Aqoonsiyada Kaliya Ka Caawi Qeybta Helista Dhakhtar Xaq u leh
Mar kasta oo la ogaado infakshanka cagaarshowga joogtada ah, qofku waxaa caadi ahaan loogu yeeraa hal ama dhowr takhasusle. Fahmida waxa ay takhaatiirtu sameeyaan - iyo sidoo kale shaqada muhiimka ah ee takhtarkaaga daryeelka aasaasiga ah - wuxuu kaa caawin karaa inaad hesho daryeelka ugu habboon baahiyahaaga shakhsi ahaaneed.
Daryeelkaaga Asaasiga ah Dhakhtar ahaan sida Your Entry To Care
Inta badan ma aha, dhakhtarka daryeelka aasaasiga ah ayaa ah qofka ugu horreeya ee lagu ogaanayo infekshanka cagaarshow.
Xaalado badan, dhakhtarka ayaa lahaan doona waayo-aragnimo ballaadhan oo ku saabsan daaweynta iyo maareynta cudurka, gaar ahaan meelaha ay ka mid yihiin bulshooyinka cagaarshowga nooca fayrasku uu ku badan yahay. Mararka kale, asaga ama ayada waxaa laga yaabaa in aan la yiraahdo cudurka beerka laakiin weli wuxuu door muhiim ah ka qaataa daryeelka isuduwidda ee bixiyeyaasha kala duwan.
Doorka ugu muhiimsan ee dhakhtar daryeelka ilkaha, iyadoon loo eegin waayo-aragnimada, waa in la kobciyo hawlgelinta si ay u noqoto mid joogto ah oo aan kala go 'lahayn. Waxay samayn karaan baaritaan aasaasi ah waxayna bukaan socodka (iyo qoyska) ka caawiyaan inay doortaan doorasho sida ugu haboon ee daryeelka.
Xitaa si ka ballaaran, takhtarka daryeelka caafimaadka ayaa ka caawin kara bukaanada inay dejiyaan ujeedooyin lagu wanaajinayo caafimaadka guud, haddii ay yaraynayso qaadashada khamriga , ladagaalanka isticmaalka maandooriyaha, wax ka qabashada daaweynta macaamilka daaweynta, ama la xidhiidhida bukaanka caafimaadka maskaxda ama adeegga shaqada bulshada.
Ugu danbeyntii, cudur looma daaweyn karo go'doomin.
Markaad haysato qof "isku xiro dhibco" u dhaxeeya bixiyeyaashaada kala duwan, hubinta in isgaadhsiintu ay cad yihiin oo si fiican isu-duwantahay, waxaad u badantahay in aad faa'iido u hesho bukaanka.
Maxay Noocyada Khabiirka beerka ku jira?
Dadka qaba cudurada cagaarshowga joogtada ah (iyo, xaaladaha qaarkood, infakshanka ba'an ) ayaa si joogto ah loogu gudbiyaa dhakhtarka gawracatada ama kalkaaliyaha cagaarshoolaha , labaduba waxay u qalmaan inay daaweeyaan cudurka beerka.
Si kastaba ha ahaatee, waxaa jira jahwareer, si kastaba ha noqotee, cidda laga yaabo inay tahay mid "u qalma," gaar ahaan haddii ay jiraan dhibaatooyin sida cirrhosis .
Qeexidda, dhakhtarka gaasku (horgeyn "gastur" ee laga soo qaatay Giriigga hore ee caloosha) waa internist oo dhammaystiray tabobar takhasus ah oo ku saabsan xanuunada habka dheef-shiidka, oo ay ku jiraan caloosha, mindhicirrada, beerka, beeryarada, iyo gallbladder .
Marka la eego tababbarka, waa in dhakhtarka gawracatadu uu marka hore yahay guddi dawo gudaha ah, ka dib markaa isaga ama iyadu waa inay dhammaystirto laba sano ama saddex sano oo ah isdhexgalka gaastroenterology si ay u noqdaan kuwo u qalma imtixaanka guddiga. Khabiirku wuxuu si aad ah u kala duwanaan karaa qof ilaa qof, iyada oo lala yeesho khabiiro takhasus leh oo leh khatar aad u daran oo ku dhaca cudurka beerka marka loo eego kuwa kale.
Taas bedelkeeda, cagaarshow ("hēpar" oo laga soo qaatay Giriigga hore ee beerka) waa takhasusle caafimaad oo si gaar ah ula dhaqmo cudurrada beerka. Cagaarshowga waxaa loo tixgeliyaa qaddar-takhasuska gesto-fiyoolojiyada, maaddaama ay diiradda saarayso beerka iyo xubnaha jirka ee la midka ah, sida boogaha iyo galleytaha.
Si ka duwan sida loo tababaro gawracatada, ma jiro baaritaan shahaado gaar ah oo ku saabsan beerka cagaarshow. Waxaa jira, si kastaba ha ahaatee, hal-sano iyo laba-sanno oo wada-xaajood ah oo uu tababarka takhasuska ku yeelan doono ayaa si ballaaran u soo dhaweynaya baahiyaha ballaaran ee beerka.
Xiisad xoog leh ee tababarka, dhab ahaantii, marar dhif ah waxaa lagu dhigi karaa is weheshi dhidibada.
Cagaarshow iyo Gastroenterologist: Miyuu ka fiican yahay kan kale?
Inkasta oo dareenka caadiga ah uu qeexayo in dhakhtarka lagu tababaray cudurada beerka uu ku habboon yahay in lagu daweeyo cudurrada cagaarshow, had iyo jeer ma aha kiiska. Inkasta oo uu takhtarka cagaarshowgu si fiican u baran doono daaweynta tijaabada ah ee hadda iyo tijaabada daaweynta beerka, ma jirto sabab asaasi ah sababta cati-yaqaanka cagaarshowgu u habboon yahay in lagu daweeyo cagaarshowga marka loo eego dhakhtarka gaasta.
Xaqiiqdii, dhakhaatiirta dhakhtarka badankood waxay leeyihiin xirfad heer sare ah ee daaweynta cagaarshow, haddii la go'aamiyo caafimaadka guud ee beerka ama qoro habka daaweynta ugu haboon ee nooca viral shakhsiga ah .
Iyada oo la sheego, khibradda ka dhexjirta dhakhtarka gaasku way kala duwanaan kartaa. Doorashada saxda ah waxay si aad ah ugu tiirsan tahay gudbinta laga helo ilo caafimaad oo la isku halleyn karo -waxaa ugu wanaagsanaa takhtarkaaga daryeelka caafimaadka aasaasiga ah-iyo sidoo kale ficil dareen ah oo furan oo khibrad u leh dhakhtarka mustaqbalka.
Marka la barbardhigo, kalkaaliyeyaasha cudurrada cagaarshoowga, waxay qeexayaan qeexitaankooda, waa xirfadle takhasus leh xirfad aad u sareysa ee daaweynta cudurrada beerka, iyada oo la heli karo macluumaadka jirka ee buuxa ee ku saabsan daaweynta hadda iyo kuwa koraya.
Talooyin ku saabsan Xulashada Khabiirka Takhasuska
Doorashada khabiirka takhasuska leh waa ugu dambeyntii habsocodka, go'aanka ku salaysan maahan keliya shahaadooyinka, laakiin awooddaada inaad ku wada shaqeysid kalsooni iyo isfaham la'aan. Bilow inaad weydiiso dhowr su'aalood oo aasaasi ah si loo qiimeeyo waayo-aragnimada iyo xirfad-yaqaannimada dhakhtarka mustaqbalka:
- Tababarkaagu miyuu ka mid yahay weheshada beerka?
- Boqolkiiba sidee ka mid ah waxqabadkaaga ayaa loo qabtaa cudurka beerka?
- Imisa bukaannada beerka ah ayaa ku daaweeyay?
- Sidee u sii qiimeyneysaa horumarinta iyo / ama daaweynta beerka tijaabada ah?
Weydiinta su'aalahan noocaas ah ma aha oo kaliya masuuliyadaada, waa xuquuqdaada. Haddii aad dareentid inaad ka soo horjeedo takhtarka, waxaad u baahan kartaa inaad is-waydiiso in isku-kalsooni isku mid ah uu wiiqi doono awoodda aad u leedahay inaad ku dhaqaaqdo go'aanka ku saabsan daaweyntaada iyo daryeelkaaga caafimaad.
Bogagga caafimaadka sida Xanuunada Caafimaadku waxay kaa caawin karaan bixinta macluumaad dheeraad ah sida shahaadada dhakhtarka, aagagga dhaqanka, iyo ciqaab kasta ama ficillada khaldan ee faylka.
Daweynta Cagaarshowga iyo Is-qaadsiinta HIV
Sababaha cagaarshowgu waxay noqon karaan kuwo badan waxayna badanaa u baahan yihiin daaweynta xaalad hoosta ama la xiriirta. Tani waxay si gaar ah u tahay dadka qaba cagaarshow iyo HIV .
Marka laga hadlayo cagaarshow C , tusaale ahaan, heerka caabuqa HIV-ga waxaa uu gaari karaa boqolkiiba 30 dadka qaar iyo in ka badan 92 boqolkiiba dadka isticmaala daroogada (IDUs ).
Haddii cudurka HIV / cagaarshow la wadaago, waa in loo baahdo takhasus cudur oo faafa si loo hubiyo in qofka lagu meeleeyo daaweynta antiretroviral iyo in daroogooyinka loo soo qoray aysan ka hor istaagin isticmaalka cagaarsheet. Khabiirka ayaa sidoo kale kormeeri kara unugyada beerka si loo hubiyo in daawooyinka antiretrovirals aysan keenin wax saameyn ah oo saameyn ku yeelan kara waxqabadka beerka .
Inkasta oo qaar ka mid ah takhaatiirta beerka ee laga yaabo inay khibrad u leeyihiin daaweynta iyo maareynta HIV, qaar badani maaha. Haysashada takhasuska cudurrada infakshanka leh ee ku dul taala guddiga ayaa laga yaabaa inaanay ka caawinnin inay iska ilaaliyaan saameynta daaweynta ee la xidhiidha laakiin waxay hubiyaan in culeyska HIV-ga uu si buuxda u kontaroolo muddada daaweynta cagaarshowga.
Ilaha:
Kuliyada American Gastroenterology. "Wadahadal Toward Excellence Training Future Gastroenterologists." Manhajka Muhiimka ah ee Gastroenterology ( Manhaj Saddexaad); Bethesda, Maryland; May 2007.
Ururka Ameerika ee Daraasada Cudurrada Beerka (AASLD). "Shirkii 65aad ee Annual Association of American Study for Cudurrada Beerta: Kulanka Beerta ee 2014." Cagaarshowga. Oktoobar 14, 2014; 60 (S1): 225A-258A.
Kuliyada American Gastroenterology. " Waa maxay Gastroenterologist? " Bethesda, Maryland; Janaayo 20, 2014.