Yini hepatologist awukudla? Hepatology - igatsha lomuthi etadisha isibindi, gallbladder, ipheshana biliary

Izifo kwesibindi kanye Bile Amapayipi - konke ephatha hepatologist, okuyinto umsebenzi wezempilo kubaluleke ngokukhethekile futhi kudingekile. Ngokuvamile, isiguli alivamile ukuzwakala usizo kudokotela onguchwepheshe enjalo ngabanye. Ngenxa yalesi udokotela, ngokuvamile gastroenterologist noma udokotela liyala.

Uma ufuna ubheke hepatologist

Isibindi umzimba isidingo kwetfulwe ezithile, empeleni, ekugqugquzeleni professional kwesigaba emincane. Ngokuvamile udokotela-gastroenterologist lungapheli isiphetho olunembile, ngoba sitholakele isifo sesibindi nzima nezinye izifo esiswini. Sam hepatologist kakade ukubuza imibuzo ethile ukuze isiguli ngezimpawu bakhe, uyokwenza ukuhlolwa kanye bayaqondisa ucwaningo oludingekayo. Ukuqokwa nodokotela ukuba nezimpawu ezifana:

• ukungakuthandi ukudla;
• ukulunywa;
• encishisiwe isisindo;
• ukudakwa njalo;
• ubuhlungu kwesibindi;
• umbuthano amnyama ngaphansi kwamehlo;
• umkhuhlane;
• ukushintsha e umchamo umbala onsundu ngaphansi;
• sezinyawo umbala - brown ukukhanya;
• ngihlaselwe iphupho elibi;
• yellowing we zamehlo kanye nolwelwesi lwamafinyila.

Kubalulekile ucabangela uma isikhathi nesineke ukuqaphela lezi zibonakaliso kanye kahle wasiphendula, ezimweni eziningi kungenzeka inkambo evumayo lesi sifo.

Ezinye izinkomba izifo

A uhlobo izimpawu wesilisa cishe ibonisa inkinga nge kwesibindi, iyona ukwanda lapho esiswini, okuyinto isiqala ukufana "ubhiya flank", futhi ukwehla ukusebenza ngokobulili. Ngo abesifazane, kukhuphuke ndlala mammary. Futhi kusobala ukuthi awukudla hepatologist isibindi.

Iziguli isifo sokusha umzimba Namanje ngisenenkinga ukopha nokuvuvukala izinsini, elivela kuzo ubuhlungu chronic esiswini, kanye isiphazamiso esithile, ukungakwazi ukugxila emsebenzini noma okunye ukuqeqeshwa ezinde ngenxa engapheli muzwa ukukhathala.

Kaningi, kusaqalwa isifo sesibindi, iziguli umane indiva izimpawu ngenhla. Nokho, uma isimo ukukhathala iya ku amasonto noma ngisho nangokwengeziwe, kanye isisu ubuhlungu, kunesidingo esiphuthumayo ukubhalisa kudokotela.

Indlela ukulungiselela ukuvakashelwa uchwepheshe

Lokhu umhlinzeki ukuba ukuqonda ngokucophelela yonke imigomo esiguli, ngijwayele ukuphila kwakhe kanye nomsebenzi. Kufanele ikhumbule zonke isifo bafudukela isiguli (isib, ifomu viral) ichaze ukugula okungamahlalakhona, imithi cwaningo esetshenziswa iziguli (ikakhulukazi labo ukusebenziswa iseluleko abangane noma izihlobo). Kunezigaba ezithile belungiselela ingxoxo kudokotela.

1. It liyadingeka ukuze ushawa futhi agqoke izingubo ezihlanzekile.
2. Thatha ocwaningweni neluhlolo yezokwelapha esikhathini esidlule.
3. Ungadli ukudla amahora 5-7 ngaphambi kokuqala wokubonisana izivivinyo isibindi, kanye nezinye izitho.
4. Akuvunyelwe ukuba uphuze utshwala (ngisho kancane), okunamafutha, okuthosiwe kanye nokudla okunosawoti (it ikakhulu kuthinta okuvela izinkinga zesibindi).
5. Udinga ukulungiselela ikhadi yezokwelapha.

hepatologist kokubonisana

Ngesikhathi reception, udokotela esiyisibopho ukuze afakwe imibuzo mayelana nokuba khona izimpawu ulalele wonke izikhalazo isiguli. Ngaphezu kwalokho, onguchwepheshe uzokwenza inqubo cwaningo palpation ukuthola umonakalo kobuso isibindi, uma ikhona. Futhi assays hepatologist angaqoka futhi uma kunesidingo yenza isiguli ukuya esibhedlela ukuze ihlolwe ekhethekile. Omunye udokotela uyonika nomhlahlandlela yokuphila futhi anikeze isiguli imithi.

Luhlolokulinganisa lwetivivinyo neluhlolo

Udokotela, hepatologist uqoka izifundo kuncike isimo lesiguli. Abakwazi wawuyomiswa:

• Ultrasound isibindi;
• encephalography;
• computed tomography esiswini ;
• ukuhlaziywa kanye igazi oyisazi samakhemikhali ezinto eziphilayo;
• urinalysis;
• Lubhoboze biopsy kwesibindi ;
• elithwala umoya-mpilo;
• ukuhlolwa ukuthola amagciwane ukusebenza kwazo ngempumelelo.

inhlolovo eziqonde ngqo hepatologist - kuyinto esophagoscopy (Ukuhlola emphinjeni ngokusebenzisa tube asizayo) kanye colonoscopy (luhlolo rectal usebenzisa colonoscope). Zonke ukuhlahlwa ngenhla ukuze lisize isimo sempilo wonke umzimba futhi isibindi.

Kuze kube manje, iziguli 'eziphambili "kakade ukuthi akufanele ukuya kudokotela ngaphandle Imiphumela yalolu cwaningo main.

Lolu cwaningo "iphrofayli isibindi"

Ukuze ubone ukuthi isifo sesibindi kudingeka wenze lokhu ekhethekile ukuhlolwa igazi biochemistry, okuyinto kuyokwembula ezingeni:

• bilirubin (icterus inyuka ngo-- ukuphazamiseka Bile ukugeleza);
• aspartate (okuholela ekwandeni esikhiqiza erythrocyte isibindi, omsebenzi wakhe kuhlobene ngokuqondile ngentuthuko ukuvuvukala kule uhlaka);
• aminotransferase alanine (isibindi enzyme ezingeni lapho liphuma isibindi sibe sesomile);
• khona amaprotheni C-esisheshayo (ukuthola yayo ukubhujiswa kwezicubu kungaba ngokwakhe uqinisekise isifo sokusha);
• gamma-glutamyl (amaprotheni ekhiqizwa isibindi kakhulu kwandisa igazi ehlelekile futhi isikhathi eside utshwala ukusetshenziswa).

udokotela Hepatologist ngokuvamile uqoka ukuhlolwa kwegazi esiswini esingenalutho ekuseni. 2 amahora ngaphambi kwesifundo akuvunyelwe ukuba baphuze ikhofi, itiye noma ijusi ungahlafuni noma intuthu. Kubalulekile futhi ngoba izinsuku 3 ngaphambi test ukugwema edonsa utshwala, ngaphandle ukuzivocavoca kanye ukuzikhandla ngokweqile.

Lokho ephatha hepatologist

Ukwazi izimpawu isiguli, onguchwepheshe sisungula Ihlahlubo ukhethe okunye ukwelashwa. Udokotela ephatha izifo ezifana:

• cholangitis;
• Enterovirus ukusha kwesibindi kohlobo;
• isifo sokusha;
• jaundice;
• Gilbert Syndrome ;
• isifo Gallstone;
• hemochromatosis;
• mononucleosis ezithathelwanayo (Epstein-Barr isifo);
• Hepatitis C no-B (oyingozi futhi ezingalapheki);
• Leptospirosis (Weil-Vasileva isifo);
• steatosis;
• toxoplasmosis (idluliselwe namagundane).

ethandwa isifo Iningi isibindi

Kancane ngaphambili kwaba ukuthi awukudla hepatologist, futhi manje ungathola ukuthi yini izifo eziyinhloko abantu isibindi zigula.

Isibindi emzimbeni womuntu kuveza ngokuchaza sici laboratory kanye isitho hematopoietic of kokudla esiswini. ukusebenza Its ngqo kuhlanganiswe lonke kwezitho wonke womuntu uhlelo umzimba. Ukuhlonza ukunqotshwa yayo futhi abaningi, ezihlukahlukene futhi atypical. Ngokuvamile, lezi izinkomba isifo afihliwe ngaphansi komunye, futhi isiguli ukubambezeleka isebenzisa izinkonzo wezempilo.

Hlobo luni izifo zesibindi kuthinte kakhulu? Ochwepheshe ukukhomba izifo 3:

• isifo sokusha;
• ukusha kwesibindi kohlobo;
• cholecystitis.

isifo sokusha

It kubhekwa isifo kakhulu sína futhi ezinzima - ikwazi ukukutshela yimuphi udokotela, hepatologist. Moscow lingumuzi kwesokudla, lapho ezihlukahlukene nemisebenzi for ekwelapheni lesi sifo.

Ngokuvamile, kwakhiwa isifo sokusha is ngenxa kuphuzwe eside lapho umzimba ayisekho kuvumelana ukufuya ubuthi. Nokho, hhayi belashwa ngokugcwele futhi bakwazi ukuletha i-hepatitis ukuze isifo sokusha. Esikhundleni enempilo amaseli abomvu egazi e isibindi, okuyinto lokubuyiselwa, ukwakha lo okuthiwa ezicutshini. Ingakwazi yini, ngenxa yokulandelana kwayo ngokohlu ukwenza labo aphoyintimenti ukuthi basebenza isibindi. Umzimba kulokhu isiqala ukuphazamiseka okukhulu.

ukusha kwesibindi kohlobo

Kusukela ezifana isifo kungaba basindiswe, uma ulandela izimo inhlanzeko ubuncane futhi okuba angaphuzi ketshezi ezingcolile. Ukusha Kwesibindi Kohlobo kuyinto isifo ukuvuvukala: umzimba uthola igciwane, elibangela lesi sifo. zingase zimiswe Esinye isifo ngenxa edonsa utshwala. Lokhu ngokuzethemba ongamtshela yimuphi udokotela ohlinzayo, hepatologist. ukusetshenziswa ngokungeyikho imithi ethile futhi kungaba avuse ukusha kwesibindi kohlobo (kukhona ubuthi obunamandla emzimbeni).

cholecystitis

Lesi sifo ngokuvamile kwenzeka ngenxa ukuvuvukala gallbladder. Futhi emzimbeni ke ukuphazamiseka umzimba, Amapayipi biliary baba avimbekile, futhi ngoba Bile ukubambezeleka icacisa ukuvuvukala.

Iyini intengo kokubonisana eRussia

I evakashele hepatologist enhloko-dolobha ngokwesilinganiso, izobiza cishe 2500-3000 ruble. ukwelashwa eyalandela izindleko zalo isivele kudingekile ukuchema onguchwepheshe edilini lomshado. Kufanele futhi acabangele ukuthi hepatologists zicatshangelwa odokotela ubuthishela ezingavamile, yingakho izintengo ukwelashwa abakuchaza ngokwabo. Futhi Pediatric Hepatology futhi omdala namuhla izobiza umuntu ovamile ngempela eqolo.

amathiphu hepatologist

1. Ngokuba nokuvimbela isifo sokusha kwesibindi kohlobo C no B izigaba akufanele uphuze amanzi empompini, izithelo ezingahlanjiwe nemifino.
2. Ungakhohlwa ukuthi ngaso sonke isikhathi kufanele zigeze izandla ngaphambi kokudla nangemuva kokuya endlini encane.
3. Kuyinto engenakwenzeka ocansini ngaphandle kwekhondomu nomlingani abaphethwe isifo sokusha kwesibindi kohlobo kunanoma iyiphi, kanye iphendukele bendunu. Noma uma kukhona ezinsukwini ezibucayi abesifazane.
4. Gqoka izibuko zokuzivikela (isibonelo, kuhlinzwa, amazinyo noma yezokwelapha uchwepheshe) ngaphambi kokusetshenziswa ngoba igazi elinegciwane, engena ulwelwesi lwamafinyila we inhlamvu yeso, ngokushesha ubeka kwesibindi.
5. Uma isiguli waphathwa isifo sokusha kwesibindi, kuzomele ukuqapha ukuhamba kwesitulo, okufanele okungenani kabili ngosuku.
6. Enye hepatologist, ukubuyekezwa zazo ushiye iziguli ingagunyaza ukuqapha amavolumu uketshezi uphuza futhi ahoxiswa. Uma usebenzisa kancane, futhi ushiya isikhathi kudingeka okwengeziwe ukubhekana ngokushesha kudokotela.

zokuvimbela Universal izifo kwesibindi kanye ipheshana biliary, ukudla nge okuqukethwe encishisiwe amafutha, ukusetshenziswa okubabayo, okugazingiwe elincane uphuzo oludakayo noma engekho Imininingwane (ngaphandle kungenzeka newayini elibomvu - 1 ingilazi zonke izinsuku ezingu-7).