuputi kuitira kuti zvirwere zvinotapisa zvinokonzera kusvibiswa kwechiropa chinoshanda .
Nepo dzimwe nyanzvi dzechiropa dzingava neruzivo mukurapa uye kutungamirirwa kweHIV, vazhinji havaiti. Kuva nechirwere chepachirwere chinotapukira mubhobho hakungobatsiri chete kubvisa mishonga-yakabatwa nemigumisiro asi kuve nechokwadi kuti utachiona hweHIV hunodzorwa zvachose munguva yehepatitis therapy.
Sources:
American College of Gastroenterology. "Rwendo Rwokubudirira Kudzidzisa Ramangwana Gastroenterologists." The Gastroenterology Core Curriculum ( Rudzi rwechitatu ); Bethesda, Maryland; May 2007.
American Association for the Study of Chiver Diseases (AASLD). "Musangano weChishanu wegore rose weAmerican Association for the Study of Chiver Diseases: Chiitiko cheMiyo 2014." Hepatology. October 14, 2014; 60 (S1): 225A-258A.
American College of Gastroenterology. " Gastroenterologist chii? " Bethesda, Maryland; January 20, 2014.