Yintoni hepatologist ephatha? Hepatology - isebe emithi lifunda isibindi, senyongo, iphecana biliary

Izifo wesibindi inyongo imibhobho - zonke ophatha hepatologist, nto leyo umsebenzi ingakumbi ezibalulekileyo eziyimfuneko zempilo. Ngokuqhelekileyo, isigulana azifane lokuba uncedo oyingcali enjalo ngabanye. Ngokuba lo gqirha, ngokuqhelekileyo gastroenterologist okanye gqirha iyalela.

Xa ufuna ukuba libhekisela hepatologist

Isibindi imfuneko umzimba ngokwanelisayo ezithile, enyanisweni, kukhuthazo kwicandelo professional emxinwa. Amaxesha amaninzi ugqirha-gastroenterologist akanako ukunika isigqibo echanileyo, kuba lokufunyaniswa isifo sesibindi nzima nezinye izifo esiswini. Sam hepatologist sele ukubuza imibuzo ethile kwisigulana malunga iimpawu zakhe, uya kwenza uhlolo kwaye ulwalathiso siphande. Ukuqeshwa kunye ugqirha ukuba kunye neempawu ezifana:

• ukulahleka emnyama;
• ukulunywa;
• ekuncipheni ubunzima;
• ukunxila njalo;
• intlungu esibindini;
• isangqa amnyama phantsi kwamehlo;
• umkhuhlane;
• ukutshintsha Umchamo umbala esintsundu;
• isitulo umbala - brown ekukhanyeni;
• iphupha embi;
• yellowing le amehlo kunye ngenwebu yangaphakathi.

Kwakhona kubalulekile ukuqwalasela ukuba ixesha isigulane ukuba uqaphele le miqondiso kwaye ngokuchanekileyo wathi kubo, kwiimeko ezininzi kunokwenzeka indlela kakuhle esi sifo.

Ezinye Iimpawu zokugula

A uhlobo kweempawu obudoda mhlawumbi bonisa ingxaki kwesibindi, kukunyuka esiswini, nto leyo iqalisa ukuba ukufana "Utywala nangegxalaba", kwaye ukuhla ekusebenzeni ngokwesondo. Kwabasetyhini, ukwanda ingaba mammary. Yaye oko ke ephatha hepatologist esibindini.

Izigulane ne ukuqina umzimba zisathwaxwa ukopha kunye iindumbisa iintsini, isenzeko ndinentlungu engapheliyo esiswini, kwakunye isiphazamiso esithile, ukungakwazi ukunikela ingqalelo umsebenzi okanye enye yoqeqesho elide ngenxa imvakalelo olungenasiphelo jikelele ukudinwa.

Ngokufuthi, sikwinqanaba lokuqala lwesifo kwesibindi, nje izigulane ngoyaba ezi mpawu zingentla. Noko ke, ukuba imeko ukudinwa okuhlala kuse iiveki okanye nangaphezulu, kunye zesisu inobuhlungu, kukho imfuno engxamisekileyo ukubhalisa kwagqirha.

Indlela ukulungiselela utyelelo ingcali

Le wesevisi ukuba ukuqonda ngenyameko yonke imiqathango umguli, ukuze aqhelane nobomi bakhe kunye nomsebenzi. Kufuneka uthathe ingqalelo yonke sifo bafudukele isigulane (umzekelo, iphetshana wentsholongwane egazini) ukuchaza isifo esinganyangekiyo, iyeza sifundo esetyenziswa yi izigulane (ingakumbi ezo zisetyenziswa kwi iingcebiso abahlobo okanye izalamane). Kukho zigaba ezithile kwamalungiselelo incoko kunye nogqirha.

1. kufuneka ukuba uthathe ishawa unxibe iingubo ecocekileyo.
2. Thatha ngeziphumo zophando kunye neemviwo zonyango elidlulileyo.
3. Musa ukutya iiyure 5-7 phambi kokuqala thethwano iimviwo isibindi, kwakunye namanye amalungu.
4. Akuvunyelwe ukuba ukusela utywala (nokuba kancinane), okunamafutha, okroqiweyo, kunye nokutya ezinetyuwa (it ikakhulu kuchaphazela kukuvela ukuphazamiseka kwesibindi).
5. Kufuneka ulungiselele ikhadi zonyango.

yokubonisana hepatologist

Enkhubyeni wa vukati, ugqirha inyanzelekile ukuba imibuzo malunga ubukho iimpawu kwaye umamele zonke izikhalazo malunga nesigulane eso. Ukongeza, i ingcali kuya kwenza inkqubo isifundo Ngokucofa ukubona umonakalo kumphezulu kwesibindi, ukuba zikhona. Kwakhona zePCR hepatologist banokutyumba yaye xa kuyimfuneko uyabakhokela isigulane ukuba uye esibhedlele ukuhlolwa okhethekileyo. Enye Ugqirha uya kunika isikhokelo yokuphila kwaye zibeka amayeza.

Iimvavanyo kunye neemviwo

Ugqirha, hepatologist umisela izifundo ngokuxhomekeke imeko yesigulane. kujongwe ukuba:

• isibindi ultrasound;
• encephalography;
• Itomography ngekhompyutha ye isisu ;
• analysis and ezinto igazi;
• urinalysis;
• Zokuhlatywa biopsy kwesibindi ;
• athwala;
• uvavanyo ukuze ukubona iintsholongwane kunye nokusebenza kwabo.

survey Specific hepatologist eyenzelwe - yi esophagoscopy (Ukuphononongwa kwakhona kuvuleke iminxunya ngokusebenzisa ityhubhu abangabancedani) kunye colonoscopy (examination efakwa usebenzisa colonoscope). Zonke ezi uxilongo ngentla ukunceda ekuboneni imeko impilo umzimba uphela wesibindi.

Ukuza kuthi ga ngoku, "phambili" izigulane sele uyazi ukuba kufuneka uye kugqirha ngaphandle iziphumo iinkcukacha eziphambili.

Isifundo "iprofayile isibindi"

Ukuze ubone isifo sesibindi kufuneka wenze oku okhethekileyo uvavanyo lwegazi ezinto, nto leyo eza kutyhila umgangatho:

• yibilirubin (ukunyuka icterus kwi - disorder lokuhamba enyongweni);
• aspartate (ehamba kuvala ukuvelisa erythrocytes zesibindi, umsebenzi wakhe elidityaniswe ngqo kunye nophuhliso ukudumba in an ilungu);
• aminotransferase alanine (inqanaba enzyme zesibindi leyo liphuma isibindi kwesibindi);
• ubukho protein C-izidubuli (ubhaqo lwalo ekutshatyalalisweni izicwili nga ngokwakhe ukuqinisekisa kwesibindi);
• gamma-glutamyl (protein eveliswe isibindi kakhulu kwandisa igazi ukusetyenziswa kotywala ngendlela kwaye elide).

Ugqirha Hepatologist ngokuqhelekileyo limisela iimvavanyo igazi ungatyanga kusasa. iiyure ezi-2 phambi kokuba isifundo kungavumelekanga ukuba usele ikofu, iti okanye incindi, ukuhlafuna itshungama okanye umsi. Kubalulekile kwakhona ukuba iintsuku ezi-3 phambi kokuba uvavanyo ukuphepha ukutya utywala, ngaphandle umthambo onzima kunye overexertion.

Ophatha hepatologist

Ukwazi iimpawu kwisigulana, yingcali umisela isifo immisele unyango olungaphezulu. Ugqirha okunyangayo izifo ezifana:

• cholangitis;
• Enterovirus hepatitis;
• ukuqina;
• senyongo;
• Gilbert Syndrome ;
• isifo Gallstone;
• hemochromatosis;
• mononucleosis ezosulelayo (isifo Epstein-Barr);
• Hepatitis C no-B (etsolo kunye chronic);
• Leptospirosis (isifo Weil-Vasileva);
• steatosis;
• toxoplasmosis (transferred iimpuku).

Uninzi isifo sesibindi ethandwayo

A noko ke ukuba ephatha hepatologist, kwaye ngoku ungafumana ukuba yintoni na izifo eziphambili abantu zesibindi zigula.

Kwesibindi emzimbeni womntu uvelisa ocacisa ilebhu msebenzi ilungu hematopoietic of ukwetyisa. ukusebenza kwayo ihlanganiswe ngqo kunye nabanye amalungu kunye nenkqubo umzimba uphela. Ukufanisa kwakhona ukoyiswa zawo ezininzi, okwahlukeneyo Nedlac. Amaxesha amaninzi, ezi mpawu sisifo zifihlwe phantsi enye, yaye umguli kunye ukulibaziseka usebenzisa iinkonzo wezempilo.

Luhlobo olunjani izifo zesibindi phantse? Iingcali ukuchonga izifo 3:

• ukuqina;
• hepatitis;
• cholecystitis.

ukuqina

Kucingwa esi sifo kakhulu kwaye kakhulu - oko kuthi na ugqirha, hepatologist. EMoscow na ukuba lihenyukazi umzi ekunene, apho iintlobo ngeentlobo zemisetyenzana yokukhangela ukuba unyango lwesi sifo.

Ngokuqhelekileyo, ukuqina kwenziwa nje ngenxa yokusela elide xa umzimba ayisekho ingqamana ukufuya ubuthi. Noko ke, hayi sinyangeke ngokupheleleyo unako ukuzisa hepatitis ku kwesibindi. Endaweni iiseli esempilweni ezibomvu zegazi kwesibindi, leyo lokubuyiselwa, ukwenza ekuthiwa kwizicwili. It awukwazi, ngenxa isakhiwo balo ukuba benze ezo zimemo ukuba bathunyelwa esibindini. Eziphilayo kulo mba ekuqaleni yokuphazamiseka ezibalulekileyo.

hepatitis

Ukusuka onjalo sifo basindiswe, ukuba ulandela imiqathango ubuncinane ucoceko kwakhona ukuba basele amanzi amdaka. Hepatitis isifo yokukrala: umzimba ebizwa ngokuba yintsholongwane kagawulayo, nto leyo ebangela esi sifo. Enye sifo kuyilwa ngenxa yabafundi zotywala. Oku ngokuzithemba onokumxelela nayiphi otyandayo, hepatologist. ukusetyenziswa ngokuchanekileyo eminye imithi kungabangela hepatitis (kukho ityhefu elinqatyisiweyo lomzimba).

cholecystitis

Esi sifo ngokuqhelekileyo kwenzeka ngenxa ukudumba senyongo. Kwakhona emzimbeni loo nto disorder metabolic, imibhobho biliary baba ivalekile, nangenxa enyongweni ukulibaziseka inyusa komtshiso oko.

Yintoni ixabiso kokubonisana eRashiya

Utyelelo kwi hepatologist kwi neengqukuva avareji, zizakuxabisa malunga 2500-3000 engange. unyango emva kwaye indleko yalo, kuyimfuneko sele ukuba zizayamanise oyingcali kwi ulwamkelo. Kufuneka uthathe ingqalelo yokuba hepatologists zithathwa ngoogqirha umsebenzi ezinqabileyo, yaye loo nto amaxabiso unyango ezichaza ngokwabo. Ke Paediatric Hepatology kunye abadala namhlanje buxabise umntu avareji luyabiza.

Tips hepatologist

1. Kuthintelo hepatitis C kunye neendidi B akayi ukuba basele amanzi etephini, iziqhamo ezingahlanjwanga kunye nemifuno.
2. Musa ukulibala ukuba kufuneka ngalo lonke ixesha uhlambe izandla zabo phambi kokuba utye nasemva kokusebenzisa indlu yangasese.
3. Akwenzeki ukuba ukwabelana ngesondo ngaphandle kwekhondom kunye neqabane ukubandezeleka kwesibindi naliphi iqela, kwakunye ukubhenela ezimpundu. Okanye xa kukho iintsuku ezibalulekileyo kakhulu kwabasetyhini.
4. Nxiba iindondo zokhuselo (umzekelo, utyando, amazinyo okanye medical Technician) phambi kokuba ukusetyenziswa kuba igazi elosulelekileyo, ezendeleyo i inwebu kwiinwebu lweliso lakho, kwaoko ubeka hepatitis.
5. Ukuba isigulana uyagula kunye kwesibindi, kuya kufuneka ukuba babeke iliso rhoqo kwesitulo, ekufuneka ibe kabini ngemini.
6. Enye hepatologist, nokubuyekezwa ezishiya izigulane Siyaleza esweni imiqulu kolwelo usela kunye sirhoxiswe. Ukuba usebenzisa ngaphantsi, yaye amagqabi efunekayo ixesha ukujongana ngokukhawuleza kwagqirha.

Uthintelo Universal izifo wesibindi iphecana biliary, ukutya kunye nomxholo otyebileyo zancitshiswa, ukuselwa okuneziqholo, ezigcadiweyo nezincinane iziselo ezinxilisayo okanye ukungabikho sabo setotali (ngaphandle kungaba iwayini ebomvu - 1 iglasi zonke iintsuku ezisi-7).