Kana iwe uine hepatitis, ungangodaro unofunga kuti ndiani angagona kubata hepatitis yako. Zvakanaka, chirwere chehepatitis chinogona kubatsira. Asi iwe unoziva musiyano pakati pemhando dzakasiyana dzemakiriniki anokwanisa kurapa hepatitis yako? Kuti ikubatsire kunzwisisa kuti ndiani anoita izvi, heino tsanangudzo pfupi yevadzidzisi vakasiyana vanogona kushanda munzvimbo yako yehutano hwekuchengetedza.
Aina dzeKliniki
Nguva inotevera paunoshanyira chipatara, kliniki kana hofisi, tora nguva kuti uone nzvimbo yekuchengetedza. Munguva yakapfuura, mumwe munhu angangoona imwechete kana maviri mapiritsi ezvakiriniki akanyorwa. Nhasi, zvakadaro, kune marudzi akawanda, mumwe nomumwe ane maitiro akasiyana eokudzidzisa anopa chikamu chinokosha chezvido zvehutano hwako.
- Vanachiremba vanowana chiremba wechiremba degree (MD) kana chiremba weiestretic osteopathic (DO) vanogona kubvumirwa kuita mishonga uye kuvhiyiwa nehurumende yezvehutano. Ava vanachiremba vanopedza makore mana ekudzidzira muchikoro chezvokurapa uye vozadza imwe chirongwa chekudzidzisa kweanenge makore matatu ekureba kwenguva (inonzi chirongwa chekugara) mukugadzirira kwehuwandu. Purogiramu yega yega inoda nguva yakasiyana yekudzidza. Semuenzaniso, vazhinji vehutano hwakakosha, hwakadai semishonga yemhuri kana mushonga wepanyama, makore matatu kana mana akareba. Kugadzirwa kwezvinhu zvakadzama kunoda makore masere okudzidzira. Vanachiremba vane ruzivo rwekutarisira zvachose hepatitis, ingave yakaoma kana isingagumi, ingava yehutachiona kana isiri yehutachiona.
- Vanamukoti ndivo chikamu chinokosha chehutano hwehutano uye vanowanzotsanangurwa seziso nemaoko evarapi. Vanoshandisa zvirongwa zvekurapa uye vanongedzera chiremba chero matambudziko. Nezvo izvi zvakati, basa iri rinoshamisa zvakasiyana uye vanhu vane vana vanochera vanowanikwa munzvimbo dzakawanda dzakasiyana, kwete kungofanana nekliniki. Vanamukoti vanopedza maitiro akawanda ekurovedza, asi chiyero chiri kuwana bhizimisi yemakore mana yesayenzi mukurapa (BSN) inotevera mushure mekuongororwa kwakawanda uye kupiwa mvumo seRN. Vanamukoti panguva iyi yekurovedza havazombooni zvirwere kana kupa mishonga asi vaizove nehutano hwehutano hwechiremba.
- Mukoti Vanomiririra ndivo vanamukoti vanowana chikwata chekurovedza kwekuchirapa (NP) uye vane mvumo yekuongorora zvirwere uye kupa mamwe mishonga. Iva makiriniki akadzidziswa kunyatsotarisirwa, uye zvichienderana nemitambo yavo, inogona kuva nechiitiko chinokosha kuongororwa nekurapa maitiro akasiyana ehepatitis.
- Chiremba Vanobatsira (anonziwo PAs) vanodzidziswa kushanda pasi pekutarisirwa kwechiremba ane chiremba. Ne urongwa uhwu, PAs inokwanisa kubata zviduku-zvakaoma zviitiko zvinosunungura vanachiremba kuti vaite zvakanyanya zvakaoma matambudziko. Nenzira, PAs vanachiremba vanowedzera, vachipa chiremba kukwanisa kuona vamwe varwere munguva yakatarwa.
- Mishonga inobatsira , mumhando dzayo dzakawanda, iri kuve yakakurumbira asi haina kugamuchirwa nemunhu wose. Mishonga yakawanda iyo inofungidzirwa sarudzo inowanzoshaya uchapupu hunogutsa hwokuti inobatsira. Mienzaniso yevanachiremba vanoita munzvimbo iyi vane chiropractic (DC) uye naturopathic (ND) vanachiremba, uye vanachiremba vakadzidziswa mishonga yemasikasi eAsia (OMD). Kunyange zvazvo vanachiremba vangave vakarovedzwa zvakanaka uye vachipa kurapa kunobatsira, zvakanaka kuyeuka kuti kana rimwe sarudzo inoshanda uye ine svitsiro yesayenzi, ichazopedzisira yaiswa mune mushonga unowanikwa.
Primary Care Clinicians
Vanhu vazhinji vangave vadzidza nezvehutachiona hwavo hwehupatitis kubva kunechiremba wavo mukuru wekuchengetedza. Kunyanya kuchengetedza kunowanzotsanangurwa sehuwandu hwehutano hwemusoro-uye-wezvokurapa hunoti munhu wose anoda muupenyu hwavo hwose sekuongorora chegore negore, dzidzo yehutano uye nekuenderera mberi kwezvirwere zvisingaperi, asi kazhinji inowanzova yehutano hwehutano kutarisira kuziva zvirwere zvehutano, zvakadai sehepatitis. Nenzira imwechete, kunyanya kutarisirwa ndeyekuti iwe unowana kupi kurapa kwako kwekurapa asiwo ndiyo yekutanga yekupinda kuAmerica yehutano hwehutano.
Vanonyanya kuchengetedza ndivo vanachiremba vanowanzotarisa mumishonga yemhuri kana mushonga wepanyama.
Vaya vanopa iyo vachave nekudzidziswa kwakakosha kuti vagadzirise maitiro akawanda ehutachiwana uye asingagoneki hepatitis. Vamwe vakiriniki, savanamukoti uye vanobatsira vanachiremba, vanopawo rubatsiro rwekutanga uye vanogona kunge vane ruzivo rwakakura rwekutarisira hepatitis zvichienderana nemazinga avo ekudzidziswa.
Nyanzvi Dzinobata Hepatitis
Haasi munhu wose ane hepatitis anoda kuona nyanzvi. Zvisinei, kunyange varwere vakawanda vanogona kurapwa nevanonyanya kuisa chiremba kana mukoti, dzimwe nguva nyanzvi inofanira kuve yakabatanidzwa mune zvakaoma kana kuti zvisingawanzorevi hepatitis matambudziko. Kune madzimai matatu ezvokurapa nekudzidzira mukutarisira hepatitis. Vose vatatu vanotanga kudzidziswa sevadzidzi kana vanachiremba. Kubva pakudzidziswa kwakadzika, vanowedzera kunyanya mune dzimwe nzvimbo dzemishonga.
- Zvirwere Zvinotapukira: Chirwere chinotapukira chiremba anobata chirwere chinokonzerwa nema microorganisms, zvakadai semavirusi uye mabhakitiriya. Acute viral hepatitis inokonzerwa nemavirusi ehepatotropic (somuenzaniso hepatitis A, B uye C viruses) inyanzvi inorapwa navanachiremba ava. Hepatitis isina kukonzerwa nehutachiona, zvakadai sechidhakwa hepatitis, inonyatsorapwa nedzimwe nyanzvi.
- Gastroenterologist : Gastroenterology is subspecialty yemukati mutsva. Nyanzvi idzi dzinoisa pfungwa pazvinhu zvose zvekudya uye zvirongwa zvemuviri. Sezvo chiropa chiri chikamu chinokosha chemetabolism nekudya, gastroenterologists vanoziva zvikuru mukurapa hepatitis.
- Hepatologist: Gastroenterologist ine ruzivo rwakakura muropa rechiropa is hepatologist . Ava vanachiremba vanodzidza pasi nemakore akawanda ekudzidzira uye vari nyanzvi mune zvose zvirwere zvinokonzera chiropa, kunyanya hepatitis.
Ndeupi Unyanzvi Waunosarudza?
Kurapa hepatitis, pasinei nehutachiwana hwehutachiona, husingaperi hwemhuka kana imwe nzvimbo, inowanzodikanwa nzira yakawanda-inyanzvi. Izvi zvinoreva kuti mhando dzakawanda dzechiremba dzinosangana pamwechete kuti dzipe nyanzvi kutarisirwa. Zvichida kuti pane zvaunotarisira, iwe uchabatwa nevakawanda vakasiyana-vadzidzisi vezvechiremba. Semuenzaniso, imwe nyanzvi inogona kuita chiropa chechipsy asi imwe ichagadzirisa chirwere chenguva refu nemishonga inobatsira zvikuru. Kunyange zvazvo izvi zvinogona kutarisirwa pamusana pokutarisira, kazhinji hepatitis kurapwa inonyanya kushandiswa pazinga re subspecialty, kunyanya kurapa kwehutachiona hepatitis.
Internists kana Vanachiremba
Chimwe chevanyori vanotsanangurwa pamusoro apa vanogona kufunga nezvevakuru kana vana. Somuenzaniso, chiremba anogona kunge ari gastroenterologist mukuru kana chirwere chegastroenterologist. Kusiyana kwekutarisa kunobva pakusarudza kwekugara pashure pekuchirapa kuchikoro. Kazhinji, chiremba anopinda chirongwa chekugara pakarepo achangopedza kudzidza kuchikoro chechiremba. Kana chiremba achifarira kurapa vana chete nevechiri kuyaruka, iye achazadzisa chirongwa chekugara kwevana, iyo makore matatu ekuongororwa kwekurapa. Mushure megurogiramu iyi, chiremba anogona kugadzirisa-mhando yemhando yemishonga, yakadai se gastroenterology.
Kana chiremba achifarira kurapa vanhu vakuru, chiremba achazadzisa chirongwa chekugara mukati moutano hwemukati. Mushure mokunge, iye anogona zvakare kuisa ruzivo mune rumwe rudzi rwemishonga.
Kunyangwe zviri nyore kufunga kuti vana vakarurama "vaduku" kana zvasvika pakurapa, izvi hazvisi zvechokwadi. Sezvo vana vane zvinetso zvoutano zvakasiyana uye vachida kurapa kwakasiyana-siyana kwehutano, nguva dzose iri pfungwa yakanaka kune vana kana kuyaruka kuona chiremba wevana . Zvinosuruvarisa, iyi yehutano ingasawanika munzvimbo dzose, kunyanya mumaguta maduku kana kumaruwa.
> Sources:
> American Academy of Family Physicians. "Primary Primary Care."
> Bureau of Labor Statistics. Vanamukoti Vakanyoreswa. December, 2007.
> Gastroenterology Core Curriculum, mapeji 29-31. May, 2007.